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MIMIC-CXR-JPG/2.0.0/files/p15478717/s55584188/841ead2f-42bd3d15-530bdc72-67e3bf1d-299352a1.jpg
no acute intrathoracic process. if further concern for acute rib fracture, dedicated rib series may be performed.
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comparison to. normal lung volumes. minimal increase in severity of pre-existing predominantly micronodular and interstitial parenchymal opacities, notably at the right lung basis. no pleural effusions. borderline size of the heart. stable correct position of the right picc line. there appears to be an old right clavic...
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hyperinflated lungs. no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
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left chest tube within the thorax, in the retrosternal space, crossing the midline, impinging on the anterior mediastinum.
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pa and lateral chest compared to : right upper lobe pneumonia continues to clear. tiny right pleural effusion is smaller. hyperinflation indicates copd. heart size normal. right apical pleural scarring unchanged.
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as compared to the recent study of <num> day earlier, pulmonary vascular congestion has slightly improved, and the right lung base is slightly better aerated. right pigtail pleural catheter appears slightly changed in orientation, but positional differences between the exams limit comparison. small right pleural effusi...
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et tube tip is <num> cm above the carinal. right picc line tip is at the level of right atrium and should be pulled back <num> cm. heart size and mediastinum are unchanged in appearance. left retrocardiac consolidation is extensive.
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no radiographic evidence of pneumonia.
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low lung volumes with probable bibasilar atelectasis though infection is not completely excluded.
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chest x-ray examination within normal limits. no focal consolidation concerning for pneumonia.
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stable postoperative changes in the right lung with no acute cardiopulmonary process.
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findings suggesting mild pulmonary edema. similar cardiomegaly. stable mediastinal contours.
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no evidence of metastatic disease. no acute cardiopulmonary process.
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pa and lateral chest compared to : previous linear atelectasis or scarring at the base of the lungs is unchanged. lungs are otherwise clear. small hiatus hernia is present, previously it held pills. heart is normal size, mediastinum unremarkable aside from a nodule in the left lobe of the thyroid gland at the thoracic ...
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previous mild heart failure is improved and moderate cardiomegaly is unchanged from. new collapse of the anterior segment of the right upper lobe and an adjacent small region of consolidation in the right lower lobe and possible right middle lobe abnormality. ct would clarify the anatomy of these complicated findings.
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mild left basal atelectasis, otherwise unremarkable.
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continued improved aeration of the right lung, still there is collapse in the right lower lobe. cardiomediastinal contours are midline. there are minimal left lower lobe atelectasis. there is mild vascular congestion. ng tube tip is in the stomach. right subclavian catheter tip is in the cavoatrial junction.
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ap chest compared to : endotracheal tube is in standard placement. lungs are grossly clear. no pneumothorax or pleural effusion. heart size normal.
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no acute cardiopulmonary process. specifically, no evidence of pneumonia. results were discussed with dr at on via telephone by dr at the time the findings were discovered.
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no acute cardiopulmonary process.
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in comparison with the earlier study of this day, following stent placement there has been substantial re aeration of the right lung with the mediastinal contour is close to the midline. residual opacification is seen at the right base. left lung is essentially clear.
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little change.
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no acute intrathoracic process.
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comparison to. minimal increase in extent of a pre-existing left pleural effusion, a right pleural effusion is unchanged. moderate cardiomegaly. bilateral basal areas of atelectasis and mild pulmonary edema is present on the current image.
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no acute cardiopulmonary abnormalities
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right internal jugular catheter in the right atrium.
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interval intubation with endotracheal tube in standard position. no other relevant changes since recent radiograph from earlier the same date.
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compared to chest radiographs since most recently at. lung volumes have improved and mild interstitial edema has nearly resolved. heart size top normal. mediastinal veins and pulmonary vasculature are still somewhat engorged. there is no pneumothorax or appreciable pleural effusion. shunt catheter traverses the right...
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no evidence of shrapnel. there is metallic hardware in the cervical spine secondary to patient's cervical fusion.
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in comparison with the study of , there is little change and no evidence of pulmonary or skeletal metastases at the level of sensitivity of conventional radiographs. calcified left hilar lymphadenopathy again seen.
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no evidence of pneumonia. stable elevation of the right hemidiaphragm.
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comparison to. no relevant change is seen. known rounded right upper lobe opacity, with surrounding minimal scarring. no pleural effusions. no pneumonia, no pulmonary edema. normal size of the cardiac silhouette. recommendation(s): as in the previous reports, ct workup of the right upper lobe nodular lesion is strongly...
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chronic changes compatible with patient's known sarcoidosis without visualized superimposed acute cardiopulmonary process.
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left pectoral pacemaker with transvenous leads in the right atrium and right ventricle. no pneumothorax.
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ap chest compared to : lungs are low in volume today and yet the texture of the lungs has not become more radiodense. the appearance is comparable to , most likely mild pulmonary edema. mild-to-moderate cardiomegaly is longstanding. there is no pleural effusion and no pneumothorax.
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dual lead pacer as described. compatibility will be determined by the mri staff.
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no new focal consolidation concerning for pneumonia.
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as compared to the previous radiograph, the patient has received a left internal jugular vein catheter. the course of the catheter is unremarkable, the tip of the catheter projects over the mid to lower svc. there is no evidence of complications, notably no pneumothorax. otherwise, the radiograph is unchanged.
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mild cardiomegaly with no evidence of heart failure, aspiration, or pneumonia.
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no acute intrathoracic process.
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no acute cardiopulmonary process. no significant change from the prior exam done on.
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no evidence of acute disease.
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compared to chest radiographs through. small right pleural effusion and moderate right basal atelectasis have developed following removal of the right pleural drainage catheter. there is no pneumothorax. severe cardiomegaly is chronic and pulmonary vascular congestion persists.
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as compared to the previous radiograph, the patient has received a nasogastric tube. the patient has undergone abdominal surgery with expected pneumoperitoneum. no pneumothorax. left lower lobe atelectasis. no larger pleural effusions.
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as compared to , no relevant change is seen. extensive air collection in the soft tissues. monitoring and support devices in constant position. no pneumothorax. stable appearance of the heart and the lung parenchyma
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large left upper lobe cavitary lesion with second well-circumscribed lesion in the apex of the left lower lobe. these findings are concerning for either tuberculosis or malignancy. recommend chest ct for further evaluation. findings were entered into the critical results dashboard by dr at pm and then discussed with ...
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no evidence of pneumonia or displaced rib fracture. likely enlargement of the ascending thoracic aorta.
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no acute cardiopulmonary abnormalities. low lung volumes
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large left-sided pleural effusion with adjacent compressive atelectasis, slightly improved over the interval.
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no evidence of acute disease.
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right lower and middle lobe consolidation. known right lower lobe cavitary mass, better evaluated and appreciated on ct.
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minimal left basilar atelectasis.
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increased right mid and low lung opacity could represent consolidation or effusion.
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the lung volumes are normal. moderate cardiomegaly without pulmonary edema. normal appearance of the hilar and mediastinal structures. no pleural effusions. no pneumonia, no pneumothorax.
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no acute cardiopulmonary abnormality.
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low lung volumes. no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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in comparison with the study , the monitoring and support devices are stable. there are bilateral layering effusions with compressive atelectasis at the bases, more prominent on the right. cardiac silhouette remains enlarged with moderate pulmonary edema that is more prominent than on the previous study.
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significant decrease in the size of the right-sided pleural effusion status post pleural catheter placement without evidence of pneumothorax.
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picc line terminates at the cavoatrial junction. moderate cardiomegaly and bibasilar atelectasis, which has improved.
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as compared to the previous radiograph, the pre-existing pulmonary edema has completely resolved. small calcified granulomas at the right lung bases. moderate cardiomegaly with elongation of the descending aorta. no pleural effusions. no pneumonia.
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stable right apical pneumothorax. re-accumulation of the right basal pneumothorax which is comparable to chest radiograph obtained prior to second right-sided chest tube placement on. findings discussed with at , by phone at the time of discovery.
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no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
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a right-sided single-lead pacer remains in place with the tip terminating over the expected location of the right ventricle. small bilateral layering effusions, right greater than left. coarsening of the interstitium which is felt to most likely represent underlying chronic changes with interval resolution of the pulmo...
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findings suggest minor right basilar atelectasis with no definite evidence of injury.
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in comparison with the study of , the patient has taken a much better inspiration. the left picc line has been removed. an cardiac silhouette remains enlarged and there is hyperexpansion of the lungs with flattening of hemidiaphragms. no evidence of acute pneumonia or vascular congestion. mild residual streaks of atele...
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diffuse bilateral interstitial nodular opacities, increased background haziness probably represents increased interstitial edema. interval development of moderate bilateral pleural effusions.
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worsening opacity in the posterior basilar segment of the left lower lobe concerning for developing infectious pneumonia.
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decrease of moderate to large right pneumothorax compared to the prior study. new pleural effusion and opacity at the right base, likely representing infection.
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endotracheal and enteric tubes in standard positions. low lung volumes. patchy opacities in the lung bases likely reflect a combination of atelectasis and chronic interstitial abnormality, as seen previously.
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no acute cardiopulmonary process.
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stable interstitial abnormality suggesting combination of interstitial edema and underlying known interstitial lung disease.
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no acute cardiopulmonary process. hiatus hernia.
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small right apical and basilar pneumothorax, smaller compared to the study done earlier the same day.
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minimal left lower lobe patchy opacity, likely atelectasis. no pulmonary edema. findings compatible with pulmonary arterial hypertension, unchanged.
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no acute cardiopulmonary process.
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interval improvement in the left lower lobe pneumonia.
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interval placement of right internal jugular central line with its tip in the distal svc. the left subclavian catheter remains in place, unchanged. overall, cardiac and mediastinal contours are likely stable given differences in patient positioning between studies. the lungs appear well inflated without evidence of pul...
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no acute cardiopulmonary findings with improved postoperative appearance following right middle lobe wedge resection. severe emphysema.
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as compared to the previous radiograph, there is an increase in diameter of the pulmonary vasculature and beginning blunting of the right costophrenic sinus, potentially reflecting a small pleural effusion, combined to signs of mild pulmonary edema. unchanged bilateral basal areas of atelectasis. no focal parenchymal o...
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no appreciable right pleural effusion or pneumothorax, small bore pleural drain still in place at the base of the right chest. increasing heterogeneous opacification or right lower lobe medially could be pneumonia or atelectasis. small left pleural effusion stable. mild cardiac enlargement stable. no pulmonary or media...
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abnormal contour of aortic arch may represent clinically insignificant anatomic variant or represent a significant finding, depending on the mechanism of injury. conveyed these findings to dr at : on.
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no acute intrathoracic process.
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no pneumonia
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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compared to chest radiographs through. feeding tube ends at the pylorus. mild pulmonary edema, small right pleural effusion and chronic moderate to severe cardiomegaly all unchanged. no pneumothorax.
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right internal jugular swan-ganz catheter has its tip in the left pulmonary artery. an endotracheal tube has its tip at the thoracic inlet. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. bibasilar chest tubes are unchanged in position. a left-sided pacer is again seen with the lead...
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improvement since prior
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left-sided central venous catheter with tip projecting over the upper svc.
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there is no interval change. there is a dual lead left-sided pacemaker, unchanged. there is unchanged cardiomegaly. bilateral pleural effusions and a left retrocardiac opacity remain. there is mild pulmonary edema, stable. there are no pneumothoraces.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the pre-existing parenchymal opacity at the right lung bases has completely resolved. there are no new opacities. tracheostomy tube remains in situ. no pleural effusions. no pulmonary edema. no pneumonia. no pneumothorax.
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no acute cardiopulmonary process.
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no evidence of free air under the diaphragm.
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as compared to the previous radiograph, no relevant change is seen with respect to the lung parenchyma. the lateral radiograph, however, shows increasing wedge deformity of <num> vertebral body. in addition, the frontal image shows a zone of increased bone density at the level of the ventral aspect 's of the fourth rib...
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in comparison with the study of , there again are relatively low lung volumes that accentuate the transverse diameter of the heart. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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comparison to. development of mild to moderate pulmonary edema. mild retrocardiac atelectasis. stable moderate cardiomegaly. no larger pleural effusions. no pneumothorax.
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no evidence of acute disease.