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MIMIC-CXR-JPG/2.0.0/files/p19267706/s51231889/ec80d8d5-0716788a-2982290c-21ff7468-65a3d976.jpg
no acute cardiopulmonary abnormality.
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no new consolidation to suggest pneumonia.
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<num>) small increase in small right pleural effusion and possible mild pulmonary edema. <num>) though there is no clear evidence of infection, given postoperative distortion, there might be an area of consolidation in the right lower lung due to pneumonia.
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compared to prior chest radiographs since , most recently at. substantial increase in right basal consolidation accompanied by new or increasing pleural effusions small or moderate in size. pulmonary edema is probably present as well, mild or moderate. no pneumothorax. esophageal drainage tube passes into the nondiste...
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interval decrease in size of left upper lobe opacity, possibly reflecting resolution of prior hemorrhage. likely small left pleural effusion.
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interval placement of an endotracheal tube terminating in the right mainstem bronchus. it should be retracted by at least <num> cm for appropriate positioning. right ij line has been retracted but remains in the proximal right atrium.
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no acute cardiopulmonary abnormality.
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persistent cardiomegaly without radiographic evidence for acute change.
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in comparison study of , there has been placement of a right ij swan-ganz catheter that extends into the right pulmonary artery at the mediastinal level. no evidence of pneumothorax. otherwise little change.
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relatively low lung volumes with areas of atelectasis. left basilar opacity may relate to atelectasis however, underlying consolidation not excluded. possible trace left pleural effusion.
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equivocal minimal upper zone redistribution without overt chf. no focal opacity or consolidation to suggest pneumonia.
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low lung volumes. bibasilar dependent atelectasis and low lung volumes.
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interval placement of right ij central venous line with its tip in the proximal superior vena cava. endotracheal tube has its tip at the thoracic inlet. there is a nasogastric tube coursing below the diaphragm with the tip projecting over the stomach, but the sideport near the gastroesophageal junction. advancement of ...
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stable chest findings. no evidence of pulmonary congestion or acute infiltrates, but typical signs compatible with copd.
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relatively unchanged appearance of the chest with bilateral calcified pleural plaques and slightly hazy opacities with increased interstitial markings at the lung bases suggestive of chronic interstitial lung disease, better characterized on the previous ct exam. no new focal consolidation.
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low lung volumes with bibasilar atelectasis; retrocardiac opacity likely represents atelectasis, but a small focus of consolidation cannot be excluded. peribronchial cuffing and interstitial prominence suggest small airways disease, which could be secondary to reactive airways and/or a viral process.
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no acute disease
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no acute intrathoracic abnormality.
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right picc tip in low svc. mild vascular congestion.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. cardiac silhouette is at the upper limits of normal in size with left ventricular configuration. no vascular congestion, pleural effusion, or evidence of pulmonary or skeletal metastases at the limits of plain rad...
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given differences in technique, cardiac and mediastinal contours are stable. the lungs appear well inflated without evidence of focal consolidation, pleural effusions, or pulmonary edema. no pneumothorax is seen. no acute bony abnormality is appreciated.
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chest x-ray examination within normal limits. no acute pulmonary process identified.
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no acute intrathoracic abnormality.
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acute mildly displaced fractures of the lateral arch of the right fifth and sixth ribs. findings were posted to the ed dashboard at the time of initial review.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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<num> cm left apical nodular opacity peer recommend initial further evaluation with apical lordotic chest radiograph to confirm and better localize this finding. if it is confirmed to be within the lung parenchyma, ct would be recommended to assess for possible lung neoplasm.
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right ij catheter in place. no pneumothorax.
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no acute cardiopulmonary process.
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stable radiographic appearance of the chest, with no evidence of pneumonia.
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no previous images. the cardiac silhouette is at the upper limits of normal in size. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. mild apical pleural thickening is seen on the left.
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tiny left pleural effusion.
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aggressive appearing left perihilar mass with associated volume loss. recommend ct scan for further evaluation. results were communicated with dr at <num> pm on via telephone by dr.
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no acute cardiopulmonary process.
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in comparison with the study , there is continued right upper lobe volume loss with hilar and mediastinal adenopathy bilaterally. right subclavian picc line extends to the mid to lower portion of the svc.
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esophageal drainage tube ends in the region of the pylorus. stomach is not distended. patient has had median sternotomy. heart size is normal and the pulmonary vasculature is not engorged. left lung base is partially obscured by the elevated left hemidiaphragm. there may be a small left pleural effusion. no free subdia...
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stable radiographic appearance of the chest with no evidence of pneumonia.
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no acute cardiopulmonary process.
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bilateral pleural effusions with vascular congestion. no definite focal consolidation concerning for pneumonia.
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moderate pulmonary edema has improved. no other interval change from prior study.
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no acute cardiopulmonary process.
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in comparison with the earlier study of this date, the right subclavian picc line now extends to the lower portion of the svc. little change in the appearance of the heart and lungs.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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normal chest radiographs.
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resolution of left lower lobe pneumonia.
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near complete resolution of the pre-existing right pleural effusion. substantial improvement of the pre-existing left pleural effusion that is still minimal. stable elevation of the left hemidiaphragm. mild cardiomegaly. no pulmonary edema.
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no evidence of injury.
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increasing left lower lobe opacity, although similar to the earlier of two studies. recurrence of pneumonia versus waxing and waning atelectasis could be considered. findings also suggest very mild fluid overload.
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right hickman catheter and left-sided pacing device are stable in position. there is a persistent elevation of the left hemidiaphragm which is unchanged dating back to. no focal airspace consolidation is seen to suggest pneumonia. no pleural effusions. no evidence of pulmonary edema or pneumothorax. stable cardiac and ...
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opacity in the lingula, compatible with pneumonia in the proper clinical setting.
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copd. bibasilar opacities may reflect atelectasis and/or scarring, however, underlying infection or aspiration not excluded in the appropriate clinical setting.
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cardiomegaly is substantial, unchanged mediastinal silhouette is stable. right lung consolidation and left lower lobe consolidation are unchanged. findings are most likely consistent with infectious process. no definitive evidence of pulmonary edema is present.
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comparison to. no relevant change. low lung volumes. borderline size of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema. no pneumothorax.
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comparison to. decrease in size of a pre-existing right apical masslike lesion. no pleural effusion on the current radiograph. no pneumonia, no pulmonary edema.
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no evidence of pneumonia. biapical fibrosis unchanged from prior.
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low lung volumes with bibasilar atelectasis. underlying infection is not completely excluded.
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no acute cardiopulmonary abnormality.
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moderately severe pulmonary edema has worsened. moderate cardiomegaly stable. increasing small pleural effusions are likely. no pneumothorax. transvenous right atrial right ventricular pacer leads in standard positions unchanged. no pneumothorax.
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multiple bilateral pulmonary nodules overall appear more conspicuous as compared to the prior study, which may be due to differences in technique /penetration, although is concerning for slight progression of disease. no definite new focal consolidation seen. small right pleural effusion, new/increased compared to the ...
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no acute intrathoracic process.
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unfolding of the thoracic aorta. no evidence of acute disease.
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compared to prior chest radiographs, through. small bilateral pleural effusions unchanged. minimal collection of air at the apex of the right hemi thorax is been present for several days, not clinically significant. lungs are well expanded. cardiomediastinal silhouette has a normal postoperative appearance.
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new, mild pulmonary edema. bibasilar consolidations are concerning for pneumonia and there is new left upper lobe atelectasis.
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patchy new left basilar opacity, probably atelectasis but not specific.
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no acute cardiopulmonary process. no displaced rib fracture identified.
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no evidence of acute cardiopulmonary process or injury. stable findings associated with treated malignancy in the left lung.
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linear branching opacities projecting over the right mid and lower lung are likely external to the patient, but could also represent fissural fluid. in order to resolve this, a repeat radiograph is recommended.
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moderate to severe left lower lobe atelectases and mild right lower lobe atelectasis. no focal opacities concerning for pneumonia.
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new consolidation in the right upper lobe, medially, running parallel to the mediastinum should be considered pneumonia until proven otherwise. lung volumes are substantially lower today than on a exaggerating the severity of new mild pulmonary edema, reflected in substantial increase in bibasilar atelectasis, particu...
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no acute cardiopulmonary process. cabg changes.
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pulmonary edema.
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increased opacification of the bilateral bases, right greater than left, with small bilateral pleural effusions and adjacent atelectasis. superimposed infection could be considered in the appropriate clinical setting. slight interval decrease in size of the small left apical hydropneumothorax.
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no appreciable pneumothorax.
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new small bilateral pleural effusions. unchanged moderate pulmonary edema. no pneumothorax.
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no acute cardiopulmonary process. stable mild to moderate cardiomegaly.
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atelectasis in the left lung is improving reflected in return of the mediastinum to the midline, although there is still some consolidation in the left lower lobe. moderate to severe cardiomegaly is long-standing. presence of pericardial effusion is indeterminate. right pic line ends in the mid svc. no pneumothorax.
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mild cardiomegaly. no acute cardiopulmonary process.
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no acute cardiac or pulmonary process.
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no acute cardiopulmonary abnormalities. copd. nipple markers demonstrate that the rounded nodules seen in the lower hemithoraces bilateral correspond to nipple shadows
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pa and lateral chest compared to : cardiomediastinal contours including the small bulge in aortopulmonic window are all unchanged since. a pet-ct scan showed mild left hilar lymph node enlargement. today, the lungs are clear and there is no pleural effusion. heart size is normal.
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normal chest radiographs.
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no radiographic evidence of pneumonia. bilateral hilar prominence, for which a repeat chest radiograph with improved inspiratory level is recommended to help differentiate prominent pulmonary vessels from bilateral hilar lymphadenopathy. findings and recommendation entered into radiology communications dashboard on.
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comparison to. minimally increasing severity in extent of the pre-existing parenchymal opacity on the right. left pleural effusion is stable. stable appearance of the heart. stable position of the right internal jugular vein catheter.
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no signs of pneumonia.
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to the previous radiograph, no relevant change is seen. the tracheostomy tube, the nasogastric tube and a left picc line are in unchanged position. unchanged extent of the right more than left parenchymal opacities at the lung bases and the accompanying small pleural effusions. no new opacities. unchanged. mild pulmona...
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no pneumothorax following right chest tube removal.
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no acute cardiopulmonary abnormality.
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typical large left lower lobe pneumonia. on the next preceding chest examination of , no acute infiltrate was present. referring physician, was paged at and informed of the findings of pneumonia.
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small right pleural effusion (likely partially loculated) with associated right lowre lung atelectasis/scarring. please compare with prior imaging to ensure this process is stable or resolving. d/w dr at the time of this dictation.
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in comparison with the study of earlier in this date, the lung volumes have slightly improved. central catheter position is unchanged, as is the cardiomediastinal silhouette. there is indistinctness of pulmonary vessels consistent with pulmonary vascular congestion. again there is suggestion of focal area of opacificat...
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no evidence of acute disease.
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right infrahilar fullness and lobulation, concerning for lymphadenopathy or juxtahilar mass. recommend further evaluation with contrast-enhanced ct as entered into radiology communications dashboard on.
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the lung volumes are normal. the patient carries a right picc line. the course of the line is unremarkable, the tip of the line projects over the mid to low svc. the patient also carries a feeding tube. the tip of the tube is not displayed on the image. no evidence of complications, no pneumonia, no pleural effusions.
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very small right pleural effusion layers posteriorly. lungs are clear aside from a calcified granuloma at the level of the upper pole of the right hilus. there is no left pleural effusion. cardiomediastinal and hilar silhouettes are normal.
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marked enlargement of the cardiac silhouette. no focal consolidation.
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no acute cardiopulmonary process.
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in comparison with the study of , there is little change in the a normal size the cardiac silhouette. no evidence of vascular congestion or acute focal pneumonia. there is blunting of the left costophrenic angle, which could reflect small pleural effusion or pleural thickening.
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straightened safety pin seen in the anterior subcutaneous tissues, projecting superiorly. although no free intraperitoneal air is identified, the depth of the pin is uncertain and intraperitoneal extension cannot be excluded.
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bibasilar linear opacities likely reflecting areas of subsegmental atelectasis. no pleural effusions.