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MIMIC-CXR-JPG/2.0.0/files/p12318435/s56911649/4aff71f9-8ceadd48-4dc96758-ec049fd8-4d581f0b.jpg
in comparison with the study of , there is increasing opacification at the right base with poor definition of the hemidiaphragm posteriorly. the configuration of the hemidiaphragm with the apex displaced laterally raises the possibility of subpulmonic effusion. continued low lung volumes with the left lung essentially ...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12268513/s55493586/469d0deb-18de8850-13c23099-70471df8-55abc888.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16966326/s54348076/08261e63-c811ec26-1650183f-5fbdd067-6e3a7966.jpg
no focal consolidation.
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cardiomegaly is substantial, unchanged. mediastinum is stable. left tracheal deviation is stable. lungs are essentially clear. there is no pleural effusion or pneumothorax.
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normal chest radiograph. no pneumonia.
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persistent elevated right hemidiaphragm. small right pleural effusion. no acute intrathoracic process.
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no evidence of infectious process.
MIMIC-CXR-JPG/2.0.0/files/p19055229/s55762174/0c74aae0-6454ec28-9e3cf536-a41921be-0991ef7b.jpg
no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p10686309/s51084205/972f7dce-b3d4fada-e405122f-ae578fd5-f4bdd507.jpg
streaky bibasilar airspace opacities are nonspecific but may reflect atelectasis. no evidence of congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p11941410/s56595209/711b1340-6fab5c57-976522a6-887f8310-e4464a93.jpg
persistent, moderate, right pleural effusion unchanged since. increasing right basal consolidation either atelectasis or concurrent pneumonia. new mild congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p15357165/s54993981/071697a1-3012d654-44d1caee-3821e532-b6cdddf7.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10073646/s55302510/702729e7-824bfe6e-e9664b32-1f69787b-876ee459.jpg
left lower lobe opacity not significantly changed. no significant change from the prior exam.
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ap chest compared to : patient has moderately severe thoracolumbar scoliosis distorting the chest anatomy, but the cardiomediastinal silhouette is normal, the lungs are clear and there is no pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13572315/s58057495/c36a8409-306421c1-86a567fe-756e94cf-aeffa939.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16366957/s58159499/1d59414a-932c8914-fe326ba4-1f29a18f-421377c2.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16468274/s55265048/e321b00a-347ba42a-8919c8e9-0e50e42c-3f21a979.jpg
compared to prior study of earlier the same date, left pleural catheter remains in place with decrease in size of left pneumothorax, now small in size. no other relevant changes.
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no evidence of pneumonia.
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large right pleural effusion.
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small pleural effusions and thickened fissures suggesting mild fluid overload although no frank pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10373862/s51064128/a2b1698a-d7d1c1d4-7081a98d-26300332-27864572.jpg
no acute cardiopulmonary process.
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as compared to the previous radiograph, all monitoring and support devices are constant. the extent of intra-abdominal air has further decreased. however, there is a minimal increase in extent of the pre-existing right basal parenchymal opacities, likely atelectatic in origin. the retrocardiac atelectasis is unchanged....
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more focal nodularity in the right upper lobe superimposed on background nodular architecture. its new appearance in less than <num> weeks suggests this may be infectious or inflammatory, however if followup radiography does not show this to resolve, computerized tomography the chest should be performed.
MIMIC-CXR-JPG/2.0.0/files/p13482497/s57959542/d1ad76d8-ba2b6c09-188664d5-4e914ba9-989983f8.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19519825/s56699596/0e21502e-858203bc-880baafd-c09f4221-18401748.jpg
trace left pleural fluid. small right pleural effusion and atelectasis, increased since.
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in comparison with the study of , the endotracheal tube extends to approximately <num> cm above the carina. nasogastric tube extends to the stomach. the multifocal opacities are slightly less prominent, which could reflect gradual decrease in parenchymal hemorrhage. no evidence of pneumothorax.
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mild bibasilar atelectasis.
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et tube terminates <num> cm above the carina pointing towards the right main bronchus and could be retracted by about <num> cm. enteric tube terminates in the stomach. bibasilar linear atelectasis without consolidation or pleural effusions.
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in comparison with the study of , there is little overall change except for less distension of the gas filled stomach. although the clinical history suggests diaphragmatic paralysis,, the possibility of diaphragmatic rupture should be considered. monitoring and support devices remain in place with almost complete opaci...
MIMIC-CXR-JPG/2.0.0/files/p14657829/s59312818/75d1271a-83d9d0b2-06df5a9f-6d565beb-175efb3c.jpg
small interval increase in left pleural effusion.
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in comparison with the study of , the left subclavian picc line is been removed. cardiac silhouette remains within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14023405/s50599957/90b8ca38-9d62ac97-e7f968d4-878d4cb3-6ee145cc.jpg
no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p18240716/s54310547/b6931456-edf02fca-e03f1db3-661c0966-b9e90e9f.jpg
heart size is mildly prominent but stable. there is atelectasis at the lung bases. however at the right base, there is an oval opacity which although is likely atelectasis may represent a new developing infiltrate. followup to resolution is recommended. there is no overt pulmonary edema or pneumothoraces.
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lingular pneumonia with also possible involvement of the inferior aspect of the left upper lobe.
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in comparison with the study of , there is little overall change in the substantial bilateral pleural effusions with compressive atelectasis at the bases. central catheter is unchanged.
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satisfactory position of the et tube. right lung base atelectasis or infection.
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interval increase in interstitial markings in the left lung, suggestive of progressing widespread disseminated metastases or possibly concurrent infection. previously seen pneumonia in the right lung has improved in the interval, but still substantial. small right pleural effusion.
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no acute cardiopulmonary process. known pulmonary nodules are better seen on recent prior chest ct.
MIMIC-CXR-JPG/2.0.0/files/p14169246/s57017623/d8957458-306e03be-56b2863c-b40696ad-c89b60a6.jpg
no acute cardiopulmonary process. persistent elevation of the left hemidiaphragm with overlying left basilar/lingular atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10519667/s54995003/3b81a8e1-cdd7a8e4-ec276a15-8e0d8826-3191e98f.jpg
interval removal of the right internal jugular central line with interval appearance of a very small right apical pneumothorax. bilateral layering pleural effusions with associated bibasilar airspace opacities likely reflect partial lower lobe atelectasis. the patient is status post median sternotomy for cabg with stab...
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no acute cardiopulmonary process seen.
MIMIC-CXR-JPG/2.0.0/files/p19212152/s51123447/b622299f-7bd338d0-caf92bb3-a0c208e7-4152c63a.jpg
right lung is chronically mildly hyperinflated and the left hemidiaphragm is chronically elevated. moderate cardiomegaly, partially obscured, has increased relative to. pulmonary edema is mild, in the lower lungs and very small left pleural effusion is new or recurrent. lateral view also shows some calcification in the...
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no significant radiographic change compared to yesterday's study. recommend advancement of nasogastric tube approximately <num> cm as the current position has side hole just above the gastroesophageal junction.
MIMIC-CXR-JPG/2.0.0/files/p17042207/s59544477/bb2277fd-d2385fa6-ed8a2310-3fa0b082-fb30b9a1.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15919853/s51488463/bd61d89e-fd1fcb55-19bac7d0-1e2cd91e-54d30d7f.jpg
no pneumonia, edema, or effusion.
MIMIC-CXR-JPG/2.0.0/files/p17775167/s51600455/7ede2118-e2b34335-f85854cc-ca8a3a40-e49b9329.jpg
ill-defined densities laterally in both upper lungs. no comparisons to assess for chronicity of these findings. if acute they could represent early multifocal pneumonia. conceivably however these could represent scarring which can be confirmed with prior radiographs.
MIMIC-CXR-JPG/2.0.0/files/p18171181/s54568277/0ab31dd6-97a19aa7-fea9f0de-90ce7a5b-0982d101.jpg
no acute pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18618203/s55205992/80053472-a689ef0c-934503ac-f1cc7d81-d2802161.jpg
new and worsening multifocal lung opacities, most severe in the right lung, concerning for multifocal pneumonia in the appropriate clinical setting. differential diagnosis includes aspiration and pulmonary hemorrhage. recommendation(s): followup radiographs after appropriate there appear suggested to document resolutio...
MIMIC-CXR-JPG/2.0.0/files/p13371736/s53229187/37acda96-2faa78ad-b2dc9048-f22696ab-1f8373bd.jpg
no acute cardiopulmonary process
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in comparison with the study of , the peripheral opacification in the left lung has cleared and most likely represented a loculated area of fluid. there is the vague suggestion of an area of opacification in the right mid zone, so this could well reflect merely superimposition of bony structures and normal pulmonary ve...
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in comparison with the study of , the patient has taken a better inspiration. cardiac silhouette remains within normal limits and there is no evidence of vascular congestion. opacification at the right base is consistent with pleural fluid or thickening. no definite acute focal pneumonia. multiple rib lesions are seen ...
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multifocal pneumonia in the right middle lobe and left lung base. small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p12917983/s59515312/57c66eb8-669361f8-b26044e7-5e355145-ec082819.jpg
no acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13943206/s59747952/825ee38d-1fdd52ca-2512e821-b0778f55-28530818.jpg
cardiomegaly with stable right hydropneumothorax and new left pleural effusion.
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no evidence of pneumonia.
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in comparison with the study of common there is again bilateral opacifications, more prominent on the left. , again, this could reflect bilateral consolidations, probably accompanied by a left pleural effusion. monitoring and support devices are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p13032040/s55682871/6cdc34ce-4820e58b-ca91ba90-ac063f7f-b89f0a63.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17721784/s59057145/be2593cc-8f927cf5-4682594e-c4933a27-3915acaa.jpg
chronic obstructive pulmonary disease with superimposed mild-to-moderate interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p16004190/s55984902/5f68989a-8072a510-aa485001-46a0d41b-b65847ed.jpg
persistent moderate size right pleural effusion, not substantially changed in size compared to the prior exam, with a right basilar chest tube in place. continued right basilar atelectasis. innumerable pulmonary metastases, better assessed on prior ct along with mediastinal lymphadenopathy.
MIMIC-CXR-JPG/2.0.0/files/p16901713/s53334248/63e36105-0603317e-50410587-a6fb8fbb-9d2b580b.jpg
no radiographic evidence for acute change.
MIMIC-CXR-JPG/2.0.0/files/p14483422/s51860249/7668fba0-2eae0b11-7a9d201d-45e29999-47c7ce41.jpg
no new areas of opacification identified to indicate pneumonia. left upper lobe consolidative opacity compatible with the patient's known lung mass with adjacent radiation fibrosis.
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severe emphysema without focal consolidation to suggest pneumonia.
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heart size is enlarged. tortuous aorta is re- demonstrated. right upper lobe opacity with fiducial marker represents known right upper lobe lung cancer. there is no interval increase in pleural effusion and there is no definitive evidence of pneumothorax. overall no findings to explain patient's symptoms demonstrated w...
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no signs of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12521767/s58635973/9889bf60-4c989f20-caaf8969-48fb52cd-99bd2a7e.jpg
patchy left mid lung opacity may represent pneumonia. however, in this patient with background of pulmonary emphysema, recommend followup to resolution to exclude an underlying lesion. possible focal fibrotic changes at the lateral right upper lung.
MIMIC-CXR-JPG/2.0.0/files/p10186925/s58133202/713d08d5-4e3b54b8-7fc63dab-e2f6339c-5d318d1d.jpg
moderate pulmonary edema.
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no significant change since prior study. mild pulmonary edema and possible small bilateral pleural effusions.
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in comparison to the recent radiograph of <num> day earlier, bibasilar atelectasis is slightly improved on the left and is minimally worse on the right. small left pleural effusion has decreased in size. no other relevant changes.
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heart size at upper limits of normal or slightly enlarged. minimal basilar atelectasis. possible minimal upper zone redistribution, but no overt chf, frank consolidation, or effusion detected. if clinically indicated, pa and lateral radiographs could help to further assess the left base atelectasis and mediastinal cont...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13103745/s56172666/d843d482-59751699-4904ddc7-f3f37dda-7a699ddc.jpg
increased partial collapse of right middle lobe and worsening atelectasis/collapse of the right lower lobe. likely increased right pleural effusion; however, difficult to quantify due to the atelectasis.
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left parahilar opacities have decreased. small left pleural effusion is stable.
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as compared to the previous radiograph, the patient has developed mild to moderate pulmonary edema. cardiomegaly is unchanged. small pleural effusion on the left is likely. no pneumonia, unchanged position of the right hemi dialysis catheter.
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no acute intrathoracic abnormality. conventional chest radiography is not sensitive for detection of rib fractures.
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no acute intrathoracic process.
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in comparison with the study of earlier in this date, there are slightly lower lung volumes. no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
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no acute intrathoracic process.
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interval improvement in aeration of the lung bases with only minimal residual linear atelectasis.
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linear atelectasis at the left lung base. no pneumonia or pulmonary edema.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11546805/s50095834/0e744332-f1c77135-92c68ac5-2d771a07-935a5602.jpg
no acute intrathoracic process.
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possible early pneumonia, right middle lobe.
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multifocal pneumonia.
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no acute pulmonary process identified.
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no acute cardiopulmonary process. no significant change from the prior study.
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chest clear.
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hypoinflated lungs with bilateral small pleural effusions. pneumonia is difficult to exclude in the lung bases. recommendation(s): a pa and lateral radiograph is recommended when patient is able.
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pa and lateral chest compared to and : moderate left pleural effusion probably multiloculated, some in the left major fissure has increased since with resorption of a post-thoracentesis pneumothorax, but the overall volume is less today than it was on. same is true for small right pleural effusion, partially fissural...
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moderate pulmonary edema has worsened, severe cardiomegaly is larger. severe left lower lobe consolidation, either edema or atelectasis is unchanged. small to moderate bilateral pleural effusions are presumed. no pneumothorax. et tube and transesophageal drainage tube in standard placements.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. severe emphysematous changes.
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right mainstem bronchus intubation with complete opacification of the left hemithorax. repositioning recommended. subsequent chest ct demonstrated that the ett had been retracted and terminated above the level of the carina.
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heterogeneous area of opacification in the left lower lobe, new from , is concerning for pneumonia. correlation with physical examination findings is advised. stable moderate cardiomegaly with worsening vascular congestion and either increasing dependent edema or atelectasis. moderate left pleural effusion and small ri...
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no acute cardiopulmonary process. please note that conventional radiographs are not sensitive in the assessment of thoracic cage abnormalities. if clinical concern persists, dedicated radiographs or ct chest may be obtained.
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no acute cardiopulmonary abnormality.
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blunting of the left costophrenic angle suggestive of a trace left pleural effusion. no focal consolidation.
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subtle patchy opacity is seen in the right mid lung, could be due to atelectasis or infection. attention at follow-up.
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increased opacity adjacent to/overlying the right heart border may be secondary to low lung volumes and continued vascular engorgement overlying the right heart border, but superimposed infection cannot be excluded. bilateral moderate-to-large pleural effusions, likely right greater than left, with associated bibasilar...
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mild left basal atelectasis, otherwise unremarkable exam.