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MIMIC-CXR-JPG/2.0.0/files/p12026649/s57023909/28ec8c1b-3c722c72-77915f76-c0fa6e29-2847b587.jpg
no acute cardiopulmonary abnormality.
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a comparison with the earlier study of this date, displacement of an ecmo device. continued almost complete opacification of both lungs. what appears to be a swan-ganz catheter from below extends into a branch of the left pulmonary artery.
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bibasilar patchy opacities likely reflect atelectasis in the setting of low lung volumes.
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no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.
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no pneumonia or pleural effusion.
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ett is low, terminates <num> cm and can be withdrawn for better seating. new bibasilar opacities and mild interstitial pulmonary edema.
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new free air under the diaphragms, likely postoperative given peg placement. attention on follow up. tracheostomy ends <num> cm from the carina. bibasilar atelectasis.
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no acute cardiopulmonary process.
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consolidation of the right lower lobe may be due to volume loss, however, superimposed infection cannot be excluded.
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continued interval improvement in right pleural effusion.
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there is a nasogastric tube whose distal tip and side port are below the ge junction appropriately sited. the endotracheal tube and left-sided central line are unchanged position. heart size is within normal limits. there are hazy opacities within the right upper lobe and bases bilaterally which are unchanged. this may...
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endotracheal tube tip <num> cm above carina. increased left basilar consolidation, likely atelectasis; consider pneumonitis in the appropriate clinical setting. increased heart size, pulmonary vascularity.
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ap chest compared to : et tube, swan-ganz line, midline and left pleural drains end in upper enteric drainage tube are all in standard positions, unchanged. lung volumes remain low. mild-to-moderate pulmonary edema, unchanged. stable postoperative widening cardiomediastinal silhouette. no pneumothorax.
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new mild pulmonary edema. slight interval increase in cardiac size, likely due to cardiomegaly, although a pericardial effusion is a consideration. right basilar consolidation, possibly due to atelectasis. in the proper clinical setting, a pneumonia cannot be excluded.
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no acute cardiopulmonary process.
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. there are no findings to suggest pneumonia or congestive heart failure. atherosclerotic calcification noted at the origin of head and neck vessel on the lateral view.
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tracheostomy tube, nasogastric tube, left internal jugular central line remain in place. lung volumes remain low with a bilateral airspace process which appears to have worsened since the prior study given differences in technique between the images. findings would favor worsening pulmonary edema rather than pneumonia,...
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normal radiographic appearance of the heart, mediastinum, hila, lungs and pleura.
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no acute findings in the chest. stable cardiomegaly.
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the endotracheal tube sits <num> cm above the carina. a left-sided central line tip terminates in the mid svc. nasogastric tube courses inferiorly and out of field-of-view. the right costophrenic angle has been excluded from the exam. the heart size continues to be large, but the mediastinal contours have not changed. ...
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subtle <num> mm ovoid nodular opacity projecting over the left upper lung, not clearly seen on prior studies. suggest further evaluation with nonemergent chest ct. oblique views may also provide further evaluation.
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no acute cardiopulmonary process. no significant interval change.
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in comparison with the study of , there has been substantial decrease in the bilateral atelectatic changes, which for worse on the right. mild residual atelectasis is again seen. no vascular congestion, pleural effusion, or acute focal pneumonia. the bowel dilatation seen previously is not apparent at this time.
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as compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. as expected, the lung volumes have slightly decreased, causing crowding of the vascular and bronchial structures at the lung bases. however, in addition, minimal fluid overload is now present. the right internal...
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pa and lateral chest compared to : lungs are low in volume, but grossly clear. tiny bilateral pleural effusion is seen only on the lateral view. heart size is normal. there is no free subdiaphragmatic gas. overall, there are no radiographic findings to explain fever, specifically no pneumonia.
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bilateral heterogeneous lung opacities have slightly improved as compared to the prior study.
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lungs clear
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no radiographic evidence pneumonia.
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in comparison with the study , there again is obliquity of the patient with stable enlargement of the cardiac silhouette and tortuosity of the aorta. little change in the degree of pleural effusions, larger on the left, with underlying compressive atelectasis.
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no acute cardiopulmonary process.
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low lung volumes. otherwise no acute cardiopulmonary process.
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marked decrease in size of right pleural effusion with residual small right pleural effusion after recent thoracentesis. right middle and right lower lobe airspace opacities may reflect re-expansion edema following recent large volume thoracentesis, but short-term followup radiographs would be helpful to exclude other ...
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lungs are clear.
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no acute cardiopulmonary process.
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cardiomegaly without superimposed acute cardiopulmonary process.
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no acute cardiopulmonary process.
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improved aeration of the right lung and decreased in the right pleural effusion.
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normal chest radiograph.
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interval decrease in size of small bilateral pleural effusions. stable postoperative cardiac and mediastinal contours status post median sternotomy for cabg. no pulmonary edema or pneumothorax. lungs are hyperinflated suggestive of underlying emphysema. right paratracheal calcifications likely represent calcified lymph...
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no acute cardiopulmonary process.
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no evidence of pulmonary edema. resolving right upper lobe consolidation. if concern for central obstructing mass, follow up films can be obtained for further assessment.
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slightly increased aeration of the right base. unchanged large right-sided pleural effusion. new mild left-sided pulmonary edema.
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large hiatal hernia with atelectasis in the lower lungs as stated, small left effusion. chronic left glenohumeral dislocation.
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no acute cardiopulmonary process.
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interval additional progression of pulmonary edema is demonstrated currently moderate interstitial with some elements of alveolar opacities. minimal amount of pleural effusion is present. bibasal atelectasis present.
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no acute cardiopulmonary process.
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mild to moderate enlargement of the cardiac silhouette stable to possibly minimally increased. otherwise, no acute cardiopulmonary process.
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no acute intrathoracic process. cardiomegaly. gas-filled dilated bowel loops in the upper abdomen, as seen previously, may reflect 's syndrome. please correlate with subsequent ct.
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no acute cardiopulmonary process. no fractures.
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stable chest findings. no interval change since next preceding study.
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no acute cardiopulmonary process.
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no evidence of pneumonia or congestive heart failure.
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the substantial atelectasis in the left upper and lower lobes is unchanged. there is no pneumothorax or pleural effusion or pulmonary edema. cardiomediastinal silhouette is a normal postoperative appearance. right jugular
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no acute cardiopulmonary process.
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comparison to. no relevant change. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pleural effusions. no pneumonia, no pulmonary edema.
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allowing for differences in technique and projection, there has not been this potential change in the appearance of the chest since.
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multi loculated right hydro pneumothorax unchanged in overall moderate volume since contains more fluid in the superior component that is posterior to the right upper lobe. mild interstitial abnormality left lung could be early edema. heart size normal.
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asymmetrical area of increased opacity overlying left lung apex, potentially external to the patient. a followup apical lordotic radiograph with repositioning of the patient area removal of any external structures would be helpful for initial further evaluation, particularly to exclude left apical infectious pneumonia ...
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new vague opacity in the left lower lung is statistically likely atelectasis, however a small pneumonia cannot be excluded.
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heart size and mediastinum are unremarkable. lungs are clear except for left retrocardiac area were potentially re- of aspiration or pneumonia is present. correlation with lateral chest radiograph is recommended. no pleural effusion. no pneumothorax.
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ng tube tip overlies both the ge junction and upper fundus. probable chf, slightly worse. left lower lobe collapse and/or consolidation and small left effusion similar to the prior film. the possibility of pneumonic infiltrates in this setting cannot be entirely excluded.
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no acute cardiopulmonary process.
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chf, slightly improved compared to prior focal area of concern of the left lower lobe could represent a developing infiltrate
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interval advancement of the dobhoff tube, which is now located distal to the gastroesophageal junction.
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no acute cardiopulmonary abnormality.
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stably dilated heart compatible with cardiomyopathy and mild edema.
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no evidence of acute cardiopulmonary disease.
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interstitial pulmonary edema and a left-sided pleural effusion on the setting of stable moderate to severe cardiomegaly. a retrocardiac opacity overlying the lower thoracic spine may represent pulmonary consolidation versus superimposition of bony structures. correlate with evidence of pneumonia and if further assessme...
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right picc at the junction of the svc right atrium. no acute cardiopulmonary abnormality.
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heart size is top-normal. mediastinum is unremarkable. right basal atelectasis is unchanged. questionable nodular opacities projecting over the left upper lung, <num> mm in diameter, not necessarily seen on previous examination. recommendation(s): chest ct for better assessment of the potential left upper lobe nodule.
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probably atelectasis in the left lower lobe.
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as compared to the previous radiograph, signs indicative of pulmonary edema have decreased in severity. a minimal right pleural effusion is seen on today's radiograph. unchanged moderate cardiomegaly. no new focal parenchymal opacities. no pneumothorax.
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no acute intrathoracic abnormality. no air is identified under the right hemidiaphragm.
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no acute intrathoracic abnormality.
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no acute intrathoracic process.
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heart size is prominent but stable. there is coarsening of the bronchovascular markings without overt pulmonary edema or focal consolidation. there are no pneumothoraces.
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mild cardiomegaly and a lobulated appearance of the mediastinum and hila, consistent with known lymphadenopathy. clear lungs.
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no evidence of pneumonia.
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slightly more prominent mediastinal contours in comparison to , very likely due to rotation. consider a repeat chest radiograph with improved positioning. otherwise, no acute cardiopulmonary process is identified. results were discussed with dr , resident, at am on via telephone by dr hour after the findings were ...
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copd. slight blunting of the right costophrenic angle may be due to pleural thickening or a very trace pleural effusion. subtle right base opacity is felt to be due to overlap of vascular structures rather than true focal consolidation. this could be further assessed on pa and lateral views of the chest.
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as compared to , no relevant change is seen. right pectoral port-a-cath in unchanged position. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the cardiac silhouette.
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stable small right apical pneumothorax. interval decrease in right basal atelectasis.
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no pleural effusion. clear lungs.
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large left upper lobe opacity worrisome for mass with underlying left upper lobe atelectasis/ collapse. small left pleural effusion.
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mild pulmonary congestion with moderate cardiomegaly. underpenetrated radiograph. left picc is not visualized further than the left brachiocephalic. og tube is not visualized further than the mid esophagus. findings were communicated via phone call by to on at pm.
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no radiographic evidence of intrathoracic metastasis.
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bibasilar atelectasis/ scarring without focal consolidation.
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no acute cardiopulmonary pathology.
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no acute cardiopulmonary process. no free intraperitoneal air.
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no acute cardiopulmonary abnormality.
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new bilateral infiltrates concerning for aspiration with new left pleural effusion.
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the lungs are well expanded and clear. the mediastinal contours, cardiac borders, pleural surfaces, and hila are normal. left chest wall dual lead icd is unchanged with leads terminating in right atrium and right ventricle.
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no radiographic evidence for acute cardiopulmonary process.
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right basilar opacity most suggestive of atelectasis, noting that infection cannot be excluded. please correlate clinically.
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no acute cardiopulmonary process.
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no acute cardiac or pulmonary process. pneumomediastinum and pneumoperitoneum are not necessarily unexpected findings in a patient status post recent hiatal hernia repair.
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left lower lobe pneumonia.
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subtle, focal opacity at the right infrahilar region, which may represent asymmetric edema or an early focus of pneumonia. mild pulmonary edema.
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lung and pleural metastases. no pneumonia or collapse.
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apparently new small right pleural effusion. otherwise, stable appearance of the chest.