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MIMIC-CXR-JPG/2.0.0/files/p19765525/s51260526/bf0150fd-ffe34f18-ce3c80a3-3886df8e-3e1c45f4.jpg
the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no lymphadenopathy.
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as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly. tortuosity of the thoracic aorta. no pneumonia, no pleural effusions, no pulmonary edema.
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bibasilar patchy opacities could reflect atelectasis though infection or aspiration cannot be excluded. there are likely small bilateral pleural effusions. fiducial markers within the right apex with adjacent opacity is compatible with known malignancy.
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coarse widespread reticular opacities likely representing chronic interstitial disease. no superimposed consolidation is seen.
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interval removal of the endotracheal tube, nasogastric tube, and right internal jugular swan-ganz catheter. the cardiac and mediastinal contours are stable. lungs are somewhat diminished in volume. there is a layering left effusion. elevated right hemidiaphragm with probable small right pleural effusion. no pulmonary e...
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interval significant increase in perihilar and biapical opacities compatible with progressive infection.
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no acute intrathoracic process identified.
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no acute intrathoracic process.
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pa and lateral chest compared to , read in conjunction with chest ct earlier today, reported separately. the left apical pleural collection is larger, but otherwise, there has been no radiographic change since at least , including a mass posterior to the left hilus inseparable from the descending thoracic aorta, and at...
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as compared to , left pleural catheter remains in place with a persistent moderate-sized left pleural effusion adjacent to an elevated left hemidiaphragm. medially loculated hydro pneumothorax component is likely unchanged. heterogeneous opacities in the left lung have improved in the interval. right lung is clear exce...
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normal chest radiograph
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low lung volumes without acute intrathoracic process.
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no acute cardiopulmonary process.
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ap chest compared to through : left lower lobe collapse persists. right basal consolidation has improved. small bilateral pleural effusions are presumed. there may be very mild interstitial pulmonary edema. lines and tubes in standard positions. no pneumothorax.
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worsening pulmonary edema.
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compared to chest radiographs most recently. cardiomediastinal silhouette is now normal. lungs are clear. no pleural abnormality.
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no acute cardiopulmonary process.
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increased mild pulmonary edema and multi focal pneumonia, without improvement.
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chronic, severe emphysema. no pneumonia or heart failure.
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unchanged opacification at the right base. this may be due to atelectasis or aspiration. in the proper clinical setting, pneumonia cannot be excluded. stable moderate right and small left pleural effusions.
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new rightward mediastinal shift despite the development of a small right pleural effusion in the interim indicates substantial new volume loss in the right lung predominantly lower lobe. this can be seen due to aspiration and therefore the patient is probably at risk for developing pneumonia. left lung is clear. heart ...
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no acute cardiopulmonary process.
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normal chest radiograph.
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left basilar opacity which is compatible with atelectasis although infection is difficult to completely exclude.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no significant change in heterogeneous bilateral opacities. no pneumothorax or large pleural effusion.
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no evidence of active or latent tb.
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right lung base early pneumonia or atelectasis. early pneumonia is the preferred diagnosis in the appropriate clinical setting. engorgement of the mediastinal vessels consistent with increased central venous pressure. stable chronic cardiomegaly and enlarged aorta.
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right upper lobe pneumonia. followup radiographs after treatment with antibiotics is recommended to ensure resolution.
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no acute process in the chest.
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no pneumonia
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no evidence of acute cardiopulmonary process.
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right-sided subclavian line has been pulled back with the tip in the low svc.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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right lower lobe pneumonia. follow up radiographs after treatment are recommended to ensure resolution of this finding.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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pa and lateral chest compared to through. previous left lower lobe collapse has resolved. lungs are well expanded and clear. there is no pleural abnormality or evidence of central lymph node enlargement.
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mild cardiac enlargement. no focal opacity.
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possible mild interstitial edema. otherwise, no acute findings.
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as compared to radiograph, there are no new focal areas of consolidation to suggest an acute aspiration event. small right pleural effusion has decreased in size
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no acute intrathoracic process.
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comparison to. the patient has been extubated. status post right lower lobe wedge resection. the chest tube on the right is in situ. no pneumothorax. minimal retrocardiac atelectasis. overall low lung volumes. borderline size of the cardiac silhouette without pulmonary edema.
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severe cardiomegaly is stable. tracheostomy tube is in standard position. ng tube tip is in the stomach. hd catheter is in standard position. a moderate right and small left effusions are unchanged. retrocardiac opacities have markedly improved consistent with improving atelectasis
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no evidence of copd or emphysema. no acute cardiopulmonary process. findings were communicated by dr to dr by phone at on.
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patchy right lower lobe opacity with bronchiectasis, similar to the prior ct, which may reflect post radiation change or inflammation. no new focal consolidation. similar appearance of right eleventh rib lytic metastasis.
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right midlung rounded opacities are worrisome for new pulmonary nodules. recommend shallow obliques radiographs for further assessment or chest ct. no focal consolidation or pulmonary edema. recommendation(s): dedicated chest ct or shallow oblique radiographs could be obtained for further evaluation of new right midlun...
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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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unchanged chest radiograph.
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no acute findings.
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no acute cardiopulmonary process.
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streaky new opacity in the left lower lobe, probably due to atelectasis or airway inflammation. developing pneumonia seems less likely but short-term follow-up radiographs could be considered to reassess.
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in comparison with study of mk , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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moderate right pleural effusion with overlying atelectasis, underlying consolidation is not excluded. possible minimal pulmonary vascular congestion without overt pulmonary edema.
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mild pulmonary vascular congestion. bibasilar opacities, likely representing atelectasis. however, aspiration may be considered in the appropriate setting.
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low lung volumes. infectious infiltrates at the bases can't be excluded. there is also likely an element of pulmonary edema.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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in comparison with the study of , the monitoring and support devices remain in place. continued opacification at the left base is consistent with volume loss in the left lower lobe and pleural fluid. however, the mediastinum is now on the midline, consistent with some improvement in left lower lobe aeration. otherwise ...
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patchy bibasilar airspace opacities could reflect atelectasis but infection is not excluded.
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ap chest compared to , : one limb of the dual et tube ends in the left main bronchus just proximal to the upper lobe takeoff, the other in the low trachea. right lung is entirely collapsed as before. vascular congestion in the left lung is improved. right subclavian line ends low in the svc. volume of pleural fluid in...
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heart size is normal. minimal enlargement of the left ventricle is a possibility. descending aorta is tortuous. lungs are well inflated and even slightly hyperinflated. there is minimal opacity in the left lower lung that might potentially represent sequela of previous infection also with involvement of lingula. follow...
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stable left lung asymmetry in a patient who has had left upper lobectomy and thoracotomy. improvement of left lung base opacity with improved lung ventilation.
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mild improvement in the left upper lobe subpleural consolidation, which may represent pneumonia or pulmonary hemorrhage.
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unchanged left lower lobe opacity. evaluation with a lateral view is recommended to aid in differentiation between pneumonia and effusion. when lateral is obtained please attempt to have patient as upright as possible with arms extended.
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compared to chest radiographs since , most recently. bilateral pleural abnormalities, moderate on the right and small on the left are unchanged. aeration in the right lower lobe is compromised, presumably by chronic atelectasis, though improved since. there is no pneumothorax and no pulmonary edema. severe cardiomegaly...
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no acute cardiopulmonary abnormality.
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retrocardiac opacity which may represent atelectasis or post procedure changes, but cannot exclude pneumonia or aspiration in the right clinical setting
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focal left lower lobe pneumonia. findings entered into radiology communications dashboard on date of study along with recommendations for followup chest x-ray in four weeks after completion of antibiotic therapy.
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indeterminate nodule right upper lung, similar, follow-up chest ct recommended. mild bronchial wall thickening.
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mild cardiomegaly with prominence of the main pulmonary artery contour, correlate for pulmonary arterial hypertension.
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right basal pigtail pleural drainage catheter still in place. there has been no appreciable re-accumulation of previously large right pleural effusion since it was evacuated. no pneumothorax. large central masses and lymphovenous congestion are still present in the right lung. left lung is clear. mediastinum is midline...
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in comparison with the study of , there again is increased opacification at the left base consistent with pleural fluid and underlying atelectatic changes. in there is an appropriate clinical history, superimposed pneumonia could be considered. there is been placement of a long enteric tube that appears to extend beyon...
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pa and lateral chest reviewed in the absence of prior chest radiographs: heart size is top normal. lungs are fully expanded and clear. pulmonary vasculature is normal. there is no central lymph node enlargement, although calcified nodes are present in the prevascular station of the mediastinum. no pleural abnormality i...
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heart size is enlarged, unchanged. left retrocardiac opacity is slightly more prominent associated with a left and most likely a small right pleural effusion. there is no pneumothorax. there is no evidence of new consolidations. no pulmonary edema is seen.
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interval decrease in size of the left pleural effusion status post thoracentesis with residual patchy opacity at the left base likely reflecting compressive atelectasis. lung volumes remain low. no pneumothorax or pulmonary edema. overall cardiac and mediastinal contours are within normal limits.
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no acute cardiopulmonary process.
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as compared to the previous image, the lung volumes have improved, reflecting improved ventilation. minimal non characteristic scarring at the right lung basis is unchanged. unchanged size of the cardiac silhouette. no pulmonary edema. no pneumonia, no pleural effusions, no lung nodules or masses.
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no evidence of pneumonia. mediastinal widening, likely from lipomatosis or lymphadenopathy.
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new ill-defined opacity in the right upper lung field, recommend empiric pneumonia treatment with followup radiographs in <num> weeks and chest ct if no resolution.
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extensive pulmonary fibrosis, similar to examinations.
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perihilar interstitial abnormality, which could be consistent with pneumocystis jiroveci pneumonia.
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new findings concerning for left lobe pneumonia.
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no acute findings in the chest.
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no evidence for free air or acute cardiopulmonary disease.
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no evidence of acute cardiopulmonary abnormality and no evidence of subdiaphragmatic free air.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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low lung volumes exaggerate heart size, which is mildly enlarged. given the absence of interstitial edema, this could represent cardiomyopathy or pericardial effusion. recommend correlation with physical exam findings. trace bilateral pleural effusions.
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no evidence of acute cardiopulmonary disease.
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moderate pulmonary edema and moderate bilateral pleural effusions have increased since. severe cardiomegaly is also worsened. no pneumothorax.
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low lung volumes. pulmonary vascular congestion with mild interstitial edema and small pleural effusions
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lobulated opacity, possibly continuous with the left hilar structures, new since. while this may represent infectious etiology, given patient's history of lymphoma, further evaluation with cross-sectional imaging would be appropriate, if clinically indicated.
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compared to chest radiographs since , most recently. hyperinflation reflects emphysema. heart size top-normal. coronary arteries calcified proximally. previous edema or widespread interstitial pneumonia on has cleared excite from small residual interstitial abnormality at the left base. there is no appreciable pleural...
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mild pulmonary vascular engorgement and unchanged small left pleural effusion. continued bibasilar atelectasis.
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comparison to. the patient has received a sink lead pacemaker implanted in the left pectoral region. there is no evidence of pneumothorax or other complication. the previously placed nasogastric tube and endotracheal tube were removed. no pulmonary edema. no pleural effusions.
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low lung volumes. no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary radiographic abnormality.
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unremarkable limited portable chest x-ray.