Frontal_Image_Path
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⌀ | Findings
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MIMIC-CXR-JPG/2.0.0/files/p14328084/s52878392/cc0b5096-1c00e643-ad1b6d77-d62cd0e9-0f578a3f.jpg
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Compared to prior, the lung volumes have increased and appear grossly clear. Known lung nodules are better assessed on prior ct. Right picc terminates in cavoatrial junction. There is no pneumothorax or pleural effusion. The heart size and mediastinal silhouette are unchanged.
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<unk>-year-old female with history of metastatic small cell lung cancer. picc placement.
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Cardiac silhouette is mildly enlarged. Pulmonary vascularity is within normal limits allowing for accentuation by apical lordotic and portable technique. Lungs are overexpanded suggesting copd. Patchy and linear bibasilar lung opacities are likely due to atelectasis. Aspiration or infectious pneumonia are less likely, but followup pa and lateral chest radiographs would be helpful for more complete assessment when the patient's condition allows.
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Pa and lateral chest radiographs were provided. The previously noted lung nodule on the lateral view overlying the thoracic aorta is not visualized. There are no concerning lung nodules or masses. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The bones are intact.
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<unk>-year-old woman with diabetes, recent ed visit for chest pain with a possible pulmonary nodule on x-ray on <unk>. recommended four-week followup.
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Underlying trauma board and the external artifact partially obscure the view. The right lower lateral hemithorax is not fully included on the image. Given this, what appears to be an endotracheal tube is high in position, terminating approximately <num> cm above the level of the carina and above the level of the clavicles. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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The patient is status post median sternotomy, cabg, and mitral valve replacement. Heart size remains mildly enlarged, stable. The mediastinal and hilar contours are unchanged. Atherosclerotic calcifications are noted at the aortic knob. The pulmonary vasculature is normal. Linear opacities in the left lower lobe likely reflect subsegmental atelectasis. Left lateral basilar pleural thickening is unchanged. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
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history: <unk>m with cough
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. Moderate cardiomegaly has slightly progressed. The mediastinal and hilar contours are stable.
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gout and bilateral leg pain.
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Cardiac silhouette remains enlarged and is accompanied by pulmonary vascular congestion. Right middle lobe is significantly better aerated with near complete resolution of previously reported atelectasis in this region. There is also improving aeration in the right lower lobe with minimal residual atelectasis in the retrocardiac area. Previously reported pneumoperitoneum has also improved.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pulmonary edema. Bibasilar opacities likely represent atelectasis. Partially imaged upper abdomen is unremarkable.
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patient with fever, tachycardia and foot ulcers.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with cp // eval for ptx
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The lungs are well expanded. Triangular opacity in the right lower lung is unchanged from <unk>, likely due to prior wedge resection and epicardial fat pad. No evidence pneumonia or pulmonary edema. Postoperative mediastinum is stable from <unk>. No pneumothorax or pleural effusion.
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<unk>m with cough, sputum, dyspnea, mild chest pressure // ? acute cardipulm process
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As compared to the previous radiograph, the patient has received a new nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the middle to distant parts of the stomach. The right catheter is in unchanged position in the internal jugular vein. Moderate cardiomegaly that is unchanged. Increasing bilateral parenchymal opacities, likely suggesting moderate pulmonary edema, combined with small bilateral pleural effusions. Subsequent areas of atelectasis at the lung bases. No pneumothorax.
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status post wound exploration, nasogastric tube placement.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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multiple syncopal episodes, end-stage renal disease status post transplant. evaluate for acute changes/injury.
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In the left pneumonectomy space there has been interval expected interval increase in the fluid component when compared to the most recent prior in <unk>. The left hemidiaphragm is elevated, as before. Within the right lung, there is a subtle interstitial prominence, minimally improved from the prior examination. No focal consolidation, pleural effusion or pneumothorax is seen involving the right lung.
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<unk> year old woman s/p l pneumonectomy // check interval change
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Low lung volumes. The patient is status post median sternotomy. Unchanged cardiomegaly. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk>f with syncope. evaluate for pneumonia.
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The endotracheal tube and enteric tube are in standard position. Left internal jugular central line projects over the upper right atrium, and appears to have been advanced, however the apparent position could be secondary to lower inspiratory level. Lung volumes are low and there is persistent left lower lobe collapse. Mild pulmonary edema is unchanged. Upper lung parenchymal opacities are more readily recognized than in the lower lobes. Moderate cardiomegaly is stable.
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<unk> male with pseudomonas bacteremia. assess volume status, worsening air space disease
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An endogastric tube courses inferiorly and out of the field of view. The cardiac and mediastinal and hilar contours are normal. The lungs are clear. There is no large pleural effusion or pneumothorax, although the right costophrenic angle has been excluded, partially from the study.
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<unk>-year-old male with history of antiphospholipid antibody syndrome, on coumadin, now with upper gi bleed.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Granuloma in the right upper lung is unchanged.
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cough and fever
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Pa and lateral views of the chest provided. The lungs are hyperinflated and clear. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with sob // eval for pna
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A frontal upright view of the chest was obtained portably. The patient is rotated to the right. The previously seen right basilar opacity has improved. No new opacity is seen. There is left basilar scarring. A small left pleural effusion is new. No evidence of pulmonary edema. Cardiac and mediastinal silhouettes are unchanged allowing for differences in rotation. Old left rib fractures are noted.
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right lower lobe pneumonia and desaturation earlier. evaluate for pulmonary edema, new infection or aspiration.
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Compared to the study from the prior day, the heart is slightly larger and there is a small left pleural effusion. There is pulmonary vascular re-distribution and some patchy areas of volume loss in the lower lobe. Compared to the prior study, the lungs appear slightly worse.
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rapid afib, question pneumonia or chf.
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Ap upright and lateral views of the chest provided. Midline sternotomy wires noted. Right chest wall aicd is again noted with leads extending into the region of the right atrium and right ventricle. Abandoned left-sided leads are noted. There is opacity at the left mid and lower lung, slightly improved from prior though likely reflects persistent left effusion and basal atelectasis. Right lung is partially obscured by pacer device. Right lung appears grossly clear. Heart size cannot be assessed. Mediastinal contour is unchanged. Bony structures are intact. Degenerative changes partially imaged at the shoulders.
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<unk>m with pain/swelling after fall // r/o fx
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is demonstrated.
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<unk>-year-old female with a history of gallstones, now with epigastric pain and intermittent fevers.
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There is a left-sided central venous catheter with distal lead tip in the mid svc. Cardiac size is upper limits of normal. There is improved aeration at the lung bases; however, there remains atelectasis and likely a right-sided pleural effusion. The pulmonary edema mentioned previously has improved.
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In comparison with study of <unk>, the cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. No acute focal pneumonia. Small opacification in the left neck is consistent with calcification in the region of the carotid bifurcations.
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asthma and copd with tiny effusion on chest radiograph.
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As compared to the previous radiograph, the pre-existing left pneumothorax is no longer visible. The monitoring and support devices, including the left chest tube, remain in situ. Unchanged bilateral areas of atelectasis at the lung bases. Unchanged borderline size of the cardiac silhouette.
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pneumothorax, evaluation.
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Single supine ap portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. Enteric tube is seen terminating in the distal esophagus with sideport also in the distal esophagus. There is a right internal jugular central venous catheter, which terminates at the cavoatrial junction. The cardiac silhouette is top normal to mildly enlarged. The aortic knob is calcified. There is consolidation projecting over the majority of the right lung, which could be due to pulmonary hemorrhage, massive aspiration, and/or extensive infection. Left perihilar opacities are also seen, which could be due to aspiration or infection or a component of pulmonary edema. Left base opacity is seen, which may be due to atelectasis with possible small underlying pleural effusion. No large pleural effusion is seen on the right. There are no findings to suggest pneumothorax. No definite rib fractures are seen.
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The cardiomediastinal and hilar contours are within normal limits. The aorta is minimally tortuous. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>f with <num> months of dizziness // eval for pna
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The patient is status post median sternotomy with fractures of the <num> most superior wires. The heart size is normal. The mediastinal contours are unchanged. Persistent bibasilar patchy opacities are noted, suggestive of a chronic process, with a new area of patchy opacification seen in the right upper and mid lung field. No pleural effusion or pneumothorax is seen. No overt pulmonary edema is demonstrated. Partially imaged is a percutaneous gastrojejunostomy tube.
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history of aspiration pneumonia with fever and cough.
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In comparison with study of <unk>, the nodular opacification at the right base is no longer appreciated. Some prominence of the left hilar region is again seen. No evidence of pneumothorax. Subcutaneous gas along the left lateral chest wall is cleared.
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vats lung biopsy, to assess for change.
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Ap upright and lateral views of the chest provided. Cardiomegaly is again noted, mild. Lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Mediastinal contour is stable and normal. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with cough // eval for pna
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Nasogastric tube tip terminates within the stomach. Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal patchy atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumo is detected. No acute osseous abnormality is identified.
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history: <unk>m with ng tube placement
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Patient status post thyroidectomy with numerous surgical clips in the region of the thyroid bed. A generator projecting over the left chest with leads extending off the superior edge of the film is in unchanged position. The cardiomediastinal silhouette is unremarkable. Bibasilar atelectasis worse on the left is unchanged. Bilateral small pleural effusions are mildly increased.
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<unk>f with orthopnea.
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Rightward mediastinal and cardiac shift reflect a small decrease in volume of the right hemithorax, but right lung volume is approximately unchanged secondary due to decrease in small right pneumothorax and concomitant increase in small right pleural effusion. The left lung is unremarkable. Heart size is normal, but larger today. There is no pulmonary edema or vascular congestion. Subcutaneous emphysema is unchanged in quantity, but different in distribution. A linear right lower lung opacity is probably atelectasis. Two right chest tubes are unchaned, one in the apex, the other in the base.
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<unk>-year-old female status post right lower lobectomy.
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Pa and lateral views of the chest are provided. Lungs are clear. No pneumothorax or effusion. Cardiomediastinal silhouette is normal. No bony injuries are seen.
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The heart is again moderate to severely enlarged. Opacification in the retrocardiac area of the left lower lobe persists. Although it is nonspecific as to etiology, it could probably be explained by atelectasis associated with marked cardiomegaly. There is mild upper zone re-distribution of pulmonary vascularity but findings suggesting pulmonary congestion are not as striking as on the prior examination. There is no pleural effusion or pneumothorax. Mild degenerative changes are present along the thoracic spine.
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vomiting and tachypnea.
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There are low lung volumes accentuate the bronchovascular markings. Given this, there appears to be the pulmonary vascular congestion persists. No definite focal consolidation is seen. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is top-normal.
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history: <unk>f with recent pna, <unk> swelling // pna?
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The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.
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<unk> year old man never smoker with well controlled hiv with <num>mo of cough, clear lungs // r/o infiltrate, lesion
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A single upright frontal view of the chest shows no free air below the hemidiaphragms. Slight hazy opacification at the left base is likely atelectasis. There is no pulmonary edema, pleural effusion or pneumothorax. The patient is status post a cabg. The sternal wires are intact. Multiple clips are seen within the mediastinum. The cardiomediastinal silhouette is otherwise normal.
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epigastric pain and left upper quadrant pain. evaluate for free air.
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Since the chest radiograph obtained <num> day prior, there has been substantial worsening of bilateral pulmonary vascular congestion and pulmonary edema. There are probably at least small bilateral pleural effusions. Cardiomegaly is grossly unchanged. An et tube terminates <num> cm above the carina. An enteric tube passes subdiaphragmatically, but terminates outside the field of view. A right ij central venous catheter terminates at the expected location of the superior cavoatrial junction. All but the superior <num> median sternotomy wires are fractured and malaligned, but unchanged appearance since <num> day prior.
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<unk> year old woman with ischemic cardiomyopathy s/p v-tach arrest // please eval ett placement; acute pulm process
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The right picc ends in the upper right atrium and could be withdrawn by <num> cm to be in the low svc. A shunt catheter is partially visualized passing into the right upper quadrant. A hiatal hernia is unchanged. Stable heart size and mediastinal contours. No focal consolidation, pleural effusion or pneumothorax.
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new right picc.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. A <num> mm right upper lobe calcified granuloma is again seen, unchanged from prior.
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<unk>m with chest pain. evaluate for chf or pneumonia.
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In comparison with the study of <unk>, there has been some decrease in the still substantial diffuse bilateral pulmonary opacifications. Hemidiaphragms are now more sharply seen. It is unclear whether a more erect position of the patient may account for the apparent improvement in the hazy opacification at the bases. Monitoring and support devices remain in place.
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increasing oxygen demand.
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In comparison with earlier studies, there is no evidence of pneumothorax following the procedure. The lungs are essentially clear in this patient with intact midline sternal wires following cabg.
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post-bronchoscopic biopsy, to assess for pneumothorax.
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Comparison is made to previous study from <unk>. Heart size is upper limits of normal. There are calcifications in the thoracic aorta. There is again seen atelectasis at the lung bases. There are bullous changes throughout the lung fields suggestive of emphysema. No focal consolidation or signs for overt pulmonary edema is present. Overall, these findings are unchanged.
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There has been interval improvement in the right basal consolidation. There is minimal residual perihilar opacity. No new areas of consolidation seen. No right-sided pleural effusion, trace left-sided pleural effusion. No pneumothorax. Visualized bony structures are grossly within normal limits.
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<unk> year old man with new hypoxemia // r/o pulm edema, r/o aspiration
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with h/o back pain and pleuritic cp and sob, concern for spontaenous ptx // e/o spontaneous ptx?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with hx of marfan's syndrome p/w cp and sob // assess for infiltrate, widened mediastinum
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or focal consolidation. The patient is status post right shoulder arthroplasty and vertebroplasty at t<num> and l<num>. Remote rib fractures are noted. No displaced acute rib fracture is identified.
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status post fall with pain. evaluate for rib fractures or shoulder injury.
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Frontal and lateral views of the chest. No prior. The lungs are clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. The hardware identified in the right humeral head. Osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old male with fatigue, anemia and weight loss.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with dyspnea
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Portable ap chest radiographs shows the et tube and left picc in stable position. Persistent right basilar opacification most likely represents aspiration. The left lung base has cleared from most recent study. There is no pulmonary vascular congestion. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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subarachnoid hemorrhage requiring intubation. thickened secretions.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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cough.
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Frontal and lateral views of the chest were obtained. Subtle right base patchy opacity seen on the frontal view, not well appreciated on the lateral view, may be due to atelectasis, although an early consolidation cannot be entirely excluded. Bilateral faint upper lobe nodular opacities are again seen, without significant interval change. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable.
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The cardiac silhouette and mediastinum are normal. There is some atelectasis at the left lung base. The vascular markings are normal. There are no pneumothoraces. Bony structures are intact. There is some eventration of the left hemidiaphragm. There are degenerative changes of the thoracic spine.
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As compared to prior chest radiograph from <unk>, there has been essentially no significant change. Lung volumes are slightly increased; however, there is still crowding of bronchovascular structures and accentuation of the cardiac silhouette. No new focal consolidations are identified. The right picc line tip now projects over the low svc, at the cavoatrial junction. Right ij catheter is unchanged, extending to the mid portion of the svc.
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<unk>-year-old male patient with triglyceride pancreatitis, now increasingly hypoxic and tachypneic. study requested to rule out overload.
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Lung volumes are low with bibasilar opacities are similar to prior examination in worse than in <unk>. Mediastinal contours, hila, and cardiac borders are normal. No pleural effusion or pulmonary edema. The aorta is tortuous.
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<unk> year old man with progressive supranuclear palsy// recommended cxr in <num> wk
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As compared to the previous radiograph, the right pleural effusion has minimally decreased in extent and provides now an improved visualization of the right heart border. However, the overall extent of the effusion remains substantial. There is no evidence for the presence of a right pneumothorax. The heart remains moderately enlarged. The left lung is unremarkable.
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evaluation for right-sided pneumothorax.
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No acute focal pneumonia identified.
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cough, to assess for pneumonia.
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Redemonstrated is right lung volume loss and calcified fibrothorax, unchanged from the prior examination. Left basilar atelectasis with adjacent pleural effusion is noted, new since the prior exam. The upper left lung is grossly clear. The cardiomediastinal and hilar contours are stable, and the heart size is top normal.
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fatigue, rales at right base.
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Heart size is normal. Left hilar contour is normal. Compared to radiograph dated <unk> there is increasing fullness of the right hilus with increased rounded densities along the minor fissure as well as increased right medial lung base peribronchial opacities with bronchial wall thickening and bronchiectasis. Compared to the pet-ct from <unk>, these findings all appear to be present, however, are worse on today's exam. Left lung is essentially clear. There is no pleural effusion or pneumothorax.
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non-small cell lung cancer presenting with cough and sputum for three days.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There no pleural effusions or pneumothorax.
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unresponsiveness.
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There has been interval removal of the left-sided chest tube with no development of pneumothorax observed. Also seen has been removal of the aortic balloon and catheter from the ascending aorta. There has been slight interval improvement in the left upper lobe opacity. Otherwise, study is largely unchanged from prior. Swan-ganz catheter is seen, unchanged in position. Endotracheal tube is seen unchanged in position approximately <num> cm from the carina. Cardiomediastinal silhouette is stable.
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<unk>-year-old woman status post cabg. recent chest tube removal.
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The patient is status post median sternotomy with intact sternotomy wires. A left-sided cardiac aicd remains in place. The swan-ganz catheter, enteric tube and endotracheal tube have been removed since the prior exam. There is no pneumothorax. The lungs hypoinflated but grossly clear. The heart again appears enlarged despite the projection.
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<unk>-year-old male status post repeat aortic valve replacement; evaluate for pneumothorax.
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Single semi-upright ap portable view of the chest was obtained. The patient's overlying chin partially obscures the right apex. There has been interval placement of a left-sided pigtail chest tube with interval decrease in patient's left pneumothorax, which is now small in size. Overlying left chest wall subcutaneous emphysema is seen. There are low lung volumes. There is persistent left base opacity. Left subclavian central venous catheter is stable in position.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
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<unk> year old woman with history of rll lung cancer, s/p lobectomy, with cough and right flank pain // evidence of infection, lesions
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Pa and lateral chest views were obtained with patient in upright position. Available for direct comparison is a transferred pa and lateral chest examination from an outside institution and dated <unk>. There is mild cardiac enlargement with a prominence of the left ventricular contour to the left and posteriorly. This coincides with the presence of a generally widened and elongated thoracic aorta and probably represents sequelae related to longstanding hypertension. There is, however, no evidence of any significant left atrial enlargement nor is the pulmonary vasculature markedly congested. There is no evidence of any radiopaque foreign body within the lung fields. Central airways such as trachea and central bronchi are unremarkable. Trachea deviates mildly to the right at the level of the aortic arch but is not compromised in width. There is no evidence of any significant pleural effusion in the lateral pleural sinuses. There is no pneumothorax in the apical area on the frontal view. In comparison with the outside examination of <unk>, one can observe a slightly more crowded pulmonary vasculature on the left lung base in retrocardiac position, an observation which is supported by the slightly denser appearance of the posterior segment of the left lower lobe on the lateral view compared to the present findings. Findings observed in retrospect on the previous study, however, are very subtle. The elderly patient has an accentuated kyphotic curvature in the thoracic spine, moderately demineralized vertebral bodies, but no evidence of any vertebral body compression fracture. Within the normal heart shadow, one can identify a few coronary arterial calcifications within the heart shadow which, however, is not surprising considering patient's advanced age.
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<unk>-year-old female patient with history of stridor, status post pill aspiration, assess for evidence of aspiration, foreign body, pneumonia.
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The heart is of normal size with normal cardiomediastinal contours. The lungs are clear. No focal consolidation, pneumothorax, or pleural effusion. No radiopaque foreign body.
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right chest pain. evaluate for pneumothorax or infiltrate.
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The heart is severely enlarged but unchanged. Dialysis catheter has been removed. Mediastinal and hilar contours are similar, with calcification of the aortic knob again demonstrated. There is mild pulmonary vascular congestion. Assessment of the lung bases is somewhat limited due to underpenetration, though there is likely left basilar atelectasis. No large pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
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cough.
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Pa and lateral views of the chest provided. When compared with the prior cardiac mri, there is a similar pattern of hilar and perihilar opacity consistent with known sarcoidosis. Difficult to exclude a subtle superimposed pneumonia. No large effusion or pneumothorax. No convincing signs of edema. Heart size appears unchanged. Bony structures are intact.
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history: <unk>m with doe <num>wk s/p cardiac ablation, history of sarcoid
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The lung volumes are low likely due to a poor inspiratory effort. No lobar consolidation. No pleural effusions. Mild cardiomegaly and prominence of the descending thoracic aorta. Surgical sutures project over the left upper lobe and left hilum related to the recent procedure. Ekg leads overlie the chest wall. A left-sided chest tube is in unchanged position. Visualized bones appear unremarkable.
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<unk> year old woman with left lung nodule now s/p lul bisegmentectomy // eval interval change, perform pod <num> (<unk>)
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Lungs are hyperexpanded reflecting underlying copd. Small right and moderate possibly loculated left pleural effusions are stable. Multilevel displaced left lateral rib fractures are unchanged. Right mid lung pulmonary nodule again noted. Small right and possible tiny left apical pneumothoraces are unchanged.
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<unk> year old woman with l ptx // post pull
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>-year-old female with chest pain.
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No previous images. There is a subtle area of increased opacification at the left base which, in view of the clinical history, could represent a focus of pneumonia. A lateral view would be most helpful if the clinical condition of the patient would permit. No evidence of vascular congestion or pleural effusion.
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fever with bacteremia.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.
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evaluation of patient with history of cough.
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A single frontal radiograph of the chest was acquired. There is persistent hyperinflation of both lungs, consistent with emphysema. Minimal bilateral lower lobe atelectasis is noted. The lungs are otherwise clear. A small left pleural effusion is increased compared to the prior study from <unk>. There is no definite right pleural effusion. No pneumothorax is seen. Previously identified nodular opacities in the right upper lung on the prior study from <unk> are not appreciated on today's radiograph. The heart size is normal. Marked aortic calcifications are seen.
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shortness of breath for the past week with a history of aortic stenosis. evaluate for pneumonia or pulmonary edema.
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No implanted port-a-cath is seen. Again seen is a metallic stent within the svc. Previously noted tracheostomy tube is not clearly visualized. There is a focal narrowing in the upper trachea again noted. A linear peripheral opacity projecting over the right upper lung is likely a small scar. Lungs are clear. No new focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unchanged.
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<unk>f with port a cath placed <unk>, unable to find on exam. evaluate for left port-a-cath.
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As compared to the previous radiograph from <unk>, <time>, the pigtail catheter on the left has been slightly pulled back, causing uncoiling of the pigtail tip. The more cranially located catheter is in unchanged position and shows an unchanged course. The tip of the left picc line projecting over the axillary vein is constant in appearance. The pleural fluid on the left is unchanged in extent and severity. Unchanged appearance of the right lung and of the right heart border.
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infected left thoracotomy site, chest tube placement, evaluation.
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Changes associated with median sternotomy are again noted. There is no evidence of pneumothorax or pleural effusions. No focal consolidations are identified. Pulmonary vasculature is grossly unchanged. The heart is normal in size. Osseous structures are grossly unchanged.
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The heart size is normal. The aortic knob is calcified. The mediastinal contours are unremarkable. Patchy opacities are noted in the lung bases which is concerning for infection. No pleural effusion or pneumothorax is seen. There is likely mild pulmonary vascular congestion. No acute osseous abnormalities are visualized.
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cough and fever.
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No focal consolidation, pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits. Unchanged chronic appearing left rib fractures.
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<unk> year old man with fever and chills of unknown origin // eval for infection
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Single portable view of the chest. Endotracheal tube is seen with tip <num> cm from the carina. Ng tube seen with tip just past the ge junction and should be advanced. Relatively low lung volumes are noted. There is left basilar opacity which silhouettes the hemidiaphragm potentially due to atelectasis with possible area effusion or consolidation also possible. The right lung is grossly clear. Cardiomediastinal silhouette is within normal limits.
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<unk>-year-old male unresponsive.
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The cardiomediastinal and hilar contours are within normal limits. The heart is top normal in size. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with shortness of breath // ?pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p17569899/s55922476/2ffaa8cf-0a4ea900-fc89c3db-36323acd-b593f8b9.jpg
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Two frontal views of the chest demonstrate an esophageal tube which courses below the diaphragm, into the stomach and out of view. The lungs demonstrate no evidence of focal opacification concerning for pneumonia or aspiration. There is no pleural effusion or pulmonary edema. No pneumothorax is present.
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<unk>-year-old man with shortness of breath. evaluation for aspiration or pneumonia.
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Heart is upper limits of normal in size, and pulmonary vascularity is normal. A vague opacity in the right upper lobe is present, and is difficult to fully characterized due to superimposition of the right scapular margin and absence of a lateral view. Differential diagnosis includes focal aspiration, localized edema, hemorrhage and infection, as well as a pneumonic formal of lung adenocarcinoma. Apparent tubular calcifications in the left upper quadrant of the abdomen could be vascular or related to the spleen or left kidney.
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<unk> year old woman s/p stemi. // assess for pulmonary edema
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There are faint bibasilar atelectatic changes. There is no focal lung consolidation. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
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<unk>-year-old with muscle aches. please assess for pneumonia.
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Total of three radiographs were provided with front filters to determine the presence of a retained foreign body. There is no retained needle within the surgical field. Midline sternotomy wires are present. There is a right ij access swan-ganz catheter with tip in the main pa. Mediastinal drains are present. An aicd is unchanged with tip in the region of the right ventricle. The heart remains mildly enlarged. Endotracheal tube is positioned with its tip above the carina.
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There is blunting bilateral posterior costophrenic angles, suggesting small pleural effusions. No definite focal consolidation is seen. There is no evidence of pneumothorax. Patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are grossly stable.
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history: <unk>m with cabg <num> one week ago pw slurred speech since yesterday, neuro w/u // ?cpd
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As compared to the previous radiograph, there is no relevant change. The nasogastric tube continues to be coiled in the stomach. A deep sulcus sign on the left is less extensive than on the previous image. Bilateral pleural effusions continue to be visualized and the extent of the subsequent areas of atelectasis is constant. Unchanged size and appearance of the cardiac silhouette. No new parenchymal opacities.
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polytrauma, intubation, intermittent increased peak airway pressures.
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MIMIC-CXR-JPG/2.0.0/files/p18705534/s59456063/4ff141ca-890da396-fb4500b1-64d63546-fa3a2807.jpg
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain // pna?
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MIMIC-CXR-JPG/2.0.0/files/p13514069/s52077356/7aa16369-86652fec-1667b549-b5acdcfc-11ac02d1.jpg
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Single ap portable erect view of the chest was obtained. Lung volumes are relatively low. However, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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MIMIC-CXR-JPG/2.0.0/files/p17916384/s55431672/10677ece-d202a08f-d5774e72-46bbe4a5-23710169.jpg
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There is a right-sided port, which terminates in the right atrium. The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no large pleural effusion, or evidence of pneumothorax. The visualized osseous structures are unremarkable. There appears to be interval improvement of moderate pulmonary edema compared to the exam dated back to <unk>.
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history of cord blood transplant, now with cough. please assess for consolidation.
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MIMIC-CXR-JPG/2.0.0/files/p16113543/s50812822/a14323e5-f4fe35fd-aa9ff12d-3c90ab04-c03704e2.jpg
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As compared to the previous radiograph, the monitoring and support devices are unchanged. There is increasing opacity in both perihilar areas. Asymmetry in configuration of these opacities, however, just pulmonary edema rather than pneumonia. Persistent relatively massive right pleural effusion and moderate left pleural effusion. Unchanged borderline size of the cardiac silhouette.
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unexplained leukocytosis, rule out pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16252891/s50050175/fe62b47e-4923a4ac-9a730fff-61ec7573-33e839c8.jpg
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with chest pain // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p12043836/s52755908/0867d083-1c3e4a3b-c649f3cb-d34dc8a8-f32a4665.jpg
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly with signs of mild fluid overload. No larger pleural effusions. Moderate retrocardiac atelectasis. Normal hilar and mediastinal contours. No newly appeared focal parenchymal opacity suggesting pneumonia.
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questionable pneumothorax or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p13687364/s51441831/0e988bb5-4080a668-ff7f218e-6ce222de-400bac87.jpg
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As compared to the previous radiograph, the right picc line has been pulled back. The tip of the line now projects over the confluence area of the superior vena cava and the brachiocephalic vein. Lung volumes remain low. The appearance of the lung parenchyma and the heart is otherwise unchanged. No pneumothorax.
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picc line placement.
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There is volume loss at both bases. An underlying infectious infiltrate can't be excluded. There is mild pulmonary vascular redistribution. Loops of bowel in the left upper abdomen are dilated, likely due to a postoperative ileus
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<unk> year old woman with high fever post-op from aorto-bifem bypass // atelectasis vs. pneumonia
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All the monitoring devices are unchanged and in standard position. Lung volumes are low with persistent opacification of the left retrocardiac space for atelectasis. There is minimal pleural effusion alongside the left posterior costovertebral space, better seen in the lateral. Cardiomediastinal silhouette is unchanged with persistent mild cardiomegaly. There is no pneumothorax.
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<unk> years old man with fever, diminished breathing sounds at the bases, postoperative day <num> status post whipple surgical procedure. assessment of acute infectious process.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained <num> hours earlier during the same day. The right-sided post-operative findings with the density in the apical area and sizable effusions obliterating the right-sided diaphragmatic contour and extending along the right lateral wall remain rather unchanged. Also, the left-sided pleural effusion is still seen although much less comparison with the right-sided effusion. Observe that the patient is slightly rotated towards the left in comparison with the preceding study but otherwise the findings are stable. No pneumothorax has developed.
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<unk>-year-old female patient with non-small cell lung cancer and dyspnea, status post left-sided thoracocentesis, evaluate for pneumothorax and post-procedure improvement of effusion.
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MIMIC-CXR-JPG/2.0.0/files/p15267673/s53239403/2c84ac7f-5e71bc8e-facc6707-0724206d-96a19751.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15267673/s53239403/b9723a66-f407d62f-56b2bd12-39b1d380-884bdc0b.jpg
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The lungs are clear without focal consolidation, effusions or pneumothorax. The cardiomediastinal silhouette is normal. Eventration of the right hemidiaphragm is again noted. The osseous and soft tissue structures are unremarkable.
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cough, question infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p10773739/s53225875/05aa533c-2feb184d-ecec6546-ea655419-8dfdb025.jpg
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The tiny volume of residual air in the left pleural space laterally and anteriorly, in the small, stable volume of loculated left pleural fluid or pleural thickening, reflects recent removal of the left thoracostomy tube. The left hemidiaphragm is more elevated now than it was several days ago, an indication of greater volume loss in the left lower lobe. The right lung and pleural space and visible mediastinal contours and structures are normal.
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<unk> year old man s/p empyema // interval change
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