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MIMIC-CXR-JPG/2.0.0/files/p17336743/s51734426/bca6e07c-9d7000e7-d6dc6fd1-407f23ea-f36d8156.jpg
since a recent radiograph from earlier the same date, a left chest tube has apparently changed in position. small left pneumothorax is a persistent finding, and subcutaneous emphysema in the left chest wall has slightly worsened. no other relevant changes.
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mild to moderate cardiomegaly, unchanged from prior exam. chronic pulmonary vascular congestion.
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comparison to. no relevant change. the widespread bilateral parenchymal opacities are constant. unchanged monitoring and support devices. unchanged size of the cardiac silhouette. the patient shows no new parenchymal opacities.
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stable radiographic appearance of the chest. if there is high clinical suspicion for progression of abnormalities, ct would be more sensitive than radiographs and may be considered for more complete assessment if warranted clinically.
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no acute cardiopulmonary process.
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endotracheal tube, nasogastric tube and left subclavian central line are unchanged in position. a tube overlying the right upper quadrant is again seen. overall cardiac and mediastinal contours are stable. there is a persistent consolidation in the right lower lobe with an associated elevation of the right hemidiaphrag...
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no evidence of acute cardiopulmonary disease or injury. stable compression deformities. bony demineralization.
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low lung volumes. moderate hiatal hernia. bibasilar atelectasis. exclusion of the left costophrenic angle and left lateral chest from the field of view.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the right pneumothorax has re <num> current. the pneumothorax is seen at the lung apex and the lateral portions of the right hemi thorax. and has a maximum diameter of <num> <num> cm. no evidence of tension. the right chest tube is unchanged. unchanged normal appearance of the ...
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no evidence of acute disease.
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there is little change and no evidence of acute pneumonia, vascular congestion, or pleural effusion. specifically, no evidence of acute or old tuberculous disease.
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no acute intrathoracic process.
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heart size and mediastinum are stable. right picc line tip is at the level of mid svc. no new consolidations masses or increase in pleural effusion or pneumothorax demonstrated
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in comparison with the earlier study of this date, the left chest tube has been removed. there may be a tiny residual left pneumothorax. otherwise little change.
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right basilar opacity, potentially in part due to atelectasis.
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patient's chin partially obscures the lung apices. right apical opacity may relate to apical pleural thickening although underlying consolidation is not excluded. ap lordotic view would be helpful for further evaluation and is recommended.
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no acute cardiopulmonary process.
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comparison to. no relevant change is noted. moderate cardiomegaly. minimal right pleural effusion. mild atelectasis at the lung bases. no no pneumonia, no pneumothorax.
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small right apical pneumothorax.
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lateral displacement of the pigtail catheter. please correlate clinically with drainage. persistent right pleural effusion, minimally changed since prior study.
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in comparison with the study of , there is little overall change. left chest tube remains in place with little change in the appearance of the fluid collection along the left lateral chest wall. no evidence of pneumothorax.
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as compared to the previous radiograph, the lung radiograph shows widespread bilateral parenchymal opacities with air bronchograms, highly suggestive of diffuse pneumonia. overall the vascular structures are minimally enlarged, other signs suggestive for pulmonary edema are missing. moderate atelectasis at the left lun...
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection. left sixth rib has <num> fractures ; the more proximal in the postal lateral rib does not appear fully healed may be acute or subacute, as opposed to the fully healed anterior fracture.
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small right pneumothorax is smaller today, small left pneumothorax unchanged. bilateral pleural drains unchanged in their respective positions. subcutaneous emphysema in the neck is decreasing, small pneumomediastinum persists, improved since earlier in the week. et tube in standard placement. esophageal drainage tube ...
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interval improvement in the right base opacification. trace residual opacity noted. no new focal opacity identified.
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no acute pulmonary process identified.
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ap chest compared to , : new endotracheal tube ends less than <num> cm above the carina and should be withdrawn <num> cm for optimal placement. moderate cardiomegaly is stable. lung volumes are lower and greater opacification in the left lower lobe is attributable to new atelectasis. no pneumothorax or appreciable ple...
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minimal streaky bibasilar opacities may reflect atelectasis but infection is not excluded. small bilateral pleural effusions.
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central bronchial cuffing raising concern for large airways inflammation. no lobar consolidation.
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emphysema with patchy opacities in the lung bases, likely atelectasis.
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no acute cardiopulmonary abnormality.
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<num> sequential chest radiographs show advancement of the esophageal feeding tube from the thoracic inlet to the upper stomach. small bilateral pleural effusions and large masslike area of presumed pneumonia in the left lower lobe are unchanged. aeration of the right lung base has improved. no pneumothorax. heart size...
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previously seen left upper lobe nodular opacity is not as well seen in this exam, but it probably represents focal calcification at the first rib costochondral cartilage. lordotic view chest radiograph is recommended to better evaluate whether the opacity is parenchymal or skeletal in origin.
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cardiomediastinal silhouette is stable. interstitial changes are extensive, slightly improved as compared to the prior study. mediastinal contours including hilar enlargement are stable. right upper lobe opacity although was the less pronounced than on the prior study is still noticeable. bilateral pleural effusions ar...
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considerable consolidation in both lower lobes, left greater than right, is accompanied by leftward mediastinal shift suggesting some component of atelectasis on the left, but severe pneumonia is certainly a possibility. small bilateral pleural effusion is new since and probably increased since. heart is mildly enlarg...
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chronic stable right middle lobe and left lower lobe opacities, likely scarring from prior parenchymal process. no radiographic evidence of acute cardiopulmonary process. results were conveyed via telephone to dr by dr on at within <num> minutes of observation of findings.
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no relevant change as compared to ,. the bilateral pacemaker leads are in correct position. no evidence of pneumothorax. minimal fluid overload but no overt pulmonary edema. moderate cardiomegaly. a large hiatal hernia is better visualized on the lateral than on the frontal image.
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limited, negative.
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bilateral small pleural effusions. moderate cardiomegaly without focal consolidation.
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right upper lobe pneumonia. findings were discussed by phone on , at , two minutes after discovery of the findings with dr.
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low lung volumes without an acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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worsening bilateral consolidations concerning for progressing multifocal pneumonia. worsening left lower lobe atelectasis possibly due to a left bronchus mucous plug.
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mild pulmonary vascular congestion and moderate left effusion, given for differences in technique have not significantly changed.
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in comparison with the study of , the cardiac silhouette remains at the upper limits of normal in size or mildly enlarged. no vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. no subdiaphragmatic free air.
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no acute cardiopulmonary process.
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no evidence of pneumonia. clear lungs.
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status post sternotomy, with dual lead pacemaker. probable cardiomegaly. rounded configuration of the heart may represent normal variation, though raises the question of possible pericardial fluid. increased interstitial markings most likely reflect an element of chf. more confluent bibasilar opacities raise the questi...
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no evidence of acute cardiopulmonary disease.
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subtle retrocardiac opacity worrisome for infection. follow up chest radiograph to trace resolution is recommended. emphysema. results were discussed over the telephone with dr by at on at time of initial review.
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support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces.
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as compared to the previous radiograph, the lung volumes have increased likely resulting from improved ventilation of the lung parenchyma. mild cardiomegaly with mild fluid overload persists. no larger pleural effusions. no pneumonia, no pulmonary edema. no pneumothorax. the sternal wires and the right internal jugular...
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mild pulmonary vascular congestion and increased size of small bilateral pleural effusions. patchy opacities in the lung bases may reflect atelectasis however infection cannot be completely excluded.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease or injury.
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stable cardiomegaly with minimal pulmonary edema.
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no acute cardiopulmonary process. if there is persistent concern, dedicated rib films may be helpful.
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no evidence for acute cardiopulmonary process.
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cardiomegaly is substantial. mediastinum is unremarkable. vascular congestion is present. no focal consolidations to suggest infectious process at definitely seen on the pa view but suspected on the lateral view projecting over the spine and might represent left lower lobe pneumonia. no pleural effusion or pneumothorax...
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normal chest radiograph.
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bilateral basilar opacities concerning for atelectasis or pneumonia.
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cardiomegaly without pulmonary vascular congestion is similar to prior. the finding can be seen in setting of cardiomyopathy or pleural effusion.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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progressive subacute pneumonitis with possible component of pulmonary edema.
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as compared to the previous radiograph, the course of the nasogastric tube as well as the position of the endotracheal tube and of the left picc line are constant.
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no acute cardiopulmonary process.
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stable appearance of the chest without acute cardiopulmonary process.
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redemonstrated hiatal hernia appears much smaller than on prior exams. otherwise, no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic findings.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process. no evidence of pneumoperitoneum.
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the new endotracheal tube in standard placement. nasogastric drainage tube ends in the lower esophagus and would need to be advanced least <num> cm to move all the side ports into the stomach. atelectasis in the previously collapsed left lower lobe has improved, but there is still substantial bibasilar consolidation an...
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left moderate pleural effusion with adjacent atelectasis, increased since.
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mild cardiomegaly, otherwise unremarkable exam.
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no evidence of acute cardiopulmonary process. unchanged appearance status post multilevel thoracic laminectomies
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no displaced rib fracture.
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bibasilar atelectasis.
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resolution of prior small right pneumothorax. no acute intrathoracic abnormality is detected.
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no acute cardiopulmonary process.
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right chest tube remains unchanged in position. there continues to be near complete opacification of the right hemithorax likely due to a large pleural collection. there continues to be slight leftward shift of the mediastinal structures. a tiny amount of air is seen at the left apex consistent with a small pneumothora...
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normal chest x-ray.
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no interval change from the prior exam. no new focal opacities to suggest pneumonia.
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bibasilar atelectasis, worse on the left with continued low lung volumes.
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interval repositioning of the right approach picc, which terminates in the low svc. unchanged small to moderate left pleural effusion with adjacent atelectasis.
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no acute intrathoracic abnormality.
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interval placement of endotracheal tube with tip approximately <num> cm from the carina. no other change.
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no definite signs of pneumonia.
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possible mild pulmonary vascular congestion. no focal consolidation.
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no acute cardiopulmonary process.