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MIMIC-CXR-JPG/2.0.0/files/p19690769/s59880152/6e196241-f10a8f24-bcf2af15-d6e0db8c-6c48cd6d.jpg
cardiomegaly and background advanced copd. patchy opacities at both bases medially are new and the possibility of an infectious infiltrate would be difficult to exclude. focal density in the posterior portion of the anterior mediastinum anterior to the hila is noted, no correlate is convincingly identified on the later...
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no evidence of pneumonia.
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left lower lobe pneumonia. motion artifact limits evaluation.
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no definite focal consolidation to suggest pneumonia. difficult to exclude trace left pleural effusion.
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no acute cardiopulmonary process.
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interval resolution of right upper lobe opacity, may represent resolved asymmetric pulmonary edema due to mitral regurgitation. further evaluation with echo is recommended, if clinically indicated. stable small bilateral pleural effusions with bibasilar atelectasis, left worse than right. recommendation(s): interval re...
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stable areas of plate-like atelectasis in lower lungs. given chronicity of findings consider scar formation. no evidence of acute consolidations.
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no acute cardiopulmonary abnormality. diffuse cystic lung disease compatible with langerhans cell histiocytosis is better assessed on the recent ct torso.
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resolution of previously seen right upper lobe consolidation. no evidence of pneumonia.
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in comparison with the study of , the patient has taken a better inspiration. cardiac silhouette remains at the upper limits of normal in size or mildly enlarged and there is tortuosity of the aorta in this patient with intact midline sternal wires. no evidence of acute pneumonia, vascular congestion, or pleural effusi...
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as compared to the previous radiograph, the right chest tube is now on waterseal. there is no relevant change as compared to the previous image. the opacity at the right lung base is constant. there is no right pneumothorax. details regarding the course and precise position of the monitoring and support devices are dif...
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no acute intrathoracic process.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13000808/s58341199/5f343049-67199525-9e332924-f9f8797a-7d07579c.jpg
no acute cardiopulmonary abnormality
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right subclavian central line with its tip in the mid svc. nasogastric tube courses below the diaphragm with the tip projecting over the stomach. overall, there has been significant improvement in the bilateral diffuse airspace process. given the interval change, this would favor that improving pulmonary edema rather t...
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in comparison with the study of , there is little overall change. substantial enlargement of the cardiac silhouette is seen, accentuated by the continued lordotic position of the patient. no definite pulmonary vascular congestion is appreciated at this time. no interstitial changes to suggest amiodarone toxicity.
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small airways obstruction. heart mildly enlarged, unchanged since. lungs clear. no mediastinal or hilar abnormalities. normal pleural surfaces.
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no acute cardiopulmonary process. bilateral calcified granulomas, calcified mediastinal lymph nodes, and elevated hila again seen.
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ap chest compared to : small right pneumothorax has decreased in size substantially, but it is conceivable that the right pleural tube is still at least partially fissural. close followup advised. heart size top normal. lungs clear.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the pre-existing signs of pulmonary edema are less severe than on the previous image. moderate cardiomegaly. no larger pleural effusions. minimal blunting of the left costophrenic sinus. no pneumonia.
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no acute cardiopulmonary process.
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low lung volumes, without evidence of pneumonia.
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17601290/s59303985/a1d1b36c-af664fb6-14a39e78-824477f2-fbab501e.jpg
possible early left lower lobe pneumonia
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apparent worsening of bilateral alveolar and interstitial opacities which may be related to change in obliquity and change in patient's positioning. straight ap chest radiograph would be helpful for a complete evaluation.
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insertion of left chest tube with no pneumothorax.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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no evidence for acute cardiopulmonary process.
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status post intubation, with the et tube terminating <num> cm above the carina.
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as compared to the previous radiograph, the lung parenchyma is free of atelectasis or signs of infection. there is no pulmonary edema. however, multiple bilateral rounded opacities are visualized, reflecting pulmonary metastasis. these changes have been documented on the ct examination from. no pleural effusions. norma...
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interval increase in size of moderate-sized left pleural effusion with thickening and progression of likely a left pleural scar. results were communicated via telephoned to primary team by dr on at within <num> minutes of findings.
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stable appearance of the cardiomediastinal silhouette compared to prior.
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moderate-to-severe enlargement of the cardiac silhouette could be due to cardiomyopathy or pericardial effusion. left base opacity, likely combination of pleural effusion and atelectasis, underlying consolidation difficult to exclude. trace right pleural effusion. vascular congestion/edema.
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compared to chest radiographs and , most recently. et tube in standard placement. esophageal drainage tube can be traced only as far as the distal esophagus, but probably enters the stomach. previous pulmonary vascular engorgement has improved. moderate cardiomegaly stable. small left pleural effusion unchanged. moder...
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the lung nodule questioned on is not the overlying left nipple, but looks less distinct today than it did on. it could be an inflammatory lesion in the process of resolving. i suggest repeating pa lateral and shallow oblique chest radiographs in <num> weeks, and if the nodule has not substantially cleared evaluate pat...
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slight decrease in left mid lung opacity, of uncertain etiology. consider additional followup chest x-ray in four weeks to assess for resolution. if persistent, ct may be helpful for further characterization. this recommendation has been entered in the radiology communications dashboard on.
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left lung base opacity likely effusion and consolidation. overall, no significant change from prior exam.
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cardiomegaly and moderate pulmonary vascular congestion. no focal consolidation.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, the monitoring and support devices are in constant position. the left internal jugular vein catheter has not been pulled back substantially. moderate cardiomegaly. status post vertebroplasty. unchanged small opacity at the right lung bases, potentially caused by aspiration. minim...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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previously seen pulmonary edema largely resolved, with only some residual prominence of the pulmonary vasculature.
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large right and small left pleural effusions, with underlying collapse and/or consolidation, essentially unchanged compared with <num> day earlier. no chf.
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ap chest compared to , : normal heart, lungs, hila, mediastinum and pleural surfaces. left clavicle fracture less displaced than on the prior study.
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no acute cardiopulmonary process.
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no appreciable change in bilateral airspace opacities which may either be due to pulmonary edema or infection. stable moderate bilateral pleural effusions. nasogastric tube terminates in the mid esophagus. repositioning advised.
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bilateral new pleural effusions. right picc terminates at the cavoatrial junction. stable cardiomegaly and mild pulmonary edema.
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no acute intrathoracic abnormality. probably copd
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no definitive radiographic evidence to suggest an acute cardiopulmonary process.
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left ventricular enlargement. the right peritracheal mass is inadequately assessed on this study. no significant interval change in the mediastinal contour when compared to the prior study.
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cardiomegaly without definite acute cardiopulmonary process.
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no acute cardiopulmonary process.
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apparent interval increase in number and conspicuity of multiple bilateral pulmonary nodules, more so on the right than on the left when compared to most recent exam from. while this could be compatible with patient's known history of sarcoidosis, nonurgent ct scan of the chest should be considered for more complete ev...
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new mild vascular congestion
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as compared to the previous radiograph, a right-sided chest tube is again visualized. the tube has drained a previously extensive right pleural effusion. at the site of tube insertion, at the basal and lateral aspect of the thorax, a minimal pneumothorax is seen. there is an unchanged apical fluid component on the righ...
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interval resolution of left pleural effusion. new compression deformity of a lower thoracic vertebral body.
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no acute cardiopulmonary process.
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moderate pulmonary edema with bilateral pleural effusions.
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at least one, possible two, right lung nodules. a non-emergent ct of the chest is recommend for further characterization. results were discussed with dr room resident) at <num> am on via telephone by dr.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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retrocardiac opacity compatible with pneumonia in the proper clinical setting. repeat exam after treatment is suggested to document resolution.
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small right apical pneumothorax is present. small opacity in the right midlung contains a fiducial marker, presumably a mass, with minimal if any hemorrhage. atelectasis at the base the right lung is mild. left lung clear. normal cardiomediastinal silhouette.
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moderate to severe right and small left pleural effusion. both have newly occurred. the lung volumes remain low. mild fluid overload but no overt pulmonary edema. moderate cardiomegaly. bilateral areas of atelectasis at the lung bases.
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minimal blunting of the right costophrenic angle. no gross effusion. otherwise, no acute pulmonary process identified. a lower thoracic or upper lumbar spine compression deformity is of indeterminate chronicity. recommend correlation with history and physical examination. if further imaging is desired, then ct or mri c...
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no acute cardiac or pulmonary findings. marked elevation of the left hemidiaphragm, not significantly changed compared to ct from.
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mild perihilar pulmonary edema, without focal pneumonia.
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no definite acute intrathoracic abnormality. overall similar bilateral opacities to prior examination, though pneumonia is not entirely excluded.
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in comparison with the study of , there is obliquity of the patient at somewhat obscures detail. there is been placement of an endotracheal tube with its tip approximately <num> cm above the carina. nasogastric tube extends at least to the mid stomach were crosses the lower margin of the image. there has been developme...
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no acute cardiopulmonary process.
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in comparison to radiograph, a right pleural catheter has changed in position, with tip terminating more laterally than before. a small right pleural effusion persists. no visible pneumothorax.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no evidence of pneumonia, pulmonary edema or pleural effusions. a a small zone of increased radiodensity, at the upper aspect 's of the right hilus is very likely a projection artifact and has no correlate on the ...
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ap chest compared to : severe consolidation is present in the right mid and upper and left mid and lower lung zones, should be considered pneumonia until proved otherwise. there is also mild-to-moderate pulmonary edema. the heart is normal size. pulmonary hila are dramatically larger today than they were in. whether th...
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ap chest compared to :<num>: tip of the newly placed intra-aortic catheter pump is midway between the upper margin of the left main bronchus and the apex of the aortic arch. swan-ganz catheter loops in the right atrium and barely crosses the tricuspid valve. nasogastric tube passes into the stomach, where it probably l...
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increased opacification at the right base is entirely explained by volume loss in the right lower lobe; however superimposed pneumonia cannot be excluded.
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normal chest radiographs.
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in comparison with study of , the patient has taken a better inspiration. cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. mild elevation of the right hemidiaphragmatic contour is again seen. specifically, no widening of the paratrac...
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as compared to the previous radiograph, the dobbhoff catheter now shows a normal course. the tip projects over the middle parts of the stomach. there is no evidence of complications, notably no pneumothorax. normal size of the heart. no pulmonary edema. no pleural effusions. no pneumonia.
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no radiographic evidence for acute cardiopulmonary process. findings were communicated by dr to , np via telephone at :am on , <num> minutes after discovery.
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no acute intrathoracic process.
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no radiopaque foreign body detected.
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no evidence of acute cardiopulmonary disease. opacity at the right lung apex for which differential considerations include focal pleural thickening, a prior ribs injury but potentially a pulmonary nodule including the possibility of malignancy. when clinically appropriate chest ct evaluation is recommended. findings di...
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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery, unchanged since. there is no pulmonary edema currently.
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there is no longer pulmonary edema. lungs are clear. moderate cardiomegaly is improved. there is no pleural abnormality.
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ap chest compared to : some of the new opacification at the left lung base is probably pleural effusion, but the remainder could be new left lower lobe collapse. change in contour of the right diaphragmatic pleural surface is probably due to a small right pleural effusion. heart size is indeterminate, but probably not ...
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healing bilateral rib fractures. the nonspecific mid and lower lung opacities could potentially be due to pneumonia. ct may be helpful for more complete characterization of lung findings if warranted clinically.
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normal chest radiograph.
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary process. these findings were communicated to dr by telephone at pm, at the time of discovery, by dr.
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in comparison to chest radiograph, a swan-ganz catheter has been removed, with no visible pneumothorax. cardiomegaly and pulmonary vascular congestion are accompanied by minimal interstitial edema.
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large loculated right pleural effusion with residual aeration of right upper lobe, with a pleural drain in place. no priors are available at this institution, though comparison with priors would be helpful to assess for interval change.
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no acute cardiopulmonary abnormality. emphysema.
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the intra-aortic balloon pump tip projects <num> cm below the aortic knob apex, previously <num> cm below. it should be inserted further for optimal positioning.