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MIMIC-CXR-JPG/2.0.0/files/p16172946/s59866262/060f0e26-3e39eec0-2dfeba87-997695b4-2408356f.jpg
in comparison with the study , the there are increasing coalescent opacifications at both bases. although some of this could represent elevated pulmonary venous pressure, the appearance is highly concerning for superimposed pneumonia bilaterally.
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no acute cardiopulmonary process.
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in comparison with the study of , the endotracheal tube and nasogastric tubes have been removed. the other monitoring and support devices remain in place. continued enlargement of the cardiac silhouette in a patient with a previous cardiac surgery procedure. some indistinctness of pulmonary vessels are consistent with ...
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endotracheal tube slightly low in position, terminating approximately <num> cm above the level of the carina. recommend withdrawal by approximately <num> cm for more appropriate positioning. nasogastric tube seen coursing below the diaphragm, however, inferior aspect not included on the image. bibasilar opacities may r...
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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mild pulmonary edema, improved from the prior exam. no pleural effusion.
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cardiac size is normal. lines and tubes are in standard position. large bilateral effusions with adjacent atelectasis and diffuse bilateral peribronchial opacities / consolidations larger in the left upper lung are unchanged. there is no pneumothorax
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bilateral pulmonary nodules seen on prior ct dated consistent with known metastatic prostate cancer. to better evaluate and characterize change since , ct of the chest is recommended.
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lungs are clear. borderline cardiomegaly is unchanged. pulmonary and mediastinal vasculature are not engorged. there is no pleural effusion.
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mild cardiomegaly with hilar congestion. otherwise unremarkable.
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no acute cardiopulmonary abnormality.
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increased left basal opacity is due to left basal atelectasis and effusion; however, aspiration cannot be excluded. unchanged right upper lung nodule for which outpatient ct remains recommended.
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no acute intrathoracic process.
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there has been no appreciable change since at , except for decrease in the small loculated left pneumothorax and adjacent subcutaneous emphysema. mild edema the head atelectasis persist at both lung bases. the heart size is still mildly enlarged. pleural effusions are small if any. the right basal pleural drain reache...
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as compared to the previous image, the patient has been intubated. the tip of the endotracheal tube projects approximately <num> cm above the carina. there is no evidence of complications. the nasogastric tube and the right picc line are in unchanged position. massive bilateral parenchymal opacities, reflecting known p...
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in comparison with the study of , there is again diffuse bilateral pulmonary opacifications, increasing on the right, consistent with cardiomegaly, vascular congestion, and bilateral pleural effusions with compressive atelectasis at the bases. monitoring and support devices are essentially unchanged.
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a right-sided pigtail pleural catheter remains in place and there is a stable right apical and lateral pneumothorax. lungs are well inflated without evidence of focal airspace consolidation or pleural effusions. cardiac and mediastinal contours are within normal limits.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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limited study due to patient rotation. mild pulmonary edema.
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worsening likely multifocal pneumonia, likely atypical organism or pcp, alternatively pulmonary hemorrhage or drug reaction.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the nasogastric tube has been removed. borderline size of the cardiac silhouette without pulmonary edema. no pneumonia, no pleural effusions. no pneumothorax.
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no focal consolidation concerning for pneumonia. please note that chest radiograph is suboptimal for evaluation of the ribs. dedicated rib views, with marker placement, may be obtained if there is further clinical suspicion.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. continued hyperexpansion of the lungs consistent with chronic pulmonary disease. however, no acute pneumonia, vascular congestion, or pleural effusion. mild left apical thickening is again seen.
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top normal cardiac silhouette. no definite focal consolidation.
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<num> mm wide oval opacity projecting over the right upper lung could be the osteophyte at the first costosternal junction. if it is a lung lesion it is calcified. lordotic view can distinguish between these. lungs otherwise clear. heart size normal. no pleural abnormality.
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no acute pneumonia, pleural effusions or pneumothorax.
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no evidence of acute cardiopulmonary disease.
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fluid overload. an underlying infectious infiltrate can't be excluded.
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no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
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no interval change. stable small right and tiny left apical pneumothorax.
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status post right pneumonectomy with unchanged appearance. no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10901855/s54239814/62be4de5-138475fa-4808a2e1-47200f75-a565ff9a.jpg
no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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moderate cardiomegaly with mild edema.
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no acute cardiopulmonary abnormality. postsurgical changes in the right chest from prior lobectomy.
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new atelectasis right middle lobe probably due to increased small right pleural effusion. left lung clear. heart size normal.
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status post left chest tube placement. left-sided fracture deformities of several ribs.
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no radiographic evidence of pneumonia.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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pa and lateral chest compared to : previous external pacer leads have been removed. new transvenous right atrial and ventricular leads follow their expected courses from the new left axillary generator. small bilateral pleural effusions, unchanged since. heart size top normal, given mild hyperinflation of the lungs. no...
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no pneumonia.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14147386/s58876976/e33c2162-15097871-f8b47f5b-19581f2b-aff90372.jpg
mild pulmonary edema. please refer to subsequent cta chest for further details. chronic right shoulder dislocation.
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mild interstitial edema, similar to prior.
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increasing moderate right and large left pleural effusion. persistent mild pulmonary edema. moderate cardiomegaly likely due to valvular heart disease, especially aortic stenosis.
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in comparison with study of , the tip of the right subclavian picc line is in the lower svc near the cavoatrial junction. again there are low lung volumes but no evidence of pneumonia, vascular congestion, or pleural effusion.
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moderate pulmonary vascular congestion possible mild interstitial edema. small right pleural effusion.
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no significant interval change.
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slight prominence of the hila suggest pulmonary vascular engorgement without overt pulmonary edema. basilar atelectasis without definite focal consolidation.
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no acute cardiopulmonary abnormality.
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right chest tube is in place. minimal right apical pneumothorax is present. widening of the upper mediastinum is most likely related to recent surgery. right upper lung opacity is also most likely postsurgical. left lung base atelectasis is noted. no appreciable pleural effusion is seen. no left-sided pneumothorax is s...
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no acute intrathoracic process.
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ap chest compared to : the patient has had median sternotomy and mitral valve replacement. since , pulmonary vascular congestion has nearly resolved and interstitial edema has cleared. there are no findings to suggest pneumonia. a right skinfold should not be mistaken for pneumothorax. moderate cardiomegaly is longstan...
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no acute cardiopulmonary process
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edema without focal consolidation.
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no acute cardiopulmonary abnormality.
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ng tube tip is most likely in the stomach. right picc line tip is most likely at the level of lower svc. diffuse opacification of the lungs with the widening out is unchanged. the patient is substantially rotated to the left. bilateral pleural effusions are most likely present, large. et tube tip is approximately <num>...
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et tube tip <num> cm from the carina.
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no acute cardiopulmonary process.
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no pneumonia or pleural effusion.
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cardiomegaly with mild pulmonary edema and small bilateral effusions.
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comparison to. placement of a dual-chamber pacemaker. <num> lead projects over the right ventricle and <num> over the right atrium. no pneumothorax. low lung volumes. borderline size of the heart. no pulmonary edema.
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increasing bibasilar atelectasis and small left pleural effusion. standard position of support devices.
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comparison to. filled signs of mild fluid overload have completely resolved. moderate cardiomegaly persists. no pneumonia, no pulmonary edema, no pleural effusions.
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right upper lobe consolidation is concerning for developing infectious pneumonia in the appropriate clinical setting. pulmonary vascular congestion and mild edema.
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in comparison with study of , there is an placement of a nasogastric tube which coils in the fundus. otherwise little change.
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no evidence of pneumonia.
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low lung volumes which accentuate the bronchovascular markings with mild pulmonary vascular congestion. more focal patchy opacity in the right mid-to-lower lung could be due to consolidation from infection or aspiration.
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no acute findings, no pneumothorax.
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no acute cardiopulmonary process.
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a in comparison with the study of , there has been complete clearing of the lingular and left lower lobe pneumonia. there is hyperexpansion of the lungs suggesting chronic pulmonary disease, but no evidence of acute pneumonia or vascular congestion.
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retrocardiac opacity which could be consistent with pneumonia in the appropriate clinical context.
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moderate right pleural effusion, decreased compared to prior chest radiograph. no pneumothorax visualized.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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right lung base linear atelectasis/scarring. otherwise, no acute cardiopulmonary process.
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long-standing relative hyperlucency of the left lung compared to the right could be due to differences in soft tissue bulk, for example patient has had prior partial mastectomy or has had a left-sided cerebral vascular accident. alternatively the explanation could be a chronic condition known as bronchiolitis obliteran...
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no significant interval change.
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compared to chest radiographs through. left pleural effusion has decreased, now small. subcutaneous emphysema in the left chest walls also resolving. small left pleural effusion is still present, although the air-fluid interface is no longer horizontal. the pleural drainage tube is most likely still fissural, although...
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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stable subtle patchy opacity at the right medial lung base may reflect an area of atelectasis or aspiration pneumonia. clinical correlation is advised. fiducial marker at the left lung apex unchanged. prominent soft tissue in the right medial lung apex most likely represents vascular structures accentuated due to patie...
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as compared to radiograph but an earlier time, a focal area of consolidation in the right lower lobe appears slightly more prominent and may reflect at developing infectious pneumonia in the appropriate clinical setting. there is also a suggestion of a small right pleural effusion. exam is otherwise unchanged since re...
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ap chest compared to : mild-to-moderate pulmonary edema has worsened, most easily appreciated in the perihilar left and right lower lungs. the large area of persistent consolidation in the right upper lobe and superior segment of the right lower lobe has not improved. moderate-to-severe cardiomegaly is stable. mediasti...
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no acute cardiopulmonary abnormalities
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similar appearance of widespread interstitial and micronodular opacities, compatible with known lymphangitic carcinomatosis. no evidence of focal pneumonia.
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no acute intrathoracic process.
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rounded opacity in the left mid lung field, possibly reflecting an area of infection.
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stable post-radiation treatment change. no evidence of lymphadenopathy or lung mass.
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as compared to , no relevant changes are seen. moderate cardiomegaly. no pulmonary edema. sternal wires are in stable position. enlargement of the left atrium. right hemodialysis catheter in stable position.
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type of tube passes below the diaphragm. heart size and mediastinum are stable including mild cardiomegaly. volume loss in the right mid and lower lung, areas of right basal opacity and most likely at least partially loculated pleural effusion are unchanged. left basal opacity is unchanged. no pneumothorax or interval ...
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cardiomegaly without acute cardiopulmonary process.
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no acute cardiopulmonary process, no focal consolidation.
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subtle blunting of the bilateral posterior costophrenic angles suggests trace pleural effusions. prominence of the central pulmonary vasculature suggests mild vascular congestion. left basilar retrocardiac opacity could be due to atelectasis and vascular congestion however, consolidation due to infection not excluded.
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no acute intrathoracic process.