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MIMIC-CXR-JPG/2.0.0/files/p13224214/s58387916/743a0c7d-2caf6ad0-017f95d9-da732f98-ae7bd871.jpg
no rib, right shoulder, or right humerus fractures. small bilateral pleural effusions which are unchanged.
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normal chest.
MIMIC-CXR-JPG/2.0.0/files/p19615717/s59859420/faca33cf-1e8e1123-04a6d20b-cd996afb-c087e430.jpg
small right pleural effusion.
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as compared to the previous radiograph, the air collection in the right-sided chest wall has completely resolved. there is no evidence of a pneumothorax. a paramediastinal right-sided abnormal contour is unchanged in extent and density as compared to the previous examination. the abnormality could be postoperative in o...
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no significant change from.
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right internal jugular swan-ganz catheter has its tip in the pulmonary outflow tract. left chest tube remains in place. a nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach. a dual lumen endotracheal tube remains in place. there is stable postoperative appearance to the left ...
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no acute cardiopulmonary process.
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et tube tip is <num> cm above the carinal. cardiomegaly is substantial, unchanged. bibasal atelectasis are for noted, mildly progressed as compared to previous examination. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12922733/s51247001/59600ec3-3480967c-8fa39eb1-bc1bdef7-2d44a155.jpg
large hiatal hernia. no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p15514455/s55058609/95568976-3b3b0b66-18c81576-449bf595-83b3c987.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19201858/s50088510/7430aa67-98e4adb5-38c45d77-d7055e6e-e2b465bc.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15475784/s52025230/f28c0ce4-c3f3492b-06dd5d65-f84f0b57-19f3a7af.jpg
no relevant change as compared to. low lung volumes. bilateral pleural effusions of mild to moderate extent. moderate cardiomegaly. no new focal parenchymal opacities. no pulmonary edema.
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no findings zone pneumonia currently. lungs are clear. cardiomediastinal and hilar silhouettes are normal, and there are no pleural abnormalities.
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equivocal pneumoperitoneum below the left hemidiaphragm. consider further evaluation with a ct scan. no acute cardiopulmonary process.
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markedly dilated esophagus with air-fluid levels, as well as large gas bubble protruding into the base of the neck. this appearance could be seen with achalasia, although the exact role of the bubble in the neck is uncertain. correlation with clinical history is recommended with consideration of further imaging if need...
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no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p14033331/s59964928/fd5455e6-680e0673-a81ab4cd-0e4fad07-5a865248.jpg
no acute cardiopulmonary process.
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mild pulmonary edema and bibasilar atelectasis.
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no acute findings including no free air below the right hemidiaphragm.
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no acute cardiopulmonary process.
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similar appearance compared to study from earlier the same day
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possible right middle lobe pneumonia. persistent large left pleural effusion. mild improvement of pulmonary vascular congestion.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15032392/s55685067/8b2a2ef2-7f96650e-b62bb8dc-3d7ff1e6-32c4482a.jpg
support lines and tubes are unchanged in position. there are low lung volumes. heart size is upper limits of normal but stable. there is unchanged atelectasis at the right base and a left retrocardiac opacity. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p11996344/s52764408/745d2b21-03c09af1-f9e0619a-ac8f575c-af69455c.jpg
no acute intrathoracic process.
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low lung volumes without acute process.
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overall similar to the most recent prior film. pleural fluid at the left lung base may be slightly increased.
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postoperative pulmonary edema has improved, now mild. heart size top-normal. mediastinal veins slightly less distended today than before. pleural effusions are small if any. borderline cardiomegaly is not appreciably changed since surgery.
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mild increase in right basilar atelectasis since. no evidence consolidation. no pleural effusion.
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heart size is normal. mediastinum is normal. there is right perihilar opacity, not clearly present on the prior examination and potentially might reflect infectious process. followup of the patient <num> weeks after completion of antibiotic therapy is require to document resolution of those findings. the most likely re...
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tiny hazy opacity projecting over the right middle lobe is of uncertain etiology, and may be in the soft tissue or the lung. if it is in the lung, may represent a tiny contusion. although no acute fracture or other chest wall lesion is seen, conventional chest radiographs are not sufficient for detection or characteriz...
MIMIC-CXR-JPG/2.0.0/files/p11256730/s50431824/36f24140-9a25df01-e1a6ba9f-26434351-4062e3c2.jpg
moderate cardiomegaly and prominence of the pulmonary vasculature is new, suggestive of fluid overload. perihilar opacities could represent edema or aspiration and close follow-up is recommended.
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in comparison with the study of , the monitoring and support devices are unchanged. again there is haziness at the bases with substantial retrocardiac opacification, consistent with layering effusions atelectasis, with most prominent volume loss in the left lower lobe. no definite vascular congestion or acute focal pne...
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feeding tube passes into the stomach and either coils in the stomach distally or passes into the proximal duodenum. nasogastric drainage tube ends in the stomach. the lungs are clear. the heart size is normal and there is no pleural effusion.
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subtle right lower lobe opacity may represent atelectasis or pneumonia in the appropriate clinical setting.
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no acute intrathoracic process. round calcified structure in the left subdiaphragmatic space, of unclear etiology.
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stable support lines and tubes. moderate bilateral pleural effusions and mild central pulmonary vascular congestion.
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interval improvement in pulmonary edema with residual mild interstitial edema. slight increase in bilateral pleural effusions, left greater than right.
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hemodialysis catheter is appropriately positioned and unchanged from the prior examination. stable old anterior wedge compression fracture of t<num>.
MIMIC-CXR-JPG/2.0.0/files/p15398472/s51196861/32e45035-bbc6d4a6-49dd4de4-dbe564d2-69d4c784.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18180329/s59823048/c0bf8597-c6302dec-e0074790-8d42147f-059b82e0.jpg
no acute process.
MIMIC-CXR-JPG/2.0.0/files/p14399272/s55984336/f0756a3c-f59bf7f1-15ff82d3-73e5d0b1-b6b902a9.jpg
very large left pleural effusion has increased nearly obliterating the entire left lung. significant rightward mediastinal shift is unchanged. right lung is clear. left central venous line ends close to the superior cavoatrial junction. no pneumothorax.
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left lower lobe consolidation worrisome for pneumonia. subtle right base opacity could be due to atelectasis although underlying aspiration or additional site of pneumonia not excluded.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15702270/s55383532/6da48356-00b9cf40-dbcda0b2-c1dfa0d3-6f24a3a4.jpg
multifocal opacities involving the right lower, left upper, and possibly left lower lobe, are concerning for a multifocal pneumonia.
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no signs of pneumonia or chf.
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no definite acute cardiopulmonary process. probable calcified pleural plaques.
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comparison to. stable appearance of the heart and of the lung parenchyma. no pulmonary edema. no larger pleural effusions. no pneumonia. no pneumothorax. the vertebral fixation device and the right internal jugular vein catheter are in stable position.
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unchanged chronic elevation of the right hemidiaphragm with right basilar atelectasis. no new focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p13461701/s57564280/dde80d5e-6b3aaba8-5e168bb0-a2bcc7d4-ca853943.jpg
mild-to-moderate scoliosis in lower thoracic spine but otherwise chest findings within normal limits. thus, no evidence of acute infiltrates.
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no acute cardiopulmonary abnormality.
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the previous the bilateral perihilar consolidation has improved and/or resolved. lateral view shows a minimal consolidation or residual peribronchial infiltration in either the lingula or right middle lobe. lung volumes are normal. there is no pleural abnormality there is suggestion of central lymph node enlargement. h...
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in comparison with the study , there again is mild enlargement of the cardiac silhouette in a patient who has undergone a previous cabg procedure an has a dual-channel pacer with leads in good position. no evidence of pulmonary vascular congestion, pleural effusion, or acute focal pneumonia.
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heart size and mediastinum are stable. bibasal opacities have improved since the prior study. bilateral pleural effusion is moderate. no pneumothorax.
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as compared to the previous radiograph, there is a mild decrease in extent of the known right pleural effusion. the effusion still occupies approximately % of the right hemi thorax. unchanged normal appearance of the left hemi thorax. unchanged alignment of the sternal fixation material and of the right internal jugula...
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no acute intrathoracic process.
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no evidence of pneumonia
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left pulmonary artery is larger compared to prior ct from , which may be due to acute left-sided pulmonary embolism.
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slight increase in right pleural effusion with increased lower lobe opacities concerning for pneumonia.
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enteric tube is coiled within a moderate-to-large hiatal hernia. improvement in right base aeration. persistent moderate perihilar edema and patchy bibasilar opacities.
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multiple bilateral rounded pulmonary nodular densities are compatible with known advanced metastatic disease. no discrete focal consolidation concerning for pneumonia. no pneumothorax.
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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces.
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tip of the intra-aortic balloon pump is <num> mm from the aortic apex, <num> mm above standard placement. there is no pneumothorax or pleural effusion. heart size is normal. mediastinal widening is probably due to venous engorgement and pulmonary vascular engorgement suggest biventricular cardiac decompensation. there ...
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in comparison with the study of , the central catheter extends to the mid portion of the svc. nasogastric tube extends to the upper stomach, though the side-hole is probably proximal to the esophagogastric junction. no evidence of acute pneumonia or vascular congestion. surgical clips are again seen in the left upper q...
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no acute intrathoracic process.
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the comparison study , there is an placement of a nasogastric tube extends well into the stomach and an endotracheal tube with its tip approximately <num> cm above the carina. there is cardiomegaly with pulmonary edema and bilateral pleural effusions with compressive atelectasis, worse on the right.
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no acute cardiopulmonary abnormality.
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increased reticular opacification of the left hemithorax compared to prior, represent asymmetric pulmonary edema as seen on subsequent chest ct.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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in comparison with the earlier study of this date, the tiny left apical pneumothorax is not definitely appreciated. no evidence of acute pneumonia, vascular congestion, or pleural effusion. the multiple rib fractures are better seen on the ct torso.
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compared to chest radiographs since most recently at. left pic line still heads into the neck and out of view. severe widespread infiltrative pulmonary abnormality may have worsened, presumably due to progressive edema, explaining wide the moderate right pleural effusion is larger. cardiac silhouette is obscured. no ...
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as compared to chest radiograph, intra-aortic balloon pump has been removed. mild cardiomegaly is accompanied by pulmonary vascular congestion and resolution of pulmonary edema. residual pleural effusions are small in size.
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no acute cardiopulmonary abnormalities widening of the mediastinum as described above further evaluation with ct should be considered
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no acute cardiopulmonary abnormality. no subdiaphragmatic free air.
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comparison to. the nasogastric tube was advanced by approximately <num> cm. the tip now projects over the middle parts of the stomach.
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enlarged cardiac silhouette, potentially due to cardiomegaly and/or pericardial effusion. retrocardiac opacity silhouetting the hemidiaphragm. this could be due to combination of underlying effusion and atelectasis, and/or possible infection.
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compared to chest radiographs through. <num> successive frontal chest radiographs show repositioning of the intended transesophageal feeding tube, first in the right main bronchus, then in the right lower or middle lobe bronchus, then at the thoracic inlet (probably the airway once again), then in the mid esophagus, t...
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no pneumothorax or displaced rib fractures.
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no evidence of pneumonia.
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cardiomegaly without superimposed acute cardiopulmonary process.
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normal chest radiograph.
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ap chest compared to : previous right lower lobe abnormality and small right pleural effusion have resolved since. lungs are fully expanded and clear. heart size is top normal. no evidence of central lymph node enlargement. sternal wires are aligned and intact following cabg.
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as compared to the recent study of <num> day earlier, pulmonary edema has slightly progressed in severity, and a left pleural effusion has increased in size. moderate right pleural effusion is not substantially changed.
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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum, and pleural surfaces. the previous small pleural effusions have resolved. left subclavian line ends in the mid svc.
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no acute cardiopulmonary process.
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multifocal infectious process with the predominant consolidation in the left retrocardiac region, not significantly changed compared to the prior radiograph from. mild interstitial pulmonary edema, not significantly changed. small bilateral pleural effusions, not significantly changed. endotracheal tube potision is hig...
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no evidence of fracture.
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in comparison to , postoperative appearance of the mediastinum is remarkable for increased distension of the mid and lower aspects of the neo esophagus. bibasilar atelectasis has improved on the right and worsened on the left. small right pleural effusion is unchanged, but a small left pleural effusion has increased in...
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no acute cardiopulmonary process.
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the chest cta was performed at ; it showed no pneumonia but evidence of chronic aspiration. a chest radiograph earlier in the day, showed a clear right lower lobe, but a subsequent chest radiograph at showed greater opacity in the right infrahilar lung, and that area is slightly more abnormal today. given the techn...
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in comparison with the study of , there is little change. cardiomediastinal silhouette is stable with dual-channel pacer leads in good position. no evidence of acute pneumonia or vascular congestion. mild compression is again seen of several mid and lower thoracic vertebral bodies. specifically, no evidence of intersti...
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there is hyperinflation. there is no pneumothorax, effusion, consolidation or chf. degenerative changes are present in the spine. there is stable mild compression of a lower thoracic vertebrae.
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mild pulmonary edema. increasing right pleural effusion.
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comparison to. no relevant change. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions. hypertrophic first left rib.
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in comparison with the study of , there is little overall change. no evidence of pneumothorax. areas of increased opacification in the left hemithorax again could correspond to the ground-glass and reticular opacifications seen on ct. the right lung is clear and the port-a-cath is unchanged.
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no acute cardiopulmonary process.
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increased size of left pleural effusion, now moderate, with left basilar opacity which may reflect compressive atelectasis. infection within the left lung base cannot be completely excluded. grossly unchanged appearance of left upper lobe, left hilar and left infrahilar masses compared to the previous ct.
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stable position of right sided central catheter. no acute cardiopulmonary process.
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no focal consolidations concerning for infection identified.