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MIMIC-CXR-JPG/2.0.0/files/p10966889/s56331477/d44d12c1-0783a415-17af8066-2fd4cd9f-02474a64.jpg
an et tube ends <num> cm above the carina. a left lower lobe opacity is improved from and likely represents improving pneumonia or aspiration pneumonia.
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no radiographic evidence for acute cardiopulmonary process.
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no acute cardiopulmonary process.
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ng tube tip is still not well visualized past the diaphragm and is likely in the ge junction
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small left pleural effusion. no evidence of acute decompensated heart failure.
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no definite acute cardiopulmonary process.
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no acute cardiopulmonary process.
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small left apical pneumothorax is unchanged from.
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in comparison with the study of , the areas of opacification at the bases are slightly more prominent, consistent with volume loss and left pleural effusion. widening of the superior mediastinum is unchanged.
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ap chest compared to : overall severity of diffuse infiltrative pulmonary abnormality is unchanged, low lung volumes stable. small pleural effusions presumed but clinically insignificant. no pneumothorax. heart size normal. et tube in standard placement, feeding tube passes into the stomach and out of view and right internal jugular line ends low in the svc. no pneumothorax.
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new pleural effusions, moderate on the right and small on the left, with associated atelectasis.
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et tube in standard placement. left pic line ends in the mid svc. right infusion port catheter ends in the upper right atrium. esophageal drainage tube ends in the mid esophagus, withdrawn from its previous position in the stomach on and would need to be advanced at least <num> cm to move all the side ports into the stomach. mild cardiomegaly is new. moderate bilateral pleural effusions are unchanged, but severe consolidation has worsened at the left lung base, improved slightly on the right, largely atelectasis. no pneumothorax.
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no pneumonia. findings concerning for interstitial lung disease.
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focal bandlike right basilar opacity, likely atelectasis. no overt pulmonary edema.
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no acute cardiopulmonary process.
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normal chest.
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right ij central line tip in the mid svc. no pneumothorax.
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left lower lobe retrocardiac opacity may represent pneumonia, althoug it is faint and other causes of fever are possible.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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as compared to the previous radiograph, the patient has received a nasogastric tube. the tip of the tube projects over the very proximal parts of the stomach, the tube should be advanced by at least <num> cm. no complications, notably no pneumothorax. low lung volumes with moderate retrocardiac atelectasis.
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worsened infiltrates in the right lower lobe and right middle lobe with new right effusion.
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interval placement of a right internal jugular transvenous pacer, with the tip ultimately ending in the right atrium. low lung volumes and bibasilar atelectasis. small right pleural effusion.
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tip of ng tube not well delineated. consider repeat films centered at the hemidiaphragms, with increased x-ray beam penetration. new left lower lobe collapse and/or consolidation. in the appropriate clinical setting, this could represent aspiration pneumonitis or pneumonic infiltrate. new increased opacity at the right base, though the previously seen diffuse right lung opacity appears somewhat improved. vascular plethora, suspect chf.
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no acute cardiopulmonary process. likely bullet fragment in the upper posterior thorax.
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interval increase in bilateral, right greater than left, pulmonary opacities, which given history, likely due to slight asymmetric pulmonary edema, however, superimposed infectious process is not excluded. small right pleural effusion and possible trace left pleural effusion.
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pa and lateral chest compared to : small bilateral pleural effusions, left greater than right, are new. lungs are clear. heart size normal. left subclavian line ends at the origin of the svc and right pic line at a level approximately <num> cm below the carina. to position picc line in the low svc, it should be withdrawn <num> mm. no pneumothorax.
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no acute intrathoracic abnormality.
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no acute intrathoracic process
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heart size is normal. lungs are clear. there is no pleural effusion or pneumothorax.
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low lung volumes with mild bibasilar atelectasis.
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patchy left basilar opacity probably due to minor atelectasis, otherwise unremarkable.
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the study of , the patient has taken a better inspiration. there is again limb enlargement of the cardiac silhouette without definite vascular congestion, pleural effusion, or acute focal pneumonia. soft tissue prominence is again seen to the left of the thoracic spine just above the hemidiaphragm, most likely consistent with tortuosity of the aorta. right subclavian picc line extends to the mid to lower portion of the svc.
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comparison to. no relevant change. monitoring and support devices are constant. the right-sided stent is also unchanged. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pleural effusions. no pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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as compared to the previous radiograph, the lung volumes have decreased. the nasogastric tube has been removed. the right picc line is in unchanged position. there is moderate cardiomegaly and tortuosity of the thoracic aorta but no evidence of pleural effusions, pneumonia or pulmonary edema.
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patchy ill-defined opacity in the right lower lobe concerning for pneumonia. small left pleural effusion.
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no acute intrathoracic process.
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no evidence of pneumonia.
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normal chest radiographs.
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right basilar opacity, which in the appropriate clinical context, may represent pneumonia.
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no acute cardiothoracic process.
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mild pulmonary edema with small to moderate size bilateral pleural effusions and bibasilar atelectasis.
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transvenous right atrial and right ventricular pacer leads follow their expected courses from the left pectoral generator. no pneumothorax pleural effusion or mediastinal widening. normal cardiomediastinal silhouette. lungs well expanded and clear.
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persistent right pleural thickening. no focal consolidation.
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et tube tip is <num> cm above the carinal. right picc line tip is in the proximal right atrium. cardiomegaly is substantial but unchanged. there is interval improvement in interstitial edema. bilateral pleural effusions are moderate, unchanged. there is no pneumothorax. no definitive consolidation to suggest interval aspiration or pneumonia demonstrated.
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comparison to. lung volumes remain low. minimal atelectasis at the left lung bases. mild cardiomegaly persists. no pulmonary edema, no pneumonia, no pleural effusions.
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no specific evidence of pulmonary edema as clinically questioned. extensive bibasal opacities worse in the left side may represent atelectasis though infection be difficult to exclude. free air postop
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pa and lateral chest compared to through : moderate right pleural effusion has increased substantially since , while moderate left pleural effusion is stable or slightly smaller. previous right-sided edema or pneumonia has improved, but there is still the impression of multiple small nodules throughout the right lung. left upper lobe is still collapsed. heart size and a previously moderate-sized hiatus hernia to the left of the midline are substantially obscured. lateral view shows blastic change of at least two mid thoracic vertebral bodies, presumably metastases. dr was paged.
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possible left retrocardiac opacity may reflect pneumonia in the right clinical setting. possible fractured or minimally displaced superior median sternotomy wire. please correlate for site of pain, if any, on physical exam.
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no significant interval change.
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no acute cardio-pulmonary process.
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no radiographic evidence for acute cardiopulmonary process.
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lungs are clear. heart is mildly enlarged. no pulmonary edema or pleural effusion and no mediastinal or pulmonary vascular engorgement. transvenous right atrial and right ventricular pacer leads in standard placements continuous from the left pectoral generator.
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a left pectoral pacemaker is seen with a transvenous lead in the right ventricle. unchanged loculated right pleural effusion dating back to.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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patchy right mid lung zone opacity, most likely pneumonia. recommend repeat radiograph after treatment to ensure resolution.
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comparison to. no relevant change. borderline size of the heart. no pulmonary edema. no pleural effusions. the lung shows normal transparent see and structure. no evidence of pneumonia. no larger pleural effusions. no pneumothorax.
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mild bibasilar atelectasis.
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no acute cardiopulmonary abnormality.
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no evidence of pneumonia.
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cardiomegaly with mild pulmonary edema and tiny right pleural effusion.
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ap chest compared to : severe enlargement of the cardiac silhouette is stable. it obscures much of the lower lungs, but there is no clear evidence of substantial pulmonary hemorrhage, and no pneumonia or pulmonary edema. how much of the size of the severely enlarged cardiac silhouette is due to cardiomegaly and how much to a pericardial effusion is radiographically indeterminate. there is no pneumothorax or pleural effusion.
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unchanged scoliosis with left what rotation of the patient. unchanged position of the dobbhoff catheter. unchanged minimal increase in radiodensity around the right hilus, likely rotational in origin. however, developing pneumonia cannot be excluded. no pleural effusions. at the time of dictation and observation, , on the , the referring physician. was paged for notification. findings were discussed min later over the telephone.
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low bilateral lung volumes with no substantial change in the bilateral layering pleural effusions with overlying atelectasis. underlying pneumonia however cannot be excluded.
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no definite evidence of acute disease. patchy opacities in each upper lung, with a morphology suggestive of scarring on the left, while particularly referring to the right, there is potentially a substantial nodule. when clinically appropriate, chest ct evaluation is recommended as well as correlation with prior radiographs, if available.
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moderate cardiomegaly, tortuous aorta and widening of the mediastinum are unchanged. there is no pneumothorax. there is no evidence of pneumonia or overt pulmonary edema. small right effusion is a stable. multiple left rib fractures are again noted. lung nodules are better seen on prior ct.
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heart size and mediastinum are unremarkable. severe hyperinflation of the lungs in increase lucencies consistent with emphysema. there is a right upper lobe nodular more dense opacity that might represent pulmonary nodule versus scarring in has to be assessed with chest ct for further characterization. recommendation(s): chest ct preferably with iv contrast
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cardiomegaly with increased pulmonary edema, and small bilateral pleural effusions.
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no focal pneumonia. new moderate cardiomegaly without over pulmonary edema or pleural effusion.
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no definite foreign body identified. no acute intrathoracic abnormality.
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blunted right costophrenic angle with opacity along the right mid to lower pleura could be due to pleural thickening and/or pleural effusion. no prior available for comparison.
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as compared to chest radiograph, there has been little overall change in the appearance of the chest except for slight improved aeration at the lung bases.
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copd. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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known right upper lobe pulmonary nodule as seen on prior ct scan. no acute cardiopulmonary process. no acute cardiopulmonary process.
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unchanged right lower lobe pneumonia. no pulmonary vascular congestion or pulmonary edema. recommendation(s): follow-up chest radiographs in no more than <num> weeks are extremely important in order to document substantial clearing of right lower lobe pneumonia to exclude other pathology.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality
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no acute cardiopulmonary process.
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no pneumothorax. slight increase in right effusion.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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significant increase in left upper lobe opacity and increased left perihilar reticular opacities worrisome for significantly worsened pneumonia. copd and pulmonary emphysema.
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improving left pleural effusion. rest of the lungs are clear.
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the left port-a-cath has migrated with the tip now terminating in the azygos vein, in appropriate position. this finding was relayed to the emergency department by urgent wet reading. mild left basilar atelectasis and possible trace bilateral pleural effusions.
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small bilateral effusions, with underlying collapse and/or consolidation, new compared with one day earlier. extensive bone metastases, best demonstrated on a ct from.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no definite acute cardiopulmonary process.
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blunting of left costophrenic angle which may be due to a small pleural effusion. mild prominence of the right hilum for which further evaluation with dedicated pa and lateral views is recommended.
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findings suggesting mild vascular congestion. small pleural effusions. posterior left-sided basilar density, which is highly non-specific but a combination of atelectasis or pleural effusion may be suspected; pneumonia is difficult to completely exclude, however. follow-up chest radiographs are suggested to show resolution or stability, and comparison to prior radiographs, if available, may be helpful if clinically indicated.
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doubt significant interval change. suspect distorted parenchymal markings, suggestive of possible bullous change. alternatively, this could represent residua from the prior pneumothorax.