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MIMIC-CXR-JPG/2.0.0/files/p12370706/s59468562/c60960ec-18e6a37a-adc536fd-94fc13f8-b55f3401.jpg
new bilateral opacities are concerning for infection, until proven otherwise. given the history of immunosuppression, atypical infections must be considered.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality. no hiatal hernia visualized.
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improvement in multifocal opacities aside from persistent unchanged right lower lung opacity, probably in the right middle lobe. the latter opacity may be explained by pulmonary hemorrhage, and particularly based on prior findings and the dense lobulated apperance of opacities, concern is for hemorrhagic metastatic dis...
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no acute cardiopulmonary process.
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moderate right pleural effusion. <num> x <num> cm calcified mass, likely benign given its stability since , in the posterior right hepatic lobe is possibly a calcified hemangioma, echinococcal cyst, or old abscess cavity.
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right upper extremity picc unchanged in location in the lower svc. interval increase in pulmonary vascular engorgement and mild interstitial edema. moderate cardiomegaly is unchanged.
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interstitial edema, increased compared to the prior study.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14134178/s54113906/9c63e68c-6fc17ae6-a3f9c55e-c48532aa-5de35fd5.jpg
small bilateral pleural effusions are smaller. lungs are hyperinflated but clear. heart is normal size. thoracic aorta is mildly enlarged generally but not focally aneurysmal. feeding tube passes into the stomach and out of view.
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no comparison. correct position of the monitoring and support devices. low lung volumes. borderline size of the cardiac silhouette. no pulmonary edema. no pneumonia.
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improved right lower lobe opacity with worsened left lower lobe opacity. right pleural effusion has decreased, now small.
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no significant interval change in small bilateral pleural effusions with the right pleural effusion again demonstrated a component which is loculated laterally. unchanged areas of rounded atelectasis and/or scarring within both lungs.
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cardiomegaly with mild pulmonary edema. mild bibasilar atelectasis.
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unchanged bibasilar atelectasis and scarring. increase of trace bilateral pleural effusions.
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no evidence of acute cardiopulmonary process.
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pa and lateral chest reviewed in conjunction with imaging of the lower chest on yesterday's abdomen
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substantial increase in right-sided pleural effusion with volume loss.
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no acute intrathoracic process.
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possible increased opacity at the right lung apex, correlate with follow-up chest ct. copd.
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grosly stable chest findings. no evidence of significant acute pulmonary congestion.
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stable exam from the prior day and with no evidence of pneumonia. possible goiter or, less commonly, other right cervicomediastinal mass displacing the trachea. suggest clinical examination of the neck to see if ultrasound other imaging is necessary.
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no evidence of acute cardiopulmonary process.
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no pneumonia or congestive heart failure. stable mild cardiomegaly.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , following thoracentesis on the right there is a decrease in the amount of pleural fluid and no appreciable pneumothorax. otherwise little change.
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comparison to :<num>. the patient has been extubated and the nasogastric tube was removed. the left subclavian line remains in situ. decrease in extent and severity of a pre-existing right pleural effusion. no pneumothorax. today's image shows mild pulmonary edema. moderate cardiomegaly persists.
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no acute cardiopulmonary process.
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swan-ganz catheter tip is at the right lower lobe pulmonary vein. cardiomediastinal silhouette is unchanged. et tube tip is <num> cm above the carinal. vascular congestion has improved in the interim.
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in comparison with the study of , there are increasing areas of opacification bilaterally, concerning for worsening aspiration or infectious pneumonia. volume loss is seen in the retrocardiac region. nasogastric tube extends well into the stomach.
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in comparison with the study of , there again are low lung volumes with bibasilar atelectatic changes. especially on the left, the possibility of superimposed pneumonia should be considered in the appropriate clinical setting.
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no acute intrathoracic abnormalities identified.
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since , new small loculated pleural effusion in the right upper lobe. new small left apical pneumothorax. resolution of subcutaneous emphysema.
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dual-chamber icd is present with leads terminating in the right atrium and right ventricle. there is no pneumothorax. heart size is normal. aorta is tortuous. lungs and pleural surfaces are clear.
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no evidence of acute pulmonary process.
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improved aeration of the left lung. mild improvement of the right lung opacity; however, there is increasing opacity of the right base. this may represent redistribution of pulmonary edema, acute respiratory distress syndrome, or atelectasis and/or focal edema superimposed on background pneumonia, noting that many opac...
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bibasilar opacities may represent atelectasis in the setting of low lung volumes; however, infection cannot be excluded.
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as compared to the previous radiograph, no relevant change is seen. no evidence of pneumonia. no pleural effusions. no pulmonary edema. normal size of the cardiac silhouette. unchanged evidence of a <num> mm dense structure projecting over the anterior portions of the third right rib and likely reflecting a small bone ...
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lungs are chronically borderline hyper inflated, and today are clear of any focal abnormality. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. healed fracture deformities of right anterior ribs and moderately severe thoracolumbar scoliosis are chronic.
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no evidence of acute cardiopulmonary process.
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focal area of opacity within the right lung, which should be interpreted as pneumonia in the proper clinical context.
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pa and lateral chest compared to : moderate hyperinflation is unchanged. there is no focal pulmonary abnormality, including no discernable bullae or vascular abnormality. cardiomediastinal and hilar silhouettes and pleural surfaces are normal aside from mild calcification in the ascending thoracic aorta.
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patchy bibasilar airspace opacities, more pronounced on the right, concerning for infection.
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no acute cardiopulmonary process.
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ap chest compared to. no pneumothorax, pleural effusion, or mediastinal widening. aside from left basal lung nodule, lungs are clear. heart size normal. ascending thoracic aorta is tortuous but not appreciably dilated, as seen on chest ct , which also showed extensive pleural calcification, not evident on the conventio...
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hyperinflation. no evidence of acute disease. vague nodular opacity projecting over the right lower lung field, possibly a nipple shadow. when clinically appropriate, a repeat pa view with nipple markers is recommended to assess further.
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no acute cardiopulmonary process.
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mild pulmonary vascular congestion and left basilar atelectasis.
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no acute cardiopulmonary process.
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findings consistent with right lower lobe pneumonia on the setting of right lower lobe bronchiectasis and peribronchial thickening suggestive of bronchitis.
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persistent small bilateral pleural effusions. no superimposed acute cardiopulmonary process.
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<num>) no acute pulmonary process and no pneumothorax identified. <num>) no displaced rib fracture identified on these lung technique films.
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as compared to the previous image, the patient has received a right pleural pigtail catheter. the position of the catheter appears correct. the pre-existing right pleural effusion has slightly decreased in extent but still occupies a substantial part of the right hemithorax. there is no evidence of pneumothorax. unchan...
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slightly worsened appearance on the left and improved appearance on the right.
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no acute cardiopulmonary process.
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ap chest reviewed in the absence of recent chest radiographs. et tube, right internal jugular line, and nasogastric tube are in standard placements respectively. in addition to a widespread infiltrative pulmonary abnormality that could be pulmonary edema, there is more focal consolidation and a strong suggestion of cav...
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no acute cardiothoracic process.
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heart size is top-normal. mediastinum is stable in appearance including azygos lobe. lungs are essentially clear. there is no pleural effusion or pneumothorax. left-sided pacemaker has been placed with the leads terminating in the expected location of right atrium and right ventricle. no procedure associated pneumothor...
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interval decrease in lung volumes with continued interstitial opacities consistent with pulmonary edema and likely superimposed infection. small to moderate bilateral pleural effusions are again seen.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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compared to chest radiographs. new right trans subclavian right atrial and ventricular pacer leads are in standard placements, continuous from the new right pectoral generator. no pneumothorax pleural effusion or mediastinal widening. mild pulmonary edema has worsened. right pleural lobulation is probably chronic.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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slight interval improvement in chf findings and bilateral effusions. otherwise, similar to. small bilateral effusions remain present. no pneumothorax detected.
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no acute intrathoracic abnormalities identified.
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no acute cardiopulmonary process.
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new small right pleural effusion. small left pleural effusion and associated left basilar atelectasis, not appreciably changed in the interval.
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low lung volumes. no evidence of acute cardiopulmonary process.
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successful repositioning of right picc, which now terminates in the distal svc.
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no infiltrates.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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ap chest compared to : patient once again has an upper and drainage tube, now coiled amply in the fundus of the stomach which is only mildly distended with gas. more distally, there is considerable intestinal gaseous distention. no free subdiaphragmatic gas. lungs low in volume but grossly clear. heart mildly enlarged....
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significant improvement in right lower lobe opacity since likely to be improved lower lobe volume loss.
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no significant interval change.
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no radiographic evidence of pneumonia.
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no evidence of acute disease. large hiatal hernia.
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endotracheal tube terminates <num> cm above the carina. no pneumothorax.
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as compared to , the patient has received a left pectoral pacemaker. there is no evidence for the presence of a pneumothorax. the leads are in correct position in the left atrium and left ventricle. no pulmonary edema. mild retrocardiac atelectasis. normal alignment of the sternal wires and valvular replacement.
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no radiographic evidence of injury. if patient has focal pain, dedicated rib series can be ordered.
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ap chest compared to : two ap views of the chest performed at and respectively show initial placement of the nasogastric tube, with some of the side ports in the esophagus, and repositioning with the side ports beyond the gastroesophageal junction. heart size is normal. lung volumes are lower today than on , but lun...
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retrocardiac opacity which may represent atelectasis or post procedure changes, but cannot exclude pneumonia or aspiration in the right clinical setting
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no acute cardiopulmonary process.
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findings concerning for left fifth and sixth lateral rib fractures. no pneumothorax. mild left basal atelectasis. numerous calcific densities abutting the right humeral neck, question tendinopathy. correlate for pain.
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bilateral ground-glass opacities likely represent an atypical infection. stable severe copd.
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tiny right pleural effusion and subtle opacity in the right lateral lung base concerning for pneumonia.
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multifocal opacities concerning for pneumonia in this patient status post liver transplant. given the high risk nature of this patient, consider ct for further assessment.
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no acute cardiopulmonary process.
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asymmetric pulmonary edema versus infection.
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no acute cardiopulmonary process.
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the multi focal irregularly shaped nodular pulmonary abnormality which progressed between and has worsened, particularly in the right lower lung. since the process appears to have begun in or earlier, it would have to be an extremely indolent infection or as suggested in the report of the chest ct, an unusual manif...
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no evidence of acute cardiopulmonary process.
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left basilar opacity most likely atelectasis or scarring. no definite superimposed cardiopulmonary process.
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focal opacity overlying the spine on the lateral view compatible with pneumonia in the proper clinical setting, similar to previous exam from <num> days prior.
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in comparison to radiograph, cardiomegaly and pulmonary vascular congestion are accompanied by improved pulmonary edema. residual asymmetrical right-sided apical and perihilar opacities may reflect resolving asymmetrical edema although superimposed process such as pneumonia in the right apex is also possible in the ap...
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unchanged moderate right pleural effusion and small left pleural effusion. increased peribronchial opacities may be secondary to pneumonia in the appropriate clinical setting.