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MIMIC-CXR-JPG/2.0.0/files/p10639500/s53443093/84dc9a70-63e0c717-4b6c53c2-bc215fac-77d73055.jpg
unchanged inappropriate position of right-sided picc, coursing into the right neck and extending out of view.
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mild bibasilar atelectasis.
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ap chest compared to : interstitial pulmonary edema, has changed in distribution, milder in the right lung, more pronounced in the left. hyperinflation reflects copd. heart size normal. small left pleural effusion is likely. left subclavian line ends in the svc. upper enteric drainage tube ends in non-distended stomach...
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right lower lobe consolidation concerning for pneumonia. small right pleural effusion. cardiomegaly with hilar congestion.
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no acute cardiopulmonary process.
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right upper lobe collapse. right pleural effusion small if any. left lung, right middle and lower lobes essentially clear. right upper paraspinal hematoma, small right apical pneumothorax and the full extent of chest cage trauma better demonstrated on the concurrent chest cta, reported separately. tip of the endotrache...
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in comparison with the study of , there are lower lung volumes. again there is substantial enlargement of the cardiac silhouette with elevation of pulmonary venous pressure and bilateral pleural effusions with underlying volume loss at in the lower lungs. the picc line is unchanged.
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ap chest compared to , : nasogastric tube still ends in the upper stomach and would need to be advanced <num> cm to move all the side ports beyond the ge junction. moderate pulmonary edema has improved. moderate bilateral pleural effusions are still in place. right pic line ends in the mid svc. the heart is moderately ...
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ng tube terminates below the diaphragm. stable pulmonary vascular congestion and adjacent atelectasis.
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in comparison with the study of , the patient has taken a much smaller inspiration. the left ij catheter extends to the level of the cavoatrial junction. nasogastric tube extends to the antrum of the stomach. no evidence of acute pneumonia or vascular congestion. mild atelectatic streaks are seen at the left base later...
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no radiographic evidence of acute cardiopulmonary disease. findings consistent with known pulmonary fibrosis.
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no acute cardiopulmonary process.
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no evidence of acute disease. better aeration at the left lung base.
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no acute intrathoracic abnormalities. top-normal heart size.
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no acute cardiopulmonary process. small bowel air-fluid levels in the partially imaged abdomen which could be due to bowel obstruction or ileus. please see subsequent ct.
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mild to moderate cardiomegaly is stable. bibasilar opacities have improved on the right. there are no new lung abnormalities. right ij catheter tip is in the proximal right atrium. there are low lung volumes. mild vascular congestion is stable. pacer leads are in standard position.
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as compared to radiograph, pulmonary vascular congestion is new. no focal areas of consolidation are identified to suggest pneumonia.
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no acute cardiopulmonary process. improved pulmonary vascular engorgement since.
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bibasilar atelectasis.
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minimal asymmetric right vascular congestion is stable. bilateral effusions, mediastinal lymphadenopathy and lung nodules better seen in prior ct
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consolidation in the lower lungs, right greater than left. endotracheal tube terminates <num> cm above the carina. ng tube extends into the left upper abdomen.
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large bilateral pleural effusions with compressive atelectasis, unchanged from.
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no acute cardiopulmonary process. no radiographic evidence of acute nor latent tb.
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no acute intrathoracic process with central venous catheter tip in the right atrium. vague right apical opacity can be assessed by non-emergent ct.
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og tube in the stomach.
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compared to chest radiographs through. extensive consolidation in the right lung has worsened. more discrete consolidation in the left lower lobe, substantially atelectasis, is unchanged moderate pleural effusions are presumed. no pneumothorax. heart size top-normal. cardiopulmonary support devices in standard placeme...
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moderate interstitial pulmonary edema. sharp definition of small bowel loops (possible 's sign) suggestive of free intraperitoneal air recommendation(s): suggest upright of the abdomen and clinical abdominal examination.
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as compared to chest radiograph, cardiomegaly and pulmonary vascular congestion are accompanied by worsening asymmetrical alveolar opacities involving the right lung to a greater degree than the left. findings likely reflect a combination of multifocal pneumonia and pulmonary edema. moderate right and small left pleur...
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normal chest radiograph.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11577197/s59507886/0545f1f9-0f3d9e52-3f3572ab-0298eb0f-211c0130.jpg
improving perihilar opacities. more prominent retrocardiac opacity, atelectasis likely; consider pneumonitis in appropriate clinical setting.
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ap view of the torso centered at the diaphragm shows a nasogastric tube ending in the upper stomach. top normal heart size is attributable to supine positioning and low volume inspiration, which suggested new opacification at the left lung base, probably atelectasis. tip of the endotracheal tube is seen at the upper ma...
MIMIC-CXR-JPG/2.0.0/files/p11600106/s50159111/fdbef7f8-a4bf411e-9aca49e3-d77a82dc-d0814486.jpg
unchanged bibasilar atelectasis with superimposed moderate left and small right pleural effusion. moderate cardiomegaly, unchanged. no pulmonary edema.
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no acute intrathoracic abnormalities identified.
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new right ij line tip projects over the region the mid svc. no visualized pneumothorax on this supine film. et tube tip <num> cm from carina.
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no evidence of pneumonia.
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no acute findings in the chest.
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as compared to the previous image, the size of the cardiac silhouette has decreased. mild tortuosity of the thoracic aorta. no pulmonary edema. no pneumonia. no pleural effusion.
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mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p14650125/s55851597/e5d099a2-2f0c0507-5b8dbd19-9f15b190-f8904872.jpg
no pneumothorax. probable hiatal hernia. lateral chest radiograph may be obtained for confirmation.
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no acute cardiopulmonary process. specifically, no focal consolidation to suggest pneumonia.
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<num> x <num> cm well-circumscribed mass at the right lung base. the right heart border is not well visualized suggesting a right middle lobe location. however, given the deformity of the underlying right tenth rib and the density of the lesion, this may reflect a chest wall lesion and chest ct is recommended for furth...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10488066/s52302868/8cc6ba63-0f465c29-13f41cc7-3eb2920c-2cfda603.jpg
probable atelectasis versus scarring in the right mid and left lower lung. in the absence of prior imaging studies, difficult to exclude a subtle underlying pneumonia. please correlate clinically.
MIMIC-CXR-JPG/2.0.0/files/p10584942/s55691313/9dbf90cd-42307f1c-d7111398-d7661d80-4de97425.jpg
mildly hyperexpanded lungs without evidence of acute cardiopulmonary process.
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in comparison with the study of , the tip of the picc line is about the level of the cavoatrial junction. there has been interval increase in opacification at the left base. although this could represent merely atelectasis, in view of the clinical history superimposed pneumonia would have to be seriously considered.
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ap chest compared to : severe cardiomegaly is chronic, more pronounced today than a year ago. mild interstitial pulmonary edema is slightly worse. mediastinal and pulmonary vascular engorgement stable or slightly increased. transvenous pacer defibrillator lead unchanged in position. no pneumothorax. pleural effusions s...
MIMIC-CXR-JPG/2.0.0/files/p18378370/s51121531/7d8e73db-9a27b59d-d347a6b7-c4a8509d-68b58259.jpg
no acute cardiopulmonary process.
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no acute intrathoracic process.
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emphysema with prominent bulla in the right upper lung. no signs of fracture or pneumothorax.
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in comparison with the earlier study of this date, no definite pneumothorax is appreciated on the right. otherwise, little change with continued enlargement of cardiac silhouette, pulmonary edema, bilateral pleural effusions, and compressive basilar atelectasis.
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no acute cardiopulmonary process.
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small bilateral pleural effusions without definite superimposed acute cardiopulmonary process given limitations of positioning.
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no acute cardiopulmonary process.
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extensive pleural calcifications limiting assessment. no obvious superimposed acute cardiopulmonary process.
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moderate to severe pulmonary edema with probable small bilateral pleural effusions.
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in comparison with these scout radiograph from the ct of and the chest film from , there are lower lung volumes. the various monitoring and support devices appear unchanged. on the right, the pigtail catheter remains in place and the hazy opacification consistent with pleural fluid has decreased, though some of this c...
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left lung base opacity consistent with pneumonia vs atelectasis. there may be an associated tiny pleural effusion.
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normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p14896092/s56652216/577fc200-e436b26b-76517d13-46b437ec-85306b69.jpg
satisfactory position of left-sided pacemaker leads.
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the diffuse infiltrative pulmonary abnormality has not worsened generally following extubation but there is more edema in the right lower lung, and lung volumes are lower, as expected. heart size is normal. pleural effusions are small if any. left subclavian line ends low in the svc. no pneumothorax.
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subtly seen right pleural catheter is grossly stable in position. moderate right pleural effusion with overlying atelectasis/consolidation, stable in extent as compared to the prior study. stable possible small left pleural effusion. no significant interval change.
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mild infrahilar bronchial wall thickening and possible bronchial dilation, which may represent bronchitis.
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ap chest compared to through : large hiatus hernia occupies much of the left lower chest, but there may well be large region of atelectasis or even pneumonia lateral to it. bronchial tree is poorly defined beyond the takeoff of the upper lobe bronchus, though better aerated today than on when it was entirely impacted...
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heart is upper limits of normal in size. calcified lymph node in the aortic <num> pulmonary window is present. nonspecific bilateral interstitial opacities could reflect chronic scarring in this elderly individual or a more acute interstitial process. no confluent areas of consolidation to suggest acute aspiration or d...
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in comparison with the study of , there is little overall change. again there is enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. there are several possible nodular opacifications that could represent metastases from myeloma. the previously described skeletal metastases are diffic...
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no acute findings in the chest.
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no overt evidence of pulmonary edema. small left and trace right pleural effusions.
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no acute cardiopulmonary process.
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax. no evidence of community acquired pneumonia.
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mild cardiomegaly. otherwise, normal.
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compared with the prior radiograph, there has been worsening of interstitial pulmonary edema.
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pa and lateral chest compared to : transvenous right ventricular pacer lead still ends in the mid to distal right ventricle. left ventricular lead now ends along the diaphragmatic surface of the heart. no pneumothorax, pleural effusion or mediastinal widening. heart size top normal. lungs clear.
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cardiomegaly but no acute process.
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no acute cardiopulmonary abnormality.
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unchanged chronic pulmonary opacities without acute process.
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no acute cardiopulmonary abnormalities
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interval placement of an endotracheal tube, which terminates approximately <num> above the carina.
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slightly low lung volumes. no acute cardiopulmonary process.
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no previous images. the cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. specifically, no evidence of old tuberculous disease.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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cardiomegaly and mild pulmonary edema. no consolidation.
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right pigtail pleural catheter is in place, with persistent moderate right pneumothorax with apical, lateral and basilar components. overall no relevant short interval change since recent study when consideration is given to differences in lung volumes in positioning.
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mild pulmonary edema is new as compfrom. unchanged right basilar atelectasis.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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nasogastric tube terminating in the stomach, but with the side-port still in the distal esophagus. if desired, the tube can be advanced approximately <num> cm to ensure that the side port is well positioned within the stomach. recommendation(s): tube advancement of approximately <num> cm to ensure the side port is well...
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slightly increased size of the large left pleural effusion.
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no acute cardiopulmonary process.
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no focal consolidation to suggest pneumonia.
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as compared to chest radiograph, low lying chest tube remains in place on the left, with slight decrease in left pleural effusion and adjacent left lower lobe atelectasis. lucency adjacent to the chest tube could potentially represent a loculated basilar pneumothorax. no other relevant changes since recent study.
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the right large bore dual lumen internal jugular catheter is unchanged in position and does not demonstrate any kinks. a left internal jugular central line terminates in the proximal svc. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. overall cardiac and mediastinal contours are li...
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no acute cardiopulmonary abnormality.
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compared to chest radiographs from through. no pneumothorax or pleural effusion. left pleural pigtail drainage catheter in place. lung volumes have improved although atelectasis persists at the base the left lung. borderline interstitial edema is still present accompanied by vascular engorgement.
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low lung volumes with mild bibasilar atelectasis. anterior wedging of a lower thoracic vertebral body of indeterminate age.
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left lower lobe streaky opacity, likely atelectasis.
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in comparison with the study of , the endotracheal tube has been removed and replaced with a tracheostomy tube. the tip of the subclavian catheter is in the right atrium. the left ijv catheter is been removed. there are lower lung volumes, which accentuated transverse diameter the heart. bilateral pleural effusions i s...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.