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/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11820695/s55293733/678924e3-489ebfc9-76165de2-db048bfb-f9584a7d.jpg
no acute intrathoracic process. no pneumonia. no pneumoperitoneum.
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based on the frontal views, doubt significant interval change compared with <unk>. again seen is the effusion at the right lung base, with considerable obscuration of the right hemidiaphragm. cardiomediastinal silhouette and mild vascular plethora are also not significantly changed.
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right upper lobe consolidation compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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unchanged appearance of the chest. no new consolidations. <unk>, md <unk>=<unk>
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<num>. streaky lower lung opacities likely reflect atelectasis though difficult to exclude pneumonia. <num>. copd with hilar prominence suggestive of pulmonary arterial hypertension.
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no evidence of acute cardiopulmonary process. mild cardiomegaly.
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no acute cardiopulmonary process. no displaced rib fracture identified.
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no definite change. the tube coiled in the cervical region may be malpositioned, as reported previously.
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no evidence of acute cardiopulmonary disease.
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<num>. probable pneumonia and concern for ards. <num>. pulmonary edema.
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no pneumothorax and the right chest port terminates in the lower svc
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increased, moderate right pneumothorax with less conspicuous leftward mediastinal shift, still raising the possibility of tension.
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increased bilateral pulmonary opacities likely in part due to increase in bilateral pleural effusions. increased parenchymal appearing opacities bilaterally may be due to worsening metastatic disease. however, acute inflammatory or infectious process not excluded.
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<num>. repositioning of right picc, now terminating in the proximal right atrium. it should be pulled back by an additional <num> cm for optimal placement. <num>. stable multifocal consolidation.
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no substantial change from the prior examination.
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<num>. vague right lower lobe opacity, probably atelectasis, although pneumonia is not excluded. <num>. vague nodular focus projecting over the left lower lung, probably a nipple shadow, with a pulmonary nodule less likely. an additional pa view with nipple markers is recommended to assess further.
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stable left perihilar opacity extending to the left lower lobe likely reflecting residual disease. redemonstration of post-radiation changes, small left pleural effusion, and pleural thickening.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary abnormality.
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streaky opacities in the lung bases likely reflect atelectasis.
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streaky bibasilar opacities likely atelectasis noting that infection is possible in the proper clinical setting.
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moderate thoracic scoliosis. no rib abnormality seen. dedicated rib series could be obtained to further evaluate for subtle chest wall abnormalities in the area of focal clinical tenderness.
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findings consistent with chf, with interstitial and probable slight pulmonary edema. no gross effusions.
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no acute process.
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no acute cardiopulmonary process. multiple pulmonary nodules seen in the right middle lobe. comparison with priors is recommended to document stability. if none are available chest ct can be considered for further evaluation.
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no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12423170/s55214325/440da518-24576c28-535be9b7-5f41ef6e-6e861e07.jpg
low lung volumes limit assessment of the lung bases. probable bibasilar atelectasis, though infection is difficult to exclude.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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the tip of the dobhoff tube is seen in the proximal jejunum. clear lungs.
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on the lateral view, there appears to be slight increase in opacity projecting over the posterior lower lung, just superior to the level of the posterior left hemidiaphragm without clear correlate on the frontal view. findings may be due to atelectasis, however early/developing infectious process is not excluded
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no acute cardiopulmonary process.
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no acute findings in the chest. right ij central venous catheter tip in the low svc.
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suggestion of trace pleural effusions.
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mild interstitial pulmonary edema.
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area of linear atelectasis at right lung base. no pneumonia. findings discussed with <unk> by <unk> via telephone on <unk> at <time> pm, time of discovery.
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pacemaker leads from a left pectoral bielectrode pacer pass through the svc and end in the upper atrium and the right ventricle respectively.
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<num>. endotracheal tube and nasogastric tube are appropriately positioned. <num>. pulmonary vascular congestion and minimal interstitial edema.
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mild cardiomegaly. linear retrocardiac opacity, potentially atelectasis although infection is not entirely excluded.
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no acute cardiopulmonary process.
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new consolidation in the right lower lobe, in the setting of recent hemoptysis could represent an area of hemorrhage. however, in the appropriate clinical it could represent pneumonia. ct could be useful for further evaluation, if necessary. short radiographic followup is recommended upon completion of treatment to document resolution.
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no acute cardiopulmonary process seen.
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no acute findings.
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no acute cardiopulmonary process.
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unremarkable findings on pa and lateral chest examination as of <unk>. the present portable semi-upright chest examination cannot reveal any new significant cardiovascular or pulmonary abnormality.
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no acute cardiopulmonary process.
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mild-to-moderate pulmonary edema with vascular congestion.
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no evidence of pneumonia. findings discussed with the referring physician at the time of dictation.
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stable cardiomegaly. no evidence of pneumonia.
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substantial interval improvement of post cabg pulmonary vascular congestion and left-sided pleural effusion.
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interval placement of an endotracheal and gastric tube as described above. slight advancement of the gastric tube is recommended. no other significant interval change since the prior examination.
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chronic changes in the lungs, right greater than left. persistent lower lobe consolidation, significantly improved since <unk>.
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<num>. dense left lower lobe consolidative opacity concerning for pneumonia. <num>. prominent hilar contour, likely enlarged lymph nodes. recommendation(s): given likely hilar adenopathy further evaluation with ct chest should be considered.
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no evidence of acute cardiopulmonary abnormality.
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<num>. mild interstitial edema stable since <unk>, increased since <unk>.
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<num>. mild to moderate edema, slightly increased from <unk>. <num>. small bilateral pleural effusions. <num>. opacity in the left lower lobe could reflect superimposed pneumonia. correlate clinically.
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no radiographic evidence for acute cardiopulmonary process.
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increase in mild pulmonary edema with unchanged possible trace right pleural effusion.
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no acute process
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temporary pacemaker lead is in appropriate position. no acute cardiopulmonary process.
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low lung volumes with bibasilar atelectasis. no focal pneumonia.
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the parenchymal opacities are completely new compared with <unk>. they also appear considerably more pronounced than on the <unk> chest ct. the differential diagnosis includes chf with interstitial and pulmonary edema or infectious or inflammatory infiltrates.
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<num>. low lying endotracheal tube, recommend retraction by at least <num> cm for more optimal positioning. <num>. endogastric tube appears positioned appropriately. <num>. pulmonary edema, perhaps slightly progressed.
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no acute intrathoracic process. port-a-cath positioned with tip in the upper svc.
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substantial interval improvement of parenchymal consolidations with only minimal interstitial changes. still present, most likely residual, potentially chronic. reassessment in <num> weeks with chest radiograph is recommended.
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no acute intrathoracic process
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bilateral perihilar and basilar opacities have decreased with some persistent right upper lobe opacities. small bilateral pleural effusions have decreased. splenic flexure of the colon is air-filled with an air-fluid level, suggesting stasis, correlate clinically.
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new peribronchial opacities in bilateral lower lobes, suggesting bronchopneumonia. recommendation(s): recommend follow up after treatment.
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no pneumothorax.
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<num>. no evidence of pneumonia or pneumothorax. tiny bilateral pleural effusions. <num>. unchanged left hilar mass. these findings were communicated via telephone by dr. <unk> with dr. <unk> at <unk> on <unk>.
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no active cardiopulmonary disease.
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no evidence of acute disease.
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no acute cardiopulmonary abnormality. please note in the case of an immunocompromised patient, an underlying ground-glass density pneumonia cannot be excluded. the case was discussed by dr. <unk> with ms. <unk> by phone at <time> p.m. on <unk>.
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no acute cardiopulmonary process.
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no acute cardiac or pulmonary process.
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no significant change from prior radiograph. patchy opacities at the bases may reflect atelectasis, though infection cannot be excluded.
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no acute intrathoracic process.
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opacity at the right lung base may represent pneumonia in the appropriate clinical setting.
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no acute cardiopulmonary process. age-indeterminate lower thoracic vertebral body height loss.
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increased opacity in right lower lobe, which may reflect an early consolidation in the appropriate clinical setting.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. chronic blunting of the left costophrenic angle appears stable, and is most consistent with a combination of pleural effusion collapse. <num>. right lower lobe atelectasis. <num>. no pneumonia or evidence of pulmonary edema.
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small pleural effusion, likely on the left. otherwise no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process. no evidence of fracture.
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increased left lower lobe retrocardiac opacity is concerning for developing pneumonia rather than atelectasis superimposed on a pre-existing lesion as seen on the prior pet-ct.
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interval decrease in extent of the pulmonary edema and bilateral pleural effusions, now mild in extent.
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although consolidation at the right lung base could be secondary to atelectasis, the findings are concerning for right lower lobe pneumonia.
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new right basilar consolidation, worrisome for pneumonia.
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no acute cardiopulmonary abnormalities
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normal chest radiographs.
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<num>. increasing right lateral pneumothorax. <num>. unchanged bibasilar interstitial abnormalities.
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substantial interval improvement of parenchymal consolidations with only minimal interstitial changes. still present, most likely residual, potentially chronic. reassessment in <num> weeks with chest radiograph is recommended.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.