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left lower lobe pneumonia.
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left picc terminating at the lower svc.
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ng tube is located within stomach, with the tip tenting the gastric wall. this could be withdrawn <num> cm for more optimal positioning. the bilateral apical opacities are unchanged contrast image shows again seen in the stomach there is no new infiltrate
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improved left lung consolidation
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no acute intrathoracic process.
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normal examination of the chest.
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no acute cardiopulmonary process.
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<num>. left picc loops up into the left ij before terminating in the left brachiocephalic vein. <num>. et tube terminates <num> cm above the carinal. recommend advancing <num> cm. <num>. no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process. no significant interval change.
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no acute intrathoracic process.
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stable severe cardiomegaly with mild to moderate pulmonary edema.
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no acute cardiopulmonary abnormality.
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moderate right-sided hydro pneumothorax is not significantly changed from <unk> despite the presence of a right-sided chest tube. no significant change from the most recent study.
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no acute cardiopulmonary process.
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new moderate interstitial abnormality which suggests pulmonary edema. if clinical findings are discordant, however, then the possibility of atypical infection could be considered in the appropriate clinical setting, although less likely.
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low lung volumes. no evidence of pneumonia.
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<num>. no evidence of pneumonia. <num>. calcified pleural plaques, in keeping with prior asbestos exposure.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. pulmonary vascular congestion without overt edema. equivocal trace pleural effusions. <num>. limited evaluation of the osseous structures, however no displaced rib fracture is detected. if further evaluation is desired a dedicated rib series or ct may be obtained.
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<num>. the lungs are clear and there is no pneumothorax. <num>. elevation of the left hemidiaphragm is chronic, however, eventation of the left hemidiaphragm has increased since <unk>. findings were telephoned to dr. <unk> by dr. <unk> at <time>pm.
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subtle opacity projects over the lateral right lung base, over the lateral right tenth rib ; unclear whether this is external to the patient or represents a pulmonary nodular opacity. recommend shallow oblique chest radiographs to further assess. no focal consolidation seen elsewhere.
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no acute cardiopulmonary process.
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<num>. single lead icd with the lead overlying the right ventricle. <num>. no pneumothorax or pulmonary edema. <num>. mild cardiomegaly
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no radiographic evidence of acute cardiopulmonary disease.
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<num>. worsening congestive heart failure with small right effusion. <num>. moderate left pleural effusions with adjacent left lower lobe opacity. this may reflect atelectasis and dependent edema, but coexisting infection should be considered in the appropriate clinical setting.
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as above.
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no significant interval change since <unk>, with mild cardiomegaly and probable left pleural effusion. no pulmonary edema.
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multiple support and maintenance devices removed with no complication seen. otherwise essentially unchanged exam with no evidence of acute pulmonary or cardiac process
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interval reaccumulation of large left pleural effusion. these findings were discovered at <time> a.m. on <unk> and communicated with dr. <unk> <unk> via telephone at <time> a.m.
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no evidence of pneumonia.
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no evidence of acute cardiopulmonary process.
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<num>. right subclavian ending in the upper right atrium. <num>. ascending and descending thoracic aortic aneurysms better characterized on the concurrent ct.
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persistent consolidation within the lingula compatible with pneumonia.
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no acute intrathoracic process.
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possible pneumonia. follow up radiographs are advised in <unk> weeks following the completion of antibiotic therapy to demonstrate resolution. if more certain diagnostic evidence is required, oblique views can be obtained.
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moderate right pleural effusion increased from <unk> with a fissural component as demonstrated previously.
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no acute cardiopulmonary process.
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<num>. increased opacity in the right lower lung concerning for pneumonia versus atypical edema. <num>. likely small left pleural effusion. <num>. change in chronic cystic scarring and bronchiectasis, right upper lobe could either be due to colonization versus reactivation tuberculosis.
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stable findings of mild cardiomegaly and mild pulmonary edema.
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<num>. no acute cardiopulmonary process. <num>. <num> x <num> mm rectangular dense opacity over the right hilus for which repeat imaging with shallow oblique films is recommended.
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cardiomegaly. no interstitial edema or pleural effusions.
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<num>. minimally improved bilateral peripheral nodular opacities. no new focal consolidation. <num>. mildly improved partially loculated right pleural effusion. unchanged small left pleural effusion.
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no change.
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no acute cardiopulmonary process. no pneumonia.
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no acute cardiopulmonary abnormality.
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no evidence of pneumonia. findings discussed with <unk> in hematology/oncology <unk> on <unk> by dr. <unk> by phone at the time of discovery.
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small left pleural effusion with no pulmonary edema. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone on <unk> at <time> p.m., at time of discovery.
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changing appearance of infiltrates and effusions, some are worsened and some are better.
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no radiographic evidence for acute cardiopulmonary process. top normal heart size, gradually increased over a two year period. this finding was e-mailed to the ed <unk> nurses <unk> dr. <unk> on <unk> at <time> a.m. after attending radiologist review. e-mail response was received from dr. <unk> at approximately <num> a...
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findings suggest pneumonia.
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bilateral infiltrates right greater than left with bilateral effusions right greater than left.
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normal chest radiograph. no evidence of aspirated radiopaque foreign body.
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appropriate central line positioning without pneumothorax. other findings unchanged since preceding exam.
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increased moderate layering left pleural effusion. developing infection at the left lung base with possible empyema should be considered. stable small layering right pleural effusion.
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no evidence of pneumonia. repeat radiograph with nipple markers is recommended to confirm a presumed nipple shadow on the right as described above.
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<num>. satisfactory placement of new left paratracheal fiducial marker. <num>. new elevation of the left hemidiaphragm.
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mild interstitial prominence again consistent with fluid overload, possibly minimally increased as compared to the prior study.
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no acute cardiopulmonary process.
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stable cardiomegaly. no acute cardiopulmonary process.
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persistent unchanged moderate size right apical lateral pneumothorax with new right lower lobe atelectasis. no evidence of tension. pneumoperitoneum improving.
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increase in size of moderate left pleural effusion.
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no acute cardiopulmonary process.
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unremarkable chest radiographic examination.
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uncomplicated appearance of newly placed right internal jugular central venous catheter.
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low lung volumes without radiographic evidence for acute cardiopulmonary process.
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mild interstitial pulmonary edema with small bilateral pleural effusions, slightly increased in size compared to the previous exam. bibasilar streaky opacities likely reflect atelectasis but infection cannot be completely excluded.
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small right apical pneumothorax, new or increased compared to the day prior. unchanged right chest wall subcutaneous emphysema.
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new tiny <num>-<num> mm right apical pneumothorax, without evidence of mediastinal shift.
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no acute cardiopulmonary process.
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<num>. no acute cardiopulmonary process. <num>. stable moderate cardiomegaly. <num>. right hilar fullness is better evaluated on the recent cts.
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marked improvement in left lower lobe collapse. status post extubation.
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low lung volumes with left basilar opacity likely reflecting atelectasis. infection is not completely excluded. small left pleural effusion is not excluded.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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worsening multifocal opacities most confluent at the lung bases are concerning for worsening atypical infection and less likely asymetric pulmonary edema or hemorrhage.
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no acute findings in the chest.
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minimally displaced fracture of the lateral left tenth rib.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. right lower lobe opacity with a small right pleural effusion. these findings are likely representative of pneumonia in the proper clinical setting. <num>. severe cardiomegaly, increased in comparison to the prior study.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. no subdiaphragmatic free air.
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no acute intrathoracic process.
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no evidence of acute disease. moderate hiatal hernia.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18935678/s53150803/15616072-43e79af3-2ceb0aa5-8e6477dc-9af70893.jpg
patchy focal central opacities; the appearance suggests a component of mild congestion, but there is heterogeneity and asymmetry of opacities suggesting that there may be coinciding pneumonia. clinical correlation is suggested.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19960115/s51481085/d02c2acb-03db107a-b072ebce-c6f710fd-e37c2847.jpg
low lung volumes and small bilateral pleural effusions with overlying atelectasis. central pulmonary vascular engorgement.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12015226/s55620103/da25a02a-d9cb52d2-7c1ce103-3fc100c8-b6f38f65.jpg
no evidence of acute cardiopulmonary disease or free air.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18398510/s52206259/d2aeba9a-f5e088c7-c887c9d0-f81cbc4f-a0d85e77.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18103016/s55463903/6dbffdec-ff77a4eb-9c51fbfe-85d7a327-7b34dccf.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10866343/s52631462/ceb172ba-699118a1-fbe9e542-dbb75c9d-2ed73eaf.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15330393/s55157174/2c3a390b-1b228f63-a97af5ed-af0c076f-2d2a6004.jpg
hyperinflated lungs without radiographic evidence of pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17301803/s54811412/62a06792-cd66ff04-339a691e-d64f31cd-350d48c4.jpg
subtle opacity in the right lower lobe may represent an early pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13148019/s58948271/1577576a-5a264847-694f9796-dff7e24e-1d80d9b4.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16238625/s59148692/4a9aa4cb-71ff5e8d-bbefaf2f-7c0f5709-c2d7a2f0.jpg
stable cardiomegaly. mild vascular congestion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18105781/s56913587/1f45efc3-8e97197d-a98492ee-6701a52b-6d7d7352.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12940390/s53199574/18a1ba9e-9bfbcf38-92fff8be-c47d7977-d3acc9e8.jpg
no acute cardiopulmonary abnormality. no evidence of intrathoracic malignancy.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18382353/s54891295/de815106-f798bc7d-99c296f7-f75f6a36-eef70159.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10932005/s54294772/c292782b-c71d9d01-dcadc2b8-25d156e0-d294a036.jpg
no evidence of acute cardiopulmonary process.