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MIMIC-CXR-JPG/2.0.0/files/p11296766/s53857472/8e5ac2f3-5fd8d5c5-137fb27a-4992a33b-796844ed.jpg
interval increase in bilateral interstitial edema and pulmonary vascular congestion, likely related to further cardiac decompensation.
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heart size is prominent but stable. there are calcifications of the thoracic aorta. there are very low lung volumes. there is atelectasis at the lung bases. there is a left retrocardiac opacity. there is prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema. no pneumothoraces are seen.
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unchanged minimal left apical pneumothorax. unchanged right lower lung/cardiophrenic angle airspace consolidation, possibly sequela of aspiration or pneumonia, or possibly crowding of normal vascular structures. stable small left pleural effusion and unchanged adjacent left lower lobe atelectasis.
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somewhat limited examination due to patient positioning. patient's mandible obscures the apices. lung volumes remain dramatically diminished and the right hemidiaphragm remains elevated. visualized lungs demonstrate streaky opacities, predominantly at the right base suggestive of atelectasis. left axillary pacemaker is...
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right lower lobe pneumonia. interval removal of the endotracheal tube and enteric tube.
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increased aeration in the right mid to lower lung zone with a persisting more confluent opacity peripherally in the right mid lung zone. diffusely increased interstitial markings throughout both lungs.
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left pleural effusion appears to be slightly decreased as compared to the prior study although it might be reflected. the due to lordotic projection on the current radiograph, still present at least moderate amount. right pleural effusion is most likely present, minimal. vascular congestion is noted, minimal. no pneumo...
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no acute cardiopulmonary process
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mild pulmonary vascular congestion. no evidence of focal consolidation.
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small bilateral effusions with underlying collapse and/or consolidation. no significant change compared with.
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right basal consolidation concerning for pneumonia.
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compared to prior chest radiographs with through. there is no longer any appreciable right pneumothorax. is calcification right lower lung could be residual atelectasis but is concerning for pneumonia. small right pleural has posterior anterior components, unchanged since. heart size normal. atelectasis unchanged in l...
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no acute cardiopulmonary process.
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in comparison with the study of , there again are somewhat low lung volumes, but no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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there are no sign of active cardiopulmonary process, left picc ends in left axillary vein.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. left ventricular configuration of the heart could be further evaluated with an echocardiogram.
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pa and lateral chest compared to radiographs since , most recently : small right pleural effusion is intermediate in volume between the pre- and post-thoracentesis chest radiographs on. there is no left pleural effusion. lungs are hyperinflated, and the nodule and scar in the right mid lung have been present since at l...
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mild pulmonary vascular engorgement and bibasilar subsegmental atelectasis.
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right subclavian central line with its tip in the distal svc. tracheostomy tube remains in place. a feeding tube is seen coursing below the diaphragm with the tip not identified. there continues to be a diffuse bilateral airspace process with layering effusions which is not significantly changed. overall cardiac and me...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no significant interval change when compared to the prior study.
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no evidence of pneumothorax.
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no evidence of acute cardiopulmonary disease.
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normal postoperative appearance.
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in comparison with the study of , the cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. the atelectatic streaks at the left base is no longer visible.
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comparison to. the postoperative changes on the right, notably in the right paramediastinal areas, have substantially decreased in extent and severity. however, there is a new right pleural effusion. a <num> mm right apical pneumothorax is visualized. air collections in the right soft tissues are present. normal appear...
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no acute intrathoracic process.
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essentially unchanged, small left pleural effusion. no evidence for worsening hemothorax.
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pa and lateral chest compared to. this examination was not presented for review until morning,. pa and lateral chest compared to : what in retrospect is now recognizable as a moderate-to-large pneumothorax on is comparable in size today, but more readily visible. small right pleural effusion accompanies it. there is ...
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no evidence of volume overload
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stellate opacity inferior to right middle lobe scarring region of cyberknife previously evaluated with pet scanning (suggesting either recurrence or residual inflammation in treated area. ) no other opacities suggestive of pneumonia.
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in comparison with the study of , there is little overall change. cardiac silhouette is enlarged with left ventricular prominence. indistinctness of pulmonary vessels again is consistent with mild elevation in pulmonary venous pressure. monitoring support devices are essentially unchanged.
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borderline/mild cardiomegaly. no pulmonary edema. no focal lung consolidation.
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as compared to the previous radiograph, no relevant change is seen. mild overinflation. borderline size of the cardiac silhouette without pulmonary edema. mild bilateral apical thickening. no pleural effusions. no pneumonia, no pulmonary edema.
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no evidence of acute disease.
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no evidence of acute disease.
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persistent moderate pulmonary edema with cardiomegaly and enlargement of the pulmonary arteries, suggesting pulmonary arterial hypertension. right ij cvl tip in low svc. no pneumothorax. enteric feeding tube tip seen to the level of mid esophagus which may be artifactual due to overlying parenchymal abnormality. if con...
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the tip of the enteric tube extends to the ge junction and advancement is recommended. otherwise no significant interval change since the prior exam.
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no pulmonary edema. resolved small left pleural effusion. new rounded opacity in the right perihilar region and new <num> mm nodular opacity in the left upper lobe are new. recommend follow-up chest ct for further evaluation. recommendation(s): follow-up chest ct for further evaluation of new rounded opacity in the rig...
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no acute cardiopulmonary process. the heart is top normal in size.
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underinflated lungs with bibasilar atelectasis.
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tip of subclavian line in mid svc.
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no acute intrathoracic abnormality.
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nasogastric tube ends in the stomach, with the last side port below the ge junction. stomach continues to be extended. heart size and mediastinum are unchanged including mild cardiomegaly. minimal bibasal atelectasis is noted.
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new left upper lung and smaller right upper lung rounded opacity may be due to pneumonia, given the clinical history. however, malignancy cannot be excluded. repeat imaging to resolution in <num> weeks after treatment could be considered, or ct could be obtained for further followup.
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et tube should be withdrawn <num> cm, now at <num> cm from carina. ng tube is correctly positioned. the exam is otherwise unchanged with bilateral multifocal pneumonia. findings were reported to dr at by dr.
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cardiomegaly is substantial. large right pleural effusion is demonstrated that appears to be potentially minimally smaller than on the previous examination although it might be related to different patient positioning. left lung is clear. there is no pneumothorax.
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in comparison with the study of , the cardiac silhouette is within normal limits and the pulmonary vasculature is only mildly engorged. any regions of consolidation are improved and there are atelectatic changes in the retrocardiac region. small bilateral effusions are seen.
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no acute cardiopulmonary process. no evidence of free air.
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as compared to chest radiograph, lung volumes are slightly lower with associated crowding of the bronchovascular structures. diffuse reticular and nodular opacities may be due to pulmonary edema in the setting of history of volume overload, but atypical pneumonia and widespread aspiration could produce a similar radio...
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ap chest compared to : right upper lobe remains airless with consolidation and tumor. mild pulmonary edema has worsened generally, there has been an increase in the volume of left pleural effusion, now small to moderate, despite the indwelling left basal pleural drain. moderate subpulmonic right pleural effusion has al...
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no acute cardiopulmonary abnormalities
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interval increase of right-sided pleural effusion.
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postsurgical changes involving the right hemithorax as described above.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , there is little interval change. hyperexpansion of the lungs is again seen with port-a-cath extending to the mid to lower portion of the svc. specifically, no evidence of acute focal pneumonia or vascular congestion.
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no evidence of injury.
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ap chest compared to through : left hemidiaphragm is chronically elevated. irregular opacification at the base of the left lung is also longstanding finding. in the left lung projecting over the third anterior rib is a region of irregular peribronchial infiltration. this is the only finding to suggest active infection...
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minimal right basilar opacity, likely reflecting atelectasis. if clinical suspicion for infection persists, short-term followup pa and lateral radiographs would be helpful for more complete evaluation of this region.
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no acute cardiopulmonary process.
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moderate-to-severe cardiomegaly, mild vascular congestion.
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interval slight worsening of pulmonary edema or pneumonia superimposed on chronic lung disease.
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in comparison with the study of , the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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in comparison with the study of , there is little change in the appearance of the pacer and leads, which again extend to the right atrium and apex of the right ventricle. port-a-cath is unchanged. the cardiac silhouette is within normal limits and there is no vascular congestion or acute focal pneumonia.
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comparison to. no relevant change is noted. low lung volumes. stable monitoring and support devices. mild cardiomegaly with mild fluid overload but no overt pulmonary edema. mild atelectasis at the left lung basis is stable. , md, phd
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linear scarring or atelectasis at the left lung base, unchanged since. lungs otherwise clear. heart size top-normal, increased since and , but pulmonary vasculature is normal and there is no edema. normal mediastinal and hilar contours and pleural surfaces.
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linear retrocardiac opacity potentially atelectasis however possibly pneumonia in proper clinical setting.
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no acute cardiopulmonary abnormality.
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in comparison to chest radiograph, cardiomegaly is accompanied by pulmonary vascular congestion with decrease in extent of pulmonary edema and pleural effusions. a new confluent opacity in the right upper lobe could be due to asymmetrical edema, aspiration, or developing infectious pneumonia. , md =
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no acute cardiopulmonary abnormality.
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no evidence of pneumonia.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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coarse markings bilaterally and diffusely within the lungs appear to been present on prior study. cardiomegaly with central vascular engorgement and mild pulmonary edema.
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normal chest radiographs.
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orogastric tube terminates in the stomach. low lung volumes. left costophrenic angle is not clearly visualized, could be secondary to atelectasis, pleural effusion or also secondary to patient's positioning and overlying soft tissues.
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in comparison with the study of , there is now a dobhoff tube that extends at least to the upper body of the stomach, were crosses the lower margin of the image. there is been full expansion of the right lung with no evidence of pneumothorax. little change in the cardiac silhouette and the midline sternal wires are int...
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no acute cardiopulmonary process.
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removal of nasogastric tube. endotracheal tube remains in standard position. considering low lung volumes, cardiomediastinal contours are stable in appearance. pulmonary vascular congestion and mild pulmonary edema are present, as well as at layering of pleural effusions, moderate on the left and small on the right.
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unremarkable chest radiographic examination. no evidence of radiopaque foreign object.
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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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compared to prior chest radiographs, through. lungs are low in volume but clear. right basal atelectasis is improving. low lung volumes exaggerate cardiomediastinal caliber. heart is top-normal size. mediastinal veins may be chronically dilated or the mediastinum may be widened with fat deposition. with the chin down,...
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moderate cardiomegaly and mild pulmonary edema. deep position of right atrial pacing lead, which may be at the level of the tricuspid valve or right ventricle. these findings were reported to dr by dr by phone at on.
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interval increase in large right effusion. aerated lung is not visible at the right lung apex suggesting air in the pleural space. clinical correlation is recommended.
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low lung volumes without focal consolidation.
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unchanged location of <num> endobronchial valves. severe emphysema with bibasilar atelectasis and/or scarring.
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findings suggesting mild interstitial pulmonary edema along with mild cardiomegaly and linear atelectasis at the left lung base. no evidence of acute pneumonia or pneumothorax.
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slight interval increase in hazy opacification of the left lung and right upper lung most likely representing increased pulmonary interstitial edema. widespread infectious process is possible in the proper clinical circumstances, but thought to be less likely.
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normal chest.
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interval progression of the patient's interstitial lung disease. no focal opacity to suggest pneumonia. large hiatal hernia. results were discussed with at dr office at on via telephone by dr at the time the findings were discovered.
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marked cardiomegaly, increased from prior, underlying cardiomyopathy or pericardial effusion may be present. no definite evidence of pulmonary edema, as clinically questioned.
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resolved opacities in the left mid lung. the lungs are clear.
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no acute cardiopulmonary process. hyperinflation of the lungs possibly due to copd.
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findings consistent with known obstructive lung disease. equivocal lingular pneumonia. recommend follow-up chest radiograph in weeks to assess resolution.
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in comparison with study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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in comparison with the study of , there again are low lung volumes with diffuse bilateral pulmonary opacifications most likely consistent with widespread pneumonia. some element of elevated pulmonary venous pressure cannot be excluded. little change in the appearance of the port-a-cath.