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MIMIC-CXR-JPG/2.0.0/files/p18607467/s52037299/4ba0ca45-003b85fe-f50080ba-64bcdb3c-0d49c383.jpg
in comparison to chest radiograph, cardiomediastinal contours are stable with persistent large hiatal hernia. lung volumes are low. left basilar atelectasis and a probable small left pleural effusion are new. no other relevant change.
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left internal jugular line now repositioned, crosses from the left into the right brachiocephalic vein. lung volumes are low, further decreased since , reflected in substantial subsegmental atelectasis in both lower lobes. pneumonia is not excluded but need not be invoked in order to explain these findings. the upper l...
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small dense opacity at the left costophrenic angle, may represent atelectasis, but pneumonia should be considered if the patient has infectious symptoms.
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comparison to. no relevant change is seen. tracheostomy tube is in stable position. right picc line is unchanged. borderline size of the cardiac silhouette with retrocardiac atelectasis persists. pleural thickening at both the left and the right lung apex are stable. no new parenchymal changes. no pleural effusions.
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no acute process in the chest.
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no acute cardiopulmonary process.
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left lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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no acute intrathoracic process.
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no evidence of pulmonary edema. stable cardiomegaly.
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no pneumonia or acute cardiopulmonary process.
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compared to prior chest radiographs through at. all heterogeneous opacification in both lungs, probably disseminated pneumonia common not appreciably changed. there is still a moderate volume of right pleural effusion common despite the indwelling right pigtail pleural drainage catheter. no pneumothorax. heart size n...
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slight decrease in conspicuity of lucency along the medial right lung base, possibly a tiny pneumothorax versus extrapleural gas collection. slight improvement in widespread interstitial opacities. large quantity of subcutaneous air overlying the chest, decreased on the left, but not significantly changed on the right....
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bibasilar opacities compatible with patient's history of pulmonary fibrosis. no definite superimposed acute process noting that a subtle changes particularly at the bases could be obscured.
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no evidence of acute disease.
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comparison to. known pre-existing left predominant hilar lymph node calcifications. there is no visible pneumothorax. pre-existing basal opacities have slightly improved. no larger pleural effusions are present on today's image. no pulmonary edema. unchanged monitoring and support devices.
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trace bilateral pleural effusions. no focal consolidation concerning for pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, the patient has undergone right thoracocentesis. the right pleural effusion has almost completely been drained. there is no evidence for the presence of a right pneumothorax. the scars at the level of the right lung base and the left perihilar area and the left lung periphery are...
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lungs fully expanded and clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces. no evidence of pneumonia or atelectasis.
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appropriate positioning of the ett, right ij, and ng tube. worsening bibasilar opacification, which may represent aspiration. increasing moderate interstitial pulmonary edema. unchanged small left pleural effusion.
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in comparison with the study of , the left lower lung pneumonia has cleared. no evidence of acute cardiopulmonary disease. nodular opacification in the right mid zone most likely represents a granuloma.
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compared to chest radiographs through. pneumoperitoneum is smaller, but moderate left pleural effusion is larger. no pneumothorax. borderline edema, right lung unchanged. heart size normal but slightly larger. normal postoperative cardiomediastinal silhouette. midline drain and right thoracostomy tube still in place.
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no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.
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no evidence of acute cardiopulmonary process.
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the endotracheal tube and feeding tube are appropriately sited. there is cardiomegaly. there is subsegmental atelectasis at the right base. no pneumothoraces or focal consolidation are seen.
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opacity projecting over the left mid to lateral lung base is concerning for pneumonia.
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no acute cardiopulmonary process.
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no acute intrathoracic process. right sided aortic arch.
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worsening interstitial opacities in the left upper lobe and pleural effusion at the left base with associated lung consolidation. please refer to concurrent chest ct for more details.
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mild fluid overlaod
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no radiographic evidence of port-a-cath malposition. no acute cardiopulmonary process.
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multifocal lung infection persists, with possible pneumatoceles, but with some improvement of left pleural effusion. if clinical improvement is uncertain, ct may be helpful to document changes.
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findings most consistent with mild interstitial pulmonary edema.
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no acute cardiopulmonary process.
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borderline low position of ett.
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right upper lobe nodular opacity appears more prominent when compared to a chest film dated. in addition, there may be subtle opacities which have developed in the retrocardiac region since. although a neoplasm cannot be entirely excluded, the bilaterality would favor a bacterial or viral infectious process. followup c...
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no acute cardiopulmonary process.
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cardiomegaly without acute cardiopulmonary process.
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small bilateral pleural effusions and moderate cardiomegaly. bibasilar atelectasis. widened mediastinum, which may be due to tortuous intrathoracic aorta.
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no acute cardiopulmonary process.
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right middle lobe collapse. no focal consolidation. possible trace pleural effusions.
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right picc line tip is at the level of mid svc. up of tube passes below the diaphragm terminating most likely in the stomach. left internal jugular line tip is at the junction of left brachycephalic vein and svc. cardiomediastinal silhouette is unchanged. bilateral pleural effusions and bibasal consolidations are uncha...
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the left-sided aicd with its three leads remains in place and unchanged in position. the overall cardiac and mediastinal contours are stable, although the heart remains mildly enlarged. the lungs are hyperinflated but overall, the lungs volumes appear slightly diminished since and there is an increasing interstitial p...
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compared to chest radiographs since , most recently. moderate cardiomegaly is stable, but pulmonary vascular congestion has decreased. there is no pulmonary edema or appreciable pleural effusion. lungs are clear. sternal wires are intact and aligned.
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no evidence of acute cardiopulmonary disease.
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no evidence of acute cardiopulmonary disease.
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no acute displaced rib fracture or pneumothorax.
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resolved lingular pneumonia.
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in comparison with the study of , there again are bilateral opacifications at the bases silhouetting the hemidiaphragms, consistent with a combination of layering pleural effusions and underlying compressive atelectasis. continued enlargement of cardiac silhouette with pacer device and <num> leads in unchanged position...
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interval removal of a right-sided chest tube. no definite right pneumothorax is seen. scarring/atelectasis is is noted at the medial right upper lung. difficult to exclude tiny left apical pneumothorax although this was not site of reported concern. persistent blunting of the right costophrenic angle, trace pleural eff...
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as compared to the previous radiograph, the lung volumes have increased, reflecting improved ventilation. as a consequence, the pre-existing right basilar atelectasis has decreased in extent and severity, small left basilar atelectasis is unchanged. borderline size of the cardiac silhouette. no pneumonia, no pulmonary ...
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no acute cardiopulmonary process.
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mildly underinflated lungs, but no evidence of pneumonia, pleural effusion, or pneumothorax.
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persistent right-sided pleural effusion, not significantly changed. no definite acute cardiopulmonary process.
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bibasilar atelectasis. no likely pneumonia or edema. (in hospital, on page), and i discussed these findings at am,.
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no acute cardiopulmonary abnormality. these results were telephoned to by at ,.
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no acute cardiopulmonary process.
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normal chest radiograph.
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in comparison with the study of , there is little interval change. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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patchy opacity in the lower lobe, likely on the left, which is concerning for infection.
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status post left thoracocentesis. the effusion on the left has substantially decreased. there is no evidence for the presence of a pneumothorax. mild retrocardiac atelectasis persists. unchanged size of the cardiac silhouette.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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normal chest radiograph.
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no evidence of pulmonary edema. mild bronchial inflammation.
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no significant cardiovascular or pulmonary abnormalities are identified in this elderly female patient with unexplained weight loss. no tumor suspicious lesions are found.
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limited study due to rotation. probable mild pulmonary vascular congestion and bibasilar atelectasis.
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bibasilar atelectasis. doubt but cannot entirely exclude early pneumonic infiltrates. small effusions noted posteriorly. air beneath right hemidiaphragm consistent with recent abdominal surgery.
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endotracheal and enteric tubes in appropriate position. interval prominence of the hila increased since the prior study, may be due to pulmonary vascular engorgement/evolving edema.
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no acute cardiopulmonary process.
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in comparison with the study of , there is again enlargement of the cardiac silhouette with dual-channel pacer leads in good position. no definite vascular congestion. significant hyperexpansion of the lungs is consistent with chronic pulmonary disease. changes at the right base could reflect small pleural effusion and...
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no acute cardiopulmonary process. unchanged asbestos related pleural plaques.
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no acute findings in the chest.
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comparison to. no relevant change. stable size of the cardiac silhouette. stable appearance of the lung parenchyma and of the area of pleural thickening on the left. no new focal parenchymal opacities. no pleural effusions. no pneumothorax. no pulmonary edema.
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minimal improvement from yesterday in the severe, diffuse bilateral interstitial opacities.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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the lateral view suggests a region of new consolidation in the right middle lobe, probably pneumonia. lungs are otherwise clear. moderate to severe cardiomegaly is chronic. no pleural abnormality. transvenous right ventricular pacer defibrillator lead is continuous from the left pectoral generator.
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no penumonia.
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new subtle opacity in the left lower lung could represent pneumonia or aspiration. chronic left ac joint separation.
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mild interval improvement in pulmonary edema.
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the mediastinal contours are now within normal limits and therefore the finding on the prior study was related to patient positioning. the heart is upper limits of normal in size. pulmonary arteries are mildly prominent. there is no evidence of pulmonary edema, focal airspace consolidation, pleural effusions or pneumot...
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no evidence of acute pulmonary process.
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no acute cardiopulmonary process.
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no focal consolidation worrisome for pneumonia. trace bilateral pleural effusions.
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no definite acute cardiopulmonary process.
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no pleural effusion.
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as compared to the previous radiograph, the right pneumothorax has not substantially changed. no evidence of tension. mild subtle atelectasis at the right lung bases. unchanged appearance of the left lung.
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volume overload marked by cardiomegaly, bilateral small pleural effusions and increased vascular prominence.
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interval increase in size of the bilateral pleural effusions.
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no acute cardiopulmonary process.
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no acute cardiopulmonary pathology.
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interval removal of a right picc. no pneumothorax. small right pleural effusion versus pleural unchanged compared to study from.
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mild interstitial pulmonary edema.
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in comparison with the study of , there again is substantial hyperexpansion of the lungs with flattening hemidiaphragms consistent with chronic pulmonary disease. the right middle lobe pneumonia has cleared. no evidence of vascular congestion, pleural effusion, or acute consolidation at this time. dual-channel pacer le...
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increase in moderate bilateral pleural effusions. no displaced rib fracture. if further concern for a fracture persists, a dedicated rib series with markers would be useful.
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left chest tube remains in place with minimal subcutaneous emphysema within the left lateral chest wall soft tissues. no pneumothorax is seen. lower lung volumes. bilateral diffuse interstitial abnormality is consistent with known interstitial lung disease. overall cardiac and mediastinal contours are stable. no large ...
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no evidence of acute cardiopulmonary abnormalities. probable copd.
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left picc terminates within the deep right heart, possibly within the right ventricle, and should be withdrawn by approximately <num> cm. retrocardiac opacification may reflect atelectasis. infection cannot be excluded. interval decrease in size of previously noted bilateral pleural effusions, with likely a trace amoun...