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no acute cardiopulmonary process.
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bibasilar opacities most suggestive atelectasis. blunting of the left lateral costophrenic angle could also be due to atelectasis although superimposed effusion is possible.
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stable exam
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no evidence of acute cardiopulmonary process. stable chronic fibrotic changes again seen.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15621186/s59714805/8d955f04-eae4ebdd-97f64e0a-59f865b9-53d3f272.jpg
stable moderate pulmonary edema. bibasilar atelectasis has slightly increased at the left lung base. stable small to moderate layering right pleural effusion
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unchanged moderate pulmonary edema and small bilateral effusions.
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severe emphysema with diffuse irregular mid-to-lower lung opacities which could represent pulmonary edema versus infection. mild cardiomegaly and small bilateral effusions also noted.
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increased right upper lobe opacities may be due to atypical infection likely not covered by current antibiotics. these findings were discussed via telephone by <unk>, md, with <unk> <unk>, np, at <unk> on <unk>.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12868764/s56131065/f528b60f-07fb7c39-4e43803e-9022d312-c4569056.jpg
nodule on previous exam corresponds to a nipple shadow.
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interval decrease in size of previously seen left pleural effusion. no other significant change.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13065867/s52898795/e72be249-c465f254-51c35865-d89b2b28-90697879.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14797982/s50233752/d6bf7527-8351ffe1-e40c30e8-de6aa0b0-1ead12b5.jpg
no evidence of pneumothorax.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14469255/s56595480/165ca60c-cddb8668-885eafff-adb40910-4febdd78.jpg
<num>. elevation of the right hemidiaphragm with either collapse or abscence of the right middle and lower lobes. <num>. obliteration of the right main stem bronchus due to mucous impaction or a mass. large right spleural effusion. <num>. small left pneumonia or a mass. findings discussed with <unk> by <unk> via telelp...
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16184561/s53419301/2f727dd9-a6a59e55-ba2c629a-098ad5c5-cd30620c.jpg
no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14198739/s53753409/b40ab8aa-f556a4c6-82014b4c-fa932c54-de54524e.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11364274/s58096571/37f60f9e-95920a85-40f7e544-95390b3c-72831b95.jpg
mild pulmonary edema.
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<num>. right-sided central venous dialysis catheter terminates at the cavoatrial junction. if atrial position is desired, should be advanced approximately <num> cm. persistent marked enlargement of the cardiac silhouette. <num>. right base plate-like atelectasis and mild left mid lung linear atelectasis/scarring. previ...
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mild right basilar atelectasis.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18905013/s51113052/c6d181b7-d981fb56-730a1ab7-7cdfe703-35b60c52.jpg
small right apical pneumothorax, slightly smaller than on prior exam.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18868249/s56787397/5e11fb4f-079c5fbe-3292b51f-2c497afa-57599505.jpg
right picc line is coiled in the right axilla, similar position compared the prior exam. virtually complete opacification of the right hemothorax, likely combination of effusion and atelectasis; infiltrate cannot be excluded. prominent vascularity in the left lung may be partially accentuated from shallow inspiration.
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mild interstitial pulmonary edema with stable cardiac enlargement. no focal consolidation to suggest pneumonia at this time.
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no significant interval change. no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. bilateral calcified pleural plaques suggestive of prior asbestos exposure.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11990385/s50946060/65f0aaa5-36c21883-ab225781-d18930eb-ab40345d.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12796013/s59611792/d9803cb0-43022d25-f7e491e5-4242f61c-dd98b525.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13009683/s52707482/7228c8ca-51e25bfb-71334f3f-d776a3ae-47402b02.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17790232/s52653564/c733b92a-2220f9d4-ef7f71d9-489c9b0e-fcb2ee7a.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10329555/s55167353/5bec95fc-0c4ab730-e3442688-44705e37-5c752a91.jpg
consolidation in the left upper lobe and left lower lobe. relative sparing of the superior segment of the left lower lobe with left effusion. findings are concerning for pneumonia. followup to resolution advised.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12407328/s51226962/c262270b-d2be0eda-4ea15de1-1677cc0e-d5dd810a.jpg
no pneumonia. stat read was called to dr. <unk> by dr. <unk> at <time> am, at the time of discovery, via telephone.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19397534/s54124433/bd7a6ad0-6d5dc632-074df4d4-88a0d516-9d80d3f6.jpg
no acute findings in the chest.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17073411/s53667594/d509494f-040d5611-01ba8d61-81765d1e-36431274.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19462390/s55994101/f15eed93-0bd651e3-da182b4d-8e0a72d9-d4cc141c.jpg
no radiographic evidence of an acute cardiopulmonary process. these findings were discussed with dr. <unk> by dr. <unk> via telephone on <unk> at <time> p.m., at the time of discovery.
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compared to the prior outside exam the amount of pulmonary edema is similar and there has been some interval improved aeration of the right lower lobe however there still substantial amount of collapse/iinfiltrate
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no acute cardiopulmonary process.
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improved mild pulmonary edema. nasogastric tube terminates in the stomach. stable bibasilar atelectasis. new small left anterior pneumothorax.
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mild bibasilar atelectasis. no focal consolidation to suggest pneumonia.
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no evidence of acute cardiopulmonary disease.
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worsened fluid overload with asymmetric pulmonary edema. an underlying infectious infiltrate cannot be excluded
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right ij central venous line terminates in the right atrium, and could be retracted <num>-<num> cm for positioning just above the cavoatrial junction.
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<num>. no definite acute cardiopulmonary process including no evidence of congestive heart failure. <num>. pronounced thoracic scoliosis. <num>. tortuous aorta, which can be seen with hypertension; clinical correlation is suggested.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18811847/s50448223/daf35779-90d39c86-043f7f8c-d513a5c7-49254081.jpg
cardiomegaly without acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17541568/s57077455/cf63c06f-406275ae-5188c8e3-0024243f-35788431.jpg
small bilateral pleural effusions with bibasilar atelectasis. pulmonary vasculature is engorged.
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low lung volumes with possible superimposed pulmonary vascular congestion. no overt edema or consolidation.
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<num>. persistent right upper lobe opacity, likely reflective of post-obstructive atelectasis and pneumonia as seen on prior chest ct. <num>. stable bilateral pulmonary nodules and multifocal consolidation, most prominent in the left mid and lower lung fields. <num>. persistent pneumoperitoneum.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15506696/s57457501/966b5497-70682d71-f84e7f76-014718d6-830f731c.jpg
mild bibasilar atelectasis without focal consolidation to suggest pneumonia.
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no evidence of acute cardiopulmonary disease.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12886092/s55070509/6e749ca8-cb95b917-5a8ab679-46952f0f-d618fada.jpg
left chest port with the tip in the low svc. no etiology for lack of drawback is identified.
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findings of emphysema without evidence of pneumonia.
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no acute cardiopulmonary process. no evidence of free air beneath the diaphragms.
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<num>. cardiac sillhouette slightly less enlarged. <num>. left lung base atelectases with a concurrent small pleural effusion does not appear significantly changed compared with prior exam.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10890576/s58400205/23f38362-550b83bf-3a40e328-1d612ef8-960f7525.jpg
worsening asymmetric interstitial abnormalities involving the lung bases, greater on the left than right. although an acute on chronic process is possible, it seems more likely that there is a background process of worsening interstitial lung disease to explain the appearance.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16320225/s53258913/4dda5e66-6c0fdcf0-5a31aa6e-7a9da680-9d28421e.jpg
bibasilar opacities which in light of low lung volumes are likely atelectasis noting that superimposed pneumonia cannot be excluded. if desired, repeat film with improved aeration may prove useful.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11984647/s59513312/435a4359-d8fe8a3b-382fdfba-01677881-da707ad7.jpg
a dobhoff tube terminates in the distal stomach or duodenum.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16734287/s56408527/e2e42688-4631a3ef-bd6ad843-c4955c6d-331b0c2b.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18531466/s53663005/38198792-16a8012f-aa90d37f-b01e3d1b-82fdb4ee.jpg
interval intubation with tip of the endotracheal tube approximately <num> cm from the carina. otherwise no significant change. layering right pleural effusion.
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low lung volumes with bronchial wall thickening, similar to prior, likely representing chronic asthma.
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rounded radiopaque body projecting over the left upper quadrant. as this was not external to the patient on exem, it may be internal. additional views may help further characterize. increase lucency projecting over the right upper abdomen raising concern for free intraperitoneal air although some may be within interpos...
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large right pneumothorax. these findings were communicated to dr. <unk> via pager by dr. <unk> <unk> on <unk> at <time> p.m., at time of the discovery and were subsequently discussed via telephone at <time> pm.
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normal chest radiograph. resolution of previously seen opacity in the left base which may have been focal atelectasis.
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no radiographic evidence of heart failure or other significant cardiopulmonary abnormalities.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14252315/s53607697/e3164fd5-00a41212-415a0107-01ad818a-d0a8cfb6.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11064216/s57049480/4299e34e-0943ca5a-8d6cb070-ff3d24c3-de291c02.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13962877/s50648522/b18804e8-d0b0a538-1fc88963-f4d6c47a-9c87abc4.jpg
stable moderate cardiomegaly. small left pleural effusion. background prominence of interstitium is likely due to chronic interstitial lung changes. stable right hemidiaphragm elevation.
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patchy bibasilar airspace opacities are improved compared to the previous chest radiograph, and may reflect atelectasis but recurrent aspiration or infection is not excluded. blunting of the right costophrenic angle may be due to pleural thickening or a trace right pleural effusion.
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large superior segment right lower lobe mass is consistent with a primary lung cancer. associated intrathoracic lymph node enlargement, widespread pulmonary metastases and possible lymphangitic carcinomatosis. further evaluation with contrast-enhanced chest ct is recommended, as entered into radiology communications da...
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no evidence of acute disease.
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no acute cardiopulmonary process.
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mild blunting of the right costophrenic angle which may reflect a small pleural effusion. no focal consolidation or pulmonary edema.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13349537/s53180222/99814265-cb07de15-48c1206e-190e274b-723fdf8d.jpg
nodular opacity in the left lung could represent metastatic disease given the clinical history of cancer, and a dedicated chest ct is recommended for further characterization. no pneumonia is seen.
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no acute intrathoracic process.
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bronchovascular crowding versus early pneumonia at the right lung base. if needed, a repeat radiograph with more optimized inspiratory effort may be performed to explain pneumonia, otherwise unremarkable.
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faint opacity in the right mid lung seen on the anterior view may represent early pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19153742/s52618202/ab7baf11-aa879c30-9ecf0eb3-b806617a-4b2cf54b.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18873891/s56033271/55b6b1ca-9d015ce1-c5e754cd-c1fff19e-df797fed.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12285052/s54650718/319d3b03-42e5b6c3-b17ee56f-59a21bf6-147d1a49.jpg
no acute intrathoracic process
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mild pulmonary edema. small hiatal hernia.
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no pneumothorax seen. left lower lobe atelectasis with possible mild bronchiectasis is likely chronic but acute infection cannot be excluded. clinical correlation recommended.
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no acute cardiopulmonary abnormality.
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opacity at base of the right lung likely related to pulmonary edema and plueral effusion however supervening pneumonia cannot be excluded. these findings were communicated to dr. <unk> by telephone at <time> on <unk> by dr. <unk>.
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mild edema with small right pleural effusion compatible with chf.
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low lung volumes with minimal left basilar atelectasis.
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no radiographic evidence for acute process.
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right picc tip in the right atrium and can be withdrawn <num>-<num> cm in for more optimal positioning.
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low lung volumes and bibasilar atelectasis. resolution of left pleural effusion. no pneumothorax.
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right basilar patchy opacity may represent aspiration, atelectasis, or an early focus of pneumonia. pa and lateral views of the chest are suggested for more complete evaluation of this finding when the patient's condition permits.
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consolidation of the left lower lobe consistent with pneumonia given the patient's clincal symptoms.
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suspected pulmonary arterial enlargement which appears new or increased; it may be appropriate to consider an echocardiogram in follow-up. no evidence of pneumonia.
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<num>. diffuse interstitial opacities with a bilateral lower lobe predominance, thought to be at least partially attributable to mild-to-moderate interstitial pulmonary edema. a coinciding underlying interstitial abnormality could be considered as well, however. correlation with any prior imaging is recommended to asse...
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the left subclavian picc line is seen terminating in the proximal svc. a feeding tube is seen coursing below the diaphragm with the tip projecting over the stomach. a single lead right-sided pacer has its lead terminating over the right ventricle. reported tracheostomy tube is not included on the study. there are likel...
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no radiographic evidence of pneumonia.
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moderate cardiomegaly, moderate pulmonary edema and possible trace bilateral pleural effusions. posterior basal consolidations on the lateral view likely represent atelectasis.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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clear lungs. small hiatal hernia.