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MIMIC-CXR-JPG/2.0.0/files/p17332316/s55110128/0cb723ca-39e64baf-2e8fe4a3-c56dd90e-1088ff9a.jpg
multifocal infection with superimposed moderate edema.
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no acute cardiopulmonary process.
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normal chest
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no evidence of acute cardiopulmonary process. right lower lung opacity seen on exam is not appreciated on today's exam.
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relatively stable bibasilar opacities may relate to chronic aspiration.
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in comparison to previous radiograph of <num> day earlier. bilateral heterogeneous lung opacities have slightly improved on the right and minimally worsened on the left, with overall similar severity. no other relevant change.
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multiple serial radiographs demonstrating the advancement of a dobbhoff feeding tube, ultimately terminating within the stomach.
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no acute cardiopulmonary process.
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no pneumothorax. small pleural effusions.
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no acute cardiopulmonary process.
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patchy bibasilar airspace opacities, more pronounced on the left. these may reflect areas of atelectasis but infection or aspiration cannot be excluded.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19332369/s54203899/e8dfb052-fdc6bcbf-d6ff26ff-22aff97e-0a514501.jpg
slightly enlarged cardiac silhouette accentuated by low lung volumes but component of pericardial effusion should be considered in this patient with pericarditis. correlate with echocardiogram. left lower lobe focal opacity, potentially atelectasis although infection is possible.
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mild pulmonary vascular congestion. bilateral costophrenic angle airspace opacities represent atelectasis. moderate cardiomegaly. no focal consolidation.
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in comparison with the study of , there is little overall change. again there is substantial enlargement of the cardiac silhouette with pulmonary edema and bilateral layering effusions with basilar compressive atelectasis, more prominent on the right. prominence of the upper mediastinum is again seen. the right ij catheter extends to the mid portion of the svc.
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stable rib lesions.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no evidence of injury.
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severe cardiomegaly with central pulmonary vascular congestion and probable trace right pleural effusion. patchy atelectasis in the lung bases.
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no pneumothorax or pneumomediastinum.
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equivocal increase in right middle lobe opacity may suggest an early infectious process superimposed on severe chronic bronchiectasis.
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mild pulmonary edema.
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no acute cardiopulmonary abnormality.
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copd without superimposed pneumonia.
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no radiographic evidence of metastatic disease in the thorax. a right-sided port-a-cath is unchanged in position, terminating in the mid of the svc, approximately <num> cm in the cavoatrial junction.
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right basilar opacity which could represent pneumonia in the proper clinical setting. hyperinflation and cardiomegaly without pulmonary edema.
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no acute cardiopulmonary process. no displaced fracture seen. however, if clinical concern for rib fracture is high, suggest dedicated rib series, which is more sensitive.
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no acute cardiopulmonary process.
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heart size is normal. mediastinum is normal. upper zone re- distribution of the vasculature is present, overall similar to previous examination most likely representing chronic status of the patient. no focal consolidation to suggest pneumonia is seen
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mild to moderate pulmonary edema. small bilateral pleural effusions.
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findings is compatible with mild interstitial edema.
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no evidence of acute cardiopulmonary disease. stable cardiomegaly.
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no acute cardiopulmonary process.
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clear lungs. stable moderate cardiomegaly.
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some clearing.
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no displaced rib fracture identified. if there is continued concern for a rib fracture, then a dedicated rib series is recommended. right hilar lymphadenopathy persists, and differential considerations remain broad including inflammatory, infectious, or neoplastic etiologies as noted on the prior chest ct. continued clinical workup and followup is recommended if not already in progress. previously seen right lower lobe patchy opacities have improved.
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no acute intrathoracic process.
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no evidence of free air beneath the diaphragms. patchy right base opacity and left mid lung opacification could be due to multifocal infection, aspiration or malignant process not excluded. recommend followup to resolution. prominence of the right mediastinum is similar compared to scout image from ct, which may in part relate to prominent ascending aorta. continue follow-up.
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unremarkable chest radiographic examination.
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no acute cardiopulmonary process
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in comparison with the study of common there is an area of increased opacification at the right base posteriorly consistent with pneumonia, as suggested by the clinical history. remainder the study is unchanged.
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since a recent radiograph of , a right pigtail pleural catheter has been placed with substantial decrease in size of right pneumothorax with only a small residual pneumothorax remaining. exam is otherwise remarkable for apparent advancement of right picc, now terminating within the expected location of the right atrium.
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no acute cardiac or pulmonary process. no definite rib fracture, although this study is not technically adequate to exclude a non-displaced anterior rib fracture. additionally, the position of the skin marker indicates the patient's pain is near the costochrondral junction, a site which is difficult to evaluate with conventional radiography.
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in comparison with the study of , there again are low lung volumes with the cardiomediastinal silhouette stable. bibasilar opacifications suggest atelectatic changes with associated small pleural effusions. no definite vascular congestion or acute focal pneumonia.
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no acute cardiopulmonary process.
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low lung volumes ; subtle bibasilar opacities most likely represent atelectasis, underlying aspiration not excluded in the appropriate clinical setting.
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as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly. no pulmonary edema. no pleural effusions. mild overinflation. no evidence of pneumonia. normal hilar and mediastinal structures.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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patchy opacities at lung bases likely reflect atelectasis in the setting of low lung volumes.
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no acute cardiopulmonary process.
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interval sternotomy with left basal opacity, likely atelectasis, thought cannot exclude an early pneumonia. tiny left pleural effusion also present.
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there has been interval removal of a left chest tube, and there is a small apical pneumothorax. there is interval increase of right pleural effusion, and there continues to be bibasilar atelectasis and mild vascular congestion. a left port-a-cath terminates in stable position.
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bibasilar atelectasis, difficult to exclude a subtle underlying pneumonia. dialysis catheter in place.
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right lower lobe opacity worrisome pleural effusion with overlying atelectasis with possible consolidation due to pneumonia. possible trace left pleural effusion. pulmonary vascular congestion.
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interstitial prominence compatible with history of pulmonary fibrosis. no acute intrathoracic process.
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as compared to , no relevant change is seen. mild elevation of the right hemidiaphragm. no pleural effusions, no pulmonary edema, no pneumonia. normal size of the cardiac silhouette.
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small left apical pneumothorax. mild pulmonary edema, unchanged compared to the prior exam. persistent bibasilar atelectasis.
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no acute cardiopulmonary process.
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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. right picc line tip is at the level of lower svc. heart size and mediastinum are stable. the patient continues to be in substantial pulmonary edema potentially superimposed parenchymal opacities. overall no substantial change since the previous study from demonstrated. there is no pneumothorax. there is small amount of left pleural effusion.
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no acute cardiopulmonary process. no significant interval change. no evidence of pneumomediastinum.
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slight interval improvement in moderate interstitial pulmonary edema, particularly in the right lower lung. unchanged small bilateral pleural effusions.
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no previous images. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
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subtle heterogeneous opacities in the lower posterior lung field seen only on the lateral view. this is likely atelectatic, however, pneumonia remains a consideration.
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compared to chest radiographs through at. small to moderate left pneumothorax has increased and left pigtail drainage catheter has been repositioned. ipsilateral mediastinal shift reflects worsening substantial left lower lobe atelectasis. consolidation in the lingula has improved. right lung is chronically hyperinflated but grossly clear. no right pneumothorax or appreciable pleural effusion on either side. right pigtail drainage catheter unchanged in position. heart size normal. et tube is in standard placement. esophageal drainage tube ends in the stomach. esophageal feeding tube ends either in the stomach or proximal jejunum. other upper abdominal drainage devices cannot be localized on this view alone.
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heart size and mediastinum are stable. right internal jugular line has been discontinued. bilateral pleural effusions, moderate to large on the left and small to moderate on the right are demonstrated associated with bibasal atelectasis. the lungs are otherwise clear. there is no pneumothorax. there is no evidence of pulmonary edema.
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no evidence of acute cardiopulmonary disease.
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as compared to the previous radiograph, the pre-existing pleural effusion on the left has slightly decreased. the areas of atelectasis in the retrocardiac lung region and at the left lung base are constant. slightly more extensive right basal areas of atelectasis. no pulmonary edema. no pneumonia. unchanged moderate cardiomegaly. the sternal wires are in constant alignment.
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possible small right pleural effusion. no focal consolidation.
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no radiographic evidence amiodarone toxicity. mild interval progression of moderate cardiomegaly.
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no acute cardiopulmonary process. known bilateral pulmonary nodules better seen on prior imaging.
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clear lungs with no evidence of pneumonia.
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dobhoff tube is coiled in the mid esophagus, the tip isin the stomach. were displayed multifocal consolidation consistent with pneumonia have markedly worsened. et tube is in standard position. there is no pneumothorax or pleural effusion. multiple metallic surgical clips in the upper abdomen are again seen.
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subtle retrocardiac opacity only seen on the frontal view likely atelectasis. no definite evidence of pneumonia.
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mild pulmonary edema, less likely atelectasis.
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very low lung volumes. minimal bibasilar atelectasis larger on the right. moderate cardiomegaly is stable. there is no pneumothorax or pleural effusion. the stomach is very distended.
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unchanged left basilar atelectasis. no marked change from prior study.
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ap chest compared to : previous pulmonary edema, resolved, has not recurred. severe cardiomegaly is chronic. small right pleural effusion, is comparable to. no pneumothorax. lungs grossly clear.
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possible very minimal interstitial edema. copd. moderate enlargement of the cardiac silhouette. no focal consolidation.
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no acute cardiopulmonary abnormality.
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normal chest radiograph
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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following fiducial seed placement, there is no evidence of post -procedure pneumothorax. otherwise little change.
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right subclavian ending in the upper right atrium. ascending and descending thoracic aortic aneurysms better characterized on the concurrent ct.
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no evidence of pneumonia.
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no radiographic evidence of with rib fracture. no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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decreased right apical pneumothorax and a small residual loculated right pleural effusion.
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improved left lung aeration.
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no acute cardiopulmonary process. no significant interval change.
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ap chest compared to : vascular engorgement and borderline edema seen in the left lung yesterday have improved, which accounts for some decrease in the radiodense background of the right lung, but there is still extensive consolidation consistent with pneumonia. mild-to-moderate cardiomegaly, improved. pleural effusion is small if any. no pneumothorax.
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et tube, right subclavian line, are in standard placements. nasogastric drainage tube passes below the diaphragm and out of view. moderate to large left pleural effusion has increased. moderate right pleural is also larger. the extent of bibasilar atelectasis is probably underestimated by this study. no pneumothorax. normal cardiomediastinal silhouette.
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clear lungs.
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no acute cardiopulmonary process.
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left retrocardiac opacity seen on the lateral radiograph concerning for pneumonia. recommend follow-up radiographs in weeks following treatment of pneumonia.
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no acute cardiopulmonary process. gaseous distention of the colon resulting in left hemidiaphragmatic elevation.