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MIMIC-CXR-JPG/2.0.0/files/p16207116/s50567744/6be56468-6845cd3b-d26cbe52-69a73b05-069760cf.jpg
previous pleural effusions have nearly resolved. mild cardiomegaly is chronic
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known rib and sternal fracture. several skin folds are visualized but there is no evidence for the presence of a pneumothorax. mild overinflation. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pleural effusions. no pneumonia. no pulmonary edema.
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no acute cardiopulmonary process.
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small bilateral pleural effusions are unchanged since the radiograph. there is no pneumothorax. the upper mediastinal contours are unchanged since the radiograph. moderate bibasilar atelectasis is again demonstrated.
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no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pneumothorax, no pleural effusions. no pulmonary edema.
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left base atelectasis. blunting of the left costophrenic angle, trace pleural effusion not excluded. underlying consolidation difficult to exclude. no pneumothorax seen.
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mild cardiomegaly with possible mild pulmonary edema. mediastinum appears normal.
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no acute cardiopulmonary process.
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bibasilar atelectasis, otherwise unremarkable.
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no acute cardiopulmonary process. unchanged elevation of the right hemidiaphragm.
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hyperinflated, but clear lungs.
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mild to moderate cardiomegaly with mild pulmonary vascular congestion. no displaced fractures are evident. if there is continued concern for rib fracture, consider a dedicated rib series.
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interval resolution of pulmonary edema. small bilateral pleural effusions, left greater than right, with interval decrease in the left pleural effusion over the past <num> days. probable bibasilar atelectasis, unchanged over the past week.
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bronchial inflammation but no evidence of pneumonia.
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as compared to radiograph, left pleurx catheter remains in place, and a right pleurx catheter has apparently been removed. very small left apical pneumothorax is present, as well as a moderate left pleural effusion which has increased in size from the prior exam. large right pleural effusion has also increased in size...
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cardiomegaly is substantial, unchanged. aortic valve has below replaced. mediastinum is stable. lungs are essentially clear. bibasal linear areas of atelectasis are noted. no pneumothorax.
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similar appearance of left-sided porta catheter.
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in comparison to prior radiograph of <num> day earlier, lung volumes are lower, likely accentuating previously reported perihilar edema and bibasilar areas of consolidation and/or atelectasis. no new or definitively worsening opacities are evident within this limitation,.
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no acute cardiopulmonary process.
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no relevant change since the previous radiograph. minimal pleural thickening at the level of the right costophrenic sinus. minimal bolus change at the lateral aspect of the upper right lateral subpleural lung. postoperative right rib defect of the posterior fifth rib. normal appearance of the cardiac silhouette. the le...
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ap chest compared to : right transjugular central venous infusion port ends in the upper-to-mid svc. no pneumothorax, pleural effusion or mediastinal widening. heart size top normal. lungs grossly clear. lobulation of the right hilus may reflect distention by large thrombi. central adenopathy in mediastinum is not appr...
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no acute intrathoracic process.
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mild pulmonary vascular congestion. distended air-filled stomach and large amount of stool in the colon. correlate with abdominal symptoms.
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stable left lower lung opacification, with loculated left pleural effusion. nodular opacity overlying the right lower lung likely represents a nipple shadow, however if confirmation of this is needed, repeat views can be obtained with a nipple marker.
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the left-sided picc line is unchanged in position with the distal lead tip in the distal svc. heart size is within normal limits. there is again seen enlargement of the left main pulmonary artery consistent with known pulmonary hypertension as seen on the chest ct. there is some atelectasis at the left lung base, stab...
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compared to chest radiographs through. new transesophageal drainage tube ends in the upper portion of a moderately distended stomach. lungs essentially clear. no pleural abnormality. heart size top-normal. left subclavian line ends in the low svc.
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no acute cardiopulmonary process.
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stable interstitial prominence, likely chronic vascular congestion. no acute cardiopulmonary process.
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no acute cardiopulmonary process. note that a dedicated rib series with a radiopaque marker at the site of pain is more sensitive for rib fractures.
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et tube below the clavicles. recommend repeat film to better assess position. bibasilar opacities which may be atelectasis; however, infection cannot be excluded. possible small left pleural effusion
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no acute cardiopulmonary abnormality.
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although widespread bronchogenic infection has worsened generally since , discrete, more severe consolidation in the left lower lobe is probably pneumonia. small bilateral pleural effusions are unchanged. the heart is normal size. et tube is in standard placement. upper esophageal drainage tube ends in the upper portio...
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increased right lung collapse with increased right pneumothorax and mediastinal shift to the right.
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stable left lower lobe opacification when compared with study.
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as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly, retrocardiac atelectasis, approximately <num> cm broad pleural effusion, better appreciated on the decubitus view. no pulmonary edema. no pneumonia. right central venous access line in situ.
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no acute cardiopulmonary process.
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bilateral pleural effusions with overlying atelectasis. similar appearance to prior study.
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as compared to the previous radiograph, the soft tissue air accumulation in both the cervical lung regions and the right chest wall has slightly decreased. the appearance of the lung parenchyma, including the bilateral areas of atelectasis, the small right pleural effusion as well as the minimal basal apical blood flow...
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ventriculopleural shunt appears in unchanged position. small left effusion is likely related to shunt.
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bibasilar airspace opacities likely reflect atelectasis, although superimposed infection is difficult to exclude. moderate cardiomegaly and mild central pulmonary vascular congestion.
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no interstitial edema. improved lung volumes and aeration of the lung bases.
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in comparison with the study of , the cardiac silhouette is enlarged and there is increasing pulmonary vascular congestion with bilateral pleural effusions and compressive basilar atelectasis.
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feeding tube tip is in the mid stomach.
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as compared to the previous radiograph, the nasogastric tube was repositioned. the tube now a shows a normal course, the tip is not included on the image. unchanged position of the endotracheal tube. moderate cardiomegaly, bilateral parenchymal opacities are constant in extent and severity. no pneumothorax.
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left lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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pulmonary edema likely secondary to decompensated congestive heart failure. underlying pneumonia cannot be excluded. if there is continued clinical concern for infection, consider re-imaging after optimization of fluid status.
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no acute cardiopulmonary abnormality.
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mild improvement in opacity at the right base; similar appearance of right pleural effusion with indwelling pleural catheters.
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no radiographic evidence of pneumonia.
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normal chest x-ray.
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hyperinflation and diminished vascularity indicates severe emphysema. regions of reticulation and ring shadows in the right mid lung zone have been present since but are more pronounced now. this could be due to localized fibrosis or bronchiectasis. any recent chest ct scanning should be obtained to see if there is an...
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small bilateral effusions. no pulmonary edema or pneumothorax
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since the prior study there has been interval increase in left pleural effusion, moderate to large. cardiomediastinal silhouette is unchanged. right pleural effusion might potentially be present although note substantial. a large hiatal hernia is partially imaged. right basal atelectasis is noted. no pneumothorax is se...
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comparison to. of the chest tube removal, there is no evidence for the presence of a pneumothorax. the pre-existing pulmonary edema has cleared. the patient has been extubated and the nasogastric tube was removed. no new parenchymal opacities. moderate retrocardiac atelectasis.
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in comparison with the study of , there is little change in the appearance of the nasogastric tube, which terminates in the proximal stomach. the side port is at or just distal to the esophagogastric junction. otherwise, there is little change in the enlargement of the cardiac silhouette with diffuse bilateral pulmonar...
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no acute cardiopulmonary process.
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findings suggest pulmonary vascular congestion and cardiomegaly. left greater than right basilar opacities could be atelectasis although infection or aspiration are not excluded. metallic densities, projecting over the left hilum, location indeterminate. apparent jewelry projects over the upper abdomen to be correlated...
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heart size and mediastinum are stable. right pigtail catheter is in place. there is small right apical pneumothorax. there is also small right basal pneumothorax. left lung is clear.
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severe cardiomegaly, unchanged compared to multiple priors. slight decrease in extent of pulmonary edema. moderate left pleural effusion, unchanged compared to prior study.
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no acute cardiopulmonary abnormality.
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limited assessment of the thoracic spine is grossly unremarkable. if there is ongoing concern for thoracic compression fracture, recommend dedicated radiographs or ct of the thoracic spine. recommendation(s): limited assessment of the thoracic spine is grossly unremarkable. if there is ongoing clinical suspicion for th...
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no acute injuries including no pneumothorax and no definite rib fracture. if strong clinical concern for rib fracture, dedicated rib series may be performed to further assess.
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comparison to. there is no relevant change. stable monitoring and support devices. stable platelike atelectasis at the right lung bases. no pleural effusions. no pneumonia, no pulmonary edema.
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minimally changed compared to the prior radiograph of without evidence of pneumonia or pulmonary edema.
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clear lungs. interval removal of the gastric tube.
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patchy bibasilar atelectasis. enlargement of the hila bilaterally compatible with the history of pulmonary arterial hypertension. minimal patchy right basilar opacity could reflect atelectasis. infection is not excluded in the correct clinical setting.
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increased medial right base opacity, compatible with aspiration or infection.
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no acute cardiopulmonary process.
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picc line tip distal to the cavoatrial junction, overlying the right atrium, but unchanged. clinical correlation requested regarding positioning. cardiomegaly and mild pulmonary edema. lung volumes are slightly low and the possibility of subtle interval increase in chf findings cannot be excluded. layering left pleural...
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ap chest compared to , read in conjunction with images of the lower chest on a torso ct, : moderate cardiomegaly is chronic. extended vessels in the right hilus account for greater opacity in the right lower lung, but there is no generalized pulmonary vascular congestion or edema. pleural effusion is minimal if any. no...
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in comparison with the study of , there is little change in the appearance of the right subclavian picc line, which extends to the mid portion of the svc. no evidence of acute cardiopulmonary disease.
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in comparison with the study of , initial film shows the dobbhoff tube in the lower esophagus. however, the final study shows the tube coiled in the fundus
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no evidence of acute cardiopulmonary disease.
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improved left lower lung aeration. unchanged moderate cardiomegaly.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the patient is extubated. the left picc line is in unchanged position. mild atelectasis in the retrocardiac lung area has completely resolved. no pneumonia, no pulmonary edema, known pleural effusions. better seen than on the previous radiograph is a healing fracture at the later...
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limited exam without definite acute cardiopulmonary process.
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no focal consolidation or pleural effusion. right tunneled catheter terminates in the right atrium.
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moderate to large right pleural effusion with overlying atelectasis, underlying consolidation is not excluded. persistently enlarged cardiac silhouette.
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worsening bilateral lower lung pneumonia. findings were reported to by by telephone at on after initial and attending radiologist review of the study.
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right internal jugular cordis terminates at the region of the confluence of the brachiocephalic veins. no large pneumothorax is detected on this supine exam. worsening mild pulmonary edema.
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in comparison with the study of , there is an placement of a dobbhoff tube which, on the final image, is in the mid body of the stomach. allowing for the ap supine position, there is probably little overall change in the appearance of the heart and lungs. no evidence of acute pneumonia
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patchy bibasilar airspace opacities concerning for pneumonia or aspiration.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormalities
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no acute cardiopulmonary processes, expected positioning of left pectoral pacemaker.
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widespread infiltrative pulmonary abnormality which improved on positive pressure , increased with less positive pressure on , is approximately this an in severity and distribution today. heart is normal size. pleural effusions are small if any. lines and tubes in standard placements. no pneumothorax.
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lungs clear. heart size normal. no pleural abnormality or evidence of central lymph node enlargement. vascular clips are present in the right axilla and on the right chest wall. the reasonable explanation would be prior right mastectomy, axillary node dissection and breast reconstruction.
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no acute cardiopulmonary process.
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low lung volumes with prominence of the cardiac silhouette and bronchovascular crowding. persistent opacity of the right lower lobe, consistent with fibrosis and volume loss seen on the ct from the same day.
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as compared to , no relevant change is seen. the lung parenchyma has increased in radiolucency. no new focal parenchymal opacities have appeared. no evidence of pneumonia. no pulmonary edema, no pleural effusions. resolution of a small platelike atelectasis at the right lung basis.
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no acute cardiopulmonary process.
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concern for nondisplaced fractures of the lateral right eighth and possibly right ninth ribs. no pneumothorax or pleural effusion seen.
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the patient has been extubated with removal of the swan-ganz catheter and ng tube. mediastinal drains are in place. bilateral chest tubes are in place. no definitive pneumothorax is seen. right internal jugular line tip is at the level of superior svc. no appreciable pulmonary edema.
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no acute findings in the chest.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary process. stable mild cardiomegaly.
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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. port-a-cath extends to the mid portion of the svc.
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no acute cardiopulmonary process. persistent cardiomegaly and hiatal hernia.
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worsening pulmonary edema with focal opacity in left upper lobe concerning for pneumonia. these findings were discussed with with dr by dr telephone at <num>pm.