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MIMIC-CXR-JPG/2.0.0/files/p18529984/s58649800/304f724c-dd70296c-88df82e8-8e332955-6ccf2de1.jpg
no evidence of acute thoracic injury.
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no acute cardiopulmonary process. no evidence of acute rib fracture.
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no acute cardiopulmonary process.
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comparison to. knee complete resolution of a pre-existing bilateral basal opacity. a small left pleural effusion persists. unchanged position of the tracheostomy tube and of the left picc line.
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cardiomegaly and small bilateral effusions, with possible vascular engorgement, no edema.
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cardiomegaly with pulmonary edema and bilateral pleural effusions. focal opacity in the posterior left lobe lobe, which may be explained by atelectasis perhaps associated with a pleural effusion, but coinciding developing infection is also possible.
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pa and lateral chest compared to : the recurrently collapsed right upper lobe is not as well expanded today as it was on. fiducial seeds indicate there has been localized radiation in this area. moderate cardiomegaly is chronic. small bilateral pleural effusions are longstanding. lower lungs are grossly clear. mitral a...
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bibasilar opacities most likely due to atelectasis however, developing infectious process is not excluded in the appropriate clinical setting.
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in comparison with the study of , the monitoring and support devices are unchanged. continued low lung volumes without definite vascular congestion or acute focal pneumonia.
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no acute cardiac or pulmonary process.
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findings consistent with chf, with interstitial and probable slight pulmonary edema. no gross effusions.
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as compared to the previous radiograph, no relevant change is noted. the lung volumes are normal. moderate cardiomegaly without evidence of pulmonary edema. no pleural effusions. no pneumothorax. no pneumonia.
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minimal right apical bronchiolitis. severe emphysema.
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nodular opacity in the left lung base requiring further evaluation. recommend follow-up radiographs including routine oblique views bilateral and a shallow view for further evaluation. dr discussed the updated findings with dr at am on by telephone.
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in comparison with the study of , the patient has taken a better inspiration. the monitoring and support devices are essentially unchanged. opacification at the left base again is consistent with pleural fluid and volume loss in the left lower lobe. new the cardiac silhouette remains at the upper limits and normal in s...
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streaky bibasilar opacities likely atelectasis noting that infection is possible in the proper clinical setting.
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ap chest compared to through at : a residual right basal pneumonia improved through , continues to clear. left lower lobe atelectasis has also improved. no appreciable pleural effusion or any pneumothorax. heart size normal. endotracheal tube ends approximately <num> cm above the carina and could be advanced <num> c...
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no acute cardiopulmonary process.
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there is little discernible left pneumothorax, and no appreciable left pleural effusion, however there is more subcutaneous emphysema in the left chest wall which is sometimes in indication of increasing intra pleural pressure in the setting of pneumothorax. therefore repeat chest radiographs would be indicated if the ...
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opacity along the right mid hemithorax which appears pleural-based may be due to loculated pleural fluid or pleural thickening. there is slight blunting of the right costophrenic angle which may also be due to a trace effusion. findings could be further evaluated on chest ct. a subtle left base opacity is seen which co...
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no acute cardiopulmonary process. no significant change from one day prior.
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equivocal subtle opacity at the left lung base, which may represent atelectasis or developing pneumonia. otherwise, chest x-ray examination is within normal limits.
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as compared to the previous radiograph, no relevant change is seen. bilateral pleural effusions, left more than right. signs of mild fluid overload but no overt pulmonary edema. the hemodialysis catheter on the right is in constant position.
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in comparison with the study of. the patient has taken a better inspiration. again there is enlargement of the cardiac silhouette with pulmonary vascular congestion. bibasilar opacification, with silhouetting of the hemidiaphragm on the left, is consistent with atelectasis and left pleural effusion. however, in the app...
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no acute cardiopulmonary process.
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vertical linear markings over the left lung may be from the patient's hair though pneumomediastinum is possible. recommend repeat chest radiograph following repositioning of the patient's hair.
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interval resolution of left lower lobe pneumonia.
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comparison. the opacities and volume loss in the left hemi thorax have minimally increased in severity. the subsequent overinflation on the right has also increased. stable normal appearance of the right cardiac border. minimal progression of a right basilar atelectasis.
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right lower lobe pneumonia.
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no relevant change as compared to the previous image. no pneumonia, no pulmonary edema. constant appearance of the monitoring and support devices. moderate cardiomegaly with elongation of the descending aorta.
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left port-a-cath terminates in the low svc. mild-to-moderate pulmonary edema.
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low lung volumes with probable bibasilar atelectasis.
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no acute cardiopulmonary abnormality. no evidence of trauma.
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bilateral small left apical pneumothorax is unchanged and tiny right apical pneumothorax appears to have resolved.
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compared to chest radiographs through. mild interstitial pulmonary edema has improved since , now largely at the lung bases. previous severe left lower lobe atelectasis has improved. pleural effusions are small if any, left-greater-than-right. no pneumothorax. et tube and nasogastric tube in standard placements.
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large left pleural effusion is stable since. multiple air-fluid levels in the partially evaluated small bowel are concerning for small bowel obstruction. if clinical concern, consider upright abdominal radiograph for further evaluation. stable multiple anterior wedge compression fractures of the lower thoracic vertebra...
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complete whiteout of the right hemithorax with leftward mediastinal shift indicating some component of pleural effusion. consider ct scan to further evaluate.
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mild pulmonary edema.
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posterior base consolidation overlying the spine compatible with basal pneumonia, side indeterminate.
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no acute cardiopulmonary process. ovoid left mediastinal calcified structure may represent a calcified lymph node.
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left basilar opacity corresponds to a left lower lobe lesion on ct. no evidence of pneumonia. preliminary findings discussed with dr by phone at on per request. dr was paged at pm on after attending review.
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lower lung volumes without definite superimposed consolidation.
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mild pulmonary vascular congestion without overt pulmonary edema. the enteric tube side port projects over the ge junction, recommend advancement.
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new diffuse hazy infiltrate occupying right upper lobe area, probably of infectious genesis.
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as compared to the previous radiograph, the pre-existing bilateral pleural effusions have almost completely resolved. the lateral radiograph shows no evidence of effusions. severe scoliosis, status post vertebroplasty. moderate cardiomegaly with bilaterally symmetrical large hilar structures but currently no evidence o...
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in comparison with the study of , the hemidiaphragms and costophrenic angles are quite well seen posteriorly on the lateral view. this suggests substantial improvement in the pleural effusions. the blunting of the costophrenic angles on the frontal view could represent merely pleural thickening. no evidence of cardiome...
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no acute cardiopulmonary process. mild pulmonary edema persists.
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new possible subtle areas of consolidation in the right middle lobe and/or one of the lower lobes warrants further work-up with routine oblique views.
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no acute cardiopulmonary process.
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cardiomegaly with pulmonary edema. left upper lobe consolidation concerning for infection.
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no acute intrathoracic process.
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no evidence of acute disease.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pleural effusions. no pneumonia, no pulmonary edema.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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as compared to , the patient has received a right central venous access line. the course of the line is unremarkable, the tip of the line projects over the lower svc. there is no evidence of complications, notably no pneumothorax.
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no definite acute cardiopulmonary process. hilar prominence is nonspecific and not substantiated on the lateral view. no large pulmonary mass is seen, although, ct is more sensitive. potential hilar prominence would also be better evaluated on ct.
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in comparison with study of , there is little change and no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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compared to chest radiographs since , most recently at. emphysema is severe ; distribution suggests alpha one antitrypsin deficiency. there is no definite focal pulmonary abnormality. heart size normal. no pleural effusion or pneumothorax.
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stable mild loss in height among several lower thoracic vertebral bodies. no evidence of acute cardiopulmonary disease.
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moderate pulmonary edema and small bilateral pleural effusions compatible with volume overload.
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no acute cardiopulmonary process.
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complete interval resolution of right lung pneumonia. right basilar atelectasis.
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since the prior radiograph from earlier today, a right chest tube is been removed with slight decrease in size of a small right apical pneumothorax. no other relevant change.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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latest radiograph shows slight interval decrease in moderate right pneumothorax with right apical pigtail catheter in place. unchanged diffuse bilateral airspace opacities are likely due to severe pulmonary edema.
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no acute intrathoracic process.
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no previous images. cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. there is asymmetry in opacification at the right base, which could be associated with the pneumonia identified on at an outside facility. however, comparison with this study is essential to determine...
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streaky bibasilar atelectasis without focal consolidation. , md
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no acute cardiopulmonary process.
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as compared to the previous radiograph, no relevant change is seen in appearance of the known postprocedural right pneumothorax. the postoperative parenchymal changes on the right, as well as a small right pleural effusion, are unchanged. moderate cardiomegaly persists.
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comparison to. increase in severity of the asymmetric right predominant pulmonary edema. the size of the cardiac silhouette and the monitoring and support devices are stable.
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bibasilar linear opacities most likely represent atelectasis or scarring, unchanged from prior.
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near complete resolution of left pleural effusion and basal atelectasis or consolidation no evidence of pneumonia.
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no acute cardiopulmonary process.
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unchanged rounded perihilar mass compatible with known malignancy. mild bibasilar atelectasis.
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no acute cardiopulmonary abnormality.
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no subdiaphragmatic free air. low lung volumes with bibasilar atelectasis.
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in comparison to prior radiograph of <num> day earlier, cardiomediastinal contours are stable in appearance. lungs are clear except for improving patchy bibasilar opacities. no pleural effusion or pneumothorax.
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no visualized pneumothorax post biopsy.
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findings compatible with congestive heart failure with pulmonary edema and bilateral pleural effusions, moderate on the right. basilar atelectasis also present.
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mild interstitial abnormality suggesting pulmonary edema, although other differential considerations include atypical pneumonia. stable loss in height among two lower thoracic vertebral bodies.
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no acute intrathoracic process.
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as compared to the previous radiograph, there is a slight increase of the moderate right pleural effusion. moderate cardiomegaly persists. the pacemaker wires are in unchanged position. normal appearance of the left lung.
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no acute intrathoracic process.
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now small left pleural effusion has improved. there is no evident pneumothorax. there are low lung volumes. right lower lobe atelectasis has minimally increased. no other interval change from prior study.
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cardiac and mediastinal contours are stable. no focal airspace consolidation is seen to suggest pneumonia. there is mild crowding of the pulmonary vasculature with slight prominence of the interstitium which is felt to most likely be related to lower lung volumes rather than representing an atypical infectious process ...
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left lower lung improved. mild pulmonary edema which is more evenly distributed on the study, but overall unchanged.
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the right internal jugular dialysis catheter is unchanged. there is a small area patchy density in the retrocardiac region of the left lower lobe. there is no pneumothorax. there is stable elevation of the right hemidiaphragm. there is no pneumothorax.
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<num>-mm nodular opacity at the left mid lung for which further evaluation with oblique radiographs recommended.
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no pneumothorax. interval resolution of bilateral pleural effusions. if concern for rib fracture, dedicated rib series is recommended.
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no acute cardiopulmonary process.
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comparison to. a feeding tube has been placed. the course of the tube is unremarkable, the tube should be advanced by approximately <num> cm, given that the tip projects over the proximal parts of the stomach. no complications. otherwise unchanged radiograph.
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. lateral view suggests that to the trachea it may be substantially narrowed, but that termination is best made with dedicated ct imaging.
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in comparison with the study of earlier in this date, the left pigtail catheter is been removed. no definite pneumothorax is appreciated. there is again bullous changes in the upper zones. continued extensive opacification in the mid and lower left lung, worrisome for worsening pneumonia. prominence of interstitial mar...
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mild pulmonary edema has improved since. small bilateral pleural effusions with adjacent areas of atelectasis, unchanged. stable appearance of calcified saccular aneurysm of the descending aorta.
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mild pulmonary vascular congestion, without overt pulmonary edema. trace bilateral pleural effusions. degenerative changes of the thoracic spine.
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mild pulmonary edema with a small left pleural effusion.
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no evidence of pneumonia.