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MIMIC-CXR-JPG/2.0.0/files/p10511391/s56829170/a276207e-c02c7902-577caf94-6c0bbd56-7a6327a5.jpg
no acute cardiopulmonary abnormalities
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no acute intrathoracic abnormalities identified. please note that chest x-rays are not sensitive for bony traumatic injuries. if there is further clinical concern, a dedicated rib series or chest ct may be helpful for further evaluation.
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probable rll pneumonia. new borderline cardiac decompensation.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary abnormality. no free air under the diaphragms.
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interval decrease in lung volumes with apparent increase in opacity at the right lung base, and new left pleural effusion. improvement in pulmonary edema, slightly.
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no acute intrathoracic process
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aside from mild enlargement of the left hilus appreciated only on the lateral view, right basal pleural scarring, and minimal biapical pleural parenchymal scarring, all unchanged since , this is a normal radiographic examination of the chest. there are no acute findings. lungs are otherwise clear. cardiomediastinal and right hilar silhouettes are normal.
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comparison to. unchanged normal alignment of the sternal wires. unchanged moderate bilateral apical thickening, right more than left, moderate overinflation persists. a thickened fissure on the left is less prominent than on the previous examination. there currently is no evidence for pneumonia, pulmonary edema or pleural effusion.
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resolution of left sided pleural effusion.
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minimal increase in bibasilar atelectasis larger on the left and small left pleural effusion
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there has been no interval change in multifocal bilateral consolidations, bilateral effusions, vascular congestion and cardiomegaly. lines and tubes are in unchanged standard position. there is no pneumothorax. pacer lead tip in the right ventricle.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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right internal jugular central line with its tip in the mid to distal svc. there is widening of the right paratracheal soft tissues with a rounded contour suggestive of a mass lesion. although this may represent a mediastinal hematoma related to recent line placement, the presence of a mediastinal mass or lymphadenopathy should also be considered. in the absence of comparison studies, further imaging evaluation with ct may be helpful. lung volumes are low with streaky bibasilar opacity suggestive of atelectasis. heart is upper limits of normal in size given portable technique. no evidence of pulmonary edema. crowding of vasculature in the setting of low lung volumes. no large effusions. no pneumothorax. results were communicated by phone cj, the patient's nurse on at at the time of discovery.
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interval resolution of pneumonia.
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pulmonary vascular congestion and small bilateral pleural effusions. bibasilar atelectasis. calcified pleural plaques indicative of prior asbestos exposure.
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bilateral calcified pleural plaques suggest prior asbestos exposure. no acute cardiopulmonary process.
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normal chest radiograph. specifically no pneumonia or pleural effusion.
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normal chest radiograph
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no radiographic evidence of mediastinal lymph node enlargement. nonspecific bibasilar scarring/fibrosis.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality identified.
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no acute cardiopulmonary process.
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prominent interstitial markings in the lungs bilaterally which can be due to mild interstitial edema versus chronic underlying lung disease. otherwise, no significant interval change from prior.
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small to moderate right pleural effusion with adjacent atelectasis is grossly unchanged. there is atelectasis of the right middle lobe. cardiomegaly and widened mediastinum are unchanged. right ij catheter tip is in the atrium as before. patient is status post mvr. there is no evident pneumothorax. elevation of the right hemidiaphragm is unchanged. severe s-shaped scoliosis is again noted.
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no acute cardiopulmonary process.
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no significant change from baseline radiograph, with elevation of the left hemidiaphragm and a distended gas-filled stomach which raises the patient's risk for aspiration. unfolded aorta and mild cardiomegaly are unchanged from prior.
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dobbhoff tube above the ge junction, in the esophagus
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low lung volumes. mild pulmonary vascular congestion.
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comparison to. no relevant change is noted. the swan-ganz catheter is in stable position. no pleural effusions. no pulmonary edema. borderline size of the cardiac silhouette.
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cardiomegaly with pulmonary vascular congestion. no focal consolidation or overt edema.
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no signs of pneumonia. left hilar adenopathy and left lower lobe mass as as seen on recent pet-ct.
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no acute intrathoracic process.
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mild pulmonary edema.
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no acute cardiopulmonary process.
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since the prior study there is slight interval progression in the right middle lower lung opacities concerning for infectious process development. mild pulmonary edema is re- demonstrated. no interval accumulation of pleural effusion on the right demonstrated. <num> right chest tubes are in place.
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no acute intrathoracic process.
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probable background copd. prominence of the hila raises the possibility of pulmonary hypertension. no chf or focal infiltrate identified. no findings suggestive of an acute pulmonary process. minimal linear bibasilar atelectasis/ scarring and minimal blunting of the costophrenic angles noted. this appearance is similar, but slightly improved, compared with a chest x-ray from
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bilateral pleural effusions with adjacent
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progression of the pulmonary edema. it appears more severe, especially in the left lung. new bibasilar pleural effusion and atelectasis.
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comparison to. the feeding tube and the left picc line are in unchanged position. lung volumes remain low. bilateral areas of atelectasis persist. mild cardiomegaly. mild left pleural effusion.
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low lung volumes, but no definite acute cardiopulmonary process.
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ap chest compared to : moderate bilateral pleural effusions unchanged. pulmonary edema is mild if any. normal cardiomediastinal silhouette. no pneumothorax. et tube, left subclavian and right jugular lines in standard placements. nasogastric tube passes into the stomach and out of view.
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lung volumes are low. linear opacification of both lung bases is probably atelectasis. there are radiographic findings convincing for pneumonia. upper lungs are clear. cardiomediastinal and hilar silhouettes are unremarkable. no pleural abnormality.
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persistent and expanding pneumonic infiltrates in this elderly gentleman.
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prominence and indistinctness of the hila suggest vascular congestion and there is possible minimal interstitial edema.
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new left lower lobe consolidation compatible with aspiration. no pulmonary edema.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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enlarged cardiac silhouette without overt pulmonary edema. no focal consolidation. the study does not include dedicated imaging of the thoracic spine. if there is high concern for thoracic spine injury, suggest dedicated imaging of the spine.
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no pneumothorax.
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no evidence of pneumonia. no acute cardiopulmonary process.
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tracheostomy is in place, terminating <num> cm above the carina. right picc line tip is at the level of cavoatrial junction. cardiomediastinal silhouette is unchanged. the appearance of the lungs are necrosis material it is similar to previous examination.
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malpositioned dobbhoff in the mid to distal esophagus. increase opacification at the right lung base. in the appropriate clinical settingthis could represent a new consolidation. findings were communicated with by dr telephone at the time of discovery at on.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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re- demonstrated atelectasis/scarring. no acute cardiopulmonary process.
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continued improved aeration of the left lung with no other significant interval change.
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endotracheal tube in satisfactory position. please note details of presumed nasogastric tube placement. no acute pulmonary process.
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no acute cardiopulmonary process. interval fracture of the rod just inferior to the superior most pedicle screw on the left.
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no pneumonia. right mediastinal contour abnormality. if there is no prior imaging already explaining this, recommend further evaluation with chest ct. findings and recommendations discussed with dr (ed) at <num>am.
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improved right pleural effusion, with a small amount of fluid remaining. small left pleural effusion appears slightly enlarged.
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no acute findings in the chest.
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increased right lower lobe opacities concerning for pneumonia.
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no evidence of acute cardiopulmonary process.
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midline air filled structure projecting over the trachea, potentially a dilated esophagus with air-fluid level. lateral view of the chest is recommended for further assessment. otherwise, no acute cardiopulmonary abnormality.
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picc line positioned appropriately.
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: : ng tube curled in to an intrathoracic stomach.
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probable bibasilar atelectasis though in the appropriate clinical setting a developing pneumonia cannot be excluded.
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no acute radiographic cardiopulmonary abnormality. an incompletely imaged distended loop of colon is incidentally noted. a dedicated abdominal radiograph can be obtained for further evaluation if clinically indicated.
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small interval increase in degree of now small effusions. improved aeration of the left lower lobe. no additional focal consolidation is identified. stable, mild cardiomegaly.
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compared to prior chest radiographs. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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moderate pulmonary edema, small bilateral pleural effusions, and cardiomegaly suggest chf.
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normal chest radiograph.
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no acute cardiopulmonary abnormality.
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no relevant change as compared to the previous image. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions. millimetric calcified right upper lobe granuloma.
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no acute cardiopulmonary process.
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streaky left basilar opacity, likely atelectasis.
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copd, scarring at the right lung base. no definite signs of pneumonia or chf.
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no acute cardiopulmonary process, no pneumothorax.
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in comparison with the study of , the endotracheal tube has been removed and replaced with a tracheostomy tube. no evidence of pneumothorax or pneumomediastinum. remainder of study is unchanged.
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no acute cardiopulmonary abnormality. hyperinflation is suggestive of copd.
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since the prior radiograph from approximately <num> hr earlier, a right pleural catheter has been removed, with no visible pneumothorax. exam is otherwise remarkable for worsening bibasilar atelectasis.
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no acute cardiopulmonary process.
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normal chest.
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no acute intrathoracic process. specifically, no consolidations.
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no acute cardiopulmonary process.
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persistent blunting of the right costophrenic angle without definite acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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findings compatible with chronic interstitial lung disease with a fibrotic component, progressed when compared to the previous exam.
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right lower lobe opacity concerning for bronchopneumonia and appropriate clinical situation.
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low-lying endotracheal tube, approximately <num> cm above the carina. recommend withdrawal by approximately <num> to <num> cm. this finding and recommendation was discussed with dr on at <num>pm via telephone. nasogastric tube courses below the level of the diaphragm, inferior aspect not included on the image. bibasilar opacities, left greater than right, may be due to atelectasis and aspiration; underlying infection cannot be excluded.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.