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MIMIC-CXR-JPG/2.0.0/files/p16046758/s57973051/a1fcdd27-b8b01e1e-b62bcc6b-bbebd998-4c544f90.jpg
bilateral pleural effusions, slightly worse on the right. decreased aerated lung on the right. stable post-treatment changes.
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no acute cardiopulmonary process. no significant interval change.
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bilateral lower lung interstitial abnormality is of indeterminate chronicity, but new since. if the patient has clinical evidence pointing to a specific pulmonary problem, consider chest ct for further evaluation. no focal consolidation concerning for pneumonia. recommendation(s): if the patient has clinical evidence p...
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as compared to the previous radiograph, the patient is now rotated to the left. the central venous device has been removed. the endotracheal tube and the nasogastric tube remain in place. the patient shows a mild to moderate retrocardiac atelectasis. no signs of overinflation are detected. moderate cardiomegaly persist...
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low lung volumes which limits the assessment of the lung bases. probable mild bibasilar atelectasis.
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low lung volumes, but no evidence of pneumonia. pa and lateral views would be helpful, if obtainable.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17187018/s52684796/097feaa7-b9b9e360-6229efa5-d21c3803-3bd45255.jpg
no acute cardiopulmonary process.
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no evidence of infection or malignancy.
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unchanged diffuse bilateral opacities better evaluated in prior ct of consistent with septic pulmonary emboli /multifocal pneumonia
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hyperinflated lungs suggestive of copd. no definite pleural effusion. age-indeterminate compression deformities of <num> thoracic vertebral bodies.
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no acute cardiopulmonary process.
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in comparison with the study of , there is again some hyperexpansion of the lungs suggesting chronic pulmonary disease. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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ap chest compared to : previous moderately severe pulmonary edema has improved substantially. small right and left pleural effusions remain. the heart is normal size. suggest followup to document clearing of residual pulmonary abnormalities almost nodular in appearance.
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dual lead left pectoral and subclavian pacemaker with <num> pacer leads in the right atrium and the right ventricle without evidence of pneumothorax or other complications. mild degenerative changes in thoracic spine.
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compared to prior study mild pulmonary edema has improved. widening mediastinum and severe cardiomegaly are stable. small left pleural effusion and adjacent atelectasis have minimally improved. there is no pneumothorax. no other interval change
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suspect slight interval increase in chf. increased opacity left base, consisting of increased left pleural effusion and increased retrocardiac density, compatible with left lower lobe collapse and/or consolidation. minimal blunting of the right costophrenic angle, without gross right effusion. minimal patchy atelectasi...
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compared to prior chest radiographs. lungs are well expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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new left lower lobe opacity has progressed since the prior examination. in this clinical setting could represent pneumonia/aspiration with adjacent pleural effusion.
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mild pulmonary edema. moderate bilateral pleural effusions with associated bibasilar atelectasis. right pleural effusion is stable and left pleural effusion appears slightly increased compared to
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no substantial change in the cardiomediastinal silhouette demonstrated. pericardial drainage is in place. left pleural effusion is also present. minimal interstitial changes are noted in the right mid and lower lung, overall unchanged since the prior study, consistent with areas of atelectasis demonstrated on the previ...
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no acute cardiopulmonary process.
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opacity in the left lung base likely represents layering pleural effusion, possibly loculated to some extent. coinciding parenchymal opacity is probably compatible with atelectasis, but cannot rule out an underlying infectious process. small to moderate right pleural effusion. moderate to severe pulmonary edema.
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no acute cardiopulmonary process.
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interval increased focal airspace opacity at the left lung base, which may represent recurrent infection or potentially aspiration.
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comparison to. a pre-existing parenchymal opacity in the right lung bases, likely reflecting aspiration pneumonia, has increased in severity in extent. a pre-existing mild opacity in the retrocardiac lung region is stable. no pleural effusions. no no pulmonary edema. normal size of the heart.
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in comparison with the study of , the opacification in the right lower zone, attributed to bronchiectasis, no longer seen is. there is no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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ap chest compared to through : severe but symmetric widening of the upper mediastinum, which progressed from through , has improved. most likely explanation is mediastinal venous engorgement, since pulmonary edema developed over the same period as well as increasing moderate left pleural effusion. on the other hand, ...
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no acute cardiac or pulmonary process. possible <num>-mm right mid lung nodule should be further evaluated with chest ct. findings and recommendation were discussed with dr by dr at via telephone on the day of the study.
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left lung nodule has a similar appearance to the prior <num> examinations. no pneumothorax or pleural effusion. normal cardiomediastinal and hilar silhouettes.
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lungs are clear. there is no pleural abnormality. heart size mildly enlarged, but on unchanged. fullness in the supra cardiac mediastinum is long-standing.
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left picc in place with tip traceable to the mid svc. slight kinking just proximal to the left axilla.
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no acute findings in the chest.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. probable thyroid goiter accounting for the superior mediastinal widening and indentation upon the right aspect of the trachea. clinical correlation is recommended and further assessment with thyroid ultrasound can be obtained.
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as compared to the previous radiograph, no relevant change is seen. minimal improvement of the bilateral pleural effusions. borderline size of the cardiac silhouette. mild pulmonary edema. unchanged monitoring and support devices.
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decrease in size of small right and unchanged moderate left pleural effusion with accompanying bibasilar atelectasis.
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comparison to. the patient has received the new left pectoral pacemaker. the position of the leads is unremarkable, in the left atrium and the left ventricle, respectively. stable elevation of the left hemidiaphragm with platelike areas of atelectasis. no pneumothorax or other complication. no pulmonary edema.
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a skin fold projecting over the left lateral chest should not be mistaken for pneumothorax. moderate cardiomegaly is accompanied by pulmonary vascular congestion and possibly mild pulmonary edema. heterogeneous appearance of the lower lungs particularly the right could be due to chronic lung disease, but would make it ...
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interval appearance of extensive subcutaneous emphysema involving the chest wall and neck soft tissue as well as pneumomediastinum. no pneumothorax is seen. lungs remain grossly clear. overall cardiac and mediastinal contours are stable. no free intraperitoneal air is seen beneath the diaphragm.
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no acute cardiopulmonary process.
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comparison to <num>. stable appearance of the displaced rib fractures on the right. no pneumothorax. no pleural effusions. mild retrocardiac atelectasis persists.
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no acute cardiopulmonary abnormality. unchanged pulmonary arterial hypertension.
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as compared to , the lung volumes have slightly decreased. moderate cardiomegaly without pulmonary edema. minimal left basilar atelectasis and, potentially, a left pleural effusion. unchanged appearance of the hilar and mediastinal structures.
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no evidence of left pneumothorax status post left chest tube removal.
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no pneumothorax after left thoracentesis.
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pa and lateral chest compared to : the extent of peribronchial infiltration in the right middle lobe due to bronchiectasis varies on prior chest radiographs. today, it is slightly more pronounced than it was on. the component in the lingula is more consistent. there are no new areas of abnormality elsewhere in the lung...
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compared to chest radiographs through at : mild right infrahilar consolidation improved between in , subsequently the increased since. this could be recurrent aspiration or atelectasis. heart is now top-normal size. pulmonary vasculature is minimally engorged due in part to semi-erect positioning. no pleural abnorma...
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no acute cardiopulmonary process.
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bibasilar opacities likely represent combination of atelectasis and scarring given patient's history of chronic aspiration. however, underlying pneumonia in the lower lobes particularly on the right cannot be ruled out.
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the upper enteric tube ends in the body of the stomach.
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minimal interstitial abnormality. this could be due to emphysema or interstitial lung disease. this is stable from prior study. no suspicious lung abnormalities.
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as compared to the previous radiograph, no relevant change is seen. mild overinflation, small bilateral apical areas of thickening, symmetrical in distribution. normal size of the cardiac silhouette. minimal tortuosity of the thoracic aorta. no pleural effusions, no pneumonia, no pulmonary edema, no lung nodules or mas...
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no acute pulmonary process identified.
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small bilateral pleural effusions.
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possible mild interstitial pulmonary edema with basilar atelectasis.
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comparison to. status post left wedge resection. a left chest tube is in situ. no visible left pneumothorax. stable appearance of the right lung and of the cardiac silhouette. no acute lung changes.
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no evidence of acute disease.
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no acute intrathoracic process.
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previous extensive pulmonary opacification continues to clear, although lung volumes remain low. pleural effusion is small if any. heart size top-normal unchanged. no endotracheal tube is visible of the mandible obscures the cervical trachea. right pic line ends in the low svc. two views show successive positioning of ...
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in comparison with the study of , the monitoring and support devices have been removed. there is opacification at the bases silhouetting the hemidiaphragms, consistent with layering pleural effusions combined with lower lung volume loss. no definite vascular congestion or acute focal pneumonia.
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as compared to the previous radiograph, the monitoring and support devices are in unchanged position. the lung volumes continue to be low. moderately enlarged cardiac silhouette. the pre-existing left lower lobe atelectasis has slightly decreased in severity but is still clearly visible. no new focal parenchymal opacit...
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right subclavian picc line is unchanged in position. overall cardiac and mediastinal contours are stable. lungs appear hyperinflated. no focal airspace consolidation is seen to suggest pneumonia. no pulmonary edema or pneumothorax. no pleural effusions. a coil is seen overlying the left upper quadrant. if the patient's...
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no acute findings.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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bibasilar atelectasis.
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pacemaker defibrillator is in place in unchanged position. left ventricular epicardial lead is in place. right picc line tip is at the cavoatrial junction. heart size and mediastinum are unchanged in position. interval increase in right pleural effusion is noted currently moderate. no definitive pulmonary edema is seen...
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no acute findings in the chest.
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region of consolidation better seen on the lateral. in the proper clinical setting, this would be compatible with pneumonia. recommend repeat after treatment to document resolution.
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linear plate like atelectasis in the right middle lobe. no evidence of free air.
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no acute cardiopulmonary process.
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mild cardiomegaly. given patient's age, a full workup is advised.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of intrathoracic metastatic disease. hyperinflated lungs and vascular deficiency in the upper lobes suggest obstructive disease. greater radiodensity in the lower lungs is likely due to physiologic redistribution of blood.
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no pneumothorax. increasing opacities in the left mid lung differential diagnosis include infection, aspiration. less likely atelectasis
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ng tube tip lies immediately beneath left hemidiaphragm. air seen there likely may lie within the stomach or bowel, but the possibility of a small area of free intra-abdominal air at that site cannot be completely excluded. as per the wet reading, repeat radiographs with better inspiration or lateral decubitus view cou...
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right middle and lower lobe are collapsed, more severe than previous atelectasis, accompanied by some, indeterminate volume of right pleural effusion. severe cardiomegaly has worsened, mediastinal and pulmonary vasculature are more engorged, indicating cardiac decompensation.
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no acute cardiopulmonary process.
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no evidence of intrathoracic injury; high-riding right humeral head is compatible with chronic rotator cuff injury.
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the distal side hole port of a newly placed nasogastric tube is within the lower esophagus, and should be advanced approximately <num> cm to ensure gastric placement.
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no acute cardiopulmonary process.
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worsening interstitial abnormality suggesting mild-to-moderate pulmonary vascular congestion. more confluent right perihilar opacity. although an asymmetric pattern of pulmonary congestion could be considered particularly given rapid onset in the same timeframe, coinciding pneumonia should also be considered. satisfact...
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moderate congestive heart failure with small to moderate size bilateral pleural effusions, left greater than right, and bibasilar compressive atelectasis.
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severe global pulmonary consolidation has worsened considerably over the course of the day, due to worsening pulmonary hemorrhage, drug toxicity or the development of non cardiogenic pulmonary edema. heart is somewhat larger. pleural effusions cannot be excluded but are not large. there is no pneumothorax. et tube and ...
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small right pleural effusion and mild right basilar atelectasis.
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in comparison with the study of , the central catheter and nasogastric tubes have been removed. there is again enlargement of the cardiac silhouette with possible mild elevation of pulmonary venous pressure. no evidence of acute focal pneumonia or pleural effusion.
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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. aortic stent is projecting of the upper abdomen, partially imaged. right picc line tip is at the junction of the right brachycephalic vein and subclavian vein. there is progression of the left retrocardiac opacity potentially with interval develo...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. post-surgical changes in the right hemithorax are unchanged.
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no definite acute cardiopulmonary process.
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in comparison with the study of , there is again mild enlargement of the cardiac silhouette without vascular congestion, pleural effusion, or acute focal pneumonia.
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in comparison with the study of , there is again substantial enlargement of the cardiac silhouette with asymmetric pulmonary edema more prominent on the right and layering right effusion with basilar atelectasis. less prominent atelectatic changes are seen at the left base.
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no acute cardiopulmonary abnormality. emphysema.
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no acute cardiopulmonary process. no evidence of free air seen beneath the diaphragms.