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MIMIC-CXR-JPG/2.0.0/files/p15772791/s54975309/09e461d8-9bd0780f-271413af-122b3052-92f1bbfe.jpg
no evidence of acute cardiopulmonary abnormality.
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opacity in the right lung apex with central lucency raising concern for a cavitary lesion. patient underwent subsequent chest ct on which this was better evaluated.
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in comparison with study of , there is little change and no evidence of acute pneumonia, vascular congestion, or pleural effusion. apical pleural changes again are consistent with old tuberculous disease.
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two images of the chest show advancement of a feeding tube, initially folded in the mid esophagus to the gastroesophageal junction. tube still needs to be advanced at least <num> cm to move the entire tip into the stomach. moderate cardiomegaly and pulmonary vascular engorgement persist, but there is no pulmonary edema...
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no evidence of pneumonia.
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unchanged pneumomediastinum and subcutaneous emphysema without pneumothorax. please note this pattern of development of pneumomediastinum is atypical and clinical correlation is recommended to exclude potential etiologies of esophageal injury such as traumatic nasogastric tube placement or lung trauma due to chest tube...
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large hiatal hernia. <num> cm round opacity projecting over the right lung base is not fully localized or characterized. recommendation(s): shallow oblique radiographs to better localize and characterize a round opacity at the right base to exclude the possibility of a lung malignancy at this site.
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linear and patchy nodular opacities in the right middle lobe and lingula compatible with bronchiectasis and chronic infection, better demonstrated on the prior chest ct. no new focal consolidation identified. evidence of prior granulomatous disease.
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no evidence of acute thoracic process. essentially normal chest radiograph.
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previous bibasilar peribronchial opacification most pronounced on has substantially improved, consistent with resolving aspiration pneumonia, not ards. upper lungs clear. normal cardiomediastinal silhouette. no detectable pneumomediastinum, compared to minimal pneumomediastinum on. et tube in standard placement, nasog...
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small bibasilar atelectasis and tiny left-sided pleural effusion. no pneumonia.
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substantially improved bilateral hazy opacities with slight residual opacification. follow-up chest radiograph in <num> weeks is recommended to ensure resolution. recommendation(s): follow-up chest radiograph in <num> weeks is recommended to ensure resolution of bilateral opacifications.
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in comparison study of , there are continued large right and moderate left pleural effusions with underlying volume loss, especially involving the right lower lobe and possibly middle lobe. change in the appearance of the effusions probably reflects a more erect position of the patient. pacer device is unchanged. it is...
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no acute cardiopulmonary process.
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findings suggesting moderate, increased interstitial pulmonary edema. no evidence for substantial pleural effusions.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no pneumonia.
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right basilar atelectasis. otherwise no acute cardiopulmonary abnormality.
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no focal consolidation concerning for pneumonia.
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ap chest compared to : et tube and nasogastric tube are in standard placements. a left internal jugular line ends in the mid left brachiocephalic vein. right pic line in the right brachiocephalic vein. no pneumothorax. small right pleural effusion stable. moderate cardiomegaly unchanged. right basal atelectasis unchang...
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no acute intrathoracic process.
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there is a right ij central line with the distal lead tip in the proximal right atrium cardiomediastinal silhouette is within normal limits. there is mild elevation of the right hemidiaphragm, unchanged. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces.
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increasing right medial basal opacity which may reflect pneumonia in the correct clinical context.
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possible trace left pleural effusion. no focal consolidation or pulmonary edema.
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in comparison to chest radiograph, left pigtail pleural catheter remains in place, with a persistent tiny left apical pneumothorax. small to moderate right and small left pleural effusions persist with adjacent bibasilar atelectasis.
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in comparison with the study of , the endotracheal tube is not definitely seen. continued enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure. retrocardiac opacification with poor definition of the hemidiaphragm again is consistent with pleural fluid and volume loss in the left lower ...
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chest findings within normal limits.
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no previous images. cardiac silhouette is at the upper limits of normal and there is some tortuosity of the aorta. mild bibasilar atelectatic changes, more prominent on the left. no acute focal pneumonia or vascular congestion. there are multiple nodular opacifications apparently in soft tissues overlying the shoulders...
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resolved left lower lobe pneumonia
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left basal atelectasis new from prior. otherwise unchanged.
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no acute cardiopulmonary process. if clinical concern persists for pulmonary nodule/mass, ct is more sensitive.
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no substantial change from the previous study with unchanged blunting of the left costophrenic angle, possibly due to a trace left pleural effusion. minimal bibasilar atelectasis.
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no evidence of pneumonia.
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interstitial markings in both lungs, likely reflecting chf. left effusion with left base atelectasis. an early infiltrate in this area cannot be excluded.
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stable moderate to severe cardiomegaly. otherwise unremarkable.
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mild bibasilar atelectasis. no pneumothorax or pneumonia or other acute cardiopulmonary process noted.
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in comparison with the study , the monitoring and support devices are essentially unchanged. the hemidiaphragms are more sharply seen and the hazy opacification at the bases, more prominent on the right, has decreased. this could be consistent with improving pleural effusions and compressive atelectasis, though the ap...
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ng tube is appropriately positioned in the stomach.
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mild enlargement of the cardiac silhouette, mildly increased from the previous radiograph from. no acute cardiopulmonary abnormality otherwise demonstrated.
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no relevant change as compared to the previous image. minimally improved ventilation at the left lung base. unchanged borderline size of the cardiac silhouette without pulmonary edema.
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limited exam. small bilateral pleural effusions with probable bibasilar atelectasis. multiple compression fractures throughout the imaged thoracolumbar spine have developed since , but of unclear age.
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as compared to the previous radiograph, no relevant change is seen. signs of overinflation an additional multifocal parenchymal opacities, likely reflecting a combination of scarring and active infection. predominant foci of these changes are seen at the right lung bases, the right mid lung and the left lung bases. nor...
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no definite pneumothorax. moderate-to-large left and moderate right pleural effusions are unchanged. the supportive lines and tubes are relatively unchanged in position.
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no cardiomegaly or pulmonary edema.
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compared with , there is decreased degree of interstitial pulmonary edema with associated small left-sided pleural effusion.
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no acute cardiopulmonary process.
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ap chest compared to through , a loop of catheter projects over the left diaphragmatic region to the right of the midclavicular line. it cannot be localized anatomically on the single frontal view. there is no evidence of pneumothorax, but i cannot assess pleural fluid volume, which could be small or moderate without...
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resolution of previously pleural effusions. stable postoperative appearance.
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no acute cardiopulmonary process.
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findings consistent with pulmonary edema. infection is not excluded.
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no acute findings.
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increased hazy opacities at the lung bases bilaterally possibly due to superimposition of soft tissues of the chest wall. lateral radiograph may be helpful to further evaluate the lungs in order to exclude a basilar pneumonia.
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as compared to chest radiograph, lower lobe predominant areas of consolidation have decreased in severity and and bilateral pleural effusions have decreased in size. no other relevant change.
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no current evidence of pneumonia. these findings were discussed with at by dr by telephone on the day of the exam.
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possible micro nodules, most prominent in the left lower , represent an indolent infection such as miliary tuberculosis or other chronic inflammatory condition. further evaluation with non-contrast ct of the chest is recommended.
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severely enlarged cardiomediastinal silhouette. while this enlargement in comparison to prior study may be due to lower lung volumes, a pericardial effusion and myocarditis must be excluded in the proper clinical setting.
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no acute cardiopulmonary process.
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large bilateral effusions, overall unchanged to minimally increased as compared to.
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peripheral opacity persists in the right mid lung at the site of prior cavitary lesion, likely representing scarring. no convincing evidence for pneumonia or edema. recommendation(s): nonemergent ct chest
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no acute cardiopulmonary process. mild hilar prominence related to low lung volumes, consider repeat radiographs with better inspiration if there is clinical concern for hilar abnormality.
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no acute cardiopulmonary process.
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stable left apical pneumothorax.
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no significant interval change when compared to the prior study. a spiculated opacity with volume loss in the right apex may represent scarring but an neoplastic lesion cannot be excluded, recommend ct chest to further evaluate. right basal consolidation.
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as compared to the previous radiograph, no relevant change is noted. mild fluid overload but no overt pulmonary edema. old bilateral healed rib fractures. borderline size of the cardiac silhouette. elongation of the descending aorta. no pleural effusions. no pneumonia. no pneumothorax.
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areas of left lower lobe opacities, worrisome for pneumonia.
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no acute cardiopulmonary abnormality.
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no definite acute cardiopulmonary process.
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ng tube appropriately positioned in the stomach. right middle and lower lung opacities are minimally improved compared to most recent chest radiograph on
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in comparison with the study of , the monitoring and support devices are essentially unchanged. again there is elevation of the right hemidiaphragmatic contour and pa and some of this could well reflect pleural fluid with volume loss in the lower lung. the left hemidiaphragm is not well seen, consistent with pleural ef...
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right middle lobe pneumonia. recommendation(s): re-evaluate with conventional radiographs in no more than <num> weeks
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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low lung volumes. no focal opacity.
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improved small left pleural effusion and near resolution of mild pulmonary edema. possible left lung nodule for which follow up chest radiograph is recommend in <num> weeks.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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marked improvement in bibasilar atelectasis. small residual left pleural effusion.
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cardiac and mediastinal contours are stable. faint patchy opacity at the right lung base could reflect atelectasis, pneumonia, or aspiration. clinical correlation is advised. no pleural effusions or pneumothorax. no pulmonary edema.
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stable right apical pneumothorax with persistent pigtail catheter at the right costophrenic angle. diffuse bilateral reticular nodular opacities are consistent with metastatic disease from salivary carcinoma. overall, cardiac and mediastinal contours are likely stable. there is some overlying motion limiting evaluation...
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compared to prior chest radiograph. previous extensive pneumonia has substantially cleared. only residual abnormality is seen on the lateral view projecting over the posterior heart border. it would be prudent to repeat conventional chest radiographs in <num> weeks to document full resolution. there is no evidence of c...
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no mass or other cause for superior vena cava syndrome identified on this radiograph. chest ct is more sensitive for evaluation of superior vena cava syndrome.
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normal radiographs of the chest.
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resolution of left pneumothorax.
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in comparison with study of , there again is substantial enlargement of the cardiac silhouette with little if any vascular congestion. this discordance raises the possibility of cardiomyopathy or pericardial effusion. no evidence of acute pneumonia. external fib related or device remains in place.
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low lung volumes. probable atelectasis of the left lung base. recommend chest radiographs on the following day with increased inspiration.
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no acute intrathoracic process.
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in comparison with the study of , there is again opacification at the right base consistent with pleural fluid and compressive atelectasis. there has been progression of an area heterogeneous opacification in the right mid zone, worrisome for developing pneumonia in this patient with severe chronic pulmonary disease. r...
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large left pleural effusion is smaller following insertion of a pigtail pleural drainage catheter, but still substantial. no pneumothorax. the extent of intrathoracic tumor demonstrated on the chest cta is underestimated on the conventional radiograph. right lung clear.
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no acute intrathoracic process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no displaced rib fractures identified; however, recommend dedicated rib films in the area of concern for further evaluation.
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no acute cardiopulmonary process.
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no evidence of free air. no acute cardiopulmonary process.
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slightly worsened moderate to severe pulmonary edema. no appreciable change in moderate bilateral pleural effusions. stable marked cardiomegaly.
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re-accumulation of right pleural effusion. worsening adjacent atelectasis in the right middle lobe and right lower lobes.
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endotracheal tube and left subclavian central line unchanged in position. bilateral mediastinal drains remain in place. overall stable post-operative cardiac and mediastinal contours status post median sternotomy. no pulmonary edema. persistent patchy opacity at the right base and retrocardiac consolidation most likely...
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retrocardiac opacity may represent atelectasis but pneumonia cannot be excluded in the appropriate clinical context.
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no acute cardiopulmonary process.