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MIMIC-CXR-JPG/2.0.0/files/p16906565/s52543529/1e6fea46-2bfd55b9-09b23821-5570bd94-5e4790ca.jpg
bilateral, multiple rib deformities. new expansile lytic lesion involving the right seventh rib posteriorly concerning for multiple myeloma.
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no pneumonia.
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pa and lateral chest compared to through : severe cardiomegaly, with particular dilatation of the pulmonary outflow tract, is longstanding, unchanged for at least year. there is no longer any pleural effusion. lungs are hyperinflated due severe emphysema with no focal pulmonary abnormality or other finding to suggest...
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ap chest compared to : normal heart, lungs and pleural surfaces. no pneumothorax or pleural effusion. no evidence of pulmonary hemorrhage. heart size normal. mild hilar lobulations consistent with lymph node enlargement.
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top normal cardiac silhouette, slightly increased in size.
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comparison to. no relevant change. monitoring and support devices are constant. mild cardiomegaly. the parenchymal opacities are unchanged in extent and severity. no pleural effusions. no pneumothorax.
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ap chest compared to : moderate left pleural effusion probably unchanged since. no pneumothorax. right lung clear. left basal atelectasis stable. extent of the displacement of lateral left lower rib fractures, is considerable but unchanged.
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no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
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endotracheal tube somewhat low in position, terminating <num> cm above the level of the carina, recommend withdrawal by approximately <num> cm for more optimal positioning. enteric tube courses below the level of the diaphragm into the left abdomen, distal aspect not included on the image. right greater than left perih...
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focal left lower lobe pneumonia. the above findings were communicated to dr by dr telephone at am, min after discovery.
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the endotracheal tube tip is <num> cm above the carina. there is no pneumothorax. nasogastric tube tip is not visualized on this film but is beyond the ge junction. there is no chf. there is a small stable area patchy density in the right base. the patient is rotated to the left in the cardiac silhouette obscures obser...
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no acute intrathoracic process.
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no acute intrathoracic process.
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basilar atelectasis without definite focal consolidation.
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diffuse opacity in the right lung is concerning for pneumonia.
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in comparison with the study of , there is little overall change. again there is substantial enlargement of the cardiac silhouette in a patient with previous cabg procedure an intact midline sternal wires. the lack of appreciable vascular congestion suggests that the appearance could reflect cardiomyopathy or even poss...
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endotracheal tube, right internal jugular central line, and nasogastric tube are unchanged in position, although the tip of the nasogastric tube is not identified but the tube courses below the diaphragm. overall cardiac and mediastinal contours are unchanged given differences in positioning. right basilar atelectasis ...
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endotracheal tube in standard position. nasogastric tube tip within the stomach, however the get the side port appears to be above the gastroesophageal junction should be advanced. patchy opacities in the lung bases, likely atelectasis in the setting of low lung volumes. infection, however, is not completely excluded i...
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increase in left lung base atelectasis. no pneumothorax or pleural effusion.
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no acute cardiopulmonary process.
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no pneumothorax detected. mildly improved left pleural effusion, small overall. unchanged left lower lobe collapse and/or consolidation. new basilar atelectasis. minimal blunting of the right costophrenic angle also new.
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decreased prominence of right lung linear opacity suggestive of focal bronchiectasis. stable moderate cardiomegaly.
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as compared to the previous radiograph, the pre-existing small right pleural effusion has completely resolved. the lateral and frontal radiograph of today's acquisition shows no evidence of pleural effusions. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pulmonary edema. no pneumoni...
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no acute findings in the chest. please refer to same day chest ct for further details.
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as compared to previous study from several hr earlier, right pigtail pleural catheter has been replaced or repositioned, with associated decrease in size of right pleural effusion, and nearly resolved. small right apical hydro pneumothorax demonstrates increased fluid component and decrease gas component but is overall...
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no pneumonia.
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nearly resolved right pleural effusion status-post right chest tube adjustment. no pneumothorax. mid and right lower lung opacities may reflect a combination of known right hilar mass, pneumonia, and/or re-expansion pulmonary edema.
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heart size and mediastinum are stable. interval improvement in the aeration of lung bases is seen with still substantial areas of atelectasis are. no pneumothorax is seen. small amount of bilateral pleural effusion is noted.
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faint multifocal opacities in the lungs bilaterally may be secondary to aspiration. continued close interval follow up is recommended.
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persistent bibasilar airspace opacities may reflect atelectasis but infection or aspiration cannot be excluded. small left pleural effusion.
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no significant interval change noting cardiomegaly with small bilateral pleural effusions and bibasilar atelectasis noting that infection cannot be entirely excluded.
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small bilateral pleural effusions.
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in comparison with the study of , the pulmonary edema has essentially cleared. continued enlargement of the cardiac silhouette with dual-channel pacer device in place. evidence of the known fibrotic changes in the lungs is again seen.
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no acute cardiac or pulmonary findings.
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slight increase in left base opacities and slight improvement in right base opacities. findings are nonspecific and could represent infection in the appropriate clinical setting. probable small right pleural effusion.
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in comparison with the study , the tip of the endotracheal tube measures approximately <num> cm above the carina. the left subclavian catheter tip remains in the lower portion of the svc. nasogastric tube extends to the stomach with the side port distal to the esophagogastric junction. no evidence of acute pneumonia, ...
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no acute intrathoracic process.
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no acute cardiopulmonary findings. examination and dictation reviewed with dr.
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as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly with enlargement of the left ventricle. mild elongation of the descending aorta. overall normal lung volumes. no overt pulmonary edema. no pleural effusions. no pneumonia.
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no acute cardiopulmonary process.
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right lower lung atelectasis/ scarring. density projecting over areas of the thoracic spine may relate to patient's known osseous metastases.
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left basilar atelectasis/ scarring without definite focal consolidation.
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no acute cardiopulmonary process.
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ap chest compared to : the patient went into pulmonary edema between and. it is moderately severe, not worsened moderately since. as suggested previously, there may be a region of consolidation in the right upper lobe, that could be pneumonia, and now there is new consolidation in the left lower lobe, either a second ...
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ap chest compared to : radiographically, there has been very little change since , even though the patient was subsequently extubated, except for improvement in the extent of consolidation at the left lung base. there are still substantial bilateral pleural effusions and large reaches of consolidation in the right midd...
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left lower lobe consolidation compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution.
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no acute cardiopulmonary process.
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right internal jugular catheter tip terminates in the high right atrium and should be retracted by <num>mm for more optimal positioning.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary abnormality.
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bilateral pleural effusions, moderate on the left, small on the right.
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no acute cardiopulmonary process.
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known underlying copd. bibasilar opacities which could be due to atelectasis or potentially infection in the proper clinical setting.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14806642/s59812684/4ad21ae6-c480d44e-dbe0ab7d-0e2406d4-7e49a389.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10152878/s55702678/218a6b7e-3e38eae5-0f53892e-6a1f355f-31698815.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10516278/s59423697/fd1ebd10-c20bb6f4-5efc02ec-f88064bc-cc5ee9bf.jpg
no focal consolidation concerning for pneumonia.
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in comparison with study of , there is an placement of a nasogastric tube that extends to the upper stomach. the side-port is not well seen and could be just above the eg junction. the tube should be pushed forward about <num> cm for better positioning. there are improved lung volumes with little overall change in the ...
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no acute intrathoracic process.
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normal chest radiograph.
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status post. left lower lobe bronchoscopy. the <num> left chest tubes are in unchanged position. the appearance of the left lung is not substantially changed and still displays a relatively large left lower lung atelectasis. no safe evidence of pneumothorax but the images limited by multiple linear structures overlying...
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bilateral perihilar opacities suggestive of pulmonary edema.
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low lung volumes with bibasilar atelectasis.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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new right hilar adenopathy and peripheral right lung or pleural mass, malignant until proved otherwise.
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no acute cardiopulmonary abnormality.
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no displaced rib fracture. if there is further concern for fracture, recommend repeat dedicated views with a bb to mark the site of pain. possible new nodule in the left lung in this patient under surveillance for bac.
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small right pleural effusion with bibasilar atelectasis. elevation of the right hemidiaphragm is due to the presence of a right subcapsular complex hepatic fluid collection as seen on ct.
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in comparison with the earlier study of this date, this and placement of a dobhoff tube that extends to the upper stomach with the opaque tip well below the esophagogastric junction. other monitoring and support devices are unchanged. areas of increased opacification are again seen the bilaterally, though less prominen...
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no signs of pneumonia in the chest.
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improved mild pulmonary edema. unchanged moderate right and small left pleural effusions.
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heart size and mediastinum are unchanged. surgical clips projecting over the right chest, unchanged. there is interval progression of left mid lung opacity, concerning for infectious process. the rest of the opacities in the right lung are overall similar. no interval development of pleural effusion or pneumothorax dem...
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in comparison to , a nasogastric tube is been placed, terminating in the proximal stomach. side port is just proximal to the expected location of the ge junction, and the tube could thus be advanced a few cm to ensure standard positioning. heart is upper limits of normal in size, and lungs are grossly clear.
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mild left base atelectasis. otherwise, no acute cardiopulmonary process.
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subtle opacities in the right upper and lower lungs concerning for pneumonia. tiny bilateral pleural effusions are new.
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evidence of mild progression of known interstitial lung disease. while unable to assess resolution of prior pneumonia, there is no evidence of focal pneumonia on this exam.
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stable appearance of bilateral pulmonary opacities, lines, and tubes.
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no radiographic evidence for acute cardiopulmonary process.
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no definite change since prior.
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no definite acute cardiopulmonary process. rounded density in the right paramediastinal region, potentially tortuosity of the great vessels, however given lack of prior or other exam to confirm, nonurgent chest ct is suggested.
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opacification has increased at both lung bases. on the left is due largely to consolidation, either collapse or worsening pneumonia. on the right it is probably a combination of dependent edema and at least a small right pleural effusion. heart size is top- normal, but has increased and there is a suggestion of mediast...
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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small right pleural effusion. right lung base opacity, most likely atelectasis, however, superimposed infection cannot be excluded. mild cardiomegaly and/or pericardial effusion new since. consider cardiac ultrasound for further assessment.
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no acute cardiopulmonary process.
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in comparison with the earlier study of this date, there is again diffuse bilateral pulmonary opacifications. there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. nasogastric tube extends to the upper to mid portion of the stomach, where it crosses the lower margin of t...
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no acute intrathoracic process.
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no acute cardiopulmonary process, no evidence of congestive failure.
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unchanged cardiomegaly and mild pulmonary vascular congestion, but no overt pulmonary edema. no focal consolidation.
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ap chest, submitted for review on , compared to. a series of four chest radiographs show sequential positioning of feeding tube in the trachea, at the right lower lobe bronchial tree, the mid esophagus, and finally in the stomach. right lower lobe consolidation has not cleared over the preceding several days, most like...
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in comparison with the study of , there is little overall change. cardiac silhouette is at the upper limits of normal in size and there is mild aortic tortuosity. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. sternal wires remain intact.
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stable appearance of a loculated effusion after left basilar pigtail placement on the left. no evidence of pneumothorax. in comparison to prior chest ct, the largest area of fluid is demonstrated superolaterally in relation to the pigtail catheter, with the catheter probably external to this region.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormalities
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no acute cardiopulmonary abnormality.
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status post endotracheal intubation with orogastric and central venous catheters also in place. hazy opacities including perihilar fullness suggesting mild-to-moderate pulmonary edema, including pleural effusions. suspected non-displaced left sixth rib fracture.
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top normal to mildly enlarged cardiac silhouette with minimal central pulmonary vascular engorgement. no focal consolidation.