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MIMIC-CXR-JPG/2.0.0/files/p10724174/s56598334/49fa5905-7d8739b5-cb4e2262-24b55f62-d8089e28.jpg
endotracheal tube, nasogastric tube and right internal jugular port-a-cath are unchanged in position although the tip of the nasogastric tube cannot be seen on this study. there is hazy opacity again noted at the right apex which does not appear to be significantly changed and could reflect some loculated pleural fluid...
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no active disease.
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right middle lobe and right upper lobe pneumonia. mild pulmonary edema.
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persistent bilateral pleural effusions. there is associated compressive atelectasis, superimposed infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p18880988/s52464429/a58d8702-4631355e-a9805112-c17376b5-f8e9052d.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19941474/s52304848/3a5411d6-1a1c2235-08c420b2-d2ef6999-e6f7fee8.jpg
unchanged small left pleural effusion. no appreciable pneumothorax. lingular mass is slightly smaller.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19489045/s52168099/742daacc-1ff62f92-6fc877c4-3db2818a-93048aa6.jpg
copd, no superimposed pneumonia.
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comparison to. the lateral radiograph shows minimal pleural effusions. stable borderline size of the cardiac silhouette. no pneumothorax. no pulmonary edema. minimal atelectasis at the right lung basis. normal alignment of the sternal wires. air inclusions are still seen in the cervical soft tissues. stable position of...
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14702963/s59260085/0dfa5365-641510e4-d753174f-51961814-3d880bad.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17372922/s53602850/c9d22469-9adb2945-8e46759a-4cd72c99-1b0c2d4c.jpg
decreased lung volumes result in vascular crowding, without definite pulmonary edema. bibasilar opacities likely represent a combination of bilateral pleural effusions and atelectasis. these findings were discussed via telephone by dr with dr at approximately and on.
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improved interstitial edema since the prior study, which is now minimal.
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no relevant change as compared to the previous image. moderate overinflation. borderline size of the cardiac silhouette without pulmonary edema. no pneumonia, no pleural effusions. no pneumothorax.
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no evidence of pneumonia.
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ap chest compared to , and : right lower lobe atelectasis has worsened appreciably since postoperative cardiomediastinal silhouette is stable. small-to-moderate left pleural effusion and generalized atelectasis in the left lung have increased. there is no pneumothorax. et tube tip above the upper margin of the clavicl...
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no acute cardiopulmonary process.
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as compared to , a pre-existing subtle focal parenchymal opacity at the right lung bases persists. pneumonia must be suspected. mild fluid overload but no overt pulmonary edema. low lung volumes. borderline size of the cardiac silhouette. no pleural effusions.
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mild interstitial prominence. correlation with clinical factors is suggested. possibilities include mild pulmonary vascular congestion but an inflammatory process involving the airways could also be considered.
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small bilateral pleural effusions, moderate to severe pulmonary edema, and marked cardiomegaly suggest chf. more confluent opacities at the right greater than left lung bases may be due to combination of the above, however, underlying consolidation not excluded.
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limited due to rotation. no acute findings.
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in comparison with the study , the monitoring and support devices are unchanged except for the right ij swan-ganz catheter being pulled back to a more proximal portion of the right pulmonary artery. substantial enlargement of the cardiac silhouette process without appreciable vascular congestion or acute focal pneumon...
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in comparison with the study of , there is little change. there is hilar calcification consistent with old granulomatous disease. however, no acute pneumonia, vascular congestion, or pleural effusion.
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unchanged size of small right apical pneumothorax.
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new bilateral upper lobe airspace opacities, left greater than right, could represent hemorrhage and/or aspiration pneumonia. stable small left pleural effusion.
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pa and lateral chest compared to : small left apical pneumothorax and subcutaneous emphysema in the left lower thoracoabdominal wall, unchanged. new right middle lobe collapse. small increase, small left pleural effusion, basal pleural tube still in place. stable moderate enlargement of the cardiac silhouette. upper lu...
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no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p16658776/s51121632/82a71361-f7802235-d1c0a3bf-e3183285-7346b4f0.jpg
heart size and mediastinum are stable. previously seen right upper lobe in right lower lobe opacities have resolved consistent with resolution of infection. no new consolidations are seen. there is no pleural effusion or pneumothorax.
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previously seen right pleural effusion now demonstrates an air-fluid level, consistent with prior drainage of the collection.
MIMIC-CXR-JPG/2.0.0/files/p11534871/s59853308/7ef0401c-c1cdbd56-bea0bbcc-23174ad2-5ae4fee2.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18166516/s57590743/bd21660e-0e5b8928-8eddd3f1-970dca25-36381c4c.jpg
bilateral pleural effusions.
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lung volumes are appreciably lower today than on and there is greater pulmonary vascular engorgement and mild pulmonary edema. the previous appearance reflect dz substantial copd. consolidative abnormalities in the lung apices were due to scarring. heart size is normal. pleural effusions are presumed, but not substant...
MIMIC-CXR-JPG/2.0.0/files/p12298456/s52042063/7e06572b-a81f9536-4af4196a-0489cb62-8a04e66c.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11342802/s51092386/ce6786dd-8ad5aabb-5a9bb5b7-7664dee0-b4a5cd1e.jpg
no evidence for pneumonia. lucency in a mid-thoracic vertebral body; correlate with history to assess for whether or not this could be affiliated with metastatic disease.
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ap chest compared to through : severe infiltrative pulmonary abnormality has been present without appreciable change since , progressing on a substrate of chronic interstitial lung disease that worsened appreciably between and : small-to-moderate bilateral pleural effusions and mild cardiomegaly are unchanged. no pne...
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new right middle lobe consolidation compatible with pneumonia in the proper clinical setting.
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left lung base is markedly elevated, and mediastinum shifted to the right. plane of the left hemidiaphragm is impossible to assess. dilated loops of bowel and stomach project above both level of the left hemi thorax and across the midline posterior to the heart. this could be a very large diaphragmatic hernia or ruptur...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16796985/s54733428/fa5cd481-77375dd2-6f7bbafa-dddcddd4-902c85da.jpg
ap chest compared to earlier in the day. opacification at the periphery of the left hemithorax is probably a fluid collection, conceivably hemothorax, which has collected despite three left pleural drains. there is no pneumothorax. left lung is largely atelectatic, but the right lung is clear. heart is top normal size....
MIMIC-CXR-JPG/2.0.0/files/p16177747/s55062691/2d28c500-b2ccd4a2-31dadac4-94014873-6c58d19d.jpg
top-normal cardiac silhouette size, particularly given patient age. no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16811628/s56641023/ded1db36-93b78286-aa97a7e7-42664db0-66467467.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15495526/s54227469/b567200a-728d4b2f-62cc9b72-758d6f5e-d1a123bd.jpg
no acute cardiothoracic process.
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pa and lateral chest compared to and intervening chest ct.
MIMIC-CXR-JPG/2.0.0/files/p16875895/s56406992/c550c4ce-f6637a97-27b7cd82-52347f6f-9aac36d3.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19960115/s52134365/a5afac91-2fc94361-8bae4cfb-018fb5da-5c873c89.jpg
minimal interval improvement in aeration and decrease in size of small right pleural effusion. interval change in orientation of right pigtail catheter - correlate with clinical assessment.
MIMIC-CXR-JPG/2.0.0/files/p11985034/s54660294/f6ceb68f-a4c04be4-56639b43-48a04b0a-06064c14.jpg
worsening pulmonary edema, stable small bilateral pleural effusions, worsening retrocardiac opacification concerning for pneumonia. picc line unchanged with tip in low svc.
MIMIC-CXR-JPG/2.0.0/files/p14760598/s58578609/fc68de20-464aa6c0-761990ff-e1f5988b-a5fb3bbb.jpg
massive right pleural effusion causing nearly complete collapse of the right lung.
MIMIC-CXR-JPG/2.0.0/files/p17748063/s54189400/27250d0f-670a0685-772d0371-d8ec11ef-45c4aad7.jpg
normal chest x-ray. specifically, no evidence of pneumonia.
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multifocal opacities consistent with multifocal pneumonia. left lung base opacity is slightly increased compared to.
MIMIC-CXR-JPG/2.0.0/files/p15937720/s56431793/f78766ae-79b977e5-c45a276e-7cc9d8d3-a04413d3.jpg
no acute cardiopulmonary process.
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the upper mediastinal surgical drain is still in place. upper mediastinal widening is much improved, but there is still probably a small collection of gas and fluid, best appreciated on the lateral view. lungs are clear. heart is normal size and there is no pleural effusion. left pic line ends in the upper svc.
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in comparison with the study of , there again is hyperexpansion of the lungs consistent with chronic pulmonary disease. streaks of opacification at the right base could reflect chronic pulmonary changes or atelectasis, though several of these could represent kerley lines indicating some elevation of pulmonary venous pr...
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no acute cardiothoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11329742/s52981153/135b4aef-07968e8c-a3e265d2-ae46c5e2-4e19905c.jpg
heart size and mediastinum are stable. lungs are clear. there is no pleural effusion. there is no pneumothorax.
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in comparison with study of , there is little interval change. tortuosity of the descending aorta is again seen, though there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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moderate cardiomegaly. minimal bibasilar atelectasis.
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in comparison with the study of , there may be a very small residual right apical pneumothorax. diffuse bilateral pulmonary opacifications with hyperexpansion of the lungs again is consistent with the emphysema and basal fibrosis seen on the ct study of. right ij catheter again extends to the lower svc, and the dobhoff...
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ap chest compared to , : tracheostomy tube in standard placement. new nasogastric tube ends in the upper portion of a non-distended stomach. moderate right pleural effusion is larger, mediastinal veins are more dilated, but mild pulmonary edema is unchanged. small left pleural effusion stable. no pneumothorax.
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moderate pulmonary edema with likely small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p12050809/s54125471/6c0f4cf1-d8f5ef3f-7f9cf473-08ef2c7f-fe2f06b6.jpg
in comparison with the study of , there is no interval change or evidence of acute cardiopulmonary disease. specifically, no evidence of pulmonary or skeletal metastases.
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diffuse interstitial edema and small pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10577202/s51512850/952999ea-ac15d374-55a41772-e12177d1-2b9ada50.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17263039/s58611550/ba249a2a-3d5558ed-b253e38c-e2b84f12-c2c5455b.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12838416/s52293371/fbc2009b-9d09e8d5-4a0c199a-494a5f85-15165465.jpg
as compared to the previous radiograph, the opacities on the right have minimally increased in extent and severity. the opacities on the left are unchanged. normal <num> slightly enlarged cardiac silhouette with retrocardiac atelectasis. the tip of the endotracheal tube projects <num> cm above the carinal. no pneumotho...
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in comparison to previous radiograph of <num> day earlier, support and monitoring devices are unchanged in position. cardiomegaly is accompanied by pulmonary vascular congestion and worsening asymmetrical right perihilar and infrahilar opacities, potentially due to asymmetrical edema. developing pneumonia is an additio...
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lungs are clear. heart size is normal. bony structures are intact. there are no pneumothoraces.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11041295/s54434222/4c02e836-58756072-7c462165-8d17f5fd-42b5b68a.jpg
bibasilar airspace opacities are concerning for infection or aspiration. bilateral trace pleural effusions.
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large hiatal hernia, otherwise unremarkable.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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streaky basilar opacities, particularly in the left lower lobe. pneumonia or atelectasis could be considered to explain the findings.
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compared to chest radiographs through. mild pulmonary edema and small bilateral pleural effusions have increased. bibasilar opacification is also due to worsening moderately severe atelectasis. severe cardiomegaly is chronic. no pneumothorax. swan- catheter ends in the right descending pulmonary artery.
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small bilateral pleural effusions, mildly increased. lung fields are clear.
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limited study with possible mild congestion and mitral annular calcification. otherwise, unremarkable.
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no acute cardiopulmonary process.
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comparison to. the patient has received a dual-chamber pacemaker. the left pectoral generator is in correct position. <num> lead projects over the right atrium and <num> over the right ventricle. no pneumothorax or other complication. mildly enlarged cardiac silhouette. elongated descending aorta. no pleural effusions,...
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no definite consolidation.
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right internal jugular line tip terminates at the level of cavoatrial junction. ng tube tip is in the stomach. cardiomediastinal silhouette is unchanged. right pleural effusion is unchanged. mild vascular congestion is present. no focal consolidations to suggest pneumonia.
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compared to radiograph, cardiomegaly is now accompanied by pulmonary vascular congestion and interstitial edema. small left pleural effusion has apparently increased in size well right pleural effusion appears slightly smaller although positional differences limit comparison between the studies.
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no evidence of traumatic injury to the chest, however if there is further clinical concern, cross-sectional imaging should be obtained.
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no acute intrathoracic process.
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hardware is seen within the lower cervical spine. cardiomediastinal silhouette is within normal limits. there has been improved aeration since the prior study. there remains atelectasis at the lung bases and likely a small left-sided pleural effusion. there are no pneumothoraces. severe scoliosis of the thoracolumbar s...
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findings suggesting mild vascular congestion.
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right upper lobe pneumonia. multiple rib fractures of varying age. old left clavicular fracture. stable large hiatal hernia.
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no evidence of acute disease.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of injury.
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possible pulmonary arterial hypertension. otherwise, no acute cardiopulmonary process.
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intra-aortic balloon pump is unchanged in position but its tip is within the aortic knob which is somewhat high. pull-back of several cm may be indicated. clinical correlation is advised. the cardiac and mediastinal contours appear stably enlarged. there is a small layering right effusion with patchy adjacent opacity l...
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no acute findings in the chest.
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in comparison with the study of , the patient has taken a better inspiration and the pulmonary vascularity is essentially within normal limits. continued enlargement of cardiac silhouette with small bilateral pleural effusions.
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stable cardiomegaly, with sternotomy wires present. upper zone redistribution, without other evidence of chf, unchanged. no focal infiltrate or effusion. no free air seen beneath the diaphragm.
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pa and lateral chest compared to , : moderate left pneumothorax probably unchanged in volume over two hours. left pleural effusion minimal if any. moderate left basal atelectasis stable. combination of atelectasis and local hemorrhage in the left suprahilar lung is relatively stable. mild atelectasis, right lower lobe...
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likely multifocal pneumonia, either aspiration or infectious, with presumed pulmonary edema superimposed on a background of chronic lung disease.
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small peripheral right lower lobe opacity with small right pleural effusion, which may represent pleural pneumonia. this study neither confirms nor excludes pulmonary embolism, and if this is a clinical concern, ct should be obtained for further evaluation. dr these results with dr at on via telephone.
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borderline venous congestion.
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worsening right lower lobe pneumonia, alternatively, depending upon clinical circumstances, pulmonary hemorrhage or large infarction. interval enlargement of right hilus could be due to acute exacerbation of adenopathy or acutely dilated pulmonary artery due to embolus.
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mild pulmonary edema. improved right lung base opacity likely reflecting resolving pneumonia with persistent bibasilar interstitial opacities, which likely relate to known chronic lung disease.