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MIMIC-CXR-JPG/2.0.0/files/p13224214/s59619257/dad77e56-1b49bb7a-30af4f17-68199038-d00da1e7.jpg
stable chest findings in elderly female patient, no evidence of new acute parenchymal infiltrates and no signs of advanced chf.
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no definite focal consolidation.
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moderate right effusion and small left effusions have increased on the right with increasing adjacent atelectasis on the right. vascular congestion has minimally increased. there are persistent low lung volumes. cardiomediastinal contours are unchanged with cardiac size top normal. there is no pneumothorax
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no acute cardiopulmonary process.
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the cardiac silhouette is prominent but the cardiac size may be exaggerated by ap technique. no active pulmonary disease.
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moderate to large right pleural effusion with overlying atelectasis, underlying consolidation not excluded. mild to moderate pulmonary edema. enlarged cardiac silhouette.
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no acute cardiopulmonary abnormality. no radiopaque foreign body identified.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16771588/s50926800/b5460f45-e206f272-8cf30aa1-bbb478aa-fd584209.jpg
no acute cardiopulmonary abnormality.
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low lung volumes with patchy opacities at the lung bases, potentially atelectasis but infection cannot be completely excluded in the correct clinical setting. small right pleural effusion.
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no acute cardiopulmonary process.
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mild perihilar prominence, suspected to represent mildly prominent pulmonary vessels without definite pneumonia. streaky left basilar opacification seen only on the frontal view is probably due to minor atelectasis or scarring.
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the patient is of the right upper lobe bronchoscopy. the bases of the right upper lobe, there are mild parenchymal opacities, likely as a result of the bronchoscopic procedure. no right pneumothorax. moderate cardiomegaly with bilateral areas of atelectasis. colon interposed between the liver are and the abdominal wall...
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blunting of posterior costophrenic angle on the lateral view may be technical, although trace pleural effusions may be present. persistent cardiomegaly. possible minimal pulmonary vascular congestion.
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ap chest compared to to : mild pulmonary edema was present in , not currently. there is still a bulbous enlargement of the upper pole of the left hilus probably due to chronic adenopathy. consolidation in the left lower lobe is not appreciably improved since , either chronic atelectasis or recurrent pneumonia. right l...
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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left lower lobe collapse and/or consolidation again seen, possibly slightly improved. otherwise, doubt significant interval change.
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no acute findings.
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extensive bilateral pleural thickening obscures large areas of the lungs, particularly inferiorly, but there does appear to be increased pulmonary vascular caliber, an indication of early cardiac decompensation. heavy dystrophic calcification seen in enlarged lower paratracheal lymph nodes and in a calcification projec...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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left-sided pacer the terminates in the right ventricle. no pneumothorax.
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no evidence of pneumonia.
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in comparison with the study of , the patient has taken a much better inspiration. continued enlargement of the cardiac silhouette, though the endotracheal tube is been removed. no vascular congestion or pleural effusion or acute focal pneumonia.
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no acute cardiopulmonary processes. thickening of the cortex and trabecula of the left humerus, suggestive of paget's disease. dedicated humeral radiographs may be obtained for further evaluation.
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right apical opacity seen on exam, is not visualized on ap view. apical lordotic view demonstrates a small stellate scar in the right lung apex.
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moderate cardiomegaly with mild pulmonary edema and small bilateral pleural effusions.
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the lung volumes are normal. mildly enlarged cardiac silhouette, with large left ventricle and tortuosity of the descending aorta. no pleural effusions. no pulmonary edema. no pneumonia.
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moderate cardiomegaly is accentuated by the projection. bilateral effusions have decreased. vascular congestion has decreased. there is no evident pneumothorax. bibasilar atelectasis have improved. right ij catheter tip is in the lower svc.
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in comparison with the study of , the patient has taken a better inspiration. there is a somewhat ill-defined area of increased opacification at the right base which could represent a region of developing consolidation. this area had dense streak of atelectasis on the previous exam. minimal atelectatic changes are seen...
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as compared to the previous radiograph, there is unchanged
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no radiographic evidence for intrathoracic malignancy or acute cardiopulmonary process.
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moderate quantity of free air beneath the right hemidiaphragm. findings discussed at with dr by telephone very shortly after discovery.
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in comparison to radiograph, endotracheal tube and nasogastric tube remain in standard position. bibasilar atelectasis has slightly improved on the left and minimally worsened on the right. no other relevant change.
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interval development of moderate sized left pleural effusion and mild-to-moderate pulmonary edema/vascular congestion suggesting acute heart failure. nodular character among diffuse opacities, probably due to heterogeneous involvement with edema; follow-up radiographs are recommended after diuresis to exclude underlyin...
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no acute intrathoracic process.
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hyperinflation without acute cardiopulmonary process.
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no acute cardiopulmonary process.
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in comparison with the study of , there again are bilateral pleural effusions with compressive basilar atelectasis, more prominent on the left. continued enlargement of the cardiac silhouette with mild to moderate pulmonary edema. monitoring and support devices are stable.
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stable area of scarring in the right upper lobe. otherwise, unremarkable study.
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no acute findings in the chest.
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ap chest compared to : small-to-moderate bilateral pleural effusions remain despite pigtail pleural drainage catheter in each hemithorax. no pneumothorax. moderately severe left lower lobe atelectasis unchanged. heart size normal. et tube in standard placement, right pic line ends in the mid-to-low svc and a nasogastri...
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increased retrocardiac and left lung base opacities, likely related to post-surgical changes. right lung is clear.
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comparison to. a left port-a-cath is in correct an stable position. on the right, a hemodialysis catheter has been removed. mild enlargement of the cardiac silhouette. no pulmonary edema. no pleural effusions.
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endotracheal tube tip is <num> cm above the carina. nasogastric tube tip is in the stomach. there is no pneumothorax or chf. there is patchy density in both lung bases this is stable.
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hyperinflated lungs with interstitial opacities suggestive of chronic lung disease.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic abnormality.
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scattered opacities with a lungs are concerning for worsening metastatic disease. please correlate clinically.
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mild central pulmonary vascular congestion without overt interstitial edema.
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interval decrease in the amount of fluid but increase in the amount of air within the right pleura compatible with a small hydropneumothorax.
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no acute cardiopulmonary process. no free air.
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compared to prior chest radiographs. read in conjunction with chest ct. moderate right pleural effusion is new obscuring enlarged right hilus and right lower lobe mass. left chest wall mass at the site of lytic rib lesion, lateral left middle rib, has been present since at least , probably larger no pneumothorax or lef...
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subtle left lower lobe opacity suspicious for an early focus of pneumonia. consider followup radiographs in four to six weeks to ensure resolution. recommendation entered into radiology communications dashboard on.
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mild enlargement of the cardiac silhouette due to cardiomegaly or alternatively small pericardial effusion, is new since. small right pleural effusion is also new. i do not see focal pulmonary abnormalities. the symptoms may therefore be due to mild congestive heart failure. however if treatment is not effective, repea...
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interval removal of left-sided chest tube without development of pneumothorax.
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no acute cardiopulmonary process.
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persistent left lower lobe pneumonia.
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right picc line is seen in the right neck and continues out of view. the feeding tube is in the midesophagus.
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no evidence of acute cardiopulmonary process.
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in comparison with the study of , the right chest tube has been removed and there is no evidence of appreciable pneumothorax. the amount of pleural fluid on the left appears to have decreased, though this could merely be a manifestation of a more upright position of the patient. otherwise little change.
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patchy left base opacity only seen on the frontal views, could be due to atelectasis, although infectious process is not excluded in the appropriate clinical setting.
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low lung volumes, but otherwise no acute cardiopulmonary process. no evidence of free air beneath the diaphragms.
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as compared to the previous radiograph, the right picc line is still malpositioned in the right internal jugular vein. however, a later radiograph documents correct position of the line. no pneumothorax. unchanged platelike atelectasis at the left hilus. no pneumothorax. no pleural effusions.
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interval increase in size of right apical air collection compared to and. expected rul volume loss s/p lobectomy.
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the lung volumes are normal. normal size of the cardiac silhouette. normal appearance of the lung parenchyma. there is no pneumonia, pulmonary edema or pleural effusion. as an anatomical variant, the patient has a right-sided aortic arch.
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patchy opacities throughout the right lung compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution.
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new right-sided central line and nasogastric tube in appropriate position. no evidence of right-sided pneumothorax. otherwise unchanged with radiograph performed <num> hr prior.
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obliquity of the patient makes interpretation difficult. there is decreased visualization of the right lung, which may be secondary to positioning.
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tracheostomy tube has been removed. small left pleural effusion is stable. left lower lobe atelectasis has improved substantially since. right lung is clear. heart size is normal. right pic line ends in the region of the superior cavoatrial junction. no pneumothorax.
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no pneumonia.
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in comparison with the study of , the monitoring and support devices are unchanged. continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure and bilateral pleural effusions with compressive atelectasis, much more prominent on the right.
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normal chest radiograph.
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tube ends in the stomach with associated balloon pulled back toward the ge junction.
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increased large left pleural effusion.
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worsening bilateral moderate pleural effusions and bibasal opacities likely increasing atelectasis.
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interval intubation with the endotracheal tube having its tip approximately <num> cm above the carina. the feeding tube courses below the diaphragm with the tip not identified. the right internal jugular swan- catheter continues to have its tip in the right pulmonary outflow tract. there are layering effusions, right g...
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no pneumothorax. <num> cm nodule in the lingula and additional pulmonary nodules were better evaluated on ct chest. no new nodules are seen. a small left pleural effusion is decreased in size from the prior examination on the same date.
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in comparison with the study of , there is enlargement of the cardiac silhouette without definite vascular congestion or acute focal pneumonia. dual-channel pacer is in place with leads in the right atrium and right ventricle. opacification is seen at the left base. on the frontal view it suggests a meniscus reflecting...
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no radiographic evidence for acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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mild pulmonary edema
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no acute cardiopulmonary abnormality.
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heart size is at the upper limits of normal or slightly enlarged. sternotomy wires and prosthetic valve noted. small bilateral posterior pleural effusions, new compared with. upper zone redistribution, but no overt chf. although a small infiltrate associated with the effusions cannot be excluded, elsewhere, no focal in...
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widespread heterogeneous pulmonary opacification has improved slightly in the left lung, worsened slightly on the right. severe atelectasis at the base is unchanged. heart size is normal and the mediastinal veins are not dilated. relative contribution of widespread pneumonia, asymmetric pulmonary edema and organizing s...
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as compared to the previous radiograph, the patient has developed a right upper lobe atelectasis. otherwise the radiograph is unchanged. moderate cardiomegaly. mild to moderate pulmonary edema. low lung volumes. constant position of the monitoring and support devices.
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bilateral interstitial opacities are re- demonstrated, which may be due to underlying chronic lung disease, asymmetric pulmonary edema, infectious process not excluded in the appropriate clinical setting. as mentioned on the prior chest radiograph, nonurgent chest ct may be helpful to ed evaluate for interstitial lung ...
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no acute cardiopulmonary process.
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status post median sternotomy with stable postoperative cardiac and mediastinal contours. interval extubation. interval removal of the left internal jugular central line and nasogastric tube. there is left pleural effusion with some patchy associated airspace disease, likely reflecting compressive atelectasis. there is...
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left inferolateral pleural based density may reflect prominent pleural fat deposition, but appears larger compared to the previous chest radiograph. further assessment with chest ct is recommended to confirm this finding. otherwise, no acute cardiopulmonary abnormality. recommendation(s): chest ct
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possible mild left base atelectasis. no definite focal consolidation. no evidence of pneumothorax.
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endotracheal tube in appropriate position.
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-mm opacity again seen in the right middle lung just superior to the minor fissure, likely representing a nodule versus consolidation versus aspiration. comparison with previous imaging from outside facilities would facilitate identification of the mass.
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moderate cardiomegaly, mediastinal vascular engorgement, and mild pulmonary edema are stable from. lung volumes are low. no pneumothorax or substantial pleural effusion.
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as compared to the previous radiograph, no relevant change is seen. all monitoring and support devices as well as the pacemaker leads are in correct position. mild cardiomegaly. retrocardiac atelectasis. no pleural effusions. no pulmonary edema.
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findings suggesting mild vascular congestion. nodules seen on prior ct not well assessed; persistent nodules cannot be excluded.
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no acute cardiopulmonary abnormality.
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all the lines and tubes are stable in position and unchanged. there is again seen diffuse airspace opacities as well as smaller diffuse nodular densities which appear stable. no pneumothoraces are seen. heart size is within normal limits.