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MIMIC-CXR-JPG/2.0.0/files/p19101100/s55607787/c3bff7a7-bbc1a8ea-c9442339-85066f54-f734cef5.jpg
persistent focal opacities in the right lower lung suggesting pneumonia. findings suggesting mild vascular congestion.
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mild chf.
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right pleural effusion with bibasilar atelectasis and expected postoperative changes.
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patchy ill-defined opacity within the right mid lung field concerning for pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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further regression of parenchymal infiltrates in right hemithorax, now barely constituting scar formations. no new abnormalities.
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cardiomegaly, similar to prior. small bilateral effusions, possibly slightly worse. new opacity at the left base suggesting left lower lobe collapse and/or consolidation. prominent right hilum for which clinical correlation is requested.
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interval removal of an endotracheal tube. increased left basilar opacity, likely atelectasis.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. specifically, no pneumonia.
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normal chest radiograph.
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no acute cardiopulmonary process.
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diffuse bilateral parenchymal opacities, more so on the right, particularly within the middle and lower lobes than on the left with a moderate right-sided effusion. recommend repeat after treatment to document resolution.
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no acute cardiac or pulmonary process.
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stable cardiomegaly.
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stable cardiomegaly without superimposed acute cardiopulmonary process.
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comparison to. the postoperative left chest tube is in stable position. no evidence of pneumothorax. moderate cardiomegaly persists. stable appearance of the known right pleural effusion. the pre-existing gastric over distension has substantially improved.
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no acute cardiopulmonary process.
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no pneumonia.
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mild pulmonary vascular congestion, slightly worse compared to the prior study.
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mild left base atelectasis, early consolidation is difficult to exclude in the appropriate clinical setting, but is otherwise felt unlikely. besides the above, no significant interval change since the prior study given differences in patient position.
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multifocal opacities in the left mid and bilateral lower lobes are likely due to atelectasis in the recent postoperative setting. coexisting aspiration or pneumonia in the right infrahilar region is not excluded.
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there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces. , md
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interval removal of right chest tube with reduction in previously seen right apical pneumothorax. remainder of exam is essentially unchanged.
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no acute cardiopulmonary process.
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emphysema. no pneumonia.
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax.
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low lung plate-like atelectasis. no pneumonia.
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax. impression: no abnormality demonstrated
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right upper lobe pneumonia. possible trace right pleural effusion and bibasilar atelectasis. recommendation(s): follow up radiographs after treatment are recommended to ensure resolution of this finding.
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no evidence of acute disease.
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right internal jugular central venous catheter terminates in the low svc without evidence of pneumothorax. right greater than left perihilar opacities may be due to infection vs asymmetric pulmonary edema, other alveolar process not excluded.
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no evidence of acute cardiopulmonary process.
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in comparison with the study of , there is little overall change. cardiac silhouette remains at the upper limits of normal in size or slightly enlarged. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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ap chest compared to : lung volumes remain quite low, but there is no focal pulmonary abnormality. chronically large hilus suggests pulmonary arterial hypertension. heart size is at least mildly enlarged. no appreciable pleural effusion.
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increasing bibasilar opacities, right greater than left are suggestive of worsening pneumonia. mild pulmonary vascular engorgement and edema.
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in comparison with the study of , the right picc line has been pulled back to the mid to lower portion of the svc. there are low lung volumes accentuating the transverse diameter of the heart. no definite vascular congestion, pleural effusion, or acute pneumonia.
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no acute cardiopulmonary process.
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normal chest radiograph.
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no acute intrathoracic process.
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no acute cardiopulmonary process. no evidence of a large hiatal hernia.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary abnormalities. large hiatal hernia.
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no radiographic evidence of pneumonia.
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new mild pulmonary vascular congestion and mild pulmonary edema.
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satisfactory postoperative chest findings.
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mild interstitial pulmonary edema is improved from the prior examination. for pre size details please review the ct chest obtained the same date.
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substantial interval improvement.
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no evidence of acute disease. no evidence for free air. nodular focus projecting over the left lung apex, a possible lung nodule. when clinically appropriate, evaluation with chest ct is recommended. hyperinflation and suspected emphysema. suspected bony demineralization and mild compression deformities, likely chronic. possible left atrial enlargement. a preliminary reading was provided electronically while the patient was still in the er.
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chronic scoliosis and stable compression fracture of a thoracic vertebra. otherwise normal chest radiograph. no evidence pneumonia.
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mild edema and cardiomegaly. no pneumonia.
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no evidence of acute cardiopulmonary process.
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bilateral lower lobe opacities are concerning for multifocal pneumonia, possibly secondary to aspiration given history of drug abuse. asymmetrical edema is less likely. recommend follow-up radiograph after treatment to assess for resolution.
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no acute cardiopulmonary process. no displaced fractures are seen. if there is continued clinical concern for a rib fracture, then a dedicated rib series is recommended.
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right basilar opacity likely due to partially loculated effusion and atelectasis. additional etiologies such as infection or underlying lesion are possible. small left pleural effusion. additional nodular opacity projecting over the right mid to upper lung. this is suspicious for underlying pulmonary nodule. dedicated chest ct is suggested to further characterize these findings.
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no acute cardiopulmonary abnormality.
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no focal infiltrate.
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low lung volumes with likely bibasilar atelectasis. platelike and linear basilar opacities favor atelectasis, but as also mentioned on the prior study, infectious pneumonia or aspiration are also in the differential.
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no acute cardiopulmonary pathology.
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no acute cardiopulmonary abnormality.
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in comparison with the study , there is little change in the appearance of the dense left hilum consistent with known malignancy. no vascular congestion, pleural effusion, or acute focal pneumonia. dense streak of atelectasis is again seen at the left base.
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left chest tube is in place. subcutaneous air within the left chest wall is expected. no definitive pneumothorax is seen. the right lung is clear and cardiomediastinal silhouette is stable
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no acute cardiopulmonary abnormality.
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no radiographic evidence of pneumonia.
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stable cardiomegaly without superimposed acute process.
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in comparison with the study of , there again are relatively low lung volumes that accentuate the enlargement of the cardiac silhouette. there may be minimal elevation of pulmonary venous pressure. no definite acute focal pneumonia, though this would be difficult to exclude in the absence of a lateral view to assess the retrocardiac region. no evidence of pleural effusion.
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focal opacity at the left lung base could reflect atelectasis, aspiration or pre-existing mass. recommendation further evaluation with conventional pa and lateral radiographs.
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small bilateral pleural effusions, mild cardiomegaly and pulmonary edema.
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no acute intrathoracic process.
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as compared to the previous radiograph, the right middle and right lower lobe opacity is not substantially changed. the location and morphology of the opacity suggests pneumonia or aspiration. in the interval, the patient has been extubated, the nasogastric tube and the right internal jugular vein catheter are in unchanged position. no new focal parenchymal opacities. no pleural effusions. no pulmonary edema. unchanged bilateral apical thickening, symmetrical in distribution.
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linear atelectasis at the right lung base. no focal consolidation concerning for an infectious process
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low lung volumes. slight prominence of the markings likely due to low lung volumes; however, a component of minimal interstitial edema not excluded. no focal consolidation.
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persistent large right pleural effusion, increased from the prior chest radiograph, but similar to the prior chest ct. probable small left pleural effusion. bibasilar atelectasis. mild pulmonary vascular engorgement.
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mild cardiomegaly with mild interstitial pulmonary edema.
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no focal consolidations to suggest pneumonia.
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compared to chest radiographs. heart size top-normal unchanged. lungs clear. no pleural abnormality.
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in comparison with the study of , with the right chest tube on water seal there is no evidence of pneumothorax. the opacification at the right base medially appears slightly less prominent than on the previous study. otherwise little change.
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comparison to. lung volumes have decreased and the size of the cardiac silhouette has increased. mild elongation of the descending aorta. central venous access line in correct position. no complications. mild fluid overload but no overt pulmonary edema. no evidence of pneumonia.
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new obscuration of the left heart border, possibly atelectasis, but may reflect pneumonia in the correct clinical setting.
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marked interval increase in airspace opacity, right greater than left. consider aspiration, hemorrhage or less likely asymmetric edema as etiology.
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cardiomegaly with mild pulmonary edema. possible pneumonia at the right medial lung base.
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heart size is normal. mediastinum is stable in appearance. lungs are slightly hyperinflated. there are bibasal opacities better appreciated on the lateral view, partially seen on ct abdomen, concerning for infectious process. followup of the patient <num> weeks after completion of antibiotic therapy is recommended in addition there is evidence of diffuse interstitial prominence, nonspecific, that potentially might reflect infectious process point cystic interstitial lung disease. either findings at persistent after antibiotic therapy, correlation with chest ct might be considered
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increased left base opacity since the prior exam, consistent with a moderate left pleural effusion with underlying infection and/or atelectasis. mild pulmonary vascular congestion.
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interval increase of right hilar mass since. otherwise, unremarkable chest radiographic examination.
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comparison to. no relevant change is noted. stable moderate pulmonary edema. the additional perihilar opacities on the left and the left retrocardiac atelectasis are also unchanged. no larger pleural effusions. no pneumothorax. normal size of the heart. the monitoring and support devices are in stable correct position.
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status post thoracentesis with small bilateral residual pleural effusions and no pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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interval improvement in pulmonary edema with possible mild persistent pulmonary edema.
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no relevant change as compared to the previous radiograph. sclerotic bone island in the right clavicle. minimal linear scar at the right lung apex. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the cardiac silhouette.
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as compared to chest radiograph, a heterogeneous opacity at the right lung base has slightly improved. no other relevant changes.
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as compared to the previous radiograph, the pre-existing parenchymal opacities, notably at the right lung bases, have barely changed. in addition, signs of mild fluid overload are present. the lung volumes are low. moderate cardiomegaly. no pleural effusions.
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extensive multifocal consolidations highly worrisome for multifocal pneumonia. differential diagnosis would also include pulmonary hemorrhage depending on the clinical scenario. recommend followup to resolution.
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no pneumonia. no cardiac failure/pulmonary edema.
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no comparison. low lung volumes. moderate cardiomegaly. no pulmonary edema. elevation of the right hemidiaphragm, likely combined with a minimal right pleural effusion. no evidence of pneumonia.
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normal chest x-ray.
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moderate-to-large left pleural effusion with left basilar opacification likely reflecting compressive atelectasis though infection or aspiration cannot be excluded. mild pulmonary vascular congestion.
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severe copd. no acute cardiopulmonary process.
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large left pleural effusion increased from the comparison study. these results were discussed via telephone by dr with from the hematology-oncology service via telephone at on
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no acute cardiopulmonary process.
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no evidence of pneumonia.