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MIMIC-CXR-JPG/2.0.0/files/p13209634/s58698340/5346ee86-f5fa4c7f-e22cb35e-c19f743a-2db55746.jpg
no relevant change as compared to the previous image. minimal increase in extent of the left pleural effusion. otherwise the appearance of the lung parenchyma, the pleural effusions and the moderate cardiomegaly are constant. constant course and position of the pacemaker wire.
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endotracheal tube has been removed. the chest tube, mediastinal drain, and swan-ganz catheter are unchanged position. there is persistent subsegmental atelectasis. no definite consolidation is seen. there are no pneumothoraces.
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small increase in retrosternal soft tissue density at the level of manubrium which is not large enough to signify a mass. however, if the symptoms persist, ct chest should be obtained to better investigate this finding. stat read was called to , rn by dr telephone at , <num> minutes after the time of discovery.
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no acute cardiopulmonary process. this examination neither suggests nor excludes the diagnosis of pericarditis.
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low lung volumes. minimal, if any, pulmonary venous hypertension.
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no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10076144/s58535769/430d99bf-9b4d9639-29d103fd-f9f3373e-5a9f2db4.jpg
no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p12707293/s58033217/90e320e5-8ba31793-800c3e90-319ac43a-2131f827.jpg
no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13417577/s50536171/b53bd595-fe195884-e99c2a7a-5b23a6f3-9634d239.jpg
no substantial change in left apical hydropneumothorax following left chest tube removal in this patient status post left upper lobe wedge resection. worsening atelectasis involving the right middle and right lower lobe. improving aeration of left lung base. dr was notified by telephone about these results on.
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in comparison with the study of , it is difficult to follow the ng tube distal to the lower esophagus. a repeat study with the top of the image at the clavicular level and using abdominal technique could be helpful for better showing the course of the ng tube. there is somewhat ill defined opacification at the right ba...
MIMIC-CXR-JPG/2.0.0/files/p11897193/s54766621/68749efe-c97625f1-11a42571-fd93349a-717c13d3.jpg
as compared to the previous radiograph, no relevant change is seen. in particular, there is no evidence of pleural effusion. the patient carries a left pectoral pacemaker. the size of the cardiac silhouette is normal. status post cabg. no pulmonary edema. status post treated lung cancer. no evidence of focal parenchyma...
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no evidence of acute cardiopulmonary process. normal heart size.
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enteric tube descends below the left hemidiaphragm and below the field of view, likely within the stomach. no other significant change.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15480653/s55066733/5c274f28-fd807fa2-c19b7962-174fa9ef-ef3c43e7.jpg
bilateral apical opacities and pleural thickening are increased compared to , suggestive of fibrosis.
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no acute intrathoracic process.
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no comparison is available at the time of dictation. the lung volumes are normal. the left lung apex shows surgical suture lines, presumably of the resection for a clinically known lung cancer. the lung volumes are normal. normal hilar and mediastinal structures. minimal right apical thickening. no intrapulmonary nodul...
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no evidence of pneumothorax is currently seen. cardiomediastinal silhouette is unchanged. right basal consolidation is unchanged. right chest tube has been discontinued.
MIMIC-CXR-JPG/2.0.0/files/p14796340/s56826606/5f999871-e4687f3c-220c4b55-7772908b-d4055a5a.jpg
no relevant change as compared to the previous image. mild overinflation. no pneumonia, no pulmonary edema, no pleural effusion. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p17016647/s50769423/6e12017f-8cf1c980-19fdf88b-3d9a873b-541ac460.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12503324/s58296602/61f2b7fb-943de07d-d2c6f05c-6c04e35a-e4ed0d96.jpg
slight worsening in fluid status
MIMIC-CXR-JPG/2.0.0/files/p14020630/s58449465/41d5e6c4-cb78b893-89cdc7e4-c802f393-e6b1a671.jpg
no evidence of acute cardiopulmonary process. no pneumothorax. if the clinical suspicion for rib fractures remains, dedicated rib series may be obtained.
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no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
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worsening right lower lobe pneumonia, likely from aspiration given history.
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malpositioned et tube terminates at the right mainstem bronchus.
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no evidence of acute cardiopulmonary abnormalities.
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comparison to. mild pulmonary edema is present on today's examination. new right basal parenchymal opacity, potentially reflecting aspiration. stable appearance of the cardiac silhouette.
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no pneumonia. prevertebral density likely represents projection artifact from the scapula, but a prevertebral lesion cannot be excluded. recommendation(s): repeat lateral chest radiograph with appropriate positioning to exclude prevertebral lesion.
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a tiny right apical pneumothorax appears unchanged from. interval removal of the right chest tube. moderate subcutaneous emphysema is unchanged within the right chest wall. a large left upper lobe mass appears grossly unchanged from ct chest.
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in comparison with the study of , the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. the right hemidiaphragm is now sharply seen.
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resolution of right mid lung opacity, which may have been due to a localized pneumonia.
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no evidence for active cardiopulmonary disease. if clinically warranted, the right ribs could be better assessed by dedicated rib radiographs.
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compared to chest radiographs and. hyperinflation and vascular deficiency on the chest radiograph suggest emphysema. mild pulmonary edema has worsened subsequently. small pleural effusions are likely. heart size normal. no pneumothorax. indwelling cardiopulmonary support devices in standard placements unchanged.
MIMIC-CXR-JPG/2.0.0/files/p16563332/s55297585/f8bf0a15-6bce069e-aae36247-ad0da8c9-1d105696.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19354175/s56719562/70c5c248-4b23aefa-2f430d33-0d54802b-ba5c1a78.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12325171/s55315801/3c25a32d-5c6318bd-4a380d27-6cd93cc2-be0398ea.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15348823/s51507087/79a2d63d-c2da764a-733b8a8e-06fd96dc-d6c33c92.jpg
compared to chest radiographs. previous small pleural effusions have almost resolved. lungs are clear. normal cardiomediastinal silhouette.
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mild cardiomegaly and left atrial enlargement. see findings for discussion of interstial pulmonary abnormality-- failure, infection or chronic disease.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15368345/s51273566/da1ae63b-ed06cbb0-deb39543-ff57fed0-d624ed05.jpg
large hernia containing stomach and transverse colon. left upper lobe atelectasis likely from mass effect. vascular congestion slightly increased since. no overt pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13108072/s50753562/9721fcd6-aea80335-91756451-e5d2dba3-2a671992.jpg
near completely re-expanded left lower lobe. mild right infrahilar atelectasis or infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p19164622/s51377997/9c8edf53-f062f4cf-fd013c36-a0645b81-32f9c0b0.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14208464/s52270305/9e773257-4a17c5e4-b8c3f1c0-a3c8d34b-533747e7.jpg
no strong evidence of persistent or worsening pneumonia. if clinical suspicion remains high, short of a ct scan, a left anterior oblique or lordotic view radiograph may be obtained for further evaluation. recommendation(s): no strong evidence of persistent or worsening pneumonia. if clinical suspicion remains high, sho...
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findings suspicious for bibasilar consolidation/aspiration. background changes of mild congestive heart failure.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13277745/s54589127/284c7372-46ec4d9a-f0038af7-8881723f-73ce82d1.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18994071/s55780500/c4ab52b4-52b7ac49-59d0123d-deef7a63-cab421aa.jpg
emphysema. recurrent mild chf.
MIMIC-CXR-JPG/2.0.0/files/p11203575/s50138202/a594f901-464e368f-ef08e621-1c87d2db-72c3c383.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13031066/s56071257/6c8ddfa1-d9368062-049968b6-63b40569-a4d1b4e7.jpg
mild to moderate pulmonary edema, with right pleural effusion. bibasilar opacities, part of which can be accounted for by the right pleural effusion, bibasilar consolidation due to pneumonia and/or aspiration may be present appropriate clinical setting. cardiomegaly.
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mildly prominent pulmonary arteries could relate to a component of pulmonary arterial hypertension. mild pulmonary vascular congestion.
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no acute cardiopulmonary process. moderate cardiomegaly.
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compared to chest radiographs since , most recently. moderate enlargement of the cardiac silhouette has increased in size. pulmonary vascular engorgement is minimal and there is no pulmonary edema, pleural effusion, or focal pulmonary abnormality.
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cardiomegaly with small bilateral pleural effusions and pulmonary vascular congestion.
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unchanged small left pleural effusion.
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low lung volumes. probable bibasilar atelectasis with more focal opacity in the left lung base concerning for infection or aspiration. mild pulmonary vascular congestion.
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normal chest.
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mild left basilar atelectasis. possible slight blunting of the posterior right costophrenic angle on the lateral view may be due to trace pleural effusion or pleural thickening.
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no acute cardiopulmonary process.
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no radiographic evidence for pneumonia.
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no acute intrathoracic process.
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as compared to the previous radiograph, the the chest tube has been pulled back. the tip now projects approximately <num> cm above the carinal. ventilation of the left lung is substantially improved. no other changes. the nasogastric tube is in constant position.
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small bilateral pleural effusions, larger on the right with bibasilar atelectasis, not substantially changed in the interval.
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right port-a-cath catheter tip is at the level of low svc/cavoatrial junction. cardiomediastinal silhouette is stable. interval improvement of right lower lung opacity is noted. no new consolidations demonstrated. no pneumothorax or increase in pleural effusion demonstrated.
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no acute cardiopulmonary process.
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marked improvement in right lower lobe consolidation with residual ground-glass opacities remaining. continued radiographic followup is suggested to document complete resolution.
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ap chest compared to through : pulmonary fibrosis is severe. this condition would account for heterogeneous distribution of any concurrent pulmonary elements. heterogeneous distribution of consolidation or edema accounts for the apparent worsening of generalized pulmonary abnormality between and current hospitalizati...
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as compared to the previous radiograph, the patient has received a dobbhoff catheter. the course of the catheter is unremarkable, the tip of the catheter projects over the middle parts of the stomach. no evidence of complications, notably no pneumothorax. normal size of the cardiac silhouette. normal appearance of the ...
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unchanged small to moderate right apical pneumothorax.
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small bilateral pleural effusions are new since.
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since the prior study there has been interval decrease in right pleural effusion consistent with the provided history of replaced chest tube. rest of the findings are unchanged
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left basilar opacity potentially due to a combination of effusion, atelectasis with possible superimposed infection. probable trace right pleural effusion.
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no acute cardiopulmonary process. moderately distended loops of bowel below the diaphragm for which clinical correlation is suggested.
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no radiographic evidence of pneumonia. severe t<num> and t<num> vertebral body compression fractures are unchanged since ; however, slightly worse since.
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right paratracheal opacity posterior to the trachea on the lateral view and appears to exert mass effect, with the trachea anterior in position, worrisome for underlying mass/ lymphadenopathy. surgical clips are noted projecting over the upper mediastinum, to the left of midline. correlate with prior surgical procedure...
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no acute findings in the chest. no signs of pneumoperitoneum.
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no acute cardiopulmonary process.
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new shunt in appropriate position.
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no acute findings.
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no evidence of overt interstitial pulmonary edema but low lung volumes limit assessment of cardiovascular status. if continued clinical concern for fluid overload, repeat radiographs can be performed after with improved lung volumes.
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chronic elevation of left hemidiaphragm with adjacent left basilar opacity favoring atelectasis over infectious pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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in comparison to chest radiograph, bibasilar airspace consolidations are new and concerning for pulmonary infection in the setting of a history of neutropenic fever. bibasilar distribution suggests the possibility of an aspiration pneumonia, but the appear is not specific for this entity. moderate right and small to m...
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similar scarring and bronchiectasis within the right apex and calcifications projecting over the right upper and mid lung fields. no focal consolidation.
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moderate residual of right pleural effusion extensive pleural thickening, as well as persistent severe atelectasis in the right middle and lower lobes has not changed for several days. right pigtail pleural drainage catheter still in place projecting over the right upper chest. mild pulmonary edema in the left lung is ...
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normal chest radiograph.
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opacity within the right lower lobe is concerning for pneumonia, given the clinical history.
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no acute cardiopulmonary process.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of infection.
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no acute cardiopulmonary process.
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status post right upper lobe wedge resection. low lung volumes with patchy opacities in the lung bases likely reflective of atelectasis and scarring.
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no radiographic findings concerning for pneumonia or malignancy.
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no acute cardiopulmonary radiographic abnormality.
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no acute cardiopulmonary process.
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in comparison with the study of , there again is substantial enlargement of the cardiac silhouette with worsening pulmonary edema. probable bilateral pleural effusions with compressive basilar atelectasis, especially on the left.
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no acute intrathoracic process. no displaced rib fracture.
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significant improvement in pulmonary edema.
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no acute cardiopulmonary process.
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patchy areas of atelectasis and less likely small infiltrate
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there is upper zone redistribution and blurring of vascular detail suggesting mild chf. there is no consolidation, effusion or pneumothorax.