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MIMIC-CXR-JPG/2.0.0/files/p11257850/s57142772/351c686f-75466931-dc5220ea-dd4acdd4-4ac1ff05.jpg
right ij central line in the proximal right atrium. possible air fluid level at the left lung base, raising possibility of hydropneumothorax versus pleural effusion and flattened hemidiaphragm. two-view chest x-ray suggested to further characterize.
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worsening left lower lobe consolidation and atelectasis. stable cardiomegaly with no evidence of failure.
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no acute cardiopulmonary process.
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right base opacity, worrisome for pneumonia. recommend followup to resolution.
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no acute cardiopulmonary process. no pneumothorax identified.
MIMIC-CXR-JPG/2.0.0/files/p13497389/s57935001/9cb24eb5-d722fd6c-330acb0d-21528e92-98d35aa7.jpg
no acute cardiopulmonary process.
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decreased size of moderate right pleural effusion status post thoracentesis.
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little change compared to prior study with unchanged left apical chest tube without pneumothorax.
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comparison to. no relevant change. moderate scoliosis with subsequent asymmetry of the ribcage. calcified granuloma in the right lung apex. normal size of the cardiac silhouette. mild elongation of the descending aorta. no pneumonia, no pulmonary edema, no pleural effusions. no free intra-abdominal air.
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ap chest compared to : edema has improved since , but moderate right pleural effusion and presumed smaller left pleural effusion have worsened. cardiomegaly is still severe. opacification in the left lower lobe is probably new atelectasis. right pic line ends in the mid-to-low svc. no pneumothorax.
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no evidence of acute disease.
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mild overinflation, no pneumonia, no pulmonary edema. no lung nodules or masses. mild atelectasis at the right lung bases.
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no acute cardiopulmonary process.
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low lung volumes with right lung opacity laterally potentially atelectasis although clinical correlation is suggested regarding possibility of infection. otherwise no evidence of acute cardiopulmonary process.
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increased opacity in the retrocardiac region on the lateral view likely localizing to the left. this could represent atelectasis given lower lung volume however developing consolidation from infection could be considered in the appropriate clinical setting.
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elevated left hemidiaphragm in conjunction with most likely present large hiatal hernia is suspected. atelectasis in the left lower lobe was present. left lateral lung still does not include to the field of view. the left lower lobe opacity might in fact represent a combination of large hiatal hernia with minimal a adj...
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slightly decreased edema with bibasilar atelectasis and newly evident right midlung opacity which may reflect a developing pneumonia. finding was discussed by phone with dr by dr at on.
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right internal jugular line tip is at the level of mid svc. heart size and mediastinum are stable. left chest tube has been discontinued. atelectasis versus hematoma is present at the left lung base. small left apical pneumothorax is most likely new.
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moderate cardiomegaly. mild pulmonary vascular congestion, but no overt edema.
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right basilar pigtail catheter remains in place and there is near-complete resolution of layering right effusion with interval improvement in aeration at the right base where there is now only streaky linear opacities likely reflecting residual atelectasis. left lung remains clear. no pneumothorax is seen. a small tria...
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clear lungs.
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no acute intrathoracic process. please correlate with subsequent ct to further assess.
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small amount of pneumomediastinum, which is not unexpected post-operatively. stable appearance of the right upper lobe nodule, better evaluated on the recent pet-ct.
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no evidence of acute cardiopulmonary process.
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low lung volumes. mild pulmonary edema.
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as compared to the previous radiograph, the swan-ganz catheter and the mediastinal drains have been removed. there is no larger pneumothorax and no pleural effusions. minimal increase in severity of the platelike atelectasis in the mid left lung. substantial cardiomegaly persists.
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no acute cardiopulmonary process. no radiographic evidence for pulmonary tuberculosis.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10398616/s55815856/40272eae-0225cdaf-d6eb6c85-675ec850-2e2408c4.jpg
compared to chest radiographs since , most recently in. small region of previous consolidation in the lingula has cleared, consistent with resolution of pneumonia. lungs are fully expanded and clear. heart size normal. no mediastinal or hilar adenopathy. no pleural effusion.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19611311/s55723722/05385b67-0762bbc2-dc6acdee-16a4266d-a43cf0e1.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11297482/s57807744/17ccdb86-d46719f0-bfb85f80-0b354d48-837b7a52.jpg
no acute cardiopulmonary process.
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exam was obtained to assess for tube placement, which was reportedly not placed prior to this examination. appearance of the chest is otherwise remarkable for shift in distribution of pulmonary edema to the upper and mid lungs possibly coexisting with infectious pneumonia. small left pleural effusion is apparently new...
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no evidence of free air. no acute cardiopulmonary process.
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increasing opacification of the left base, likely due to a combination of a stable pleural effusion and increasing atelectasis. these abnormalities are better characterized on the subsequent ct.
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there are bibasilar parenchymal opacities likely representative of chronic scarring. there is a small retrosternal nodule. follow up with ct is recommended. left pulmonary artery appears prominent suggestive of pulmonary artery hypertension or pulmonic stenosis.
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persistent bilateral pleural effusions, with associated bibasilar atelectasis. no evidence of pneumonia.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15629679/s54328574/3db23fda-8d64b5e9-43aa7067-47010b02-641042c5.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18550805/s52961915/cb394b99-6479d2c4-503e08fa-0f6539c7-16d854b0.jpg
no acute cardiopulmonary process. the left hilum is midly enlarged, likely due to lymph nodes. correlation with prior imaging is recommended to see if this is a new finding that warrants further characterization or not. otherwise, a repeat radiograph in <num> months is recommended.
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no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p13575070/s51875592/884e4a91-4cb6f962-362bb391-f098dc01-d5c871e8.jpg
no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, there is a further improvement in extent and severity of the pre-existing right lung opacities. the opacities are barely visible on today's radiograph. the patient has been extubated. borderline size of the cardiac silhouette. the dobbhoff catheter is in unchanged position.
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severe cardiomegaly is stable. pulmonary edema has markedly improved. bilateral effusions are small larger on the left side associated with improving adjacent atelectasis. there is no pneumothorax. ng tube tip is out of view below the diaphragm. left subclavian catheter tip is in the lower svc.
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severe lung hyperinflation is consistent with emphysema. asymmetric thickening of the right, greater than left, apical margins is present. at the very least, the patient should be evaluated for any associated symptoms, such as neuropathy or shoulder pain.
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ap chest compared to : previous mediastinal venous and pulmonary vascular congestion, with mild edema present on , has resolved and not recurred. pleural effusions are minimal, if any. heart size is normal. right jugular line ends at the origin of the svc. no pneumothorax.
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no acute cardiac or pulmonary findings.
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appropriately positioned right arm picc line. no acute intrathoracic process.
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right-sided pneumothorax with concern for possible underlying tension. this finding was discussed with dr on via telephone at approximately
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no acute cardiopulmonary abnormality.
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mild pulmonary vascular congestion without frank interstitial edema. trace left-sided effusion.
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no significant interval changes with persistent left lower lobe atelectasis and small left pleural effusion.
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heart size is normal. prominence of the main pulmonary artery might be consistent with pulmonary hypertension. pacemaker defibrillator leads in the right atrium right ventricle and was transthoracic approach to left ventricle are unchanged. lungs are clear. there is no pleural effusion. there is no pneumothorax. there ...
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no acute cardiopulmonary abnormality.
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normal postoperative appearance following diaphragmatic repair. left hemidiaphragm is in a physiologic location. left lower lobe atelectasis is mild. no left pneumothorax or appreciable pleural effusion. normal cardiomediastinal silhouette. right lung base is elevated, probably because of atelectasis. et tube in standa...
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normal chest.
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pa and lateral chest compared to : hyperinflation reflecting copd is severe. i see no focal pulmonary abnormality or indication of cardiac decompensation. the heart is normal size. pulmonary vasculature is not engorged. there is no edema or pleural effusion, and no consolidation to suggest pneumonia.
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mild pulmonary edema, but improved significantly from.
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as compared to the previous radiograph from earlier the same date, an endotracheal tube now terminates <num> cm above the carinal and could be withdrawn a few cm for standard positioning. nasogastric tube terminates in the region of the gastroduodenal junction. cardiomediastinal contours are stable. lungs are remarkabl...
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normal chest radiographs.
MIMIC-CXR-JPG/2.0.0/files/p12497126/s53158612/5ba4ba31-e8534d90-8c583ebb-fbc3b929-ea577b74.jpg
no evidence of pneumonia. bronchial wall thickening, which can be seen in the setting of bronchitis.
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no acute cardiopulmonary process.
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large right and small left pleural effusions with adjacent atelectasis. right perihilar opacity may represent asymmetrical edema, although aspiration and developing infectious pneumonia are additional considerations. standard pa and lateral chest radiographs would be helpful for complete assessment of this finding when...
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no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p17847069/s50456108/9fe5bdc9-06cd1ecc-b8df0b45-93064728-2dc46bb0.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14858066/s55383429/43262a79-c04f8e39-24727658-e9d8c48b-ad4ec6fc.jpg
no acute cardiopulmonary process.
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low lung volumes and likely bibasilar atelectasis. no definite evidence of acute cardiopulmonary process.
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hiatal hernia. no acute cardiopulmonary process.
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compared to chest radiographs through. tracheostomy tube midline. left pic line ends in the right brachiocephalic vein. no pneumothorax. substantial left lower lobe atelectasis persists, accompanied by at least small left pleural effusion. no pneumothorax. supine positioning exaggerates moderate cardiomegaly and media...
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16113989/s53597721/9f80dbca-0484e8f3-7e3bf755-425e4327-227205c3.jpg
no acute intrathoracic process.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary disease.
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interval improvement in the previous interstitial pulmonary fibrosis. no findings to suggest active pulmonary tb.
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mild bibasilar atelectasis. minimal blunting of the left costophrenic angle suggests a trace left pleural effusion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process. no free air.
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no signs of acute or chronic cardiopulmonary process.
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no significant interval change. persistent small left pleural effusion and atelectasis.
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progression of previously identified pleural effusion, no new acute pulmonary parenchymal infiltrates and no chf.
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compared to chest radiographs since , most recently. right upper and lower lobe consolidation have improved consistent with resolving pneumonia. moderate cardiomegaly stable. left lower lobe partially obscured. left upper lobe normal. pleural effusion small if any. no pneumothorax.
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interval development of right upper lobe consolidation since yesterday's exam compatible with pneumonia in the proper clinical setting.
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no acute intrathoracic process
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comparison to. the nasogastric tube was removed. normal lung volumes. normal size of the cardiac silhouette. normal appearance of the hilar and mediastinal structures.
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no acute intrathoracic abnormality.
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increased retrocardiac and left lung base opacification, likely secondary to atelectasis; however, an infectious process cannot be excluded. slight interval increase in a chronic small right pleural effusion and mild right basilar atelectasis.
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there is improved aeration of the left lung as compared to the earlier study. there is no pneumothorax. there is persistent opacification at the left mid and lower lung zones suggesting persistent atelectasis and effusion. there may be persistent mucous plugging and should be correlated with any recent bronchoscopy fin...
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endotracheal tube tip is <num> cm above the carina. nasogastric tube tip is in the stomach. right central line tip is in the svc right atrial junction. there is no pneumothorax. there is slight decrease in the bilateral basal consolidation. there are no new areas of consolidation present. there is no chf.
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in comparison with the study , the degree of pulmonary vascular congestion has decreased. some of this may merely reflect the erect pa rather than supine portable position. the hazy opacification seen at the bases with poor definition of the hemidiaphragms has decreased. however, on the lateral view there is still evi...
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large area of opacity involving the right middle and lower lobes, worrisome for pneumonia. patient has known right perihilar mass and findings may represent combination of pneumonia and perihilar mass.
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moderate size hiatal hernia. otherwise no acute cardiopulmonary abnormality.
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the nasoenteric tube terminates in the stomach.
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no acute cardiopulmonary process.
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compared to chest radiographs through :<num>. diffuse somewhat asymmetric infiltrative pulmonary abnormality has definitely improved compared to earlier in the day. pleural effusion is small if any. no pneumothorax. heart size normal. mild engorgement mediastinal veins unchanged. left pic line ends in the low svc.
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ett ends <num> cm above the carina, could be advanced by about <num>cm for optimal position.
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the patient's mandible obscures the apices. there continues to be bilateral diffuse interstitial abnormality which more likely is a chronic finding given the interval improvement in the appearance of the chest suggesting resolved pulmonary and interstitial edema. however, an acute atypical pneumonia cannot be entirely ...
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subtle opacity in the right base may represent pulmonary vascular crowding due to low lung volumes. in the right clinical setting, an early pneumonia in this region cannot be excluded.
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normal chest radiograph.
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no acute cardiopulmonary abnormality. moderate-sized hiatal hernia.