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MIMIC-CXR-JPG/2.0.0/files/p17713469/s52700416/36017633-057d7574-3f2bd377-4e3ea3d6-0c505a29.jpg
no acute cardiopulmonary abnormality.
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new <num> cm right lower lobe nodular density. recommend further evaluation with dedicated chest ct. placed these findings on the critical communications dashboard on.
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no acute cardiopulmonary process.
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in comparison with study of , the patient has taken a much better inspiration.
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no evidence of acute disease. anterior right shoulder dislocation.
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compared to chest radiographs through at. previous small left pleural effusion is smaller now. no pneumothorax. severe cardiomegaly stable. upper lungs clear. lung bases probably some atelectasis. no pulmonary edema. swan-ganz catheter ends in the right pulmonary artery. pacer defibrillator lead in place.
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appearances concerning for left lower lobe pneumonia. recommend followup repeat chest radiographs in weeks following completion of treatment to ensure resolution.
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intra-aortic balloon pump tip terminates at the level of the left main bronchus, <num> cm below the aortic knob apex. improved right basilar atelectasis. the right atrial pacemaker lead points medially.
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no acute cardiopulmonary abnormality.
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evidence of volume overload, small retrocardiac consolidation cannot be excluded and repeat radiographs following diuresis would be useful if clinically feasible.
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compared to chest radiographs since , most recently. pulmonary vascular congestion is borderline but there is no pulmonary edema or pleural or appreciable pleural effusion and normal heart size is stable. aside from linear scars or atelectasis in the left lower lung, lungs are clear. there are no findings to suggest pn...
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no acute cardiopulmonary radiographic abnormality.
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increased blunting of the left costophrenic angle, which may represent effusion or atelectasis.
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pacemaker and leads in appropriate position. no other significant change from the prior study.
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swan-ganz catheter tip is at the level of the right ventricular outflow tract. note is made that it is most likely looping within the right atrium. left chest tube is in place. of ng tube tip passes below the diaphragm terminating in the stomach. mediastinal drains are in place. et tube tip is approximately <num> cm ab...
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as compared to the previous radiograph, the lung volumes have decreased and the patient has developed bilateral mild to moderate pleural effusions. subsequent areas of atelectasis at the lung bases. mild fluid overload but no overt pulmonary edema. the position of the left picc line is unchanged.
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no relevant change as compared to the previous examination. right pectoral port-a-cath. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no other lung parenchymal changes, no larger pleural effusions.
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left port-a-cath terminates in the low svc/cavoatrial junction without evidence of pneumothorax. left base atelectasis without focal consolidation.
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no acute intrathoracic process.
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patchy right mid lung and bibasilar opacities may be due to overlapping structures although infectious process is not excluded.
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lungs are clear. heart size is normal. no pleural abnormality. indwelling, large bore vascular cannula ends in the right atrium, as before. large right upper quadrant abdominal calcifications been present since at least. although no acute fracture or other chest wall lesion is seen, conventional chest radiographs are n...
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no clear evidence of pneumonia.
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no acute cardiopulmonary process. no evidence of pancoast lesion. persistent mild leftward deviation of the cervical trachea more prominent than on prior without lumenal narrowing could be suggestive of a thyroid mass. correlate with examination.
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right-sided picc terminates in the low svc.
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no acute cardiopulmonary process.
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no acute cardiac or pulmonary process. stable appearance of known right upper lung and right hilar masses.
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worsening right pneumothorax with apical and new lateral components. stable subcutaneous emphysema.
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no focal consolidation to suggest pneumonia.
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decreased opacities at both lung bases.
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no acute intrathoracic abnormality.
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worsening right pleural effusion. stable positioning of bilateral chest tubes.
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low lung volumes and bibasilar atelectasis.
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ap chest compared to three radiographs on : if there is left pneumothorax, it is quite small. i do not see enough of change in the relationship of extensive left pleural calcifications with left chest wall to diagnose pneumothorax. lungs are obscured by pleural calcification. cardiomegaly is mild. if there is need to e...
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as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carina. other monitoring and support devices are in correct position. on the left, a millimetric apical lateral pneumothorax is now visualized. the left chest tube is in unchanged constan...
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severe emphysema. no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary abnormality.
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persistent moderate left and small right pleural effusion. no evidence of right or left heart decompensation.
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no focal consolidation concerning for pneumonia.
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no pneumothorax. bilateral pulmonary opacities likely reflect atelectasis.
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no significant changes compared to the prior study. no radiographic evidence of acute pneumonia.
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no acute cardiopulmonary process. no free intraperitoneal air. dilated loops of small bowel in the abdomen, better characterized on abdominal films from the same day.
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no acute cardiopulmonary process.
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ill defined opacity in the right mid lung could represent very infection. slight blunting of the right costophrenic sulcus may represent a tiny pleural effusion or pleural thickening.
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heart size and mediastinum are unchanged including cardiomegaly. post sternotomy wires are stable. interstitial opacities are slightly more pronounced than on the prior study. and might reflect chronic interstitial edema. nodular opacity seen on the previous examination in the left upper lung should be further assessed...
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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no focal pneumonia. small left pleural effusion and atelectasis.
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again seen is a large right lower lobe opacity measuring up to <num> cm, likely corresponding to patient's known lung cancer. please correlate with prior cross-sectional imaging.
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no acute process with unchanged t<num> and l<num> vertebral body compression freactures
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no acute cardiopulmonary process.
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there is marked cardiomegaly, stable. there is again seen a left upper lobe opacity, stable. curvilinear lines within the upper lobes are likely skin folds. lung bases are clear without pleural effusions. no pneumothoraces are identified.
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no acute cardiopulmonary abnormality.
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residual medial left pneumothorax with resolution of apical pneumothorax - no evidence of tension; slightly increased left pleural effusion with associated atelectasis.
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patchy right lower lobe opacity may reflect atelectasis versus pneumonia.
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mild pulmonary vascular congestion, improved compared to the prior study.
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no acute cardiopulmonary process.
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the right costophrenic angle is not entirely included on the study. the lungs appear hyperinflated suggesting underlying emphysema. there are multiple post-surgical changes on the right side, and there is prominent bilateral pulmonary arteries suggestive of pulmonary arterial hypertension. no focal airspace consolidati...
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new heterogeneous opacification of each lung. differential considerations include widespread pneumonia or pulmonary edema among other less common causes.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19678952/s53324277/79f79176-f104918f-d7c14a18-954100bd-3f58a7b2.jpg
no acute cardiopulmonary process.
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no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions. mild elongation of the descending aorta.
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no radiopaque foreign body identified. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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left lower lobe consolidation which, given leftward mediastinal shift, is concerning for volume loss and postobstructive pneumonia. a followup chest radiograph should be obtained weeks after the completion of the antibiotic course. if there is residual volume loss, then further evaluation with ct is recommended. these...
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no acute cardiopulmonary process.
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patchy left lower lobe opacity is subtle and may represent atelectasis or pneumonia.
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since , improved pulmonary edema and decreased size of moderate right pleural effusion with a loculated component. persistent severe cardiomegaly.
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unremarkable chest radiographic examination. of note, this study has suboptimal sensitivity for the detection of rib fractures and dedicated views of the ribs should be obtained if there is clinical concern.
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no acute cardiopulmonary process.
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in comparison with the study of , there is little overall change. continued enlargement of the cardiac silhouette with low lung volumes. prominence of interstitial markings persists consistent with elevation of pulmonary venous pressure. the left hemidiaphragm is not well seen, raising the possibility of volume loss in...
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clear lungs.
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mild cardiomegaly with mild interstitial edema.
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icd lead is in standard position. lungs are improved in appearance.
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in comparison to chest radiograph, heterogeneous opacities in the lingula and left lower lobe have minimally decreased. a new new focal poorly defined opacity has developed in the left mid lung. no other relevant change.
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small right-sided pleural effusion and mild atelectasis.
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as compared to the previous radiograph of <num> day earlier, right-sided chest tube and left pigtail pleural catheter remain in place. loculated left basilar pneumothorax it is apparently slightly larger than on the prior study, and there is also suggestion of worsening left lower lobe collapse. however, patient rotati...
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as compared to the previous radiograph, no relevant change is seen. no evidence of pneumonia. no pulmonary edema. no pleural effusions. low lung volumes and normal size of the cardiac silhouette. unchanged course and position of the right picc line, with the tip projecting over the cavoatrial junction. embolization mat...
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normal chest.
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chronic cardiomegaly, with evidence of mild acute cardiac decompensation. no pulmonary edema or pneumonia.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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lingular pneumonia, with possible extension into the left lower lobe. recommend a repeat chest radiograph after treatment to ensure resolution. results were discussed with dr at on via telephone by dr at the time the findings were discovered.
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low lung volumes with probable bibasilar atelectasis.
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little change since though with persistent small-to-moderate loculated pleural fluid demonstrated along the lateral aspect of the left hemithorax.
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mild improvement of pulmonary edema. substantial bibasilar atelectasis persist however in the appropriate clinical setting, may consider superimposed evolving pneumonia. small left pleural effusion. moderate cardiomegaly.
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ng tube tip overlying stomach. if a sideport is present, it likely lies in the region of ge junction.
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right internal jugular line has its tip in the mid to distal svc. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. endotracheal tube continues to have its tip approximately <num> cm above the carina. lung volumes remain markedly low with increasing opacity at the left base and a stab...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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tiny right-sided apical pneumothorax.
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no acute cardiopulmonary process. anterolateral left rib fractures are noted but are age indeterminate based on these views. consider dedicated rib series.
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market worsening of subcutaneous emphysema, particularly in the supraclavicular and cervical regions, accompanied by development of pneumomediastinum. right chest tube remains in place. basilar component of right pneumothorax is less evident, but small right apical pneumothorax is visible. postoperative bronchial dehis...
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cardiomegaly with mild edema.
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normal chest radiograph.
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mild left base opacity most likely represents atelectasis, although an early consolidation is not entirely excluded, but felt less likely.
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doubt significant change compared with <num> day earlier.
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no acute cardiopulmonary process.
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patchy opacity in the left lower lobe could reflect an area of chronic atelectasis but infection cannot be completely excluded. unchanged moderate cardiomegaly with mild chronic pulmonary vascular congestion.
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progressive moderate pulmonary edema, best appreciated in the perihilar left lung, is accompanied by increased vascular caliber in the upper lobes and new small left pleural effusion. bibasilar consolidation has also increased, due either to worsening pneumonia or edema deposited in the pneumonia. the possibility that ...