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MIMIC-CXR-JPG/2.0.0/files/p12466349/s58356829/6041d569-e40c2a15-7ead30e3-8b2d11a3-fe429bff.jpg
apparent cavitary lesion in right suprahilar region, concerning for an infectious etiology (including fungal and mycobacterial organisms as well as septic emboli) in the setting of cough and fever. recommendation(s): chest ct for confirmation and further characterization of cavitary lesion.
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no evidence of pneumonia or edema.
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as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube is at the orifice of the right main bronchus, the tube needs to be pulled back by <num> cm. these pulled back is documented on the later examination from. the lung volumes have decreased. as a consequence, the pre-e...
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no acute pulmonary process, stable mild cardiomegaly.
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patchy retrocardiac opacity appears slightly worse in the interval, suggestive of worsening atelectasis, though infection is not excluded. small bilateral pleural effusions, not substantially changed. previously noted tiny right apical pneumothorax appears resolved.
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mild cardiomegaly with pulmonary vascular congestion and mild pulmonary edema.
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pulmonary edema with small left effusion, likely indicate fluid overload.
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new moderate cardiomegaly.
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no significant interval change.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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mild interstitial edema, top normal heart size, small left effusion, and basilar opacity likely atelectasis versus pneumonia.
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low lung volumes with likely moderate pulmonary vascular congestion/mild pulmonary edema. <num>-mm nodular opacity projecting over the right mid lung, at the level of the posterior right eighth rib/anterior right third rib, could possibly represent a bone island that was seen in the ninth rib on prior chest ct of. howe...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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patchy right infrahilar opacity, which may represent patchy atelectasis, focal aspiration or early pneumonia. followup radiographs may be helpful in this regard.
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no definite evidence of pneumonia.
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large bilateral layering pleural effusions with adjacent atelectasis, similar to prior. stable mild vascular congestion.
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no acute cardiopulmonary process.
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left basilar opacity which could potentially represent pneumonia. consider pa and lateral to more fully assess if patient is amenable.
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et tube tip <num> cm from the carina. consider slight retraction for optimal positioning.
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improving left lower lobe opacity compared to.
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as compared to , the pre-existing opacity at the right lung base is minimally increasing in extent. given these increase, either increasing atelectasis or developing pneumonia must be considered as a differential diagnosis. otherwise, no relevant change is seen. the tracheal and bronchial stents are better visualized t...
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pa and lateral chest compared to most recent prior chest radiograph from : it is possible that a <num> cm wide ring shadow seen on the frontal chest radiograph, projected over the left sixth rib anteriorly and on the lateral view over the lowest thoracic vertebral body in its entirety is a cavity. it is also possible t...
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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stable cardiomegaly with improved moderate pulmonary edema compared to. possible mild retrocardiac atelectasis.
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there is a stable mass in the superior segment of the left lower lobe suspicious for malignancy. as the mass is contigous to the hilum on the frontal view, left hilar and mediastinal lymphadenopathy is also likely, especially when correlated with ct images from. calcified pleural plaques are again seen suggesting prior...
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no acute cardiopulmonary abnormality.
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in comparison with the study of , there is little overall change. cardiac silhouette is at the upper limits of normal or slightly enlarged and there is tortuosity of the aorta. no acute pneumonia, vascular congestion, or pleural effusion. of incidental note are surgical clips in the right axilla, unchanged from the pre...
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no acute intrathoracic abnormality.
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moderate bilateral pleural effusions, right greater than left, and pulmonary congestion. partial right lower lobe collapse. bibasilar and patchy opacities which may also represent atelectasis however infection cannot be excluded.
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compared to chest radiographs through. tracheostomy tube midline. esophageal drainage tube ends in the upper stomach. right pic line ends in the mid svc. bibasilar atelectasis, mild on the right is stable, severe on the left, worsened substantially since early on. pleural effusions are presumed but not substantial. no...
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moderate cardiomegaly. limited by patient's body habitus which causes an overall haziness. no definite edema or pleural effusion. no focal consolidation.
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as compared to the previous radiograph, no relevant change is seen. focal area of lateral pleural thickening at the level of the left chest wall. borderline size of the cardiac silhouette without evidence of pulmonary edema. neither the frontal nor the lateral radiograph show evidence of pneumonia or pleural effusions....
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mild pulmonary vascular congestion. no focal consolidation.
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bibasilar opacification, left greater than right, has increased since. in the setting of left shift of the lower mediastinum the findings are best explained by moderate left lower lobe atelectasis, worse than right. heart is normal size. upper lungs are grossly clear. mediastinal veins are mildly dilated due to increas...
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small bilateral pleural effusions and bibasilar atelectasis. incompletely assessed right lung base can be further evaluated by ct if of clinical concern.
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interval extubation. low lung volumes with bibasilar linear atelectasis and mild prominence of lung vasculature without frank pulmonary edema.
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no acute cardiopulmonary abnormality.
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persistent left lower lobe atelectasis associated with chronic left pleural scarring. pulmonary vascular congestion and mild to moderate cardiomegaly or chronic. although there is recurrent small right pleural effusion there is no pulmonary edema.
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no acute findings in the chest.
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in comparison to prior radiograph from earlier the same date, widespread subcutaneous emphysema persists as well as at small by a lateral apical pneumothoraces. heterogeneous lower lung opacities have slightly worsened. no other relevant change.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16783577/s52806037/3f9f97c9-63076266-9549b4eb-ca4de75c-b8206e41.jpg
enlargement of the cardiac silhouette and diffusely increased interstitial and bibasilar airspace opacities are consistent with worsening mild-to-moderate pulmonary edema.
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no significant interval change. persistent bilateral pleural effusions, larger on the right.
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unchanged right pleural effusion with mild edema. multi-focal opacities are improving.
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in comparison with the study , there is little change in the appearance of the heart and lungs and monitoring and support devices.
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stable chest findings, no evidence of cardiac enlargement, pulmonary congestion or acute infiltrates in this -year-old male patient with intermittent cough.
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low lung volumes with bibasilar atelectasis. no evidence of pneumonia.
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ap chest compared to through at : pulmonary edema has been fluctuating, now moderate and improved since lower lobes are consistently more consolidated than elsewhere, usually due to dependent edema and atelectasis. small left pleural effusion is presumed. heart is enlarged but cardiac borders are substantially obscu...
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comparison to. the patient has been extubated and the nasogastric tube was removed. also removed is the right internal jugular vein catheter. no relevant change in appearance of the lung parenchyma. moderate cardiomegaly persists. no pulmonary edema. minimal right basilar atelectasis.
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allowing the difference in positioning of the patient there is no interval change from prior study. widening of the mediastinum, cardiomegaly, small right effusion, retrocardiac opacities and mild vascular congestion. no pneumothorax
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no evidence of acute cardiopulmonary process.
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no overt pulmonary edema. minimal vascular congestion as demonstrated by prominent pulmonary vasculature is probably not clinically significant.
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right internal jugular dual-lumen large-bore catheter, and endotracheal tube are unchanged in position. nasogastric tube is coursing below the diaphragm with the tip not identified. overall, there is improving bilateral airspace process with perihilar fullness consistent with improving, but still moderate-to-severe pul...
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no acute cardiopulmonary abnormality.
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heart size and mediastinum are stable. lungs are essentially clear. no pleural effusion or pneumothorax is seen.
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as compared to the previous radiograph, no relevant change is seen. low lung volumes. moderate cardiomegaly with mild fluid overload. minimal retrocardiac atelectasis. no pneumonia, no pneumothorax.
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no evidence of acute cardiopulmonary abnormality.
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mildly increased retrocardiac opacity likely representing atelectasis ; however, a superimposed pneumonia must be excluded in he proper clinical setting.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormalities
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no acute cardiopulmonary abnormality.
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coarsened interstitial markings suggestive of chronic lung disease. under penetrated lateral view limits assessment.
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no pneumothorax.
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mild pulmonary edema. left lower lobe opacity could represent atelectasis or pneumonia with associated effusion.
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small left pleural effusion unchanged. heart size top-normal. small region of opacity at the right lung base is new, could be early pneumonia. careful followup advised. et tube has been repositioned, now in standard placement. right jugular line ends in the low svc. esophageal drainage tube ends close to the pylorus.
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low lung volumes without definite acute cardiopulmonary process.
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no acute cardiopulmonary process.
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mild cardiomegaly without congestive heart failure. mild bibasilar atelectasis. no radiographic evidence for pneumonia. no displaced rib fracture identified. if there is continued concern for a rib fracture, consider a dedicated rib series
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mildly hypoinflated lungs, otherwise normal chest radiograph.
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there has been no interval change. left lung is clear. right lung is small, with particular consolidation and volume loss in the middle and lower lobes despite substantial right pleural effusion findings reflect bronchial obstruction to those lobe seen on chest ct performed elsewhere on. there is no left pleural effusi...
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no radiographic evidence for acute cardiopulmonary process.
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no evidence of pneumonia.
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no active disease.
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interval expansion of the right basilar pneumothorax along with removal of the pigtail catheter. mild/moderate right pleural effusion.
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stable cardiomegaly and mild vascular plethora. bibasilar patchy opacities left-greater-than-right. the possibility of an early pneumonic infiltrate cannot be excluded.
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low lung volumes with retrocardiac atelectasis.
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pa and lateral chest compared to. large mass-like lesion in the superior segment of the left lower lobe has grown, maximum diameter increasing from to at least <num> mm. lesion is behaving more like a mass or lung abscess than pneumonia, elevating the left hilus by displacement. there is no pleural effusion, although ...
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no evidence of pneumonia or tuberculosis infection. minimal change since the prior radiograph from.
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compared to prior chest radiographs since only , most recently. initial radiographs showed severe hyperinflation due to emphysema, a large predominantly left-sided cervicothoracic mass, most commonly thyroid, severely narrowing the trachea and displacing it to the right. mild pulmonary edema developed on , collected in...
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mild pulmonary vascular congestion and interstitial edema with no pleural effusions.
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mild to moderate pulmonary edema, as seen previously, with severe cardiomegaly. trace bilateral pleural effusions, decreased in size in the interval.
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low lung volumes otherwise normal chest radiograph.
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mild interval improvement.
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right lower lobe consolidation is demonstrated on both pa and lateral views concerning for right lower lobe pneumonia. small amount of associated right pleural effusion is demonstrated. minimal left basal opacity most likely reflects atelectasis. no left pleural effusion is seen. no pneumothorax is seen.
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in comparison with these earlier study of this day, there has been the development of <num> right pneumothorax with virtual complete collapse of the right upper lobe. on a subsequent image dictated previously, there has been placement of right chest tube and re-expansion of the right lung. increased patchy opacificatio...
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as compared to the previous radiograph, the appearance of the cardiac silhouette and of the right lung is unchanged. on the left, there is minimal elevation of the hemidiaphragm and a small platelike atelectasis at the left lung bases. no evidence of pneumonia.
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lines and tubes in standard positions. widened superior mediastinum. subsequent ct of the torso demonstrated an extensive type a aortic dissection. small bilateral apical pneumothoraces. streaky opacity left lung base may reflect atelectasis. more focal opacity in the left mid lung field is nonspecific but could reflec...
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no acute cardiopulmonary abnormality.
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possible right basal pneumonia or atelectasis, needs to be correlated with clinical findings.
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limited study due to extremely low lung volumes without acute intrathoracic process.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, <num> images are now provided. first image shows malposition of the feeding tube in the left bronchial system, the second image shows correct position of the feeding tube in the middle parts of the stomach. the tracheostomy tube and the right hemodialysis catheter are in correct ...
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findings possibly represent early right middle lobe pneumonia.
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cardiomegaly and chronic changes in the lungs. superimposed edema would be possible.