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MIMIC-CXR-JPG/2.0.0/files/p17974607/s59782438/eb20b755-8f89020a-e40033d2-760e74fd-35aaf552.jpg
limited, negative.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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the lung volumes are normal. borderline size of the cardiac silhouette with minimal fluid overload. on both the frontal and the lateral radiograph, there is blunting of the left costophrenic sinus, suggesting the presence of a small left pleural effusion. subsequent areas of left basilar atelectasis are present. no pne...
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new pulmonary edema with increased size of the small layering bilateral pleural effusions.
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low lung volumes limit assessment of the lung bases. streaky opacities within the lung bases most likely reflect atelectasis but infection cannot be completely excluded.
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right-sided picc with the tip obscured by spinal hardware, requiring additional oblique views for better localization.
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a right pigtail pleural drainage catheter now projects over the right lower chest. there may have been some decrease in multiloculated right pleural effusion, but at the very least, conventional chest radiographs should be obtained because the lateral view is a much better way to assess the status of posterior loculati...
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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left hemi thorax is entirely opacified, unchanged. pericardial drain is in place, with most likely decrease in the pericardial silhouette giving the change in the right cardiac border. right mid lung opacity is unchanged.
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comparison. the patient now is intubated. the tip of the endotracheal tube projects approximately <num> cm above the carinal. the feeding tube is in correct position. small medial left-sided pneumothorax paralleling the left heart border. no evidence of tension. no signs suggesting pneumomediastinum. no larger pleural ...
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perhaps trace bilateral pleural effusions and moderate cardiomegaly without acute intrathoracic process.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, bilateral perihilar and right basal parenchymal opacities have completely resolved. the lung parenchyma is now free of infectious changes or atelectasis. no pulmonary edema. no pleural effusions, valvular calcifications. no pulmonary nodules or other neoplastic or infectious lesi...
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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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nasogastric tube and its side hole project in the region of the the stomach. no focal consolidation.
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patchy ill-defined opacities within the periphery of the right upper lung field suspicious for an infectious or inflammatory process.
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small left pneumothorax is less conspicuous than before. there are persistent low lung volumes. cardiomediastinal contours are unchanged. small left effusion has increased. bibasilar atelectasis are unchanged
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no evidence of pneumonia. no central vascular congestion or pulmonary edema.
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dobbhoff terminating within the stomach antrum or pylorus.
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there has been removal of the chest tubes. no pneumothoraces are seen. there is unchanged cardiomegaly. there is a left retrocardiac opacity with a small left-sided pleural effusion. low lung volumes are again seen. no overt pulmonary edema is seen.
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no acute cardiopulmonary abnormality.
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evaluation is severely limited by rotation obscuring the tip of the picc on the frontal view on the lateral view, the picc can be traced to the low svc, although the tip is hard to see. substantial cardiomegaly is unchanged. there is a moderate hiatal hernia.
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no acute cardiopulmonary abnormality. rightward deviation of the trachea with focal narrowing is compatible with known goiter.
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compared to prior chest radiographs since , most recently and. substantial increase in the caliber of the cardiac silhouette since , unchanged since , could be due to combination of cardiomegaly and pericardial effusion. there is no mediastinal venous engorgement to suggest that a pericardial effusion if present is cu...
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no acute cardiopulmonary process.
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left greater than right bibasilar opacities and possible subtle right mid lung opacity, while could be due to aspiration and/or atelectasis. left basilar atelectasis is also seen. persistent enlargement of the cardiac silhouette. possible trace bilateral pleural effusions.
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as compared to the previous radiograph, the the patient carries a nasogastric tube. the course of the tube is unremarkable, the side hole of the tube projects over the gastroesophageal junction. the tip of the tube is not visualized on the image. an external wire overlay is the cervical region of the patient. right pec...
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findings consistent with a similar degree of metastatic disease as evaluated on radiography, with no evidence of acute disease.
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findings suggesting areas of pneumonia in the left lung.
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in comparison to prior radiograph of , cardiomegaly is accompanied by pulmonary vascular congestion and near resolution of pulmonary edema. there remains marked elevation of the right hemidiaphragm secondary to a eventration on previous lateral view. interval slight worsening of bibasilar opacities, potentially due to ...
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continued interval resolution of the parenchymal opacity on the right with stable parenchymal opacity on the left worrisome for infection.
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limited, negative.
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worsened fluid status.
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normal heart size without pulmonary edema. prominent right cardiophrenic fat pad noted. emphysematous changes.
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no acute cardiothoracic process.
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new right middle lobe opacity could reflect atelectasis or infection. new small right pleural effusion. unchanged appearance of right infrahilar mass consistent patient's known lung cancer.
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normal chest radiograph.
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endotracheal tube in proper position. stable mild edema and small bilateral pleural effusions.
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emphysema / chronic obstructive pulmonary disease. no pneumonia.
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low lung volumes. no acute cardiopulmonary abnormality. specifically, no vascular congestion or pulmonary edema.
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right picc line tip is at the level of mid svc. cardiomediastinal silhouette is overall similar to previous examination although cardiac silhouette appears to be enlarged compared to similar portable radiograph. correlation with echocardiography is recommended to exclude the possibility of interval development of peric...
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cardiomegaly, chf and pulmonary edema, with bilateral effusions and underlying collapse and/or consolidation, very similar to one day earlier. the right effusion may be slightly larger.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10316470/s57281868/2679ec94-c3798dd3-b8217407-adbf2efa-095f3d6f.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19469750/s50105737/672215dd-0d600496-b8a3193e-b7e0f1d1-93f6e009.jpg
no acute intrathoracic process.
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comparison to. technically limited radiograph is unchanged as compared to the previous image. the presence of a left pleural effusion cannot be excluded. moderate cardiomegaly with retrocardiac atelectasis persists.
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compared to prior chest radiographs through. left lower lobe has been uniformly consolidated since with transient improvement, suggesting it is collapsed, not surprising given the almost complete opacification of the left bronchial tree due to retained secretions. hazy opacification that has developed over much of th...
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in comparison with the study of , the patient has taken a better inspiration. this probably accounts for the change in size of the heart. continued mild elevation of pulmonary venous pressure. the layering effusions and compressive basilar atelectasis are less prominent, though this may merely be a manifestation of a m...
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enlarged cardiac silhouette with mild pulmonary edema.
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in comparison with the study of earlier in this date, there has been insertion of a pleurx catheter with drainage of a large amount of pleural fluid. no evidence of post procedure pneumothorax. otherwise little change.
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large hiatal hernia. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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left lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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unchanged left mid thorax density which may represent hematoma or in the appropriate clinical setting, pneumonia.
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right pheresis subclavian line in the cavoatrial junction. small right pleural effusion.
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no acute intrathoracic process.
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no pneumonia.
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heterogeneous right lower lobe opacity could represent an early pneumonia. correlate with auscultatory findings.
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left picc terminating at the upper svc.
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no acute pulmonary disease. stable cardiomegaly.
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is images. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
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no previous images. the heart is within upper limits of normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. specifically, no evidence of hilar or mediastinal adenopathy.
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clear lungs. mildly enlarged thyroid gland causing mild cervical tracheal deviation. recommend clinical correlation including palpation.
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no acute intrathoracic process
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no acute cardiopulmonary process.
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in comparison with the study of , there is continued pleural effusion at the left base with no definite apical pneumothorax. subcutaneous emphysema in the soft tissues of the neck appears to have cleared. some shift of mediastinal contents to the left is again noted, consistent with postsurgical changes in the left hem...
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patchy lateral left basilar opacity could relate to atelectasis, but consolidation is not excluded in the appropriate clinical setting.
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no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions.
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no acute cardiopulmonary process.
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bibasilar consolidations, possibly pleural effusions with superimposed aspiration or infection. pulmonary vascular congestion. ng tube with side hole port at the ge junction, advancement several centimeters is recommended.
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resolving interstitial edema with mild residual edema. decreased heart size, now top-normal.
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no acute cardiopulmonary process. unchanged severe cardiomegaly.
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no acute cardiopulmonary process.
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left pleural effusion with underlying volume loss. small right lower lobe atelectasis. no other acute cardiopulmonary process.
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no acute intrathoracic process.
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pa and lateral chest compared to : severe cardiomegaly is stable. relative flattening of the diaphragm raises the possibility of copd. there is no pneumonia or pulmonary edema or any significant pleural effusion.
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clear lungs.
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worsening multifocal opacities concerning for pneumonia. probable mild pulmonary vascular congestion. low lung volumes.
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comparison. signs of overinflation persist. multiple bilateral pleural calcified plaques. no evidence of pneumonia. fiducial marker in a left upper lobe nodule. old pleural scar on the right is stable. borderline size of the cardiac silhouette. no pulmonary edema, no pneumonia.
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as compared to the previous examination, there is a substantial decrease in extent of the known right pleural effusion. the effusion is minimal and limited to the lateral aspect 's of the costophrenic sinus. unchanged appearance of the lung parenchyma. borderline size of the cardiac silhouette. no pulmonary edema. mild...
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no acute findings in the chest.
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no evidence of acute disease.
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cardiomegaly without superimposed acute cardiopulmonary process.
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no acute intrathoracic process.
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no definite acute cardiopulmonary process. improved aeration at the right lung base compared to prior. previously seen right apical pneumothorax is no longer visualized.
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small to moderate right sided hydro pneumothorax is new.
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there are persistent low lung volumes. bibasilar atelectasis larger on the left side have minimally increased. cardiac size is normal. there is no pneumothorax or pleural effusion. catheter projects in the left upper quadrant of the abdomen
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endotracheal tube appropriately positioned.
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no evidence of acute disease.
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mild-to-moderate pulmonary edema. mild cardiomegaly.
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endotracheal tube is in standard position and a feeding tube has been repositioned, with tip directed cephalad in the fundus of the stomach. overall appearance of the chest is otherwise not appreciably changed since recent radiograph from earlier the same date considering lower lung volumes.
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compared to chest radiographs through. left pigtail pleural drain in place. no pneumothorax or pleural effusion. displaced left upper rib fractures noted with only minimal adjacent pleural thickening. lungs clear. heart size normal.
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no acute intrathoracic process.
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heart size and mediastinum are stable. right picc line tip is at the level of mid svc. lungs are essentially clear. no pleural effusion or pneumothorax demonstrated.
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no acute cardiopulmonary process.