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MIMIC-CXR-JPG/2.0.0/files/p15213890/s50661878/36b56c29-9a2e77dc-5cf79666-3ae57d3b-2ebd58ff.jpg
mild vascular congestion.
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normal chest radiographs.
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no evidence of acute cardiopulmonary disease.
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no evidence of pneumothorax or rib fracture. left lower lobe atelectasis.
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no evidence of residual or recurrent pneumonia.
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mild hyperexpansion of the lungs and calcification of the arch of the aorta is unchanged from the comparison radiograph.
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in comparison with the study of , there is little change in the appearance of the heart and lungs and no evidence of acute cardiopulmonary disease. specifically, no evidence of pulmonary or skeletal metastases.
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no acute cardiopulmonary process.
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et tube terminating <num> cm from the carina. enteric tube in the stomach.
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left base opacity could be due to atelectasis or early pneumonia in the appropriate clinical setting.
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hazy basilar opacity is seen and infection is not excluded in the appropriate clinical setting.
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compared to chest radiographs through. new opacification base of the left hemi thorax probably combination of consolidation, either atelectasis or pneumonia at new small left pleural effusion. cardiomediastinal silhouette and right hemi thorax are normal. no pneumothorax. esophageal drainage tube ends in the upper sto...
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ap chest compared to through : lungs are clear, unchanged since. heart size normal. small left pleural effusion may be present, unchanged. no evidence of central lymph node enlargement.
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no acute abnormalities identified to explain patient's night sweats.
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mild cardiomegaly, with central pulmonary vascular congestion and mild interstitial edema, and unchanged small bilateral pleural effusions.
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right mid to lower lung opacity concerning for right middle and lower lobe pneumonia with associated right pleural effusion. recommend followup to resolution.
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unchanged very low lung volumes with minimal bilateral lower lobe atelectasis. appropriately positioned endotracheal tube. enteric catheter visualized only as far as the level of the diaphragm, being obscured over its abdominal course.
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no acute intrathoracic process.
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right pectoral mediport terminating in the mid svc is unchanged since. clear lungs.
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stable cardiomegaly. otherwise unremarkable.
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no opacity convincing for pneumonia.
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normal chest radiographic examination.
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no acute cardiopulmonary process. fibrotic changes in the right upper lung appear relatively stable.
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pa and lateral chest compared to : overall of the cardiac silhouette have decreased, even though small pericardial effusion remains. pulmonary vasculature is normal, and there is no pulmonary edema or pleural effusion.
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no acute intrathoracic process.
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no acute intrathoracic process.
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left lung is fully expanded and clear. the right lung is small and the vasculature is engorged. in the mid and lower lung zone are areas of abnormal aeration, probably atelectasis. pleural effusion is small if any. heart size is top-normal.
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new left basilar opacity worrisome for pneumonia.
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lungs are grossly clear. cardiomediastinal and hilar silhouettes are normal. right pleural scarring is chronic, causing elevation of the apparent right hemidiaphragm.
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heterogeneous opacification in in the right lower lobe has improved minimally if at all the chronicity of this abnormality is difficult to assess, since the most recent chest radiograph prior to that was more than years ago. differential diagnosis includes atypical pneumonia if it is acute, and bronchioloalveolar cell...
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no acute cardiopulmonary process. no significant interval change.
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no good evidence of pneumonia
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et tube may be advanced <num> cm. an orogastric tube courses below the level of the diaphragm and terminates in the proximal stomach and should be advanced <num> cm. otherwise, no significant changes from the examination one hour prior.
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right lower lobe aspiration pneumonitis versus pneumonia, new compared to prior radiographs from. small right pleural effusion, not significantly changed.
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comparison to. the lung volumes are stable. moderate cardiomegaly. mild elongation of the descending aorta. no evidence of pneumonia. no pleural effusions.
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new interstitial abnormality in the setting of increased pulmonary vascular caliber and venous engorgement in the mediastinum is probably early edema in the heart is normal size unchanged. pleural effusion small if any. no pneumothorax
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moderate to severe left lower lobe atelectasis has not worsened since following tracheal extubation. right lung is well expanded and clear. pleural effusion is small if any on the left. no pneumothorax. no pulmonary edema. stable postoperative cardiomediastinal silhouette including mild cardiomegaly comparable to the ...
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normal chest.
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as compared to the previous radiograph, no relevant change is seen. normal left lung, unchanged size of the cardiac silhouette. unchanged moderate tortuosity of the thoracic aorta. on the right, the pleural effusion, combines to scarring and elevation of the right hemidiaphragm is constant in appearance.
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in comparison with the study of , there is little overall change. cardiac silhouette is within normal limits with no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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bronchovascular crowding versus early pneumonia at the right lung base. if needed, a repeat radiograph with more optimized inspiratory effort may be performed to explain pneumonia, otherwise unremarkable.
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calcific density in the left suprahilar region, potentially calcified granuloma in the parenchyma versus calcified hilar lymph node and suspected additional calcified left hilar nodes suspicious for prior granulomatous disease. hazy opacity in the right suprahilar region could also be due to a chronic process although ...
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bibasilar opacites, seen as rounded atelectasis at the right base and linear atelectasis at the left base on the ct performed earlier this evening.
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no acute cardiopulmonary abnormality.
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interstitial edema likely a developing into alveolar edema similar to. large bilateral pleural effusions.
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patchy right middle and bilateral lower lobe opacities correspond to findings concerning for right lung pneumonia and left basilar atelectasis on separately dictated ct scan of same date. multiple osseous metastases again noted, but better delineated on dedicated ct from the same day.
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interval placement of left-sided dual lead pacing device with the leads terminating over the expected location of the right atrium and right ventricle, respectively. the heart remains enlarged. mediastinal contours are stable. lungs are well inflated without evidence of focal airspace consolidation, pulmonary edema or ...
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bibasilar atelectasis. no radiographic evidence of pneumothorax.
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stably enlarged cardiac contours status post median sternotomy with mitral valve annular ring and cabg. there is persistent bibasilar patchy opacity with likely associated small effusions. these findings may reflect compressive atelectasis, although aspiration or pneumonia should also be considered. no evidence of pulm...
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no comparison. moderate cardiomegaly. aortic annulus calcifications. mild pulmonary edema without larger pleural effusions. no pneumonia.
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no previous images. the heart is normal in size and lungs are clear without vascular congestion or pleural effusion. no evidence of old granulomatous disease.
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bibasilar opacities likely reflecting chronic atelectasis; although, an underlying infection or aspiration is possible.
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no acute cardiopulmonary process. stable mild cardiomegaly.
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mild pulmonary vascular congestion with small bilateral pleural effusions.
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ap chest compared to through , : previous left pneumothorax has resolved since and the insertion of the left apical pleural tube. there is no appreciable left pleural effusion. small right pleural effusion is stable. postoperative widening of the upper mediastinum is slightly more pronounced now than earlier in the...
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bilateral perihilar, basilar opacities, consider edema, pneumonitis/aspiration, or component of atelectasis. mild interstitial edema small pleural effusions.
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ap chest compared to : widespread heterogeneous pulmonary infiltration continues to clear, with substantial improvement in the left lung compared to. heart size is normal. pleural effusion is small, if any. tip of the endotracheal tube at the upper margin of the clavicles is no more than <num> cm from the carina. nasog...
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no significant interval change when compared to the prior study.
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no evidence of acute cardiopulmonary process. right upper lobe focal opacity is decreased in size from prior, compatible with a slowly resolving abscess.
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no acute cardiopulmonary process.
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top normal heart size, exaggerated by low lung volumes.
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normal study.
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no acute cardiopulmonary abnormality.
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comparison to. stable bilateral pleural effusions, right more than left. borderline size of the cardiac silhouette. resolution of a pre-existing retrocardiac atelectasis. mild fluid overload but no overt pulmonary edema.
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as compared to chest radiograph, a moderate to large left pleural effusion is a persistent finding, and a small right pleural effusion is apparently new. bibasilar atelectasis is similar on the left and slightly worse on the right. no other relevant changes.
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no acute cardiopulmonary abnormality. copd.
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cardiac size is top normal. aeration of the lower lobes has markedly improved. bilateral effusions have decreased now small. there is no pneumothorax. the lungs are hyperexpanded. bibasilar postoperative changes are noted. subcutaneous emphysema has resolved
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chest ct on showed that widening of the cardiomediastinal silhouette is due to a combination of a and extremely narrow sagittal diameter of the chest and extensive fat deposition, also explaining thickening of the pleural margins bilaterally. left lower lobe consolidation has improved since , could be resolving pneumo...
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clear lungs. interval normalization of the heart size since , suggestive of resolving pericardial effusion.
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no interval change.
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compared to the prior study there has been some interval decrease in the right pleural effusion however it is still moderate in size and is layering posteriorly. there has been some interval re-expansion of the right lower lobe but volume loss in that region is still present. an underlying infectious infiltrate can't b...
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no acute cardiopulmonary process. no pneumonia.
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no evidence for acute cardiopulmonary abnormalities.
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no acute cardiopulmonary process.
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hyperinflated lungs.
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as compared to the previous radiograph, the extent and severity of the bilateral parenchymal opacities has decreased. no new opacities. no pleural effusions. a rounded <num> mm structure projecting over the ventral parts of the first right rib should receive attention on future follow-ups. the tip of the right picc lin...
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worsening bibasilar opacities, possibly due to recurrent aspiration or developing aspiration pneumonia co-existing with linear atelectasis.
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mild palmar edema, unchanged from prior exam.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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right hilum and retrocardiac opacities, concerning for pneumonia. but interval followup is recommended upon completion of treatment to document resolution.
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no acute intrathoracic process.
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mild residual atelectasis.
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ng tube terminates in the stomach. low lung volumes with diffuse in bilateral pulmonary nodules better demonstrated on concurrent ct of the chest.
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in comparison with the study of , there again is substantial enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral layering effusions with volume loss in both lower lobes. in the appropriate clinical setting, it would be very difficult to exclude superimposed pneumonia, especially in th...
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comparison to. stable low lung volumes. borderline size of the cardiac silhouette without pulmonary edema. no pneumonia, no pleural effusion. no pulmonary edema.
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normal chest x-ray.
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interval improvement of moderate pulmonary edema, with residual mild pulmonary edema. overall, minimal interval change in the small bilateral pleural effusions.
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compared to chest radiographs through. large left pleural effusion has not improved. large lung volumes are due to emphysema. mild pulmonary edema is unchanged over the past week, improved since. severe cardiac enlargement, due to combination of cardiomegaly and pericardial effusion is long-standing.
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retrocardiac opacity on the lateral view may be due to atelectasis, but pneumonia is not excluded in the appropriate clinical setting.
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earlier postoperative atelectasis or hemorrhage in the right upper lung improved on , subsequently stable. the volume of small right apical pneumothorax is unchanged. apical pleural tube still in place. no appreciable right pleural effusion. new opacification of the base of the left lung is most likely aspiration or at...
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as compared to the previous radiograph, the size of the cardiac silhouette has increased. there is mild pulmonary edema and a new mild to moderate right pleural effusion with the subsequent atelectasis at the right lung base. no evidence of pneumonia.
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no acute traumatic injuries. if strong clinical concern for rib fracture, a dedicated rib series may be obtained to further assess.
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no acute cardiopulmonary process.
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unchanged chest radiograph from previous imaging with no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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in comparison with study of , there are bilateral pleural effusions with compressive atelectasis at the bases. enlargement of the cardiac silhouette is seen with some elevation of pulmonary venous pressure. do a-channel pacer device is in place with the leads in appropriate position.
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ap chest compared to : endotracheal tube tip <num> cm from the carina in standard placement. left pic line ends in the upper right atrium, <num> cm below the level of the carina, and would need to be withdrawn <num> cm to reposition it in the low svc, if desired. worsening consolidation in the left lower lobe could be ...
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borderline cardiac decompensation, stable since