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MIMIC-CXR-JPG/2.0.0/files/p13597481/s50988420/b07dba15-a7740afd-d370eafe-c7dcdfe3-0649b3bc.jpg
no focal infiltrate.
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ill-defined opacities within the left upper lobe and left lung base are unchanged from previous radiograph, and likely worse or new compared to the most recent chest ct. this could be due to an infectious etiology or cryptogenic organizing pneumonia, given that ground-glass opacities have been seen on prior chest cts i...
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no right apical pneumothorax status post removal of right chest tube. small bilateral effusions seen posteriorly. left lower lobe collapse and/or consolidation, slightly worse. doubt but cannot entirely exclude a tiny left apical pneumothorax. attention to this area on followup films is requested.
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no evidence of acute cardiopulmonary abnormalities.
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limited exam with poor inspiratory effort with no visualized free intraperitoneal air.
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ap chest compared to : pulmonary vascular congestion, mediastinal venous caliber have increased and mild interstitial edema may be present in the lung bases. findings do not suggest pneumonia. although heart size has not increased, cardiac decompensation should be considered as well. tip of the endotracheal tube is clo...
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no acute intrathoracic process.
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no acute intrathoracic abnormalities identified.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , the costophrenic angles are not well seen posteriorly, suggesting small pleural effusions. continued enlargement of the cardiac silhouette without definite vascular congestion or acute focal pneumonia. on the lateral view, the hemidiaphragms are now sharply seen and no evidence of acut...
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interval decrease of left pleural effusion status post chest tube placement. no pneumothorax. this study was reviewed with dr , radiologist.
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hyperinflation. no evidence of acute disease.
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mild bibasilar atelectasis. no definite signs of pneumonia.
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bilateral diffuse dense opacities have worsened, the differential still includes severe pulmonary edema and ards. lines and tubes are in unchanged standard position. cardiomediastinal silhouette is obscured by the lung abnormalities. there is no pneumothorax
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no radiographic evidence for acute cardiopulmonary process.
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no evidence of pleural effusion or 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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small left pleural effusion with adjacent left basilar opacity, possibly reflecting compressive atelectasis though infection is not excluded.
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minimal left base atelectasis appears slightly improved since the prior study. otherwise, no acute cardiopulmonary process.
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there continues to be a large left pleural effusion which inhibits the ability to assess for underlying parenchymal infiltrate. there continues to be volume loss in the right lower lobe and right middle lobe
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significant interval enlargement of the right-sided pleural effusion which is now large.
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baseline cardiac size with minimal pulmonary vascular engorgement, but no frank interstitial edema. faint opacity at the right lung base may represent atelectasis or early consolidation.
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no evidence of acute cardiopulmonary disease.
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no focal consolidation or edema.
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no significant interval change given differences in lung volumes. low lung volumes without definite focal consolidation. persistent top-normal to mild enlargement of the cardiac silhouette.
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in comparison with the study of , there appears to be some progressive decrease in opacification consistent with improving pulmonary vascular status. again, in the appropriate clinical setting it would be difficult to exclude superimposed pneumonia. retrocardiac opacification is consistent with some volume loss in the ...
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possible minor lingular atelectasis. otherwise, no acute cardiopulmonary process.
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moderate congestive heart failure with moderate interstitial pulmonary edema and small bilateral pleural effusions.
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no acute cardiopulmonary process.
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the feeding tube has been removed. there is unchanged evidence of the large right pleural effusion, occupying approximately percent of the right hemi thorax. the left heart border and the left lung are unchanged.
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severe cardiomegaly.
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improved mild pulmonary vascular congestion and patchy ill-defined opacities in both lungs compatible with resolving infection. no new focal consolidation, effusion, or pneumothorax.
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heart size and mediastinum are stable. right basal consolidation is even more conspicuous than on the prior study. left basal consolidation has progressed. findings are concerning for development of bibasal infection. no pulmonary edema is currently seen. postsurgical changes in the right hemi thorax are overall stable...
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minimal right pleural effusion and atelectasis. no focal consolidation convincing for pneumonia.
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no acute cardiopulmonary process.
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right pleural effusion is moderate, unchanged. right mediastinal shift is unchanged due to at least partial right lower lobe atelectasis. left pleural effusion is small. cardiomegaly is unchanged. there is interval improvement in pulmonary edema.
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radiodensities projecting over the right lung base appear to be extrapulmonary. clinical correlation is recommended. no focal consolidation is seen.
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no evidence of pneumonia. known malignancy not really appreciated
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nasogastric tube seen coursing below the diaphragm with the tip not identified. right internal jugular central line is unchanged in position. there is interval improvement but residual mild pulmonary edema. patchy bibasilar opacities more likely reflect atelectasis in the setting of small layering effusions, left great...
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mild right basilar atelectasis. deformity of the right lateral <num>th rib likely reflects a pathologic fracture through a known osseous metastasis, and appears unchanged.
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mild pulmonary vascular congestion. widened right paratracheal stripe, which could reflect tortuous vessels, lymphadenopathy or an enlarged right lobe of the thyroid. this could be further assessed with ct on a non-emergent basis.
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compared to chest radiographs and second. previous right upper lobe collapse has not recurred, but there is new peribronchial opacification in the right lower lobe this could be atelectasis but is concerning for aspiration and secondary pneumonia. mild pulmonary edema is new. heart size top-normal has increased. yeste...
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moderate to severe centrilobular emphysema. no acute cardiothoracic process. predominantly upper lobe interstitial disease, previously exaggerated by edema.
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in comparison with the study of , there is increasing opacification at both bases, consistent with worsening pleural effusion and volume loss in the lower lungs. in the appropriate clinical setting, it would be extremely difficult to exclude the possibility of superimposed pneumonia. hemodialysis catheter extends to th...
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lung hyperinflation with flattening of bilateral hemidiaphragms is consistent with emphysema. bi-apical pleural thickening and diffuse bilateral linear opacities are better characterized on ct chest performed on the same date.
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right middle lobe pneumonia.
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normal chest x-ray.
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unchanged moderate pulmonary edema. decreased moderate left pleural effusion. unchanged left lower lobe atelectasis. left picc terminates at the right atrium. to terminate within the svc, the line would need to be withdrawn at least <num> cm. the initial findings were discussed by dr with dr telephone at the time of...
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there continue to be patchy areas of atelectasis in both lower lungs. there is a small left effusion has increased compared to the prior study. there is no mediastinal air to suggest esophageal perforation. the picc line is unchanged.
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persistent small right subpulmonic pleural effusion with adjacent right middle lobe relaxation atelectasis, mildly improved in comparison to. no pneumothorax.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary process. mild asymmetrical enlargement of the left hilum. recommend comparison with prior examinations. if unavailable, recommend <num> month radiographic follow up.
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no acute cardiopulmonary process.
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in comparison with the study of , the left picc line has been pulled back to the axillary region. streaks of atelectasis are again seen at the bases and there is some asymmetric elevation of pulmonary venous pressure, especially on the right. the dobhoff tube coils in the fundus of the stomach in extends to the distal ...
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no acute cardiopulmonary process.
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mild-to-moderate cardiomegaly. streaky left upper lobe opacity likely scarring in the setting of old pneumonia. mild central hilar congestion.
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no pneumothorax. old right lower rib deformity. please refer to concurrently performed rib series for evaluation of acute rib fracture.
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compared to chest radiographs through at :. since , pulmonary vasculature, mediastinal veins, and heart size, though still normal, have all increased, and there has probably been any increase in small left pleural effusion. a new region of triangular opacification at the periphery of the left lower lobe laterally cou...
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no evidence of acute cardiopulmonary process.
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et tube <num> cm from the carina. mild hyperexpansion of the lungs. this preliminary report was reviewed with dr , radiologist.
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as compared to previous radiograph of <num> days earlier, pulmonary edema has in approved in severity and a small to moderate left pleural effusion has slightly decreased in size with associated improving adjacent left basilar atelectasis or consolidation. left hilar mass is again demonstrated as well as left bronchial...
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no radiographic evidence of acute cardiopulmonary process.
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no relevant change as compared to the previous radiograph. moderate left and small right pleural effusion with subsequent areas of atelectasis at the lung bases. moderate cardiomegaly. no new focal parenchymal opacities suggestive of pneumonia. the monitoring and support devices are constant.
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significant improvement in left lower lobe pneumonia since. no new focal consolidations are noted.
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compared to prior study from , left upper lobe nodular lesion has grown in size and is more solid appearing, re-emphasizing the concern for adenocarcinoma. this nodule absolutely requires biopsy. no acute pneumonia.
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the right central line is unchanged. there is no evidence of chf. there is no pneumothorax or dense consolidation. there is stable cardiomegaly. the left pacer is unchanged in position.
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no acute intrathoracic abnormalities.
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appropriate placement of dobbhoff tube in the stomach.
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dobbhoff tube in stomach
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as compared to the previous image, there is unchanged moderate interstitial and alveolar pulmonary edema. no pleural effusions. atelectasis in the retrocardiac lung areas. in the interval, the patient has been extubated and the nasogastric tube has been removed. also removed is the right internal jugular vein catheter....
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. mild to moderate anterior wedging of a lower thoracic vertebral body new since , of indeterminate age, but likely present on mri from.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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normal study.
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no acute cardiopulmonary abnormality.
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no evidence of pneumonia.
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in comparison with the study of , there has been virtually complete clearing of the right upper and lower lobe pneumonia. there may be minimal residual or fibrotic healing in the right upper lobe. otherwise the examination is within normal limits.
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no acute cardiothoracic pathology.
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no pneumonia or other acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. no evidence of displaced rib fracture. note, chest radiography is not sensitive for the detection of subtle or nondisplaced rib fractures. if clinically suspected, recommend dedicated rib radiographs with marker over site of focal pain.
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no evidence of free air. the previously seen right medial basal parenchymal opacity with possibly air bronchograms is smaller. if further assessment is warranted, a pa and lateral films can be done.
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no evidence of acute cardiopulmonary process. slight left tracheal indentation. findings may relate to an enlarged left thyroid gland and correlation with physical exam is recommended.
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ill-defined patchy opacity in the right lung base is concerning for pneumonia. please note that hemorrhage cannot be excluded. ct of the chest with contrast should be considered for further evaluation.
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no relevant change as compared to the previous image. constant position of the left pigtail catheter. constant extent of a small left pleural effusion with subsequent retrocardiac atelectasis and elevation of the left hemidiaphragm. unchanged appearance of the heart and of the right lung.
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interval improvement in right infrahilar opacity since the prior study. background moderate pulmonary edema and mild cardiomegaly are similar.
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no evidence of acute cardiopulmonary disease.
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for moderate right pleural effusion has recurred since following removal of the right pleural drain. the pleural fluid partially obscures the right lung base and exaggerates the severity of basal atelectasis or consolidation. moderate enlargement of the cardiac silhouette has developed since and in addition to severe...
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pa and lateral chest compared to : lung volumes have improved. lungs are essentially clear, aside from very large calcified granulomas in the right lung apex. there is no evidence of intrathoracic malignancy or infection. heart size normal. mild enlargement of the thoracic aorta is longstanding. no pleural effusion.
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findings most suggestive of mild pulmonary edema.
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no evidence of acute cardiopulmonary abnormalities.
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no acute displaced rib fracture is detected. if there is clinical concern, a dedicated left rib series is recommended with a bb placed over the site of the patient's pain.
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no acute cardiopulmonary process.
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moderate to severe enlargement of cardiac silhouette has worsened consistent with progressive cardiomegaly and/or pericardial effusion. mediastinal veins are mildly widened, and the pulmonary vasculature is engorged. pleural effusions small if any. no pneumothorax. recommendation(s): distinguished clinically between ca...
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mild cardiomegaly. mild retrocardiac atelectasis. otherwise, unremarkable.
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bibasilar opacities are similar to prior and was better evaluated on the prior ct chest which showed mild nsip fibrosis.
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cardiomegaly, pulmonary edema and bilateral pleural effusions.
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no acute cardiopulmonary process.
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no pneumonia.
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findings suggestive of bronchiectasis in the right mid lung, a chest ct can be obtained for confirmation. no evidence of pneumonia.