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normal chest radiograph.
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no acute cardiopulmonary process.
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<num>. interval removal of left-sided pigtail catheter. no pneumothorax. <num>. new dobbhoff tube terminates in the proximal stomach.
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moderate cardiomegaly with mild pulmonary vascular congestion. clear lungs.
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no acute cardiopulmonary process. right pulmonary nodules as described above. comparison with priors recommended to document stability. if unavailable further evaluation with ct recommended.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no evidence of infection.
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minor lateral left base atelectasis. otherwise, no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14093782/s53464886/63661a5b-e26be55e-cd011225-b753ad8e-39ff279e.jpg
interval enlargement of a loculated right pleural effusion.
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emphysema without superimposed acute process.
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moderate bilateral pneumothoraces. the pneumothorax on the right is of similar size and the pneumothorax on the left is slightly larger.
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no evidence of acute cardiopulmonary disease.
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increased pulmonary edema. a superimposed diffuse infection can't be totally excluded.
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large right mediastinal mass, which could represent a large thyroid goiter, vascular aneurysm, or conglomerate lymph node mass from lymphoma or other malignancy. as discussed with dr. <unk> by telephone by <unk> at <time> p.m. <unk> <unk> at the time of discovery, a chest ct is recommended for further evaluation.
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no acute cardiopulmonary process. mild linear right basilar atelectasis or scarring.
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decrease in bilateral pleural effusions, now small to moderate in size.
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cardiomegaly with mild basilar atelectasis. no convincing evidence for pneumonia.
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pacemaker sends leads terminate in the right atrium and right ventricle. low lung volumes limits assessment of the lung bases. repeat pa radiograph with improved inspiratory level is recommended when the patient's condition permits small hiatal hernia. right humeral enchondroma.
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right subclavian central line is unchanged in position. the heart remains stably enlarged. mediastinal contours are also unchanged. there are layering bilateral effusions with associated patchy airspace process most likely representing compressive atelectasis, although superimposed pneumonia cannot be excluded. there is worsening perihilar asymmetric edema, right greater than left. no pneumothorax is appreciated.
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et tube has been retracted but remains within the right main stem bronchus, and should be withdrawn another <num> to <num>cm. left lung aeration has improved, but lower lobe still substantially collapsed.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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findings suggesting mild pulmonary edema.
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small bilateral pleural effusions with overlying atelectasis.
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no evidence of acute disease. mildly prominent central pulmonary arteries although without change.
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<num>. left lower lobe and lingular pneumonia. <num>. previously identified nodular opacity in the right lower lung may represent a nipple shadow; however, other nodular opacities in the right lower lung and the left upper lung are seen on oblique views and given the patient's underlying lung disease, a ct is recommended to evaluate.
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as above.
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<num>. no acute cardiopulmonary process. <num>. endotracheal tube in appropriate position. <num>. nasogastric tube courses below the diaphragm, inferior aspect not included on the image.
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slightly worsened fluid status.
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mild pleural thickening at the right lateral lung base, otherwise unremarkable.
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as above.
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subtle opacity at the left lung base likely represents atelectasis, less likely pneumonia.
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no acute cardiopulmonary process.
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minor linear left basilar atelectasis / scarring. otherwise, no acute cardiopulmonary process.
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no focal consolidation to suggest pneumonia.
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no acute cardiopulmonary process.
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mild pulmonary edema, new in the interval, with increased size of small bilateral pleural effusions, larger on the right. worsening bibasilar airspace opacities may reflect atelectasis, but infection or aspiration cannot be excluded.
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increased opacities at both bases could be due to volume loss or infiltrate.
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findings compatible with decompensated heart failure.
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no evidence of acute intrathoracic process.
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no pneumonia, edema, or effusion.
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no acute intrathoracic findings including no signs of pneumothorax.
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no acute cardiopulmonary process.
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no acute findings in the chest.
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probably old right-sided rib fractures. no evidence of acute cardiopulmonary disease.
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mild pulmonary edema superimposed on a background of chronic interstitial lung disease. more focal opacity in the left perihilar region could reflect an area of infection.
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no acute pulmonary process detected. background copd and borderline cardiomegaly noted.
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no pneumothorax following thoracentesis.
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<num>. cardiomediastinal silhouette is grossly unchanged, allowing for technical differences. <num>. left-sided dual lead pacer, with lead tips over right atrium and right ventricle. <num>. doubt acute pulmonary process. possible minimal blunting of left costophrenic angle and minimal bibasilar atelectasis .
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compared to the prior study. the pulmonary status appears worse. this may be due to pulmonary edema and lower lobe volume loss however an underlying infectious infiltrate in the lower lobes can't be excluded.
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relatively low lung volumes. prominence of the pulmonary vasculature suggests pulmonary vascular congestion. bibasilar atelectasis.
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normal radiographs of the chest.
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no acute cardiopulmonary process.
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<num>. low lung volumes with bibasilar opacities likely representing atelectasis. <num>. markedly distended air-filled stomach.
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mild cardiomegaly without may reflect a pericardial effusion.
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<num>. no focal consolidation concerning for pneumonia. <num>. mild cardiomegaly with no definite evidence of cardiac decompensation.
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focal right infrahilar opacity suggestive of pneumonia. recommend follow up cxr in <num> to <num> weeks to document resolution after completion of antibiotic therapy. these findings were discussed with dr. <unk> by dr. <unk> at <time> on <unk> by telephone <unk> minutes after discovery.
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as above.
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stable appearance of the chest with no acute process.
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subsegmental atelectasis in the lung bases. right hilar enlargement could suggest a dilated right pulmonary artery.
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improved small bilateral pleural effusions, left worse than right. no evidence of pneumonia.
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interval increase in now moderate to large right pleural effusion with overlying atelectasis. central pulmonary vascular engorgement.
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<num>. little change in comparison to prior study with minimally displaced fractures of the posterior right fifth and sixth ribs and associated stable small-to-moderate right apical pneumothorax. <num>. bibasilar opacities persist and are most likely representative of atelectasis.
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<num>. appropriately positioned endotracheal tube. <num>. unchanged complete opacification of the left hemithorax with rightward shift of the mediastinal structures, seen to be secondary to a combination of consolidation and effusion on the outside hospital ct from <unk>. an obstructing endobronchial or peribronchial lesion cannot be excluded.
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no acute displaced rib fracture is detected. if there is clinical concern, a dedicated left rib series is recommended with a bb placed over the site of the patient's pain.
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<num>. increased size of a chronic right pleural effusion, now moderate, with adjacent atelectasis. unless the etiology of this abnormality is known and understood, ct is recommended for further evaluation. <num>. mildly enlarged cardiac silhouette could represent a pericardial effusion. findings were communicated via phone call by <unk> to <unk> on <unk> at <unk> am.
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low lung volumes with patchy opacities at the lung bases, likely atelectasis. infection however is not completely excluded.
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<num>. new left upper lobe opacity is suspicious for pneumonia. <num>. left pleural effusion has grown and is now moderate. <num>. mild to moderate pulmonary edema.
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no significant interval change. no acute cardiopulmonary process.
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no acute intrathoracic abnormality. no definite acute displaced rib fracture is identified.
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<num>. asymmetric pulmonary edema reflected in left perihilar edema with a moderate left pleural effusion which is now bigger. <num>. severe left basal consolidation, present since at least <unk>, probably atelectasis, less likely unresolved pneumonia.
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vague opacity suspected in the lingula; early pneumonia or atelectasis could be considered.
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et tube terminates approximately <num> cm from the carina.
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small pleural effusions and slightly increased/persistent left basilar consolidation
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right lower lobe and possible left lower lobe pneumonia. recommend repeat after treatment to document resolution.
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right picc line terminates at the mid svc, no pneumothorax.
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hyperinflated lungs suggestive of copd. streaky right basilar opacity, likely atelectasis.
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mild central vascular congestion without frank pulmonary edema.
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mild bronchial wall thickening may reflect bronchitis. there is no evidence of pneumonia.
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<num>. moderate cardiomegaly and mild pulmonary edema <num>. increased opacity in the right lower lobe could reflect combination of edema and atelectasis; although, infectious process is possible. consider repeat radiograph after diuresis to exclude pneumonia.
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extensive pulmonary metastatic disease without signs of superimposed acute process. osseous metastasis again seen. port-a-cath tip in the right atrium.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. diffusely increased interstitial markings consistent with nsip as more completely evaluated on the prior ct.
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mild pulmonary vascular congestion without pulmonary edema or effusion.
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no acute cardiopulmonary abnormality.
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no evidence of pneumonia. severe emphysema.
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<num>. no acute cardiac or pulmonary process. <num>. no definite rib fracture identified. if there is persistent concern for rib fracture, dedicated rib series with a skin marker at the site of the patient's pain could be obtained.
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no acute cardiopulmonary process.
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<num>. large right upper lobe pneumonia, or lung mass, and ipsilateral hilar and mediastinal adenopathy. suggest repeat chest radiographs in <num> weeks, with chest ct scheduled to follow unless there is considerable improvement. therefore the chest radiograph needs to be viewed by the radiologist before the patient leaves the chest radiography area. <num>. possible basal lung nodule to be re-examined on subsequent studies.
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no evidence of acute cardiopulmonary disease.
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no acute intrathoracic abnormality.
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no evidence of pneumonia. copd.
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no acute cardiopulmonary process.
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cardiomegaly without superimposed acute cardiopulmonary process.
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small bilateral pleural effusions, bilateral lower lobe atelectasis, and mild cardiomegaly.
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no acute cardiopulmonary process.