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MIMIC-CXR-JPG/2.0.0/files/p17095651/s56726284/2af3b8a6-af9f5785-cfe92d3f-646203eb-d426a393.jpg
minimal residual pneumomediastinum; otherwise complete resolution of pneumoperitoneum and subcutaneous emphysema since.
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no evidence of acute cardiopulmonary process.
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et tube positioned appropriately. ng tube should be advanced slightly for more optimal positioning. no acute intrathoracic process.
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no acute cardiopulmonary process.
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left apical scarring is responsible for thickening of the left apical pleural margin and elevation of the hilus, unchanged since. if this was due to tuberculosis, there is no evidence of active infection. scarcity of vessels in the lungs indicates emphysema. there is no consolidation to suggest pneumonia, and no pulmon...
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no radiographic evidence for acute cardiopulmonary process. rounded opacity overlying the left lower lobe. recommend oblique views with nipple markers to further characterize the opacity.
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there is interval resolution of right upper lobe consolidation consistent with resolution of a symmetric edema or aspiration. cardiomediastinal silhouette is stable. no new consolidation demonstrated. no appreciable pleural effusion or pneumothorax is seen.
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small bilateral pleural effusions and adjacent bibasilar atelectasis, with bilateral perihilar opacities are most consistent pulmonary edema, however superimposed pneumonia is difficult to exclude.
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persistent moderate left pleural effusion with left perihilar opacitites possibly representing atelectasis or infection.
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top-normal to mildly enlarged cardiac silhouette with mild pulmonary congestion. bilateral areas of mid to lower lung atelectasis.
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compared to prior chest radiographs through at. mild to moderate pulmonary edema improved between and and has not changed much since. heart is moderately enlarged and pulmonary vasculature is still engorged. pleural effusions are small if any. no pneumothorax. the heterogeneity of pulmonary abnormality, an the conf...
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limited chest radiograph due to body habitus. no pulmonary edema. mild bibasilar atelectasis.
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no evidence of acute cardiopulmonary process.
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lung volumes have improved substantially. bilateral pleural effusions are small. bibasilar atelectasis is mild. there is no pulmonary edema or appreciable pneumothorax. cardiomediastinal silhouette is a normal postoperative appearance. right jugular line ends in the upper svc.
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left basilar atelectasis without definite focal consolidation.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, a minimal atelectasis at the left lung base has newly appeared. no other changes. massive tortuosity of the thoracic aorta. normal lung volumes. no pneumonia, no pneumothorax.
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bibasilar airspace opacities, greater on the right, may reflect atelectasis and/or consolidation in the proper clinical context. a small layering right pleural effusion is also suspected.
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no acute cardiac or pulmonary findings. unchanged calcified <num> cm right lower lobe nodule.
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mildly increased right apical pneumothorax. mildly improved bilateral pulmonary edema. cardiomegaly and bilateral pleural effusions remain unchanged.
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as compared to the previous radiograph, the right chest tube is now on water-seal. the pre-existing pneumothorax has again substantially increased in extent and dimension. small air-fluid level at the right lung bases is better visualized than on the previous image. shift of the heart to the left indicates thickening t...
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cardiomegaly with moderate pulmonary edema and small bilateral pleural effusions. retrocardiac opacity could be consistent with atelectasis or pneumonia in the correct clinical setting.
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increased density over the periphery and base of the left lung is likely due to the pleural or extrapleural hematoma resulting from multiple left-sided rib fractures.
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no definite acute cardiopulmonary process.
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there is slight patchy density in the left which is more pronounced study. the atelectasis lingula present on there is less pronounced there is persistent linear density in this region and in the right base. there is no chf or pneumothorax. as discussed in the dictation of , elective ct should be considered for recurr...
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comparison to. stable position of the left pigtail catheter. decrease in extent of the left pleural fluid collection. decrease in severity of the pre-existing left basal areas of atelectasis. stable appearance of the right lung and of the heart.
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appearance of elevation of the right hemidiaphragm thought to be due to subpulmonic effusion.
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no evidence of acute cardiopulmonary process. although no rib fractures are identified, this study is suboptimal for the detection of rib fractures. if there is further clinical concern dedicated rib series should be obtained.
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no acute cardiopulmonary process.
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mildly increased pulmonary edema and moderate right subpulmonic effusion.
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interval enlargement of now moderate right-sided pleural effusion. cardiomegaly.
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slight improvement in pulmonary edema with persistent right pleural effusion. no pneumonia.
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in comparison with the study of , there is a left subclavian pacer with single lead extending to the apex of the right ventricle. cardiac silhouette is mildly enlarged but there is no evidence of acute vascular congestion or pleural effusion. hyperexpansion of the lungs is consistent with chronic pulmonary disease, tho...
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no acute findings in the chest.
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lines and tubes as described. marked cardiomegaly, similar to prior. increased opacity right lung, ? worse asymmetric pulmonary edema or worsening infiltrate, together with increase in size of right effusion. improved aeration at the left lung apex, question improvement or repositioning of left effusion. double contour...
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moderate to large right and small to moderate left pleural effusions.
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pulmonary vascular engorgement with small bilateral pleural effusions, consistent with mild failure.
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no focal consolidation concerning for pneumonia. large hiatal hernia.
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no acute cardiopulmonary process.
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low lung volumes with bibasilar atelectasis. no focal pneumonia.
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no evidence of infection or malignancy. ct scanning is more sensitive for detection of small lung nodules.
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dobbhoff tube with wire still in place passes into the upper abdomen and out of view. stable right hemidiaphragm elevation related to perihepatic fluid.
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et tube is in standard position. the tip is <num> cm above the carina. collapsed right middle lobe is new. vascular congestion has resolved. there is no pneumothorax or pleural effusion. there are low lung volumes. ng tube tip is out of view below the diaphragm.
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subtle opacity projecting over the right lung base may be due to overlap of vascular structures with the posterior <num>th rib, versus atelectasis, mild aspiration not excluded. no pulmonary edema.
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new left lower lobe opacities are likely infectious. right middle lobe and right upper to mid lung opacities are improved but persist.
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no acute cardiopulmonary process. no displaced rib fracture, although, if concern for a fracture persists, a dedicated rib series with markers would be necessary.
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there are low lung volumes. bibasilar atelectasis have improved on the right, minimally increased on the left. cardiomediastinal contours are unchanged. there is no evident pneumothorax or large pleural effusions. right ij catheter tip is in the lower svc. mediastinal and chest tubes remain in place.
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no evidence of acute cardiopulmonary process.
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low lung volumes. no acute cardiopulmonary process.
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right lower lobe opacity, with silhouetting of the right hemidiaphragm is most consistent with right lower lobe pneumonia. however, a peripheral infarction due to pulmonary embolism cannot be excluded. a followup radiograph in <num> weeks after resolution of symptoms is recommended.
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no signs of pneumonia.
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a new right picc line ends in the mid svc. no pneumothorax.
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heart size and mediastinum are stable. there is interval increase in bilateral perihilar interstitial opacities concerning for interval progression of interstitial edema, currently similar to. vp shunt is projecting over the right hemi thorax
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as compared to the previous radiograph, the known bilateral pleural effusions, better appreciated on the lateral and on the frontal radiograph, have minimally decreased in extent but are still clearly visible. the lung volumes have increased, likely reflecting improved ventilation. mild cardiomegaly without pulmonary e...
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opacity at the right lung base may represent asymmetric pulmonary edema, however underlying pneumonia cannot be excluded. mild pulmonary edema.
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in comparison to the prior radiograph from earlier today, a left pleural catheter has been placed with marked decrease in size left pneumothorax with only a small apical pneumothorax remaining. the lung bases are slightly better aerated bilaterally. decrease left perihilar opacification, potentially representing improv...
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persistent small right pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. mild cardiomegaly is stable.
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retrocardiac opacity which could be atelectasis versus pneumonia in the proper clinical setting.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic process. if there is further concern for acute rib injury, dedicated rib series may be performed.
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compared to chest radiographs since , most recently. probable pneumoperitoneum persists, seen beneath the right hemidiaphragm, significance uncertain. clinical correlation is advised regarding the possible explanations for pneumoperitoneum. if more convincing radiographic confirmation is needed, a left decubitus view o...
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the dobbhoff feeding tube is now coiled within the distal esophagus with the tip positioned in the mid esophagus. repositioning is advised. the patient's nurse, , was notified of the need for repositioning at tracheostomy tube remains in satisfactory position. lung volumes remain low. retrocardiac opacity with associa...
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no evidence of acute cardiopulmonary process.
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persistent bilateral pleural effusions, with associated bibasilar atelectasis. no evidence of pneumonia.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute intrathoracic process
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as compared to radiograph, cardiomediastinal contours are within normal limits. left pleural effusion and bibasilar atelectasis have nearly completely resolved. no new areas of consolidation to suggest a source of infection.
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no pneumomediastinum or pneumothorax. mild reticulation at the base of the right lung suggests very minimal edema in the setting of emphysema. decreased caliber to the mediastinum and paratracheal soft tissues, probably due to decreased edema associated with the neoesophagus. heart size is normal. there is no pulmonary...
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no acute cardiopulmonary abnormality. moderate hiatal hernia again noted.
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in comparison with the study of , the right ij catheter is been removed. tracheostomy tube remains in place. unchanged low lung volumes. increased opacification is seen at the bases, although most likely representing a combination of atelectasis and pleural effusion, in view of the clinical history, a developing pneumo...
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no acute cardiopulmonary pathology.
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in comparison with the study of , there again are low lung volumes with bilateral pleural effusions and underlying compressive atelectasis. no definite evidence of pulmonary vascular congestion. little change in the enteric tube.
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the left pleural effusion may have slightly decreased in size. the appearance of the chest is essentially stable.
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substantial but partial improvement in the left mid and lower lobe opacities consistent with gradual resolution of an underlying infectious process. subtle right upper lobe opacity may have been present since , and ct chest should be obtained to exclude an underlying parenchymal nodule. recommendation(s): ct chest for ...
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no evidence of pneumonia. small left-sided pleural effusion. hyperinflation.
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no acute cardiopulmonary process.
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in comparison with the study of following bronchoscopy there is no evidence of pneumothorax. monitoring and support devices remain in place. little overall change in the appearance of the heart and lungs.
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basilar pneumonia best seen on lateral view. recommend followup imaging in four weeks after treatment. these findings were entered on the radiology critical communications dashboard at pm.
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in comparison to prior radiograph of <num> day earlier, there has not been a relevant change in the appearance of the chest.
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in comparison with the study of , there again are bilateral pleural effusions, much more prominent on the right, with mild bibasilar atelectatic changes. continued enlargement of the cardiac silhouette without definite vascular congestion in this patient with intact midline sternal wires related to previous cabg proced...
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as compared to the previous radiograph, the nasogastric tube was removed. the patient now shows bilateral areas of atelectasis at the lung bases, potentially combines to small pleural effusions. no pulmonary edema, no pneumonia, normal size of the cardiac silhouette. air collection in the left and right soft tissues
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probable right middle lobe pneumonia. recommend follow-up chest radiographs in weeks to ensure resolution. recommendation(s): follow-up chest radiographs in weeks to ensure resolution of probable right middle lobe pneumonia.
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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 a prominent gastric air bubble which elevates the left hemidiaphragm and partially limits evaluation.
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pulmonary vascular congestion, particularly in the right lung, has worsened and there is new small right pleural effusion. consolidation may have developed in the right lower lung. cardiomegaly is severe, unchanged. thoracic aorta markedly tortuous. no pneumothorax.
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small right pleural effusion, similar compared to the prior study, with resolution of the left pleural effusion. no new focal consolidation.
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nasogastric tube ends in the upper portion of the nondistended stomach. it should be advanced <num> cm to move all the side ports well beyond the gastroesophageal junction
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in comparison to study of , there again is moderate enlargement of the cardiac silhouette. there may be minimal elevation of pulmonary venous pressure. the layering effusions on the previous supine view are now seen at the bases posteriorly on the upright projection. no definite acute focal pneumonia. the right subclav...
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as compared to the previous image, the extent of the bilateral apical pneumothoraces have not substantially changed. the pre-existing moderate cardiomegaly is constant. no evidence of tension. constant position of the right chest tube. the left picc line is positioned in unchanged manner, in a known persistent superior...
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pulmonary vascular congestion and moderate interstitial edema. right perihilar lower lobe consolidation with lateral correlate compatible with pneumonia. recommmend repeat after treatment to document resolution.
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small bilateral pleural effusions. pleurx catheter in position at the left base with no reaccumulation of left pleural effusion. stable peripheral pleural-based metastases.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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spiculated left upper lobe mass as seen on prior ct. no definite acute cardiopulmonary process.
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no acute intrathoracic process.