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MIMIC-CXR-JPG/2.0.0/files/p14161952/s51951893/804b7593-63a8a13d-0d534f69-db90b655-bb507332.jpg
limited evaluation due to under penetration of the film. within this limitation, no acute cardiopulmonary process.
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clear lungs. retrocardiac density with suggestion of air-fluid level on the lateral view most likely represents a hiatal hernia.
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no evidence of acute cardiopulmonary disease.
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tracheostomy, right subclavian port-a-cath and left internal jugular central line are unchanged in position. overall cardiac and mediastinal contours are stable. there are layering bilateral effusions with retrocardiac consolidation most likely representing compressive atelectasis, although pneumonia cannot be excluded...
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no acute intrathoracic process.
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pulmonary edema has nearly resolved in the interval. allowing for differences in technique, there has otherwise not been a relevant change the appearance of the chest since recent study of <num> day earlier.
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normal chest radiograph.
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no evidence of pneumonia. no acute cardiopulmonary process.
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no evidence of pneumonia. normal chest radiograph.
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no acute cardiopulmonary process.
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interval development of a moderate to large layering left pleural effusion in setting of trauma raises the possibility of hemothorax. chest ct can be considered as clinically indicated for further characterization. stable -mm pulmonary nodule demonstrated within the left upper lobe.
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compared to prior chest radiographs through. previous mild pulmonary edema is improving and the only focal pulmonary abnormality is mild right basal atelectasis. heart size normal. no pleural effusion. esophageal drainage tube passes into a nondistended stomach and out of view.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute intrapulmonary process. left apical scarring and mediastinal air aerated cavities represent stable post treatment changes. of note, aneurysmatic dilatation of the ascending aorta is better evaluated on ct.
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clear lungs without focal consolidation. probable right-sided aortic arch.
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no acute intrathoracic process.
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in comparison with the study of earlier in this date, there has been removal of the right pigtail catheter. there is a moderate right pneumothorax, especially along the right lateral chest wall. subcutaneous gas is seen adjacent to the right upper chest wall extending into the neck with gas of apparently also in the mo...
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as compared to the previous radiograph, the lung volumes have decreased. there are areas of atelectasis at both the left and the right lung bases. pre-existing scarring in the perihilar lung regions and in the upper lobes bilaterally is minimally more severe than on the previous image. moderate cardiomegaly persists.
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diffuse interstitial opacities which may reflect mild pulmonary edema, however, atypical infection and chronic lung disease are also within the differential. moderate cardiomegaly
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worsening fibrotic interstitial lung disease, which limits the sensitivity of chest radiograph for metastases. no definite new pulmonary nodules or masses, but ct may be considered if warranted clinically.
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new et tube in standard position. pooled secretions outline the top of the inflated ett cuff. upper enteric drainage tube passes into the nondistended stomach and out of view. heart size normal. mild bibasilar atelectasis has worsened. pleural effusion small if any. no pneumothorax.
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no mass or acute cardiopulmonary abnormality.
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interval resolution of prior pulmonary edema. no pleural effusions. no focal consolidation or pneumothorax. stable moderate cardiomegaly.
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no evidence of acute cardiopulmonary process. note that chest radiographs have limited utility in assessing for pulmonary embolism.
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comparison to. stable mild position of the right picc line in the right internal jugular vein. the left picc line is in correct position, with the tip at the level of the mid svc. no complications, notably no pneumothorax.
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ap chest compared to : configuration of the right pleural drain has changed, and it may be partially kinked. no detectable right pneumothorax. right pleural effusion, minimal if any. on the left, the left pleural drainage catheter has stable orientation, there is at least a small if not moderate left pleural effusion. ...
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pulmonary vascular congestion without overt pulmonary edema.
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normal chest radiograph.
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as compared to the previous image, the patient has received a left pleural drain, to evacuate a pleural basal air collection, occupying approximately % of the left hemi thorax. there is no evidence for a postprocedural pneumothorax. mild elevation of the left hemidiaphragm, with retrocardiac atelectasis. no other acute...
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previous left upper lobe collapse has resolved since. previous large right pleural effusion continues to decrease, now small to moderate. diffuse interstitial abnormality presumably edema, unchanged. heart size normal. no pneumothorax. tip of the endotracheal tube is at least <num> cm above the carina with the chin in ...
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no acute intrathoracic process.
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in comparison with the study of , the monitoring and support devices are unchanged. little change in the appearance of the heart and lungs.
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ap chest compared to : heterogeneous opacification in the right lung which worsened appreciably between and continues to progress consistent with worsening pneumonia and/or possible aspiration of pulmonary hemorrhage. left upper lobe is chronically collapsed, left hemidiaphragm chronically elevated. multiple right lu...
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no evidence of acute disease.
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comparison to. the course of the nasogastric tube is unchanged. the tip of the tube projects over the middle parts of the stomach. no complications, notably no pneumothorax. unchanged appearance of the other monitoring and support devices. constant right basilar atelectasis. normal size of the cardiac silhouette. no pn...
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no evidence of acute disease.
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cardiomegaly is substantial, unchanged. aortic valve has below replaced. mediastinum is stable. lungs are essentially clear. bibasal linear areas of atelectasis are noted. no pneumothorax.
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slight interval improvement in pulmonary edema since the prior study, which is now moderate. otherwise, stable appearance of the chest.
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compared to chest radiographs since , most recently one. previous mild pulmonary edema and possible concurrent pneumonia has all cleared. heart is top-normal size, improved, and pleural effusions have resolved. right hilar vessels are still enlarged, perhaps due to pulmonary arterial hypertension. lateral view shows at...
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interval improvement of both possible right lower lobe pneumonia and mild interstitial edema.
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hyperinflation without evidence of acute cardiopulmonary process.
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ap image of the chest as well as several images of the left ribs demonstrate sclerotic lesion within the left sixth rib (reported as seventh rib) on the prior study the lesion in the eleventh rib is not well seen and better assessed on the prior ct scan. no rib fractures are seen. there is free air underneath the left ...
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in comparison with the study , there is little change and no evidence of acute cardiopulmonary disease. the cardiac silhouette is at the upper limits of normal in size or mildly enlarged. no vascular congestion, pleural effusion, or acute focal pneumonia.
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pa and lateral chest reviewed in the absence of prior chest radiographs: lungs fully expanded and clear. no pleural abnormality. heart size top normal. thoracic aorta calcified but not dilated. leftward deviation of the trachea at the thoracic inlet suggests enlargement of the right lobe of the thyroid gland, best eval...
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normal chest radiograph.
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no significant interval change since the prior exam given differences in technique.
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no acute cardiopulmonary process.
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low lung volumes, without acute chest abnormality. appropriate positioning of support devices.
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findings consistent with mild to moderate pulmonary edema.
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no significant interval change from.
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compared to chest radiographs since , most recently. left lung has re-expanded following evacuation of the large left pneumothorax with an apical thoracostomy tube. left pleural effusion is small. no right pleural effusion or pneumothorax, indwelling right thoracostomy tube unchanged. normal postoperative appearance t...
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no acute cardiopulmonary process.
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low lung volumes and left basilar atelectasis and effusion.
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bibasilar atelectasis and slight interval improvment in extent of right pleural effusion since the prior study. no evidence of pneumonia.
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in comparison to chest radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and slight worsening of pulmonary edema. moderate to large right pleural effusion has also slightly increased in size and likely has a loculated intra fissure all component. no other relevant change.
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compared to chest radiographs. previous moderate pleural effusions have resolved and heart size is now normal. previous air and fluid collection in the retrosternal midline is no longer seen. lungs are mildly hyperinflated but clear. mediastinal surgery is reflected in vascular clips and there is suggestion of a medias...
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technically limited exam with stable interstitial abnormalities. no evidence of pneumonia or other acute cardiopulmonary process.
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endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the diaphragm, out of the field-of-view. moderate to severe pulmonary edema. likely right pleural effusion.
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status post vats with left chest tube placement and small left apical pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process with no rib fractures identified.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. cardiac silhouette remains within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. on the lateral view there is mild loss of height of a mid dorsal vertebr...
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improving basilar opacities.
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again noted are bilateral nodular opacities as noted previously and consistent with patient's history of bronchiolitis, suggestive , and better delinated on recent ct. right upper lobe nodularity is again noted and likely scarring.
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right ij catheter tip is in the upper svc. there is no pneumothorax. no other interval change from prior study.
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as compared to the previous radiograph from , , there is unchanged evidence of a miniscule right-sided pneumothorax. in the interval, this pneumothorax has slightly decreased in extent. the position of the monitoring and support devices, including the pigtail catheter in the right pleural space, is unchanged. unchange...
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severe pulmonary edema was new on and has worsened accompanied by increasing large right and moderate left pleural effusions. heart is only mildly enlarged. mediastinal veins are now severely distended. et tube in standard placement. no pneumothorax.
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as compared to the previous radiograph, no relevant change is seen. mild to moderate pulmonary edema. bilateral pleural effusions, right more than left, with subsequent areas of atelectasis. moderate cardiomegaly. no pneumonia.
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no radiographic evidence of intrathoracic malignancy. hyperinflation and flattening of bilateral hemidiaphragms suggests chronic pulmonary disease.
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increased left pleural effusion. left lower lobe atelectasis or consolidation.
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no acute intrathoracic process. please refer to same-day ct abdomen pelvis for further details.
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no acute cardiopulmonary process.
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there continues to be a large right-sided hydropneumothorax which is not significantly changed since but has increased in size since. results were communicated to the patient's nurse, , by phone on at at the time of discovery. the left lung remains grossly clear. overall cardiac and mediastinal contours are unchang...
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no acute cardiopulmonary abnormality. low lung volumes.
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cardiac size is top-normal. et tube is in standard position. left subclavian catheter tip is in the cavoatrial junction. there are low lung volumes. bibasilar atelectasis have increased on the left. there is no pneumothorax or enlarging effusions. bony abnormalities are better seen in prior ct.
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no acute intrathoracic process.
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compared to prior chest radiographs through at. right lower lobe was collapsed on and subsequently re-expanded. there is now the suggestion of new right lower lobe consolidation which could be pneumonia. left lung is grossly clear. cardiomegaly moderate to severe is unchanged since and there is no pulmonary edema. ...
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congestive heart failure with cardiomegaly and mild pulmonary edema. probable left pleural effusion with adjacent atelectasis, though an underlying consolidation cannot be excluded.
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left perihilar and right basal consolidation are improving. this could be asymmetric edema but is more concerning for pneumonia or pulmonary hemorrhage. severe enlargement of the cardiac silhouette is stable since , improved since. pulmonary arteries are chronically enlarged. no pneumothorax or substantial pleural effu...
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no acute traumatic injury seen on this limited trauma chest radiograph.
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no radiographic evidence of an acute cardiopulmonary process.
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pa and lateral chest compared to : previous left upper lobe collapse has resolved revealing a <num> mm left hilar mass. small bilateral pleural effusions are still present. heart is normal size. vascular deficiency of the right upper lobe suggests severe emphysema.
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new small left pleural effusion with probable subpulmonic component. no other relevant change since recent study.
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as compared to recent radiograph of <num> day earlier, pulmonary vascular congestion and mild interstitial edema are new. right lower lung consolidation is similar to recent exam but improved compared to earlier studies. small pleural effusions are also noted.
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the et tube tip is <num> cm above the carina with the ft being at the level of clavicular heads. ng tube tip is in the stomach. heart size and mediastinum are stable. lungs are substantially hyperinflated with bibasal areas of atelectasis. ng tube tip is in the stomach
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no acute intrathoracic process.
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as compared to the previous radiograph, the tip of the endotracheal tube is not substantially changed in position, <num> projects <num> cm above the carinal. the course of the nasogastric tube is constant. the tip of the left internal jugular vein catheter points upwards, instead of downwards, a position that should be...
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the endotracheal tube terminates approximately <num> cm above the carina. an orogastric tube extends to at least the level of the stomach. there is a right ij central venous catheter terminating at the mid svc. the lung volumes are low. elevation of the right hemidiaphragm is unchanged since the prior examination from....
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as compared to the previous radiograph, the patient has received a hemodialysis catheter over the right internal jugular vein. the course of the catheter is unremarkable, the tip projects over the mid to lower svc. there is no evidence of complications, notably no pneumothorax. borderline size of the cardiac silhouette...
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bibasilar atelectasis, otherwise unremarkable.
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unremarkable chest radiographic examination. no rib fractures are identified. please note that this study is not tailored for accurate assessment of the ribs. if there is further clinical suspicion, dedicated rib views should be obtained.
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normal chest radiograph without evidence of pneumonia.
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no acute cardiopulmonary process.
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the nasogastric tube is seen coursing below the diaphragm with the tip projecting over the expected location of the stomach patchy bibasilar opacities, left greater than right, are concerning for pneumonia or aspiration, less likely atelectasis. there is also patchy opacity at the right lung apex, which was previously ...
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no previous images. cardiac silhouette is within normal limits. mild indistinctness of pulmonary vessels could reflect some elevated pulmonary venous pressure. there is elevation of the right hemidiaphragmatic contour. no evidence of acute focal pneumonia.
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right lower lobe aspiration or early pneumonia.
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moderate pulmonary edema.
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no acute cardiopulmonary process.
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persistent focal area of increased density in the left lower lobe suspicious for pneumonia or partial atelectasis. subsegmental atelectasis left mid lung.