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MIMIC-CXR-JPG/2.0.0/files/p12916556/s50941641/82c91749-80bb235e-50b31eef-1af9d072-22b2e0c9.jpg
the tiny right apical pneumothorax seen previously has resolved. cardiomediastinal silhouette is within normal limits. there has been improved aeration at the left base however there remains some atelectasis. no definite consolidation are seen.
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comparison to. no relevant change. minimally increased lung volumes, likely reflecting improved ventilation. unchanged borderline size of the cardiac silhouette. the right lower lung opacity is constant. no pneumothorax. no pleural effusions.
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low lung volumes with patchy bibasilar airspace opacities, worrisome for pneumonia.
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cardiomegaly, mitral annular calcification. no signs of chf or pneumonia.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , on the final image there is a dopp off tube in place that is pointing upward to the fundus. the opaque tip is definitely beyond the cavoatrial junction. continued enlargement of the cardiac silhouette with pulmonary vascular congestion and left pleural effusion with volume loss in left...
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no acute cardiopulmonary abnormalities and no displaced rib fractures.
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comparison to. the right chest tubes and the esophageal drain are in stable position. decreased lung volume on the right with a mild right basilar atelectasis. the previous atelectasis in the retrocardiac lung area is improved. moderate cardiomegaly persists.
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in comparison with the study , the monitoring and support devices have been removed except for a right ij catheter that extends to the mid portion of the svc. patient has taken a better inspiration and there is improvement in the degree of pulmonary edema. probable continued small pleural effusions with compressive ba...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17129194/s57454625/7b002cea-94c89818-39634f0c-4fa790d4-f561c67a.jpg
tip of the endotracheal tube terminates <num> cm above the carina in appropriate position. likely interval improvement in right pleural effusion, though this could also be explained by upright patient positioning. persistent moderate cardiomegaly and mild vascular congestion.
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increase in the size of the right apical pneumothorax from the , <num> examination, however, significantly reduced from the <num> examination. these findings were communicated with dr via telephone by dr at am via telephone.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14284307/s59977848/5a8fa9a2-815005dd-63be562b-074a6e1c-e730ed78.jpg
mild to moderate pulmonary edema appears minimally increased from the prior examination on. small bilateral pleural effusions are also minimally increased. retrocardiac opacity may represent compressive atelectasis or infection in the appropriate clinical setting. no pneumothorax.
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substantial improvement in the left lower lobe component of multi focal pneumonia could be due to improving infection or more likely clearing of combination of atelectasis and asymmetric edema, since pneumonia in the right lung, both the mid and lower lung zones, has not improved. small right pleural effusion remains. ...
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pa and lateral chest compared to , when the patient had large left lower lobe pneumonia. today, the lungs are fully expanded, cardiomediastinal and hilar silhouettes and pleural surfaces are normal. i do not see any chest cage abnormality, but this study is not designed for detection of subtle rib lesions. if there are...
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no acute intrathoracic process.
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no evidence of acute abnormality.
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diffusely increased reticulation pattern. <num> mm nodule in the right apex. recommend ct for further evaluation of both findings.
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no acute cardiopulmonary abnormality. numerous punctate calcifications throughout the lungs remain unchanged, likely due to healed infection such as varicella.
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ap chest compared to on : right internal jugular line has been pulled back to the mid svc. et tube is in standard placement and a nasogastric tube passes below the diaphragm and out of view. pulmonary vascular engorgement has improved minimally, but there is still moderate right pleural effusion and severe bibasilar ...
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no acute cardiopulmonary process.
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et tube tip is <num> cm above the carinal. right internal jugular line tip at the level of lower svc. ng tube tip is in the stomach. cardiomediastinal silhouette is unchanged. left pleural effusion is mild to moderate. no interval increase in small right pleural effusion demonstrated. tubes and lines continue to overly...
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the right-sided central line, right-sided picc line, and feeding tube have been removed. heart size is prominent but unchanged. there has been improvement of the pulmonary edema. there are no pneumothoraces.
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new consolidation at the left lung base which could represent pneumonia or possibly infarction given the history of pe.
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no acute cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p17205507/s58151758/afe394a5-6dbbbab3-142e275a-9458b390-df4da40e.jpg
moderate cardiomegaly, interstitial edema, and bilateral pleural effusions consistent with congestive heart failure. diffuse heterogeneous increased density of the bones. recommend workup for bony abnormalities.
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moderate size right pleural effusion and associated atelectasis. superimposed consolidation cannot be excluded.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11225896/s57647928/405e6341-731d56f2-38a53c84-ca1d061a-c931bb78.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19429514/s51090762/066dd1b2-4f1ecbd4-8b5da299-0b97ce58-de5058d3.jpg
heart size and mediastinum are stable. lungs are essentially clear. there is no appreciable pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13383310/s56099757/b1cf89c0-aed4f746-80038cbc-08166822-cb4cf843.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11371885/s53093616/f163ddcb-b8ec8a7f-47320e35-2d5780ab-d85c7dae.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16178321/s58306903/a0e40be2-81617249-f6b40a62-dabb4a5f-9b399ace.jpg
no acute cardiopulmonary process.
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no pneumonia.
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no acute chest abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19243413/s57866432/5578ed58-12da4627-822d3022-37ca0552-69a592f2.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19169852/s54758474/d81671b5-2ea84d13-db6e9f3b-3d664a33-3a384f71.jpg
mild pulmonary edema is new from. chronic severe cardiomegaly
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no acute cardiopulmonary process. left basilar mass again noted.
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findings consistent with copd and probable pulmonary arterial hypertension. stable cardiac enlargement without evidence of congestive heart failure. possible small right upper lobe lung nodule, for which chest ct is recommended for confirmation and further characterization.
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normal chest x-ray.
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unremarkable chest radiograph.
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top normal heart size. chronic pleural thickening at the lateral right lung base.
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no acute cardiopulmonary process.
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post-treatment changes without definite superimposed acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14014950/s59106868/6e5ef5ce-9ec3480d-5e5b4ba7-c3ac0a14-cc5498ac.jpg
small to moderate left pleural effusion, decreased in size since the most recent prior study. resolution of right pleural effusion. no focal consolidation concerning for pneumonia.
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normal chest radiograph.
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previous mild pulmonary edema has cleared. small pleural effusions are residual. transvenous right atrial right ventricular pacer leads in standard placements. moderate cardiomegaly chronic. left lower paraspinal mass better evaluated by recent mr scanning. no pneumothorax or mediastinal widening associated with pacema...
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<num> chest radiographs and :<num>: care should be taken not to advance the tip of the newly placed endotracheal tube, <num> cm above the carina with the chin in neutral or elevation. esophageal drainage tube ends in the upper nondistended stomach. no pleural effusion or pneumothorax, left thoracostomy tube in place. ...
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left basilar atelectasis versus scarring, but no other acute cardiopulmonary process or evidence of failure.
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as compared to the previous radiograph, there is an increase in extent of the pre-existing left pleural effusion. the effusion now occupies approximately of the left hemi thorax. on the right, the effusion is unchanged. increasing extent of left atelectasis. the cardiac silhouette can no longer be completely delineate...
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in comparison with the study of , the monitoring and support devices are essentially unchanged. the basilar opacification in the retrocardiac region has substantially cleared with the left hemidiaphragm now much better seen. some continued increased opacification probably represents atelectasis, though in the appropria...
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heart size and mediastinum are stable. bibasal consolidations and bronchiectasis appear to be progressed since the prior study, concerning for interval out progression of infectious process. no evidence<num> of improvement is noted. left lower lobe nodular opacity might represent sequela of previous infectious process ...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process subacute, mild loss of height of multiple lower thoracic vertebral bodies of uncertain etiology.
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in comparison with the study of , there is little change in no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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no convincing evidence of pneumonia.
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mild cardiomegaly with possible small left pleural effusion. no overt signs of pneumonia or edema.
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moderate right pleural effusion reaccumulation and associated right basilar atelectasis. small left pleural effusion and mild cardiomegaly, unchanged. mild pulmonary edema increasing.
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no linear opacification projecting over left mid-lung is new and of unclear etiology, possibly representing bronchial occlusion (asthma, mucoid plug) or due to infarct. could be further evaluated with ct with consideration given to patient's renal status. discussed with dr at am on via telephone at time of discovery...
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no acute cardiopulmonary process.
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again seen hyperinflated lungs. no acute cardiopulmonary process.
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compared to chest radiographs at. lung volumes have increased. moderate right pleural effusion unchanged. extent of right lower lobe consolidation stable. left lower lobe peribronchial opacification has improved, probably due to atelectasis. heart size normal although the configuration suggests left atrial enlargement...
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subtle lingular opacity may be due to atelectasis versus subtle consolidation.
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no acute cardiopulmonary process.
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slightly worsened pulmonary edema since. no focal consolidation.
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no acute intrathoracic process. fracture of the left humeral neck partially imaged.
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a moderate right pleural effusion and small left pleural effusion are unchanged since examination. severe right middle lobe atelectasis is again demonstrated, better seen on the ct examination from. there are bilateral breast prostheses. there is no pneumothorax. a left-sided pacemaker and right-sided port-a-cath are ...
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no acute findings.
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as compared with previous radiograph from earlier the same date, a left retrocardiac opacity has increased in extent, likely corresponding to a combination of worsening effusion and adjacent atelectasis and/or consolidation. right basilar atelectasis has worsened in the interval and a possible small right pleural effus...
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a persistent opacity at the right lung base is moderately improved. this may represent improving aspiration or pneumonia. mild pulmonary edema is chronic.
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no acute cardiopulmonary process. dr these results with dr telephone on.
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no acute pulmonary process.
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in comparison to prior radiograph of <num> day earlier, lung volumes are lower with associated worsening bibasilar atelectasis. exam is otherwise remarkable for apparent worsening of a moderate left pleural effusion.
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new ett terminates <num> cm above the carina. new og tube terminates below the diaphragm.
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no acute cardiopulmonary process.
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moderate pulmonary edema.
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mild congestive heart failure.
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low lung volumes with small right pleural effusion and increased opacity in the right lower lung which may reflect atelectasis or pneumonia.
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no acute cardiopulmonary process.
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no features of pulmonary metastasis.
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no acute cardiopulmonary process. known bilateral pulmonary nodules are not clearly conspicuous on today's exam. please refer to prior ct report for followup recommendations.
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in comparison with the study of , patient has taken a better inspiration. again there is enlargement of the cardiac silhouette with some elevation in pulmonary venous pressure. no evidence of acute focal pneumonia. vascular stenting is seen in the right upper zone.
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<num>) no acute cardiopulmonary process with low lung volumes. <num>) trachea slightly deviated to the left compared to the prior study. correlation with physical examination of the thyroid is recommended.
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no interval progression of likely still present but tiny left apical pneumothorax.
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satisfactorily positioned endotracheal tube. retrocardiac opacification, likely atelectasis. advancement of the orogastric tube by <num> cm is recommended for better positioning.
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no acute cardiopulmonary process.
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in comparison with the study of , there is little interval change. the tiny right apical pneumothorax cannot be assessed due to the chin of the patient overlying the region. extensive coronary artery calcification is seen on the lateral view.
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normal heart lungs hila mediastinum and pleural surfaces. region of peripheral basal consolidation and pleural effusion in the left chest are not visible on this single frontal view.
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in comparison with the study of , the monitoring and support devices are unchanged. right superior mediastinal prominence is again seen related to gastric pull-through surgery. persistent right effusion with postsurgical and atelectatic changes at the base. the left lung is essentially clear.
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no displaced fracture, however, if clinical concern for fracture persists of the ribs, suggest dedicated rib series, which is more sensitive. persistent severe enlargement of the cardiac silhouette and small bilateral pleural effusions.
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mild pulmonary edema with small bilateral pleural effusions.
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right-sided pic line terminates in the mid svc.
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no acute changes.
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right central venous dialysis catheters end in the region of the superior cavoatrial junction. no pneumothorax pleural effusion or mediastinal widening. lungs clear. heart size normal.
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in comparison with the study of , there has been substantial decrease in the degree of pulmonary vascular congestion and bilateral pleural effusions cardiac silhouette is less prominent. of incidental note is several old healed rib fractures on the left.
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allowing for market patient rotation, there has not been an appreciable change in the appearance of the chest since the recent study performed earlier the same date.
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no acute findings in the chest.
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no evidence of acute cardiopulmonary process.