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/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18052969/s50989416/2591f598-b5d30d1a-fa629333-90f6b9cc-b2b461df.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17978664/s57666142/0ff37fb7-2b91a8f4-f3be021a-2cf9c36c-4a23646d.jpg
<num>. right picc line terminates at the cavoatrial junction. ett terminates approximately <num> cm above the carina. orogastric tube terminates in the proximal stomach and should be advanced approximately <num> cm to ensure that the side ports are beyond the ge junction. <num>. improved minimal bibasilar atelectasis. ...
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11630519/s50627422/52200085-25ff7e8c-fcc9f6df-474679f7-3b64a1f8.jpg
no interval change since <unk>. no evidence of pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13531354/s59228963/1d366210-957cd77f-4eda43ba-8519b231-fb8bd38a.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15843878/s58709014/ebc6889f-1d21968e-0c058f22-92678f6b-938dd389.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17600438/s59762607/67eb117b-fd61f9a2-8117034c-839150f9-2656e623.jpg
left sided port-a-cath tip terminates at the junction of the svc and right atrium. mild atelectasis in the lung bases with trace bilateral pleural effusions.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11131026/s59203388/5280adc4-1012f221-39ab6396-973c799c-a410b6b9.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18939640/s58092262/15bf086a-4bd4eb9a-64bb0439-4131ac88-cd457ef0.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17768305/s55806498/40bbe296-470399b4-b61f3dcf-d88d405d-d3b31347.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19455517/s58588862/941e5f6c-c752e5f6-a9aa628d-e7c54d29-3761571e.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16603653/s58170877/c5bd35a0-65587616-b2f6a2ff-3ce95db7-bec18f4b.jpg
<num>. no acute cardiopulmonary process. <num>. large diaphragmatic hernia containing stomach and probably bowel, as bowel was seen in this location on prior ct. this puts the patient at risk for complicatiosn of bowel herniation.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17649973/s57461988/ed024a27-7dbb519c-206c5890-d0eb9ab4-d75b300d.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17496226/s55646727/fee10c15-1d31c60a-005ffe63-29a60c6f-f2216af2.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12379467/s53149235/01781df2-668d997c-8ae187f8-31f6dabf-8632bece.jpg
increased opacity along the left lateral lung thought to represent overlying soft tissues. obliques views may be helpful to resolve this finding. otherwise unremarkable exam.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18591791/s58711923/a6ebfb30-8b7c9e01-a40ef96d-16b9030f-06a46ddd.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17554391/s50182979/747a0158-51840620-3931659c-07182e1b-31dc16a1.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14884724/s52656651/43cf24ab-19283cc3-225e79b9-b60e41b3-0736f9cf.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14004436/s54244999/b4e87d18-a06c6d5d-6b47addd-e6d7d741-3f61fb9e.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16068427/s50868851/c88e20db-b0bec14c-6066942a-ce142edf-e572b0fe.jpg
<num>. findings suggesting mild vascular congestion. <num>. possible nodule in the left mid lung; evaluation with chest ct is recommended when clinically appropriate.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17261345/s53212434/bd4bd6b8-9890d6ea-8b20454a-ce953d4e-3039ee31.jpg
interval appearance of pulmonary vascular indistinctness and perihilar fullness suggestive of mild perihilar and pulmonary edema. the cavitary nodular opacity in the right upper lobe is stable. patchy opacity at the right base is felt to more likely be related to the pulmonary edema rather than representing a superimpo...
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13443536/s55677552/fbd6bad6-8421ac42-93115a96-98fd279b-76a0305f.jpg
diffuse interstitial parenchymal opacity consistent with known fibrotic process. no definite focal consolidation is identified, however is difficult to exclude an underlying acute infectious process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16556875/s58122384/e26f87ca-dcbd490b-21bd599f-64775177-003d2d91.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17171746/s56535781/2082b1b4-fc8c8e3f-065d1e0d-fb0aca60-240e0109.jpg
no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15923737/s56105862/4a641da4-912b34bb-67ea7c67-9d768e57-3d3c7d89.jpg
stable normal chest findings, thus no evidence of any pulmonary abnormalities in this patient on chronic medication for crohn's.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12724975/s56827357/1d26be6f-10aa4102-0e505913-043d1ac3-1d2867a3.jpg
<num>. bilateral parenchymal contusions. recommendation(s): see the subsequent chest ct and report for fuller diagnosis.
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<num>. small right pleural effusion and minimal right apical pneumothorax. possible upright films would better evaluate the extent of the pleural efufsion and pneumothorax. <num>. improvement right lung opacities indicates improvement in right parenchymal hemorrhage and lower lobe atelectasis.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14776870/s57533690/f30d1736-e85670cc-f5d8c30a-c163e3fc-3fd3ca52.jpg
mild pulmonary vascular congestion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16057707/s58706676/bcfcd5e9-b3f61d6f-ba65ab1e-382c68b3-bb166b13.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16007214/s59357251/c86d99e6-ee6f483c-5e30b857-9e648c17-351269bf.jpg
lower lung opacities concerning for pneumonia versus aspiration.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14419450/s56960502/eca4ea36-93324281-e5b2d4f9-496d6a7d-1d757ed1.jpg
<num>. increase in left lung base atelectasis. <num>. no pneumothorax or pleural effusion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11305621/s58845823/574b6eb6-c87db04c-ad4aeec0-9e3e910c-8e0a9b6d.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14391494/s51723434/9a193d34-dbb1bd5d-edaf139d-4a70d746-c763286b.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18628296/s56314840/a38b85bc-4e40ecea-7764e5ba-ce715746-a0faf568.jpg
right internal jugular central line has its tip in the distal svc. nasogastric tube is seen projecting over the stomach in satisfactory position. endotracheal tube has its tip <num> cm above the carina. overall cardiac and mediastinal contours are stable. there is improved aeration at the right base and residual faint ...
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15247445/s55078147/5ca98160-c66e9abe-13e4109f-409c29f3-c13317a9.jpg
normal chest radiographs. no radiographic evidence of active tb.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17915506/s50113036/35fca713-4aee23ae-41dfd1ad-fd31bc05-9df7a827.jpg
<num>. moderate right hydropneumothorax after chest tube removal; status post right lower lobectomy. <num>. new patchy opacification within the left lower lobe may be due to acute aspiration or atelectasis. recommend short-term interval followup to exclude development of pneumonia if infectious symptoms are present.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12410764/s58672238/5c537a37-5d872217-ef9592a6-ec20fa26-d6ae1080.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16430675/s54749191/f9f64eca-52c13def-510dc3ee-de7aa4fd-870c9191.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10793324/s58639519/1db52534-6db80dbd-004ba353-80820192-df4a5f13.jpg
<num>. enteric tube ends in the stomach, however, the last side port is at the ge junction, recommend advancing. <num>. unchanged appearance of the left subclavian port-a-cath with the tip ending in the upper svc, which courses into the lower svc; however, loops back and the tip is in the upper svc.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17609946/s53126312/c1bbff61-7a1ee95b-d9ba2642-964e59c7-37454237.jpg
no significant interval change. support tubes and lines as above.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16794551/s56675923/f74927ab-1bdb35bf-145fbba2-0b9ddca5-d1c6febf.jpg
<num>. interval development of interstitial pulmonary edema. <num>. right humeral neck fracture again seen.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17779334/s52234977/b6313ecc-18ac8426-e92d5831-e4f0fd0e-ac235dc1.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18011616/s59704184/a4917d94-78797ca5-fb38537d-35d7b10b-18a89de2.jpg
<num>. bronchial wall thickening could be infectious or inflammatory such as secondary to aspiration. no focal consolidation concerning for pneumonia is present. <num>. small left pleural effusion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10967062/s56423388/daee624f-4eb37464-58d84dfe-0f187421-c6b263d0.jpg
no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10874884/s57036322/4202668b-db291314-0d18755a-ed8fccb1-c0695f5e.jpg
no acute findings in the chest.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11842519/s52278905/e044c941-2f2d494f-0a794f54-a64e76fe-70da04b2.jpg
<num>. mild pulmonary edema with no strong evidence of pneumonia. <num>. bilateral pleural effusions and bibasilar atelectasis.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15059404/s53152693/d4ce4336-489af4d1-792776c3-e3b56a6d-0cd45c67.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17469535/s59581566/e573822e-3b293fbf-48080bcb-500891c5-baeda418.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19181803/s52517194/2bea8299-376478e7-34346e9f-42df0a35-8276f589.jpg
new bilateral lower lobe infiltrates worrisome for infection.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12695604/s55457085/3135ed9c-2c77388a-55c54fc9-9246af3e-62cbc762.jpg
<num>. interval resolution of the small right apical pneumothorax. <num>. improved aeration of the right lung base. <num>. small right pleural effusion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11362059/s52624011/56aeaf30-9436be0c-747e980b-34939591-65722528.jpg
no acute intrathoracic abnormalities identified. subtle displaced fractures involving the left seventh and eighth ribs of indeterminate chronicity. if there is further concern for rib fractures, a dedicated rib series would be recommended for further evaluation.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10376174/s57870887/8976ff11-5db0305e-65958d1a-6e55603a-28587cd4.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17326472/s51117027/96cc108f-363c4172-e0f6cad6-22098027-084e7b8a.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17669276/s50926698/48610074-8aa6ab8c-7c20f23a-7e26d775-88ee88e4.jpg
mild pulmonary edema and small bilateral pleural effusions, similar compared to the prior exam. persistent bibasilar airspace opacities could reflect compressive atelectasis but infection or aspiration cannot be excluded.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15209552/s55463800/4b945680-b93f1851-5980b680-9f619533-3e4974ff.jpg
chf with bilateral left-greater-than-right effusions and underlying collapse and/or consolidation. the possibility of an underlying infectious infiltrate cannot be excluded.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14529681/s56377309/61c2fc3f-d213999d-662cbce4-b77ea477-84b295d2.jpg
no acute process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14748823/s53210979/761e1d67-da75e4ea-cdfb4e2b-d3419e6e-2dfa5371.jpg
normal chest x-ray.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15355458/s52348670/4daba92c-716768ae-1f44606d-1abac4af-3be26466.jpg
bibasilar atelectasis and bronchiectasis in without definite acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18981170/s51036143/d358207a-9110382d-8ac69be2-ae3b4e75-8a819b48.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16926631/s54660053/e81c724b-69da3525-ccd4e109-72d68f6f-d38748de.jpg
low lung volumes with bibasilar opacities, likely atelectasis. otherwise, no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13762124/s55046210/cb50c8bb-89980d80-6911878f-52f1378f-b958eeb2.jpg
increased markings at both bases. it is unclear if this is acute or chronic.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15479218/s59625046/7a24500c-56014d34-79ed8841-c75c3452-55a76bc6.jpg
<num>. slight interval worsening of bilateral pleural effusions, right greater than left. <num>. stable appearance of bibasilar opacities, likely due to pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15095611/s58654543/52c51db6-be3b5282-86251a8c-e0a2b2c5-d370c143.jpg
standard position of monitoring and support devices.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15698112/s59102880/05e09661-a5325032-0b798b32-b19e2b29-0a706fed.jpg
large hiatal hernia. mild cardiomegaly.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12642570/s59875375/ffc0ee16-47808f09-c8dba62b-c48bbcab-ae4cd112.jpg
normal chest radiographs.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13944872/s54402692/198a2841-da086887-42f870cc-898243a7-924f483b.jpg
bibasilar atelectasis. no focal consolidation or effusion. no chf.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17979157/s54063487/5a3ec7b2-62264a28-45ba2d6c-8005e027-9c8ce71d.jpg
no acute findings in the chest.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11244458/s57532162/27815049-2b458084-2398fbe2-0174f6ef-32459ecc.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18253112/s53023400/8b6ab631-b568a191-3eed8f4d-c2283379-7221152c.jpg
low lung volumes with bibasilar atelectasis.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15810543/s51752321/f4f6f402-003ba5b1-e7600129-88bd9c52-02a09392.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18998403/s57407807/74c70207-de42a18e-188a5ad0-1617b372-9da86f98.jpg
no focal consolidation concerning for pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16230458/s55396988/d3517ae5-4ec0d2b0-4cc5d5b4-110162c2-86ec1f41.jpg
well inflated lungs with mild pulmonary edema, known no consolidation, rest of the findings are unchanged compared to the prior exam.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14847291/s55911817/4cabcc5d-be81c136-811c3b66-3ad91586-db75867b.jpg
no signs of pneumonia or other acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19735459/s58938153/90bc6708-22b07b91-e5f18ff8-7300f02c-412a580a.jpg
tracheostomy tube and dual lumen right internal jugular central line unchanged in position. overall cardiac mediastinal contours are likely unchanged given marked patient rotation on the current study. left apical postsurgical changes and nodular opacities are stable. right medial lung base opacity likely reflects atel...
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19698346/s52077824/b718f425-75738f8f-e20cbd4e-df9aba6c-6e664ff7.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15260765/s53058004/173a253f-29fe499c-a13a2c1b-686bfc38-febda8e9.jpg
evidence of a dilated esophagus. no focal consolidation.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10735932/s56767651/84c294c7-b1585a99-d26d2425-0f2e0ea7-7365ec8f.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14338649/s56925034/03943e39-0c875207-eed38f8d-9a4bce6d-73baa0d4.jpg
<num>. interval complete resolution of right lower lobe pneumonia. <num>. probable chronic segmental atelectasis of the right middle lobe.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17789790/s53209794/5c5a7cb8-412a4b55-d3427cfb-1478c7a6-654761ab.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14101206/s58931220/043c9620-0ac69407-f689ee60-67254854-9b6cbc36.jpg
bibasilar opacities likely atelectasis, infection not excluded. overall, findings are similar compared to prior. right hilar fullness as previously noted and ct is suggested on a nonurgent basis if no prior available to document stability.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15613928/s54358872/255ac58a-572425a3-782ef8e0-80c4f7ad-ea2927df.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17208425/s55152940/4053b220-4c4628fa-3cb20f1b-f67d4029-9ff45065.jpg
unchanged appearance of the left upper lobe compatible with bronchial atresia. no acute cardiopulmonary process otherwise identified.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10991474/s55788998/4ae0ddcd-72e1c059-a623e003-e87bb6e1-32a20150.jpg
retrocardiac opacification on lateral view that may represent vascular crowding versus pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15870527/s52818257/d100d36e-ad98dc21-0eefafb5-9c461812-510a1499.jpg
small bilateral effusions without other acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10655111/s57696771/86afe7c5-124a4e54-2a5f8715-009acf7e-b3948e3e.jpg
no significant interval change.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14775533/s51249826/1e7def40-a42cb2d7-b014d65c-1310e293-babe7f4d.jpg
bibasilar opacities are likely due to a combination of pleural effusion and atelectasis. underlying consolidation is not entirely excluded in the appropriate clinical setting.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11253475/s56207942/0da4c562-61bca7f9-33b952f0-155e3d87-62bd766d.jpg
normal chest radiographs.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19078274/s50126530/c6e9eb1d-a171009d-6f5c8de0-81e3d97d-90171814.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12452180/s54598406/45e6e43b-25b64abf-1c53aefa-f62a921a-046bdcab.jpg
no acute cardiopulmonary abnormality.
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mild pulmonary edema.
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poor quality image. no definite pneumothorax or pleural effusion. recommend repeat study.
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moderate cardiomegaly is stable. bilateral hilar enlargement is consistent with adenopathy. there is a suggestion of central peribronchial infiltration lateral to the upper pole of the right hilus. contrast-enhanced ct may be useful for further evaluation if clinically indicated.
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no acute cardiopulmonary abnormality.
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<num>. right picc terminating over the low svc. <num>. unchanged, mild, mild bilateral interstitial edema, and small bilateral pleural effusions with adjacent atelectasis.
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small bilateral pleural effusions associated with adjacent atelectasis
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no acute findings in the chest. please refer to same day chest ct for further details.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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clear lungs.
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<num>. stable chest with mildly increased heart size. <num>. chronic fibrotic changes and calcified pleural plaques compatible with asbestosis exposure. heavy calcified pleural plaques limits evaluation for small lesions or abnormalities. <num>. bibasilar atelectasis and fibrotic changes.
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no acute cardiopulmonary process.