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MIMIC-CXR-JPG/2.0.0/files/p19016010/s55282005/0386c202-65bf2619-b5c680bd-ed7f8571-28c24229.jpg
interval improvement of right lower lung consolidation with decrease in size of right pleural effusion.
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as compared to the previous radiograph, the known pulmonary edema has increased in severity. the edema is now moderate. it shows an interstitial component, as reflected by a slightly increasing left and right pleural effusions. unchanged retrocardiac atelectasis. no pneumonia.
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unchanged left basilar atelectasis and moderate cardiomegaly.
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ap chest compared to : lungs are clear, heart size normal, pleural effusions minimal if any. no obvious explanation for hypoxia.
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no acute cardiopulmonary process. bibasilar atelectasis.
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reticular nodular opacity in the right mid to lower lung is concerning for pneumonia.
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interstitial edema, not significantly changed since prior.
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in comparison with the study of , the monitoring and support devices are essentially unchanged. hazy opacification of the lower lungs again suggests bilateral layering pleural effusions with some atelectatic changes at the bases. in the appropriate clinical setting, superimposed pneumonia would have to be considered. s...
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normal chest radiograph
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moderate right pleural effusion is new or substantially increased since. there is no pulmonary edema. enlargement of the cardiac silhouette could be due to concurrent pericardial effusion or pleural fluid layering up against the mediastinum. there is no left pleural effusion. extensive vascular clips denote prior surge...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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comparison to. decrease in extent of the pre-existing right basal postoperative pneumothorax. however, the medial parts of the pneumothorax are still clearly visible. the position of the right chest tube is stable. stable appearance of the heart. and the other monitoring and support devices. stable appearance of the le...
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no acute cardiopulmonary process. no evidence of pneumothorax. the mediastinum is not widened.
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patchy bibasilar opacities, greater on the left which may reflect pneumonia in the proper clinical context. the tip of the left picc line projects over the left brachiocephalic/svc confluence.
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no acute cardiopulmonary abnormality.
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compared to chest radiographs most recently. <num> successive chest radiographs show advancement of the esophageal feeding tube, with the wire stylet in place from the mid esophagus to the mid stomach. widening of the upper mediastinum is chronic. mild to moderate cardiomegaly is unchanged. right lung is clear. no appr...
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focal increased opacity in the left retrocardiac region which may represent an early pneumonia in the proper clinical setting.
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right internal jugular central venous catheter tip projects over mid svc. low lung volumes. pulmonary vascular congestion and likely small left pleural effusion.
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no acute cardiopulmonary process.
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no evidence of free air.
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heart is upper limits of normal in size in the aorta is tortuous. mild pulmonary vascular congestion is present. fullness of hilar structures is likely due to vascular engorgement but standard pa and lateral chest radiographs would be helpful when the patient's condition permits to exclude the possibility of lymphadeno...
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pa and lateral chest show the lungs are fully expanded and clear, and heart size normal and unchanged, no pleural effusion and normal hilar and mediastinal contours.
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no radiographic evidence of an acute cardiopulmonary process.
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stable appearance of the chest was no acute process.
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compared to chest radiographs. heart size mildly enlarged, unchanged since. no mediastinal or pulmonary vascular engorgement. no pulmonary edema or pleural effusion. new atelectasis, right middle lobe.
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there is interval development of widespread parenchymal opacities, new and concerning for pulmonary edema. alternatively pulmonary hemorrhage, extensive is a possibility. interval development of widespread pneumonia over <num> hr is substantial less likely. no appreciable pleural effusion is seen. heart size and medias...
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mildly worsened right basilar opacity, likely atelectasis, pneumonitis cannot be excluded. gastric distention
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no acute cardiopulmonary process.
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comparison to. the patient has been extubated. the nasogastric tube was also removed. the left chest tube and the right central venous access line remain in unchanged position. no evidence of pneumothorax. normal postoperative appearance of the cardiac silhouette. mild bilateral areas of atelectasis but no evidence of ...
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comparison to. the course of the feeding tube is unremarkable, the tip projects in pre-pyloric position. no complications, notably no pneumothorax.
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no acute cardiopulmonary process. right-sided port-a-cath terminates in the mid svc.
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no acute cardiopulmonary process.
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low lung volumes without acute cardiopulmonary process.
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status post chest tube placement with decrease in left-sided pleural effusion and some improvement in aeration. persistent right basilar opacity, similar to increased, worrisome for pneumonia.
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increased bibasilar atelectasis and small bilateral pleural effusions, right greater than left.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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stable chronic flattening and elevation of the right diaphragm, small pleural effusion, and right lower lobe atelectasis. no pneumonia. results were conveyed via telephone to dr by dr on at <num> within <num> minutes of results.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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trace left pleural effusion. otherwise, no acute cardiopulmonary abnormality.
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small pleural effusions with mild cardiomegaly. no focal consolidation.
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no definite signs of pneumonia.
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in comparison with the study of , there is continued enlargement of the cardiac silhouette with some prominence of interstitial markings that could reflect elevated pulmonary venous pressure. no definite evidence of acute focal pneumonia. however, there is mild asymmetry of the opacification at the bases, more prominen...
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stable-appearing right-sided diaphragmatic elevation related to old trauma. thus, no evidence of acute pleural effusion. should attempt for thoracocentesis be made, decubitus films should be obtained to ascertain presence of fluid.
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no acute cardiac or pulmonary findings.
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new large left pleural effusion. cannot adequately evaluate for any processes contributing to the left pleural effusion, and a ct chest could be performed to evaluate underlying structures.
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findings worrisome for left lower lobe pneumonia. persistent cardiomegaly.
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compared to prior chest radiographs through. new et tube in standard placement. lungs are reasonably well expanded. small right pleural effusion is likely. heart is top-normal size. the caliber the mediastinum has increased, but this may be a function of semi supine positioning. upright view is recommended. esophageal...
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no evidence of acute disease or injury.
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no acute intrathoracic process.
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right lower lobe opacity only seen on lateral projection may represent epicardial fat however given density is worrisome for pneumonia in the appropriate clinical setting.
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right greater than left lower lobe opacities are unchanged and concerning for recurrent aspiration, given persistence.
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small pleural effusions. improved pulmonary vascularity.
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in comparison with the study of , the patient has taken a better inspiration. cardiac silhouette is at the upper limits of normal and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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mild cardiomegaly.
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ap and lateral chest compared to , :<num> : no pneumothorax or appreciable pleural effusion. chest cage anatomy is distorted by scoliosis and rib deformities. right trans-subclavian right atrioventricular pacer leads are probably in standard position, but of course these have been confirmed by ultrasound localization. ...
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comparison to. unchanged normal size of the cardiac silhouette. unchanged mild left pleural effusion with subsequent left lower lobe atelectasis. no new focal parenchymal opacities indicating pneumonia. the left pectoral port-a-cath is in unchanged normal position. normal appearance of the right lung.
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normal chest radiograph.
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vague opacity in the left mid lung is concerning for pneumonia. followup to resolution is advised.
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right apical pneumothorax cannot be excluded and if indicated, this can be assessed by ct chest or followed with radiographs.
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new small left pneumothorax. right hydropneumothorax persists with now more fluid in the lateral basilar portion with air collecting at the apex. these findings were discussed with by dr telephone at
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satisfactory position of this support devices, as described above. severe bilateral opacities, of uncertain etiology. these could represent edema, aspiration, infection, or pulmonary hemorrhage.
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mild cardiomegaly with small bilateral pleural effusions.
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no acute cardiopulmonary process.
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et tube tip is at the thoracic inlet approximately <num> cm above the carina and might be slightly advanced for <num> cm. right picc line tip is at the level of mid svc. right internal jugular line terminates at the level of superior to mid svc. the up of tube passes below the diaphragm most likely terminating in the s...
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in comparison to radiograph, a nasogastric tube is been placed, terminating in the proximal stomach. exam is otherwise remarkable for small bilateral pleural effusions with adjacent basilar atelectasis, substantially improved on the right and slightly decreased on the left.
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left posterior seventh rib fracture. no pneumothorax. right mid-lung pleural or extrapleural opacity of uncertain etiology. recommend non-emergent shallow-oblique radiographs for initial confirmation. if confirmed, ct would be suggested for further characterization. dr communicated the above results (#<num>) to dr at...
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concern for possible developing opacities which may indicate pneumonia. correlation with physical findings and other clinical factors is suggested. short-term follow-up radiographs may be helpful.
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orogastric tube coils upon itself in the stomach with the tip at the gastroesophageal junction. dr the findings with dr by phone at on.
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no acute cardiopulmonary process.
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ap chest compared to : previous mild but asymmetric pulmonary edema continues to improve. the residual opacification in the right upper lobe raises concern for pneumonia. heart size is normal. there is no pleural effusion.
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lungs remain relatively well inflated with persistent elevation of the right hemidiaphragm and no evidence of focal airspace consolidation, pulmonary edema, pleural effusions or pneumothorax. cardiac and mediastinal contours are stable given differences in positioning between studies. old right-sided rib fractures with...
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compared to chest radiographs since , most recently. and small left pleural effusion and concurrent left lower lobe atelectasis are both improved since. no pneumothorax. patient has had median sternotomy and aortic valve replacement. heart size normal. sternal wires intact and aligned. right lung grossly clear. extent ...
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right lower lobe pneumonia.
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no acute cardiopulmonary process.
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cardiac size is normal. the aorta is tortuous. there are low lung volumes and bibasilar atelectasis. there is no pneumothorax or large effusions.
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heart size and mediastinum are stable. lungs are hyperinflated but essentially clear. compression fracture of the mid thoracic bodies is noted, better appreciated on the lateral view, corresponding to known metastatic disease in this location including sclerosis of the vertebral body t<num>. linear atelectasis is proje...
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no radiographic evidence for pneumonia. mild pulmonary vascular congestion.
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as compared to the previous image, no relevant change is seen. moderate bilateral pleural effusions. diffuse, mixed nodular and interstitial parenchymal opacities, left more than right, as well as diffuse areas of pleural thickening. no evidence of relevant interval change. the detailed morphology of the pleura and the...
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improved moderate pulmonary edema and vascular congestion.
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no evidence of acute disease.
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small left effusion and bibasilar atelectasis.
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chronic obstructive airways disease. right lower lobe subsegmental atelectasis or potentially early pneumonia in the appropriate settin.
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innumerable pulmonary lesions many of which are calcified and consistent with a hamartomas related to the patient's known cowden disease. superimposed infection is difficult to exclude in this setting, especially without prior chest radiographs available for comparison.
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increased airspace opacity in the right lung base may represent developing pneumonia or atelectasis related to the unchanged moderate right pleural effusion.
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in comparison with the study of , there is little change in the a super aneurysm involving the proximal aspect of the descending thoracic aorta. blunting of the costophrenic angle on the left is again seen. no evidence of acute pneumonia or vascular congestion.
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in comparison with the study of , again there is virtually complete opacification of the left hemithorax with shift of the mediastinal contour is to that side, consistent with the history of left pneumonectomy. an small pleural effusion with right basilar atelectatic changes is seen, though the right lung is otherwise ...
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no evidence of acute disease.
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compared to chest radiographs through. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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essentially unchanged compared with one day earlier, except for possible small bilateral effusions. persistent left lower lobe collapse and/or consolidation and minimal patchy opacity right base. mild upper zone redistribution. evidence of pulmonary hypertension with equivocal interval change in configuration of right ...
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normal chest radiograph.
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clear lungs with no evidence of pulmonary edema. no pleural effusions.
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tiny left apical pneumothorax.
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in comparison with the study of , there is little change in the diffuse bilateral pulmonary opacifications that have progressively increased over the past several days. again, this is most likely an manifestation of diffuse multifocal new pneumonia, though there may be some element of elevated pulmonary venous pressure...
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no acute cardiopulmonary process.
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nodular opacity in the right upper lobe with a retractile effect on the major fissure. recommend further evaluation with ct.