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MIMIC-CXR-JPG/2.0.0/files/p15543940/s52533060/abc2955b-32afea13-7b860a56-04054c25-165f0859.jpg
mild enlargement of the cardiomediastinal silhouette is re- demonstrated likely accentuated by ap portable technique. the right aspect of the superior mediastinum is slightly more prominent as compared with prior study which may be technical, but if there is high clinical concern for acute mediastinal process, chest ct is more sensitive. mild interstitial edema.
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status post left lower lobe resection with left pleural effusion, similar to prior exam.
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no evidence of acute disease.
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appropriate position of the ett.
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no acute intrathoracic process.
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et tube ends ng tube are in standard placements. opacification in the left lower lobe now obscures the descending thoracic aorta. this could be either atelectasis or pneumonia. upper lungs are clear. heart size top-normal. pleural effusion small if any. no pneumothorax.
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no significant interval change.
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endotracheal tube terminates <num> cm above the carina. an enteric tube extends to the body of the stomach, although the tip is not visualized on the current study. lung parenchyma appears clear, without focal consolidation, substantial pleural effusion or pneumothorax.
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interval removal of the right-sided chest tube with small right apical pneumothorax is increased from earlier today.
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no evidence of pneumonia.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16651288/s52294698/761f4098-32c0830a-8fb56185-eb763573-6e3237c7.jpg
no acute cardiopulmonary abnormality. persistent mild bronchial wall thickening in left perihilar region, but no current evidence of pneumonia.
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hyperinflated lungs. otherwise, no acute cardiopulmonary process.
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no evidence of active disease. cardiomegaly consistent with hemodialysis.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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interval decrease in size of the left pleural effusion. a small pleural effusion persists. no pneumothorax. opacity in the left mid lung zone in the area of the fiducial seeds is better characterized on the recent ct and likely represents a combination of tumor and/or atelectasis.
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moderate pulmonary edema has improved since , best appreciated in the right lung. on the left however there is new left perihilar consolidation concerning for pneumonia, although asymmetric edema is a possibility. there is also at least a moderate left pleural effusion. moderate enlargement of cardiac silhouette is long-standing. no pneumothorax. tracheostomy tube midline. indwelling left pic line ends in the upper right atrium.
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interval worsening of bilateral symmetric airspace opacities, most consistent with multifocal pneumonia. loculated left pleural effusion, likely unchanged.
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near-complete opacification of the left hemithorax with leftward shift of mediastinal structures, unchanged, and likely due to a combination of malignancy and collapse. infection, however, is difficult to exclude. resolution of previously noted right basilar opacity.
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slight interval decrease in the size of the small left apical pneumothorax.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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clear lungs.
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large right perihilar mass as on prior. linear right basilar opacities, most suggestive of atelectasis.
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enlarged cardiac silhouette without signs of pulmonary edema or vascular congestion consistent with either cardiomyopathy or pericardial effusion. poor definition of one hemidiaphragm suggestive of pleural thickening or pleural effusion.
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as compared to the previous radiograph, there is a minimal increase in severity of the left retrocardiac atelectasis, likely caused by a small left pleural effusion. otherwise the radiograph is unchanged. borderline size of the cardiac silhouette. mild pulmonary edema.
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heart size is normal. mediastinum is normal. lungs are hyperinflated but essentially clear. calcifications of the coronary arteries and potential stent in lad is suspected. no pleural effusion or pneumothorax is seen
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new subcutaneous left paramedian icd ascends from the level of the fifth anterior to the second anterior interspace, ranging in displacement from the midline between <num>mm proximally to <num> mm at the tip. previous pulmonary edema has resolved. mild cardiomegaly and small bilateral pleural effusions persist. there is no pneumothorax.
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no pneumothorax is seen. however, the mediastinum now appears widened and there is loss of the left mediastinal contours. this raises concern for mediastinal hemorrhage. close follow up imaging with chest plain films would be advised to ensure that there is not ongoing hemorrhage. lungs remain clear. no pleural effusions. heart remains normal in size. results were communicated to the patient's nurse, , as well as to the intern, dr , by phone on at
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary process.
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cardiomegaly is moderate and unchanged. mediastinal silhouette is unchanged including mild mediastinal widening potentially reflecting known mediastinal lipomatosis. left lung opacities are slightly more conspicuous as compared to the previous study and are concerning for infectious process. there is mild vascular enlargement but no overt pulmonary edema. followup of the patient after antibiotic therapy is recommended for documentation of resolution.
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new small bilateral effusions without other acute cardiopulmonary process.
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as compared to the previous radiograph, <num> chest tubes are in unchanged position in the right hemi thorax. the postoperative opacities in the lateral basal aspect of the lung is stable. unchanged appearance of the enlarged cardiac silhouette and of the left lung.
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no acute cardiopulmonary abnormality.
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the tip of the right picc line is again noted to be projecting over the right atrium. no significant interval change since the prior examination.
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patient has been extubated. mild to moderate pulmonary edema has worsened since and and there may be new small right pleural effusion. chronic changes in the left lung are stable. large heart and vascular mediastinum are long-standing as well. right jugular line ends in the low svc.
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no significant interval change when compared to the prior study. persistent cardiomegaly and pulmonary vascular congestion.
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no previous images. the cardiac silhouette is within normal limits and there is mild tortuosity of the aorta. no acute pneumonia, vascular congestion, or pleural effusion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, no relevant change is seen. stable right basal parenchymal opacity. no larger pleural effusions. stable retrocardiac atelectasis. severe scoliosis. unchanged position of the right picc line.
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pa and lateral chest compared to post-operative chest radiographs, : lung volumes have improved though there is still substantial bibasilar atelectasis. small bilateral pleural effusions, left greater than right, are decreasing. upper lungs are clear. postoperative cardiomediastinal silhouette has an unremarkable appearance.
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comparison to. the patient is extubated and the nasogastric tube was removed. the left internal jugular vein catheter is in stable position. stable pleural thickening along a known left rib fractures. minimal left basilar atelectasis. no pulmonary edema. no pneumonia.
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no acute cardiopulmonary abnormality. findings were relayed to dr.
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no acute cardiopulmonary process. mild cardiomegaly.
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stable prominence of the pulmonary interstitium likely relates to volume overload, similar appearance to prior exams. no definite focal consolidation.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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streaky right middle lobe density not significantly different compared to prior study. ct may give additional information in view of this patient's chronic symptoms calcified granuloma and probable bony demineralization, unchanged
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comparison to. decrease in extent and severity of the pre-existing pulmonary edema. normal size of the cardiac silhouette. retrocardiac atelectasis persists. no pleural effusions. no new focal parenchymal opacities.
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no acute cardiopulmonary process.
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no previous images. no evidence of acute pneumonia, vascular congestion, pleural effusion, or mass.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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increasing bilateral effusions with adjacent atelectasis
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no acute cardiopulmonary process.
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persistently low lung volumes, with increased atelectasis in the right lower lung. improved mild edema.
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left base opacity likely represents combination of pleural effusion and atelectasis, although underlying consolidation cannot be excluded. minimal pulmonary vascular congestion.
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there is again seen a pigtail catheter at the left lung base. loculated small pneumothorax at the left base is again seen. there is slight volume loss of the left lung. heart size is within normal limits. there is no focal consolidation for signs of pulmonary edema. there is some pleural thickening along the left apex medially, stable.
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no evidence of acute cardiothoracic process.
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no acute cardiopulmonary process.
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compared to chest radiographs since , most recently at. patient has been extubated. cardiomediastinal silhouette is a normal postoperative appearance. small left pleural effusion unchanged. no pulmonary edema. no pneumothorax. midline drains and right internal jugular line are in standard placements respectively.
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heterogeneous new right lower lobe opacity concerning for developing infection.
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no radiographic evidence of pneumonia.
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no radiographic evidence for acute cardiopulmonary process.
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no acute findings.
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no pneumothorax. stable scarring and cavitation in the upper lobes. slight increase in right lower lobe opacity concerning for slight progression of pneumonia.
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multifocal pneumonia in a patient with massive overinflation, likely caused by copd. resolution after therapy should be documented by chest radiography in <num> to <num> weeks, to confirm the absence of other parenchymal abnormalities.
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comparison to. no relevant change. minimal pulmonary edema. no pneumonia. moderate cardiomegaly. unchanged alignment of the sternal wires.
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no acute intrathoracic process.
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no acute cardiopulmonary process. subtle right mid lung nodular densities. a chest ct may be obtained on a non-emergent basis for further evaluation. findings were communicated by to dr via phone on at.
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ap chest compared to preoperative chest radiograph: right internal jugular line ends in the mid svc. no pneumothorax, mediastinal widening, or pleural effusion. engorgement of mediastinal veins is readily explained by supine positioning. in the setting of lower lung volumes, irregular opacification in the left mid and right lower lung zone are probably due to atelectasis. top normal heart size is unchanged. there is no pulmonary edema, appreciable pleural effusion, or evidence of pneumothorax. nasogastric tube passes into the stomach and out of view.
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no acute cardiopulmonary process.
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findings consistent with pneumonia predominantly in the right middle and right lower lobe and possibly in the left lower lung as well.
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no acute cardiopulmonary process.
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right middle and lower lobe opacities compatible with infection in the proper clinical setting. smaller region of consolidation in the left lung laterally. recommend repeat after treatment to document resolution, to exclude underlying lesion.
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compared to chest radiographs since , most recently and. patient has a moderate hiatus hernia. there is greater opacification at both lung bases, particularly the left. although this could be due to an increase in previous moderate pleural effusions, left basal changes are concerning for at least worsening atelectasis, but probably developing pneumonia. the upper lungs are entirely clear. the heart is normal size, though exaggerated by lower lung volumes. there is no mediastinal or pulmonary vascular engorgement to suggest cardiac decompensation. left subclavian central venous infusion catheter ends close to the tricuspid valve.
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no evidence of acute cardiopulmonary disease.
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pulmonary vasculature is engorged and mild interstitial edema may be present. at the lung bases, particularly the right, there is greater opacification and therefore concurrent pneumonia should be considered, as well as small volume of pleural fluid bilaterally.
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no acute cardiopulmonary abnormalities
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endotracheal tube tip terminates between <num> and <num> cm from the carina. nasogastric tube tip is in standard position. ill-defined focal opacity in the left mid lung field which is concerning for infectious process. right basilar and left upper lobe streaky opacities could also reflect atelectasis or infection.
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no acute cardiopulmonary process. chronic cardiomegaly.
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normal chest radiograph.
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stable moderate cardiomegaly without frank pulmonary edema and no evidence of pneumonia.
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no acute intrathoracic abnormalities identified.
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bibasilar linear opacities representing atelectasis, which is unchanged. sternal fracture again visualized, which is unchanged.
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stable chest findings, no significant interval change during the last <num> hours.
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in comparison to prior radiograph of <num> day earlier, endotracheal tube now terminates the level of the carina with the neck in a flexed position. exam is otherwise similar to the recent study except for improving aeration at the right lung base and minimal opacification of the left lung base.
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no acute chest abnormality.
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increasing left effusion despite presence of two chest drains.
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no acute intrathoracic process
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comparison to. no relevant change is noted. no evidence of pneumonia. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pulmonary edema. no pleural effusions.
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no focal consolidation concerning for pneumonia. cardiomediastinal and hilar silhouettes are within normal limits.
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no evidence of acute disease. no significant change.
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resolution of right lower lobe infiltrates encountered on chest examination two weeks earlier.
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no acute intrathoracic process.
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continued chf. the left pleural effusion remains and there is a new small right pleural effusion. underlying parenchymal disease cannot be excluded.