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MIMIC-CXR-JPG/2.0.0/files/p11958913/s53963902/ad71a29e-a5de54b5-6516787d-803cccb8-0df529e3.jpg
low lung volumes, no acute chest pathology.
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ap chest compared to. nasogastric tube is in standard position in the mid portion of the stomach. et tube, right internal jugular, and left subclavian lines are also in standard placements respectively. atelectasis at the base of the right lung is mild, more severe at the left base accompanied by a small-to-moderate left pleural effusion unchanged. heart size is top normal, increased since , but there is no pulmonary edema. no pneumothorax.
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no acute cardiopulmonary abnormality.
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in comparison with the study of earlier in this date, the endotracheal tube tip lies approximately <num> cm above the carina. a nasogastric tube extends well into the stomach and crosses the lower margin of the image at about the level of the mid to lower body of the stomach. little change in the appearance of the heart and lungs.
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no acute cardiopulmonary process.
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new consolidation left lower lobe, pneumonia until proved otherwise. pulmonary edema has been a recurrent finding since. it developed between and , subsequently stable. severe hyperinflation attributed to copd. pleural effusions are small, not necessarily changed. mild to moderate cardiomegaly is long-standing. dual channel right central venous catheter ends in the low svc.
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stable appearance of the chest.
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no acute cardiopulmonary process. asymmetric opacity projecting over left first costochondral junction. this could entirely be degenerative however given possible correlative finding on the lateral view projecting over the lungs, apical lordotic view is suggested to further localize finding to the osseous structures or underlying lung.
MIMIC-CXR-JPG/2.0.0/files/p11604850/s54599140/64c3d033-08174ccd-baa970ab-eafaa0ae-4be56335.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16142940/s53583747/9d5bffe6-fa7bcb77-443f21fe-238d1d87-eb3aa66f.jpg
support lines and tubes are unchanged in position. there is stable cardiomegaly. there is again seen a loculated right-sided pleural effusion which contains slightly more air but is stable in size. small left-sided pleural effusion is seen. there is mild prominence of the pulmonary interstitial markings. no pneumothoraces are identified.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16172396/s51932011/515940a1-1597d869-4cd954d5-3c00a8fd-91659a8f.jpg
no radiographic evidence for acute cardiopulmonary process. sensitivity of routine chest radiography for rib fracture is low. this study is not tailored for evaluation of the left shoulder.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12203013/s58754326/6c598941-2f2046e6-656d9b19-9d787893-d207a24d.jpg
left lower lobe consolidation could represent pneumonia or atelectasis. these findings were communicated to dr at pm on by dr.
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the bibasilar atelectasis, right greater than left. no definite pneumonia. repeat radiograph with improved inspiratory level would be helpful for more complete assessment of the lung bases when the patient's condition permits.
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following extubation, there is apparent symmetrical narrowing of the subglottic airway, likely due to edema. cardiomediastinal contours are within normal limits, and lungs are clear except for minor basilar atelectasis.
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no acute cardiopulmonary process. no fracture visualized.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12101142/s52566505/634ef871-483b2db8-25f4df9d-05f8ae44-65e9fa2b.jpg
no acute cardiopulmonary process.
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heart size is normal. mediastinum is normal. lungs are essentially clear. no pleural effusion or pneumothorax is seen. apical scarring is noted.
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no left picc line is visualized. unchanged right picc line.
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left lower lobe lung mass highly concerning for malignancy. dedicated chest ct is recommended for further evaluation.
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heterogeneous bilateral lower lobe opacities possibly represent pneumonia. repeat chest radiograph with improved inspiratory effort to be performed for further evaluation. recommendation(s): heterogeneous bilateral lower lobe opacities possibly represent pneumonia. repeat chest radiograph with improved inspiratory effort could be performed for further evaluation.
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no acute cardiopulmonary process.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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pulmonary edema has improved, now mild in the right lung. left suprahilar opacification is greater than elsewhere, either asymmetric edema or concurrent pneumonia. small bilateral pleural effusions are presumed. moderate cardiomegaly with a left atrial configuration is stable. no pneumothorax. et tube, transesophageal drainage tube, and intra-aortic balloon pump are in standard placements respectively.
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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. cardiomediastinal silhouette is unchanged. left basal opacity is similar to previous examination, potentially representing infectious process giving is persistent and extension toward the left mid lung zone.
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no evidence of recurrence within the limitations of this study technique.
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no acute cardiopulmonary disease including pneumonia. initial findings were conveyed via telephone on at pm by dr to dr following review.
MIMIC-CXR-JPG/2.0.0/files/p14009508/s58537020/fcd283d2-0d2710f8-022bfcc2-981a9f4b-a6508f6f.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14975577/s58560305/3a2297ed-3f910507-41a642e7-141c5c34-c017d37f.jpg
emphysema, left mid lung atelectasis. please refer to subsequent cta chest for further details.
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no abnormality demonstrated within the limitations of this study technique.
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normal chest radiograph.
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no acute cardiopulmonary process.
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new right lower lobe opacity, which could represent atelectasis but pneumonia should be considered in the appropriate setting.
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chronic right basilar consolidation and/or atelectasis. no new consolidation to suggest pneumonia.
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no acute cardiopulmonary process.
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no previous images. the cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion or acute focal pneumonia.
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no pneumothorax. ground-glass opacity surrounding the right upper lobe mass is most consistent with hemorrhage.
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low lung volumes with patchy bibasilar opacities likely reflective of atelectasis. infection however is not completely excluded.
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bibasilar patchy opacities, likely atelectasis.
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interval increase of the opacities predominating in the right upper lobe. the findings are highly concerning for pneumonia. mild cardiomegaly with mild fluid overload but no overt pulmonary edema. no larger pleural effusions.
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in comparison with the study of , the post pneumonectomy changes on the left are stable. monitoring and support devices are essentially unchanged. there is decreasing opacification in the right hemithorax, most likely due to improvement in pulmonary vascular status.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17643026/s56345170/c5a9a2e4-22362abc-67e3ac87-cae51ccf-1e85eb44.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17921262/s52589416/a59a0af4-9f776180-9e6aa90f-fdf775b4-aeb745ba.jpg
no acute cardiopulmonary process.
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diffuse bilateral increased interstitial markings without significant interval change.
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no acute findings in the chest.
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findings consistent with congestive heart failure. calcified pleural plaques which are most often seen with prior asbestos exposure. interstitial process is likely for the most part due to pulmonary edema although coinciding development of interstitial disease is not excluded.
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no pneumomediastinum or pneumothorax. lingular opacity reflects post-obstructive pneumonia and/or post-treatment changes.
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massive asymmetrical pulmonary edema, right greater than left.
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there no prior chest radiographs available for review. <num> mm wide spiculated opacity projecting over the anterior right second anterior interspace could be a clinically significant lung lesion. lungs elsewhere are clear. small granulomatous calcifications may be present in the right hilus. hilar and mediastinal contours are otherwise normal. heart size is normal. no pleural abnormality. recommendation(s): chest ct for evaluation of possible right upper lobe lung nodule. any prior chest imaging should be obtained for purposes of comparison.
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no acute cardiopulmonary abnormality, no focal consolidation.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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in comparison with the earlier study of this date, there has been a thoracentesis with removal of a substantial amount of pleural fluid on the right. no evidence of post procedure pneumothorax. otherwise little change.
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left apical pneumothorax is demonstrated, small, minimal decreased as compared to previous study. heart size and mediastinum are stable. right apical pneumothorax appears to be unchanged as well. right internal jugular line tip is at the level of mid svc. bilateral pleural effusions are unchanged.
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small bilateral pleural effusions.
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moderate right pleural effusion is unchanged. small anterior pneumothorax is unchanged or slightly smaller.
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interstitial edema and small right pleural effusion.
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no acute cardiopulmonary abnormality.
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consolidation in the right lower lung, concerning for atelectasis or infection. left basilar atelectasis.
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stable mild to moderate pulmonary edema. worsening opacities in the right lung base concerning for pneumonia. rounded pulmonary nodules bilaterally are partially evaluated on ct in. results telephoned to dr by dr at pm, , min after discovery.
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in comparison with the study of , there is little overall change. left chest tube remains in place without evidence of pneumothorax. opacification along the left lateral chest wall is consistent with pleural fluid. the opacification in the left mid and lower zone most likely reflects re-expansion edema combined with residual pleural fluid and atelectatic changes. in the appropriate clinical setting, it would be impossible to exclude superimposed pneumonia. cardiac silhouette again is prominent and there is mild elevation of pulmonary venous pressure and atelectatic changes at the right base. the left subclavian catheter is no longer seen.
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persistent cardiomegaly, otherwise normal.
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interval decrease in previously seen pulmonary edema. no evidence of pneumonia. trace bilateral pleural effusions or scarring.
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unremarkable chest radiographic examination.
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as compared to , no relevant change is seen. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions. the left and right central access line is constant in position.
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no acute cardiopulmonary process.
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persistent right greater than left pleural effusions, potentially slightly enlarged compared to prior and severe cardiomegaly without superimposed acute cardiopulmonary process.
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no evidence of abnormality to suggest sarcoidosis or another pathological process.
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comparison to. no relevant change is noted. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions.
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no focal consolidations concerning for pneumonia identified.
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two images of the chest show advancement of a feeding tube, initially folded in the mid esophagus to the gastroesophageal junction. tube still needs to be advanced at least <num> cm to move the entire tip into the stomach. moderate cardiomegaly and pulmonary vascular engorgement persist, but there is no pulmonary edema or pleural effusion. no pneumothorax.
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no acute intrathoracic process.
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no radiographic evidence for acute cardiopulmonary process. stable, mild cardiomegaly.
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normal chest radiograph.
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no acute cardiopulmonary process. no displaced rib fracture.
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low lung volumes, small bilateral pleural effusions, and mild bibasal atelectasis. no evidence of pneumonia.
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no significant changes compared to the prior study.
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no focal opacity convincing for pneumonia is identified.
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no radiographic evidence of pneumonia or new pulmonary abnormalities.
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persistent massive cardiomegaly without evidence of congestive failure.
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satisfactory position of lines and tubes with low lung volumes.
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no evidence of pneumonia.
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as compared to the previous radiograph, all monitoring and support devices, with the exception of the left hemodialysis catheter, have been removed. the lung volumes remain low and the heart is substantially enlarged. minimal fluid overload but no overt pulmonary edema. substantial retrocardiac and right basilar atelectasis. no new focal parenchymal opacities are visualized.
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the right ij and subclavian central lines are unchanged in position. the patient has been extubated. there is a feeding tube whose distal tip and side port are below the field of view and in the stomach. bibasilar pleural catheters are unchanged position. cardiomediastinal silhouette is within normal limits. there are no pneumothoraces. there remains a right-sided pleural effusion and basilar atelectasis, stable.
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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asymmetric biapical pleural thickening, right more so than left. this should be further investigated with a chest ct on a nonemergent basis. no acute cardiopulmonary abnormality otherwise detected.
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no acute cardiopulmonary process.
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moderately increased heart size, developing since next preceding chest examination eight month ago. mild degree of chronic pulmonary congestive pattern, but no evidence of pneumonia.
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limited due to low lung volumes, difficult to exclude mild edema or pneumonia. recommend repeat with more optimal inspiratory effort.
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et tube tip is <num> cm above the carinal. right picc line tip is at the level of mid svc. cardiomediastinal silhouette is unchanged. perihilar consolidations and pleural effusions are demonstrated.
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small right pleural effusion better assessed on same-day ct abdomen pelvis.
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no acute cardiopulmonary process.
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no evidence of acute intrathoracic process.
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no acute cardiopulmonary process.