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MIMIC-CXR-JPG/2.0.0/files/p10984032/s54964860/ff53e6d6-6cdc3ec2-f9bcab1d-32258483-79d3de0a.jpg
as compared to the previous radiograph, the bilateral parenchymal opacities are unchanged. unchanged appearance of the cardiac silhouette. minimal blunting of the left costophrenic sinus, potentially reflecting a small left pleural effusion. no new opacities. no pneumothorax. the right pectoral port-a-cath is constant ...
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no acute cardiopulmonary process.
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tortuous ascending aorta with or without a component of dilation. consider ct scan for further evaluation if warranted clinically. previously seen left hilar fullness is likely due to superimposition of vascular structures.
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no evidence of acute cardiopulmonary disease.
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low lung volumes without an acute cardiopulmonary process.
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as compared to the previous examination, the patient has received a dual chamber pacemaker. the leads are in correct position. there is no evidence of pneumothorax. no pulmonary edema. borderline size of the cardiac silhouette.
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comparison to. no relevant change. moderate scoliosis of the thoracic spine. no pulmonary edema, no pneumonia, no pleural effusions. normal size of the cardiac silhouette.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10224171/s55648712/14240687-20bff86c-514f1b10-febf8596-25071c8d.jpg
interval improvement in aeration of the right lung compared to the prior study, but there is persistent hazy opacification within the right lung base concerning for persistent pneumonia. small right pleural effusion is present. continued patchy opacity in the medial aspect of the left lung base, also concerning for add...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11653026/s57479812/bd190b42-f7b0f624-e0dd79d5-49bd9cf7-1bd8139b.jpg
no acute cardiopulmonary process. mild cardiomegaly unchanged since.
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in comparison with the study of , the cardiac silhouette remains at the upper limits of normal or slightly enlarged. there are lower lung volumes. however, the pulmonary vascular congestion has essentially cleared and there is no convincing evidence of acute pneumonia.
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no significant interval change. persistent elevation of the right hemidiaphragm. no pulmonary edema.
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no evidence of sarcoid.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection.
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persistent improvement of diffuse bilateral parenchymal opacities.
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as compared to the previous radiograph, the right pigtail catheter has been removed. there is no relevant reaccumulation of pleural fluid on the right. there is no evidence of a right pneumothorax. the left lung, with its pigtail catheter and a small pleural effusion as well as the perihilar opacity is essentially unch...
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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. no evidence of pneumonia. effects of aspiration sometimes are not evident radiographically for four to eight hours.
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low lung volumes. bibasilar airspace opacities, more pronounced on the left, could reflect atelectasis but infection is not excluded.
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chronic left-sided pleural opacification, which may reflect chronic pleural effusion with or without a component of pleural thickening. calcified pericardial thickening.
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standard positioning of the endotracheal and enteric tubes. no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no pneumonia, edema, or effusion.
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no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
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no acute cardiopulmonary process.
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right pleural effusion has almost completely resolved. retrocardiac opacities are persistent likely atelectasis. right lower lobe atelectasis are unchanged. cardiomediastinal contours are unchanged. there is no pneumothorax.
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no acute intrathoracic process.
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bilateral pleural effusion with overlying atelectasis. bibasilar opacity may be due to combination of pleural effusion and atelectasis but underlying consolidation not excluded.
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possible minimal interstitial edema. compression of at least three thoracic vertebral bodies, one in the mid thoracic region is severely compressed; no prior studies available for comparison. to best assess for acuity, recommend clinical correlation and additional imaging as clinically warranted.
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single frontal view of the chest is submitted. there are no prior chest radiographs available for comparison. lungs are well expanded and clear aside from a possible calcification in the right midlung. the heart is moderately enlarged and pulmonary vasculature in the upper lobes mildly distended, but there is no pulmon...
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no evidence of acute disease.
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cardiomegaly with moderate interstitial pulmonary edema, consistent with chf exacerbation. no large pleural effusions.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no findings to explain patient's symptoms.
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left perihilar and right mid lung airspace opacities may be due to atelectasis, but infection would be difficult to exclude in the appropriate clinical setting. repositioned right picc line now terminates in the upper svc. newly placed left-sided dialysis catheter terminates in right atrium.
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clear lungs.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no evidence of metastatic disease.
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in comparison with the study of , there are slightly improved lung volumes. hiatal hernia is again seen as well as aortic stent. cardiac silhouette is within normal limits and there is no evidence of appreciable pulmonary edema. no definite acute focal pneumonia
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right lower lung consolidation, concerning for pneumonia. followup after treatment is suggested to document resolution.
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in comparison with the study of , the monitoring and support devices remain in place. again there is diffuse haziness at the lower lungs, consistent with layering pleural effusions and compressive atelectasis at the bases. there is again elevation of pulmonary venous pressure in a patient with a top normal or mildly en...
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interval increase in bilateral small pleural effusion, bibasilar atelectasis, and mild pulmonary venous congestion.
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subtle right juxtahilar opacities, which may reflect patchy atelectasis, aspiration or focal pneumonia. short-term followup radiographs are suggested to document resolution.
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no acute cardiac or pulmonary process. multiple bilateral rib fractures in various stages of healing, as seen on the prior radiograph from. evaluation for an acute rib fracture would require radiographs targeted to patient's site of focal pain.
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new bilateral perihilar pulmonary consolidation, much greater on the right than the left could be asymmetric edema, but pulmonary vasculature is not particularly engorged. heart is top-normal size, unchanged since. pulmonary edema is the most likely diagnosis, but the asymmetry raises questions of severe pneumonia and ...
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in comparison with study of , there again are low lung volumes that accentuate the transverse diameter of the heart. mild indistinctness of pulmonary vessels is consistent with elevated pulmonary venous pressure. on <num> frontal view common there is suggestion of some asymmetry of opacification at the bases, more more...
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no acute intrathoracic process. chronic interstitial lung changes in bases, new since. could be further evaluated with coventional pa and lateral radiograph. alternatively, if clinically indicated could be further evaluated with ct.
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intact appearance of port tubing without discontinuity. mild nonspecific interstitial abnormality but suggestive of vascular congestion.
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left upper lobe ill-defined opacity compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution.
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no interval change from prior study. elevation of the left hemidiaphragm, small left effusion with adjacent atelectasis with a pigtail catheter are unchanged. there is no pneumothorax. right lung nodules and left chest wall mass are better seen in prior ct.
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no acute cardiopulmonary process.
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appropriate positioning of support lines devices as described above. worsening low lung volumes with a left retrocardiac opacity which may reflect atelectasis.
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no evidence of abnormality seen within the limitations of this study technique.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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borderline cardiomegaly and enlarged main pulmonary artery contour, although with little if any change. sometimes this appearance can represent a normal variant but the possibility of pathology including pulmonary arterial hypertension cannot be excluded.
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focal opacity in the lingula, concerning for pneumonia. consider followup to resolution to exclude underlying malignancy.
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low lung volumes and limited examination secondary to patient body habitus. within this limitation, a left retrocardiac airspace opacity may represent pneumonia in the appropriate clinical setting. moderate cardiomegaly and likely mild pulmonary vascular congestion/edema.
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hyperinflation without definite acute cardiopulmonary process.
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new small bilateral pleural effusions and associated opacities due to probable atelectasis.
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no acute cardiopulmonary pathology, in particularly no evidence of pneumothorax.
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interval improvement of interstitial edema and no evidence of pneumonia.
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compared to chest radiographs since , most recently. lungs are grossly clear. heart size normal. there may be small pleural effusions, but these would need a lateral view for confirmation.
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left upper lobe collapse, worrisome for mucous plugging in the narrowed left bronchial stent.
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relatively unchanged appearance of cardiomegaly, mild central vascular congestion, and minimally improved left retrocardiac airspace opacity.
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no acute cardiopulmonary process.
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no acute findings in the chest.
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pulmonary edema. left base retrocardiac opacity and obscuration of the left hemidiaphragm may be due to pleural effusion with atelectasis, underlying consolidation not excluded.
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enteric catheter passes below the diaphragm, although curves superiorly to end in the gastric cardia. left lower lung heterogeneous opacities, thought to represent aspiration pneumonitis/pneumonia, not significantly changed compared to recent ct. right medial lung base opacities seen on prior ct are not well visualized...
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subsegmental atelectasis in the left lung base.
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normal chest radiograph.
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ap chest compared to through : rapid onset of diffuse pulmonary opacification on and subsequent substantial clearance, do not support a diagnosis of ards. instead, i would favor transient pulmonary edema accompanied by slight increase in heart size with therefore a component of cardiac overload or decompensation. the...
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no acute cardiopulmonary abnormality.
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cardiomegaly with vascular congestion. no evidence of pneumonia.
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left basilar atelectasis with no pneumonia or effusion seen.
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as compared to the previous radiograph, the hemodialysis catheter on the right has been removed. the visible parts of the ribcage appear normal. there is no convincing evidence for the presence of a rib fracture. however, if the clinical symptoms persist, a dedicated rib series should be performed. borderline size of t...
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no focal consolidations concerning for pneumonia identified.
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basilar atelectasis without definite acute cardiopulmonary process.
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persistent left lower lobe pneumonia or aspiration. resolving right upper lobe collapse.
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unchanged chest radiograph, with moderate cardiomegaly, bibasilar atelectasis, and vascular congestion.
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no acute cardiopulmonary abnormality.
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cardiomegaly is substantial. mediastinum is stable as well as the size of the cardiac silhouette. lungs are overall clear with no new consolidations demonstrated. the only questionably area is at right lung base where increase in opacity cannot be excluded and potentially might represent developing infectious process
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no acute cardiopulmonary process.
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in comparison with the study of , there is again substantial enlargement of the cardiac silhouette with relatively mild elevation of pulmonary venous pressure. this combination raises the possibility of cardiomyopathy or pericardial effusion. there is a small left pleural effusion with basilar atelectatic changes. no d...
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mild cardiomegaly is increased since. pulmonary vasculature is only mildly engorged and there is no pulmonary edema or pleural effusion. lungs are clear. mild indentation of the trachea at the thoracic inlet could be due to enlarged thyroid.
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opacity within the left lung which may be in the lingula is concerning for an area of infection. small left effusion.
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as compared to the prior study heart size and mediastinum are stable. there is slight interval improvement in the right mid and lower lung opacities an overall unchanged appearance of the left mid and lower lobes. upper lungs are clear. no pleural effusion or pneumothorax is seen. there is also possibility of interval ...
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no acute intrathoracic process.
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no evidence of acute disease.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary radiographic abnormality.
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new right base consolidation suspicious for pneumonia but without pleural effusion. mild vascular congestion.
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normal chest.
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no acute intrathoracic process.
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there has been interval improvement in the extensive subcutaneous emphysema. a nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach. a biliary stent and several catheters are again seen overlying the right upper quadrant. a left subclavian picc line is unchanged in position. th...
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et tube tip at level of the clavicular heads approximately <num> cm above the carina. innumerable small patchy opacities seen throughout both lungs, similar to yesterday's radiograph, but probably increased on the left. given the clinical setting, these are concerning for multifocal airspace disease, possibly septic em...
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left pleural effusion with left basal atelectasis, cannot exclude pneumonia. please note, slight improvement compared with prior. picc line terminates in the high svc.