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MIMIC-CXR-JPG/2.0.0/files/p18522461/s59661038/04ce7b63-700a3150-195b44cd-2ee99083-3ce5b22e.jpg
in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. cardiac silhouette is at the upper limits of normal or mildly enlarged. no vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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mild interstitial prominence, consider inflammatory/ infectious process, early pulmonary edema. small area of right lung base, lingular atelectasis versus pneumonitis.
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new fullness of the right hilum with adjacent right base opacities may represent atelectasis or pneumonia in the appropriate clinical circumstance.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no free air seen beneath the diaphragms.
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no evidence of acute fracture. known lung nodules are seen to better detail on concurrent chest cta dictated separately.
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left lower lobe opacity concerning for pneumonia. thickening of the bronchial walls is additionally suggestive of bronchitis.
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comparison to. the patient has received a nasogastric tube. the tip projects over the mid parts of the stomach. the course is unremarkable. stable bilateral pleural effusions with subsequent areas of atelectasis. stable cardiomegaly.
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pulmonary edema with small left and trace right pleural effusions.
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as compared to poorly defined consolidation in the right upper lobe has slightly progressed, concerning for evolving focus of infectious pneumonia. exam is otherwise unchanged.
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heart size top-normal. lungs clear. no pleural effusion. transvenous right atrial and ventricular pacer leads follow their expected courses, unchanged.
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no acute cardiopulmonary abnormality.
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there are no prior chest radiographs available for review. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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bilateral multifocal patchy opacities. the ct report suggested that the appearance is most suggestive of a fibrotic subtype non-specific interstitial pneumonia (nsip). allowing for technical differences, the posterior segment lower lobe opacity may be slightly more confluent. otherwise, the appearance is grossly unchanged compared with
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heart size and mediastinum are stable. pacemaker leads have been inserted terminating in the expected location of right atrium and right ventricle. no pneumothorax is seen. coronary stents are noted. lungs are essentially clear with no pleural effusion.
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no acute cardiopulmonary abnormality. no displaced fractures are identified. if there is continued concern for rib fracture, consider a dedicated rib series.
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pneumomediastinum is smaller. lungs are fully expanded and clear. there is no pneumothorax or pleural effusion
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pulmonary edema, new from prior. low lung volumes.
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no acute cardiopulmonary process, specifically no evidence of pneumonia.
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no acute cardiopulmonary process. no significant interval change from.
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no previous images. the cardiac silhouette is within normal limits and there is mild tortuosity of the descending aorta. no pneumonia, vascular congestion, or pleural effusion. there is hyperexpansion of the lungs with flattening of the hemidiaphragms seen on the lateral view, consistent with the clinical history of copd.
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no radiographic evidence for an acute cardiopulmonary process. stable appearance of subacute fractures of the right - posterior ribs. redemonstrated is a displaced distal right clavicle fracture. findings were conveyed by dr to dr telephone at pm , at the time of discovery.
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low lung volumes with probable bibasilar atelectasis and mild pulmonary vascular congestion.
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stable post-treatment changes with trace new right pleural effusion versus pleural thickening but no findings of pneumonia.
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no acute cardiopulmonary process.
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there is increasing consolidation at the right lung base as well as slightly increasing pulmonary vasculature indistinctness bilaterally consistent with worsening moderate pulmonary edema, although an infectious process in the right lower lobe cannot be entirely excluded. the heart remains stably enlarged. no pneumothorax.
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small bilateral pleural effusions and enlarged cardiac silhouette. pulmonary vascular congestion.
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moderate pulmonary vascular congestion has increased since.
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compared to chest radiographs through. there is no pulmonary edema. moderate left lower lobe atelectasis stable. moderate right pleural effusion unchanged. tracheostomy tube in standard placement. right pic line ends in the right atrium. no pneumothorax.
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tip of the et tube is no more than <num> mm from the carina, with the chain elevated or in neutral position. it should not be advanced any further. heart is top-normal size. small bilateral pleural effusions are stable on the left and slightly larger on the right compared to and. there is no pneumothorax. right internal jugular line ends at the superior cavoatrial junction and a transesophageal drainage tube ends at the pylorus.
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right-sided pneumonia likely involving the right middle and right upper lobes. recommend follow-up chest radiographs approximately weeks after completion of therapy to exclude underlying abnormality.
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right subclavian central line with tip in the low svc.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no features of cardiac decompensation or an acute pleuropulmonary process.
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moderate hiatal hernia. no definite superimposed acute cardiopulmonary process. bibasilar opacities likely due to atelectasis.
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the right internal jugular venous catheter continues to have its tip in the proximal right atrium. a chest tube remains in place. there continues to be extensive subcutaneous emphysema within the soft tissues of the neck as well as some air outlining the aortic knob, likely reflecting pneumomediastinum. there has been interval improvement in the superimposed pulmonary edema with only residual mild interstitial edema present. no pneumothorax is seen. right-sided rib fractures with associated pleural thickening are again seen. left basilar, and to a lesser extent, right basilar opacities may reflect atelectasis, although pneumonia cannot be entirely excluded.
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moderate left and small right pleural effusions with adjacent atelectasis, similar to.
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no relevant change as compared to the previous image. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions.
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low lung volumes but no focal consolidation to suggest pneumonia.
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normal lung volumes. moderate cardiomegaly. no pulmonary edema. no pneumonia, no pleural effusions. no pneumothorax.
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stable enlargement of the cardiac silhouette. possible mild vascular congestion without overt pulmonary edema.
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smaller right pleural effusion with associated atelectasis. no other acute abnormalities.
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no acute cardiopulmonary process.
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as compared to chest radiograph, nasogastric tube courses below the diaphragm beyond the field of view of the radiograph. no other relevant changes.
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small bilateral pleural effusions and mild bibasilar atelectasis.
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small focal opacity projecting over the left mid to lower lung could represent pneumonia in the appropriate clinical setting. recommend followup to resolution.
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as compared to the previous radiograph, the patient has received a right port-a-cath. the tip of the line projects over the cavoatrial junction. no pneumothorax or other complications. no pneumonia. normal size of the heart.
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clear lungs.
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no evidence of acute cardiopulmonary process.
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low lung volumes with bibasilar airspace opacities, likely reflecting atelectasis but infection or aspiration cannot be excluded.
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no acute cardiopulmonary process.
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mild prominence the cardiomediastinal silhouette is likely related to technical factors. clinical correlation requested. no acute pulmonary process identified.
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new, lateral, mid right lung opacity concerning for pneumonia. unchanged, dense, retrocardiac consolidation with associated moderate pleural effusion is concerning for pneumonia and atelectasis. improved pulmonary edema.
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no acute cardiopulmonary process.
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mild congestive heart failure with mild pulmonary edema and small bilateral pleural effusions. probable bibasilar atelectasis, however infection in the right lung base cannot be completely excluded in the correct clinical setting.
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emphysema. no significant new findings when compared to prior chest radiographs and chest radiograph.
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normal chest radiograph.
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no pneumonia. tortuous and/or ectatic thoracic aorta.
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heart size is enlarged but stable. mediastinum is stable. diffuse interstitial opacities appear to be little bit less prominent on the current study most likely consistent with chronic interstitial abnormalities. there is no evidence of new consolidation. the findings might reflect interval diuresis response.
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no signs of pneumonia.
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low lung volumes. no acute cardiopulmonary process. no free air.
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cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces. there is scoliosis. there are chronic deformities of the left second and seventh ribs likely related to prior trauma.
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no evidence of a fracture. no acute cardiopulmonary process.
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no definite acute cardiopulmonary process. if high clinical concern dedicated rib series can be performed.
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in comparison with the study of , there are even lower lung volumes that accentuate the enlargement of the cardiac silhouette. little if any vascular congestion. retrocardiac opacification with poor definition of the hemidiaphragm is consistent with volume loss in the left lower lobe and pleural fluid. the monitoring and support devices remain in good position, with the nasogastric tube extending at least to the antrum where it crosses the lower margin of the image.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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increased heart size, pulmonary vascularity. small right pleural effusion. probable interstitial edema.
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right lower lobe collapse could be caused by endobronchial obstruction almost complete resolution of previously seen peribronchial opacities
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no evidence of acute cardiopulmonary disease.
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short interval stability of a superior subsegment left lower lobe pneumonia.
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confluent left retrocardiac opacity which may reflect pneumonia in the appropriate clinical setting. recommendation(s): followup chest radiographs in <num> weeks following antibiotic therapy to ensure resolution.
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severe right lower lobe atelectasis and moderate right pleural effusion been present for at least a week. left lower lobe atelectasis gave way to large left lower lobe pneumonia, and pulmonary edema has been intermittent, most severe on , improved since then. no pneumothorax is present. et tube, right picc and right internal jugular lines and in esophageal drainage tube are in standard placements respectively.
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no radiographic evidence for pneumonia. <num> mm triangular opacity projecting over the right upper lobe, at the level of the right fifth rib posteriorly could reflect a confluence of shadows, but can be further assessed with shallow oblique imaging.
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no acute intrathoracic process.
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bibasilar atelectasis, however superimposed infection cannot be excluded.
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ill-defined opacity in the periphery of the right lower hemi thorax could represent atelectasis but infectious process cannot be excluded attention in followup is recommended left picc tip is in thelower svc. mild cardiomegaly is stable. ng tube tip is out of view below the diaphragm. there is almost complete resolution of mild pulmonary edema. small right effusion has improved. there is no pneumothorax.
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significant decrease in left pleural effusion with a likely a small residual. pleural nodularity along the left hemithorax is again seen.
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left-sided pacemaker is unchanged. there is marked cardiomegaly which is stable. vague opacities within the upper lung fields and the left mid lung zone are unchanged. this likely represents asymmetric pulmonary edema ; however, underlying infiltrate would be difficult to exclude. follow up to resolution is recommended. there are no pleural effusions or pneumothoraces.
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no acute cardiopulmonary process.
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ap chest compared to , :<num> : mild interstitial edema has developed along with increasing moderate cardiomegaly and mediastinal and pulmonary vascular engorgement. pleural effusions, if present, are small.
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no evidence of residual pneumothorax. increased prominance of patchy and streaky airspace opacities in the right middle and lower lobes. these findings may represent aspiration in the appropriate clinical setting.
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in comparison with the earlier study of this date, there is no interval change following clamping of the left chest tube. specifically, no convincing evidence of pneumothorax. remainder of the study is unchanged.
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comparison to. unchanged right pulmonary nodule. borderline size of the cardiac silhouette. no pulmonary edema, no pleural effusions. no pneumonia. the hilar and mediastinal contours are unremarkable.
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bilateral pleural effusions and compressive lower lobe atelectasis, without significant change from ct performed earlier today.
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support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces.
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doubt significant interval change compared with at.
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stable right lower lobe atelectasis.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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compared to chest radiographs and. mild cardiomegaly and borderline interstitial edema unchanged. no appreciable pleural effusion. no pneumothorax. et tube in standard placement. nasogastric drainage tube passes into a nondistended stomach and out of view. indwelling, intended left internal jugular line still ends at the thoracic inlet, and its more lateral than expected location suggests it may not be in a large central vein.
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small bilateral pleural effusions, left greater than right, have been stable since. there is no pneumothorax. cardiomediastinal silhouette is a normal postoperative appearance. but a small retrosternal air and fluid collections are stable postoperatively since at least. mild left basal atelectasis is improved since , stable since. sternal wires are intact and aligned. although no acute fracture or other chest wall lesion is seen, conventional chest radiographs are not sufficient for detection or characterization of such abnormalities. if the demonstration of a fracture or other trauma is clinically warranted, the location of any focal findings should be clearly marked and imaged with either bone detail views or ct scanning. insert
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lungs are clear. heart size normal. pleural surfaces unremarkable. mild narrowing of the trachea at the thoracic inlet has been present without change since at least , is due to a tortuous innominate artery, probably not of clinical significance.