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MIMIC-CXR-JPG/2.0.0/files/p17741851/s54303826/44439fbc-255ee0e4-ccd7863d-25d7b49a-89b5bf25.jpg
no evidence of pneumonia.
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no evidence of acute cardiopulmonary disease. possible nodule versus bone finding or scarring at the right apex. previously, one year follow-up was recommended for a lingular nodule, which cannot be assessed by radiography. follow-up chest ct is recommended to assess both findings.
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as compared to the previous radiograph, the lung volumes have improved, reflecting better ventilation or increased ventilatory pressures. however, the extent of the pre-existing parenchymal opacities, predominating in the mid and lower lung zones, are constant. moderate atelectasis in the retrocardiac lung regions and ...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13595123/s53264614/076a61ff-2a404c0f-00b383e2-426e2a22-66faf912.jpg
mild bibasilar atelectasis in the setting of low lung volumes.
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left thoracostomy tube in unchanged position. endotracheal tube terminates <num> cm above the carina and could be advanced. nasogastric tube with last side port above the ge junction. recommend advancing at least <num> cm. increased opacity in the right hemithorax suggests layering pleural fluid.
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normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p19378006/s51875924/cee3d009-4e23b48e-cfc5bdad-b4ff8542-e368a265.jpg
no acute cardiopulmonary process.
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in comparison with study of , there is a right pigtail catheter in place and no evidence of pneumothorax. continued enlargement of the cardiac silhouette with elevation of pulmonary venous pressure in a patient with intact midline sternal wires. there is some increase in the small right pleural effusion. dense calcific...
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an endotracheal tube terminates approximately <num> cm above the carina at the superior margin of the clavicular heads.
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no evidence for acute cardiopulmonary abnormalities.
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status post median sternotomy for cabg with stable overall cardiac and mediastinal contours given marked patient rotation on the current examination. tracheostomy tube continues to have its tip <num> cm above the carina. right internal jugular central line has its tip in the mid svc and a left-sided pacer has its tip p...
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right lower lobe consolidation, likely representing pneumonia or possibly aspiration.
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no evidence of pneumonia.
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in comparison with the earlier study of this date, the dobbhoff tube now extends well into the stomach.
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no evidence of acute disease.
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increased large area of dense consolidation occupying the right lower lobe with indeterminate quantity of effusion. persistent left pleural effusion.
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no relevant change as compared to the previous examination. the monitoring and support devices, including the left chest tubes are constant. unchanged appearance of the ventilated than on ventilated left lung parts. unchanged size of the cardiac silhouette. unchanged appearance of the right lung.
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as compared to the previous radiograph, no relevant change is seen. tracheostomy tube and the vertebral fixation devices are in constant position. known minimal elevation of the left hemidiaphragm and retrocardiac atelectasis but no evidence of pneumonia or aspiration. minimal fluid overload but no overt pulmonary edem...
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comparison to. improved ventilation of both the left and the right lung. the signs indicative of pulmonary edema have almost completely resolved. lung volumes remain low. atelectasis in the retrocardiac lung area. moderate cardiomegaly persists. unchanged monitoring and support devices.
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worsened diffuse interstitial abnormality compared to prior studies, which could reflect progression of chronic interstitial lung disease versus superimposed interstitial edema or atypical infectious process.
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compared to previous postoperative radiograph of , bilateral pleural effusions have decreased in size and a right picc basilar focus of atelectasis has essentially resolved. left lower lobe opacity has decreased in extent and may reflect slowly resolving atelectasis or potentially a focus of pneumonia in the appropriat...
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findings suggestive of a chronic interstitial lung disease. patchy opacity in the left lung base may reflect atelectasis though infection is not excluded in the correct clinical setting. left hilar prominence could suggest enlargement of the pulmonary artery. correlation with any prior imaging is recommended, and a ded...
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findings suggesting mild vascular congestion. suspected small pleural effusion on the left with patchy left basilar atelectasis. cardiomegaly, but stable cardiac and mediastinal contours. findings consistent with mild vascular congestion.
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resolution of left lower lobe pneumonia.
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interval improvement in lung volumes with resolution of right-sided pleural effusion and persistent small left pleural effusion.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. mild hyperexpansion of the lungs, but no acute pneumonia, vascular congestion, or pleural effusion.
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moderate cardiomegaly with mild pulmonary edema.
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no evidence to suggest active or chronic tuberculosis.
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vague opacity in the left lower lung, nonspecific and probably due to atelectasis. other etiologies including pneumonia are not completely excluded, however.
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no evidence of active infection.
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minimal bibasilar atelectasis.
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unchanged moderate mild to moderate cardiomegaly. no overt pulmonary edema or radiographic evidence of pneumonia.
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limited exam. no focal consolidation to suggest pneumonia. multiple compression deformities of indeterminate age within the thoracic spine.
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no acute cardiopulmonary process.
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retrocardiac opacity. this may represent infection or atelectasis.
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tracheostomy tube remains in satisfactory position. overall, cardiac and mediastinal contours are difficult to assess given marked patient rotation, but are likely stable. lungs remain low lung volumes with overall improvement in aeration, suggesting that interstitial edema has resolved. basilar patchy opacities are un...
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unchanged left lower lobe consolidation which could represent pneumonia. the ascending aorta is tortuous and possibly dilated, recommend ct if clinically indicated.
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compared to chest radiographs and. patient has been extubated, lung volumes are lower, left lower lobe collapse is unchanged. small left pleural effusion stable. no pneumothorax. normal postoperative cardiomediastinal silhouette. right jugular line ends in the upper right atrium, midline and left pleural drains in pla...
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interval placement of a right ij line with tip in the proximal right atrium. consider withdrawing the line by <num> cm for more optimal placement. endotracheal tube is unchanged in position but remains too high, terminating at the thoracic inlet. otherwise, no substantial change over this short interval followup includ...
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the small right pneumothorax has completely resolved. small right pleural effusion.
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basilar opacities, increased since , concerning for infection in the appropriate setting. findings suggesting there may be mild vascular congestion or fluid overload.
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no acute cardiopulmonary process.
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stable cardiomegaly with small bilateral pleural effusions with associated atelectasis. slightly worse pulmonary edema.
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no acute cardiopulmonary process. stable large hiatal hernia.
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no previous images. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. central and peripheral calcifications suggest old granulomatous disease.
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no significant change in mild pulmonary edema, bilateral pleural effusions, moderate on the right and small on the left, and right lower lobe collapse and left lower lobe atelectasis.
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stable diffuse radiopacities consistent with known interstitial lung disease as well as increased pulmonary edema from the prior examination.
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no significant interval change. again seen linear right middle lobe atelectasis/scarring without significant change from the prior study.
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no acute intrathoracic process.
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bilateral ill-defined pulmonary opacity is again seen chronic, with more confluent opacification in the left mid to lower lung zone, acute infection not excluded. low lung volumes.
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left lower lobe consolidation concerning for pneumonia.
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small left pleural effusion with bibasilar atelectasis. no other acute cardiopulmonary process.
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interval decrease in left pleural effusion after thoracentesis with no evidence of pneumothorax. increased volume loss on the right with opacity silhouetting the right heart border consistent with collapse of right middle lobe with right sided effusion and right lower lobe atelectasis.
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no acute intrathoracic process.
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persistent streaky basilar opacities, considerably decreased and most suggestive of atelectasis or scarring. no definite acute disease.
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no acute cardiopulmonary process.
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low lung volumes. retrocardiac opacity may represent atelectasis, however infection cannot be excluded in the correct clinical setting.
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mild pulmonary vascular congestion and cardiomegaly.
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normal chest radiograph
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unchanged appearance of a right middle/right lower lobe airspace opacity compatible with pneumonia, although rounded atelectaasis is a possibility. mild cardiomegaly and central pulmonary vascular congestion.
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large right pleural effusion again seen, stable to slightly increased, likely loculated, with compressive atelectasis of major portions of the right middle and lower lobes. if the cause of the pleural effusion has not been established, recommended a ct of the chest with contrast, after thoracentesis to rule out an unde...
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lungs remain well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pleural effusions, pulmonary edema, or pneumothorax. overall cardiac and mediastinal contours are stable.
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in comparison with the study of , there is continued substantial enlargement of the cardiac silhouette with worsening pulmonary edema. in the appropriate clinical setting, superimposed pneumonia would the extremely difficult to exclude.
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similar appearance compared to :<num>, with small left apical pneumothorax and small left pleural effusion.
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ill-defined opacity in the right lower medial lung distributed in the middle lobe is concerning for middle lobe pneumonia.
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no acute cardiopulmonary process.
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interval placement of endotracheal tube terminating <num> cm above the carina.
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no significant interval change since the prior examination.
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focal opacity at the periphery of the left upper lobe projecting over the anterior second rib. this may represent a consolidation although it is difficult to evaluate given low lung volumes. repeat ap and lateral views with better inspiration is recommended. recommendation(s): repeat study with ap and lateral view to d...
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lungs are fully expanded and clear. no pleural abnormalities. mild cardiomegaly. cardiomediastinal and hilar silhouettes are normal. a left pectoral pacemaker with right atrial and right ventricular leads is unchanged. recommendation(s): no evidence of intrathoracic metastasis.
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no signs of pneumonia or other acute intrathoracic process.
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no definite rib fractures are noted although if this continues to be a clinical concern then a dedicated rib series with markers at the site of pain may be obtained. ill defined, mild interstitial opacities in both lung bases could represent chronic interstitial change, or possibly aspiration or infection. clinical cor...
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compared to prior chest radiographs since , most recently. lateral view shows a <num> mm wide round opacity projecting over mid thoracic vertebral body, previously <num> mm in diameter on concerning for possible metastasis. lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. recom...
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interval removal of right chest tube, with suspected tiny right apical pneumothorax. new small focal opacity at the right lung base laterally could represent some residual pulmonary parenchymal change at the chest tube site. attention to this area on followup films is requested.
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small bilateral pleural effusion and mild basal atelectasis, probably left-sided, unchanged over the past <num> hr. upper lungs clear. normal postoperative cardiomediastinal silhouette. no pneumothorax.
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no acute cardiopulmonary process.
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there is pneumoperitoneum present with air below the right hemidiaphragm. small left-sided pleural effusion with adjacent atelectasis. mild-moderate pulmonary edema.
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et tube terminates <num> cm from the carina. mild bibasilar atelectasis is worse. mild pulmonary congestion is new.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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streaky bibasilar airspace opacities could reflect atelectasis but infection cannot be excluded. repeat pa and lateral views with improved inspiratory effort is recommended to better assess the lung bases.
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in comparison with the study of , the monitoring and support devices are essentially unchanged. bibasilar opacifications are consistent with pleural effusion and underlying atelectatic changes. in the appropriate clinical setting, it would be impossible to exclude superimposed pneumonia, especially in the absence of a ...
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bilateral posterior costophrenic angle and faint right mid lung opacifications stable since and better evaluated on , chest ct at thought to represent infectious process.
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scattered vague opacities concerning for multifocal pneumonia with hilar prominence likely due to prominent lymph nodes. recommend followup to resolution.
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no acute cardiopulmonary process. hyperinflated lungs, suggestive of copd.
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no acute cardiopulmonary process.
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in comparison with the earlier study of this date, the chest tube has been placed on water seal an there is some increase in the degree of apical pneumothorax. otherwise little
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no pneumonia.
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small bilateral pleural effusions, appear slightly increased as compared to the prior study.
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as compared to previous radiograph of <num> days earlier, the right hemi thorax is now nearly completely opacified. this appears to be due to a combination of enlarging right pleural effusion and substantial collapse of the right middle and right lower lobes as well as partial atelectasis of the right upper lobe. other...
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interval placement of endotracheal tube which has its tip <num> cm above the carina. interval placement of nasogastric tube which courses below the diaphragm with the tip not identified but the side port projecting over the stomach. heart remains enlarged with left ventricular prominence. interval appearance of linear ...
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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small right-sided hemopneumothorax.
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comparison to ,. stability in extent and severity of the pre-existing retrocardiac opacity with air bronchograms, suggestive to reflect pneumonia. mild right basilar atelectasis. stable low lung volumes. mild cardiomegaly. new right internal jugular vein catheter, the course of the catheter is unremarkable, the tip pro...
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there is a right ij central line with the distal lead tip in the proximal svc. there has been worsening of the left-sided pleural effusion and bibasilar opacities. this may represent aspiration or developing pneumonia. there are no pneumothoraces.
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there has been very little radiographic change since. lingula is still substantially airless and there is a large left pleural effusion, with a greater volume loculated at the apex the hemi thorax, and the rest distributed anteriorly and inferiorly. right lung is clear. mediastinum is midline in the left hemidiaphragm ...
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new partial obscuration of the left hemidiaphragm may be due to subsegmental atelectasis, but infection or aspiration would be difficult to exclude in the appropriate clinical setting.
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dual lead pacemaker is present, with leads ending in the right atrium and right ventricle. no pneumothorax.