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MIMIC-CXR-JPG/2.0.0/files/p10316898/s50842753/625f33a0-cbcbb060-70f4d41b-ba1812ec-fe8cc9ce.jpg
new free intraperitoneal air, consistent with history of bso today. no pulmonary edema.
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minimal increase in size of small bilateral pleural effusions.
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no acute cardiopulmonary abnormality.
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bilateral small pleural effusions with associated bibasilar subsegmental atelectasis. no focal consolidation or pneumothorax. mildly hyperinflated lungs.
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compared to chest radiographs through. combination of atelectasis and residual pleural effusion or thickening in the right hemi thorax has not changed appreciably since , with a basal and an apical thoracostomy tube in place. moderate left lower lobe atelectasis and small left pleural effusion have not changed. upper ...
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no acute cardiopulmonary process.
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there is a dual lead left-sided pacemaker with lead tips projecting over the right atrium and right ventricle. there is tortuosity and calcifications of the thoracic aorta, stable. there is some elevation of the left hemidiaphragm similar to prior. no focal consolidation is seen. there is atelectasis at the lung bases....
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no acute cardiopulmonary process. apparent, bibasilar nodular opacities could reflect known, subcentimeter pulmonary nodules or nipple shadows. recommend ct follow-up per prior recommendations. recommendation(s): apparent, bibasilar nodular opacities could reflect known, subcentimeter pulmonary nodules or nipple shadow...
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in comparison with study of , there again is enlargement of the cardiac silhouette that is exaggerated by pectus deformity of the lower sternum. there is mild indistinctness of pulmonary vessels, consistent with mild elevation of pulmonary venous pressure. no acute focal pneumonia or pleural effusion.
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ap chest compared to , : severe infiltrative pulmonary abnormality has been stable in the right lung for several days. left lung has improved. precise nature of this abnormality is unclear to me. it is not due to cardiogenic edema since heart is normal size and there is no mediastinal vascular engorgement. series of th...
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no evidence of infection or malignancy.
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ap chest read in conjunction with chest ct on : the upper enteric tube passes well into the stomach. course of the tube suggests the stomach is enlarged. small bilateral pleural effusions, left greater than right, are unchanged. a wedge of consolidation in the right lower lung, is not contiguous with the diaphragmatic ...
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as compared to the previous radiograph, the left pleural effusion is unchanged. minimally increasing atelectasis at the right lung bases. otherwise unchanged appearance of the lung parenchyma, the heart and the monitoring and support devices.
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no acute cardiopulmonary abnormality.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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compared to. mild cardiomegaly is new. pulmonary, mediastinal, and hilar vasculature is normal, lungs are clear and there is no pleural effusion.
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subtle left mid to lower lung opacity compatible with left lower lobe pneumonia in the proper clinical setting.
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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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bibasilar atelectasis. no focal contusion, effusion, or pneumothorax detected. no obvious rib fracture is identified. if clinical suspicion for rib fracture remains high and additional imaging is desired, then dedicated rib radiographs could help for further assessment.
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as compared to the prior study of <num> day earlier, widespread bilateral airspace opacities have substantially worsened, and involve the left lung to a slightly greater degree than the right. these findings are superimposed on underlying areas of septal thickening. the rapid evolution of these findings over several da...
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no evidence of acute cardiopulmonary process.
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previous left lower lobe pneumonia has resolved. lungs are well expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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left lower lung linear opacity, compatible with atelectasis.
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heart size and mediastinum are stable. bibasal areas of atelectasis are noted. minimal amount of right apical pneumothorax is currently present. but no overall abnormality to explain patient's symptoms seemed
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no focal pneumonia.
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in comparison with the study of , there is a moderate right and probably small left pleural effusion. continued substantial enlargement of the cardiac silhouette without appreciable vascular congestion, a discordance that suggests underlying cardiomyopathy or even pericardial effusion. there is pacemaker with single le...
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focal opacity in the lingula which could be compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution (if treatment indicated) otherwise, ct scan can be considered.
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no acute cardiopulmonary process.
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no significant interval change since the prior examination.
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possible new lung nodules, hilar and mediastinal lymphadenopathy. chest ct scan recommended. no evidence of pneumonia. updated results telephoned to dr by at , , <num> minutes after discovery.
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in comparison with the study of , the cardiac silhouette is still enlarged though less prominent, possibly reflecting the pa rather than ap view. similarly, the degree of pulmonary vascular congestion has substantially decreased, which could also partly be a manifestation of the more erect position of the patient. no e...
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as compared to , no relevant change is seen. device for vertebral stabilization. no hilar or mediastinal lymphadenopathy. normal size of the heart. no pleural effusions. no pulmonary edema.
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no definite pneumothorax after chest tube removal.
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feeding tube with the wire stylet in place ends in the upper stomach. lungs clear. heart size normal. no pleural abnormality.
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no acute cardiopulmonary process.
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stable cardiomegaly. no radiographic evidence of fluid overload or pneumonia.
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given interstitial disease, it is difficult to rule out lower lobe pneumonia but clear appearance of the hemidiaphragms support a lack of pneumonia process. otherwise, no acute cardiopulmonary process.
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patchy bibasilar opacities may reflect atelectasis.
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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. no pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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comparison to. moderate cardiomegaly persists. elongation of the descending aorta. widening of the diameter of the pulmonary arteries. chronic pulmonary edema is mild to moderate in severity but less severe than on.
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interval increase in density and size of both hila is suggestive of recurrence of lymph node enlargement. subtle changes in density of the lungs is suggestive of interstitial abnormality, which would need to be assessed by ct. recommendation(s): recommend ct for evaluation of possible interstitial abnormality.
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no acute intrathoracic process.
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no evidence of acute disease.
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the dobbhoff feeding tube is seen coursing down into the stomach and then courses back up into the upper esophagus where the tip is positioned. removal with an attempt at repositioning of the dobbhoff feeding tube would be advised at this time. the endotracheal tube remains in place and the tip is difficult to identify...
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no definite acute cardiopulmonary process.
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increased cardiomegaly and mild pulmonary edema
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in comparison with the earlier study of this date, the monitoring and support devices have been removed except for the right ij catheter that extends to the lower portion of the svc. following chest tube removal there is no evidence of pneumothorax. continued enlargement of the cardiac silhouette with basilar opacifica...
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no acute findings.
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widespread opacities throughout the lungs has not substantially changed can be a combination of pulmonary edema and or pneumonia. daily change and relatives asymmetry favors edema
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focal opacity in right lower lung, could be pneumonia or other opportunistic infection. recommend follow-up ct scan for further characterization. moderate cardiomegaly and small right pleural effusion without overt pulmonary edema. dr findings with dr telephone at pm on.
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possible lingular pneumonia.
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no pneumonia.
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new hd catheter in place. prominent perihilar vascular markings with subtle nodularity in the left upper lobe requiring ct on a nonemergent basis to further assess. small left pleural effusion with basal atelectasis.
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heart size and mediastinum are stable. there is interval increase in right pleural effusion. the widespread consolidation in the right lower lobe has progressed in the interim. extensive subcutaneous air is still present in the upper chest and neck and right lateral chest but improved since the previous study. no defin...
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moderate size right hydropneumothorax without definite signs of tension.
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as compared to the previous radiograph, the patient has received the new right internal jugular vein catheter. the tip of the catheter projects over the mid svc. there is no pneumothorax or other complication. otherwise unchanged normal appearance of the lung parenchyma and the cardiac silhouette.
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normal radiographs of the chest.
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cardiomegaly, small pleural effusions, congestion with mild pulmonary edema.
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compared to prior chest radiographs, through at. right pic line is still looped in the right brachiocephalic vein. widespread infiltrative pulmonary abnormality has improved, reflecting a decrease in the component of edema. heart size is normal. pleural effusions are presumed but not large. no pneumothorax. et tube i...
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process or esophageal distension.
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patchy opacities in lung bases may reflect atelectasis, but infection or aspiration cannot be excluded in the correct clinical setting.
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no acute cardiopulmonary abnormality.
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no rib fractures identified. no acute intrathoracic process. of note, chest radiographs are not sensitive for the detection of nondisplaced rib fractures.
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no acute cardiopulmonary process.
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resolving multifocal consolidation.
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heart size and mediastinum are stable. lung volumes are low. bilateral linear opacities representing new areas of atelectasis. no focal consolidations to suggest infection demonstrated. no pneumothorax is seen. no definitive pneumonia is present.
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no acute intrathoracic process.
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no displaced rib fracture or pneumothorax. note, chest radiography is not sensitive for the detection of subtle or nondisplaced fractures. dedicated rib detailed views could be obtained if this is of clinical concern. clear lungs without focal consolidation.
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comparison to. moderate increase in extent of a known left pleural effusion. the left chest tube is in unchanged position. new right port placement. the tip of the device projects over the right atrium. no complications, notably no pneumothorax.
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no acute intra thoracic abnormality. no displaced rib fracture identified. dedicated rib films with radiopaque marker at the site of clinical concern can be considered.
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satisfactory position of right picc line and left chest wall port catheter. no evidence of pneumonia.
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mild left base atelectasis. otherwise no acute cardiopulmonary process. no definite free air beneath the diaphragms.
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substantial interval increase in right pleural effusion has been demonstrated as well as presence of the subcutaneous air: findings highly concerning for hemothorax.
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in comparison with the study of , there is little change. there is substantial elevation of the right hemidiaphragmatic contour, but no evidence of pneumonia, vascular congestion, or pleural effusion. specifically, no evidence of hilar adenopathy or interstitial prominence to radiographically suggest sarcoidosis.
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no acute findings in the chest. unchanged position of pacer.
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substantial progression of pulmonary abnormality since. overwhelming likelihood is the patient has disseminated malignancy, responsible for rapidly growing global central adenopathy and large pulmonary masses. the rapid progression over one months time suggests lymphoma or metastatic anaplastic histology. the worsening...
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nasoenteric catheter in a distended stomach left picc in unchanged position, likely within the mid left subclavian vein. no other significant change from recent prior
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stable exam from outside hospital study performed earlier today with diffuse airspace opacities concerning for pneumonia.
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left picc line tip is at the level of mid svc. dobbhoff tube passes below the diaphragm terminating in the stomach. right internal jugular line tip is at the level of lower svc. heart size mediastinum are stable in appearance. widespread parenchymal consolidations are overall unchanged since the prior study.
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in comparison with the study of , the monitoring and support devices are essentially unchanged. cardiac silhouette remains at the upper limits of normal or mildly enlarged and there is moderate pulmonary edema. bilateral pleural effusions, more prominent on the right, with associated volume loss in the left lower lungs...
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no acute cardiopulmonary abnormality. unchanged moderate cardiomegaly.
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stable cardiomegaly. no signs of pneumonia or pulmonary edema.
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resolution of the bilateral opacities with continued severe enlargement of the cardiac silhouette. differential includes cardiomyopathy and pericardial effusion.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, no relevant change is seen. the monitoring and support devices are constant. no pneumonia, no pulmonary edema, no pleural effusions.
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no evidence of acute heart failure.
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no acute cardiopulmonary process.
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lower lung volumes. perihilar opacities could be explained by atelectasis and crowding although superimposed vascular congestion or aspiration are difficult to exclude.
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no evidence of acute cardiopulmonary disease.
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compared to chest radiographs through. left pigtail drainage catheter is been removed. there is no pneumothorax. small left pleural effusion is slightly smaller. small right pleural effusion unchanged. no focal pulmonary abnormality. heart size normal.
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in comparison with the study of , the cardiac silhouette remains at the upper limits of normal in size without appreciable vascular congestion. again there is increased opacification at the left base, which could reflect merely atelectasis and pleural effusion. however, in the appropriate clinical setting, superimposed...
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left upper zone opacity is more prominent on today's study and may represent radiation change (correlate with clinical history) or infectious process in the correct clinical setting.
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new small pneumothorax at the right lung apex.
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compared to chest radiographs. moderate right pleural effusion and mild atelectasis and severe left lower lobe atelectasis and small left pleural effusion unchanged. right apical pneumothorax is minimal if any. no left pneumothorax. midline and right pleural drainage catheters in place. heart size normal. no mediastina...