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MIMIC-CXR-JPG/2.0.0/files/p18460817/s58473000/941bbf80-ff011136-d506d6f6-3f44984f-1eafa201.jpg
multiple patchy opacities throughout the right lung which, given the history, are worrisome for pulmonary contusions although pneumonia is not excluded. no fractures are identified however the sensitivity for rib fractures on chest radiography is low. if further suspicion of rib fractures persist, dedicated rib view ra...
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no previous images. the cardiac silhouette is enlarged though there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. an impression on the right side of the lower cervical trachea raises the possibility of a thyroid mass.
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in comparison with the study of , the subtle area of opacification in the right mid zone has substantially increased in size, consistent with a region of pneumonia. otherwise little change.
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no acute intrathoracic process. stable enlarged cardiomediastinal silhouette better depicted on ct dated.
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no acute cardiopulmonary process. no evidence of free air below the hemidiaphragms.
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no previous images. hyperexpansion of the lungs suggests some underlying chronic pulmonary disease. however, no evidence of acute pneumonia, vascular congestion, or pleural effusion. no evidence of parenchymal or skeletal metastases.
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small to moderate left pleural effusion with increased opacification involving the left lung, predominantly the lower lobe and lingula. this may represent a combination of patient's known lung cancer and likely superimposed infection. bilateral hilar lymphadenopathy is presumed.
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as compared to the previous radiograph, no relevant change is seen. no pulmonary nodules or masses. no lymphadenopathy. normal appearance of the cardiac silhouette and of the lung parenchyma. no pleural effusions.
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mild pulmonary vascular congestion.
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no acute cardiopulmonary process.
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in comparison with the study of , there are lower lung volumes. cardiac silhouette is at the upper limits of normal in size. atelectatic changes of fibrosis are seen at the bases. engorgement of pulmonary vessels is consistent with some elevated pulmonary venous pressure. there is blunting of the costophrenic angles as...
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in comparison to chest radiograph, a duo lead permanent pacemaker has been placed, with leads terminating in the right atrium and right ventricle. on the lateral view, the distal aspect of the right ventricular lead makes an abrupt posterior turn. cardiomediastinal contours are stable in appearance. lungs are clear ex...
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no acute cardiopulmonary process; specifically, no evidence of pneumonia. unchanged cardiomegaly.
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persistent pulmonary vascular congestion.
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heart size and mediastinum are stable. the et tube has been replaced by tracheostomy. right central venous line tip is at the level of lower svc. bilateral pleural effusions and bibasal consolidations are present.
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no relevant change as compared to the previous image. mild elongation of the descending aorta. normal size of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema. no pneumothorax.
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subtle opacity in the right mid lung laterally, potentially atelectasis. repeat exam with better inspiratory effort on the frontal exam can be performed to clarify, as infection is not completely excluded.
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no acute intrathoracic process.
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mild interstitial pulmonary edema has improved and stable mild cardiomegaly.
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pulmonary vascular congestion.
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no acute cardiopulmonary abnormality.
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no radiographic evidence of acute pneumonia.
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port-a-cath catheter tip is at the level of lower svc. heart size and mediastinum are stable. assessment of the lungs demonstrate unchanged linear atelectasis at the left lung base, right hilar hoc parahilar opacity which is slightly more pronounced than on the prior study. there is hyperinflation, unchanged as well as...
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no acute cardiopulmonary process.
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trace pleural effusions. top-normal heart size.
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interval removal of right pleural catheter unchanged righthydro pneumothorax, pleural fluid, and atelectasis.
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unremarkable chest radiographic examination.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pulmonary edema. no pneumonia, no pleural effusions.
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consolidation at the base the left lung has improved since. less severe consolidation on the right is not appreciably changed. small bilateral pleural effusions persist. heart size is normal. upper lungs are clear. i doubt that the abnormality is due to pulmonary edema -more likely pneumonia-but its severity may reflec...
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no subdiaphragmatic free air. low lung volumes with bibasilar atelectasis.
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appropriately positioned et and ng tubes. mild bronchovascular prominence could reflect an element of aspiration.
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low lung volumes. platelike areas of atelectasis at both lung bases. no pleural effusions. no pulmonary edema. no pneumonia. moderate cardiomegaly persists.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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nasogastric tube terminates in the proximal stomach.
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worsening left lower lobe pneumonia.
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possible mild edema. stable cardiomegaly.
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atelectatic changes at the base of the right lung with mild elevation of the right hemidiaphragm in an otherwise unremarkable examination.
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opacity in the, left greater than right, lung bases most likely represents atelectasis, however, in the appropriate setting could represent pneumonia.
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right lower lobe consolidation has improved significantly. minimal opacity on today's cxr may be due residual consolidation or fibrotic changes.
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bilateral airspace consolidations are concerning for multifocal pneumonia, but documentation of resolution following treatment is recommended to exclude neoplasm. persistent pleural effusions.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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minimal improvement in bilateral diffuse opacities, likely combination of infection and edema, probably due to improvement in edema since yesterday.
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cardiomegaly, edema and bilateral pleural effusions.
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no acute cardiopulmonary process.
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focal opacity in the lower lobe, likely in the right lower lobe, concerning for pneumonia, with small effusion. mild pulmonary edema.
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no acute cardiopulmonary process.
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there continues to be a right-sided pacer unit with leads in the right atrium and right ventricle. the heart size is enlarged but stable. the mediastinal and hilar contours appear unremarkable. there is no pleural effusion or pneumothorax. a retrocardiac opacity may represent aspiration or atelectasis; if possible, a p...
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pneumoperitoneum is noted, minimal. bibasal atelectasis present. small right apical pneumothorax is suspected. subcutaneous air within the right chest/neck is unchanged. pneumoperitoneum if associated also with minimal pneumomediastinum and less likely pneumopericardium, followup of the appearance of the left cardiac b...
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limited exam with left basal opacity most likely atelectasis with small left pleural effusion. please note evaluation is markedly limited due to portable technique and if needed, a dedicated pa and lateral view may be helpful to further assess.
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feeding tube, wire stylet still in place, ends in the lower stomach. normal heart lungs hila mediastinum and pleural surfaces.
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the patient was extubated in the meantime interval. the right internal jugular line tip is at the level of lower svc. heart size and mediastinum are unchanged in appearance. bilateral pleural effusions and bibasilar areas of consolidation are unchanged. there is no evidence of pulmonary edema.
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lingular pneumonia. recommend repeat after treatment to document resolution which can be done in six weeks.
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patchy bibasilar opacities most likely reflect atelectasis though an infection cannot be excluded. recommend clinical correlation.
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new haziness at the right base and increased at the left base and high perihilar regions appears more related to atelectasis than edema.
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no acute cardiopulmonary abnormality.
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comparison to. the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carina. minimal retrocardiac atelectasis. otherwise normal lung parenchyma. borderline size of the cardiac silhouette without pulmonary edema. mild gastric over distension.
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no acute cardiopulmonary abnormality.
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a in comparison with the study of , the patient has taken a better inspiration. <num> chest tube remains on the left. hazy opacification in the lower portion of the left hemithorax is again consistent with the ct demonstration of multiple small loculated fluid collections after talc pleurodesis. the right lung remains ...
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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bibasilar atelectasis. no consolidation detected.
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in comparison with the study of , the endotracheal and nasogastric tubes have been removed. continued low lung volumes with opacification at the left base silhouetting of the hemidiaphragm consistent with pleural fluid and underlying compressive atelectasis. the cardiac silhouette is within normal limits and there is l...
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lingular pneumonia. dr the findings with dr , for dr , by phone at approximately pm on.
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bibasilar dependent atelectasis. persistent probable left lower lobe posterior opacity which could represent atelectasis or a component of residual infection, to be clinically correlated. followup after treatment recommending to document resolution.
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low lung volumes likely account for accentuated heart size. otherwise, no acute cardiopulmonary process. recommendation(s): consider reimaging with conventional radiographs at full inspiration to ensure no cardiomediastinal enlargement.
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left lower lobe opacities may reflect aspiration and/or early pneumonia in the appropriate clinical situation.
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no acute cardiopulmonary process.
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no evidence of acute rib fracture on these non dedicated views; irregularities of the third through sixth right lateral ribs is similar to the study from. mild pulmonary edema.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, there is a minimal improvement in severity of the pre-existing pulmonary edema, but signs of both intra vascular and interstitial fluid overload are still present. the lung volumes remain low. moderate cardiomegaly. unchanged position of the left pectoral pacemaker and its compon...
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ap chest compared to : previous mild pulmonary edema has resolved. there is no pneumonia. several small lung nodules and the large right paratracheal mediastinal mass are manifestations of lung cancer. heart size normal. no appreciable pleural effusion.
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no evidence of pneumonia.
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bilateral streaky and patchy opacities likely represent atelectasis, but in the appropriate clinical setting, patchy retrocardiac opacity could represent very early pneumonia. compression deformity of l<num> is age-indeterminate.
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no significant interval change.
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in comparison to chest radiograph, left picc is in place, with tip terminating in the mid to lower superior vena cava. exam is otherwise remarkable for improving linear atelectasis at the left lung base. no other relevant change.
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no acute cardiopulmonary process.
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heart size and mediastinum are unchanged in appearance including post sternotomy and cabg changes. diffuse interstitial opacities are extensive but similar to previous examination. no definitive new consolidations are seen. giving the presence of pre-existing abnormalities chest ct would be beneficial to exclude the po...
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the lung volumes are normal. minimal left pleural effusion. partial left lower lobe atelectasis. focal parenchymal opacity at the lateral aspect of the right upper lobe. this area could represent pneumonia. mild pulmonary edema. moderate cardiomegaly.
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no acute cardiopulmonary abnormality.
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multifocal pneumonia with small bilateral pleural effusions.
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lungs are grossly clear. pulmonary vasculature is mildly engorged. heart is large, but exaggerated by mediastinal fat. there is no pulmonary edema or appreciable pleural effusion.
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increased pulmonary edema and right pleural effusion. unchanged appearance of left upper lobe pneumonia. vascular congestion in the left lung. unchanged retrocardiac consolidation.
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low lung volumes without definite acute cardiopulmonary process.
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trace right apical pneumothorax following right pigtail catheter placement along the right lateral lung apex.
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patchy bibasilar airspace opacities most likely reflect areas of atelectasis though infection is not completely excluded.
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endotracheal tube has its tip approximately <num> cm above the carina. right internal jugular introducer has been removed. lung volumes remain low with patchy opacities at both bases, right greater than left, likely representing bibasilar atelectasis, although pneumonia and aspiration should also be considered. perihil...
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no significant change with the degree of right pleural effusion.
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left lower lobe opacity concerning for pneumonia.
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compared to prior chest radiographs, since , most recently. moderate cardiomegaly is chronic. small to moderate bilateral pleural effusions also persistent. there is probably substantial atelectasis in one of the lower lobes, but the upper lobes and one lower lobe are clear.
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no acute cardiopulmonary process.
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no acute pneumonia or pulmonary edema to suggest acute on chronic chf.
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no acute findings in the chest.
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heart size and mediastinum are stable. there is interval improvement in pulmonary edema but there is still present bibasal atelectasis and pleural effusion and the opacities in the lung bases are in part represent resolving edema. right internal jugular line tip is at the level of superior svc.
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no acute findings in the chest. appropriately positioned icd with lead tip positioned in the expected position of the right ventricle.
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mild heart failure improved since. mild atelectasis.
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new right mid lung field consolidation concerning for pneumonia. follow up radiographs after treatment are recommended to ensure resolution of this finding.
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minimal patchy right basilar opacity which could reflect an area of infection in the correct clinical setting.