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MIMIC-CXR-JPG/2.0.0/files/p17790915/s53743671/8297b78c-dd58841f-7a9b8430-60126561-6c17fea9.jpg
three ap views of the chest performed at , , and dobbhoff feeding tube, recently placed in the right bronchial tree, and in the lower esophagus on the earlier attempts was on the latest of three images beyond the upper stomach and out of view. there is no pneumothorax. moderate bilateral pleural effusion, right greate...
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new small to moderate bilateral effusions.
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severe cardiomegaly, widening mediastinum, and mild pulmonary edema are stable. retrocardiac opacities have minimally increased consistent with increasing atelectasis end small effusion. there is no pneumothorax. right port a cath tip is in the mid svc
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in comparison with the earlier study of this date, the ij catheter is been pulled back and now lies in the lower svc. otherwise, little change.
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as compared to the previous radiograph, no relevant change is seen. there is no evidence of pneumonia or pulmonary edema. no pleural effusions. normal size of the heart. the lateral radiograph shows flattening of the hemidiaphragms, likely caused by mild overinflation.
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mild cardiomegaly, aicd noted. no acute intrathoracic process.
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no acute intrathoracic process.
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vague ground-glass opacity in the left lower lung could reflect pneumonia. followup to resolution advised.
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dobbhoff tube terminates in the stomach.
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ng tube below the diaphragm. right-sided picc line has been pulled back to the right axillary vein. the predominant pattern of stable left greater than right diffuse alveolar opacities indicates moderate chf. underlying infection cannot be excluded.
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acute pneumonic infiltrate in right lower lobe posterior segment. followup after treatment is recommended. referring physician,. , was informed via telephone.
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no acute cardiopulmonary process.
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mild cardiomegaly without superimposed acute cardiopulmonary process.
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interstitial edema and possible very trace bilateral pleural effusions.
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no evidence of acute cardiopulmonary abnormality demonstrated.
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status post right chest tube removal with no pneumothorax and no other significant interval change.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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as compared to chest radiograph, right internal jugular porta catheter is again demonstrated, with tip curving leftward cord the midline at the level of the confluence of the brachiocephalic veins, roughly similar to. cardiomediastinal contours are normal, and lungs and pleural surfaces are clear.
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no radiographic evidence of pneumonia.
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limited examination. patchy retrocardiac opacity may reflect atelectasis however infection is not excluded in the correct clinical setting.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions, no pneumonia, no pulmonary edema.
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no acute cardiopulmonary process.
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no signs of pneumonia or other acute intrathoracic process.
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no radiopaque foreign body seen within the neck. no acute intrathoracic process.
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no previous images. low lung volumes accentuate the enlargement of the cardiac silhouette. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. right central catheter extends to the mid portion of the svc.
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status post endotracheal intubation. no evidence of acute disease.
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findings suggest pneumonia in the left lower lobe.
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bilateral consolidations, multifocal are unchanged. the right picc line tip is at the level of lower svc. cardiomediastinal silhouette is unchanged.
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bibasilar airspace consolidation, worst on the right, concerning for pneumonia.
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no acute cardiopulmonary process.
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low lung volumes and bibasilar atelectasis.
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no acute intrathoracic abnormality.
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little change and no evidence of acute cardiopulmonary disease. hyperexpansion of the lungs is consistent with chronic lung disease.
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no acute cardiopulmonary process.
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continued multifocal pneumonia with some areas of improvement and some areas that appear slightly worse.
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as compared to the previous image, the right lung is better expanded. nonetheless, there is a remnant <num> cm right apical pneumothorax. the right hemidiaphragm has returned to normal position. unchanged appearance of the heart and of the left lung.
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fluid overload with mild cardiomegaly, small bilateral pleural effusions and mild pulmonary edema. atelectasis or infection in the right lower lobe is improving.
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new interstitial pulmonary emphysema due to barotrauma.
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nearly completely resolved left effusion. picc line positioned appropriately.
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no acute findings in the chest.
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no notable interval change. no new consolidation is identified.
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moderate left pleural effusion increased in size compared to the prior exam with an adjacent opacity which may be secondary to atelectasis; however, a superimposed infectious process cannot be excluded.
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no acute cardiopulmonary abnormality.
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left lower lung pulmonary opacity with adjacent pleural thickening or loculated pleural effusion concerning for pneumonia with parapneumonic effusion though empyema cannot be excluded by imaging features.
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endotracheal tube unchanged in position. overall cardiac and mediastinal contours are stable. lung volumes are slightly diminished. lungs are without focal airspace consolidation, pleural effusions pulmonary edema or pneumothorax.
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pulmonary edema. an underlying infectious infiltrate cannot be excluded
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heart size and mediastinum are normal in appearance. lungs are clear except for bilateral linear opacities that might potentially represent areas of atelectasis versus recurrent aspirations. there is no pleural effusion. there is no pneumothorax.
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left greater than right, lower lobe opacities are unchanged since and may represent atelectasis or pneumonia.
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the patient's overlying arm on the lateral view partially obscures the view and makes evaluation of the lateral view suboptimal. left greater than right biapical scarring. difficult to assess for medial left clavicular injury, nondisplaced fracture may be present.
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normal chest radiograph.
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no acute intrathoracic process.
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patchy right middle lobe opacity, raising concern for pneumonia. recommend followup to resolution. right-sided picc again extends deep into the right atrium; if the desire position of the tip is at or just above the cavoatrial junction, the catheter could be pulled back by approximately <num> cm.
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mild interstitial abnormality suggesting pulmonary congestion. increased volume loss at the left lung base. increased right-sided pleural effusion.
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no significant interval change from prior. diffuse coarse interstitial markings compatible with chronic interstitial lung disease. small right pleural effusion. mild pulmonary vascular congestion.
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left chest tubes are in place as well as the right picc line. a left clavicular fracture is demonstrated. no interval increase in pleural effusion or development of pneumothorax demonstrated
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no acute intrathoracic process.
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increased caliber of right pulmonary artery, concerning for pulmonary embolism. recommendation for ctpa is made. these findings were reported to dr phone by.
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no evidence of pneumonia or mass or any other findings to explain patient's hemoptysis.
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possible small pleural effusions. no definite superimposed acute cardiopulmonary process given low lung volumes.
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there is a new right-sided dual lead pacemaker with distal lead tips in the right atrium and right ventricle. leads appear intact. there are no pneumothoraces. heart size is within normal limits. there is coarsening of the bronchovascular markings without overt pulmonary edema. suture anchors are seen within the right ...
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no new lung opacities. no evidence of pericardial effusion.
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obscuration of the right hemidiaphragm consistent with a small pleural effusion as well as likely as bilateral atelectasis, less likely pneumonia.
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normal chest findings in female patient with new established diagnosis of sle.
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hyperinflated lungs, but no focal consolidation seen. calcified pleural plaque at the lung bases.
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ap chest compared to : volume of the right basal pneumothorax has probably decreased since earlier on , pigtail pleural drain still in place. the bronchial valve is also grossly unchanged in position but not really assessed by conventional radiographs such as this. there are extensive consolidation, pulmonary nodules, ...
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ap chest reviewed in the absence of prior chest radiographs: normal heart, lungs, hila, mediastinum and pleural surfaces. no pulmonary edema or appreciable pleural effusion.
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the lungs are well expanded with improved but not resolved is right lower lobe opacity consistent with improving pneumonia. pulmonary edema has resolved. mild cardiomegaly is slightly improved. no pleural effusion or pneumothorax. recommendation(s): repeat chest radiographs in <num> weeks is recommended to ensure resol...
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right lower lobe opacity suspicious for infection. moderate cardiomegaly and pulmonary vascular congestion. followup after treatment suggested to document resolution.
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mild pulmonary edema and small bilateral pleural effusions. retrocardiac atelectasis.
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ap chest compared to through : since , severe pulmonary edema has worsened, accompanied by increasing moderate pleural effusion and progression of already severely enlarged cardiac silhouette and severely distended mediastinal veins. lung volumes are generally low and bibasilar atelectasis is severe. tracheostomy tube...
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markedly improved multifocal pneumonia
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unchanged appearance of the left upper lobe compatible with bronchial atresia. no acute cardiopulmonary process otherwise identified.
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left basal scarring and atelectasis.
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no acute cardiopulmonary process.
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right pleural scarring is the residual of a previous treated pleural effusion dating from. there is no evidence of pleural fluid currently. lungs are well expanded and essentially clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. recommendation(s): referenced chest radiographs showing pneu...
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severe copd but no evidence of pneumonia.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. blunting of the left costophrenic angle is again seen on the lateral view. no evidence of acute pneumonia or vascular congestion. an
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no pneumonia, effusion, or edema.
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no pneumonia. pa and lateral chest radiograph could be performed if clinical concern is high.
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interval decrease in size of the posterior left pleural effusion. no pneumothorax. persistent moderate cardiomegaly and juxta cardiac pleural fluid loculation.
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findings suggesting mild vascular congestion with a left-sided pleural effusion and probable associated atelectasis.
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heterogeneous opacities in the right lung are consistent with history of pneumonia. consider a contrast-enhanced chest ct to exclude a postobstructive process and to better characterize an apparently loculated right pleural effusion, the latter raising the possibility of empyema. new patchy opacity at the left base is ...
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interval placement of an endotracheal tube in appropriate position. improved mild-to-moderate diffuse pulmonary interstitial edema and decreased small left pleural effusion.
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new small bilateral pleural effusions. interval improvement in aeration of the left lower lobe likely reflecting improving atelectasis.
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tiny right apical pneumothorax. slight improved aeration in the right lower lobe with small pleural effusion.
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increased posterior opacification, probably in the left lower lobe, a finding which could be seen with atelectasis, but pneumonia could also be considered in the appropriate setting.
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ap chest compared to today. very small right apical pneumothorax has developed. there is no pleural effusion. the biopsy target in the right upper lobe heterogeneous region of opacification may be minimally larger, but there is no indication of appreciable hemorrhage. lungs are otherwise clear. cardiomediastinal silho...
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new left lower lobe infiltrate and effusion.
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in comparison with the study of , there is little interval change. continued enlargement of the cardiac silhouette with minimal elevation of pulmonary venous pressure. pacer leads are unchanged and there is no evidence of pneumothorax.
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persistent moderate interstitial pulmonary edema.
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no evidence of cardiopulmonary pathology. specifically, no evidence of intrathoracic malignancy.
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in comparison with the earlier study of this date, there is continued heterogeneous opacification in the right mid zone consistent with pneumonia. opacification at the right base again is consistent with pleural fluid and atelectasis. otherwise little change.
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heart size and mediastinum are stable. lungs are clear. pacemaker leads terminate in right atrium and right ventricle with a left ventricular defibrillator lead. no pleural effusion or pneumothorax.
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mild cardiomegaly, without evidence of chf. no specific findings to account for cough.
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low lung volumes and patient rotated somewhat to the left. streaky left base retrocardiac opacity may be due to atelectasis/scarring, however, infection or aspiration not excluded in the appropriate clinical setting. slight blunting of the left costophrenic angle may be due to overlying soft tissue and low lung volumes...
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no acute cardiopulmonary process.
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lungs are mildly hyperinflated but clear, unchanged since , suggesting small airway obstruction or even emphysema. hila, mediastinum, and pleural surfaces are normal. no evidence of intrathoracic malignancy or infection.