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MIMIC-CXR-JPG/2.0.0/files/p10417000/s57720134/e6f6629f-454c79c3-289a00a8-51669f28-6d7fa2a5.jpg
the lung apices are not included on this study limiting observation. there is no definite pneumothorax or pneumomediastinum. there is subcutaneous emphysema on the left as on the earlier study. extensive postoperative changes are present. there is a left chest tube and mediastinal drains are present. endotracheal tube ...
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normal chest.
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compared to the chest radiographs since , most recently. lung volumes are lower, making it difficult to exclude mild interstitial edema, but i think the lungs are probably clear. heart size is normal. pleural effusion minimal if any. no evidence of pneumothorax. transvenous right ventricular pacer defibrillator lead un...
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interval placement of a fiducial marker over the known mass in the left upper lobe. no pneumothorax.
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as compared to the previous radiograph, no relevant change is seen. the pleural effusion and the rib associated opacities on the right are constant in appearance. normal appearance of the left lung. normal size of the cardiac silhouette. mild elongation of the descending aorta. the course of the feeding tube is constan...
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no acute cardiopulmonary abnormality. mild gaseous distention of the bowel loops of bowel.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19894323/s52296799/f0ec396a-14fc8923-765aeb3e-dbb49bbd-464c4e29.jpg
right chest subcutaneous port with catheter tip in the mid svc is stable from prior.
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no evidence of tb.
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as compared to chest radiograph, the patient has been extubated. cardiomediastinal contours are stable, and pulmonary edema has nearly resolved in the interval with minimal residual interstitial edema remaining. pleural effusions have nearly resolved. bibasilar opacities are improved on the left and slightly worse on ...
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right lower lobe collapse, for which chest ct is recommended to further assess.
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no evidence of acute disease. borderline cardiomegaly.
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mild cardiomegaly without radiographic evidence for acute cardiopulmonary process.
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new moderate left pleural effusion.
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comparison to. moderate cardiomegaly persists. small left pleural effusion with left basilar atelectasis. no pulmonary edema. no pneumonia. stable position of the right internal jugular vein catheter.
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pa and lateral chest compared to : previous pulmonary edema has not recurred, nor is the pulmonary vasculature engorged, although the mediastinal veins are slightly larger than before. small bilateral pleural effusions, left greater than right and moderate cardiomegaly are stable. no pneumothorax. left internal jugular...
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no acute cardiopulmonary process.
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in comparison with the study of , the patient has taken a better inspiration. stable elevation of the right hemidiaphragmatic contour with mild effusion. the postoperative prominence of the right mediastinum is less than on the previous study. the left lung remains clear.
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mild basilar atelectasis, cardiomegaly, otherwise unremarkable.
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no previous images. the cardiac silhouette is enlarged and there is some increase in pulmonary venous pressure. prominent layering pleural effusions bilaterally, worse on the left, with compressive basilar atelectasis. in view of the extensive pulmonary changes, it is impossible to exclude the possibility of superimpos...
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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possible subtle increase in right perihilar opacities as well as increased conspicuity of increased interstitial markings on the right representing lymphangitic spread of disease.
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mild aeration and edema of the left lung is unchanged since the examination.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. resolution of left pleural effusion.
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extensive alveolar opacities with improved aeration in the upper lungs may reflect resolving aspiration, cardiogenic pulmonary edema, or noncardiogenic pulmonary edema.
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mild interval decreased consolidation in the left lung. reviewed with dr.
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patchy bibasilar airspace opacities, likely atelectasis. infection cannot be excluded in the correct clinical setting.
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no acute intrathoracic process.
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mildly progressed edema since the most recent comparison.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, there is further progression. there is now subcu total opacification of the left hemi thorax with signs of volume loss. the stent in the left main bronchus is still visualized. only a small apical lateral zone of lung parenchyma is still ventilated in the left lung. on the right,...
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no evidence of acute cardiopulmonary disease. large hiatal hernia including mild distention and an air-fluid level. although this may be incidental to the clinical presentation, the possibility that this may relate to symptoms could be considered depending on clinical circumstances.
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nasogastric tube with the tip and sideports in the stomach.
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interval decrease in size of the pleural effusion since prior, without definite acute cardiopulmonary process.
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persistent right lower lobe opacity suggests aspiration or infection. no new focal consolidation concerning for pneumonia. stable dilated ascending aorta.
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no acute intrathoracic process.
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some improvement of pulmonary edema. no new abnormalities.
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small-to-moderate bilateral pleural effusions, increased since exam. mild-to-moderate cardiomegaly. mild pulmonary edema. retrocardiac consolidation, likely atelectasis or infection in the appropriate clinical setting.
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in comparison to radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and new left perihilar haziness. latter may reflect asymmetrical edema or a secondary process such as aspiration or infection. left retrocardiac opacification and adjacent small left pleural effusion have slightly improved. no ot...
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et tube terminates <num> cm above the carina, similar to prior.
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left pleural effusion is small to moderate, unchanged. left basal atelectasis is unchanged. no new consolidations demonstrated. after right thoracocentesis there is no evidence of pneumothorax. and no appreciable right pleural effusion is currently seen
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no acute cardiopulmonary abnormality.
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mild hyperexpansion of the lungs which are otherwise clear. there is no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18032181/s50292613/9d8257e7-d7896df2-cfe065fe-945f878c-8cc2968b.jpg
interval placement of a left pigtail, very medial in position, with improvement in the left apical pneumothorax. new left lower lobe atelectasis and small bilateral pleural effusions.
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no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12921789/s57033637/8837bba1-23ca796d-ee0778c7-693e7846-ba76ca8f.jpg
no evidence of acute cardiopulmonary process.
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interval placement endotracheal tube, terminating <num> cm above the carinal. this could be advanced a few cm for standard positioning. further improvement in left basilar atelectasis with persistent adjacent small pleural effusion.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. dilatation of the ascending and descending aorta is again seen. cardiac silhouette remains within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
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in comparison with the study of , there is continued left pleural effusion with compressive basilar atelectasis and the development of right pleural effusion with similar compressive atelectasis at the bases. cardiac silhouette remains within upper limits of normal in size. no vascular congestion or definite focal cons...
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no acute cardiopulmonary process.
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subpleural interstitial abnormalities and volume loss, new since. these changes are concerning for pulmonary fibrosis. recommend a high resolution ct of the chest for further characterization. these results were entered into the critical results communication dashboard on by dr.
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no acute intrathoracic process.
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bibasilar atelectasis. changes at the left base are slightly more pronounced than on. the possibility of an early infiltrate or area of aspiration is in the differential. upper zone redistribution, without overt chf. this is likely accentuated by low inspiratory volumes.
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there is hyperinflation. there is no pneumothorax, effusion, consolidation or chf.
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no acute intrathoracic abnormality.
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stable chest findings, no significant interval change since. no suspicious findings for amiodarone toxicity.
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well circumscribed opacity in the retrocardiac region likely reflects distended lower esophagus with retained food or a hiatal hernia. no evidence of pneumonia. updated results telephoned to dr by at am, , <num> minutes after discovery.
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no acute cardiopulmonary process. mild cardiomegaly.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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ap chest compared to : widespread pulmonary opacification has not changed appreciably since. how much of this is pneumonia and how much pulmonary edema is radiographically indeterminate. sparing of the right upper lobe is probably due to emphysema. small right pleural effusion and mild cardiomegaly persists.
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no acute cardiopulmonary process.
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severe emphysema. enlarged hila bilaterally suggestive of pulmonary arterial hypertension. patchy opacities at the lung bases likely reflect atelectasis, though infection cannot be excluded in the correct clinical setting.
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in comparison with the study of , the tip of the endotracheal tube now measures about <num> cm above the carina. the right ij catheter extends to the upper right atrium. dobhoff tube extends at least to the lower body of the stomach where it crosses below the lower margin of image. the tip of the esophageal temperature...
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mild central pulmonary vascular congestion.
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unchanged exam with left chest tube tip located superior to small left loculated pleural effusion. communicated these findings via telephone to dr at on.
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recurrent small to moderate left pleural effusion with probable left basilar atelectasis
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moderate pulmonary edema, increased from prior with moderate bilateral pleural effusions.
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no acute cardiopulmonary process.
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mild pulmonary edema, severe left lower lobe atelectasis and right lower lobe consolidation or atelectasis are unchanged since most recent prior study. esophageal drainage tube ends at the gastroesophageal junction, would need to be advanced at least <num> cm to move all side ports into the stomach. lateral aspect of t...
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increasing mid perihilar and central airspace opacities consistent with worsening pulmonary edema, although multifocal pneumonia remains a possibility. the tip of a new endotracheal tube projects at the level of the clavicular heads, <num> cm from the carina.
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no acute cardiopulmonary process.
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dobbhoff tube was originally in the upper esophagus and repositioned into the stomach. no acute cardiopulmonary process.
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ap chest compared to : endotracheal tube is no less than <num> cm from the carina, terminating at the thoracic inlet. previous asymmetric pulmonary edema and left upper lobe atelectasis have improved, but moderate cardiomegaly and severe vascular widening of the mediastinum have not. right jugular line ends close to th...
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no edema or focal pneumonia.
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trace left pleural effusion, decreased compared to the prior study, with overlying atelectasis. no overt pulmonary edema.
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patchy left base opacity may be due to combination of atelectasis and overlying vascular structures but pneumonia is not excluded in the appropriate clinical setting.
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ap chest compared to : vascular congestion, mild interstitial abnormality, increased heart size suggest heart failure, but no focal consolidation or pneumonia. pleural effusions are presumed, but not substantial. transvenous right atrial biventricular pacer defibrillator leads in standard placements. no pneumothorax.
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in comparison with the study of , there are lower lung volumes. the cardiac silhouette remains within normal limits and there is no definite vascular congestion or acute focal pneumonia. there is blunting of the left costophrenic angle, which could reflect some pleural fluid. mild basilar atelectatic changes are seen.
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possible right lower lobe pneumonia. increase in heart size, left pleural effusion, mild left-sided edema and vascular congestion all point to cardiac decompensation. if abnormality in the left mid lung fails to clear with treatment of heart failure, then a lymphangitic tumor extension should be considered.
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as compared to chest radiograph, a nasogastric tube is been placed, terminating in the proximal stomach. a right external jugular vascular catheter is in place, as discussed with dr. new left retrocardiac opacification is likely due to acute left lower lobe atelectasis accompanied by a small left pleural effusion.
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mild left basilar atelectasis. no pneumonia.
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normal chest radiographs.
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no acute intrathoracic process.
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the iabp has been advanced and is now beyond the transverse portion of the aortic arch approximately <num> cm, near the origin of the lsca.
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small left pleural effusion with bibasilar atelectasis and low lung volumes.
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comparison to. no relevant change is noted. lower lung volumes cause crowding of the vascular and bronchial structures at the lung bases. stable retrocardiac and right basilar atelectasis. moderate cardiomegaly with mild fluid overload persists. no overt pulmonary edema. no larger pleural effusions. stable monitoring a...
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no acute cardiopulmonary process.
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diffuse prominent interstitial markings associated with known bronchiectasis reflected as chronic background interstitial opacification. multifocal patchy opacities, concerning for superimposed pneumonia.
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no acute cardiopulmonary abnormalities
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no new consolidation to suggest pneumonia. right pleural effusion and adjacent basilar atelectasis.
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increased interstitial markings since , consistent with known interstitial lung disease demonstrated on previous ct. it is difficult to assess for acute pneumonia or failure in setting of known extensive pulmonary changes.
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possible very minimal interstitial edema. otherwise, no significant interval change.
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band-like opacity in the left lower lobe could represent an early pneumonia or atelectasis.
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no acute cardiopulmonary process.