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hardware once again is seen overlying the lower cervical and upper thoracic spine. a tracheostomy tube is in place, although it is partially obscured by the spinal hardware. the left picc line continues to have its tip in the azygos vein. the position of this line has previously been communicated by phone to <unk>, the...
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no acute cardiopulmonary process. there is mild flattening of the hemidiaphragms, however the lungs are not overinflated, unchanged from <unk>.
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no acute cardiopulmonary process.
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new small right and possibly tiny left pleural effusions. no focal opacity to suggest pneumonia.
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multiple bilateral pulmonary nodules consistent with patient's known pulmonary metastases, better assessed on recent chest ct. no definite new focal consolidation.
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no evidence of acute cardiopulmonary disease or rib fracture.
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left pigtail lower right chest catheter no longer seen. persistent right pneumothorax which may be slightly larger, difficult to truly discern change due to lack of lateral view on recent priors. the ed is aware of right pneumothorax as of <num>am on <unk>.
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right lower lobe opacity concerning for pneumonia.
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small bilateral pleural effusions.
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no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14304572/s55306354/ef74d77b-252a374f-d4015c04-bc9f3368-b4620d20.jpg
no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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improved right upper and lower lung opacity likely represents resolving infection or asymmetric edema.
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<num>. left moderate pleural effusion with adjacent atelectasis, increased since <unk>.
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no acute cardiopulmonary abnormality.
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hyperinflated lungs, consistent with history of chronic obstructive pulmonary disease. relative increase in opacity over the right hemi thorax as compared to the left may be due to decrease volume of the right lung as well as potentially overlying soft tissue. the left lung appears to contain greater volume than the ri...
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<num>. no radiographic evidence for acute cardiopulmonary process. <num>. multiple stable vertebral compression deformities within the thoracic spine.
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central pulmonary vascular engorgement without overt pulmonary edema. persistent cardiomegaly.
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no definite pleural effusion. standard pa and lateral chest radiographs would be more sensitive and may be considered if there remains strong clinical suspicion.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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et tube <num> cm above the carina but below the thoracic inlet.
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no evidence of acute disease or free air.
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no acute cardiopulmonary process.
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moderate pulmonary edema is increased from the prior examination. no pneumothorax.
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heart size is top-normal. no overt pulmonary edema or focal consolidation.
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no evidence of acute cardiopulmonary disease.
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markedly irregular opacification of the left mid lung as well as opacities at the lung apices, as seen previously, apparently chronic in nature with no definite radiographic finding suggestive of a superimposed acute process.
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moderate cardiomegaly without other signs of heart failure.
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mild pulmonary vascular congestion.
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mild pulmonary edema, unchanged from prior exam.
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no acute cardiopulmonary process. stable findings, most representative of nsip, better illustrated on <unk> ct.
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nodular opacity projecting over the left lung base; nonemergent ct chest may be performed to further assess.
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no evidence of acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process. prominent central pulmonary arteries, significance uncertain although etiologies such as pulmonary hypertension are possible.
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right picc has been retracted with the tip now projecting over the right midclavicular line.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. mild chf. <num>. opacity at the left base may represent asymmetric edema, atelectasis, or underlying pneumonia.
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no acute cardiopulmonary process.
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there are persistent opacities in the right infrahilar region and retrocardiac region left lower lobe, suspicious for aspiration pneumonia.
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right upper lobe pneumonia.
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no acute cardiopulmonary abnormality. no displaced rib fractures visualized. compression deformity of a mid thoracic vertebral body of indeterminate age.
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no acute cardiopulmonary process.
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<num>. right lung base opacity, consistent with pneumonia or atelectasis. <num>. retrocardiac density, most compatible with a hiatal hernia.
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no focal consolidation worrisome for pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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resolution of right pleural effusion. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. interval improvement in lung aeration and pulmonary vascular congestion. bibasilar atelectasis. <num>. improvement in left pleural effusion, now small. small right pleural effusion.
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no acute cardiopulmonary process.
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interval decrease in the bibasilar opacities. no focal consolidation identified. the dobhoff feeding tube has been advanced into the body of the stomach.
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bibasilar atelectasis. emphysema.
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worsening pulmonary edema, particularly in the right lower lobe.
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small bilateral pleural effusions with associated atelectasis, similar to the prior week's radiograph.
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low lung volumes with patchy opacities in lung bases possibly reflecting atelectasis. possible mild pulmonary vascular engorgement.
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mild cardiomegaly and mild perihilar vascular congestion.
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interval placement of ng tube and side port is seen within the stomach. mild decrease in interstitial markings is seen.
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mild cardiomegaly. otherwise unremarkable.
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no acute cardiopulmonary process.
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no acute abnormalities.
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no acute cardiopulmonary process.
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moderate to large bilateral pleural effusions.
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no evidence of acute cardiopulmonary process.
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<num>. slight decrease in conspicuity of lucency along the medial right lung base, possibly a tiny pneumothorax versus extrapleural gas collection. <num>. slight improvement in widespread interstitial opacities. <num>. large quantity of subcutaneous air overlying the chest, decreased on the left, but not significantly ...
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no evidence of acute disease.
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focus of linear opacity in the left lower lung is most compatible with atelectasis.
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moderate left pleural effusion, worsened since <unk>. more overriding appearance of left <unk>-<num>th rib fractures compared to <unk>.
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the endotracheal tube terminates <num> cm above the level the carina.
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interval increase of cardiomegaly and/or pericardial.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no displaced rib fracture. however, if concern for rib fractures, dedicated rib series is recommended with marker at site of pain.
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best seen on the lateral view, there is thickening along the posterior pleura, more likely on the left side; differential diagnosis includes loculated pleural effusion versus soft tissue. also, correlate with history of procedure at this site in the interval since the prior study from <unk>, finding is new since that t...
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no acute intrathoracic process.
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a developing pneumonia at the right lung base cannot be excluded.
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as above.
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no acute cardiopulmonary abnormality.
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<num>. hazy opacity in the right lung which may represent aspiration versus pleural effusion or hemorrhage. <num>. mild pulmonary edema. <num>. no displaced rib fractures.
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patchy right infrahilar opacity, concerning for bronchopneumonia.
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no acute cardiopulmonary process. mild cardiomegaly.
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mild cardiomegaly with hilar congestion. chronic deformity at the shoulders.
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no acute cardiopulmonary process.
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bilateral lower lobe pulmonary consolidations, concerning for pneumonia. findings were reported to <unk> by <unk> in person at <time> p.m. on <unk> within <num> minutes of discovery of these findings.
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<num>. subtle areas of opacification in the right upper lobe, right lung base, and left upper lobe corresponding to ground-glass opacities seen on prior chest ct, thought to reflect hemorrhage associated with pulmonary metastases. no new areas of opacification are demonstrated. <num>. small right pleural effusion, perh...
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unchanged small right apical pneumothorax.
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vague opacity at the left lung base which likely represents atelectasis, though an early pneumonia not excluded.
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slight prominence of the central pulmonary vasculature is compatible with pulmonary venous hypertension. no overt pulmonary edema or other acute cardiopulmonary process.
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lower lung volumes on the current exam. while atelectasis may contribute to some of the bibasilar opacities, there is suspicion for underlying pneumonia. repeat after treatment suggested to document resolution.
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upper zone redistribution and mild vascular plethora could reflect mild chf. given diffusely increased interstitial markings, the possibility of an interstitial process cannot be entirely excluded, but the appearance is similar to <unk>. no focal pneumonic infiltrate or effusion. apparent vp shunt.
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low lung volumes, but otherwise no significant interval change.
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findings consistent with pulmonary edema. short-term follow-up radiographs are recommended in order to exclude new contour abnormality in the right hilum, however.
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<num>. improvement in pulmonary edema. <num>. no pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. no evidence of pneumonia. <num>. interval development of increased central vascular congestion with moderate pulmonary edema. stable mild to moderate cardiomegaly. <num>. mild bibasilar opacities, most consistent with atelectasis.
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mild elevation left hemidiaphragm with gaseous distention of stomach and possibly bowel beneath, correlate with gastrointestinal symptoms.
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no acute intrathoracic process.
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no pneumonia, edema or effusion.
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no acute cardiopulmonary process. if high clinical concern for rib fracture, dedicated rib series could be performed.