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small pleural effusions and left lower lobe opacity, greater than right. mildly prominent vascularity suggesting slight congestion. atelectasis or potentially pneumonia could be considered in the appropriate clinical setting regarding focal left lower lobe opacification.
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subtle left lower lobe opacity could reflect pneumonia in the appropriate clinical setting.
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large area of opacity over the left lung, predominantly involving the left mid to lower lung, most confluent at the left lung base ; given reported clinical history, findings are concerning for massive left-sided aspiration. alternatively, underlying infection could be present, less likely pulmonary hemorrhage.
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no evidence of acute cardiopulmonary process.
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mild pulmonary edema superimposed on known lung fibrosis. severe chronic cardiomegaly and pulmonary hypertension. no displaced rib fracture. multiple vertebroplasties, similar to prior.
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no acute cardiopulmonary process. cardiomegaly.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16745042/s56729310/4850f270-c1d4f24f-dce8927b-b2259c3c-8bb4c986.jpg
no acute intrathoracic process.
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improved aeration of the lungs peripherally. persistent interstitial opacity compatible with known pcp.
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<num>. no evidence of acute cardiopulmonary process. <num>. nonemergent chest ct is recommended for further evaluation of a left upper lung opacity. recommendation(s): nonemergent chest ct is recommended.
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no evidence of acute cardiopulmonary process.
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no evidence of acute disease.
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no pneumothorax post biopsy.
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no evidence of pneumonia.
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no significant interval change. persistent right basilar opacity, likely reflecting a combination of known metastasis and atelectasis. other previously noted metastases within the lungs on prior chest ct are not clearly noted on the current exam.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14835135/s50188230/394b8ba3-1315fd87-024ed63d-34d14b3b-6d19d074.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15914421/s50685630/7d69c794-ac4be37a-155b5f9f-e1731595-4bc31187.jpg
moderate pulmonary vascular congestion has increased since <unk>.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13661257/s55722837/fc05d856-75f01303-71136b99-0c086a1c-c0ab7283.jpg
no acute cardiopulmonary abnormality.
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<num>. unchanged right lower lobe linear atelectasis with no pulmonary edema or new consolidations. <num>. lines and tubes as above.
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complete collapse of the right upper lobe of the lung.
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at least one new suspicious nodular focus worrisome for metastatic disease; however, atypical infectious processes could also be considered, particularly in the setting of immunosuppression. ct may be helpful if needed clinically.
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<num>. stable pulmonary vascular congestion. <num>. small bilateral pleural effusions, stable to minimally improved. <num>. bibasilar opacities, atelectasis or aspiration.
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cardiomegaly with mild hilar congestion.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13404233/s51226675/5781b7d7-ed9be938-99ed0f1f-2be19ed3-21600206.jpg
central pulmonary vascular congestion without overt pulmonary edema.
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<num>. left base atelectasis. <num>. small right pleural effusion. <num>. no fracture visualized. <num>. unchanged nodular opacity projecting over the left lower lobe.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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no focal consolidation concerning for pneumonia. mild diffuse reticular abnormalities are consistent with known interstitial lung disease.
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interval decrease of a left retrocardiac opacity.
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gastric pull-through is largely unchanged. the bilateral opacities seen on x-ray dated <unk> have largely cleared.
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no acute cardiopulmonary process.
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no focal consolidation.
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no evidence of acute disease.
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basilar opacities of substantial extent; although possibly explained by atelectasis or pneumonia, findings could be seen with aspiration pneumonitis in the appropriate setting.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17635175/s53794450/f5dd431d-2e0609a8-2ba362e6-60198ddb-65e7f352.jpg
mild left basilar atelectasis without focal consolidation concerning for pneumonia. no pulmonary edema.
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no acute cardiopulmonary process.
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increased retrocardiac opacification could indicate developing consolidation or infection, particularly if the patient has the appropriate symptoms.
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no acute cardiopulmonary process.
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<num>. mild to moderate vascular congestion, no overt pulmonary edema. <num>. no acute cardiopulmonary process.
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band like density at the right cardiac border which may represent right middle lobe pneumonia. an additional vague opacity in the left lower lobe also may represent atelectasis versus consolidation. recommend direct comparison with prior outside radiographs for further assessment of progression of disease.
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no acute cardiopulmonary process. large hiatal hernia.
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cardiomegaly without acute cardiopulmonary process.
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no acute findings. improved aeration in the left lung.
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in comparison with the study <unk>, there again are patchy areas of increased opacification at both bases, very worrisome for bilateral pneumonia. the remainder of the examination is unchanged.
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<num>. interval improvement in appearance of left upper lobe, with increase in opacification of the right lung, concerning for ongoing/worsening infection on the right. <num>. small bilateral pleural effusions.
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<num>. no evidence of pneumonia. <num>. hyperinflated lungs.
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increasing consolidation at the right lung base. the tip of the endotracheal tube projects over the mid thoracic trachea.
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increased interstitial markings bilaterally may be due to chronic lung disease and/or interstitial edema. patchy left base retrocardiac opacity may be due to combination of interstitial lung markings and atelectasis, although focal consolidation due to infection or aspiration is not entirely excluded in the appropriate clinical setting. persistent prominence of the main pulmonary artery suggesting pulmonary hypertension.
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fibrotic changes seen in the lung bases, consistent with findings from previous ct. no evidence of infection or malignancy.
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mild interval increase in left pleural effusion. no change in cardiac silhouette size.
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possible trace pleural effusion on the right; otherwise unremarkable.
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no significant interval change.
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<num>. pulmonary vascular congestion and early or mild interstitial pulmonary edema. <num>. stable at least moderate cardiomegaly.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19012935/s53297714/1b203008-59177ce3-c7d20657-7e591d80-7fcde45d.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12954888/s52506040/fe64040a-cfddb842-cf1187a3-6e88f2b2-81aca808.jpg
low lung volumes with mild bibasilar atelectasis.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11181943/s57749127/59df8b18-f54a1365-2b96a49c-caa28728-164ed179.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19780160/s56431974/b642e8f8-f1b357f7-2ee520f3-0c4e0e5e-aba9f6a5.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12898349/s50644270/959dc31f-2c096ef7-7d07183a-f3692a06-eb66033f.jpg
no pneumothorax or other acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19847287/s56041522/82595dca-b8b26e72-065a1091-13137552-0b589bb9.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14461680/s56416727/88196589-a697aafe-7be4ab1a-b86fd300-1bc1271b.jpg
<num>. small bilateral pleural effusions with adjacent atelectasis and pulmonary vascular congestion. <num>. a pacemaker is in place with leads in the expected positions in the right atrium and right ventricle. the cardiomediastinal contour is slightly improved.
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no acute cardiac or pulmonary process. normal heart size.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18886134/s53289723/5cac3da6-b0fa8c92-55e45a46-68516a02-652a6cea.jpg
no acute intrathoracic process.
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small left pleural effusion persists.
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satisfactory positioning of right chest wall port-a-cath. no pneumonia.
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<num>. new large loculated left pleural effusion with adjacent atelectasis. empyema should be considered in the absence of recent trauma or intervention. coexisting pneumonia in this region is not excluded radiographically. <num>. new bilateral interstitial opacities likely represent interstitial edema in the setting of end-stage renal disease and less likely an atypical pneumonia. dr. <unk> has been paged to discuss these findings at <time> p.m. on <unk> at the time of discovery.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15660452/s53591874/97c66333-906495ac-d7d239f6-4aae9421-037d0ee4.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15408802/s57760761/cc2e8ec2-361cae34-dd1f7554-75157c3f-7fb84342.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19993776/s57912514/a3b087d8-28f83e7d-f4120754-943d1fb3-34c07de6.jpg
mild pulmonary edema with small bilateral pleural effusions.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14982374/s55369376/2720d537-fe41b9b0-4f9f7761-81b224ee-7e314aa7.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10447601/s51457265/d8778139-60f894f9-2640e9de-a02f628a-983d5c46.jpg
no acute cardiopulmonary process.
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no acute findings in the chest.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11469390/s56326414/55e7b1cc-8be3dfb1-7c69bf53-9fa85e66-b652f312.jpg
blunting of the right costophrenic angle may be due to a small right pleural effusion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15907663/s54647010/22f3ca75-5f15b805-2fc4672c-34a5e680-c2bb98e8.jpg
no new focal consolidation concerning for pneumonia. at least one nodular opacity in the right lung apex is better assessed on the recent prior chest ct.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12544332/s51334427/596facfe-0469549d-837a3889-0a7b57d7-b52edcd5.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10335293/s55575488/531177a3-460117ed-431fbacb-969aa782-e5c4cbea.jpg
resolved opacity at the right hilum, therefore likely positional.
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no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16976120/s55165446/dbe652df-f32fd230-3ce6c988-c0bf50bb-9402e6c7.jpg
normal chest radiograph without evidence of pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13493660/s50350430/b06743b3-a48a159f-65f79471-cb067d6b-e7dd12ca.jpg
no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12281107/s52404348/a52cda78-6f0659df-902cf79e-1ada9fb7-f7193b96.jpg
no frank pulmonary edema, although the main pulmonary artery appears enlarged.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14785160/s59406056/283cba72-63dc33ea-602be827-4988f550-fed12d6b.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18905327/s53033316/6f2da551-bae8bc6e-d85ec79e-a1eb8737-8c4a1d88.jpg
large hiatal hernia with left basilar atelectasis. no focal consolidation.
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persistent small bilateral effusions without overt pulmonary edema or focal consolidation worrisome for infection.
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no radiographic evidence of pneumonia.
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no acute intrathoracic process.
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hiatal hernia, otherwise unremarkable.
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no acute cardiopulmonary process. stable mild cardiomegaly.
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streaky bibasilar opacities, most likely atelectasis as seen on recent exam, infection is not entirely excluded.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18705722/s51059890/b43f2e34-adeaea26-f75c0d78-031bbf86-dd17df99.jpg
cardiomegaly without evidence of congestive heart failure.
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no evidence of acute cardiopulmonary process.
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<num>. diffuse, air-filled distention of the thoracic esophagus suggests esophageal dysmotility. <num>. no new lung findings to account for shortness of breath.
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no acute intrathoracic process.
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no radiographic findings to suggest pneumomediastinum. no significant interval change.
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<num>. persistent moderate left and smaller right pleural effusions, with cardiomegaly, pulmonary vascular congestion, and adjacent atelectasis. <num>. interval placement of a right-sided dialysis line, with tip in the right atrium.