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MIMIC-CXR-JPG/2.0.0/files/p15259074/s54267479/642a7bc2-d1134d61-9f56196d-e3124776-e43a9c5e.jpg
et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. heart size and mediastinum are stable. bilateral pleural effusions are moderate. mild interstitial pulmonary edema is unchanged.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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comparison to. stable position of the feeding tube, the endotracheal tube and the right picc line. the tip of the endotracheal tube continues to project approximately <num> cm above the carina. no pleural effusions. no pulmonary edema. the opacities in the perihilar lung regions and the bilateral lung bases are stable....
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no acute cardiopulmonary process. leftward deviation of the trachea at the thoracic inlet which may be due to underlying right-sided thyroid enlargement or nodule and dedicated thyroid ultrasound is suggested.
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ap chest compared to through. moderate pulmonary edema worsened from , possible left upper lobe pneumonia developed on , unchanged. edema, as evidenced in the right lung has improved. small bilateral pleural effusions and severe cardiomegaly remain.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16736890/s51976195/7888ab5f-5e3ffe4f-89ef42f0-0feb44eb-5d6cb82b.jpg
no acute intrathoracic process.
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no evidence of acute cardiopulmonary process.
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moderate to large bilateral pleural effusions are smaller. relatively symmetric consolidation involving most of both lungs is unchanged, probably edema. mild cardiomegaly and mediastinal venous engorgement are unchanged. left picc ends at the origin of the svc. left jugular line ends in the mid svc. et tube in standard...
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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right middle lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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moderate cardiomegaly with pulmonary vascular congestion and mild interstitial pulmonary edema, increased from with trace bilateral pleural effusions.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, there is no relevant change. in particular, there is no increase in severity of a pre-existing mild pulmonary edema. however, a pre-existing area of atelectatic lung at the level of the lingular is minimally more extensive than on the previous image. the lateral radiograph. shows...
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no acute cardiopulmonary abnormality. emphysema.
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no acute cardiopulmonary process.
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interval placement of a left internal jugular central venous catheter without pneumothorax.
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no acute cardiopulmonary process.
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no definite acute cardiopulmonary process.
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in comparison with the study of , the diffuse pulmonary abnormalities bilaterally are not unchanged, as are the small pneumothoraces. subcutaneous gas in the supraclavicular regions has increased. the degree of pneumomediastinum is unchanged or possibly slightly improved.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19014160/s57029209/c5ec0265-9acaecc4-cb711a56-52c5b068-ad56c720.jpg
no acute cardiopulmonary process.
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in comparison with the study of , the right swan-ganz catheter is been pulled back slightly so that it now all is in the pulmonary outflow tract. bilateral chest tubes remain in place with possible small apical pneumothorax on the right. continued enlargement of the cardiac silhouette with mild elevation of pulmonary v...
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as compared to recent radiograph from <num> day earlier, pulmonary vascular congestion is accompanied by worsening perihilar opacities which may reflect pulmonary edema from fluid overload. bibasilar atelectasis persists on the right and is slightly worse on the left, and note is also made of small bilateral pleural ef...
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small left and trace right pleural effusions. vague <num> cm opacity in the right upper lung. non-urgent chest ct is recommended.
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in comparison with the study of , there is now a moderate right pleural effusion with compressive atelectasis at the base. the left lung is clear and there is no evidence of pulmonary vascular congestion.
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no radiographic evidence of pneumonia or other acute cardiopulmonary abnormalities. pulmonary nodule projecting over the anterior right third rib is essentially unchanged since ct chest dated.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
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mild congestive heart failure.
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heart size and mediastinum are stable. multifocal mainly mid and lower lobe opacities are present on both pa and lateral view, with some peripheral and basal for disposition. there is no appreciable pleural effusion. there is no pneumothorax. the findings although potentially representing infectious process, can repres...
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right internal jugular central venous catheter tip terminates in the mid svc. severe cardiomegaly with mild pulmonary vascular congestion. mild bibasilar atelectasis.
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the tracheostomy, feeding tube, and left-sided central venous line are unchanged. there is unchanged cardiomegaly. there is again seen diffuse airspace opacities more confluent at the right base. overall, there has been no significant interval change. there are again seen bilateral pleural effusions, right slightly gre...
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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support lines and tubes are unchanged in position. the tip of the swan-ganz catheter is again in the main right pulmonary artery. there is an unchanged left retrocardiac opacity and likely left-sided pleural effusion. there are no pneumothoraces.
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left basilar atelectasis. no evidence of pneumonia.
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increasing opacities in the left mid lung could be atelectasis or pneumonia. left lower lobe atelectasis has improved. small left pleural effusion is stable. cardiomegaly cannot be assessed. there are low lung volumes. et tube is in standard position. right picc tip is in the cavoatrial junction. ng tube tip is in the ...
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dobbhoff tube tip is <num> proximal, at the gastroesophageal junction and should be advanced left picc line tip is at the level of the junction of the left brachycephalic vein and svc. heart size and mediastinum are stable but there is progression of the left retrocardiac atelectasis. there is also substantial progress...
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no acute cardiopulmonary process.
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almost entire resolution of left upper lobe pneumonia. follow up in four weeks for documentation of complete resolution is recommended.
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status post prior right lower lobe resection. no acute cardiopulmonary process.
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no acute intrathoracic process. please note that ct is more sensitive in detecting rib and spine fractures.
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in comparison with the study , there is again opacification at the left base silhouetting the hemidiaphragm, which on lateral view suggests extensive atelectatic changes and small effusion. otherwise, little change except for decrease in the subcutaneous gas in the neck and in the pectoral region on the right.
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no acute cardiac or pulmonary process.
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some improvement in the pulmonary status
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possible trace pleural effusion. persistently enlarged cardiac silhouette.
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mild pulmonary edema. stable severe cardiomegaly. resolution of left pleural effusion and left lower lobe collapse.
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compared to , mild cardiomegaly and pulmonary vascular congestion are persistent findings, accompanied by a mild interstitial edema. a more confluent opacity in the periphery of the left mid lung has increased in the interval and is concerning for evolving infectious pneumonia in the appropriate clinical setting. asymm...
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unchanged large left hydropneumothorax and right upper lobe consolidation. persistent colonic ileus.
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possible atypical pneumonia.
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no acute intrathoracic abnormality.
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an et tube terminates <num> cm above the carina. unchanged appearance of right upper lobe opacities concerning for postobstructive pneumonia.
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ap chest compared to : moderately severe pulmonary edema occurred on and has subsequently improved, though not cleared. small right pleural effusion is still present. moderate cardiomegaly stable. there is no lobar collapse or focus of consolidation in the lungs. et tube at the thoracic inlet, right internal jugular l...
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compared to prior chest radiographs since , most recently through at. cardiopulmonary support devices in standard placements. no pneumothorax or appreciable pleural effusion. pulmonary fibrosis is severe. acute pulmonary edema improved between and , subsequently stable. pleural effusion is small if any. no pneumotho...
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decrease in volumes. it up catheter is now well positioned. signs of mild to moderate pulmonary edema, with an interstitial component. no pneumonia. no pleural effusions. borderline size of the cardiac silhouette.
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improved bibasilar opacities since prior exam.
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moderate cardiomegaly, but no pulmonary edema. no pneumonia.
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compared to prior chest radiographs, through. moderate bilateral pleural effusions and mild pulmonary edema are new. the heart is normal size. mediastinal venous caliber has increased only slightly. tracheostomy tube midline. no pneumothorax.
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previous left pleural effusion has not recurred following removal of the pigtail pleural drainage catheter. right-sided lesions in or close to the major and minor fissures are substantially smaller. heart size is top normal. no dependent pleural effusion.
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no acute intrathoracic process.
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heterogeneous rounded opacity only seen on lateral projection projecting over mid thoracic spine is most consistent with loculated effusion. recommend follow-up chest radiograph in <num> weeks to assess for resolution. stable moderate sized right pleural effusion. stable mild cardiomegaly.
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ap chest compared to : feeding tube with a wire stylet in place ends in the mid stomach. previous mild pulmonary edema has nearly cleared. there is suggestion of new right upper lobe consolidation. small bilateral pleural effusions and mediastinal vascular engorgement, unchanged. left pic line ends in the upper svc. no...
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mild left basilar atelectasis. interval improvement in previously noted mild pulmonary vascular congestion.
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small areas of consolidation have developed at the right lung base and perhaps lateral to the right hilus since , consistent with pneumonia. there has also been an increase pulmonary vascular profusion and mild cardiomegaly and the size of the hilar vessels indicating cardiac decompensation. pleural effusion is small i...
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no acute cardiopulmonary process.
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large hiatal hernia as previously seen. otherwise, unremarkable.
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left lower lobe opacity, which may represent atelectasis, but pneumonia should be considered in the appropriate clinical context.
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no acute cardiopulmonary process. calcified pleural plaques, likely accounting for the rounded opacity projecting over the left <num>th rib anteriorly.
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minimal blunting of the left costophrenic angle could be due to atelectasis or a very trace pleural effusion. no focal consolidation seen.
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normal chest radiograph.
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compared to chest radiographs. right pic line ends in the low svc. lungs mildly hyperinflated but clear of focal abnormality. normal cardiomediastinal and hilar silhouettes and pleural surfaces.
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interval increase in size and number of pulmonary metastases. retrocardiac streaky opacity may reflect atelectasis though infection cannot be excluded.
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considerable residual right pleural effusion or thickening and consolidation/ atelectasis in the right lower lung are only slightly worse today compared to after removal of right pleural drains. severe enlargement of cardiac silhouette is chronic. there may be slight increase in left lower lobe atelectasis, compared t...
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left-sided pneumonia.
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no acute cardiopulmonary process.
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in comparison with the study , there are lower lung volumes. streaks of atelectasis are seen at both bases, without evidence of acute pneumonia or vascular congestion.
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no radiographic evidence of acute pneumonia or active malignancy in the thorax.
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cardiomegaly without evidence of congestive heart failure. nonspecific ill-defined opacities within the left upper lung field and right lung base. these could represent areas of infection, and radiographic followup is recommended after treatment to ensure resolution of these findings. if these findings do not resolve, ...
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no acute cardiopulmonary process.
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no evidence of active or latent pulmonary tuberculosis infection
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low lung volumes with bibasilar atelectasis.
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no acute cardiopulmonary process. free air below the diaphragms compatible with recent surgery.
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endotracheal tube has its tip approximately <num> cm from the carina. left subclavian central venous line unchanged in position. nasogastric tube seen coursing below the diaphragm with the tip not identified. overall cardiac and mediastinal contours are likely unchanged. low lung volumes with crowding of the vasculatur...
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lead intended for the right atrium is directed unusually posteriorly. while this lead is likely in the right atrium, correlation with electrophysiology measurements would be helpful.
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heart is no longer enlarged. lungs are fully expanded and clear. previous pleural effusions and mild dependent edema have resolved. two trans subclavian right ventricular pacer defibrillator leads and a right atrial pacer lead are in apparently contiguous from the left pectoral generator to their respective locations. ...
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in comparison with the study of , the monitor and support devices are unchanged. again there are low lung volumes with little overall change in the appearance of the heart and lungs.
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in comparison with the study of , there are improved lung volumes. continued bibasilar atelectatic changes with small pleural effusion on the left. no evidence of acute focal pneumonia. the tip of the left subclavian picc line is close to the cavoatrial junction.
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no radiographic evidence of pneumonia
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status post thoracentesis with small bilateral residual pleural effusions and no pneumothorax.
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comparison to. no relevant change. normal appearance of the lung parenchyma. normal hilar and mediastinal structures. borderline size of the heart. no pulmonary edema. no pneumonia, no pleural effusions.
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no acute cardiopulmonary process.
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comparison to. no relevant change. moderate cardiomegaly. minimal interstitial pulmonary edema. no pleural effusions. no pneumonia.
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et tube tip is <num> cm above the carinal. right internal jugular line tip is at the level of cavoatrial junction. ng tube tip is in the stomach. cardiomegaly is substantial. there is vascular congestion. there are bibasal opacities concerning for infectious process.
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no acute cardiopulmonary pathology.
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no acute cardiopulmonary process.
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normal chest radiograph.