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no active disease.
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findings suggesting mild vascular congestion. suspected small pleural effusion on the left with patchy left basilar atelectasis. cardiomegaly, but stable cardiac and mediastinal contours. findings consistent with mild vascular congestion.
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comparison to. the patient has undergone right thoracocentesis. the effusion on the right has again slightly increased. however, there is no evidence of pneumothorax. the appearance of the left lung and of the left pleural effusion is stable.
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suspected new right lower lobe nodule for which ct is recommended for further evaluation.
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the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
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no acute intrathoracic process.
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no evidence of pulmonary tb. small left basilar pleural thickening is unchanged since.
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cardiomegaly without evidence of acute cardiopulmonary process.
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spiculated right upper lobe nodule and enlarged ap window lymph node seen on previous ct and pet-ct are not well visualized on the current radiograph. no acute cardiopulmonary abnormality otherwise noted.
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possible slightly increasing subpulmonic pneumothorax. findings of possible free air discussed with at via telephone by immediately upon discovery of the findings. repaged at pm to discuss change in initial wet read with free air being unlikely, rather increasing subpulmonic pneumothorax.
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no radiographic evidence of pulmonary edema or pneumonia.
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heart size and mediastinum are stable. as compared to the bibasal areas of atelectasis/ fibrosis are unchanged but the lung volumes are lower than previously. upper lungs are essentially clear. no appreciable pleural effusion is seen. the findings might represent progression of bibasal atelectasis due to suboptimal diaphragmatic or respiratory muscle function. no evidence of new infectious process demonstrated.
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no evidence of focal pneumonia. mild diffuse prominence of lung markings is compatible with the nonspecific ground glass opacities identified on the chest ct, albeit likely accentuated by underpentrated technique.
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no acute cardiopulmonary abnormality.
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no evidence of pneumonia.
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in comparison with the study of , the patient has taken a much better inspiration. there is no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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persistent volume overload with mild-to-moderate bilateral effusions. slightly less prominent interstitial edema when compared to prior. unchanged degree of enlargement of the cardiac silhouette potentially combination of cardiomegaly and pericardial effusion.
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no acute intrathoracic process.
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left greater than right bilateral perihilar streaky opacities could be due to infection and/or fluid overload.
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no acute findings
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no evidence of acute cardiopulmonary process.
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comparison to. decrease in extent of the bilateral parenchymal opacities. the opacities, however, remain clearly visible. moderate cardiomegaly and retrocardiac atelectasis persists. no pleural effusions.
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stable right hydropneumothorax. mild increase in pulmonary vascular congestion.
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no acute cardiopulmonary abnormality. no overt traumatic findings. if there is focality to the examination, dedicated rib series may be helpful.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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tunneled dialysis line terminates in the upper right atrium. heart size mediastinal contours are unchanged. no pulmonary edema or pleural effusions. no evidence of pneumonia.
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no acute cardiopulmonary process. persistent cardiomegaly and pulmonary artery enlargement.
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worsening of bronchial wall thickening suggestive of acute on chronic bronchitis. no evidence of pneumonia.
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no acute cardiopulmonary process.
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ap chest compared to preoperative chest radiograph : moderate left pneumothorax is present despite the left pleural tube. there is no pleural effusion. postoperative left lung is clear. right lung is low in volume but clear. normal cardiomediastinal silhouette.
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extensive right sided pneumonia.
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stable small left pleural effusion.
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right lower lung opacity from known small pleural effusion and adjacent lung atelectasis has overall decreased in intensity. if this is true reduction in the effusion or it is due to differences in the patient's position however cannot be differentiated.
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lung volumes are lower today than on prior studies, reflecting or responsible for moderate bibasilar atelectasis. pulmonary vasculature is engorged, as before although heart size is only top-normal. there is no pulmonary edema. pleural effusion is minimal if any. a right supra clavicular central venous infusion port catheter ends in the upper svc. stomach is moderately distended with air.
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compared to chest radiographs. subsegmental atelectasis in the right middle lobe is new and could be due to bronchial narrowing from bronchitis. severe cardiomegaly is chronic, but there is no pulmonary or mediastinal vascular congestion and no pleural effusion.
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no acute cardiopulmonary process.
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the previously seen opacity at the right lung base is no longer visualized and is likely within the superficial soft tissues and does not represent a pulmonary opacity. the lung fields are otherwise clear.
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persistent low lung volumes. findings suggestive of volume overload and/or heart failure with central pulmonary vascular congestion, cardiomegaly, and prominent pulmonary arteries. no definite focal consolidation to suggest a focal pneumonia.
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no acute intrathoracic process. minimal bibasilar atelectasis.
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moderate right and small left pleural effusions are new since.
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compared to chest radiographs since , most recently. there is no focal consolidation or interstitial abnormality to suggest pneumonia. heart size is normal. there is no pleural abnormality. chronic hiatus hernia is moderate size. right supraclavicular central venous infusion port catheter ends in the low svc. thoracolumbar scoliosis is severe.
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ap chest compared to : mild pulmonary edema and severe cardiomegaly are longstanding. external tubing connector projecting over the left hilus is probably responsible for an opacity that would otherwise suggest pneumonia. subsequent chest radiograph should be taken with care to remove external items. feeding tube passes into the stomach and out of view. et tube in standard placement. left internal jugular line tip projects over the right wall of the svc, and should be withdrawn <num> cm to avoid vascular trauma, even if unlikely.
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no radiographic evidence for pneumonia. mediastinal contour appears less pronounced suggestive of improving lymphadenopathy. continued bilateral hilar lymphadenopathy.
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no evidence of acute cardiopulmonary abnormalities. probable calcification in one of the cardiac valves, likely the aorta, warrants further evaluation clinically and with echocardiography if clinically indicated.
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ap chest compared to through : since , previous mild pulmonary edema has improved and vascular engorgement has decreased. left hemidiaphragm remains chronically elevated, and there is new opacification at the base of the left lung, which could be either atelectasis or pneumonia. pleural effusion, if any, is small. the heart is normal size. pulmonary arteries are not as prominent as they were earlier. no pneumothorax.
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the heart is top normal. there is no evidence of pneumonia.
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no evidence of pneumonia.
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moderate-to-large right pleural effusion, slightly increased from prior, with right basilar atelectasis. mild pulmonary edema, unchanged.
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no radiographic evidence for acute cardiopulmonary process. stable, mild cardiomegaly.
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compared to through. severe infiltrative pulmonary abnormality including right perihilar consolidation and moderate bilateral pleural effusions not appreciably changed. heart size normal. no pneumothorax. right pic line ends in the region of the superior cavoatrial junction. esophageal feeding tube passes into the duodenum and out of view. drainage tube is looped in the stomach and returns to the mid esophagus, as before. it needs to be repositioned. endotracheal tube is partially obscured but probably ends in acceptable position.
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no evidence of pneumonia. mild edema.
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small region of consolidation at the base of the right lung was new or larger on , slightly smaller today, could be pneumonia. lungs otherwise clear. mediastinal widening due to a generally large and tortuous aorta is chronic. heart is moderately enlarged chronically. rightward tracheal deviation thoracic inlet is long-standing, but chest ct on shows no mass or thyroid enlargement. no pleural effusion. left pic line ends in the low svc.
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no significant interval change.
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heart size and mediastinum are stable. lungs are overall clear except for minimal bibasal atelectasis. there is no appreciable pleural effusion. there is no pneumothorax.
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esophageal drainage tube is still coiled in the low esophagus. stomach is severely distended, suggesting outlet obstruction. small to moderate left pleural effusion is new since , stable since the earlier on. there is also probably a small right pleural effusion. opacification at the lung bases could be due to atelectasis alone but pneumonia vertically due to aspiration needs to be considered. no pneumothorax. heart size normal. right central venous infusion port ends in the upper right atrium.
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no significant changes from recent comparison.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. chronic appearing type <num> ac joint separation with adjacent fracture fragments. subacute fracture of the right anterior third rib.
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as compared to the previous radiograph, the right pigtail catheter has been backwards from the pleural space. there currently is no evidence for the presence of a pneumothorax. minimal retrocardiac atelectasis. unchanged position of the right pectoral port-a-cath. no other relevant changes.
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mild pulmonary vascular congestion and possible trace bilateral pleural effusions.
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new substantial interstitial abnormality, somewhat heterogeneous. correlation with clinical presentation is recommended. this could be seen with interstitial pulmonary edema but potentially atypical pneumonia could be considered.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary process.
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low lung volumes with bibasilar atelectasis.
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left lower lobe pneumonia. small bilateral pleural effusions.
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no abnormality demonstrated to explain patient's symptoms. note is made that the study neither exclude nor confirm the possibility of pulmonary embolism and if clinically suspected, correlation with ct pulmonary angiography might be considered.
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retrocardiac opacity likely atelectasis. no definite superimposed cardiopulmonary process.
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no acute findings.
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mild left basal atelectasis. no evidence of pneumonia.
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no acute cardiopulmonary process.
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enteric tube in place. no focal consolidation.
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in comparison with the study of , there has been essentially complete clearing of the left lower lobe pneumonia. mild atelectatic or fibrotic changes may persist. remainder of the study is within normal limits.
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no acute cardiopulmonary process. top normal heart size.
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somewhat limited assessment of the lung bases due to low lung volumes and soft tissue attenuation. probable bibasilar atelectasis.
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as compared to the previous radiograph, no relevant change is seen in extent of the known right basal pneumothorax and of the consolidation at the right lung base. unchanged alignment of the sternal wires. unchanged moderate cardiomegaly. the right picc line continues to project over the right atrium. the line should be pulled back by <num> cm if it should lie at the cavoatrial junction.
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mild pulmonary vascular engorgement.
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increasing pulmonary congestion with development of bilateral pleural effusion most likely related to chf. non-distended azygos vein speaks against general fluid overload and favors assumption of left-sided chf.
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MIMIC-CXR-JPG/2.0.0/files/p10813632/s52308531/0fba9a52-5dec1371-63d3674e-5f4e9e8f-df03e5cb.jpg
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et tube in appropriate position. low lung volumes with bibasilar atelectasis.
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MIMIC-CXR-JPG/2.0.0/files/p19371972/s54896209/d3a2e2be-86e24473-c5a54fdf-935ac715-d151b691.jpg
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no radiographic evidence of lung nodule or mass.
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MIMIC-CXR-JPG/2.0.0/files/p11516231/s51697822/631b1f75-eb6148cc-651f3c2a-5cf32f24-4cba5b64.jpg
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no acute cardiopulmonary process. if there is clinical concern for a rib fracture, dedicated rib series should be considered.
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MIMIC-CXR-JPG/2.0.0/files/p18021108/s58441006/03e8ebc5-154708f7-401173c1-d3680204-fa40c719.jpg
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no acute cardiopulmonary process. please note that subcentimeter pulmonary nodules seen on prior ct from are better seen/evaluated on that study, as ct is more sensitive, and followup recommendations per that study remain.
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MIMIC-CXR-JPG/2.0.0/files/p18761975/s59840990/78aa031f-1fdfb8c4-a1fd672b-a8724add-e369215e.jpg
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no acute cardiopulmonary abnormality.
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MIMIC-CXR-JPG/2.0.0/files/p12981575/s54428699/5c1c72e6-d76344d5-d9e9cd2e-e24184bd-c8c36652.jpg
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pa and lateral chest compared to most recent prior chest radiograph, : normal heart, lungs, hila, mediastinum and pleural surfaces.
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MIMIC-CXR-JPG/2.0.0/files/p14142370/s51519031/d9c30dbb-0db2354f-51e908bc-09c13569-8cfc6f54.jpg
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normal chest radiographs.
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MIMIC-CXR-JPG/2.0.0/files/p16901210/s59668929/9192692d-e8a33881-d043c9ff-ae05fb88-d14eac93.jpg
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new moderate subpulmonic right pleural effusion with associated right basilar atelectasis.
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MIMIC-CXR-JPG/2.0.0/files/p14342065/s51190567/f2e73b24-038118c3-a9ea9557-c3d42e50-ea4306ab.jpg
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mild congestive heart failure with small left pleural effusion.
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ap chest compared to : lung volumes have improved and mediastinal venous caliber has decreased. heart size is normal. right basal lung lesion has a nodular configuration, and the contour of the mediastinum, particularly in the region of the aortopulmonic window suggests adenopathy. these are indications for chest ct scanning, at which time the residual consolidation at the left lung base can be analyzed to see whether it looks more like pneumonia than edema. heart size is normal. no pleural effusion is present. dr was paged.
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MIMIC-CXR-JPG/2.0.0/files/p11408332/s51464093/777be807-289e70d4-16ff5a2c-7e015317-b12999f7.jpg
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no acute cardiopulmonary abnormality.
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MIMIC-CXR-JPG/2.0.0/files/p18012427/s52470431/d471dbca-200fffe8-b824d69c-7b07f7d0-048cd2b3.jpg
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as compared to the previous radiograph, no relevant change is seen. no parenchymal opacities suggestive of pneumonia. no other focal parenchymal opacities. no diffuse lung disease. normal size of the cardiac silhouette. normal hilar and mediastinal structures. azygos lobe as normal anatomic variant preop
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MIMIC-CXR-JPG/2.0.0/files/p18412100/s59893699/e57c27df-a3006b5f-7c80aad5-c60617dd-4eafc824.jpg
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no pneumothorax post biopsy. mild post biopsy hemorrhage.
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MIMIC-CXR-JPG/2.0.0/files/p15621159/s59292546/f8af663a-566291b3-aad7cc04-4441bc31-51ebf32d.jpg
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no acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p12151284/s58130000/63c67359-025d2c59-0549f952-6f0327b8-4bb0f548.jpg
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in comparison with the study of , there is little overall change. again there is extensive opacification in the right hemithorax consistent with complex complications of known right lung malignancy. the left lung is essentially clear.
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MIMIC-CXR-JPG/2.0.0/files/p10871939/s53281348/64956156-2ad5e562-86f0facc-36fa6e79-9716230c.jpg
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in comparison with the study of , there is again some hyperexpansion of the lungs consistent with chronic pulmonary disease. however, no acute pneumonia, vascular congestion, or pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p15655083/s59443706/8384b7b2-3d508895-e46f209d-3479d8cd-4d0bff58.jpg
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support lines and tubes in appropriate position.
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MIMIC-CXR-JPG/2.0.0/files/p16660031/s54450069/4016b648-7e315f93-bb0e5b74-87f1f530-7dd96d62.jpg
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low lung volumes and bibasilar atelectasis.
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