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MIMIC-CXR-JPG/2.0.0/files/p10317592/s54271537/b9651ca5-50339818-85dfef24-6db424a2-2982da82.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13424508/s54794410/920b5229-15e42837-e9e95f03-0eae2bdf-0dbb3f93.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16098894/s58611776/a58b5083-8f169ae6-76c0dc9e-2ccfb706-95f8d36f.jpg
low lung volumes without acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18509977/s50162502/8087dd85-9236c41a-ff521a4e-29ba3837-19834dbe.jpg
normal chest radiograph. no evidence of tuberculous infection.
MIMIC-CXR-JPG/2.0.0/files/p13385073/s55020990/474f8510-7a33e279-a65403d0-300eae84-50772eaf.jpg
small left pneumothorax has decreased in size after placement of a chest tube no other interval change from prior study.
MIMIC-CXR-JPG/2.0.0/files/p12467118/s57633781/4f8d9271-e8dbb879-6e7a0fe4-2d1f1cf5-dde081b8.jpg
compared to chest radiographs , through , read in conjunction with chest ct on. lungs are grossly clear. neither the mixed density right middle lobe lesion or solid nodule in the left lower lobe would be visible on conventional radiographs. both of these lesions warrant repeat chest ct at this time. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. recommendation(s): chest ct to follow up previously diagnose lung lesions.
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normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p10146971/s52949215/d0960241-0304a737-59aea827-d0c89377-16b013a5.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17761975/s53524406/a10d8ff3-e6703cef-2bbb716c-93e5b05e-93f9fcce.jpg
no radiographic evidence of pneumonia.
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in comparison with the study of , there again are bilateral pleural effusions with compressive atelectasis at the bases. cardiac silhouette is less prominent, though there again is evidence of elevated pulmonary venous pressure. some thickening of the major fissure is again seen. the effusion posteriorly has a configuration that would be consistent with loculation. ct would be necessary to definitively make this diagnosis. left subclavian catheter again extends to the mid portion of the svc.
MIMIC-CXR-JPG/2.0.0/files/p17757894/s52848539/90283761-b0708c3d-bee088ce-4a3867dc-8e0f3b16.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13959562/s56602001/3dfc2ed2-a1c76b66-d8a8b1fb-44e6928a-6f17cc28.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11864591/s59958089/ced86583-a4a87c5b-d4456467-50e09d57-94bffb0d.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17451713/s54959706/295f6442-ae4c5952-d6b44fcf-cc7afd16-abfd9523.jpg
unchanged hyperexpansion and biapical scarring, but no evidence of acute cardiopulmonary process.
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interval development of mild pulmonary edema. right lower lobe opacity, likely infection.
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in comparison with the study of , of the mediastinal tubes have been removed. left chest tube remains in place. no evidence of pneumothorax or pneumomediastinum. the endotracheal tube and nasogastric tube have been removed. probable decrease in the atelectatic changes at the left base.
MIMIC-CXR-JPG/2.0.0/files/p15689544/s55860176/580e302e-56a00152-0c95591e-a0c378fb-ace5ac7c.jpg
emphysematous changes. unchanged left suprahilar opacity. no new acute cardiopulmonary process.
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heart size is enlarged, unchanged. interval increase in bilateral pleural effusions is demonstrated, currently moderate, left more than right. mild vascular congestion is noted but no overt edema is present. no pneumothorax is seen.
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there is no pneumothorax. cardiac size is normal. there is no pleural effusion. bilateral nodular opacities largest in the right apex are better seen in prior ct
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no acute cardiopulmonary abnormality. subsegmental atelectasis in the lung bases.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16238427/s52480572/2e764416-a380fe1a-71fbe188-fcf66a35-006254ab.jpg
status post atrioventricular pacer defibrillator with satisfactory positioning of leads and no pneumothorax or mediastinal widening.
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emphysema without superimposed pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19937265/s59077721/6e86ae44-32b0b811-a7decd54-936a90b5-d69cd736.jpg
low lung volumes with patchy opacities in the lung bases, likely atelectasis. infection however is not excluded in the correct clinical setting.
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no focal consolidation is identified. there is a persisting haziness at the right lung base which may reflect a small layering pleural effusion, although an underlying infectious process cannot be excluded. further evaluation with a pa and lateral chest radiograph could be considered.
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no evidence of pneumothorax.
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no pneumonia.
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essentially unremarkable chest x-ray given low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p12414363/s52547906/dbecdb51-b3e8473e-e0bb2405-65aa3df4-55c64601.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12450697/s58324589/e4e8efd6-ec99f56b-f5e46c69-72306418-c2463047.jpg
there has been interval placement of a left-sided pigtail catheter which terminates over the base of the left lung. the left-sided pleural effusion is markedly decreased in size. a small right-sided of effusion persists. no focal consolidation, or pneumothorax.
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diffuse interstitial abnormality and peribronchial cuffing compatible with small airway inflammation.
MIMIC-CXR-JPG/2.0.0/files/p18735164/s57262519/04a4da38-501f3ee4-ef741af7-80b6259d-c4aa8f57.jpg
no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14414707/s56134576/69b2b958-ee6aa174-6b58abe9-45a6c0eb-e890c9d3.jpg
the tip of the endotracheal tube projects at the thoracic inlet and should be advanced by approximately <num> cm. similarly the gastric tube should be advanced, as the side port likely projects over the gastroesophageal junction. unchanged pulmonary edema. findings were communicated to and acknowledged by , md at h by , md.
MIMIC-CXR-JPG/2.0.0/files/p11604900/s59030646/71158637-f1a4870a-46a5c262-90c2e2e0-d8537178.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15518511/s51725463/92eb4ab3-a46e7a5d-9dad165a-3f490b80-56091ccc.jpg
in comparison with the study of , the heart remains within normal limits and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. the partial dislocation of the left shoulder is again noted.
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normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p16950272/s59000441/2a5c13f8-87e87a4e-704716a0-ebaca2c5-c658ac60.jpg
no acute cardiopulmonary process. vague opacity in the left mid lung may represent residual of prior pneumonia.
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subtle deformities of at least lateral right mid to lower ribs are of indeterminate age, but rib fractures of indeterminate age not excluded. low lung volumes. subtle nodular opacities at the left upper lung and right lung base are of unclear clinical significance or chronicity. recommend comparison with prior studies if available or nonurgent chest ct for further assessment. bibasilar atelectasis. more focal lateral right base opacity could be due to scarring but underlying pulmonary nodule or focal consolidation is not excluded. dedicated pa and lateral views the chest would be helpful for further assessment if/when patient able.
MIMIC-CXR-JPG/2.0.0/files/p11809873/s55427705/7914de99-0ba49378-7291b821-fb096364-ac1927b5.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10278517/s50045641/849507e9-954a1d84-06248b34-c1a16f13-ebdb340d.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12944046/s52540069/0f9e38ca-0a7cef47-9aa5173e-58294f2e-ab500d5a.jpg
moderate right and small left pleural effusions, and mediastinal vascular engorgement have improved, and previous interstitial edema has resolved, since. mild cardiomegaly is unchanged. there is no pneumothorax. right pic line ends in the low svc. bibasilar atelectasis mild on the right, moderately severe on the left has progressed.
MIMIC-CXR-JPG/2.0.0/files/p12317185/s58528901/866285d0-f1b9e686-c02e12b3-10e170c5-5c7d1717.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19776290/s55604748/2fdd8c82-545c9624-acf49d2a-cb2caece-784f97b1.jpg
vague rounded opacity projecting over a mid thoracic vertebral body, the location of this is uncertain, potentially within the bone or overlying lung parenchyma. non-urgent low-dose chest ct suggested for further characterization.
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increased consolidation at the left lung base concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13956943/s57749974/68e214c8-bcfe143d-4ac58cc1-d5c38bf9-973041ad.jpg
no acute cardiopulmonary process. ground-glass nodule at the left lung base seen on ct is not clearly delineated and should be followed as previously outlined.
MIMIC-CXR-JPG/2.0.0/files/p11545493/s53168819/54e8929e-7e97e4f7-bdf42819-b0d5c864-999b8339.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11350326/s57762523/ca9493a2-f39119cc-07ac8271-41a28925-37300750.jpg
no pneumonia. the findings were discussed by dr with dr telephone at the time of interpretation, on.
MIMIC-CXR-JPG/2.0.0/files/p19281042/s59543570/d888cabe-d79e0c44-4080e37d-6d930cfb-47365037.jpg
mild-to-moderate pulmonary edema, not significantly changed from. mild cardiomegaly. no large pleural effusion or focal consolidation.
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stable chest tube position and lung appearance, with trace left pneumothorax again noted laterally.
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no evidence of acute disease.
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no acute cardiopulmonary process. no free intraperitoneal air.
MIMIC-CXR-JPG/2.0.0/files/p15804669/s57219595/249ec259-d21fe06a-cec9eb9c-bccc70b1-e1d7c274.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15348823/s55952309/51e244c2-f6950066-cba8dbc3-ef0f789e-e8ade06f.jpg
moderate left and small right layering pleural effusions with associated atelectasis are increased from. no pneumothorax.
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ap chest compared to through , : only normal part of both lungs of the right upper lobe. mild edema in the left lung, marked by severe vascular congestion, has worsened, accompanied by increased small-to-moderate left pleural effusion. small-to-moderate right pleural effusion is the same or larger and although there is some aeration in the right lower lobe, it is largely collapsed, which makes it difficult to say whether there is concurrently pneumonia present. there is no pneumothorax. a feeding tube passes into the duodenum and out of view. a left-sided central venous catheter ends in the upper-to-mid svc.
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copd. slight blunting of the bilateral posterior costophrenic angles may be due to atelectasis but trace pleural effusions are not excluded. no focal consolidation to suggest pneumonia.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14289751/s55600573/b3d28a5b-0bb784c9-0c9d12f3-dd7bdbdd-b0b92385.jpg
in comparison with the study , following pleurodesis there is a small pneumothorax on the right with chest tube in place. otherwise little change.
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faint linear density at the lateral right base, likely in the right lower , represent atelectasis, but pneumonia cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p12440182/s51172628/26c54a71-de9cb261-4d496734-d373d447-d6bf6768.jpg
no acute cardiopulmonary process.
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ap chest compared to through : severe infiltrative pulmonary disorder is less pronounced today than it was on or. the interval change is due to an improvement in a component of pulmonary edema, but severe residual abnormality could be irreversible pulmonary fibrosis. moderate right pleural effusion is smaller today than it was on , but unchanged since. heart size normal, is exaggerated by low lung volumes. dual-channel right supraclavicular central venous line ends in the mid svc and a multichannel left supraclavicular line ends in the low svc or upper right atrium. no pneumothorax.
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in comparison with the study of , the cardiac silhouette and is again prominent though there is no definite vascular congestion. no evidence of acute pneumonia or pleural effusion. the left subclavian picc line again extends to the lower svc. the tip of the dobbhoff tube lies at least at the esophagogastric junction, where it crosses the lower margin of the image.
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in comparison with the study of , the monitoring and support devices are stable. continued enlargement of the cardiac silhouette with mild increase in the degree of pulmonary vascular congestion. the hemidiaphragms are less well seen and there is hazy opacification at the bases, suggestive of layering pleural effusion and compressive atelectasis.
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no reoccurrence of pleural effusion following right-sided thoracocentesis. significant amount of pleural effusion exists also on the left side. consider left sided thoracentese as well.
MIMIC-CXR-JPG/2.0.0/files/p13596460/s51285744/726a7ecd-70a96a8d-fc3944ff-8d0c0675-f6d1c0a0.jpg
unremarkable chest radiographic examination. no foreign bodies identified.
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findings suggestive of prior tuberculosis with stable associated opacities in the right upper lobe.
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low lung volumes. mild asymmetric opacity at the right lung base is nonspecific, could represent developing infection in the appropriate clinical setting. mild pulmonary vascular congestion without frank pulmonary edema.
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no acute cardiopulmonary abnormality.
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persistent right apical pneumothorax and loculated hydro pneumothoraces.
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metastatic disease, poorly visualized with subtle nodular opacity in the right mid lung. no evidence of pneumonia. osseous metastatic disease, better seen with concurrently performed ct c-spine involving the right second rib.
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normal chest x-ray.
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no definite acute cardiopulmonary process.
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lung volumes are lower, and moderate bilateral pleural effusion, right greater than left, are both larger. upper lungs, seen best on the lateral view, are relatively clear. the appearance of consolidation at the lung bases suggests pneumonia. heart is normal size. previously cited distension of mediastinal veins is roughly stable.
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limited, negative.
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mild cardiomegaly. no focal consolidation.
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right mid lung consolidation and subtle left lower lung opacification, concerning for pneumonia. given the clinical history of seizure without other symptoms, fever or leukocytosis, differential diagnosis includes aspiration. alternatively, infection could have precipitated seizure. findings discussed with by by telephone at on at the time of initial review.
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compared to chest radiographs since , most recently. moderate pulmonary edema has worsened. severe cardiomegaly is slightly larger. pleural effusions are presumed, but not large. no pneumothorax.
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no pneumothorax seen after chest drain removal.
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left subclavian infusion port catheter ends in the region of the superior cavoatrial junction. heart size is top- normal. both hilar mildly enlarged. lower pole the right hilus if it is inseparable from possible consolidation or nodule in the right lower lobe. no pleural effusion or pneumothorax. recommendation(s): suggest chest ct scanning for evaluation of the right hilus and perihilar region.
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no acute cardiopulmonary abnormality.
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tiny right apical pneumothorax persists, may be minimally smaller compared to the prior study. persistent small-to-moderate right pleural effusion with overlying atelectasis, underlying consolidation not excluded.
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no evidence for active cardiopulmonary disease.
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as compared to the previous radiograph, there is unchanged mild overinflation. normal size of the cardiac silhouette. minimal blunting of the right costophrenic sinus. no evidence of pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiac or pulmonary process. the colon is interposed between the dome of the liver and a chronically elevated right hemidiaphragm; there is no free subdiaphragmatic gas.
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small hiatal hernia again noted. otherwise unremarkable.
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no acute cardiopulmonary process.
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mild pulmonary vascular congestion.
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unchanged appearance of widespread pulmonary opacities, reflecting known ards.
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no evidence of acute cardiopulmonary process. left upper quadrant fullness. recommend correlation with physical exam.
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no evidence of acute cardiopulmonary process. although no other fracture is identified, this study is suboptimal for the detection of rib fractures. if there is further clinical concern dedicated rib views should be obtained.
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no acute cardiopulmonary abnormality.
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mild pulmonary vascular congestion and small left pleural effusion. patchy opacities in lung bases may reflect areas of atelectasis, though infection cannot be completely excluded in the correct clinical setting.
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no acute cardiopulmonary process.
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compared to chest radiographs and. the small bilateral pleural effusions have increased slightly, accompanied by increasing mild moderate left lower lobe atelectasis. heart size normal. feeding tube ends in the mid stomach.
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probable small left pleural effusion and left basilar opacity likely reflecting atelectasis, though assessment is difficult given pre-existing chronic fibrotic changes in the lung bases. no overt pulmonary edema.
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in comparison with the study of , there is no interval change. cardiac silhouette remains within normal limits and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. minimal atelectatic or fibrotic streak at the left base.
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no radiographic evidence for acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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dense opacity in the left lung base could be due to left lower lobe volume loss and large left pleural effusion. superimposed pneumonia is also possible.