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MIMIC-CXR-JPG/2.0.0/files/p10730710/s54145162/81e43371-f96276a2-abd655de-05b2483e-45d94089.jpg
no evidence of acute cardiopulmonary process or rib fractures. however, this study has limited sensitivity for the detection of rib fractures. if there is further concern, dedicated rib views are recommended.
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ap chest compared to : severe pulmonary edema, which developed from progressively through has subsequently improved somewhat, but is still significant. moderate right pleural effusion is now visible, but may have been present yesterday as well. heart is normal size. mediastinal veins are engorged. pleural effusion is...
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in comparison with the study of , item there is continued substantial opacification in the right mid and upper lung zones. no definite pneumothorax. hazy opacification at the right base silhouetting the hemidiaphragm is consistent with layering effusion and underlying atelectasis. little change on the left.
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previous pulmonary edema has entirely cleared. heart size is top-normal. pulmonary arteries are persistently dilated suggesting pulmonary arterial hypertension. right jugular and evidence in the low svc. lungs are clear.
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low lung volumes and bibasilar atelectasis. possible small effusion versus atelectasis. compression deformity in mid thoracic spine as previously seen.
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moderate right pleural effusion and mild pulmonary edema have worsened since. mild widening of the upper mediastinum that developed between and on has not progressed. if this was due to either extravasation of intravenous fluid a or bleeding, there is no evidence of subsequent progression. large cardiomediastinal si...
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the tip of the endotracheal tube projects <num> cm from the carina. the enteric feeding tube extends into stomach. mild bibasilar atelectasis.
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no acute cardiopulmonary process.
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mild congestive heart failure increased from. left lower lobe consolidation concerning for pneumonia.
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interval increase in bilateral layering effusions and bibasilar airspace disease which most likely represents compressive atelectasis, although pneumonia cannot be excluded. there has been interval appearance of mild pulmonary and interstitial edema. no pneumothorax. overall cardiac and mediastinal contours are unchang...
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no acute cardiopulmonary process; specifically, no evidence of active or latent tb.
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no evidence of recent injury or acute cardiopulmonary process.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, no relevant change is seen. mild overinflation. borderline size of the cardiac silhouette. triple lead pacemaker in left pectoral position. no pulmonary edema. no pneumonia, no pleural effusions.
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in comparison with the study of , there again are low lung volumes with substantial enlargement of the cardiac silhouette but essentially no evidence of vascular congestion. the right swan-ganz catheter has been pulled back so that the tip lies within the mediastinal portion of the right pulmonary artery. other monitor...
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lungs fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal, including slight lateral convexity to the right supra cardiac mediastinum, probably a tortuous aorta.
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no evidence of pneumonia. persistent left lower lobe atelectasis.
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limited evaluation of the retrosternal clear space, which is opacified, possibly the result of mediastinal fat although lymphadenopathy or mass is not excluded, and further evaluation with ct is warranted. findings were entered into the radiology web-based results reporting tool for clinician notification.
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no acute cardiothoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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pulmonary vascular congestion without frank edema or effusion.
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ap chest compared to : small residual right pleural effusion unchanged, right apical pneumothorax resolved, since. appearance of the right basal pleural, small bore drainage catheter unchanged. i cannot tell from this single frontal view the full extent of intrathoracic excursion of the pleural drain. small left pleura...
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morgagni and hiatal hernias, but no acute cardiopulmonary process; limited assessment for subdiaphragmatic free air.
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right apical opacity is partially obscured by overlapping osseous structures and was better evaluated on ct. findings on ct may have been due to aspiration, infection, or contusion, given history of trauma. recommend follow-up chest ct for further evaluation and to assess resolution/exclude an underlying pulmonary lesi...
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no signs of pneumonia.
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appropriately positioned lines and tubes. unchanged subsegmental left retrocardiac atelectasis and mild cardiomegaly.
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in comparison with the study of , there is again some hyperexpansion of the lungs raising the possibility of chronic pulmonary disease. the cardiac silhouette is enlarged and there is some prominence of interstitial markings that could reflect elevated pulmonary venous pressure, chronic lung disease, or both. no defini...
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stable chest findings. no evidence of new acute infiltrates. unchanged minimal scar formations.
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pa and lateral chest compared to , right pneumothorax previously large, is now almost entirely evacuated except for a small residual at the base of the lung. both lungs are well expanded and clear. mediastinum has returned to. there is no appreciable pleural effusion. right pleural drain is coiled along the lateral as...
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the right subclavian picc line now has its tip in the proximal superior vena cava. the heart remains enlarged with a left ventricular prominence. bibasilar streaky opacities likely reflect subsegmental atelectasis. no pulmonary edema or pneumothorax. no large effusions.
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pa and lateral chest reviewed in the absence of prior chest radiographs: the patient has had median sternotomy and coronary bypass graft surgery. the heart is moderately enlarged, but there is no pulmonary vascular engorgement, edema or pleural effusion. lungs are mildly hyperinflated, but clear of any focal abnormalit...
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no acute cardiopulmonary process.
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similar appearance of diffuse bilateral ground-glass opacities with increased interstitial markings as seen on the previous ct. findings could relate to hypersensitivity pneumonitis, and clinical correlation is recommended.
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pa and lateral chest compared to and : there is very little change compared with the baseline study on. there is some mild peribronchial opacification in the left mid lung and a small region of similar abnormality at both lung bases. if this is pneumonia, it is probably atypical. pulmonary vasculature is engorged but ...
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no evidence of acute disease.
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no evidence of acute disease. moderate-size hiatal hernia.
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port-a-cath catheter tip is at the cavoatrial junction. cardiac silhouette appears to be enlarged as compared to the prior study might potentially be related to the sickle cell crisis. new opacities are noted in the lower lobes as well as vascular enlargement. no clear pneumonia is seen but right lower lobe pneumonia c...
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small persistent bilateral pneumothoraces with lower lung subsegmental atelectasis.
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no acute traumatic injury seen. please refer to subsequent ct for further details.
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findings concerning for bilateral lower lobe pneumonia.
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interval worsening of the left large hydrothorax causing near complete collapse of the left lung. worsening or new right lower lobe pneumonia or atelectasis. small residual right pleural effusion.
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no acute cardiopulmonary abnormality.
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stable moderately severe cardiomegaly. no focal consolidation or pulmonary edema.
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mild new vascular congestion. bilateral pleural effusions, left greater than right and increased from prior exam. increased left lower lobe opacity; atelectasis or pneumonia could be considered - correlation with clinical presentation is suggested.
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no active disease.
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ap chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. right supraclavicular central venous catheter ends in the mid svc.
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no acute intrathoracic process.
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is a severely hyperinflated lungs consistent with history of emphysema. no acute pulmonary abnormality detected.
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no acute cardiopulmonary process.
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unchanged left greater than right pleural effusion without pneumothorax.
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stable cardiomegaly with no evidence of pulmonary edema or pneumonia.
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no acute cardiopulmonary process.
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very low lung volumes, limiting the evaluation, and making a component of pulmonary edema difficult to exclude. no severe pulmonary edema is present.
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there is a new dual lead pacemaker with tips projecting over the expected location. there is volume loss in both lower lungs. lower lobe infiltrates cannot be excluded. there is no pneumothorax.
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vague opacity above the left hemidiaphragm may represent early pneumonia.
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cavitary lesions in the right lung, consistent with known aspergillosis, with interval increase in the size of the largest lesion since. stable multifocal ground glass opacities, with more confluent consolidation in the left upper lobe.
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no acute intrathoracic process.
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no pneumothorax. rib fractures better assessed on same-day ct exam.
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port-a-cath catheter tip terminates at the level of superior svc. cardiomediastinal silhouette is unchanged. there is interval improvement in left mid and lower lobe consolidations with some present right basal consolidation. bilateral pleural effusions are unchanged, small to moderate.
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comparison to. decrease in severity of the pre-existing right basilar atelectasis. stable moderate cardiomegaly with left retrocardiac atelectasis. no overt pulmonary edema. no pneumothorax.
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loculated right pleural effusion, increased in size from prior study.
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no acute cardiopulmonary abnormality.
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no pneumonia, edema, or effusion. bibasilar atelectasis.
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no acute cardiopulmonary process.
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interval improvement of the pleural thickening and basilar opacities, compared to the prior exams; however, evaluation for empyema is limited, and a ct would be recommended for further evaluation. d/w dr by dr by phone at p on the day of the exam.
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normal radiographs of the chest.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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cardiomegaly, unchanged. no overt chf. minimal bibasilar atelectasis again noted. swan-ganz catheter tip is relatively distal, superimposed over lower right pulmonary artery. clinical correlation regarding possible retraction is requested.
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worsening cardiomegaly, with vascular congestion small left pleural effusion. no overt pulmonary edema. no pneumonia.
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stable chest findings, no evidence of acute pneumonia in patient with history of cough.
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bibasilar plate-like atelectasis, slightly improved. please note a subjacent early pneumonia cannot be excluded at the lung bases. correlate clinically.
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pulmonary vascular congestion. new left lung nodule or scar. imaging followup should include conventional pa, lateral cxr, comparison to prior studies since the cxr her on. ed qa nurses notified by email from dr.
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as compared to the previous image, no relevant change is seen. moderate cardiomegaly. mild bilateral pleural effusions, right more than left. the multifocal parenchymal opacities are stable in size and morphology.
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no acute cardiopulmonary process. no radiopaque foreign body identified.
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esophageal drainage tube can be traced only as far as the gastroesophageal junction. if it is thought to end more distally, and upper abdomen radiograph should be obtained. lungs are well expanded and essentially clear. skin fold should not be mistaken for pneumothorax. heart size is normal. left-sided central venous c...
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essentially normal chest radiograph.
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no acute cardiopulmonary abnormality.
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ap chest compared to : yesterday's mild pulmonary edema has improved. there is more consolidation at the base of the left lung which is most commonly atelectasis but could be pneumonia. small left pleural effusion is larger, presumably related to the residual of previous heart failure. the heart is mildly enlarged but ...
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no acute cardiopulmonary process. copd.
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no previous images. there is a large hernia, most likely paraesophageal, with an appearance that could reflect gastric volvulus. nasogastric tube is within the upper stomach. no evidence of pneumothorax. probable atelectatic change and effusion at the left base. the right lung is essentially clear.
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slight decrease in small right apical pneumothorax with chest tube in place. multifocal right-sided pulmonary opacities consistent with contusion in the setting of recent rib fractures. coexisting laceration injury seen to better detail on recent ct.
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radiopaque structure overlying the upper dilated esophagus, of unclear etiology, but possibly representing persistent foreign body within the esophagus. pulmonary edema with right-sided pleural effusion. asymmetric enlargement of the right hilum for which comparison to prior chest radiograph is necessary to further eva...
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no acute findings. dialysis catheter in place.
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no significant interval change since yesterday's exam with lingular consolidation which may represent pneumonia in the proper clinical setting.
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no acute cardiopulmonary process. a <num> cm left upper lobe nodular opacity for which apical lordotic views are suggested for further evaluation regarding the possibility of a pulmonary nodule and if it persists, ct scan will be necessary.
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relatively similar appearance of enlarged globular configuration of the cardiac silhouette likely reflective of a moderate size pericardial effusion. mild pulmonary vascular congestion.
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low lung volumes in an otherwise uncomplicated post-surgical chest x-ray.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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multifocal opacities most pronounced in the left lower lobe concerning for multifocal pneumonia. copd.
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improvement of previously diagnosed exacerbation of copd, patient with multiple focal parenchymal infiltrates. the present chest findings are similar to what was noted on a more remote examination of.
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no evidence of active tb.
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age-indeterminate fracture of the mid thoracic vertebral body and old right rib deformity. correlate for acute back pain.
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no acute findings in the chest.
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as compared to previous radiograph from less than <num> hr earlier, a nasogastric tube has been replaced or repositioned, with tip terminating in the stomach. no other relevant changes compared to the recent exam.
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expected postoperative appearance of the chest.
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the right lower lobe opacity which probably represents a small amount of pleural effusion with an overlying atelectasis or possibly pneumonia in the right clinical context, has not significantly changed since the prior exam.
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in comparison with the study of , the cardiac silhouette is at the upper limits of normal in size and is less congestion or pleural effusion. mild atelectatic changes are seen at the left base, without evidence of acute