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Radiograph centered at thoracoabdominal junction was obtained to assess placement of an orogastric tube, which terminates in the stomach. Cardiac silhouette has slightly decreased in size and is accompanied by mild pulmonary vascular congestion and improved pulmonary edema with only minimal residual interstitial edema ... | |
New Dobbhoff tube coils in the stomach. Endotracheal and bilateral thoracostomy tubes are unchanged in position. Clips in the region of the right subclavian artery. No significant pneumothorax. Right upper lobe pulmonary contusion is unchanged. Mild cardiomegaly, central venous congestion, and small bilateral pleural e... | |
Compared to chest radiographs since ___ most recently ___. Cardiomediastinal silhouette, particularly the cardiac portion is quite large but the apparent interval change is probably a function of lordotic positioning, rather than real increase. Left lower lobe consolidation is moderately severe, unchanged since ___. Wh... | |
Comparison to ___. No relevant change is noted. Stable hiatal hernia. Stable right pectoral Port-A-Cath. Borderline size of the heart. No pneumonia, no pulmonary edema, no pleural effusions. | |
A nasogastric tube has been placed, terminating in the stomach. If clinically indicated, it could be advanced somewhat to gain better purchase in the stomach, however, noting that the sidehole lies near the gastroesophageal junction. The heart is mildly enlarged. The mediastinal and hilar contours are unremarkable, all... | |
Extensive subcutaneous air involving the left chest wall which shows interval progression with air also seen in the right supraclavicular area. Left-sided pigtail drain in situ. Large residual pneumothorax again visualized appearing similar in size compared to imaging done at 06:39 today. No mediastinal shift to sugges... | |
The patient has been intubated. The tip of the endotracheal tube projects 6 cm above the carina. The extensive pleural effusion on the right has decreased in extent but still occupies approximately ___ of the right hemi thorax. Minimal left pleural effusion and bilateral areas of basilar atelectasis. Normal size of the... | |
In comparison with the study of ___, the endotracheal tube and nasogastric tube have been removed. No evidence of pneumothorax. Swan-Ganz catheter and right chest tube remain in place. Lower lung volumes with minimal atelectatic changes. The degree of pneumopericardium has decreased. | |
Compared to prior radiograph of 1 day earlier, a PleurX catheter is been placed, with reduction in size of left pleural effusion. A large homogeneous opacity in the left mid hemi thorax may reflect residual loculated pleural fluid although a mass could have a similar appearance. Adjacent lung has partially re-expanded ... | |
As compared to ___ chest radiograph, bilateral diffuse pulmonary opacities have improved in severity with residual more confluent asymmetrical opacity in the right upper lobe which could potentially represent asymmetrical edema or infectious pneumonia coexisting with edema. Right pleural effusion has also decreased in ... | |
As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Moderate cardiomegaly with atelectasis at the right lung base. Volume loss in the middle lobe that is unchanged. The lung volumes are overall low. No larger pleural effusions. No pulmonary edema. | |
Heart size is top normal, accentuated by the AP projection. Mediastinal and hilar contours and pleural surfaces are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No free subdiaphragmatic air identified. | |
A left lower lobe retrocardiac consolidation has progressed since 9:00 a.m., and now silhouettes the left hemidiaphragm. Right basilar consolidation has also progressed. No effusion or pneumothorax is present. The cardiac and mediastinal contours are normal. | |
A left mid lung opacity is once again reflective of known radiation fibrosis. Right hemithorax volume is unchanged. The right lower lung opacification reflects a known right lower lung lesion better evaluated on prior PET-CT. There is biapical thickening which is stable. The cardiomediastinal hilar contours are stable.... | |
No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged. | |
Comparison to ___. No relevant change is noted. The position of the right pigtail catheter continues to be very distal, the tube should be either advanced a completely removed as parts of the sideholes are in the chest wall. Low lung volumes and moderate cardiomegaly persists. Pre-existing signs of pulmonary edema have... | |
There is subcutaneous emphysema in the left chest wall. There is a consolidation in the left mid and lower lung, which likely represents a combination of hemothorax and atelectasis and contusion from prior injury. Multiple continuous posterior rib fractures are seen in the left, as seen on prior CT. ET tube ends 3.4 cm... | |
Heart size is top-normal. Mediastinal silhouette is unremarkable. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. There is mild left basilar atelectasis. | |
There is slight elevation of the right hemidiaphragm, unchanged from the prior study. The lungs are clear bilaterally. There is no pneumothorax, pleural effusion, pulmonary edema, or focal consolidation. The cardiomediastinal silhouette is unremarkable. | |
There is no pneumomediastinum or pneumothorax post-mediastinoscopy. Right-sided PICC line has been pulled back slightly and is in mid SVC. Bibasilar atelectasis is unchanged. There is no pleural effusion. Known cardiac enlargement is unchanged in this patient with multiple lymph nodes shown in recent CT. | |
Left pigtail thoracostomy catheter remains in place. No pneumothorax. Streaky opacities in the lungs are again seen with no new airspace consolidation. No evidence of pulmonary edema. Overall cardiac and mediastinal contours are stable. | |
The NG tube is again seen in the neo esophagus the bilateral parenchymal opacities are slightly improved but continue to be present right greater than left lower lobe greater than upper lobe the ET tube is 5 cm above the carina. Right chest tube is unchanged. Right-sided Port-A-Cath is unchanged. There small bilateral ... | |
Portable AP radiograph of the chest was reviewed in comparison to ___. The ET tube tip is 4 cm above the carina. The NG tube tip passes below the diaphragm terminating in the stomach. Heart size and mediastinum are unchanged in appearance. Left retrocardiac consolidation appears unchanged. Pulmonary edema is mild, inte... | |
Interval clamping of chest tube. No gross change identified. | |
There is a nasogastric tube whose tip and side port are below the GE junction. There is unchanged cardiomegaly. Nodular density within the left mid lung field seen previously is not well seen on these films. There is persistent mild vascular congestion and small bilateral effusions. There is a vague left retrocardiac o... | |
Biventricular heart failure manifested as increased cardiomegaly pulmonary and mediastinal vascular engorgement worsened after ___, improved on ___, and looks worse today. Whether that is due to real clinical regression, or lower lung volumes is difficult to say. Bibasilar atelectasis, mild on the right and moderate to... | |
In comparison with the study of ___, the left chest tube has been removed and there is no evidence of pneumothorax. Continued bilateral pleural effusions that may be slightly more prominent than on the previous study with underlying compressive atelectasis. No definite vascular congestion. In view of the changes in the... | |
Right Swan-Ganz catheter tip is in the left main pulmonary artery. Extensive bilateral lung consolidations right greater than left are unchanged. There is no pneumothorax or effusion. Cardiomediastinal contours are unchanged. Retrocardiac atelectasis has minimally increased. ET tube is in standard position. NG tube tip... | |
As compared to the previous radiograph, no relevant change is seen. There is no visible pneumothorax on the current image. Few opacities on the left, at slightly lower lung volumes, overall unchanged in severity and extent. The right pigtail catheter is in unchanged position. Unchanged size of the cardiac silhouette. | |
Tip of the endotracheal tube is at the upper margin of the clavicles, no less than 7 cm from the carina an should be advanced to to 3 cm for more secure seating. There has been little change over the past several days. Extensive left pleural abnormality, probably largely fluid is unchanged. This is responsible for cons... | |
Large right anterior mediastinal mass has been more fully characterized on the at outside CT and is associated with a known pericardial effusion resulting in enlargement of the cardiac silhouette. Pulmonary vascularity is normal, and lungs are grossly clear. | |
Compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 2.9 cm above the carina. The patient has also received a left-sided internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the upper SVC and is likely... | |
Moderate to large right pleural effusion is stable or slightly larger. Severe cardiomegaly is unchanged. Pulmonary and mediastinal vascular engorgement have increased. No pneumothorax. ET tube and feeding tube are in standard placements. Right subclavian line ends at the superior cavoatrial junction. An esophageal prob... | |
Portable radiograph of the chest demonstrates median sternotomy wires as well as prosthetic aortic valve, in appropriate position. The heart size appears mildly enlarged, and there is bilateral perihilar haziness as well as increased prominence of the interstitial markings within the bilateral lungs, consistent with pu... | |
Heart size and mediastinum are overall unchanged including prominence of the azygos vein. There is substantial interval improvement in pulmonary edema. There is still present right basal and to lesser extent left basal consolidations concerning for infectious process as well as a right pleural effusion, at least modera... | |
The patient is rotated somewhat to the left. Enlarged of the cardiac silhouette persists. Cardiac and mediastinal silhouettes are stable. There is persistent left base opacity, similar as compared the prior study. In the interval since the prior study, there appears to be central pulmonary vascular congestion. Left per... | |
New bibasilar atelectasis with small pleural effusions bilaterally. Patient has severe emphysema better noted on CT chest. There is no pneumothorax. Cardiac size is normal. | |
1. Left subclavian PICC line continues to have its tip in the mid-to-distal SVC. There has been interval placement of a right internal jugular central line with its tip in the mid-to-distal SVC. The endotracheal tube is unchanged in position, having its tip approximately 4 cm above the carina. There has been interval a... | |
In comparison with study of ___, the degree of pulmonary vascular congestion has decreased. Substantial enlargement of the cardiac silhouette persists in this patient with dual-channel pacer device. Some obscuration of the hemidiaphragms suggests underlying pleural effusion with basilar atelectasis bilaterally. | |
Heart size is stably enlarged. The mediastinal and hilar contours are normal. There is mild fullness of the hilum with increased reticular opacities, likely due to increased pulmonary pressure. No large effusions are seen. There is no pneumothorax. A calcified nodule projects over the left lung apex, unchanged from pri... | |
Comparison is made to previous study from ___. Bilateral central venous catheters, endotracheal tube, feeding tube are unchanged in position and appropriately sited. There are again seen bilateral pleural effusions and a left retrocardiac opacity as well as some mild pulmonary edema. These findings are stable. There ar... | |
Diffuse parenchymal opacities with areas of increased interstitial markings are consistent with development of moderate pulmonary edema. No pneumothorax is seen. There is mild cardiomegaly. There may be small pleural effusions. Surgical clips are noted in the region of the gastroesophageal junction. | |
Compared to chest radiographs ___ through ___. Lung volumes remain quite low, nevertheless previous mild edema in the left lung is improving. Large right pleural effusion and severe left basilar consolidation or atelectasis are unchanged. Cardiomediastinal silhouette is normal. ET tube, left internal jugular line are i... | |
AP view of the torso centered at the diaphragm shows a nasogastric tube ending in the upper stomach. Top normal heart size is attributable to supine positioning and low volume inspiration, which suggested new opacification at the left lung base, probably atelectasis. Tip of the endotracheal tube is seen at the upper ma... | |
AP chest compared to ___: Borderline interstitial edema and pulmonary vascular congestion are unchanged. Moderate cardiomegaly, increased since ___, is unchanged. Pleural effusions are small if any. Trachea is deviated rightward by a large mass in the left lobe of the thyroid gland, present since at least ___. Thoracic... | |
As compared to the previous radiograph, the monitoring and support devices, including the right hemodialysis catheter and the tracheostomy tube, are in unchanged position. The tip of the hemodialysis catheter continues to project over the bases of the right atrium. The lung volumes are unchanged. Moderate cardiomegaly.... | |
The heart has a left ventricular configuration, similar to prior. Mediastinal contours and tortuosity of the aorta are similar to prior. Elevation of the left hemidiaphragm appears chronic and bilateral basilar linear opacities may represent atelectasis or scarring. No focal consolidation or pneumothorax. | |
AP radiograph of the chest was compared to ___. Cardiomegaly and mediastinal contours are stable. There is interval development of vascular engorgement, bilateral perihilar associated with bibasilar, right more than left atelectasis that are consistent with interval development of vascular engorgement, but no overt pul... | |
Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged with dense atherosclerotic calcification again seen in the thoracic aorta. The aorta remains tortuous. Pulmonary vasculature is not engorged. Streaky linear opacities in the lung bases likely reflect areas of atelectasis. No focal cons... | |
Previous mild pulmonary edema has substantially improved, moderately severe left lower lobe atelectasis persists, now with a small left pleural effusion. Cardiac diameter and mediastinal venous caliber have increased. No pneumothorax. Tracheostomy tube midline. Left PIC line ends in the mid to low SVC. | |
AP portable supine view of the chest. Chronic collapse of the left lower lobe is noted with persistent hazy opacity in the left upper lobe which remains concerning for pneumonia, possibly aspiration related. The right lung appears grossly clear. The cardiomediastinal silhouette is stable. No large effusion or pneumotho... | |
AP radiograph of the chest compared to ___. The ET tube tip is 2.3 cm above the carina. The left subclavian line tip is at the level of mid SVC. Heart size and mediastinum appear unchanged. Bilateral pleural effusions are noted and the patient continues to be in mild interstitial edema. In addition, a more focal opacit... | |
There are persistent low lung volumes. Cardiac size is normal. Port a cath tip is in the right atrium. Right PICC tip is in the cavoatrial junction. There is no evident pneumothorax. Large bilateral effusions with adjacent atelectasis are unchanged. | |
Since a recent radiograph of 2 days earlier, the patient has undergone left thoracentesis, with near resolution of left pleural effusion and development of a tiny left apical pneumothorax. Associated improved aeration in the left mid and lower lung with mild residual atelectasis remaining. No other relevant change sinc... | |
As compared to the previous radiograph, there is no relevant change. New left pectoral device is in constant position. The position of the leads is unchanged. There is no evidence of pneumothorax or other acute lung change. A linear structure paralleling the ribs on the left is unchanged as compared to the previous exa... | |
Comparison to ___. The PICC line on the right is in unchanged position. The tip continues to project over the mid SVC. No complications, notably no pneumothorax. Pre-existing low lung volumes persist. Small areas of atelectasis at the left lung bases. Stable normal size of the heart. | |
Heart size and mediastinum are unremarkable. Lungs are clear except for left retrocardiac area were potentially re- of aspiration or pneumonia is present. Correlation with lateral chest radiograph is recommended. No pleural effusion. No pneumothorax. | |
Expected appearance of status post pacemaker insertion, with no pneumonia or edema evident. | |
As compared to the previous radiograph, the radiographic signs of evocative of pulmonary edema have minimally decreased in severity. Mild-to-moderate pulmonary edema, however, is still present. Enlarged cardiac silhouette and slightly enlarged mediastinum with areas of paramediastinal atelectasis at the level of the ri... | |
There has been little change there since ___. Mild to moderate pulmonary edema in the mid and upper lungs zones has not changed very much over the past several days. The combination of dependent edema and atelectasis projecting over pleural effusions may explain apparent consolidation in the lower lobes, but I cannot e... | |
There is mild volume overload, but no consolidation. There is no pleural effusion or pneumothorax. The stomach is slightly distended. | |
Two frontal images of the chest demonstrate some interval improvement in the right lower lobe opacity. The right upper lobe collection of loculated pleural fluid appears to have increased in size since the previous imaging. Again seen is cardiomegaly. There is no pneumothorax or pleural effusion. Multiple surgical clip... | |
Endotracheal tube, nasogastric tube, and right IJ central line are unchanged in position. There are lower lung volumes since prior. There is again seen bilateral pleural effusions, right greater than left. There are no pneumothoraces. | |
In comparison with the study of ___, there is again a small apical pneumothorax on the right. Cardiac silhouette remains within normal limits and there is some indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. Continued right pleural effusion with compressive basilar atelectasis. T... | |
Right jugular venous pacemaker has been removed. New left-sided pacemaker has leads in right atrium and ventricle. There is no pneumothorax or pleural effusion. Mild pulmonary edema has resolved. Moderate cardiomegaly is stable in this patient with prior sternotomy for CABG. | |
Compared with the immediate prior study moderate bibasilar layering pleural effusions have substantially increased. A superimposed infectious process at the left lung base is possible in the proper clinical setting. There is mild edema. No pneumothorax. A tunneled right IJ central venous catheter tip terminates in the ... | |
Mild interstitial abnormality at the lung bases is probably a combination of edema and atelectasis. There is no consolidation. Pleural effusion is minimal if any. No pneumothorax. Normal cardiomediastinal silhouette. The recently replaced left transjugular large bore catheter ends in the right atrium as before. A right... | |
There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Sternal wires are intact. Mediastinal surgical clips are similar to prior. No free air below the right hemidiaphragm is seen. | |
Left chest wall transvenous pacer/ defibrillator with leads ending in the right atrium and right ventricle. There is no evidence of pneumothorax or pleural effusion. Heart size is mildly enlarged. There is no focal consolidation. | |
The patient is after biopsy. There is substantially increased parenchymal opacity at the site of the biopsy, likely caused by a combination of bleeding and edema. These changes should resolve within the next ___hours. There is no evidence of pneumothorax. Normal-appearing left lung. | |
Status post CABG and sternotomy, pectoral pacemaker in correct position. Small lung volumes with moderate cardiomegaly and minimal increase in diameter of the pulmonary vasculature, potentially indicating mild fluid overload. No pneumonia. No pleural effusions. Minimal retrocardiac atelectasis. | |
Moderate cardiomegaly is stable. Vascular congestion has slightly increased. Small bilateral effusions have increased on the right. No evident pneumothorax | |
Stable cardiomegaly accompanied by pulmonary vascular congestion and mild interstitial edema. More confluent opacities are present at the lung bases, and could reflect dependent edema, aspiration, or infectious pneumonia. Followup PA and lateral radiographs may be helpful in this regard when the patient's condition per... | |
1. Increasing opacity at the right base likely representing aspiration or pneumonia. The left lung is grossly clear. Overall, lungs are hyperexpanded, suggesting underlying emphysema. Somewhat unfolded prominent and tortuous aorta, unchanged. Cardiac size is stable. No evidence of pulmonary edema or pneumothorax. No pl... | |
In comparison with the study of the ___ and ___, the cardiac silhouette is slightly more prominent and there is some indistinctness of pulmonary vessels that could reflect elevated pulmonary venous pressure. No evidence of acute focal pneumonia or pleural effusion. There is an endotracheal tube in place with its tip ap... | |
The lungs remains hyperinflated with stable scarring in the left apex. There is new opacity in the right lower lung. Chain suture again projects over the lateral right mid lung. Heart size, mediastinal and hilar contours are normal. There may be a small right pleural effusion. No left pleural effusion or pneumothorax. | |
ET tube tip is 6 cm above the carinal. NG tube tip is in the stomach. Cardiomediastinal silhouette is unchanged and there is potentially interval increase in left pleural effusion are less its chest redistributed due to slightly different position of the patient. Right pleural effusion is moderate. No definitive pulmon... | |
ET tube tip is 3.2 cm above the carinal. Right subclavian line tip is at the cavoatrial junction. Heart size and mediastinum are unchanged. Pulmonary edema is extensive, unchanged. Bilateral pleural effusions, left more than right are noted. | |
There is stable postsurgical scarring in the right lower lobe. There is no large pleural effusion, pneumothorax or pulmonary edema. No focal consolidation concerning for pneumonia. The heart is normal in size. Mediastinal and hilar contours are stable. | |
Portable frontal chest radiograph shows a left pneumonectomy with postsurgical changes along the left chest wall. There is associated significant volume loss. There is mild pulmonary edema and within the right lung with emphysema. There is no pleural effusion or pneumothorax. There is no focal consolidation to suggest ... | |
Comparison is made to previous study from ___. There are again seen bilateral pleural effusions which are relatively stable in size. There is cardiomegaly which is stable. There has been removal of an endotracheal tube as well as the feeding tube since the previous study. There is persistent mild pulmonary edema partic... | |
Low lung volumes are present which cause crowding of the bronchovascular structures. There is no pulmonary edema. There has been interval removal of the right-sided PIC line. There is mild cardiomegaly. There is a tracheostomy tube, with an overlying rebreather mask limiting assessment of the upper lungs. There is mild... | |
ET tube terminates approximately 3 cm from the carina. The patient is status post median sternotomy and CABG with several vascular clips in the mediastinum. Bibasilar opacities and retrocardiac opacities are a combination of atelectasis and pleural effusion, but an infectious process is also a possibility. OG tube with... | |
AP portable upright view of the chest. Single lead pacemaker is unchanged with lead extending to the region of the right ventricle. Again noted, is a large right pleural effusion. Associated compressive atelectasis in the right middle and lower lobes is again seen. Left lung is essentially clear without large effusion ... | |
Normal heart, lungs, hila, mediastinum, and pleural surfaces. Healed left middle rib fractures noted. | |
No previous images. There is extensive subcutaneous gas along both chest walls extending to the abdomen and the neck. Endotracheal tube tip lies approximately 4.3 cm above the carina. No convincing evidence of pneumothorax. There are low lung volumes with some fullness of pulmonary vessels, consistent with elevated pul... | |
In comparison with the study of ___, there has been placement of a pigtail catheter at the right base with removal of some of pleural fluid. No evidence of pneumothorax. Some residual opacification is consistent with pleural fluid and volume loss in the lower lungs. Cardiac silhouette is prominent and there is some ind... | |
The lung volumes are lower. There is a new opacity seen at the medial right lung base. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. Clips are seen within the right breast. There is a moderate amount of air within the stomach. | |
In comparison with the study of ___, the right apical chest tube remains in place and there is no convincing evidence of pneumothorax. Continued low lung volumes may account for some of the prominence of the cardiac silhouette. Bilateral pleural effusions with bibasilar atelectasis persist. Some indistinctness of pulmo... | |
Mild pulmonary vascular congestion is new. Slight enlargement of the cardiac silhouette. Mild apical scarring. Mild opacities in the right lower and left lower lobes likely atelectasis, although difficult to exclude consolidation in the absence of a lateral film. No pleural effusion no pneumothorax. | |
Portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. A tracheostomy tube is in expected position. Right-sided PICC line ends at the cava atrial junction. A nasogastric tube ends in the stomach. | |
In comparison with the study of ___, there is probably mild increase in the degree of left pneumothorax with the chest tube on water seal. Continued enlargement of the cardiac silhouette, though the degree of pulmonary vascular congestion appears to be decreasing. | |
Left lung volume loss and mild mediastinal shift to the left is consistent with post left lower lobectomy. There is a single left-sided chest tube with its tip reaching to the left apex. Left apical pneumothorax is mild-to-moderate . There is no demonstrable pleural effusion. Mediastinum is unremarkable. | |
Chest tubes within the left side are unchanged. There is persistent right-sided pleural effusion. There is no pneumothoraces on either side. Several healed right-sided rib fractures are seen. There are no signs for overt pulmonary edema. There are areas of consolidation and opacity in the left mid and lower lung fields... | |
Left subclavian line tip is in the distal left brachiocephalic vein and is unchanged in position. NG tube enters into proximal stomach and is out of view. Mild improvement in low lung volumes with unchanged bilateral plate-like atelectasis in the lower lobes. Interval decrease in vascular congestion with normal heart s... | |
A central venous line in the right neck terminates at the level of the confluence of the brachiocephalic vein and superior vena cava. There is no pneumothorax or pleural effusion. The heart size is normal. Apparent prominence of the right hilus on this frontal projection is likely due to right middle lobe opacity as se... | |
A portable view of the chest demonstrates resolution of a right apical pneumothorax. The left lung base appears more clear, which could relate to a more upright position. There is otherwise no interval change. | |
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Overlying EKG leads are present. | |
In comparison with the study of ___, there is little overall change. Again, there is substantial enlargement of the cardiac silhouette with tortuosity of the aorta and mild pulmonary vascular congestion. Retrocardiac opacification is consistent with volume loss in the lower lobe and pleural effusion. There may be mild ... | |
Lungs clear. Heart size normal. Tiny pneumoperitoneum. No pneumothorax or pleural effusion. Healed bilateral rib fractures unchanged. |
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