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MIMIC-CXR-JPG/2.0.0/files/p11442840/s55754354/2b36eeff-bc159deb-948893cc-9a0aebb6-22aaf05d.jpg
interval improvement cardiogenic pulmonary edema due to congestive heart failure. minimal improvement in moderate left pleural effusion with persistent left lower lobe atelectasis.
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normal lung volumes. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no evidence of pneumonia. azygos lobe as normal anatomical variant. severe scoliosis. at the thoraco lumbar junction.
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no acute cardiopulmonary process.
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similar appearance of diffuse bilateral ground-glass opacities with increased interstitial markings as seen on the previous ct. findings could relate to hypersensitivity pneumonitis, and clinical correlation is recommended.
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moderate pulmonary edema and small to moderate bilateral pleural effusions, not substantially changed from prior. bibasilar opacities, likely atelectasis.
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no acute cardiopulmonary process. mild anterior wedging of a lower thoracic vertebral body of indeterminate age.
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marked elevation of the right hemidiaphragm is similar to prior. no acute intrathoracic process.
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low lung volumes.
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no acute intrathoracic process.
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small bilateral pleural effusions. increased opacity at the right lung base may represent combination of pleural effusion and atelectasis, although concern is raised for evolving consolidation. recommend followup to resolution.
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no acute cardiopulmonary process.
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in comparison with the study of , there is again hyperexpansion of the lungs with flattening hemidiaphragms consistent with the clinical diagnosis of copd. mild compression of a mid thoracic vertebral body is again seen. no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. pleural thickening along the left lateral chest wall is unchanged.
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patchy opacity, left greater than right bases, ? atelectasis versus pneumonic infiltrate. overall appearances are similar to at
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new right subclavian venous line without pneumothorax or pleural effusion. stable opacification projecting over the left hemithorax of unclear etiology, possibly increased due to patient positioning.
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ill-defined opacity in the left mid/lower lung is concerning for aspiration/pneumonia. blunting of the left lateral costophrenic angle probably due to small left pleural effusion.
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no acute cardiopulmonary process.
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in comparison with the study of , the patient has taken a better inspiration. there is a somewhat ill-defined area of increased opacification at the right base which could represent a region of developing consolidation. this area had dense streak of atelectasis on the previous exam. minimal atelectatic changes are seen at the left base. there is been placement of a right ij large-bore catheter that extends to about the level of the cavoatrial junction.
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moderate right and small left pleural effusion, possibly slightly increased on the right. right base opacity likely presents combination of pleural effusion and atelectasis, but underlying consolidation cannot be excluded in the appropriate clinical setting. , md
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in comparison with the study of , the right chest tube is on water seal and there is no evidence of appreciable
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interval increase in the predominantly right-sided airspace opacities, suggestive of multifocal pneumonia. bilateral pleural effusions.
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as compared to chest radiograph, mild cardiomegaly and tortuosity of the thoracic aorta are stable in appearance. no definite new areas of consolidation are identified, but standard pa and lateral chest radiographs may be helpful to more fully assess the lung bases given clinical suspicion for infection.
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comparison to. stable position of the left chest tube. no left-sided pneumothorax. calcified granuloma in the left lung apex. the previously seen air collection in the soft tissues on the left has completely resolved. no pleural effusion. no pulmonary edema. no larger pleural effusion. no pneumothorax. normal size of the heart.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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there are no prior chest radiographs available for review. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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no acute cardiopulmonary process.
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opacities in the lower lungs concerning for pneumonia.
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no acute cardiac or pulmonary process.
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no previous images. the heart is normal in size and lungs are clear without vascular congestion or pleural effusion. no evidence of pulmonary or skeletal metastases.
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no focal consolidation.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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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 acute cardiopulmonary disease including pneumonia. findings were conveyed to dr following review on at approximately by dr.
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in comparison with the study of , the patient has taken a better inspiration. the right basilar atelectasis continues to improve. postsurgical changes are again seen at the left. no definite acute focal pneumonia.
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low lung volumes without definite focal consolidation.
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no acute cardiopulmonary process.
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stable cardiac and mediastinal contours. patchy opacity at the right base is again seen, may represent an early pneumonia or patchy atelectasis. clinical correlation is advised. the left lung is clear. no pleural effusions or pneumothoraces. no acute bony abnormality.
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limited by low lung volumes with basilar atelectasis and bronchovascular crowding. no overt abnormality.
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pneumomediastinum collected along the thoracic aorta from the arch to the diaphragm is unchanged since :<num>. there is no pneumothorax or pleural effusion. heart size is normal.
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low lung volumes cause bronchovascular crowding, allowing for this there is likely mild to moderate pulmonary edema without focal consolidation.
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bibasilar opacities have increased. there is no evident pneumothorax. cardiomegaly is a stable. right ij catheter tip is in the mid svc. if any there is a small left effusion. emphysema was better seen on prior ct of
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right middle lobe opacity which may represent pneumonia or aspiration. clinical correlation is recommended.
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as compared to the prior study, there has been interval increase in interstitial markings, somewhat similar to that seen on , which could represent mild interstitial edema versus atypical infection.
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in comparison with the study of , the right subclavian picc line is now pointed upward within the internal jugular system. improved lung volumes without definite vascular congestion or acute pneumonia. there is what appears to be a dense streak of atelectasis above the elevated left hemidiaphragmatic contour.
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no acute cardiopulmonary process, specifically no evidence of infiltrate.
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transvenous right atrial biventricular pacer defibrillator leads follow standard placements
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no definite acute cardiopulmonary process.
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normal chest radiograph.
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normal chest radiograph.
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no previous images. no evidence of acute cardiopulmonary disease or old tuberculous disease.
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no pneumonia.
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no acute cardiopulmonary process. slowly progressive mild cardiomegaly.
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right pigtail catheter is in place. there is interval improvement in the right basal consolidation. minimal amount of fluid is noted. a right picc line tip is at the level of mid svc. cardiomegaly and post sternotomy wires are stable. no pneumothorax.
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no significant interval change in bibasilar subsegmental atelectasis. new small left pleural effusion. lines and tubes remain in satisfactory position.
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heart is upper limits of normal in size given pa technique. mediastinal contours are within normal limits. lungs appear well inflated without evidence of focal airspace consolidation, pulmonary edema, pleural effusions or pneumothorax. degenerative changes are seen in the spine with no acute bony abnormality appreciated.
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comparison to. lung volumes are low. mild fluid overload. bilateral areas of atelectasis at the lung bases. no pleural effusions. no pneumonia.
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in comparison with the study of , the patient has taken a better inspiration. the cardiac silhouette is within normal limits and there is no definite vascular congestion or pleural effusion. however, there is asymmetric increased opacification at the right base, presenting a pattern somewhat similar to the study of , raising the possibility of aspiration or developing pneumonia in this region.
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no acute cardiopulmonary abnormality.
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mild right lower lobe atelectasis. no pneumonia. stable mild cardiomegaly.
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no previous images. low lung volumes accentuate the transverse diameter of the heart, which does appear enlarged. however, there is no evidence of appreciable elevation of pulmonary venous pressure. the left hemidiaphragm is not well seen, consistent with atelectatic changes and probable small pleural effusion.
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no pneumothorax post right chest tube removal. left lower lobe opacity is increased from at with similar appearance to :<num>, likely representing a layering pleural effusion with component of atelectasis although developing infection could also have this appearance. mild pulmonary edema is increased from.
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persistent heterogeneous left lung base opacity, which may represent atelectasis, aspiration or infection in the appropriate clinical setting.
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bilateral lower lobe opacities concerning for multifocal pneumonia. stable appearance of left upper lobe cavitary lesions.
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moderate right pleural effusion and severe right basilar atelectasis, increased since. mild left pleural effusion unchanged. minimal left pleural effusion and right moderate pleural effusion with right lower lobe atelectasis stable large postoperative cardiomediastinal silhouette. no pulmonary edema. no pneumothorax.
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minimal right basilar atelectasis. otherwise, no acute cardiopulmonary process.
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no acute intrathoracic process.
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enlargement of the cardiac silhouette. grossly clear lungs.
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elevated right hemidiaphragm. no other cardiopulmonary pathology.
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no acute cardiopulmonary process.
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right lower lobe pneumonia. recommend followup to resolution.
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little change.
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low lung volumes, no acute findings.
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comparison to. previous pulmonary edema has decreased in severity. moderate cardiomegaly persists. elongation of the descending aorta. no evidence of pneumonia. no pleural effusions.
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unchanged massive bilateral parenchymal opacities. cardiac silhouette cannot be determined. right port-a-cath and left picc are stable.
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in comparison with the study of , the patient has taken a better inspiration. the significant opacifications at the bases with poor definition the hemidiaphragms is less prominent, especially on the right, is unclear whether this represents decreased pleural effusion an atelectasis or merely is a manifestation a more upright position of the patient. the cardiac silhouette is within normal limits, though there are diffuse bilateral pulmonary opacifications. this could represent significant pulmonary edema, though some of this probably represents the peribronchial and patchy consolidations as well as results of mucous plugging this seen on the ct examination of
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in comparison with the study of , there is little overall change. cardiac silhouette is mildly enlarged, though there is no definite vascular congestion, pleural effusion, or acute focal pneumonia. specifically, there is no prominence of interstitial markings to radiographically suggest amiodarone toxicity.
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no acute intrathoracic process if concern for rib fractures persist, consider dedicated rib views.
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heterogeneous right lower lobe opacity is most consistent with atelectasis new small right pleural effusion. right porta cath tip deep in right atrium, unchanged since.
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the tip of the endotracheal tube is somewhat difficult to determine, though appears to be about <num> cm above the carina. nasogastric tube extends at least to the upper stomach, where it crosses the lower margin of the image. hazy opacification in the right hemithorax suggests substantial layering effusion with compressive basilar atelectasis, with less prominent changes on the left. some of this appearance could well represent scatter radiation related to the size of the patient.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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stable small suspected pulmonary nodule projecting over the left upper lobe.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. no pulmonary edema.
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pa and lateral chest compared to : moderate cardiomegaly and pulmonary vascular engorgement are chronic. there is no pulmonary edema, consolidation, or pleural effusion.
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no acute cardiopulmonary abnormality.
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no visualized pneumothorax.
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possible right middle lobe pneumonia. persistent large left pleural effusion. mild improvement of pulmonary vascular congestion.
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heart size is mildly enlarged. there has been improvement of the pulmonary interstitial edema and opacities within the right lung. there is a small right-sided pleural effusion. there are no pneumothoraces.
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no radiographic evidence of active or latent pulmonary tuberculosis infection.
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read in conjunction with the same day chest ct. enlargement of the right hilar contours, much significantly more than the left hilar contours, corresponds to soft tissue around right hilus seen on ct that is presumed to be malignant lymphadenopathy or a mass. mild pulmonary edema due to congestive heart failure.
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et tube tip is <num> cm above the carinal. swan-ganz catheter tip is in the right ventricle outflow tract ng tube tip is in the stomach. cardiomegaly is substantial. bilateral pleural effusions and bibasal consolidations are present.
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no signs for acute cardiopulmonary process.
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small right apical pneumothorax reduced in volume, small right pleural effusion incresed, right lung volume stable.
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retrocardiac opacity silhouetting the hemidiaphragm which certainly could represent infection. more faint right basilar opacities with a somewhat nodular component which may correspond to disease seen on prior ct scan. consider pa and lateral for additional characterization.
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no acute cardiopulmonary process.
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mild cardiomegaly, unchanged. upper zone redistribution, without overt chf. no focal infiltrate or effusion. no pneumothorax detected. bilateral cervical ribs noted.