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MIMIC-CXR-JPG/2.0.0/files/p17785403/s56920483/1c130fb4-1215e650-6a9a9764-356c55d6-6baa7fb4.jpg
slight asymmetric increased opacity in the right infrahilar region could reflect an early bronchopneumonia versus atelectasis.
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no acute intrathoracic process. interval resolution of previously noted pulmonary edema.
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax. overall normal chest radiograph.
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small right pleural effusion and adjacent atelectasis or consolidation.
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chest findings within normal limits. no evidence of acute pulmonary infiltrates in patient with persistent cough.
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limited, negative.
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left basilar atelectasis. no acute cardiopulmonary process.
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low lung volumes. patchy opacities in the lung bases likely reflect atelectasis.
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no acute intrathoracic abnormalities identified.
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small left effusion with left basilar atelectasis. possible tiny right effusion.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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in comparison to chest radiograph, nonspecific patchy bibasilar opacities have worsened and a new area of consolidation has developed adjacent to the aortic knob in the left apical region. these findings raise the possibility of multifocal aspiration and/or developing pneumonia.
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low lung volumes. patchy opacities in the lung bases, more pronounced on the right, concerning for aspiration or pneumonia, as seen on the same day ct.
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low lung volumes.
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ap chest compared to through post-operative chest radiographs : severe widening of the upper mediastinum continues to improve post-operatively and previous pulmonary edema has now cleared. substantial bibasilar atelectasis left greater than right has not. i do not see a significant pneumothorax and previous small righ...
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no radiographic evidence for acute cardiopulmonary process.
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no acute findings in the chest.
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unchanged moderate-sized left pleural effusion with underlying consolidation versus atelectasis. no new right pleural effusion.
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normal mediastinal contour in the upright position.
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right picc line tip is at the level of mid svc. heart size and mediastinum are unchanged in the prior study. right pleural effusion is large. mild vascular congestion is present but no overt pulmonary edema is seen. there is also interval improvement of the congestion as compared to previous examination. there is no pn...
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soft tissue attenuation from bilateral breasts limits evaluation of the lung parenchyma on frontal view. lungs are otherwise clear. clips overlying the breasts and anterior chest are likely postsurgical.
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no acute cardiopulmonary process. rib fractures, better evaluated on the rib series.
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ap chest compared to , : there has been very little change. the postoperative right lung is slightly better aerated, but still largely consolidated and the persistent right pleural space is large, now filled with more fluid. right basal pleural drain unchanged in position. borderline perihilar edema, left lung, unchang...
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left pleural effusion has enlarged, currently moderate. small right pleural effusion is present, increased. lungs are essentially clear. cardiomediastinal silhouette is stable.
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normal chest radiographs.
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reaccumulation of moderate left pleural effusion. stable small right pleural effusion.
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no acute cardiopulmonary abnormality.
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slight retraction of the left chest tube compared with the most recent prior film. left pneumothorax extending around a good part of the left upper and mid lung, overall similar to the prior film. evidence for hydropneumothorax anteriorly and posteriorly.
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bibasilar atelectasis without evidence of pneumonia. enlarged cardiac silhouette, appears increased in size since the prior study.
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pa and lateral chest compared to : moderate right pleural effusion has increased since. chronically enlarged pulmonary arteries indicate pulmonary arterial hypertension. air bronchograms in the infrahilar right lower lobe are better defined now than before. this could represent worsening atelectasis or pneumonia. lungs...
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no new opacities have occurred since yesterday. minimally improved pneumothorax.
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no acute intrathoracic abnormality identified.
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equivocal bilateral pleural effusions. otherwise, no acute cardiopulmonary pathology.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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possible lingular pneumonia.
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essentially unchanged. minimal atelectasis and possible small right effusion are slightly more pronounced on today's examination.
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no acute intrapulmonary process.
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findings worrisome for pneumonia in the right lower lobe.
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as compared to the previous radiograph, no relevant change is seen. there currently is no convincing evidence for the presence of a left or right pneumothorax. the position of the right pigtail catheter in the pleural space is unchanged. unchanged course of the left-sided picc line. unchanged retrocardiac atelectasis, ...
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ap chest compared to : very severe pulmonary consolidation is still present throughout both lungs, accompanied by at least moderate right pleural effusion. cardiac silhouette remains severely enlarged. there is no pneumothorax. et tube and right internal jugular line are in standard placements. dual-channel left intern...
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interval improvement in small bilateral pleural effusions and basal atelectasis. dobhoff tube ends in the proximal stomach. recommendation(s): advancement of the dobhoff tube by several cm is recommended for more optimal positioning.
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as compared to the previous radiograph, there is unchanged evidence of mild to moderate pulmonary edema. bilateral basal pleural effusions are better appreciated on the lateral than on the frontal radiograph. subsequent areas of atelectasis are visualized, right more than left. moderate cardiomegaly and elongation of t...
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no acute cardiopulmonary process.
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in comparison with the study of , the tracheal stent has been removed. no evidence of pneumothorax or pneumomediastinum. the overall appearance of the heart and lungs is essentially unchanged.
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compared to the heart continues to be moderately enlarged. there is no focal infiltrate or effusion. the previously described mild pulmonary edema has resolved. there is no focal infiltrate.
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no acute cardiopulmonary process.
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new right lower lobe opacity is suspicious for aspiration pneumonia.
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no acute cardiopulmonary process. no evidence of malignancy in the chest.
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no acute cardiopulmonary process.
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low lung volumes. no evidence of acute disease.
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as compared to the previous radiograph, no relevant change is seen. the tip of the endotracheal tube continues to project approximately <num> cm above the carina. mild cardiomegaly persists. mild fluid overload but no overt pulmonary edema. no pleural effusions
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bilateral airspace opacities have progressed since exam and are most compatible with multifocal pneumonia with underlying mild edema.
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no acute cardiopulmonary process.
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persistent but improved large right pleural effusion and small right pneumothorax and left edema vs lymphangitic spread.
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copd and cardiomegaly. mild vascular plethora consistent with mild chf. patchy opacity left base consistent with atelectasis, the differential diagnosis includes infectious infiltrate or changes due to aspiration.
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nasogastric tube is appropriately positioned in the stomach.
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no pneumothorax.
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status post pacemaker-type device with lead tips stable compared with the prior film. right pleural effusion and underlying collapse and/or consolidation at right base, unchanged. cardiomegaly unchanged. previously seen chf findings in the right upper zone have improved, but slightly increased interstitial markings in ...
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resolution of bilateral suprahilar opacities. no new areas of consolidation.
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no evidence of pneumonia.
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interval decreased right pleural effusion. persistent diffuse reticulonodular interstitial densities.
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patchy infiltrate in the right middle lobe which may represent atelectasis, however pneumonia cannot be excluded.
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in comparison with the study , there again are low lung volumes that accentuate the transverse diameter of the heart. there may be mild elevation of pulmonary venous pressure. monitoring and support devices are unchanged. there is some increased opacification at the left base, consistent with mild pleural fluid and at...
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cardiomegaly without definite acute cardiopulmonary process.
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previous chest radiographs. recommendation(s): lung volumes are lower and mild interstitial pulmonary edema has worsened since. moderate cardiomegaly has worsened. pleural effusion is small if any. no pneumothorax. no focal pulmonary abnormality. tip of the intra-aortic balloon pump is no less than <num> cm from the ap...
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no acute cardiopulmonary process.
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mild to moderate pulmonary edema on has improved. left lower lobe consolidation which worsened dramatically between and is still severe, either pneumonia or collapse. small bilateral pleural effusions, left greater than right, stable on the left, increased on the right. no pneumothorax.
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reaccumulation of a small right pleural effusion with adjacent atelectasis.
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no definitive evidence of pneumonia demonstrated.
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interval improvement in findings suggestive of pulmonary edema.
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improving pulmonary edema with associated slight decrease in size of bilateral pleural effusions.
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trace bilateral pleural effusions with mild left basilar atelectasis. no focal consolidation.
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no acute cardiopulmonary process.
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no significant interval change.
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no acute cardiopulmonary abnormality.
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streaky bibasilar airspace opacities, partially attributable to subsegmental atelectasis, though infection cannot be completely excluded.
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as compared to the previous radiograph, the right picc line has been pulled back. the tip of the line, however, still projects over the right atrium and should be pulled back by another <num> cm. no evidence of complications. otherwise unchanged appearance of the lung parenchyma and the cardiac silhouette.
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mild hyperinflation of the lungs. otherwise normal chest radiograph.
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no evidence of pneumothorax or consolidation or pleural effusion.
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unchanged appearance of right lung base atelectasis and small-to-moderate left pleural effusion.
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complete resolution of previously seen pneumonia.
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lines and tubes as described. left lower lobe collapse and/or consolidation patchy opacity right lung base and possible small bilateral effusions are similar to the prior study. upper zone redistribution, without other evidence of chf, also similar to the prior study.
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no acute cardiopulmonary process. specifically, no evidence of active or latent tb.
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no evidence of acute disease.
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as compared to radiograph, nasogastric tube is been placed, with tip coursing below the diaphragm. cardiomediastinal contours are stable allowing for patient rotation. apparent worsening opacification in the right perihilar and basilar regions could reflect asymmetrical edema or secondary process such as aspiration or...
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in comparison to exam, there is no significant interval change in bibasilar consolidations, which likely represent atelectasis, aspiration or infection in the appropriate clinical setting.
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no previous images. relatively low lung volumes, but no evidence of cardiomegaly, vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute cardiopulmonary process.
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et tube in appropriate position. complete opacification of the left hemithorax at least in part due to atelectasis given left-sided volume loss.
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right picc line tip is at the level of mid svc. bilateral pleural effusions are large. there is interval resolution of pulmonary edema. there is no pneumothorax.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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comparison to. the right picc line is in stable position. on the left a pleural drain has been inserted. there is no evidence of pneumothorax. the pre-existing left pleural effusion has completely cleared. the appearance of the heart and of the right hemi thorax is stable.
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successful images show no advanced was the dobbhoff catheter to good position left-sided internal jugular vein catheter points cranially and should be repositioned is unchanged from previous day
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emphysema without acute pneumonia.
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no acute intrathoracic process.
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the left pleural catheter is unchanged with tip ending inferiorly and posteriorly. there is no pneumothorax. stable left base opacity, likely due to a combination of atelectasis and small to moderate pleural effusion. emphysema is unchanged. right lung is clear. heart is obscured by left lung base opacities.
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no acute cardiopulmonary process. bilateral rib fractures which may be old. clinically correlate regarding site of pain is suggested. dedicated rib series could be performed if desired.