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scattered opacities with a lungs are concerning for worsening metastatic disease. please correlate clinically.
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no acute cardiopulmonary process.
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<num>. medial right lung base volume loss, likely representing atelectasis. <num>. elevated right-sided hemidiaphragm.
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<num>. persistent opacification of the left lung, overall similar to <unk> at <time> <num>. mild vascular plethora, equivocally slightly greater, as seen in the right upper lung. <num>. minimal opacity at the right base is probably similar allowing for technical differences. question atelectasis, but attention to this area on followup films is requested to exclude developing pneumonic infiltrate.
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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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no evidence of pulmonary edema, pneumonia, or pleural effusions.
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<num>. findings suggesting minimal congestion or pulmonary venous hypertension, new on this study. <num>. patchy right basilar opacity suspected to represent minor atelectasis.
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left basilar subsegmental atelectasis. no evidence for pneumonia or pleural effusion.
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no acute cardiopulmonary process. the cardiac silhouette is not enlarged.
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no acute cardiopulmonary process.
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extensive bibasilar bronchiectasis with mucous plugging. superimposed infection is difficult to exclude.
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<num>. right ij terminates in the low svc. <num>. ng tube tip approximately <num>-<num> cm beyond the ge junction. the tube could be advanced for optimal positioning. <num>. no acute cardiopulmonary process.
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no evidence of focal consolidation, effusion or pneumothorax. triangular opacity at the base of the left lung suggests atelectasis. left internal jugular catheter terminates at the brachiocephalic svc junction and has its tip oriented upward.
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cardiomegaly without evidence of pneumonia.
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<num>. opacity in the right hemithorax could be right middle lobe pneumonia, or more likely an artifact of pectus excavatum. as a result, oblique views are recommended for further evaluation. <num>. small retrosternal nodule can also be further assessed on oblique views.
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no acute findings, no signs of pneumoperitoneum.
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no acute cardiopulmonary process or specific evidence of an upper lobe lung lesion.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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right upper lobe opacity unchanged and consistent with known lung carcinoma. there is an ill-defined patchy opacity posteriorly on the lateral view which is consistent with lower lobe pneumonia given the clinical symptoms. no definite corresponding abnormality is seen on the frontal projection. no pulmonary edema. stable cardiac contour. blunting of both posterior costophrenic angles consistent with tiny pleural effusions. no pneumothorax.
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no acute cardiac or pulmonary process.
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slight elevation of the right hemidiaphragm since the prior with possible atelectasis at the right base and probable small right pleural effusion.
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emphysema without evidence of pneumonia.
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new small left pleural effusion.
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bilateral pleural effusions, right greater than left, with overlying atelectasis. findings better assessed on subsequent ct.
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no significant change in the multifocal pneumonia in comparison to the recent chest ct.
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no evidence of pleural effusions. subsegmental atelectasis in the right lower lobe.
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no acute cardiopulmonary process.
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bibasilar opacities are similar to prior and was better evaluated on the prior ct chest which showed mild nsip fibrosis.
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there remains right pleural effusion with mild right basilar atelectasis. the left lung is clear with no evidence of pleural effusion. no evidence of pneumonia. enlarged heart with no vascular congestion.
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low lung volumes. mild pulmonary vascular congestion and bibasilar opacities, possibly reflecting atelectasis but infection cannot be excluded. overall, these findings are not significantly changed compared to the previous exam.
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normal radiograph of the chest.
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large left pleural effusion.
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no acute cardiopulmonary process. no rib fracture identified.
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right internal jugular central venous catheter terminates in the distal svc/ cavoatrial junction without evidence of pneumothorax.
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mild interstitial edema.
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multifocal right greater than left regions of consolidation compatible with pneumonia.
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no evidence of fracture or traumatic injury.
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no acute cardiopulmonary process.
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<num>. improvement in right lower lung lung opacity most likely represents viral bronchitis and/or atelectasis. <num>. hyperinflated lungs and flattened hemidiaphragms are suggestive of chronic obstructive pulmonary disease
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no acute cardiopulmonary abnormality.
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no infiltrate
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stable radiographic appearance of the chest, with no findings to suggest the presence of primary lung cancer.
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<num>. right lung base opacity, concerning for aspiration. <num>. right posterior rib fracture of indeterminate age. support and monitoring devices in appropriate position.
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progression of reticulonodular opacities within the lungs bilaterally as compared with recent ct chest. the differential on prior ct included acute interstital pneumonitis, viral infection, and drug reaction. however, superimposed infection cannot be entirely excluded.
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moderate congestive heart failure, worse since <unk>.
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<num>. no evidence of acute cardiopulmonary disease. <num>. persistent nodular density along the right hemidiaphragm, suspected to represent a small cavitating nodule associated with prior infarct. however, follow-up is recommended with either radiography or ct within <num> months for surveillance.
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persistent peripheral right mid lung rounded opacity better characterized on chest ct dated <unk>. no new consolidation is identified. blunting of the left costophrenic angle is consistent with a small pleural effusion additionally noted on ct l-spine obtained same day <unk>.
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mild bilateral vascular congestion with mild cardiomegaly but no pleural effusions. bilateral atelectasis. ectatic aorta and and large bilateral pulmonary arteries also seen on previous ct.
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overall interval improvement of the large left pleural effusion and bilateral pulmonary edema. these findings were discussed with dr. <unk> at <time> a.m. by dr. <unk> <unk> by telephone on the day of the exam.
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no acute cardiopulmonary abnormality.
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haziness at the right base most likely atelectasis; however, infectious process cannot be entirely excluded. please refer to subsequent ct for further details.
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mild left base atelectasis.
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bibasilar atelectasis.
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findings suggesting pulmonary venous hypertension without clear edema. nodular focus projecting over the right mid lung, probably a nipple shadow. however, when clinically appropriate, confirmation using a repeat view with nipple markers is recommended.
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cardiomegaly with mild intestinal pulmonary edema.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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findings consistent with pulmonary edema.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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stable small bilateral pleural effusions and moderate cardiomegaly.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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persistent prominence of the hila suggesting pulmonary vascular engorgement/enlargement of the central pulmonary arteries, similar to prior, with possible mild increase in vascular congestion as compared to prior study.
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no pulmonary nodules. no acute cardiopulmonary process.
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low lung volumes. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. right-sided port with tip at the cavoatrial junction. <num>. no evidence of acute pulmonary process.
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no acute cardiopulmonary abnormality.
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the dobbhoff feeding tube has its tip projecting over the stomach. the right internal jugular large bore catheter continues to have its tip in the right atrium. lung volumes have decreased and there is interval appearance of bibasilar patchy opacities most likely reflecting atelectasis, although pneumonia or aspiration cannot be excluded in the correct clinical setting. there is a small layering left effusion. no pneumothorax or pulmonary edema. overall cardiac and mediastinal contours are stable given differences in patient rotation.
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slight increase over less than <num> months in the already large left pleural effusion responsible for a near collapse of the left lung. stable mild interstitial pulmonary edema.
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no acute cardiopulmonary process.
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bibasilar subsegmental atelectasis without focal consolidation or pleural effusion.
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<num>. subtle increase in opacity along the lateral right lung base, could be secondary to pneumonia. oblique radiographs may be helpful to confirm. <num>. new small left pleural effusion. recommendation(s): oblique radiographs may be helpful to confirm consolidation at the lateral right lung base.
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new right mid lung field consolidation concerning for pneumonia. follow up radiographs after treatment are recommended to ensure resolution of this finding.
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no pneumothorax or pneumomediastinum.
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stable moderate-to-large bilateral pleural effusions with no strong evidence for pulmonary edema.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no significant change from prior. extensive pulmonary fibrosis. difficult to exclude a subtle superimposed pneumonia.
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<num>. chronic right middle lobe and bibasilar atelectasis or scarring. no focal consolidation. <num>. subtle irregularity along the anterior lateral fourth rib representing fracture, age indeterminate, evaluate for pain in this region. <num>. mild cardiomegaly, unchanged.
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severe cardiomegaly. no superimposed acute cardiopulmonary process.
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unremarkable radiographic appearance of the spinal stimulator, with electrodes located between t<num> through t<num>. no pneumothorax pleural effusion or mediastinal widening.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18763864/s51105845/bec76059-d822a385-737920ca-758f7426-b0042603.jpg
no focal consolidation to suggest pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16346972/s52226956/951d34bb-d69ba391-385341cb-54db2ee5-b2d0038e.jpg
stable, mild cardiomegaly and central vascular congestion without frank edema or pleural effusion.
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mild cardiomegaly without evidence of congestive heart failure or pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15707244/s55118105/fbddbf7a-454b6344-2bb8cc9f-b347b50e-ed3fdf1d.jpg
mild bibasilar atelectasis. no evidence of pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11893689/s54238104/ab42c417-f8261e2d-c4eb0dd8-f99c9721-33efc60d.jpg
unchanged <num> mm left upper lobe pulmonary nodule. no acute cardiopulmonary abnormality otherwise demonstrated.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14957416/s52421451/547480f7-b55db98c-8f7a283a-5786d9fa-7bfbb9e5.jpg
normal chest radiograph. specifically no free intraperitoneal air.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19627730/s55380874/2ceadc92-5f2a275d-d5128175-75a94503-8592fbf1.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14447762/s58317947/3a00ae62-c09a9baf-2b201a9d-bf8d8892-f67a9fe0.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10283092/s51093353/f1e8607f-d264fa96-9bf3e7c1-8cd7c053-61833f78.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15862861/s57954824/ea97666c-9c9161d1-1254e24a-29bdba29-67b20721.jpg
normal chest radiograph.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11702926/s50296718/0185c6e9-4d76c106-4f303ee4-10651634-4b3a8b2e.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18016018/s59147736/07396d2b-98173db7-941421ae-1bcf41ad-c6b34301.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10578325/s54315415/a7acbef2-c20b8b34-e23dea84-7cf78f07-c07cc449.jpg
no acute cardiopulmonary process.