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MIMIC-CXR-JPG/2.0.0/files/p17631949/s50187284/7b12cb22-2331b0b1-b9eeae7b-e9aa5715-356644eb.jpg
small right-sided pneumothorax status post right chest tube placement. the chest tube extends to what appears to be inferior to the diaphragm on the right, not well assessed. this finding was discussed with dr at on via telephone, <num> minutes after discovery. appropriate position of endotracheal and nasogastric t...
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basilar atelectasis. otherwise, no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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in comparison to , opacity at the right lung base is unchanged. an opacity at the left lung base is less conspicuous. cardiomediastinal silhouette is unchanged.
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no acute cardiopulmonary process.
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blunting of the bilateral costophrenic angles may be due to trace pleural effusions, atelectasis, or pleural thickening. no focal consolidation.
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right chest tube has been withdrawn and now overlies the right lower chest/upper abdomen, correlate with fluid withdrawal. the right-sided hydro pneumothorax does not appear significantly changed given the presence of the chest tube.
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mild interval improvement in the appearance of the left lung consolidation which persists. as mentioned on prior, followup will be necessary after treatment. trace pleural effusions. no other change.
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no acute cardiopulmonary process. emphysema. conventional chest radiography is insensitive for the detection of rib fractures, and if clinically suspected, dedicated rib views are recommended. a page was sent to ( np) by dr at am, and the findings were subsequently discussed over the telephone with dr at am.
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subtle opacity in the right mid lung may represent early or developing pneumonia in the appropriate clinical setting. no dense consolidation.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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as compared to , no relevant changes are seen. moderate cardiomegaly. no pulmonary edema. sternal wires are in stable position. enlargement of the left atrium. right hemodialysis catheter in stable position.
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moderate pulmonary edema.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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normal chest radiograph with no evidence of metastatic disease on this exam.
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no acute cardiopulmonary process.
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no evidence for pneumonia.
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mild vascular congestion and streaky atelectasis. no consolidation.
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resolution of right multi focal pneumonia. unchanged left pleural effusion.
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loculated left hydropneumothoraces within a partially loculated moderate-sized left pleural effusion.
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no significant interval change.
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slight interval worsening of bilateral perihilar opacities compared to the most recent prior study but stable compared to the initial study from.
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under the limit of chest radiograph, no evidence of pulmonary metastases. no acute cardiopulmonary process.
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mild pulmonary edema. probable bibasilar atelectasis, but aspiration or infection cannot be excluded.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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increased left lower lobe opacity could reflect increased atelectasis and small left effusion. of the left mediastinum may reflect increased convexity of the left mediastinum were reflect an enlarged pulmonary artery or descending aorta. recommend chest ct non-emergently to further evaluate.
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no evidence of acute cardiopulmonary process.
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tracheostomy is in place. cardiomediastinal silhouette is unchanged. left internal jugular line has been discontinued. there is no pneumothorax. vp shunt is projecting over the right hemi thorax.
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mild interstitial edema. recommend post-diuresis films to exclude underlying subtle pneumonia.
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pulmonary edema. underlying consolidation is not excluded.
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in comparison with the study of , there is a soft tissue prominence extending laterally from the upper portion of the descending thoracic aortic graft. the appearance is worrisome for a pseudoaneurysm and a cta of the thoracic and abdominal aorta is strongly recommended. the extensive pleural effusion on the left has s...
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pa and lateral chest reviewed in conjunction with a chest and trachea ct,. atelectasis or linear scarring is present at both lung bases. mediastinal fat obscures the right and left heart borders on the frontal view. upper lungs are perfectly clear. there is no pleural effusion or evidence of central adenopathy. heart s...
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right sided picc in standard position.
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no evidence of acute cardiopulmonary disease.
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no evidence of sarcoidosis within the limitations of the chest radiograph sensitivity.
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comparison to ,. the dimension of the known minimal right apical pneumothorax is stable. the previously placed mediastinal drains have been removed. small atelectasis and minimal pleural effusion at the right lung bases. moderate cardiomegaly persists.
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as compared to the previous radiograph, no relevant change is seen. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pneumonia, no pulmonary edema. no lung nodules or masses.
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no acute cardiopulmonary process.
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no definite evidence for acute cardiopulmonary disease or injury. however, there is new lobular widening of the mediastinum. the uppermost part of the mediastinum is visible on a ct of the cervical spine from earlier on the same day, suggesting that this appearance may be due to mediastinal fat and tortuosity of great ...
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no definite consolidation identified, though right middle lobe pneumonia is not entirely excluded in the appropriate clinical context.
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as compared to chest radiograph, left picc terminates at the junction of the superior vena cava and right atrium.
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<num>) limited exam, but doubt overt chf, frank consolidation or gross effusion. please note that subtle infiltrate might not be apparent on these views and that the mediastinum is poorly evaluated. <num>) fractures of the thoracic spine and manubrium not directly visualized on this exam, but suggested on correlative s...
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new opacification at the left lung base most likely atelectasis. no good evidence for pneumonia or pulmonary edema. normal cardiomediastinal silhouette. no pleural abnormality. et tube and nasogastric tube in standard
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persistent enlargement of the cardiomediastinal silhouette stable since at least ; patient has known fusiform descending thoracic aortic aneurysm, better assessed on ct. no focal consolidation, pleural effusion, or pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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compared to chest radiographs since , most recently. small bilateral pleural effusions are new. lungs are clear. there is no pulmonary edema. severe cardiac enlargement is long-standing.
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there has been intra-aortic balloon pump inserted with its tip being too high, approximately <num> mm below the roof of the aortic arch and should be pulled back at least <num> cm. swan-ganz catheter tip is at the level of the right lower lobe pulmonary artery. severe cardiomegaly is noted. there is interval developmen...
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no evidence of pneumonia.
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as compared to previous radiograph of , postoperative appearance of the cardiomediastinal contours is unchanged. multifocal atelectasis in the mid and lower lungs has slightly worsened on the left and minimally improved on the right. bilateral small pleural effusions are also noted, unchanged on the right and increased...
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in comparison with the study , there again is mild enlargement of the cardiac silhouette in a patient who has undergone a previous cabg procedure an has a dual-channel pacer with leads in good position. no evidence of pulmonary vascular congestion, pleural effusion, or acute focal pneumonia.
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endotracheal tube terminates approximately <num> cm above the carina, for which advancement by a few cm may be helpful for standard positioning.
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moderate bibasilar atelectasis, however no evidence of pneumonia or heart failure.
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right internal jugular dual-lumen catheter remains unchanged in position. the heart remains enlarged and the mediastinal contours are stable. there is coarsening of the interstitium. no evidence of pulmonary edema, focal airspace consolidation to suggest pneumonia. no large pneumothorax. there is deformity of the right...
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compared to chest radiographs since , most recently. patient has had median sternotomy. the trachea at the thoracic inlet is narrowed, but not as severely today as it has been on prior chest radiographs. adjacent soft tissues suggests a large goiter, particular the right lobe. severe cardiomegaly is chronic. diffuse in...
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as compared to previous radiograph of , a right picc has been placed, terminating at the expected location of the cavoatrial junction. otherwise relatively similar appearance of the chest except for improved aeration at the lung bases.
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no acute cardiopulmonary process.
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no pneumonia.
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small bilateral pleural effusions and pulmonary congestion.
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streaky left base opacity could be due to atelectasis or pneumonia.
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endotracheal tube tip is <num> cm above the carina. left central line tip is in the svc. nasogastric tube tip is beyond the ge junction and off the edge of the film. there is no pneumothorax or chf. there is better expansion of the lung bases with some remaining atelectasis in the right base.
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no acute cardiopulmonary process including pneumothorax or pleural effusion.
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slight improvement an heterogeneous left perihilar and basilar opacities, likely due to an acute infectious process.
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no acute cardiopulmonary process.
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opacifiation at the left lung base is concerning for left lower lobe pneumonia. in dr was contacted at on via telephone. contact was made with dr findings were discussed at on via telephone.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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new right middle lobe opacity could be related to atelectasis in the setting of lower low lung volumes or pneumonia. a repeat radiograph with a better inspiratory effort could be obtained if clinically necessary.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. at least partially calcified left upper lobe nodule. this was not present on prior ct chest from. dedicated chest ct is suggested for further characterization but can be performed on a nonurgent basis.
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left pigtail catheter is in place. interval slight improvement in aeration of the left lung is present. right lung is clear. cardiomediastinal silhouette is stable.
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diffuse increased interstitial opacities may be due to a chronic interstitial lung disease. no focal consolidation to suggest pneumonia. enlargement of pulmonary arteries suggests pulmonary arterial hypertension. recommendation(s): correlation with prior imaging is recommended, and consider further assessment with high...
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no acute process suggestive of pneumonia. maturing radiation fibrosis, right lung.
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cardiomegaly, otherwise unremarkable.
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right lower lobe opacity which may reflect pneumonia in the correct clinical setting. clinical correlation is advised.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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right venous catheter tip terminates in the mid svc, prior imaging demonstrated tip in the right atrium, however it is unclear if this represents the final positioning of the tip. clinical findings could be related to thrombus development in the right atrium or clot propagating along the catheter tip. if further invest...
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left apical pleural collection is again seen grossly similar in extent. blunting of the left costophrenic angle was seen on prior chest ct, scout image, from. left basilar opacity may be chronic. the appearance of the chest is grossly similar as compared to the scout image from chest ct from. the right lung is clear.
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low lung volumes with mild interstitial pulmonary edema.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no significant interval change.
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volume overload, however concurrent multifocal pneumonia cannot be excluded.
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no acute findings in the chest.
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low lung volumes with mild bibasilar atelectasis.
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consolidations in the lower lungs concerning for pneumonia.
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no radiographic evidence of an acute cardiopulmonary process.
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no acute cardiopulmonary process.
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in comparison with the study of , there has been a right thoracentesis with removal of some pleural fluid. specifically, no evidence of post procedure pneumothorax. otherwise there is little change in the appearance of the heart and lungs.
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no pneumothorax. left chest aicd leads are seen within the coronary sinus, right ventricle, and right atrium. remaining exam is unchanged
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resolution of right pleural effusion and atelectasis. stable left perihilar opacity consistent with the patient's known malignancy.
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no evidence of pneumonia.
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no focal consolidation.
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<num>) minimal atelectasis. otherwise, no acute pulmonary process. <num>) no displaced rib fracture detected on these lung-technique films.