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no acute intrathoracic process.
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normal radiograph of the chest.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10628396/s53459119/e2db4952-d619d261-7f5b1d0d-9c29a63f-6b0f7ef3.jpg
<num>. bilateral opacities which may represent atelectasis versus aspiration. recommend attention on follow up. <num>. moderate to severe cardiomegaly with bilateral pleural effusions.
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satisfactory position of dual-chamber pacemaker leads in the right atrium and right ventricle without complication.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10075034/s55538863/8189440e-effc5363-cbf584a6-1b9fbe15-b274035c.jpg
normal chest radiograph.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14623142/s52006941/05db5e69-7d9eac8b-3cced84c-ae625a13-d69127a3.jpg
<num>. no acute cardiopulmonary process. <num>. angulation of the anterior cortex of a mid-to-low thoracic body is worse since <unk>. recommend correlation with clinical symptoms and physical exam findings.
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mild pulmonary vascular engorgement on a background of chronic interstitial lung disease previously characterized as uip.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12404412/s57940267/deee1edf-9751511f-7227b9bb-5287152d-e0ca6020.jpg
overall stable appearance of right upper lobe and right lower lobe opacities. no new parenchymal consolidation.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19143908/s50994694/3173ff37-d69ddd7c-d23f62ed-df2568e5-2f208e39.jpg
status post left lung biopsy with left lung postprocedural changes and no pneumothorax. increased retrocardiac opacification is likely due to worsening atelectasis. clear right lung.
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slight blunting of the posterior costophrenic angle, trace pleural effusion not excluded. left base atelectasis/scarring.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11198679/s56263144/a46507be-27a0330c-dac7aeae-cbfab7d2-6829f9d1.jpg
right upper lobe pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14350300/s59279215/6e8a0e92-1f7b75fc-52217f6d-b48d9c73-6184814b.jpg
cardiomegaly again noted with mild interstitial edema.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17645409/s55563205/f51ede88-71f916fc-35178bef-0877a899-75097f8d.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14385253/s55336967/84a1e127-0905559a-4c0b9802-5ca50514-5b09198a.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16893984/s53721686/a3cb8729-b8c3da85-2a3aafd7-c1b59ae1-d952df52.jpg
opacity in the midline behind the heart. recommend correlation with other studies not available at the current time. there is no infiltrate
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no acute cardiopulmonary abnormality. no acutely displaced fractures are seen. recommendation(s): if there is high clinical concern for rib fracture, consider a dedicated rib series.
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no acute cardiopulmonary process. no evidence of bronchiectasis.
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persistent fullness at the right paratracheal station compatible with known lymphoma. no focal consolidation.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15892352/s50628188/84b42ca9-d559a928-9ef7b9c4-d5d48388-6a74ec5b.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10232836/s58320793/8e4ed666-7b80bd28-24682d10-322e52cc-96d1aaa7.jpg
no evidence of pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11043502/s58434627/8e3f6f63-fda6c6bb-4f4f6c8c-a51aeb82-3e2a4604.jpg
clear lungs. subtle oblong lucency projecting over the posterior, superior aspect of the sternal body on the lateral view, as above, not fully assessed on this study. consider dedicated imaging of the sternum for further evaluation
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normal chest radiograph.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14245147/s54046878/6c0bfcd1-828fad75-4b7386b1-3320d8b0-81e62780.jpg
<num>. probable right lower basal pneumonia. <num>. right pleural effusion. <num>. enlarged cardiac silhouette and marked vascular engorgement due to cardiac decompensation; pericardial effusion could be present also. results were telephoned to dr. <unk> at <time> p.m. on <unk> by dr. <unk>.
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retrocardiac nodular opacity is new since <unk> exam and can be further assessed with dedicated chest ct.
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no evidence of pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16152603/s53719005/35bbcc89-9573b6fa-766ad5b0-18138b17-3683ab58.jpg
persistent loculated right pleural effusion and adjacent atelectasis is not significantly changed from the prior examination. if there is high clinical concern for pulmonary embolism, chest cta could be performed for further evaluation.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15447210/s51131001/92cedb89-41acb67c-62499692-5cbbc521-44622fb1.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10699336/s51390793/d9fabe57-5e1f19a7-fe277828-f03342db-2640d28e.jpg
hardware is again seen overlying the cervical and upper thoracic spine. a left subclavian picc line continues to have its tip terminate in the azygos vein. repositioning has already been recommended on multiple prior studies. a tracheostomy tube remains in satisfactory position. there is somewhat improved aeration at the left base with increasing streaky opacities at the right base suggestive of worsening atelectasis. incidental note is made of an azygos lobe. increased prominence of the perihilar vasculature suggests a component of superimposed edema at this time. no pneumothorax.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10233650/s55585846/cb4474de-12f2669a-9bf6302b-a823af12-bead9ecf.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18249601/s58309386/0ee96588-1ffa3597-c72c59d4-fb2c7fbd-76f9742d.jpg
minimal to mild central pulmonary vascular engorgement without overt pulmonary edema.
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rapid evolution of diffuse bilateral confluent opacities with air bronchograms, consistent with an alveolar process. given time course, this most likely represents pulmonary edema. probable small right greater left effusions with underlying collapse and/or consolidation. cardiomegaly again noted.
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slightly low lung volumes. opacity projecting at the medial right lung base is felt to be due to overlapping vascular structures and possibly some underlying atelectasis. no correlate is seen on the lateral view. no definite focal consolidation.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16393638/s55804647/e9f7798f-d799a725-897e5272-bb3b0505-cd8b0dc3.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12067081/s52659923/7d44cfa6-0173de53-5dec1ed7-9419246e-c29ce646.jpg
no acute cardiopulmonary abnormality.
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left-sided pacer unchanged in position. nasogastric tube courses below the diaphragm with the tip not identified on the current study. interval removal of the right internal jugular dual-lumen catheter. status post median sternotomy with stable postoperative cardiac and mediastinal contours. interval appearance of bilateral diffuse parenchymal process favoring moderate pulmonary and interstitial edema; an infectious process would be less likely. no pneumothorax, although the sensitivity to detect pneumothorax is diminished given supine technique.
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no acute cardiopulmonary process.
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<num>. tip of ng tube not well delineated. consider repeat films centered at the hemidiaphragms, with increased x-ray beam penetration. <num>. new left lower lobe collapse and/or consolidation. in the appropriate clinical setting, this could represent aspiration pneumonitis or pneumonic infiltrate. <num>. new increased opacity at the right base, though the previously seen diffuse right lung opacity appears somewhat improved. <num>. vascular plethora, suspect chf.
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<num>. clear lungs. <num>. due to position of the bowel/stomach, lucency under the left hemidiaphragm is difficult to exclude free air. recommend supine and upright views of the abdomen for further evaluation.
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no evidence of pneumonia. pulmonary vascular congestion and small bilateral pleural effusions. .
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normal chest radiograph.
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no acute cardiopulmonary process.
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no significant interval change. increased interstitial markings throughout the lungs, a chronic finding for this patient.
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no evidence of acute disease.
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stable cardiomegaly. no acute findings.
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scattered areas of increased parenchymal opacity are likely chronic and unchanged since <unk> without suggestion of superimposed process.
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interval placement of biventricular pacemaker with leads projecting over the expected locations of the right and left ventricles.
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low lung volumes with bibasilar patchy opacities, potentially atelectasis.
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<num>. slightly low lying endotracheal tube with tip approximately <num> cm from the carina. <num>. malpositioned orogastric tube with tip in the distal esophagus. this should be advanced by at least <num> cm for optimal positioning. <num>. low lung volumes with left basilar atelectasis and small left pleural effusion. possible mild pulmonary vascular congestion.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. dr. <unk> <unk> these results with dr. <unk> <unk> telephone on <unk> at <time> p.m.
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no evidence of acute disease.
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persistent right pleural effusion and minimal right basal atelectasis.
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right base opacity previously seen to represent right pleural effusion and atelectasis has decreased as compared to the prior study; a lateral view would be helpful for further evaluation.
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no substantial change from prior.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18088684/s55662714/ce4cbc47-27336efa-a523e2b7-248a9661-daf1545f.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16266488/s59084372/448c1bbb-a0244d4b-dd768af7-7e153b28-fef97a03.jpg
no radiographic evidence of pneumonia.
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no acute cardiac or pulmonary process.
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<num>. no pneumonia. <num>. mild cardiomegaly.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14899496/s52984161/eeb14590-836effc8-57ad0c18-f65c5343-23c2bcc6.jpg
limited exam without visualized acute cardiopulmonary process.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17947908/s57573402/32865597-38c8a604-56f83907-82a14415-b95a2ebd.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18754359/s55148324/b8154767-9fe9d217-2aaff739-16405f6b-72a4e959.jpg
no convincing evidence for pneumonia.
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no evidence of acute cardiopulmonary disease.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14383658/s57019340/6b6fa255-6f56a61a-545a29fa-c37b85bb-5461db19.jpg
no evidence of acute disease.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17374323/s58068810/dd4f58c6-bf11497e-e88f5799-5472dba2-e2567838.jpg
limited exam due to low lung volumes. lower lung opacities likely reflect bronchovascular crowding, though interstitial edema is not excluded.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17975752/s50113085/a9e1a107-a644a93f-ff94e9bf-381409b2-094dfa2c.jpg
small bilateral pleural effusions with associated atelectasis.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18709688/s56540427/4649dba6-aa1f0e31-875c2d79-061f92fd-50e243f3.jpg
slightly worsened appearance of the left base.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12583682/s51075400/e21a4ebb-8866c544-96a94c00-8d860ce8-f431cfa9.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12998429/s52396096/f0813b7d-9cbc4dd8-34310437-9b6f4d79-56a9fdd2.jpg
no signs of pneumonia or other acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17572570/s56015412/fcef4fba-5c0a1197-53a1b601-ecedbd55-5b809ce7.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15923752/s56860309/5c887b12-95dc3822-4342b31b-d53649ab-b297b168.jpg
improved aeration at the left lung base with persistent opacity likely representing atelectasis, possibly with small effusion. stable appearance of right hilar prominence with perihilar scarring/retraction.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16517161/s50854876/872b3ebe-0e6d4639-a91a0591-c3735e92-11d952cc.jpg
interval enlargement of the right-sided pleural effusion since <unk>. there is suspected underlying atelectasis, underlying infection is not excluded.
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mild cardiomegaly which given patient's age warrants an aggressive workup.
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slightly worsening left perihilar and retrocardiac opacity likely representing developing/worsening pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10709938/s57086161/8c2d07dc-5ca16488-bbb82ada-d447c252-800dec58.jpg
no evidence of acute cardiopulmonary disease. hyperinflation.
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interval surgery, with marked leftward shift of the mediastinum into the left chest, together with associated drains, catheters and prosthetic valve, with resultant near-complete opacification of the left lung. this presumably suggests significant left-sided atelectasis. the right lung remains grossly clear, with only mild upper zone redistribution.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18015214/s55475938/a55d251f-39587fe8-f6d1e886-c702baae-6c69dca7.jpg
no acute cardiopulmonary abnormality. no evidence of acute, displaced rib fracture or pneumothorax
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13554891/s55518214/1c849b35-77229c57-ba904848-a67c8eec-4efb7872.jpg
no evidence of pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14062380/s59329966/311e2ec0-26135681-9bf29a3e-81e505b4-57143305.jpg
no acute cardiopulmonary process.
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mild congestive failure.
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<num>. standard positioning of the endotracheal and orogastric tubes. <num>. probable bibasilar atelectasis.
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no acute cardiopulmonary process.
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<num>. new air-fluid level within the right axilla containing surgical clips, concerning for a developing fluid collection or possible abscess. <num>. improved upper mediastinal widening, consistent with probable evolving postoperative hematoma. <num>. stable tiny bilateral pleural effusions. stable moderate cardiomegaly. <num>. improved bibasilar atelectasis.
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no evidence of acute cardiopulmonary abnormality.
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slight interval increase in the small right pneumothorax.
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<num>. severe pulmonary edema with marked cardiomegaly and vascular congestion. <num>. probable small bilateral pleural effusions.
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no evidence of acute cardiopulmonary disease or injury.
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no acute cardiopulmonary process.
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interval resolution of previously described bibasilar bronchopneumonia. results were discussed over the telephone with dr. <unk> by dr. <unk> at <time> p.m. on <unk> at time of initial review.
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normal chest.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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opacity at the right base could be due to volume loss or early infiltrate.
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<num>. right picc line is seen in the right neck and continues out of view. <num>. the feeding tube is in the midesophagus.