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MIMIC-CXR-JPG/2.0.0/files/p15035680/s53651792/87dfbaa8-803a1963-07f56a02-1225ab3c-cbca1316.jpg
right lower lobe opacity concerning for pneumonia. results given in person to by at pm, , at times of discovery.
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no displaced fractures.
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no acute cardiopulmonary process.
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compared to chest radiographs since , most recent. heart size top-normal, unchanged. normal pulmonary vasculature. lungs fully expanded and clear. normal mediastinal and hilar silhouettes and pleural surfaces. there are probably small granulomas pulmonary calcifications, but no evidence of active tuberculosis. no free ...
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inappropriate position of enteric tube. recommend removal and replacement. this finding was discussed with dr at on via telephone, minutes after discovery.
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pa and lateral chest compared to and : chronic moderate loculated pleural effusions are essentially unchanged, accompanied by persistent basilar opacification, probably rounded atelectasis. in the remainder of the lungs, in the upper lobes, there are no findings to suggest pneumonia or cardiac decompensation. heart is...
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no acute intrathoracic process.
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no acute cardiopulmonary process. no pneumothorax. recommendation(s): note that this exam is not dedicated for imaging of subtle fractures. if focal exam findings are concerning for fracture, dedicated radiographs of these areas is recommended.
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as compared to the previous image, gastric over distension has improved. there is a slight increase in severity of a retrocardiac atelectasis. no larger left pleural effusion. the position of the left chest tube is constant. there is currently no convincing evidence for the presence of a left pneumothorax. unchanged ap...
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right lower lobe atelectasis with a small associated effusion, better assessed on concurrent ct.
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compared to chest radiographs and at. moderate right and severe left lower lobe atelectasis relatively unchanged. no pneumothorax or pleural effusion. heart size normal. upper lobes clear. et tube in standard placement.
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lung volumes are quite low. small region of heterogeneous consolidation in the lingula, and demonstrated by the chest ct performed elsewhere early on is recognizable. heart size is normal. there is no pleural effusion or substantial central adenopathy. heart size is normal and there are no findings to suggest cardiac ...
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minimal patchy opacity in the left lower lobe, better appreciated on ct scan and may represent infection in the proper clinical setting.
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appropriate positioning of all lines and tubes. left lower lobe pneumonia.
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new bilateral mild to moderate layering effusion with passive atelectasis of lower lungs
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apparent increase in size of moderate to large right pleural effusion with adjacent atelectasis, but positional differences between the exams limits comparison of the effusion. persistent cardiomegaly accompanied by pulmonary vascular congestion and moderate edema. persistent small left pleural effusion and adjacent le...
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there is no pneumothorax.
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port-a-cath with tip in the right atrium. left chest tube in appropriate positioning without pneumothorax. small unchanged bilateral pleural effusions. improvement in lingular atelectasis. persistent left lower lobe lung mass, more fully evaluated by a recent ct.
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moderate cardiomegaly with evidence of congestive heart failure. there is a small focal opacity in the right upper lobe which may be representative of a bulla filled secretions but pneumonia cannot be excluded.
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pa and lateral chest compared to through : small pleural effusions have increased, and moderate enlargement of the cardiac silhouette has also progressed. there is no pulmonary edema. moderately severe left basal atelectasis and mild right basal atelectasis have also worsened slightly.
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left basilar opacity likely due to some combination of pleural effusion with possible underlying atelectasis or consolidation, potentially infection. pa and lateral may help evaluate if patient is amenable. cardiomegaly likely exaggerated by ap technique.
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pacemaker in good location
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heart size and mediastinum are stable. lungs are well expanded. minimal vascular congestion is present but no overt pulmonary edema is seen and there are no consolidations to suggest infectious process.
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cardiomediastinal silhouette is stable. replaced aortic valve is in expected position. bilateral chest tubes are in place. there is questionable pneumoperitoneum on the current study, please correlate with recent history and potentially dedicated imaging if needed.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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pa and lateral chest reviewed in the absence of prior chest radiographs: moderate to large left pleural effusion displaces the cardiac silhouette to the right. although there is severe atelectasis in the left lower lobe findings suggest relatively acute accumulation of pleural fluid such as empyema or bleeding. cardiac...
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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low lung volumes with bibasilar atelectasis, left greater than right.
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no acute cardiopulmonary process.
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no acute intracranial process. calcific density projecting over the right third rib for which apical lordotic views may help further characterize. multiple air-fluid levels identified below the diaphragm for which clinical correlation is recommended and additional imaging if clinically desired.
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no acute intrathoracic process.
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new right upper lobe airspace opacity which is worrisome for pneumonia or focal aspiration.
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no radiographic evidence of pneumonia.
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compared to chest radiographs since most recently at. previous atelectasis of at least the apical posterior segment of the left upper lobe has resolved, but severe left basal atelectasis accompanied by moderate pleural effusion persists. right lung grossly clear. heart mildly enlarged. no pneumothorax. than it there ...
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compare to prior chest radiographs. heart size normal. lungs grossly clear. no pleural abnormality.
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minimal atelectasis in the lung bases. copd.
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ap chest compared to , most recently : et tube and enteric drainage tube in standard placements. left apical pleural tube in place. although there is no separation of the pleural surfaces in the left hemithorax with the patient supine, anterior pleural air could be present. there is no mediastinal displacement. the co...
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there has been no interval change in extensive bilateral mainly perihilar lung opacities. cardiomegaly is stable. there is no pneumothorax or large effusions. pacer lead is in standard position. tip of the right picc is not well visualized
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compared to chest radiographs through. previous moderate left pleural effusion has been evacuated. no pneumothorax. aside from mild atelectasis left basal atelectasis, lungs are clear. there is no right pleural effusion. small bulge in the mediastinal contour along the right atrium could be residual fluid from surgery...
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no significant interval change.
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normal chest radiograph
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no acute cardiopulmonary process.
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retrocardiac streaky atelectasis. otherwise, no acute cardiopulmonary abnormality.
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small right pneumothorax. right chest tube in appropriate position.
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streaky lower lung opacities likely representing atelectasis or scarring, less likely pneumonia. borderline cardiomegaly.
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as compared to , there is no evidence of mild pulmonary edema. small amount of fluid is seen in the minor fissure. low lung volumes persist. mild retrocardiac atelectasis but no evidence of pneumonia.
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no acute findings in the chest.
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no acute cardiopulmonary process.
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since the prior study there is interval improvement in the right lower lung atelectasis. otherwise no substantial change since the previous examination demonstrated. position of tubes and lines is unchanged.
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comparison to. no relevant change. moderate pulmonary edema. moderate cardiomegaly. moderate bilateral pleural effusions. stable position of the monitoring and support devices.
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compare to prior chest radiographs since , most recently. small left pleural effusion or pleural thickening is unchanged since following removal of the left pleural drainage tube. no pneumothorax. low lung volumes, reflected in moderate left lower lobe atelectasis, exaggerate heart size and crowd the pulmonary vascula...
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worsening left basilar opacity concerning for worsening pneumonia. mild interstitial edema.
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left base opacity compatible with pneumonia. given history of recent treatment for pneumonia this could potentially be resolving. however, there is no prior exam available for direct comparison of this finding. repeat exam in several weeks is recommended to document complete resolution.
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no acute cardiopulmonary abnormality.
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in comparison with study of , there again are lower lung volumes with the cardiac silhouette at the upper limits of normal and mild tortuosity of the aorta. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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increased right loculated pleural effusion, with increased consolidation of the right lung which could represent superimposed pneumonia. no pneumothorax.
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stable appearance of right apical hydropneumothorax, but otherwise expected post-surgical change.
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no acute cardiopulmonary process. no significant interval change.
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comparison to. no relevant change is noted. low lung volumes. stable moderate cardiomegaly. mild elevation of the left hemidiaphragm. no pleural effusions. unchanged minimal left pleural effusion with subsequent left basilar atelectasis. no pulmonary edema. no pneumonia.
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subpleural nodular opacities at the right peripheral lung apex, better evaluated on prior chest ct from , stable. otherwise, no acute cardiopulmonary process. no focal lung consolidation.
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again noted are multiple slightly displaced left lower rib fractures. there is no evidence of a large pneumothorax or shift of the midline structures, but a small persistent pneumothorax cannot be excluded. increased opacities in the left lung which are likely representative of atelectasis. continued followup is recomm...
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large hiatal hernia. no evidence of acute cardiopulmonary process.
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no acute intrathoracic process.
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worsening volume loss and opacification of the left lung suggesting pneumonia superimposed on chronic findings.
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ng tube tip isin the stomach. no other interval change from prior study.
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comparison to. no relevant change. mild elevation of the left hemidiaphragm. retrocardiac atelectasis. mild overinflation. monitoring and support devices are stable. borderline size of the cardiac silhouette without pulmonary edema.
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small left pleural effusion. no convincing evidence of pneumonia.
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large hiatal hernia or complete gastric herniation into the chest. entities such as gastric volvulus cannot be excluded; findings were discussed with at on by. a lateral veiw may be helpful in assessing anterior-posterior positioning.
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decreased conspicuity of previously visualized retrocardiac opacity in the left lower lobe. while this may represent residual scarring and/or atelectasis. no evidence of focal consolidation elsewhere. large hiatus hernia.
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the right apical pigtail pleural catheter is again seen. there is a very tiny right apical pneumothorax. heart size is within normal limits. there is some atelectasis at the left lung base.
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bibasal lung findings, most likely due to aspiration or or developing infection
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection. distention of the azygos vein is unchanged, probably a normal variant.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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compared to chest radiographs since , most recently. lateral fractures, at least the right and left fourth and fifth ribs are acute. has this patient had recent cardiopulmonary resuscitation?. severe pulmonary edema has redistributed and could obscure pneumonia although there is no reason to invoke that diagnosis to ex...
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no evidence of acute cardiopulmonary disease.
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severe emphysema. no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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stable chest with mildly increased heart size. chronic fibrotic changes and calcified pleural plaques compatible with asbestosis exposure. heavy calcified pleural plaques limits evaluation for small lesions or abnormalities. bibasilar atelectasis and fibrotic changes.
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no comparison. mild overinflation. minimal atelectasis at the right lung bases. normal size of the heart. no pneumonia, no pulmonary edema, no pleural effusions. mild elongation of the descending aorta.
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no acute cardiopulmonary abnormalities
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bibasilar opacities concerning for pneumonia, particularly at the right base. irregularity of cortex of left eighth posterior rib is seen, unclear if definite fracture, correlate clinically.
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hyperinflated lungs, consistent with history of chronic obstructive pulmonary disease. relative increase in opacity over the right hemi thorax as compared to the left may be due to decrease volume of the right lung as well as potentially overlying soft tissue. the left lung appears to contain greater volume than the ri...
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no acute cardiopulmonary process.
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in the interval, previously subtle parenchymal opacities in both lower lobes. are visually more obvious and show predominantly nodular, ill-defined morphology. the findings continue to be highly suspicious for an infectious process, potentially fungal or bacterial in origin. the morphology of the changes is better appr...
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no acute cardiothoracic process.
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slightly increased right pleural effusion. persistent cardiomegaly.
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no previous images. the cardiac silhouette is within normal limits. there is mild indistinctness of pulmonary vessels, which could represent some elevation in pulmonary venous pressure. asymmetry in opacification at the bases, more prominent on the left, could represent a focus of consolidation in the appropriate clini...
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in comparison with the earlier study of this date, the monitoring and support devices are unchanged. the opacification at the left base has improved since the previous study. mild atelectatic changes are seen at the right base. no evidence of pulmonary vascular congestion or change in the appearance of the cardiac silh...
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unchanged position of the right picc line. the tip projects over the lower svc. no pneumothorax. normal appearance of the lungs and the cardiac silhouette.
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as compared to the previous radiograph, no relevant change is seen. the size of the cardiac silhouette is not increased and does not show typically morphologically changes seen in pericarditis. moderate scoliosis. no pleural effusions. no pneumonia, no pulmonary edema. no fibrotic lung disease.
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in comparison with the study of , there has been complete resolution of the pulmonary edema. cardiac silhouette remains enlarged. opacification at the left base could represent merely atelectatic change. however, in the appropriate clinical setting, the possibility of superimposed pneumonia could be considered.
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compared to chest radiographs since , most recently. pulmonary vascular engorgement has worsened, mild pulmonary edema is probably present. worsening consolidation in the right lower lobe could be dependent edema and atelectasis but raises concern for pneumonia, particularly due to aspiration. heart size is top-normal,...
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no acute cardiopulmonary process.