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MIMIC-CXR-JPG/2.0.0/files/p15606157/s56805101/9207615a-c399e33d-017b08d4-0080244b-6a6840f8.jpg
right lateral mid chest pleural based opacity corresponds to that seen on recent prior pet-ct. small right pleural effusion with overlying atelectasis, underlying pleural lesion better assessed on ct.
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ap chest compared to : lungs are clear. moderate cardiomegaly persists. pleural effusion is small if any. right subclavian line ends in the upper svc. nasogastric tube ends in the upper portion of a non-distended stomach. no pneumothorax or appreciable pleural effusion is present.
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no acute injury.
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no definite acute cardiopulmonary process. healing multiple lateral rib fractures. interval t<num> vertebroplasty since.
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pulmonary vascular congestion, improved from <num> hr earlier. stents bibasilar opacities, likely represent a combination of atelectasis and confluent edema. however, superimposed infection would be difficult to exclude in the appropriate clinical setting. bilateral pleural effusions.
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no acute cardiopulmonary process.
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slight improvement to the multifocal opacities.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, no relevant change is seen. moderate bilateral pleural effusions with subsequent areas of atelectasis. mild tortuosity of the thoracic aorta. bilateral apical thickening. status post sternotomy and valvular replacement. no new parenchymal opacities. no overt pulmonary edema.
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early cardiac decompensation. faint right lower lobe opacity could represent either asymmetric edema or pneumonia. vague nodule in right upper lung, for which ct or repeat chest radiograph after therapy is recommended. findings were communicated via phone call by to on at am.
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mild pulmonary vascular congestion without overt signs of edema. left lower opacity is indeterminate for pneumonia. this can be better charachterized with oblique views.
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a small left-sided apical pneumothorax remains.
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low lung volumes with pulmonary vascular congestion.
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no acute cardiopulmonary process. right upper lobe, perihilar mass similar in appearance to previous exam.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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unchanged widespread pulmonary opacities in comparison to the examination. no pneumothorax. unchanged extensive subcutaneous emphysema.
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support lines and tubes are unchanged in position. there is extensive cardiomegaly, stable. there is a left retrocardiac opacity and bilateral effusions. new opacity at the right base has developed since previous. there is mild pulmonary edema, unchanged. there are no pneumothoraces.
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no acute cardiopulmonary process.
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small left pleural effusion. chest tube in place with no pneumothorax.
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no acute pneumonia. very low lung volumes.
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no evidence of acute disease.
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no pneumonia or chf. known aortic pseudoaneurysm.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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in comparison with the study of , the dobhoff tube is in the right main bronchus. subsequent study dictated previously shows the tube in good position in the stomach. the chest tubes have been removed and there is a tiny apical pneumothorax on the left. otherwise little change
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there is increased pulmonary in vessel congestion compared to , suggestive of volume overload.
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no acute cardiopulmonary process.
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new right hilar opacity may represent pneumonia or possibly hemorrhage from prior biopsy. correlate clinically.
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right mid and lower zone pneumonia.
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no acute cardiopulmonary process. stable mild cardiomegaly and enlarged main pulmonary artery contour.
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mild pulmonary vascular congestion, as seen previously. no focal consolidation to suggest pneumonia.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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no radiographic evidence of pneumonia.
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there is an endotracheal tube whose tip is <num> cm above the carina. there is a feeding tube whose side port is above the ge junction and this could be advanced <num> cm for more optimal placement. heart size is within normal limits. there is a left retrocardiac opacity. there are bilateral pleural effusions. there is...
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as compared to radiograph, a left pneumothorax has increased in size and is now moderate with left pigtail pleural catheter remaining in place. slight worsening of patchy and linear atelectasis in the left mid and lower lung. no other relevant changes.
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no acute cardiopulmonary process. results were discussed with dr at am on via telephone by dr minutes after the findings were discovered.
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heart size and mediastinum are unchanged but there is interval progression of left basal consolidation with increase in left pleural effusion, concerning for progression of left lower lung pneumonia. right basal opacity is minimal, unchanged most likely representing atelectasis. upper lungs are clear. there is no pneum...
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mild cardiomegaly, mild pulmonary edema.
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bibasilar bronchiectasis, comparison with more recent studies, if available, would be helpful to evaluate reported pneumonia
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new right lower lobe opacity concerning for infection. d/w dr by dr by telephone at <num>:p on the day of the exam.
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no substantial interval change from the previous chest ct. continued small right pleural effusion with bibasilar atelectasis. paramediastinal radiation fibrosis re- demonstrated.
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no previous images. there is enlargement of the cardiac silhouette and with mild elevation of pulmonary venous pressure. no evidence of acute pneumonia or pleural effusion.
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mild cardiomegaly and small pleural effusions.
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as compared to the previous radiograph, there is a minimal improvement in severity of the pre-existing pulmonary edema, but signs of both intra vascular and interstitial fluid overload are still present. the lung volumes remain low. moderate cardiomegaly. unchanged position of the left pectoral pacemaker and its compon...
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no acute cardiopulmonary process.
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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. heart size and mediastinum are stable. lungs are essentially clear. no definitive pneumothorax or pleural effusion demonstrated.
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comparison to. status post right upper lobectomy. minimal increase in basal and lateral pleural fluid. the postoperative increase in density of the right hilus is stable. minimal retrocardiac atelectasis. otherwise stable and normal appearance of the left lung. normal stable cardiac silhouette.
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no pneumothorax
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no acute cardiopulmonary process.
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no significant change in large left layering pleural effusion.
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pa and lateral chest reviewed in the absence of prior chest radiographs: lateral view shows two regions of basal consolidation, one on each side. the region on the left is larger, but has an element of volume loss. either it could be acute pneumonia. pleural effusions are small on the left, tiny on the right. there is ...
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process. if there is high concern for a pancoast tumor, ct scan is recommended
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redemonstration of massive right-sided pleural effusion with interval increase in moderate to severe edema of the left aerated lung.
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no acute cardiopulmonary abnormality.
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interval improvement of the findings compatible with congestive failure when compared to previous exam from with persistent bilateral left greater than right pleural effusions and pulmonary vascular congestion.
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in comparison with the study of , there is little interval change. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. mild left basilar atelectatic changes are again seen. calcified granuloma is noted in the lateral aspect of the right mid lung.
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in comparison with the study of , there is little change. again there is enlargement of the cardiac silhouette with tortuosity of the aorta. no vascular congestion or acute focal pneumonia.
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resolution of pulmonary edema. bibasilar atelectasis and small pleural effusions.
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as compared to the previous radiograph, the patient has received a left pectoral pacemaker. <num> lead projects over the right atrium and <num> over the right ventricle. no pneumothorax or other complications. unchanged appearance of the lung parenchyma. no edema. no pleural effusions. normal size of the cardiac silhou...
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increased right perihilar opacities concerning for asymmetric pulmonary edema similar to on the prior studies versus infection in the appropriate clinical setting. again seen enlargement of the cardiac silhouette and prominence of the main pulmonary artery.
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no evidence of pneumonia or congestive heart failure. mild emphysema.
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no acute cardiopulmonary process.
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new tracheostomy tube is midline common is no evidence of complication. severe cardiomegaly is long-standing. pulmonary vascular engorgement has improved over the past several days. left lower lobe remains densely consolidated, progressed since transient improvement on. right pic line ends in the region of the superior...
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persistent small right pneumothorax. increased streaky density at the lung bases likely representing subsegmental atelectasis.
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increased interstitial markings may be due to a interstitial edema or atypical infection. no focal consolidation.
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comparison to. the monitoring and support devices are stable. no pneumonia, no pulmonary edema, no pneumothorax. metallic particles are visualized projecting over the neck and left shoulder.
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pectus excavatum, unchanged.
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stable asymmetric right hilar prominence which can be further evaluated on a non-emergent basis with a ct of the chest. no signs of pneumonia or chf.
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bilateral pleural effusions, right greater than left. the right is unchanged to slightly increased in size, and the left is unchanged.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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bibasilar platelike atelectasis. no focal consolidation.
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no acute cardiopulmonary abnormality. no subdiaphragmatic free air.
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there to prior chest radiographs, through. progressive increase in moderate enlargement of cardiac silhouette and mediastinal vascular distention company by new mild pulmonary edema flexed volume overload and/or cardiac decompensation. greater opacification at both lung bases could be due to combination of atelectasis...
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unchanged position of previously identified icd device, in particular unchanged position of left ventricular electrode terminating in obtuse marginal coronary vein position.
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there no prior chest radiographs. cardiomegaly is moderate. right lung is clear. mediastinum a shifted to the left because of severe restrictive left pleural calcification. hyperlucency of the left lung apex and downward displacement of the hilus suggest patient may have had left lower lobectomy, and sternal wires indi...
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as compared to the previous image, no relevant change is seen. the monitoring and support devices are constant. normal size of the cardiac silhouette. no pulmonary edema. minimal retrocardiac atelectasis. no pleural effusions. no pneumonia.
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in comparison with the study of , the left base is now clear with no evidence of pneumonia, vascular congestion, or pleural effusion.
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no acute process.
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no acute cardiopulmonary process.
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no acute intrathoracic process. a new vaugue opacity adjacent to the cardiac apex is likely atelectasis, but if there is a concern for nodule in this region shallow oblique views could be obtained for further assessment. updated impression was interpreted by dr with dr at am on , then communicated via telephone by d...
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no acute cardiopulmonary abnormality.
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<num> images shift showed repositioning of the left pic line from the azygos vein to the mid to low svc. moderate biapical pulmonary edema substantially improved from , unchanged since earlier on. heart size normal, decreased since pleural effusions are presumed, but quite small. no pneumothorax.
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no acute intrathoracic abnormality.
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left lower lobe patchy opacity, likely atelectasis with small left pleural effusion. no displaced fractures are visualized. if there is continued concern for a rib fracture, consider a dedicated rib series.
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lower lung volumes may exaggerate some findings, but right suprahilar consolidation appears to be increasing, most likely pneumonia. left lower lobe abnormality could be pneumonia or atelectasis, unchanged. small left pleural effusion is likely. heart size top-normal. no pneumothorax.
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right subclavian picc line and right internal jugular central line both have their tips in the distal svc, unchanged. there are streaky bibasilar opacities, which are essentially unchanged and likely reflect atelectasis or post-inflammatory scarring. no pleural effusions, pneumothorax, or pulmonary edema. lung volumes ...
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right-sided single lead pacer remains in place with the lead terminating over the expected location of the right ventricle. a valvular ring remains in place. the heart remains stably enlarged. there is improving but residual mild pulmonary edema. no developing airspace consolidation to suggest pneumonia. patchy opaciti...
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heart size and mediastinum are stable. bibasal areas of atelectasis are unchanged. left picc line has been discontinued. minimal right mid lung atelectasis is unlikely to represent infectious process. no appreciable pleural effusion or pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. left picc terminates in the proximal right atrium.
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no pneumothorax.
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no acute cardiopulmonary process.
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normal chest. a limited view the upper abdomen reveals multiple loops of bowel with air-fluid levels concerning for obstruction.
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normal study of the chest.
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fibrotic chronic interstitial lung disease, not substantially changed in the interval. no new focal consolidation.
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no radiographic evidence of acute cardiopulmonary process such as pneumonia.