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MIMIC-CXR-JPG/2.0.0/files/p17139422/s56795087/8835dcf0-fd8d0681-a2663ab3-02d575ab-91bcbbf8.jpg
<num>) compared with ,there is new minimal atelectasis at the left base. trace left pleural effusion noted posteriorly on the lateral view. otherwise, no significant change. tiny left apical pneumothorax remains visible. <num>) no chf.
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cardiomegaly is unchanged. mediastinum is unchanged. there is interval improvement, substantial, of pulmonary edema. right opacity is unchanged and most likely represents a combination of pleural effusion and atelectasis but followup to complete resolution is required
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as compared to radiograph, the patient has been extubated and left lower lobe atelectasis has essentially resolved. no other relevant changes.
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dobbhoff tube coiled at the level of proximal stomach.
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no new findings concerning for infection or pulmonary edema.
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new mild pulmonary edema and left lower lobe opacity, possible atelectasis or pneumonia.
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in comparison to radiograph, endotracheal tube has been repositioned, now terminating <num> cm above the carina. interval worsening of pulmonary vascular congestion. nonspecific bibasilar opacities have improved on the left and worsened on the right. probable small bilateral pleural effusions, and no visible pneumotho...
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in comparison with the earlier study of this date, there is increased opacification of the the left base consistent with collapse of much of the left lung and shift of the mediastinum to this side. there is a moderate right pneumothorax. the dobbhoff tube extends to the mid body of the stomach.
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compared to chest radiographs through. asymmetric opacification has developed in the right hemi thorax, probably a combination of worsening edema and atelectasis. in the left lung, previous edema has cleared, and vascular congestion has improved. findings suggest dependent edema in the right cubitus position. mild car...
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no acute cardiopulmonary process seen.
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no acute intrathoracic process.
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no acute cardiopulmonary process. hyperinflation of the lungs, suggestive of copd.
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no acute cardiopulmonary process.
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as compared to , the pre-existing parenchymal opacities in both the left and the right lung have decreased in extent and severity. the opacities, however, are clearly visible. unchanged mild elevation of the left hemidiaphragm. signs of mild fluid overload but no overt pulmonary edema. no pleural effusions. normal size...
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minimal left basilar opacity, likely atelectasis.
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no acute cardiopulmonary process.
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cardiac silhouette is severely enlarged chronically. the recent abdominal ct shows this is due to cardiomegaly, predominantly right heart, with no appreciable pericardial effusion. there is no pulmonary edema or pleural effusion. lungs are clear. transvenous dual channel right supraclavicular central venous catheter en...
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no acute intrathoracic process, specifically no pneumothorax seen.
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there continues to be a small right apical pneumothorax. opacity in the right lower lung is unchanged. the right-sided effusion slightly smaller. the right pigtail catheter is again seen. there is small left effusion that is increased compared to prior. the upper lungs are clear.
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no acute cardiopulmonary process. findings were relayed to dr by phone at on.
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pa and lateral chest compared to : consolidation in the paraspinal region of the left lower lobe developed between and and has not improved subsequently. this is either pneumonia or atelectasis. lungs are very low in volume, otherwise clear. pleural effusion on the right is small, and unchanged. heart size is normal....
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comparison to. given that change in patient position, the pleural effusion is distributed in a slightly different manner, but the overall extent of the effusions is stable. stable monitoring and support devices. stable atelectasis at the level of the left hilus. stable moderate cardiomegaly.
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no pneumothorax. recurrent right pleural effusion and lower lobe basal collapse.
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stable appearance of left chest cardiac device with associated single lead. no evidence of lead fracture or other complication. stable mild cardiomegaly. no focal lung consolidation.
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low lung volumes. increased prominence of the pulmonary vasculature, suggestive of mild pulmonary vascular congestion.
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no acute cardiopulmonary process.
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no acute chest pathology; borderline cardiomegaly.
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increasing bilateral effusions lingular opacities could be atelectasis or pneumonia
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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persistent evidence of cardiac failure with bilateral pleural effusions. this episode of cardiac failure has now been documented on six sequential chest examinations. the degree of acute pulmonary vascular congestion is slightly less marked in comparison to the examination.
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bilateral pleural effusions, small on the right and loculated on the left.
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no acute cardiopulmonary process.
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interval placement of an icd with the lead projecting over the right ventricle. no pneumothorax.
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worsening right perihilar opacity may reflect pneumonia. followup chest radiograph is necessary to demonstrate resolution and ct of the chest if finding persists. these results were telephoned by to at , , five minutes after discovery.
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increased large right pleural effusion
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interval development of small bilateral pleural effusions. underlying consolidation not excluded. dilated fluid-filled esophagus. comment: discussed with dr by dr at am on.
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in comparison with the study of , the subcutaneous gas has substantially cleared on the frontal view, though it is still apparent in the presternal region on the lateral projection. opacification at the left base is consistent with postsurgical changes with possible small increase in pleural fluid and atelectasis.
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no acute cardiopulmonary process. no evidence of free intra-abdominal air.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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comparison to. no relevant change. elevation of the right hemidiaphragm. no pleural effusions. no pneumonia, no pulmonary edema. normal size of the heart. no pneumothorax.
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mild pulmonary vascular congestion without pulmonary edema or effusion.
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similar extensive alveolar opacities in the inferior segment of the right upper lobe and right middle lobe as well as increased confluent opacification of the left mid to lower lung. the overall appearance suggests severe worsening multifocal pneumonia superimposed on known malignancy.
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no acute cardiopulmonary process.
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ng tube tip is in the stomach. right central venous line tip is at the level of lower svc. heart size and mediastinum are unchanged. bibasal atelectasis is unchanged. no overt pulmonary edema is present.
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in comparison to previous radiograph of <num> day earlier, there has not been a relevant change in the appearance of the chest.
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no acute cardiopulmonary process. specifically no pneumonia. of note ct is more sensitive detection of early pneumonia and infection immunocompromised patients.
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smaller right pleural effusion with associated atelectasis. no other acute abnormalities.
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no acute cardiopulmonary process.
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in comparison to radiograph, widespread subcutaneous emphysema has progressed in reduces the sensitivity for detecting small pneumothoraces. with this limitation in mind, no definite pneumothorax is identified. cardiomediastinal contours are stable. diffuse heterogeneous pulmonary opacities in persist, with slight imp...
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no acute intrathoracic process.
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following tracheal extubation and removal of the nasogastric tube there has been marked progression of pulmonary consolidation previously predominating in the right upper lung at , now symmetrically involving both lungs more superiorly than inferiorly. the rapid progression in the setting of new mediastinal venous engo...
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no pneumonia, edema or effusion.
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no acute cardiopulmonary process.
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low inspiratory volumes. patchy opacities at both lung bases. while this could represent atelectasis related to low inspiratory volumes, in the appropriate clinical setting, changes due to aspiration and early pneumonic infiltrates could have a similar appearance. doubt overt chf. no effusion. no displaced rib fracture...
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there is a right-sided central line with the tip in the svc. there is no pneumothorax, effusion, consolidation or chf. patient is status post sternotomy.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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right lower lobe pneumonia. recommend followup to resolution.
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patchy opacities at the lung base which may be due to atelectasis, however infection cannot be excluded. results were discussed over the telephone with dr by dr at on at time of initial review.
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pa and lateral chest compared to : small bilateral pleural effusions left greater than right are new since following tracheal extubation. cardiomediastinal silhouette has a normal postoperative appearance. lungs are otherwise clear. no pneumothorax. transvenous right atrial and right ventricular pacer defibrillator le...
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postoperative, bibasilar atelectasis. no pneumothorax.
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no acute cardiopulmonary process.
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in comparison with the earlier study of this date, the endotracheal tube appears to have been removed. the tip of the dobbhof tube lies mostly above the esophagogastric junction and must be pushed forward at least several cm. little change in the appearance of the heart and lungs.
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in comparison with the study of , the monitoring and support devices are unchanged. there are lower lung volumes with continued enlargement of the cardiac silhouette. little change in the degree of pulmonary vascular congestion and moderate right pleural effusion with volume loss in the lower lung. as previously, the p...
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no acute cardiopulmonary process.
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in comparison with the study of , there are lower lung volumes. cardiac silhouette remains within normal limits and is no definite vascular congestion or acute pneumonia. dual-channel pacer device is in place with leads extending to the left atrium and right ventricle. there is an placement of a right subclavian port-a...
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normal radiograph of the chest.
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as compared to the previous image, no relevant change is seen. low lung volumes. unchanged monitoring and support devices. mild fluid overload. small left pleural effusion with retrocardiac atelectasis. no new focal parenchymal opacities.
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as compared to the previous radiograph, no relevant change is seen. no pleural effusions. unchanged alignment of the sternal wires. mild cardiomegaly. no pulmonary edema. no pneumothorax.
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lung volumes have improved since and previous bands of subsegmental atelectasis have nearly resolved. lungs are otherwise clear. diameter of the cardiac silhouette has returned to normal. there is no pleural effusion or distension of either central mediastinal veins or pulmonary vessels.
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interval development of opacity within the right mid to lower lung, which could represent atelectasis and pneumonia with small effusion. recommend followup to resolution.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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persistent bilateral airspace opacities, minimally improved in the right lung. again, this could be secondary to infection, asymmetric cardiogenic pulmonary edema, or noncardiogenic edema such as ards.
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no pneumonia or pulmonary edema. multiple fractured sternotomy wires. ct scan can be performed to assess migration of fragments into the retrosternal space.
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normal chest radiograph.
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as compared to the previous radiograph, the right chest tube has been removed. there is a <num> mm right apical pneumothorax without evidence of tension. the postoperative changes, including a small amount of free intra-abdominal air under the right hemidiaphragm, are constant. contrast is seen in the neoesophagus. a s...
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compared to chest radiographs since , most recently. moderate right pleural effusion has redistributed with change in patient posterior, probably not increased. right lower lobe is obscured, but is likely atelectatic. left lung is clear. heart size is normal. no pneumothorax.
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normal chest radiograph. no pleural effusion.
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no acute cardiopulmonary process. findings discussed with dr at pm on via telephone.
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dense consolidation in the left lower lobe has improved since , but is still substantial. new atelectasis has appeared in the superior segment of the right lower lobe. a small right pleural effusion is presumed. severe cardiomegaly is stable. tracheostomy tube in standard placement. right jugular line is unchanged in p...
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nasogastric tube terminating, in all probability, immediately beyond the gastroesophageal junction but advancing the tube further is recommended for more optimal positioning. no evidence of acute disease.
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in comparison with the study of , the port-a-cath again extends to the mid to lower portion of the svc. no evidence of acute cardiopulmonary disease. specifically, no pulmonary or skeletal metastases seen.
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comparison to. no relevant change is noted. moderate scoliosis. normal size of the heart. normal appearance of the lung parenchyma. no pneumonia, no pulmonary edema, no pleural effusions.
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increased interstitial markings compatible with chronic underlying parenchymal disease with suspected superimposed mild pulmonary edema. increased opacity the right lung base may represent atelectasis, but cannot completely exclude aspiration or pneumonia in the right clinical setting. previously seen left lung base no...
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improved mild interstitial edema with moderate slightly increased pleural effusion.
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confluent opacity overlying lower thoracic spine on lateral view, concerning for basilar pneumonia. widespread coarse reticular opacities favor chronic lung disease, but superimposed atypical/interstitial pneumonia is also possible.
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the endotracheal tube and ng tube are unchanged. there is a tiny left pleural effusion that is slightly decreased compared to prior. there is some increased interstitial markings in the left lower lung but no focal infiltrate
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mild vascular congestion. recommend follow up in <num> week to determine resolution and to rule out interstitial disease.
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unchanged small bilateral pleural effusions with worsening bibasilar airspace opacities, potentially atelectasis. infection, however, cannot be excluded.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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possible left lower lobe pneumonia. new small right pleural effusion. these findings were communicated via telephone by dr to dr at on , approximately <num> minutes after discovery.
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mild pulmonary vascular congestion. persistent cardiomegaly.
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no acute cardiopulmonary abnormality. mild hyperinflation.
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faint bibasilar opacities are noted, greater on the right than the left. pneumonia must be excluded in the proper clinical setting.
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elevated right hemidiaphragm and minor left basilar atelectasis. otherwise, no acute cardiopulmonary process.