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MIMIC-CXR-JPG/2.0.0/files/p17533213/s59086417/bf0b0581-82a51c78-e900dbf3-2eac749c-2f9f6915.jpg
in comparison with the recent study, the tip of the swan-ganz catheter again extends well beyond the mediastinal border. it should be pulled back approximately <num> cm for better positioning. continued enlargement of the cardiac silhouette with elevated pulmonary venous pressure. triple-lead pacer device remains in pl...
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stable bibasilar linear opacities, likely representing atelectasis or scarring. no acute cardiopulmonary process.
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mild bibasilar atelectasis. otherwise, no acute cardiopulmonary abnormality.
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small right pleural effusion and moderate left pleural effusion with bilateral pulmonary opacities suggestive of edema. recommend repeat imaging after diuresis to evaluate for underlying infection. another possible etiology of these constellation of findings (given recent cardiac surgery) is post pericardiotomy syndrom...
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clear lungs.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, no relevant change is seen. borderline size of the cardiac silhouette. unchanged alignment of the sternal wires. low lung volumes. correct position of the endotracheal tube and the nasogastric tube. mildly enlarged cardiac silhouette with signs of mild fluid overload but no overt...
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top normal heart size. otherwise normal.
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no acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12554489/s53989220/37b89b1c-ba4f6846-ffd7a09b-8d8d4c66-e1a8ac00.jpg
findings consistent with congestive heart failure. more confluent basilar opacification could reflect asymmetrical edema or secondary process such as infectious pneumonia or aspiration.
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unremarkable chest radiographic examination.
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no acute cardiopulmonary process. low lung volumes.
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no focal consolidation to suggest pneumonia.
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ng tube tip appropriately positioned in the stomach. right picc again with tip likely in the proximal right atrium and may be pulled back a few cm if desired position is in the cavoatrial junction
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the study of , the patient has taken a better inspiration. cardiac silhouette remains enlarged without vascular congestion. the areas of heterogeneous opacification on the right are no longer present and there is no evidence of acute pneumonia at this time.
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right thoracostomy tube removed. combination of consolidation and moderate right pleural effusion not appreciably changed. no pneumothorax. distally suggestion of fullness of the right hilus. this should be monitored to growing hematoma. small left pleural effusion stable. left lung clear. heart size normal. left infus...
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no radiographic evidence for acute cardiopulmonary process. mild copd.
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pulmonary vasculature is mildly more engorged today than on following tracheal extubation. there no other significant changes. pleural parenchymal abnormality due to trauma or previous pleural effusion persists at the lateral aspect of the left hemi thorax, with a thoracostomy tube projecting over it. there is no laye...
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unremarkable chest radiographic examination. no subdiaphragmatic free air.
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as compared to the previous image there is substantial improvement in expansion of the postoperative right lung. however, a basal right postoperative opacity, associated with a small right pleural effusion, persists. the right picc line has been removed. the sternal wires are unchanged. unchanged appearance of the left...
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no evidence of acute disease.
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ap chest reviewed in the absence of prior chest radiographs: atelectasis in the left lower lobe helps to explain leftward mediastinal shift and downward displacement of the left hilus. left upper lung and right lung are clear. there is no appreciable pleural effusion. cardiomediastinal silhouettes are normal. when feas...
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chronic mild cardiomegaly increased since. no pulmonary edema or focal pulmonary abnormality. no appreciable pleural effusion. mitral annulus is heavily calcified, may contribute to mitral regurgitation, and aortic valve is at least moderately calcified, possibly stenotic, either explaining slight increase in pulmonary...
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increased bibasilar opacities in the setting of shallow inspiration, likely atelectasis.
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comparison to. no relevant change is noted. the left pectoral port-a-cath and the right chest tube are stable. moderate cardiomegaly persists. there is no evidence of pneumothorax. no pleural effusions. mild retrocardiac atelectasis. mild fluid overload but no overt pulmonary edema.
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right pleural effusion, however limited evaluation due to patient positioning. for a more thorough evaluation, repeat examination is recommended in a more symmetric position.
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mild interstitial pulmonary edema. stable mild cardiomegaly. small bilateral pleural effusions. chronic t<num> compression fracture, better assessed on prior ct from.
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no acute cardiopulmonary process. no displaced fracture seen. if clinical concern for rib fracture persists, suggest dedicated rib series.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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new retrocardiac opacity may be atelectasis or pneumonia. if radiologic confirmation is required for management, a repeat lateral radiograph at deeper inspiration and an view would need to be obtained. slight interval increase in the small right pleural effusion compared to the prior exam from. updated recommendation ...
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mild bibasilar atelectasis. no radiographic evidence for pneumonia.
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increase in degree of consolidation of the right upper lobe, a combination of mass and collapse, with accompanying increased small pleural effusion.
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mild pulmonary vascular congestion and new retrocardiac opacity, potentially atelectasis though infection or aspiration are not excluded. small left pleural effusion, also new in the interval.
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mild cardiomegaly unchanged. possible mild congestion. probable small left effusion.
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no acute intrathoracic process.
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as compared to the prior study there is interval improvement in pulmonary edema, currently minimal. cardiomegaly is substantial and unchanged. bilateral pleural effusions have decreased, still left greater than right, most likely moderate on the left and small on the right.
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no lung mass identified. minimal right basilar atelectasis. status post right lower lobectomy. ct of the chest should be considered for further assessment given the history of a lung mass.
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stable appearance of small-to-moderate right pleural effusion.
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no acute intrathoracic process.
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et tube tip is <num> cm above the carina. ng tube passes below the diaphragm terminating in the stomach. right picc line tip is at the level of superior svc. bibasal linear opacities are consistent with most likely atelectasis, slightly more pronounced than on the prior study.
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new or more pronounced small right effusion with underlying collapse and/or consolidation. persistent left small effusion with underlying collapse and/or consolidation. interval clearing of linear atelectasis in the left mid zone.
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new small right inferior pneumothorax
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enteric tube ends in the stomach.
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findings suggesting mild vascular congestion. substantial improvement in right infrahilar opacity. persistent retrocardiac opacity, but decreased; although not entirely specific, probably explained by chronic atelectasis associated with a substantial hiatal hernia. suspected small bilateral pleural effusions.
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no evidence of acute cardiopulmonary process.
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there is a right ij central line with the distal lead tip at the cavoatrial junction. heart size is within normal limits. there is some hazy density at the left base which likely represents atelectasis as opposed to developing infiltrate. there is no pulmonary edema or pneumothoraces.
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comparison to. no relevant change is noted. the severity of the pre-existing pulmonary edema is stable. moderate cardiomegaly and bilateral areas of atelectasis persist. the presence of a minimal right pleural effusion cannot be excluded. no new parenchymal lesions.
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comparison to. new bilateral parenchymal opacities, right more than left. the opacities are better seen on the frontal than on the lateral image. moderate tortuosity of the descending aorta. normal size of the heart. recommendation(s): given the clinical presentation of the patient, ct should be performed to better det...
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comparison to. moderate cardiomegaly. no pulmonary edema. no pleural effusions. a mild parenchymal consolidation surrounding the right hilus is stable in appearance.
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small bilateral pleural effusions with bibasilar atelectasis. no pneumothorax.
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improved appearance to pulmonary edema.
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mild cardiomegaly without overt pulmonary edema.
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no acute cardiopulmonary process. no free air under the diaphragms.
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no acute cardiopulmonary abnormality.
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no evidence of pneumonia.
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pa and lateral chest compared to chest radiographs and ct scans since , most recently and : ct scanning over the past years has documented the worsening, between and , of a diffuse infiltrative abnormality of the lungs, most marked always in the right lung. since , the radiographic severity of the abnormality has im...
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prominent interstitial marking, mildly enlarged heart size and prominent vascular markings likely from cardiac decompensation.
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right basilar pneumonia.
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in comparison with the study of , there has been substantial clearing of the bilateral parenchymal opacities consistent with pneumonia. small residual is seen at the left base.
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no acute radiographic intrathoracic pulmonary disease.
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the lungs are well expanded and clear. the mediastinal contours, hila, and cardiac borders are stable. trace bilateral pleural effusions are slightly improved from. biapical scarring is unchanged.
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normal.
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borderline cardiomegaly. upper zone redistribution and bibasilar atelectasis. otherwise, no acute pulmonary process identified. old right posterior rib fractures. chronic bilateral rotator cuff tears.
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interval improvement in extent of subcutaneous emphysema and bibasilar atelectasis when compared to the initial chest radiograph with some further improvement since after water seal. vary small anterior right pneumothorax. tip of the right pleural drainage tube is seen at the level of the sixth posterior right rib, <...
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no acute findings in the chest.
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no acute cardiopulmonary process.
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in comparison with the study of , the obliquity of the patient has decreased. cardiac silhouette is again enlarged with elevation of pulmonary venous pressure and bibasilar opacification consistent with pleural fluid and atelectasis, especially involving the left lower lobe. the right ij catheter has been removed. endo...
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in comparison to radiograph, a moderate sized right pleural effusion has apparently slightly increased in size with persistent adjacent atelectasis of the right middle and right lower lobes. there is otherwise no relevant change in the appearance of the chest since recent study.
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interval removal of a left-sided picc. otherwise, no significant interval change.
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in comparison with the earlier study of this date, there is little change in the degree of right apical pneumothorax. otherwise, little change in the appearance of the heart and lungs.
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moderate right apical lateral pneumothorax is similar compared to the recent study from earlier the same date. overall, no relevant short interval change since recent study.
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persistent ill-defined opacification within the right lower lobe representing pneumonia, but improvement of the the retrocardiac opacity. hyperinflated lungs suggesting copd. stable cardiomegaly.
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in comparison with the study of , there are again low lung volumes. continued enlargement of the cardiac silhouette with minimal if any vascular congestion. opacification at the left base again is consistent with volume loss in the lower lobe and pleural effusion. the right base is essentially clear. there are bilatera...
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no acute cardiopulmonary process.
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linear atelectasis at the left base.
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no acute intrathoracic abnormalities identified.
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cardiomegaly without acute cardiopulmonary process.
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in comparison with the study of , the right hemidiaphragm is not sharply seen. this could reflect developing pleural fluid or merely a more supine position of the patient. bibasilar atelectatic changes are again seen, though there is not these right lower lobe collapse that was noted on the study of. although it is dif...
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minimal blunting of the posterior left costophrenic angle, new since the prior study, may be due to a trace pleural effusion. minimal bibasilar atelectasis.
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small right pneumothorax, barely visible on this examination, and not to be confused with prominent skin folds, is probably unchanged since the chest ct scan. left lung is clear. right infrahilar atelectasis mild, but increased since earlier in the day. there is no appreciable pleural abnormality. heart size is normal....
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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comparison to. lung volumes remain low. improved ventilation of the lung bases, notably on the right. on the left, a small retrocardiac atelectasis persists. relatively wide mediastinum. moderate cardiomegaly. no pulmonary edema.
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calcified pleural plaques compatible with prior asbestos exposure. no acute cardiopulmonary abnormality otherwise visualized.
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prior chest radiographs since , most recently through. volume of left pleural effusion has decreased, with better aeration of the left lung has resolved. the air and fluid collection in the left midlung is still present. abnormally widened cardiomediastinal silhouette is unchanged. right lung is hyperinflated but clea...
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no acute cardiopulmonary process. no subdiaphragmatic free air.
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severe cardiomegaly and widening mediastinum are unchanged. right picc tip is in the cavoatrial junction. there is a small left apical pneumothorax. vascular congestion has improved. right lower lobe atelectasis has improved. retrocardiac opacity a combination of small effusion and large area of atelectasis is grossly ...
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on top of the post operative changes in the right lower lobe, there is likely a superimposed infectious process.
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slight interval worsening of mild pulmonary edema with small bilateral pleural effusions. left basilar opacity likely reflects atelectasis.
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no evidence of acute disease.
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no acute intrathoracic process.
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no focal lung consolidations identified. hyperinflated lungs.
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no acute intrathoracic abnormality.
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increased opacity in the right lower lung is seen on the frontal view only, and may represent pneumonia in the appropriate clinical setting. repeat with deeper inspiration may be helpful for further assessment.
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no acute cardiopulmonary process.
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cannot exclude left basilar pneumonia
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no acute cardiopulmonary abnormality. low lung volumes.