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MIMIC-CXR-JPG/2.0.0/files/p12481952/s54411064/21cfcecb-ee8f6090-013cda1e-aa42f4d6-7a329b14.jpg
unchanged exam with left chest tube tip located superior to small left loculated pleural effusion. communicated these findings via telephone to dr at on.
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in comparison with the study of , there is progressive clearing of the left basilar consolidation, with little if any residual. remainder of the study is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p18400907/s58217626/66407778-10a1c0d2-ea711077-dcaac0ac-cd76fd20.jpg
no acute cardiopulmonary process.
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no evidence of fracture or traumatic injury.
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mild cardiomegaly without congestive heart failure. mild bibasilar atelectasis. no radiographic evidence for pneumonia. no displaced rib fracture identified. if there is continued concern for a rib fracture, consider a dedicated rib series
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as compared to the previous radiograph from earlier the same date, a right pigtail pleural catheter has been removed with no visible pneumothorax. otherwise similar appearance of the chest except for withdrawal of a feeding tube which now terminates in the proximal stomach and slight improvement an left mid and lower l...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19525528/s59606921/2b970881-832b394f-b9c1c205-3bacb386-480c049a.jpg
compared to chest radiographs through. elevation of the right lung base due to combination of pleural effusion basal atelectasis and elevation of the right hemidiaphragm has not changed appreciably over the past several days with a basal pigtail pleural drainage catheter in place. there is no appreciable right pneumot...
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tip of the endotracheal tube is less than <num> cm from the carina and should be withdrawn <num> cm for standard positioning. poor definition of the airway, particular right main bronchus suggest retained secretions. lungs are low in volume but clear. normal cardiomediastinal contours. pneumomediastinum is mild if any,...
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in comparison with the study of , the monitoring and support devices are essentially unchanged. continued mild enlargement of the cardiac silhouette with some indistinctness of pulmonary vessels suggestive of elevated pulmonary venous pressure. at the left base, there is increased opacification with obscuration of the ...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. unchanged moderate cardiomegaly.
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chronic opacity at the right base stable over multiple prior examinations. no new focal parenchymal opacity. no evidence of pulmonary edema.
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slight blunting of the posterior costophrenic angles suggests small pleural effusions. bilateral central vascular engorgement. no focal consolidation.
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mild pulmonary edema.
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no acute cardiopulmonary process.
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opacity projecting over the spine on lateral view only. given lack of significant degenerative changes on prior ct, this may represent a focal parenchymal opacity in the setting of pneumonia in the proper clinical setting. followup after treatment suggested to document resolution.
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as compared to the previous radiograph, the patient has received the new left internal jugular vein catheter. the catheter is still in the jugular vein and has not transition in the brachiocephalic vein. unchanged normal position of the endotracheal tube, the nasogastric tube and the right internal jugular vein cathete...
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bibasilar airspace opacities may reflect atelectasis, but infection or aspiration cannot be excluded.
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in comparison with the study of. , there is no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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cardiac size is normal. the aorta is tortuous. there are low lung volumes. left lower lobe atelectasis has markedly increased from prior study. there is no pneumothorax. if any there is a small left effusion.
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comparison to. no relevant change. normal lung volumes. minimal atelectasis at the right lung bases. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the heart. unchanged position of the left picc line.
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small bilateral effusions, atelectasis, no active disease.
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large left-sided pneumothorax, without evidence of tension.
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little change compared to a prior examination with re-demonstration of minimal interstitial edema and small right effusion. no focal consolidation worrisome for infectious process. trace pneumoperitoneum is likely from recent peg tube placement.
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there is interval removal of the right pigtail catheter. heart size and mediastinum appear to be enlarged potentially due to portable nature of the study and low lung volumes that repeated radiograph is required. there is vascular congestion, perihilar concerning for pulmonary edema. there is no pneumothorax. there is ...
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no acute intrathoracic process.
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new left lower lobe/ retrocardiac opacity could be due to atelectasis, or pneumonia in the correct clinical setting. no pneumothorax.
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lower lobe consolidation, likely on the left, best seen on the lateral view, likely represents pneumonia.
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improved aeration of the left lower lobe without left lower lobe infiltrate. new area of increased opacity in the right mid lung laterally.
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left picc line tip in the mid svc
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mild pulmonary vascular congestion and small bilateral pleural effusions. known right hilar mass is better assessed on the previous ct. patchy opacities in the lung bases may reflect a combination of atelectasis as well as known bronchiectasis with fibrotic changes.
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in comparison with the earlier study of this date, the malpositioned nasogastric tube has been fixed so that the tip extends to the lower body of the stomach. otherwise little change.
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no acute cardiopulmonary process.
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no focal consolidation.
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left pic catheter tip projects over left brachiocephalic vein. no pneumothorax. findings discussed with dr at am by phone.
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no acute process.
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no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12643870/s55149654/806858e8-a171bc3f-00c26e46-dc7a6ed3-87308b55.jpg
minimal right basilar atelectasis. no pneumonia or congestive heart failure.
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no significant interval change in the appearance of the chest from prior. picc tip in the mid svc.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18482407/s59225584/ec4a1322-8a9bf09f-33fbd390-0a0943c8-11b3c889.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19949061/s58693436/605d9eac-c25103ac-e3ebcd05-eeed053a-9e1761c2.jpg
mild pulmonary edema. moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15775618/s54743673/3e6ccc99-04bb9bc1-b517cfb1-dbf754d1-99cae0fc.jpg
no acute cardiopulmonary process. no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p13860103/s51804506/ce509567-bee466f6-8b3264f4-8bddf233-6215eecb.jpg
as compared to the previous radiograph, all monitoring and support devices have been removed. the lung volumes remain low. moderate cardiomegaly. no larger pleural effusions. no pneumonia. no visible pneumothorax.
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no acute fracture or dislocation.
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moderate at least partially loculated right-sided pleural effusion, not significantly changed. mild pulmonary vascular congestion. no new confluent consolidation.
MIMIC-CXR-JPG/2.0.0/files/p10175233/s57434308/a2e1f1c1-ae561d5d-734f0e14-ccbf0365-45849ade.jpg
in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. mild hyperexpansion of the lungs is again seen but no evidence of acute pneumonia, vascular congestion, or pleural effusion. there is suggestion of mild impression on the right side of the lower cervical trachea, ...
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no acute cardiopulmonary process.
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congestive heart failure with worsening interstitial edema. left upper lobe lung nodule, which has been more fully evaluated by prior chest ct.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16911517/s56338189/35d84c02-80874b38-950be059-9ce08007-61f83237.jpg
no acute cardiopulmonary process.
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compared to chest radiographs. new right pic line ends in the mid svc. nasogastric tube ends in the upper stomach. lungs fully expanded and clear. small pleural effusion blunting of one of the posterior sulci on the lateral view is probably but not definitely on the right side. there is no pneumothorax.
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increased atelectasis and mild slightly improved pulmonary edema, unlikely to contribute to hypoxia.
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no evidence of pneumonia.
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left lower lobe atelectasis. no focal consolidations concerning for infection identified.
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comparison to. the bilateral basal parenchymal opacities are constant. no new opacities. no overt pulmonary edema. moderate cardiomegaly persists.
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ap chest compared to , read in conjunction with a chest ct on : no pneumothorax. left lung relatively well expanded. atelectasis persists at the right lung base. extent of pleural tumor involvement in central adenopathy with bronchial occlusion is not appreciated on conventional radiographs. heart size normal.
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normal chest radiographs.
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no appreciable interval change in focal right middle lobe airspace opacity which may be due to atelectasis, but infection or aspiration would be difficult to exclude in the appropriate clinical setting. right picc line in satisfactory position in the mid svc. stable cardiomegaly with left atrial enlargement.
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mild cardiomegaly, no pneumonia.
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no evidence of pneumonia. ett is at the carina and appears to be entering the right mainstem bronchus. if patient is still intubated, it should be pulled back by <num> cm.
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left lower atelelctasis improved. tunneled transvenous left ventricular pacer lead follows right subclavian approach.
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there is no evidence of pneumonia.
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no acute intrathoracic process.
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low lung volumes. no evidence of edema or pneumonia.
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comminuted and displaced right fifth through ninth rib fractures with associated subcutaneous emphysema and small right hemopneumothorax, better assessed on the previous chest ct. bibasilar atelectasis and small areas of contusion within the right lung base.
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borderline cardiomegaly, which may be projectional. otherwise, normal chest radiograph.
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in comparison to chest radiograph, a duo lead permanent pacemaker has been placed, with leads terminating in the right atrium and right ventricle. on the lateral view, the distal aspect of the right ventricular lead makes an abrupt posterior turn. cardiomediastinal contours are stable in appearance. lungs are clear ex...
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no acute intrathoracic process
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feeding tube with the wire stylet in place passes into the stomach and out of view. right subclavian line ends in the region of the superior cavoatrial junction. swan-ganz catheter ends at the origin of the right descending pulmonary artery. small right pleural effusion has increased. no pneumothorax. moderate to sever...
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borderline congestive heart failure.
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compared to chest radiographs. relative elevation of the right hemidiaphragm is more pronounced today, but unexplained. lungs are grossly clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces.
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emphysema with opacity in the right lower lung compatible with pneumonia.
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new interstitial abnormality suggesting mild pulmonary edema.
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persistence of increased interstitial markings may be due to an infectious etiology, likely viral, or chronic interstitial lung disease. follow-up in weeks for documentation of resolution is reccomended
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comparison to. the patient is in mild to moderate pulmonary edema. small bilateral pleural effusions and fluid accumulations in the pleural fissures are visible. moderate cardiomegaly. mild elongation of the descending aorta. no pneumonia, no pneumothorax.
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no acute cardiopulmonary pathology.
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findings suggest obstructive pulmonary disease with mild superimposed interstitial abnormality, suggesting mild superimposed vascular congestion.
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no acute cardiopulmonary radiographic abnormality.
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normal chest radiograph.
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left lower lobe pneumonia, nodular opacities in the right lower lung. recommend repeating routine pa and lateral chest radiograph with nipple markers in weeks after resolution of pneumonia. the above results were communicated via telephone by dr to dr at on. initial contact attempt was made at <num> minutes afte...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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small to moderate left pneumothorax, unchanged from the radiograph obtained earlier today. diffuse bilateral airspace opacities with more confluent opacities in the right middle lobe and lingula which may represent rapid worsening of metastases or coexisting multifocal pneumonia. septal thickening likely due to mild pu...
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no pneumonia.
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no evidence of acute cardiopulmonary process. prominent central pulmonary arteries, significance uncertain although etiologies such as pulmonary hypertension are possible.
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low lung volumes. normal size of the cardiac silhouette. mild elongation of the descending aorta. no pleural effusions. no pneumonia, no pulmonary edema.
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no acute abnormalities identified to explain patient's fever and cough.
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right apical opacity, question vascular ectasia versus underlying lesion. coarsened lung markings raise concern for interstitial lung disease. calcification of the mitral annulus. nonemergent ct is recommended to further assess. limited exam given low lung volumes.
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bibasilar atelectasis. doubt but cannot entirely exclude changes due to aspiration at the left lung base.
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no acute intrathoracic process.
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ap chest compared to : severe global consolidation has worsened dramatically since on. what was previously more pronounced consolidation in the right lung particularly the upper lobe is still the case, but consolidation has worsened in the remainder of the lungs, now accompanied by substantial pleural effusion. the in...
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compared to chest radiographs most recently. mild cardiomegaly and pulmonary vascular engorgement have both improved. there is no pulmonary edema. pleural effusion minimal if any. no pneumothorax.
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no acute cardiopulmonary process.
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no evidence of pneumonia. hyperinflation and reduced apical lung markings consistent with emphysema.
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normal chest x-ray.
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no acute cardiopulmonary process.
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a single-lead left-sided pacer remains in place with the lead terminating over the expected location of right ventricle. the heart remains enlarged with a somewhat globular configuration which most likely reflects cardiomegaly, although a pericardial effusion should also be considered. there are bilateral effusions, le...
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no acute cardiopulmonary process.