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no acute cardiopulmonary process. right picc tip in the mid svc.
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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worsened bilateral lower lobe infiltrates. it is unclear if this is due to pulmonary edema or infectious etiology.
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left picc in place with tip traceable to the mid svc. slight kinking just proximal to the left axilla.
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no acute cardiopulmonary process. mildly hyperexpanded lungs.
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no evidence of acute cardiothoracic process.
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no acute cardiopulmonary process.
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consolidation within the right lower lung with subjacent loculated pleural fluid/thickening. given the absence of prior imaging studies, differential is broad and includes infection and neoplasm. please correlate clinically and with prior imaging studies if available. consider ct to further assess.
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improving left lung base opacity.
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left picc line and left pectoral infuse-a-port both end in the mid svc. stable loculated right pleural effusion with a small subpulmonic component.
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new diffuse interstitial opacities superimposed on chronic fibrosis may be due to exacerbation of interstitial lung disease, infection or edema. a dedicated chest ct may be performed for further evaluation if clinically warranted.
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no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10984888/s54330663/23b89a40-e022f14f-6f66339e-9eaf41dd-dd6bb25f.jpg
no acute cardiopulmonary process.
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no acute focal consolidation concerning for pneumonia.
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<num>. increased moderate right pleural effusion, may be loculated. new small left pleural effusion. <num>. no evidence of rib fracture.
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minimal residual linear bibasilar atelectasis. no pneumonia.
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no acute pulmonary pathology.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. biapical pleural parenchymal fibronodular scarring.
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unremarkable chest radiograph. if there is strong clinical concern for rib fracture, a dedicated rib series may be helpful to further reassess.
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no acute cardiopulmonary process.
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bibasilar streaky opacities, possibly atelectasis but infection is not excluded.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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low lung volumes.
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at nipple shadow should not be mistaken for lung nodules. previous <unk> noted the left lower lobe <unk> nodule on that chest ct in <unk> does not require follow-up.
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interval placement of left-sided chest tube with persistent moderate left pneumothorax with likely component of tension.
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new pneumonic infiltrate in left upper lobe. followup examination is recommended.
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normal chest radiograph. no overt bony abnormality.
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no acute cardiopulmonary process.
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<num>. minimal bilateral lower lung atelectasis, right greater than left. <num>. mild eventration of the left hemidiaphragm.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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normal radiographic study of the chest.
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no acute cardiopulmonary process.
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<num>. status post right lung wedge resection with right chest tube in place and no pneumothorax. <num>. moderate pulmonary vascular congestion and mild to moderate pulmonary edema. <num>. low lung volumes.
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opacity within the right upper lobe with consolidation/effusion obscuring the mid-to-lower lung. findings may be compatible with pneumonia and recommend followup to resolution.
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no acute cardiac or pulmonary process. findings were discussed with dr. <unk> by dr. <unk> at <time> a.m. via telephone on the day of the study, in order to correct a preliminary read of right lower lobe pneumonia.
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clear lungs. no evidence of mediastinal or hilar lymphadenopathy.
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findings concerning for multifocal pneumonia superimposed on probable interstitial lung disease. clinical correlation is advised.
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<num>. multiple calcified granulomas are seen projecting over the bilateral lungs, the largest measuring <num> mm on the right and <num> mm on the left, better assessed on recent ct chest from <unk>. <num>. otherwise, no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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improved bibasilar opacities, however subtle basilar opacities persists and these could be due to aspiration, underlying emphysema, underlying infectious process not excluded. dedicated pa and lateral views would be helpful for further evaluation. if concern for a pulmonary lesion, a non urgent chest ct would be more s...
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no radiographic evidence of trauma in the chest.
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worsening opacities in the right upper lobe, right lower lobe, and left upper lobe concerning for worsening eosinophilic pneumonia.
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suspicion for pneumonia in the right lower lobe.
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no acute cardiopulmonary process. specifically no pneumothorax.
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large-bore right central venous catheter is seen, terminating at the cavoatrial junction/proximal right atrium. the cardiac and mediastinal silhouettes are stable. there is persistent blunting of the right costophrenic angle which may be due to a trace pleural effusion or pleural thickening. no pulmonary edema is seen....
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no acute cardiopulmonary abnormality.
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normal chest.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15506696/s55427127/9ab425ec-009036f9-eaf4914c-148fe32b-d92f5827.jpg
no acute cardiopulmonary process.
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mild left base atelectasis. hyperinflated lungs suggests chronic obstructive pulmonary disease. no focal consolidation. top normal to mildly enlarged cardiac silhouette.
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right picc terminating at the level of the mid svc without evidence of complications.
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left-sided picc is in the azygos vein.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process, no focal consolidation.
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no acute process
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no evidence of volume overload.
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<num>. right pneumothorax improved in the upper lung, with persistent opacity of the right lower lobe, likely combination of atelectasis and superimposed pneumonia. <num>. stable bilateral small pleural effusions.
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<num>. low lung volumes and left lower lobe atelectasis. no evidence of pneumonia. <num>. rightward deviation of the upper thoracic trachea is suggestive of thyromegaly.
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unchanged appearance of small right hydropneumothorax. interval development of patchy opacification in the right lung base which given its rapid development may reflect asymmetric pulmonary edema, but is nonspecific, and hemorrhage or infection can have a similar appearance. continued followup is recommended.
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cardiomegaly without superimposed acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process. left-sided picc line ends <num> cm below the cavoatrial junction. this appears to be lower than the position of the picc line on <unk>. discussed personally with iv access team on <unk> after completion of study.
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final radiograph demonstrating the tip of the nasogastric tube in the left upper quadrant, projecting over the stomach.
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mild bibasilar atelectasis.
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right ij line tip in the mid svc. no pneumothorax. probable small left pleural effusion. mild left basilar atelectasis.
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stable appearance of the chest without evidence for pneumonia.
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no pneumothorax. persistent low lung volumes with bibasilar atelectasis.
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no evidence of acute disease.
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marked scoliosis. left basilar linear opacities likely due to atelectasis/scarring, however, appear more conspicuous as compared to the prior study. additional subtle left perihilar opacity. subtle underlying infection is not excluded in the appropriate clinical setting. no pulmonary edema.
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no findings to account for dyspnea on exertion.
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status quo.
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no pneumothorax. left mediastinal fullness which may indicate fluid accumuation. recommend close radiographic follow up or ct scan to establish baseline evaluation of the mediastinum. the acs team was paged at <num>am, by dr. <unk>, on the day of the examination. findings and next diagnostic options were discussed over...
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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<num>. no evidence of acute process. <num>. apparent increase in nodular focus in the right upper lung, which may correspond to a previously seen subpleural opacity on prior chest ct. although the possibility of true change is difficult to judge by comparing radiographs, since there is a suggestion of increase, a follo...
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no acute intrathoracic process.
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no acute findings in the chest.
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<num>. no displaced fracture, however, if clinical concern for fracture persists of the ribs, suggest dedicated rib series, which is more sensitive. <num>. persistent severe enlargement of the cardiac silhouette and small bilateral pleural effusions.
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congestive heart failure on a background of chronic abnormality. given all the abnormalities, acute pneumonia could be easily missed. telephone notification to dr <unk> by dr <unk> at <time> <unk>.
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low lung volumes with probable superimposed vascular congestion.
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no evidence of acute cardiopulmonary disease.
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no pneumonia. persistent predominantly basal fibrosis, consistent with history of idiopathic lung disease.
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no subdiaphragmatic free air. minimal atelectasis in the left lung base.
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no acute intrathoracic process.
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no evidence of acute disease.
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<num>. nodular opacity projecting over the right mid lung, as seen previously and chest ct is again recommended to further assess. <num>. additional subtle opacities in the right and left lower lungs which could represent atelectasis though the possibility of pneumonia is difficult to entirely exclude.
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normal chest x-ray.
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no acute cardiothoracic process.
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<num>. no pneumoperitoneum. <num>. mild cardiomegaly with chronic interstitial scarring.
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normal chest radiograph.
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moderate pulmonary edema with small pleural effusions and cardiomegaly.
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<num>. mild interstitial pulmonary edema. <num>. stable mild cardiomegaly.
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resolution of previously seen right lower lobe pneumonia.
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normal chest radiograph.
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asymmetry of right hilum and right peritracheal stripe, likely representing lymphadenopathy. recommend ct with contrast to further characterize these abnormalities.
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bilateral pleural effusions, right greater than left.