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MIMIC-CXR-JPG/2.0.0/files/p14500788/s54097461/c0713482-abe02016-60b0d8d1-a2572b61-865e5354.jpg
no acute cardiopulmonary process.
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normal chest radiograph.
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persistent multifocal opacities suggesting pneumonia, fairly similar in overall distribution; the only clear change is somewhat improved aeration at the right lung base. a coinciding interstitial abnormality may indicate an additional process such as fluid overload or interstitial disease. comparison to earlier studies...
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right lower lobe pneumonia.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary abnormality.
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severe cardiomegaly is a stable. pacer leads are in standard position. there is no evident pneumothorax. pulmonary edema has improved. large right pleural effusion has minimally increased. small left effusion is grossly unchanged. there are no other interval changes
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interval placement of a dobbhoff tube which is coiled in the upper esophagus.
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no acute findings in the chest.
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residual opacity best appreciated in the right middle lobe/lingula are slightly more prominent than in and likely corresponds to the bronchiectasis seen on the recent chest ct dated. an ongoing infection cannot be entirely excluded. no pneumothorax. no pulmonary edema. stable cardiac and mediastinal contours. , md, mp...
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no acute intrathoracic process.
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status post pleurodesis. <num> left-sided chest tubes are in situ. minimal decrease in extent of the soft tissue air collection. no larger pneumothorax is noted. could expansion of the left lung. normal size of the cardiac silhouette. the slightly hyperexpanded right lung is unchanged.
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interval intubation with endotracheal tube tip projecting over the mid trachea.
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cardiomegaly and mild edema. round cardiomediastinal contour in subcarinal region could be due to left atrial enlargement or other mediastinal process such as a bronchogenic cyst. chest ct may be helpful for more complete evaluation. dr has been telephoned with this result on at
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cardiomegaly without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19842829/s50065276/d0b24e94-487f5ece-f3962fdb-51936843-0b8e5f7f.jpg
no acute cardiopulmonary process.
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as compared to the previous radiograph, the size of the cardiac silhouette remains enlarged. minimal left pleural effusion and moderate right pleural effusion are constant in appearance. constant mild fluid overload. areas of atelectasis at the lung bases are unchanged but there is no evidence for new parenchymal opaci...
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normal chest x-ray.
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findings may suggest bronchiolitis.
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stable small right apical pneumothorax. interval decrease in right basal atelectasis.
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bilateral parenchymal opacities, most prominent at right middle lobe, with new bilateral pleural effusions, compatible with edema or multifocal infection.
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no acute chest abnormality.
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compare to prior chest radiographs, most recently. recent abdominal surgery is responsible for pneumoperitoneum. lungs clear. heart size normal. normal mediastinal and hilar silhouettes. no pleural abnormality.
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pa and lateral chest reviewed in the absence of prior chest radiographs: pa and lateral views of the chest reviewed in the absence of prior chest imaging: eversion of the diaphragm contours suggests hyperinflation due to small airways obstruction and/or emphysema. no focal pulmonary abnormality is seen. heart is norma...
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as compared to the previous radiograph, the severity of the pre-existing pulmonary edema has mildly increased. in addition, the extent of the small bilateral pleural effusions has also slightly increased. as a consequence, there is increased retrocardiac atelectasis. the overall lung volumes remain low. the nasogastric...
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eventrated right hemidiaphragm and left-sided bochdalek's hernia unchanged. interval appearance of blunting of both costophrenic angles, right greater than left, consistent with small bilateral pleural effusions. no focal airspace consolidation to suggest pneumonia. no evidence of pulmonary edema. minimal biapical pleu...
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normal chest radiograph.
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interval removal of endotracheal and left apical chest tubes with a stable small to moderate left hydropneumothorax. remaining support devices are in satisfactory position. new small layering right pleural effusion with associated bibasilar atelectasis and consolidation. superimposed infection or aspiration cannot be e...
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mild interstial edema and vascular congestion.
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no acute cardiopulmonary process.
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bibasilar subsegmental atelectasis.
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no evidence of pulmonary edema. small bilateral subdiaphragmatic lucencies representative of intraperitoneal air compatible with recent gastrostomy tube placement.
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no acute intrathoracic process.
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small bilateral pleural effusions, new since exam. retrocardiac opacity may represent atelectasis or infection in the appropriate clinical setting.
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mild bibasilar atelectasis. no focal consolidation to suggest pneumonia.
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no acute cardiopulmonary abnormality.
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right internal jugular central line, and endotracheal tube are unchanged in position. there is a nasogastric tube in place with its tip still at the gastroesophageal junction. advancement into the stomach would be recommended. there has been interval increase in perihilar and interstitial airspace disease, likely refle...
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right hilar/rul mass. widening of the mediastinum concerning for mediastinal spread. fibrotic or bronchiectatic changes in the right mid and upper lung may represent malignancy or possibly radiation changes. recommend ct for better characterization.
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consolidation in the right upper lobe improved between and with remission of central adenopathy. it worsened between and , the last preprocedure chest radiograph. now following bronchoscopy the consolidation is more severe. this could be due to worsened occlusion and more atelectasis and retained secretions, or blee...
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small left apical pneumothorax, possibly slightly improved. new or more apparent small left effusion. fluid level projecting over the cardiac silhouette medially. the lateral film suggests that it lies posterior and, if so, this fluid more likely represents a loculated pneumothorax, rather than a hiatal hernia. moreove...
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mild pulmonary edema has recurred and could obscure early pneumonia. mild cardiomegaly is chronic. no appreciable pleural effusion or pneumothorax. right supraclavicular dual channel hemodialysis catheter ends in the low right atrium.
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bulky mediastinal masses compatible with patient's history of lymphoma. moderate right and small left pleural effusions. patchy opacity the right lung apex. see report from ct performed the came day for additional details.
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cardiac size is top-normal. widening of the mediastinum is stable. there is mild vascular congestion. bibasilar atelectasis have increased on the right and improved on the left. there is no pneumothorax. there is a small left effusion
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no acute cardiopulmonary process.
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mild congestive heart failure with small to moderate sized bilateral pleural effusions, right greater than left. bibasilar airspace opacities could reflect compressive atelectasis but infection or aspiration cannot be excluded.
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no pneumothorax, pleural effusions or consolidations. postoperative changes from median sternotomy. bochdalek hernia is incidentally noted.
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as compared to the previous radiograph, no relevant change is seen. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pleural effusions. no pneumonia, no pulmonary edema. no pneumothorax.
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no acute intrathoracic process.
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mild pulmonary vascular congestion, without definite focal consolidation.
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small to moderate left pleural effusion, new from the prior exam with adjacent left lower lobe opacity which may represent adjacent atelectasis or superimposed infection. left upper lobe opacities are improved from the prior study. opacity in the right midlung is concerning for an additional focus of pneumonia.
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no pneumomediastinum. status post median sternotomy with fracture of the inferior most sternal wire. this is new from.
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copd with pulmonary emphysema. right base opacity appears slightly increased. findings may be due to progression of pneumonia; however, underlying pulmonary lesion is not excluded, particularly given underlying copd. recommend followup to resolution, consider nonurgent chest ct given background of copd.
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interval widening of mediastinum likely due to normal vascular filling. no evidence of airway abnormalities.
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left basilar patchy opacity may reflect atelectasis though infection is not excluded in the correct clinical setting.
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status post endotracheal intubation. hyperinflation. no evidence of acute disease.
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cardiomegaly. please refer to same day chest ct for further details.
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ap chest reviewed in the absence of prior chest radiographs, read with benefit of a subsequent chest radiograph, performed , , reported separately: opacification at the apex of the left hemithorax proved to be left upper lobe collapse, improved substantially seven hours later. pulmonary edema and cardiomegaly are mild....
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no acute cardiopulmonary process such as pneumonia.
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ap chest compared to. small right pleural effusion is stable. accompanying small left pleural effusion has increased since , probably since as well. severe cardiomegaly is unchanged. there is no pulmonary edema. presumably there is at least greater atelectasis at the base of the left lung, more significant pathology w...
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moderate cardiomegaly without evidence of fluid overload. no pneumonia nor pneumothorax.
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low lung volumes with mild bibasilar subsegmental atelectasis.
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left picc terminates in the lower svc.
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compared to prior chest radiographs, since , most recently. lungs are well expanded. linear scarring or atelectasis in the lingula is new. lungs otherwise clear. normal cardiomediastinal and hilar contours and pleural surfaces. mild to moderate thoracolumbar scoliosis has worsened slightly.
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nasogastric tube has passed below the diaphragm, hit stomach wall and returned back up the esophagus. recommend withdrawal of approximately <num> cm or consider repositioning under fluoroscopic guidance. otherwise, unchanged exam.
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small right pleural effusion and bibasilar atelectasis.
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pneumo retroperitoneum is considerably larger than small pneumomediastinum outlining the aortic arch, presumably reflecting air introduced at recent colonoscopy, with or without colonic perforation. there is no free subdiaphragmatic gas and no pneumothorax. lungs are clear. heart is normal size. vascular coils project ...
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ap chest compared to through : tip of the endotracheal tube which was nearly at the carina yesterday, is no less than <num> cm above the carina today, with the chin in neutral or elevation. it should be withdrawn <num> cm to avoid inadvertent unilateral intubation when the chin is flexed: lung volumes have improved si...
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possibly mild changes in appearance of pleural spaces following successful cardioversion.
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left subclavian central line continues to have its tip in the mid svc. lung volumes are slightly lower and there are moderate-sized layering bilateral effusions. there is overall worsening perihilar airspace disease with more confluent area on the left mid lung. although this may represent worsening pulmonary edema, pn...
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no radiographic evidence of an acute cardiopulmonary process.
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as compared to the previous image, there is a substantial improvement in extent and severity of the pre-existing right-sided aspiration pneumonia. the basal components of the pneumonia have almost completely cleared. a remnant apical component is unchanged. the monitoring and support devices continue to be in correct p...
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et tube tip is in the stomach. right central venous line tip is at the level of cavoatrial junction. heart size and mediastinum are stable. lungs overall clear with improvement of bibasal areas of atelectasis.
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in comparison to study of , this and placement of a dobhoff tube with the opaque portion distal to the esophagogastric junction. nevertheless, it could be pushed forward several cm for optimal position. the bilateral pulmonary opacifications appear less prominent, though this study was focused on the abdomen and a repe...
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low lung volumes with possible left pleural effusion.
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slight decrease in large right effusion.
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in comparison with the study of , there has been a left vats procedure with chest tube in place. no evidence of pneumothorax. postsurgical changes are seen on the left with elevation of the hemidiaphragm. no acute abnormality on the right.
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no previous images. cardiac silhouette is within normal limits and there is no evidence of vascular congestion. there is extensive opacification at the right base. although this could represent atelectasis, in the appropriate clinical setting right middle and lower lobe pneumonia would have to be seriously considered. ...
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no evidence of acute disease.
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cardiomegaly is moderate, pulmonary vasculature engorged, and pulmonary edema minimal. the small pleural effusions seen on the recent abdomen ct are not apparent. there is no focal pulmonary abnormality.
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no radiographic evidence for acute cardiopulmonary process.
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no focal consolidation concerning for pneumonia.
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ap chest compared to , feeding tube passes at least as far as the proximal jejunum and out of view. mild-to-moderate pulmonary edema changed in distribution but not in overall severity. moderate-to-severe cardiomegaly chronic. left lower lobe atelectasis, moderately severe, stable. at least small bilateral pleural ef...
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pneumomediastinum is better appreciated on the ct and is very subtle on the radiograph.
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bibasilar atelectasis. prominent interstitial markings bilaterally appear to be similar to the prior studies, suggestive of a chronic interstitial lung disease.
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right lower lobe consolidation compatible with pneumonia. recommend repeat after treatment to document resolution.
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right lower lobe pneumonia.
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no definite findings to suggest acute cardiopulmonary disease. however, if there is persistent clinical concern for possible pneumonia, standard pa and lateral radiography may be helpful to assess the lungs with greater sensitivity for any possible infection.
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small right apicolateral pneumothorax with chest tube in place. enlarging right pleural effusion with adjacent worsening right mid and lower lung opacities.
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cardiac size is normal. extensive bilateral opacities are a stable. there is no pneumothorax or pleural effusion. lines and tubes are in unchanged standard position.
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mild pulmonary edema has improved but residual interstitial abnormality remains. consider repeating ct if patient starts to do poorly given the prior findings (ct dated ) of multifocal peribronchial consolidation.
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findings suggesting mild vascular congestion.
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pacemaker leads terminate in the right atrium and right ventricle. no pneumothorax.
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severe right lower lobe atelectasis, accompanied by moderate right pleural effusion on change since. vascular congestion and borderline edema in the left lung and probable small left pleural effusion also unchanged. moderate cardiomegaly unchanged since. et tube and left subclavian line are in standard placements. tran...
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute findings in the chest.
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no significant interval change from prior. mild retrocardiac atelectasis.
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mild to moderate cardiomegaly with bibasilar atelectasis, mostly unchanged.
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moderate to severe consolidation in the lower lungs has extended superiorly on both sides suggesting the process is more likely dependent edema than pneumonia. accompanying pleural effusions are small or moderate. heart size is normal. no pneumothorax. any left subclavian right ventricular pacer defibrillator lead foll...
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ap chest read in conjunction with chest ct on. large peripheral mass in the left apex, and a second mass abutting the mediastinum, correspond to tumor seen in , though appreciably larger. there is no pleural effusion or pneumothorax, no evidence of appreciable pulmonary hemorrhage. heart size normal.