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MIMIC-CXR-JPG/2.0.0/files/p19963038/s57554152/c48b1d66-d1b3fb4a-81f956b0-08ff56b3-5cdc38fa.jpg
moderate cardiomegaly. hyperinflated lungs with bibasilar atelectasis, but no evidence for pneumonia.
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improvement to the chf changes. dodoff just past the ge junction
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dobhoff tube tip is likely in the proximal duodenum. no other interval change from prior study.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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left pigtail catheter is in place. there is interval decrease in loculated left pleural effusion. right pleural effusion is substantial on unchanged. the comparison is slightly difficult due to different positioning of the patient. mild vascular congestion is present.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process
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slightly increased atelectasis and bilateral pulmonary effusions.
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no acute cardiopulmonary process. no significant interval change.
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heart size and mediastinum are stable. bilateral chest tubes are in place. right internal jugular line tip is in the right atrium and might be pulled back for <num> cm to secure it position above the cavoatrial junction. bibasal areas of atelectasis are unchanged. there is minimal left apical pneumothorax, better appreciated on the current study is compared to previous examination.
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no acute findings in the chest.
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limited evaluation due to underlying trauma board, however no acute cardiopulmonary process.
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bibasilar atelectasis without acute process.
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upper enteric drainage tube is coiled in the upper portion of a none distended stomach. mild cardiomegaly is unchanged. lungs are grossly clear. there is no pleural abnormality.
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no acute cardiopulmonary process. no focal consolidation.
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apparently new or growing small pulmonary nodules compared to prior chest radiograph of in this patient with known history of multiple pulmonary nodules on interval ct of. given the small size of the nodules, dedicated chest ct would be more accurate for determining interval change in size and number of pulmonary nodules.
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no evidence of pneumonia. mild pulmonary edema. stable substantial cardiomegaly. left retrocardiac opacity is consistent with atelectasis.
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elevation of the right hemidiaphragm which is increased as compared to the prior study with overlying basilar atelectasis. enteric tube terminates in the region of the gastroesophageal junction, recommend advancement so that it is well within the stomach.
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somewhat prominent aortic arch which may constitute aneurysmal dilatation. chest ct should be considered to evaluate further when clinically appropriate although findings are unlikely to account for acute presentation.
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as compared to the previous radiograph, no relevant change is seen. no pneumonia, no pulmonary edema. no pleural effusions. the size of the cardiac silhouette is normal. no evidence of residual parenchymal opacities.
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no evidence of pneumonia. stable right rib fracture. no new rib fractures.
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in comparison with the earlier study of this date, there again is extensive opacification at the bases, more prominent on the right, consistent with layering effusions and basilar atelectasis. although the appearance suggests some improvement, this could merely be a manifestation of a more erect position of the patient. the upper lungs remain clear. pacer leads are unchanged.
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no acute disease.
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a peripheral left lower lobe opacity may represent pneumonia or pulmonary infarct. if there is clinical concern for pulmonary embolism, cta chest should be obtained.
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pulmonary edema with small bilateral effusions and lower lobe compressive atelectasis. pneumonia in the lower lungs difficult to exclude in the right clinical setting. followup imaging post diuresis may be helpful to further assess.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection. left sixth rib has <num> fractures ; the more proximal in the postal lateral rib does not appear fully healed may be acute or subacute, as opposed to the fully healed anterior fracture.
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worsened moderate pulmonary edema and bilateral effusions since.
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normal heart size. multiple nodules better evaluated on recent chest ct.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14755592/s54089596/1692e9ed-a5c6313f-c2d4a7d9-784c9b38-d7938ab7.jpg
right basilar opacity is slightly more conspicuous as compared to the prior study most likely due to atelectasis, although an early infection is not excluded in the appropriate clinical setting.
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the cardiomediastinal silhouette is within normal limits. the patient is after left upper lobectomy. prominence of main pulmonary artery is consistent with pulmonary hypertension. no evidence of pneumonia. there is atelectasis at lung bases, bilaterally. for pre size details please review chest ct obtained the same the later.
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no focal consolidation concerning for pneumonia. interstitial lung disease with right lung predominance is overall unchanged from.
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no definite acute cardiopulmonary process. wedge deformity of a lower thoracic/upper lumbar vertebral body could be old; however, clinical correlation is suggested.
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basilar plate-like atelectasis. no evidence of pneumonia. new mild pulmonary vascular congestion standard position of support devices.
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large scale multifocal pneumonia, right mid and lower lungs and the smaller region at the left lung base, has continued to increase. some right pleural effusion is presumed. heart size is top- normal. there is no pulmonary edema or pneumothorax. et tube in standard placement. nasogastric drainage tube ends in the stomach.
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low lung volumes with probable bibasilar atelectasis. no pulmonary edema or pleural effusion.
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in comparison with the study of , there is little change. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
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mild cardiomegaly. no acute cardiopulmonary pathology.
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there is residual contrast present within small portion of the visualized transverse colon likely from a recent barium esophagram. the right picc line tip is difficult to see but appears to be in the svc right atrial junction. there is no pneumothorax or chf. there is been clearing of the previously noted patchy densities in both lung bases. there are no new areas of consolidation. aortic calcifications and tortuosity are present.
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basilar atelectasis without definite focal consolidation.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormalities
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right chest tube no longer seen. no large pneumothorax appreciated, tiny residual could remain, but not well detected on this study. extensive right chest wall subcutaneous emphysema persists. persistent right perihilar opacity and decreased volume of the right lung as compared to the left.
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no acute cardiopulmonary pathology.
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as compared to the previous radiograph, the extensive right apical and perihilar opacities are constant in appearance. also constant is the mild pulmonary edema visualized on the left. moderate cardiomegaly with elongation of the descending aorta persists.
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no acute cardiopulmonary process. specifically, no pulmonary edema no displaced rib fracture.
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as compared to the previous radiograph, the known left pneumothorax has minimally increased in extent. there is currently no radiographic evidence of tension. otherwise the lung parenchyma, the mediastinum and the heart are unchanged. angulation of the costovertebral joint of the left first rib is constant in appearance.
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et tube terminate <num> cm above the carina. no acute intrathoracic abnormalities are identified. there is a subtle, nondisplaced fracture of the right lateral <num>th rib.
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no acute cardiopulmonary process.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion. mild hyperexpansion of the lungs with flattening hemidiaphragms suggests possible underlying chronic pulmonary disease.
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as compared to the previous radiograph, the nasogastric tube was removed. minimal blunting of the left costophrenic sinus persists. low lung volumes. mild to moderate cardiomegaly. no overt pulmonary edema on today's examination.
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right lower hemithorax opacity which may be due to pleural effusion with overlying atelectasis, possible underlying consolidation, and subpulmonic effusion. there is mild interstitial edema. right paramediastinal opacity and right apical hyperlucency potentially related to emphysema are again seen without significant interval change.
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after adjustment of the right picc line its tip terminates at the level of cavoatrial junction. no further adjustment necessary. rest of the findings are unchanged.
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no evidence of acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process.
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suspect mild cardiomegaly. in appropriate the clinical setting, a small amount of pericardial fluid would be difficult to exclude. small left apical pneumothorax. no obvious rib fracture identified. left lower lobe collapse and/or consolidation, possibly with a small layering left effusion. probable right cardiophrenic atelectasis. a focus of aspiration pneumonitis is considered less likely. upper zone redistribution, without overt chf.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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compared to chest radiographs since , most recently. moderate pulmonary edema moderate bilateral pleural effusions and severe left lower lobe atelectasis are new. mild cardiomegaly has developed. chest radiograph on demonstrated hyperinflation due to likely emphysema. no pneumothorax. feeding tube is looped in the hypopharynx. subsequent chest radiograph reported before this review showed successful repositioning of the tube in the stomach.
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new mild pulmonary edema and unchanged small bilateral pleural effusions, since.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , there is little overall change. the cardiac silhouette is within upper limits of normal in size and there is tortuosity of the aorta. there is again blunting of the costophrenic angles bilaterally. specifically, there is no evidence of pulmonary edema.
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as compared to the previous radiograph, the patient has been extubated. the tip of the nasogastric tube projects over the pre-pyloric parts of the stomach. increase in severity of the extensive bilateral parenchymal opacities. no pleural effusions. normal size of the heart. right central venous access line is unchanged.
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new small left pleural effusion
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no acute cardiopulmonary process.
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subsegmental atelectasis in the right mid lung field. otherwise, no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, a previously nodular opacity in the left lung has massively increased in extent. the opacities ill-defined and seen on both the frontal and lateral radiograph. the opacities located in the apical portions of the left lower lobe and in the lingular. air bronchograms are visualized. the findings would be consistent with post bronchoscopy changes or aspiration pneumonia. however, in the absence of cross-sectional imaging documentation, close radiographic followup is required and complete resolution of the changes should be documented, to exclude a chronic parenchymal process or an underlying neoplasm.
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no active disease.
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no significant changes compared to the prior study.
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no acute cardiopulmonary abnormality.
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bibasilar atelectasis.
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appropriately positioned right arm picc line. clear lungs.
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mild vascular cephalization is unchanged from prior studies. no radiographic evidence of acute cardiopulmonary process.
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newly placed ng tube terminates in the stomach in good position.
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no acute cardiopulmonary process.
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low lung volumes with bibasilar atelectasis.
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interval development of bilateral pleural effusions, right greater than the left. there is associated atelectasis, superimposed infection cannot be excluded. a right internal jugular catheter terminates in the right atrium, this could be withdrawn <num> cm for better seating within the distal svc
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in comparison with the study of , there may ace be a tiny residual apical pneumothorax on the right. cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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increasing peripheral opacities in the left mid and left lower lobes likely increasing of pleural effusion and adjacent atelectasis. opacities in the right base are also a combination of small effusion and atelectasis. cardiomegaly and tortuous aorta are stable. right chest wall subcutaneous emphysema is stable. there is no evident pneumothorax.
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no acute cardiopulmonary pathology.
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no evidence of acute cardiopulmonary process.
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allowing for patient rotation on the current study, cardiomediastinal contours are stable in appearance, and tracheal and right bronchial stents are similar in appearance. apparent worsening left retrocardiac opacification which may reflect atelectasis, aspiration, or developing infectious pneumonia. short-term followup radiographs may be helpful in this regard.
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no evidence of pneumonia. no signs of chf hip.
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mild cardiomegaly. no evidence of fluid overload.
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persistent bilateral pleural effusions, left greater than right, and pulmonary edema. more dense right perihilar and lower lung consolidation worrisome for superimposed infection.
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minimal right basilar atelectasis. blunting of the right costophrenic angle may due to a small pleural effusion.
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slight improved aeration of the left upper lobe when compared to the prior.
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nasogastric tube terminates in the mid esophagus, needs to be advanced for optimal positioning. low lung volumes, with small effusions and atelectasis. pulmonary vascular engorgement and mild pulmonary edema.
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the technique is limited for rib detail but no definite fractures are seen. there is no pneumothorax. there is linear atelectasis in both lung bases. there is no chf or dense consolidation.
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cardiomegaly without evidence of congestive heart failure. unchanged right lateral costophrenic angle blunting, which may represent pleural thickening or small pleural effusion.
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no evidence of pneumonia.
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persistent small left apical pneumothorax
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no acute intrathoracic process.
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in comparison to chest radiograph, a right pleural effusion and adjacent right lower lobe opacity have decreased in extent. an endotracheal tube is been exchanged for a tracheostomy tube without radiographic evidence of pneumomediastinum. no other relevant change.
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heart size is within normal limits. there is some prominence of the pulmonary arteries. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces. bony structures are intact.
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right paratracheal opacity may represent a pulmonary parenchymal process or bone mass. correlation with prior imaging studies is needed as this opacity is not seen on any imaging currently available in our pacs. otherwise, apical lordotic view radiograph is recommended. no hilar lymphadenopathy.
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no acute cardiopulmonary abnormality.
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<num>) no acute pulmonary process identified. in particular, no pneumothorax is detected. <num>) subtle changes in the thoracic spine, detailed above.