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low lung volumes with mild pulmonary vascular congestion.
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no acute cardiopulmonary abnormality.
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no interval change of moderate right pleural effusion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. enlarged cardiac silhouette compared to ct <unk>. given the presence of pericardial effusion on prior ct, enlarging pericardial should be considered . correlate for cardiac tamponade. <num>. widened mediastinal silhouette consistent with known mediastinal mass.
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there are low lung volumes, which accentuate the bronchovascular markings. given this, there bibasilar atelectasis. hilar and perihilar opacities may be due to a mild pulmonary edema, again exaggerated by the low lung volumes. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable.
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no acute cardiopulmonary process.
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no evidence of chf.
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partially imaged small right apical pneumothorax seen on cervical spine ct earlier this same date is not as well appreciated radiographically.
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no acute cardiopulmonary process. moderate hiatal hernia again noted.
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no evidence of pneumothorax.
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no acute cardiopulmonary process.
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<num> cm diameter right upper lobe nodule, for which chest ct is recommended for further characterization as communicated by telephone to dr. <unk> at <time> a.m. on <unk> at the time of discovery.
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no significant interval change when compared to the prior study
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13035993/s52138478/6aefaa22-9dfcf242-6c5a37ca-67e1df01-b8cfd568.jpg
no acute cardiopulmonary process.
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bibasilar atelectasis without focal consolidation concerning for pneumonia.
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mild pulmonary edema, new in the interval, and similar-appearing small right pleural effusion. patchy atelectasis in the lung bases.
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<num>. emphysema/ild without superimposed pneumonia. <num>. known right humeral head fracture.
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cardiomegaly compatible with patient's history without definite acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. no subdiaphragmatic free air.
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minimal perihilar bronchial cuffing. otherwise, no acute cardiopulmonary process. no pneumothorax.
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<num>. new bibasilar opacities may represent aspiration pneumonia in the appropriate clinical setting. an asymmetrical distribution of pulmonary edema is considered less likely. <num>. gradual increase an opacity in the right apex is concerning for local recurrence of lung cancer. <num>. slight interval increase in sma...
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no acute intrathoracic process.
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<num>. no acute intrathoracic process. <num>. no fracture.
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persistent complete collapse of left lung in the setting of a known obstructed bronchial stent, with adjacent left pleural effusion. widespread pulmonary metastases.
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no pneumonia.
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no acute intrathoracic process.
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no acute cardiopulmonary process. no pneumothorax or pneumoperitoneum.
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appropriate positioning of the endotracheal tube. left basal atelectasis.
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resolution of pneumonia. large hiatal hernia.
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no acute findings. specifically, no sign of rib fracture or pneumothorax.
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probable background copd. increased interstitial markings in both lungs. please see comment above.
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no acute cardiopulmonary process.
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no focal consolidation to suggest pneumonia. mild basilar atelectasis.
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no evidence of acute cardiopulmonary process.
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<num>. no pneumothorax. <num>. small right lung base atelectasis and presumed small right pleural effusions are unchanged.
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subtle left base opacity most likely represents atelectasis and/or vascular structures rather than focal consolidation.
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no acute intrathoracic process.
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engorged pulmonary vasculature and right pleural effusion without frank pulmonary edema.
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persistent left lower lobe opacity is unchanged since <unk> and may reflect atelectasis. there is no convincing evidence of pneumonia.
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<num>. endotracheal tube positioned low, retraction by <num>-<num> cm advised. <num>. ng tube coiled in the esophagus. repositioning is needed. <num>. severe cardiomegaly and left lower consolidation which may represent pneumonia or aspiration.
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persistent cardiomegaly. pulmonary vascular congestion. no pleural effusion seen.
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no focal consolidation concerning for pneumonia. low lung volumes.
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no radiographic evidence of significant cardiopulmonary abnormalities.
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<num>. significant improvement of right-sided pleural effusion with no pneumothorax. <num>. small left pleural effusion.
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no significant interval change.
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unremarkable chest radiograph.
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no change.
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<num>. linear opacity in the right lung, improved since prior chest radiograph from <unk>. findings are better assessed on ct performed the same date. <num>. slight blunting of the bilateral posterior costophrenic angles may be due to trace pleural effusions or atelectasis.
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<num>. right picc tip terminates in the low svc. <num>. mild pulmonary vascular congestion.
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no acute cardiopulmonary process. no evidence of pulmonary vascular congestion or edema.
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no radiographic evidence for acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute intrathoracic process.
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bibasilar patchy opacities likely atelectasis.
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no pneumonia.
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no acute cardiopulmonary process.
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streaky left posterior lobe opacities, probably atelectasis.
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no radiographic evidence for acute cardiopulmonary or chronic granulomatous disease.
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no acute cardiopulmonary process.
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patchy posterior left basilar opacity, probably due to atelectasis, although a small focus of aspiration is possible.
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no evidence of acute cardiopulmonary disease.
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no radiographic evidence of pneumonia.
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<num>. no acute cardiopulmonary process. <num>. large hiatal hernia, similar prior exam.
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clear lungs.
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no evidence of acute cardiopulmonary process.
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<num>. interval increase in the right lower lobe opacification compared to the prior exam. this could be secondary to progression of pneumonitis, or if the patient is clinically presenting with cough/fever, could be secondary to an infectious etiology. <num>. slight interval increase in right-sided pulmonary edema and ...
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no evidence of chronic aspiration.
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<num>. resolution of pneumonia since <unk> radiograph. no evidence of recurrence pneumonia
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<num>. persistent low lung volumes with slight interval decrease in the left lower lobe opacity that is most likely atelectasis. <num>. no evidence of fracture but this exam is not dedicated for imaging of the ribs. there is clinical concern for fracture, dedicated radiograph should be obtained. recommendation(s): dedi...
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ap chest compared to <unk> through <unk>. <num>: endotracheal tube in standard placement. nasogastric tube ends in the lower esophagus and would need to be advanced <num> cm to move all the side ports into the stomach. limited views of the upper abdomen show a generally distended colon, redundant in the right upper abd...
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mild pulmonary edema and small bilateral effusions. deviation of the trachea to the right at the thoracic inlet could be due to underlying right-sided thyroid enlargement for which nonurgent thyroid ultrasound can be performed.
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no evidence of malignancy or infection.
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no acute cardiopulmonary process.
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bilateral lower lobe opacities in a pattern similar to multiple prior images, consistent in appearance with multifocal pneumonia. consider non-emergent, outpatient evaluation with ct to further assess in the setting of nonresolving opacity.
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no acute intrathoracic process
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no radiographic evidence of pneumonia.
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limited study with crowding of bronchovasculature in the lower lungs. no clear signs of pneumonia.
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<num>. moderate to moderately severe cardiomegaly, unchanged. <num>. chf, with interstitial and question alveolar edema, slightly improved compared with <unk>. <num>. left lower lobe collapse and/or consolidation, also slightly improved. this could include an area of pneumonic infiltrate. <num>. hazy nodular densities ...
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cardiac opacity could represent summation or new infectious process. recommend lateral chest x-ray for further evaluation.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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interval decrease/resolution fluid overload. ill-defined small opacity projecting over the anterior right third rib, measuring approximately <num> cm, seen not clearly seen on prior studies, although an early focus of developing consolidation is not excluded. recommend followup to resolution.
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no acute cardiopulmonary process. no significant interval change.
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significant progression of a large right pleural effusion. discussed with dr <unk> <unk> phone at <unk>.
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no acute cardiopulmonary process.
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clear hyperinflated lungs. cardiomegaly is mild to moderate. no other evidence of cardiac decompensation. intrathoracic stomach via hiatus hernia, larger today than in <unk>. the configuration suggests the potential for a gastric torsion.
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<num>. no evidence of pneumothorax. small right pleural effusion. <num>. parenchymal opacity in the right upper lung, corresponding to cystic lesion and surrounding opacity seen on the prior ct.
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low lung volumes, with bronchovascular crowding and bibasilar atelectasis. a retrocardiac opacity is redemonstrated, likely unchanged compared to the prior exam. this again may represent atelectasis, but superimposed pneumonia cannot be excluded.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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pulmonary edema with small bilateral pleural effusions and cardiomegaly.
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no acute cardiopulmonary process. no evidence of clavicle or rib fractures.
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<num>. mild pulmonary vascular congestion and small right pleural effusion. <num>. retrocardiac opacity could reflect atelectasis but infection and aspiration are not excluded.
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no acute intrathoracic process.
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ng tube not well visualized, but may pass into the abdomen. if it is a better visualization is desired, repeat radiographs with abdominal technique can be performed.
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<num>. mild interstitial pulmonary edema. <num>. unchanged moderate cardiomegaly. <num>. possible trace left pleural effusion.