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MIMIC-CXR-JPG/2.0.0/files/p10263098/s59419369/53622f11-48aa025b-0a6e6a6e-4f00ff2e-aafcbfbb.jpg
comparison with the study of , there is little change in the enlargement of the cardiac silhouette, significant pulmonary edema, and prominent right effusion with compressive atelectasis at the base.
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stable bilateral pleural plaques.
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no pneumonia.
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the left-sided port-a-cath has its distal lead tip in the proximal svc, unchanged. heart size is upper limits of normal but stable. there is again seen pleural effusions, left greater than right which have increased in size. there are areas of consolidation within both lung fields, more confluent at the bases. there is...
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opacity in the lateral segment of the right middle lobe may be an early or developing pneumonia in the appropriate clinical setting. findings discussed with dr by phone at ,.
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mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema. bibasilar airspace opacities, right greater than left, may represent atelectasis or focal consolidation, depending upon the clinical setting.
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status post right chest tube removal. loculated anterior fluid or pneumothorax is visualized, the apical lateral pneumothorax has slightly decreased in extent. no evidence of tension. the postoperative changes of the lung and chest wall resection are constant, including the air collection in the soft tissues.
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no evidence of pneumonia. these findings were reported to dr phone at by.
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no acute cardiopulmonary process.
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central pulmonary vascular congestion with mild interstitial edema.
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comparison to. minimal decrease in extent of the pre-existing left pleural effusion and the subsequent basal left-sided consolidation. no new parenchymal abnormalities. borderline size the cardiac silhouette persists.
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in comparison with the study of , there is a small right apical pneumothorax. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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since , stable mild cardiomegaly. no evidence of tuberculosis.
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post-obstructive left lower lobe pneumonia, unchanged from previous exams.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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several left-sided rib fractures with associated chest wall hematomas. blunting of the left costophrenic angle is suggestive of a small pleural effusion and/or atelectasis. no evidence of pneumothorax.
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low lung volumes and interstitial opacities consistent with known pulmonary fibrosis. possible small right pleural effusion. no other significant interval changes.
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as compared to the previous radiograph, no relevant change is seen. moderate scoliosis. mild overinflation. no evidence of pneumothorax or left-sided rib fracture. no pneumonia. no pleural effusions. no pulmonary edema.
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hyperlucency of the left lung relative to the right is difficult to explain. a repeat examination should should be performed with the patient carefully positioned so there is no rotation. lungs are hyperinflated, with small areas of linear scarring or atelectasis but no focal consolidation is present and there is no ev...
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small bilateral pleural effusions.
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no acute cardiopulmonary process.
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low lung volumes with suggestion of pulmonary vascular congestion, but no pleural effusion.
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endotracheal tube <num> cm from the carina. persistent opacification of the left mid and lower lung. stable chronic volume loss in the right upper lobe.
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prominence of the interstitial markings, including at the periphery and at the lung bases, similar in distribution as compared to the prior study, but slightly more prominent which may be due to chronic lung disease, however, superimposed minimal interstitial edema may be present.
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no acute cardiopulmonary process, no focal consolidation.
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ill-defined focal opacity in the left mid lung field. this may reflect an area of infection, however followup radiographs are needed to ensure resolution of this finding after treatment as neoplasm cannot be excluded. small bilateral pleural effusions and mild pulmonary vascular congestion. recommendation(s): follow up...
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no acute cardiopulmonary abnormality.
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limited due to underpenetration due to the patient's body habitus without evidence of displaced fracture. if clinical concern remains high, suggest dedicated imaging of the site of concern.
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no pneumothorax.
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no acute cardiopulmonary process.
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comparison to. the left central venous access line has been removed. the other monitoring and support devices remain in place. unchanged low lung volumes but resolution of a pre-existing retrocardiac atelectasis. moderate cardiomegaly. no pulmonary edema.
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no evidence of acute cardiopulmonary abnormalities.
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interval decrease in size of a now small left pleural effusion, no pneumothorax.
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heart size and mediastinum are stable. there is interval resolution of right mid and lower lung consolidation. no new consolidations as seen. linear opacity in the left lower lobe is re- demonstrated, potentially corresponding to resolving infectious process, minimally better as on the prior study although not entirely...
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no acute intrathoracic process with visualization of esophageal repair.
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small retrosternal opacity seen on the lateral view has nearly resolved, consistent with clearing of the pneumonia diagnosed by the chest cta, also on. lungs are fully expanded and otherwise clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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no acute findings in the chest. catheter positioned appropriately. markedly tortuous thoracic aorta.
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no evidence of acute disease.
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worsening collapse of the right lung from with unchanged rightward shift of mediastinal structures.
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as compared to the previous radiograph, no relevant change is seen. signs of overinflation. bilateral pleural effusions. borderline size of the cardiac silhouette with bilateral areas of atelectasis. signs indicative of mild to moderate pulmonary edema. all monitoring and support devices continue to be in correct posit...
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heart size is normal. tortuous aorta is noted as well as multiple calcified mediastinal lymph nodes and left upper lobe dense nodules most likely representing calcified granuloma. there is no pleural effusion. there is no pneumothorax. no focal consolidations to suggest infectious process noted.
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relatively unchanged appearance compared to the prior radiograph performed one hour prior.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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moderate hiatus hernia new since , could be a cause of pain. patient has had median sternotomy and coronary bypass grafting. there is no pleural effusion or pneumothorax. heart size is normal. normal mediastinal silhouette. lungs clear.
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unchanged substantial bilateral pleural effusions, right greater than left. no focal consolidation concerning for pneumonia.
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stable appearance of mild interstitial pulmonary edema. no evidence of pneumonia.
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improved aeration of the upper lungs with persistent bilateral parenchymal opacities may reflect an improved component of pulmonary edema. improvement in ards is difficult to ascertain.
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no evidence of pneumonia or pleural effusion. minimal pulmonary vascular congestion.
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heart size is normal but larger today than it was in. there is no pulmonary vascular congestion, edema, or pleural effusion. granulomatous calcifications are present in mediastinal lymph nodes and right lung. there is no evidence of active infection. marked displacement of the cervical trachea and mild narrowing have p...
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no acute intrathoracic abnormality is identified.
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improving right basilar opacity with some persistent linear density.
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no radiographic evidence of pneumonia.
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no acute intrathoracic abnormality without evidence of focal consolidation or fluid overload.
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right lung base opacity could represent aspiration or pneumonia depending on the clinical scenario. bilateral calcified diaphragmatic and pleural plaques are compatible with prior asbestos exposure.
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chronic opacities suggesting minor scarring without definite evidence for acute disease.
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widespread nodular opacities with increased bibasilar opacities and continued bronchial wall thickening, compatible with worsening small airways infection.
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reticulonodular opacities with bronchial wall thickening, most pronounced at the lung bases likely reflects chronic infection with bronchiectasis.
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no acute cardiopulmonary process.
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moderate, possibly partially loculated right pleural effusion is slightly decreased. right middle lobe and right lower lobe atelectasis is again seen with improvement of the right middle lobe atelectasis. right port-a-cath in appropriate position.
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mild pulmonary edema. stable chronic cardiomegaly. no pneumonia.
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in comparison with the study of earlier in this date, following clamping of the chest to, there is a mild increase in the degree of pneumothorax in the left apical region. there is little change in the appearance of the heart and lungs. the degree of subcutaneous gas along the left lateral chest wall appears to have sl...
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no acute cardiopulmonary process. age indeterminate wedge compression fracture of a mid-to-lower thoracic vertebral body.
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no evidence of acute cardiopulmonary process.
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ett ends <num> cm above the carina, could be advanced by about <num>cm for optimal position.
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persistent large right perihilar mass, which is slightly larger as compared to the prior study. this is in a region of prior fiducial seed placement, and may correspond to post-radiation changes; however, recurrence of malignancy cannot be excluded. recommend dedicated ct of the chest for additional evaluation. no pneu...
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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left greater than right bibasilar and lingular opacities worrisome for pneumonia, increased as compared to the prior study. recommend followup to resolution. if findings persist four to six weeks after acute treatment, suggest chest ct to exclude underlying obstructive process.
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findings suggesting slight fluid overload or pulmonary congestion. vague posterior opacity suspected to reside in the left lower lobe with indication of volume loss. although the films are not optimal particularly noting substantial soft tissue attenuation, the possibility that this may represent pneumonia in the appro...
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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no acute cardiopulmonary process. mild left basilar atelectasis.
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no evidence of acute cardiopulmonary disease.
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as compared to the previous radiograph, no relevant change is seen. the patient is of the right lower lobectomy. the nasogastric tube has been removed. the postoperative changes on the right are constant. on the left, there is unchanged evidence of a basal and retrocardiac atelectasis but no evidence of a new parenchym...
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unchanged mild pulmonary edema and moderate cardiomegaly.
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resolution of right upper lobe opacity, which may have represented a structure external to the patient on the prior radiograph.
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no acute cardiopulmonary process.
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picc line terminating in the mid to upper superior vena cava. no evidence of acute disease.
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as compared to the previous radiograph, the endotracheal tube has been slightly advanced. the tip of the tube now projects <num> cm above the carina. no evidence of complications. the position and course of the left internal jugular vein catheter is unremarkable. the lung volumes have slightly decreased, causing crowdi...
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no radiographic evidence for acute cardiopulmonary process with stable pacemaker positioning.
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no radiographic explanation for chest pain.
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small residual right apical pneumothorax.
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no significant interval changes. ett low. right middle lobe still collapsed. stable small right apical pneumothorax.
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no evidence of acute cardiopulmonary process.
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hyperinflation without acute cardiopulmonary process.
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bibasilar atelectasis. no evidence of pulmonary edema. enlargement of the main pulmonary artery and prominence of the right descending pulmonary artery suggest pulmonary hypertension.
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bilateral pulmonary opacities, overall stable to slightly improved as compared the prior study.
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as compared to the previous radiograph, no relevant change is seen. moderate bilateral pleural effusions. moderate pulmonary edema and extensive bilateral opacities, likely atelectatic. moderate cardiomegaly persists. the alignment of the sternal wires and the position of the left picc line are unchanged and normal.
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ap chest compared to through : diffuse infiltrative pulmonary abnormality in the right lung has not improved since , after worsening between and. left lung has been relatively spared, though transiently developed a diffuse interstitial abnormality on the before resolving the same day. there is certainly a component ...
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as compared to the previous radiograph, the pre-existing multifocal pneumonia has completely resolved. the area of the right hilus is now unremarkable. no evidence of complications such as pleural effusions or abscesses. normal size of the heart. no pneumothorax. the left pectoral pacemaker is unchanged.
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no acute findings.
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no acute intrathoracic process.
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diffuse bilateral parenchymal opacities compatible with patient's known interstitial lung disease which makes detailed evaluation by plain films limited. possible new region of consolidation in the left midlung which could represent a superimposed acute process such as infection.
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no acute intrathoracic abnormality.
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the lung volumes are normal. normal size of the cardiac silhouette. mild tortuosity of the thoracic aorta. the structure of the lung parenchyma as well as its transparency are normal. there is no evidence of pulmonary edema or pneumonia. no pleural effusions.
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no focal pneumonia. persistent mild cardiomegaly without evidence of pulmonary edema or pleural effusion. multilevel degenerative changes in the thoracic spine.
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no evidence of acute cardiopulmonary abnormalities.
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no significant interval change when compared to the prior study.