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MIMIC-CXR-JPG/2.0.0/files/p13243522/s57834899/292f6314-2e60a8c1-ab6ffc5f-72ef109d-348aad28.jpg
ap chest compared to through : lungs are chronically extremely abnormal, but there is relatively little change since. the chronic collapse around severe bronchiectasis in the right upper lobe is the most prominent feature. bronchiectasis and peribronchial infiltration obscuring the left heart border is minimally worse...
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no acute cardiopulmonary process.
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re- demonstrated atelectasis/scarring. no acute cardiopulmonary process.
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minimal left basal atelectasis. no pneumonia. no pneumothorax.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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mild to moderate pulmonary edema developed between and. it may have obscured preexisting pneumonia in the right lung. today edema has decreased, but there is still ground-glass opacification in the left lung and consolidation at both lung bases, so active pneumonia is still a possibility. small to moderate pleural eff...
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interval decrease in size of right pleural effusion and width of mediastinum.
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compared to prior chest radiographs through :<num>. there is still only minimal aeration in the left lung with marked leftward mediastinal shift. at least a small left pleural effusion is present as well. no pneumothorax. right lung clear. left pleural drain still in place.
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normal chest radiograph.
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cardiomegaly with hilar congestion. no overt edema or pneumonia.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute intrathoracic process. distended small bowel in the upper abdomen with air-fluid levels. please correlate clinically.
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interstitial markings appear worse from prior suggesting component of interstitial edema. right basilar opacity, potentially atelectasis given lower lung volumes although infection could be considered in the proper clinical setting.
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the lung volumes are normal. normal size of the cardiac silhouette. moderate elongation of the descending aorta. the lateral radiograph shows normal spine. no evidence of pneumonia, no pulmonary edema, no pleural effusions. surgical clips in the left upper abdomen.
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no evidence of acute disease.
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normal chest.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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ap chest compared to at upper enteric drainage tube ends in the upper portion of a non-distended stomach. et tube in standard placement. bibasilar atelectasis is worse on the right, stable on the left. moderate-to-severe cardiomegaly and pulmonary vascular engorgement with redirection of blood flow to the lung apices...
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mild interstitial edema.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12273785/s52530388/9b839249-1eac2f74-6c6e3f1d-c0e51f98-b19bdc00.jpg
stable appearance of multiple bilateral pulmonary metastases and left upper lobe collapse.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormalities identified.
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no acute cardiopulmonary abnormality. mild cardiomegaly is unchanged.
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endotracheal tube terminates approximately <num> cm above the level of the carina.
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pa and lateral chest compared to and : moderate cardiomegaly is longstanding. mediastinal venous engorgement is slightly larger today than it was on , and larger than on , but there is no particular pulmonary vascular engorgement and no edema. mild heterogeneous opacification at the base of the right lung is more like...
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no acute cardiopulmonary process, no evidence for pneumonia.
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right ij central venous line terminates in the right atrium, and could be retracted <num> cm for positioning just above the cavoatrial junction.
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subtle left perihilar opacity with associated bronchial wall thickening, concerning for an early focus of pneumonia. acute aspiration is an additional consideration.
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pa and lateral chest compared to : consolidation at the base of the right lung is more pronounced, consistent with worsening pneumonia. small bilateral pleural effusions, right greater than left, should be followed to see if the right-sided component is related to infection. mild cardiomegaly is stable. no pulmonary ed...
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right picc tip terminates at the svc/right atrial junction. bibasilar atelectasis and unchanged tiny left pleural effusion. previously noted small right pleural effusion has resolved.
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increased bibasilar opacities, could reflect a combination of pleural effusion and atelectasis. however, in the appropriate clinical setting an underlying infectious process cannot be excluded.
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right internal jugular line ends close to the superior cavoatrial junction. et tube tip less than <num> cm from the carina, standard position with the chin flexed. esophageal drainage tube passes into a nondistended stomach and out of view. lung volumes remain quite low. there is a greater opacification generally, part...
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no evidence of pneumonia.
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ap chest compared to : moderate right pneumothorax, predominantly apical lateral and basal unchanged in size over the past <num> hours, basal pigtail pleural drain still in place. extensive multifocal pulmonary abnormality, including right upper lobe collapse and cavitary consolidation, and a small left pleural effusio...
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interval improvement of previously seen bilateral pleural effusions and atelectasis. no new cardiopulmonary pathology.
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no acute cardiopulmonary process.
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no evidence of cardiac enlargement, pulmonary congestion or new acute pulmonary infiltrates in this patient with history of left atrial myxoma successfully operated.
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no acute cardiopulmonary abnormality.
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no evidence of acute disease.
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no radiographic evidence of pneumonia.
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in comparison with the study , the monitoring and support devices are essentially unchanged. continued enlargement of the cardiac silhouette with indistinctness of engorged pulmonary vessels consistent with elevated pulmonary venous pressure. no acute focal pneumonia. retrocardiac opacification silhouetting the hemidi...
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small bilateral pleural effusions and cardiomegaly.
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no acute osseous abnormalities identified. if there is persistent clinical concern, a dedicated rib series or ct scan is more sensitive.
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pulmonary vascular congestion and interstitial edema. more confluent opacities at the lung bases could relate to dependent pulmonary edema, although aspiration and infectious pneumonia are additional considerations in the appropriate clinical setting. short-term followup radiographs may be helpful in this regard if war...
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small bilateral pleural effusions with subjacent atelectasis, greater on the right. interval decrease in the left predominantly perihilar airspace opacities.
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as compared to the previous image, the large perihilar left-sided opacity is not substantially changed, taking into consideration that different acquisition technique. moderate cardiomegaly persists. minimally increasing fluid overload. no larger pleural effusions. unchanged position of the right central venous access ...
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widespread bronchiectasis and bronchial wall thickening. a superimposed infection is difficult to exclude and ct may be helpful if warranted clinically.
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possible small pleural effusions. no definite superimposed acute cardiopulmonary process given low lung volumes.
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in comparison with the study of , the monitoring and support devices are essentially unchanged. continued low lung volumes. retrocardiac opacification with obscuration of the hemidiaphragm is again consistent with volume loss in the left lower lobe. the areas of patchy opacification, especially in the left mid and lowe...
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in comparison with the study of , the patient has taken a deeper inspiration. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. nodular opacification at the left base most likely represents the nipple.
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low lung volumes. no evidence of acute cardiopulmonary process.
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a left-sided pacer remains in place. the patient is status post median sternotomy with stably enlarged cardiac and mediastinal contours. no evidence of pulmonary edema, pneumonia, pleural effusions, or pneumothorax. a dense calcification is seen overlying the scapula which likely is musculoskeletal in etiology. mild de...
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a feeding tube is seen coursing below the diaphragm. there has been interval placement of a nasogastric tube which has its tip projecting over the stomach. a catheter is also seen overlying the upper abdomen. a biliary stent is in place. lungs remain low lung volumes with minimal patchy opacity at the bases suggestive ...
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in the interval, the patient has received a intra-aortic balloon pump. the tip of the pump projects approximately <num> cm be low the upper most portion of the aortic arch. no evidence of complications. no pneumothorax. no larger pleural effusions.
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right lower lobe atelectasis have improved. small right effusion is unchanged. cardiomediastinal contours are unchanged. right basal pigtail is in unchanged position. the left lung is clear. right upper lobe lesion is better seen in prior ct.
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new likely right lower lobe pneumonia. results were conveyed via telephone to dr by dr on at within <num> minutes of results.
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moderately enlarged cardiac silhouette with mild to moderate pulmonary vascular congestion.
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the nasogastric tube terminates in the distal portion of the medial esophagus. right-sided chest drain in-situ. no pneumothorax seen.
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no relevant change as compared to the previous image, marked cardiomegaly with mild pulmonary edema. left pleural effusion and left retrocardiac atelectasis. minimal right basilar atelectasis. no pneumothorax.
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no evidence of acute disease.
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cardiomegaly, with a trace left pleural effusion and mild pulmonary vascular congestion, consistent with mild cardiac decompensation.
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prominence of the hila likely due to pulmonary edema. cardiomediastinal silhouette, likely accentuated by supine position, and ap portable technique. however, if there is clinical concern for acute mediastinal injury, chest cta is more sensitive.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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increased size of moderate right pleural effusion from , which may be partially loculated with similar extent of right basilar opacification. in the setting of right-sided volume loss, this most likely represents atelectasis; however, superimposed infection is not entirely excluded.
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grossly stable position of tracheal and bilateral mainstem bronchial stents. no pneumothorax or focal consolidation.
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no acute intrathoracic abnormality.
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heart size is normal. mediastinum is normal. bi apical scarring, right more than left is unchanged. lungs are essentially clear and there is no pleural effusion or pneumothorax. thoracic kyphosis is demonstrated most likely due to multiple minimal wedge compression fractures. hyperinflation is demonstrated.
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no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. the right-sided ribs and the soft tissues of the chest wall appear unremarkable. a known calcified <num> cm left apical nodule is visualized. on the lordotic view, the nodule projects over the first...
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as compared to , the patient has received a left-sided picc line. the tip of the line projects over the mid svc. the course of the line is unremarkable. low lung volumes. the pre-existing retrocardiac opacity has substantially improved and is less extensive and less severe. pre-existing mild fluid overload has resolved...
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no free air under the diaphragm. clear lungs.
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suboptimal assessment of the lower lungs due to low lung volumes with probable atelectasis, less likely pneumonia causing obscuration at this level. mild cardiomegaly.
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moderate pulmonary edema. please note superimposed component of infection is not excluded. repeat after dialysis is suggested.
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left lower lobe opacity may reflect pneumonia or aspiration in the current clinical context with a small left pleural effusion. stable moderate cardiomegaly.
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ap chest compared to : feeding tube is looped several times in the distal stomach. i am not sure i can identify the tip. lungs are clear, cardiomediastinal and hilar silhouettes are normal.
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fiducial marker in the left upper lobe mass. no pneumothorax. small right effusion and mild edema.
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moderate cardiomegaly, increased in comparison to the prior study. pericardial effusion could be present. bilateral small pleural effusions, also increased in size in comparison to the prior study.
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no acute cardiopulmonary process.
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no focal pulmonary consolidation or free intraperitoneal air. incompletely imaged distended small bowel in the upper abdomen, which is been more fully evaluated by separately dictated ct of the abdomen and pelvis from the same date.
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there has been markedly interval increase in mediastinal widening due to bleeding. small left effusion has increased. retrocardiac opacities have increased. lines and tubes in standard position no other interval change from prior study.
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unchanged right pleural effusion and associated atelectasis.
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no pneumoperitoneum. low lung volumes.
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low lung volumes with right lung base mass visualized. limited exam without new confluent consolidation.
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improved ventilation with mild reduced opacification of the right lung, especially in the rul. persistent cardiomegaly.
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prominent main pulmonary artery can be seen in the setting of pulmonary arterial hypertension. no focal consolidation.
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retrocardiac and right lower lobe opacities represent atelectasis and/or pneumonia. small bilateral pleural effusions are unchanged.
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the endotracheal tube and feeding tubes have been removed. rest of the support lines and tubes are unchanged. there is unchanged cardiomegaly. there are large bilateral pleural effusions which have increased since prior. there remains pulmonary edema which has increased since the prior study. there are no pneumothorace...
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ap chest compared to through : mild pulmonary edema has improved slightly since. heart size borderline enlarged and mediastinal veins top normal caliber, all unchanged. small right pleural effusion is stable, basal pleural drain unchanged in position. no pneumothorax. et tube is in standard placement. upper enteric dr...
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no acute cardiopulmonary process.
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small bilateral effusions. no pneumothorax
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no significant interval change.
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persistent possible nodule in the right upper lobe mild interstitial pulmonary edema is new. recommendation(s): lordotic views to reassess this potential right upper lobe nodule.
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in comparison with the study of , the monitoring and support devices are essentially unchanged. the right upper lung opacification is less prominent, as is the apparent opacification in the left apical region. the cardiac silhouette is within normal limits and there is no definite vascular congestion.
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pa and lateral chest compared to : soft tissue exaggerates what may be a very mild interstitial pulmonary abnormality, which i doubt is pulmonary edema although there is mild engorgement of pulmonary and mediastinal vasculature. the heart is not particularly enlarged and there is no pleural effusion.
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right lower lobe pneumonia.
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interval placement of nasogastric tube with its tip projecting over the expected location of the stomach. there is increasing patchy opacity predominantly at the right base and to a lesser extent at the left base with increasing layering right pleural effusion. although these findings may represent partial lower lobe a...
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there is no acute cardiopulmonary process.