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MIMIC-CXR-JPG/2.0.0/files/p14976423/s54229644/8358768e-738230de-481d4641-76b91d42-c65e46dd.jpg
loculated right pleural effusion and bibasilar atelectasis, with two pleural catheters remaining in place. there is no appreciable pneumothorax.
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in comparison with the earlier study of this date, the right pigtail catheter has been removed and there is no evidence of pneumothorax. otherwise, the monitoring support devices are unchanged, and the appearance of the heart and lungs is stable.
MIMIC-CXR-JPG/2.0.0/files/p19205951/s57050097/2cac1f86-1099fb43-8203e14e-cf405329-9ee5912c.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14439439/s50017086/2665072d-c7fef0eb-f2f6ea06-410f7840-65a6de79.jpg
patchy right basilar opacity without priors for comparison may be due to atelectasis or vascular engorgement, consolidation felt less likely. mild prominence of the hila may be due to central pulmonary vascular engorgement with mild vascular congestion.
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low lung volumes. bibasilar airspace opacities could reflect atelectasis but infection or aspiration are not excluded. consider repeat pa and lateral radiographs with improved inspiratory effort. possible mild pulmonary vascular congestion.
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in comparison with the study of earlier in this date, allowing for differences in degree of inspiration there is probably little overall change in the pulmonary edema and enlargement of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p14429425/s55103263/ae1f3388-df33c8c9-2477884b-4f67f82c-e18cdb65.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12902262/s52061559/ac7b2602-589da60d-8a5d7dbe-c221faf1-f51f8a49.jpg
limited examination due to marked patient rotation and overlying motion artifact on the lateral view. cardiac enlargement which may reflect cardiomegaly or pericardial effusion. probable hiatal hernia. no definite pneumonia or pulmonary edema. followup imaging would be prudent.
MIMIC-CXR-JPG/2.0.0/files/p14031538/s57058294/de78b99b-1abd7619-f75f4761-5b79775e-67d2e9b8.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17446301/s58759004/b3bd3859-591be316-d1b2041e-7543f7b5-e5026e49.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11560612/s56715478/d86bb51c-f3436b33-aafd153f-efc454b1-81ec4603.jpg
left picc terminates in upper svc.
MIMIC-CXR-JPG/2.0.0/files/p15109259/s58693851/7b2bd9e4-ac74bb71-842934dc-4ff170d4-c9f4071d.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17422630/s53901686/73fab8d5-4f5483dd-1640742c-e6deac0d-7d913600.jpg
normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p11923653/s50802470/1f5e9fea-1dcbe594-2d7085d1-85bd4b2b-f4196179.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10216097/s52212875/cad22841-486f4875-a17a05b4-aca73961-9fd37b6f.jpg
in comparison with the study of , there is little overall change. continued substantial enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure and pseudo tumor of pleural fluid in the major fissure on the right. swan-ganz catheter remains in good position.
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bibasilar patchy opacities, likely atelectasis in the setting of low lung volumes. infection is not completely excluded in the correct clinical setting. no evidence of congestive heart failure.
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probable lingular pneumonia. radiographic followup in weeks following treatment is recommended to ensure resolution. findings discussed with dr by phone at on.
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apparent increase in heart size since conventional radiographs performed on is within the range of the difference between pa and ap projections. lungs are clear and there is no pleural effusion. pulmonary vasculature is unremarkable.
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interval development of large left pneumothorax is present. it has been demonstrated to resolved after replacement of the chest tube on the subsequent study.
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stable appearance of the chest. no definite acute process. suspicion for persistent pleural effusion and atelectasis at the right lung base. hiatal hernia.
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low lung volumes with possible mild fluid overload. consider repeat with better inspiration when patient able.
MIMIC-CXR-JPG/2.0.0/files/p18265366/s56333255/81ebb1b5-b8b4513c-7592cb31-7fd888bf-9551ea00.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13120246/s53601144/93e2a0ce-745584e8-d7956043-a4f8aac0-d94c8979.jpg
mild pulmonary edema and small bilateral pleural effusions with bibasilar atelectasis.
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no evidence of pneumonia. unchanged moderate to severe cardiomegaly.
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persistent mild elevation of the right hemidiaphragm. mild right basilar atelectasis without definite focal consolidation.
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no comparison. minimal atelectasis at the left lung basis. otherwise normal appearance of the lung parenchyma. no pneumonia, no pulmonary edema, no pleural effusions. no pneumothorax.
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interval decrease of pulmonary edema and effusions. linear opacities in the lung bases likely reflect scarring and resolving edema. no subdiaphragmatic free air.
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no acute cardiopulmonary process.
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small focus of air/gas immediately posterior to the sternum without evidence for bone destruction or dishiscence of sternal wires. although it is hard to exclude the possibility of gas-forming infection, the presence of gas in soft tissues can be anticipated following very sternotomy. improving left basilar opacity and...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12493796/s57454444/d0949c59-eaa13dd8-8cd14bf0-4a36e317-dfb5a6ed.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15808515/s56593621/cf4ec6e3-2afe1223-291a0ec1-495dd68f-8e39154c.jpg
comparison to. the pre-existing pneumonia has almost completely resolved. the structure and transparent see of the lung parenchyma has returned to knee a normal levels. complete resolution of the pre-existing pleural effusions is also noted. stable normal appearance of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p11504429/s52924249/d278f013-6c8b5a76-6d2d6e74-d45ea0be-e23b46a8.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11826927/s54383535/fd759660-fc95c135-cf97351d-d8f19e7c-86c4e8d4.jpg
no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p15864480/s55228985/69689d88-e785492c-194aa1cc-3fa493f0-1bbed483.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15119590/s51375160/38266b50-857932c2-2b15045a-3b36591c-6a1c5725.jpg
nasogastric tube with its tip within the lumen of the stomach.
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left clavicular fracture, better characterized by same day left clavicle films. no acute cardiopulmonary process.
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stable appearance of the chest with small to moderate right pleural effusion and trace left pleural effusion compared to.
MIMIC-CXR-JPG/2.0.0/files/p15192710/s53951719/6791ae5f-2b5a0473-e5a08897-c829d6ef-74848f0d.jpg
heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax. bronchiectasis at demonstrated on the prior ct chest are minimal end seen in the left lower lobe with interval resolution of previously demonstrated infectious process.
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interval increased size of an extensive right pleural effusion causing leftward mediastinal shift. multiple sites of metastatic disease and lymphadenopathy are better assessed on recent ct.
MIMIC-CXR-JPG/2.0.0/files/p12998429/s55341712/f6da998f-f0e60e7e-ac70be25-37683a49-fecc521d.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19101100/s51529732/c678d412-8399b1ec-ffa0875d-15d9b713-4e7a61f3.jpg
substantial interval clearing of right pleural effusion, pigtail pleural drainage catheter in place. possible tiny pleural air collection at the right base laterally, presumably a function of drainage. unusually sharply defined <num> cm wide spherical opacity in the right projecting over the right lower chest could be ...
MIMIC-CXR-JPG/2.0.0/files/p13246084/s52971351/8b1a6e89-f6d64b38-c15aae6b-989e5f09-7533f6d2.jpg
in comparison with the earlier study of this date, the right pigtail catheter has been repositioned and the pneumothorax has decreased, with corresponding improvement in aeration of the right lung. nevertheless, there is still a substantial pneumothorax. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p17985961/s52941788/67cf7021-10cca677-db4711d3-74eecc04-78255afa.jpg
new tracheostomy tube is midline. there is no pneumothorax or mediastinal widening. substantial atelectasis persists at the right lung base, and decrease in lung volumes generally is probably responsible for vascular crowding and platelike atelectasis at the left base. heart size is normal but increased since earlier i...
MIMIC-CXR-JPG/2.0.0/files/p12740948/s53838385/ecae3d11-ce6f57a2-457f6484-e1b1405b-55f4feb1.jpg
see above.
MIMIC-CXR-JPG/2.0.0/files/p19484416/s57368031/c66ea794-3fe224cb-4e0c508d-fe58a0ad-2e0929d4.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18587952/s55822777/b7af144b-15b1a053-e74be3b2-cf13f881-f63cbaa4.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12106911/s56808890/0999bd38-109e727b-5d2e4c3d-4ea0804a-943c6ac8.jpg
in comparison with the earlier study of this date, the right chest tube has been removed. overall there is some increase in fluid in the right hemithorax with corresponding decrease and gas. subcutaneous gas along the right chest wall extending well into the neck. the left lung is essentially clear.
MIMIC-CXR-JPG/2.0.0/files/p15286725/s55977893/e3d5e307-a5394d7f-94fa3ede-3c111f83-bad17e64.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18367977/s54265116/dc5f8cd0-303d9f07-4d343ee6-d95d8089-46edc355.jpg
previous mild pulmonary edema and moderate right pleural effusion have nearly resolved. moderate cardiomegaly is long-standing, but have pulmonary vascular congestion has been worse on most prior chest radiographs. vascular clips suggest prior minimally invasive coronary bypass surgery.
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as compared to the previous radiograph, no relevant change is seen. known left calcified pleural plaques. known minimal left pleural scar. no pneumonia, no pulmonary edema. no larger pleural effusions. normal size of the cardiac silhouette. unchanged appearance of the right lung.
MIMIC-CXR-JPG/2.0.0/files/p16095232/s50307474/688eb1aa-8c2b5fd8-fe59f8df-8e3d3cc5-36e25a68.jpg
previously reported opacity possibly representing a lung nodule is not seen on this study and most likely was a summation of shadows. likely interval development of mild chf.
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no radiographic evidence of acute cardiopulmonary process. small hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p12788091/s59387237/48011a6b-6e0e6585-d9570767-2b544bfe-639d8bc1.jpg
comparison to. low lung volumes are stable. moderate cardiomegaly. no pulmonary edema. no pneumonia, no pleural effusions. the monitoring and support devices as well as the sternal wires are correctly position.
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in comparison with the ct scan of , there again are multiple pulmonary nodules consistent with metastases. enlargement of the cardiac silhouette without vascular congestion is consistent with pericardial effusion. no evidence of pleural effusion. diagnosing rib fractures on plain radiographs is extremely difficult, esp...
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cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p17967161/s54508074/e4a91ae4-0ad8bc69-e7908646-18b41a27-4db85a11.jpg
no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18387698/s50036351/cc9ad077-14fd607c-c0e03438-b7a99c11-82af6170.jpg
as compared to radiograph, left pleural effusion has decreased in size adjacent left retrocardiac opacity has nearly resolved. large, partially loculated right pleural effusion with adjacent right mid and lower lung atelectasis and or consolidation is again demonstrated. right pigtail pleural catheter continues to ter...
MIMIC-CXR-JPG/2.0.0/files/p18718085/s56377465/474ebfc9-ec95da2c-b27f3aa9-cb16315d-821a8490.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18917073/s58313079/3d618524-b1600c97-5ccd9146-1bb1b3cb-232e36cc.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16508811/s52110166/13ef3d0a-59bd5ec5-714aa150-ad2c6c44-c8e32115.jpg
moderate pulmonary edema, stable cardiomegaly, trace pleural fluid.
MIMIC-CXR-JPG/2.0.0/files/p18806889/s54894398/b395c6c4-a42797a2-4edb7427-99ff2b50-c6781275.jpg
no significant interval change since , with mild cardiomegaly and probable left pleural effusion. no pulmonary edema.
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heart size is normal. mediastinum is normal. bibasal bronchiectasis are extensive and associated with extensive bronchial wall thickening and surrounding consolidation that appear to be more pronounced than on the remote radiographs and the radiographs dating back to , does consistent with bibasal infectious process. u...
MIMIC-CXR-JPG/2.0.0/files/p12101596/s57666123/48e999c8-93124efc-70aa58d2-9150ff20-76517647.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12840815/s54757390/f9df8e4c-c1278725-dc1e5683-08380dda-aef99414.jpg
no acute cardiopulmonary abnormality. distal right clavicular fracture as seen on dedicated right shoulder radiographs performed the same day.
MIMIC-CXR-JPG/2.0.0/files/p18019452/s57657661/bbc32b1c-996b39d2-9f016bb3-560711f9-53c07df9.jpg
marked increase in subcutaneous emphysema, with possible small right pneumothorax. marked interstitial abnormality, slightly increased from priors. standard positioning of support devices.
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no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pleural effusions. no pneumonia, no pulmonary edema.
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stable atelectasis in the right middle lobe, and improved consolidation in the left lower lobe.
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multiple old rib fracture including a healing fracture adjacent to the right <num>th rib. nodule in the right lower lung field that may be due to nipple shadow. recommend attention on follow up.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, no relevant change is seen in extent and configuration of the right upper lobe parenchymal opacity with air bronchograms, suspicious to reflect pneumonia, is unchanged. no new parenchymal opacities. mild fibrotic changes around the left hilus. no pleural effusions. normal size of...
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in comparison with the study of earlier in this date, there is little change in the diffuse bilateral pulmonary opacifications. specifically, no evidence of pneumothorax.
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new mild cardiomegaly without evidence of effusion or pulmonary edema. no evidence of pneumonia.
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in comparison with the study of , the monitoring and support devices are essentially unchanged. again there is diffuse bilateral pulmonary opacifications bilaterally that could well represent congestive failure. bilateral pleural effusions and basilar atelectasis is seen. however, in the appropriate clinical setting, i...
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moderate left and small right pleural effusions.
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heart size is normal. mediastinum is normal. bibasal bronchiectasis are extensive and associated with extensive bronchial wall thickening and surrounding consolidation that appear to be more pronounced than on the remote radiographs and the radiographs dating back to , does consistent with bibasal infectious process. u...
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comparison to. stable extent of a pre-existing left pleural effusion with subsequent retrocardiac atelectasis. increasing opacities at the right lung bases, adjacent to the heart right heart border, consistent with pneumonia in the appropriate clinical setting. stable size of the heart. stable position of the right pec...
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scattered opacities in the left mid and lower lung consistent with 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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mild cardiomegaly is unchanged, but pulmonary edema has worsened, most pronounced in the right upper lobe. spiculated nodule seen in prior ct in the left lower lobe is not clearly visualized in this radiograph, attention in followup ct is recommend
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no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13905256/s56635770/16763bf7-8173c311-f5addc3d-33287ea0-b69fdb38.jpg
no acute cardiopulmonary abnormality.
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no evidence of acute disease.
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improved right basilar consolidation.
MIMIC-CXR-JPG/2.0.0/files/p12900408/s53192217/6cd76b05-4272ce44-e6de3119-4e33f7a3-0b32384a.jpg
no acute intrathoracic process.
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bibasilar atelectasis, otherwise unremarkable exam. port-a-cath in place.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17953959/s59004629/fd4eb810-5586d59a-102b78cb-c4667a49-b2ae027f.jpg
no acute intrathoracic process.
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no acute cardiopulmonary process.
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swan-ganz catheter tip is in the main pulmonary artery. nasogastric tube is beyond the ge junction and beyond the edge of the film. a large <num> right-sided ij catheter is seen the tip in the proximal superior vena cava. there is persistent upper zone redistribution and blurring of vascular detail with cardiomegaly co...
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top-normal size of the cardiomediastinal silhouette, which may represent possible non-hemodynamically significant pericardial effusion.
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normal chest radiograph.
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low lung volumes with mild interstitial edema. no focal consolidation concerning for pneumonia.
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comparison to. as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carina. the patient has also received the nasogastric tube. the course of the tube is unremarkable, the tip of the tube projects in the middle parts of the stomach. no evid...
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mild cardiomegaly. otherwise, normal.
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no focal evidence of pneumonia. severe stable cardiomegaly. right-sided port-a-cath with the terminal tip projecting in the right jugular vein.
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no acute cardiopulmonary abnormality.
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initial re-expansion of the left lung with associated left lung atelectasis improved on the radiograph, but worsened on the initial radiograph. there is still substantial left lung atelectasis and a moderate size left pneumothorax.
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no acute cardiopulmonary process.
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large left hydropneumothorax with left basilar opacification concerning for infection as seen on the prior ct. ground-glass nodular opacities in the right lung base seen on prior ct are not well assessed on the current exam.