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MIMIC-CXR-JPG/2.0.0/files/p13645744/s56666489/6200d72a-c4ca64a4-81f5c895-238e59c7-a64288c5.jpg
moderate to large left sided pleural effusion and trace right pleural effusion. superimposed infectious process, especially of the left lower lobe and lingula, cannot be ruled out. mild interstitial pulmonary edema.
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as compared to the previous radiograph, a right picc line was removed in the interval. the lung volumes are normal. the lateral radiograph only shows a small left-sided pleural effusion. in addition, a parenchymal opacity is noted at the right and the left lung base, potentially reflecting pneumonia. no other relevant ...
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findings consistent with overt pulmonary edema due to heart failure. possible <num> mm right apical lung nodule. after diuresis re-evaluation with a radiograph and possibly a chest ct is recommended.
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no acute cardiopulmonary process. mild enlargement of the cardiac silhouette.
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moderate pulmonary edema.
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no definite evidence for acute process. moderate cardiomegaly. unchanged calcified granuloma in the right lung.
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interval decrease of left-sided pleural effusion. no pneumothorax.
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no previous images. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. specifically, no evidence of rib fracture or pneumothorax.
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as compared to the previous radiograph, the patient has received a hemodialysis catheter and now carries a pericardial drain. low lung volumes persist. increasing extent of a left pleural effusion with left basilar atelectasis. known pericardial effusion causes moderate cardiomegaly. constant severity of the known pulm...
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moderate pulmonary edema, improved since the prior study. bibasilar atelectasis.
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no acute cardiopulmonary abnormality. mediastinum is within normal limits without evidence of widening.
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no acute cardiopulmonary process.
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heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax.
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slight interval increase of right pleural effusion with similar left pleural effusion. the trachea is slightly displaced due to low lung volumes and the et tube may abut the tracheal wall. please correlate with ett function.
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small right effusion. emphysema
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no acute cardiopulmonary process.
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ap chest compared to : residual pleural effusion is minimal. no pneumothorax. heart size normal. left basal pleurx catheter and et tube are in standard placements, nasogastric tube passes into the stomach and out of view. right jugular line ends in the upper right atrium, approximately <num> mm below the estimated loca...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12143980/s57537350/f3fae6f2-4221041d-2345fb1a-b0d8cf9d-633113f7.jpg
in comparison with the study of , there is again enlargement of the cardiac silhouette in a patient with a single pacer lead extending to the apex of the right ventricle. there is still evidence of elevated pulmonary venous pressure, but much less prominent than on the previous study. suggestion of increased opacificat...
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swan-ganz catheter terminates in the right pulmonary artery. minimally improved vascular engorgement and mild pulmonary edema. mildly improved left lower lobe atelectasis. severe emphysema.
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findings suggestive of emphysema/copd without superimposed pneumonia.
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mild interstitial edema with mild cardiomegaly.
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small right apical pneumothorax is larger following removal of the right pleural drains. right lower lobe atelectasis is moderately severe and unchanged. previous pulmonary vascular congestion has improved and the fluid collection adjacent to the mediastinum above the right hilus continues to resolve. left lung is clea...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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unchanged moderate left pneumothorax, pneumomediastinum, and extensive subcutaneous emphysema.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10265482/s51582361/a8230243-5cba33f6-3529e6da-1e0d15f5-47f4e7f1.jpg
in comparison with the study , there is again enlargement of the cardiac silhouette with elevated pulmonary venous pressure. poor definition of the left hemidiaphragm again is consistent with small pleural effusion and compressive atelectasis. in the appropriate clinical setting, the basilar opacifications could be a ...
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ap chest compared to , : a midlevel to basal left pleural tube has been inserted with successful evacuation of the previous pneumothorax except for a small apical component. there is substantial atelectasis in the re-expanded left lower lobe and a small left pleural effusion. right upper lobe is clear, but its base als...
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as compared to previous study of <num> day earlier, note is made of slight improvement in extent of pulmonary edema, and decrease in confluent opacity adjacent to a fiducial marker in the left juxta hilar region. a very small left apical pneumothorax is newly appreciated with low lying pleural catheter. no other releva...
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no acute intrathoracic processon this limited exam. no signs of pneumoperitoneum.
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tip of the endotracheal tube is at the upper margin of the clavicles, no less than <num> cm from the carina. because the chin is down, this et tube is in danger of spontaneous extubation. it should be advanced at least <num> cm. the covering physician was paged immediately. left pic line ends in the mid svc. right-side...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17921262/s52431255/30f462ee-3e09a274-30012ff4-53d8f6ae-65fea55a.jpg
no acute cardiopulmonary radiographic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19308749/s56134966/8e860265-37eab3c8-a0798f7d-d8682533-72dad3d2.jpg
no acute cardiopulmonary process.
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large right pleural effusion, increased since prior.
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in comparison with the study of earlier in this date, there is again a minimal apical pneumothorax on the right with chest tube in place. the remainder of the examination shows no evidence of acute pneumonia or vascular congestion. spinal stimulator is in stable position.
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left lower lobe atelectasis and pleural effusion.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19387917/s52710687/72bdf3e0-0c3b43d7-8aa4d6fb-403c8a8f-c830a88e.jpg
normal chest.
MIMIC-CXR-JPG/2.0.0/files/p16369498/s56044674/405040a3-34bdf880-8aecf6e7-1e164112-4c17b6ed.jpg
no acute intrathoracic process.
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minimally displaced lateral right ninth rib fracture. no pneumothorax. stable t<num> compression. no acute cardiopulmonary process. consider repeat pa/lateral radiographs once rib fracture heals to ensure re-expansion of the right middle lobe. findings paged to dr at <num> on.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13561687/s57180419/8fd3eae5-20c2e80a-d4d9b6db-4fdc2969-e39440ce.jpg
no acute cardiopulmonary process.
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ap chest compared to through : moderate-to-large left pneumothorax, with basal, medial and apical components has increased since , despite the apical pleural tube. subcutaneous emphysema in the left chest wall still quite extensive. small volume of left pleural fluid is collected medially. right lung is grossly clear...
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possible minimal pulmonary vascular congestion. no definite focal consolidation seen. gaseous distention of what appears to be the stomach vs represent splenic flexure. correlate clinically.
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no acute cardiopulmonary process. no free air under the diaphragm.
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et tube tip is <num> cm above the carina. ng tube tip is in the stomach. left central venous line tip is at the level of mid svc. heart size and mediastinum are enlarged. pulmonary edema has substantially improved since the prior study.
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heart size and mediastinum are stable. left basal consolidation and small amount of left pleural effusion as well as right pleural effusion appear to be progressed since the prior study concerning for infection progression in combination with potential aspiration. there is no pneumothorax. central venous line (port-a-c...
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no acute cardiopulmonary process.
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atelectasis, no pneumonia.
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no acute intrathoracic process.
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no definite acute cardiopulmonary process. compression deformities in the thoracic and lumbar spine, age indeterminate, and clinical correlation is suggested.
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mild pulmonary edema, improved compared to the prior exam, with persistent small bilateral pleural effusions.
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cardiomediastinal contours are normal. lungs and pleural surfaces are clear. no acute, displaced rib fracture
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streaky bibasilar opacities with low lung volumes most suggestive of minor atelectasis, although infectious process is difficult to completely exclude.
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small right apical pneumothorax has decreased since. right basal drainage catheter is still in place. right pleural effusion is small if any. small left pleural effusion is stable. severe, widespread, infiltrative pulmonary abnormality has not improved. heart size is normal.
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in the interval, the patient has received a tracheostomy tube. the tube is in correct position. there is no evidence of pneumothorax or pneumomediastinum. the right picc line is unchanged. unchanged appearance of the lung parenchyma and the cardiac silhouette.
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no acute cardiopulmonary process.
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et tube ending <num> cm above the carina, should be advanced for stable seating. extensive bilateral consolidations with slightly improved aeration of the left mid to lower lung from the most recent prior study and.
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in comparison with the earlier study of this date, there are much lower lung volumes. endotracheal tube is in place with its tip approximately <num> cm above the carina. the low lung volumes accentuate the transverse diameter of the enlarged heart. vascular congestion is again seen. there is still some increased opacif...
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mild enlargement of the cardiac silhouette without acute cardiopulmonary process.
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no acute cardiopulmonary process.
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pa and lateral chest compared to : mild edema or ground-glass abnormality in the lungs is exaggerated by overlying soft tissue. moderate cardiomegaly and mediastinal vascular engorgement however are worsened since indicating cardiac decompensation. there is no appreciable pleural effusion.
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no acute cardiopulmonary abnormality.
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ap chest compared to : pulmonary vascular plethora is more pronounced today than on the prior studies, moderate cardiomegaly is stable. there is no pulmonary edema, pneumonia or pleural effusion. left pic line ends low in the svc. no pneumothorax.
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no acute cardiopulmonary process.
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streaky bibasilar airspace opacities, likely atelectasis
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anterior mediastinal opacity more conspicuous since without definite correlative finding on thyroid ultrasound. recommend non-urgent ct neck for further evaluation. mild cardiomegaly is unchanged.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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no radiographic evidence of pneumonia. no significant change compared with.
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in comparison with the study of , the right perihilar opacification has essentially cleared. otherwise, no evidence of acute pneumonia or vascular congestion. port-a-cath remains in place.
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as compared to the previous radiograph, the patient has received a left internal jugular vein catheter. the catheter crosses the midline and is now positioned in the upper right jugular vein. therefore, the catheter needs to be repositioned. there is no evidence of complication, notably no pneumothorax. unchanged appea...
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compared to chest radiographs since , most recently : heart size normal. lungs clear. no pleural abnormality or evidence of central lymph node enlargement.
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no acute intrathoracic process.
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compared to chest radiographs through. component of pulmonary edema has improved since but dense bilateral consolidation has worsened concerning for progressive pneumonia and/or pulmonary hemorrhage. pleural effusions are presumed, but not large. heart size is normal. et tube in standard placement. nasogastric tube e...
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no acute cardiopulmonary process. ct scan is more sensitive for the detection of acute aortic pathology.
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ap chest compared to on : a confusing ray of internal and external portions of tubing projects over the neck and upper mediastinum. i can see an endotracheal tube ending at the thoracic inlet and an orogastric tube passing into the stomach and out of view. there is also drainage tubing projecting largely between the s...
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no evidence of pneumonia. large right upper lobe pulmonary nodule, better evaluated on recent ct from.
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tracheostomy tip is <num> cm above the carinal. left subclavian line tip is at the level of lower svc. right picc line tip is at the level of lower svc. bilateral pleural effusions are large. right pigtail catheter is projecting over the right lower quadrant. mild vascular congestion appears to be slightly more progres...
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compared to prior chest radiographs through. left lower lobe is still collapsed. consolidation in the right lower lobe projecting over the spine is partially obscured could be additional atelectasis or consolidation. review of prior chest ct and cta scans showed severe bronchial secretions and most recently possible s...
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pa and lateral chest compared to : bilateral pleural effusion, small on the left, moderate on the right, has decreased since. right lower lobe is probably collapsed, as before. cardiac silhouette is slightly larger, raising concern for worsening cardiomegaly and/or pericardial effusion, but pulmonary vasculature and bo...
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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basal plate atelectasis on followup examination. no evidence of new acute infiltrates or pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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heart size and mediastinum are unchanged including cardiomegaly. there is interval improvement in left basilar a shin. bilateral pleural effusions are substantial, right more than left.
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no acute cardiopulmonary process.
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no acute intrathoracic process
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mild pulmonary vascular congestion and mild to moderate cardiomegaly.
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subtle opacification at the left base, possibly representing atelectasis, however an early developing pneumonia is a consideration.
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overall cardiac and mediastinal contours are stable. there are layering effusions, left greater right. more patchy retrocardiac opacity most likely reflects compressive atelectasis, although pneumonia or aspiration should also be considered. there is stable mild perihilar and interstitial edema. no pneumothorax.
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left chest tube placement for pneumothorax with no pneumothorax seen on current exam.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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since the recent radiograph of <num> day earlier, the endotracheal tube has been slightly retracted, now terminating well above the level of the clavicles, approximately <num> cm above the carina. this could be advanced several cm for standard positioning. side-port of nasogastric tube is proximal to the ge junction an...