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MIMIC-CXR-JPG/2.0.0/files/p15816738/s58243893/cceb0d84-bad4404c-d5328f46-736a07f4-de28ee6a.jpg
ap chest compared to and more recently ,. moderately severe atelectasis at both lung bases is more pronounced. mediastinal, pulmonary, and hilar vascular engorgement, most prominently severe pulmonary hypertension and biatrial enlargement, right greater than left, are longstanding. there is no pulmonary edema. et tube...
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mild pulmonary edema, mild cardiomegaly, mild bibasilar atelectasis.
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no acute findings in the chest.
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no definite acute cardiopulmonary process. right basilar opacity is potentially atelectasis due to lower lung volumes noting that infection is not excluded.
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right pectoral transvenous pacer with stranding in the right atrium and right ventricle. no pneumothorax. mild pulmonary edema and small right pleural effusion improved.
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no acute intra thoracic abnormality.
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no evidence of acute cardiopulmonary disease. possible left infrahilar nodule versus a normal vascular structure. when clinically appropriate, repeat pa and lateral radiographs are recommended to assess further. a preliminary report regarding the findings and recommendations was posted to the er department dashboard wh...
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limited portable exam without definite acute cardiopulmonary process. consider pa and lateral when patient is amenable.
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no evidence of pneumonia.
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persisting left pleural effusion with overlying atelectasis. new drainage catheter projects over the right upper quadrant. no evidence of free air under the diaphragms.
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in comparison with the study of , there again are low lung volumes that accentuate the transverse diameter of the heart. bibasilar atelectatic changes are again seen, more prominent on the left. pleural thickening is again seen bilaterally. no acute focal pneumonia.
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right lower lobe pneumonia.
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no evidence of pneumonia.
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no acute cardiothoracic process, but enlarged hila. comparison with prior cxr is recommended. otherwise followup cxr in <num> months is recommended. findings were entered into ed qa nurse email notification system by dr at <num> am on.
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no significant interval change.
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chronically consolidated left lower lobe has not improved. mild pulmonary edema has worsened. progressive consolidation at the base the right lung could be dependent edema but i am more concerned about pneumonia. mild cardiomegaly unchanged. small to moderate bilateral pleural effusions are presumed, and larger today t...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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in comparison with the preoperative study , there has been resection of the upper lobe nodule with chest tube in place and no evidence of pneumothorax. blunting of the left costophrenic angle is now seen. no evidence of vascular congestion or acute focal pneumonia.
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no acute cardiopulmonary process.
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stable appearance of left-sided unilateral pleural effusion.
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in comparison with the earlier study of this date, there is again a left pneumothorax with possible increase in the medial component. chest tube remains in place. extensive subcutaneous gas is seen along the lower left chest wall and upper abdomen. the right lung is essentially clear.
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persistent moderate right pleural effusion, may be loculated given that it does not spread out/layer on the decubitus view. likely right lower lobe atelectasis. right-sided picc terminates low in the svc.
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increased bronchovascular markings could reflect bronchitis. no lobar consolidation.
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comparison to. bilateral parenchymal opacities have minimally increased in extent and severity. low lung volumes and moderate cardiomegaly persists. mild fluid overload but no overt pulmonary edema. unchanged position of the right internal jugular vein catheter, with the tip projecting over the right atrium.
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unchanged bilateral interstitial and airspace opacities which may be due to edema versus infection. stable moderate cardiomegaly.
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severe pulmonary edema with probable pleural effusions.
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multifocal opacities involving the right lower, left upper, and possibly left lower lobe, are concerning for a multifocal pneumonia.
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mild pulmonary edema. no mediastinal hematoma or pneumothorax.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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pa and lateral chest compared to : the previous peribronchial infiltration in both lower lungs has cleared. lungs are unremarkable except for band of atelectasis at one of the bases seen only on the lateral view and the persistently low though somewhat improved lung volumes due, on the left, to severe splenomegaly. car...
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no acute cardiopulmonary abnormality.
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as compared to the previous image, the pre described opacity in the right lung is completely resolved. no opacities are seen on the current image. no pneumonia, no pleural effusions. persistent tortuous thoracic aorta and small eventration of the medial aspect of the left hemidiaphragm. degenerative right shoulder dise...
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no acute cardiopulmonary process.
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there has been some interval improvement in the tenuous aeration of the the edematous right lower lobe. right upper lobe is still collapsed. if there is any pneumothorax it is small and unchanged. extensive central adenopathy is noted. left lung is suspicious for lymphangitic tumor dissemination. the location of the re...
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patchy ill-defined opacity in the right lung base concerning for infection.
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no acute intrathoracic process. a lucent lesion with cortical scalloping in the left clavicle is incompletely evaluated. dedicated left clavicle views are recommended, as well as correlation with history of malignancy.
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endotracheal tube continues to have its tip approximately <num> cm above the carina. a right internal jugular catheter has its tip in the proximal svc. increasing consolidation at the left base which is concerning for aspiration, pneumonia or worsening atelectasis in the setting of a layering effusion. in addition, the...
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no acute cardiopulmonary process.
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dual lead right-sided pacer is unchanged. the heart remains enlarged. there are layering bilateral effusions with bibasilar patchy opacities suggestive of partial lower lobe atelectasis, although pneumonia or aspiration should also be considered. interval improvement but residual mild to moderate pulmonary edema. no pn...
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streaky retrocardiac opacity, likely atelectasis in the setting of low lung volumes.
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in comparison with the study of , the subcutaneous gas has substantially cleared on the frontal view, though it is still apparent in the presternal region on the lateral projection. opacification at the left base is consistent with postsurgical changes with possible small increase in pleural fluid and atelectasis.
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no acute intrathoracic process. port-a-cath tip positioned low likely residing within the right atrium. please correlate for adequacy. no pneumonia.
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no evidence of acute cardiopulmonary abnormalities.
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in comparison with the study of , there again are diffuse skeletal metastases. no definite evidence of superimposed pneumonia.
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no acute cardiopulmonary abnormality. left apical focal opacity, new from the prior exam. this could reflect an area of scarring, though further assessment with a nonemergent ct is recommended.
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no acute cardiopulmonary process. no significant interval change.
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unremarkable chest radiographic examination.
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no acute cardiopulmonary process.
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minimal improvement in bilateral pulmonary edema with increased small bilateral pleural effusions on left greater than right since and associated atelectasis or, less likely, focal consolidation of the left lower lobe.
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low lung volumes with minimal left basilar atelectasis.
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all a comparison study of , there is little change and no evidence of acute cardiopulmonary disease.
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multi focal consolidation has improved only in the right lower lobe, but worsened in the left lower lobe and may now involve the axillary region of the right upper lobe consistent with worsening pneumonia. pleural effusion is small if any. heart size is normal. overall the large lung volumes suggest emphysema.
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in comparison with the study of , the patient has taken a better inspiration. the port-a-cath is unchanged. cardiac silhouette remains within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. small right cervical rib is again seen.
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no acute cardiopulmonary process.
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no acute intrathoracic process
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no definite evidence of acute disease. streaky perihilar opacities, which suggest minor atelectasis, best depicted on the lateral view. mild mid thoracic degenerative changes.
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pa and lateral chest reviewed in the absence of prior chest radiographs: i do not see vascular clips at the hilus or resection in the right lung, the right hemithorax is smaller than the left, and the perihilar right lung, particularly just superior to the hilus, has the appearance of localized radiation fibrosis. ele...
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no acute cardiopulmonary process.
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abnormal prominence of the right pulmonary hilum is likely technique due to rotation. consider repeat study to clarify. otherwise, unremarkable.
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left ij catheter tip is in thelower svc. hd catheter is in standard position. catheter projects in the right upper quadrant of the abdomen. there is mild vascular congestion. moderate left effusion is grossly unchanged associated with adjacent atelectasis. right lower lobe opacities are a combination of small effusion ...
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no acute cardiopulmonary process.
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as compared to the previous radiograph, a nasogastric tube was inserted. the tip projects over the middle parts of the stomach, the course of the tube is unremarkable. there is no evidence of complications. unchanged appearance of the lung parenchyma and of the cardiac silhouette.
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no acute cardiopulmonary process.
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there is upper zone redistribution suggesting fluid overload or chf. the swan-ganz catheter tip is in the right pulmonary artery. right large-bore ij catheter is unchanged. endotracheal tube tip is <num> cm above the carina. the nasogastric tube tip is in the stomach. there are drainage catheters in the abdomen which a...
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moderate pulmonary edema, partially layering right pleural effusion. picc line and feeding tube in place.
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slight enlargement of cardiac silhouette, if clinically correlated, cardiology consultation is recommended. dr , been paged by dr. to report chest findings at pm.
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worsening opacities diffusely within the lungs. while a component of this is due to metastatic disease, given the rapid interval progression, superimposed infection is suspected, particularly within the left lung base.
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opacity in the right lower lobe could represent early pneumonia or aspiration.
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no acute intrathoracic process.
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heart size and mediastinum are stable. right picc line tip might potentially be in the azygos vein is previously mentioned. heart size and mediastinum are stable. core valve in is in expected position. bibasal right more than left opacities are unchanged.
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limited study as only a lateral view was submitted. no focal consolidation or pleural effusion seen.
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new left lower lobe early pneumonia.
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decreased left pleural effusion with residual left basal atelectasis. no pneumothorax.
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no evidence of acute cardiopulmonary disease.
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minimal pulmonary vascular congestion, without overt pulmonary edema.
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no acute cardiopulmonary process.
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low lung volumes with basilar atelectasis.
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in comparison with the earlier study of this date, the position of the dobbhoff tube is unchanged in the lower body of the stomach. continued low lung volumes with no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. dilated loops in the abdomen suggests an adynamic ileus pattern.
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diffuse multifocal pulmonary opacities compatible with multifocal pneumonia.
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probable bibasilar atelectasis; in the proper clinical setting, pneumonia or aspiration cannot be excluded. stable widened mediastinum. if concern for aortic pathology or mediastinal lymphadenopathy exists, further evaluation with a chest ct could be obtained. results were discussed with dr (micu resident) at on via...
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new cardiomegaly compared to previous exam from. mild pulmonary vascular congestion without frank pulmonary edema.
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patchy opacity right lung base, likely representing minimal atelectasis. an early pneumonic infiltrate area of aspiration is considered less likely. vertical ovoid lucency along the left trachea-- full or bleb in the medial left lung. <num> mm density overlying left lung laterally --? artifact due to overlapping rib sh...
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no acute cardiopulmonary abnormality.
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in comparison with the study of , there again are multiple bilateral peripheral nodules consistent with septic emboli. there is slight decrease in the overall involvement. there may be slight improvement in the partially loculated right pleural effusion. left pleural effusion is unchanged.
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compared to chest radiographs since , most recently through at. new feeding tube, with the wire stylet in place ends in the upper stomach. lateral aspect of the right chest is collimated off the examination. moderate pulmonary edema moderate left pleural effusion are unchanged. heart size normal. more dense opacifica...
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no acute findings in the chest.
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heterogeneous parenchymal opacities raise suspicion for pneumonia.
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relatively mild hyperinflation is chronic suggesting obstructive lung disease. there is no focal pulmonary abnormality. heart size is normal. severely tortuous descending thoracic aorta is long-standing.
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no acute cardiopulmonary abnormality.
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questionable retrocardiac opacity seen in the lateral view, not substantiated on the frontal view, could be due to overlapping structures, atelectasis; however, consolidation from infection or aspiration not excluded.
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interval improvement in the asymmetric interstitial opacities throughout the right lung. small left pleural effusion.
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no clearcut abnormality, but there are findings suggestive of a right-sided aortic knob and of mild prominence of the right and left ventricles. no radiographic evidence for pulmonary hypertension. no acute pulmonary process.
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in comparison with the study , there is little overall change. again there is elevation of the right hemidiaphragmatic contour with long streak of opacification that suggests fibrotic change. cardiac silhouette is within normal limits and there is mild tortuosity of the aorta. no evidence of acute pneumonia, vascular ...
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resolving right lower lobe pneumonia. chronic obstructive airways disease.
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comparison to. the left central venous access line has been removed. the right picc line is in stable position. mild cardiomegaly. no pulmonary edema. no pneumonia.
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minimal interstitial edema.
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no acute cardiopulmonary process.
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minimally increase lung volumes, potentially reflecting improved ventilation. however, the innumerable bilateral nodules are seen in unchanged manner. normal size of the cardiac silhouette. no pleural effusions. no pulmonary edema.