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MIMIC-CXR-JPG/2.0.0/files/p12738206/s51571411/ebe3e572-5e20df5f-265e2ad0-9da7e36c-39bc3985.jpg
mild central congestion without frank pulmonary edema.
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after right chest tube removal, there is increased subcutaneous air overlying the right infrascapular region which could represent an air leak.
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very low lung volumes. no large consolidation or effusion detected. oblique views would be required to exclude a pulmonary nodule.
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no evidence of pneumonia. no significant interval change in the appearance of the chest.
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normal chest radiograph
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endotracheal tube likely within <num> cm of the carina and repositioning is suggested.
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as compared to prior radiograph of <num> day earlier, pulmonary edema has nearly resolved. nonspecific bibasilar opacities are slightly worse on the right and improved on the left. no other relevant changes.
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no acute intrathoracic process.
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no acute intrathoracic process.
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following the bronchial brushing procedure, there is no evidence of pneumothorax. blunting of the right costophrenic angle is seen.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12618901/s52747580/1aa3b1d1-8dff58bc-95daf646-d0220fda-e0c5adc7.jpg
no acute intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p15862014/s58233788/ee5871c3-51a254c0-71c1bfa2-af55f918-b09970f3.jpg
stable chest findings, no evidence of pneumonia.
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persistent small to moderate size right pleural effusion with right basilar opacity, likely compressive atelectasis. minimal streaky left basilar atelectasis. mild pulmonary vascular congestion.
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no acute cardiopulmonary abnormalities
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compared to chest radiographs through at. multi loculated left pleural effusion, with basal, lateral, and fissural components unchanged. borderline interstitial edema is now present. dense consolidation left lower lobe presumably pneumonia. smaller lesions right lung could be infectious as well. no pneumothorax. left...
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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persistent, stable right pleural effusion since. adjacent right lower and middle lobe relaxation atelectasis. note, although unchanged in appearance, it would be difficult to evaluate for superimposed infectious process in this location. possible residual trace left pleural effusion, although considerably smaller since...
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an elliptical <num> mm wide opacity projecting over the anterior aspect of the right fifth rib could be cartilage calcification. shallow oblique views recommended to exclude a lung nodule. healed bilateral rib fractures are chronic, however there is a new fracture at the anterolateral aspect of the left eighth rib. lun...
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stable postop changes in the right chest. subtle increase in left bronchovascular markings which could in the correct clinical setting reflecting an atypical pneumonia.
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no evidence of acute cardiopulmonary abnormality.
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bibasilar atelectasis.
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low lung volumes causing bibasilar atelectasis, no evidence of acute cardiopulmonary process.
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ap chest compared to : multifocal ground-glass opacification of both lungs, seen both on conventional chest radiograph and cta, , has not subsequently changed. the nodular peribronchial infiltration in the anterior and lingular segments of the left upper lobe are more easily recognized today, suggesting there may have ...
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no acute intrathoracic abnormality.
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patchy atelectasis in the lung bases.
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mild interstitial edema. left upper lobe nodular opacity projecting over the left first rib. a repeat chest radiograph follow treatment or ct can be obtained for further evaluation.
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new mild interstitial prominence, which could represent mild edema or viral process.
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no acute cardiopulmonary process. mass effect on trachea secondary to thyromegaly. correlate with exam.
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no acute intrathoracic process
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minimally displaced lateral right ninth rib fracture. small right pleural effusion, which in the setting of a rib fracture, may represent a hemothorax. calcified pleural plaques, consistent with prior asbestos exposure.
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new effusions and patchy airspace opacities emanating from the hila, most likely representing pulmonary edema. concomitant infection is not excluded.
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hyperinflated lungs consistent with underlying emphysema. small bilateral layering effusions with patchy bibasilar opacities likely reflecting compressive atelectasis. interval resolution of pulmonary edema. biapical pleural thickening, unchanged since , consistent with post-inflammatory changes. more focal nodularity ...
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ap chest read in conjunction with torso ct on : new heterogeneous peribronchial opacification in both lower lobes, right greater than left, could be due to either pneumonia or atelectasis. of note, the torso ct on showed a small nodule at the base of the right lung, not reported with that study, that warrants followup...
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in comparison with the earlier study of this date, there is little change. specifically, no definite evidence of pneumothorax.
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no focal consolidation. unchanged heart size, top-normal. minimal, if any, central vascular congestion without frank pulmonary edema.
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no pneumothorax or appreciable pleural effusion, left upper pleural drain in place. a peripheral consolidative subpleural lesion in the left upper lobe could be residual atelectasis following retraction. followup advised. aside from bands of atelectasis, the lower lungs are clear. cardiomediastinal silhouette is a norm...
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no definite acute cardiopulmonary process.
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bibasilar patchy opacities may reflect atelectasis in the setting of low lung volumes, but infection is not excluded.
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no acute cardiopulmonary process. grossly stable appearance of the rib cage. if there is high clinical concern for acute rib fracture, consider dedicated rib series or ct, which are more sensitive.
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improved vascular congestion and right basilar atelectasis. stable cardiomegaly.
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comparison to. the monitoring and support devices are stable. lung volumes have increased, likely reflecting improved ventilation. the known parenchymal opacity at the right lung basis is less dense and less extensive than before. a small retrocardiac atelectasis is stable. no new opacities. no pleural effusions.
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no evidence of acute disease or free air.
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no acute cardiopulmonary abnormality.
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ap chest compared to : pulmonary vascular engorgement has resolved. heart is minimally larger. there is no pleural effusion or edema and no findings of pneumonia. fractures of the posterior right middle ribs are healed.
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et tube tip is <num> cm above the carinal. right internal jugular line tip is at the level of mid svc. ng tube passes below the diaphragm terminating in the stomach. heart size and mediastinum are stable. lungs are overall clear. nodular opacity seen on radiograph is not conspicuous on the current examination, most li...
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no acute cardiopulmonary abnormality.
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dobbhoff tube has its tip terminating in the stomach. unchanged consolidation in the left lower lobe of the lungs consistent with known pneumonia. findings were discussed with.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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given patient rotation, cardiac and mediastinal contours are stable. there continue be some calcified right hilar lymph nodes suggestive of prior granulomatous infection. lung volumes are slightly low with patchy opacities at both bases, left greater than right, which may reflect atelectasis, although pneumonia or aspi...
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stable chest findings during latest examination interval.
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no acute cardiopulmonary process. mild right scoliosis.
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heterogeneous right mid to lower lung opacities, concerning for pneumonia, less likely asymmetric pulmonary edema.
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in comparison with the outside study of , there is little change. relatively low lung volumes accentuate the mild prominence of the cardiac silhouette and tortuosity of the aorta. no evidence of acute pneumonia, old tuberculous disease, or pulmonary vascular congestion.
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mild cardiomegaly is present. bibasal areas of atelectasis are slightly more pronounced than on the prior study and might also represent nonspecific interstitial lung disease. calcifications along the anterior aspect of the heart are present, new as compared to and potentially neo when compared to might represent lef...
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pa and lateral chest compared to through : moderate residual right pleural effusion and associated pleural thickening and atelectasis in the right middle lobe are all essentially unchanged since. there is no pneumothorax. left lung and left pleural space are normal. moderate cardiomegaly is longstanding, but there is ...
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standard positioning of the endotracheal and enteric tubes. severe upper lobe predominant emphysema. <num> mm nodular opacity projecting over the right mid lung field. further assessment with chest ct on a nonemergent basis is recommended, if no prior exams are available for comparison. bibasilar patchy opacities, like...
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diffuse, mild interstitial abnormality could represent interstitial lung disease or chronic heart failure. no pulmonary edema.
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no notable interval change.
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no mass is identified. chest ct is more sensitive in detecting small pulmonary lesions if this remains of clinical concern. no acute cardiopulmonary process radiographic plain.
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comparison <num>. with improved aeration, as reflected by an increased lung volume on the right, the pre-existing parenchymal opacity at the right lung basis has completely resolved. no new opacities. no pleural effusions. no pulmonary edema. normal size of the heart.
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small pleural effusions with pulmonary vascular congestion, possibly superimposed on a chronic interstitial process. minimally displaced left lower rib fracture.
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no acute cardiopulmonary process.
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worsened bilateral infiltrates appear
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no evidence of pneumonia. probable scarring at the left lung base.
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mild interstitial edema. possible trace pleural effusion. mild to moderate cardiomegaly.
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tiny pleural effusions, minimal basilar atelectasis. right picc line tip terminates over left clavicular head, should be repositioned.
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ap chest compared to through : normal heart, lungs, hila, mediastinum and pleural surfaces. no evidence of pneumonia.
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no acute cardiopulmonary findings.
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increased opacity in the right lung is consistent with worsening lymphangitic carcinomatosis, although superimposed pneumonia cannot be excluded. new ill-defined opacity in the left upper lung might represent a new neoplastic focus versus infection.
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no acute cardiopulmonary abnormality.
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as compared to , on the right effusion has been almost completely drained. a minimal amount of effusion persists in the major fissure and at the level of the dorsal costophrenic sinus. visualization of a right-sided pleural drain. borderline diameter of the hilar structures. no evidence of pulmonary edema or pneumonia....
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increased pulmonary vascular congestion without focal consolidation.
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no definite acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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in comparison with the study of , there is continued opacification involving the mid and lower lung zones on the right. however, the pattern has somewhat change, with the right heart border quite well seen. this suggests that the appearance reflect substantial volume loss in the right lower lobe with pleural effusion. ...
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no acute intrathoracic process.
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normal heart, lungs, hila, mediastinum and pleural surfaces. no evidence of intrathoracic infection or malignancy.
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no acute cardiopulmonary process. coarse interstitial markings raising the possibility of chronic underlying interstitial process. no overt edema nor effusion.
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mild pulmonary edema has improved, while bibasilar atelectasis, moderate cardiomegaly, and small bilateral pleural effusions are unchanged since , though all of these abnormalities are new since. et tube in standard placement, feeding tube passes into the stomach, right pic line ends in the low svc, transvenous right a...
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previously noted left apical pneumothorax is not clearly delineated on the current exam noting suboptimal positioning limiting evaluation.
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no acute intrathoracic process. no radiopaque foreign body.
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low lung volumes with mild bibasilar atelectasis, but no focal consolidation to suggest pneumonia.
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probable small left pleural effusion.
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multiple focal pulmonary abnormalities which are difficult to characterize. recommend further evaluation with conventional pa and lateral radiographs. no evidence of pulmonary edema or lobar collapse.
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in comparison with the study of , the substantial left pleural effusion has cleared. there has been progressive healing of the multiple left and single right rib fractures. no evidence of acute pneumonia or vascular congestion.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary abnormality.
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normal chest radiograph. no focal consolidation to suggest pneumonia.
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increasing opacity in the left lower lung, concerning for worsening consolidation and effusion. extensive metastatic disease within the chest. refer to subsequent ct for further details.
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new right hilar prominence with perihilar opacification and ill-defined right upper lobe nodular opacities are concerning for pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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tracheostomy tube remains in satisfactory position. stable cardiac and mediastinal contour status post median sternotomy for cabg. there is a stable loculated left apical lateral pneumothorax. overall, there is increasing airspace opacity within the lungs which more likely reflects worsening pulmonary edema, although a...
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collapse of left lower lobe. no pneumothorax.
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bibasilar atelectasis in the setting of low lung volumes without evidence of pneumomediastinum or pneumothorax.
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multifocal pneumonia superimposed on extensive metastatic disease.
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pain prior chest radiographs through. severe cardiomegaly unchanged. mild pulmonary edema improved. minimal if any right pleural effusion. tiny right basal pneumothorax at the site of indwelling right pigtail pleural drainage catheter, probably not significant. small to moderate left pleural effusion and severe left l...
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no evidence of acute disease.