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MIMIC-CXR-JPG/2.0.0/files/p19140218/s52197948/3d0739a5-c11460cf-bfc00608-391c761f-b55a2b71.jpg
no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no radiographic evidence of intrathoracic metastasis.
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worsening pulmonary edema, mild to moderate in extent, with bibasilar opacities likely atelectasis and small left pleural effusion. please note that infection in the lung bases cannot be excluded.
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endotracheal tube has been removed. there has been placement of a tracheostomy. cardiomediastinal silhouette is within normal limits. there is a left retrocardiac opacity, unchanged. free air underneath the right hemidiaphragm is seen. please correlate with any recent abdominal surgery. otherwise dedicated abdominal fi...
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persistent fullness at the right paratracheal station compatible with known lymphoma. no focal consolidation.
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multiple support catheters in place. bibasilar atelectasis, mild cardiomegaly. no signs of failure.
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bilateral consolidation or basal atelectasis, moderate to large on the right, moderate on the left, improved on the right, unchanged on the left since.
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as compared to , a dobbhoff tube has been partially withdrawn, with tip now terminating in the distal thoracic esophagus.
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in comparison with study of earlier in this date, the pulmonary vascular congestion appears somewhat improved. the hemi diaphragms are not sharply seen, raising the possibility of layering effusion with volume loss in the lower lungs. given the extensive pulmonary changes, it is extremely difficult to assess for possib...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11614496/s51519374/4bae979f-5579ec29-a2d41a90-f85ec10a-d8a9e07a.jpg
no acute intrathoracic abnormality.
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stable severe cardiomegaly with background pulmonary edema. increased interstitial markings at right lung base may represent asymmetric edema versus developing infectious process.
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compared to chest radiographs since , most recently. diffuse infiltrative peribronchial pulmonary abnormality has not improved. heart size is smaller. pleural effusions small if any. findings are most consistent with non bacterial pneumonia.
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no previous images. the heart is normal in size and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. multiple surgical clips are projected over the right axillary and apical region. central catheter extends to the mid portion of the svc. specifically, there is no evidence of pneumothor...
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no evidence of acute cardiopulmonary process.
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in comparison with the study of , there is again hyperexpansion of the lungs with flattening hemidiaphragms consistent with chronic pulmonary disease. no evidence of acute pneumonia, vascular congestion, or pleural effusion. continued elevation of the tip of the right clavicle with respect to the acromion.
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in comparison with the study of , there is little overall change. endotracheal tube tip lies approximately <num> cm above the carina. continued enlargement of the cardiac silhouette with probable small effusions and compressive atelectasis and mild elevation of pulmonary venous pressure. <num> chest tubes is
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no evidence of pneumonia.
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compared to chest radiographs through. small right pleural effusion has decreased. large left pleural effusion is increased slightly. bibasilar consolidation due to atelectasis or pneumonia, is unchanged recently, but increased on the right since and stable on the left since. cardiac silhouette is obscured but the me...
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cardiomegaly is substantial. bilateral pleural effusions and bibasal consolidations are unchanged. right mid lung consolidation is unchanged. overall no substantial difference as compared to previous examination demonstrated but the might be potentially slight increase and vascular congestion in the left upper lobe.
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progressed pulmonary edema. progressed right pleural effusion and lower lung opacity, which may be related to edema, though infection is not excluded.
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the postsurgical clips have been removed. the fixation devices remain in unchanged position. unchanged monitoring and support devices. unchanged appearance of the lung and the heart.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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tiny left apical pneumothorax. unchanged bibasilar atelectasis and bilateral pleural effusions. mild interstitial edema.
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chronic interstitial lung disease compatible with fibrotic nsip as characterized on the prior chest ct, without new areas of parenchymal opacification identified to suggest pneumonia.
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pulmonary edema, worsening effusions, mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15416872/s51361008/e47ccfa1-cec4d799-d4937358-32560fd4-584354cd.jpg
no acute cardiopulmonary process.
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heart size and mediastinum are stable. right apical pneumothorax and right pigtail catheter are in place, similar in appearance to chest radiograph. left mid and lower lung nodules are unchanged in appearance. no interval accumulation in pleural effusion demonstrated.
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ap chest compared to through : mediastinal vascular engorgement has improved. lung volumes are still quite low, with moderately-severe atelectasis, most pronounced at the right lung base. heart is probably not enlarged. there is no appreciable pleural abnormality.
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ap chest compared to : mild-to-moderate pulmonary edema, small bilateral effusions and progressive enlargement of the cardiac silhouette are all new. left picc line ends low in the svc. no pneumothorax. this examination was presented for review on ,. dr was paged as soon as the findings were recognized.
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no acute process.
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no acute findings, but soft tissue thickness makes it difficult to exclude mild interstitial abnormality.
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no acute cardiopulmonary process including no pleural effusions.
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no evidence of acute cardiopulmonary disease.
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no evidence of pulmonary edema. left basilar subsegmental atelectasis or scarring.
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no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12006266/s54145098/d06596cc-e984b733-9f6a35cc-5179acc5-792c06d6.jpg
persistent moderate right-sided pleural effusion; otherwise unremarkable.
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no acute intrathoracic process.
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unchanged size and configuration of the left upper hemithorax pleural space, which is now filled with fluid rather than air.
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heart size is enlarged but stable. mediastinum is stable. there is interval improvement in pulmonary edema with vascular congestion still present. no focal consolidations to suggest infectious process noted. no appreciable pleural effusion or pneumothorax is seen.
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left-sided picc distal aspect of the left picc is not well seen on the frontal view,, however, likely terminates in the region of the cavoatrial junction. no pneumothorax. clear lungs.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12313394/s58578768/975f612a-8067e8cd-c1b5a617-f776d3f8-8b27ad55.jpg
the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. status post cervical vertebral fixation. healed right clavicular fracture. no pleural effusions. no pneumonia, no pulmonary edema.
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<num>cm lobular opacity inseparable from the lateral aspect of the right hilus is new since. lateral view suggests it is in the superior segment of the right lower lobe. mild lobulation of the upper pole of the left hilus and fullness in the right lower paratracheal station mediastinum could be due to lymph node enlarg...
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no previous images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. specifically, no evidence of hilar or mediastinal
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since , heterogeneous opacities in the right lung have worsened, particularly in the right lower lobe. this is concerning for infection in the appropriate clinical setting. left retrocardiac opacity is again demonstrated as well as a small to moderate left pleural effusion. left chest wall mass is unchanged.
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no acute intrathoracic process.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection, including tuberculosis.
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emphysematous changes noted at the upper lobes with reticular basilar opacities. findings could reflect atypical distribution of emphysema versus atypical pneumonia or scarring. short term follow up radiographs may be helpful.
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bibasilar opacities are likely consistent with atelectasis, however pneumonia or aspiration could be considered in the appropriate clinical setting.
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no acute intrathoracic process. no displaced fractures seen.
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as compared to the previous radiograph, no relevant change is seen. no free air under the diaphragm. mild to moderate overinflation. mild elongation of the descending aorta. no pathologic parenchymal process. known right healed rib fractures.
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in comparison with the study of , there is again diffuse reticular markings in a patient with known severe bronchiectasis. in view of the significant spectrum of abnormalities involving both lungs, it would be extremely difficult to exclude the possibility of superimposed pneumonia.
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in comparison with the study of , the monitoring and support devices are essentially unchanged. continued enlargement of the cardiac silhouette with bilateral opacification is most likely reflecting a combination of elevation of pulmonary venous pressure, pleural effusions, and compressive atelectasis. in the appropria...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15477756/s53541164/51eefac3-9d225ebb-a64a90e7-208e460e-0fd66cbc.jpg
no acute cardiopulmonary process.
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bilateral mid and lower lung zone opacities are consistent with multifocal pneumonia.
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as compared to the previous radiograph, there is a new a mild to moderate left pleural effusion with subsequent atelectasis at the left lung base. clips are seen projecting over the left axillary region and left lung apex. unremarkable appearance of the cardiac silhouette and of the right lung. no sternal wires are vis...
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mild bibasilar atelectasis.
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mild pulmonary vascular congestion and small bilateral pleural effusions, improved compared to the previous exam.
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interval removal of a left-sided picc. otherwise, no significant interval change.
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bibasilar airspace opacities likely reflecting atelectasis, though infection is not excluded, superimposed on a background of chronic interstitial lung disease previously characterized as nsip.
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ap chest compared to through at : endotracheal tube in standard position. upper enteric drainage tube passes into the stomach and out of view. lung volumes have improved substantially explaining in part decrease in what may have been mild pulmonary edema. heart is still very large, and the central pulmonary vasculatu...
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left lower lobe and right middle lobe consolidations concerning for aspiration pneumonia, less likely atelectasis. small bilateral pleural effusions are new since.
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right lower lobe collapse is new. previous moderate left pleural effusion is smaller, heterogeneous opacification in the left lower lobe some of which is atelectasis, may be partly pneumonia, all new since , subsequently stable. moderate cardiomegaly is chronic. hyperlucency of the upper lungs and narrow coronal diamet...
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no evidence of acute cardiopulmonary disease.
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stable appearance of the multifocal opacities can be pneumonia and mild edema.
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no acute cardiopulmonary process.
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multifocal consolidations in particular in the right lung and left perihilar area are still present but substantially improved on the left. loculated pleural effusion is most likely present on the right. left picc line and right central venous line are in unchanged positions. there is no pneumothorax.
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slight increase in interstitial markings in the left mid lung zone which may in part relate to peribronchial thickening although atypical infection not excluded. the remainder of the study is unchanged.
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interval withdrawal of right picc line with tip in the upper superior vena cava. increased right middle lung collapse. stable bilateral pleural effusions and retrocardiac opacification.
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mild upper zone re-distribution only.
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no evidence of a pneumothorax.
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subtle opacity in the right upper lobe which could represent an early pneumonia.
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minimal interstitial edema. persistent mild cardiomegaly.
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no acute cardiopulmonary abnormality.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. comparison to. stable minimal right and left apical thickening. moderate scoliosis. normal size of the heart. no pulmonary edema. no pneumonia. the right picc line has been removed.
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no acute cardiopulmonary process.
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pa and lateral chest compared to : minimal if any pleural effusion remains. there is no pneumothorax. previous vascular congestion and pulmonary edema have resolved. heart size is normal. the size and shape of the chest suggests hyperinflation usually due to emphysema or small airways obstruction.
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as compared to the previous image, no relevant change is seen. the monitoring and support devices are constant, with the exception of the left internal jugular vein catheter that has been removed in the interval. pre-existing signs of mild fluid overload are less obvious than on the previous examination, but bilateral ...
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as compared to the previous radiograph, the lungs have increased in transparency, reflecting a strong the inspiratory have ford and a better ventilation. the size of the cardiac silhouette remains at the upper range of normal. moderate tortuosity of the thoracic aorta. no pleural effusions. the lateral radiograph revea...
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adequate positioning of dobbhoff tube.
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severe left lung consolidation is slightly worse today than on. some may be pulmonary edema, but pneumonia is quite likely. severe pneumonia in the right mid and lower lung zones has not improved, accompanied by substantial right pleural effusion. right heart border is obscured. heart size is therefore indeterminate. p...
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as compared to the previous radiograph, the right pigtail catheter in the pleural space is now on water-seal. there is no evidence for the presence of a right pneumothorax. no pneumonia, no pulmonary edema. no larger pleural effusions. moderate scoliosis and normal size of the cardiac silhouette.
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left lung base opacity likely represents atelectasis. no evidence of pneumonia. heart size is top normal.
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complete resolution of prior right lower lobe pneumonia, however, with a new vague opacity at the left heart border in the left lower lung. correlation to any remaining symptomatology is recommended as this appearance may be suggestive of chronic aspiration. results were entered into the online critical results databas...
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lung volumes are low, exaggerating top-normal heart size and pulmonary vascular caliber. there is no consolidation or definite edema and no appreciable pleural abnormality.
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no detectable pneumothorax, bilateral pleural drains still in place. small bilateral pleural effusions have decreased and moderate bibasilar atelectasis is unchanged. upper lungs clear. no pulmonary edema. normal postoperative cardiomediastinal silhouette. midline and drains still in place. right jugular sheath ends ab...
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limited study without acute intrathoracic process.
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compared to chest radiographs since most recently and. heterogeneous opacification in a large volume of the right perihilar lung from the axillary to the basal regions has increased since first appearing on. small region of similar abnormality in the left midlung has developed subsequently and also progressed. becaus...
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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findings suggesting moderate vascular congestion, but similar to improved. moderate left-sided pleural effusion with balanced mass effect. this appearance could be seen with pleural effusion and coinciding atelectasis, although it is difficult to exclude aspiration as a potential cause for left basilar opacification.
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cardiomegaly, left pleural effusion and pulmonary edema opacity anterior to the spine on the lateral view could represent a hiatal hernia; however, a mass is also possible. this could be further evaluated with chest ct
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no acute cardiopulmonary process.
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no acute pulmonary process.
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right pneumonia or recent aspiration.