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MIMIC-CXR-JPG/2.0.0/files/p10227693/s58469741/f642929e-94b94ce2-f930a9cc-bd510380-fe8133ba.jpg
no acute cardiopulmonary process.
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radiographic improvement of left lower lung opacity. enteric tube terminates within the stomach.
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no acute intrathoracic process.
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there has been interval decrease in the right-sided pleural effusion. there continues to be hazy opacity in both lower lungs that is likely a combination of volume loss/ infiltrate/effusion.
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no acute cardiopulmonary process. top normal heart size.
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ng tube positioned appropriately. hyperinflated lungs likely reflecting emphysema. mild cardiomegaly.
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no evidence of acute disease. no discrete lung nodule identified although there is patchy atelectasis or scarring in the left lower lobe. correlation to prior outside imaging is recommended regarding the history of a lung nodule. many lung nodules are not visible radiographically, including ones of substantial size.
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as compared to , there is substantially improved ventilation at the right lung basis. however, the overall parenchymal opacities in the right lung still persists. all monitoring and support devices, including the right chest tubes, remain in unchanged position. unchanged appearance of the left lung and of the cardiac silhouette.
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in comparison with the study of , the cardiac silhouette is more prominent, though some of this may merely due relate to the portable ap rather than erect pa view. similarly, there is engorgement of the pulmonary vessels, which is consistent with some elevation of pulmonary venous pressure. no acute pneumonia or pleural effusion.
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comparison to ,. improved ventilation, notably at the basis of the left lung. a partial left lower lobe and right basal atelectasis persists. no new focal parenchymal opacities. borderline size of the cardiac silhouette without pulmonary edema. no pneumothorax. the tracheostomy tube and the right picc line are in correct position.
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large pleural effusion on the right, appearing over a short interval.
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mild edema.
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cardiomegaly without definite superimposed acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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mild interstial edema.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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no acute intrathoracic process.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. the cardiac silhouette remains at the upper limits of normal or mildly enlarged and there again is tortuosity of the aorta. no acute pneumonia, vascular congestion, or pleural effusion.
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no acute radiographic abnormality.
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there continue be layering bilateral effusions with appearance of superimposed mild to moderate pulmonary and interstitial edema. there is also likely bibasilar compressive atelectasis. cardiac and mediastinal contours are stable. no pneumothorax. right subclavian picc, nasogastric tube and endotracheal tube are unchanged in position. interval removal of the right internal jugular and left subclavian central lines. stable thoracolumbar curvature.
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worsening congestive heart failure with increasing interstitial edema. focal opacity in left upper lobe. followup radiographs after diuresis may be helpful to distinguish an asymmetrical area of edema from a focal pneumonia.
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moderate cardiomegaly, increased from the previous chest radiograph from , with mild pulmonary vascular congestion, small bilateral pleural effusions, and bibasilar atelectasis.
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stable appearance of the small right-sided pleural effusion.
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trace left pleural effusion.
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increased opacity projecting over the left lung base laterally without correlate on the lateral view. this could potentially be due to overlying soft tissues although underlying parenchymal opacity is possible, noting no correlate to confirm on the lateral view. consider repeat exam with greater inspiratory effort for further characterization. severe cardiomegaly and pulmonary vascular congestion without overt pulmonary edema.
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no pneumonia.
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no evidence of pneumonia.
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no evidence of acute cardiopulmonary abnormalities. probable copd.
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as compared to the previous radiograph, the patient has been extubated. the other monitoring and support devices are constant. minimal decrease in extent of the now moderate pulmonary edema. the lung volumes remain low. the small pleural effusion is seen on the right. moderate cardiomegaly. unchanged appearance of the sternal wires.
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dobbhoff terminates in the distal esophagus.
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comparison to. minimally improved ventilation of the left lung bases. minimal left pleural effusion. borderline size of the cardiac silhouette persists. mild fluid overload but no overt pulmonary edema. no new focal parenchymal opacities suspicious for pneumonia.
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mild congestive heart failure with small bilateral pleural effusions and mild interstitial pulmonary edema.
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right infrahilar patchy opacities are nonspecific and may represent atelectasis or infection. stable mild cardiomegaly.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16868685/s55116256/b925f7b2-10f05e3f-d506eafd-068c2aa5-f53c0f60.jpg
no acute cardiopulmonary process.
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residual opacity in the left anterior segment of the left upper lobe is compatible with improving pneumonia. new ill -defined opacification within the left lung apex may reflect a new site of infection. slight increase in size of the moderate sized left pleural effusion, and slight interval decrease in size of small right pleural effusion compared to the prior radiograph. there is associated bibasilar atelectasis.
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no acute cardiopulmonary process.
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increased interstitial markings as also seen on the prior study, likely due to chronic lung disease. no definite acute cardiopulmonary process.
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no radiographic evidence of pneumonia. copd.
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no evidence of acute cardiopulmonary disease. possible nodule versus bone finding or scarring at the right apex. previously, one year follow-up was recommended for a lingular nodule, which cannot be assessed by radiography. follow-up chest ct is recommended to assess both findings.
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in comparison with the study , the endotracheal tube has been removed the other monitoring and support devices are unchanged. continued low lung volumes. continued opacification at the right base is consistent with pleural fluid and compressive volume loss in the right lower lobe. left lung is clear and there is no vascular congestion.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12263684/s59196447/da60e0ca-00347a9d-233e18ed-be56df4d-511199b3.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14976271/s52629886/daf8a8fc-69fca6cf-6a7c0149-f99d667b-3b24d67a.jpg
bibasilar opacities, potentially atelectasis, although infection is not excluded. mild cardiomegaly.
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no evidence of acute cardiopulmonary process given low lung volumes.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. no free air under the diaphragms.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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stable right greater than left pleural effusions.
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comparison to. the postoperative changes in the right upper lobe are stable. mild to moderate right pleural effusion persists in unchanged manner. mild fluid overload is present but no overt pulmonary edema is seen. stable size of the cardiac silhouette.
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since the prior study there has been interval improvement in pulmonary edema which is currently moderate. small bilateral effusions are noted, unchanged. cardiomediastinal silhouette is stable. substantial degenerative changes in the right shoulder are partially imaged.
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as compared to the recent study, a left picc has been repositioned into the mid superior vena cava. cardiomediastinal contours are normal, and lungs are grossly clear.
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normal chest x-ray.
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as compared to the prior chest radiograph from <num> day earlier, a right pleural catheter is present with a persistent moderate to large right pleural effusion which likely has a substantial subpulmonic component. overall, the pleural effusion is not appreciably changed but positional and projectional differences limit comparison. it atelectasis persists in the right middle and right lower lobes. the left lung is grossly clear except for minor atelectasis at the left base.
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asymmetric left apical opacity compatible with patient's history of pulmonary tuberculosis. acuity is difficult to ascertain without priors to document stability however no cavitary lesion visualized.
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comparison to. increasing left retrocardiac atelectasis. unchanged right basal atelectasis, small amounts of free intra-abdominal air of the abdominal surgery. small pleural effusions are visualized on the lateral radiograph only. no pulmonary edema. no pneumonia.
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interstitial prominence, concerning for interstitial edema. no focal consolidation or pneumothorax.
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no acute intrathoracic finding.
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no acute cardiopulmonary process.
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findings consistent with decompensated congestive heart failure.
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right upper paramediastinal pulmonary consolidation is grown more cough lung, probably acute pneumonia. pulmonary vasculature is engorged and mediastinal veins are dilated, probably a function of hyper circulation in a febrile patient. there are no other regions upper pneumonia is suspected and no pleural effusion is present.
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interval worsening of multifocal opacities, most likely bronchopneumonia, though recurrent lymphoma can have a similar appearance.
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no displaced rib or other fractures seen.
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posterior lower lobe opacity seen on the lateral view inferiorly could be due to underlying consolidation.
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mild pulmonary vascular congestion. low lung volumes with patchy bibasilar airspace opacities likely reflecting atelectasis.
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persistent patchy opacities in the lung bases, minimally improved in the interval, and remain concerning for pneumonia. probable mild pulmonary vascular congestion.
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right ij positioned appropriately. no complications.
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no acute intrathoracic abnormality.
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as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly with mild retrocardiac atelectasis. no pulmonary edema. no pneumonia, no larger pleural effusions.
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right-sided picc line is unchanged in position. cardiomediastinal silhouette is within normal limits. there is again seen an opacity at the right base which is most consistent with atelectasis however early infiltrate would be difficult to exclude. minimal atelectasis at the left base is seen. there are no pneumothoraces or signs for overt pulmonary edema.
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low lung volumes and bibasilar atelectasis again seen.
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no acute cardiopulmonary process.
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pa and lateral chest compared to : widened contour of the left upper mediastinum, seen on the frontal view, is minimally narrowed than it was on. previous left pleural effusion and pneumothorax have both resolved. lungs are well expanded and clear. heart size is normal. right central venous infusion port ends at the level of the superior cavoatrial junction.
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no acute cardiopulmonary abnormality. hyperinflated lungs suggestive of copd.
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normal chest radiograph without evidence of all-trans retinoic acid syndrome.
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central pulmonary vascular engorgement without overt pulmonary edema.
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right chest tubes are in place. no interval increase in pleural effusion. demonstrated. the rest of the findings are unchanged
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new focal haziness in the left lung base that may represent an area of atelectasis or a new focus of infection. improving right middle lobe pneumonia.
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small bilateral pleural effusions with subjacent atelectasis.
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no acute intrathoracic process.
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compared to chest radiographs :<num>. right pigtail drainage catheter is been removed. no pleural effusion or pneumothorax. normal cardiomediastinal and hilar silhouettes.
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as compared to , , the severity of the moderate to severe pulmonary edema is constant. the patient is rotated to the right, as compared to the previous image but the overall size of the globally enlarged cardiac silhouette is constant. no pleural effusions. bilateral areas of atelectasis at the lung bases. no pneumothorax.
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no acute cardiopulmonary process.
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persistent small bilateral effusions, larger on the left which have decreased in size. decreased pulmonary vascular congestion. no evidence of superimposed acute cardiopulmonary process.
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dense retrocardiac opacification could be consistent with pneumonia in the appropriate clinical setting, though atelectasis related to stable cardiomegaly is also likely.
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no pneumothorax. right basilar opacity might represent early pneumonia.
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ap chest compared to : tip of the new endotracheal tube is in standard placement. as before, the right supraclavicular central venous infusion port ends in the right atrium, and would need to be withdrawn approximately <num> cm to re-position it low in the svc. upper enteric drainage tube ends in non-distended stomach. the heart is top normal size. lungs are clear, and there is no pleural abnormality. no evidence of pneumonia.
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as compared to the previous radiograph, there is unchanged evidence of moderate pulmonary edema and bilateral pleural effusions are present. moderate cardiomegaly with areas of atelectasis at the lung bases. no pneumothorax.
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multiple bilateral pulmonary masses as previously seen by ct scan. increased opacity in the middle lobe due to underlying mass with possible component of postobstructive infection or atelectasis. persistent small bilateral effusions.
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cardiomegaly with mild pulmonary edema, improved since previous exam. no focal consolidation.
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no acute cardiopulmonary process. a <num>mm rul nodule, likely corresponding to one of the nodules described on the ct.
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unremarkable chest radiographic examination.
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no acute cardiopulmonary process.
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improving left pneumothorax.
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in comparison with the study of , the monitoring and support devices are unchanged. little change in the it left basilar opacification consistent with pneumonia.
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no evidence of pneumonia. no significant interval change in the appearance of the chest.
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yesterday's pulmonary edema has resolved, and moderate left lower lobe atelectasis has improved. right pleural effusion is small if any. there is no appreciable pneumothorax except for a sliver of air in the minor fissure just above the pleural drainage tube. the medial margin of the right scapula should not be mistaken for a pleural surface. cardiomediastinal silhouette has a normal postoperative appearance. midline and bilateral pleural drain still in place. swan- catheter ends in the proximal right pulmonary artery.