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/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19859251/s57663077/475e02af-d8e8182b-8e79f9ea-79da2e26-ff28a300.jpg
no acute cardiopulmonary process.
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left lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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suspect mild chf. status post removal of right chest tube. no pneumothorax or gross effusion identified. bibasilar patchy opacities, presumably atelectasis, again noted, similar to prior.
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there is mild interstitial edema. no focal consolidation or pleural effusion. copd
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no acute cardiopulmonary process.
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lungs are hyperinflated, suggesting copd. subtle right base opacity is likely atelectasis, but in the appropriate clinical setting, early infection or aspiration is not excluded. pa and lateral views if patient able, may be helpful for further evaluation.
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possible area of loculated fluid with trapped air verses pneumothorax verses atypical appearance of stomach bubble near the left cpa. follow up upright chest radiograph with the patient swallowing <num> cc of barium just prior to imaging should help rule out these etiologies.
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no evidence of pneumonia. clear lungs.
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low lung volumes and evidence of interstitial edema. focal patchy opacity projecting over posterior lung base, possibly on the right, may represent underlying consolidation possibly due to infection or aspiration, atelectasis, or artifact.
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no evidence of acute cardiopulmonary process.
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left lower lobe superior segment lesion corresponds to an abnormality on recent ct thoracic spine of one day earlier. although possibly due to a nodular focus of consolidation from aspiration or contusion, followup radiographs are recommended in six to eight weeks to document resolution. if this fails to resolve radiographically, a followup ct would be recommended, as the differential diagnosis for this finding includes lung adenocarcinoma.
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minimal left basilar atelectasis with no acute chest abnormality.
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no pleural effusion or pulmonary edema.
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no evidence of pneumonia or pulmonary edema.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10044189/s53945669/16b64611-fcd08b21-b6183620-1cad5e2b-4b8bcdd7.jpg
no acute cardiopulmonary process.
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<num>. patchy opacities in the lung bases superimposed on a background of calcified pleural plaques may reflect atelectasis. <num>. small bilateral pleural effusions, unchanged. <num>. right apical nodule and bilateral hilar and mediastinal lymphadenopathy are better assessed on recent chest ct.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. increased lung volumes consistent with emphysema. <num>. no evidence of pneumonia or pulmonary edema.
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<num>. extremely low lung volumes and bibasilar atelectasis. given this, left lower lobe consolidaiton cannot be excluded, but no other aras of consolidation are suggested. <num>. no free air under the diaphragm.
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small bilateral pleural effusions again seen. pulmonary edema which may be slightly improved since the prior study. persistent cardiomegaly.
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new right lower lobe peribronchial opacification concerning for atypical pneumonia, recommend follow up chest radiograph after treatment to document resolution.
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small to moderate left apicolateral pneumothorax without evidence of tension.
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no evidence of acute cardiopulmonary process.
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within normal limits.
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<num>. moderate right pleural effusion is not significantly changed from <unk> exam. <num>. stable appearance of right upper lobe opacity corresponding to mass lesion, better characterized on ct exam of <unk>.
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no acute intrathoracic process.
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no acute cardiopulmonary process. results were discussed with <unk> at <num> p.m. on <unk> via telephone by dr. <unk> at the time the findings were discovered.
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pulmonary vascular congestion and small effusions. no evidence of focal consolidation.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14736449/s59088371/91c52c6c-8c8d3c11-cc24547a-ec0d6071-844bedae.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18602941/s58534012/b8a69ff1-3924e030-03660184-439d6bfd-aa4aded9.jpg
no acute cardiopulmonary process.
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left lower lobe opacity worrisome for pneumonia. recommend followup to resolution.
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<num>. no acute cardiopulmonary process. <num>. stable moderate cardiomegaly.
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no evidence of acute cardiopulmonary process.
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<num>. clearing of edema with residual parenchymal opacification in the left upper lung concerning for superimposed pneumonia; although, asymmetric edema is possible. <num>. increase in size of left pneumothorax with possible kink of the left basilar chest tube. <num>. decreased right pleural effusion.
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no focal consolidation. bilateral interstitial markings are suggestive of chronic interstitial lung disease.
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no acute cardiopulmonary process.
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left perihilar opacity could represent atelectasis, hemorrhage or aspiration.
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continued improvement of right upper lobe opacity. unchanged small bilateral pleural effusions. persistent severe cardiomegaly.
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left subclavian central line is unchanged in position. lungs are well inflated without evidence of focal airspace consolidation, pulmonary edema or pneumothorax. no pleural effusions. overall cardiac and mediastinal contours are stable.
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no significant change compared to <unk>
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<num>. severely limited study due to marked rotation. <num>. stable mild cardiomegaly with stable diffuse interstitial prominence. <num>. no focal lung consolidation. possible trace right pleural effusion.
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chronic changes in the right lung including scarring and effusion. moderate left pleural effusion as seen on chest ct from <unk>. no pulmonary edema.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15935311/s50255503/2f677550-8fd94e76-2f3ab355-b76243b6-321bbfd0.jpg
no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
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no acute cardiopulmonary process.
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<num>. multifocal airspace opacity, most striking in the right lower lobe, little changed, and left lower lobe collapse. <num>. moderate cardiomegaly, unchanged. <num>. expected position of support devices and tubes. findings were discussed by phone with micu nurse <unk> at <time>am.
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no acute cardiopulmonary process.
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normal chest radiograph.
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dobbhoff tube high a in the esophagus. at the time of dictating this report the dobbhoff tube had already been repositioned, however please note that on the followup film though still located in the esophagus although slightly lower, just above the ge junction
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no acute cardiopulmonary process.
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near complete resolution of previous right lower (and posssible middle) lobe pneumonia. resolved edema, normal heart size, but chronic vascular overcirculation persists, can be due to tachycardia or otherwise hyperdynamic circulation.
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no evidence of acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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no radiographic evidence of an acute cardiac or pulmonary process, although this examination neither suggests nor excludes the diagnosis of pulmonary embolism.
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no substantial change, widened mediastinum is likely related to body habitus and vascular structures.
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no acute pulmonary process.
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no significant interval change. no acute process
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no acute intrathoracic process.
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temporary pacing wire projects over the right ventricle. no right-sided pneumothorax.
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normal chest radiographs.
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<num>. endotracheal tube in standard position. nasogastric tube tip within the stomach, however the get the side port appears to be above the gastroesophageal junction should be advanced. <num>. patchy opacities in the lung bases, likely atelectasis in the setting of low lung volumes. infection, however, is not completely excluded in the right lung base. <num>. small left pleural effusion.
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no acute cardiopulmonary abnormalities
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nonspecific right lower lobe opacity, more fully characterized on subsequent cta of the chest, dictated separately.
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increased retrocardiac opacification could represent atelectasis or developing infection.
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adjust ett position as indicated. <unk> was paged at <time> p.m. the page number was <unk>.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18559633/s50607543/7010e790-c72930bc-b5b992bb-fb9c8000-023c8570.jpg
continued bibasilar patchy opacities. this may reflect atelectasis but pneumonia is not excluded. no pulmonary edema.
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endotracheal and enteric tubes in standard position. right internal jugular central venous catheter tip in the mid/low svc. mild bibasilar atelectasis.
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no change.
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unchanged left upper lobe opacities conerning for impaction and bronchiectasis. recommend chest ct for further evaluation. these findings were communicated by email to dr. <unk> by dr. <unk> <unk> unsuccessful attempt to call the physician <unk> <unk>:<num> on <unk>.
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no acute cardiopulmonary process.
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slight blunting of the costophrenic angles could be due to trace pleural effusion. no focal consolidation. mild central pulmonary vascular engorgement without overt pulmonary edema.
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no evidence of acute disease including no evidence for pneumothorax.
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increased, moderate right pleural effusion, responsible for greater left lower lobe atelectasis. unchanged, moderate, subpulmonic left pleural effusion and left lower lobe atelectasis.
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vague opacity projecting over the lower lobes on the lateral view likely in the left lower lobe suspicious for pneumonia.
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no acute intrathoracic process.
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<num>. standard positioning of the endotracheal tube and orogastric tube. <num>. deep left sulcus highly concerning for a pneumothorax. findings discussed with dr. <unk> by dr. <unk> at <time>, <unk> by telephone.
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new small bilateral pleural effusions
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essentially unchanged chest radiograph with persistent bibasilar opacities and left pleural effusion.
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diffuse bilateral parenchymal opacities similar to prior. new right ij line. no pneumothorax.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19404553/s58113461/79838145-8fef488b-32dde595-ccfb0487-43321603.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17379907/s55017382/dac06d99-c3bd75fc-cb5feb69-eb852d38-a40b65a9.jpg
no acute cardiopulmonary process.
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no acute intrathoracic process.
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right middle lobe pneumonia.
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<num>. no pneumothorax. <num>. no acute intrathoracic process.
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there are increasing consolidations in the right upper lobe and at both lung bases consistent with known multifocal pneumonia. no pulmonary edema. no pneumothorax. overall cardiac and mediastinal contours are stable. likely small layering effusions.
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no acute cardiopulmonary process
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interval placement of tracheostomy tube. no pneumomediastinum; however intraperitoneal air is evident, likely due to recent percutaneous gastrostomy tube (placement confirmed with dr <unk> at <time> on <unk>).
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mild bibasilar atelectasis.
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subtle deformity of the lateral left seventh rib of indeterminate age. correlate clinically for acuity and need for additional imaging. clear lungs. gaseous distention of the stomach and the bowel in the left abdomen, not fully imaged or well evaluated.
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findings concerning for inferior segment lingular pneumonia.
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no acute intrathoracic process.
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large hiatal hernia. no acute cardiopulmonary abnormality otherwise demonstrated.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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normal radiographic study of the chest.
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no acute intrathoracic process. slightly elevated right hemidiaphragm.
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<num>. compression deformity of a lower thoracic vertebral body is new since <unk>. <num>. clear lungs.