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MIMIC-CXR-JPG/2.0.0/files/p12774149/s56108225/c2991fd7-bf6d0943-4b3e4750-c369ab61-db6bfb92.jpg
increased bibasilar opacities likely reflect atelectasis with a possible component of bronchiectasis. an early infectious process, however cannot be entirely excluded in the appropriate clinical setting. increased anterior posterior diameter of the chest cage is suggestive of copd. findings discussed with by via tele...
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left lower lobe consolidation suspicious for pneumonia. small left pleural effusion.
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mild-to-moderate pulmonary edema with small bilateral pleural effusions.
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in comparison with the study of earlier in this date, the fixation devices remain in place. continued prominence of the cardiac silhouette with the left hemidiaphragm now sharply seen and little if any retrocardiac opacification. no evidence of appreciable pneumothorax.
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comparison. status post right upper lobe resection. clips are also noted at the level of the left lung apex. no evidence of pleural effusion. no pneumonia, no lung nodules or masses. borderline size of the cardiac silhouette.
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no acute cardiopulmonary pathology.
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no significant interval change when compared to the prior study.
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no relevant change. low lung volumes. elevation of the right hemidiaphragm. mild cardiomegaly. minimal fluid overload but no overt pulmonary edema. no pleural effusions. no pneumonia.
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no acute cardiopulmonary abnormality. evidence of prior granulomatous disease. moderate size hiatal hernia. no subdiaphragmatic free air.
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no evidence of acute disease. however, there is a new nodular focus in the right lower lung, likely a form of atelectasis; short-term follow-up radiographs are recommended to show resolution.
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stable diffuse bilateral pulmonary hemorrhage or edema. slightly high-riding et tube could be advanced by <num> cm for better positioning within the mid to lower trachea.
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new right middle and lower lobe collapse. these findings were communicated via telephone by dr to dr at on.
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no acute cardiopulmonary process.
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stable small right pneumothorax apical and basal components, basal pleural tube still place. right lower lobe atelectasis worsened. moderate cardiomegaly stable. left pleural effusion is small if any. there is no left pneumothorax, not to be confused by a prominent skin fold.
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mild interstitial edema and small bilateral pleural effusions. elevation of the left hemidiaphragm, new from. unchanged moderate cardiomegaly. lower thoracic spine compression deformities new from , otherwise age indeterminate.
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right lower lung interstitial opacities should be further evaluated by high resolution ct (hrct) given the patient's risk for interstitial lung disease. entered into the critical results reporting tool at on.
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normal chest radiograph.
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no acute intrathoracic process.
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in comparison with the earlier study of this date, there is an placement of a double of tube that extends into the right bronchial system. subsequent image dictated previously demonstrates good position of the tube. little overall change in the appearance of the heart and lungs.
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in comparison with the study of , there appears to be a small amount of additional pleural effusion collecting at the right base. compressive atelectasis affects the lower right lung. the upper lungs and the left base are essentially within normal limits.
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small bilateral pleural effusions. linear opacities at the left lung base are likely atelectasis, however aspiration is also possible. nodular opacity in the left lower lung may represent a nipple shadow, however, correlation with prior ct imaging would be helpful.
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no evidence of acute cardiopulmonary abnormalities.
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endotracheal tube with its tip at the thoracic inlet. right internal jugular central line with its tip in the distal svc. left internal jugular catheter has its tip in the distal svc at the cavoatrial junction, unchanged. nasogastric tube remains in place with its tip below the diaphragm and the side port near the gast...
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improved aeration of the left lower lobe, post bronch. underlying flat fluid level raises the suspicion for possible superimposed pneumo/hydro-thorax. the findings were communicated by dr to of cardiac surgery via telephone at ,.
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left lower lobe pneumonia. moderate cardiomegaly. small bilateral pleural effusions.
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interstitial and alveolar opacities in predominantly the left lower lobe are worsened from. while this may be a combination of worsening small bilateral pleural effusions and associated atelectasis, superimposed pneumonia should be considered.
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similar mild interstitial process. status post aortic valve replacement. suspected bony demineralization.
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no acute cardiopulmonary process. no free air.
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ap chest compared to , : nasogastric tube has been advanced into the mid stomach. moderate cardiomegaly unchanged. lungs grossly clear. no pleural effusion or pneumothorax. moderate cardiomegaly and generally large tortuous thoracic aorta are chronic. the limited view of the right shoulder shows marked degenerative ch...
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clear lungs.
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retrocardiac consolidation compatible with pneumonia. results were discussed over the telephone with dr by dr at on at the time of initial review.
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no acute cardiopulmonary process.
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trace pleural fluid on the left tracking along the fissure, overall improved from prior. otherwise, no acute abnormalities.
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support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusion, or pulmonary edema. breast implants account for some increase density of the lower lobes. there are no pneumothoraces.
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intact dual-chamber pacer leads.
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in comparison to the recent radiograph from several hr earlier, a left chest tube is been removed, with no visible pneumothorax. left lower lobe atelectasis has substantially improved in the interval, and a small left pleural effusion has slightly increased in size. no other relevant change.
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no acute cardiothoracic process.
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malpositioned right internal jugular catheter. mild-to-moderate congestive heart failure. right infrahilar suspected pneumonia is not worse.
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bilateral airspace opacities are improved from the prior examination done. very small bilateral pleural effusions. no appreciable pneumothorax.
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no acute findings.
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mild vascular congestion without frank pulmonary edema.
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the cardiac and mediastinal contours are stable. within the right upper lobe is a <num> cm mass-like opacity which would be concerning for malignancy given its rounded appearance, although in the proper clinical setting may represent rounded pneumonia. clinical correlation is advised as further imaging with ct should b...
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no evidence of acute cardiopulmonary process.
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compared to chest radiographs and. lungs are low in volume but clear. no pneumothorax, pneumomediastinum, pleural effusion, or lobar atelectasis. mild to moderate cardiomegaly is chronic. tracheostomy tube midline. sternal wires intact and aligned.
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clear lungs with no evidence of pneumonia.
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no acute cardiopulmonary process.
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decreased basilar opacification with a suggestion of a small left-sided pleural effusion.
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comparison to. the feeding tube and the right picc line was removed. the large perihilar left-sided opacity with adjacent linea scarring has minimally decreased in extent and severity. a previously seen partial left lower lobe atelectasis has completely resolved. no pleural effusions. no new parenchymal foci. normal si...
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no abnormalities seen within the limitations of this study technique.
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right apical chest tube in place with no evidence of pneumothorax.
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findings compatible chronic interstitial lung disease, previously characterized on chest ct as uip or fibrosing nsip. no new areas of focal consolidation or pulmonary edema.
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new small left apical pneumothorax. satisfactory position of support lines and tubes.
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compared to chest radiographs. new heterogeneous opacification left lower lobe could be atelectasis alone, but raises concern for aspiration pneumonia. it is accompanied by a new small left pleural effusion. right lung is clear. heart size is normal. right subclavian line ends centrally.
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no evidence of pneumonia, copd, sarcoid, or volume overload. incidentally noted focal rounded density in the area of the left lateral hemidiaphragm, which may be in the breast tissue. correlation with clinical exam is recommended.
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in comparison with the study of , the patient has taken a better inspiration. the small apical pneumothorax on the right is not definitely seen on the current study. postoperative changes are seen in the right upper zone medially. no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
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persistent enlargement of the cardiomediastinal silhouette and possible mild pulmonary vascular congestion. the cardiac silhouette size is markedly out of proportion to the degree of vascular congestion, raising the possibility of cardiomyopathy or possible pericardial effusion, although appearance is stable compared t...
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marked improvement since , with improved pulmonary vascular congestion, marked decrease in pleural effusions, and improving aeration of both lung bases.
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interval extubation. the nasogastric tube coursing below the diaphragm with the tip not identified. a right internal jugular 's central line and left subclavian picc line are unchanged in position. two left chest tubes overly the left mid lung and are unchanged in position, although the side port of one is projecting o...
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right picc with the tip in the right atrium. to place the tip in the low svc, the catheter can be pulled back <num> cm. the tip of the endotracheal tube is approximately <num> cm above the carina. given that the patient's chin is in a downward position, the tube should be pulled back <num> cm. unchanged bilateral homog...
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interval decrease in size of a still large right pleural effusion status post thoracentesis. moderate left pleural effusion is not appreciably changed.
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lower lung volumes. however, given this limitation, there are still findings suggestive of failure with effusions and interstitial edema.
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hyperinflation without acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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in comparison with the study of , there again is enlargement of the cardiac silhouette, but little if any vascular congestion. atelectatic changes are seen in the retrocardiac region. no acute focal pneumonia.
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left lower lobe heterogeneous opacities and blunting of the left costophrenic angle, likely due to some combination of infection, atelectasis, and effusion.
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possible minimal pulmonary vascular congestion. no focal consolidation to suggest pneumonia. mitral anulus calcification again seen.
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tracheostomy tube terminating <num> cm above the carina.
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comparison to. the extent of the right pleural effusion has slightly decreased of the thoracocentesis. the effusion now occupies approximately % of the right hemi thorax. there is no evidence of pneumothorax peer normal appearance of the left
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findings compatible with copd. subtle asymmetric right basilar opacity potentially in the middle lobe which could represent atelectasis or scarring however infection cannot be totally excluded. findings worrisome for left apical pulmonary nodule for which dedicated nonurgent chest ct is suggested.
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in comparison with the study of , the patient has taken a much better inspiration. no evidence of acute cardiopulmonary disease or old tuberculous disease.
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compared to chest radiographs since , most recently and. left pic line ends at the origin of the svc, approximately <num> cm above the estimated location of the superior cavoatrial junction. lungs low in volume but clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. thoracic scoliosis is mi...
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stable post-radiation treatment change. no evidence of lymphadenopathy or lung mass.
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small to moderate left pleural effusion has recurred, despite persistent left pleural drainage catheter. no pneumothorax. persistent left lower lobe collapse. right lung cardiomediastinal silhouette clear. is large but unchanged. ventricular diversion device grossly unchanged in position. midline and left pleural drain...
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increased opacity in the right upper lobe could be pneumonia. bilateral pulmonary edema and moderate right pleural effusion are stable.
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no acute cardiopulmonary pathology.
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stable appearance of the chest with extensive scarring in the right lung due to radiation fibrosis better assessed on prior ct with small right pleural effusion, loculated appearing stable.
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pa and lateral chest compared to : conventional pa and lateral films show there is no pneumothorax, and small bilateral pleural effusions left greater than right are decreasing. the lungs are essentially clear. very severe subcutaneous emphysema is improving on the left, but still quite voluminous in the right chest wa...
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no acute cardiopulmonary process.
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no acute fracture, although please note that rib series or ct are more sensitive. no acute cardiopulmonary process.
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there has been interval placement of endotracheal tube, which has its tip <num> cm above the carina. a nasogastric tube is again seen coursing below the diaphragm with the tip not identified. overall lung volumes remain stable, but there is indistinctness of the pulmonary vascularity suggestive of worsening interstitia...
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pa and lateral chest compared to through : previous subcutaneous emphysema in the left chest wall has almost entirely cleared. heart border is obscured by atelectasis. there is no appreciable left pleural effusion. elevation of the right hemidiaphragm reflecting prior lobectomy, predates recent surgery. lateral view s...
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax.
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interval resolution of vascular congestion and pulmonary edema and right pleural effusion with persistent small left pleural effusion and associated atelectasis.
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no acute cardiopulmonary process.
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bilateral pneumonia is in the right middle lobe and lingula.
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comparison to. lung volumes have decreased. the severity of the pre-existing pulmonary edema has decreased. the edema is now mild. perihilar parenchymal opacities are seen in almost unchanged manner. no larger pleural effusions. normal size of the heart.
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pa and lateral chest compared to through : all of the right upper lobe is collapsed, a progression in atelectasis between and , subsequently stable. previous small right pleural effusion has decreased. contours of the right hilus are partially obscured, but there has been no gross interval change. left lung and pleur...
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no acute cardiopulmonary abnormality. multiple chronic left-sided rib fractures and comminuted left midclavicular fracture.
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in comparison with the study of , there is little change. the cardiac silhouette remains at the upper limits of normal in size and there is tortuosity of the descending thoracic aorta. however, no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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no acute cardiopulmonary process.
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in comparison with the study of , there is again some hyperexpansion of the lungs consistent with chronic pulmonary disease, but no evidence of acute focal pneumonia. the tip of the left subclavian picc line again is in the upper portion of the svc. no evidence of kinking.
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subtle opacity within the left lung base, which could reflect an area of atelectasis though infection cannot be excluded.
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unremarkable chest radiographic examination.
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no evidence of acute cardiopulmonary disease.
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ng tube in stomach.
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ap chest compared to : lung volumes are lower, primarily because of subsegmental atelectasis at the lung bases, left greater than right; a nonspecific finding but certainly consistent with acute pulmonary embolus. pulmonary vascular engorgement and very mild edema in the perihilar and lower lungs suggest cardiac decomp...
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as compared to the previous radiograph, the previous monitoring and support devices are constant. in addition, however, the patient has received a new swan-ganz catheter, inserted over the right internal jugular vein. for this purpose, the previously placed intravascular device was removed. the patient has also receive...
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as compared to the previous radiograph, the right midlung parenchymal opacity is better visualized than on the previous image. the previously raised concern for pneumonia is confirmed. minimal right reactive pleural effusion. moderate cardiomegaly with elongation of the descending aorta. normal appearance of the left l...
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no acute cardiopulmonary process.