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MIMIC-CXR-JPG/2.0.0/files/p15050317/s52399901/ed076af6-224b1c44-f9084d58-4cac6ec7-582f59ec.jpg
increased interstitial opacities at the lung bases may reflect chronic interstitial abnormality with atelectasis. mild pulmonary vascular congestion, slightly improved from the previous study, with probable trace bilateral pleural effusions.
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no acute pulmonary disease. stable mild to moderate cardiomegaly. stable moderate dextroscoliosis. clear mildly hyperinflated lungs.
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mild cardiomegaly, otherwise no acute findings.
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no acute cardiopulmonary process.
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in comparison with the earlier study of this date, there is more coalescence of opacification at the left base in this patient with enlargement of the cardiac silhouette and pulmonary vascular congestion. although this could represent some asymmetric edema, in the appropriate clinical setting superimposed pneumonia wou...
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no acute intrathoracic process.
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unchanged small bilateral pleural effusions. new tracheostomy tube, replacing the endotracheal tube.
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left hydropneumothorax status post left chest tube removal. no signs of tension.
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in comparison to chest radiograph, a left pleural effusion has decreased in size with only a small residual effusion remaining. associated improved aeration of the left lung base. no other relevant change.
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worsening right middle and lower lobe opacities are suggestive of pneumonia. enlarging right pleural effusion, now moderate. findings communicated to dr by telephone at on by dr.
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normal chest.
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no acute cardiopulmonary process.
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right central line tip over proximal/mid svc. no pneumothorax detected. if there is continued concern for pneumothorax, then a frontal view obtained with the lungs in expiration could help to assess for a tiny pneumothorax. atelectasis and question additional patchy opacity in the right cardiophrenic region, similar to...
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no acute cardiac or pulmonary process. mild cardiomegaly, stable to mildly increased compared to the prior study from.
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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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no acute intrathoracic process.
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no rib fracture seen. no pneumothorax or failure.
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in comparison with the study of , the nasogastric tube is in pushed forward so that the tip is in the body of the stomach and the side port is beyond the esophagogastric junction. opacification along the right lateral chest wall is consistent with pleural fluid as on the previous study. there are lower lung volumes whi...
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comparison to. the monitoring and support devices are in stable position. the patient shows signs of severe central pulmonary edema, predominating in the perihilar and upper lobe lung areas. in addition, the retrocardiac atelectasis is visualized. no pleural effusions. no pneumothorax.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16356118/s53909279/0f6b8f9a-6abc1172-9dea38e3-cc771e65-8c9f2485.jpg
possible tiny left apical pneumothorax. otherwise, no significant change from the prior exam. results were discussed with dr at on via telephone by dr at the time the findings were discovered.
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ap chest compared to : left picc line has been withdrawn from the low svc to the junction of brachiocephalic veins. lungs clear. heart size normal. no pneumothorax.
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no definite acute process. suspicious nodule in right upper lobe. chest ct is recommended to evaluate further when clinically appropriate. findings and recommendations discussed with dr the patient was still the emergency room.
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hyperinflated lungs suggesting emphysema. no acute cardiopulmonary abnormality.
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no prior studies are available for correlation. there is a large soft tissue mass projecting adjacent to the aortic arch on the left measuring at least <num> cm across. there is no pneumothorax, pneumomediastinum, parenchymal lung consolidation, effusion or chf. there is borderline cardiomegaly. there are either skin f...
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in comparison with the study of , a pleurx catheters in place on the right, where there is little overall change in the basilar opacification consistent with pleural fluid and compressive atelectasis. less prominent effusion and atelectasis is seen at the left base. substantial enlargement of the cardiac silhouette and...
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no acute cardiopulmonary process. findings were relayed at the office of dr at on.
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no acute cardiopulmonary abnormalities
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no acute cardiopulmonary process. age indeterminate compression of a mid thoracic vertebrae, likely t<num>.
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there is mild hyperinflation. there is no pneumothorax, effusion, consolidation or chf. there is chronic thickening of the major fissure on the right. there is no acute disease.
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no acute cardiopulmonary process. mild hyperinflation in keeping with copd
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there are no prior chest radiographs available for review. study is read in conjunction with imaging of the lower chest on a torso ct performed. upper lungs are clear. a irregularity of the left diaphragmatic pleural surface could be due to pleural nodules or subpleural atelectasis. there is no pleural effusion. in the...
MIMIC-CXR-JPG/2.0.0/files/p18410503/s51475988/0e49c015-4376b4ac-fb21c037-993b1019-4857b301.jpg
since the previous study, the swan-ganz catheter has been removed. the left-sided pacemaker with distal lead tips in the right atrium and right ventricle is unchanged. there is marked cardiomegaly which is stable. there is unchanged mild pulmonary edema. bilateral pleural effusions are also stable. there are no pneumot...
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no acute cardiopulmonary process.
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in comparison to prior radiograph of <num> day earlier, note is made of improved aeration at the lung bases and slight decrease in extensive right upper lobe consolidation. no other relevant change.
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no evidence of pneumomediastinum or intraperitoneal free air.
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increased interstitial markings diffusely, but most pronounced within the lung bases. findings likely reflect superimposed mild pulmonary edema on a background of chronic interstitial lung disease. an atypical infectious process such as a viral infection, however, cannot be completely excluded.
MIMIC-CXR-JPG/2.0.0/files/p18982574/s53988651/4643048f-ff129e40-88ced8cc-84424fb1-15ae7fe7.jpg
mild pulmonary edema with stable cardiac enlargement.
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as compared to the previous image, the very diffuse parenchymal opacities have overall improved and are less extensive and less severe than on the previous image. however, relatively extensive opacities still persist, predominantly in the upper lobes. the lung volumes have increased, potentially reflecting mild overinf...
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. copd
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in comparison with the study of , the endotracheal tube has been removed. right subclavian catheter again extends to the lower portion of the svc. the patient has taken a much better inspiration. the pigtail catheter remains in place and there does not appear to be appreciable change in the area of increased opacificat...
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normal chest radiographs.
MIMIC-CXR-JPG/2.0.0/files/p13404233/s51226675/5781b7d7-ed9be938-99ed0f1f-2be19ed3-21600206.jpg
central pulmonary vascular congestion without overt pulmonary edema.
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no acute cardiopulmonary abnormality. no acute fracture identified. if there is continued concern for rib fracture, consider a dedicated rib series.
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ill-defined opacity occupying the left mid lung, corresponding to the area of concern on the most recent portable chest radiograph from and new as compared to chest radiograph from. given provided history, findings could reflect an area of pulmonary infarct secondary to a pe. chest cta has already been ordered to furt...
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hyperinflated lungs compatible with copd, and moderate cardiomegaly. no evidence of pneumonia.
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right-sided dual-lumen central venous catheter with distal tip in the upper svc.
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right pleural effusion and mild vascular congestion with unchanged mild cardiomegaly.
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no acute findings in the chest.
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no acute cardiopulmonary process on radiograph.
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trace right pleural effusion without evidence of pneumonia.
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in comparison with the study of , there is little overall change. the left picc line extends to just before the junction of the left brachiocephalic vein and the superior vena cava. no evidence of pneumonia, vascular congestion, or pleural effusion.
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mild pulmonary edema.
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emphysema with right lower lobe pneumonia.
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subtle left base retrocardiac patchy opacity seen on the frontal view, not substantiated on the lateral view, may be due to atelectasis although consolidation from infection or aspiration not excluded in the appropriate clinical setting.
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in comparison with the study of , the patient has taken a better inspiration. streaks of atelectasis are seen bilaterally in the mid to lower zones with small pleural effusions. a right ij catheter again extends into the right atrium.
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pa and lateral chest compared to : small bilateral pleural effusions are no larger, and may be smaller. moderate-to-severe cardiomegaly has improved slightly. thoracic aorta is generally large and tortuous. there is no pulmonary edema. transvenous right ventricular pacer defibrillator lead follows its expected course.
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no radiographic evidence of pneumonia.
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no acute cardiac or pulmonary process.
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the heart remains stably enlarged. interval placement of a transcatheter aortic valve. lungs are well inflated and grossly clear. no pleural effusions, pulmonary edema or pneumothorax.
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no acute cardiopulmonary abnormality. copd. no displaced fractures are identified. please note that if there is continued concern for a rib fracture, a dedicated rib series is recommended.
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compared to chest radiographs through. lung volumes have improved. no other clear interval change in severe infiltrative pulmonary abnormality sparing only some of the left lower lobe. moderate right pleural effusion stable ; small left pleural effusion increased. mild cardiomegaly stable. no pneumothorax. left pic li...
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no significant interval change. interstitial opacity consistent with known chronic interstitial lung disease.
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no acute cardiopulmonary process.
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cardiomegaly with hilar congestion and mild pulmonary interstitial edema.
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no relevant change as compared to the previous image. low lung volumes. moderate cardiomegaly. retrocardiac atelectasis. no pulmonary edema. no larger pleural effusions. no pneumothorax.
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moderate left basilar pneumothorax with left chest tube in place. dr has been telephoned with this result on at , at the time of discovery of this finding.
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interval improvement in volume overload and multifocal opacities, including a previously dominant right infrahilar opacity. small left pleural effusion.
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bilateral pleural effusions with concurrent bibasilar atelectases, right worse than left. increased interstitial and bronchovascular markings might represent fluid overload/interstitial edema.
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no evidence of pneumonia.
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possible mild central congestion. no signs of pneumonia.
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no significant change in known metastatic disease in the left hemithorax. no evidence of pneumonia or other acute process.
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as compared to the previous radiograph, the lung volumes have decreased. there are minimally increasing bilateral pleural effusions, at very low lung volumes. unchanged alignment of the sternal wires and the clips of the cabg. moderate cardiomegaly. with minimal fluid overload. no pneumothorax.
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pa and lateral chest compared to : aside from linear band of atelectasis or scarring in the left lower lung, lungs are well expanded and clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces.
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right picc line tip is at the level of lower svc. large right pleural effusion is unchanged. left basal consolidation is unchanged. cardiomediastinal silhouette is unchanged.
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no evidence of acute disease.
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there is opacity in the right lower lobe silhouetting posterior aspect of right hemidiaphragm on lateral view. this may be atelectasis, however pneumonia as possible in correct clinical setting.
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no pneumonia. large hiatal hernia.
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no acute cardiopulmonary process.
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right-sided internal jugular catheter terminates at cavoatrial junction. no pneumothorax.
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no acute intrathoracic process.
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small persistent left apical pneumothorax unchanged post right chest tube removal. enlarged or new right paraspinal pleural air and fluid loculation, following removal of the right pleural drain, suggests small bronchopulmonary leak and possible superinfection.
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary process.
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significant interval decrease in pleural effusion which is now very small.
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no acute cardiopulmonary process.
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pa and lateral chest compared to : nasogastric tube passes to the mid stomach. lungs are fully expanded and clear. mild cardiomegaly has progressed. a previous left lower lobe collapse has resolved. lateral view shows small pleural effusion, at least on one side, new or newly apparent since the prior studies. pulmonary...
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numerous abnormalities however relatively stable across multiple prior examinations likely demonstrating return to baseline for this patient. there are ill-defined opacities in right lower lobe again which have been noted on prior studies. it is difficult to entirely exclude an early developing infiltrate however again...
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no acute cardiopulmonary process. stable elevation and eventration of the left hemidiaphragm. possible small left pleural effusion similar to prior examination.
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normal radiographic examination of the chest
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moderate left pleural effusion largely unchanged when compared to most recent study dated. interval increase, moderate cardiomegaly and/or pericardial.
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endotracheal and enteric tubes in standard positions.
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possible small apical pneumothorax. new hazy confluent opacity at the elevated right lung base, which may be due to fluid replacing a site or previously-seen retrosternal air. new minimal atelectasis at the left base. no chf.
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no acute cardiopulmonary process.
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large left pleural effusion with overlying atelectasis, underlying consolidation difficult to exclude. small right pleural effusion. cardiomegaly, which may have increased slightly since the prior study.
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comparison to. the patient has been extubated and the nasogastric tube was removed. the swan-ganz catheter has also been removed. the bilateral chest tubes are in unchanged position. no larger pleural effusions. no pneumonia, no pulmonary edema. small pleural effusions are restricted to the level of the costophrenic si...
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comparison to. stable elevation of the right hemidiaphragm with the presence of a small right pleural effusion, more obvious on the lateral than on the frontal view. no evidence of pneumonia. no pulmonary edema. normal size of the heart.
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no overall change from the prior study with no acute focal pneumonia.
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a nasogastric tube terminates within the stomach. the side port is not well visualized. a left retrocardiac opacity is unchanged. no new consolidation is seen. there is no pneumothorax or pleural effusion.