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MIMIC-CXR-JPG/2.0.0/files/p17610678/s58857239/67869170-b61d5002-0b24eb68-8aa6e131-a3d454cc.jpg
successful advancement of the dobbhoff tube into the stomach.
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no acute cardiopulmonary process. elevated right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p18976063/s58533807/245fd5ed-d365061b-fa85dd38-6a6685aa-59ca6101.jpg
unchanged small right-sided pleural effusion. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18046197/s54122239/9e34420a-314f8dcd-f672b612-c76b1aeb-47603c97.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10320090/s53562356/c41d31ce-7960027d-9b9e864f-7283700e-0bbd5805.jpg
no acute cardiopulmonary process. specifically no pulmonary edema. stable cardiomegaly.
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in comparison with the study of , there are slightly lower lung volumes, but no evidence of pneumothorax on the left with <num> chest tubes in place. right lung is clear.
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cardiomegaly is extensive, unchanged. mediastinal silhouette is stable. right basal consolidation is more conspicuous than on the prior study concerning for pneumonia. there is potentially left basal consolidation unclear based on this portable ap radiograph. no new consolidations demonstrated. no pulmonary edema is se...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11452828/s50051143/7de55155-3e5a19a3-a480f82b-220176d2-31ce59c0.jpg
compared to prior chest radiographs since , most recently and. previous mild pulmonary edema and pulmonary vascular engorgement have resolved, mild cardiomegaly has decreased. a band of atelectasis at the left lung base is smaller. upper lungs are entirely clear. there is no pneumothorax. the small residual right pleu...
MIMIC-CXR-JPG/2.0.0/files/p15434390/s50735749/dd2d0de4-95e2ec70-e586cbc7-a5397532-b3c6afba.jpg
mild bilateral lower lobe and lingular atelectasis.
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right apical pigtail catheter remains in place. there is some volume loss on the right side related to the recent right upper lobectomy. no focal airspace consolidation is seen to suggest pneumonia. no pleural effusions. no pneumothorax is appreciated. overall, cardiac and mediastinal contours are stable. interval impr...
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normal chest x-ray without evidence of pulmonary kaposi's sarcoma.
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right internal jugular line and right picc line are in unchanged appropriate positions. heart size and mediastinum are overall stable. there is interval increase in left pleural effusion, potentially partially loculated. mild vascular congestion is present but there is no overt pulmonary edema. left pleural effusion is...
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top-normal heart size. otherwise, no acute cardiopulmonary process.
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there has been interval removal left-sided chest tube. no pneumothorax. small bilateral pleural effusions are stable from earlier today. no pulmonary edema. left perihilar opacity and sutures are consistent with postsurgical change. mediastinal contours and cardiac silhouette are normal.
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findings suggest trace new pleural effusion on the left with minimal associated atelectasis.
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ng tube has been withdrawn, now with tip in the lower third of the esophagus, should be pushed down at least <num> cm. et tube tip ends at <num> cm from the carina. right ij catheter ends in mid svc. right lung base opacification is minimally improved since , for improved atelectasis, but with stable small right base p...
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in comparison to exam, there is significant interval improvement of pulmonary edema.
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left picc ending in the proximal right atrium and can be pulled back approximately <num> cm for positioning at the superior cavoatrial junction. no significant change in interstitial edema given differences in lung volumes.
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as compared to the previous radiograph from , , the lung volumes have decreased, and, as a result, the pre-existing reticular opacities bilaterally appear more severe than on the previous image. borderline size of the cardiac silhouette. no pleural effusions. the monitoring and support devices are in unchanged position...
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low lung volumes, bibasilar atelectasis and trace pleural effusions. no overt pulmonary edema.
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mild pulmonary edema with right lower lung atelectasis, less likely pneumonia. likely small effusions also present.
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cardiomegaly with congestion and mild edema.
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in comparison with the study of , there is little change. again there are low lung volumes that accentuate the prominence of the transverse diameter of the heart. no definite vascular congestion. atelectatic changes are seen at the bases. the lateral view is limited, and in the appropriate clinical setting superimposed...
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right lower lobe pneumonia.
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stable exam
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large left pneumothorax with concern for tension.
MIMIC-CXR-JPG/2.0.0/files/p13326903/s55068141/8871a240-23e300b5-46033bef-ec78637d-d32c893e.jpg
no evidence of acute cardiopulmonary process. low lung volumes.
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no acute abnormalities identified to explain patient's fevers. bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16177747/s53206875/106179ac-7f4c9af7-66612dd2-64da8619-174bbba7.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12945480/s50725496/594fc319-c0a34dbe-13cc8ca7-9f3eeca8-e08418be.jpg
as compared to the previous radiograph, no relevant change is seen. right picc line and nasogastric tube are in constant position. bilateral pleural effusions are unchanged in extent. unchanged appearance of the subsequent areas of basilar atelectasis. no new parenchymal opacities. no pulmonary edema.
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cardiac size is top-normal. widened mediastinum is unchanged. et tube is in standard position. ng tube tip is in the stomach. left ij catheter tip is in the upper svc. small bilateral effusions are unchanged. mild vascular congestion has improved. there are bibasilar atelectasis. lumbar hardware is incompletely imaged ...
MIMIC-CXR-JPG/2.0.0/files/p15057994/s57069691/758df051-a3e2726e-61adafb5-b3a2ffd4-e5bbe854.jpg
moderate right pleural effusion and bibasilar consolidation persist. either right or left lower lobe findings could be due to pneumonia, although the cta on showed atelectasis, and the severity of consolidation has improved on the left. over the past <num> hours. heart is top-normal in size. right with mediastinal shi...
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. the port-a-cath tip again scans in the lower portion of the svc. no pneumonia, vascular congestion, or pleural effusion. no convincing evidence of lymphadenopathy.
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compared to chest radiographs through. right middle and right lower lobe collapse have returned. right upper lobe and left lung are well aerated ; hyperinflation suggests c opd. since the right heart border is obscured heart size is impossible to determine, but probably unchanged from moderately enlarged on. pulmonary...
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left subclavian catheter tip is in the upper svc. mild to moderate pulmonary edema has increased. no other interval change from prior study.
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in comparison with the study of , there are slightly improved lung volumes. diffuse bilateral pulmonary opacifications have decreased. on the previous ct examination, this appearance was interpreted as severe generalized pulmonary involvement suggesting active inflammatory process, particularly sarcoidosis with possibl...
MIMIC-CXR-JPG/2.0.0/files/p12781031/s56809452/ef503703-38e4fb9d-d8191b9c-65eb1e45-e0013c71.jpg
comparison to. the tip of the endotracheal tube now projects approximately <num> cm above the carina. unchanged course of the feeding tube. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions.
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elevation of the right hemidiaphragm, with the colon interposed beneath it, is a long-standing finding, not improved since. there is probably a component of diaphragmatic eventration. lungs are clear. heart size is normal. there is no edema or pleural effusion. multiple healed left rib fractures are noted.
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no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17290566/s50259191/91914638-55b5eab3-4724ec41-2ed72da1-36a2a783.jpg
moderate pulmonary edema, cardiomegaly and small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12385889/s55840095/5033e610-871799b1-b7d09918-f433aa4d-9ee9f2ca.jpg
no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15786954/s53182925/96a848db-e5525dab-e4e8069e-683ee347-0f1338d5.jpg
as compared to the previous radiograph, the bilateral chest tubes are in unchanged position. the right port-a-cath is also unchanged. the extensive bilateral parenchymal opacities are constant in extent and severity. minimal pleural effusions are constant and are limited to the area of the costophrenic sinuses. no evid...
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as compared to the previous radiograph, there is slightly increasing retrocardiac atelectasis and, potentially, a small left pleural effusion. otherwise the radiograph is unchanged. unchanged monitoring and support devices. unchanged size of the cardiac silhouette. unchanged normal appearance of the right lung. no pneu...
MIMIC-CXR-JPG/2.0.0/files/p14863307/s51454922/1f82af8b-0b32a4fd-71970375-66f35f7c-9fb4e730.jpg
no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p12221629/s56279049/0db9b841-1664e5b6-83093ed8-3ef93802-6c7d6504.jpg
in comparison with the study of , the patient has taken a better inspiration. the left subclavian pacer remains in place with leads extending to the right atrium and apex of the right ventricle. no evidence of pneumothorax. continued mild enlargement of the cardiac silhouette. the pulmonary vessels are less well distin...
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no acute intrathoracic process.
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slight interval improvement in the degree of retrocardiac opacity. no new infiltrate or consolidation. no pneumothorax or gross effusion. doubt overt chf. ng tube tip overlies the stomach. please see comment regarding possible sideport location.
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interval development of vague opacities in the lower lobes bilaterally, which likely represent atelectasis and/or pneumonia.
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no acute cardiopulmonary process.
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please see detailed report of chest cta from describing extensive vascular abnormalities, right lung apex spiculated nodule and upper mediastinal lymph node. no chf or effusion is identified. doubt infectious consolidation. please see comment above.
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no acute cardiopulmonary abnormality. emphysema.
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lingular opacity could reflect atelectasis or early pneumonia.
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cardiomegaly and widened mediastinum are stable. mild pulmonary edema has improved. left lower lobe atelectasis has improved. presumed small right effusion with adjacent atelectasis is grossly unchanged. faint opacity in the right upper lobe unchanged could represent asymmetric edema or atelectasis. et tube is in stand...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10654540/s57316628/07f04a0c-15294288-c95a6437-4a78a36d-fa8970f2.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13114891/s56289050/8d6c87fb-fde0fd41-1414ddf1-c3b9d15b-7acecd1a.jpg
patchy right upper lobe opacity concerning for residual or ongoing pneumonia.
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there has been interval removal of the endotracheal tube. lung volumes are low with increased left patchy opacification concerning for infectious process, less likely focal pulmonary edema. mediastinal contours and cardiomegaly are stable.
MIMIC-CXR-JPG/2.0.0/files/p14147261/s56394841/44f07e88-cac9425a-70789c2f-9a7e2541-31e8c7d6.jpg
in comparison with the study of , there is continued enlargement of the cardiac silhouette without vascular congestion or pleural effusion. the previously described
MIMIC-CXR-JPG/2.0.0/files/p10578633/s53809798/6ca7fca2-3524c7f7-9670d069-657990d0-228a04a2.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17767787/s57698526/6cd90755-640d46c1-4535fd0b-0097b8a6-dae61682.jpg
cardiac size is top-normal. new opacities in the lower lobes right greater than left could be atelectasis but superimposed infection cannot be excluded in the appropriate clinical setting. there is no pneumothorax. if any there are small bilateral effusions. there is mild vascular congestion.
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no acute cardiopulmonary process. metallic densities project over the posterior soft tissues of the right flank, correlate with history (shrapnel?)
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no pneumothorax. no evidence of rib or compression fracture. if clinical concern persists, recommend oblique rib views for further evaluation. hyperinflated lungs suggests obstructive disease. calcifications in the origins of the head and neck vessels.
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no pneumonia, edema, or effusion.
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moderate-sized, partially loculated left pleural effusion. if warranted clinically, this could be more fully evaluated by thoracentesis or ct imaging. persistent left lower lobe atelectasis.
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no signs of pneumonia or other acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15124635/s54741194/edccf086-5cc90d8d-ea8b57a9-246f0992-182fd275.jpg
no acute cardiopulmonary process.
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no definite evidence of acute disease.
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no acute cardiopulmonary abnormality.
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no evidence of pulmonary edema. marked cardiomegaly due to enlargement of the left atrium.
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mild cardiomegaly. no acute cardiopulmonary abnormality.
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in comparison with the study of , the monitoring and support devices are within normal limits. right chest tube is in place at the base with decreased pleural effusion on this side. specifically, there is no evidence of pneumothorax. otherwise little change.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. mild hyperexpansion of the lungs is consistent with the history of smoking. however, no acute pneumonia, vascular congestion, or pleural effusion.
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in comparison with the study of , there is little change and no evidence of acute pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16762654/s52546275/ad846f7e-efe44096-f4d5832a-afaed3e3-fe9ad706.jpg
mild bibasilar atelectasis.
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in comparison with the study of , there is continued diffuse bilateral pulmonary opacifications. although this was demonstrated at ct <num> predominantly represent multifocal pneumonia. engorgement of pulmonary vessels suggests some over hydration leading to elevated pulmonary venous pressure. monitoring and support de...
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no acute cardiothoracic process.
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et tube tip is <num> cm above the carinal. cardiomediastinal silhouette including severe dextroscoliosis is unchanged. left retrocardiac consolidation is unchanged. there is no appreciable pleural effusion or pneumothorax on the right the there is most likely present small pleural effusion on the left
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mild central vascular congestion. no pneumonia or pleural effusion.
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no acute fracture or acute cardiopulmonary process.
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no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p10970781/s57463308/240936f3-e2de5e53-ddd5fbce-4de544e6-f1ce6072.jpg
no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary process.
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right-sided port-a-cath terminates in the right atrium. no evidence of pneumothorax.
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no acute cardiopulmonary process.
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bibasilar atelectasis, otherwise unremarkable exam.
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no acute cardiopulmonary process.
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cardiomegaly is substantial, unchanged. coronary stents projecting on the the expected location of left coronary artery. lungs are clear. there is no appreciable pleural effusion or pneumothorax. there are old fractures on the right demonstrated.
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left lower lobe opacity which may represent focal/early pneumonia. recommend followup chest radiographs in weeks to ensure resolution and to exclude a lung nodule in this region.
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no relevant change as compared to the previous examination. the extent of the pleural effusions is not substantially decreased. the extent of the effusion is better evaluated on the lateral and on the frontal image. minimal basal areas of atelectasis. unchanged appearance of the cardiac silhouette.
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as compared to the previous radiograph, the picc line has been pulled back. the tip of the line now projects over the right atrium. further pulled back by approximately <num> cm is recommended. unchanged appearance of the cardiac silhouette and of the right hemi thorax.
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in comparison with the study of , there has been placement of a dobhoff tube that extends to the distal antrum. otherwise, little change in the appearance of the monitoring and support devices and in the heart and lungs.
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. an unusual left lower thoracic vertebral osteophyte should not be mistaken for lung nodule. it is unchanged since.
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heart size and pulmonary vascularity are normal. lungs are clear except for minimal linear atelectasis of the left lung base.
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no acute cardiopulmonary abnormality.
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interval enlargement of the right pleural effusion and pulmonary vascular congestion. please note that underlying infection at the right lung base cannot be excluded.
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the heart size is top normal. the hilar and mediastinal contours are minimally changed since. there is no pneumothorax or pleural effusion. bibasilar linear opacities likely reflect atelectasis. no focal consolidation is seen.
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left-sided picc terminates in the distal-to-mid left subclavian vein, in appropriate position. these findings and recommendations were discussed with nurse, , at on <num> minutes after discovery and <num> minutes later also discussed with dr on.
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copd without superimposed acute process.
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anterior left paratracheal opacity is worrisome for an anterior mediastinal mass. it is possible the this could represent an enlarged thymus or lymphadenopathy. chest ct would further assess.