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/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18514680/s50709323/762f7de9-3c0cef52-519de6ac-027c2119-d1c35f91.jpg
lungs remain hyperinflated consistent with underlying emphysema. there are stable postoperative changes in the right hemithorax. the patient's mandible obscures the right apex. calcified pleural and diaphragmatic plaques consistent with prior asbestos exposure. residual blunting of the right costophrenic angle which ma...
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no acute cardiopulmonary process.
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bilateral pleural effusions with associated atelectasis noting that infection cannot be excluded.
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exam limited by technique. markedly low lung volumes mild pulmonary edema. enteric tube terminates in the proximal stomach and could be advanced <num>-<num> cm for appropriate positioning.
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no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16229429/s53323045/f37d79bc-a72aa31a-0fa365ad-9ec4a7c3-24003568.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10717732/s50223166/999cd62b-68f5442e-14065958-e894b0d9-484a8445.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19388963/s57190050/adbc74cf-a54f1308-2fa7dd62-695ca258-0f865fe8.jpg
no focal consolidation to suggest pneumonia. slight prominence of the superior mediastinum which may be due to ap technique and prominent vasculature. no prior for comparison to assess chronicity. if clinical concern for acute mediastinal or spinal process, ct is more sensitive and should be considered.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19856589/s52969805/805d9672-94022b90-10c8a039-bd3809b1-46dcc261.jpg
patchy opacities in the lung bases, more so on the right, concerning for pneumonia or aspiration.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10425278/s58062378/0ca8bd43-d01345ac-8257bab0-74feba4e-caf7d564.jpg
no change.
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no evidence of acute cardiopulmonary disease.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19257145/s59365235/6599e5c9-bc6d56f8-66273476-182e9673-edfc952f.jpg
no evidence of pneumonia. if clinical suspicion persists, repeat radiograph with improved inspiratory level may be helpful for more complete assessment.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16752897/s55615834/e06495af-3e178118-d08ae886-aa483d69-50602891.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13579919/s53867435/eab9b4a6-277a9b98-6d835402-397b629c-4ef344ca.jpg
no pneumonia or acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16896608/s54052790/df2e22d8-6548bccf-c95df904-bb4da287-feb4b1db.jpg
no grossly acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15495647/s50383425/ae4c3894-0c19ba77-e4ed273f-b65ac4ae-2bab2202.jpg
no acute cardiopulmonary process. no displaced fracture is seen. please note that if there is high clinical concern for rib fracture, dedicated rib series is more sensitive.
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similar pattern to bilateral lung opacities which represents known metastatic disease. impossible to exclude superimposed subtle pneumonia.
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no radiographic evidence of an acute cardiopulmonary process.
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a right ij line ends in the mid svc. chronic interstitial changes. no acute abnormalities.
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no pneumothorax.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10240304/s54032704/2e56cea6-a12e8f53-a92f1c38-916c498d-64da98c7.jpg
right lower lung reticular opacities concerning for acute infection in the setting of severe emphysema.
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cardiomegaly with mild edema and tiny right pleural effusion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19219254/s51997130/80e3d025-c887a54a-421fd406-e2bcf244-1d151a7c.jpg
no acute intrathoracic abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16815103/s56251775/a8b5aaee-7aee56ff-44f354fc-b0657353-99423141.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11974011/s53124797/ff335ffd-07779140-49799af9-65fb25f5-52e5d388.jpg
no acute cardiopulmonary abnormality.
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<num>. stable, severe cardiomegaly with unchanged mild to moderate pulmonary vascular congestion. <num>. no definitive radiographic evidence for an acute infectious process.
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within the limitations of plain film radiography, no evidence of intrathoracic malignancy.
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moderate pleural effusion on the right is decreased from prior ct, extensive opacity in the right lung likely represent represents patient's known malignancy though superimposed pneumonia is difficult to exclude.
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no evidence of acute cardiopulmonary disease.
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bibasilar atelectasis, cardiomegaly, without acute chest abnormality.
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no acute findings in the chest.
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<num>. no free air below the right hemidiaphragm. <num>. bibasilar atelectasis. <num>. gas-filled dilated small bowel in the upper abdomen for which dedicated radiograph or ct may be performed to further assess.
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no pneumothorax.
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mild bibasilar atelectasis but no evidence of acute cardiopulmonary abnormality.
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areas of bilateral basilar linear atelectasis without focal consolidation. no significant interval change.
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<num>. no acute cardiopulmonary process. <num>. et tube terminating close to the carina, retraction by <num>-<num> cm advised. <num>. enteric tube with sideholes near the ge junction, advancement by several centimeters would result in more optimal positioning.
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no acute cardiothoracic process.
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bilateral right greater than left pleural effusions with overlying atelectasis. right basal opacity likely represents combination of pleural effusion and atelectasis although underlying consolidation cannot be excluded.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16203314/s58917642/be1e17bc-12cd3b63-f92c93b5-7ef88e0c-15e25571.jpg
new pleural effusions and patchy right lower lung opacity, which could be seen with atelectasis although in the appropriate setting pneumonia is not excluded.
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no acute findings.
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radiographs demonstrate malpositioned enteric tube and subsequent repositioning in appropriate position. essentially otherwise unchanged chest radiograph.
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no acute intrathoracic process.
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no evidence of pneumonia. small right pleural effusion.
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small anterior pneumothorax has decreased. otherwise stable
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10049341/s53480270/e24a0d89-f7fbc9ec-74ed9db4-438fff1b-d460772a.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11717152/s52269123/2102b5ed-8e926673-e9b33f87-d8476dee-2e279a21.jpg
no acute cardiopulmonary process. sclerotic osseous metastatic disease.
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<num>. appropriate positioning of the et tube, ng and bilateral chest tubes, with decreased bilateral effusions. <num>. persistent pneumomediastinum and subcutaneous air.
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low lung volumes without definite acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10498545/s56789676/117146c4-8962edda-644da882-feafa433-e46d6ed3.jpg
no acute cardiopulmonary process.
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no pneumothorax. no residual catheter fragment.
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normal chest.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14185804/s56562587/28b59731-da0183cc-fe3eda84-b4bedfdc-72d174c6.jpg
low lung volumes with patchy opacities in the lung bases likely atelectasis and probable trace bilateral pleural effusions. please note that infection or aspiration cannot be completely excluded in the correct clinical setting.
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normal chest radiographs without radiographic evidence of sarcoidosis.
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large left pneumothorax with mediastinal shift. endotracheal tube still low. dr. <unk> was aware of findings at time of dictation as he had called the reading room.
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no acute intrathoracic process.
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normal chest x-ray.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14801403/s54739461/3d766953-237f7b42-51063dc2-ff86ae92-41a13c44.jpg
no pneumothorax
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15255120/s58522928/d305691e-34efb146-98dd0d3b-f90e54c9-a54a1a67.jpg
no acute intrathoracic process
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16928370/s56316789/a5425e6a-016c2d9c-68e5333f-ae70c2f6-61656988.jpg
no acute cardiopulmonary process. no free air below the diaphragm.
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<num>. no acute cardiopulmonary process. <num>. lung hyperinflation, suggestive of copd, with unchanged large right lower lobe bulla.
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suspected trace bilateral pleural effusions.
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slightly worse mild interstitial pulmonary edema. stable right upper lobe pneumonia.
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no acute cardiopulmonary process. persistent right base atelectasis with probable right pleural effusion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18348137/s56535528/522df81d-20ab8f77-623b1190-fa17afea-8a190906.jpg
low lung volumes without acute cardiopulmonary process.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17937834/s52466500/66df60fc-356b10f7-06bc48b7-8fe29e08-3fec9a23.jpg
no acute cardiopulmonary process. slight increase in elevation of right hemidiaphragm.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19562787/s53965233/972ed529-a32ad388-b0f9c959-41bcc0ac-70abb1e5.jpg
large left upper lobe mass may be slightly increased since the prior studies.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10465189/s54777375/835462aa-765b53ed-90bf4591-1ef20a96-dd725625.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15103276/s52261216/6b7decbc-bd36510b-a97baf19-11d69b72-42943557.jpg
no acute cardiopulmonary process.
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no pneumonia, edema or effusion.
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the tip of the swan-ganz catheter is kinked and projects back on itself, still likely within the main pulmonary artery.pulmonary edema.retrocardiac opacity, likely a combination of atelectasis and pleural fluid.
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<num>. left-greater-than-right bibasilar atelectasis. no definite infiltrate. <num>. allowing for technical differences, previously seen right base infiltrate has improved. otherwise, i doubt significant change.
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no definite acute cardiopulmonary process.
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<num>. interval increase in vascular congestion and interstitial edema compared to <unk>. <num>. bilateral moderate pleural effusions with adjacent atelectasis or consolidation, more severe on the left than the right.
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stable mild cardiomegaly. otherwise, unremarkable.
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disappearance of previously identified residual pneumothorax.
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no sign of pneumonia, minimal atelectasis at the right lung base.
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no significant interval change.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10163676/s56436205/57f4f3b7-0626b0f5-d2fd0a73-1d0c0d01-e79a51bc.jpg
no evidence of acute cardiopulmonary disease.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15567127/s59796362/1cf7800b-0f8b4f95-226a9e0f-6eb3eeb5-68c77967.jpg
bibasilar areas of linear atelectasis/scarring are again noted. however, opacity overlying the right lower lung appears slightly increased in comparison to prior study and a developing pneumonia must be excluded in the proper clinical setting.
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<num>. stable bilateral pleural effusions, larger on the right than left. <num>. stable severe cardiomegaly.
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<num>. right picc terminating in the mid svc, unchanged. <num>. unchanged right pleural abnormality, either effusion or scarring.
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<num>. prominent cardiac silhouette. given patient's post surgical status this could be related to hemorrhage or pericardial effusion. close follow up and clinical correlation is recommended. <num>. small bilateral pleural effusions. these findings were discussed with <unk> by <unk> via telephone on <unk> at <time> pm.
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<num>. new focal opacity in the left perihilar region with interval worsening of right sided edema. <num>. et tube terminates <num> cm above the carina and enteric tube terminates within gastric fundus.
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mild pulmonary edema with increased bilateral pleural effusions, now moderate in size. findings were communicated via phone call by <unk> to <unk> on <unk> at <time> p.m.
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<num>. mild pulmonary vascular congestion. <num>. no focal consolidation concerning for pneumonia.
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no acute cardiopulmonary abnormality.
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enteric tube coiled with tip in the upper esophagus. at the time of this dictation, subsequent radiograph shows repositioning.
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post endovascular aortic graft placement with bibasilar atelectasis and small effusions.
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emphysema with basilar atelectasis. no convincing signs of edema or pneumonia.
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small bilateral pleural effusions.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. updated 'wetread' results discussed with <unk> team by <unk> via telephone on <unk> at <time> pm.
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dense opacity at the cardiac apex extending the lateral chest wall is concerning for hemothorax given the interval change and reported history of mechanical fall. alternatively, this may be related to changes in patient positioning and a large pericardial fat pad. recommend repeat upright pa and lateral chest radiograp...
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small left pleural effusion as well as a small region of left lower lobe consolidation. if clinical presentation is not convincing for pneumonia, pulmonary embolism should be considered.
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no change.
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no acute intrathoracic process.