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The heart is enlarged, and there is mild vascular congestion. There is no focal consolidation or pneumothorax. Increased ap diameter of the chest may reflect copd. Surgical clips and a metallic density project over the left upper abdomen.
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<unk>-year-old female with abdominal pain, vomiting. evaluate for consolidation.
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Since <unk>, aeration of the left lower lobe has improved with persistent but decreased size of the left pleural effusion, best appreciated on lateral view. . Is minimal residual atelectasis remaining in the left lower with lung volumes overall slightly improved in the interim. Residual mild retrocardiac opacity is likely atelectasis. No significant right pleural effusion. No focal consolidation to suggest focal pneumonia. No effusion or pneumothorax. There is perhaps mild central pulmonary vascular congestion but no edema. Heart size is top normal. The descending thoracic aorta slightly tortuous or ectatic, unchanged.
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history: <unk>m with altered ms // ? pneumonia
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In comparison with study of <unk>, there is now a dual-channel pacemaker in place with the leads in the region of the right atrium and apex of the right ventricle. Cardiac silhouette is more prominent, though some of this may merely reflect the lower lung volumes. Indistinctness of pulmonary vessels raises the possibility of some elevated pulmonary venous pressure. Atelectatic changes are seen at the bases and there is a somewhat hazy quality that could reflect layering effusion. No evidence of post-procedure pneumothorax. The prior healing rib fracture on the left is again seen.
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pacemaker, to assess lead position.
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As compared to the previous radiograph, there is no relevant change. Unchanged monitoring and support devices. Unchanged pacemaker leads. Unchanged size of the cardiac silhouette that is slightly enlarged and shows an area of retrocardiac atelectasis. The atelectatic changes at the right lung bases are constant. No evidence of newly appeared abnormalities, notably no signs of pneumonia. No pneumothorax.
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resolving pulmonary edema. evaluation.
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As compared to the previous radiograph, there is no relevant change. Relatively extensive right pleural effusion with subsequent atelectasis at the right lung bases. The left lung is unremarkable. Unchanged normal size of the cardiac silhouette. Unchanged right-sided picc line.
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fever, evaluation for pneumonia.
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The patient is status post sternotomy and aortic valve replacement. The patient also has an unchanged dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. The heart is moderately enlarged. Dense mitral annular calcifications are present. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the thoracic spine. There is no evidence for free air.
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racing heart and nausea.
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There has been interval increase in a small left apical pneumothorax. The lungs are fully expanded and clear. All the cardiomediastinal and hilar contours are stable. The remaining pleural surfaces are normal. There are unchanged mildly angulated, minimally displaced fractures of the left anterolateral sixth, seventh, and likely eighth ribs. Note, radiograph is not sensitive for the detection of subtle or nondisplaced rib fractures.
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<unk> year old man with l sided rib fx, small ptx on admission ct chest // please assess for pneumothorax
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There is mild interstitial pulmonary edema, which has improved slightly since yesterday evening. Bilateral moderate pleural effusions with adjacent atelectasis are also slightly decreased in size. No pneumothorax. Stable cardiomediastinal silhouette. The endotracheal tube, enteric tube, right pectoral pacemaker and left ij catheter are unchanged in position.
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<unk> year old man with pulmonary edema // interval change?
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Portable frontal chest radiograph demonstrates at but improved aeration in the right lung. There is a small loculated pneumothorax at the level of the right chest tube which is seen projecting to the level of the carina. There is a possible right apical pneumothorax without tension. There is right midlung pulmonary edema likely secondary to re-expansion. The left lung is grossly clear. Cardio mediastinal and hilar contour are stable in appearance. Right ij seen with its tip terminating at the cavoatrial junction.
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<unk>-year-old male with hemothorax.
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Pa and lateral views of the chest provided. Previously noted enteric tube is been removed as has the left picc line. Vague ground-glass opacity projecting over the left lower lung is new from prior exam and could reflect pneumonia in the correct clinical setting. Mild blunting of the right cp angle is unchanged reflecting pleural thickening. There is no overt edema. Cardiomediastinal silhouette is stable with an unfolded calcified thoracic aorta. Bony structures appear intact. Pectus excavatum deformity of the sternum noted.
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<unk>f with cough // eval for pna
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk> also paying attention to preceding portable chest of <unk> and pa and lateral chest of <unk>. The on next preceding examination identified apical small hydropneumothorax cavity has now filled incompletely indicating progression of scar formation. Left basal pulmonary changes unfortunately have also progressed. Now complete obliteration of the left diaphragmatic contour indicating airlessness of the left upper lobes lateral and posterior segments. When comparison is extended to the study of <unk>, at that time beginning signs of left lower lobe atelectasis have increased. Comparison made between the lateral views also suggests some new infiltrates higher up anteriorly which were not present to the same degree at that time.
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<unk>-year-old male patient status post vats of left upper lobe, check interval change.
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Heart size is normal. Atherosclerotic calcifications of the aortic arch are noted with unfolding of the thoracic aorta. No focal consolidations to suggest pneumonia. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Surgical clips are seen within the right upper abdomen. There is severe levoconvex scoliosis of the upper lumbar spine.
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<unk> year old woman with presenting with fever, nausea and vomiting, and increased lethargy
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Frontal and lateral views of the chest were performed. There is atelectasis of the left lung base. There is no pleural effusion or pneumothorax. The heart size is normal. Calcifications are seen within the aorta.
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cough and hypotension. evaluate for pneumonia.
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In comparison to the prior radiograph obtained two days prior, there has been mild improvement in the aeration of the lower lobes of the lungs, particularly on the left. Bilateral diffuse patchy infiltrates persist, most consistent with ards. There is relative sparing of the apices. There is no definite pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is poorly evaluated due to adjacent opacities, although unchanged. The endotracheal tube is <num> cm from the carina. A right internal jugular central venous catheter terminates in the mid svc. An ng tube courses below the diaphragm with the tip out of the field of view. Cervical hardware is partially imaged.
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history of ards and pneumonia. evaluate for interval change.
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Cardiac silhouette size is borderline enlarged. The aorta remains tortuous. Mediastinal and hilar contours are otherwise stable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized
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history: <unk>f with cough, altered mental status
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are noted. Hypertrophic changes are seen in the spine.
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<unk>m with recent intermittent chest pain // eval for acute process
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Mild to moderate enlargement of the cardiac silhouette is unchanged. The aorta remains diffusely calcified, with unchanged prominence of the right paratracheal contour, possibly due to tortuous vessels. Pulmonary vasculature is not engorged. Hilar contours are normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Patient is status post left lumpectomy with clips seen projecting over the left chest wall and left axilla. Mild degenerative changes are noted in the thoracic spine.
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history: <unk>f with dizziness
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Endotracheal tube tip is <num> cm from the carina. Enteric tube is noted with tip at the gastric fundus. Lung volumes are relatively low. Lung apices are excluded from the field of view. There is moderate pulmonary edema. Bibasilar opacities are noted. There is a small right and potentially small left pleural effusion as well. Moderate cardiac enlargement is again noted. No acute osseous abnormalities. There is a linear <num> cm radiopaque foreign body projecting over left upper abdomen of uncertain etiology.
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<unk>m with resp failure s/p intubation // eval ett placement
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The lungs are hyperinflated, consistent with underlying emphysema. Compared to the prior cxr in <unk>, there are new bilateral diffuse linear opacities, which are particularly prominent in the right apex. Differential includes pulmonary vascular congestion vs. Interstitial lung disease. Additionally, cannot exclude underlying malignancy in the right apex. The cardiomediastinal silhouette is normal. There is flattening of the right hemidiaphragm. No acute osseous abnormalities.
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<unk> year old man s/p fall with intracranial hemorrhages w/hx of desat and now coughing // r/o pulm edema vs. pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
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history: <unk>f with dyspnea on exertion and cp // ? acute cardiopulm process, signs of chf
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Ap and lateral chest radiographs demonstrate a new focal consolidation involving the left lower lobe. There is also a focal opacity in the right mid lung. Small bilateral pleural effusions are noted. There is no pneumothorax. The cardiomediastinal silhouette is unchanged. Transvenous right atrial and ventricular pacer leads are in the standard position.
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cough and shortness of breath. evaluation for pneumonia.
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As compared to prior chest radiograph from earlier today, volumes are slightly decreased. The cardiomediastinal and hilar contours are within normal limits. There is mild tortuosity of the descending aorta. No focal consolidation or pneumothorax is identified. Possible very trace right pleural effusion.
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asthma exacerbation and question pneumonia on portable.
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There is patchy consolidation at the right lung base within the right lower lobe. Retrocardiac opacity is also seen on the left but less extensive. Superiorly, lungs are clear. The cardiomediastinal silhouette is within normal limits. Catheter projects over the upper abdomen as on prior.
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<unk>m with ascites, bilateral rales, hypoxia, cough, fever // ?pneumonia, pulm edema
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There is slight increase in interstitial markings involving the right lung, particularly the right lung base, to a lesser extent the left lung base which may be due to chronic lung disease; however, atypical infection is not excluded. No lobar consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top normal. Aortic knob calcification is again seen. Mediastinal contours are relatively stable.
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No focal consolidation, pleural effusion or pneumothorax is seen. Opacity in the right medial lung base is attributed to the pectum excavatum.
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<unk>-year-old female with shortness of breath.
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The lungs are clear of focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with seizure ams // pna
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The cardiac silhouette is mildly enlarged with postoperative mediastinal contour with tortuosity of the thoracic aorta. There is central pulmonary vascular congestion with moderate interstitial pulmonary edema. There is a moderate right pleural effusion with adjacent compressive atelectasis. There are also bilateral areas of subtle increased densities. There is no pneumothorax.
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hypoxia.
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Compared to the prior chest radiograph, the lung volumes are low. Otherwise, the lungs are clear without focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. No acute osseous abnormality.
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<unk> year old man with shortness of breath and cough.
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A port-a-cath terminates at the cavoatrial junction. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The chest is hyperinflated. There is a new patchy posterior left lower lobe opacity, highly nonspecific. There is no definite pleural effusion or pneumothorax. Moderate anterior osteophytes are present along the mid to lower thoracic spine. The bones are probably demineralized to some degree. Cholecystectomy clips project over the right upper quadrant.
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cough, fever and crackles.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
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<unk>m with chills, fever // acute process?
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Mild bibasilar atelectasis is seen. There is no focal consolidation, large pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with copd with sob x <num> days // eval pna
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Ap and lateral views of the chest are compared to previous exam from <unk> and chest ct from <unk>. Again seen are slightly low lung volumes. Increased interstitial markings seen primarily at the bases, perhaps more conspicuous on the current exam. There is no evidence of new confluent consolidation or large effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male status post fall, recently treated for pneumonia. new renal failure.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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<unk>m with cough, s/p stem cell xplant // eval pneumonia
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Underlying interstitial disease is suspected with peripheral reticulation. More confluent but irregular opacities are noted in each lower lung, particularly in the left lower lung, involving the lingula and probably the left lower lobe. A small right apical nodular opacity measures about <num> mm in diameter. A more vague <num> mm nodular opacity is also identified in the left upper lung. Mild biapical pleural thickening may be accompanied by a small bulla at the right apex. A trace pleural effusion is suspected on the left. Mild degenerative changes and exaggerated kyphosis are noted along the thoracic spine with small anterior osteophytes.
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increasing dyspnea on exertion.
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Portable upright frontal view of the chest. The tracheostomy tube is in unchanged position. The previously seen left central line has been removed. Linear left lung opacites represent scarring that is better characterized on the prior chest ct. The cardiac contour is normal. Right multifocal consolidation and pleural thickening are unchanged. Right lower paratacheal mediastinal buldge likely represents a combination of lymphadopathy and the azygous/right superior intercostal veins.
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hypoxia. evaluate for pneumonia
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Patient is status post left pneumonectomy with complete opacification of the left hemi thorax and leftward shift of mediastinal structures. Heart size is difficult to assess as a result of the mediastinal shift and complete left hemithorax opacification. Right lung is hyperinflated but clear. No pulmonary edema, focal consolidation or pneumothorax is identified. No acutely displaced fractures are present.
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history: <unk>f with history of lung cancer status post surgery, here for weakness and shortness of breath on exertion // evaluate for pneumonia, effusion, mass
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Lungs are hyperinflated. Re- demonstrated are bibasilar linear opacities, left greater than right, likely due to a combination of subsegmental atelectasis and scarring or fat pads. Cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation.
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<unk>m with cp, sob // eval for consolidation
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The cardiac, mediastinal and hilar contours are within normal limits. Lungs are hyperinflated with flattening of the diaphragms and relative paucity of the pulmonary vascular markings towards the apices compatible with emphysema. Scarring within the right apex is unchanged. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. There are no acute osseous abnormalities.
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shortness of breath.
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The lungs are clear without any focal opacities, pleural effusion, pulmonary edema or pneumothorax. The cardiac and mediastinal contours are normal.
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chest pain. evaluate for cardiac process.
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The left-sided dual lead pacemaker appears in adequate position with leads terminating in the right atrium and right ventricle. 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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<unk>m with hypotension // eval for pna eval for pna
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Ap and lateral images of the chest. The lungs are well expanded. There is pulmonary vascular engorgement and increased interstitial markings, consistent with mild pulmonary edema. There are tiny bilateral pleural effusions. There is no pneumothorax. The cardiomediastinal silhouette is enlarged.
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generalized fatigue.
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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. Tavr is in place.
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<unk>f with altered ms. <unk> acute process.
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Feeding tube is seen ending into the stomach, however, the distal end is off radiographic view. Mild-to-moderate left, mild right pleural effusion and bibasilar atelectasis are unchanged since <unk>. Top normal heart size, mediastinal and hilar contours are unchanged. Tracheostomy tube is in standard position.
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Ap upright and lateral views of the chest were provided. The lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.
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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>m with pleuritic chest pain, hx of pneumothorax
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Left pectoral pacemaker and its leads are in unchanged positions. Elevation of right hemidiaphragm and mild atelectasis at the right lung base are similar to before. There is no pleural effusion. Borderline cardiomegaly is similar to before.
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history: <unk>m with shortness of breath // eval for chf/pneumonia
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
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history: <unk>m with chest pain x<num> weeks // acute process?
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable; evidence of multiple mediastinal and right hilar lymph nodes are not well appreciated on this study, better evaluated on ct. Cardiac silhouette is not enlarged. Partially imaged right humeral prosthesis. Degenerative changes are seen along the spine.
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A new dobhoff tube ends in the stomach. There has been interval removal of the endotracheal and nasointestinal tubes. A left subclavian line ends in the region of the cavoatrial junction. Retrocardiac atelectasis is slightly worse. Cardiac silhouette is upper limits of normal.
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<unk>-year-old woman with new dobhoff tube. evaluate placement.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax. No osseous abnormality evident.
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hiv, low cd<num> count. please evaluate for infiltrate.
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As compared to the previous examination, tracheostomy tube is in unchanged position. Also unchanged is the nasogastric tube. The pre-existing parenchymal opacity at the right lung base is minimally decreased in extent and severity. Opacity at the left base is constant in appearance. Borderline size of the cardiac silhouette. No new parenchymal opacities. No other relevant changes.
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tongue cancer, status post tracheostomy. evaluation.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart is normal in size. There is prominence of the mediastinum which could reflect lipomatosis though clinical correlation advised. The mediastinal margins are sharp. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with left foot infection. // pre-op
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As compared to the previous radiograph, the opacities in the lung parenchyma have minimally decreased in extent. However, they remain visible. Notably, the opacity on the left, associated to a retrocardiac atelectasis and small left pleural effusion, are constant in appearance. The right lung, however, is substantially better ventilated than on the previous image. The size of the cardiac silhouette remains unchanged. Unchanged position of the right internal jugular vein catheter.
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concern for pneumonia on recent chest x-ray, evaluation for opacities.
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Low lung volumes accentuate cardiomediastinal silhouette. There is no focal lung consolidation. There is no pleural effusion or pneumothorax. There is a possible right <unk> lateral rib fracture.
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<unk>m with s/p fall, unreliable exam <unk> agitation and altered mental status.
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A pleural tube projects over the right hemi thorax. There is a small right apical pneumothorax. Surgical material is seen projected over the right chest. There is some widening of the mediastinum due to vascular engorgement that is not surprising in the post operative setting. The heart is mildly enlarged and the hilar contours are normal. There is a small left pleural effusion and no pneumothorax.
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status post vats right upper lobe and right middle lobe wedge resection. evaluation for pneumothorax.
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Compared to the previous radiograph, the patient shows unchanged monitoring and support devices. There is unchanged evidence of moderate pulmonary edema with small bilateral pleural effusions and subsequent minimal atelectasis. No change in appearance of the lung parenchyma and of the cardiac silhouette. No pneumothorax.
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evaluation of change in effusions or pulmonary edema.
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Endotracheal tube terminates <num> cm above the carina. An enteric tube terminates in the stomach and the side-port is not well-visualized, likely near the gastroesophageal junction. Postoperative mediastinum, hila, and cardiac silhouette are normal. There is mild left lower lobe atelectasis but no pneumonia or pulmonary edema. A left chest wall pacemaker has intact ventricular and atrial leads. Coronary artery calcifications are prominent. Dashed radiopaque stimulated is seen overlying the thoracic spine. Chronic right-sided rib fractures and pleural thickening are noted.
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<unk> year old man with new intubation // et tube placement
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Comparison is made to previous study from <unk> at <time> a.m. An endotracheal tube whose distal tip is <num> cm above the carina, appropriately sited and unchanged in position. There is again seen a nasogastric tube whose distal tip is not seen on the field of view of the study but below the ge junction. There is some atelectasis at the lung bases. No focal consolidation, pneumothoraces are seen. There is no pulmonary edema.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>m with seizure. evaluate for focal consolidation.
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Ill-defined airspace opacities throughout the right lung may represent early pneumonia, potentially an atypical organism. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits with mild cardiomegaly and a tortuous descending aorta. The surgical clip in the left neck suggests prior hemithyroidectomy.
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<unk> year old woman with cough x <num> days, evaluate for pneumonia
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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>m with left ankle fracture, needs cxr pre op // pre op
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There is complete opacification of the left hemi thorax with leftward shift of mediastinal structures compatible with left long collapse. Additionally, a lobulated contour of the right superior mediastinum and perihilar region suggests presence of mass lesions, potentially lymphadenopathy. Right lung is clear. No pneumothorax is seen. Pulmonary vasculature is not engorged. There are no acute osseous abnormalities.
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history: <unk>m with shortness of breath
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There are streaky bilateral perihilar opacities, likely involving the right middle lobe, lingula, and lower lobes. Findings may be due to atypical infection and/or related to mild edema. Again seen are <num> calcified rounded subcentimeter opacities projecting over the right lung apex which most likely represent calcified granuloma. No pleural effusion or pneumothorax is seen. The cardiac silhouette is not enlarged. The aortic knob is calcified. The mediastinal contours are unremarkable.
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fever and shortness of breath.
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Left hydro pneumothorax appears slightly larger with increased apical and posterior component of the pneumothorax and increased layering pleural effusion. Atelectasis of the left upper and lower lobe has mildly increased compared to prior. There is minimal rightward shift of the trachea and cardiomediastinal silhouette, not significantly changed. Large hiatal hernia is mostly unchanged.
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<unk> year old woman with pleural effusion // eval
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Multilevel vertebroplasty changes are noted. No acute osseous abnormalities identified.
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<unk>m with cough.doe // r/o pna
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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 two hours earlier during the same day. Chest findings are unaltered. In the interval the ng tube has been advanced and reaches now below the diaphragm including the lines and side port.
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<unk>-year-old man with cva, now status post ng tube adjustment. check position.
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Patient is status post median sternotomy and aortic valve replacement. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Elevation of the right hemidiaphragm is unchanged. There are no acute osseous abnormalities. Mild degenerative changes are noted in the thoracic spine.
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history: <unk>m with ataxia, altered mental status
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Endotracheal and enteric tubes are grossly stable position. The cardiac and mediastinal silhouettes are stable. Subtle left base opacity is stable. Overall, there has been no significant interval change since the prior study.
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history: <unk>f with hypoxia*** warning *** multiple patients with same last name! // eval pneumothorax
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Lung volumes are low. The heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal patchy left basilar opacity likely reflects atelectasis. No pleural effusion or pneumothorax is seen. There are mild degenerative changes noted in the imaged thoracolumbar spine.
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history: <unk>m with hypoglycemia
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding available chest examination <unk> <unk>. High-positioned diaphragms indicate poor inspirational effort probably related to patient's post-operative status. Heart size has not changed significantly and there is no evidence of pulmonary vascular congestion. There exist bilateral linear appearing densities on the lung bases mostly occupying the posterior depending lung segments indicative of poor inspirational mechanics and bilateral atelectasis. There is no significant amount of pleural effusion as the posterior pleural sinuses are free on the lateral view. In the lung mid fields and the upper portions, there is no evidence of any acute pulmonary parenchymal infiltrate and no pneumothorax is identified in the apical area on the frontal view. When comparison is made with the previous examination of <unk>, the patient had already at that time minor basal atelectasis. These changes have increased dramatically and are most likely the result of poor post-operative breathing dynamics. Parenchymal densities typical for post-operative aspiration pneumonias or inflammatory processes cannot be identified on this pa and lateral chest examination.
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<unk>-year-old female patient with fever and leukocytosis. post-operative day <num> from laparotomy converted to open cholecystectomy, evaluate for consolidation.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
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chest pain, worse with eating and lying down.
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The endotracheal tube has been pulled back, now <num> cm above the carina. The lungs are well expanded and clear. No pneumothorax or pleural effusion. Enteric tube courses below the diaphragm and out of view.
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<unk> year old woman with polytrauma after fall intubated // evaluate cardiopulmonary status please
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Frontal and lateral views of the chest including a total of three views. The lungs are hyperinflated but clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Hypertrophic changes are noted in the thoracic spine.
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<unk>-year-old male with fever and chills and cough.
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The lungs are well expanded and clear. However a <num> x <num> cm nodule is seen adjacent to the right hilum, overlying the posterior right seventh rib. Heart size is top-normal. There is no pleural effusion or pneumothorax.
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productive cough
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Pa and lateral views of the chest. No prior. There are linear opacities suggested at the upper lungs bilaterally with retraction of the hila suggestive of chronic underlying disease. There is suggestion of a focal rounded opacity projecting over the anterior aspects of the lower thoracic spine on the lateral view and potentially abutting the lateral aspect of the descending thoracic aorta in the retrocardiac region. The lungs are otherwise clear and there is no effusion. Cardiomediastinal silhouette is within normal limits. Proximal left humeral hardware is identified. Diffuse osteopenia is also seen.
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<unk>-year-old female with recent stroke-like symptoms and shortness of breath over several weeks.
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The lungs are hyperinflated. Subtle left base opacity is most likely due to atelectasis and overlying vascular structures although a subtle consolidation is not excluded in the appropriate clinical setting. There is no pleural effusion or pneumothorax. No overt pulmonary edema is seen. The cardiac silhouette is mild to moderately enlarged. The aorta is calcified and tortuous.
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history: <unk>f with wall // eval cardiomegaly, chf
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The tip of the tracheostomy tube abuts the right tracheal wall and should be examined to see if it needs more support. Again seen is a dual channel left internal jugular line that ends in the upper svc. A feeding tube passes into the stomach and out of view. There is a more discrete consolidation at the base of the left lung which could represent atelectasis or pneumonia. The heterogeneous, infiltrative pulmonary abnormality is again seen with an interval increase in the number of lucencies, which is concerning for possible barotrauma developing over the past few days. Again seen is cardiomegaly, unchanged from the prior study. There are no substantial pleural effusions and no pneumothorax.
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evaluation for improvement.
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MIMIC-CXR-JPG/2.0.0/files/p19615440/s56578965/b36615c8-dd5db13a-1ac30bf3-9764c5c6-b6e2dfe1.jpg
| null |
Portable upright view of the chest demonstrates low lung volumes. Small-to-moderate pleural effusions, right greater than left have decreaed in size since prior exam. There is persistent mild pulmonary edema, which has improved since <unk> exam. Mediastinal wound vac is in place. The superior mediastinal sutures appear fractured, unchanged. Heart size is moderately enlarged, stable. No pneumothorax.
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patient with history of atrial fibrillation.
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MIMIC-CXR-JPG/2.0.0/files/p14691391/s53285829/2b3eb88c-71a2c886-b038b772-46cebd27-47bf551d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14691391/s53285829/c5cbab69-d376f8e8-efbd795f-8e514219-390617de.jpg
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There is obscuration of the left hemidiaphragm, though this is not significantly changed from <unk>. There may be some increased atelectasis in the left lung base. There is new retrocardiac opacity suggesting pneumonia. The patient is status post median sternotomy. A prosthetic aortic valve is again noted. The cardiac silhouette is top normal in size, and unchanged compared with prior. The mediastinal contours are notable for surgical clips and calcification of the aortic knob. The pulmonary vasculature is normal.
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<unk>-year-old male with altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p11914968/s53567805/cbc48df4-0bcc0879-e3c68d12-c1e71c8e-05f4c5d1.jpg
| null |
Endotracheal tube terminates approximately <num> cm from the carina. Enteric tube courses below the diaphragm and outside field of view within the stomach. There is mild cardiomegaly and mild pulmonary vascular congestion. Low lung volumes cause bronchovascular crowding and bibasilar atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. Minimally displaced right lateral fourth and fifth rib fractures and left posterior seventh rib fractures are likely related to recent chest compressions.
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<unk>m with s/p cardiac arrest, intubation, evaluate for acute process, tube position
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MIMIC-CXR-JPG/2.0.0/files/p18189739/s57572524/73999769-d3581ec9-89ece2c6-7d406e2f-f33c8176.jpg
| null |
Mild to moderate enlargement of the cardiac silhouette is re- demonstrated. Atherosclerotic calcifications of the aortic arch are present, and mediastinal contours are unchanged. Mild pulmonary edema is slightly improved in the interval. Bibasilar patchy opacities likely reflect atelectasis, and there are likely trace bilateral pleural effusions, not changed from prior. No pneumothorax is detected. There are no acute osseous abnormalities.
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history: <unk>m with shortness of breath
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MIMIC-CXR-JPG/2.0.0/files/p10225793/s58649903/9e2609cd-e41b7c7d-ef32ae11-3b089916-26ffefa5.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10225793/s58649903/6cb8c724-ec13fcf4-4f1a4c4a-0b5e44ee-5ecb27a2.jpg
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
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<unk>-year-old female with shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p19530208/s50445559/21d8b45a-306ab3a9-62965909-254cd155-ea0a51d1.jpg
| null |
An endotracheal tube is in satisfactory position. An enteric tube courses below the diaphragm with the tip out of the field of view. A vascular stent on the right is unchanged. There continues to be interval improvement in the diffuse interstitial opacities. There is no new opacity. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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vzv pneumonia. evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p10889238/s52447173/756e4e42-077c3163-e86e204c-f9547fad-e2b2a47d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10889238/s52447173/1cc9b995-a31a7ab2-4ddfc213-d4f4806e-023d744f.jpg
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Postoperative changes of resection of the medial right clavicle and first rib are again noted. Callus formation seen at the anterior right second rib in the region of prior fracture.
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<unk>m pre-op workup
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MIMIC-CXR-JPG/2.0.0/files/p15608765/s50435462/18d930f7-a2b13eee-58de7bcf-381345a6-3786b7f6.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15608765/s50435462/9dbee68b-ddc07807-29c41025-87a8b438-9293b12a.jpg
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The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
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nonproductive cough for <num> month.
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MIMIC-CXR-JPG/2.0.0/files/p11662819/s53532016/940f8842-1c2c7d66-c188c438-bdb1cbaa-53d913f9.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11662819/s53532016/dbaa5240-0d4eeb2b-fbc8521c-41e01c66-3fc006cb.jpg
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The heart size is enlarged. The mediastinal and hilar contours are unremarkable. Subtle bronchial cuffing is present, compatible with inflammatory change. Bibasilar opacities are seen which may be due to atelectasis, but underlying infection is not excluded. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with asthma.
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MIMIC-CXR-JPG/2.0.0/files/p10916554/s50082443/60a311d4-43ec1802-44c7cc9e-b0e96aae-745f49cf.jpg
| null |
Mild pulmonary vascular congestion is new. Slight enlargement of the cardiac silhouette. Mild apical scarring. Mild opacities in the right lower and left lower lobes likely atelectasis, although difficult to exclude consolidation in the absence of a lateral film. No pleural effusion no pneumothorax.
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<unk> yo female with sdh s/p crani for evacuation <unk> // temp <unk>.<num>, assess for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p15191774/s56200793/2a146ad5-68c999f1-32bbf9e2-e663e712-7c3c0191.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15191774/s56200793/9e48d830-aa2b0027-4f6e304c-3c802399-6d6d1256.jpg
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Frontal and lateral views of the chest were obtained. There is subtle increased patchy opacity projecting over the right mid-to-lower lung which well could be due to atelectasis, underlying consolidation is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. The aorta remains tortuous. Surgical clips are noted in the upper abdomen posteriorly.
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MIMIC-CXR-JPG/2.0.0/files/p14479847/s55797560/81b0fc43-f456eb78-4dd6453c-72fb21c3-a4d76ae0.jpg
| null |
As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects approximately <num> cm above the carina. Otherwise, the radiograph is unchanged. No pneumothorax. The pre-existing parenchymal changes and appearance of the heart are constant.
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respiratory failure, intubation, evaluation for endotracheal tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p11453961/s53915148/d4485396-f80562b4-9503861f-989b1031-303b5faa.jpg
| null |
In comparison with the earlier study of this date, the nasogastric tube extends to the lower body of the stomach with the side port distal to the esophagogastric junction. Bands of atelectasis are seen at both bases.
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ng placement.
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MIMIC-CXR-JPG/2.0.0/files/p12148322/s54720003/23fda06c-a3a5d242-4e85e0e5-6739eb1a-44ad82a9.jpg
| null |
As compared to the previous radiograph, there is unchanged evidence of a <num> cm left apical and basal pneumothorax. The extent of left mid and basal parenchymal collapse is unchanged. Unchanged normal appearance of the right lung. No evidence of tension. Moderate cardiomegaly. No pulmonary edema. The extent of soft tissue air inclusion on the left is constant.
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pancreatic cancer and effusion, chest tube placement.
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MIMIC-CXR-JPG/2.0.0/files/p15385889/s50400408/0c148370-99d9402a-025a8735-0a0ad4f8-957954b8.jpg
| null |
Portable ap chest radiograph. Compared to most recent radiograph, there is no significant interval change. Again seen is mild cardiomegaly, bilateral pleural effusions, and pulmonary vascular engorgement. Healed posterior left rib fracture is noted. The previously noted left <num>th rib fracture on is barely seen. There is no pneumothorax.
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hypoxemia. evaluate for change in pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p14094298/s55048684/ed3cf1c6-49f4911a-9e6d805c-a22b79b6-4dfe7a20.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14094298/s55048684/ecd8923d-7ac266c0-322a2e4c-bb229698-1d6b0159.jpg
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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 pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of thymectomy. please evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p18835890/s56032927/0cea9929-0c6e847a-c60c7e91-6847108f-0d9db093.jpg
| null |
As compared to the previous radiograph, there is no relevant change. The position of the chest tube has minimally changed, the tip now pointing downward. The other monitoring and support devices are in constant position. There is no evidence of pleural effusion. Unchanged evidence of retrocardiac atelectasis. Normal size of the cardiac silhouette. No visible pneumothorax. Signs of minimal pre-existing interstitial lung edema have almost completely resolved.
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status post avr, rule out effusion.
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MIMIC-CXR-JPG/2.0.0/files/p16662186/s52131261/d930f905-0345c48b-d83eea68-c8201a99-4d9c6f6b.jpg
| null |
Frontal radiograph of the chest demonstrates both lungs are well expanded and clear. There is a tortuous ascending and descending aorta. The heart size is normal. There is no evidence of focal pneumonia, pleural effusion or pneumothorax. The osseous structures are unremarkable.
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<unk>-year-old man with hypotension.
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MIMIC-CXR-JPG/2.0.0/files/p18273628/s52988417/b7b2f27c-e983263d-f93e154b-c540ff4e-ff5aaf86.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18273628/s52988417/45d07ecb-7659b99d-9a55bac5-5743e78e-94d9a294.jpg
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Prior right picc is no longer visualized. There is now left chest wall port with catheter tip at the ra svc junction. The lungs are clear without focal consolidation. Bilateral pleural effusions have near completely resolved. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>f with lymphoma and a fever // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p11874868/s54138117/09ed8ba4-73e4ab17-d95babbd-6555b283-11a09022.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11874868/s54138117/13c28cbf-a2e86d9c-0feb5dc8-18b28bf8-624d6b90.jpg
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
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history: <unk>m with chest pain // eval for infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p13926694/s55213073/87bea5ca-483a830c-d1bdb6ee-61b778a9-36bd7a53.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13926694/s55213073/1a2bb54b-c0f60269-beae7b63-a4d92d39-f9a9f30f.jpg
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Lung volumes are reduced compared to the previous exam, which accentuates the size of the cardiac silhouette. Heart size remains mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Patchy opacities are demonstrated in both lung bases, more so on the right. No pneumothorax or pleural effusion is present. There are no acute osseous abnormalities.
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history: <unk>m with productive cough, fever, dyspnea
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MIMIC-CXR-JPG/2.0.0/files/p10948510/s53041077/c14f6873-a812a44a-7898fef1-0fbfb531-6edf2090.jpg
| null |
Portable semi-upright radiograph of the chest demonstrates interval decrease in size of the right-sided pleural effusion, which is now moderate in size. Linear lucency along the right lateral lung had resolved on subsequent chest radiograph and likely represents a skin fold rather than a pneumothorax. Stable small left pleural effusion. Bibasilar compressive atelectasis. Cardiomediastinal and hilar contours are unchanged.
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history: <unk>f with pleural fluid drain, assess lung for transport. // eval ptx
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