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MIMIC-CXR-JPG/2.0.0/files/p17516316/s55091147/60fc5fa3-94cb4d3b-f174ff43-7486f581-9227be62.jpg
prominent left hilum, not changed from. no other acute cardiopulmonary process.
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persistent cardiomegaly, no failure.
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no evidence of pneumonia.
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no previous images. low lung volumes accentuate the transverse diameter of the heart. no evidence of vascular congestion. areas of increased opacification are seen at both bases, most likely relating to atelectasis. however, in the appropriate clinical setting, superimposed pneumonia would certainly have to be consider...
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there are no prior chest radiographs available for review. at the flexor clear aside from calcified granulomas. heart size top-normal. normal mediastinal and hilar contours and pleural surfaces.
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comparison to. no relevant change. bilateral areas of atelectasis. moderate cardiomegaly. mild fluid overload but no overt pulmonary edema. no pneumonia.
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persistent left basilar opacification compatible with chronic findings with no definite superimposed process.
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mild pulmonary edema. cardiomegaly.
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there is an endotracheal tube present and the tip is <num> cm above the carina. a swan-ganz line is present and the tip is in the pulmonary outflow tract. there is no pneumothorax or chf. there is stable widening of the mediastinum. there is probable effusion/ atelectasis in the left base which is unchanged.
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upper lungs are clear. previous mild pulmonary edema has cleared from all but the lung bases. if there is pneumonia present, it is no worse today than it was on. heart size is normal. pleural effusion minimal if any. tracheostomy tube and midline. recommendation(s): is
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no acute intrathoracic process
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as compared to the previous radiograph, no relevant change is seen. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pulmonary edema. no pneumonia, no pleural effusions. unchanged position of the left pectoral pacemaker.
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hyperexpanded lungs without evidence of pneumonia.
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in comparison to chest radiograph, small bilateral pleural effusions have developed with adjacent linear bibasilar atelectasis. no other relevant change since recent exam.
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as compared to chest radiograph, pulmonary vascular congestion and mild interstitial edema are new, likely superimposed upon chronic lung disease. moderate to large hiatal hernia is again demonstrated. aortic valvular calcifications are consistent with history of aortic stenosis.
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unchanged moderate loculated right pleural effusion, with new small left pleural effusion. bibasilar airspace opacities likely reflect atelectasis. evidence of prior granulomatous infection.
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no acute cardiopulmonary abnormality.
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no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.
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in comparison with the study of , the there is little overall change except for removal of the right dialysis catheter. again there are diffuse bilateral pulmonary opacifications with obscuration of the left hemidiaphragm and retrocardiac opacification consistent with substantial volume loss in the left lower lobe. ext...
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
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ap chest compared to : et tube is in standard placement, nasogastric tube ends in the upper stomach, transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator lead are in standard placements. severe cardiomegaly is slightly worse today than yesterday and there has been an incre...
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stable right upper lobe opacity, consistent with pneumonia or hemorrhage. improvement in left lower lob atelectasis. mild pulmonary edema at the right lower lung is improvd.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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no acute cardiopulmonary process.
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heart is moderately enlarged. pulmonary vasculature is only mildly engorged. there is no pulmonary edema or appreciable pleural abnormality. left jugular central venous line ends in the low svc. no mediastinal widening.
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moderate right-sided pleural effusion, stable to possibly mildly increased, given differences in patient position. moderate cardiomegaly, stable, without evidence of pulmonary edema.
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interval worsening of pulmonary vascular congestion and edema. interval improvement of right-sided pleural effusion.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, the pre-existing small left pleural effusion has completely cleared. normal size of the cardiac silhouette. no pneumonia, no pulmonary edema, no pleural effusion.
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ap chest compared to : interstitial pulmonary edema continues to clear. small bilateral pleural effusions may have increased slightly since , but cardiomegaly is mild and unchanged. very small bilateral apical hydropneumothoraces are unchanged since. transvenous right atrial and ventricular pacer leads in standard plac...
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new large left hydropneumothorax, predominantly gas. well-positioned lines. discussed these findings with interventional pulmonary fellow, at on at time of interpretation.
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in comparison with the study , the dobhoff tube has been pushed forward and extends into the mid body of the stomach. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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allowing for differences in technique and projection, there has not been a substantial change in the appearance of the chest since recent study of <num> day earlier.
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no evidence of acute cardiopulmonary process.
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right pneumothorax.
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no focal consolidation concerning for pneumonia.
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no definite signs of acute injury. minimal blunting at the left cp angle could represent tiny effusion or pleural thickening. if there is strong clinical concern for rib fracture, a dedicated rib series is recommended.
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no acute cardiothoracic process.
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no acute cardiopulmonary process.
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right picc has been withdrawn, now terminating in the right axilla, and a feeding tube is been removed. no other relevant changes since the recent exam of.
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right internal jugular line ends in the low superior vena cava. mild cardiomgealy and vascular congestion.
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costophrenic angles partially obscured due to overlying soft tissue/ patient body habitus. given this, no acute cardiopulmonary process seen.
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no focal consolidation to suggest pneumonia.
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no acute cardiopulmonary process.
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post-treatment changes in the right hemithorax. no evidence of pneumothorax.
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interval placement of og type tube, extending beneath the diaphragm, off the film. probable slight worsening of chf findings. patchy retrocardiac opacity is similar to prior.
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left upper lobe opacity, new since. given clinical history of hemoptysis, differential includes pneumonia and pulmonary embolus for which additional imaging with chest ct is recommened. attempted to call ordering physician,. and was put through to answering service. awaited fifteen minutes after page without answer. co...
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low lung volumes. status post left upper lobectomy with decreased aeration of the left lung as compared to prior.
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new posterior opacity in the right lower lobe worrisome for pneumonia in the appropriate clinical setting, although atelectasis could also be considered.
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no acute cardiopulmonary process.
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as compared to radiograph from approximately <num> hr earlier, a left pleural effusion has decreased in size following thoracentesis, with only a small residual pleural effusion remaining, and development of very small left apical pneumothorax. no other relevant changes since recent study
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interval development of extensive bilateral airspace opacity/consolidation.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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multifocal consolidation in right lung and mild to moderate right pleural effusion is unchanged and left lower lung opacities new on have improved.
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allowing for obscuration by overlying subcutaneous emphysema, a small right apical pneumothorax is suspected. this could be slightly larger than on the prior study. this is, however, is difficult to confidently assess due to overlying subcutaneous emphysema and right apical bullous change. otherwise, the overall appear...
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compared to chest radiographs since , most recently one. right pic line has been withdrawn to the low svc. previous hyperinflation indicates that severe severity of see emphysema. interstitial edema is mild. heart size normal. no focal consolidation or appreciable pleural abnormality.
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no acute cardiopulmonary abnormality. there is no pneumothorax
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severe cardiomegaly and pulmonary vascular congestion.
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pa and lateral chest compared to. aside from small linear scar in the left mid lung, unchanged since , lungs are clear. there are no findings to suggest pneumonia or atelectasis. heart size normal. normal pleural surfaces and mediastinal and hilar contours.
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little change in ill-defined bilateral upper lobe opacities compared to one day prior. the chronicity of these remains indeterminate. early pneumonia could be considered in the proper clinical setting, though this could represent chronic scarring. comparison with more remote imaging is recommended. hyperinflation compa...
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limited, negative.
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indwelling left ij line has advanced, and the tip now abuts the right wall of the svc. it should probably be withdrawn <num> mm to ovoid vascular trauma. tracheostomy tube midline. esophageal drainage tube passes into the stomach and out view. no pneumothorax or mediastinal widening aside from slight increase in calibe...
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increased right pleural effusion, now large, with underlying consolidation, compatible with right middle and lower lobe collapse. superimposed infection may be present.
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ap chest compared to and. moderate left pleural effusion is stable, small right pleural effusion has increased. severe cardiomegaly and mediastinal vascular engorgement are unchanged. i doubt there is pulmonary edema. the visible portions of the lungs are clear. lung bases are not fully aerated, usually due to atelect...
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extensive hardware projecting over the upper thoracic spine is partially imaged. heart size and mediastinum are stable. there is left pleural effusion that appears to be minimally increased since the prior study as well as bibasal consolidations also slightly progressed and concerning for infection. et tube tip is appr...
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as compared to the previous radiograph, no relevant change is seen. moderate overinflation. no pneumonia. no pulmonary edema. no nodules or masses.
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low lung volumes with probable retrocardiac atelectasis.
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in comparison with the study of , the monitor and support devices are essentially unchanged. obliquity of the patient makes it difficult to evaluate the cardiac silhouette. there is again opacification at the left base silhouetting the hemidiaphragm, consistent with pleural effusion and volume loss in the left lower lo...
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chronic pulmonary disease. no acute pneumonia.
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no pneumonia, edema or effusion.
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no acute intrathoracic process.
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comparison to. the patient has been extubated and the feeding tube was removed. both right and left central venous access lines are stable. the left venous access line is likely positioned in the persistent left superior vena cava. stable appearance of the enlarged cardiac silhouette and of the lung parenchyma.
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bibasilar atelectasis/ scarring and minor right middle lobe atelectasis. enlargement of the cardiac silhouette without pulmonary edema.
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ap chest compared to : right pic line passes into the right atrium at least as far as a level <num>cm lower than the carina. as such, it could safely be withdrawn <num> cm and still lie in the low svc. lungs are clear. heart size is normal. there is no pneumothorax or pleural effusion.
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no acute cardiopulmonary process. a repeat radiograph should be obtained with nipple markers to further evaluate the apparent right lung nodule.
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large right pleural effusion is slightly larger air than before. small left pleural effusion is stable. bilateral lower lobe collapse is unchanged.
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no radiographic evidence for acute cardiopulmonary process.
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ap chest compared to : lungs are fully expanded and clear. cardiac silhouette and hila and pleural surfaces are normal. mediastinal fat obscures the aortic silhouette. left pic line has been withdrawn from the low to the mid svc since.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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heart size and mediastinum are unchanged in appearance. bilateral, right more than left pleural effusion is noted. there is interval resolution of interstitial pulmonary edema. no increase in pleural effusion or development of pneumothorax or new consolidations demonstrated
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again seen is a large round opacity in the left lower hemithorax, corresponding to the loculated effusion seen on prior ct of <num> day earlier.
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no evidence for active cardiopulmonary disease.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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endotracheal tube tip <num> cm from the carina. right basilar opacity potentially due to layering effusion with atelectasis, infection not excluded.
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no significant change since the prior study.
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no acute change detected. moderate cardiomegaly.
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no acute cardiopulmonary process.
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emphysema without superimposed acute process.
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persistent moderately large right pleural effusion status post chest tube placement.
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no acute intrathoracic process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no pulmonary edema or other acute cardiopulmonary process.