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MIMIC-CXR-JPG/2.0.0/files/p15862403/s53589015/3680a041-d51fbea1-279720d3-5dda6585-fefc0a65.jpg
ap chest compared to most recent prior chest radiograph, : patient has had median sternotomy, and wires are undisturbed since. borderline cardiomegaly is also stable. there is now pulmonary edema and small right pleural effusion. there are no large lung nodules, but small septic emboli are not likely to be obvious give...
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low lung volumes with patchy atelectasis in the lung bases. no definite displaced rib fracture is identified, but if there is continued concern, a dedicated rib series may be helpful.
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severe enlargement of the cardiomediastinal silhouette is stable. severe bibasilar consolidation, also unchanged. mild pulmonary edema has worsened. no pneumothorax. right jugular sheath ends at the thoracic inlet.
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no evidence of pneumonia or pulmonary edema.
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no acute cardiopulmonary process. contour of the cardiomediastinal silhouette is unchanged given lower lung volumes on the current exam.
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no acute cardiopulmonary process.
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in comparison with the study of , the monitoring and support devices are essentially unchanged. no convincing evidence of acute pneumonia or vascular congestion. on the lateral view, there is suggestion of some opacification in the retrocardiac region. although this most likely represents atelectasis, in the appropriat...
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findings suggestive of pulmonary vascular congestion. no evidence of frank consolidation. persistent left upper lobe focal opacity, quite vague but a lung nodule is a differential consideration. chest ct is recommended to evaluate further when clinically appropriate.
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left picc tip is in the left axillary vein.
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in comparison with the study of , there is continued enlargement of the cardiac silhouette and with mild to moderate pulmonary edema. retrocardiac opacification is consistent with volume loss in the left lower lobe and there probably are small bilateral pleural effusions.
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no acute cardiopulmonary process.
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increased opacity in the right mid to lower lung is concerning for an early pneumonia.
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previously severe pulmonary edema has cleared from the right lung, improved substantially in the left. residual abnormality in the left lower lung is most likely residual edema, but pneumonia is not excluded either there are or in the region of right infrahilar lung traversed by air bronchograms. heart is no more than ...
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no acute cardiopulmonary process.
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bilateral lower lobe volume loss/infiltrates.
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et tube is high <num> cm above the carina, could be advanced couple of cm for more standard position. right ij catheter tip is in the upper svc. there is no pneumothorax. right lower lobe opacities are unchanged as it does the left lower lobe collapse. there are no new opacities in the upper lungs. there are no enlargi...
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in comparison with the study of , there again are low lung volumes that accentuate the transverse diameter of the heart. there again are probably atelectatic changes at the bases. no definite acute focal pneumonia.
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no acute cardiopulmonary process.
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low lung volumes. right greater than left basilar opacities potentially due to atelectasis although infection cannot be excluded.
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rapid progression of bilateral nodular infiltrates is most likely due to infection. other considerations include underlying edema or hemorrhage. the known scattered pulmonary metastases are not well evaluated. results were discussed with dr (sicu resident) at on via telephone by dr.
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ap chest compared to through : tracheostomy tube is midline, but more horizontally oriented, perhaps with an appreciably shorter intratracheal excursion than on. conventional radiographs, particularly a lateral view, would be helpful in assessing the orientation of the tracheostomy tube. right lung is low in volume wi...
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no acute cardiopulmonary process.
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no evidence of hilar or mediastinal lymphadenopathy. the lungs are clear.
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bibasilar atelectasis.
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no acute cardiopulmonary process.
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compared to chest radiographs since , most recently one. asymmetry in soft tissue-- has had left mastectomy-- for disparity in radiodensity on the <num> sides of the chest. there are no focal findings of pneumonia. heart size is normal and there is no indication of cardiac decompensation.
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no acute intrathoracic process.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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in comparison with the study , there is little change in the bilateral atelectatic changes with probable left pleural effusion. cardiac silhouette remains enlarged and there is fullness of pulmonary vessels consistent with elevated pulmonary venous pressure. any residual pneumothorax is extremely tiny.
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findings suggest minimal vascular congestion. no definite focal opacity suggestive of pneumonia; left basilar opacities probably due to minor atelectasis.
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the patient is intubated with the et tube tip being <num> cm above the carinal. right internal jugular line tip is at the level of mid svc heart size is normal. mediastinal contours are unchanged including the right hilar mass and postradiation changes seen on previous examinations. right lower lung posterior opacity m...
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no acute pulmonary process.
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cardiac silhouette is moderately enlarged. the aorta is calcified. patient is status post median sternotomy. triple lead left-sided pacer device, aicd is stable in position. pulmonary edema has improved in the interval. patchy medial right base opacity on the frontal view is not substantiated on the lateral view and ma...
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no previous images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. right picc line extends to the lower portion of the svc. of incidental note is a cervical spinal fusion device.
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chest findings within normal limits. no evidence of cardiovascular or pulmonary abnormalities in this nonsmoker, atypical chest pain.
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no acute cardiopulmonary process.
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support lines and tubes are unchanged in position. heart size is upper limits of normal. there has been mild improvement of the nodular opacities throughout both lung fields. the opacities are now more confluent at the lung bases. no pneumothoraces are identified.
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tracheostomy is in place with its tip <num> cm above the carinal. heart size and mediastinum are stable. lungs overall clear. no definitive right middle lobe consolidation is currently seen. note is made that there is no appreciable pleural effusion demonstrated
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stable radiographic appearance of the chest, with no conventional radiographic evidence to suggest pulmonary metastases. ct would be more sensitive for detecting small pulmonary nodules.
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lungs clear. heart size top- normal. no pleural abnormality.
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no evidence of pneumonia. interval resolution of pulmonary edema and right pleural effusion. heart size decreased, now top normal. interval improvement of left pleural based malignant disease +/- loculated effusions.
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no evidence of pneumonia.
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slight change of the left-sided picc line which now appears to enter the azygos vein. partial improvement in the right basilar disease. probable continued left basilar pleural and parenchymal disease. continued cardiomegaly.
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in comparison with the study of , the cardiac silhouette is within overall normal limits in size. no evidence of acute pneumonia, vascular congestion, or pleural effusion. again seen is fixation device seen in the thoracolumbar spine.
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compared to chest radiographs through. lung volumes are quite low, there is probably a moderate volume of bilateral pleural effusion and the pulmonary vasculature is engorged but the heart is not large, there is no pulmonary edema and mediastinal veins are not distended. right knee central venous line ends in the uppe...
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significant improvement in multifocal opacities bilaterally particularly in the right upper lobe and the left perihilar region. bilateral pulmonary edema improved. small left pleural effusion.
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moderate to severe pulmonary edema with moderate cardiomegaly and small left pleural effusion. heterogeneous left mid lung opacity likely represents asymmetric pulmonary edema however differential includes pneumonia in the appropriate clinical setting.
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no acute cardiopulmonary process.
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subtle right paramediastinal opacity for which ct chest is recommended to further assess. emphysema with top-normal heart size. recommendation(s): contrast-enhanced chest ct.
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opacification of the right middle lobe and lingula is consistent with pneumonia in the appropriate clinical context. small left pleural effusion.
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moderate right pleural effusion and evidence for underlying compressive atelectasis. hiatal hernia.
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mild cardiomegaly. no acute intrathoracic process.
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stable appearance of right middle lobe mass and pleural effusion and since.
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no acute cardiopulmonary abnormality.
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comparison to. the patient has received a left pectoral pacemaker with a single lead in the right ventricle. after the procedure, the patient shows a <num> cm left apical pneumothorax without evidence of tension. borderline size of the heart. no pulmonary edema, no pleural effusions, no pneumonia.
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no evidence of active or latent tb. recommendation(s): the findings were discussed by dr with dr on the telephone on at pm, approximately <num> minutes after discovery of the findings.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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enlarged hila and increased right parenchymal opacities compatible with progression of sarcoidosis. lung involvement and lymphadenopathy was evaluated in prior ct no evidence of acute cardiopulmonary process.
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ap chest compared to : previous mild pulmonary edema has resolved. left lower lobe atelectasis and moderate left pleural effusion are stable. the heart is mildly enlarged but unchanged. marked widening of the upper mediastinum, particularly to the left of the midline has been present without appreciable change since i...
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lungs clear. heart size normal. no pulmonary edema, pleural effusion or focal pulmonary abnormality.
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no evidence of pneumonia.
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improved atelectasis at the right base and improved pulmonary edema.
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left lower lobe pneumonia.
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no significant interval change when compared to the prior study.
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no acute cardiopulmonary process. please correlate report of subsequent cta-chest.
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no acute traumatic findings.
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et tube in standard placement. left subclavian line ends at the origin of the svc. right internal jugular sheath ends at the junction with the right subclavian vein. the right paratracheal mediastinal widening predating the insertion of that device, is probably venous engorgement exaggerated in the semi supine patient....
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mild cardiomegaly. no focal consolidation.
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asymmetry pulmonary edema with a right lung predominance is increased compared to <num> day prior. the finding may reflect increasing pneumonia in correct clinical setting.
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no acute cardiopulmonary process.
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cardiopulmonary process.
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moderate left pleural effusion with overlying atelectasis, underlying consolidation not excluded in the appropriate clinical setting. mild pulmonary edema
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no acute intrathoracic process.
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in comparison with the study of , the questioned area of increased opacification adjacent to the left heart border is not seen. this could reflect clearing of a previous consolidation. no evidence of acute pneumonia or vascular congestion at this time.
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right lower lobe atelectasis and small moderate right pleural effusion unchanged. left lung now clear of previous edema. heart size top-normal unchanged. no pneumothorax.
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there are low lung volumes. cardiac size is normal. bibasilar atelectasis have improved. there is no pneumothorax. if any there is a small right effusion.
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no significant changes compared to the prior study.
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in comparison with study of , the patient has taken a much better inspiration. there is no evidence of pneumonia, vascular congestion, or pleural effusion. continued elevation of the right hemidiaphragmatic contour and evidence of previous cervical spine surgery.
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patchy bilateral opacities may be due to some combination of multifocal pneumonia and/or rib stress fractures. unchanged, small, bilateral pleural effusions. recommendation(s): if treated for pneumonia, recommend follow-up pa and lateral chest radiographs in weeks.
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no evidence of acute cardiopulmonary process, specifically no evidence of pneumonia.
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no acute cardiopulmonary process.
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increase in heart size and pulmonary vasculature consistent with congestive heart failure.
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no acute cardiopulmonary abnormality.
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normal radiograph of the chest.
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in comparison with the study of , the monitoring and support devices are unchanged. continued enlargement of the cardiac silhouette with elevated pulmonary venous pressure. left basilar opacification is consistent with pleural fluid and volume loss in the left lower lobe.
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emphysema is severe, but there are no focal pulmonary abnormalities to suggest pneumonia or any indication of heart failure. heart is diminutive. right pleural effusion, small if any. no pneumothorax.
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in comparison with the study of , there is little change. the cardiac silhouette is within upper limits of normal in size and there is no evidence of vascular congestion, pleural effusion, or acute pneumonia. continued low lung volumes.
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slight blunting of the left costophrenic angle may be due to overlying soft tissue but a trace pleural effusion is not excluded.
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area of patchy opacity in the region of the right hila, more prominent than on prior exam, which may represent atelectasis, but aspiration or infection in the right lower lobe cannot be excluded. area of loculated pleural effusion vs. pleural thickening along the lateral left lung. right and lateral rib fractures, ag...
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no acute cardiopulmonary process.
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subsegmental atelectasis in the lung bases. right hilar enlargement could suggest a dilated right pulmonary artery.
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in comparison with the study of , the patient has taken a much better inspiration. again there and is evidence of multiple old healed rib fractures on the right. calcified hilar and mediastinal lymph nodes again are consistent with known sarcoidosis. no evidence of acute focal pneumonia or vascular congestion or pleura...
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in comparison with the study of , the cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. no definite acute focal pneumonia. mild hyperexpansion of the lungs raises the possibility of some chronic underlying pulmonary disease.
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no significant change compared to with redemonstration of small bilateral effusions, atelectasis and multiple expansile lytic rib lesions.
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mild bibasilar atelectatic changes with no evidence of focal consolidations.
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no acute cardiopulmonary abnormality. mild pectus excavatum, which may relate the palpable abnormality. consider ct for further evaluation if clinically indicated.
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mild pulmonary edema with stable mild cardiomegaly. no pneumonia.