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MIMIC-CXR-JPG/2.0.0/files/p19015466/s53634494/a7603c80-8b261d6a-e8832982-76ec62c7-17f9fefd.jpg
a linear scar or region of atelectasis is most of what remains of a largely cleared the left upper lobe pneumonia. the previously large left hilus is no longer, but it is enlarged elevated by volume loss in the previously infected upper lobe. generalized hyperinflation reflects emphysema. there is no pleural effusion o...
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no acute cardiopulmonary process.
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multiple focal patchy opacities are seen in the lungs, concerning for multifocal pneumonia or pcp. please correlate with patient's cd<num> count.
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right picc line tip is at the level of mid svc. heart size and mediastinum are stable. there is interval improvement in pulmonary edema.
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in comparison , cardiomegaly is accompanied by pulmonary vascular congestion. bibasilar atelectasis has worsened on the left and slightly improved on the right. small left pleural effusion has apparently increased in size. no other relevant change.
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. a left trans jugular central venous infusion port ends in the mid to low svc as before.
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no evidence of pneumonia.
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worsening bibasilar opacities, likely due to atelectasis, accompanied by small right and small-to-moderate left pleural effusions.
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no evidence of acute cardiopulmonary process.
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volume loss in both lower lobes. an underlying infectious infiltrate can't be excluded. appearance is slightly worse compared to prior
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improvement in the right basal consolidation when compared to the prior study, persistent left basal consolidation.
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in comparison with the study of , there has been placement of a dobbhoff tube that extends to the proximal stomach. right ij catheter extends to the mid portion of the svc. no evidence of acute pneumonia or vascular congestion. residual contrast material is seen in the colon.
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ap chest reviewed in the absence of prior chest radiographs, in conjunction with torso ct : new right subclavian line ends low in the svc. no pneumothorax, mediastinal widening or pleural effusion. small nodules most readily visible in the left lung conform to the ct appearance generally, but there appears to be less p...
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the endotracheal tube terminates <num> cm above the carina. the cardiac and mediastinal silhouette is unchanged since. widespread opacities, reflecting mild edema, are stable. a left picc has been retracted to the axilla. there is no pneumothorax. a small left pleural effusion is unchanged.
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mild vascular congestion without frank edema. no pneumonia.
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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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the endotracheal tube tip is <num> cm above the carina. picc line tip is in the svc. nasogastric tube tip is beyond the edge of the film in pass the ge junction. there is a better inspiration than on the earlier study and there is persistent patchy density in both lower lobes and in the right perihilar region. there is...
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fluid overload. an underlying infectious infiltrate, in particular in the right lower lobe cannot be excluded.
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unchanged position of right port-a-cath with tip terminating in mid svc.
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right internal jugular line tip is at the level of mid svc. heart size and mediastinum are stable. there are similar in appearance bibasal areas of atelectasis, left more than right. no interval development of pleural effusion or pneumothorax is seen. no pulmonary edema is present.
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low lung volumes with mild fluid overload and edema. retrocardiac opacity may represent atelectasis though infection cannot be excluded. post-diuresis re-examination may be helpful.
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no acute cardiopulmonary process.
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doubt significant change in cardiomediastinal silhouette are diffuse bilateral opacities. previously seen left picc line not visualized on this examination. clinical correlation is requested.
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severe emphysema without superimposed pneumonia.
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large diaphragmatic hernia is chronic, but has increased since , displacing the left hilus superiorly. new consolidation at the left lung base could be relaxation atelectasis alone but pneumonia is a possibility. fluid levels in herniated loops of gut indicate at least stasis, perhaps incarceration. close clinical atte...
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streaky bibasilar atelectasis without focal consolidation. known right middle lobe nodule seen on prior ct is not well assessed on the current radiograph. as was recommended at the time of the previous ct, followup chest ct should have performed within <num> months, and correlation with any previous imaging is recommen...
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in comparison with the study of , there are lower lung volumes. persistent opacification at the left base most likely reflects volume loss in the left lower lobe and pleural effusion. continued enlargement of the cardiac silhouette without appreciable vascular congestion. no evidence of pneumothorax.
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bilateral lower lobe collapse unchanged. moderate left pleural effusion is likely, increased since. heart size normal. et tube has been partially withdrawn to the thoracic inlet, now no less than <num> cm from the carina. left internal jugular line ends in the low svc. nasogastric tube passes into the stomach and out o...
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no acute cardiopulmonary abnormality. chronic lung changes compatible with lymphangiomyomatosis.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no opacity concerning for pneumonia.
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previous pulmonary and mediastinal vascular engorgement and moderate bilateral pleural effusions have improved significantly. heart is still moderately enlarged and left lower lobe substantially atelectatic. no pneumothorax. right pic line can be traced only as far as the right brachiocephalic vein even though it ended...
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cardiomediastinal silhouette is stable. prominence of the pulmonary arteries is most likely consistent with pulmonary hypertension. there is interstitial pulmonary edema and bilateral pleural effusions. replaced aortic valve is in expected position.
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as compared to the previous image, the bilateral chest tubes have been removed. there is no convincing evidence for the presence of a pneumothorax. moderate cardiomegaly persists. the alignment of the sternal wires is unremarkable.
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in comparison with the study of , there is again hyperexpansion of the lungs, but no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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subtle left mid lung and basilar opacity which could represent infection in the proper clinical setting. recommend repeat after treatment to document resolution.
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in comparison with study of , there has been essentially complete clearing of the right lower lobe pneumonia. continued hyperexpansion of the lungs, but no evidence of acute pneumonia or vascular congestion.
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no acute cardiopulmonary process.
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no significant interval change.
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feeding tube placement. the course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. no complications, notably no pneumothorax.
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left lung base atelectasis or scarring. near-complete interval resolution of bilateral pleural effusions.
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no acute cardiopulmonary process.
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ap chest reviewed in the absence of prior chest imaging: lungs mildly hyperinflated, could be emphysematous. no consolidation or edema. no pleural effusion. heart size normal. no free subdiaphragmatic gas.
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increasing opacity in the anterior right upper lobe best appreciated on the lateral radiograph concerning for developing pneumonia.
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clear, hyperinflated lungs.
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mild blunting of the left costophrenic angle on the frontal view may be due to pleural thickening, but a trace pleural effusion is not excluded.
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pa and lateral chest compared to : new transvenous right atrial lead projects low over the right atrium, and the right ventricular lead along the floor of the right ventricle to the apex. no pneumothorax, pleural effusion or attributable mediastinal widening. severe cardiomegaly is slightly worse today than it was in. ...
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appearance consistent with congestive heart failure although in the appropriate clinical setting pneumonia could be considered.
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no acute intrathoracic process.
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apparently old interstitial changes observed on previous examinations. no evidence of new acute infiltrates in this single ap chest view examination.
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lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. right jugular line ends in the upper right atrium as before.
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no radiographic evidence of acute pneumonia.
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previously noted mediastinal lymphadenopathy may be slightly improved. fullness of the right hilum is unchanged and reflective of known lymphadenopathy. emphysema. known nodule within the right upper lobe is better seen on the prior exams.
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no acute cardiopulmonary process.
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marked hypoinflation of the lungs limits assessment at the bases. no definitive acute process.
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suspect subtle interstitial infiltrates in both upper zones. otherwise, no acute pulmonary process identified. please see report of chest ct obtained shortly after this radiograph for additional detail.
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right chest tube in unchanged position. tiny right apical pneumothorax is noted. developing opacity at the right lung base is present, which may reflect developing infection. small bilateral pleural effusions are noted, unchanged.
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mild bibasilar atelectasis. no focal consolidation.
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in comparison with the earlier study of this date, the endotracheal tube has been pulled back and the tip is now approximately <num> cm above the carina. otherwise, little overall change in the appearance of the heart and lungs. there has been placement of a nasogastric tube that extends at least to the distal stomach....
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ap single view of the chest in upright position shows normal lung volume without consolidation or nodules. cardiomediastinal silhouette is normal. aorta profile is mildly elongated, a sign of aortosclerosis. thre is no pleural effusion or pneumothorax.
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in comparison with the study of , there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. right ij catheter is been pulled back to the level of the cavoatrial junction. continued substantial enlargement the cardiac silhouette with pulmonary edema and bilateral pleural effu...
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slightly increased pulmonary edema and bilateral pleural effusions since. no pneumothorax.
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in comparison with the study of , there is little change. cardiac silhouette is at the upper limits of normal in size or mildly enlarged, but there is no evidence of vascular congestion or acute focal pneumonia. elevation of the right hemidiaphragmatic contour is again seen. the nasogastric tube is been removed.
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no acute cardiopulmonary process.
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mild increase in bilateral pleural effusions with bibasilar atelectasis, also slightly progressed.
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left basilar airspace disease may be due to pneumonia, but malignancy is difficult to exclude. pa and lateral radiograph may be obtained to assess how much of the left basilar abnormality is due to increasing pleural fluid vs parenchymal disease.
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normal postoperative appearance of the left lung. no pneumothorax.
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spinal hardware and mediastinal wires are seen, unchanged. there are several old right-sided healed rib fractures. heart size is upper limits of normal but stable. bibasilar densities are most consistent with subsegmental atelectasis. no overt pulmonary edema or pneumothoraces are seen.
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bibasilar opacities more so on the right, potentially atelectasis in setting of low lung volumes although infection and/or aspiration are possible.
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prominence of the pulmonary vasculature and interstitial markings bilaterally suggests fluid overload. bibasilar opacities are symmetric and felt to more likely relate to fluid overload or chronic lung disease rather than infection although infection not excluded in the appropriate clinical setting.
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in comparison with the study of , the monitoring and support devices are unchanged. the cardiac silhouette is prominent but there is no definite vascular congestion. areas of opacification at the bases could reflect aspiration pneumonia as suggested in the clinical history. the upper lungs are clear.
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in comparison with the study of , the there may be even further opacification in the right hemithorax. persistent opacification in the retrocardiac region with blunting of the left costophrenic angle. monitoring and support devices are essentially unchanged.
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contiguous displaced left rib fractures involving at least the posterior aspect of the second through fifth ribs. no pneumothorax identified on radiograph. small left pleural effusion. hemothorax not excluded. obscuration of the left hemidiaphragm which may be related to a combination of atelectasis and pleural effusio...
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stop
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low lung volumes. patchy right basilar opacity may reflect atelectasis though infection cannot be completely excluded.
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prominent pulmonary hilar contours, stable since. otherwise normal chest radiograph without evidence of pneumonia.
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no acute cardiopulmonary process.
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the endotracheal tube ends <num> cm above the carina. the transesophageal tube has a side port ending <num> cm above the gastroesophageal junction. no acute cardiopulmonary process.
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moderate to large right pleural effusion with apical, fissural, and subpulmonic component slightly larger today than on. rightward mediastinal shift indicates substantial volume of atelectasis in the right lung, particularly since atelectasis in the left lower lobe has developed since. there is no pulmonary edema. no a...
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no acute cardiopulmonary process.
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ap chest compared to : slightly lower lung volumes and mild interstitial edema probably account for slight increase in generalized opacification throughout the lungs, partially obscuring multiple lung nodules. mild cardiomegaly stable. et tube and right internal jugular line are in standard placements. right apical ple...
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pa and lateral chest compared to : large right pleural effusion, increased between and chest ct scan on. right pleural effusion is smaller today than it was on and there is better aeration in the right middle and lower lobes, though substantial atelectasis remains. it could be a very tiny right apical pneumothorax. m...
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no signs of acute or chronic tb infection.
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trace left apical pneumothorax. fiducial seeds within the left upper lobe lung mass.
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as compared to , the single lead of the left pectoral pacemaker continues to project over the right ventricle. no complications, notably no pneumothorax. unchanged minimal bilateral pleural effusions and moderate cardiomegaly as well as retrocardiac atelectasis, the remaining lung parenchyma, including minimal fibrotic...
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no acute intrathoracic process.
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compared to chest radiographs since , most recently. most of the previous small regions of consolidation an peribronchial opacification have cleared from the lungs since. there may be persisting consolidation at base of the right lung. conventional views, particularly i. e. lateral are strongly recommended. heart size ...
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findings consistent with mild decompensated chf. no focal airspace opacity.
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patchy left lower lobe opacity could reflect an area of infection.
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as compared to the previous radiograph, no relevant change is seen. normal size of the cardiac silhouette. no pneumonia, no pulmonary edema. no pleural effusions. left port-a-cath in constant position.
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nodular opacity at right lung base for which repeat frontal with shallow obliques can be performed to assess if this may be superimposed shadows vs a parenchymal nodule.
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stable right-sided post-surgical changes and bibasilar atelectasis. no evidence of pneumonia.
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removal of endotracheal and enteric tubes. interval increase in right mid to lower lung opacity, could be due to aspiration or worsening infection.
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no evidence of acute cardiopulmonary disease.
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there is elevation of right hemidiaphragm of unclear etiology, new since , but unchanged from pet-ct from. there is no pleural effusion or pneumonia.
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no acute cardiopulmonary process.
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worsening interstitial opacities likely reflective of superimposed mild pulmonary edema on a background of lymphangitic carcinomatosis. small bilateral pleural effusions, slightly increased in size on the right.
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in comparison with the earlier study of this date, there may be slight increase in the bilateral patchy opacification ends. obscuration of the left hemidiaphragm persists consistent with volume loss in the left lower lobe and pleural effusion. the picc line remains in position.
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compared to , a left chest tube remains in place with a persistent very small left apical pneumothorax. pneumoperitoneum persists and is likely related to recent surgery. cardiomediastinal contours are stable. bibasilar atelectasis has slightly decreased in extent, and small bilateral pleural effusions are a persistent...