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/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15454391/s53238558/c018c6cf-7b4d2e07-75265535-daa8d32c-52999558.jpg
bilateral low lung volumes with large hiatal hernia. cardio vasculature likely exaggerated by low lung volumes. to further evaluate the right lung base, consider repeat radiographs with better inspiration.
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<num>. side port of the ng tube is at the gastroesophageal junction and should be advanced by <num> cm for position within the stomach. <num>. small right lung base atelectasis. findings were communicated via phone call by <unk> to <unk> on <unk> at <unk> am.
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no significant interval change.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10207998/s55750547/20621637-2301c1aa-9d990ee8-f685a4c5-87fadbda.jpg
substantially improved right basilar opacity, likely reflecting resolving pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18360522/s54078732/84b0b728-30bdd18e-c6368f06-d7c3a58c-54f56d3a.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17336595/s53481467/2dfc1653-51443229-13f7b945-d0fbcbbe-18c65529.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12997617/s57172881/a1f457f7-00d154db-f28bd4c8-d59b9e8a-74626fd5.jpg
no acute cardiac or pulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14645031/s51598032/8c06f7fa-bc56fbb9-76983133-6a62e71f-2ce7a6df.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13521231/s58582906/f24f59bc-7e01ae4c-0566f1d5-b9d0c5ad-860dad52.jpg
no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17167034/s55354877/cd299166-04dbf6c3-ce6d3856-d2dd8b3f-874a9efc.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14357860/s58470485/b8fffa0b-0ed52dc6-2b1638bb-8abaca3f-0e8523e9.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13175319/s59783789/a0c4f6c7-004065e9-6cd026ee-acb397b8-ad76e35d.jpg
no acute findings in the chest.
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non visualization of pleural line with absence of lung structures in the two apical centimeters of the right hemithorax suggesting that size of preexisting pneumothorax is not substantially changed. these findings were discussed with dr. <unk> by dr. <unk> via telephone on <unk> at <time> p.m., at time of discovery.
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<num>. bilateral pleural effusion, right greater than left. underlying consolidation cannot be completely excluded. <num>. endotracheal tube terminates <num> cm above the carina. recommend repositioning. <num>. ng tube terminates in stomach with sidehole in distal esophagus. <num>. right picc terminates in the axilla.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18435309/s50618187/421f8d29-9cf5ce53-54aaa041-ced1a42b-ff3a26f7.jpg
et tube <num> cm from the carina. innumerable pulmonary nodules are better seen on concurrent cta head and neck.
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no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14631115/s53771193/cd717c09-c2c792ee-59c26e0a-02ef8d0c-e19c10fc.jpg
mild congestive heart failure with moderate cardiomegaly and mild pulmonary edema along with small bilateral pleural effusions. bibasilar opacities likely reflect atelectasis.
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no gross change compared <num> day earlier. question minimal increased hazy opacity in the right mid zone laterally --<unk> this area on followup films is requested. no obvious pneumothorax detected in the right lung. possibility of a tiny occult pneumothorax cannot be entirely excluded. no right pleural effusion identified.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11258297/s57645227/5b733e14-d5083701-461bd028-733770ca-80c2e375.jpg
no acute cardiopulmonary abnormality. diffuse cystic lung disease compatible with langerhans cell histiocytosis is better assessed on the recent ct torso.
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hyperexpanded lungs, compatible with underlying chronic obstructive pulmonary disease. bronchial wall thickening may reflect chronic or acute bronchitis.
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mild retrocardiac atelectasis. no evidence of pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12017780/s51791287/182a1883-970b759c-490d6edc-8bf1d488-501c9bbf.jpg
no acute intrathoracic process.
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relatively low lung volumes. otherwise, no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12233085/s52200414/d14186cd-6f3d9696-d0ac3c26-fbf30e23-8650cdd5.jpg
no evidence of acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13740706/s51711892/d98477be-b2b1b844-e7aae2be-cb2463f9-f6c98560.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16431831/s50071360/e488f5dd-a6e7409b-9aff3194-b35a0981-5ba6dd24.jpg
no new parenchymal opacities to suggest acute pneumonia.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16395156/s54910885/540bbce0-395dbda7-8d682929-1dd7aff9-8faa9291.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19126821/s52027251/235884d8-dd34af99-b715bd99-50ae7d3d-9525a39a.jpg
<num>. focal opacity at the right lung base, which on concurrent ct chest appears to be compressive atelectasis. <num>. moderate right pleural effusion.
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right fifth rib fracture better seen on the prior ct. no pneumothorax. cardiomegaly redemonstrated. findings were flagged and posted to the ed dashboard at the time of this dictation.
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tracheostomy tube and right subclavian picc line unchanged in position. left retrocardiac mass unchanged. improving aeration at the bases with residual patchy opacities suggestive of resolving atelectasis. no pulmonary edema. overall cardiac and mediastinal contours are likely stable given differences in patient positioning between studies. no obvious pneumothorax or large effusions. apparent curvilinear lucency projecting beneath the right hemidiaphragm and in the epigastric region are felt to more likely be artifactual rather than representing free intraperitoneal air given semi-erect positioning, but this can be better assessed on followup imaging. multiple old left-sided rib fractures.
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<num>. minimal bibasilar atelectasis not significantly changed. no evidence of infectious focal consolidation. <num>. small left pleural effusion and minimal pleural fluid along the horizontal fissure on the right.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10552715/s56251164/1096fceb-35f0b68a-05592429-3a845f5c-fc0827df.jpg
no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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<num>. no focal opacity concerning for pneumonia. <num>. mild cardiomegaly with mild pulmonary edema and small bilateral pleural effusions. a preliminary read was provided via telephone by dr. <unk> to dr. <unk> at <unk> on <unk>.
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poor inspiratory effort limiting evaluation of the lungs. no pneumothorax or pleural effusion. no cardiomegaly.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15499532/s53464713/0354755e-2ee812c8-9e42274f-9a0554f0-63920dcd.jpg
new retrocardiac opacity seen only on the lateral projection may reflect pneumonia. followup chest radiograph in <num> weeks is recommended to confirm resolution.
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decreased size of right pleural effusion, now small to moderate in size, with adjacent atelectasis. mild pulmonary edema.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14456616/s59894127/6da02190-e51e8412-63ee82dd-b82df9c5-530bce30.jpg
mild pulmonary vascular congestion. patchy bibasilar opacities likely reflect atelectasis, though early infection is not completely excluded.
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slightly increased right middle and lower lobe consolidation and right pleural effusion.
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no acute intrathoracic process
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evidence of patient's known pulmonary fibrosis without definite superimposed acute cardiopulmonary process.
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small left-sided pleural effusion. no focal consolidation concerning for pneumonia. increased interstitial pulmonary markings since prior examination.
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no acute cardiopulmonary process. no displaced rib fractures.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13759753/s58754881/1b03b75d-a69c3162-d4415d49-fe9b8cb3-43afe0f1.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11976099/s58083428/6980c04d-7f0eab04-d3853776-480e6e25-06b18236.jpg
moderate cardiomegaly with mild pulmonary edema and small bilateral pleural effusions. patchy opacities within the lung bases may reflect atelectasis but infection is not excluded.
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normalization of post-interventional infiltrate with residual density identical preoperative local rounded lesion in left lower lobe posterior segment. no new pulmonary abnormalities are present, no pleural effusion and no pneumothorax.
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no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19809456/s50022513/bf8ddd62-6cac2139-aed8a177-b7467f59-7c9e8675.jpg
slight blunting of the posterior costophrenic angles, trace pleural effusions not excluded. otherwise, no significant interval change from the prior study.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16025773/s56330165/7cfe6b0d-0a86f6c2-cd0799b4-3f5433a3-113e83a4.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16840812/s56262778/def01767-2a203fac-c0b43411-70a034d9-db1421ce.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12318385/s50055719/664530ae-ae4f7352-99dbef81-b07e2d4c-b3290c71.jpg
no acute cardiothoracic process. mild cardiomegaly and likely calcified mediastinal/hilar lymph nodes are stable.
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<num>. low-lying endotracheal tube, terminating <num> cm above the carina. <num>. mild pulmonary vascular congestion, with small left pleural effusion.
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<num>. no acute cardiopulmonary process. <num>. increased indentation of the upper trachea could represent increasing size of the thyroid gland.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15219971/s55525501/00ff741b-6cad0eed-8f0c4623-fd6499eb-51418e4e.jpg
lower lung volumes and basilar interstitial opacities may represent new interstitial lung disease. recommend further characterization with a high-resolution chest ct. results were discussed with dr. <unk> at <time> pm on <unk> via telephone by dr. <unk> <unk> minutes after the findings were discovered.
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satisfactory position of right internal jugular central venous line, with the tip at the superior cavoatrial junction. no pneumothorax.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16074023/s57494442/51ce1876-4c1fad25-54e2f06d-8249fa1d-e35970a9.jpg
no evidence of pneumonia or atelectasis.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15455152/s51958814/63428999-50ea2105-b14444aa-a4149939-91773630.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11062918/s58484165/d413f34d-51b822ea-60460648-5e734999-94bdd539.jpg
findings worrisome for new left perihilar mass as well as mediastinal lymphadenopathy. chest ct is recommended.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15209552/s51385542/17493fb8-21df9ba0-6d86aa1e-4d8c2006-5d9f7088.jpg
low lung volumes with unchanged left pleural effusion and underlying atelectasis and/or consolidation. mild interval improvement in right lower lobe atelectasis.
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no focal pneumonia.
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hyperexpanded lungs. no evidence of pneumonia. a linear opacity in the right upper lobe is likely scarring, though could be further assessed with a ct if clinically indicated.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17639355/s51759196/7234b081-db35ba25-06ceb42b-359ca690-177b2f01.jpg
<num>. stable, mild, biapical pleural scarring. <num>. no acute cardiopulmonary abnormality.
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large right pneumothorax with minimal to no significant improvement compared to the prior study. subtle tension not excluded. right chest tube is seen projecting over the inferolateral right chest, appears low in position, and terminates lateral/outside the right chest wall. findings discussed with dr. <unk> at <unk>:<unk> on <unk> via telephone <num> minutes after discovery.
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left mid lung scarring likely sequelae of old infection. no evidence of pneumonia or chf. dextroscoliotic t-spine.
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no acute intrathoracic process. known right humeral neck fracture.
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new retrocardiac airspace opacification may be due to atelectasis or aspiration. slightly increased small left pleural effusion.
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no findings to account for cough.
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<num>. mild cardiomegaly with pulmonary vascular congestion. <num>. chronic pleural and parenchymal scarring at right lung base. this baseline abnormality and superimposed dense breast tissue limited assessment of the lung bases. if there is strong clinical suspicion for infection, standard pa and lateral chest radiographs would be recommended.
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no radiographic evidence of acute cardiopulmonary disease.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14757265/s56364280/e9a35ed2-7660f634-1f66c14b-434c8cfc-b5528125.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16874100/s55886242/ffb2cfba-a7f71f02-0b19812b-58c49c93-33062eb5.jpg
<num>. increased interstitial markings in the lungs, not dramatically changed since prior. this could represent a chronic interstitial process although superimposed vascular congestion or atypical infection is possible. <num>. new pleural-based opacity seen posteriorly on the left could represent a loculated effusion. if this does not clear on short interval subsequent exams by x-ray, ct is advised.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11360363/s55709119/5fb305d6-4de27317-01d87f1b-2f383947-234c9daf.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16449654/s55426460/c7e10434-4aad224c-146e9458-72c2cba0-decbf848.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14237047/s55929345/ed4c72ae-5afb996d-8a47e2b7-833acec4-445914ae.jpg
interval removal of right-sided catheter. no pneumothorax or gross effusion identified. bibasilar opacities likely reflecting atelectasis, though superimposed infection is difficult to completely exclude. nodular densities in left upper lobe, some of which are calcified. these were better seen on the <unk> chest ct. in the absence of supervening symptoms, consider follow-up ct in <unk> months to assess for resolution/stability.
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mild pulmonary edema and small bilateral pleural effusions.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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chronic likely scarring in the left lower lobe. hazy opacity along the left chest wall is persistent and should be assessed with ct thorax. recommendation(s): ct thorax is recommended to assess the left lower lobe and chest wall.
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bilateral pleural effusions and cardiomegaly are moderate, however improved from the prior examination.
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improvement of postoperative pleural changes in comparison with the next preceding chest examination of <unk>. no new abnormalities.
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no acute chest abnormality.
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no evidence of acute disease.
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no interval change in position of pacemaker leads, since <time> this morning, and no development of pleural effusion.
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moderate pulmonary edema. bibasilar opacities, could pulmonary edema however, may also relate to underlying infection and/or aspiration. enlarged cardiac silhouette.
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new haziness at the right base and increased at the left base and high perihilar regions appears more related to atelectasis than edema.
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no acute cardiopulmonary process.
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<num>. unchanged location and appearance of left-sided port-a-cath. <num>. numerous bilateral pulmonary nodules, grossly unchanged.
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no pneumonia.
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no acute cardiopulmonary process.
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subtle opacity projecting over the right upper lung which may represent prominent costochondral calcification though nodule difficult to exclude. nonemergent ct chest may be obtained to further assess.
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no evidence of acute intrathoracic process.
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feeding tube coiled over upper abdomen, tip likely in the proximal jejunum.
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slightly increased size of the large left pleural effusion.