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/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14470386/s59972183/a3d8204c-0527a58a-96bb6cd9-32a9a114-5348a08c.jpg
new left basilar opacities which are suggestive of atelectasis or aspiration in this clinical setting.
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mild to moderate pulmonary edema. no focal consolidation to suggest pneumonia.
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no evidence of pneumonia or acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15156994/s54611766/a6efacdd-558fbfaf-0b39a0a7-d79deee0-fd3e42b0.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13349207/s57751678/427e3a11-81733afd-dba5ff59-988d97af-191b203d.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16109821/s57844019/e447798a-2d1af294-0d11e3ab-35286508-85dcf1c4.jpg
no evidence of acute cardiopulmonary disease.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12318085/s52070102/4bac6243-ba10088c-c8ee4768-7f895722-3d174fd0.jpg
focal masslike opacification within the right lower lobe concerning for neoplasm. diffuse nodular opacities within the right lung may reflect infection or lymphangitic spread of tumor. probable mediastinal lymphadenopathy. further assessment with contrast-enhanced chest ct is recommended.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16302322/s58833177/58f7a551-22ae9a59-f81d58dd-319e9aab-32c05fa5.jpg
small bilateral effusions and cardiomegaly. retrocardiac opacity, potentially atelectasis although infection is not excluded, to be correlated clinically.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14584705/s58581396/6e87f664-35bf9900-0028bdab-c56967a5-be7b800a.jpg
no evidence of sarcoid.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11750627/s59886265/fe154326-0a691108-a93ba35f-ea6b350e-e64b46f1.jpg
no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14550969/s55617577/5c1a7839-c59c96f0-ddfd2568-73f36309-d51d818e.jpg
<num>. left upper and lower lobe pneumonia. <num>. hyperinflated lungs and flattened diaphragms consistent with chronic obstructive pulmonary disease.
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no definite acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17194575/s51539780/e60d452b-085aaf8f-d59e950a-fef27720-d5b8c1b1.jpg
no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16716124/s56592963/2a9d5049-791bc8b5-496fa171-077734e9-d29c3b0a.jpg
no evidence of acute cardiopulmonary disease.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19763129/s51448819/d0992432-119db7c7-cc7274bb-9d972282-2f9bbd3b.jpg
<num>. stable mild bibasilar atelectasis. <num>. no interval change in small right pleural effusion as seen on chest ct, <unk>. <num>. no pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14339742/s53814403/d1e5e822-98d9963b-994611a8-d2160db3-64f60b54.jpg
no evidence of active or latent pulmonary tuberculosis.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10998537/s51806109/6db9cb2e-46d4637f-4e0abbe3-1cedbf65-2d36f8d6.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13280884/s56042583/d932a282-49fc0290-407f6700-90a9d38d-2ed985cf.jpg
as above.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16768345/s59293851/c601d0b1-67e77aaa-aca24066-ff8cb60b-af371125.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11863654/s59249799/0d9d4c3f-8b5be046-e912eb3d-44015abf-e5b5a2b0.jpg
probable mild interstitial edema.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14249143/s55769997/1c03de68-b298c452-b3897c20-a4843e87-7592a5bd.jpg
improved vascular congestion. decrease in the pleural effusions
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19670384/s54947794/4bee1086-e7e659d5-07707ed7-c773d81f-d8d8caf3.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16289299/s57384817/175c39c9-da406e71-ba80152e-8a031fdc-a669edcb.jpg
mild pulmonary vascular congestion. no focal consolidation.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19227457/s57849161/6b7952e1-59904af6-199d3470-34874172-1db25a90.jpg
improved lung volumes. no evidence of pulmonary edema.
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<num>. unchanged position of support devices. <num>. gradually worsening multifocal consolidations concerning for pneumonia. <num>. mild cardiomegaly.
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interval reexpansion of lungs with no residual atelectasis. mild scarring seen in the left perifissural and basilar region. no pneumothorax or pleural effusion.
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no evidence of free air under the diaphragm.
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<unk> tube tip near gastroduodenal junction
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moderate to severe cardiomegaly with mild pulmonary vascular congestion. retrocardiac opacity may reflect atelectasis, but infection is not excluded. followup radiographs after diuresis are recommended.
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normal. no radiographic evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11456603/s57125553/d54f401c-4f3fecca-1654e968-178bed63-3657adfc.jpg
no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11456260/s51900292/de45532a-e6782136-b8421991-4dd6e8ab-dee19d38.jpg
normal chest.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19962126/s50326260/f577f7f1-522ccf65-f4293aad-3c8fc498-9dd9b99d.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17507847/s51083780/75569af5-3b4e45b0-937ba523-48ff1916-f1801c55.jpg
interval placement of right chest pigtail catheter with re-expansion of the right lung with minimal to no right pneumothorax currently seen.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12819022/s57606381/5f639af8-b00b4543-6dd7cf46-893625ff-6c299f6b.jpg
no evidence of acute cardiopulmonary process. this examination does not suggest, nor exclude, a diagnosis of pulmonary embolism.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19930554/s59340784/fbfe6026-e53ba035-b578eb00-e0263af5-432011dc.jpg
<num>. possible slight asymmetry in the size of the hemithoraces, though not clearly different from <unk>. <num>. hazy opacity overlying the left lower lung. given the degree of increased density in the left breast on the <unk> ct, this could be due to density of the overlying breast tissues, rather than a primary process in thelung. <num>. nodular density at left lung base concerning for a lung nodule or pulmonary metastasis. this probably is accounted for by a pulmonary nodule seen on the <unk> chest ct(series <num>, image <unk> from that study), though has likely grown since that time and is clearly larger than on the <unk> cxr (approximately <num> mm in diameter today versus <unk>.<num> mm on <unk> cxr). <num>. <unk> ct also described sternal metastasis, which is not readily visible on today's exam due to technical limitations of the modality. <num>. the right lung shows no chf, focal infiltrate or effusion. possible right base pulmonary nodules similar to the <unk> film. <num>. no ptx detected.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15166228/s58525928/2573eb05-56769c32-92bbda67-209620f6-8c53e785.jpg
the heart remains stably enlarged and may reflect cardiomegaly, although pericardial effusion should also be considered. the left subclavian picc line is unchanged in position. there has been interval removal of the feeding tube. no focal airspace consolidation is seen to suggest pneumonia. lung volumes are low with crowding of the vasculature but no pulmonary edema is appreciated. no pneumothorax.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11755924/s52127119/265a2321-d9f539df-5b47d4da-cba83427-1349ffba.jpg
as above.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14809072/s52424611/d76c5184-7de7879b-f8012632-b16a3ef6-a7de0d67.jpg
no acute cardiopulmonary process.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10535996/s58161995/106ca48b-b807b1ea-e327401e-bab0aa6c-5668498a.jpg
chest x-ray examination within normal limits. no pneumothorax or focal infiltrate identified.
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right hilar and mid lung opacity corresponds to area of consolidation on prior pet-ct and likely reflects in part patient's primary malignancy and atelectasis/scar. no definite superimposed acute process.
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stable small to moderate left pneumothorax and shifting of the cardiomediastinum to the right
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the history refers to a femoral cvl placement, best correlated clinically. on the current examination, a right ij line appears to accommodate a single pacer lead overlying the right ventricle. again seen are low inspiratory volumes, left lower lobe collapse and/or consolidation, probable small effusions, right base atelectasis . chf is also again seen, with interstitial and question alveolar edema.
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low lung volumes. patchy opacities at the lung bases could reflect atelectasis though infection or aspiration cannot be excluded.
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increased bibasilar opacities as compared to the prior study, may be due to infection, aspiration, disease progression not excluded. small right pleural effusion. persistent left infrahilar opacity consistent with chronic posttreatment changes, with underlying volume loss and bronchiectasis, better characterized on prior ct.
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large amount of pneumoperitoneum. emergency medicine team is aware at time of dictation, including dr. <unk>. left-sided port-a-cath, distal tip appears to course posterior, and may terminate in the azygos vein rather than the svc.
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trace left pleural effusion with overlying left basilar atelectasis.
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<num>. retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation unchanged. <num>. left pigtail type catheter slightly different in configuration, but overall similar, partially obscured by the indwelling catheter. note is made that the pig tail portion is not clearly well formed on the available images, though this could be artifact due to positioning. <num>. left apical lucency represents a small left pneumothorax, increased compared with the most recent prior film. lucency at the left base is also thought represent a pneumothorax. this is slightly more pronounced/ visible on the current exam, though it is possible that this is due to the interval improvement in a small left pleural effusion. attention to this area on followup films is requested.
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no acute cardiopulmonary abnormality.
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<num>. increase in small left pleural effusion with left basilar opacity likely representing combination of compressive atelectasis and pleural fluid. superimposed infection cannot be excluded. <num>. stable trace right pleural effusion. <num>. stable mild cardiomegaly. <num>. no pulmonary edema.
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right lower lobe mass measuring <num> x <num> x <num> cm.
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stable appearance of heterogeneous opacities in the bilateral lungs, likely representing a combination of pulmonary edema in the setting of pulmonary fibrosis and emphysema.
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near resolution of right upper lobe pneumonia. however, complete resolution should be documented and follow-up chest x-ray in <unk> weeks is recommended. recommendation(s): follow-up chest x-ray in <unk> weeks to document complete resolution of right upper lobe pneumonia.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11106524/s52235979/08cfc746-cde2d3b5-a227e504-df00507f-f9c784db.jpg
no acute cardiopulmonary process.
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multifocal opacities in the left mid and bilateral lower lobes are likely due to atelectasis in the recent postoperative setting. coexisting aspiration or pneumonia in the right infrahilar region is not excluded.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14906949/s56653302/52d71a20-6412358d-505caa76-675dee6c-7ed25ee0.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19509694/s54849057/a0fa7ab1-69518d99-65a76563-7d7202d3-8b111ee2.jpg
the cardiac silhouette remains enlarged. bibasilar predominant opacities seen on the prior study persists, but appear improved in the interval. right upper lobe pulmonary nodule seen on ct from <unk> was better assessed on ct. mediastinal contours are stable. no pleural effusion or pneumothorax.
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increasing airspace consolidation right lung. no pneumothorax
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no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17133509/s58321550/bb1fdea3-0765cb34-81623a63-2eb0ec9c-885ac6a5.jpg
<num>. mild cardiomegaly with pulmonary vascular congestion, moderate interstitial edema and small bilateral effusions. <num>. subtle posterior basal density which was seen previously, though pneumonia is difficult to exclude in the appropriate clinical setting. <num>. hyperinflation suggestive of copd.
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no significant change compared to <unk> at <unk>. no pneumothorax.
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significant increase in size of the right pleural effusion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13950795/s51413921/2797f15b-2fa44f7a-5ff718a7-cc54deda-b05ac328.jpg
no acute cardiopulmonary process.
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normal chest radiograph.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12801699/s54235418/d5885221-afce7d75-5929fb78-71e47b74-652fa3f0.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15124644/s58816043/14e9243c-21beef6f-1cfa494c-6655069c-62db8210.jpg
cardiomegaly and moderate pulmonary vascular congestion.
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bibasilar atelectasis. no focal consolidation.
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findings again compatible with congestive failure, not definitely changed from prior. as previously mentioned, component of infection, particularly at the right lung base, cannot be excluded.
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scattered left lung base opacities are nonspecific and could represent infection, aspiration, or inflammation. small left pleural effusion.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12138569/s58731102/575bfe39-564eb6fa-34bb666d-4b41b46c-53c55bcf.jpg
no evidence of acute cardiopulmonary disease.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17591232/s56840194/9dc5a278-9ce1ac1e-ea93f93a-3a6cb6cc-5caefb52.jpg
focal density in medial base of lingula, which could reflect pneumonia in the appropriate clinical setting.
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no acute intrathoracic process.
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unchanged left lower lobe atelectasis and left pleural effusion. probable small right pleural effusion also.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12780990/s59556959/fdcfb72f-909c2480-fd90ab25-5c7133f8-e10eaa20.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19618591/s53598135/29b15918-33ccad43-9d876707-f0eae304-548168b7.jpg
compared to prior study of <unk>, the appearance of the lower lobes is worse and it is unclear if this is due to volume loss or new infiltrate.
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bibasilar opacities, potentially atelectasis, although infection is also possible.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11659237/s53871673/03aed9ea-b1ae362f-3159dd59-453562ea-a0b278a9.jpg
no acute abnormalities identified to suggest infection.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12043120/s55115693/5351f8d2-a4298279-aff3b60f-e1f945aa-c28ed093.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13040912/s59013843/99c07b9f-b0561204-b43eead3-8b0ee953-cd92128f.jpg
no significant interval change compared to <unk> with findings appearing improved compared to <unk>. no focal consolidation seen.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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adequate placement of left internal jugular central venous catheter terminating in the mid-to-distal svc.
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normal chest radiograph, with no obvious cause for hypoxia. this exam neither suggests nor excludes the diagnosis of pulmonary embolism.
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no acute findings. top normal heart size.
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malpositioned feeding tube coiled in the lower esophagus. stable moderate right pleural effusion with severe right basilar atelectasis.
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no evidence of acute cardiopulmonary process.
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pulmonary vascular congestion and moderate interstitial edema. right perihilar lower lobe consolidation with lateral correlate compatible with pneumonia. recommmend repeat after treatment to document resolution.
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patient is somewhat rotated to the right. patchy right base opacity raises concern for underlying pneumonia, some of which may involve the lateral segment of the right middle lobe. right base atelectasis is also seen.
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no acute cardiopulmonary process. minimal left basilar atelectasis.
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chronic interstitial lung disease, previously characterized on chest ct as nsip, not substantially changed from the previous radiograph. no acute cardiopulmonary abnormality otherwise demonstrated
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<num>. a left atrioventricular pacemaker is continuous with leads terminating in the right atrium and right ventricle. <num>. a small right pleural effusion and moderate right lower lobe atelectasis with mild rightward mediastinal shift are unchanged from <unk>.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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interval placement of an endotracheal tube and feeding tube. the feeding tube extends to the distal esophagus and should be advanced. findings were communicated to and acknowledged by <unk>, md at <unk> by <unk> <unk>, md.
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no acute cardiopulmonary process. no evidence of esophageal dilatation.