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MIMIC-CXR-JPG/2.0.0/files/p19864406/s53854753/7620774c-08c30247-32264602-b73ace09-440f0c96.jpg
probable decrease of small right pleural effusion. unchanged appearance of left lung, with left basilar atelectasis and small pleural effusion.
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cardiomediastinal silhouette is unchanged. there is mild progression of vascular congestion but no overt pulmonary edema. replaced transcatheter aortic valve is in expected position. surgical way projecting over the left upper chest are stable in appearance. no appreciable pleural effusion demonstrated.
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moderate pulmonary edema has worsened since. new opacification of the lung bases medially is probably a combination of coalescent edema and atelectasis rather than new pneumonia. heart is normal size. small bilateral pleural effusions are larger. clinical impact of edema is compounded by severe emphysema.
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no acute cardiothoracic process.
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increased right mid to lower lung and left lower lung opacities worrisome for infection superimposed on chronic changes.
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significant interval improvement in volume overload.
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no acute cardiac or pulmonary process.
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no acute cardiopulmonary abnormality.
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moderate to large right-sided pleural effusion and mild pulmonary edema. a nodule is seen anterior to the spine on the lateral view. recommend follow-up with non-emergent ct of the chest once pulmonary edema has resolved. poor aeration of the right base may be due to pleural effusion. recommend follow-up once pulmonary...
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persistent moderate left and small right pleural effusions. peripheral patchily opacities in a similar distribution to nodules better seen on prior chest ct. followup imaging by ct had been suggested at that time and should still be performed on a nonurgent basis.
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no acute cardiopulmonary abnormality.
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no significant interval change.
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small left pleural effusion has decreased substantially following insertion of the pleurx catheter at the base the left chest. severe bibasilar atelectasis is more pronounced today than previously. there is no pneumothorax. heart size is normal. right subclavian central venous infusion
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the apical component of the moderate to large left pleural effusion has been replaced by air and the basal component is smaller relative to. there is no appreciable right pleural effusion and the right apical pneumothorax has decreased to the very small volume the. right basal pigtail than left pleurx catheters are in ...
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allowing for differences in patient positioning, there has not been a substantial change in the appearance of the chest since the recent study performed <num> day earlier.
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small right apical pneumothorax is unchanged. status post chest tube removal.
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as compared to the previous radiograph, the esophageal device has been removed. the endotracheal tube has been pulled back and the tip now projects <num> cm above the carina. minimal overinflation of the stomach. small left pleural effusion. low lung volumes but no overt pulmonary edema. mild retrocardiac atelectasis. ...
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no acute cardiopulmonary abnormality.
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pulmonary edema, cardiomegaly. stable mediastinal contour.
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hyperinflated, but clear lungs.
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bilateral pleural effusions, right greater than left, with mild central vascular congestion. bibasilar atelectasis is moderate.
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no acute cardiopulmonary process.
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ap chest compared to : mild pulmonary edema, mediastinal vascular congestion and enlargement of the cardiac silhouette have all improved since , but there is appreciable worsening of right lower lobe consolidation. in the absence of rightward mediastinal shift, it would be more sensible to ascribe the change to new pne...
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cardiomegaly, tortuous thoracic aorta, possible hiatal hernia. no pneumonia or chf. calcification inferior to the right glenohumeral joint, correlate for focal pain.
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no acute cardiopulmonary process.
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dual lead, right-sided aicd with leads seen terminating within the right atrium and right ventricle.
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no acute cardiopulmonary process.
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no previous images. the cardiac silhouette is at the upper limits of normal in size or mildly enlarged. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute cardiopulmonary process.
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no focal consolidation concerning for pneumonia.
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probable left retrocardiac atelectasis.
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mild cardiomegaly is stable. no acute cardiopulmonary process.
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heart size is normal. mediastinum is normal. lungs are clear. minimal left pleural effusion is new. no focal consolidation demonstrated.
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appropriate positioning of endotracheal tube. low lung volumes.
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comparison to. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pulmonary edema. no pneumonia. no pleural effusions. old right clavicular fracture.
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wedge-shaped left lower lung or lingular opacity; consider upright chest radiograph to delineate pleural effusion from consolidation or infarct; findings discussed with at am on by over the phone.
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questionable early lingular pneumonia. short-term followup radiographs may be helpful in this regard.
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no focal pneumonia or effusion. <num>-cm possible pulmonary nodule in the right infrahilar region. further evaluation with non-emergent chest ct is recommended. recommendation(s): non-emergent chest ct for right infrahilar opacity.
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right lower lobe consolidation. irregular scarring and retraction with nodular opacities in the right upper lung. recommend ct to exclude a neoplastic lesion. hyperinflated lungs with emphysematous changes. recommendation(s): dedicated ct chest for further evaluation of right upper lung.
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interval resolution of left apical pneumothorax. persistent small left pleural effusion despite indwelling left pigtail pleural drainage catheter. no hydropneumothorax.
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normal chest.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary disease.
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tracheostomy and right-sided picc in appropriate positioning. bilateral pleural effusions, not significantly changed compared to prior, with possible loculations on the right. mild pulmonary edema.
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tip of endotracheal tube is at the level of the carinal with the neck in a flexed position. this could be withdrawn a few cm for standard positioning. large layering bilateral pleural effusions have apparently increased in size since the recent radiograph, although positional differences somewhat limit comparison. no o...
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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rounded nodular opacity projecting over the left mid lung. if patient has symptoms compatible with pneumonia this could be treated and followed up after treatment. if no such symptoms, nonurgent ct scan should be performed for further evaluation.
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nodular hyperdensity projecting over the right upper , represent a calcified pulmonary nodule versus overlapping shadow. consider oblique views of the chest to further assess.
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persisting consolidation in the right upper lobe. given that this finding has been present for <num> months, underlying mass lesion would be of concern. further assessment by ct or alternatively pet-ct should be performed. no evidence of acute process.
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no acute cardiopulmonary abnormalities
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stable appearance of esophageal stent, bilateral pleural effusions, right greater than left, and bibasilar opacities, possibly reflecting atelectasis.
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no acute intrathoracic process
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no significant change with small bilateral effusions, compressive lower lobe atelectasis, hilar engorgement.
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confirmation of bilateral nipple shadows, but persistent incompletely characterized nodular focus in the left upper lung. oblique views were not performed for this study. management alternatives include acquisition of oblique views to assess the third opacity versus consideration of chest ct.
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consolidation of a portion of the anterior segment of rul and lateral rml, compatible with pneumonia. recommend repeat cxr in weeks after treatment to document resolution.
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no acute cardiopulmonary process.
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improvement of right pleural effusion. right basilar opacity likely represents atelectasis or possibly pneumonia. large retrocardiac opacity likely represents pleural effusion and atelectasis.
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cardiomegaly without superimposed acute cardiopulmonary process.
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stable support lines and tubes. unchanged left lower lobe collapse and small left pleural effusion.
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as compared to radiograph, previously reported left lower lobe pneumonia has resolved with no new areas of consolidation to suggest recurrent infection.
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probable bibasilar atelectasis and small effusions
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no acute cardiopulmonary process.
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moderate bibasilar atelectasis and bilateral pleural effusions. somewhat focal area of opacity in the right base is shown to be atelectasis on subsequent ct.
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enlarged cardiac size paticularly prominent in the lateral view raises concern for pericardial effusion. no focal parenchymal opacities identified. a change in the impression after attending review was communicated via e-mail to the ed qa nurse for communication to the physician of the patient by dr on at am.
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vague but somewhat focal interstitial opacification at the right lung base, highly nonspecific. scarring atelectasis or airway inflammation could be considered; in the appropriate clinical setting, if matching pulmonary symptoms are present, however, pneumonia would not be excluded.
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suggest repeat radiographs in two to four weeks to see if possible lower lobe nodule is still present.
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in comparison with the study of , there is little overall change. cardiac silhouette remains within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. streak of atelectasis is seen at the right base.
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no acute cardiopulmonary abnormality.
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no radiographic evidence for acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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slight blunting of the left costophrenic angle may be due to a trace pleural effusion. no definite focal consolidation.
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compared to chest radiographs. moderate bibasilar subsegmental atelectasis, unchanged. no pneumothorax or pleural effusion. upper lungs clear. heart size normal. distension of the azygos vein is not new, and therefore does not necessarily suggest elevated right heart pressure.
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atelectasis at the right lung base. no focal consolidation.
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minimal patchy opacity within the left mid lung field may reflect an area of developing infection.
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small left pleural effusion, mild cardiomegaly with hilar congestion.
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pa and lateral chest reviewed in the absence of prior chest radiographs: lungs are low in volume but clear of any focal abnormality. heart is normal size. thoracic aorta is tortuous and generally large, but not focally aneurysmal. other mediastinal contours, hila, and pleural surfaces are normal. lower spinal osteophyt...
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nasogastric tube is seen coursing below the diaphragm with the tip not identified. left internal jugular central line has its tip in the proximal svc. there continues to be diffuse bilateral airspace process with probable associated layering effusions. this may reflect worsening pulmonary edema, although superimposed b...
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right middle lobe opacity compatible with atelectasis noting that component infection is possible.
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new left lower lobe pneumonia.
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no acute cardiopulmonary process.
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tortuous and heavily calcified aorta, for which comparison with prior studies is recommended. no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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as compared to , cardiomegaly, pulmonary vascular congestion and interstitial edema persist. a more confluent opacity at the right lung base has worsened, and could reflect asymmetrical edema or developing pneumonia. small bilateral pleural effusions are again demonstrated.
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cardiomegaly without acute cardiopulmonary process.
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no acute intrathoracic process.
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possible early/ focal pneumonia in the left lower lobe.
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increased bilateral pleural effusions, now small to moderate, with overlying atelectasis, underlying consolidation is difficult to exclude in the appropriate clinical setting. moderate pulmonary vascular congestion.
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comparison to. on the current lateral image, it appears as if the tip of the picc line would be caught in either the azygos vein or the posterior wall of the superior vena cava. no pneumothorax. stable bilateral scarring and known left pleural effusion. the opacity at the lateral bases of the right upper lobe is not su...
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moderate right pleural effusion, with middle/lower lobe atelectasis. new cardiomegaly may reflect volume overload, pericardial effusion, and/or artifact from adjacent atelectasis. please correlate clinically.
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new right thoracostomy tube. no pneumothorax. interval decrease in size of a moderate right pleural effusion.
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in comparison to radiograph, a left pleural catheter remains in place with slight decrease in size of a moderate left pleural effusion. moderate to large right pleural effusion appears slightly larger, but positional differences between the exams limit comparison as this effusion was partially layering on the previous...
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mass-like opacity in the right upper lung for which contrast-enhanced ct of the chest is recommended.
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no acute cardiopulmonary process.
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interval resolution of pulmonary edema.
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pa and lateral chest compared to : hyperinflation and flattening of the hemidiaphragms reflect copd, either emphysema or chronic asthma. aside from a linear area of atelectasis or scarring in the left mid lung, and two similar regions on the right, the lungs are clear. there is no pulmonary edema or pleural effusion. h...
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as compared to the previous radiograph, the patient has undergone cervical fixation. according metallic material and postsurgical clips are seen projecting over the cervical region. the size of the cardiac silhouette continues to be at the upper range of normal. mild elongation of the descending aorta. no pleural effus...
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right lower lobe pneumonia. additional patchy opacity in the left lung base could reflect atelectasis or additional site of infection.
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no acute intrathoracic abnormality.
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low lung volumes, accentuating bronchovascular markings. no acute cardiopulmonary process.