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MIMIC-CXR-JPG/2.0.0/files/p13282404/s54789186/1450a899-181c73d1-3619b669-ea7e36e2-36f9cba2.jpg
left lower lobe consolidation compatible with pneumonia in the proper clinical setting. recommend repeat exam after treatment to document resolution.
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mild bibasilar atelectasis and trace bilateral pleural effusions vs. chronic pleural thickening.
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minimal retrocardiac linear atelectasis versus scar with otherwise clear lungs.
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no significant interval change. persistent low lung volumes and basilar and right middle lobe atelectasis/ scarring.
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mild pulmonary vascular congestion.
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no radiographic evidence of intrathoracic tuberculosis.
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no acute cardiopulmonary abnormality.
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stable enlargement of the cardiomediastinal silhouette. slight blunting of the costophrenic angles may be due to trace pleural effusions versus atelectasis, less likely pneumonia. no overt pulmonary edema.
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ap chest compared to : large scale bibasilar pneumonia has worsened, accompanied by increasing small bilateral pleural effusions. heart size is normal. no pneumothorax.
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left basal scarring. otherwise unremarkable. please refer to subsequent cta of the chest for further details.
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no acute cardiopulmonary process.
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no significant interval change. post-surgical changes on the right, as described above.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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mild improvement of lung ventilation, especially right base for reduced atelectasis.
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et tube tip is <num> cm above the carinal. left internal jugular line tip is at the level of mid svc. heart size and mediastinum are unchanged with some potential enlargement of the cardiac silhouette but there is interval progression of pulmonary edema, currently moderate with right basal atelectasis. no appreciable p...
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in comparison to study of , is continued enlargement of the cardiac silhouette. the pulmonary vessels are not sharply seen and appear mildly engorged, consistent with some elevation of pulmonary venous pressure. the retrocardiac region is not well seen, raising the possibility of volume loss in the left lower lobe. no ...
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appropriately positioned ng tube.
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cardiomegaly is a stable. there are low lung volumes. et tube is in standard position. right picc tip is in the lower svc. ng tube tip is out of view below the diaphragm. extensive bilateral opacities have improved on the left. component of atelectasis in the left lower lobe is unchanged, in the right lower lobe has im...
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ap chest compared to : small right pleural effusion or pleural thickening remains, improved since. mild-to-moderate cardiomegaly longstanding. pulmonary vasculature no longer engorged. no pulmonary edema. multiple lung nodules noted.
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findings most consistent with pulmonary edema.
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moderate cardiomegaly has progressed. lungs are clear. pleural effusions are small if any. no pneumothorax. unremarkable mediastinal and hilar contours.
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no acute cardiopulmonary process.
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ap chest compared to : widespread pulmonary opacification which increased dramatically between <num> and has continued to worsen, even though heart size is smaller. findings due to non-cardiogenic edema or rapidly progressive and severe pneumonia. pleural effusions, at least small in size, have increased since earli...
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normal-appearing expiratory chest x-ray.
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no significant interval change.
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heterogeneous opacities throughout the right lung and left lung base have worsened. given waxing and waning over serial radiographs, there is concern for recurrent aspiration/aspiration pneumonia.
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no evidence of acute disease.
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no acute intrathoracic process.
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increased opacification of the right upper lobe may represent pneumonia or aspiration.
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top normal to mildly enlarged cardiac silhouette. no focal consolidation worrisome for pneumonia.
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ap chest compared to through : there is no evident pneumothorax, although pleural air might be obscured by large pneumatoceles at the left lung apex. small left pleural effusion is stable following removal of the left basal pleural drain. right lung is clear. mild cardiomegaly is stable. left-sided central venous cath...
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no acute findings. please refer to same-day ct torso for further details.
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et tube terminates <num> cm above the carina. these findings were communicated to md via telephone at pm.
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no acute cardiopulmonary process.
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no acute intrathoracic process with left upper lung opacity, nodule versus superimposition of normal structures. consider apical lordotic radiographs on a nonemergent basis to further assess.
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no acute cardiopulmonary process.
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tip of a right picc is not well visualized. pa and lateral radiographs are recommended.
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borderline cardiomegaly. otherwise, normal study.
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no acute cardiopulmonary process.
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interval improvement in aeration and resolving but persistent mild interstitial and pulmonary edema. the heart remains stably enlarged. right subclavian picc line and reportedly externalized vp shunt unchanged in position. multiple surgical clips in the right axilla consistent with prior lymph node dissection. no obvio...
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no acute process.
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in comparison to prior radiograph from earlier today, a nasogastric tube is been placed, terminating in the proximal stomach. side port is not well visualized but may potentially be proximal to the ge junction. no other relevant change.
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no acute cardiopulmonary process. specifically, no pneumonia.
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no evidence of pneumonia.
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normal chest radiographs.
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unremarkable chest radiographs.
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limited exam. streaky right greater than left basilar opacities potentially atelectasis noting infection is also possible.
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comparison to. the patient is now intubated. the tip of the endotracheal tube projects approximately <num> cm above the carinal. the patient carries a correctly positioned nasogastric tube and a right venous introduction sheet. lung volumes are low. moderate cardiomegaly and elongation of the descending aorta. mild flu...
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decreased right-sided pleural effusion, now essentially resolved. focal patchy opacity at the right lung base is seen and a small focus of infection may be present. recommend follow-up to resolution. discussed with dr at pm on via telephone.
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no evidence of a post-procedural pneumothorax following ct-guided biopsy of the left apical lung mass.
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no acute intrathoracic process. low lung volumes.
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in comparison with the study of , there again is evidence of extensive chronic disease at the right base that showed increase in fdg avidity consistent with malignancy on pet scanning. no evidence of acute focal pneumonia or vascular congestion.
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partial interval clearing of bibasilar infiltrates. otherwise, i doubt significant interval change. no new pneumonic infiltrate identified.
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mild congestive heart failure with small bilateral pleural effusions. patchy bibasilar airspace opacities could reflect atelectasis but infection and aspiration are not excluded.
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no acute cardiopulmonary abnormality.
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normal chest radiograph.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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in comparison with the study of , there is little overall change. again there is increased opacification in the left mid and lower lung zones. although this could merely represent extensive atelectasis, in the appropriate clinical setting superimposed pneumonia would have to be seriously considered. continued low lung ...
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no acute cardiopulmonary process.
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pa and lateral chest compared to. normal heart, lungs, hilum, mediastinum and pleural surfaces. it is difficult to say from the lateral view whether there is mild hyperinflation.
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no acute cardiopulmonary process.
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small bilateral pleural effusion is slightly larger today than it was on. moderate cardiomegaly and pulmonary vascular congestion are stable. there is probably no pulmonary edema. aeration of the left lower lobe the base of the lung is less clear than it was on , comparable to the appearance on. this may represent fluc...
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no focal consolidation to suggest pneumonia.
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no suspicious lung lesions concerning for metastases.
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mild bibasilar atelectasis.
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no acute cardiopulmonary process.
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et tube terminating <num> cm above the carina. nasogastric tube tip within the stomach. right upper lung opacity which is concerning for right upper lobe collapse. new right lung base patchy opacity could represent aspiration or hemorrhage. recommend chest ct for further evaluation. discussed with dr by dr telephone a...
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the swan-ganz catheter has been removed. there is a new left pleural effusion with subsequent left retrocardiac atelectasis. no evidence of pneumonia. unchanged appearance of the moderately enlarged cardiac silhouette and of the right lung.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax. overall no evidence of pneumonia or other infectious process seen.
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increased density in the lateral view projecting over the spine which could represent interval development of infection, potentially within the right lower lobe although not definitively localized on the frontal view. alternatively, increased density within the bones is possible. followup will be necessary.
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mild pulmonary edema.
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no acute findings in the chest.
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satisfactory position of the new right internal jugular central venous catheter. no evidence of pneumothorax. unchanged position of the enteric tube with the tip in the distal esophagus. improving right basilar consolidation, which is likely atelectasis.
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in comparison with the study of , there is little change in the appearance of the heart and lungs. marked elevation of the right hemidiaphragm is again seen, increasing the apparent transverse diameter of the mildly elevated heart. diffuse bilateral pulmonary opacifications is probably related to pulmonary vascular con...
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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 some elevation of pulmonary venous pressure. retrocardiac opacification is again consistent with volume loss in the lower lobe and small pleural effusion.
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no acute intrathoracic process.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the descending aorta. mild hyperexpansion of lungs could reflect chronic pulmonary disease. no evidence of acute pn...
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normal lung volumes. normal appearance of the cardiac silhouette and of the hilar and mediastinal structures. no evidence of pneumonia or other lung parenchymal disease.
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compared to chest radiographs through. previous left lower lobe atelectasis has improved substantially, accounting for the return of definition of the left diaphragmatic pleura and mediastinum to the midline. right lung clear. small left pleural effusion persists. no pneumothorax. no pulmonary edema. normal postoperat...
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stable moderate to severe cardiomegaly and mild pulmonary edema. small bilateral pleural effusions.
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compared to chest radiographs through. moderate to large bilateral pleural effusions, stable on the right, increased on the left. accompanying atelectasis in the lower lobes could be substantial, underestimated on conventional radiographs. heart size top-normal. trachea and esophagus have been extubated. right jugular...
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the et tube is now in good position. improvement of the mild interstitial edema. left retrocardiac opacity and small pleural effusion are stable.
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no acute cardiopulmonary process.
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persistent small bilateral pleural effusions.
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possible mild hyperinflation. no acute pulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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mild pulmonary edema. extensive malignancy in the right chest. findings discussed by telephone with dr at <num>am.
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small right pleural effusion and minimal left basilar atelectasis. no focal consolidation to suggest pneumonia.
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marked cardiomegaly with tiny right pleural effusion and mild hilar congestion.
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early cardiac decompensation. chronic moderate cardiomegaly.
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hyperinflation without acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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increased interstitial markings potentially due to a combination of chronic underlying interstitial process and mild edema. no focal consolidation.
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as compared to the previous radiograph, the lung volumes have slightly decreased. the course and position of the left-sided picc line is unchanged. unchanged small bilateral pleural effusions, right more than left, and signs of mild fluid overload. a retrocardiac atelectasis is unchanged. unchanged borderline size of t...
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no acute cardiopulmonary process.