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MIMIC-CXR-JPG/2.0.0/files/p19946155/s55838748/c36ae42b-48ec5fb1-41fb3406-f96b51ef-9b88b530.jpg
possible lateral right apex scarring. no acute findings to explain left sided chest pain.
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improved bibasilar atelectasis with improved lung volumes. unchanged mild pulmonary edema.
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mild pulmonary vascular congestion without other acute cardiopulmonary process.
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tiny residual right pleural effusion.
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patchy bibasilar opacity which likely represent bronchovascular crowding in the setting of low lung volumes. minimal pulmoanry interstitial congestion is another possibility
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no acute cardiopulmonary abnormality.
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tracheostomy in expected position.
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normal chest radiograph.
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reoccurrence of right-sided pleural effusion in patient with history of pancreatic carcinoma. no radiographic evidence of chf, cardiac enlargement or fluid overload.
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pa and lateral chest compared to : lungs are mildly hyperinflated, but clear of any focal abnormality. heart size normal. thoracic aorta is very tortuous but not dilated. large calcified thyroid nodule is chronic. no pleural effusion.
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lungs are fully expanded and clear. cardiomediastinal silhouette and hila surfaces are normal. there is no pleural abnormality. new lytic lesion, distal right clavicle could be infectious or neoplastic. multiple healed bilateral rib fractures are chronic.
MIMIC-CXR-JPG/2.0.0/files/p18167383/s52499871/82424796-c029780c-2385ce2f-4d558973-0fa24062.jpg
no acute cardiopulmonary process. old compression deormities in thoracic spine.
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dobhoff tube is seen in the right mainstem bronchus.
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cardiomegaly with mild pulmonary vascular congestion. no focal pneumonia.
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known interstitial lung disease, likely uip. no new metastatic disease. known small pulmonary nodules are not seen in this study. a ct chest can be performed to assess progression of both ild and pulmonary nodules.
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in comparison with the study of , there is little interval change and no evidence of acute cardiopulmonary disease. cardiac silhouette is at the upper limits of normal in size or mildly enlarged and there is tortuosity of the aorta. no vascular congestion, pleural effusion, or acute focal pneumonia. specifically, no interstitial abnormality to radiographically suggest amiodarone toxicity.
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no evidence of acute pulmonary process.
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similar or very slightly improved appearance of the large right hydropneumothorax with persistent collapse of the right lung.
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on the files image, the dobbhoff tube extends to the mid body of the stomach. in comparison with the earlier study of , there is little overall change in the appearance of the heart and lungs.
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interval improvement in the bilateral perihilar opacities, consistent with infection, and possibly pcp.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19453538/s50633938/77d5f8f8-205185f8-9b5a5ae0-0231b38e-6835a3ef.jpg
low-lying endotracheal tube. please retract by at least <num> cm for more optimal positioning. diffuse bilateral pulmonary opacities are likely due to pulmonary edema. however, superimposed infection is not excluded.
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mild basilar atelectasis. no evidence of pneumonia.
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moderate cardiomegaly is a stable. pacer leads are in standard position. et tube is in standard position. ng tube tip is in the stomach. right ij catheter tip is in the cavoatrial junction. multifocal consolidations in the right lung worse in the right lower lobe are were grossly unchanged allowing the difference in lung volumes. retrocardiac opacity a combination of large effusion and adjacent atelectasis is unchanged. right pleural effusion is grossly unchanged.
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pulmonary edema has improved. persistent right lower lobe opacification is likely secondary to edema and atelectasis, pneumonia cannot be excluded.
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no acute injury seen without evidence of compression injury.
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no acute cardiac or pulmonary findings.
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no acute cardiopulmonary process.
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low lung volumes and patient rotated to right. left base opacity could be due to pneumonia, atelectasis, or aspiration.
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compared to chest radiograph. mediastinum is newly widened, in a fashion suggesting vascular engorgement rather than hemorrhage, although bleeding is not excluded. mild cardiac enlargement is also new. consolidation in the right midlung is more severe and there is new interstitial abnormality in the lung bases. findings could be explained by volume overload and edema in the setting of a right pneumonia.
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hyperinflation and emphysema. no dense consolidations to suggest pneumonia.
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no acute findings. limited exam.
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bilateral pleural effusions, large on the right and small on the left. no definite focal consolidation identified, although evaluation is limited secondary to these effusions.
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no acute cardiopulmonary abnormality.
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bibasilar consolidation, left-greater-than-right has developed since most likely acute aspiration pneumonia. pleural effusion is small on the left, if any. upper lungs are clear. there is no pulmonary edema or vascular congestion despite moderate cardiomegaly and especially left atrial enlargement. although no fracture or other chest wall lesion is seen, aside from a healed left middle rib fracture, conventional chest radiographs are not sufficient for detection or characterization of such abnormalities. any focal findings should be clearly marked and imaged with either bone detail views or ct scanning.
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ng tube tip isin the stomach, the side port is still in the eg junction and should be advanced for more standard position. bibasilar atelectasis are larger on the left. there is no pneumothorax or pleural effusion. cardiomediastinal contours are stable. et tube is in standard position.
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no evidence of acute disease.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17340686/s57880532/1e3926d7-a660ecde-c6e6282e-98039f5e-6c6714c8.jpg
mildly improved pulmonary edema. possible right lower lobe pneumonia.
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catheters in the right supraclavicular central venous dialysis set end in the region of the superior cavoatrial junction and mid right atrium respectively. there is the suggestion of a space occupying process separating the vertical aspect of the hemodialysis catheter from the trachea at the thoracic inlet. this could be a hematoma, presumably long-standing, or an enlarged thyroid, or even a very enlarged parathyroid gland. mediastinum is otherwise unremarkable. heart size is normal. lungs are clear and there is no pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15904912/s55180949/e65ec6f3-1ecceb72-a9a65521-74105220-f381e454.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19822326/s56878241/e7b1f4d6-8a9058ed-9fb6d46c-8ff23139-37a95521.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17033649/s58638828/35499634-b5945e42-d54bc29a-0077561e-20236190.jpg
no acute cardiopulmonary process.
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comparison to. no relevant change. mild fluid overload. massive enlargement of the cardiac silhouette. unchanged position of the pacemaker leads.
MIMIC-CXR-JPG/2.0.0/files/p10239015/s55491719/dc7619f8-c7057b5a-af88a071-f35a8ecd-e75294b5.jpg
no acute cardiopulmonary process, specifically no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14486034/s58685970/4c98e769-64dc0ee0-198d4211-756d1630-4def507c.jpg
small bilateral pleural effusions.
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low lung volumes with patchy bibasilar airspace opacities, likely atelectasis. infection is not completely excluded in the correct clinical setting.
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dobbhoff tube present, with tip extending beneath the inferior edge of the film (just below the level of the iliac crest). if clinically indicated, a full abdominal film could help for more complete assessment. tubing overlying the mid abdomen, which appears separate from dobbhoff tube, ? outside of patient. clinical correlation requested.
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no acute cardiac or pulmonary process. calcific density adjacent to the right humeral head, possibly representing calcific tendinitis. clinical correlation recommended.
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no acute cardiopulmonary process. resolution of previously seen multifocal regions of consolidation.
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subtle opacity projecting over the right upper lung, likely overlapping densities though difficult to exclude a true pulmonary nodule. consider nonemergent ct to further assess.
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moderate to severe pulmonary edema, new from the prior examination.
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no radiographic evidence of acute cardiopulmonary disease.
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no new focal consolidation to suggest pneumonia. chronic interstitial abnormality within the left lung base and scarring within the right upper lobe. status post left upper lobectomy.
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no evidence of acute cardiopulmonary disease.
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interval decrease in size of the innumerable pulmonary nodules and masses. no evidence of pneumonia or atelectasis. depending on level of clinical concern, cta chest could be considered for evaluation of possible pe or endobronchial metastases, neither of which are specifically suggested by the findings on these chest radiographs.
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no acute cardiopulmonary process.
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re- demonstrated left perihilar and left basilar opacities, similar to possibly slightly increased as compared to the prior study.
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comparison to. substantial improved ventilation at both the left and the right lung basis. stable moderate cardiomegaly. no pulmonary edema. no pleural effusions. the monitoring and support devices are stable.
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heart size is enlarged, unchanged. interval decrease in right pleural effusion is demonstrated. right basal consolidation is more conspicuous and associated with right hilar mass and most likely post obstructing pneumonia, potentially minimally improved since the prior study. no pneumothorax is seen.
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no acute intrathoracic process.
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normal chest radiograph
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new right lower lobe infiltrate
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right basal atelectasis with volume loss. otherwise no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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ground-glass opacities noted in the left upper lobe and lingula on ct from are better delineated on that ct. otherwise, no interval change.
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right lower lobe atelectasis, almost collapse has markedly worsened. lines and tubes are in unchanged standard position. there are low lung volumes. cardiomediastinal contours are unchanged. there is no evident pneumothorax
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low lung volumes and bibasilar atelectasis. no evidence of free air beneath the diaphragms.
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low lung volumes with improving bibasilar linear opacities most suggestive of atelectasis.
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findings are compatible with pulmonary edema, with no pleural effusion. infection could potentially be obscured by edema, thus re-assessment after diuresis is recommended.
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as compared to radiograph, right middle and right lower lobe opacities have worsened, and a left retrocardiac opacity is new. although findings favor multifocal atelectasis, coexisting infectious pneumonia is possible. small pleural effusions are also demonstrated, but there is no pneumothorax.
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no acute cardiopulmonary process.
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stable appearance of left-sided small amount of pleural effusion. noteworthy is now new widening of superior mediastinum to the left, apparently increased since last examination of
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no acute cardiopulmonary process. no findings to suggest active tuberculosis.
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as compared to the previous image, the patient has received a left chest tube. no pneumothorax. the pre-existing left pleural effusion is almost completely drained. on the right, the incapsulated pleural effusion and the parenchymal opacities are constant.
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nodular opacity in the left lower lung for which non-emergent ct is recommended to further assess.
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subsegmental left lower lobe atelectasis. no displaced fracture identified. if there is continued concern for rib fracture, consider a dedicated rib series.
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persistent multifocal opacities. follow-up of the prior findings worrisome for malignancy is recommended in the near future using chest ct, since it does not appear that ct findings including a large nodule in the right lung are well demonstrated on radiography.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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normal radiographs of the chest.
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no definite acute cardiopulmonary process.
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mild pulmonary vascular congestion. low lung volumes.
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no acute intrathoracic process.
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as compared to radiograph, chest tubes remain in place in the right hemi thorax with slight increase in size of a small right apical pneumothorax. right pleural effusion has apparently also slightly increased in size with associated worsening atelectasis in the right mid and lower lung region. although a small left pleural effusion is unchanged, adjacent atelectasis in the lingula and left lower lobe has minimally worsened.
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multifocal opacities throughout the right lung and at the base of the left lung are concerning for infection.
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no acute intrathoracic abnormality.
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compared to chest radiographs since , most recently today. moderate pulmonary edema has settled more dependently, possibly improved. moderate left pleural effusion is larger. normal postoperative cardiomediastinal silhouette. no pneumothorax. swan-ganz catheter is been repositioned. it was previously low in the right ventricle close to the tricuspid valve. on successive radiographs it is advanced from the pulmonary outflow tract or the right pulmonary artery. other cardiopulmonary support devices are in standard placements respectively.
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no acute intrathoracic process.
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normal radiographs of the chest.
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increasing left lung opacity worrisome for pneumonia. there may be a coinciding pleural effusion, potentially loculated. background interstitial abnormality appears similar-to-mildly increased, suggesting coinciding vascular congestion.
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no acute cardiopulmonary process. no evidence of free air beneath the diaphragm.
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since the prior study there has been substantial interval improvement in pleural effusion and atelectasis bilaterally. no pneumothorax currently demonstrated. no pulmonary edema or focal consolidations seen.
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malpositioned endotracheal and nasogastric tubes with right mainstem intubation requiring at least <num> cm retraction. extensively coiled ng tube in the upper esophagus with premature termination in the mid esophagus.
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no evidence of acute intrathoracic abnormality.
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normal chest radiograph.
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compared to chest radiographs since , most recently. prior radiographs shows substantial left pleural effusion in and left pleural thickening or residual small effusion and some left lower lobe atelectasis on a rib series done. today there is more left pleural abnormality and more atelectasis at the base the left lung. the explanation for the pleural findings is uncertain. right lung is clear. heart is top-normal or normal size. no pneumothorax. lateral view shows no compression fracture in the thoracic spine. recommendation(s): evaluate clinically whether there is an active pleural process. imaging would require chest ct scanning.
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subsegmental left basilar atelectasis. otherwise no acute cardiopulmonary abnormality.