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MIMIC-CXR-JPG/2.0.0/files/p12956096/s50963126/cd29dffe-69f2d105-b29d240c-9725a696-196f40ac.jpg
in comparison with the study of , there has been a substantial increase in asymmetric pulmonary edema, more prominent on the right. blunting of the costophrenic angles is consistent with developing effusions and bibasilar atelectasis. this in the appropriate clinical setting, given the extensive pulmonary changes. the ...
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findings suggesting pneumonia in the left lower lobe.
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no acute cardiopulmonary abnormality.
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no focal opacification to suggest pneumonia.
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<num> separate images of the torso were taken. the second and third exclude the uppermost chest. all <num> show a nasogastric tube ending low in the esophagus. et tube is in standard placement. opacification at the base the left lung is probably a combination of left lower lobe atelectasis and some left pleural effusio...
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areas of left lower lobe opacities, worrisome for pneumonia.
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as et tube tip is <num> cm above the carinal. note is made that it is pointing toward the right vein tracheal wall and should be readjusted. cardiomegaly is substantial but unchanged. large right pleural effusion and associated atelectasis is unchanged. no appreciable pneumothorax. left basal opacity is unchanged.
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no acute cardiopulmonary process.
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top normal to mild enlargement of the cardiac silhouette with mild pulmonary vascular congestion.
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no acute intrathoracic process.
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in comparison with the study of , there are improved lung volumes, but otherwise little change. central catheter an pacer lead are in unchanged position. continued enlargement of the cardiac silhouette with elevated pulmonary venous pressure. bilateral pleural effusions with basilar atelectasis again seen. little overa...
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prominent bilateral interstitial markings compatible with interstitial pulmonary edema. <num>mm opacity projecting over the left <num>th rib, which may represent a calcified granuloma vs bone island.
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no free air. mild interstitial pulmonary edema.
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thickening of the pleural margins in the abnormal contour of the left heart border oral due to fat deposition. lungs are reasonably well expanded and clear. heart is probably top normal size but there is no pulmonary vascular engorgement, mediastinal venous engorgement, edema or any pleural effusion. the thoracic aorta...
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significant bilateral upper lobe scarring like infection or inflammation. please correlate clinically and ct if needed to further assess. no signs of pneumonia or chf. stone within the left kidney.
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increased prominence and left upper lobe opacity could suggest the possibility of pneumonia in the right clinical setting.
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no pneumomediastinum.
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no evidence of acute cardiopulmonary process.
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marked cardiomegaly. no pleural effusion. mild retrocardiac atelectasis versus scarring.
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no acute intrathoracic process.
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no acute osseous abnormalities identified. if there is persistent clinical concern for a rib fracture, dedicated rib series could be obtained. slightly worsening cardiomegaly since , with new interstitial pulmonary edema.
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right chest wall subcutaneous emphysema has improved. there are low lung volumes. small bilateral effusions have increased on the right. right upper lobe opacities are stable. bibasilar atelectasis have improved. cardiomediastinal contours are stable. right apical chest tube remains in place. there is no evident pneumo...
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low lung volumes with minimal retrocardiac atelectasis.
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anterior lung base opacities likely represent prominent fat pad though difficult to exclude pneumonia in the correct clinical setting. consider a repeat pa radiograph with more optimized inspiratory effort to further assess.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the patient has received a nasogastric tube. there is malposition of the tube in the right lower lobe bronchial system. no evidence of perforation or pneumothorax. otherwise unchanged image.
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no acute cardiopulmonary process.
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radiograph obtained for placement of a feeding tube demonstrates a feeding tube terminating in the proximal stomach. adjacent nasogastric tube terminates just beyond the gastroesophageal junction with the side port above this level.
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low lung volumes with crowding of the pulmonary vasculature and no focal airspace consolidation to suggest pneumonia. no pleural effusions or pneumothoraces. overall cardiac and mediastinal contours are likely stable given differences in technique and positioning between studies.
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no acute cardiopulmonary process.
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right subclavian picc line unchanged in position. overall cardiac and mediastinal contours are stable. lung volumes remain slightly low but no focal airspace consolidation is seen to suggest pneumonia. no pulmonary edema or pneumothorax.
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low lung volumes with patchy opacities at the lung bases, likely atelectasis. please note that infection is not excluded in the correct clinical setting.
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limited due to low lung volumes without convincing signs of pneumonia or edema.
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mild bibasilar atelectasis. no radiographic evidence for pneumonia.
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streaky ill-defined opacity within the left lung base is concerning for pneumonia. small left pleural effusion. followup radiographs after treatment are recommended to ensure resolution of this finding.
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in comparison with the study , there has been placement of a dobbhoff tube with its tip in the distal stomach. otherwise little change.
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comparison to. bilateral pleural effusions are better visualized on the lateral than on the frontal radiograph. minimal areas of atelectasis at the lung bases. no overt pulmonary edema. no pneumonia, borderline size of the cardiac silhouette.
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left lower lobe opacity abutting the hiatal hernia, question atelectasis versus early pneumonia/aspiration.
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no evidence of pneumonia.
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endotracheal tube terminates <num> cm above the carina, likely related to chin positioning. improved aeration of the left lung. otherwise, unchanged pulmonary findings.
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no acute cardiopulmonary abnormality.
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endotracheal tube terminating <num> cm above the level of the carina, slightly low in position and recommend withdrawal by <num> to <num> cm. this finding and recommendation discussed with dr on via telephone at pm. nasogastric tube in appropriate position. subtle right upper lobe opacity, nonspecific, could be due t...
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mild vascular engorgement.
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<num> cm retrocardiac mass probably represents a hiatal hernia, but no definite air-fluid level is identified to confirm this diagnosis. in the absence of a known history of hiatal or other paradiaphragmatic hernia, consider a ct scan or barium swallow for initial confirmation and to exclude other potential masses in t...
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as compared to the previous radiograph, no relevant change is seen. the alignment of the sternal wires is constant. moderate cardiomegaly. partial left lower lobe atelectasis. unchanged right basilar atelectasis. mild fluid overload but no overt pulmonary edema. no pneumothorax. no pneumonia.
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no evidence of pneumonia.
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no evidence of abnormality demonstrated.
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moderate congestive heart failure, worse than on.
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no acute cardiopulmonary process.
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right internal jugular port-a-cath unchanged position. interval placement of a left chest tube in this patient status post recent thoracotomy with expected changes from left upper lobectomy. no right-sided pneumothorax. heart is stable in size. relatively low lung volumes with perihilar vascular congestion but no overt...
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no acute cardiopulmonary process.
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no radiographic evidence of pneumonia.
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hyperexpanded lungs, compatible with underlying chronic obstructive pulmonary disease. bronchial wall thickening may reflect chronic or acute bronchitis.
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in comparison with the study , the cardiac silhouette appears to be within normal limits with no definite vascular congestion or pleural effusion. there is mild asymmetry of opacification at the bases, with more prominence of a patchy appearance on the left. this is worrisome for aspiration in this region.
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subsegmental atelectasis at the left base has worsened. there is no pneumothorax, pleural effusion, or mediastinal widening. heart size top-normal. no pulmonary edema. transvenous right atrial and ventricular pacer leads are continuous from the left pectoral generator.
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interval removal of the low left chest tube with equivocal miniscule residual pneumothorax. low lung volumes and bibasilar atelectasis.
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persistent consolidation within the lingula compatible with pneumonia.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the apical component of the known and pre-existing left pneumothorax has slightly increased. there is no evidence of tension. the course of the pacemaker leads is unchanged. <num> lead projects over the right atrium and <num> over the right ventricle. the air collection in the le...
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moderately severe bilateral pulmonary edema has worsened since.
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stable mild cardiomegaly. no pneumonia.
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no acute cardiopulmonary process. specifically, no evidence of free intraperitoneal air.
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stable mild cardiomegaly with mild improved interstitial pulmonary edema. no pneumothorax. resolving pneumopericardium.
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cardiomediastinal silhouette is unchanged. there are low lung volumes. moderate right well effusion with adjacent atelectasis have increased. there is no pneumothorax. ng tube tip is in the stomach. large central catheter is in standard position. there is mild vascular congestion
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in comparison with the study of , the patient has taken a much better inspiration. no definite pneumothorax. continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure and relatively small bilateral pleural effusions with underlying compressive atelectasis. no evidence of acute foc...
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in comparison with the study of , the right pigtail catheter remains in place with some apparent improvement in the right pleural effusion. however, some of this may merely represent a more upright position of the patient. no evidence of pneumothorax. continued enlargement of the cardiac silhouette with some element of...
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compared to prior chest radiographs, through at. mild interstitial abnormality has more confluence around the left hilus. this could be developing pneumonia, or chest asymmetry in edema. mediastinal vasculature is still distended, and mild cardiomegaly unchanged. tip of the endotracheal tube at the thoracic inlet is ...
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unchanged large right apical pneumothorax. recommendation(s): the findings were discussed by dr with dr on the at pm, <num> minutes after discovery of the findings.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the patient has received a right picc line. the tip of the line projects over the mid to lower svc. there is no evidence of complications, notably no pneumothorax. the lung volumes have improved, reflecting better ventilation. no pleural effusions. no pulmonary edema.
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chronic opacification of the left hemithorax compatible with chronic left upper lobe collapse and prior left lower lobectomy changes. right lung is essentially clear.
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interval progression of still mild-to-moderate interstitial pulmonary edema.
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ap chest and an image of the right humerus compared to , : short vascular catheter projects over the mid right humerus. this is far shorter than i would expect from a pic line. i do not see an embolized portion of catheter more distally, but conventional radiographs would be necessary for that determination. lateral a...
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no definite acute cardiopulmonary process.
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left lower lung pneumonia and a small left parapneumonic pleural effusion.
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no acute cardiopulmonary process.
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right middle lobe pneumonia. findings were communicated to rn, the ordering provider, at on by dr.
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after placement of the chest tube there is interval decrease in the hemothorax. multiple rib fractures are re- demonstrated. no right abnormality seen. minimal left pneumothorax is noted.
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as compared to chest radiograph, cardiomediastinal contours are stable. apparent small pleural effusions are not noted as well as worsening linear bibasilar atelectasis. no visible pneumothorax.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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no pneumonia, edema, or effusion.
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loss of the right heart border suggestive of a right middle lobe process which could represent atelectasis versus pneumonia in the proper clinical setting.
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left hilar opacity, consistent with contusion, lymphadenopathy, or mass. short interval imaging or chest ct should be obtained for further evaluation. no displaced rib or sternal fracture. findings were communicated via phone call by dr to dr on at am.
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in comparison with study of , there is little change and no acute cardiopulmonary disease. findings consistent with emphysema are again noted. however, no evidence of calcification in pleural surfaces to radiographically suggest asbestosis. coarse interstitial markings are seen at the bases, consistent with atelectasis...
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limited exam with trace right pleural fluid.
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no acute cardiopulmonary process.
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fluid level in the dilated esophagus, concerning for distal stricture or dysmotility. consider esophagram or chest ct to further assess. bibasilar pulmonary opacities concerning for aspiration.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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blunting of the right costophrenic angle may be due to a small pleural effusion and could be further assessed on pa and lateral views. known lingular mass, better assessed on ct. stable mild enlargement of the cardiac silhouette.
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in comparison with the study of , there is little change and no evidence of acute pneumonia, vascular congestion, or pleural effusion. scoliosis with spinal hardware remains in place.
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right upper and middle lobe pneumonia. no evidence for pleural effusion.
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in comparison with the study of , the patient has taken a slightly better inspiration. nevertheless, there are continued low lung volumes. continued enlargement of the cardiac silhouette with elevation of pulmonary venous pressure. bibasilar opacifications, much more prominent on the left, are consistent with atelectas...
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the lungs are clear. right upper paratracheal mass better evaluated on chest ct from.
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in comparison with the study of , there is little overall change. monitoring and support devices remain in place. cardiac silhouette is at the upper limits of normal in size and there is evidence of pulmonary vascular congestion and bilateral effusions with substantial volume loss at the left lower lobe. dense calcific...
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compared to chest radiographs through. previous borderline pulmonary edema and and vascular congestion have improved but moderate to severe bibasilar atelectasis has not. heart size normal. no pneumothorax. pleural effusion, small on the left if any. right jugular line ends in the mid svc.
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interval development of left lung near-complete, likely related to distal left mainstem intrabronchial mass. left pleural effusion, at least small to moderate in size.