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left-sided dual lead pacemaker seen in appropriate position. increased retrocardiac opacity most likely representative of atelectasis.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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small right and tiny left pleural effusions. no pneumothorax.
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mild improvement of lung ventilation, especially right base for reduced atelectasis.
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worsening bilateral opacities suggesting worsening of pulmonary edema.
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patient rotated to the right and patient's chin overlies the medial right lung apex, partially obscuring the view. given the above, pulmonary emphysematous changes are again seen. no definite focal consolidation. no definite displaced fracture; however, limited evaluation of the lateral ribs, and if high concern for fr...
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12586916/s53684245/35b8e285-cc95a3ce-6139bb92-184407b9-a04e57b1.jpg
no acute intrathoracic process.
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left lower lobar pneumonia. additional smaller focus in the right midlung as well.
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no evidence of pneumonia. stable marked cardiomegaly.
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interval removal of the feeding tube. the tip of the left picc line has been retracted and now projects over the mid svc. minimal decrease in the extent of the bilateral parenchymal opacities. relatively unchanged small bilateral pleural effusions.
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no acute cardiopulmonary radiographic abnormality.
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no evidence of a pneumonia. convexity of the right upper mediastinal contours suggest dilatation or tortuosity of the ascending aorta, uncertain if changed from previous.
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no acute cardiopulmonary process.
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<num>. endotracheal tube ends <num> cm from the carina. <num>. nasogastric tube courses into the stomach, with the last side port at the ge junction, and should be advanced prior to use.
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small bilateral pleural effusions, mildly increased. lung fields are clear.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no significant interval change. no focal consolidation to suggest pneumonia.
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no acute intrathoracic process.
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vague opacities projecting over the right lung potentially atelectasis, infection or other etiology. clinical correlation is suggested. no other visualized acute process.
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no focal consolidation concerning for pneumonia.
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opacity projecting over the left mid to lateral lung base is concerning for pneumonia.
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no acute cardiopulmonary abnormality.
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low lung volumes with bibasilar atelectasis.
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left lung base opacity could reflect atelectasis. however, in the appropriate clinical setting, an infectious process cannot be excluded.
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no acute displaced rib fracture.
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<num>. bibasilar pneumonia could be due to aspiration. <num>. moderate cardiomegalywithout pulmonary edema with probable small bilateral pleural effusions.
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continued resolving pneumonia. no new focal consolidations identified. decreased size of tiny bilateral pleural effusions.
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cardiomegaly without acute cardiopulmonary process.
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continued improvement of right pleural effusion. no evidence of pneumothorax with pigtail catheter on waterseal.
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opacity within the right middle/lower lung base with some silhouetting of the right cardiac border is concerning for aspiration/pneumonia.
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no evidence of acute cardiopulmonary process.
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no evidence of pneumonia.
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alveolar opacities in the right lung base are new from <unk> and are concerning for pneumonia or aspiration.
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<num>. worsening interstitial edema. <num>. possible left lower lobe pneumonia. <num>. stable lung nodule. recommend conventional radiographs and low kilovoltage views to look for calcification, when feasible.
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no pneumonia or other acute intrathoracic process.
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<num>. no acute cardiac or pulmonary process. <num>. ng tube side port ends in the distal esophagus. recommend advancing.
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right pleural effusion with associated atelectasis. consolidation is not excluded. moderate cardiomegaly. severe elevation right hemidiaphragm could be due to phrenic nerve palsy. mediastinal and even right hilar adenopathy are not excluded. recommendation: chest ct, with intravenous contrast if tolerated.
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no evidence of acute cardiopulmonary process.
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streaky basilar opacities are present, suspected to represent atelectasis in the setting of very low lung volumes, but it is difficult to exclude developing pneumonia at the right lung base. short-term follow-up radiographs with better inspiration may be helpful to reassess if needed clinically.
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questionable opacity in the right lower lung, which would be better evaluated with chest ct. calcifications along the left chest suggesting calcified pleural plaques. left basilar opacity may be due to scarring.
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no acute cardiopulmonary abnormality. known right lower lobe spiculated lesion is better assessed on the prior ct.
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normal chest. no evidence of radiopaque foreign body.
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no acute cardiopulmonary process.
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interval development of a right-sided pleural effusion with right basilar atelectasis. superimposed infection cannot be excluded.
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low lung volumes limit assessment of the lung bases. streaky opacities in the lung bases could reflect atelectasis but infection, particularly of the right lung base, cannot be excluded. consider repeat radiographs with improved inspiratory effort for better assessment of the lung bases.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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minimal bibasilar atelectasis; otherwise no acute cardiopulmonary process. mild compression of at least one mid and at least one lower thoracic vertebral bodies, of indeterminate age. ct pending.
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<num>. minimally displaced right sixth rib fracture. no definite additional rib fractures are identified, although a dedicated rib series with appropriately placed skin markers could provide further evaluation if clinically indicated. <num>. no evidence of pneumothorax. <num>. moderate cardiomegaly.
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no acute cardiopulmonary process.
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bilateral increased lower lobe opacities and pleural effusions are consistent with volume overload, however concurrent multifocal pneumonia cannot be excluded. given history of hemoptysis and increased opacity in the left lower lobe, recommend non emergent ct of to exclude an underlying mass. recommendation(s): non-eme...
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no acute cardiopulmonary process.
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mild left basilar atelectasis. no acute intrathoracic abnormalities identified.
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no acute cardiopulmonary process.
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<num>. no acute cardiopulmonary process. <num>. likely mild chronic fibrotic lung changes.
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<num>. cardiomegaly and mild pulmonary vascular congestion. <num>. focal left lower lobe opacity, which may be due to either atelectasis or focal pneumonia.
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<num>. minimal left apical pneumothorax, if any. <num>. persistent but slightly decreased mediastinal and subcutaneous emphysema. <num>. bibasilar atelectasis, slightly increased on the right and unchanged on the left. <num>. unchanged bilateral pleural effusions, right greater than left. these findings were discussed ...
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mild bibasilar atelectasis, less likely pneumonia.
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lung volumes are slightly lower on the current examination and there is patchy opacity at the right medial lung base which most likely reflects atelectasis, although early pneumonia cannot be entirely excluded. followup imaging may be helpful. bilateral lower lobe lung nodules suspicious for metastatic disease seen on ...
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probable atypical pneumonia left lower lobe, occluding pneumocystis. mild cardiomegaly.
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a right-sided port-a-cath remains in place with the tip in the proximal right atrium. right basilar chest tube remains in place. there are small stable bilateral pleural effusions. the overall cardiac and mediastinal contours are unchanged. patchy opacity at the right medial lung base is again seen most likely reflecti...
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no pneumothorax seen.
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right picc line.
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et and enteric tubes appropriately positioned.
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persistent pneumoperitoneum. these findings were commuicated to dr. <unk> <unk> by dr. <unk> <unk> telephone at <time> on <unk> immediately upon review of the radiograph. left picc terminates within the right atrium. for placement confidently within the superior vena cava, this line would need to be pulled <num>-<num>c...
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<num>. subtle right basal opacity could represent pneumonia. <num>. enlargement of the right hilum may be due to reactive lymphadenopathy. consider submitting prior images for comparison and repeat radiograph in <num> weeks to evaluate for interval change.
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previously noted right hilar mass and multiple right pulmonary and pleural based nodules are either decreased in size or not as well seen as compared to the prior chest radiograph. no new focal consolidation. trace right pleural effusion, unchanged.
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<num>. no evidence of a pneumothorax. <num>. spiculated mass in the left upper lung, which likely corresponds to patient's known malignancy from prior ct. <num>. bilateral hilar lymphadenopathy.
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no evidence of pneumonia. moderate pleural effusions remain. slightly increased moderate bibasilar atelectasis.
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normal chest radiograph. no evidence of pneumonia.
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<num>. retrocardiac streaky opacity likely relates to the patient's known left lower lobe mass, however an adjacent area of atelectasis and/or infection cannot be excluded. <num>. right upper lobe opacity corresponds to the previously noted partly solid and ground glass opacity in the right upper lobe as seen on pet ct...
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interstitial edema and increased left sided pleural effusion suggest heart failure.
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no acute cardiopulmonary process.
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subtle left lower lobe opacity more likely due to atelectasis versus less likely subtle/ very early pneumonia.
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<num>. left upper chest wall pacemaker and pacer wires appear unchanged compared to <unk>. no pneumothorax. <num>. unchanged left lower lobe linear atelectasis and a small left pleural effusion. <num>. no pulmonary edema.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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right chest tube remains in place. no right apical pneumothorax is seen. there continues to be extensive subcutaneous emphysema within the neck and right lateral chest wall soft tissues. lung volumes remain low with patchy bibasilar opacities which favors partial lower lobe atelectasis. there is likely a small layering...
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persistent but mildly improved moderate pulmonary edema.
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unchanged small bilateral pleural effusions, mild pulmonary vascular congestion and mild cardiomegaly.
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no acute cardiopulmonary process.
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limited portable exam without definite acute cardiopulmonary process. consider pa and lateral when patient is amenable.
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<num>. focal opacity in right cardiophrenic region and blunting of the right costophrenic angle, which may correspond to the opacity seen against the lower posterior chest wall. this is not fully characterized, but could represent residua from the effusion and consolidation that was seen at the right lung base posterio...
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opacity suggesting pneumonia in the left lower lung, probably in the lingula. follow-up radiographs are recommended to show resolution in <unk> weeks.
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bilateral airspace opacities most likely represent asymmetric pulmonary edema. multifocal infection cannot be excluded.
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interval repositioning of iabp. the tip now lies slightly below the inferior rim of aortic knob. chf, similar to earlier the same day, but slightly increased compared with this compared with <num> day earlier.
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stable appearance of multiple bilateral pulmonary metastases and left upper lobe collapse.
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no radiographic evidence of pneumonia.
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patchy and linear opacities within the lingula and right middle lobe likely reflective of atelectasis.
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no acute cardiopulmonary process.
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no radiographic evidence of pneumonia.
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focal opacity in the lower lobe, likely in the right lower lobe, concerning for pneumonia, with small effusion. mild pulmonary edema.
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mild pulmonary vascular congestion with small bilateral pleural effusions. persistently elevated left hemidiaphragm.
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<num>. appropriately positioned tracheostomy tube. <num>. unchanged appearance of severe alveolar pulmonary edema.
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no pneumonia, edema, or effusion. a preliminary report was called to dr. <unk> office at <time>pm on <unk>.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.