diff --git "a/mimic_test_impressions.csv" "b/mimic_test_impressions.csv" new file mode 100644--- /dev/null +++ "b/mimic_test_impressions.csv" @@ -0,0 +1,2189 @@ +study_id,report,dicom_id +50010466,"Mild cardiomegaly, upper zone redistribution, and hilar prominence suggestive of pulmonary hypertension. Mild enlargement of the cardiac silhouette and prominence of the interstitial markings reflects normal physiological changes in this pregnant patient. ",144f46e1-630ba5e3-82d84674-9f0575c5-6017bdd1 +50010747,Enlarged cardiac silhouette is accompanied by pulmonary vascular congestion and diffuse interstitial edema. Marked cardiomegaly is accompanied by pulmonary vascular congestion and mild to moderate edema. ,77e614cb-6c987153-793f83ce-20c1f507-f6a49f49 +50014127,"AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. ",73da0836-553a87de-58ef0562-f9c31de6-c47927ac +50016102,"There are limited lung volumes with enlargement of the cardiac silhouette, pulmonary edema, and probable bilateral pleural effusions with compressive basilar atelectasis. There are limited lung volumes with enlargement of the cardiac silhouette, pulmonary edema, and probable bilateral pleural effusions with compressive basilar atelectasis. ",b57face8-df2c3c57-2a99e6b1-4919f774-c8c3e93c +50016413,"Moderate to severe cardiomegaly following insertion of transvenous right ventricular pacer lead which runs from the left pectoral generator to the floor of the right ventricle and out of view. Cardiomegaly, pacemaker leads and Swan-Ganz catheter terminating in the right upper lobe pulmonary arteries are in position. ",edf64680-6038da78-f6693f72-535ac2bb-feee4c8b +50017760,"AP chest and chest radiographs: Opacification in the right mid and lower lung zones is moderate, while background interstitial pulmonary edema is mild, strongly suggestive of probably pneumonia. AP chest: Mild peribronchial opacification in the right lower lung could represent pneumonia, but I suspect this is mild pulmonary edema or hemorrhage. ",645dd223-bb4a40c3-d6a19aeb-fcd36a22-ca6478a3 +50019396,There is bilateral pleural effusions and volume loss in the lower lungs. There is bilateral pleural effusions and volume loss in the lower lungs. ,1908e913-d3051cf7-34f98451-4ed66f58-15582c1d +50020371,"Slight blunting of the right costophrenic angle with subtle linear opacity at the right costophrenic angle, could be due to a very trace pleural effusion with overlying atelectasis. Blunting the right costophrenic angle compatible with a trace right pleural effusion. ",a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27 +50022945,Small bilateral effusions with adjacent atelectasis Right IJ catheter tip in the proximal right atrium Small bilateral effusions with adjacent atelectasis Right IJ catheter tip in the proximal right atrium,4331c9eb-f6e0c046-8c50bffc-6f363a16-02f0f87f +50027153,"Left lower lobe opacities, a combination of pleural effusion, postoperative seroma and a dilated fluid-filled esophagus. Left lower lobe opacities, a combination of pleural effusion, postoperative seroma and a dilated fluid-filled esophagus. ",4347b81b-2a702858-6a330ca4-e115c0ac-f1017427 +50031776,"Blunting of the costophrenic angles is seen, consistent with bilateral small pleural effusions. Blunting of the costophrenic angles is seen, consistent with bilateral small pleural effusions. ",3309c1ea-ab3bd4ee-d7677769-da248132-c26d7c02 +50034238,"Prominence of the superior mediastinum may be due to AP portable technique low lung volumes and unfolded aorta however, if there is clinical concern for acute mediastinal process, chest CT is more sensitive. Low lung volumes exaggerate caliber of the mediastinum, due to tortuous thoracic aorta and possibly distended mediastinal veins. ",96ea3d09-e928fb3b-dc086815-e0a3d015-45d3b08a +50035498,There is moderate loculated hydro pneumothorax at the right base with chest tube in place. There is moderate right hydro pneumothorax and pleural thickening. ,2d669c63-3ec31080-3ee62b8b-7002f5b5-bf8e73b6 +50036264,"Moderate-to-severe cardiomegaly is pronounced and mediastinal veins dilated, perhaps a reflection of supine positioning. There is moderate-to-severe cardiomegaly, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. ",4ef84da8-ff83a551-31f0aa42-d17ba6a2-c6561835 +50037292,"There is asymmetric opacification most prominent in the right mid and lower zones, consistent with superimposed pneumonia on a background of vascular congestion in a patient with enlargement of the cardiac silhouette. There is a centralized bilateral and symmetrical pattern of parenchymal opacities, predominantly alveolar in morphology, an combined to enlarged vessels and an enlarged cardiac silhouette. ",10a6246b-f2e3ec72-8c956609-ee81d40f-4a962883 +50037760,AP chest: Severe cardiomegaly is pronounced with small right pleural effusion. AP chest: Severe cardiomegaly.,0788829b-5419d8e4-5ce8eb81-87a77c03-98c15a1a +50043351,"AP chest: There is extensive, irregular right pleural thickening, with moderate right pleural effusion following insertion of a right basal pleural pigtail catheter. AP chest: Moderate right pleural effusion following placement of a pigtail pleural drainage catheter, which is coiled over the right diaphragmatic region. ",f4a818e5-89d51e2d-9f478ecb-8774a1bf-739673b3 +50049540,A right IJ catheter terminating at the mid right atrium and multiple sternal wires and mediastinal clips are in position. A right IJ catheter terminating at the mid right atrium and multiple sternal wires and mediastinal clips are in position.,e973d1f1-67f0309d-c6f961a4-02eda522-e311557e +50051329,"Lung volumes are low, but the only pulmonary abnormality is platelike atelectasis or scarring at the left base. ",abea5eb9-b7c32823-3a14c5ca-77868030-69c83139 +50065267,"Left subclavian right atrial pacer and right ventricular pacer leads are in standard placements with no evidence of complication, specifically no mediastinal widening, pneumothorax, or left pleural effusion. Left subclavian right atrial pacer and right ventricular pacer leads are in standard placements with no evidence of complication, specifically no mediastinal widening, pneumothorax, or left pleural effusion. ",1f13c4be-a6bc48a6-5675f256-e95b8a28-c017e780 +50065890,"The patient has had median sternotomy, cardiac valve replacement, probably mitral, and transvenous right atrial and ventricular pacer leads are in standard placements.",fb45550c-b18bc286-c44ccc22-7ef82df9-02181d75 +50071311,Small right and small left pleural effusions related to known chest wall mass and severe emphysema. Small right and small left pleural effusions related to known chest wall mass and severe emphysema.,9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5 +50078440,"AP chest: A severe global pulmonary consolidation, favoring the right lung is seen following intubation, ET tube in standard placement, OG tube ending in the upper stomach.",70ee568a-e2a70b5f-9f73d45e-c3015d3a-2a6bf3c0 +50083620,Enlargement of the cardiac silhouette with elevation of pulmonary venous pressure superimposed on diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease. Bilateral interstitial opacities with cardiomegaly and probable small pleural effusions compatible with either asymmetric moderate pulmonary edema versus infection.,a652c914-9dee6fe8-96a798f8-8450007c-69a5592a +50084331,"AP chest: Volume of the neoesophagus is within normal range and there is presence of contrast agent. AP chest: There is opacification in the right hemithorax and a well-circumscribed mass-like lesion above the level of the right hilus, some of which could be pleural fluid loculated in the fissure. ",5d8d15d2-dc99cbe5-5c910973-385d5e29-82320f37 +50093776,"Mild cardiomegaly, hiatal hernia, calcified granulomas. Mild cardiomegaly, hiatal hernia, calcified granulomas. ",28737f0b-1389eccb-3debcb12-da4fbf04-3401a0a4 +50094334,There are extremely low lung volumes with striking elevation of the left hemidiaphragmatic contour related to a large hiatal hernia. There are low lung volumes and elevation of the left hemidiaphragm. ,ad2d9faa-b8c9c2ee-833f7217-e4abe541-ffbe0f8f +50109176,Diffuse distention of colonic loops of bowel in the upper abdomen. Diffuse distention of colonic loops of bowel in the upper abdomen.,4f83231e-ae6e7b91-bf1ea6b3-6053e3f6-55fc3e1f +50111035,"As denoted by moderate vascular congestion, mild pulmonary edema may account for the extent of heterogeneous consolidation in both the lower lungs, or this could be due to significant pneumonia. AP chest: There is moderate generalized pulmonary edema in all regions except for consolidation in the left lower lobe which could be pneumonia. ",432f5b8d-dbf9d5f6-b2ae5422-ee46f656-00caa39c +50112134,"Left IJ catheter again extends to the mid SVC and aortic stent is in position. Mild cardiomegaly, pectus deformity, and left pacemaker lead placement. ",7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f +50121027,"AP chest: Moderate opacification in the lower lungs and perihilar left lung, accompanied by mild cardiomegaly, suggests pulmonary edema is the explanation for the pulmonary findings. AP chest: There is mild pulmonary edema, partially obscuring areas of likely pneumonia in the right mid and lower lung zones. ",2687e47d-96929b39-f0f102b3-d5e17213-31865ec4 +50126222,"Moderate cardiomegaly and extensive left lower lobe atelectasis. Within the chest, note is made of mild left retrocardiac atelectasis and small left pleural effusion. ",0ae07ada-41d03c2a-ec74ae48-d0c17cec-343ae6fa +50127750,"AP chest: The patient has had median sternotomy and the lung volumes are low, nevertheless, cardiac silhouette is wide due to moderate cardiomegaly and/or pericardial effusion, and there is moderate widening of the apparent mediastinum at the level of the aortic arch, which could be due to paramediastinal pleural fluid collection or, if the patient has had attempted line placement to mediastinal bleeding. AP chest: There is post-operative widening of the cardiomediastinal silhouette is stable. ",23f0b24d-61c1f12c-eb2434aa-f6d2c69e-86a2cd20 +50128467,"Patchy and linear bibasilar opacities likely reflect atelectasis, but similar appearance can be seen in the setting of acute aspiration and early, developing infectious pneumonia. Blunting of the costophrenic angles is seen, consistent with pleural fluid and some atelectasis at the bases. ",ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f +50146341,"AP chest: A severe global pulmonary consolidation, favoring the right lung is seen following intubation. ET tube in standard placement, OG tube ending in the upper stomach. AP chest: Very severe pulmonary consolidation is present throughout both lungs, accompanied by at least moderate right pleural effusion. ",b418d709-571d80f6-35f680e3-16a938ff-bde93b89 +50165831,Mediastinal widening above the cardiac silhouette and hilar enlargement are seen due to a combination of adenopathy and pulmonary hypertension. Mediastinal widening above the cardiac silhouette and hilar enlargement are seen due to a combination of adenopathy and pulmonary hypertension.,467886fc-bdd148bc-96415ce2-3ea24428-0ee1d9a1 +50170341,"SMALL RIGHT PNEUMOTHORAX WITH APICAL AND BASAL COMPONENTS, BECAUSE OF THE OVERLYING DEVICES I CANNOT TELL WHETHER IN ADDITION TO THE LARGE BORE RIGHT THORACOSTOMY TUBE THERE IS A RIGHT BASAL PLEURAL DRAIN. AP chest: There is a small right pneumothorax with components at the apex, and at the right base lateral to the pleural drainage tube.",0e3f8459-2b944097-bffb91c8-6578b8ac-e143b9a2 +50170739,"Right atrial ventricular pacer leads are in position, but localization would require conventional frontal and lateral views. Dual lead pacer noted. ",bb42be73-33be1577-a742e6e6-9c47b56b-95a9659e +50174434,Mild cardiomegaly is accompanied by pulmonary vascular congestion and interstitial edema. Mild cardiomegaly is accompanied by pulmonary vascular congestion and interstitial edema. ,a84bccbe-728dfb05-43811a78-46904061-d629b3bb +50178679,Elevation of the right hemidiaphragm is seen and there is a dual -channel pacer device in place. Elevation of the right hemidiaphragm is seen and there is a dual -channel pacer device in place.,861f9946-68cebd2f-e11dbfba-aaad1909-7ccc759e +50183767,"AP chest: There is severe widespread pulmonary opacification, particularly in the lower lungs, but the pattern is pulmonary edema. AP chest: Moderately severe and slightly asymmetric perihilar pulmonary opacification is probably a pulmonary edema and with moderate cardiomegaly.",c85e209c-a1fec74b-431277e7-6032eb3a-95fe7881 +50184397,"Emphysema with persistent bibasilar opacities, more pronounced in the left lung base, suggestive of chronic airway inflammation and potentially infection or aspiration. Emphysema with persistent bibasilar opacities, more pronounced in the left lung base, suggestive of chronic airway inflammation and potentially infection or aspiration.",6631d848-2c0cb2c2-f85d6490-f5df355f-11011cb8 +50195073,"There is widespread subcutaneous emphysema. AP chest: Severe widespread subcutaneous emphysema throughout the chest wall and neck, and severe pneumomediastinum.",a94afe1d-af9219e1-0a7b8d8c-96262c1c-2f5b9d27 +50205123,"Diffuse interstitial abnormality predominantly in the upper lung zones, consistent with known sarcoidosis. Diffuse interstitial opacity which could reflect known sarcoidosis, though a component of superimposed edema difficult to exclude. ",5df8c586-2f6adf15-722e6f13-ffa8a117-acd92b9a +50211839,There is fullness of the left perihilar region compatible with known mass and emphysema. There is fullness of the left perihilar region compatible with known mass and emphysema. ,711d6472-5ff3166e-7741ea62-00213982-c3a8a67b +50225181,"Marked cardiomegaly with retrocardiac opacity which could in part reflect an underpenetrated technique, though consolidation and effusion cannot be excluded on the basis of this exam. Severe enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure and retrocardiac opacification. ",2fba7496-4ddb5c26-026164b8-c3e4e111-e43f94f9 +50226423,"Right jugular line ends at the origin of the SVC, right atrial and two right ventricular pacer defibrillator leads in place. AP single view portable chest x-ray in semi-erect position shows mild vascular congestion. ",e20fecce-83e539b8-cb06143a-49ca3124-35dd992d +50227249,"Mild right perihilar opacification could be due to early pneumonia in the superior segment of the right lower lobe, there is a suggestion of infrahilar common consolidation as well. Mild right lower lung opacification, correlating with mild opacification in the retrocardiac clear space on lateral view, concerning for pneumonia given the clinical history. ",1b6d925a-664fef76-ced5cc25-d1a46648-b32130e4 +50239281,"AP chest: There is severe cardiomegaly and mild-to-moderate pulmonary edema, accompanied by at least small right pleural effusion. There is cardiomegaly and pulmonary edema, with left lower lobe collapse and/or consolidation. ",0c69d156-6f5f3a89-7d361367-57f8c979-583ef198 +50240427,The patient has mild pulmonary edema and small bilateral pleural effusions. The patient has mild pulmonary edema and small bilateral pleural effusions.,8830e4fd-71e68c81-f6292cf4-2a931e58-be84168d +50241018,Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.,c2af2ab3-6a11cbae-d9fa4d64-21ab221e-cf6f2146 +50242373,"Enlarged cardiac silhouette in a somewhat globular configuration, underlying pericardial effusion is not excluded. Enlarged cardiac silhouette in a somewhat globular configuration, underlying pericardial effusion is not excluded. ",60df340a-31a5266d-2f3912a7-3758a59c-9a5baa79 +50246988,AP chest: Extensive relatively homogeneous pulmonary opacification in the setting of moderate cardiomegaly and pulmonary vascular and mediastinal venous engorgement is explained by edema. AP chest: There is severe pulmonary edema accompanied by moderate-to-severe cardiomegaly. ,8f98b8f6-592203f8-128d7f76-bf2331d4-78b1c4af +50247294,There has been apparent resection of the right lung mass with chest tube in place and no definite pneumothorax. No evidence of pneumothorax status post bronchoscopic biopsy of large right upper lobe mass. ,7e530d0e-05f64408-24c921b8-1929b8f8-29ec99fd +50255843,Fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis. Fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis. ,a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5 +50259315,"Cardiomediastinal contours are widened with pulmonary vascular congestion accompanied by interstitial edema and right pleural effusion. Cardiomegaly is accompanied by significant interstitial pulmonary edema, accompanied by a small right pleural effusion. ",40e0dc90-fdd63c47-3a4502b4-c7dd49d6-b903b2b9 +50277921,"Alternatively, this could be asymmetric pulmonary edema, it could be explained if the patient is in left decubitus position or the very rare circumstance of a large pulmonary embolus occluding circulation to the right lung protecting it from edema on that side. Alternatively, this could be asymmetric pulmonary edema, it could be explained if the patient is in left decubitus position or the very rare circumstance of a large pulmonary embolus occluding circulation to the right lung protecting it from edema on that side. ",397252c6-f7b6111e-367341df-b8fc523c-599cfcbd +50281752,"OG tube tip projects in the left lower hemi thorax the tip is likely in the known intrathoracic stomach, the patient has a large hiatal hernia. A feeding tube has been inserted but the tube is not inserted sufficiently D. The tip is above the gastroesophageal junction, that might be deviated by a moderate hiatal hernia. ",97766a6d-6ee96b98-90cacba0-3eb50d93-77416ad1 +50282926,Moderate cardiomegaly and mild left pleural effusion with mild retrocardiac atelectasis. Enlargement of the cardiac silhouette with basilar opacification on the left with volume loss in the lower lobe and possible small effusion.,ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0 +50286241,There is a cavitary focus at the right apex with loculated fluid as well as post-radiation changes in the right lung and hilar tissues. There is a cavitary focus at the right apex with loculated fluid as well as post-radiation changes in the right lung and hilar tissues.,a8c08cbf-15ac0dac-b76a40a0-dab826c7-18015767 +50289849,Innumerable diffuse nodular opacities with left upper lobe dominant mass concerning for multiple metastatic nodules and left lingular mass. Innumerable diffuse nodular opacities with left upper lobe dominant mass concerning for multiple metastatic nodules and left lingular mass.,add88ac4-2338dc16-a58a1ae9-57b1ecae-0a8f018a +50290463,"Diffuse interstitial abnormality predominantly in the upper lung zones, consistent with known sarcoidosis. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",f576c221-e516f6b2-ee125faa-a1af8c31-ed2991b8 +50291999,Marked cardiomegaly with no acute process. Marked cardiomegaly without evidence for acute pulmonary process. ,09a7bc78-861b7d8a-bf31a633-67e32681-cec68e43 +50296389,AP chest: Mild right pleural effusion is layering. AP chest: There is pneumothorax on the right and mild right pleural effusion.,36309315-d8541009-0bd1a6c7-61a61b57-a33c1b81 +50297024,Retrocardiac opacities associated with adjacent pleural effusion these could represent atelectasis or aspiration in the appropriate clinical setting Pneumoperitoneum There is no pulmonary vascular congestion. There is mild left pleural effusion and postoperative pneumoperitoneum.,674352c6-0c0645c1-b23ec675-6af58553-7af149b1 +50305989,AP chest: There is mild cardiomegaly and mediastinal diameter could be due to supine positioning alone. AP chest: Supine positioning probably explains apparent mild pulmonary vascular engorgement.,2f10769e-95f1782e-58bcd178-a4cd46d2-cd832272 +50307780,"AP chest: Left lower lobe atelectasis predominantly posterior basal segment and small left pleural effusion. AP chest: Left lower lobe has partially expanded, reflected in return of the mediastinum to the midline, but there is still atelectasis and small residual left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients. ",05422169-24d04e58-5084d62b-7d1d9ce1-16bfe2af +50308220,Widespread airspace opacities superimposed on fibrotic interstitial lung disease. PA and lateral chest: Widespread asymmetric infiltrative pulmonary abnormality consisting of large areas of consolidation and peribronchial infiltration in the right mid and lower lung zones and more discrete nodular abnormalities in the left lung is most likely widespread infection.,83469f17-940d9bb0-be3fdd29-f87627c3-eeb3d334 +50319774,"Moderate to severe enlargement of the cardiac silhouette is significant and could be due to moderate pericardial effusion or moderate cardiomegaly. There is moderate-to-severe enlargement of the cardiac silhouette due to cardiomegaly and/or pericardial effusion, but mediastinal venous engorgement indicates an element of right heart failure or volume overload. ",ac2bc5fb-c181f807-907ef393-692441ee-057ffb40 +50323020,"Asymmetric right upper lobe subpleural opacity but warrants re-evaluation with well positioned PA, lateral and apical lordotic radiographs. 4 cm rounded opacity right upper chest, may represent pleural or lung mass, infiltrate. ",234b22c4-55fb91a9-44f7a42f-b764d462-018d3bb9 +50323961,Nodular opacities project over the right mid to upper lung zone. Nodular opacities project over the right mid to upper lung zone.,a582694c-9ecb47ce-40948acb-e0ef8797-d08a41a6 +50324889,"AP chest: Mild interstitial pulmonary edema is and great opacification at the lung bases, though it could be dependent edema and atelectasis is concerning for possible pneumonia, particularly in the left lower lobe. AP chest: Mild interstitial pulmonary edema is and great opacification at the lung bases, though it could be dependent edema and atelectasis is concerning for possible pneumonia, particularly in the left lower lobe. ",d6326d09-908b90e7-7f3c10fc-620713fc-4e490c4a +50331901,"There is a cardiomediastinal silhouette, position of the NG tube, vascular stents projecting over the left upper mediastinum as well as interstitial opacities and pleural calcifications. AP chest: Upper enteric drainage tube ends in the distal duodenum. ",687754ce-7420bfd3-0a19911f-a27a3916-9019cd53 +50348450,"PA and lateral chest: Moderate cardiomegaly and pulmonary vascular congestion are present, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: Moderate cardiomegaly and pulmonary vascular congestion are present, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. ",449420e9-bd45dc1c-91a5471c-ef301a2d-f5734a2d +50354419,"There are diffuse interstitial opacities with small bilateral pleural effusions and mild cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which is possibly attributable to drug reaction, COPD or vasculitis. There are diffuse interstitial opacities with small bilateral pleural effusions and cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which is possibly attributable to drug reaction, COPD or vasculitis. ",473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104 +50365719,"Enlargment of the cardiac silhouette with pulmonary edema and opacification at the left base is consistent with pleural fluid and volume loss in the left lower lobe. There is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, more prominent on the left. ",46501b98-e0a88786-27dbb719-b9a7468c-376d9f6a +50367895,Emphysematous changes without focal opacity convincing for pneumonia. Emphysematous changes without focal opacity convincing for pneumonia.,43b6f8f9-f0d77b57-b2603100-48f5611a-a7405f03 +50371697,AP chest: Small right pleural effusion with an elliptical fissural component. AP chest: Small right pleural effusion with an elliptical fissural component. ,65275408-6db6d9a9-13c023c8-a6a96579-434dee3d +50373067,Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation. Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation.,66607c54-01766ee9-0296b1fd-b642145d-24ea1577 +50380203,"AP chest: Large bilateral pleural effusions. AP chest: Lung volumes are quite a bit low, exaggerating the severity of pulmonary edema which is probably moderate with moderate-to-large bilateral pleural effusion. ",ca3df6c0-8ce90248-b3cecb87-71db5654-312cdcf6 +50380704,"No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid. No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid. ",2b34055b-5ae8bcf1-5a188ee8-135d064b-19c2f6ce +50382515,"Widespread parenchymal consolidations are noted in particular involving the left lower lobe, corresponding to multifocal pneumonia and septic emboli. AP chest: There is bilateral perihilar pulmonary consolidation and significantly pronounced on the left than the right. ",29a9ca2f-50292418-e78e2999-12755e18-3103a476 +50382908,"AP chest: Post-operative widening of the mediastinum is in the region of the arch, but there may be a significant large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. Widening mediastinum is significant.",661a83d2-e84a4cd7-d05d7218-a81de999-15a66bea +50383259,"AP chest: Severe pulmonary consolidation in the right upper and perihilar left lung in a fashion indicating that much of that was due to asymmetric edema. AP chest: There is significant pulmonary consolidation in both lungs, moderate-to-severe cardiomegaly and mediastinal veins are moderately dilated, the marked asymmetry and consolidation strongly suggests significant left pneumonia and perhaps a pneumonia in the right lower lobe. ",7dea99ce-f65ab6a2-cd11e9ee-34a5071f-c8877a75 +50394941,"AP chest: Some of the widening of the mediastinum at and just below the thoracic inlets can be attributed to supine positioning and volume overload, but hemorrhage or other acute fluid accumulation must be considered clinically. AP chest: Post-operative widening of the mediastinum is in the region of the arch, but there may be a large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. ",033b5311-bd309afe-0b070613-65e6e2f1-0481fd48 +50406925,AP chest: Severe pulmonary edema and moderate-to-large bilateral pleural effusion are significant. AP chest: Severe pulmonary edema and moderate-to-large bilateral pleural effusion are significant.,c9fec029-7cff7a68-c85274cf-7a560cce-becdcb7e +50407173,"Significant right middle lobe focal opacity with associated bronchiectasis and patchy bilateral lower lobe opacities, to possibly reflect a combination of infection and graft-versus-host disease. Significant right middle lobe focal opacity with associated bronchiectasis and patchy bilateral lower lobe opacities, to possibly reflect a combination of infection and graft-versus-host disease. ",2a0ce644-defed4a1-f1d778d7-8da5ba60-b5d8e243 +50416709,Bibasilar atelectasis and minimal blunting of the right and left costophrenic angles. Bibasilar atelectasis and minimal blunting of the right and left costophrenic angles.,33afaafe-a1605f54-f33616de-424605bf-7c961442 +50421764,PA and lateral chest: Rapidly significant global pulmonary opacification. Moderate to severe bilateral pulmonary opacification.,26393ff4-c9d02afc-434bf477-b067a8a6-c0e534c8 +50423865,"PA and lateral chest: There is extensive consolidation, predominantly at the base of the right lung in the lower lobe, probably also in the right middle lobe and to a small extent in the mid left lung. PA and lateral chest: There is extensive consolidation, predominantly at the base of the right lung in the lower lobe, probably also in the right middle lobe and to a much lesser extent in the mid left lung. ",f961f806-615b33d3-168639c0-b14af1da-ce8962b2 +50425819,"Small left apical pneumothorax, with right greater than left pleural effusions and left chest tube placement. Small left apical pneumothorax, with right greater than left pleural effusions and left chest tube placement. ",845cab57-7175f1f2-caf520b2-83bdf74a-434a7206 +50431066,"Given that the patient assumes a different position, the potentially loculated left lateral part of a pleural effusion, masked in part by the left pectoral pacemaker, is visualized. There is left upper lobe collapse and known left paramediastinal mass with post radiation changes. ",a6dc99c7-6d793ce2-188bd506-b751deab-79f8ebbb +50432000,"Extremely low lung volumes with crowding of the bronchovascular markings and likely bibasilar atelectasis. Suboptimal assessment of the lower lungs due to low lung volumes with probable atelectasis, less likely pneumonia causing obscuration at this level. ",7a75be73-77ed1349-e974ef60-e017dcfa-5be7d3fa +50433627,"There is mild pulmonary edema and moderate to severe left pleural effusion and moderate to severe cardiomegaly. Enlarged heart, pulmonary edema and left lower lobe pleural effusion, most consistent with mild congestive heart failure. ",9ffd35db-e8513d0b-320dab7d-17429141-c3c6f7d3 +50442960,There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with a history of median sternotomy with a CABG and mitral valve replacement. There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with a history of median sternotomy with a CABG and mitral valve replacement. ,ef02f416-70219126-6c3d8fbf-807c73fc-d7bd31a6 +50447060,Pacemaker leads are in position. There is bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated shin with small amount of pleural effusion. There is diffuse bilateral pulmonary opacifications in a patient with cardiomegaly and intact midline sternal wires. ,b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a +50448867,"There is accumulation of fluid within the right pleural space with associated airspace opacity which most likely represents partial lower lobe atelectasis, although pneumonia cannot be excluded. There is right pneumothorax that is substantially filled with fluid, presumably loculated since there is a right pleural drainage catheter still in position at the base of the right hemi thorax more medially. ",7e6b2f67-75c969ed-bbc30375-abddcfdb-1f16d824 +50449690,"Enlarged heart, pulmonary edema and left lower lobe pleural effusion, most consistent with mild congestive heart failure. Moderate pulmonary edema with moderate-to-severe left pleural effusion. ",985f40a6-13022580-845b32b1-fccaba5a-60bffb12 +50452688,"LVAD, right ventricular pacer defibrillator lead in their respective positions. LVAD and associated lead in their respective positions projecting over the cardiac apex.",252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c +50453286,"There is left hemidiaphragmatic elevation and moderate left lower lobe atelectasis reflecting respiratory splinting from known left-sided rib fractures. AP chest: Much of the opacification projected over the left lower hemithorax is due to fluid-filled stomach that is either herniated or beneath the chronically elevated left hemidiaphragm, but it obscures what is probably a substantially atelectatic left lower lobe and perhaps some pleural effusion. ",ae4c4185-418ae838-935a5921-92daeeca-f8194630 +50453673,"Right hemidiaphragm may be elevated and right lower lobe is substantially atelectatic and there could be a moderate residual of right pleural effusion, following VATS and placement of 2 right pleural drains. Moderate cardiomegaly with mild interstitial edema as well as moderate-to-large right-sided subpulmonic effusion and marked density at the right lung base which may represent concurrent pneumonia. ",76c350ea-1a3f5c17-77dc0d18-f3ac57a7-27bd14f8 +50482541,There is mild pulmonary fibrosis and severe aortic valvular calcification undoubtedly stenotic. There is engorgement of pulmonary vessels suggesting some pulmonary vascular congestion. ,9370636b-c15ba900-6d4fa453-e8725bf7-124cf815 +50482798,There are low lung volumes and there is pronounced diffuse bilateral parenchymal process favoring moderate pulmonary and interstitial edema rather than pneumonia. There are low lung volumes with diffuse bilateral pulmonary opacifications most likely consistent with widespread pneumonia. ,13b3f835-9d35e2fb-bef55a2d-4bf1a470-21b7626c +50491354,AP chest: Right internal jugular line ends in the upper SVC. AP chest: Right internal jugular line ends in the upper SVC.,11b1705d-30db94a7-a7782a30-f6fbb83d-d63373de +50492868,The temporary pacing lead is in place with that lead likely terminating in the right ventricle. Right jugular line ends in the mid to low SVC and transvenous right atrial and ventricular pacer leads are in their respective positions. ,f3c65ae4-81c03654-c3fe857f-dec24a17-a5a118b9 +50494220,"A 2 cm oval shaped opacity in the right mid lung adjacent to surgical chain sutures could potentially represent loculated fluid in the fissure, but should be further evaluated by dedicated PA and lateral chest radiographs when the patient's condition permits to help exclude a pulmonary nodule. A 2 cm oval shaped opacity in the right mid lung adjacent to surgical chain sutures could potentially represent loculated fluid in the fissure, but should be further evaluated by dedicated PA and lateral chest radiographs when the patient's condition permits to help exclude a pulmonary nodule. ",741811fe-d3a0f32c-0f5c16f2-5ab6eace-f84f5233 +50494700,"There is widening of the superior mediastinum with substantial enlargement of the cardiac silhouette, pulmonary vascular congestion, and pronounced opacification at the left base which most likely reflects pleural fluid and substantial volume loss in the left lower lobe. Lung volumes are substantially low exaggerating moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. ",36147048-4907c6d9-99ef69b7-c4b50592-a5f2a9cd +50498205,"AP chest: The extensive subcutaneous emphysema in the right chest wall and neck could be related to small right pneumothorax despite apical pleural tube. Neither pneumothorax nor pleural effusion is evident in the right chest, with 2 apical thoracostomy tubes in place, despite severe subcutaneous emphysema in the right chest wall. ",d9661ff6-877ac981-a20a8810-92309d46-173008ad +50498321,"AP chest: Lungs are fully expanded, if not somewhat hyperinflated, and clear of any focal abnormalities. AP chest: Lungs are fully expanded and clear. ",ea1dfe84-8bf677b6-f51b1859-160571df-4fd62876 +50498379,Cardiomegaly with left retrocardiac opacity possibly reflecting atelectasis versus pneumonia. Cardiomegaly with left retrocardiac opacity possibly reflecting atelectasis versus pneumonia.,6a7ae1e7-25818d8d-e2aaca48-19d5034e-df932bae +50501667,"There is marked opacification at the right base with obscuration of the hemidiaphragm, consistent with collapse of the right lower lobe and possibly a portion of the middle lobe. There is marked opacification at the right base with obscuration of the hemidiaphragm, consistent with collapse of the right lower lobe and possibly a portion of the middle lobe. ",174bc762-69cee932-214e862b-e75fe715-f1300a15 +50501762,"Diffuse interstitial and airspace opacities the differential for which includes pulmonary edema, pulmonary hemorrhage, interstitial lung disease, or components of each; subtly pronounced in left upper lung. Mild pulmonary edema with superimposed left upper lung consolidation, potentially more confluent edema versus superimposed infection. ",58c735ba-cc7d2492-f290f622-154bc6f2-5fdc853c +50510286,AP chest: There is left lower lobe collapse and moderate-to-severe left pleural effusion. AP chest: Moderate-to-severe lleft pleural effusion and there is left lower lobe collapse accounting for marked leftward shift of the mediastinum. ,ff2efa2a-247e7e02-2a1deddd-82479afe-136446a9 +50515450,"PA and lateral chest: There is diffuse pulmonary abnormality characterized by both bronchiectasis and extensive peribronchial infiltration, some ground-glass and some bronchiolitis. PA and lateral chest: There is diffuse pulmonary abnormality characterized by both bronchiectasis and extensive peribronchial infiltration, some ground-glass and some bronchiolitis.",221d35b8-df2b99dc-be23b128-b7f8e7e7-4e76e5ae +50519818,"COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted. COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted.",ce3a9dd6-9affc487-1b6847b3-9f555332-e0baea73 +50533006,"AP chest: Exaggerated by the size of a large hiatus hernia, there is a large cardiac diameter to the level of at least mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. AP chest: Exaggerated by the size of a large hiatus hernia, there is a large cardiac diameter to level of at least mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure.",d6fbe6a9-57f6ae9d-07f24e69-1c032794-76d80d8f +50535279,AP chest: Peripheral somewhat indistinct opacification in the left mid lung is markedly extensive. Status post left lung biopsy with left lung postprocedural changes and no pneumothorax.,8ecf5181-09dec4e6-27b43fca-3b8999bf-6d25f591 +50535882,"Small symmetric bilateral pleural effusion probably reflects congestive heart failure, the pacer defibrillator lead is in position and follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects congestive heart failure, the pacer defibrillator lead is in position and follows the expected course to the distal right ventricle. ",dd4903ae-cb2e72fa-55472aa9-b4e1aa63-9c138d54 +50545797,Fullness of the left perihilar region compatible with known mass and emphysema. Fullness of the left perihilar region compatible with known mass and emphysema. ,c768ecd2-dec91075-b6e6d204-6a9d0da8-e1ce939a +50546279,Small right pleural effusion with small right hydropneumothorax. There is right hydropneumothorax and right chest wall subcutaneous emphysema.,89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1 +50547182,AP chest: The patient has had median sternotomy and coronary bypass grafting. AP chest: The patient has had median sternotomy and coronary bypass grafting.,423fc237-2b2e1394-e5255f87-97ae0a26-96fd38d9 +50553646,"Dense consolidation in the left mid lung along with hazy opacification in the right perihilar region and lung bases, concerning for pneumonia and/or aspiration. AP chest: Although pulmonary consolidation is significant in both lungs, moderate cardiomegaly is very severe and mediastinal veins are very dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps a pneumonia in the right lower lobe. ",912e2ddc-d5d8cb35-d2736bcd-4a25d08f-ee68cba1 +50555779,"Patient has severe COPD, so it is possible that the interstitial abnormality at the lung bases could be asymmetric edema. Findings consistent with severe COPD, pulmonary arterial hypertension, and mild bibasilar interstitial process. ",49219783-9d403555-ff694f12-b2693e65-a4c63e44 +50567642,"PA and lateral chest: Radiographs document right middle lobe atelectasis, and episodes of pneumonia in different areas of the lungs. PA and lateral chest: Radiographs document right middle lobe atelectasis, and episodes of pneumonia in different areas of the lungs. ",2ae448b2-53515c0d-312135f4-a7a50238-20ffa8b0 +50580104,"Blunting of the left costophrenic angle with indistinctness of the outer portion of the hemidiaphragm could reflect mild atelectasis and small pleural he fusion. Blunting of the left costophrenic angle with left basilar opacity likely relates to a small left pleural effusion with overlying atelectasis, underlying consolidation not excluded. ",92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34 +50602713,"AP chest: Widened caliber of the pulmonary and mediastinal veins, and moderate-to-severe cardiomegaly suggest that peribronchial opacification in the right mid and upper lung zone is asymmetric edema rather than pneumonia. AP chest: There is moderate opacification in the right mid and lower lung zones, while background interstitial pulmonary edema is mild, strongly suggestive of probably pneumonia. ",09248f93-7275a552-c55b735a-29981340-e0b66153 +50610932,"AP chest: There is a small right pneumothorax with components at the apex, and at the right base lateral to the pleural drainage tube. AP chest: There is a small right pneumothorax with components at the apex, and at the right base lateral to the pleural drainage tube. ",9ae19357-ed8ab74b-7c794e86-235ab6b4-b0b98b54 +50617748,"Swan-Ganz catheter tip is deep into the right lower lobe segmental subsegmental branches and should be pulled back at least 6 cm. There is an inserted nasogastric tube and left Swan-Ganz catheter, the tip projects over the outflow tract of the pulmonary artery. ",513c2a6c-c081efd7-5d2b0a10-5ae31d2c-1664a879 +50620677,"No acute findings on this single supine frontal chest radiograph. Faint opacity at right lung apex is probably due to summation of normal structures, but standard PA and lateral chest radiographs would be helpful for more complete assessment of this region when the patient's condition permits. ",0b9184ba-a570a2c0-10adfa1b-8c804f0a-280b0de1 +50633646,Status post ascending aortic graft repair and dilatation of the descending thoracic aortic contour compatible with known dissection. Status post ascending aortic graft repair and dilatation of the descending thoracic aortic contour compatible with known dissection.,23a461cb-eb3f1804-b272899e-c6e30098-39682b9c +50634232,"Severe pulmonary consolidation significant in right lower lobe compared to remainder of the lungs and in the apices. There is extensive severe consolidation in the right mid and lower lung zones, probably pneumonia or alternatively pulmonary hemorrhage. ",509fd9e1-43b8892b-e1fc8e15-f4cb2ac1-b2e65974 +50636786,Orogastric tube may be advanced for more optimal positioning. Orogastric tube may be advanced for more optimal positioning.,8452bd2c-ba775d23-e46872fa-f0e9c5bd-63897743 +50637233,"AP chest: There is severe widespread pulmonary infiltration, with near confluence of opacification in the left lung, moderate-to-severe left pleural effusion. AP chest: There is severe extensive bilateral pulmonary consolidation in the right lung than the left. ",90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f +50639335,Moderate cardiomegaly and vascular congestion with left basilar opacification consistent with pleural effusion and compressive atelectasis. Moderate cardiomegaly and vascular congestion with left basilar opacification consistent with pleural effusion and compressive atelectasis.,e4cb9fd1-a291ed0a-a3be1461-78de463c-57194e49 +50639964,Pectus excavatum. Pectus excavatum.,ac277596-5c3b9719-41671839-4aedfd51-6e90e579 +50640370,Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. ,e8f40dc1-eb1d35c9-581a0b09-a78294c8-1a9ab9f1 +50640881,Enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. Emphysema and cardiomegaly without focal opacity convincing for pneumonia.,98267606-76ec973b-5884e28c-692b590a-093841f0 +50641273,"Status post aortic valve replacement with mild coarsening of lung markings that could be seen with mild vascular congestion, but potentially chronic. Status post aortic valve replacement with mild coarsening of lung markings that could be seen with mild vascular congestion, but potentially chronic.",68bd5521-ca187f93-ae93cbe6-8bb8f491-3fb2dd0f +50643762,Mild blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions. Mild blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions.,d021c1f9-134fd8f8-e73a3e87-387d59f4-ea4ea7a6 +50645297,"Left jugular line passes as far as the left brachiocephalic vein where it is obscured by overlying right atrial biventricular pacer defibrillator leads which follow their expected courses, continuous from the left pectoral generator. The cardiomediastinal silhouette is enlarged and the pacer leads are in position.",c3271fa5-173bb62f-8507daf0-46005d57-ba663779 +50650921,"Lung volumes are significantly low exaggerating a moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There are low lung volumes with enlargement of the cardiac silhouette, elevation in pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left, with compressive atelectasis at the bases. ",54b04013-9b1c7ca0-452a3623-7e225698-0696e372 +50654010,"The position of the leads is unremarkable, with 1 lead projecting over the right atrium, 1 over the coronary sinus and 1 over the right ventricle. Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. ",be4aa5f6-99ccaf97-2b5e3e91-41ef9449-536d6ae5 +50660013,"PA and lateral chest: There may be a very mild deposition of edema in the lower lungs, denoted by septal lines at the right base. PA and lateral chest: There may be a very mild deposition of edema in the lower lungs, denoted by septal lines at the right base.",bc589c1d-1abbef0a-78f9c190-81bdf6e8-e1429133 +50664785,"Moderately severe pulmonary edema, moderate cardiomegaly, mediastinal venous engorgement and small bilateral pleural effusions, indicating cardiac decompensation and/or volume overload. Cardiac silhouette is enlarged and there is evidence of pulmonary edema with bibasilar atelectatic changes and probable pleural effusions. ",db39cf32-d22fb990-e46ba7c8-c73f9b0b-c77db2a1 +50674735,"Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. ",34385126-4e8184f2-e9ac8e38-eb0d5a59-31d37002 +50682888,"However, small but focal retrocardiac opacity with air thickening may be due to pneumonia or lower airways infection or inflammation in the left lower lobe. However, small but focal retrocardiac opacity with air thickening may be due to pneumonia or lower airways infection or inflammation in the left lower lobe. ",08da513d-5325ee2d-d57746d8-762cf929-bf1c0fa4 +50683984,"PA and lateral chest: Lung volumes are significantly low, exaggerating borderline cardiomegaly. PA and lateral chest: Lung volumes are significantly low, exaggerating borderline cardiomegaly. ",6f5ad7b4-5e6497b9-1e50930a-cda9e2cf-52a9524b +50686747,"There is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, more prominent on the left. There is substantial enlargement of the cardiac silhouette with moderate pulmonary edema and left pleural effusion with compressive atelectasis at the base. ",6da80776-b8a61cbe-7898eaa5-29b7ca8f-c0ea57e5 +50697229,"AP chest: Although the patient is intubated, lung volumes are significantly low, due in part to significantly small-to-moderate pleural effusions. AP chest: There are small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs. ",be78e28d-1c76d439-9b5e832e-b0935ea9-62e6cf91 +50701063,There is enlargement of the cardiac silhouette with the monitoring and support devices in position.,8421105f-75a36b56-fb945313-e4f6d3a0-e2876c01 +50701107,The appearance of the right middle lobe on the frontal view is equivocal the region is normal. The appearance of the right middle lobe on the frontal view is equivocal the region is normal.,08b3a2f5-6a4527a8-cea348a9-b559b9e1-42a62261 +50706776,"There is enlargement of the cardiac silhouette that could represent pulmonary edema or, in the appropriate clinical setting, no evidence of pneumothorax. THE CARDIAC SILHOUETTE IS ENLARGED AND THERE IS SOME INDISTINCTNESS OF PULMONARY VESSELS WITH B-LINES, CONSISTENT WITH MILD ELEVATION OF PULMONARY VENOUS PRESSURE. ",77ab84c4-ba890f3a-4d161cb1-8516d2ff-ba5e1842 +50710771,"Lungs clear except for band of linear atelectasis or scarring probably in one of the lower lobes, probably the right. Lungs clear except for band of linear atelectasis or scarring probably in one of the lower lobes, probably the right. ",746e9051-aea1fe10-f765dc71-17daa29f-ae4a658d +50714348,There is moderate left pleural effusion with reduced aeration. There is moderate left pleural effusion with reduced aeration. ,e5a35d58-daafa26b-836bd682-17f54c3c-a3f33527 +50717913,"Healed fracture deformity, proximal right humerus. There is marked irregularity of proximal right humerus.",3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76 +50718199,"Borderline cardiomegaly with suggestion of possible left atrial enlargement, but no evidence of acute disease. Borderline cardiomegaly with suggestion of possible left atrial enlargement, but no evidence of acute disease. ",a77d2e8f-c6ecaa1e-c2b76bec-23469463-3e9de1f1 +50725635,"There is significantly moderate pulmonary edema, severe cardiomegaly and mediastinal venous engorgement. There is enlargement of the cardiac silhouette with pulmonary edema that may be slightly prominent. ",734c67d2-b59dd146-cf5a3db9-59c50b7d-f735c758 +50729749,"There is marked low lung volumes, mediastinal venous engorgement and moderate cardiomegaly could be due to cardiac decompensation. Mild pulmonary edema is more significant in the right lung than the left lung. Findings could be due to decrease positive pressure ventilator support. There is pulmonary vascular congestion and the right lung base has minimally reduced aeration.",42ca390f-5819f578-c74fd59e-a7561a1a-0040b454 +50740166,Cardiomediastinal silhouette including severe cardiomegaly and widened mediastinum are observed. Cardiomediastinal silhouette including severe cardiomegaly and widened mediastinum are observed.,96039f47-3e02e23d-f1c42efb-ed41fb27-4376aa85 +50744319,"AP chest: Lung volumes are very low and large areas of both lungs are obscured by hemidiaphragm on the right and heart on the left. AP chest: Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion. ",36f6dd1e-fefeef89-03c80035-d373c61b-1a4e895b +50744964,Evidence of heart failure with enlarged cardiomediastinal silhouette as well as moderate-to-severe pulmonary edema. Moderate to severe pulmonary edema with moderate cardiomegaly and small left pleural effusion.,1ef64d55-b80da23e-67810283-ad56b0ab-22c83b5b +50749866,A view of the abdomen shows the tip of the nasogastric tube in the lower body of the stomach. ,9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f +50751429,There is pulmonary edema with triple- lead pacer remaining in place. There is pulmonary edema with triple- lead pacer remaining in place.,7568a044-7f2b130e-9af97f69-17cda54e-cb366755 +50752207,"AP chest: There is severe pulmonary consolidation in both lungs, more significant in the right lung compared to left lung. AP chest: There is severe pulmonary consolidation in both lungs, more significant in the right lung compared to left lung.",3fee0682-231a4968-00593ef2-652c36ae-98495700 +50753069,"There is cardiomegaly, and the patient has moderate pericardial effusion. PA and lateral chest: The cardiomediastinal silhouette is seen as well as cardiomegaly and/or pericardial effusion. ",5c8c0263-8d94687e-2a7896c8-5682bae9-6aeefbc4 +50762309,AP chest: The patient has pulmonary edema with cardiomegaly and at least moderate right pleural effusion. Findings most consistent with congestive heart failure and a right pleural effusion.,28d71c5a-7f16c42f-ec973545-72a7a3e9-3d2193e6 +50767671,"AP chest: Patient is intubated, ET tube in standard placement, but there is moderate bilateral perihilar consolidation has improved sufficiently that one can exclude non-cardiogenic edema as the cause of bulk of the abnormality. AP chest: Patient is intubated, ET tube in standard placement, but moderate bilateral perihilar consolidation has improved sufficiently that one can exclude non-cardiogenic edema as the cause of bulk of the abnormality. ",f60e6301-358d7f2f-b52c2c0c-ffea6e75-c35bdbe2 +50773892,"Severe right lower lobe consolidation accompanied by some volume loss and there are several small foci of consolidation in the periphery of the right lung, all pointing to widespread pneumonia and heavy secretions. PA and lateral chest: There is substantial bibasilar consolidation and some atelectasis in both lower lobes and particularly the right middle lobe. ",30105040-38b1165a-cdffbc34-0acc1b2b-1a69a7b9 +50775862,Orphaned right atrial and right ventricular pacer leads are coiled in the right chest. There is enlargement of the cardiac silhouette with single lead pacer extending to the right ventricle.,0396bbb8-89af3082-08140a7c-6f9e487e-44400561 +50776901,"Moderate to severe cardiomegaly, exaggerated by supine positioning, which also shows widened mediastinal venous caliber. Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning. ",b57f6693-0b6cfcff-9a77d958-c0a4c1f5-fab766d2 +50780353,The cardiomediastinal silhouette is observed as well as bilateral pleural effusions with left pleural fluid after placement of the left pigtail catheter. AP chest: There is small-to-moderate bilateral pleural effusions despite pigtail pleural drainage catheter in each hemithorax.,90e79548-fcbab121-6100c047-b413fab9-912f13a5 +50788655,"Mild loss of height anteriorly of mid and lower thoracic vertebral bodies, which are age indeterminate. Mild loss of height anteriorly of mid and lower thoracic vertebral bodies, which are age indeterminate.",0a5e513b-7a7ee423-b8c4a49e-66eb48ce-2ad0011a +50790949,"ET tube and left subclavian line are in standard placements respectively: Small right pleural effusion, severe left lower lobe atelectasis and left pleural effusion that is at least small. There is left lower lobe collapse and there is at least a small volume of bilateral pleural effusion. ET tube in standard placement. ",eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808 +50792961,"Mediastinum is widened beyond cardiomegaly by mediastinal fat and relatively mild prevascular and paratracheal adenopathy. Cardiomediastinal contours are slightly widened, and accompanied by pulmonary vascular congestion and mild edema. ",786239e7-5c2c7f97-0c5c6b36-f8e00af3-91804ffc +50796456,"Lines, tubes and drains are in place with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. The widening of the postoperative cardiomediastinal silhouette is responsible for rightward displacement of the trachea, so that the endotracheal tube, at the proper height, abuts the left tracheal wall. ",32857e2f-0b7d1d34-77083bdf-dc8f1be8-d456e85c +50799000,There are moderate right and small left pleural effusions as well as large calcified pleural plaques in the left mid and lower hemi thorax. The patient positioning may account in part for the moderate right pleural effusion and the height of the apical visceral pleura denoting the size of the apical component of the left pneumothorax. ,128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84 +50801992,"AP chest: There is moderate-to-severe pulmonary edema, accompanied by moderate-to-severe right pleural effusion and moderate cardiomegaly. AP chest: There is moderate-to-severe pulmonary edema, accompanied by moderate-to-severe right pleural effusion and moderate cardiomegaly. ",e75af3b7-a3b4f881-b1f68642-609d0775-916ece62 +50810335,"There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could represent elevated pulmonary venous pressure, chronic pulmonary disease, or both. Finding suggesting slight vascular congestion or fluid overload, as well as enlargement of pulmonary arteries, but with no evidence for superimposed pneumonia. ",b52282c3-1c808e3a-7ffee928-83083ac2-8cff0c2d +50818829,"There is moderately severe pulmonary edema, accompanied by severe left lower lobe atelectasis and small to moderate bilateral pleural effusion. AP chest: There is mild generalized edema and great consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. ",c2f49f11-42bbe227-0e97f6b4-10ea93f4-e05ef9fb +50821093,There is scattered pleural plaques. There is scattered pleural plaques.,f0c7fed9-f0dd13bd-29757304-7d67a895-423549b2 +50822353,"Mildly tortuous and dilated ascending aorta, compatible with a history of aortic stenosis. Mildly tortuous and dilated ascending aorta, compatible with a history of aortic stenosis. ",42cb7646-ac2acc5b-504f6247-07366b48-3d2bd573 +50827294,"There is massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. There is massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. ",ddd9741c-9e15a25a-d4b08e32-9ee083c4-b7671def +50829485,"AP chest: The volume and severity of consolidation in the right lung involving lower lobe superior segment and upper lobe are significant, revealing severe bronchiectasis, possible cavitation and some loss of volume in the right upper lobe. AP chest: Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. ",b8f743d0-49b92246-83708dd6-caec53a5-fa07d8f5 +50841626,"AP chest: Although the widespread distribution of opacification in both lungs suggest pulmonary edema, lucencies in the right mid lung could be due to cavitation in pneumonia. AP chest: There is moderate right pneumothorax. There is mild-to-moderate pulmonary edema. ",e8ee2b4d-8ea54f5a-fbbd13ae-b0322e55-8d89e12b +50844004,"AP chest: Despite pulmonary hyperinflation suggesting a substantial COPD, pulmonary vasculature is engorged, suggesting that mild interstitial abnormality is edema due to cardiac decompensation. There is enlargement of the cardiac silhouette in a patient with elevated pulmonary venous pressure and right apical thickening as well as substantial chronic pulmonary disease. ",f247ce2e-c31bcf04-9a2b6df8-40d590b5-a96518b7 +50844750,"There is pulmonary edema and opacification of right upper lung and left mid lung, concerning for superimposed pneumonia. There is moderate-to-severe pulmonary edema, and in addition to the large right hilar or juxtahilar mass, there is suggestion of consolidation in both the right suprahilar lung and at the left lung base medially. ",e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637 +50845269,There is moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place. There is moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place.,f24dcfb8-8d336748-8d0d5686-a52f7cc9-2aefd3a6 +50848467,"Mild interstitial pulmonary abnormality is attributable to pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion The trans subclavian right atrial right ventricular pacer leads are continuous from the left pectoral generator. Mild interstitial pulmonary abnormality is attributable to pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion The trans subclavian right atrial right ventricular pacer leads are continuous from the left pectoral generator. ",d4e70647-9bed282e-fd4e5b2f-d659e2f5-2b751fc4 +50848970,"Findings consistent with CHF, including extensive interstitial edema and probable small areas of alveolar edema, as well small bilateral effusions. Moderately severe pulmonary edema, moderate cardiomegaly, mediastinal venous engorgement and small bilateral pleural effusions, indicating cardiac decompensation and/or volume overload. ",c8cfc832-b771f3f4-0862618d-c5b40b2a-86706006 +50853840,"Right pleural catheters are in place, with very small right apical lateral pneumothorax, and probable additional small loculated hydropneumothoraces at the right lung base adjacent to a small right pleural effusion. Three right-sided chest tubes are in place with loculated basilar hydropneumothoraces and severely reduced aeration at the right base. ",c1379178-96a24a21-fe62e710-94cf9946-111ded9a +50855550,"Pneumothorax, if present, is not appreciable, difficult to exclude in this image of the supine patient, particularly with extensive subcutaneous emphysema in the left chest wall, upper abdomen and both sides of the neck. Extensive subcutaneous air might potentially obscure pneumothorax or mediastinal air. ",a94ddbc2-40a2c88a-c00a1b50-4a09d704-8ebb8115 +50875682,Cardiomegaly is accompanied by interstitial pulmonary edema and small right pleural effusion. There is pulmonary vascular congestion accompanied by interstitial edema and right pleural effusion. ,264b88e4-6c089e5c-86f6e75e-aba9afc2-5effc446 +50877377,"There is moderate cardiomegaly, cardiac pacer is seen, moderate right effusion, consolidation at the right base, the marked amount of interstitial edema. There is moderate cardiomegaly, cardiac pacer is seen, moderate right effusion, consolidation at the right base, the marked amount of interstitial edema. ",bc930c3b-03f10f77-32ff77d5-13f5f708-5a1ce695 +50882034,"AP chest: Supine positioning probably explains apparent mild pulmonary vascular engorgement. AP chest: There is generalized pulmonary vascular engorgement and the heart size is significantly large, within upper normal range. ",cbd0493a-45581768-2a4a0cdc-ed7b4ccf-20000354 +50882471,"Moderate cardiomegaly, marked mild-moderate pulmonary edema, and small bilateral pleural effusions with adjacent atelectasis. Pacemaker leads are in position. There is bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated shin with small amount of pleural effusion. ",283df983-fd666130-de72e26e-a2fb9b59-88a371f7 +50891752,"There is right pleural effusion, deviation of the cardiomediastinal to the right, position of 2 basal pigtail catheters and a right middle lobe and right lower lobe atelectasis. There is hazy opacification at the right base silhouetting the hemidiaphragm consistent with moderate layering right pleural effusion and compressive basilar atelectasis. ",e3462cbd-2ad9049e-4bc04cbf-4f3005ab-3c4c0678 +50894711,"Patient had mild interstitial pulmonary edema that suggests that a large interstitial abnormality, even though it is predominantly left sided, is due to heart failure. AP chest: Left lung shows vascular congestion and mild interstitial edema. ",adbfc9ce-b82d1181-fce57c7d-f71a436a-708693b0 +50903359,"There is bilateral pleural effusions, atelectasis and the moderately enlarged cardiac silhouette. CHF findings, bilateral effusions, and underlying collapse and/or consolidation are considerably significant.",4a9977bd-7c6765ff-7951cc3c-36666101-51dfc3fa +50903895,There is CHF associated with right pleural effusion. There is CHF associated with right pleural effusion.,658ef774-35bbcbca-076591cf-e4bb58ca-243724d2 +50906117,"AP chest: Lung volumes are markedly low, but the lungs are clear, heart is normal size and there is no pleural abnormality. AP chest: Lung volumes are low, but lungs are clear and with mild cardiomegaly.",3f80bbda-1c82f45d-788d2535-2c56bc02-94651d15 +50908995,"Left lower lobe is completely airless due to dense consolidation; there is mild accompanying leftward mediastinal shift, significant atelectasis, but the extent to which pneumonia is concurrent is radiographically indeterminate. AP chest: Although pulmonary consolidation is appreciably significant in both lungs, there is moderate-to-severe cardiomegaly is mediastinal veins are dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps pneumonia in the right lower lobe. ",4e0d67fd-8d58f83e-cf09219c-27ea6f95-f4b09d70 +50910303,Dual lead pacemaker and median sternotomy wires are in position. There are small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position. There are small bilateral pleural effusions and left basal atelectasis.,de862699-c552320b-11e6f6c8-5087a74f-98f0b80d +50916783,"Lines, tubes and drains as described with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. In addition to left lower lobe collapse, the bilateral heterogeneous basal pulmonary opacification could be due to a dependent edema. ",a83a9a0b-f3f4d97f-3a796f51-aca87088-8244d6b5 +50918803,Thickened minor fissure with some volume loss in the right lower lobe. Thickened minor fissure with some volume loss in the right lower lobe.,809123a3-3a8ec764-0d6f069f-d1b0935b-161bfff4 +50920770,"AP chest: Lung volumes are appreciably low, there is mild-to-moderate cardiomegaly, pulmonary vascular congestion, although there is no pulmonary edema, and there is a small pleural or extrapleural hematoma associated with left upper lateral rib fractures. AP chest: Overall, heart size is normal, but there is a suggestion of substantial left atrial enlargement and not accompanied by appreciable pulmonary vascular plethora, edema, or even pleural effusion. ",288e9b61-c5cfce3d-38a26f8f-2f3f97f6-fdf08c07 +50921864,"AP chest: There are large bilateral pleural effusions, layering dependently. AP chest: There are large bilateral pleural effusions, layering dependently. ",07b49600-045da45b-0a9a9c85-40312bf9-29eb90ba +50926698,There is enlargement of the cardiac silhouette with tortuosity of the aorta and bilateral pleural effusions with compressive basilar atelectasis. There is enlargement of the cardiac silhouette with tortuosity of the aorta and bilateral pleural effusions with compressive basilar atelectasis.,b7d77fd6-bf863ed1-0d7c7510-dde731ba-1e25abec +50927676,"Lung volumes are substantially low exaggerating moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is moderate-to-severe cardiomegaly and mediastinal vascular engorgement and the caliber of pulmonary vessels and background density in the lungs are slightly large.",0e980298-0aa23b64-1ce41467-47d7e2a2-f9ed5194 +50935375,There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with previous median sternotomy with a CABG and mitral valve replacement. There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with previous median sternotomy with a CABG and mitral valve replacement.,41df0913-e1804610-248fbdd1-6c00cbe1-01bebf5e +50936626,"Cardiac and mediastinal contours are prominent and there is mild pulmonary and interstitial edema. Mediastinal veins are mildly dilated, and there is cardiomegaly. It could be due to pulmonary edema, but is so evenly distributed I would think instead of infection, including Pneumocystis, or pulmonary drug reaction. ",a25b5ac3-3b72b7c3-74275421-5dc344b8-b3a2cd7c +50943671,Status post right ventricular pacer lead revision; COPD and small pleural effusions. Status post right ventricular pacer lead revision; COPD and small pleural effusions.,9c4e6c30-f517fbdf-d045185b-4f7d3c4b-5cb54b42 +50947201,"Generalized opacification reflects, in part, tracheal extubation, but probably pulmonary edema as well, superimposed on the multifocal infection and non cardiac edema in the lungs. There is significantly reduced aeration in the right lung, revealing large areas of consolidation and probably moderate right pleural effusion left lower lobe consolidation, suggesting another focus of widespread pneumonia. ",e05c237c-fb8a0000-33d30826-2a3cf122-3e58c1f4 +50949626,"AP chest: Despite pulmonary hyperinflation suggesting a substantial COPD, pulmonary vasculature is engorged, suggesting that mild interstitial abnormality is edema due to cardiac decompensation. AP chest: Appearance of the lower lungs suggests either mild interstitial lung disease or mild edema in the setting of emphysema. ",1e457cbb-b441fc85-d8d29551-0cb1fed9-15dee5bd +50950402,"AP chest: Despite the right basal pleural tube, there are fissural and apical components of multiloculated right pleural effusion, responsible for severe atelectasis in the right lung. AP chest: There is moderate-to-severe right pleural effusion despite the right basal pleural pigtail drain. ",9b81caad-45950b63-68fae78a-caa9bc51-74483a78 +50952862,"The cardiac silhouette again is enlarged without evidence of vascular congestion, pleural effusion, or acute focal pneumonia. The cardiac silhouette again is enlarged without evidence of vascular congestion, pleural effusion, or acute focal pneumonia. ",2343dc55-38e48c6b-7156e38e-160821ce-be18c5a3 +50953777,"PA and lateral chest: Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. PA and lateral chest: Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. ",c9bd6dd6-c8328950-4f61c412-81766efb-2d9c193f +50955371,"Bibasilar opacities more pronounced on the right, in the setting of seizure, could be due to aspiration or infection. Mild interstitial edema with bibasilar opacities and air bronchograms in the right lower lobe concerning for pneumonia. ",835047f2-adf49b86-e80c6954-330c111c-da7aeea9 +50956811,Cardiomegaly in findings suggestive of chronic interstitial lung disease. Cardiomegaly in findings suggestive of chronic interstitial lung disease.,34c46b78-c751bfe6-f38375be-f360ffe3-d6a24fda +50957430,"AP chest: Right upper lung is partially expanded. Tracheostomy tube, right supraclavicular dual channel central venous dialysis catheter in standard placements respectively. ",3056f052-ff3c284f-0d46f60a-7d4ee6af-498142fb +50961878,"There is pulmonary vascular congestion and moderate edema, accompanied by a layering of bilateral pleural effusions. Mild-to-moderate bilateral effusions and edema with satisfactory ET tube position. ",8b0cada7-ecc1d1e7-0910b65f-cf44db21-afca8926 +50964400,"The volume of air in the right hydro pneumothorax is small, there is moderate to large right pleural fluid component. Right pleural effusion is additional right sub cutaneous air within the right chest wall are present and there is a pneumothorax in apex and lung base. ",827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb +50966773,"There is right pleural catheter placement with markedly small right pleural effusion. The right pigtail pleural catheter is in place, with moderate-to-severe right pneumothorax, which remains most marked at the right lung base. ",2a262a8c-c8739dde-30e57c4d-800f4b3a-51d54c14 +50968695,"PA and lateral chest: There is extensive consolidation, predominantly at the base of the right lung in the lower lobe, probably also in the right middle lobe and to a much lesser extent in the mid left lung. PA and lateral chest: There is extensive consolidation, predominantly at the base of the right lung in the lower lobe, probably also in the right middle lobe and to a much lesser extent in the mid left lung. ",c022d06a-77b2c5f7-55dfded9-8877f098-e7038b30 +50969842,"Postsurgical changes in the right hemi thorax in the form of widening of upper mediastinum, right upper and lower lobe linear atelectasis and a moderate right pleural effusion are seen. The right chest pigtail catheter is in place, with loculated medial right pleural fluid and reduced aeration of the right upper lobe. ",4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed +50971332,"AP chest: Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion. AP chest: Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion. ",5ffb8e9f-1dc93608-ff50a406-6235935c-ab05fa59 +50971742,"COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted. COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted. ",c2e3e4cd-fd889116-52b37c72-db4f46df-52939006 +50975397,Significant densities in the right hilus with nodular densities along the minor fissure as well as peribronchial opacities and bronchiectasis in the right lung base which may represent primary malignancy with superimposed infection. Significant densities in the right hilus with nodular densities along the minor fissure as well as peribronchial opacities and bronchiectasis in the right lung base which may represent primary malignancy with superimposed infection. ,6ba63140-f35853ba-1c3f30d6-79e8a6d9-972b8b3a +50989704,"AP chest: Severe nearly confluent and symmetric bilateral pulmonary opacification obscures what are smaller foci of probable pneumonia in the right mid lung laterally. AP chest: Severe pulmonary consolidation is asymmetrically distributed, predominantly right upper lobe and left perihilar and lower lung. ",8de65847-743ba591-16ca4044-0b5f1002-f1545e14 +50999536,"Small left pleural effusion with left basilar streaky opacity, likely atelectasis, but infection is not excluded. Small left pleural effusion with left basilar streaky opacity, likely atelectasis, but infection is not excluded.",c1875b25-77500901-b90303e0-9b5c3aac-2b57b80c +51002383,"No acute cardiopulmonary abnormalities. There is significant mediastinal, hilar lymphadenopathy and lung findings suggestive of sarcoid. No acute cardiopulmonary abnormalities. No acute cardiopulmonary abnormalities. There is significant mediastinal, hilar lymphadenopathy and lung findings suggestive of sarcoid.No acute cardiopulmonary abnormalities. ",5668d9ef-e5b61aae-8a38e823-b668e8ba-837392e7 +51006959,"AP chest: Aside from a band of subsegmental atelectasis at the right base, the lungs are clear, with peribronchial opacification in the lungs, particularly the right lower lobe suggested pneumonia. AP chest: Significant right lower lobe consolidation could be atelectasis, but raises serious concern for pneumonia. ",b5599aff-71fe317d-6e792fbc-d586d408-3b18b394 +51009376,"AP chest: Severe cardiomegaly is pronounced, but lungs are clear and pulmonary vasculature is normal. AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. ",e120ed69-a974706b-30acf181-38be212f-48eb872d +51014967,"3.7 cm wide oval abnormality in the left lower quadrant has been called a renal pelvic stone. Deviation of the trachea to the left, with mild narrowing of the tracheal lumen, likely caused by a goiter. ",afa46108-e06269ce-05deb812-e12dad4d-ef863113 +51017703,"The cardiac silhouette is prominent, which could be a manifestation of the AP portable instead of PA erect technique. The cardiac silhouette may be mildly enlarged. ",5764a70f-234a5a0d-42ae4b8f-b130f5c4-63dac3a1 +51021074,"AP chest: There is significant severe pulmonary edema, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins. AP chest: There is significant severe pulmonary edema, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins. ",956ec432-03e9c40c-ff58e74d-db0b9443-71042da1 +51024049,"Large region of consolidation in the right lower lobe, with marked pleural drain raising concern for either rapidly developing pneumonia or pulmonary bleeding. Pneumothorax exaggerates the extent of consolidation in the right mid and lower lung zone.",0fef51dc-8e713f62-0c7f23dc-fb145074-68b8ec4b +51030152,"Left basilar opacity is greater than right likely reflecting atelectasis with moderate-to-severe left pleural effusion and pneumonia with empyema should be considered. Severe cardiomegaly is significant suggesting that some of the bilateral pulmonary consolidation could be edema, and heart failure could be responsible for some of moderate-to-severe left pleural effusion, however the asymmetry in consolidation and the left-sided predominance of pleural effusion are strong indications that pneumonia is present.",9bb1fe4e-c234466a-72525367-a54b28d3-b91d05fe +51034858,"AP chest: Very severe pulmonary consolidation is present throughout both lungs, accompanied by at least moderate right pleural effusion. AP chest: Widespread pulmonary opacification is significant, particularly in the right upper lung, accompanied by moderate-to-severe right pleural effusion.",3e2089f9-a5133cb9-a2ccafcd-956a95d1-c2af1f26 +51044625,"AP chest: There is generalized interstitial abnormality, accompanied by cardiomegaly, probably cardiogenic pulmonary edema exacerbated by tracheal extubation. AP chest: There is generalized interstitial abnormality, accompanied cardiomegaly, probably cardiogenic pulmonary edema exacerbated by tracheal extubation. ",0d930f0a-46f813a9-db3b137b-05142eef-eca3c5a7 +51050206,"In view of the enlargement of the cardiac silhouette and pacer device, this appearance could well represent mild pulmonary edema. In view of the enlargement of the cardiac silhouette and pacer device, this appearance could well represent mild pulmonary edema. ",3eb5d0cd-b53603ab-1055c1ab-0136cead-bd105e22 +51054780,Right internal jugular vein catheter in situ. Right internal jugular vein catheter in situ.,e48e959d-10d7b785-3ba7d6d0-87d614c1-19ed06cc +51067581,"Mild right lung base opacity and small right pleural effusion. Consider obtaining PA and lateral radiograph for better evaluation of right lung base. AP chest: Small right pleural effusion is substantially small and there is no pneumothorax, and the right lower lobe has substantially expanded. ",0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff +51069079,Attempted trans esophageal drainage tube ends at the upper margin of a very large left trans diaphragmatic gastrointestinal hernia. Attempted trans esophageal drainage tube ends at the upper margin of a very large left trans diaphragmatic gastrointestinal hernia.,8e149da2-2dbbcfe5-fbd731aa-9f1582b8-4c08fb8b +51070813,"Patient has widespread mild to moderate bronchiectasis and small areas of peribronchial inflammation, presumably related to bronchiectasis. Patient has widespread mild to moderate bronchiectasis and small areas of peribronchial inflammation, presumably related to bronchiectasis. ",8aeadf93-9670a6fd-2e65b3ce-0719a2c7-d178e34c +51074951,No acute findings on this single supine frontal chest radiograph. AP chest: Lungs clear.,5b3a073e-8c070064-383e87bc-900d5646-a15c9576 +51078371,"AP chest: Moderate-to-severe pulmonary edema accompanied by significantly small bilateral pleural effusion. Significant bilateral pleural effusions, and moderate to severe interstitial pulmonary edema reflecting fluid overload. ",66e86adc-70548bf4-9981e744-42d0da07-838b4d2a +51096107,"Nasogastric feeding tube with the wire stylet in place from the upper midline, in the esophagus or right main bronchus, to the upper stomach, and to the lower stomach close to the pylorus. Nasogastric feeding tube with the wire stylet in place from the upper midline, in the esophagus or right main bronchus, to the upper stomach, and to the lower stomach close to the pylorus. ",5142f79d-ca2bee0e-d70061cd-e31c5917-98f78f0e +51099690,"AP chest: Moderate left pleural effusion following thoracentesis, with small-to-moderate right pleural effusion, severe cardiomegaly, and pulmonary vascular engorgement. Moderate left pleural effusion and probable left lower lobe consolidation. Mild pulmonary edema and bibasilar consolidation. ",e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3 +51111527,"AP chest: Extensive opacification in both lungs, sparing the left mid and lower lung zone. AP chest: Pulmonary consolidation is appreciably significant in both lungs, moderate-to-severe cardiomegaly and mediastinal veins are dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps a new pneumonia in the right lower lobe. ",7d2c16b5-f6f795bc-48420b1a-415e3df8-8d442753 +51114398,AP chest: RA and RV leads are in standard position. AP chest: RA and RV leads are in standard position. ,ff4180bc-fa800289-1e6a39c6-4c38b356-ad513e6a +51115148,AP chest: Short vascular catheter projects over the mid right humerus. AP chest: Short vascular catheter projects over the mid right humerus. ,8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6 +51125097,Substantial enlargement of the cardiac silhouette with pulmonary vascular congestion and probable small bilateral effusions. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and probable bilateral pleural effusions with compressive basilar atelectasis.,65b85d44-6bcf71a2-508b0589-a48d95ed-d4997747 +51129150,"Pulmonary vascular congestion and platelike atelectasis in the left midlung, reflecting exceedingly low lung volumes. Low lung volumes exaggerate vascular crowding and possible interstitial edema in the left lung.",1d74ca1d-12ac2785-bd84a322-376f04bc-b9fdaa99 +51131705,AP chest: Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. Status post CABG with positioning of all lines and tubes in place.,4f8a1691-89998d68-1647d35a-65f86204-16385ae8 +51137224,Postsurgical changes in the right suprahilar region without definite acute cardiopulmonary process. Postsurgical changes in the right suprahilar region without definite acute cardiopulmonary process.,c8913af9-734e331d-173b2e64-3bd029ab-fb2771ae +51140141,"Small left apical pneumothorax, with right greater than left pleural effusions and left chest tube placement. Small left apical pneumothorax, with right greater than left pleural effusions and left chest tube placement. ",a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2 +51140249,Cardiomegaly and widening of mediastinum status post median sternotomy. Cardiomegaly and widening of mediastinum status post median sternotomy. ,0b573d4b-fece5236-ea941b33-c752a0ab-b5cfdd68 +51140369,AP chest: Pulmonary edema with concurrent right upper lung consolidation. AP chest: Right upper lobe consolidation is moderate and aeration in the remainder of the right lung is significantly reduced and there is left perihilar edema. ,a9fa9dcf-791d8328-1f38b677-e6d7a2aa-56b111e5 +51140617,"Findings suggestive of congestive heart failure including apparent large heart size, small pleural effusions and prominent perihilar pulmonary vasculature. Findings suggestive of congestive heart failure including apparent large heart size, small pleural effusions and prominent perihilar pulmonary vasculature. ",fbc1d1b7-2217f22b-74904fff-5061c77a-930f05c8 +51143879,"Right upper lobe spiculated opacity appears conspicuous, suggesting inflammatory etiology. Right upper lobe spiculated opacity appears conspicuous, suggesting inflammatory etiology.",4a11826b-f6d01af0-18890057-960c5a8c-f24fc5f0 +51144460,AP chest: Large heart and large tortuous thoracic aorta are seen. AP chest: Large heart and large tortuous thoracic aorta are seen. ,4076e969-56f5b8aa-66ad39cc-833e7f03-cd0854e9 +51150576,"THERE IS RIGHT BASAL OPACITY WHIC MIGHT REFLECT ASPIRATION BUT ATTENTION TO EXCLUDE DEVELOPING INFECTION IS RECOMMENDED. NG TUBE TIP IS IN THE STOMACH. There is opacification at the right base, consistent with clearing of aspiration. ",bb664e62-f26a58fb-f3f6515a-0cb91fa0-2638766f +51153042,Findings compatible with mild to moderate pulmonary edema and probable small pleural effusions. Bilateral interstitial opacities with cardiomegaly and probable small pleural effusions compatible with either asymmetric moderate pulmonary edema versus infection.,c8a6b25d-257241cf-19fa30f5-20bedbc5-b371e581 +51153135,"Over riding acute left rib fractures are responsible for local pleural or extrapleural hematoma along the lateral costal pleural surface, but there has also been small areas of consolidation in the adjacent left lung. Patchy and linear left lower lobe opacities with volume loss favor atelectasis, but coexisting aspiration or infectious pneumonia are possible.",842c80c2-40a8d117-9d30e18e-4548b4b6-99f871ed +51161513,Left subclavian central infusion port ends in the low SVC close to the superior cavoatrial junction. Left subclavian central infusion port ends in the low SVC close to the superior cavoatrial junction.,2e0c4b42-d1ef618d-2b25304c-1b6ef8a5-29e7671d +51162875,"Cardiac silhouette and is somewhat enlarged and there is blunting posteriorly of what appears to be the left costophrenic angle, suggestive of minimal pleural effusion or pleural thickening. Cardiac silhouette and is somewhat enlarged and there is blunting posteriorly of what appears to be the left costophrenic angle, suggestive of minimal pleural effusion or pleural thickening. ",cd5bb1b2-3fb23145-b033324b-a7cb4c43-c1641cc9 +51168408,Cardiomediastinal silhouette including severe cardiomegaly and widening mediastinum. Cardiomediastinal silhouette including severe cardiomegaly and widening mediastinum.,a274e07c-68b358c4-454f3eab-c28f2256-061b00e2 +51177209,Transvenous right atrial and right ventricular pacer leads are as far as one can tell on the frontal view alone. Transvenous right atrial and right ventricular pacer leads noted. ,0240c2bd-1a2d54ea-8ccdf075-26529d30-cc00fd94 +51183691,"Left greater than right basilar opacity likely reflecting atelectasis with moderate left pleural effusion and pneumonia with empyema should be considered. In addition to mild pulmonary edema, the major change is left lower lobe consolidation and an accompanying moderate pleural effusion, strongly suggestive of pneumonia. ",2d35647b-697aa705-d56cc89e-da6818b0-3ebe0b23 +51184012,Similar scarring and bronchiectasis within the right apex and calcifications projecting over the right upper and mid lung fields. Similar scarring and bronchiectasis within the right apex and calcifications projecting over the right upper and mid lung fields.,7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed +51192088,"Limited views of the upper abdomen show a generally distended colon, redundant in the right upper abdominal quadrant, making it difficult to exclude pneumoperitoneum. Limited assessment due to patient positioning, particularly of the lung apices, more so on the right. ",eae9b998-2b29a12b-6d6fd4c2-8227ce7b-7f1c4262 +51196890,"Nodular opacity projecting over the right upper lung, question confluence of shadows, may be resolved with dedicated PA and lateral possibly with oblique projections. Nodular opacity projecting over the right upper lung, question confluence of shadows, may be resolved with dedicated PA and lateral possibly with oblique projections. ",0e94f694-f43b9926-aae6e13a-c3d97e2d-3a975b5b +51199892,"Borderline heart size top-normal. In the appropriate clinical setting, subtle crowding of bronchovascular markings in the right cardiophrenic region could represent a very subtle infiltrate. ",2e11d19f-7fd45c8b-fd747233-8ee0a18d-191447d3 +51202805,"There is prominent interstitial markings, which may reflect patient's known history of underlying asthma. There is prominent interstitial markings, which may reflect patient's known history of underlying asthma. ",f13c668b-a7cbd8c4-3de552f9-4c0921fe-7c8b4a12 +51203739,There is enlargement of the cardiac silhouette with pulmonary edema that may be superimposed upon chronic interstitial lung disease. There is enlargement of the cardiac silhouette with elevation of pulmonary venous pressure superimposed on diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease.,e023c3e4-39101fc9-0c1d4cb4-1566e997-0080096e +51210366,There is some enlargement of the cardiac silhouette with engorgement of indistinct pulmonary vessels consistent with elevated pulmonary venous pressure. The cardiac silhouette is enlarged and there are engorged and indistinct pulmonary vessels consistent with elevated pulmonary venous pressure. ,dd3a86eb-069878c6-f4880473-9cc83b95-17983197 +51210610,"There is interstitial markings bilaterally in this patient with known chronic lung disease; chronic lung disease, superimposed infectious process difficult to exclude, although no lobar pneumonia seen. There is interstitial markings bilaterally in this patient with known chronic lung disease; chronic lung disease, superimposed infectious process difficult to exclude, although no lobar pneumonia seen. ",9428e731-163d993c-618d497c-871a84b1-39a4138e +51214350,"Heart is normal size though slightly larger and pulmonary vasculature is engorged, but there is no appreciable pleural effusion or pneumothorax. Heart is normal size though slightly larger and pulmonary vasculature is engorged, but there is no appreciable pleural effusion or pneumothorax. ",88569944-e427b76f-c9db3157-972a1ec1-4d0f7523 +51229730,Prominence of the ascending aorta and aortic arch contour raising possibility of aneurysmal dilatation which can be assessed by CT. No acute cardiopulmonary process. Prominence of the ascending aorta and aortic arch contour raising possibility of aneurysmal dilatation which can be assessed by CT. No acute cardiopulmonary process.,d642ad26-82bef23a-5b41c13c-5f34e5e1-f45e10aa +51229977,"AP chest: Severe enlargement of the cardiac silhouette, and distention of both pulmonary hilar, and mediastinal vasculature. AP chest: Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. ",4ffa9df0-24b7231c-3f67bde1-d9698406-f27658a3 +51230608,"PA and lateral chest: Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. PA and lateral chest: Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. ",e68bb7df-05039df8-44346b6b-c34ca52e-a92432c7 +51233388,"PA and lateral chest: There is moderate right pleural effusion, accompanied by substantial atelectasis in the right lower lung, at least the base of the lower lobe, pleural nodulation in the right upper chest projecting over the second and third anterior ribs raises concern for malignancy. PA and lateral chest: There is moderate right pleural effusion, accompanied by substantial atelectasis in the right lower lung, at least the base of the lower lobe, pleural nodulation in the right upper chest projecting over the second and third anterior ribs raises concern for malignancy. ",c95ac9a4-70c1c602-421eacbd-bb29c3f1-7ab0862c +51233560,There is confluent opacity involving the medial aspect of the right base raises concern for acute infection superimposed upon chronic basilar predominant fibrotic change. There is confluent opacity involving the medial aspect of the right base raises concern for acute infection superimposed upon chronic basilar predominant fibrotic change. ,fcf2656a-1407b4d0-e029e995-c324e158-e2b9ce15 +51237274,"PA and lateral chest: There his severe chronic cardiomegaly, small right pleural effusion and the loculated right pleural or extrapleural fluid collection. PA and lateral chest: There his severe chronic cardiomegaly, small right pleural effusion and the loculated right pleural or extrapleural fluid collection. ",2cdb2a27-7c2b2d98-f15e16f6-14f179ab-c34735ea +51244125,There is no pulmonary edema but there is moderate cardiomegaly and pulmonary vascular engorgement. There is no pulmonary edema but there is moderate cardiomegaly and pulmonary vascular engorgement. ,fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0 +51244261,"AP chest: Extensive opacification in both lungs, sparing the left mid and lower lung zone. AP chest: There is severe widespread pulmonary infiltration, with near confluence of opacification in the left lung, and moderate left pleural effusion. ",17ff7369-20912497-3b539b61-9c4ace20-7dc7fa12 +51248899,There is significant right pleural effusion with collapse of the right middle lobe and large atelectasis in the right lower lobe. There is significant right pleural effusion with collapse of the right middle lobe and large atelectasis in the right lower lobe.,dace8d97-bff4cdf8-b6025d03-54255fb2-666c6a31 +51259731,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,a3c40907-043e8021-0482ce61-34670856-7cd45fdf +51264956,"AP chest: Moderate-to-severe right pleural effusion. AP chest: Mild-to-moderate right pleural effusion, layering.",0172482f-ff4eeb46-e6e40eaa-2659ae08-97fb1158 +51265253,"AP chest: Right lung is completely collapsed, without appreciable leftward shift in the mediastinum, and very large multiloculated right pleural effusion. Moderate right apical pneumothorax, with rightward shift of the mediastinum and substantial collapse of the remaining right lung, with only minimal aeration seen. ",09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0 +51265278,"AP chest: Lung volumes are quite low with marked elevation of the left hemidiaphragm, attributable to distention of both the stomach and the transverse and splenic flexure of the colon. Mild elevation left hemidiaphragm with gaseous distention of stomach and possibly bowel beneath, correlate with gastrointestinal symptoms. ",0d5def63-8ca29ddc-bf6bde42-fab8887f-19a6e96c +51266767,"AP chest: Moderate-to-severe cardiomegaly is pronounced, pulmonary vascular engorgement and mild interstitial edema. AP chest: Severe cardiomegaly is significant, mild interstitial pulmonary edema has developed, with right lower lobe consolidation or atelectasis. ",474c4fbb-14f486fd-a3c9e647-da14a57d-dcf9e39a +51274564,"AP chest: Significant heart size and heterogeneous opacification at the lung bases could be due to dependent edema, but raises more concern for pneumonia. There is opacification at the bases with further enlargement of the cardiac silhouette and prominence of pulmonary markings. ",ee20ed6a-2dc0af0c-24d33cf6-5386e01a-c281e8c5 +51280998,There is large right pleural effusion associated right middle and lower lobe collapse. There is large right pleural effusion associated right middle and lower lobe collapse. ,115a50e2-b668b74b-81a73b76-9d53579f-12ea7431 +51285349,"Right upper lung is air less, containing a large mass, and atelectasis in the right mid and lower lungs is is severe. There are low lung volumes and consolidation involving the mid and upper portion of the right lung. ",d9e22dc4-c2df3c29-6bbda3ee-d5d33e26-c93e5f4e +51293673,Findings worrisome for left perihilar mass as well as mediastinal lymphadenopathy. Findings worrisome for left perihilar mass as well as mediastinal lymphadenopathy.,4b64a5b1-add48a29-703a757c-e888cd6b-4684205e +51300469,"The heart is enlarged and there is minimal fluid overload as well as a small left pleural effusion, associated to a left retrocardiac atelectasis. There is moderate-to-severe left lower lobe consolidation and mild-to-moderate cardiomegaly, although mediastinal veins are engorged. ",6cb983aa-64b252ae-99834c29-3233ef10-ba21f892 +51301343,"AP chest: Bibasilar consolidation, moderate on the right severe on the left are significant and accompanied by bilateral pleural effusion, small on the right and moderate on the left. AP chest: Opacification at both lung bases could be explained by moderate-to-severe pleural effusion, left greater than right, atelectasis, in the setting of interstitial pulmonary edema. ",c84df635-43b1c5bd-cbd8fd29-e41b2428-dae6a1b9 +51309585,"Moderate congestive heart failure with moderate pulmonary edema, small bilateral pleural effusions, and bibasilar airspace opacities likely reflective of atelectasis. Findings compatible with acute pulmonary edema with possible layering pleural effusions. ",42a56014-a47bf1c7-ea0611ef-536278b4-881a4f91 +51320163,Mild leftward curvature of thoracic spine may be positional however is suspicious for scoliosis. Overall cardiac and mediastinal contours are within normal limits given AP technique.,4977b9cb-187b6611-2a2cd5ec-75b12655-890f56b5 +51322686,"Large left upper-mid lung consolidation, in view of clinical history is worrisome for pneumonia. Large left upper-mid lung consolidation, in view of clinical history is worrisome for pneumonia. ",4ab443e8-381a282a-dfe41cd5-8edde8bf-72cbeb68 +51323886,"Small symmetric bilateral pleural effusion probably reflects congestive heart failure, insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects congestive heart failure, insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. ",856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5 +51339993,AP chest: Moderate-to-large right pleural effusion and moderately-severe pulmonary edema are significant substantially and there is distention of mediastinal veins. AP chest: Moderately-severe pulmonary edema and small-to-moderate right pleural effusion,3d99ed96-dc2263d9-e1073168-b827579b-63b897ec +51345585,Blunting of the costophrenic angles bilaterally may reflect trace bilateral pleural effusions versus chronic pleural thickening. Blunting of the costophrenic angles bilaterally may reflect trace bilateral pleural effusions versus chronic pleural thickening.,b7ae7112-d3ab965d-c43adc90-30533667-3b307ee3 +51347031,"Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. ",4a04164c-bf7a47b2-39273bf3-6f841e34-278431eb +51351077,"Coarse interstitial marking with basilar predominance, likely reflective of chronic lung disease without evidence of an acute intrathoracic abnormality. Coarse interstitial marking with basilar predominance, likely reflective of chronic lung disease without evidence of an acute intrathoracic abnormality. ",c8d8a6ba-39f605e7-31f65aff-3edf85bf-f9e26e9b +51351495,"AP chest: Mild generalized edema but there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. AP chest: Although there is significant pulmonary consolidation in both lungs, moderate cardiomegaly is more severe and mediastinal veins are dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps a pneumonia in the right lower lobe. ",5636d20b-bf2bc860-a877f98d-84cf4456-7d982baa +51363438,"Patchy bilateral lower lobe airspace opacities with bronchial wall thickening, more pronounced in the right lower lobe, compatible with bronchiectasis and small airways infectious or inflammatory process. Patchy bilateral lower lobe airspace opacities with bronchial wall thickening, more pronounced in the right lower lobe, compatible with bronchiectasis and small airways infectious or inflammatory process. ",6bee882f-357d1846-ca771638-0a877fc8-6d19d615 +51370405,"There are bilateral lower lobe infiltrates, right greater than left and new small pleural effusions right greater than left the left perihilar infiltrate. There are bilateral lower lobe infiltrates, right greater than left and new small pleural effusions right greater than left the left perihilar infiltrate.",03549470-b3b9bbfa-9829200c-9e8fbdda-228a6817 +51371355,"No acute findings on this single supine frontal chest radiograph. No evidence of cardiac enlargement, pulmonary congestion or acute infiltrates as has been assessed on single view examination with patient in supine position. ",de6f3d70-eadfcea2-4074743a-28118cf6-707e9cfd +51375357,"There is greater fullness in the right lower paratracheal station of the mediastinum, which could be due to distal distention of the azygos vein or development of enlarged lymph nodes in that region. There is greater fullness in the right lower paratracheal station of the mediastinum, which could be due to distal distention of the azygos vein or development of enlarged lymph nodes in that region. ",8ce5c1e8-5314070b-aed98ebb-f5135400-c6c11c2f +51380921,"Small amount of Subcutaneous emphysema, left lower lateral thoracoabdominal wall at the rib resection site. Old left midclavicular and left fifth posterolateral rib fractures. ",a628980c-8235948c-af0bf50a-9aec5850-fcd593fc +51391219,"Very faint curvilinear lucency on the frontal view, overlying the left posterior seventh rib. Very faint curvilinear lucency on the frontal view, overlying the left posterior seventh rib.",e585ac0f-fc079ecc-ae54b1f8-1121c4b0-52a0b7f0 +51392471,"PA and lateral chest: Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. PA and lateral chest: Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. ",c02bdcc0-549bf4f3-5f78b267-f547a2ea-ad315318 +51398188,"There are slightly low lung volumes in this patient with enlargement of the cardiac silhouette and a dual-channel pacer device with leads in the right atrium and apex of the right ventricle. A biventricular pacing lead has been placed, with no visible pneumothorax. ",406ff57a-8c66ca32-af21faa2-a53b08d6-7b5a0bdf +51402047,There is enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. There is enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease.,4370c5f0-17617acf-dad6d891-c543e14e-cc79120c +51406657,"AP chest: Lung volumes are appreciably low due in part to moderately severe pulmonary edema, following extubation. AP chest: Widespread pulmonary opacification is significant, particularly in the lower lungs, but the pattern is consistent with progressive pulmonary edema. ",8213e26d-d00f0c0f-5125e457-8602815c-1ccc2765 +51407808,"Large areas of heterogeneous consolidation in the left mid and lower lung zone, combination of lung mass, pneumonia, and collapse in the lingula. Widespread fibrotic interstitial lung disease is demonstrated as well as confluence of opacification in the left perihilar and retrocardiac regions, potentially due to developing infection in the appropriate clinical setting. ",005f2399-b87f52cf-d010c801-5426064b-05e4afd4 +51427095,Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,95e57a26-a6de4499-4dddba72-f21f0627-c864e681 +51427308,"AP chest: Moderate-to-severe left pleural effusion and the left lower lobe is airless, either collapsed or, less likely, consolidated. AP chest Large left pleural effusion is slightly large, further reducing the volume of the nearly collapsed left lung, with moderate rightward mediastinal shift and probably responsible for moderately severe atelectasis in the right lower lobe. ",cd20a77e-2332eb46-6c09f2d2-e0e8d1d9-8f18baf1 +51435896,AP chest: Large region of consolidation in the right mid and lower lung zone and some of the opacity in the right lower chest was probably pleural effusion. Heart size is difficult to appreciate giving the obscuration of the right heart border by right mid and lower lung consolidation. ,dba61a64-de733cca-c91730b7-7870dfef-c173ffd9 +51455625,"AP chest: Some degree of pulmonary edema and at least moderate bilateral pleural effusions have been present. There are lower lung volumes with enlargement of the cardiac silhouette, pulmonary edema, in bilateral pleural effusions with compressive basilar atelectasis on both sides. ",77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253 +51464763,Narrowed upper mediastinal contour is likely due to known congenital heart disease. Narrowed upper mediastinal contour is likely due to known congenital heart disease.,4c2fb727-6b6a721b-befb2d0a-f87fb73f-ee302214 +51467319,"AP chest: Heavy asbestos-related pleural calcifications obscure much of the lower lungs, but nevertheless I can see that there is mild edema in the lower lungs and small pleural effusions. AP chest: Mild interstitial pulmonary edema, best appreciated in the left lung. ",7701efe6-56cfaf62-917ec157-bf142818-4a6993ee +51468636,Limited exam due to large body habitus. Limited exam due to large body habitus.,05f9a070-a4116dd6-f7ba75fb-5e8dea94-59328a7f +51473674,"AP chest: Lung volumes are considerably low, exaggerating the pulmonary vascular congestion. AP chest: Lung volumes are very low, and there is a mild interstitial pulmonary edema, although there is moderate cardiomegaly and pulmonary vascular congestion only mild. ",e0f5b52f-7723f470-e1b422a4-73ef70cb-2a76d9c3 +51474707,"There are low lung volumes that accentuate the transverse diameter of the heart in this patient with a left subclavian pacer with leads in the right atrium and right ventricle. LVAD, right ventricular pacer defibrillator lead in their respective positions. ",f2baee8f-ab9bb3f0-cd412d19-fa6f5014-d0388839 +51479309,"There is pulmonary vascular redistribution with hazy alveolar infiltrate in the right upper lobe greater than left upper lobe the heart is moderately enlarged the mediastinum is prominent, likely due the vascular engorgement the ET tube is in position the overall impression is that of pulmonary edema. Pulmonary edema and mediastinal vascular engorgement is significant.",879a6090-bc908584-faa34013-2ab152cc-c80f9feb +51485773,"Lung volumes are substantially low exaggerating moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and obscuration of the hemidiaphragm on the left consistent with volume loss in the left lower lobe and pleural effusion. ",474f9207-e0279fb3-96a3641e-438ab1d1-01b657e9 +51493934,AP chest: Moderate right pneumothorax that had been treated. Moderate pulmonary edema. AP chest: Severe pulmonary edema and severe cardiomegaly and moderate right and small left pleural effusion.,82fb374b-501cd085-de6db06c-337de2f5-3f5d1157 +51499550,There are substantially low lung volumes with atelectatic changes at the bases. There are low lung volumes with continued atelectatic changes at the bases. ,d40ff923-1ae1c675-0bf6d047-42ce5585-8d8da7bb +51503417,"Lung volumes are low, but the only pulmonary abnormality is platelike atelectasis or scarring at the left base. Lung volumes are low, but the only pulmonary abnormality is platelike atelectasis or scarring at the left base. ",86f89f10-d6932134-162d3d5b-689149a3-81dd2b70 +51511674,Cardiomegaly and tortuous aorta. No acute process with poor visualization of the T10 and T11 fractures. Likely preexisting interstitial lung disease. ,bf73d8b0-3e093d0f-dd91f13c-0d6e276b-53136b54 +51513702,"The heart appears enlarged given portable technique and may reflect cardiomegaly, although pericardial effusion should also be considered. Low lung volumes account for accentuation of the cardiac silhouette appearing moderately enlarged. ",053e0fdd-17dbee89-17885e49-08249a30-7f829c9c +51514260,Large right pleural effusion with leftward shift of mediastinal structures and interval development of a small right pneumothorax. Large right pleural effusion with leftward shift of mediastinal structures and interval development of a small right pneumothorax. ,9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b +51522722,Cardiomegaly and marked tortuosity of the descending thoracic aorta. Cardiomegaly and marked tortuosity of the descending thoracic aorta. ,4a102c0d-0f7d000d-98e8aac0-7509e4c8-b9d60545 +51526655,"AP chest: Severe pulmonary consolidation is asymmetrically distributed, predominantly right upper lobe and left perihilar and lower lung. AP chest: Extensive opacification in both lungs, sparing the left mid and lower lung zone. ",78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2 +51527425,Enlargement of the cardiac silhouette with a configuration raising concern for underlying pericardial effusion. Enlargement of the cardiac silhouette with a configuration raising concern for underlying pericardial effusion.,84dac834-d9f40739-755532a0-1ddab50a-cae07005 +51540424,Bilateral pleural effusions with basilar compressive atelectasis associated with enlargement of the cardiac silhouette and pulmonary vascular congestion. Findings suggestive of congestive failure and moderate bilateral effusions.,3c6607cb-2b24a862-ba454139-42d40dec-a4aed625 +51544976,"AP chest: Severe enlargement of the cardiac silhouette, and distention of both pulmonary hilar, and mediastinal vasculature. AP chest: Moderate-to-severe enlargement of the cardiac silhouette, but there is no pulmonary edema, although mediastinal veins are dilated, possibly a reflection of supine positioning. ",74a8518e-540825ef-5348424e-50918195-a06fc105 +51545557,"AP chest: Mild-to-moderate right pleural effusion following placement of a pigtail pleural drainage catheter, which is coiled over the right diaphragmatic region. AP chest: Moderate right pleural effusion, presumably the patient has had an intervening thoracentesis. ",b83a98a1-69ae5692-5fc5b2eb-140a525a-abf289ab +51548785,"There is an apical lateral pneumothorax with reduced aeration in the right lung suggestive of pulmonary edema. Right apical hydropneumothorax, moderate cardiomegaly, and moderate interstitial pulmonary edema. ",8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca +51551684,"There has been a right pigtail catheter placed in the pleural space with layering effusion and compressive basilar atelectasis. Bilateral pigtail pleural catheters are in place, with small right pleural effusion and no significant left pleural effusion. ",8dc7bad7-d7cdbfe7-7231abb5-65e3168d-12e734c2 +51566590,Bibasilar airspace opacities concerning for infection or aspiration. Bibasilar airspace opacities concerning for infection or aspiration.,9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66 +51568216,"There are low lung volumes with bibasilar atelectasis most prominent on the left. There are bilateral atelectatic changes, more prominent on the left, in a patient with low lung volumes. ",4ffe5eff-a5a604c2-4da5dcda-0801d405-88939c8f +51579601,There is enlargement of the cardiac silhouette with biventricular pacer leads in good position. Pacemaker leads are in demonstrated with 1 terminating is a most likely in the right atrium the second 1 in the left ventricle and as third 1 most likely present within the epicardial vein of the left ventricle.,a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504 +51580913,"Mild interstitial pulmonary edema with small bilateral pleural effusions, left greater than right, and bibasilar ill-defined opacities which may reflect atelectasis though infection is not excluded. Mild interstitial pulmonary edema with small bilateral pleural effusions, left greater than right, and bibasilar ill-defined opacities which may reflect atelectasis though infection is not excluded. ",5033a612-cecd8c09-fda1ffcf-89bbc30e-147ecb44 +51584806,"Nodular density projecting over the right first costochondral cartilage area, potentially degenerative; however, two-view chest x-ray recommended on a nonurgent basis to exclude underlying lung lesion. Prominence of the ascending aorta may relate to a tortuous aorta, however, this could be further evaluated on nonurgent chest CT to assess for dilation of the ascending aorta. ",b800c916-3b94102e-b30f93af-af52c677-167e5233 +51599732,"AP chest: Lung volumes are quite low with marked elevation of the left hemidiaphragm, attributable to distention of both the stomach and the transverse and splenic flexure of the colon. AP chest: Lung volume is within normal range on the right, and there is crowding to the pulmonary vasculature, and atelectasis at the left base above the elevated left hemidiaphragm. ",c2d5f938-8ac36872-dfac1b06-126c490e-6f63e582 +51612287,Right IJ catheter terminating at the low SVC. Right IJ catheter terminating in the mid SVC.,32c5499f-c7a8f116-bc3516cf-55127c10-d77b160c +51612379,"There is a left retrocardiac opacity, small bilateral pleural effusions, and water pulmonary interstitial edema. There is a left retrocardiac opacity, small bilateral pleural effusions, and water pulmonary interstitial edema. ",1f39a0e5-eb257452-7629c4fc-d3d059e7-17bf34f5 +51613553,Mild widening of the cardiac mediastinal silhouette is probably due to supine positioning. Mild widening of the cardiac mediastinal silhouette is probably due to supine positioning.,41ac266f-165c8df4-32f6976e-54066ffd-f078337c +51615087,"PA and lateral chest: Opacification in the right mid lung zone, accompanied by greater vascular congestion suggests this is probably a component of pulmonary edema. In the setting of chronic vascular engorgement and mild cardiomegaly, greater opacification in the right mid and lower lung zone could be a combination of atelectasis and early edema. ",29f643b7-e5408002-2f731ee3-cb5b8634-0d438145 +51621137,AP chest: Large scale abnormality at the base of the left hemithorax was combination of moderate left pleural effusion and lower lobe atelectasis. AP chest: Moderate left pleural effusion and basal atelectasis.,0beab5cd-dd1bb454-0df993cf-f3c0ae3d-8f0e0c27 +51621424,"There is enlargement of the cardiac silhouette with engorgement of indistinct pulmonary vessels, consistent with developing pulmonary edema. There is enlargement of the cardiac silhouette with engorgement of poorly defined pulmonary vessels consistent with the diagnosis of pulmonary edema. ",d85667b8-c62dec2e-998b6abd-7f553ce3-75954004 +51623828,"AP chest: Mild generalized edema, there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. Leftward mediastinal shift suggests opacification of the left lung is due to severe left lower lobe atelectasis. ",9dcbd7ac-9d6ca173-f7e669fd-bb419597-97f58083 +51634830,"Prominent caliber of the aorta at the junction of the arch and descending portions could be due in part to difference in radiographic positioning, but there is mediastinal venous distention denoted by dilatation of the azygos vein accompanying mild pulmonary edema. Prominent in caliber of the aorta at the junction of the arch and descending portions could be due in part to difference in radiographic positioning, but there is mediastinal venous distention denoted by dilatation of the azygos vein accompanying mild pulmonary edema. ",9ef32bb6-e50747e2-dcc3e2c5-8eb088ab-1299485a +51640383,"PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained. PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained. ",46f5be5f-70e3e741-542f6fde-edbbdbfe-a4ed00d6 +51644170,"Upper mediastinal widening, particularly in the right tracheal paratracheal station is seen with central line placement. Lung volumes are low with associated accentuation of cardiomediastinal contours and crowding of bronchovascular structures. ",68fca727-3938158e-eb97e5dc-141e63e2-53d66c78 +51648837,"AP chest: Somewhat asymmetric, but evenly distributed bilateral consolidation, severe in the right lung, moderate in the left. AP chest: There is reduced aeration in the right lower lung, due to either some withdrawal of right pleural effusion, and most likely severe obstruction to the right middle and lower lobe. ",4460b78c-d6c33b0d-eb6264df-74386a2b-371f79ec +51654271,The cardiomediastinal silhouette and pulmonary hila remain enlarged. The cardiomediastinal silhouette and pulmonary hila remain enlarged. ,0e02f05c-dfa11803-7fd610f9-7011086c-eeeeb1fb +51656138,AP chest: There is bilateral perihilar consolidation and right pleural effusion which suggests a large component of cardiac edema. AP chest: There is bilateral perihilar consolidation and right pleural effusion which suggests a large component of cardiac edema. ,64988a4a-7c2cfce5-4e93b5ca-d55602d6-94c83006 +51664027,"AP chest: Severe but asymmetric infiltrative pulmonary abnormality, most pronounced throughout the left lung and in the right lower lobe and sparing the right upper lobe. AP chest: Severe pulmonary consolidation is asymmetrically distributed, predominantly right upper lobe and left perihilar and lower lung. ",ff6e7a7d-9a6dcd6f-295e7a94-b49fbcc3-502bd3ab +51683155,There is tortuosity of the descending aorta and hyperexpansion of the lungs raising the possibility of chronic pulmonary disease. There is tortuosity of the descending aorta and hyperexpansion of the lungs raising the possibility of chronic pulmonary disease. ,7e26f6a7-ec126822-1bcdc587-a3f5d439-b4715eae +51691897,There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads. There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads.,d901a9f6-27dda78a-1ff8e05e-69f9de4f-38ccb2a1 +51696222,"Rounded configuration of the heart may represent normal variation, though raises the question of possible pericardial fluid. Top normal cardiac silhouette size. ",5d9cf85d-134469a1-4ea8049e-fd8251d2-d8281018 +51707133,The chest CT showed severe exacerbation of pulmonary fibrosis as well as extensive edema largely confined areas of fibrosis suggesting that the edema is more likely due to exacerbation of the underlying lung disease rather than superimposed cardiac edema. Severe pulmonary reticulation due in large part to pulmonary fibrosis.,bb795051-0e639ffa-dbded494-287ec2f7-1a213bd1 +51711520,Deformities of bilateral humeral heads are likely related to severe osteoarthritis or prior trauma. COPD and cardiomegaly with a tortuous aorta and possible pulmonary hypertension. ,3457e40c-876244f2-a9b678c4-5af63665-49377d02 +51712579,There is enlargement of the cardiac silhouette in a patient with a prosthetic valve an intact midline sternal wires. There is enlargement of the cardiac silhouette in a patient with midline sternal wires. ,cbcc7f2d-85037ab8-b4a6295b-36cbbacc-09003a12 +51715383,"AP chest: Post-operative widening of the mediastinum is in the region of the arch, but there may be a large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. Widening of the superior mediastinum with substantial enlargement of the cardiac silhouette, pulmonary vascular congestion, and opacification at the left base which most likely reflects pleural fluid and substantial volume loss in the left lower lobe. ",3e8684a6-648033ea-79431638-c694d922-dadb2370 +51715673,"Left lower lobe opacification has developed in the retrocardiac region, and may be due to acute aspiration and or atelectasis. Patchy retrocardiac opacity consistent with left lower lobe collapse and/or consolidation. ",2e2e7a5d-da7ea8dc-7b5aae28-24978ba4-346238f9 +51719198,"Mild anterior wedging of at least 2 lower thoracic vertebral bodies is of indeterminate age, but could be degenerative. Mild anterior wedging of at least 2 lower thoracic vertebral bodies is of indeterminate age, but could be degenerative. ",7574674d-a958763c-1c48667a-18e60f35-dfd1f3d3 +51719671,"AP chest: Mild-to-moderate right pleural effusion following placement of a pigtail pleural drainage catheter, which is coiled over the right diaphragmatic region. AP chest: Small-to-moderate right pleural effusion has slightly reduced, with a right basal pleural drain alongside the mediastinum. ",7d45bb0a-531ab42d-d3820493-112d47e5-6eafa5a1 +51723789,"Lung volumes are substantially low exaggerating moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. Lung volumes are low and there is diffuse bilateral parenchymal process favoring moderate pulmonary and interstitial edema rather than pneumonia. ",bcb5e90b-c7d3f928-7bd202ee-4e772a8f-e2240e90 +51725523,"Limited, with mild interstitial opacity which could represent mild edema. Limited, with mild interstitial opacity which could represent mild edema. ",4ada6367-cb70c4dd-8f2b5739-ef9da5fa-f1c91813 +51725613,There is mild vascular congestion in this patient with dual-channel pacer device with leads extending to the right atrium and apex of the right ventricle. Cardiac silhouette is within normal limits and there it are clips from previous CABG procedure with intact midline sternal wires dual channel pacer device has leads in the right atrium and apex the right ventricle.,5e6a1e77-fe7d7c1c-14f0897f-85cfc35e-7b7fd799 +51738740,"Opacity seen in the posterior costophrenic angle on the lateral view, potentially secondary to atelectasis given very low lung volumes on this view. Opacity seen in the posterior costophrenic angle on the lateral view, potentially secondary to atelectasis given very low lung volumes on this view. ",3a8a17fc-3cd357d9-83466363-91dc5a06-a401e5ed +51749906,"AP chest: Severe bilateral perihilar pulmonary consolidation has shifted from the mid and lower lung zones to the mid and upper lung zones, suggesting this is edema. AP chest: Generalized pulmonary abnormality due in large part to dependent consolidation in both lungs, and probably a component of mild pulmonary edema, despite extubation. ",3609ba5b-c6aace8b-4557ed37-bf396c15-50b6ba75 +51751626,"There is significant interstitial component of edema in the upper lungs and the confluent consolidation at both lung bases, as well as pleural effusion, at least moderate in size. There is pulmonary edema as well as opacification at the bases consistent with pleural effusions and compressive volume loss in the lower lobes. ",951b8a76-9ad92cfa-c2b49c2d-9e519d6c-2b8b9dd7 +51759935,"AP chest: Small bilateral pleural effusions are significantly large, and there is severe enlargement of the cardiomediastinal silhouette and there is no pulmonary edema. AP chest: There is moderately severe cardiomegaly, and small-to-moderate bilateral pleural effusion, right greater than left, and pulmonary vascular engorgement. ",59d23a34-823a7104-45271e4a-39555147-92da6698 +51766355,"PA and lateral chest: Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall is most likely pneumonia, and the interval enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy. PA and lateral chest: Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall is most likely pneumonia, and the interval enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy. ",8d2b343d-5f569dbe-d6ced9ab-01862237-a2d8520c +51770967,Demonstration of a left suprahilar mass compatible with known malignancy with lymphangitic spread in the left lung and diffuse left-sided pleural thickening with a small to moderate left pleural effusion. Demonstration of a left suprahilar mass compatible with known malignancy with lymphangitic spread in the left lung and diffuse left-sided pleural thickening with a small to moderate left pleural effusion.,dd9cfc23-b05701f2-26215d83-46297578-48e163ea +51773416,Pectus excavatum deformity of the sternum likely simulates a right middle lobe pneumonia though clinical correlation is advised. Pectus excavatum deformity of the sternum likely simulates a right middle lobe pneumonia though clinical correlation is advised.,0d3c825a-9753f20e-bc1e0aa5-f14f69e5-eaa3adee +51777321,"Right apical hydropneumothorax, moderate cardiomegaly, and moderate interstitial pulmonary edema. Right apical hydropneumothorax, moderate cardiomegaly, and moderate interstitial pulmonary edema. ",8b71881c-c896b1ec-9e6c08d8-6f61075a-c98e7454 +51777681,"Large right upper lobe mass, consistent with patient's history of non-small-cell lung carcinoma. Large right upper lobe mass, consistent with patient's history of non-small-cell lung carcinoma. ",7cdd0c6e-d0263417-262f1fce-bd3d2712-99409e00 +51780323,AP chest: The patient first developed left lower lobe consolidation and apparent mild pulmonary edema. AP chest: Some of the left lower lobe is partially obscured by the cardiac silhouette. ,93f1cff6-36f3e02f-d36cdf6d-ee6f284b-c618d6fd +51780481,Right lateral pleural thickening and right basilar pleural thickening could be post-operative or represent some pleural fluid. Right lateral pleural thickening and right basilar pleural thickening could be post-operative or represent some pleural fluid.,6ec5e4b8-6821d041-b2fd540f-a1d42270-467d72bd +51782829,Enlargement of the cardiac silhouette with pulmonary edema that may be superimposed upon chronic interstitial lung disease. Findings may reflect pulmonary edema noting that superimposed infection is entirely possible.,6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63 +51788121,Cardiomegaly in findings suggestive of chronic interstitial lung disease. Cardiomegaly in findings suggestive of chronic interstitial lung disease.,598a87a7-0c33ee5b-7a11cdc4-ad0d69cf-a5ca8524 +51788928,Moderate to severe cardiomegaly within pacer leads. Substantial enlargement of the cardiac silhouette with left ventricular assisting device in position.,4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8 +51791247,"Emphysema with opacity at the right lung apex which may represent scarring though given underlying emphysema, a nonemergent CT is recommended to further assess for the presence of lung nodule. Emphysema with bibasilar linear and patchy airspace opacities, likely atelectasis or scarring, although infection cannot be excluded in the correct clinical setting. ",9adf1edf-b9cd0878-60c0cc62-6a5125d2-d77223ee +51807337,"AP chest: Moderate-to-severe right pleural effusion despite the right basal pleural pigtail drain. Cardiac silhouette is enlarged with bilateral pleural effusions and compressive basilar atelectasis, more prominent on the right. ",53f16e4e-347b6971-9312cbfa-d05f1ca8-6046ec2f +51807934,Moderate left and small right pleural effusions with pacemaker insertion. Dual lead pacemaker and median sternotomy wires are in position. Small bilateral pleural effusions and left basal atelectasis.,d7f19d0e-f85e6043-96b8d9b9-fd64fd5b-7594b0ea +51808820,"Left chest tube is in place and a tracheostomy tube has its tip at the thoracic inlet. The right-sided chest tube, tracheostomy, and left-sided central line appear is in position. ",35d6d97a-9cbb9f6a-78b7bf1d-f7a49df3-fa17a2b5 +51811172,There is enlargement of the cardiac silhouette in a patient with a prosthetic valve an intact midline sternal wires. There are enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG. ,178a003a-0d5784da-664f8272-6c14ae7b-135dfadb +51818744,Cardiomegaly is accompanied by interstitial edema which is predominantly left-sided. There is pulmonary vascular congestion and bilateral perihilar opacities and on the left there is reduced aeration in the retrocardiac region. ,60b550de-e91988cd-eb265e25-8c98e078-fc12db16 +51820068,"There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could represent elevated pulmonary venous pressure, chronic pulmonary disease, or both. There is substantial enlargement of the cardiac silhouette with tortuosity of the aorta, but no definite vascular congestion. ",10a3cd75-c86d7f2a-f350e7bc-b872fc06-79271f33 +51830719,"AP chest: Mild cardiomegaly and mediastinal vascular engorgement are slightly great, but there is no pulmonary edema, small right pleural effusion is likely. AP chest: Heart size is still normal and mediastinal vascular engorgement suggest volume overload but there is no pulmonary edema and pleural effusion is small if any. ",cfdc6369-be819fb3-b05a78fa-9695a910-82883c69 +51835810,There is opacity in the right upper lobe likely in part due to central obstructing perihilar mass better characterized by prior cross-sectional imaging. There is demonstrated opacity along the right major fissure at which time atypical mycobacterial infection was suggested. ,03da26e7-8b50eef0-1b7ebc08-6a620d75-b320cbc4 +51835823,"Lower lobe predominant airspace opacities, consistent with known severe bronchiectasis. Lower lobe predominant airspace opacities, consistent with known severe bronchiectasis. ",6b316ff1-09afc29c-706a4def-20612025-cb976104 +51837636,There is evidence of extensive chronic disease at the right base that showed prominent FDG avidity consistent with malignancy on PET scanning. There are parenchymal opacities at the right the left lung bases with areas of relatively extensive basal bronchiectasis which still clearly seen on both the frontal and the lateral radiograph. ,2eb05c0b-30b37945-71fb6374-45cab675-82128ecc +51837713,"AP chest: Large right pleural effusion, moderate left pleural effusion, severe pulmonary edema and mediastinal vascular engorgement. There is demonstration of massive right-sided pleural effusion with moderate to severe edema of the left aerated lung. ",7fcfad8c-62cf43c4-53d85ee1-2c8bb890-c7773830 +51842805,There is enlargement of the cardiac silhouette in this patient with intact midline sternal wires following previous CABG procedure. There is enlargement of the cardiac silhouette in a patient who has undergone a CABG procedure with intact midline sternal wires. ,70e841c4-5db69600-a5ae730e-bd97e1d0-49246a22 +51844819,"Bibasilar parenchymal opacities with cardiomegaly suggests underlying pulmonary edema, but cannot exclude right lung base pneumonia. Pulmonary edema with bibasilar air space opacities that could represent superimposed pneumonia. ",5dfffffd-68cbd012-f3428c65-ebd2ffd8-57793a0c +51850726,"Left lower lobe collapse, possible small pleural effusions, and monitor/support devices. Left basilar opacification likely reflects volume loss and right lower lobe collapse, but consolidation cannot be excluded. ",bb2896e3-7eeb9cba-9b026443-c0ee46b8-694ab8ed +51857131,"AP and lateral chest: Marked elevation of the right hemidiaphragm, responsible for linear atelectasis in the right middle lobe. AP and lateral chest: Marked elevation of the right hemidiaphragm, responsible for linear atelectasis in the right middle lobe. ",23f44245-c3dac2e5-2fe37a44-0f33bdee-fb440ccf +51858688,"AP chest: Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly. AP chest: Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly. ",24a1e121-f2e8a2ee-fd9ceefb-fcd921af-d278d679 +51863042,"Right mid to lower lung opacity worrisome for worsened pneumonia and/ or aspiration. Extensive asymmetrical opacification of the right mid to lower lung and heterogeneous opacities in the left lower lung, raise concern for infectious or aspiration pneumonia. ",1c038d27-c6193e6a-d4588595-a78608bd-565e11fa +51865597,"AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. ",ea89b622-63cd1a03-7338ee75-9ccef395-57d58bdc +51877138,"There is substantial enlargement of the cardiac silhouette with left ventricular assisting device in position. AP chest: Large cardiac silhouette, following insertion of a pericardial drainage catheter. ",bbfadd26-26a1370d-69d5f8f9-5b210fd9-a89a0589 +51882937,"Right middle lobe pneumonia, small right pleural effusion, emphysema. Right middle lobe pneumonia, small right pleural effusion, emphysema. ",727f555b-ca31baa2-5a5d16fd-ca9b8960-5a9ce4e0 +51887095,"AP chest: Somewhat asymmetric, but evenly distributed bilateral consolidation, severe in the right lung, moderate in the left. AP chest: Patient had right thoracotomy and two apical and a basal pleural drains were placed and there was a significant volume of homogenous opacity in the right upper chest, presumably hematoma. ",7482f461-69260c1c-6d80e1ef-de9d3167-e122de4e +51889790,"Cardiomegaly, bilateral small pleural effusions and diffuse interstitial lung marking prominence as well as prominence of upper lobe vessels compatible with pulmonary edema. Small bilateral pleural effusions, moderate cardiomegaly and moderate interstitial pulmonary edema. ",404c92ca-507a2663-933cb795-d5538049-f6ed552e +51895071,Mild cardiomegaly and and COPD. There is right apical patchy opacity with calcifications. ,4c8cfdf2-2ceef04b-440ed4a3-a43a738c-f031c582 +51900597,"Mild distention of the pulmonary and mediastinal vasculature with left atrial enlargement, suggest intravascular volume or mild cardiac decompensation. Mild distention of the pulmonary and mediastinal vasculature with left atrial enlargement, suggest intravascular volume or mild cardiac decompensation. ",b94eec73-cb649388-7099d440-7f1bbf0c-f1a3b98d +51904170,"Although heart size is normal, hilar enlargement and mediastinal and pulmonary vascular engorgement all point to cardiac decompensation: ET tube is in standard placement and a nasogastric tube passes into the stomach and out of view. AP chest: Supine positioning may be largely responsible for marked upper mediastinal caliber and large cardiac diameter. ",cf6229c4-0dbb5dd3-64610954-17ed414a-c7d2837d +51907814,"Right lower and middle lobe opacities, potentially due to infection or infarct given recent pulmonary emboli in this distribution. Right lower and middle lobe opacities, potentially due to infection or infarct given recent pulmonary emboli in this distribution. ",2b9d6438-d4549d50-64eabcc2-0159f860-4702ea69 +51909919,"Allowing for the portable technique, the cardiac silhouette may be mildly enlarged. There is mild cardiomegaly and mediastinal veins are dilated, but there is no pulmonary vascular congestion, edema, or pleural effusion. ",cc9633ee-0f1c87c6-d3eab33a-ac1eccd5-1bd7608f +51924292,"Left upper lobe opacity, known underlying pulmonary lesion with overlying fiducial sees placed status post biopsy. Left upper lobe opacity, known underlying pulmonary lesion with overlying fiducial sees placed status post biopsy. ",849c8a62-044aeedd-d82807e1-77d0a8f3-b9d0e893 +51927179,There is enlargement of the cardiac silhouette with opacification at the left base. Cardiomegaly with left basilar atelectasis versus scarring.,3413b4c9-e7447f62-2f6619a0-bbe0438e-8bb7d995 +51943302,The cardiac silhouette is enlarged and there is increasing pulmonary vascular congestion with bilateral pleural effusions and compressive basilar atelectasis. The cardiac silhouette is enlarged and there is pulmonary vascular congestion with bilateral pleural effusions and compressive basilar atelectasis. ,1ea0d122-9ef34e51-ee2bbb71-1cb23417-70894090 +51943964,"Lung volumes are low with bibasilar predominantly linear opacities favoring scarring or subsegmental atelectasis. Lung volumes are low, exaggerating heart size, which is probably mildly enlarged. ",2f1eba54-06686151-156f45ff-76e953f6-03665181 +51946836,"Right jugular line ends at the origin of the SVC, right atrial and two right ventricular pacer defibrillator leads in place. Right jugular line ends in the region of the superior cavoatrial junction and transvenous right atrial right ventricular pacer leads are in standard placements, continuous from the left pectoral generator. ",3084f617-e040a88c-2e4bb84f-d190e19b-fc86d543 +51947909,PA and lateral chest: Moderate-to-severe right pleural effusion and mild-to-moderate left pleural effusion. PA and lateral chest: Moderate-to-severe right pleural effusion and mild-to-moderate left pleural effusion. ,bc8db468-b178d3ba-03bdb07d-16e95e5f-775875b8 +51951386,Unremarkable lung parenchyma. Mild generalized bronchial wall thickening may reflect underlying asthma or bronchial inflammation.,0bb60711-8098a084-5f12d2bb-e8739a70-870e72a1 +51958195,A mal-positioned Dobbhoff tube coiled in the mid esophagus courses superiorly ending in the oropharynx. The Dobbhoff tube tip is in the third part of duodenum.,e098de1a-7399b454-7d99f39c-193c0665-82223533 +51966612,Emphysema is reflected in hyperinflation. Emphysema is reflected in hyperinflation.,8797515b-595dfac0-77013a06-226b52bd-65681bf2 +51972257,"AP chest: Nearly global opacification of both lungs characterized as combination of interstitial infiltration, some chronic and fibrotic, and subsequent diffuse ground-glass alveolar opacification. AP chest: Slightly low lung volumes account for radiographic progression of diffuse infiltrative pulmonary abnormality, largely pulmonary fibrosis. ",03e4f490-80c314d6-8e4e9cee-cfdf8702-faac4644 +51972716,"Large fluid collection in the left pneumonectomy space is prominent, since the mediastinum has migrated slightly to the left and air in the left pneumonectomy space has extruded into the left chest wall and neck. There is complete opacification of the left hemithorax following pneumonectomy. ",02cab5e2-32c693a1-f28fc960-a42cc4a2-4d8d7c44 +51983905,Mild-to-moderate pleural effusion extensive opacity in the right lung likely represents patient's known malignancy though superimposed pneumonia is difficult to exclude. Mild-to-moderate pleural effusion extensive opacity in the right lung likely represents patient's known malignancy though superimposed pneumonia is difficult to exclude. ,ab1e1361-80eb18db-60ce9d49-0c7e8e71-477b3559 +51985577,"Bilateral lower lung zone opacities and small left layering pleural effusion. Bibasilar opacities are present, left greater than right, with probable adjacent small pleural effusions. ",92104a74-78d6ae95-2b62a235-6f522a7c-13202ce0 +51986565,"PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are within normal range. PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are within normal range. ",232aed3a-74900285-3fa279f4-43c5af2a-e8406c03 +51987558,"AP chest: The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. AP chest: Severe widespread subcutaneous emphysema throughout the chest wall and neck, and severe pneumomediastinum.",c03a2997-80360638-ff758347-c676024c-e71aca82 +51988570,No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly. No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly.,a2f93b13-6b7f3079-3610454c-347f5e93-ad8f103b +52008677,Hyperexpansion of the lungs is seen with biapical scarring worse on the right. Hyperexpansion of the lungs is again seen with biapical scarring worse on the right.,59a291bb-a5b73755-8efc4039-1a4e13f2-887e46d2 +52011718,"AP chest: Moderate-to-severe enlargement of the cardiac silhouette, but there is no pulmonary edema, although mediastinal veins are dilated, possibly a reflection of supine positioning. The cardiac silhouette is enlarged, likely caused by the known patent ductus. ",9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9 +52019812,This patient is status post median sternotomy with an aortic graft and CABG and valve replacement. There is mild prominence of the cardiac silhouette and tortuosity of the aorta and and a person with intact midline sternal wires. ,c1ca2269-888c6d31-99903c19-c02256b7-390f38a1 +52026509,"Borderline cardiomegaly and tortuous and enlarged thoracic aorta, which, harbors a large dissection starting at the arch and involving the descending thoracic aorta into the abdomen. Borderline cardiomegaly and tortuous and enlarged thoracic aorta, which, harbors a large dissection starting at the arch and involving the descending thoracic aorta into the abdomen. ",c84b7521-c75b5b52-ce5dc9c4-ec6fb779-a69ee6b1 +52033279,PA and lateral chest: Substantial bibasilar consolidation and some atelectasis has developed in both lower lobes and particularly the right middle lobe. PA and lateral chest: Substantial bibasilar consolidation and some atelectasis has developed in both lower lobes and particularly the right middle lobe. ,dc1a93ef-539208d4-97e94a0c-0081a869-6bf2996a +52034094,"There is enlargement of the cardiac silhouette in a patient with intact midline sternal wires following valve repair. There is mild indistinctness of pulmonary vessels, consistent with mild elevation of pulmonary venous pressure. Mild cardiomegaly with indistinct vascular markings and new small right pleural effusion, consistent with mild pulmonary vascular congestion. ",92c14d77-ecf00fa7-99e8dbe5-0a1591ae-be39eec7 +52042427,AP chest and an image of the right humerus: Short vascular catheter projects over the mid right humerus. AP chest and an image of the right humerus: Short vascular catheter projects over the mid right humerus. ,d8358039-56377194-16d2e4ae-7f54b999-53da73f7 +52056685,"AP chest: Heart is moderately enlarged and pulmonary vasculature mildly engorged, but there is no pulmonary edema, no pleural effusion or pneumothorax. AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. ",833353ab-ca676eba-dc9127a5-675bc9a1-79e5737d +52057634,"Left-sided PICC tip terminating within the mid SVC, but with the tip oriented superiorly. Enteric catheter terminating in the medial right upper quadrant, likely within the distal stomach or proximal duodenum. ",0d200bb3-f8564775-b6f65f57-a21dd9b7-d25d90ff +52062711,PA and lateral chest: Moderate-to-severe bilateral pleural effusions and severe bibasilar atelectasis are significant. PA and lateral chest: Moderate-to-severe bilateral pleural effusions and severe bibasilar atelectasis are significant. ,5938dc8c-6914ab03-cb2b6ff3-957fb03f-04f24b21 +52062769,"Moderate postoperative widening of the cardiomediastinal silhouette, with significant pulmonary vascular engorgement, mediastinal venous distension, and moderate-to-severe left pleural effusion, most readily explained by cardiac decompensation. The right internal jugular Swan-Ganz catheter is in position in this patient status post median sternotomy for CABG and aortic valve replacement. ",78de0f59-b436260e-9d46d449-56c7de3b-ff3655cd +52062934,"There are low lung volumes, despite intubation and with moderate-to-severe pulmonary edema. Multifocal, heterogeneous lung consolidations with low lung volumes likely represent an organizing fibrosing stage or ARDS. ",f014bbdd-d959187e-caba9ce3-18da1106-ed34d3bc +52070116,"There is cardiomegaly and postoperative mediastinal widening. Postoperative widening of the cardiomediastinal silhouette is relatively, commonly seen after the termination of positive pressure ventilator support. ",93545eeb-752a09e2-3a5afc63-bbdfdacf-0161e920 +52076561,Atrial the imaged particular pacer defibrillator leads are in standard positions. Atrial the imaged particular pacer defibrillator leads are in standard positions.,bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac +52077543,Globular enlargement of the heart which raises concern for pericardial effusion. Globular enlargement of the heart which raises concern for pericardial effusion.,b6ce62d8-12124de8-769cb0d0-07e96bef-ca38036d +52078894,"Streaky right basilar opacities, probably associated with elevation of the right hemidiaphragm, although airway inflammation or infection is difficult to entirely exclude. Streaky right basilar opacities, probably associated with elevation of the right hemidiaphragm, although airway inflammation or infection is difficult to entirely exclude. ",cfc2ef1b-a194024a-6147d0d3-6d42379a-575c395f +52085657,"There is severe enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure and retrocardiac opacification. AP chest: There is severe cardiomegaly, pulmonary vascular engorgement and mild interstitial edema. ",f983cdd1-c3d0de12-3db3f665-cdadb3af-3ffd4c47 +52095390,AP chest: There is significant consolidation in the right upper lobe and scarring is responsible for more rightward shift of the ipsilateral hilus and upper mediastinum. AP chest: There is significant consolidation in the right upper lobe and scarring is responsible for more rightward shift of the ipsilateral hilus and upper mediastinum. ,099c25fb-f6a4a9b0-7ee9e6b8-3bf0eba9-4a09366d +52110166,Bilateral interstitial opacities with cardiomegaly and probable small pleural effusions compatible with either asymmetric moderate pulmonary edema versus infection. Diffuse bilateral interstitial opacities suggesting pulmonary edema with small effusions.,3c683456-9107fcf5-4722c784-358a526d-54f47984 +52110487,"AP chest: The patient is in severe pulmonary edema and cardiomegaly, some of which was due to pericardial effusion. Cardiac silhouette is enlarged and there is evidence of pulmonary edema with bibasilar atelectatic changes and probable pleural effusions. ",16d25586-c7ca5d57-d25ac386-16c24f70-adba1791 +52114176,"Prominent lucency left upper quadrant, likely mildly distended stomach, decubitus radiograph may be helpful if clinically indicated. Clip in the right upper quadrant likely reflects prior cholecystectomy. ",076a4be2-5c874ed2-8924ba25-a91078bf-433b46a2 +52117264,"Moderate anterior wedge compression of a vertebral body, approx level of L1. Moderate anterior wedge compression of a vertebral body, approx level of L1.",78abcbc7-6b5aa7c5-013f4e3b-2fd7d3b6-6a5986ee +52124829,"Hyperinflation, postsurgical changes and small right effusion. Hyperinflation, postsurgical changes and small right effusion. ",8a6b0550-8fa3b54b-4703a676-db84baf7-e4fe2d48 +52124955,Dual lead pacemaker and median sternotomy wires are in position Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position Small bilateral pleural effusions and left basal atelectasis.,f2623666-d215e0db-d9e21905-b5e17801-8f754dd9 +52145612,"Diffuse bilateral parenchymal opacities, may be combination of metastasis/lymphangitic spread of tumor with possible superimposed consolidation/infection and possible effusion, particularly on the right. Marked fibrotic changes throughout both lungs with bilateral opacity, particularly in the right lung which could reflect infection. ",2f04b963-317903c2-c937a1b3-84194e4c-5ce01852 +52149367,"AP chest: Lung volumes have substantially low, moderate consolidation and moderate pleural effusion at the right base, small pleural effusion at the left base, moderate-to-severe cardiomegaly, and mediastinal vascular engorgement. Hypoinflated lungs with mild to moderate pulmonary edema, moderate right and small left pleural effusions, and cardiomegaly. ",89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6 +52152296,"AP chest: Large right pneumothorax, predominantly basal, despite stable position of the pigtail catheter projecting over the right lung base medially. AP chest: Moderate-to-severe right pleural effusion despite the right basal pleural pigtail drain. ",67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1 +52162827,There are extremely low lung volumes with striking elevation of the left hemidiaphragmatic contour related to a large hiatal hernia. Cardiac silhouette is obscured by large hiatus hernia and marked elevation of the left hemidiaphragm responsible for left lower lobe collapse. ,459cfba0-0e5fabcb-a6cd2ff8-887d8f8c-59a166aa +52164077,Platelike atelectasis in the right lower lung. Possible AP single view of the chest shows low lung volume with right lower lobe opacity compatible with atelectasis.,a17a8e28-46038399-4f9764d7-2338ca4c-6234bf11 +52169517,Left-sided AICD device is in position without acute cardiopulmonary process.,dd7f3873-773c451c-3500ff51-f62851f4-3a6116a9 +52170957,"Lung volumes are extremely low, exaggerating what is probably mild pulmonary edema on the right and left lower lobe atelectasis. Cardiac silhouette is exaggerated by low lung volumes and partially obscured by the elevated hemidiaphragm accompanied by large mediastinal diameter suggesting venous distention due to elevated central venous pressure or volume. ",4d837b55-e381fd19-f31d9007-733a21e2-276bf002 +52173177,There is evidence of low lung volumes and moderate bilateral pleural effusions as well as cardiomegaly. There is evidence of low lung volumes and moderate bilateral pleural effusions as well as cardiomegaly. ,465880ed-ec1f9352-286bce36-cb6b9286-50c2af29 +52185534,"Severe cardiomegaly and mediastinal veins are dilated, perhaps a reflection of supine positioning. Severe cardiomegaly, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. ",b0777bfe-820d4a8b-e6e4ec7a-7aacd190-f85113cf +52186853,"Moderate enlargement of the cardiac silhouette, borderline interstitial edema has developed, moderate left pleural effusion, and heterogeneous opacification at the right base could be dependent atelectasis and edema. Moderate enlargement of the cardiac silhouette, borderline interstitial edema has developed, moderate left pleural effusion, and heterogeneous opacification at the right base could be dependent atelectasis and edema. ",b68a7d7b-d7e76417-af2376cd-215c9620-c3934be4 +52189004,"Cardiomegaly, bilateral small pleural effusions and diffuse interstitial lung marking prominence as well as prominence of upper lobe vessels compatible with pulmonary edema. There is decompensated congestive heart failure with mild pulmonary edema, moderate right and small left pleural effusions. ",1b6cfbee-901f801d-651c11f8-2c84bb31-91883814 +52190468,"There is substantial engorgement and indistinctness of pulmonary vessels, consistent with the clinical impression of pulmonary edema. There is some indistinctness and engorgement of pulmonary vessels, consistent with the clinical impression of elevated pulmonary venous pressure. ",70cdba5b-2e0ec97d-779d4d58-23a484e4-02ec1b1c +52193168,AP chest: Large area of heterogeneous opacification in the left mid and lower lung zone is most likely pneumonia. AP chest: Great opacification in the left upper lung could be pneumonia.,a4f93da0-4d009b5c-20e08390-7fac8bcc-5ec0a4a7 +52195893,"Moderate pulmonary edema, large right pleural effusion, bibasilar atelectasis, severity indeterminate. Low lung volumes with worsening pulmonary edema and large right pleural effusion with cardiomegaly. ",445fdcdb-f4896587-4f3f5bf8-e3a051ad-290f10ae +52206840,Congestive heart failure with interstitial edema superimposed on likely chronic interstitial lung airways disease. Congestive heart failure with interstitial edema superimposed on likely chronic interstitial lung airways disease.,9b21566f-2fa02275-f08686bc-4b67b21b-5dc922fb +52210901,Status post right ventricular pacer lead revision as described above; COPD and small pleural effusions. Status post right ventricular pacer lead revision as described above; COPD and small pleural effusions.,8328656b-7a7c59ec-fba66d3e-d4e3b7d3-2d5332bc +52215519,"There is minimal blunting the left costophrenic angle, which may represent a tiny effusion or chronic pleural thickening. Small left pleural effusion with adjacent nonspecific left lower lobe opacities, possibly due to infarcts in the setting of documented pulmonary embolism on separately dictated CTA. ",9367b100-a7a0afff-943d155e-be050317-86dce692 +52224512,AP chest: Lung volumes are appreciably low and there is considerably consolidation in both lower lobes as well as mediastinal and pulmonary vascular congestion and perihilar opacification suggesting concurrent pulmonary edema. Lung volumes are low and there is diffuse bilateral parenchymal process which favoring moderate pulmonary and interstitial edema rather than pneumonia. ,8a2e287f-a1d2adab-ab39ac3c-c8e1077c-c3811102 +52240207,There is enlargement of the cardiac silhouette with tortuosity of the aorta and moderate pulmonary edema. There is enlargement of the cardiac silhouette with tortuosity of the aorta and moderate pulmonary edema. ,c5f6b48e-5ca7ae46-4fab692c-24718944-688b465f +52241282,AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD. AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD.,917859c3-e459ee3b-965451a4-1d4a3e3b-cdbac544 +52246418,Dual lead pacemaker and median sternotomy wires are in position. Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position. Small bilateral pleural effusions and left basal atelectasis.,c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa +52259319,"Mediastinal venous engorgement and moderate-to-severe cardiomegaly and and mild pulmonary edema in the left lung. Lung volumes are substantially low with moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. ",f3ef0ecb-ccfce0d5-19aa565a-74bee17a-411e1628 +52266880,"Mild left pleural abnormality, and elevation of the left hemidiaphragm reflects either generalized atelectasis or restrictive pleural physiology. There is left pleural effusion and lingular and left lower lobe atelectasis. ",117eb2b7-898e9ead-83d83cb1-c1bd5852-60ba72f4 +52268728,"There is enlargement of the cardiac silhouette with biventricular pacer leads in good position. Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. ",67412cf5-519f1711-72f5a403-2e6ec7fa-84dfa6b6 +52279876,"There is hyperexpansion of the lungs with coarseness of interstitial markings that could reflect chronic pulmonary disease, elevated pulmonary venous pressure, or both. There is hyperexpansion of the lungs with coarseness of interstitial markings that could reflect chronic pulmonary disease, elevated pulmonary venous pressure, or both. ",c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7 +52284383,"There is engorgement and indistinctness of the interstitial markings, consistent with worsening pulmonary venous pressure in this patient with previous cardiac surgery and intact midline sternal wires. ",4d33ac8f-8d9c4251-e9defb1a-a8f77096-4e2a228e +52296113,"POSTOPERATIVE CHANGES IN THE LEFT JUXTA HILAR REGION ARE PRESENT, AND WITH SMALL BILATERAL PLEURAL EFFUSIONS. POSTOPERATIVE CHANGES IN THE LEFT JUXTA HILAR REGION ARE PRESENT, AND WITH SMALL BILATERAL PLEURAL EFFUSIONS. ",e0112e51-895b5e80-732b15a1-fd8008b4-e8bf044d +52296776,"There is enlargement of the cardiac silhouette with pulmonary vascular congestion and right pleural effusion with compressive basilar atelectasis.There is asymmetric opacification most prominent in the right mid and lower zones, consistent with superimposed pneumonia on a background of vascular congestion in a patient with enlargement of the cardiac silhouette. ",8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a +52299675,Left IJ central venous catheter in appropriate position. Left IJ is in appropriate standard position.,1f3770d8-292e129a-67319735-0573718a-8fcb1e31 +52300884,"AP chest: Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly. AP chest: Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly. ",fe59a37b-153a2ffa-4552395e-09148941-f3badae1 +52302794,"AP chest: Patient has been intubated, ET tube ends in standard position in the midline just below the upper margin of the clavicles. AP chest: Endotracheal tube ends at the level of the aortic apex, between 4.5 cm from the carina, in standard placement. ",e12f3c50-f3483123-b58a8f99-6e949bb7-98729b1a +52305481,Dual lead pacemaker and median sternotomy wires are in position Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position Small bilateral pleural effusions and left basal atelectasis.,39c0aa47-d1bbe85e-ce60e6c7-48015716-b4e39643 +52307593,"Diffuse interstitial and alveolar opacities in the setting of severe cardiomegaly and moderate-to-severe pulmonary edema. Diffuse pulmonary abnormality, probably pulmonary edema since it is accompanied by moderate chronic cardiomegaly and enlargement of the hilar vessels. ",f44cd0b1-41c1556c-8cb1b4db-632a0833-ed413255 +52307671,"Bilateral pleural effusions, and moderate to severe interstitial pulmonary edema reflecting fluid overload. Cardiac silhouette is at the upper limits of normal or enlarged and there is pulmonary edema and bilateral pleural effusions with compressive basilar atelectasis. ",13b4969f-569b4e51-d63f9659-778309be-d1ef9815 +52314112,"Multifocal bronchiectasis and lung nodules, likely due to history of atypical mycobacterial infection. Multifocal bronchiectasis and lung nodules, likely due to history of atypical mycobacterial infection. ",7bd2406e-7c8114ad-31d1b818-28c7e563-6a1a6176 +52321096,Enlarged heart and engorged vessels may reflect high output cardiac dysfunction in this patient with Sickle Cell Disease. Enlarged heart and engorged vessels may reflect high output cardiac dysfunction in this patient with Sickle Cell Disease.,e8a8bd48-feafd477-16f9cfa0-575478d2-bc2c5cbb +52321575,"Severe bilateral apical scarring, cystic cicatrization, right apical pleural thickening. Severe bilateral apical scarring, cystic cicatrization, right apical pleural thickening. ",655fe8bc-af25268c-f206b4d3-5d5ed0cb-8d545266 +52325695,"AP chest: Low lung volumes, accounting in part, but probably not entirely for moderate-to-severe cardiomegaly, accompanied by small left pleural effusion. AP chest: Upper enteric drainage tube ends in the distal duodenum. ",9bb9ac9f-5c0710a7-9ff3aaa6-12658f5a-ddbe2f3b +52329768,"Mild interstitial markings bilaterally could relate to mild interstitial edema, although atypical infection is not excluded. Mild interstitial markings bilaterally could relate to mild interstitial edema, although atypical infection is not excluded. ",ab5d8429-a48d1b05-af73d020-ef1f6e53-30f8ae8d +52332522,"Opacification of the right hemithorax, when correlated with the CT findings, is mostly due to infiltration of airspaces with tumor as opposed to significant component of pleural fluid. Opacification involving the right hemithorax and left upper lung opacification could represent infection or spread of metastatic disease, edema is less likely given asymmetry. ",2c6c22f3-33a5cbf1-a81aa482-24c67693-17d97e01 +52336902,"ETT in appropriate position, bilateral basal haze representing pleural effusions. There has reduced aeration at both lung bases and bilateral pleural effusions.",916efce3-8ded2d22-21ca5070-3c1635b7-84c51396 +52349735,Standard position of the left single lead pacemaker. The leads of the left pectoral pacemaker are in standard position.,7e7b19ac-d29aedbe-10d9f138-4037688a-57615f21 +52350132,"AP chest: Exaggerated by the size of a large hiatus hernia, mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. AP chest: Exaggerated by the size of a large hiatus hernia, mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. ",3a15717b-35330afb-c621652c-6072ec95-cbce9765 +52353624,"PA and lateral chest: The diffuse pulmonary abnormality characterized by both bronchiectasis and extensive peribronchial infiltration, some ground-glass and some bronchiolitis. PA and lateral chest: The diffuse pulmonary abnormality characterized by both bronchiectasis and extensive peribronchial infiltration, some ground-glass and some bronchiolitis.",b05e2bad-8b5b414e-de701c91-cd96ce95-3dd20d77 +52355113,"In view of the enlargement of the cardiac silhouette and pacer device, this appearance could well represent mildly improving pulmonary edema. In view of the enlargement of the cardiac silhouette and pacer device, this appearance could well represent mildly improving pulmonary edema. ",0126b395-890302f7-05e04391-5fdff456-bda0a891 +52356321,"Small right pleural effusion, cardiomegaly, standard position of tripolar pacemaker. Small right pleural effusion, cardiomegaly, standard position of tripolar pacemaker. ",ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84 +52356800,Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,7d705bf2-0c6a9344-d86b9381-311c9eb2-e4b1ab6c +52381425,"Mild congestive heart failure with mild interstitial pulmonary edema, and small bilateral pleural effusions, with the left pleural effusion. Mild congestive heart failure with mild interstitial pulmonary edema, and small bilateral pleural effusions, with the left pleural effusion.",971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39 +52382860,"AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. ",bbe6ecaf-aac06564-603fea4c-3e3026e0-8a5cb7c8 +52385480,AP chest: Dobbhoff tube is in the distal right lower lobe bronchial tree. AP chest: Dobbhoff tube is in the distal right lower lobe bronchial tree.,d2c67694-56bd35b7-4aad9a81-9c1ca076-546a019a +52391187,"Moderate-to-severe left lower lobe consolidation and mild-to-moderate cardiomegaly, although mediastinal veins are engorged. The cardiac silhouette is enlarged and there is evidence of retrocardiac opacification consistent with volume loss in the left lower lobe. ",df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5 +52398109,The cardiac silhouette may be mildly enlarged. AP chest: Short vascular catheter projects over the mid right humerus. ,5d4e5d0a-add681d2-faf8a518-e0062eff-6554d2d2 +52400146,"AP chest: Although heart size and mediastinal caliber are normal, there is pulmonary vascular engorgement in the upper lobes. AP chest: Although heart size is normal and mediastinal veins are not dilated, pulmonary vasculature is generally mildly or engorged. ",4fe86d2a-a88e414b-d58dd0c1-51340b76-e7353509 +52402828,"There is opacity within the left perihilar region and upper lung, which could be secondary to pneumonia. There is opacity within the left perihilar region and upper lung, which could be secondary to pneumonia. ",318975e1-0f1046f7-331e3d92-185e4805-d5ac3b65 +52404879,"Right mainstem intubation, with slightly improved aeration of the left hemithorax, although there is volume loss and leftward shift of the mediastinum. AP chest: Post-operative widening of the mediastinum is in the region of the arch, but there may be a large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. ",25bf2edc-f6ba2b7c-b60cce3d-7f3ba548-0606e88a +52412265,Possible component of fluid overload which is difficult to assess given large body habitus. Possible component of fluid overload which is difficult to assess given large body habitus.,a6aad5da-2b346586-e6b4b977-d71b3973-925a1eb1 +52415062,Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,47c8159c-71388595-84bf105d-5a7e99e4-077fb801 +52426022,Large fluid collection within the pleural space is seen on the right. Moderate right hydropneumothorax with loculated right pleural effusion and compressive atelectasis.,dbc771b6-00a9d1dc-3d5f7a54-acb63200-cc010192 +52428322,"Cardiomediastinal caliber is normal for supine positioning. AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. ",754c8b94-ddf3a484-279e5c47-973dad5c-3e52b57c +52432749,Abnormal mediastinal contours with mild widenening. Abnormal mediastinal contours with mild widenening.,b2187498-bd6044fd-89eafb88-63b96bdd-2794d412 +52437271,"There is edema of interstitial component in the upper lungs and the confluent consolidation at both lung bases, as well as pleural effusion, at least moderate in size. Moderate to large left and moderate to large right pleural effusion, interstitial pulmonary edema has developed, mediastinal vasculature is engorged, and the heart is normal in size.",9e80889a-f414a035-63eed5d0-37d21607-88a2a076 +52440373,Dual lead pacemaker and median sternotomy wires are in position Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position New small bilateral pleural effusions and left basal atelectasis.,197bf9c8-df093f83-61f247e8-7511a327-df92e5be +52449022,"There is continued substantial enlargement of cardiac silhouette with pulmonary edema and bilateral basilar opacifications consistent with layering effusions and compressive atelectasis. There is massive enlargement of the cardiac silhouette with moderate pulmonary edema and bibasilar opacifications consistent with pleural effusion and compressive basilar atelectasis, especially involving the left lower lobe. ",526dc590-f658c26e-49300669-427e7124-ac0f1350 +52467293,"There is substantial enlargement of the cardiac silhouette without appreciable vascular congestion, a discordance that raises the possibility of cardiomyopathy. There is substantial enlargement of the cardiac silhouette without appreciable pulmonary edema. ",fbaf1e44-468cb5b9-2cd8fc25-a7f7e778-1dde8b89 +52481016,"Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. ",c57c824d-1eddb1d5-5933f11b-3da0b20b-0bd14eef +52481248,Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis. Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis.,c6264595-96860b66-fd1dfa5b-4697f3ba-214d913a +52509761,There is enlargement of the cardiac silhouette with bilateral layering pleural effusions and compressive atelectasis at the bases. Little change in the bilateral layering pleural effusions with compressive basilar atelectasis and substantial enlargement of the cardiac silhouette.,27c8aa21-0a66ebf9-667f13ca-9695345c-caa66257 +52511628,"The hand of the patient completely obscures much of the noted pneumonia in the right mid and lower zones. AP chest: Severe interstitial infiltration, most pronounced in the right lung.",d77fc718-e1eacd2f-2fa45ea8-a06418df-85ae6300 +52513249,The Swan-Ganz catheter tip extends about 2-3 cm beyond the mediastinum on this image and there are lower lung volumes which could accentuate this appearance. ,5f626d47-f0333190-ef348062-b306b136-d126da29 +52514701,"AP chest: Heart is moderately enlarged, and pulmonary vasculature is engorged, but edema, if present, is minimal. AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. ",1fa07d59-1b6609db-c7feef15-3888f71e-17d91291 +52519155,"There is bibasilar opacity likely atelectasis with left lower lobe collapse. Bibasilar atelectasis with a more confluent opacity in the left lower lobe, which may represent aspiration or contusion in the setting of trauma. ",b7d847bc-3c2c9b05-dcc55b53-b7bd2a6c-f8496f99 +52521827,There is enlargement of the cardiac silhouette in a patient with a prosthetic valve an intact midline sternal wires. There is enlargement of the cardiac silhouette with intact sternal wires and pacer device in place. ,959366ef-34cddc43-1c3e238c-99503ed8-b5fc863c +52522246,"Cardiomegaly is accompanied by pulmonary vascular congestion and bibasilar opacities superimposed upon chronic interstitial lung disease and emphysema. Overall lung volumes are reduced, but there is indistinctness of the pulmonary vascularity suggestive of worsening interstitial pulmonary edema. ",dd86cc8c-ae1e2c39-3bc3e62b-b15de0ae-652648de +52523882,There is hyperexpansion of the lungs consistent with chronic pulmonary disease and a dual-channel pacer with leads in place. There is hyperexpansion of the lungs consistent with chronic pulmonary disease and a dual-channel pacer with leads in place.,690e5219-a0d2190e-2017488b-4a4feda7-4ef08c2d +52529720,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",eaf0eb79-03580da7-ae1a0398-5fcef938-acdb31dd +52538997,"PA and lateral chest: Moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: Moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. ",aa76851a-342b6f60-4e4b51be-3a80fe61-92b39e20 +52541396,Lung volumes are low with stable bibasilar predominantly linear opacities favoring scarring or subsegmental atelectasis. Bibasilar areas of linear atelectasis/scarring are noted.,46bdab14-1fa0233c-c0b0841d-4c0869de-6564ff0d +52543396,"There is engorgement of pulmonary vessels suggesting some pulmonary vascular congestion. There is indistinctness and dilatation of pulmonary vessels, consistent with pulmonary vascular congestion.",f6300671-0644a211-45639c11-c0ef0484-67a8c5c0 +52546073,Placement of a pigtail left-sided chest catheter with small left pneumothorax. AP chest: Left pigtail catheter is in position projecting over the left upper abdominal quadrant and posterior pleural recess. ,1ec07497-ec6f4ace-baa95464-3ff6c941-6418e970 +52546911,AP chest: Lung volumes are appreciably low and explaining in part what is nevertheless a moderate to large hiatus hernia. Low lung volumes and a large hiatal hernia.,65c9e42e-6093fd2c-66ffbba3-b6fa9d18-48594809 +52547146,"Cardiomediastinal silhouette including cardiomegaly is with bilateral pleural effusions which are at least moderate in right pigtail catheter being in position and minimal right apical pneumothorax is seen. Right pneumothorax with bibasilar consolidations, moderate bilateral pleural effusions, and mild pulmonary vascular congestion. ",d0ce0dbb-82f88ba2-6467498e-a4e23f78-c203cf06 +52548008,There is pulmonary vascular congestion. Cardiomegaly is accompanied by pulmonary vascular congestion and development of moderate edema. ,69185846-837b415c-5aa118ec-802f32df-bdc6985a +52552967,"Moderate to severe cardiomegaly, exaggerated by supine positioning, wherein large mediastinal venous caliber is seen. AP chest: Moderate-to-severe enlargement of the cardiac silhouette, but there is no pulmonary edema, although mediastinal veins are dilated, possibly a reflection of supine positioning. ",9ce5a44f-66532667-66a23383-cbbb4b96-4a927036 +52555178,Moderate to severe cardiomegaly within pacer leads. Continued enlargement of cardiac silhouette with pacer device and 3 leads are in position.,5fd6fa4a-2108246f-d9199b99-e14370ae-0eea894d +52556177,"AP chest: Heavy pleural calcification due to asbestos exposure obscures large areas in the lower lungs, but radiodensity in the lung bases is probably due to pulmonary edema. AP chest: Heavy asbestos-related pleural calcifications obscure much of the lower lungs, but nevertheless I can see that there is mild edema in the lower lungs and small pleural effusions.",1319398f-f8e49347-72a5d7a0-1ccd8a53-85ba807c +52573647,"There are low lung volumes with substantial enlargement of the cardiac silhouette with elevated pulmonary venous pressure and what appear to be multiple pleural plaques. Severe enlargement of the cardiac silhouette, accompanied by mediastinal widening probably due to venous distention indicating elevated right heart pressure. ",554fad67-08d3ea82-687b0b92-4825e624-b17ef914 +52578479,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5 +52589781,"It could be due to vascular engorgement, but given evidence of prior median sternotomy and coronary bypass grafting, an acute aortic syndrome needs to be excluded, if not clinically, then with imaging. Mild cardiomegaly, upper zone redistribution, and hilar prominence suggestive of pulmonary hypertension.",2583e77d-666ff867-9384b210-c059e9e6-31c7da01 +52603243,"AP chest: Moderate-to-severe cardiomegaly is pronounced, with pulmonary vascular engorgement and mild interstitial edema. AP chest: Severe cardiomegaly is pronounced, with mild interstitial pulmonary edema, but with right lower lobe consolidation or atelectasis. ",ea8f47d3-a878270a-7a5e0d98-b1d62b7e-6061c574 +52604478,"Moderate-to-severe pulmonary edema, severe cardiomegaly and mediastinal venous engorgement are significant. The cardiac silhouette is substantially enlarged and signs of mild to moderate pulmonary edema are present.",687582eb-5fef8f7a-db199474-71f15674-1418c028 +52605645,"Severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. Severe cardiomegaly, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. ",6350bc28-5c2d7079-26abfdf4-fb25349a-5e8564d3 +52606958,"There is enlargement of the cardiac silhouette with elevation of pulmonary venous pressure superimposed on diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",55339975-113cd016-3378dc51-976067bf-8b4e471f +52607379,Pulmonary vascular congestion is seen without appreciable cardiac enlargement and pacer devices are in place. THE DEGREE OF VASCULAR CONGESTION IS SIGNIFICANT IN THIS PATIENT WITH ENLARGEMENT OF CARDIAC SILHOUETTE AND TO A-CHANNEL PACER DEVICE IN PLACE. ,3ae4f21a-20a3c90a-520e7d42-5f306168-85d0d88e +52616494,There is near complete opacification of the left mid and lower lung with some aerated lung at the left apex. There is near complete opacification of the left mid and lower lung with some aerated lung at the left apex.,647c3bd0-6e8ea0e4-e367edee-d6eefb00-174fcf42 +52618697,"Severe cardiomegaly with mild pulmonary vascular congestion and diffuse bilateral pulmonary edema, with consolidation at the right lower lobe concerning for pneumonia. Severe cardiomegaly with mild pulmonary vascular congestion and diffuse bilateral pulmonary edema, with consolidation at the right lower lobe concerning for pneumonia. ",a336fc81-7ee080cf-fe8b1be1-38aa5c12-add53acc +52624179,"No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid. No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid.",c89c7ca8-466643b7-e8480932-1b791a6f-4ae17f31 +52630162,"AP chest: Mild generalized edema and great consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. There is left lower lobe atelectasis and bilateral perihilar alveolar opacities suggestive of edema, particularly on the left. ",0619df15-9da411e1-9a47d1bf-973bbcf8-97f09ae0 +52631051,Poor definition of the hemidiaphragm and right heart border are consistent with volume loss in the right lower lobe and probably right middle lobe is well. Right hemidiaphragm is elevated and platelike atelectasis is present in the right lower lung zone.,35ebe520-b4297eea-cf802191-670576d1-51ca727d +52640725,"The right internal jugular vein catheter is in position. There is cardiomegaly, retrocardiac opacity, no pneumothorax and standard position of the right IJ catheter and right PICC ",6722c21a-9a65dc03-dbc8707e-83f326f7-09e1768c +52659811,There is postoperative appearance of the neoesophagus and small right pleural effusion. There is postoperative appearance of the neoesophagus and small right pleural effusion.,a2566d1b-00966175-0f4ab3bf-f1a2acbb-3061c18a +52660908,"Findings consistent with severe COPD, pulmonary arterial hypertension, and bibasilar interstitial process. Findings consistent with severe COPD, pulmonary arterial hypertension, and bibasilar interstitial process. ",2f0868eb-1a137784-02208ca9-db04ed1a-dfd94665 +52664853,"There is left perihilar opacification, some which is due to the overlying ventilator tubing, but this may be due to mild pulmonary edema. There is left lower lobe atelectasis and bilateral perihilar alveolar opacities suggestive of edema, particularly on the left. ",f90cf339-aa7d8134-75731035-a7d65403-efba5d83 +52667466,Enlargement of the hila is due to mild enlargement of the pulmonary arteries and lymphadenopathy. Enlargement of the hila is due to mild enlargement of the pulmonary arteries and lymphadenopathy.,fe314fbf-50e95159-d593c5dd-390f58f6-7a7cb04b +52670967,The patient has mild pulmonary edema and small bilateral pleural effusions. The patient has mild pulmonary edema and small bilateral pleural effusions.,2905a219-0044b483-8315fff6-2258fe9f-a288ed45 +52673752,"There is enlargement of the cardiac silhouette with the monitoring and support devices in position. The monitoring and support devices are in place, with enlargement of the cardiac silhouette in a patient with previous CABG procedure.",2cdf54d6-df90d07a-cbaaa135-454278cd-ffe7eb4e +52680361,"Status post aortic valve surgery with moderate cardiac enlargement and elongated thoracic aorta, but no evidence of pulmonary congestion or acute pulmonary infiltrates. Status post aortic valve surgery with moderate cardiac enlargement and elongated thoracic aorta, but no evidence of pulmonary congestion or acute pulmonary infiltrates. ",415af9ca-d0b69fbe-b3b8dfa6-271f3f0f-5592cc53 +52680917,"Left chest tube is in place and a tracheostomy tube has its tip at the thoracic inlet. Midline defibrillator, LVAD, tracheostomy tube, in standard placements. ",ff4c00a4-74c0b483-307446fe-e534b390-224db689 +52684832,"AP chest: Interstitial pulmonary edema and substantially great opacification at the lung bases, though it could be dependent edema and atelectasis is concerning for possible pneumonia, particularly in the left lower lobe. AP chest: Interstitial pulmonary edema and substantially great opacification at the lung bases, though it could be dependent edema and atelectasis is concerning for possible pneumonia, particularly in the left lower lobe.",a9757208-a33ffdfd-f85aa4b3-e2f7e4ba-8c77011e +52686545,"Diffuse interstitial opacities at least partially due to interstitial lung disease, although cannot exclude superimposed pulmonary edema. This could well reflect pulmonary edema superimposed on the known reticulonodular opacification that could reflect possible infection or lymphangitis carcinomatosis. ",3a0553aa-9c31867a-e614b9d9-628054fd-27e6053f +52690612,"Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. ",d9804d7c-635ee55c-7df369a2-fad70e3c-4b5af3fb +52692431,"Moderate-to-severe bibasilar pneumonia, widespread bronchiectasis, and bronchiolitis, with the exception of the lateral aspect of the right lung which is severely affected, and the consolidation in the superior segment of the right lower lobe. Moderate-to-severe bibasilar pneumonia, widespread bronchiectasis, and bronchiolitis, with the exception of the lateral aspect of the right lung which is severely affected, and the consolidation in the superior segment of the right lower lobe. ",ac311552-a76f7711-c263444b-9819dc86-6fd39b27 +52695304,"Multifocal consolidations with moderate right and small left pleural effusions. Diffuse prominence of lung vasculature associated with bilateral pleural effusions, right greater than left and cardiomegaly reflect fluid overload and pulmonary edema. ",8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a +52697942,"Heterogeneous opacification at the left lung base is probably a combination of atelectasis and pleural effusion, with left pleural fluid as well as a large diameter of the moderately enlarged cardiac silhouette. There is enlargement of the cardiac silhouette with opacification at the left base consistent with volume loss in the lower lobe and pleural effusion. ",928a3662-7a9bc2d9-1808833b-79fd5d7b-76aabf9d +52702994,Top normal cardiac silhouette size. Top normal cardiac silhouette size.,4fe6df12-6ecc6b81-5dce29b5-8002ce3e-8a91378d +52705433,"AP chest: There is pulmonary consolidation in both lungs, moderate-to-severe cardiomegaly and mediastinal veins dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps a pneumonia in the right lower lobe. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and left basilar opacification consistent with pleural effusion and substantial volume. ",70e31905-dd605e80-305f056b-4f88ec80-cbb4b3fb +52706130,"AP chest: Lung volumes are low with great atelectasis at both bases, particularly the left, where there is probably also a small left pleural effusion. AP chest: Lung volumes are very low, with left basal atelectasis, but there has been pulmonary vascular congestion and dilated mediastinal veins.",0aca2329-7932adb6-984bd8e0-a597477e-92276d94 +52718973,"AP chest: Severe enlargement of the cardiac silhouette, and distention of both pulmonary hilar, and mediastinal vasculature. There is severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. ",de92b434-5ef9d4ce-61d1d2b2-1b3efd95-949c6123 +52726859,AP chest: A dual transvenous right ventricular pacer defibrillator lead is curled in the left axilla. AP chest: Transvenous right atrial and right ventricular pacer leads follow their expected courses.,2c8df100-4309e350-7d82cb04-094d8978-ce88debf +52731689,Standard position of right hilar and right apical metallic clip. RECOMMENDATION: Initial further evaluation with 15 degree shallow oblique radiographs is recommended for confirmation of apparent right upper lung nodular opacity.,b91c97ed-5177ed0b-fa1759b1-28b3e6ac-e518d525 +52736852,"There is mild interstitial pulmonary abnormality, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion. Trans subclavian right atrial right ventricular pacer leads are continuous from the left pectoral generator. There is mild interstitial pulmonary abnormality, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion. Trans subclavian right atrial right ventricular pacer leads are continuous from the left pectoral generator. ",2dfbf7e0-85ed2f34-4c60e220-a5f1fa98-464b3ce2 +52737025,"AP chest: Large left hilar mass is pronounced, with left pleural abnormality consisting of fluid and/or tumor in the left major fissure and along the costal and diaphragmatic surfaces of the left lung. There is a mass in the superior segment of the left lower lobe suspicious for malignancy. ",ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17 +52737492,Cardiomegaly in findings suggestive of chronic interstitial lung disease. Cardiomegaly in findings suggestive of chronic interstitial lung disease.,eae4f18b-52b36d2b-1d522da3-36dfb123-0de8cd13 +52749045,There is enlargement of cardiac silhouette suggesting pericardial effusion with moderate left and small right pleural effusions. There is enlargement of cardiac silhouette suggesting pericardial effusion with moderate left and small right pleural effusions.,897059e3-92ae214b-1458e44d-75eb5510-5098e1f8 +52754826,PA and lateral chest: Lung volumes are substantially low with development of a second large band of atelectasis at the right base. PA and lateral chest: Lung volumes are substantially low with development of a second large band of atelectasis at the right base.,a406f2bc-128ca407-f2400f61-701fd17b-17f85e90 +52755492,"AP chest: Moderate-to-severe cardiomegaly, it is possible that the widened caliber to the upper mediastinum, particularly to the right, could be due to venous engorgement. AP chest: Severe cardiomegaly is pronounced, but lungs are clear and pulmonary vasculature is normal. ",879b56b3-4245dde9-c71d9c23-87bdd54b-6e81d2c5 +52761853,"Mild-to-moderate left pleural effusion and heterogeneous opacification in the left lower lobe some of which is atelectasis, may be partly pneumonia. Heterogeneous opacification in the left lower lobe is pneumonia until proved otherwise, accompanied by small left pleural effusion. ",444dfa8e-bb3ce9c4-55126266-43629bc2-fce21515 +52764071,"There are opacities in the right mid to lower lung, with air bronchograms may be due infection and/or malignant disease. Similar appearance of the right juxta hilar mass with moderate right-sided pleural effusion, loculated at the apex. ",e3592dcd-ca0b0f88-415e34bf-6f5bb257-2502a74e +52767831,"Opacification diffusely involves the right hemithorax, most likely representing asymmetric pulmonary edema in a patient with substantial enlargement of the cardiac silhouette and a biventricular pacer device in place. There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads. ",425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe +52775752,Bilateral perihilar bronchial wall thickening is suggestive of atypical pneumonia such as viral or mycoplasma pneumonia. Bilateral perihilar bronchial wall thickening is suggestive of atypical pneumonia such as viral or mycoplasma pneumonia.,91aa37d1-c2d7d819-bea91a37-602f27c2-ab6984ae +52779908,The Swan-Ganz catheter tip extends about 2-3 cm beyond the mediastinum on this imag there are low lung volumes which could accentuate this appearance. There has been placement of a right IJ Swan-Ganz catheter that extends to the right pulmonary artery at the outer limits of the mediastinum. ,501a71e8-c63c6501-4de1111d-c931b2b6-261814fe +52785638,"Moderate to large left and moderate right pleural effusion are significant, with interstitial pulmonary edema, mediastinal vasculature is engorged, and the heart is normal in size. There is interstitial component of edema in the upper lungs and the confluent consolidation at both lung bases, as well as pleural effusion, at least moderate in size. ",7bbe1cff-ed671a8a-c85e3d86-24870873-e6c6e150 +52786632,Moderate cardiomegaly with mild interstitial edema as well as moderate-to-large right-sided subpulmonic effusion and marked density at the right lung base which may represent concurrent pneumonia. Moderate cardiomegaly with loculated moderate right pleural effusion and consolidation in the right mid and lower lung.,6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047 +52793175,Pacer seen with leads in good position with a slightly atypical course of the right ventricular lead. Pacer seen with leads in good position with a slightly atypical course of the right ventricular lead.,1b3d4f71-68977c5e-a070ff6b-29584c84-b70bf667 +52796134,"No definite acute cardiopulmonary process bsed on this limited, rotated exam. No definite acute cardiopulmonary process based on this limited, rotated exam. ",4732ed95-933b87bb-7e3ef418-22b2990f-9b0a9efa +52798218,"AP chest: Mild-to-moderate cardiomegaly, following placement of pericardial drainage catheter projected over the mid portion of the cardiac silhouette. AP chest: Severe cardiomegaly is pronounced, but lungs are clear and pulmonary vasculature is normal. ",bc28ea67-0dc950d7-d5c81ea4-c8640ac1-e0a88e8d +52816124,Cardiomegaly and bilateral pleural effusions with dense left retrocardiac opacity likely atelectasis. There is enlargement of the cardiac silhouette and bilateral pleural effusions with compressive basilar atelectasis that is pronounced on the left. ,a044ddbb-f45fc0ce-2f0a6955-8242603e-184c26b0 +52818853,"Prominent right hilar and infrahilar contours, possibly due to accentuation by patient rotation, but a repeat nonrotated radiograph would be helpful for confirmation and to exclude a neoplastic mass. Prominent right hilar and infrahilar contours, possibly due to accentuation by patient rotation, but a repeat nonrotated radiograph would be helpful for confirmation and to exclude a neoplastic mass. ",60b7b7e2-29b9d91d-f3fd7cd8-8eca0ccf-2ac86d24 +52819811,"There is right pleural effusion, deviation of the cardiomediastinal to the right, position of 2 basal pigtail catheters and a right middle lobe and right lower lobe atelectasis. There is opacification at the right base, most likely reflecting a combination of pleural effusion and substantial volume loss in the right middle and lower lobes. ",4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b +52824127,"AP chest: Some degree of pulmonary edema and at least moderate bilateral pleural effusions. AP chest: Moderately severe pulmonary edema in the mid and upper lung zones, which are significant in lung bases, accompanied by moderate bilateral pleural effusion. ",8312c3a4-f0043050-3db9e48c-8b180ed0-faf4d335 +52824884,AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD. AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD.,1bfd4f62-e1254bfb-54b0a6ac-29453546-2c0e7100 +52825626,There is mild cardiomegaly and sternal wires are in place. Top-normal to mildly enlarged cardiac silhouette in this patient status post median sternotomy and CABG. ,00dbc849-560058de-e051c029-8cd120fe-9a4f3202 +52834337,"Bilateral air space and interstitial opacities with an upper lobe predominance, which could reflect an atypical distribution of pulmonary edema in this patient with underlying emphysema; further follow up chest radiographs will be required to confirm potential early pneumonia. Emphysematous lungs with superimposed pulmonary edema. ",5f7c7fb3-6f209488-379bbb42-6c8cebf3-f91a4d93 +52835225,"Moderate to severe cardiomegaly, exaggerated by supine positioning, which also has widened the mediastinal venous caliber. RECOMMENDATION(S): Low lung volumes and AP technique exaggerate the enlarged cardiac silhouette.",7f6d7289-9941e757-2663be13-0dde50f8-5d2670aa +52837403,There is superior anterior mediastinal mass with rightward tracheal deviation likely reflective of a large thyroid goiter. There is superior anterior mediastinal mass with rightward tracheal deviation likely reflective of a large thyroid goiter.,609ca0e0-3dcbf65f-38322c64-03e4fea0-3faa3a90 +52841174,There are bilateral pleural effusions and aneurysmal dilation of the descending thoracic aorta. There are bilateral pleural effusions and aneurysmal dilation of the descending thoracic aorta. ,4eab5702-5e51a961-a59e4e84-b5aa758f-4e367b89 +52852042,"Widespread interstitial and, to some extent, airspace disease with a pattern suggestive of severe widespread infection than pulmonary edema; clinical correlation is suggested. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",e196e03a-34fb9428-f771233d-53d2e101-d419be46 +52874049,Right hemidiaphragm is elevated and there is likely a small right pleural effusion. Right hemidiaphragm is elevated and there is likely a small right pleural effusion.,a67e2e2b-c5902ccf-adf291f3-51b417af-5b71eeaa +52874646,"AP chest: Given the very low lung volumes, pulmonary vascular caliber is probably normal and cardiomegaly only mild. Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive. ",af39d55c-0622bc39-b9865798-29ff5a61-eb7cfb93 +52890842,"PA and lateral chest: Significantly low lung volume exaggerates mild cardiomegaly, but pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. PA and lateral chest: Significantly low lung volume exaggerates mild cardiomegaly, but pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. ",a394c19b-0162826e-0284eb07-bdb3fa8c-6cdf1a8b +52891865,"There is mild pulmonary edema and small bilateral pleural effusions, and mild atelectasis reflected in low lung volumes. Heterogeneous interstitial abnormality in the lungs, probably atypical pulmonary edema since there are small-to-moderate bilateral pleural effusions as is significant cardiomegaly. ",e51c0403-d316954a-0ea8f97b-063b0ac1-c4fb078e +52893597,Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation. Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation.,61ed122d-80b347e7-d2269b6b-e28fb75e-e5585f0f +52894975,"AP chest: Following right lung biopsy, large opacity in the mid lung is presumably local hemorrhage and/or atelectasis. AP chest: Volume of the neoesophagus is within normal range and there is presence of contrast agent.",91612855-728b71c5-52138016-9cb33506-c5fc594e +52901628,"Widespread bronchiectasis and peribronchial infiltrative abnormalities, generally reduced in the upper lungs, but significant in the right lower lobe. There are diffuse areas of patchy opacification throughout both lungs consistent with multifocal infectious process and bronchiectasis. ",02277520-0c2f2dfc-48595e9d-67e7b3d0-51eb5d78 +52917147,"Mid left clavicular fracture, potentially chronic, however the acuity of which is uncertain based on this single view and clinical correlation suggested regarding need for additional imaging. Mid left clavicular fracture, potentially chronic, however the acuity of which is uncertain based on this single view and clinical correlation suggested regarding need for additional imaging. ",c2402f4a-6c5552e7-e0b4749a-2b88ba69-f59a01a6 +52918822,"Moderate to severe cardiomegaly, exaggerated by supine positioning, which also shows widened mediastinal venous caliber. Severe cardiomegaly and pulmonary vascular congestion are exaggerated by supine positioning. ",b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954 +52920123,"Severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. There is pulmonary edema and significant mediastinal vascular engorgement.",66a9bbd8-4711cfe3-80145c82-d9611044-07ee1359 +52921410,"Pacemaker lead is in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data. There is cardiomegaly is with bilateral pleural effusions which are at least moderate in right pigtail catheter being in position and minimal right apical pneumothorax seen. ",270ee8d2-c6faa805-d42cb329-a3cd5951-c4b26875 +52923540,"Findings consistent with acute decompensated congestive heart failure including cardiomegaly, moderate pulmonary edema, and small, left greater than right, pleural effusion. Moderate pulmonary edema with probable bilateral pleural effusions and retrocardiac opacity for which an underlying infectious process cannot be excluded. ",26429055-6f36df1c-a048f115-c1f04dc8-d04f9b02 +52929450,"There is widening of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis, most prominent on the left. There are bilateral pleural effusions with significant left pleural fluid after placement of the left pigtail catheter. ",c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778 +52930375,"Stable postoperative appearance to the cardiac and mediastinal contours status post median sternotomy and aortic valve replacement Lungs appear well inflated with streaky bibasilar linear opacities, which may reflect subsegmental atelectasis or scarring. Stable postoperative appearance to the cardiac and mediastinal contours status post median sternotomy and aortic valve replacement Lungs appear well inflated with streaky bibasilar linear opacities, which may reflect subsegmental atelectasis or scarring. ",97bbae6e-3d8e3ff8-4be7f377-ce5fb58c-572b0bac +52933806,Streaky perihilar opacity concerning for atypical infection with probable mild congestion and edema. Streaky perihilar opacity concerning for atypical infection with probable mild congestion and edema.,7d75166a-47342cde-9303b619-7fff892c-486713f7 +52935265,"No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid. No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid.",9587ec7a-e6b7082f-0b22b670-b924b608-674375e2 +52937462,Left hilar opacity with upward retraction of the left hilar structures in this patient with known lung cancer. Left hilar opacity with upward retraction of the left hilar structures in this patient with known lung cancer. ,f1e6712c-61dabae0-6691539a-039dcbb7-6c467216 +52937624,"Lung volumes are substantially low exagerrating moderate-to-large pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There are low lung volumes with enlargement of the cardiac silhouette, elevation in pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left, with compressive atelectasis at the bases. ",d9cc9107-872f0471-6fba0396-edc86cf6-6e1a2a4e +52939447,"AP chest: There is severe pulmonary fibrosis, probably a function of either concurrent pneumonia or acceleration of pulmonary fibrosis. AP chest: Severe infiltrative pulmonary abnormality asymmetrically distributed because of severe pulmonary fibrosis and small left pleural effusion. ",f9e470de-c60bca39-abdf839e-6a6732b2-852ee038 +52943383,"PA and lateral chest: Patient has had median sternotomy and aortic valve replacement, possibly coronary bypass grafting. PA and lateral chest: Patient has had median sternotomy and aortic valve replacement, possibly coronary bypass grafting. ",150a4890-ad806dcc-cc602c78-0f644480-ea77a79e +52949410,"The left lung has collapsed, shifting the mediastinum to the left obscuring the size of the large cardiac silhouette. The moderate-to-large left pleural effusion and mediastinal vascular widening are significant.",a443aa83-1d05b68f-6c199039-85500391-ea4904a1 +52969022,"PA and lateral chest: There is peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia. PA and lateral chest: There is peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia. ",fed84864-f68bc255-fce404b6-c38c836c-08a9985d +52969052,Marked cardiomegaly is accompanied by pulmonary vascular congestion without overt edema. There is moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place. ,b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43 +52971492,PA and lateral chest: Elevation of the base of the right lung due to subpulmonic pleural effusion and widened caliber of the cardiac silhouette due to a combination of cardiomegaly and pericardial effusion which developed. PA and lateral chest: Elevation of the base of the right lung due to subpulmonic pleural effusion and widened caliber of the cardiac silhouette due to a combination of cardiomegaly and pericardial effusion which developed. ,ccb75760-a2c8e314-d3d63bc2-17217a91-123a376d +52979134,AP chest and an image of the right humerus: Short vascular catheter projects over the mid right humerus. AP chest and an image of the right humerus: Short vascular catheter projects over the mid right humerus. ,ebf694d1-74d14ed6-c1695437-a0c9b0f3-cb905ce8 +52981971,"Mild-to-moderate pulmonary edema accompanied by marked small pleural effusions in large heart size, but this may all be attributable to tracheal extubation and withdrawal of positive pressure ventilator support rather than real cardiac decompensation. AP chest: Patient developed probable dependent pulmonary edema and small pleural effusions are present. ",b2f5bef1-dc067a8c-521f6348-16787841-eb270634 +52987117,"There is enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure. There is no pneumothorax or appreciable pleural effusion, and there is left lower lobe lesion largely obscured by cardiac silhouette following biopsy.",33aac685-1abdf680-75cd5689-530f4138-195db35f +52991108,"AP chest: Moderate-to-large right pleural effusion despite the right basal pleural pigtail drain. MODERATE-TO-LARGE RIGHT PLEURAL EFFUSION, OBSCURING THE EXTENT OF ATELECTASIS IN THE RIGHT LUNG WHICH IS PROBABLY CONSIDERABLE IN THE LOWER LOBE. ",d1136eed-65e29502-7df50d94-26d66f4a-513b4e1c +52994496,Cardiomegaly and tortuous aorta. Cardiomegaly and tortuous aorta.,6facf396-7379189e-2e080917-b29d6209-25eb040b +52998742,"Healed fracture deformity, proximal right humerus. Marked irregularity of proximal right humerus.",8ee276bc-f8413bb2-79639432-b58d2a14-2d9f78c0 +52998783,"There are reduced lung volumes with dense atelectatic streaks at both bases. Low lung volumes with bibasilar linear atelectasis, no pulmonary edema. ",66b2b4e8-470a1e57-77371a47-f3e6f263-0b7d1783 +53002522,"Hyperlucent right lung, likely due to a combination of bullae and emphysema. Hyperlucent right lung, likely due to a combination of bullae and emphysema.",901ff9da-8c7918cf-2c1642f7-2db14f83-c386dfe5 +53004850,"A PleurX catheters in place on the right, there is basilar opacification consistent with pleural fluid and compressive atelectasis. A PleurX catheters in place on the right, there is basilar opacification consistent with pleural fluid and compressive atelectasis. ",c836e7ff-0f43d4ff-f91fabcf-b1522150-030daf2c +53008088,"Opacification diffusely involves the right hemithorax, most likely representing asymmetric pulmonary edema in a patient with substantial enlargement of the cardiac silhouette and a biventricular pacer device in place. There is moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place. ",22a06cfc-11fababd-02d9a890-42cbc80e-34757e33 +53010349,Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,299e5b56-5569fb81-d1129251-b7cb6071-ab3dc20b +53012323,Normal chest radiograph aside from thoracic vertebral disc degeneration. Normal chest radiograph aside from thoracic vertebral disc degeneration.,ceb97930-fe5ec7d6-6ee4c8aa-56e46341-d0fbfd43 +53015743,Small right pleural effusion. Mild emphysema and stable small right pleural effusion.,2e15d44b-391ff16c-0474e263-a0536b97-de75b719 +53018485,"Allowing for the AP supine technique, there is moderate enlargement of cardiac silhouette. AP chest: Moderate-to-severe cardiomegaly, there is pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion. ",25fd1806-d10b52d5-9a3103c0-66e21a5f-36fb5086 +53021526,"Widespread fibrotic interstitial lung disease is demonstrated as well as significant confluence of opacification in the left perihilar and retrocardiac regions, potentially due to developing infection in the appropriate clinical setting. Widespread fibrotic interstitial lung disease is demonstrated as well as significant confluence of opacification in the left perihilar and retrocardiac regions, potentially due to developing infection in the appropriate clinical setting. ",27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd +53021891,"Right internal jugular central line, esophageal probe, and nasogastric tube are likely in position. Dobbhoff and NG tubes have their tips projecting below the diaphragm. ",046bbbe6-823f11ab-c43a868b-b3342241-8cf3254b +53024166,Status post right ventricular pacer lead revision; COPD and small pleural effusions. Status post right ventricular pacer lead revision; COPD and small pleural effusions.,8854ac17-02cbb55b-6797803e-0247f114-8e114394 +53025898,"Right basilar opacity and moderate pleural effusion, findings concerning for a right lower lobe pneumonia, other differentials include pulmonary edema. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and substantial right pleural effusion with underlying compressive atelectasis. ",e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915 +53033654,"No acute cardiopulmonary abnormalities. Tortuous and elongated aorta, the ascending aorta is probably at least ectatic. No acute cardiopulmonary abnormalities Tortuous and elongated aorta, the ascending aorta is probably at least ectatic. ",92d9fd50-81412806-b71e4d05-9ef38071-6b25204c +53035658,At least moderate right pleural effusion is present and right basal dense opacity. Moderate right pleural effusion with severe right lower lobe atelectasis.,5932603f-64abd8a2-713ef8b9-907f95b0-106004c5 +53038366,"RECOMMENDATION(S): If the condition of the patient allows, recommend PA and lateral chest x-ray for further characterization of right upper lung asymmetry. No acute findings on this single supine frontal chest radiograph. ",5d3b28e1-1aac3fe6-a4122890-9105accb-061b8489 +53038880,Postsurgical changes from right upper and middle lobectomies and gastric pull through and small right pleural effusion. Postsurgical changes from right upper and middle lobectomies and gastric pull through and small right pleural effusion. ,3c34e348-938dd3fa-3c42bcb9-a7da976b-030bc4b0 +53049402,Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.,135201b0-4fcaa92b-4ddb24bd-c100f251-566a7a5b +53051689,AP chest: Lung volumes are very low and large areas of both lungs are obscured by hemidiaphragm on the right and heart on the left. Moderate cardiomegaly is exaggerated by extremely large hiatus hernia transmitting at least stomach and bowel. ,98137eef-20e5fe78-d9065728-7b29c856-f6a77003 +53053588,There is slightly reduced aeration at the right lung apex but consolidation in the right mid and lower lung with probable associated layering effusion. There is hazy opacification at the right base silhouetting the hemidiaphragm consistent with moderate layering right pleural effusion and compressive basilar atelectasis. ,2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db +53053945,"Small bilateral pleural effusions with left retrocardiac opacity which may represent atelectasis; however, infection is not excluded. Minimal atelectasis at the left lung bases, caused by bilateral pleural effusions.",e667b137-83bbec7b-b70747b9-9ab0e43e-176a3441 +53060219,"AP chest: Large left pleural effusion is significant, and moderate pulmonary edema in the right lung, with small-to-moderate right pleural effusion. AP chest: Severe widespread consolidative pulmonary abnormality accompanied by moderate-to-severe bilateral pleural effusions. ",ede20c8a-3e1c0c67-30c5c122-dfcf20cc-b8acc6ae +53060440,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",cf5f1f4f-b4d8bc5b-dccb823c-51fa4849-94f65859 +53060980,Bibasilar atelectasis with possible small associated effusions. Basilar plate-like atelectasis without definite signs of pneumonia or CHF.,81cfd2c3-1f5ca0a7-0c161ae2-ee73d31b-b51df559 +53078182,PA and lateral chest: Severe retraction of the hila and cystic transformation in the lung apices is often seen with sarcoidosis. PA and lateral chest: Severe retraction of the hila and cystic transformation in the lung apices is often seen with sarcoidosis. ,a86e243b-eb7c225e-ad44bbf8-9125ef98-3d02d669 +53078789,The dilatation of the ascending aorta is not excluded although the arch and descending aorta are normal. The dilatation of the ascending aorta is not excluded although the arch and descending aorta are normal.,d18abe57-80923646-8d3f05f6-dafedd8b-289ed541 +53086061,"Right basilar linear opacities, likely scarring and/ or atelectasis with small right pleural effusion. Right basilar linear opacities, likely scarring and/ or atelectasis with small right pleural effusion. ",8c4ad17a-c6ec16dc-137e714a-10dc9541-499191a1 +53091268,The left single lead pacemaker is in standard position. Satisfactory position of left-sided pacemaker leads.,0d8631a3-76f811f9-2cdcf377-22f2f8eb-4d5a97e4 +53091413,"Moderate-to-severe cardiomegaly is pronounced and mediastinal veins dilated, perhaps a reflection of supine positioning. There is substantial enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure in prominence of the mediastinum. ",1e758c6a-4edc885c-05366f8b-05549d3d-fa35c2cf +53091531,"Difficult to exclude left base retrocardiac consolidation due to patient body habitus, although no large focal consolidation is seen. Difficult to exclude left base retrocardiac consolidation due to patient body habitus, although no large focal consolidation is seen. ",5cdfb771-109f66be-85ce962d-5d7f0653-ae3c1100 +53092956,"Monitoring and support devices are in position, with large cardiac silhouette and with normal lung parenchyma. Monitoring and support devices are in position and mild cardiomegaly is present. ",930dd047-b21f81bf-197ca30e-463d627b-aedbcdc3 +53102363,"AP chest: Coarse reticulation in the lower lungs presumably pulmonary fibrosis. AP chest: Lung volumes are low, primarily because of subsegmental atelectasis at the lung bases, left greater than right; a nonspecific finding but certainly consistent with acute pulmonary embolus. ",c063f72d-3383a805-adfef1af-05414ba2-9eba728c +53104217,"Severe cardiomegaly, left pleural effusion, mild left-sided edema and vascular congestion all point to cardiac decompensation. Severe cardiomegaly, left pleural effusion, mild left-sided edema and vascular congestion all point to cardiac decompensation. ",62e9edcc-50892c5b-d1908c61-edfdb644-33f323c6 +53118049,"AP chest: Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly. AP chest: Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly. ",5ad9e573-14e0965d-8b13a6a1-42aa4edf-949f7839 +53128548,"AP chest showed very small right pleural effusion and right basal atelectasis. AP chest: The patient has severe emphysema, cardiomegaly and pulmonary hypertension. ",edbc95bb-75d52166-1e3ecf1b-24889c9f-9598b9a9 +53130454,Nodular airspace consolidation with associated air bronchograms/bronchiectasis seen in the medial basal segment of the right lower lobe. Nodular airspace consolidation with associated air bronchograms/bronchiectasis seen in the medial basal segment of the right lower lobe.,878ffc5b-fbc8c37b-45a5b548-6883c9d4-5fa06364 +53131726,"Moderate-to-severe cardiomegaly is pronounced and mediastinal veins dilated, perhaps a reflection of supine positioning. AP chest: Heart is moderately enlarged, and pulmonary vasculature is engorged, but edema, if present, is minimal. ",1b09adcd-7bd70867-f05e7f34-ad26a085-cf236edb +53145122,Middle to upper left lung consolidation and bilateral lower lobe reticular pattern consistent with known interstitial lung disease. PA and lateral chest: Moderate cardiomegaly and pulmonary vascular congestion with generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. ,a463b913-a54ea4ef-38bc3985-0d13db59-fa42b204 +53154034,"PA and lateral chest: Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. PA and lateral chest: Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. ",5cecf989-3c537ad2-d38c50a6-2ca6b9d1-743a7756 +53155287,Low lung volumes accentuate the transverse diameter of the heart in this patient with intact midline sternal wires. Low lung volumes accentuate the transverse diameter of the heart in this patient with intact midline sternal wires.,85487fb8-4d1bb78d-357fad99-bd6075d5-8b2da39c +53158366,"AP chest: Lung volumes are quite low, although there is a band of subsegmental atelectasis in each lower lung, the upper lungs are clear, and there is no pulmonary edema or pleural effusion. AP chest: Lungs are very low in volume but clear of focal abnormality, and there is mild pulmonary vascular congestion.",43a15b39-91e19d8c-aa4bf7b9-1f192be3-ad880dd8 +53158507,The heart is mildly enlarged status post median sternotomy. Status post median sternotomy with valvular replacement and enlarged heart. ,eb00136d-bf3de8a4-e4b112fb-e086aa9e-97dc80ff +53164365,"AP chest: Extensive opacification in both lungs, sparing the left mid and lower lung zone. AP chest: Severe widespread pulmonary infiltration is significant, with near confluence of opacification in the left lung, and moderate-to-severe left pleural effusion. ",25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c +53183707,"AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. ",d570aba7-45a558d7-52f77673-704bdc98-85e97946 +53183813,"Widespread multifocal pneumonia, most prominent on the left. There are large areas of heterogeneous consolidation in the left mid and lower lung zone, combination of lung mass, pneumonia, and collapse in the lingula. ",e07fa786-650ff653-81675db1-7d20a8f0-b4a5b8f3 +53202055,"Cardiomegaly, pacemaker leads and Swan-Ganz catheter terminating in the right upper lobe pulmonary arteries are in position. Moderate to severe cardiomegaly is present following insertion of transvenous right ventricular pacer lead which runs from the left pectoral generator to the floor of the right ventricle and out of view. ",c4d47932-145d1a89-7f6d200d-9b16a4d6-84c0d0f0 +53203970,"Moderate-to-severe chronic cardiomegaly, noting a large left ventricular aneurysm calcified at the apex. Cardiomegaly and enlarged aortic arch, potentially reflecting aneurysm and should be correlated with cross-sectional imaging. ",42fd3d74-fe3267e7-82ffa036-96225174-327660f6 +53218289,Follow up radiographs after diuresis are recommended to assess for an underlying interstitial lung disease. Follow up radiographs after diuresis are recommended to assess for an underlying interstitial lung disease. ,97a75129-d39c5832-904e9f3a-3f98ba5f-9f23cd4a +53222889,"Lordotic positioning makes lung volumes looks small and cardiac size local large, but there has been a widened pulmonary vascular caliber and mediastinal veins reflecting volume overload or cardiac decompensation although there is no pulmonary edema or appreciable pleural effusion. Lordotic positioning makes lung volumes looks small and cardiac size local large, but there has been a widened pulmonary vascular caliber and mediastinal veins reflecting volume overload or cardiac decompensation although there is no pulmonary edema or appreciable pleural effusion. ",d1b9813f-08d920a6-85c9bb6f-c516c1ee-a56f9d38 +53233378,"Chest radiographic features are consistent with the moderately severe pulmonary edema, basal predominant, but concurrent pneumonia could be present in either or both lower lobes. Moderate-to-severe pulmonary edema with small-to-moderate bilateral pleural effusions and bibasilar airspace opacities likely reflective of atelectasis. ",dcdd32f6-e80f7f1f-0c2448f5-0816540b-3b890ebf +53234157,"There are bilateral pleural effusions, right greater than left, and cardiomegaly. There are bilateral pleural effusions, right greater than left, and cardiomegaly.",a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed +53235571,"PA and lateral chest: Reduced lung volume exaggerates mild cardiomegal, but pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. PA and lateral chest: Reduced lung volume exaggerates mild cardiomegaly, but pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. ",8a046a64-8ed795ff-765071a4-668a3e83-c8c7fa28 +53239683,"AP chest: Widened caliber of the pulmonary and mediastinal veins, and moderate-to-severe cardiomegaly suggest that peribronchial opacification new in the right mid and upper lung zone is asymmetric edema rather than pneumonia. AP chest: The patient is in moderately severe pulmonary edema and severe cardiomegaly some of which was due to pericardial effusion. ",8d9be95b-acae4c91-b54b7471-ffba1791-2685235f +53247313,"Lung volumes are substantially low with moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. AP chest: Lung volumes are appreciably low, and there is considerably consolidation in both lower lobes as well as mediastinal and pulmonary vascular congestion and perihilar opacification suggesting concurrent pulmonary edema. ",54a9e5bc-2d3b9e9a-43c44b54-7c16e7b1-f923f86c +53261956,"AP chest: Large right pleural effusion, moderate left pleural effusion, severe pulmonary edema and mediastinal vascular engorgement. AP chest: Moderately-severe pulmonary edema and small-to-moderate right pleural effusion. ",1c46590a-4ab8d375-c539829a-8adff157-efdba049 +53266756,"Mild interstitial abnormality, particularly bronchial cuffing and possible bronchospasm suggest mild congestive heart failure and possibly cardiac asthma. Mild central and diffuse interstitial prominence, potentially due to bronchovascular crowding in the setting of low lungs volumes. ",46b732fa-3e6e9bc7-4487868d-2db2ea7c-b27ecdd1 +53273158,Right hydropneumothorax and right chest wall subcutaneous emphysema. Moderate right hydropneumothorax with loculated right pleural effusion and compressive atelectasis.,384b766e-a666fc50-5510a97f-c615a43c-1bfebe33 +53273257,"Subsegmental retrocardiac opacity, potentially atelectasis although infection or infarct in the setting of sickle cell disease would be possible. Subsegmental retrocardiac opacity, potentially atelectasis although infection or infarct in the setting of sickle cell disease would be possible. ",55249a04-13ab44b1-04c4b5e6-803f6e35-0c091a7d +53276158,AP chest: The patient has had median sternotomy and coronary bypass grafting. The cardiac silhouette is at the upper limits of normal or mildly enlarged in this patient with previous CABG procedure and intact mid lines sternal wires. ,e5d1a79a-101a6822-e589102f-05d0d1c7-fe74e5e5 +53282268,"Mild pulmonary edema and severe heterogeneous opacification at the base of the right lung due to infection secondary to severe impacted bronchiectasis. Chest radiographic features are consistent with moderately severe pulmonary edema, basal predominant, but concurrent pneumonia could be present in either or both lower lobes.",e71f51f3-72341a6f-e930d575-66d2c3ef-339886c5 +53292802,"Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. ",f853039e-e541ff3f-875071bd-62705831-03bd8d9e +53295276,"Hyperinflation of the lungs with interstitial markings, concerning for chronic lung disease. COPD with hilar prominence suggestive of pulmonary arterial hypertension. ",31b151ec-75ddc4a9-e85ecaab-f72df771-c55ef3b5 +53297811,"AP chest: Moderately severe interstitial edema and moderately severe right pleural effusion. Reticulations are present and moderate right, possibly loculated, pleural effusion and interstitial abnormalities could be mild to moderate pulmonary edema. ",1816d50c-d9282769-fd97cb8d-d105e548-27569b20 +53305461,Left greater than right bilateral perihilar streaky opacities could be due to infection and/or fluid overload. Left greater than right bilateral perihilar streaky opacities could be due to infection and/or fluid overload.,bfa3c5fe-e3616a0b-f2cede25-46b58e40-679b44d1 +53308168,"There is prominence of interstitial markings bilaterally, especially on the right, raising the possibility of asymmetric pulmonary edema. In addition to mild cardiomegaly, vascular congestion and mild-to-moderate pulmonary edema, there are three regions of pulmonary consolidation, a region in the right mid lung and larger areas at the bases of both lungs.",d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972 +53311302,"AP chest: Small right pleural effusion following thoracentesis, and there is no pneumothorax, and the right lower lobe has substantially expanded. There are small bilateral pleural effusions status post extubation. ",241b6402-15f482d1-da524f5e-92653c29-84172d3d +53318102,"Severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. The cardiac silhouette is enlarged, likely caused by the known patent ductus. ",5698b16b-b25ed251-4149b897-8f2393c0-1a6fed9b +53325824,Heart is mildly-to-moderately enlarged. There is enlargement of the cardiac silhouette and with tortuosity of the aorta and brachiocephalic vessels and some prominence of the central pulmonary vessels which could reflect some pulmonary arterial hypertension. ,6a31f7f3-592b6144-a0b7e38c-d11761b4-bd2bf9e3 +53330219,"Moderate cardiomegaly with extensive bilateral parenchymal opacities at the lung bases, combines to retrocardiac atelectasis and a mild to moderate left pleural effusion. Bilateral lung opacities, prominant hila and fullness of azygous vein suggests a combination of mild to moderate bilateral pleural effusions, mild pulmonary edema and lower lung atelectasis. ",b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f +53333931,The Swan-Ganz catheter tip extends about 2-3 cm beyond the mediastinum on this image there are low lung volumes which could accentuate this appearance. The Swan-Ganz catheter has been pulled back so that the the tip still lies within the outer aspect of the mediastinum. ,0f0038e8-aa61d68a-c46ef78e-4ee08f4b-d4a8e62d +53339862,"AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. ",c375e421-68a1e118-133cd727-71b1be6f-8d62fa58 +53342490,There are small bilateral pleural effusions. Right greater than left upper to mid lung peripheral patchy opacities noted. There are small bilateral pleural effusions. Right greater than left upper to mid lung peripheral patchy opacities again noted.,82c1c97a-b5708e95-baa8ec84-c1237993-93b67d8b +53346804,"AP chest: Nearly confluent acinar opacification of the right mid and upper lung and to a lesser degree perihilar left upper lung. Bilateral air space and interstitial opacities with an upper lobe predominance, which could reflect an atypical distribution of pulmonary edema in this patient with underlying emphysema; further follow up chest radiographs will be required to confirm potential early pneumonia. ",0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab +53348686,There is cardiomegaly and enlarged aorta. There is cardiomegaly and enlarged aorta.,35deb322-043ec12f-b33e7567-530c7a88-8b213991 +53349756,"There is significant retrocardiac atelectasis, potentially caused by a mild left pleural effusion. There is a layering left effusion with retrocardiac consolidation suggestive of partial lower lobe atelectasis. ",f0d18848-8b3b0e31-92ab7c89-0a569510-bac46a4e +53350789,"Small symmetric bilateral pleural effusion probably reflects congestive heart failure, there is a pacer defibrillator lead which follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects congestive heart failure, there is a pacer defibrillator lead which follows the expected course to the distal right ventricle. ",3480ade8-6825b33b-dc07898d-97d83f8a-c743b07b +53351384,"AP chest: Bibasilar consolidation, moderate-to-severe on the right and severe on the left accompanied by bilateral pleural effusion, small on the right and moderate on the left. ET tube and left subclavian line are in standard placements respectively: Small right pleural effusion, severe left lower lobe atelectasis and left pleural effusion that is at least small.",b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770 +53352013,"There is substantial enlargement of the cardiac silhouette with tortuosity of the aorta, but no definite vascular congestion. There is moderately enlarged heart with enlarged tortuous aorta. ",783fc94d-12b747b1-600f2e10-c1c51d2a-97240f95 +53353190,AP chest: Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. AP chest: Severe cardiomegaly and mediastinal vascular engorgement are significant.,172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1 +53353191,Severe pulmonary consolidation spread from the right lower lobe to the remainder of the lungs. Widespread severe heterogeneous alveolar opacification in both lungs.,67f96700-fa7ae0b7-52f52249-55e93d91-53fcc6c8 +53354417,Superior displacement of right proximal humerus with narrowing of the acromiohumeral distance suggestive of chronic rotator cuff tear and associated degenerative changes. Widening of the mediastinum related to known aortic arch pseudoaneurysm.,3851190a-af79fb41-4c2b3b1e-b4269325-f8a2fb78 +53356050,"Cardiomediastinal silhouette, mildly distorted by lower pectus deformity, is normal. Cardiomediastinal silhouette, mildly distorted by lower pectus deformity, is normal. ",4e60f3da-37ed157d-a469a568-0b2ee907-4b01c924 +53357801,There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and left basilar opacification consistent with volume loss in the lower lobes and small pleural effusion. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and retrocardiac opacification consistent with substantial volume loss in the left lower lobe and small pleural effusion.,d829d785-9cf108d0-cc72151c-457d3b95-b2d38263 +53358228,"Cardiomegaly and tortuous aorta. It could be due to vascular engorgement, but given evidence of median sternotomy and coronary bypass grafting, an acute aortic syndrome needs to be excluded, if not clinically, then with imaging. ",10c89fd8-d213373d-7803e8df-fe8a4a8d-2d9a9503 +53363173,"There are hazy opacifications at the bases which are consistent with layering pleural effusions and compressive atelectasis, with substantial volume loss in the left lower lobe. There are bilateral layering effusions with consolidation in the retrocardiac area of likely reflecting left lower lobe collapse. ",4d4debb7-b1377375-9b140439-417adb5f-b593b670 +53366281,"Moderate to severe cardiomegaly, exaggerated by supine positioning, which also shows widened mediastinal venous caliber. There is moderate enlargement of cardiac silhouette. ",3ed3bb4b-239e165f-32a0305f-6e40b696-afdec18d +53367019,"There are postoperative right basal lateral opacities. A right basilar chest tube is in place, and there is some right lateral pleural thickening, subcutaneous emphysema of the right lateral chest wall soft tissues, chain sutures at the right lung base and the right mid lung, surgical clips at the right base and a streaky opacity in the right upper lobe which likely represents post-surgical or post-inflammatory change. ",226379d0-ea16df78-cc85e54b-2f773a4c-8afb5ba2 +53368667,There is leftward mediastinal shift which suggests opacification of the left lung is due to severe left lower lobe atelectasis. There is leftward mediastinal shift which suggests opacification of the left lung is due to severe left lower lobe atelectasis.,aebc8b32-83f9db36-e7859808-602b3b39-66bb2765 +53372149,"PA and lateral chest: There is peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia. PA and lateral chest: There is peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia. ",7e445e5a-27e30425-98d438f2-9619da9c-e53b8453 +53377112,"Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. ",1d5931ea-ae06916c-5082d79e-ce203e51-6581ddc9 +53378145,"There are severe and very diffuse parenchymal opacities present in both the left and the right lung. AP chest: A severe widespread infiltrative pulmonary abnormality is present, somewhat better in the left upper lung, worse on the right, and there has been a widened cardiac diameter suggesting that much of the abnormality is volume or cardiac related pulmonary edema. ",ba5b5b5f-13d50976-7e931ab9-b5cae769-76a2d17e +53379869,Mild cardiomegaly with mild hilar congestion with possible nodularity at the right pulmonary hilus for which nonemergent CT is recommended to further assess. Mild cardiomegaly with mild hilar congestion with possible nodularity at the right pulmonary hilus for which nonemergent CT is recommended to further assess.,294ebc2b-bda5301f-54062c24-9d36e9fe-0770d722 +53386512,"There are small bilateral pleural effusions, which combine with signs of mild pulmonary edema. Findings suggest small bilateral pleural effusions, pulmonary vascular congestion and bibasilar atelectasis. ",efea65d1-1ef297f0-129ff6e4-c843bd43-2db0b71d +53387141,Mild widening of the right paratracheal stripe and fullness of the right hilum likely reflect underlying lymphadenopathy. Mild widening of the right paratracheal stripe and fullness of the right hilum likely reflect underlying lymphadenopathy.,1a0d4a94-6ef86f39-cbfdfcac-7dd9b3a7-a693ce1d +53389484,"AP chest: There is pulmonary vascular engorgement and moderate bilateral pleural effusion, right greater than left. AP chest: There is pulmonary vascular engorgement and moderate bilateral pleural effusion, right greater than left. ",7b6c20ba-0e7929d3-490f9731-a935273d-1ba4d12f +53398424,The film is somewhat limited due to the patient's kyphosis and rotation. The film is somewhat limited due to the patient's kyphosis and rotation.,8011d9cb-8f3ea017-86ad36bd-5e7380ff-32005f00 +53400246,"There is severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. There substantial enlargement of the cardiac silhouette with only mild engorgement of pulmonary vessels. ",3b45981c-22a218c1-895088c8-70cb300c-bb013a16 +53401540,"PA and lateral chest: Significant size of the right hilus, right paratracheal tissue to the tracheobronchial angle and the mediastinum in the region of the AP window could be due to adenopathy or pulmonary hypertension. ",ed842464-13c00e81-9df3129d-439db19a-7b5804f7 +53403421,Cardiomediastinal contours are within normal range and lungs and pleural surfaces are grossly clear allowing for limited assessment of the upper lobes due to overlap of the scapula from suboptimal patient positioning. There has been placement of a catheter in the right bronchus intermedius. ,209500b4-f8bc630b-f0a648c8-da518e7f-ab714f17 +53404392,"Otherwise, there is an enlargement of the cardiac silhouette with a pacer device in place, but no evidence of pulmonary edema. The cardiac silhouette is enlarged with 3-channel pacer device in place.",6814b280-d33103fb-57bac34d-4b2fe11e-850ad502 +53405597,"Retrocardiac opacification obscuring the hemidiaphragm is consistent with volume loss in the left lower lobe with probable pleural effusion. mild opacification is seen in the retrocardiac region with poor definition of the hemidiaphragm, consistent with volume loss in the left lower lobe and pleural effusion.",1b6de453-c29f3bea-062b74e0-18018703-0456f192 +53407845,"PA and lateral chest: mild-moderate peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia. PA and lateral chest: mild-moderate peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia.",e8da4f53-f62c1459-cc4b5add-8a21431c-c2395de1 +53410264,PA and lateral chest: Normal postoperative cardiomediastinal silhouette. PA and lateral chest: Normal postoperative cardiomediastinal silhouette.,01162a03-2f26a872-9c7a120b-f5ce80a2-46b2577b +53412826,"Evidence of pulmonary nodules, better assessed on CT. Lateral right mid lung and bilateral lower lung opacities are worrisome for multifocal pneumonia. Evidence of pulmonary nodules, better assessed on CT. Lateral right mid lung and bilateral lower lung opacities are worrisome for multifocal pneumonia.",1cbba3f1-9473d496-6a09bade-908af686-5568c136 +53417168,Pulmonary edema with triple- lead pacer standard in place. Pulmonary edema with triple- lead pacer standard in place.,63bc3ab0-da8f9dcb-006bcd2c-5af27843-de7a7597 +53418217,The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect.,4c813a56-c3955f56-d8575305-9347eb08-6c581dc1 +53423060,Right pleural effusion with small right hydropneumothorax. Moderate right hydro pneumothorax seen at the base of the right lung is demonstrated.,74e72ac6-d04d2e9a-135b0911-cce87e45-cdf6d625 +53424979,Pulmonary vascular congestion is seen without appreciable cardiac enlargement and pacer devices are in place. Transvenous right atrial and left ventricular pacer leads have been inserted from the left pectoral generator.,469c319a-57c55551-e71b3f83-73849157-a180b0ee +53426027,"Moderate-to-severe chronic cardiomegaly, noting large a left ventricular aneurysm calcified at the apex. Heavy calcification of the cardiac silhouette along the diaphragmatic surface is probably left ventricular aneurysm or pseudoaneurysm.",75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4 +53426458,"AP chest: Post-operative widening of the mediastinum in the region of the arch, but there may be a moderate-severely enlarged caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. There is mediastinal venous engorgement, moderate cardiomegaly, and edema in the left lung is mild.",93cda90a-dff91783-8c5eaa57-5242ceca-f2ba281a +53433801,"Left lower lobe is partially expanded, reflected in postion of the mediastinum to the midline, but there is atelectasis and small left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients. Left lower lobe is partially expanded, reflected in postion of the mediastinum to the midline, but there is atelectasis and small left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients. ",565704ba-15b1f276-8b2cb4d4-45b87f43-ac9aae54 +53450140,"The chest consists of small loculated right pleural effusion, and the fluid filled neo esophagus. The chest consists of small loculated right pleural effusion, and the fluid filled neo esophagus.",8d5ad6ce-5614528c-96b4dc9c-90955e74-7a3a722b +53452091,"Severe bilateral pulmonary consolidation is noted, moderate cardiomegaly and mediastinal vascular engorgement are present and pleural effusions at least moderate in size are evident. Lung volumes are markedly low and there are likely layering bilateral effusions and diffuse airspace process which more likely represents moderate-to-severe pulmonary edema, although diffuse pneumonia should also be in the differential.",e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7 +53458025,"Small right pleural effusion, accompanies slight thickening of right minor and major fissure, cited as suspicious for malignant reccurence. Small right pleural effusion, accompanies slight thickening of right minor and major fissure, cited as suspicious for malignant reccurence. ",f3baaf80-a55a5d5c-780ab97b-5fade2b1-80096e7e +53459280,"Subtle rounded enlargement of the inferior right paratracheal soft tissue density, suggest further evaluation on nonemergent chest CT in this patient with history of breast cancer. Subtle rounded enlargement of the inferior right paratracheal soft tissue density, suggest further evaluation on nonemergent chest CT in this patient with history of breast cancer.",be1ddefb-9327567f-aef38bd8-e918043d-91c40219 +53460154,"The rest of the findings including tubes and lines, pacemaker leads are unremarkable. The cardiomediastinal silhouette is severely enlarged. Pacemaker lead is seen in position. Moderately enlarged cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data are evident",b4391db8-8076224b-e326c566-f0ee0cd4-94341441 +53461201,"Findings consistent with severe COPD, pulmonary arterial hypertension, and mild bibasilar interstitial process. Findings consistent with severe COPD, pulmonary arterial hypertension, and mild bibasilar interstitial process.",b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31 +53462360,"Right lower lobe collapse is evident. Right lower lobe collapse is seen, but the lower lobe is severely atelectatic and/or consolidated.",aada2247-29840013-b9823ba1-08f3f7f8-795716fd +53462705,Moderate cardiac enlargement without evidence of CHF in patient with evidence of previous sternotomy. Moderate cardiac enlargement without evidence of CHF in patient with evidence of previous sternotomy.,d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d +53469163,"Cardiac silhouette is enlarged with bilateral pleural effusions and compressive basilar atelectasis, more prominent on the right. Cardiac silhouette is enlarged with bilateral pleural effusions and compressive basilar atelectasis, more prominent on the right.",fb3ef8ae-36255356-cb0d2269-7e268b4a-a253c3bf +53474620," 2 chest tubes are in place in the right hemi thorax with large right pleural effusion and increasing adjacent parenchymal opacification involving a majority of the right lung, with relative sparing of the right apex. No pneumothorax or pleural effusion in the right chest or abnormal gas collections in the pneumonectomy space.",5d12427f-41fd4e5e-6db33536-0d265b21-1b800caf +53479699,"Mild generalized edema is noted, but there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis.Although pulmonary consolidation is noted appreciably in both lungs, moderate cardiomegaly is more severe and mediastinal veins more dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps a new pneumonia in the right lower lobe.",86d7a0e2-a6e5e874-ed2fed4c-1c2ffbf1-4f1621e3 +53481305,"Pulmonary edema, cardiomegaly, and volume overload, concerning for CHF exacerbation; advancement of endogastric tube is recommended. Limited study due to body habitus, however there is diffuse bilateral pulmonary edema.",374a4a0d-c236bc19-25ea8b17-2f7f41cb-2b323110 +53481703,Vague interstitial process in the right lower lobe which may reflect an unusual asymmetric pattern of mild pulmonary vascular congestion noting the clinical context. Vague interstitial process in the right lower lobe which may reflect an unusual asymmetric pattern of mild pulmonary vascular congestion noting the clinical context.,129b160a-a04df689-fd8a2f39-c04a597d-736a0245 +53492798,"Mediastinal contours are unremarkable, including the region of the ascending aorta. Only 1 of several calcified pleural plaques is visible on the conventional radiographs, along the right diaphragmatic surface.Mediastinal contours are unremarkable, including the region of the ascending aorta. Only 1 of several calcified pleural plaques is visible on the conventional radiographs, along the right diaphragmatic surface. ",18f0fd6d-f513afc9-e4aa8de2-bc5ac0d6-ea3daaff +53499416,One nasogastric feeding tube passes into the distal stomach or proximal duodenum where it is sharply folded and could be partially occluded. An upper enteric drainage tube passes to the junction of the second and third parts of the duodenum.,ea90382d-329c4f3b-73ff1b45-e7f3f9f7-63cd342d +53504804,Enlargement of the cardiac silhouette with pulmonary vascular congestion and substantial right pleural effusion with underlying compressive atelectasis. Moderate right-sided pleural effusion and findings suggesting fluid overload or mild-to-moderate vascular congestion.,5b433593-d02544b5-225e12eb-2d963391-108a1692 +53512860,"Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive. Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive.",3e25d193-509147d7-b305908a-51e0da17-7cb23fda +53517180,Moderate pulmonary edema or pneumonia superimposed on chronic lung disease. Chronic obstructive pulmonary disease with superimposed mild-to-moderate interstitial edema.,a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a +53520984,"Top normal heart size, coarsened interstitial markings , likely due to chronic lung disease. Mild enlargement of the cardiac silhouette and prominence of the interstitial markings reflects normal physiological changes in this pregnant patient.",1cc3aae6-387f9950-c591a39d-320f3621-7c4e1b19 +53521887,"Today's conventional chest x-ray will serve as a baseline for subsequent imaging. Mild-moderate enlargement and contour abnormalities of adenopathy in the right hilus and adjacent paratracheal mediastinum, are seen. Today's conventional chest x-ray will serve as a baseline for subsequent imaging. Mild-moderate enlargement and contour abnormalities of adenopathy in the right hilus and adjacent paratracheal mediastinum, are seen",c1735f23-afbc50c0-23b33129-f274cfa7-737f29c2 +53527484,"Transvenous right atrial and right ventricular pacer leads noted. Left pectoral pacemaker, correctly position, normal size of the cardiac silhouette with minimal elongation of the descending aorta.",711f27df-b3aacd5a-c3fb842d-dcadab6d-36569853 +53532692,"Minimal blunting of the bilateral posterior costophrenic angles, which may represent tiny pleural effusions or pleural thickening. Minimal blunting of the bilateral posterior costophrenic angles, which may represent tiny pleural effusions or pleural thickening.",bb03b651-512952bc-0ea27cd3-c61b8255-0b80bbb5 +53536595,"There is collapse of the left upper lobe distal to obstructing hilar mass around a large necrotic upper lobe mass, or in small loculated left pleural effusion inferiorly, even even with 2 left pigtail pleural drainage catheters in place. There is collapse of the left upper lobe distal to obstructing hilar mass around a large necrotic upper lobe mass, or in small loculated left pleural effusion inferiorly, even even with 2 left pigtail pleural drainage catheters in place. ",a30e6be6-cdb72787-3efd0ffc-438f4522-1a95c8da +53537165,"Mild cardiomegaly, upper zone redistribution, and hilar prominence suggestive of pulmonary hypertension. Enlarged hila bilaterally suggestive of pulmonary arterial hypertension.",f9f7d4af-2d90cb81-2541b729-6aab0e3f-06acb455 +53538935,"Right mainstem bronchus intubation with complete opacification of the left hemithorax. Right mainstem intubation, with Poor aeration of the left hemithorax, although volume loss and leftward shift of the mediastinum is evident.",09fd7280-e167baec-da92ec8e-8203309b-6dbcb6d1 +53546263,Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease.,1a329778-20bfaa24-80dfc02f-7f896fba-39d0dd88 +53555445,"Left lower lobe collapse is mild-moderate and bilateral perihilar opacities is noted, compatible with increasing pulmonary edema. Left lower lobe collapse is mild-moderate and bilateral perihilar opacities is noted, compatible with increasing pulmonary edema.",ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85 +53565184,"Overall cardiac and mediastinal contours are unremarkable, although there is some fullness of the right paratracheal soft tissues which is felt to represent distended vascular structures and lymphadenopathy. Overall cardiac and mediastinal contours are unremarkable, although there is some fullness of the right paratracheal soft tissues which is felt to represent distended vascular structures and lymphadenopathy.",886b46d2-5577e6fc-fe1bb0e6-08228079-9b623407 +53565622,"Large left hilar mass is present, probably due to limited bleeding, but there is presence of a left pleural abnormality consisting of fluid and/or tumor in the left major fissure and along the costal and diaphragmatic surfaces of the left lung. The appearance of the left lung could be due to scarring or a slowly resolving residual of infection.",8cf47922-21ea9567-ee9bd67f-e77c69fc-88638572 +53567752,"There is right pleural effusion however it is moderate in size and is layering posteriorly. Moderate right pleural effusion is present with layering, previously non-hemorrhagic.",58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf +53570653,"Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. There is no large right pneumothorax or appreciable pleural fluid collection, although a small amount of pleural air would be difficult to detect in the setting of severe subcutaneous emphysema and pneumomediastinum.",39af0cd9-82745eb4-2fe05152-1dfd448e-8725c801 +53574399,Mild pulmonary edema and trace right pleural effusion. Overal pattern compatible with congestive heart failure with superimposed right lower lobe consolidations concerning for infectious/inflammatory process.,fcacd1e7-993853b9-c2a8e32f-c4fff20c-7792291b +53576176,The cardio mediastinal silhouette is mild-moderately enlarged and the left IJ catheter is in correct position. The cardiomediastinal silhouette is mild-moderately enlarged but there is proximal termination of the left internal jugular line currently terminating at the junction with the left brachycephalic vein,93a674e7-7bde63bd-1ebe3a67-b6eddd64-f55473fe +53583954,"Large left hilar mass is evident, probably due to limited bleeding, but there is a small left pleural abnormality consisting of fluid and/or tumor in the left major fissure and along the costal and diaphragmatic surfaces of the left lung. Moderate left pleural effusion is present despite the left pleural drain, whose most proximal side port is in the plane of the intercostal space or extrathoracic.",0efbdb11-4a6e04cf-2acc8b02-8b0ee7b6-36a1e507 +53591854,"Although heart size is top-normal, there is pulmonary vascular engorgement and widening to the mediastinum in the region of the ascending aorta. The cardiomediastinal silhouette and pulmonary hila are enlarged.",fd6e4f88-f10a601f-5ab99df7-15c792e7-3edf3e2c +53593299,"Small right pleural effusion, accompanies slight thickening of right minor and major fissure, cited as suspicious for malignant recurrence. Small right pleural effusion, accompanies slight thickening of right minor and major fissure, cited as suspicious for malignant recurrence.",3e2248aa-fadcd991-d4227891-01a43de5-fd31834a +53595850,Clip in the right upper quadrant likely reflects prior cholecystectomy. Clip in the right upper quadrant likely reflects prior cholecystectomy.,5d38b235-8992ecec-2b630078-d290f396-00fdf5db +53598647,"Emphysema with noted opacity at the right lung apex which may represent scarring though given underlying emphysema, a nonemergent CT is recommended to further assess for the presence of lung nodule. Hyperinflation of the lungs with chronic interstitial markings, concerning for chronic lung disease.",0ac370ca-d14e45b3-07c05241-b3a551b3-4cde1652 +53600674,"Status post aortic valve surgery with moderate cardiac enlargement and elongated thoracic aorta, but presently no evidence of pulmonary congestion or acute pulmonary infiltrates. Status post aortic valve surgery with moderate cardiac enlargement and elongated thoracic aorta, but presently no evidence of pulmonary congestion or acute pulmonary infiltrates.",ab41acce-48c02bd3-f4172b1a-f1eb4eee-8032c437 +53602937,A long-standing elevation of the hemidiaphragm raises the question of a phrenic nerve palsy or diaphragmatic injury. A long-standing elevation of the hemidiaphragm raises the question of a phrenic nerve palsy or diaphragmatic injury.,4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef +53605259,Mild widening of the mediastinal silhouette is likely due to known mediastinal lymphadenopathy. Mild widening of the mediastinal silhouette is likely due to known mediastinal lymphadenopathy.,60565158-58324362-cca18ef0-bb2bc393-750737fd +53607277,Innumerable bilateral pulmonary nodules compatible with known carcinoid metastases. Innumerable bilateral pulmonary nodules compatible with known carcinoid metastases.,b1009aff-e698f80d-330e0345-8dc761eb-889e6c69 +53608469,There is substantial enlargement of the cardiac silhouette with moderate pulmonary edema and mild right pleural effusion. There is substantial enlargement of the cardiac silhouette with asymmetric pulmonary edema more prominent on the right and layering right effusion with basilar atelectasis.,1385f4a5-f1a65c0d-03e20ca7-6c7c7812-681c33fe +53619001,Small right pleural effusion seen on the lateral view is present. Mediastinum has a normal appearance. Small right pleural effusion seen on the lateral view only is present. .Mediastinum has a normal appearance.,a9a7d29d-d6bfc7f0-0cf3ce22-1a6a9dbc-1df52ce1 +53632136,"Though interstitial pulmonary edema has almost cleared and small bilateral pleural effusions are minimal, the irregular right juxtahilar mass-like consolidation is evident. Though interstitial pulmonary edema has almost cleared and small bilateral pleural effusions are minimal, the irregular right juxtahilar mass-like consolidation is evident. ",cf4509de-e07c9ef6-ac4ef196-5d471150-97723ba4 +53637827,"There is mild-moderate cardiomegaly, large bilateral effusions with adjacent atelectasis with probably collapsed left lower lobe and mild vascular congestion. Left lower lobe collapse and moderate left pleural effusion are evident, leftward mediastinal shift obscures some of the cardiac apex, with severe cardiomegaly presumably appearing present.",ce079139-3dd3fe97-6c8688b6-c1ff49b1-d8b8585f +53652133,"Slightly lower lung volumes account for radiographic progression of diffuse infiltrative pulmonary abnormality, largely pulmonary fibrosis. Widespread pulmonary opacification are quite severe bilaterally.",6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243 +53653168,"Left mid lung pneumonia Left lower lobe collapse with pleural effusion Right middle lobe volume loss and collapse ET tube tip is 5 cm above carina Leftward mediastinal shift suggests volume loss in the left lung, and therefore heterogeneous opacification in the infrahilar left lower lobe could be atelectasis.",c9028d9d-b5be82c7-94f4e115-fcd0cbb2-bdc86018 +53656059,Enlargement of the cardiac silhouette with the monitoring and support devices seen. Marked cardiomegaly is accompanied by mild-moderate pulmonary edema.,f3627f06-7f8dc376-299731cc-3607780e-44c820e4 +53663749,Large subdiaphragmatic lucency may represent pneumoperitoneum related to recently placed PEG or a markedly distended viscous. Guess collecting between both diaphragmatic leaflets indicates pneumoperitoneum.,083a3e76-48cf31d2-b2f088df-9c323345-ef72f46f +53679398,"The cardiac silhouette including extensive cardiomegaly, the position of the left ventricular assisting devise and the position of the pacemaker leads including ICD coiled in the azygos vein inserted through left subclavian and right ventricle. Increasing moderate cardiomegaly, mild pulmonary edema, and moderate left pleural effusion which suggests pericardial effusion may also be present.",4f32b256-67629057-efe5e52b-06323e27-46eeb15b +53685384,"Following extubation, lung volumes are small but mild-moderate opacification in the lower lobes could be atelectasis or pneumonia, and some coalescence of mild pulmonary edema. The bilateral basal parenchymal opacities are mild-moderate in extent and severity.",d3033719-9b507af8-6e6975ac-c32ea556-6f68613d +53702175,"Chronic findings of mild-moderate cardiomegaly and enlargement of the bilateral pulmonary arteries, suggesting underlying pulmonary hypertension. Chronic findings of mild-moderate cardiomegaly and enlargement of the bilateral pulmonary arteries, suggesting underlying pulmonary hypertension.",e35b1970-3dfc9412-ec657374-09990870-561ca892 +53708518,"Mild peribronchial opacification in the left lower lobe could be the residual of previously severe postoperative left lower lobe atelectasis, or new infection. Asymmetry of the breast shadows with clips in the left axilla suggestive of history of left breast cancer with left axillary node dissection.",92afaf0a-1599ea5d-299de00c-663008be-231fd983 +53711569,"Some of this could reflect a more supine position of the patient, though this is not the indication printed on the radiograph. Some of this could reflect a more supine position of the patient, though this is not the indication printed on the radiograph.",e340b826-77b272b0-563eb16a-9d61d7c8-debd50bf +53716910,Severe left lower lobe atelectasis is present since extubation; moderately severe right lower lobe atelectasis is evident. Severe left lower lobe atelectasis and moderate right lower lobe atelectasis are both present.,15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2 +53731827,"Minimal blunting of the bilateral posterior costophrenic angles, which may represent tiny pleural effusions or pleural thickening. Minimal blunting of the bilateral posterior costophrenic angles, which may represent tiny pleural effusions or pleural thickening.",d89e6f21-a446eef4-a01c2b56-b8c103af-64774131 +53733833,Mild cardiomegaly and mediastinal vascular engorgement may be due in part to supine positioning. Cardiac silhouette and mediastinal vascular caliber are exaggerated by supine positioning.,d50e8844-70b979c1-018fdf07-8a21dee8-bea92072 +53736575,"Postoperative left mediastinal widening in aorticopulmonary window, which may be due to a postoperative hematoma or loculated fluid collection. Postoperative left mediastinal widening in aorticopulmonary window, which may be due to a postoperative hematoma or loculated fluid collection.",946ab43b-aafbeb4c-99c6b132-43bf9624-4c09a5f4 +53739758,"Borderline cardiomegaly and mediastinal vascular engorgement is moderate in severity.Although cardiogenic pulmonary edema is a possible explanation for findings, concurrent pulmonary hemorrhage or pneumonia should be considered, Right jugular line ends in the mid SVC and its nasogastric tube ends in nondistended stomach. Background density in the lungs is mild-moderate in severity, indicating this was a component of require overall bulk edema, but there is severe and heterogeneous infiltrative abnormality throughout the lungs, probably widespread infection.",cfe95f11-8443d7dd-4d3b5c96-d6c7892c-e037193e +53743811,"Moderate enlargement of the cardiac silhouette is noted, but there is no pulmonary edema, although mediastinal veins are dilated, possibly a reflection of supine positioning. Enlargement of the cardiomediastinal silhouette may be accentuated by the low lung volumes and AP portable technique, however, if there is clinical concern for mediastinal injury, chest CTA is more sensitive and should be considered.",b68909bd-ab26c600-5bce4577-31a3f9ad-8bac4c2c +53749286,There is substantial enlargement of the cardiac silhouette with indistinct and engorged pulmonary vessels consistent with elevated pulmonary venous pressure.There is substantial enlargement of the cardiac silhouette with relatively mild elevation of pulmonary venous pressure.,a43142f0-504e9beb-f5710f72-fb264e8b-1a8d6b9c +53762508,Bilateral perihilar and right basilar opacities could relate to fluid overload although atypical infection is not excluded. Bilateral perihilar and right basilar opacities could relate to fluid overload although atypical infection is not excluded.,52117609-b59d4ebd-52c7b52f-db36024d-ceb8cb10 +53768980,"Nevertheless I think the heart is enlarged, pulmonary vascular congestion is moderate-severe, pleural effusions are moderate and there is moderate-severe perihilar edema, all pointing toward relative cardiac decompensation. Small lung volumes, with presence of mild-moderate enlargement of the cardiac silhouette, pulmonary edema, and bilateral pleural effusions.",3398c38d-190a9992-bebb2e85-7ca0c527-214906cb +53774431,"Mild pulmonary edema and mild-to-moderate cardiomegaly is evident; pulmonary vasculature is moderately engorged, and small-to-moderate right pleural effusion is present, findings all pointing to cardiac decompensation.There is enlargement of the cardiac silhouette with moderate pulmonary edema and small right pleural effusion with basilar atelectatic changes.",79eee504-b1b60ab8-5e8dd843-b6ed87aa-670747b1 +53776243,Normal chest radiograph aside from thoracic vertebral disc degeneration. Normal chest radiograph aside from thoracic vertebral disc degeneration.,52b95950-9baac352-83f0d8c5-1959eabc-a5a3ea0b +53779297,The position of the right atrial and right ventricular lead is unremarkable. The position of the right atrial and right ventricular lead is unremarkable.,ba22c676-fe74f3b9-b6e53609-c7281450-9f52ce69 +53780576,"Postsurgical changes following right middle and lower lobe resection with right basilar atelectasis, retraction of the right hemidiaphragm, and small right pleural effusion. Postsurgical changes following right middle and lower lobe resection with right basilar atelectasis, retraction of the right hemidiaphragm, and small right pleural effusion.",973f7776-683260ca-ddf5aa13-cf5e3cb1-e2828914 +53788698,"Findings consistent with acute decompensated congestive heart failure including moderate-to-severe cardiomegaly and moderate pulmonary edema, without pleural effusion. Findings consistent with acute decompensated congestive heart failure including moderate-to-severe cardiomegaly and moderate pulmonary edema, without pleural effusion.",e9f8beb8-4ee1436c-72c497d0-1bc5a42c-e9cfb483 +53789660,"There is extensive opacification in the left hemithorax, reflecting a combination of substantial volume loss in left lower lobe, enlargement of the cardiac silhouette, the and obliquity of the patient. The current state in the left lung is probably due to pulmonary edema.",ebb4833f-b98cb523-ee32fa0a-90c24211-81d147e0 +53792271,Hyperinflation and vascular deficiency in the upper lungs indicate emphysema. Hyperinflation and vascular deficiency in the upper lungs indicate emphysema.,f1af4079-d3abad02-2bdd2d45-9f43ee98-bb00dc90 +53795595,"Severe widespread pulmonary infiltration, with near confluence of opacification in the left lung, moderate left pleural effusion. There is extensive parenchymal opacity in the right lung as well as the parenchymal opacity at the left lung bases, both with extensive air bronchograms.",def3b450-db2f7c7f-a082b686-800a5de0-6b74e997 +53809636,"Lung volumes are small, with at least moderate consolidation and moderate pleural effusion at the right base, small pleural effusion at the left base, moderate-to-severe cardiomegaly, and mediastinal vascular engorgement. Moderate-to-severe cardiomegaly, small bilateral pleural effusions and mediastinal vascular congestion are also present..",1360763e-71ee973d-a29d16c9-9763397e-37844701 +53815637,"Generalized interstitial abnormality accompanied by mild enlargement heart size, is probably cardiogenic pulmonary edema exacerbated by tracheal extubation. Generalized interstitial abnormality accompanied by mild enlargement in heart size, is probably cardiogenic pulmonary edema exacerbated by tracheal extubation.",482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81 +53822449,"Fever in the presence of mild-moderate pulmonary and mediastinal vascular congestion and borderline interstitial abnormality can be seen with blood product transfusion. Lung volumes are lowe and pulmonary and mediastinal vasculature are engorged, with mild-moderate interstitial edema, all pointing toward cardiac decompensation.",85e6c011-1020a8b3-3145216e-1aed7acb-abe82459 +53829371,"Lung volumes are appreciably low, mild-to-moderate cardiomegaly is noted, pulmonary vascular congestion is evident, although there is no pulmonary edema, and there is a small pleural or extrapleural hematoma associated with left upper lateral rib fractures. An enlargement in both cardiac diameter and size of the at least moderate to large hiatus hernia could be due to supine and AP positioning, but there is mediastinal vascular engorgement suggesting increased intravascular volume or pressure.",d093e190-64d95289-7b99a592-ca302be2-6987d800 +53829822,Moderate cardiomegaly with retrocardiac atelectasis and mild to moderate pulmonary edema noted. Enlargement of the cardiac silhouette with probable pulmonary edema.,8b38d41a-f5185160-d311d652-8d19e4c2-9f97688a +53831546,"Left lower lobe collapse is mild, but moderate left pleural effusion is present. Left lower lobe collapse and atelectasis around the hilus, presumably in the upper lobe is mild.",8e011dfc-c2e23780-6e926bd4-fdef5895-a403ee8f +53836642,"Lung volumes are low, but lungs are clear, mild cardiomegaly. Low lung volumes exaggerate pulmonary vascular caliber and crowding, but there may be early consolidation or at least atelectasis at the left lung base.",5a57f9ad-cca470ce-4338e8a1-bd61ba63-c40ce753 +53845981,"The patient has mild pulmonary edema and small bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph. The patient has mild pulmonary edema and small bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph. ",0762369f-af8531f3-09fc45b2-f00d90c9-88e6ff7d +53850178,Moderate right pleural effusion is seen despite the right basal pleural pigtail drain. Mild engorgement of pulmonary vessels with hazy opacification at the base suggests mild elevation of pulmonary venous pressure and layering right pleural effusion.,cab19714-ab5c9c6b-9130cd3c-ca463b15-840b0cc4 +53850317,Large fluid collection within the pleural space is seen on the right. Large right pleural effusion with an air-fluid level suggesting a component of hydropneumothorax.,20f54ecb-20a32ed8-5f27bfe6-e9d07de1-ce76357e +53855617,"A region of irregular peribronchial opacification in the right upper lobe, probably along the major fissure in the axillary subsegments is slightly radiodense. A region of irregular peribronchial opacification in the right upper lobe, probably along the major fissure in the axillary subsegments is slightly radiodense.",c2573c49-b633214e-7ade830e-9fd88137-e444e65e +53881360,"Asymmetry in opacification of both sides of the hemithorax is due to moderate right pleural effusion layering posteriorly and possible asymmetry in perihilar infiltration most likely due to pulmonary edema. Mild pulmonary edema, moderate right pleural effusion and mild distention of mediastinal veins are present.",32ec8188-8c334483-81cb6b13-428e8019-c0db3517 +53883066,"Although pulmonary consolidation is present in both lungs, moderate cardiomegaly and dilated mediastinal veins are evident, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps a pneumonia in the right lower lobe. Much of the opacification projected over the left lower hemithorax is due to fluid-filled stomach that is either herniated or beneath the chronically elevated left hemidiaphragm, but it obscures what is probably a substantially atelectatic left lower lobe and perhaps some pleural effusion.",878341cc-7587aff2-e1f70246-3a29413e-36f37ddb +53884408,Emphysema with basilar atelectasis/scarring. Bibasilar reticular nodular opacities on the right greater than the left may be reflective of a chronic interstitial process.,50ca584b-f859bda7-fd523d01-28a67cc1-ac2b5c55 +53886138,The bowel is markedly distended suggesting bowel obstruction or severe ileus. Pneumoperitoneum is likely related to recent gastrostomy tube placement.,9bdc75bb-bfb40b21-54ac066c-4c718750-ef2b4f22 +53887723,Presence of mild to moderate cardiomegaly with left atrial enlargement. Presence of mild to moderate cardiomegaly with left atrial enlargement.,f822bf04-bb6d44c7-d992163b-54e7d6ac-9355a7aa +53896301,Low lung volumes and moderateopacification throughout lungs is attributable to at least mild pulmonary edema superimposed on baseline interstitial lung disease. Lung volumes are low and there is diffuse bilateral parenchymal process which favors moderate pulmonary and interstitial edema rather than pneumonia.,3fb53bea-f1dad119-d26160af-4b106702-04691d32 +53904896,"Lung volumes are low exaggerating a real increase in moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. Lung volumes are low and there is diffuse bilateral parenchymal process which favors moderate pulmonary and interstitial edema rather than pneumonia.",2482c720-f75763bb-00774ba9-894119a7-24bd15a6 +53905237,NG tube tip at the gastric fundus. NG tube tip coils in the fundus of the stomach.,d9e22f16-a5b260d1-2a5aee7a-4cd66d44-b590afb8 +53907259,"There is moderate combined atelectasis of the right middle and right lower lobes, likely due to mucous impaction in the bronchus intermedius. Lung volumes are quite low, presumably due to abdominal organomegaly, and there is substantial right basal atelectasis.",c9f4d430-e4b86819-292b0c15-3b043b8f-eda461f1 +53909940,Likely calcified granulomas projecting over the left mid and lower zones. Likely calcified granulomas projecting over the left mid and lower zones.,3a00ab90-4563967d-ad46d969-ae884a78-c7f2dd2b +53913710,Senile kyphosis is moderate-to-severe without any discrete compression fracture. Senile kyphosis is moderate-to-severe without any discrete compression fracture.,874cdceb-f11d06e9-1aaf9f3e-6760e629-4060531f +53919021,"Peribronchial cuffing and bilateral interstitial denisties may represent a viral or other atypical infection if acute, or underlying interstitial lung disease. Peribronchial cuffing and bilateral interstitial denisties may represent a viral or other atypical infection if acute, or underlying interstitial lung disease.",6eaf56a0-ded30052-29edb3ad-20da2133-db0cf728 +53923012,Irregular opacification in the right lower lobe and poor definition of the basal pleural surface suggests moderate pleural effusion and/or atelectasis. Irregular opacification in the right lower lobe and poor definition of the basal pleural surface suggests moderate pleural effusion and/or atelectasis.,96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7 +53924742,Pneumonia in the right mid and upper lung is quite severe. Medial right upper lung and right perihilar opacities are concerning for a hematoma.,04b94a16-2f255dc1-135c9cbd-82107f89-2d706167 +53924935,"Opacification at the right lung base, though it does not obscure the diaphragmatic surface, could be due to pneumonia, alternatively posteriorly layering right pleural effusion. Right lower lobe consolidation could be atelectasis, but raises serious concern for pneumonia.",99aeda2e-665dd4de-645bda53-e43dbd3e-e3b45e9f +53927305,"Pacemaker leads are in correct position There is bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated shin with small amount of pleural effusion. The patient has had median sternotomy, cardiac valve replacement, probably mitral, and transvenous right atrial and ventricular pacer leads are in standard placements.",dc433c13-ef033a1e-75763e20-db477b3f-da3e909b +53930112,"Mild pulmonary edema, moderate cardiomegaly and small-to-moderate pleural effusions, right greater than left as well as a moderate volume of left lower lobe atelectasis are seen. There are small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs.",b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb +53933599,Small right pleural effusion and right middle lobe linear atelectasis or scarring is evident. Appearance of small right pleural effusion and right middle lobe linear atelectasis or scarring.,81662f3f-0c97fb86-66099abe-260ad401-e1d61e16 +53939178,"There is enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure atelectatic changes and possible small effusion at the left base. However, the heart is enlarged and there is minimal fluid overload as well as a small left pleural effusion, associated to a left retrocardiac atelectasis.",97dce762-0f106b37-190de5f9-33071881-9d9e0b6d +53941529,"Wispy opacity abutting the left heart border is most compatible with atelectasis, less likely early pneumonia. Wispy opacity abutting the left heart border is most compatible with atelectasis, less likely early pneumonia.",c541b4b9-e18c9d0c-428f0bcd-4b4fcf3c-ca7acd25 +53942185,Findings suggesting mild-to-moderate pulmonary vascular congestion with bilateral pleural effusions and opacities at the lung bases likely due to associated atelectasis. Findings suggesting mild-to-moderate pulmonary vascular congestion with bilateral pleural effusions and opacities at the lung bases likely due to associated atelectasis.,b900fc21-dda79088-8dc65796-63160053-790a5628 +53943549,"Severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention are very evident. There is evidence of severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema.",7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82 +53948906,"The size of the cardiac silhouette is mildly enlarged, the mild right basal opacity, the signs of mild fluid overload and the left pectoral pacemaker are all present. There is no evidence of pulmonary edema but mild ivascular congestion is noted Pacemaker lead terminates in the right ventricle.",54e6075a-d4d2c1d4-d742150c-7e4e64c8-f98b4179 +53951719,"Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery, are evident. Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery, is noted.",042b8e55-50d27345-7b393528-2e2d0294-10141795 +53953586,"Small right pleural effusion, accompanies slight increase in thickening of right minor and major fissure, cited as suspicious for malignant recurrence. Small right pleural effusion, accompanies slight increase in thickening of right minor and major fissure, cited as suspicious for malignant recurrence. ",0dc02be2-fdb6e050-1b51dc0a-7bf9718e-a4bc2f13 +53956186,There is enlargement of the cardiac silhouette with pulmonary edema more prominent on the right.There is enlargement of the cardiac silhouette with pulmonary edema more prominent on the right.,e199d51c-58d0356d-8ed19c9f-64ddb8ec-cd3fdc7a +53961391,"A left-sided chest tube is in place with apparent small left pneumothorax and mild subcutaneous emphysema, and pneumomediastinum, as well as multiple left rib fractures and adjacent pleural fluid and/or extrapleural hematoma. While I do not see any left pneumothorax, there is mild subcutaneous emphysema in the left neck and chest wall which is sometimes an indication of incipient pneumothorax.",97264070-c4f4a7bf-14e97575-719452ba-811afedf +53964812,Superior displacement of right proximal humerus with narrowing of the acromiohumeral distance suggestive of chronic rotator cuff tear and associated degenerative changes. Avulsion fracture of the right humeral greater tuberosity confirmed and raises concern for rotator cuff injury.,77986392-2dac3752-b145c42b-2ba010de-d49de562 +53967875,Dobbhoff feeding tube is beyond the upper stomach and out of view. Dobbhoff feeding tube is beyond the upper stomach and out of view. ,b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c +53970354,Evidence of small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs. Moderate opacification at the lung bases is probably a combination of bibasilar consolidation and moderate pleural effusions.,dda5719b-c91a5364-ffb7de98-16adf278-3aac7099 +53975458,"There is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.There is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.",4f1bb588-0dc670a4-6ec07af4-aa421e00-6bd3d8db +53978610,"Severe cardiomegaly is chronic, as is pulmonary vascular engorgement and re-distribution, but I do not see pulmonary edema, and small bilateral pleural effusions are present. Severe cardiomegaly is chronic, as is pulmonary vascular engorgement and re-distribution, but I do not see pulmonary edema, and small bilateral pleural effusions are present.",957e4fa0-2b741119-9fb1f79c-62130589-86d6cbed +53984746,"Tthe patient was in moderately severe pulmonary edema and showed enlargement of apparent heart size, some of which was due to pericardial effusion.Severe cardiomegaly is present and mild-to-moderate pulmonary edema is noted, accompanied by at least small right pleural effusion.",f138d1b9-51f16615-50213e4d-c67d164b-78ea6c15 +53994053,Right transjugular central venous infusion catheter ends close to the superior cavoatrial junction. Right transjugular central venous infusion catheter ends close to the superior cavoatrial junction.,bf7c2bb6-a8ce931b-a0037382-88c9ab10-ef166969 +53999109,"Lungs are low in volume, interstitial abnormality is seen and pulmonary and mediastinal vasculature is mildly engorged, all pointing to mild pulmonary edema due to cardiac decompensation. Lung volumes are quite low, and small region of opacification at the base of the left lung could be either atelectasis or early pneumonia.",ba5d48f0-3105c3a1-1e049eec-c72ac120-415942b0 +54001264,"Mild pulmonary edema and probable emphysema accompanied by small left pleural effusion. There is enlargement pulmonary vascular caliber, small bilateral pleural effusions and suggestion of mild edema all pointing toward biventricular cardiac decompensation.",c6cd8924-91d9c0b3-cb90ad47-aa32d3f4-86a66ea8 +54007778,"Large bilateral pleural effusions is noted, layering dependently. Large bilateral pleural effusions is noted, layering dependently.",c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d +54010994,Dual lead pacemaker and median sternotomy wires are appropriate in position Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are appropriate in position Small bilateral pleural effusions and left basal atelectasis. ,bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a +54013815,There are extremely low lung volumes with striking elevation of the left hemidiaphragmatic contour related to a large hiatal hernia. Severe elevation of the left hemidiaphragm is noted.,703e42a5-6b45dc45-ddce2dde-27e08236-58af4c95 +54025444,"The Swan-Ganz catheter tip extends about 2-3 cm beyond the mediastinum on this imag there are lower lung volumes which could accentuate this appearance. Following tracheal extubation, atelectasis in the right lower lobes is seen but pulmonary vasculature is mild-moderately engorged and moderate enlargement of the cardiac silhouette is new suggesting effective increase in intravascular volume, particularly in the chest, although mediastinal veins are not particularly distended.",a2082ebd-e2e4d325-ba2534ae-474619f3-c8f5ba9e +54026146,Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease.,39f8070e-150fed7a-edc48fc5-4957b38f-cd627a7e +54028344,"It could be due to vascular engorgement, but given evidence of prior median sternotomy and coronary bypass grafting, an acute aortic syndrome needs to be excluded, if not clinically, then with imaging. Mild pulmonary vascular congestion with possible trace bilateral pleural effusions or chronic pleural thickening.",4a5283d6-157b6054-3840ea3d-d27e7ba1-d6689022 +54030442,"Lung volumes are slightly low, accentuating the cardiac silhouette and resulting in crowding of bronchovascular structures at the lung bases. Lung volumes are slightly low, accentuating the cardiac silhouette and resulting in crowding of bronchovascular structures, particularly in the lower lobes.",bcd7e653-bdbda5eb-c1e8c446-d66776b2-7e86ed00 +54038933,Bilateral pleural and parenchymal abnormalities are present except for moderate confluent opacification in the right juxta hilar region. Bilateral pleural and parenchymal abnormalities are present except for moderate confluent opacification in the right juxta hilar region.,8843b742-43dcfeeb-168fb178-f01da082-579b4dd4 +54040548,"Moderate cardiomegaly is present, there is pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion. Moderate cardiomegaly is noted, there is pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion.",e57f1292-5588d57d-2a9585b6-09d738a5-16b9c9f6 +54046592,The current study is extremely limited due to low lung volumes and the chin and other devices about the patient greatly obscuring detail. The current study is extremely limited due to low lung volumes and the chin and other devices about the patient greatly obscuring detail.,6b246587-087f7413-b47b8a33-a9e5c257-20aaf460 +54050506,"Even accounting for differences in radiographic technique, moderate cardiomegaly is evident, and although there is pulmonary vascular engorgement, there is no pulmonary edema or focal pulmonary abnormality to explain hypoxia. Heart is mildly enlarged and pulmonary vasculature is engorged, but I do not see pulmonary edema, and pleural effusion, if any, is small on the right.",8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49 +54052607,Status post intubation with ETT and OGT in proper position. Status post intubation and OGT placement with appropriate positon.,a7086ff1-0170e249-78abab05-8879d1bc-4bf53b97 +54060800,"Moderately severe cardiomegaly and small-to-moderate bilateral pleural effusion, right greater than left is subsequently present with findings of moderate pulmonary vascular engorgement. There is enlargement of the cardiac silhouette with bilateral pleural effusions and compressive basilar atelectasis.",9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014 +54061371,"Lateral to that is a large region of consolidation in the right lower lobe, presumably pneumonia, accompanied by increasing small right pleural effusion. There is dense right lower lobe pneumonia and probable small bilateral pleural effusions.",0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689 +54062940,"There is moderate enlargement of cardiac silhouette. Moderate to severe cardiomegaly and dilatation of mediastinal and hilar vessels are noted, exaggerated by supine positioning.",23e4102f-653bff1f-e3b35573-f3e54b6a-472f2c8a +54066754,There is enlargement of the cardiac silhouette in a patient with a prosthetic valve an intact midline sternal wires. Enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG.,2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd +54073075,"Severe bibasilar atelectasis is present, accompanied by small bilateral pleural effusions. Severe bibasilar atelectasis is present, accompanied by small bilateral pleural effusions.",06da0b0e-ad407abe-e199913d-e079da96-22a7c445 +54074259,Top-normal to mildly enlarged cardiac silhouette in this patient status post median sternotomy and CABG. Top-normal to mildly enlarged cardiac silhouette in this patient status post median sternotomy and CABG.,55065f66-4391f4b6-dfb89de6-2d41c91d-8c4fef83 +54082940,Enlarged hila bilaterally suggestive of pulmonary arterial hypertension. Enlargement of the hila bilaterally suggestive of underlying pulmonary arterial hypertension.,a0a7577d-53a8748e-450244b3-39cec864-8a18f0cf +54092122,A very small subpulmonic right pleural effusion is seen. A very small subpulmonic right pleural effusion is seen.,68710c1c-c25658b5-17ec54e1-6038ff18-c2cd7f78 +54093116,AP positioning exaggerates mild cardiomegaly. Short vascular catheter projects over the mid right humerus.,44d21fe9-7d185d5f-00927b0f-11bf3dce-45b85640 +54097861,"Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. Current consolidation in the posterior segment of the right upper lobe and heterogeneous opacification in the right lower lung consistent with chronic aspiration and pneumonia.",744a983f-6e2d9a27-ed516cc1-1ec2dea6-d65f542b +54098643,"Following extubation, allowing for an expected decrease in lung volume, there is moderate consolidation in just the left lower lobe component of multifocal pneumonia. Bilateral heterogenous airspace opacification, predominantly in the lower lobes is concerning for acute respiratory distress syndrome or hemorrhage with concurrent septic emboli or pneumonia.",cccfa82d-f56ed730-031b5dac-53bafa2b-f20378ad +54100996,Status post ascending aortic stent placement and demonstration of known large pseudoaneurysm of the ascending aorta. Right upper lung is partially expanded.,c875e4c8-ab736220-04569ba0-857889ce-042ea536 +54103072,"Lines and tubes in place; retrocardiac atelectasis. Right internal jugular central line, esophageal probe, and nasogastric tube are in appropriate position.",46258faf-c930aa13-1b09c523-4972126b-47bba114 +54103570,"Although heart size is normal, severe hilar enlargement and mediastinal and pulmonary vascular engorgement all point to cardiac decompensation. ET tube is in standard placement and a nasogastric tube passes into the stomach and out of view. Mediastinal widening consistent with known hematoma is severe.",1bc3bed7-2aa120b0-65805fec-266c7e92-f3eebc0a +54103833,"Neither pneumothorax nor pleural effusion is evident in the right chest, with 2 apical thoracostomy tubes in place, despite severe subcutaneous emphysema in the right chest wall. No obvious right-sided pneumothorax, though extensive subcutaneous emphysema is seen on the right.",6ce54ac9-077864fe-84217f97-5f43c4e3-f0578456 +54115583,"Severe pulmonary edema is present, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins. Severe pulmonary edema is present, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins. ",b17112f4-c4b08b8b-00a18968-0495ad7f-80aab2f4 +54124205,"Right internal jugular vein catheter is in correct position with mild pulmonary edema and mild cardiomegaly. Mild edema, cardiomegaly, dialysis catheter in place.",37583135-5e94d264-ff4574d6-cdb16475-77c6bbe2 +54127292,"Pacemaker lead is appropriate in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data. Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",603fdb7f-afe35a77-b061a67b-584da7df-a8c17895 +54128006,"The cardiac silhouette is mildly enlarged with prominence of interstitial markings at the bases, which could reflect chronic pulmonary disease, elevated pulmonary venous pressure, or both. Although this appearance can be seen with interstitial edema, chronic reticular opacities in the lung bases without other signs of vascular congestion or edema are more suggestive of chronic interstitial lung disease in the setting of moderate cardiomegaly.",ba3fb88d-d17476f9-7e265acc-3818caee-7fe0f04e +54128066," Lung volumes are small, with at least moderate consolidation and moderate pleural effusion at the right base, small pleural effusion at the left base, moderate-to-severe cardiomegaly, and mediastinal vascular engorgement. There are low lung volumes with enlargement of the cardiac silhouette, pulmonary edema, in bilateral pleural effusions with compressive basilar atelectasis on both sides.",88fa75e4-2f2e9c03-71433ae3-1d8780f4-1e2eae3c +54130139,"Asymmetry in opacification of both sides of the hemithorax is due to moderate right pleural effusion layering posteriorly and possible asymmetry in perihilar infiltration most likely due to pulmonary edema. Small right apical pneumothorax present, small right pleural effusion seen and there is a consolidative abnormality at the right lung base laterally which should be followed to exclude the possibility of active pulmonary bleeding.",7688e895-1ec37491-98ad4a70-8efc45b7-f8ba74da +54133231,"Difficult to exclude left base retrocardiac consolidation due to patient body habitus, although no large focal consolidation is seen. Difficult to exclude left base retrocardiac consolidation due to patient body habitus, although no large focal consolidation is seen.",2f40daa6-51dad1b2-e683d1c3-cdf10946-d37ae69f +54133721,Scattered calcified pleural plaques seen. Scattered calcified pleural plaques seen.,91ba091c-cee12c63-ff22dde9-147ea7bb-418900c4 +54135185,"Small left pleural effusion or pleural thickening due to lateral fractures of the left posterior ribs, are noted. Small left-sided pleural effusion with patchy posterior left lower lobe opacity.",59f7b1a5-e3b803cc-ec6d1131-1e8caefd-eed8e970 +54137212,"Substantial bibasilar opacification, probably largely atelectasis but concurrent pneumonia or dependent edema could be contributory, since there is moderate pulmonary edema evident in the upper lungs. Findings compatible with mild to moderate pulmonary edema and bibasilar airspace opacities, possibly atelectasis, but infection cannot be excluded.",e279d10a-22b3d14a-0527c87a-bbd31c9b-de232422 +54145592,Supine positioning probably explains apparent mild pulmonary vascular engorgement. Borderline cardiomegaly and mediastinal vascular engorgement is exaggerated by supine positioning.,2e02dd1a-6c84da2d-c2df5435-9ac1ab07-f7351caa +54147285,Presence of left pleural effusion and left pleural thickening with adjacent rib fractures and subcutaneous emphysema. Presence of left pleural effusion and left pleural thickening with adjacent rib fractures and subcutaneous emphysema.,28905df6-b5221808-9da88146-e62944a2-7fb81888 +54151404,"Mild peribronchial opacification in the lateral aspect of the right lung base, above the chronically elevated hemidiaphragm could be the residual of recent larger infection, or an early pneumonia. Right lower lobe consolidation could be atelectasis, but raises serious concern for pneumonia.",6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183 +54153150,Small-to-moderate left pleural effusion is noted following thoracentesis and aspiration of the majority of the left pleural fluid. Mild-to-moderate left pleural effusion and basal atelectasis are present.,461c1b4b-8af2df2c-c3ea9702-28e13d4f-5e912d17 +54164323,"As far as I can see on a single frontal portable chest radiograph, there is appropriate position of left trans subclavian right atrial biventricular pacer defibrillator leads, continuous from the left pectoral generator. Mild interstitial pulmonary abnormality is also long-standing attributable to previous episodes of pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion THe trans subclavian right atrial right ventricular pacer leads continuous from the left pectoral generator.",405e6cc1-70b9d9b3-1c752677-010c4ee9-b217b783 +54167884," Despite the basal pleural drains in the right hemithorax, there is moderate right pleural effusion, largely basal, with a small lateral component. Despite the basal pleural drains in the right hemithorax, there is moderate right pleural effusion, largely basal, with a small lateral component. ",9f188b25-a57547b5-c0fafc1a-be325b3f-6cbae579 +54170209,"Left basilar air-fluid levels may represent hydropneumothorax, posterior loculated pleural air fluid collection, or diaphragmatic herniation. Small left apical pneumothorax and subcutaneous emphysema in the left lower thoracoabdominal wall are noted.",c177928c-699001c4-7f0cb68c-de208759-e10a09ee +54171810,"Heavy asbestos-related pleural calcifications obscure much of the lower lungs, but nevertheless I can see that there is mild edema in the lower lungs and small pleural effusions . There is diffuse interstitial and alveolar density in both bases.",8eb4a26d-a860ddfd-44a66c3f-49fcc3f5-9e3142a2 +54172798,"Retrocardiac streaky opacity likely relates to the patient's known left lower lobe mass, however an adjacent area of atelectasis and/or infection cannot be excluded. Retrocardiac streaky opacity likely relates to the patient's known left lower lobe mass, however an adjacent area of atelectasis and/or infection cannot be excluded.",51e9421b-c2f395da-5dd48889-7e307aca-1472d6a6 +54176477,Large right pleural effusion. Large right pleural effusion.,1de4e2d6-0112fe2a-07780296-bc4a23d6-fbcc2872 +54186218,"In the left hemithorax there is a loculated left pneumothorax and subcutaneous emphysema within the chest wall soft tissues. There is no mediastinal shift, pneumothorax or appreciable left pleural effusion, although there is subcutaneous emphysema in the left chest wall, traversed by the left pleural drain which terminates at the apex of the hemithorax.",fbad1142-d5b71f5c-b7c34de3-9e985bf2-02239890 +54193371,"Pectus, best appreciated on the lateral radiograph, normal size of the cardiac silhouette. Pectus, best appreciated on the lateral radiograph, normal size of the cardiac silhouette.",f781fb92-d5c744fe-58574051-17d2e843-3ba0a211 +54211038,"Although the widespread distribution of opacification in both lungs suggest pulmonary edema, lucencies in the right mid lung could be due to cavitation in pneumonia. Generalized pulmonary abnormality due in large part to dependent consolidation in both lungs, and probably a component of mild pulmonary edema is present, despite extubation.",f2a7f664-bfff0efe-5bb44ad4-469f58a4-0e6b7892 +54212695,"Evidence of enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure. Appearance of left thyroid enlargement displacing the trachea to the right with associated coronal narrowing, marked cardiomegaly, and a large hiatal hernia with adjacent left basilar atelectasis and or consolidation and small pleural effusion.",435f9f3d-20761ab9-c5f2bca8-9d5b204f-3520a1a0 +54214300,The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. Right-sided pneumothorax with extensive subcutaneous gas.,3b132e00-e784c635-410bd026-a7a98d77-878308f5 +54218896,"Heart is upper limits of normal in size and accompanied by pulmonary vascular congestion and interstitial edema. The cardiac silhouette is at the upper limits or of normal in size or mildly enlarged with mild indistinctness of pulmonary vessels, which could reflect either venous congestion or high E arterial flow state in this patient with sickle cell disease.",e4e0e4ff-71138eac-7cef38bd-ce820887-d59037ff +54223010,"The edema is mild, but in the meantime moderate left and small right pleural effusions are evident. Small right pleural effusion and small-to-moderate left pleural effusion is present.",fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b +54224166,"Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly noted. Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly noted.",f9939219-9d47f1d2-245483ba-56d3429b-896a3f2e +54225810,"Diffuse interstitial opacities with small bilateral pleural effusions and moderate cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which was possibly attributable to drug reaction, COPD or vasculitis. Diffuse interstitial opacities with small bilateral pleural effusions and moderate cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which was possibly attributable to drug reaction, COPD or vasculitis. ",a02fc8d7-4d89d7b2-2bcaaf26-ebd72059-2e9d5341 +54232340,"Patient has been extubated but lung volumes are low, there is no appreciable atelectasis, pulmonary vascular engorgement is minimal, small right pleural effusion is present, cardiomediastinal silhouette is a normal postoperative appearance. Nonspecific right basilar opacity may reflect atelectasis, aspiration, or an early focus of pneumonia is accompanied by a small right pleural effusion.",a160eb01-5f36fb58-b0a04a57-1773448e-934b5036 +54232840,"Right middle and lower lobes are substantially expanded, moderate-to-large right pleural effusion is present. There is elevation of the right hemidiaphragm with opacification at the right base which likely represents a combination of right middle and lower lobe collapse as well as a mass with a small pleural effusion.",44251f87-ca5a8427-8e49b093-f5b069ce-c533adef +54233043,Postsurgical changes from prior right upper and middle lobectomies and gastric pull through and small right pleural effusion. Postsurgical changes from prior right upper and middle lobectomies and gastric pull through and small right pleural effusion.,914b17d9-ffa084b2-cf81dd9b-6a125b63-3a69dd01 +54236662,"The sternotomy wires and the left pectoral pacemaker are in proper position. Appropriate position of pacemaker leads, Adequate alignment of the sternal wires.",2661a129-f2f4b642-9b833ee7-ab398d55-07a36871 +54240852,"Within the imaged portion of the upper abdomen, distended loops of bowel are present which may be more fully assessed by CT abdomen. Cardiomediastinal contours are grossly enlarged and lungs are clear except for minor bibasilar atelectasis.",525c7667-53fd7624-6f104340-1895a29c-1ee766f1 +54242750,"Significant enlargement of the cardiac contour with bulging of the right border raises concern for developing pericardial effusion. Calcified granuloma in the right lung, partly projecting over the seventh right rib moderate cardiomegaly with elongation of the descending aorta.",cb8f1bee-76ec4235-a62de65b-43589ff5-04413eab +54247614,"Moderate enlargement of the cardiac silhouette is seen, borderline interstitial edema is present, small left pleural effusion is mild, and heterogeneous opacification at the right base could be dependent atelectasis and edema.Moderate enlargement of the cardiac silhouette is seen, borderline interstitial edema ise present, small left pleural effusion is mild, and heterogeneous opacification at the right base could be dependent atelectasis and edema.",669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17 +54251102,"Mild pulmonary edema is present, but there is severe heterogeneous opacification at the base of the right lung due to infection secondary to severe impacted bronchiectasis. Moderate generalized interstitial abnormality with mild bibasilar confluence, with the pattern being a strong indication that the explanation is pulmonary edema.",c9f72311-636e3e48-e91cc14d-ba98d9ce-c823252f +54254493,"Moderately severe interstitial edema, moderate right pleural effusion. Lung volumes are low, exaggerating mild pulmonary edema, accompanied by at least a small right pleural effusion and suggestion mild cardiomegaly.",244ae491-3e0f01f5-8506784c-32d65ab2-f96e30b6 +54257499,Large right pleural effusion collapsing the middle lobe and most of the right lower lobe is noted. Large right pleural effusion is present.,74563f2b-130e98d8-7c3f6d5a-d341b141-30042633 +54259835,"Lung volumes are low, and pulmonary and mediastinal vasculature are mild-moderately engorged, with moderate interstitial edema, all pointing toward cardiac decompensation. Pulmonary vasculature is more pronounced, but this may be due in part to supine positioning.",88723780-1ba2f066-c81f8785-f1b6c689-360af444 +54259878,"Enlarged right hilum could be due to pulmonary artery enlargement or underlying adenopathy and attention suggested on followup. Ill-defined rounded opacity measuring approximately 1 cm projecting over the lateral mid-to-lower lung, difficult to discern whether osseous or pulmonary in nature particularly given underpenetration due to patient's body habitus.",2ff8144f-c833baaa-899af187-89dbc6ce-3adfc088 +54265960,The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect.,a0578edb-12a640ca-1ddab351-089c4d4c-00bb6f19 +54280501,Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place. Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place.,bc25fa99-0d3766cc-7704edb7-5c7a4a63-dc65480a +54282937,"There is a small right pneumothorax with components at the apex, and at the right base lateral to the pleural drainage tube. There is a small right pneumothorax with components at the apex, and at the right base lateral to the pleural drainage tube.",7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb +54292875,"Presence of severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention. Mediastinal venous engorgement and moderate cardiomegaly is noted and edema in the left lung is mild.",70818042-77dd5d27-a1bb1102-3e734f24-228582d0 +54300688,Mild to moderate cardiomegaly and widened right paratracheal stripe compatible with underlying lymphadenopathy. Mild to moderate cardiomegaly and widened right paratracheal stripe compatible with underlying lymphadenopathy.,21f6f51a-c6b2fab8-8c228bb8-1a8f8c46-d568b413 +54323585,"Presence of severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention.Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition are longstanding.",5b07d9a6-0d3955a8-5134f6fa-5357ca78-485cd5af +54325260,"Bilateral pleural effusions with compressive atelectasis at the bases, more prominent on the right. There are bilateral pleural effusions, small to moderate and a adjacent opacities that potentially can represent infectious process but also can represent atelectasis.",8e24f563-9ef7ca91-17190c86-0d7d6406-35d94599 +54328164,The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect.,f562ddad-3fb08dd0-f299d5c8-61447a92-3111dfa5 +54330319,"Patient had right thoracotomy and two apical and a basal pleural drains were placed and there was a small volume of homogenous opacity in the right upper chest, presumably hematoma. Right basilar chest tube is in place with some right lateral chest wall subcutaneous emphysema.",f87d7943-a25e6d95-2b683eb7-c03c1ff4-587591bc +54330512,"Borderline cardiomegaly is present, but there is no pulmonary vascular abnormality. Borderline cardiomegaly is present, but there is no pulmonary vascular abnormality. ",f9dce1d5-9980fc56-0112f0b6-88e9a45f-48e80619 +54335229,"Severe cardiomegaly and mild bibasilar pulmonary edema and severe left lower lobe atelectasis are noted. There is nsevere cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema.",de8ba3a7-575f2651-ec81a20e-b45631f7-2acc972a +54335521,"Mild distention of the pulmonary and mediastinal vasculature and mild left atrial enlargement, suggest intravascular volume or mild cardiac decompensation. Mild distention of the pulmonary and mediastinal vasculature and mild left atrial enlargement, suggest intravascular volume or mild cardiac decompensation.",b9515644-3201e291-84f9839a-308ca0a6-fb3dc5c3 +54346596,"Lung volumes are low, moderate right pleural effusion, and mediastinal veins mildly engorged suggesting volume overload. Lung volumes are low, moderate right pleural effusion, and mediastinal veins mildly engorged suggesting volume overload. ",ed9c3e31-eb090a92-2961be8b-dbc881e0-11aff1ff +54350292,Postpyloric nasoenteric tube with the tip in the first portion of the duodenum. Post-pyloric tube folded upon itself in the third portion of the duodenum.,da234986-086e6232-706fdd79-a63870a6-7801b85d +54350641,"Lung volumes are quite low, exaggerating any abnormality, particularly at the lung bases, but there does appear to be very mild bronchopneumonia, which developed in the left lower lobe and is worse in the right. Lung volumes are quite low, exaggerating any abnormality, particularly at the lung bases, but there does appear to be very mild bronchopneumonia, which developed in the left lower lobe and is worse in the right. ",76e72399-4ee134f7-c1d4538e-8c0a7451-bacc3a48 +54353466,"Moderately severe pulmonary edema accompanied by moderate vascular congestion and severe cardiomegaly. Severe cardiomegaly with mild-to-moderate pulmonary edema, accompanied by at least small right pleural effusion.",71836ad3-c65f5072-d88d098b-00ab4c24-98994b02 +54355585,Blunting of the costophrenic angles posteriorly on the lateral view could suggest pleural thickening or trace bilateral pleural effusions. Blunting of the costophrenic angles posteriorly on the lateral view could suggest pleural thickening or trace bilateral pleural effusions.,df7b8cfc-12798a16-4d5f66d6-63417bad-c5e6fca0 +54357764,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1 +54359651,Severe cardiomegaly and mediastinal vascular engorgement are noted. Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition are longstanding.,a8398d17-610399a9-7f2059be-9b8fe9f8-b05f3290 +54362315,Widened mediastinum is nonspecific and can be seen in the setting of ascending aortic aneurysm and dissection. Widened mediastinum is nonspecific and can be seen in the setting of ascending aortic aneurysm and dissection.,c1835b44-25f4ae1d-7fe2caf9-d07d4f59-ab0150b4 +54364406,"Very severe pulmonary consolidation is present throughout both lungs, accompanied by at least moderate right pleural effusion. Moderately severe pulmonary edema and moderate-to-large right pleural effusion is evident.",a1098fcf-e29bde8b-dbee420d-402eebb7-24afad1e +54365112,The side port is in the fundus of the stomach. The side port is in the fundus of the stomach.,de13dc29-ab4770e3-694cb466-85af8a49-c0778b90 +54372986,There is substantial enlargement of the cardiac silhouette with proper position of the Swan-Ganz catheter and pacer lead. A pericardial catheter is in place with enlarged appearance of the cardiac silhouette.,f2566882-96120f55-11c10432-9c3d638d-2b4fc411 +54375943,Mild cardiomegaly and mediastinal vascular engorgement also slightly pronounced though due in part to supine positioning. Borderline cardiomegaly and mediastinal vascular engorgement is exaggerated by supine positioning.,7022a121-c39c1e71-7fc1c7f7-d24120be-62decb00 +54377872,"Severe multifocal, nearly confluent bilateral pulmonary consolidation is present. Severe widespread somewhat asymmetric pulmonary opacification probably pulmonary edema in most lung regions, but I cannot exclude pneumonia or pulmonary hemorrhage in the left perihilar and lower lung zone.",c10a5364-1d030517-1045826d-0914fda6-b9c30acc +54381763,"Patchy lateral right apical opacity seen and while could theoretically be related to scarring, given patient is underlying emphysema and COPD and , nonemergent chest CT recommended to further assess. Emphysema without superimposed acute process.",d7455c33-4a0f90a6-565ee283-906f14b4-c737ba31 +54389393,There is enlargement of the cardiac silhouette with pulmonary vascular congestion and probable bilateral pleural effusions with compressive basilar atelectasis. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and probable bilateral pleural effusions with compressive basilar atelectasis.,d7395617-98bb6ef8-6f0187e5-2c3df909-6f3a57c4 +54393658,Mediastinal vascular engorgement is due in part to supine positioning. Short vascular catheter projects over the mid right humerus.,7c70e574-d72b406a-b5eddc73-e53c3242-c9c99c9b +54398860,There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads. There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads.,600bdfe3-0d53440d-a74bdb21-e9faee00-958ca49f +54399607,"The patient has mild pulmonary edema and small bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph. The patient has mild pulmonary edema and small bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph. ",68e2da8e-4b0cc570-5f6dac62-dd096bf8-ce452663 +54414101,"Cardiomediastinal contours are mildly enlarged, with pulmonary vascular congestion accompanied by interstitial edema and right pleural effusion. Cardiomegaly and pulmonary vascular congestion accompanied by interstitial edema and a layering right pleural effusion.",d4c3eb06-68dcce85-81bae663-853a3883-288dc307 +54416722,Mild to moderate cardiomegaly and widened right paratracheal stripe compatible with underlying lymphadenopathy. mild to moderate cardiomegaly and widened right paratracheal stripe compatible with underlying lymphadenopathy.,2b1a5138-f3160270-992271a6-a4c40f13-eadcb090 +54422699,"All these findings suggest an extensive right upper lung malignancy with local lymphangitic extension and central adenopathy, on both sides of the midline. All these findings suggest an extensive right upper lung malignancy with local lymphangitic extension and central adenopathy, on both sides of the midline.",53c18304-54fac49c-cabe4615-c2a37b60-8555c705 +54423575,"ET tube is in standard placement and the nasogastric tube loops in the stomach. There is mild upper vascular engorgement, and heterogeneous opacification at the base of the left lung accompanied by some volume loss.",20e44254-9f4485b6-a2900fa5-1137bf64-76cc897f +54423763,"Chronic left pleural thickening, with proper position of multiple transvascular pacer and pacer defibrillator leads, some active, some orphaned. The left-sided pacemaker and sternotomy wires are in appropriate position.",f3d55fb5-65898a76-c35f1782-805b2fd0-ffaa1772 +54434271,"Left pleural collection is mild, and pneumothorax could be moderate in size, difficult to delineate, despite three left pleural tubes in place. Volume of pneumopericardium is low, there may be some fluid in the pericardial sac but the overall enlargement of the cardiomediastinal silhouettes are mild-moderate.",e8149721-c9e4afbc-7a9dde4a-3c9f7362-fec663a4 +54437537,Enlargement of the cardiac silhouette with basilar opacification on the left consistent with volume loss in the lower lobe and possible small effusion. Moderate cardiomegaly and mild left pleural effusion with subsequent mild retrocardiac atelectasis are seen.,6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f +54452010,Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis. Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis.,8adb9931-4175c4ce-48e51965-ef56eb3d-4c575d17 +54457720,"Right apical pleural space is minimal, traversed by a pleural drain. There is no appreciable pneumothorax, and right pleural effusion is minimal, in the fissure, following right lung surgery.",44a2ba52-bf35cfa7-d309c49c-306c1f3e-ba524d4a +54459875,"Large bilateral pleural effusions noted, layering dependently.Large bilateral pleural effusions noted, layering dependently.",ae60e1b1-f9d562ba-0ac12b85-a554cdd0-beebdc8f +54472974,Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease.,0ff0bb39-4a3b9b22-0150d88d-040cd9e6-c1d6078b +54477721,moderate enlargement of the cardiac silhouette with pulmonary edema that may be superimposed upon chronic interstitial lung disease. moderate of the cardiac silhouette with moderate pulmonary edema.,56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9 +54499704,"Enlargement of the mediastinum in the AP window is combination of adenopathy and pulmonary arterial enlargement, not acute. Cardiac and mediastinal contours are likely mildly enlarged although difficult to assess given the lordotic technique.",93fba7a5-97290f6f-6fa12fc2-309c0f28-4e98f3d2 +54504950,Normal chest radiograph besides pectus excavatum with no explanation for patient's symptoms within the limitations of the study technique. Normal chest radiograph besides pectus excavatum with no explanation for patient's symptoms within the limitations of the study technique.,d3b0d36d-5201ca16-3476454c-0e031e78-004217a2 +54507407,"Enteric catheter terminating in the medial right upper quadrant, likely within the distal stomach or proximal duodenum. Right paratracheal mediastinal bulge could be mass or cyst or aneurysm.",a839e43c-1d7f9788-1f4d11ef-8bf9c279-74ebcc3f +54517823,"Left pleural effusion is chronic, currently moderate-to-large, partially obscuring a large cardiac silhouette due to chronic cardiomegaly with or without pericardial effusion. Large cardiac silhouette is present with a moderate pericardial effusion as well as the loculated left pleural effusion containing clot, and left lower lobe collapse.",515703bc-4c8240a5-4b5d0a83-1f8c8dda-289ce799 +54517998,There is mild elevation of the right hemidiaphragm which may be related to atelectasis in the right base. There is mild elevation of the right hemidiaphragm which may be related to atelectasis in the right base.,93173301-ef0856de-7bf3d950-005faeed-a2f8a466 +54518631,"Large right pleural effusion collapsing the middle lobe and most of the right lower lobe is noted. Right middle and lower lobes are now substantially expanded, moderate-to-large right pleural effusion noted.",647aafbc-96122ceb-7150d6ce-c281d11c-148e092c +54527138,"Massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. Massive enlargement of the cardiac silhouette, concerning for large pericardial effusion.",eb52937f-7fa55b40-86540246-ca98fc35-a5a9b68a +54532060,"Lung volumes are low, moderate right pleural effusion seen, and mediastinal veins mildly engorged suggesting volume overload. Moderate right pleural effusion is noted.",ac0f76b9-e3215599-284b52b4-c3ae75a0-7c841c4c +54537700,"Right upper and middle lobe opacities, which are moderate, likely represent infiltrative tumor though a superimposed pneumonia cannot be excluded. Right upper and middle lobe opacities, which are moderate, likely represent infiltrative tumor though a superimposed pneumonia cannot be excluded.",406539e1-fd9fe3f2-6192f2a5-e24d2d07-5ff88d1d +54538310,"Loculated, moderate right hydro pneumothorax and moderate dependent pleural effusion. Loculated, moderate right hydro pneumothorax and moderate dependent pleural effusion.",a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8 +54545268,Mild interstitial pulmonary edema with small bilateral pleural effusions and loculated fluid in the right major fissure. Mild interstitial pulmonary edema with small bilateral pleural effusions and loculated fluid in the right major fissure.,078b8107-6b122d1a-325d9a89-33038b55-a20ebabc +54548144,"Very small right pleural effusion and right basal atelectasis and sufficient calcification in the aortic valve to raise question of hemodynamically significant aortic stenosis. Exaggerated by the size of a large hiatus hernia,at least mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure.",ddace369-8c8f0353-59316221-492cdda4-f6bfe724 +54548504,"The feeding tube, right internal jugular central line and right subclavian line are in proper position. The feeding tube, right internal jugular central line and right subclavian line are in proper position. ",3f6f35af-03521081-03baee76-dd388d3b-a0fd1305 +54552753,"Lungs are low in volume, interstitial abnormality is present and pulmonary and mediastinal vasculature ismoderately engorged, all pointing to mild pulmonary edema due to cardiac decompensation. Lung volumes are low, and there is interstitial abnormality and mediastinal venous engorgement suggesting it might be edema.",67ba33ad-ec43cf26-e563d64a-3069ed2e-c5844c0c +54562273,Focal prominence of the descending thoracic aortic contour at the level of the AP window corresponds to noted focal type B aortic dissection with saccular aneurysm. No acute cardiopulmonary abnormality otherwise demonstrated. Presence of right paratracheal mediastinal bulge compatible with known mediastinal cyst.,db019b7e-d9ed7caa-dce2242f-4d94ffd2-276acfb6 +54572206,"Mild distention of the pulmonary and mediastinal vasculature andmoderate left atrial enlargement, suggest intravascular volume or mild cardiac decompensation. Mild distention of the pulmonary and mediastinal vasculature andmoderate left atrial enlargement, suggest intravascular volume or mild cardiac decompensation.",3358b4e8-14a2bc35-f84f23f1-d2e9e486-dd707de1 +54581813,"There is however the suggestion of bronchiectasis where we saw a small elliptical opacity in the right upper lobe, interposed between the anterior second and third ribs that could be a impacted dilated bronchus. COPD, with extensive background parenchymal scarring, right apical pleural thickening, right apical scarring and calcification, and right hilar retraction, seen.",b019f6c5-62bfcfe4-13976b55-788794c1-c400accb +54586308,"Lung volumes are generally low, exaggerating pulmonary vascular engorgement, reflecting Severe atelectasis which has occurred in the left lower lobe and moderate right basal atelectasis is seen. Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and severe dilation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion.",5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b +54594848,There is evidence of extensive chronic disease at the right base.There is evidence of extensive chronic disease at the right base.,36d187c2-a2f1c238-25e77d89-19d5e8b8-ca837472 +54596345,Smoothly marginated mass in the right upper lung without hilar adenopathy or cavitation. Smoothly marginated mass in the right upper lung without hilar adenopathy or cavitation.,a5bb1dd6-32ef2b29-b27f45f5-4980a5b0-34f11cf0 +54613857,There is an placement of a Dobbhoff tube that is coiled within the fundus of the stomach. There is an placement of a Dobbhoff tube that is coiled within the fundus of the stomach.,7776d1fb-792c88a8-721a0773-7d142590-639999fb +54614605,"Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly noted. Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly noted.",e38221a2-36d9eedb-5a9af804-2eba7cb0-ea8d7ffd +54616688,The Port-A-Cath extends to the mid portion of the SVC. The Port-A-Cath extends to the mid portion of the SVC.,fd043f2e-fb851408-681f3799-13b1ec21-5a635d01 +54616934,Mild interstitial edema is seen accompanied by a small right pleural effusion. Mild interstitial edema is new accompanied by a small right pleural effusion.,7cb35601-837df231-b3efc10a-3a761298-85f39d17 +54622603,"Lung volumes are substantially low exaggerating a moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and obscuration of the hemidiaphragm on the left consistent with volume loss in the left lower lobe and pleural effusion.",fe0232d1-c95b0422-80d78fe1-e50e1bd0-85e85cc2 +54624512,"There is opacification at the left base in this patient with low lung volumes that accentuate the transverse diameter of the heart. Bibasilar atelectasis, more severe on the left than right, is present as is small left pleural effusion, borderline cardiomegaly and mediastinal vascular engorgement.",d91f5a1b-ccae5866-ec492d00-03828bba-bedd8a19 +54625738,"Linear radiopaque density projecting over left upper quadrant, uncertain etiology, potentially external. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.",0f257273-0fa8c76f-737b4a98-eedda2aa-44d82e39 +54629839,"Opacity seen in the posterior costophrenic angle on the lateral view, potentially secondary to atelectasis given very low lung volumes on this view. Opacity seen in the posterior costophrenic angle on the lateral view, potentially secondary to atelectasis given very low lung volumes on this view.",8c75550e-9aac921d-95015c3f-ac9bc81b-13abd432 +54644366,"There is substantial enlargement of the cardiac silhouette, pulmonary edema, and bilateral layering pleural effusions more prominent on the right with basilar atelectatic changes. Severely enlarged cardiac silhouette, moderate right pleural effusion, pulmonary edema, is present predominantly in the lower lungs where there is also heterogeneous consolidation.",adcf4325-aa59cd31-be329869-32fd0147-d3cd1387 +54651626,"Large fluid collection within the pleural space is seen on the right. Large multiloculated right pleural effusion which occurred is severe, obliterating most aeration in the right lower lobe.",b87403e9-8463e40a-a104367f-cb96ab7e-b13e08a2 +54655227,"Moderate patchy and linear bibasilar opacities likely reflect atelectasis, and less likely aspiration or infectious pneumonia. Moderate patchy and linear bibasilar opacities likely reflect atelectasis, but similar appearance can be seen in the setting of acute aspiration and early, developing infectious pneumonia.",a38b4a62-5deaca1f-e0321ec0-146245c7-e41f6981 +54655485,"Mild cardiomegaly, which could be a sequela of chronic interstitial lung disease, pulmonary arterial disease or both. Mild cardiomegaly, which could be a sequela of chronic interstitial lung disease, pulmonary arterial disease or both.",69392c89-8fa3a6e8-6c3bc53f-f09b09e2-a33a44e3 +54657707,Blunting of bilateral costophrenic angles which could represent tiny pleural effusions or pleural thickening. Blunting of bilateral costophrenic angles which could represent tiny pleural effusions or pleural thickening.,a93cd149-9d1bdad3-ca3f7d1d-1e6235b5-9cde6b9c +54657781,"Lung volumes are lowt, mild-to-moderate cardiomegaly is seen, pulmonary vascular congestion is noted, although there is no pulmonary edema, and there is a small pleural or extrapleural hematoma associated with left upper lateral rib fractures. Apparent mediastinal widening is likely due to accentuation of a tortuous thoracic aorta by a rightward patient rotation, but should be confirmed by a repeat nonrotated radiograph when clinically feasible.",441735fc-34bd0286-fa539675-6602e72a-1fed5ed4 +54661616,Mottling of the T11 vertebral body or depression of the T11 vertebral body superior endplate is present. Mottling of the T11 vertebral body or depression of the T11 vertebral body superior endplate is present. ,57dd992a-c736b67a-5a1f24e1-fcef3aea-76faae84 +54669609,"There is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, noted, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature. There is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, noted, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature. ",bc998aad-c88d87cc-d89c4aa6-63477af5-c75767d8 +54675277,"Presence of interstitial markings bilaterally suggesting moderate pulmonary edema, and/or chronic thromboembolic pulmonary disease. Presence of interstitial markings bilaterally suggesting moderate pulmonary edema, and/or chronic thromboembolic pulmonary disease.",33e89953-a3344800-0b12cc28-ae13c39f-f350e654 +54692227,Large left lower lobe consolidative mass. Large left lower lobe consolidative mass. ,6bfb9064-03f991cd-bc8d36dd-fd64d740-edfaab18 +54694185,"Widespread asymmetric infiltrative pulmonary abnormality consisting of large areas of consolidation and peribronchial infiltration in the right mid and lower lung zones and more discrete nodular abnormalities in the left lung is most likely widespread infection. Widespread asymmetric infiltrative pulmonary abnormality consisting of large areas of consolidation and peribronchial infiltration in the right mid and lower lung zones and more discrete nodular abnormalities in the left lung is most likely widespread infection, ",ff86990a-2b9b1ae4-abec4188-55d0170a-72142dca +54696287,Patient has had mitral and tricuspid valve surgery. There is enlargement of the cardiac silhouette with hyperexpansion of the lungs and flattened hemidiaphragms.,9a4ccf98-58c3f0da-81d2cd90-38c242fb-cc48af1b +54696391,"Patient is rightward shifted which projects the large heart over the right lower lung, but nevertheless, there is severe opacification of the right lung and low volume of the right hemithorax suggesting a large component of atelectasis, conceivably obscuring pneumonia, but not necessarily. There is little aeration in the right lower lung, due to either some withdrawal of right pleural effusion, There is most likely severe obstruction to the right middle and lower lobe.",f292b1a8-2e6fdb2c-a2e020b7-ae3b0cc9-9e3866d1 +54703104,"Mild edema is present in both lower lungs, and there is consolidation at the right base, either pneumonia or atelectasis, accompanied by small to moderate right pleural effusion. Confluent opacities in the lower lobes are noted (right greater than left) and may also be due to infection or coexisting process such as edema.",86d32dd1-50a12d52-f95eadf5-8f436965-b8669247 +54712047,"Left pleural collection is mild, and pneumothorax could be moderate in size, difficult to delineate, despite three left pleural tubes in place. Left lower lobe has partially expanded, reflected in return of the mediastinum to the midline, but there is atelectasis and small residual left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients.",cd9d349b-0c057599-fc4663a0-98ae4d7c-774a31ce +54715839,"Overall hyperinflation indicates severe emphysema. Severe bullous emphysema makes it difficult to exclude any pleural air at all, there is no evidence to suggest an air leak.",b4220d24-884a0275-1552d547-a339b365-4417b9d5 +54716295,Right internal jugular Swan-Ganz catheter has its tip in the pulmonary outflow tract. There is placement of a right IJ Swan-Ganz catheter that extends into the right pulmonary artery at the mediastinal level.,14a4a35d-8763ba28-085afc05-45f80848-08962597 +54717370,Superior mediastinal widening may be due to low lung volumes and supine positioning though a chest CTA can be performed for further evaluation if there is concern for mediastinal injury. Widened mediastinum which may be secondary to low lung volumes and repeat PA and lateral views with improved inspiration may be helpful for further assessment.,e5f2a417-f5d646ca-33f15b0f-5b7c75b3-2b9611d5 +54721212,"Findings consistent with severe COPD, pulmonary arterial hypertension, and moderate bibasilar interstitial process. Findings consistent with severe COPD, pulmonary arterial hypertension, and moderate interstitial process.",51150936-2cf82a04-6fa1a638-e1577644-0ba4c3a3 +54721804,"Right upper lung is air less, containing a large mass, and atelectasis in the right mid and lower lungs is is severe. The large right metastatic lesion at the base appears to have been resected.",d87efb8c-2b6c913c-52f20a43-a8cbf2ba-2b20410d +54723356,"Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion.",cf48760b-bc0b549d-17be5069-3e7b5248-e5f62e37 +54725023,"Severe cardiomegaly is chronic, with moderately severe pulmonary edema and small-to-moderate bilateral pleural effusion. Opacification diffusely involves the right hemithorax, most likely representing asymmetric pulmonary edema in a patient with substantial enlargement of the cardiac silhouette, evidence of previous cardiac surgery, and a biventricular pacer device in place.",5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508 +54729238,"Extensive right perihilar radiation changes and large areas of atelectasis are noted, with small right pleural effusion.Extensive right perihilar radiation changes and large areas of atelectasis are noted, with small right pleural effusion",7e1f323f-a2ad8df6-c4803950-58e8a9d6-7058b48e +54730459,"Nevertheless I think the heart is large, pulmonary vascular congestion is moderately severe, pleural effusions are large and there is moderate perihilar edema, all pointing toward relative cardiac decompensation. There is substantial enlargement of cardiac silhouette with pulmonary edema and bilateral basilar opacifications consistent with layering effusions and compressive atelectasis.",725b3b1f-cc1d9a66-0292de54-7bea58ed-5b724b75 +54733030,"Somewhat limited examination, but substantial cardiomegaly without definite evidence for acute disease. Marked enlargement of the cardiac silhouette, however, this may relate to AP, portable technique.",d240a096-eb1996ea-8a08a168-367aa57b-96adf6ad +54735623,There is hyperexpansion of the lungs consistent with chronic pulmonary disease and enlargement of the cardiac silhouette without evidence of vascular congestion or pleural effusion.There is hyperexpansion of the lungs consistent with chronic pulmonary disease and enlargement of the cardiac silhouette without evidence of vascular congestion or pleural effusion.,e87655af-053bad7e-3bd0b4e8-0ca44de9-652ca403 +54742755,"Review of the radiographic record shows episodes of decompensation of chronically enlarged heart, severe emphysema, and right apical tuberculous scarring. Review of the radiographic record shows episodes of decompensation of chronically enlarged heart, severe emphysema, and right apical tuberculous scarring.",1b02ffa5-a6da06e3-9063b9ef-5e540245-c18323b5 +54745568,"Lungs are clear, heart is chronically enlarged with a large apical left ventricular aneurysm. Mild pulmonary edema is not present, and moderate left lower lobe atelectasis and small left pleural effusion are noted.",a1c961e5-048307f2-6354c600-52da3efe-47edd590 +54749599,"Large neoplastic mass in right hemithorax with associated right upper and right middle lobe collapse, ipsilateral lymphangitic spread of tumor, lymphadenopathy and contralateral lung nodules. Large neoplastic mass in right hemithorax with associated right upper and right middle lobe collapse, ipsilateral lymphangitic spread of tumor, lymphadenopathy and contralateral lung nodules.",4a15096e-ded396cd-2f74c587-afc7d7b0-c226c5cb +54753684,"Lung volumes are low with patchy bibasilar opacities most likely reflecting bibasilar atelectasis, although aspiration cannot be entirely excluded. Lung volumes are low withbibasilar predominantly linear opacities favoring scarring or subsegmental atelectasis.",2ff152b9-2b4549f1-9fc64fbd-baf8d8e4-cafcdbee +54756918,"Left greater than right pleural effusions with cardiomegaly and moderate pulmonary edema. Moderate cardiomegaly, moderate left-sided and small right-sided pleural effusions, and moderate pulmonary edema, findings compatible with congestive heart failure.",641cc7ad-8d3dc0c6-ee97f6e1-7bf62c19-d12ac7bd +54759244,Minimal anterior wedging of ___ vertebral body at the thoracolumbar junction of indeterminate age. Minimal anterior wedging of ___ vertebral body at the thoracolumbar junction of indeterminate age.,f762fbc6-ca1926fb-06f3ef2a-b996a151-66a3b743 +54765591,"Right lung is now completely collapsed, without appreciable leftward shift in the mediastinum, in the background of a very large multiloculated right pleural effusion. Severe consolidation in the right lung and moderate to large right pleural effusion are both present.",6911b0d3-34d72504-00da42b3-d727c19f-52754910 +54766893,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible.",d978970a-5331f2f1-940f4bea-9da9bbf3-4724f2cf +54770541,"Left lung is largely expanded but diffusely opacified, probably with re-expansion edema. Left lung is largely expanded but diffusely opacified, probably with re-expansion edema.",b267e44d-493a0dca-420b4fd5-a91a1026-c3386cac +54772630,"Heart size top normal, lungs clear. Heart size top normal, lungs clear.",5ffe4561-fd5efe80-1fb3d78d-8d867983-fd9561af +54773340,"Patchy left posterior basilar opacity for which pneumonia or atelectasis could be considered, superimposed upon severe background pulmonary fibrosis. Patchy left posterior basilar opacity for which pneumonia or atelectasis could be considered, superimposed upon severe background pulmonary fibrosis.",c030b6d3-bd30c805-6a5b4a1c-43939f5d-e533cace +54780158,Large bilateral pleural effusions noted. Overall cardiac and mediastinal contours are difficult to assess due to the extensive effusions and the technique of the examination.,5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13 +54783326,Blunting of the costophrenic angles may be due to trace pleural effusions and/or mild atelectasis. Mild cardiomegaly without definite signs of acute intrathoracic process.,1a81259c-493d3b3c-de7e0965-b13a0f4c-d813d91d +54793306,Moderate cardiomegaly with pulmonary vascular congestion an single lead pacer extending to the right ventricle. Moderate enlargement of the cardiac silhouette with possible mild elevation of pulmonary venous pressure in a patient with a pacer lead extending to the apex of the right ventricle.,c9696dea-5c1429f6-f7f379f6-a8b0af2c-8d29d931 +54801364,Chronic obstructive pulmonary disease with superimposed mild-to-moderate interstitial edema. Chronic obstructive pulmonary disease with superimposed mild-to-moderate interstitial edema.,94c11798-961e79c2-6916a44a-2f90e301-46fa937d +54808796,"Moderate cardiomegaly, and distention of mediastinal venous and pulmonary and hilar vessels suggest heart failure. Mild-to-moderate cardiomegaly is present, but pulmonary and mediastinal vasculature are not particularly engorged and there is no edema or pleural effusion.",a13f355f-dafd65c3-ab50b75f-03d32b03-0a659e44 +54809707,"Mild mediastinal widening at the level of the aortic arch, particularly in the right paratracheal station is noted, and indication that there is no abnormality of any clinical significance. Mild mediastinal widening at the level of the aortic arch, particularly in the right paratracheal station is noted, and indication that there is no abnormality of any clinical significance.",80b3c768-af7774d2-b929f0f3-cc00f7e1-a8bb88eb +54811277,"Severe opacification in the right lower lung could be fissural pleural fluid, but raises serious concern for pneumonia in a solitary aerated right lung. Appearance of right hilar enlargement compatible with underlying mass with streaky right basilar opacification likely reflecting a combination of mucous plugging and atelectasis, but infection is not excluded.",89853b2a-bf88984c-37910d68-2401fca9-884951db +54813526,"Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker.",776bbba3-c093e000-865ac0e7-9b6ee214-91574d04 +54821838,Status post right ventricular pacer lead revision as described above; COPD and small pleural effusions. Status post right ventricular pacer lead revision as described above; COPD and small pleural effusions.,2e63cbea-9e89b6ef-7aa9d94c-5c2f5dbd-2969f6e4 +54823444,"Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. ",e2706168-aad7b524-06ccdf55-031e9a4f-5c0bdcb8 +54826768,"Bilateral basilar opacifications are consistent with pleural fluid and compressive atelectasis in the lower lobes, especially on the left. Mild pulmonary edema is present while moderate left and somewhat smaller right pleural effusion is accompanied by substantial bibasilar atelectasis.",1c6b6253-4298b326-603a70e5-89968c12-4c6900f8 +54830140,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6 +54833205,"Right upper lung is partially expanded. There is no detectable right pneumothorax, and minimal right pleural effusion if any, right pleural tube appears several centimeters moving the side port close to the intercostal plane.",61b4d5e0-66a2bcaf-6c4d6c19-6b735e59-b1390cb2 +54842270,"Left lower lobe atelectasis, cardiac enlargement, standard position of support tubes. Indwelling ET tube, left subclavian line, transesophageal drainage tube, are in standard placements.",7536f4a6-1fbe0f20-f19b428c-ed5f66a2-68198980 +54843884,Minimal size and amount of fluid within the neoesophagus (prior esophagectomy with gastric pull-through). Minimal size and amount of fluid within the neoesophagus (prior esophagectomy with gastric pull-through).,0eb1e826-78e313fd-5cfbb793-495ebe3d-8a33deb6 +54844091,"Heart size and mediastinum are moderately enlarged including mild cardiomegaly but there is mild pulmonary edema, which is present but interstitial, moderate associated with small bilateral pleural effusions. The patient has mild pulmonary edema and small bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph.",efdbb954-7179fa49-509d0620-ab87eace-f42022d3 +54844678,"Right jugular catheter ends in atriocaval junction. Right IJ catheter extends to the lower SVC, and the Dobhoff tube is coiled within the lower stomach.",5180e323-2f458dd9-ed09ecb3-6528c63a-6b9b4f1f +54849848,Presence of bilateral pleural effusions with bibasilar atelectasis Pneumomediastinum is mild. No pneumothorax. Presence of bilateral pleural effusions with bibasilar atelectasis Pneumomediastinum is mild. No pneumothorax. ,9189763d-c3b6ee12-d0d89f14-29a0cb1f-e3dee331 +54861751,Leftward mediastinal shift suggests that opacification of the left lung is due to severe left lower lobe atelectasis. Leftward mediastinal shift suggests that opacification of the left lung is due to severe left lower lobe atelectasis.,b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5 +54867671,"There is presence of severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. Moderately severe cardiomegaly is present, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema.",6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4 +54870311,"There is widespread parenchymal opacities nodular and reticular, with slightly more peripheral than central predominance, highly concerning to multifocal infection. There is widespread parenchymal opacities nodular and reticular, with slightly more peripheral than central predominance, highly concerning to multifocal infection. ",7acf30bd-0ed39a38-bb6159dd-2ed09689-dd05ba98 +54879730,"A temporary pacing lead has been placed, terminating in the expected location of the right ventricle. Temporary pacing lead standard in place with that lead likely terminating in the right ventricle.",d974aeb8-59d6b3c0-b7dec6c1-a25cf20c-541f88c0 +54882267,COPD and cardiomegaly with a tortuous aorta and possible pulmonary hypertension. Fullness of the left perihilar region compatible with mass.,59a459f5-0bd58411-1d739d65-1d7477bf-92d830cb +54891883,"Nodular density projecting over the right first costochondral cartilage area, potentially degenerative; however, two-view chest x-ray recommended on a nonurgent basis to exclude underlying lung lesion. This could potentially due to superimposed shadows of degenerative changes in the spine and the adjacent aorta; however, non-urgent chest CT is suggested to exclude underlying mass or thoracic aortic abnormality.",398b9c15-85897d9b-b04d11e2-25092267-47db634a +54898695,"Large left hilar mass has grown since yesterday, probably due to limited bleeding, but there is left pleural abnormality consisting of fluid and/or tumor in the left major fissure and along the costal and diaphragmatic surfaces of the left lung. The left apical opacification is noted, consistent with a large necrotic mass.",78557a90-bc5812ac-af24ac90-bce0a937-28b47ee6 +54899257,Enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG. Enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG.,3e179ec6-2dd8aea9-b1ef694b-eafe6ce6-0a175813 +54900154,"Low lung volume exaggerates mild cardiomegaly, but moderate pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. Low lung volume exaggerates mild cardiomegaly, but moderate pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. ",3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85 +54904275,Multi loculated right hydro pneumothorax with overall moderate volume but contains more fluid in the superior component that is posterior to the right upper lobe. Multi loculated right hydro pneumothorax with overall moderate volume but contains more fluid in the superior component that is posterior to the right upper lobe. ,30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3 +54904335,"There is bilateral hilar enlargement, likely caused by dilatation of the central vasculature, as seen in pulmonary edema.Cardiac silhouette ismoderate enlarged in size and is accompanied by pulmonary vascular congestion and development of mild pulmonary edema which appears asymmetrical, predominantly right-sided.",b32d0041-1490ad2c-bb80e629-0738da5e-cd128891 +54906849,"Lung volumes are substantially low exaggerating a real moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and obscuration of the hemidiaphragm on the left consistent with volume loss in the left lower lobe and pleural effusion.",87528f6b-d04a6330-74d35720-8c8af75d-54f79a11 +54907683,"Lung volumes are low, but the only pulmonary abnormality is platelike atelectasis or scarring at the left base. Lung volumes are low, but the only pulmonary abnormality is platelike atelectasis or scarring at the left base.",f9d601d7-0eb2306d-2e66934e-5db0f766-edb49564 +54913354,"Hazy bilateral perihilar opacities which can be seen in setting of atypical infection, potentially PCP in this patient with history of HIV. Hazy bilateral perihilar opacities which can be seen in setting of atypical infection, potentially PCP in this patient with history of HIV.",7ee153a9-e00f7cd0-8c44b852-d83a1175-db28c1e7 +54917064,Right lower lobe opacity with prominence of the right hilum raises concern for right lower lung mass with right-sided lymphadenopathy given lack of infectious symptoms. Right lower lobe opacity with prominence of the right hilum raises concern for right lower lung mass with right-sided lymphadenopathy given lack of infectious symptoms.,feab557c-84c132e2-a4172ea5-87289e6b-4c74334d +54918942,Left pacemaker and right Port-A-Cath are in correct position. Left pacemaker and right Port-A-Cath are in correct position.,2a443c5b-911d577f-f0f52f16-9d2662c4-4c3a0fad +54920051,"Generalized opacification in the right hemithorax is due largely to a large right pleural effusion projected over at least moderately severe pulmonary edema, seen better in the left lung.There is hazy opacification at the right base consistent with extensive pleural effusion and underlying compressive atelectasis.",d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5 +54920956,"There is substantial right basal consolidation concerning for progression of pneumonia, currently extensive and potentially including more than 1 low. Large area of basilar opacity involving the right mid-to-lower hemithorax as well as left base retrocardiac lucency consistent with patient's known large hiatal hernia.",a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997 +54922650,"Left upper lobe has substantially expanded, following insertion of endotracheal tube, but the left lower lobe is largely collapsed and there is a left apical pneumothorax. 3 left pleural drains, tracheostomy tube, ET tube, and left internal jugular line are in standard placements respectively.",17c72825-5e526be7-2960df0b-bf160fda-b97951bf +54925240,There is enlargement of the cardiac silhouette with tortuosity of the descending thoracic aorta. There is enlargement of the cardiac silhouette with tortuosity of the descending thoracic aorta.,28286aca-22f060d1-344a3628-b2cd36f8-df90a34a +54932317,"Extensive opacification in both lungs, sparing the left mid and lower lung zone is present. Extensive opacification in the left lung is diffuse in distribution and moderate in severity.",d5bdde56-163d7da0-c0c9fbcd-b1e3b312-4ad7853c +54937394,"Mild generalized edema is present, but there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. Nasogastric tube passes below the diaphragm and out of view, a left trans jugular Swan-Ganz catheter ends in the main pulmonary artery, right internal jugular line ends in the region of the superior cavoatrial junction.",27dd77c0-a8c3f1a1-f33fb0c9-928377b3-b5ae13f7 +54943123,"Pacemaker lead is correct in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data Right pneumothorax with bibasilar consolidations, moderate bilateral pleural effusions, and mild pulmonary vascular congestion.",c97cba0f-be9c81e1-e3b2f294-5af9f1ac-aa4dab80 +54946834,"the left hemi thorax is now nearly completely opacified, likely due to near-complete collapse of the left lung as well as a left pleural effusion with pigtail pleural catheter in place. Complete opacification of left hemi thorax is noted with substantial left mediastinal shift consistent with left lung collapse.",4c91821b-955decb6-08bf90f3-372970dc-45cb6ac2 +54953521,"No acute findings on this single supine frontal chest radiograph. Lungs are clear, cardiomediastinal silhouette noted including mild general dilatation of the aorta without focal aneurysm.",bd752951-5d4e5b88-c3f34820-c9e7fcd4-1d2b4af7 +54970692,"There is enlargement of the cardiac silhouette with moderate pulmonary edema and small right pleural effusion with basilar atelectatic changes. Moderate pulmonary edemis noted, small right pleural effusion Moderate cardiomegaly noted.",983faa39-85b84785-39cbeb3d-01519146-5be82c3b +54972841,"Relatively symmetric interstitial abnormality most pronounced in the lower lungs at the same time mediastinal vascular pedicle is widened, and both hila have enlarged. Relatively symmetric interstitial abnormality most pronounced in the lower lungs at the same time mediastinal vascular pedicle is widened, and both hila have enlarged.",12fcd1f0-96b6eb00-a6a5ee27-7e8d19ee-63f16bc2 +54973829,"Moderate cardiomegaly with a strongly left atrial component and large pulmonary arteries are chronic. Relatively symmetric interstitial abnormality most pronounced in the lower lungs hat the same time mediastinal vascular pedicle is widened, and both hila have enlarged.",f430ec0f-40b790de-a5178baf-9dd6c108-9fc32de6 +54985612,"ET tube tip is approximately 2 cm from the carina, with the chin elevated. ET tube tip is approximately 2 cm from the carina, with the chin elevated.",cae34b8f-cef454bf-250bd88e-8bef265d-9a3f0172 +54993114,There is enlargement of the cardiac silhouette that is exaggerated by pectus deformity of the lower sternum. There is enlargement of the cardiac silhouette that is exaggerated by pectus deformity of the lower sternum.,7cbc9371-93ae74a8-4d6234b9-a496d3e4-8812a350 +54995727,"Generalized edema in the right lung is moderately severe, while right lower lobe atelectasis is mild. Rest of the tubes and lines are unremarkable as well as the appearance of the lungs but there is mild left lower lobe consolidation and moderate right basal consolidation.",03f5be94-94356058-6e153b3e-9d89dc4b-bc540c4c +55001052,Apparent bibasilar opacities likely represent layering effusions with supine positioning. The layering effusions are seen at the bases posteriorly.,7d1a5c64-703847ae-fbf3b643-c3e08a4b-4153d0d7 +55001746,"Moderate-to-severe cardiomegaly is more pronounced, pulmonary vascular engorgement and mild interstitial edema are noted. Huge cardiac silhouette is expanded predominantly to the right by an unusual intrapericardial collection which severely compromises the volumes of the right atrium and ventricle.",86d4ab20-e9abbc54-b65af50f-128d2b48-d9884715 +55011437,"Lungs clear, normal cardiomediastinal and hilar silhouettes and pleural surfaces. Normal heart, lungs, hila, mediastinum and pleural surfaces.",93df2443-2b80a0f4-6c12dc92-910966a7-3da34ae3 +55011686,"Normal heart, lungs, hila, mediastinum and pleural surfaces aside from minimal thickening at the lateral aspect of the minor fissure. Normal heart, lungs, hila, mediastinum and pleural surfaces aside from minimal thickening at the lateral aspect of the minor fissure.",c97d3493-abb1b43d-c412174e-d867f08b-b887698d +55023208,Presence of bilateral pleural effusions with bibasilar atelectasis Pneumomediastinum is moderate. No pneumothorax. Presence of bilateral pleural effusions with bibasilar atelectasis Pneumomediastinum is moderate. No pneumothorax. ,121a82e4-e8fcc625-76d8bd71-defee5fe-3f48af2b +55036801,Right hemidiaphragm is moderately elevated of uncertain chronicity in the absence of older radiographs for comparison. Mild elevation of the right hemidiaphragm with minimal atelectasis at the right lung basis.,6a92203f-216df921-4fce7d2a-acd7f2ac-ff08b6bf +55048341,"There is asymmetric opacification most prominent in the right mid and lower zones, consistent with superimposed pneumonia on a background of vascular congestion in a patient with enlargement of the cardiac silhouette. Severe consolidation of the right lung base could be pneumonia exaggerated by the deposition of edema, or, simply very asymmetric edema and no pneumonia.",e0e15315-038cc10d-12da55fb-533193ff-f67ce0bd +55048387,Moderate right middle lobe scarring and bronchiectasis and mild bibasilar atelectasis. Moderate right middle lobe scarring and bronchiectasis and mild bibasilar atelectasis.,7a56c5a4-63fabea2-e65cd08b-42dd34c4-a1867f86 +55049183,Single lead left-sided pacer is in proper position. There may be a withdrawn second pacer lead coiled above the left pectoral generator.,c826ff67-cd70843b-c8ce2e1a-49f768a6-5738d4cc +55058349,"Small region of consolidation in the right lower lung is noted, consistent with active pneumonia. Small consolidation in the right lower lobe could represent spreading pneumonia or supervening atelectasis.",429fa17a-9886b777-b604dcc3-2aa91a9f-3963b43a +55058518,"Severe bibasilar consolidation, probably right lower lobe pneumonia and either left lower lobe pneumonia or left lower lobe collapse. There is consolidation of both lung bases in the exam.",48d78c08-a2ca4095-efd2e551-da6b1010-e90a62ef +55058843,The mass or loculated pleural fluid in the right upper chest a marginating mediastinum is present. Superior vena caval stent correct in place and there is a right mediastinal mass.,0b2c6fb8-4ee25db1-a506d249-fa80e84d-2f05a467 +55060932,Cardiomegaly and pulmonary vascular congestion accompanied by interstitial edema and a layering right pleural effusion. Cardiomegaly and pulmonary vascular congestion accompanied by interstitial edema and a layering right pleural effusion.,d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29 +55062075,"Moderate generalized interstitial abnormality with mild bibasilar confluence noted, strong indication that the explanation is pulmonary edema. Findings suggestive of interstitial edema with basilar opacity in the lateral view, potentially due to atelectasis; however, infection is not completely excluded.",e652c211-269bf80b-7db4a010-71e01204-f164bb7c +55065784,"Left lower lobe has partially expanded, reflected in return of the mediastinum to the midline, but there is atelectasis and small residual left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients. Left lower lobe has partially expanded, reflected in return of the mediastinum to the midline, but there is atelectasis and small residual left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients.",c2a99a61-6ccc4c17-7a976c51-c9961784-bdfe8a3e +55084084,Right lower lobe collapse is moderate. A right pleural catheter is in place with small to moderate right pleural effusion andmoderate adjacent right basilar atelectasis.,627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43 +55086195,Limited due to underpenetration due to the patient's body habitus without evidence of displaced fracture. Limited due to underpenetration due to the patient's body habitus without evidence of displaced fracture.,7b9c311b-b511e83b-75a5a6cf-d46efb9d-ac034314 +55092691,"The left apical pleural collection is mild-moderate, with a mass posterior to the left hilus inseparable from the descending thoracic aorta, and atelectasis in the lingula. The left apical pleural collection is mild-moderate, with a mass posterior to the left hilus inseparable from the descending thoracic aorta, and atelectasis in the lingula.",3b9b84d5-b76eb1db-a43caa85-b33c92a4-4ed50db2 +55095340,"Substantial enlargement of the cardiac silhouette with tortuosity of the aorta, but no definite vascular congestion. Cardiomegaly with aneurysmally dilated and tortuous thoracic aorta.",7958accd-21d0f8fa-0a0f1a50-fbb2ce69-5128a4a4 +55098650,"______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with noted right sided rib pain no history of trauma, pleuritic // eval for abnormality TECHNIQUE: Chest PA and lateral FINDINGS: Atrioventricular pacemaker with leads terminating in the right atrium and right ventricle. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with noted right sided rib pain no history of trauma, pleuritic // eval for abnormality TECHNIQUE: Chest PA and lateral FINDINGS: Atrioventricular pacemaker with leads terminating in the right atrium and right ventricle. ",10b7a5e0-c721996a-b5046563-dd86ee1f-5d1caa58 +55101140,Moderate enlargement of the cardiac silhouette in a patient with well positioned pacer leads and mild to moderate elevation of pulmonary venous pressure. Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place.,acea85a3-8db7b0ba-78f1bef1-81f7d8de-342f03f5 +55101327,"Significant substantial enlargement of the cardiac silhouette due to cardiomegaly and/or pericardial effusion. Severe cardiomegaly is noted, but lungs are clear and pulmonary vasculature is normal.",92fd0922-955eb1c3-1cccf867-afd0d2e5-1e5a368b +55107790,RECOMMENDATION: Initial further evaluation with 15 degree shallow oblique radiographs is recommended for confirmation of noted right upper lung nodular opacity. RECOMMENDATION: Initial further evaluation with 15 degree shallow oblique radiographs is recommended for confirmation of presence of right upper lung nodular opacity.,39c36e59-7b5c308e-a9153759-84676a45-4cadadf0 +55108041,Hyperinflated lungs with mild bibasilar opacities which may represent atelectasis although underlying aspiration or infection not excluded. There is some hyperexpansion of the lungs suggesting underlying chronic pulmonary disease with the cardiac silhouette at or above upper limits of normal.,d504dbe8-1c4f781c-0df439c0-f9d111e3-383d8361 +55108847,"Low lung volumes with appearance of patchy but predominantly linear opacities at both bases, left greater than right, which most likely reflects patchy atelectasis, although bibasilar pneumonia cannot be entirely excluded. Also bilateral basal areas of atelectasis, left more than right, and appreciated on both the frontal and the lateral image.",a8ad38e3-9a288818-536ed867-e22718fb-0d0833f5 +55110396,"A third region of consolidation, left lower lobe ismoderate. Retrocardiac opacification is consistent with substantial volume loss in the left lower lobe and probable small effusion.",be5abf2d-532464c2-7ec963e5-0b5da9f9-fa74529e +55111273,"Some of the cardiac enlargement was due to a small pericardial effusion and there was extensive mediastinal adenopathy, which I presume is present. Slightly enlarged contour of the mediastinum and the enlarged left hilus containing moderate adenopathy are noted.",a8175445-d55b2d93-a5a3a22c-7662cb0a-6519b608 +55116033,There is enlargement of the cardiac silhouette with moderate pulmonary edema and small right pleural effusion with basilar atelectatic changes. Cardiomegaly is accompanied by moderate to marked pulmonary edema with both alveolar and interstitial components.,22fe9215-499eca85-e1ae812f-e8e4bc0a-31234c00 +55133499,"There are low lung volumes that accentuate the transverse diameter of the heart in this patient with a left subclavian pacer with leads in the right atrium and right ventricle. Left subclavian right atrial pacer and right ventricular pacer leads are in standard placements with no evidence of complication, specifically no mediastinal widening, pneumothorax, or left pleural effusion.",bd8fc3e9-687db5d6-574cb5a6-b78d18b2-2f5fb4de +55134684,"Large left pleural effusion in combination with severe right basilar atelectasis has shifted mediastinum further to the right,. Large left and moderate right pleural effusion are noted.",583590d0-c9c3ce35-4b385739-1623390c-62fd1b5d +55135726,Right basilar chest catheter is coiled in the posterior inferior right hemithorax and is in standard position. Right basilar chest catheter is coiled in the posterior inferior right hemithorax and is in standard position.,a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9 +55139599,"Old healed fracture deformity of the right proximal humerus is visualized. Noted right apical patchy opacity with calcifications, better assessed on chest CT.",b85ad152-d351373d-9b33bc0d-584cf132-a45e2d7a +55146164,"There is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, noted, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature. There is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, noted, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature. ",377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03 +55153576,Severely enlarged heart with mild pulmonary edema raises the possibility of pericardial effusion. Possible component of fluid overload which is difficult to assess given large body habitus.,92ca8ae9-3cd416c1-c8b97c65-2d1a7560-3a11ae68 +55161126,"Pacemaker lead is proper in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data Small bilateral pleural effusions are appreciated only on the lateral view and since they are bilateral, they are not attributable to the pacer insertion.",1944fc3b-e15f09ec-eafd2e68-fa2452be-6505ea41 +55167068,There is substantial enlargement of the cardiac silhouette with moderate of pulmonary edema. There is substantial enlargement of the cardiac silhouette with pulmonary edema that is present.,8137d98b-e8a60482-a158cc07-096a8d02-978fa0cc +55167612,Status post ascending aortic graft repair and moderate dilatation of the descending thoracic aortic contour compatible with known dissection. Status post ascending aortic graft repair and moderate dilatation of the descending thoracic aortic contour compatible with known dissection.,a55b384b-7dd7a06c-b48b46f4-b7522c74-c7f156b3 +55176260,"Right middle and lower lobes are now substantially expanded, moderate-to-large right pleural effusion is present. Large right pleural effusion collapsing the middle lobe and most of the right lower lobe is unoted.",93ca5245-a3a6c687-b3723eb4-4e89b56b-3cda2cc7 +55183572,Enlargement of the cardiac silhouette with the monitoring and support devices in unremarkable position. Post-operative widening of the cardiomediastinal silhouette is present.,9197e8a6-688e955b-b870d598-a611016b-66ef0b8e +55185117,"Severe pulmonary edema moderate bilateral pleural effusions, severe cardiomegaly, and severe mediastinal pulmonary vascular engorgement are noted indicating cardiac decompensation. Moderately severe pulmonary edema accompanied by increasing moderate bilateral pleural effusions and severe cardiomegaly.",0d768fcf-0bb1bca1-eb1fe1d6-686b876b-675a2e95 +55187337,Dual lead pacemaker and median sternotomy wires are proper in position New small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are proper in position New small bilateral pleural effusions and left basal atelectasis.,be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0 +55198163,"Findings consistent with CHF, including extensive interstitial edema and probable small areas of alveolar edema, as well small bilateral effusions. Moderate congestive heart failure including moderate alveolar pulmonary edema and bilateral pleural effusions, moderate on the left and small on the right.",84ffb901-893b00a7-7f2090be-d5cf6a4e-c34ab763 +55198378,"Moderate bilateral airspace process, left greater than right, with associated layering effusions, left greater than right, all superimposed upon known emphysema. Bilateral pleural effusions, left greater than right, with underlying severe emphysema and mild pulmonary vascular congestion.",49c6a0af-c1fc71ef-9a008d1f-a69a11c6-ae390e99 +55206854,"CHF findings, with interstitial and probably with some alveolar edema and suspected layering right effusion. Severe pulmonary edema seen, accompanied by increasing moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins.",89211728-267e6ae0-5cf3d9d3-8ed03442-8764ee24 +55212349,"No acute findings on this single supine frontal chest radiograph. Normal heart, lungs, hila, mediastinum and pleural surfaces, specifically no edema or pleural effusion, intrathoracic hematoma or pneumothorax.",76bdc5c2-cca422ab-3223abe7-7b01baa8-cca25210 +55214075,"Right jugular line ends in the mid to low SVC and transvenous right atrial and ventricular pacer leads are correct in their respective positions. Right jugular line ends in the region of the superior cavoatrial junction and transvenous right atrial right ventricular pacer leads are in standard placements, continuous from the left pectoral generator.",8b1136e5-87e823d7-65c62300-10d83255-4f550379 +55233589,"Diffuse extent of the severe air inclusions in the soft tissues of the chest wall. Extensive pulmonary opacities accounted for by known metastatic disease and fibrotic changes with more confluent left lower lobar opacities which could reflect aspiration or an infectious process in the appropriate clinical setting, or relate to the underlying metastatic disease.",a7911dd6-f061c0a0-424f7e91-c27237d4-97faf732 +55238104,"The cardiac silhouette appears enlarged, some of which may represent the supine AP.Allowing for the portable technique, the cardiac silhouette may be mildly enlarged.",92c32c82-12a62f9c-f28ef1de-aa6bdc04-c6946e9e +55240854,"Depending on clinical history, the suprahilar findings could be due to previous radiation in a patient who has a history of follicular lymphoma, and had extensive central and axillary adenopathy. The several pulmonary nodules are not as well appreciated on this study, as CT is more sensitive.",ba892f90-88618ff7-28ff47ef-ffe24fdc-ede9c315 +55244705,"The edema is diffuse with moderate left and small right pleural effusions. Relatively symmetric bilateral perihilar consolidation, most likely edema, is severe in the right lung, not on the left, where there is evidence of moderate left pleural effusion.",1cbf90c3-079d9678-607bf65b-a3840c0f-02de10b9 +55255832,Diameter of the cardiac silhouette is moderately enlarged; with presence of epicardial pacer leads. Diameter of the cardiac silhouette is moderately enlarged; with presence of epicardial pacer leads.,68d1a72f-0552bded-deae306a-343f5d03-ccf9853f +55259608,"There is substantial enlargement of the cardiac silhouette with retrocardiac opacification most likely reflecting substantial volume loss in the left lower lobe. Severe enlargement of the cardiac silhouette, due to cardiomegaly and/or pericardial effusion is present post-operatively, and left lower lobe atelectasis is seen..",6973b010-49ac25bb-d2e035bc-667938df-855b7f4c +55265250,"Diffuse, prominent interstitial lung markings in the setting of prominence of pulmonary vasculature and mild cardiomegaly likely represents pulmonary edema. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible.",9bfe49ac-87087878-1110949f-335e751c-ddc3d7fe +55266015,"There are small bilateral pleural effusions, left greater than right, Small pleural effusions are present, left greater than right appear",176e0588-2fc59c9a-096765cc-a04685eb-e860762a +55268779,"Constant extensive bilateral parenchymal changes, likely reflecting pneumonia on the left and scarring on the right, associated with a small right pleural effusion. Constant extensive bilateral parenchymal changes, likely reflecting pneumonia on the left and scarring on the right, associated with a small right pleural effusion.",3b728ba8-286ccc7c-03fe6ea5-cd414e08-a5ee38c1 +55277653,Dual-lumen central venous catheter tip appears to terminate in the proximal right atrium. Dual-lumen central venous catheter tip appears to terminate in the proximal right atrium.,aef6ded2-a74cef0f-acdbb6d6-a96e3909-9fc8c2e9 +55300369,Right internal jugular vein catheter is in correct position mild pulmonary edema and mild cardiomegaly are seen. Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place.,f3d507c2-a374ec9a-30b7c848-c991828c-333297ff +55301691,"The lung volumes are low, exaggerating top normal heart size. The lung volumes are low, exaggerating top normal heart size.",d8f6df8b-a89ccea2-63bada22-1566fcf0-126ceeb7 +55310022,"Lung volumes are slightly low, exaggerating heart size, but lungs are clear. Lung volumes are slightly low, exaggerating heart size, but lungs are clear.",ee0ef8eb-6e0b96dd-964fb803-b19c1c2c-cd735b21 +55312260,"Right postoperative changes in this patient status post right upper lobectomy with poor aeration in the right mid and lower lung. Fluid level just above the tip of the transesophageal drainage catheter is presumably retained air and fluid in the neo esophagus, but I cannot identify on the lateral view and therefore cannot be certain that the air and fluid collection is in the neo esophagus rather than mediastinum or pleura which are much less likely.",22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc +55316579,Congestive heart failure with interstitial edema superimposed on likely chronic interstitial lung airways disease. Congestive heart failure with interstitial edema superimposed on likely chronic interstitial lung airways disease.,f067c77a-54a4358e-ff4a3ce6-75df62e9-a3be270f +55316723,"Bibasilar consolidation, moderate on the right severe on the left is noted accompanied by bilateral pleural effusion, small on the right and moderate on the left. Severe atelectasis in the left lower lobe is evident, moderate right pleural effusion now layers posteriorly.",c8432be1-b79e41da-834ae99a-c6cd0b0f-414d4eec +55317494,There is hyperexpansion of the lungs with enlargement of the cardiac silhouette. There is hyperexpansion of the lungs with enlargement of the cardiac silhouette.,39f36124-b86b485a-6817fbeb-6ac41cca-8ee5b9c1 +55324135,"Dobbhoff tube with tip now in the stomach. The tip of the Dobbhoff tube lies at least at the esophagogastric junction, where it crosses the lower margin of the image.",4fe2791a-5a6ddb9b-d73fb7f6-bdb8d5ad-01ab723d +55328340,Very small right pleural effusion and right basal atelectasis and sufficient calcification in the aortic valve to raise question of hemodynamically significant aortic stenosis. Borderline cardiomegaly is present as is the tortuous and enlarged thoracic aorta which harbors a large dissection starting at the arch and involving the descending thoracic aorta into the abdomen.,cb7831a4-b96e79a9-fb92a40e-661f84c9-35010799 +55339618,Cardiomegaly in findings suggestive of chronic interstitial lung disease. Cardiomegaly in findings suggestive of chronic interstitial lung disease.,5037ce6f-1b5a2beb-cefbe169-b7e53cbf-427eaf91 +55340847,Asymmetry of the breast shadows with clips in the left axilla suggestive of history of left breast cancer with left axillary node dissection. Asymmetry of the breast shadows with clips in the left axilla suggestive of history of left breast cancer with left axillary node dissection.,093baa2b-62a8c5b2-9255859f-2edf2dcf-4f5ed090 +55341919,There is enlargement of the cardiac silhouette with intact sternal wires and pacer device in place. Impella LVAD and transvenous atrioventricular pacer leads in their respective positions.,b10086a9-a4ddd90e-8d225a77-9c7b3e0b-261c474f +55353288,"Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. Large right pneumothorax with greater eversion of the right hemidiaphragm and moderate leftward mediastinal shift, indicating that the right pigtail pleural catheter is not adequately draining the right pleural space.",a249c5ba-c1c92f36-682ef4b1-98f3bd56-7d2f6932 +55364313,"Severe scoliosis limits the evaluation of the lungs. Extensive kyphosis and loss of height of several inferior thoracic vertebral bodies is present, kyphoplasty is seen, and the upper portion of the lumbar fusion procedure appears unremarkable.",a5b415f2-b092fbdd-488fd0f8-0d4c383a-eed231bc +55368341,"COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted. COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted.",f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83 +55372843,"Hyperinflation of the chest, best appreciated on lateral view suggests emphysema. Hyperinflation of the chest, best appreciated on lateral view suggests emphysema.",d4800b11-08ea5ece-04ba7667-a463e711-378c3893 +55391430,"The contents of both large upper lobe cystic spaces, the extent of right apical pleural thickening, and bronchiectasis and nodulation outside the left apical cavities are moderate in severity. The contents of both large upper lobe cystic spaces, the extent of right apical pleural thickening, and bronchiectasis and nodulation outside the left apical cavities are moderate in severity.",3fde5d9d-38f2f63c-650afe46-ecc5ae96-a8126971 +55391861,"Peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction. Peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction.",db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6 +55395733,"Moderate anterior wedge compression of a vertebral body, approx level of L1. Moderate anterior wedge compression of a vertebral body, approx level of L1.",fb97dc99-52ef2345-cca09851-57c3d33d-c0fcf34c +55400628,Cardiomegaly and right lung base scarring. Cardiomegaly and right lung base scarring.,5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559 +55403688,Cardiomegaly with globular configuration raising potential for concern for pericardial effusion. Severely enlarged heart with mild pulmonary edema raises the possibility of pericardial effusion.,407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187 +55413705,Noted small bilateral pleural effusions and patchy bibasilar airspace opacities which may reflect infection or aspiration. Noted small bilateral pleural effusions and patchy bibasilar airspace opacities which may reflect infection or aspiration.,41bee34e-e9476a64-f28f2775-7d097a58-d88789f6 +55418359,There is opacification at the left base consistent with severe pleural effusion and underlying compressive atelectasis. Opacification at the left base is consistent with substantial pleural effusion and underlying compressive atelectasis.,5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3 +55420069,Status post total arthroplasty of the right shoulder with humeral component projecting inferiorly. Status post total arthroplasty of the right shoulder with humeral component projecting inferiorly.,5777b9e5-d14e2655-cb9eecfa-52bda043-992f6f80 +55420918,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",10b653ab-46de5007-fc3c0784-46a5a718-df7713ba +55421522,Moderate cardiomegaly with stadard placement of the pacemaker leads. Moderate to severe cardiomegaly within pacer leads is noted.,0b935875-ccc24ae1-ff220578-be4e3835-6acc2e7a +55430187,Position of the biventricular pacer leads is standard. Proper position of dual-channel pacer device in this patient with previous CABG procedure and intact midline sternal wires.,5f4fdb1c-97aed97d-fa4a3b1b-9da4ea33-e9df38ee +55430447,"Moderate congestive heart failure with small bilateral pleural effusions, right greater than left, and bibasilar atelectasis. Moderate congestive heart failure with small bilateral pleural effusions, right greater than left, and bibasilar atelectasis.",2773b5c2-bd9e0357-064af3b4-ddc4997e-61ff380f +55438657,"Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall, is most likely pneumonia, and the enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy. Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall, is most likely pneumonia, and the enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy.",4a706f94-eae311b0-de845977-dcc52bde-4615615e +55438661,"Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly noted. Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly noted.",a3c2266d-8b1ffac0-48100adb-18621806-7ba7faa5 +55447530,"There has been a substantial decrease in what is severe central adenopathy, with particular involution in the subcarinal, paraesophageal station, and both lower paratracheal stations, and probably in the aortopulmonic window. There has been a substantial decrease in what is severe central adenopathy, with particular involution in the subcarinal, paraesophageal station, and both lower paratracheal stations, and probably in the aortopulmonic window.",67046a75-310cfff1-2dd57e2f-6208c141-d18736f5 +55452685,"MODERATE BILATERAL PLEURAL EFFUSIONS WITH EACH ADJACENT BIBASILAR LUNG OPACITIES, INCLUDING HIGH DENSITY RIGHT LOWER LOBE OPACITIES SUGGESTIVE OF ASPIRATED BARIUM. MODERATE BILATERAL PLEURAL EFFUSIONS WITH EACH ADJACENT BIBASILAR LUNG OPACITIES, INCLUDING HIGH DENSITY RIGHT LOWER LOBE OPACITIES SUGGESTIVE OF ASPIRATED BARIUM.",4b21950a-5565f60b-5e86b9fd-fde33a71-2a564240 +55453302,"There is extensive multifocal pneumonia, particularly in the lower lobes, moderate pulmonary edema extending to the level of both hila, moderate right pleural effusion, small left pleural effusion, and probably moderate cardiomegaly as well. Moderate pulmonary edema seen and there is appreciably consolidation at both lung bases probably pneumonia.",fbe2b85e-495d3c4a-efdfbec7-0fd71f4d-058b81ff +55463602,"Right internal jugular line tip is most likely in the right atrium, it difficult to establish giving the large bilateral pleural effusions and pulmonary edema that is seen. Within those limitations there is pulmonary edema at least moderate and there are large bilateral pleural effusions.",bf9f8403-f941bbb9-13c134ff-ac80d6b9-e8442bdf +55469953,"Allowing for differences in projection, PA versus AP, mild-to-moderate cardiomegaly is noted, following placement of pericardial drainage catheter projected over the mid portion of the cardiac silhouette. Pericardial drainage catheter projects over the diaphragmatic midline and the cardiac silhouette is substantially smaller.",6ff741e9-6ea01eef-1bf10153-d1b6beba-590b6620 +55470597,"Pulmonary edema is not present, but there is substantial consolidation in both lower lungs, which could be collapse or pneumonia, and bilateral pleural effusions, small on the right, moderate on the left, as well as moderate enlargement of the cardiac silhouette are evident. Moderate right pleural effusion is present despite the right basal pleural pigtail drain.",ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea +55477134,"Post-operative widening of the mediastinum is present in the region of the arch, but there may be an increased caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. Left pleural collection is large, and pneumothorax could be moderate in size, difficult to delineate, despite three left pleural tubes in place.",b057552d-dcaef0e0-258a2453-37c600b2-d8d2b31f +55481818,Streaky bibasilar opacities potentially atelectasis or scarring with underlying COPD is mild. Streaky bibasilar opacities potentially atelectasis or scarring with underlying COPD is mild.,229975a2-d2e6a791-a66a597a-9b370606-8323c2cd +55484286,"Diffuse mediastinal widening is likely a combination of mediastinal lipomatosis and distended vessels, but the possibility of underlying lymphadenopathy is not excluded. Mild to moderate cardiomegaly and widened right paratracheal stripe compatible with underlying lymphadenopathy.",e9683fa3-283e5f0c-c05c217c-b320d070-4a8e9fc0 +55485079,"Severe pulmonary consolidation in both lungs is seen, worse on the right than on the left. Severe pulmonary consolidation in both lungs is seen, worse on the right than on the left.",7299f098-d62bc751-9fe83648-b69333fb-38bddb75 +55490259,"Linear left basilar atelectasis seen and linear atelectasis noted at the right lung base. Small opacity in the left retrocardiac region is probably a combination of elevated left hemidiaphragm bend adjacent atelectasis, although coexisting aspiration or infectious pneumonia are possible in the appropriate clinical setting.",9ca1e240-842fe6d2-5b26c6f5-a9523752-6603498e +55494760,The severe bilateral perihilar consolidation and right pleural effusion pattern suggests a large component of cardiac edema. The severe bilateral perihilar consolidation and right pleural effusion pattern suggests a large component of cardiac edema.,e6b4a152-bc73f001-84e7b150-4191779a-754f8459 +55498995,"There is substantial enlargement of the cardiac silhouette consistent with the diagnosis pericardial effusion, as well as opacification at the left base suggesting pleural effusion and volume loss in the left lower lobe. Enlargement of the cardiac silhouette with left basilar opacification consistent with pleural fluid and volume loss in all left lower lobe.",e538135c-ebad1b7e-5f239803-3d6bcf94-7c5fddc4 +55499739,There is substantial enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. There is substantial enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease.,06df3b11-81898aee-955508ec-3c40c0bd-2c592b21 +55504914,NGT ends in the fundus of a moderately to severely distended stomach. Dobbhoff catheter at the gastroduodenal junction.,fd4126e5-c5485b35-3bbc48fc-acb448fa-fb1b42b7 +55511619,"Lung volumes are low, and pulmonary and mediastinal vasculature are mildly engorged, with moderate interstitial edema, all pointing toward cardiac decompensation. Mild pulmonary edema and mediastinal venous engorgement are noted.",7e424a42-38f2b8c3-7cdac166-95452e5b-2ada132a +55514554,Small volume of right pleural effusion noted. Small volume of right pleural effusion noted. ,031f7904-9bf7d478-6ebc3f26-2ddf2209-700c9c83 +55515719,"There is no pneumothorax on the right following thoracentesis and moderate right pleural effusion with a small fissural fluid. Small right pleural effusion is noted following thoracentesis, and there is no pneumothorax, and the right lower lobe has substantially expanded.",b378a3b5-08a7504a-631c758a-059fd7ba-eea6caf2 +55518195,"Bilateral pleural effusions and left lower lobe atelectasis or pneumonia are not evident. Moderate bibasilar retrocardiac atelectasis is seen, and small to moderate bilateral pleural effusions, left greater than right, are present.",744f71f1-f6d7965d-b1962186-ee28d9f1-b157b253 +55525523,There is substantial enlargement of the cardiac silhouette with standard placement of the Swan-Ganz catheter and pacer lead. Massively enlarged cardiac silhouette with Swan-Ganz catheter.,049f350d-00784726-84389895-f7bb753f-7695f2b6 +55528477,"Mild interstitial pulmonary edema with small bilateral pleural effusions, left greater than right, and bibasilar ill-defined opacities which may reflect atelectasis though infection is not excluded. Mild interstitial pulmonary edema with small bilateral pleural effusions, left greater than right, and bibasilar ill-defined opacities which may reflect atelectasis though infection is not excluded.",242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce +55534474,Pulmonary edema with large left and small right pleural effusions is concerning for heart failure. Mild to moderate pulmonary edema and bilateral pleural effusions as well as a left basal parenchymal opacity are noted.,02e9477c-659b97b0-28c5c1b2-6f4e0865-3e04a039 +55544509,"There is asymmetric opacification most prominent in the right mid and lower zones, consistent with superimposed pneumonia on a background of vascular congestion in a patient with enlargement of the cardiac silhouette.There is enlargement of the cardiac silhouette with moderate pulmonary vascular congestion and moderate right pleural effusion with compressive basilar atelectasis.",ec82f84b-cccfc6e5-fa5fe314-b10d2e0f-0d272479 +55553875,"Orogastric tube extending into the stomach, with the tip beyond the scope of this examination. Orogastric tube extending into the stomach, with the tip beyond the scope of this examination.",d506da5a-b2dad80c-f31e282e-15154de3-b4385bea +55562335,The lung bases are relatively underpenetrated on the frontal view due to patient body habitus. The lung bases are relatively underpenetrated on the frontal view due to patient body habitus.,cd202e14-5a239c8c-8bba8f71-28fcffad-3ee8715f +55563866,"Small right pleural effusion, cardiomegaly, properly positioned tripolar pacemaker. Small right pleural effusion, cardiomegaly, properly positioned tripolar pacemaker.",1b28921d-4ff1da35-9168d4d3-3ae39a1f-15dedb6c +55564287,Old healed fracture deformity of the right proximal humerus is visualized. Nodular opacity projecting over the tip of the left scapula is present and might potentially represent summation of shadows but a pulmonary nodule is a possibility and S correlation with PA and lateral views or potentially chest CT if clinically warranted would be identified,91db5745-87b0042c-4728fa53-e5352d85-501dae1c +55570024,Low lung volumes and greater opacification throughout the lungs is attributable to at least mild pulmonary edema superimposed on baseline interstitial lung disease. Lung volumes are low with mild interstitial reticular opacity due to pulmonary fibrosis and superimposed mild pulmonary edema.,aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd +55575670,Congestive heart failure is moderately severe with moderate pulmonary edema and apparent severe bilateral pleural effusions and adjacent basilar atelectasis. Congestive heart failure is moderately severe with moderate pulmonary edema and apparent severe bilateral pleural effusions and adjacent basilar atelectasis. ,b93327f5-228e6c2c-3dde8c34-4ed1cae0-997d5fc4 +55578653,"Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle.",6d3bfa82-e23e5cc3-0ffb37e5-cd4bd075-a922da89 +55583412,The severe bilateral perihilar consolidation and right pleural effusion pattern suggests a large component of cardiac edema. The severe bilateral perihilar consolidation and right pleural effusion pattern suggests a large component of cardiac edema.,94baae89-465cf7b4-d12f450e-b149838d-67c2edb4 +55588562,Moderate right pleural effusion is noted despite the right basal pleural pigtail drain. Large right pleural effusion collapsing the middle lobe and most of the right lower lobe is noted.,a54a1c95-9ef227c1-e64321cb-98c9470d-761b66f8 +55593187,"There is bilateral apical scarring, right more than left, with subsequent minimal apical pleural thickening. There is bilateral apical scarring, right more than left, with subsequent minimal apical pleural thickening.",318e2d2a-cd564b66-987b939f-2b0ded80-8fc82ad2 +55597534,"Findings compatible with COPD with superimposed acute bilateral process predominantly in the lower lungs, potentially edema or atypical infection. Findings compatible with COPD with superimposed acute bilateral process predominantly in the lower lungs, potentially edema or atypical infection.",1cbfd6d5-9adcc975-837ade15-105b6280-655efe4f +55597572,Presence of left chest cardiac device with associated single lead. Presence of left chest cardiac device with associated single lead.,1f96d075-e46aa57f-d3aa1e67-42ce2b69-83381327 +55598285,"Of note, heavy aortic valvular calcification and heavy mitral annular calcification, either of which could be hemodynamically significant, particularly the aortic. Probably specific bilateral apical scar formations, moderate cardiac enlargement with mild degree of chronic CHF but no evidence of acute pulmonary infiltrates or pleural effusions.",4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d +55599778,"Mild bronchial wall thickening due to bronchitis, asthma, or early viral pneumonia, although no lobar consolidation is identified. Mild bronchial wall thickening due to bronchitis, asthma, or early viral pneumonia, although no lobar consolidation is identified.",b53a5d0c-beb58dcc-f874282d-0102846b-2e781894 +55607397,"Moderately severe pulmonary edema accompanied by severe vascular congestion and severe cardiomegaly. Severe cardiomegaly with mild-to-moderate pulmonary edema, accompanied by at least small right pleural effusion.",ee320893-4029e55f-63eb67d9-b7889903-20c23ab3 +55609137,The cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the aorta. The cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the aorta. ,c04f1959-6d763649-3561d2d3-baf924f7-bac2214b +55609649,"Greater opacification in the lower lungs and perihilar left lung, accompanied by enlarged heart size, though normal, suggests pulmonary edema is the explanation for the new pulmonary findings. Right lung is clearing, but there is greater vascular congestion in the left upper lobe than before, and there may be a component of re-distribution due to patient positioning, particularly if patient is intermittently left decubitus.",6bad4c60-b2e3becf-a99801f7-aac3757c-2b669f35 +55610477,"There are low lung volumes with enlargement of the cardiac silhouette mild elevation of pulmonary venous pressure, and bilateral pleural effusions with compressive basilar atelectasis, more prominent on the left. There are low lung volumes with enlargement of the cardiac silhouette, elevation in pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left, with compressive atelectasis at the bases.",676f47c0-d614cf37-78b5c5d0-274cd2aa-9d6211ac +55610892,Lung volumes are low and there is diffuse bilateral parenchymal process favoring moderate pulmonary and interstitial edema rather than pneumonia. Markedly low lung volumes with crowding of the pulmonary vasculature with indistinct vasculature on the left raising a concern for asymmetric pulmonary edema.,e2639104-28411e18-bfafdd6f-8f7fed3a-0801198b +55611611,"Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. ",a4849658-ce9b054b-b59e436d-df3b5ab8-80025982 +55611959,"A remnant dual transvenous right ventricular pacer defibrillator lead is curled in the left axilla. Right jugular line ends at the origin of the SVC, right atrial and two right ventricular pacer defibrillator leads in place.",2e0ac0a9-c4f5e463-bfc3a350-8515448c-2f9a7358 +55615214,Elevation of the right hemidiaphragmatic contour with blunting of the costophrenic angle. Elevation of the right hemidiaphragmatic contour with blunting of the costophrenic angle.,5e56226b-f483939b-5c83520e-f030d297-124a879a +55620198,"The cardiac silhouette is enlarged with extensive cardiomegaly; standard position of the left ventricular assisting devise and the position of the pacemaker leads including ICD coiled in the azygos vein inserted through left subclavian and right ventricle. Moderate cardiomegaly and pulmonary vascular congestion and left lower lobe atelectasis, probably due to the impact of the left ventricle, are all long-standing.",da0fe691-6fcfcca4-8246f750-cb8b78a2-eec222bc +55629622,"A moderate-sized right hydropneumothorax is noted, with small component of pleural fluid dependent in the right lower chest. A moderate-sized right hydropneumothorax is noted, with small component of pleural fluid dependent in the right lower chest. ",982578b4-18516c2a-5faf15d7-e4641de2-eca3ad55 +55644325,"There is opacification at the left base with blunting of the costophrenic angle, consistent with pleural effusion and atelectasis. There is opacification at the left base with blunting of the costophrenic angle, consistent with pleural effusion and atelectasis.",00791688-1fab1483-c2c6bc65-78567732-ff0cf7cc +55645174,"Mild generalized edema is noted, but there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. In addition to left lower lobe collapse, and the bilateral heterogeneous basal pulmonary opacification could be due to a dependent edema.",97772d75-88b9c893-d5ad4dd5-f7763053-ca0dd70a +55646831,Largely diffuse left upper lobe opacity and left perihilar reticular opacities worrisome for significant pneumonia. Largely diffuse left upper lobe opacity and left perihilar reticular opacities worrisome for significant pneumonia.,1e31fec1-1f4cbc01-4583b395-5127c6f7-43b9a7e7 +55649635,"Moderate-to-severe pulmonary edema is evident accompanied by small bilateral pleural effusion. Widespread pulmonary opacification is moderately severe, particularly in the lower lungs, but the pattern is consistent with severe pulmonary edema.",fa76addb-604afc82-2fed6189-2657d8ca-8464dc84 +55650924,"Low lung volumes crowd the lung vessels; I can say there is no pulmonary edema, but there is presence of heterogeneous opacification at the left lung base concerning for aspiration. Lower mediastinum is shifted to the left, suggesting that left infrahilar opacification has a large component of atelectasis.",f65458e7-7ef7e73f-fea3b7ca-40749fee-38fb4aeb +55652630,"Left jugular line passes as far as the left brachiocephalic vein where it is obscured by overlying right atrial biventricular pacer defibrillator leads which follow their expected courses, continuous from the left pectoral generator. There is standard placement of the biventricular pacer device.",a4ced79c-68a99c35-e4a2aa15-21423671-0559dedf +55652987,"Small-to-moderate right and small left pleural effusion are noted, mild interstitial pulmonary edema and mediastinal and pulmonary vascular engorgement and borderline cardiomegaly are present. There is probably small to moderate right pleural effusion which would be better assessed with a lateral view.",8f27588d-1bdebd8f-27072fe7-d51a60d5-c6968fcf +55657134,"Moderately severe interstitial edema, moderate right pleural effusion. Severely enlarged cardiac silhouette is noted, moderate right pleural effusion is present, pulmonary edema is evident, predominantly in the lower lungs where there is also heterogeneous consolidation.",15f947b4-1be82012-29928936-17ccf8d3-135a3760 +55661010,"Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. ",010357e5-15fa3bea-a68903e4-6326524d-9a77b7db +55671568,"There is enlargement of the cardiac silhouette with moderate pulmonary edema and small right pleural effusion with basilar atelectatic changes. Moderate pulmonary edemis noted, small right pleural effusion Moderate cardiomegaly noted.",a182520b-602fa4e1-b77eda67-469d74a8-9403dc79 +55675760,"Right middle lobe opacity noted, query acute (infection or aspiration) on chronic process or worsening of known chronic lung disease. Right middle lobe opacity evident, query acute (infection or aspiration) on chronic process or worsening of known chronic lung disease.",aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2 +55681597,"Slight blunting of the costophrenic angles could be due to low lung volumes and pleural thickening, although trace pleural effusions are difficult to exclude. Low lung volumes with blunting of the costophrenic angles may be due to trace pleural effusions.",d53ea806-f9b5f637-2a0ee3e9-a8409e3d-56e8cf0f +55683961,"The small right apical pneumothorax is evident, A very small right pleural effusion is present and there is severe subcutaneous emphysema in the right chest wall. The small right apical pneumothorax is evident, A very small right pleural effusion is present and there is severe subcutaneous emphysema in the right chest wall.",c7891af4-7df49803-0c120b40-692b164a-f6728f33 +55687833,Moderate cardiac enlargement and mediastinal widening due to fat deposition is present. Moderate cardiac enlargement and mediastinal widening due to fat deposition is notedd.,b6a6935d-4971116a-88062d67-ad36e7ac-0fc76bdf +55693697,"Pacemaker lead is standard in position with mildly enlarged cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data Dual lead pacemaker and median sternotomy wires are standard in position Small bilateral pleural effusions and left basal atelectasis.",0121bc37-2ed8a362-8f9cdb83-edfbd075-1e86a1d6 +55694501,Moderate left and small right pleural effusions with associated compressive atelectasis. Moderate left and small right pleural effusions with associated compressive atelectasis.,9cb7472a-803c242b-a9526718-19d7b53c-e332df01 +55695509,"Greater opacification at the lung bases is probably a combination of bibasilar consolidation and moderate pleural effusions. Bibasilar airspace opacity with likely layering effusions, right greater than left, suggestive of compressive atelectasis, although bibasilar pneumonia cannot be excluded.",2d13a8b7-f90c5932-218e4fdf-056b5c2f-550c0a09 +55710466,"Cardiomegaly is accompanied by moderate interstitial pulmonary edema, accompanied by a small right pleural effusion. Cardiac silhouette is enlarged in size and is accompanied by moderate extent of pulmonary edema and mild right pleural effusion.",a1cd58cf-bef24282-3f8dd017-ac556cfc-92537bf4 +55714183,"There is patchy opacity at the right base which may reflect re-expansion pulmonary edema, although patchy ateclectasis or pneumonia should also be considered. Mild pulmonary vascular congestion/interstitial edema with opacities in the right lung base, which may represent asymmetric edema or superimposed pneumonia.",19e1160c-64331a2f-1c1287f4-deca2aae-a62a7beb +55715754,"Heart is enlarged but largely shifted into the right hemithorax. Marked enlargement of the cardiac silhouette, however, this may relate to AP, portable technique.",e539ba13-0f60a2b9-c5777304-ac5661fd-236f33a8 +55719726,Presence of very small right pleural effusion and right basal atelectasis and sufficient calcification in the aortic valve to raise question of hemodynamically significant aortic stenosis. Lungs are clear except for patchy and linear bibasilar opacities which may reflect atelectasis or aspiration.2,e2355bc9-8bf0bfaf-605c4222-bf3592b9-e1259f5b +55720395,"Lung volumes are very low and large areas of both lungs are obscured by hemidiaphragm on the right and heart on the left. Limited examination due to respiratory motion, but tip of NG tube appears to lie near the gastric antrum.",525f290c-cf5cb6e5-11ee38a0-a2a67848-2f55c7df +55725911,There is moderate enlargement of cardiac silhouette. Supine portable radiographs demonstrate placement of a feeding tube into the stomach.,2e5ac89a-e2d5d8c6-8cbf02bc-ec6e4725-9339a9cc +55728799,"Normal heart, lungs, hila, mediastinum and pleural surfaces. Normal heart, lungs, hila, mediastinum and pleural surfaces.",aa546728-20bdd90f-5ff37933-03763e88-8460fa7e +55736427,There are low lung volumes with a more elliptical opacity in the right mid lung likely representing loculated fluid/blood within the horizontal fissure. There are low lung volumes with a more elliptical opacity in the right mid lung likely representing loculated fluid/blood within the horizontal fissure.,1a734389-4bcb9234-220a253e-c22386fd-4f018ada +55739720,"Lung volumes are low, with a second large band of atelectasis at the right base. Lung volumes are low, with a second large band of atelectasis at the right base. ",53b32671-685e3433-612784a3-6c684cd8-e06dd901 +55740020,"Demonstration of cardiomegaly with mild globular appearance which may suggest a component of pericardial effusion along with large bilateral pleural effusions and mild-to-moderate pulmonary edema. Mild pulmonary edema, moderate bilateral pleural effusions, moderate to severe cardiac enlargement and substantial bibasilar atelectasis, left greater than right are present.",7576b31f-3445c62b-0b2c892b-4ec42aea-61ada0c6 +55741690,A wide band of linear scarring in the juxta hilar left midlung is present. A wide band of linear scarring in the juxta hilar left midlung is noted.,2a5046e4-c023b60a-61a89d1b-464d705c-e2b1eae7 +55743226,Left subclavian transvenous pacer defibrillator lead follows the expected course from the left axillary pacemaker to the floor of the right ventricle. The left axillary pacer pack is in standard position..,fd480467-a520cdee-c10d86b1-219b21f7-64bb593d +55746776,Mild leftward curvature of thoracic spine may be positional however is suspicious for scoliosis. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.,ae4c91eb-797ef162-94445cf7-b657d732-2344c20d +55748723,"There is substantial enlargement of cardiac silhouette with pulmonary edema and bilateral basilar opacifications consistent with layering effusions and compressive atelectasis. There is substantial enlargement of the cardiac silhouette, pulmonary edema, and bilateral layering pleural effusions more prominent on the right with basilar atelectatic changes.",f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77 +55751115,"Moderate right pleural effusion is seen, and moderate enlargement of the cardiac silhouette is also present consistent with moderate cardiomegaly and/or pericardial effusion. Moderate right pleural effusion is seen, along with pulmonary vascular congestion, in the setting of moderate to severe cardiomegaly.",839692be-04ae989a-2d56b63c-541abfe9-f8be40ec +55755138,"Severe postoperative volume loss, including marked leftward mediastinal shift and hilar elevation, after left upper lobectomy and left apical pleural thickening are present. Severe postoperative volume loss, including marked leftward mediastinal shift and hilar elevation, after left upper lobectomy and left apical pleural thickening are present.",b3c74d2a-5af41aa3-b45b6c26-d2267e9d-7c4138ac +55758533,"Mildly tortuous and dilated ascending aorta, compatible with a history of aortic stenosis. Mildly tortuous and dilated ascending aorta, compatible with a history of aortic stenosis.",44fd9408-57bb7612-99f6002c-71e76b77-a2040d14 +55775366,Saccular bronchiectasis and peribronchial infiltration in the right middle lobe and anterior segment of the right upper lobe are mild.,a19a99df-7a50369f-ebdcd74f-f24c8839-d8ab6214 +55775814,"Low lung volume exaggerates mild cardiomegaly, but moderate pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. Low lung volume exaggerates mild cardiomegaly, but moderate pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. ",8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a +55779414,Large right-sided hydropneumothorax with leftward shift of mediastinal structures compatible with tension. Large right-sided hydropneumothorax with leftward shift of mediastinal structures compatible with tension.,e12bad7a-760b3371-e15d9215-21ede9cc-79748575 +55782151,"The cardiac silhouette is more prominent and there is indistinctness of engorged pulmonary vessels, consistent with mild to moderate pulmonary edema. There is enlargement of the cardiac silhouette with engorgement of indistinct pulmonary vessels, consistent with pulmonary edema.",95d5ba34-c754c542-a7da4947-9dce8e85-e0668736 +55782701,Mediastinal and hilar contour abnormality should be assessed with chest CTA when clinically appropriate. Enlarged cardiac and mediastinal contours with somewhat tortuous unfolded aorta.,9e39cc45-a2ff14d4-3339ec28-dae4711c-f856e2b8 +55793283,Moderate enlargement of the cardiac silhouette with diffuse sclerotic bone metastases. Substantial enlargement of the cardiac silhouette in a patient with extensive sclerotic metastases related to prostate cancer.,e4803482-51fd078d-b1b0c75c-e66487fe-0e881cdc +55795536,"The cardiac and mediastinal contours are enlarged despite portable technique, but are likely present given differences in positioning. Heart is enlarged and the mediastinum appears widened but likely related to relatively low lung volumes and portable technique.",3c164f3b-ffb14176-c30b82ea-4fea8e11-213e5240 +55797023,"Right base opacity may be due to atelectasis adjacent to a large hiatal hernia though additional focus of infection or aspiration is not excluded. Mild pulmonary vascular congestion with noted bibasilar airspace opacities, nonspecific, possibly reflecting atelectasis though aspiration or infection cannot be excluded.",c9af77d2-fad3eeed-901b28fb-003041ad-d1ad165e +55799349,Low lung volumes accentuate the transverse diameter of the heart. Low lung volumes accentuate the transverse diameter of the heart.,d45a4f1c-aa9b0b1d-714e476e-b6f28f01-34d6bcdc +55801123,"There is all enlargement of the cardiac silhouette with elevated pulmonary venous pressure and left pleural effusion with compressive atelectasis at the base. Left pleural effusion is chronic, currently moderate-to-large, partially obscuring a large cardiac silhouette due to chronic cardiomegaly with or without pericardial effusion.",6de51358-d77c44f7-19d5cd49-0d32b6fa-15f71ae5 +55803143,"Mild peribronchial opacification in the lateral aspect of the right lung base, above the chronically elevated hemidiaphragm could be the residual of recent larger infection, or an early pneumonia. Asymmetry in the lower lungs consisted of mild-to-moderate opacification on the right, which could be an early pneumonia.",a1746ff2-d1af8629-93c25ff4-e7d87c86-532f4829 +55803590,"Widening of the superior mediastinum may be due to supine position and AP technique, although acute mediastinal process is not excluded. Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive.",42f9b759-e6e7ad97-975fc45e-f1a03ce4-1f252352 +55811525,"Diffuse airspace opacities in the background of fibrotic lung disease, findings could be secondary to vascular congestion, atypical infection, or acute exacerbation of interstitial lung disease. Diffuse airspace opacities in the background of fibrotic lung disease, findings could be secondary to vascular congestion, atypical infection, or acute exacerbation of interstitial lung disease.",3ea6406a-214fd5a4-1e6e4b0e-195445b8-1ea913b3 +55812727,"Borderline cardiomegaly with suggestion of possible left atrial enlargement, but no evidence of acute disease. Borderline cardiomegaly with suggestion of possible left atrial enlargement, but no evidence of acute disease.",0f3b10cd-b3e6a500-20370ada-6e3ab8b3-ad1019c5 +55815964,"Status post left VATS with post-surgical changes including atelectasis and volume loss in the left lung with left chest tube positioned appropriately. There is substantial partial left lung atelectasis, most likely of the post left upper and lower lobes with left mediastinal shift.",8556763c-b1bc6f79-edf4b821-e6261f21-f1f60684 +55827546,"Moderately severe cardiomegaly seen, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. Limited exam due to patient body habitus and portable technique.",6961188b-c38e2a5b-a99c020f-7b1d396a-86da5f49 +55831566,Cardiomegaly with appropriately positioned pacer wire. There is enlargement of the cardiac silhouette with intact sternal wires and pacer device in place.,40994464-b17516cf-be885c02-984e9fa1-79da2ac8 +55832727,"Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle.",64f99800-8450e0a6-9bcd9fa5-3fe8ad9f-9c164aa4 +55834779,"Diffuse parenchymal reticulation suggestive of interstitial lung disease, noted and consistent with known sarcoidosis. Diffuse parenchymal reticulation suggestive of interstitial lung disease, noted and consistent with known sarcoidosis.",9763cff1-26fe3d95-bb076c42-59a33d2e-4986039e +55847451,"Though interstitial pulmonary edema has almost cleared and small bilateral pleural effusions have decreased over the past five days, the irregular right juxtahilar mass-like consolidation is noted. Though interstitial pulmonary edema has almost cleared and small bilateral pleural effusions have decreased over the past five days, the irregular right juxtahilar mass-like consolidation is present.",dc259d24-611aa4fd-ede77026-cf06f0b3-9c9ae10a +55849664,Noted right middle and lower lobe pneumonia with small parapneumonic effusion. Noted right middle and lower lobe pneumonia with small parapneumonic effusion.,25392829-b64500bf-57a3c5ab-8bd982c2-cf08a2f6 +55851227,"Evidence of pulmonary nodules, better assessed on CT. Lateral right mid lung and bilateral lower lung opacities are worrisome for multifocal pneumonia. Evidence of pulmonary nodules, better assessed on CT. Lateral right mid lung and bilateral lower lung opacities are worrisome for multifocal pneumonia.",6e9a74d7-21c84522-a747db35-77dec447-6c76dd6e +55853389,"Pulmonary vascular congestion and hilar diameters are moderate in severety and small bilateral pleural effusions are noted, indicating mild cardiac decompensation. Pulmonary vascular congestion and hilar diameters are moderate in severity and small bilateral pleural effusions are noted, indicating mild cardiac decompensation. ",2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7 +55863688,"Status post extubation, the Swan-Ganz catheter tip extends about 2-3 cm beyond the mediastinum on this imag there are lower lung volumes which could accentuate this appearance.",e9d9f329-da18eb49-3fe8868a-a0852356-4e2cc1a8 +55866796,"Pectus, best appreciated on the lateral radiograph, normal size of the cardiac silhouette. Pectus, best appreciated on the lateral radiograph, normal size of the cardiac silhouette.",4f39f3cc-21398fd5-98bdb9b6-55653602-c53fc011 +55866927,Placement of Dobhoff and NG tubes is within the stomach. Orogastric tube coils upon itself in the stomach with the tip at the gastroesophageal junction.,e5ff06eb-15534151-f0889a9a-1ef2a26f-14945911 +55874928,"Bilateral pulmonary consolidation, most severe in the right lower lobe, less pronounced on the left, small to moderate bilateral pleural effusion, mild cardiomegaly and mild interstitial edema are evident. Bibasilar pulmonary consolidation accompanied by moderate pulmonary edema is worse in the right middle and lower lobes particularly.",fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9 +55875120,"Moderate to severe cardiomegaly, mild pulmonary edema and small bilateral effusions. Moderate to severe cardiomegaly, mild pulmonary edema and small bilateral effusions.",c12759af-b70b6882-d6cca08e-8811c264-7caf797c +55876368,"It could be due to vascular engorgement, but given evidence of prior median sternotomy and coronary bypass grafting, an acute aortic syndrome needs to be excluded, if not clinically, then with imaging. The heart is enlarged status post median sternotomy for CABG.",031113f9-e2466fb7-08d11a74-231bed81-45441968 +55876844,"Fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis, is present. Fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis, is present.",eddb9933-b3f09de6-7a247c23-5008736e-5f1faba5 +55883502,"Patchy right lower lobe opacification, probably compatible with atelectasis noting elevation of the right hemidiaphragm, although pneumonia is hard to entirely exclude. Patchy right lower lobe opacification, probably compatible with atelectasis noting elevation of the right hemidiaphragm, although pneumonia is hard to entirely exclude.",e03dd9c2-d0a3ddb0-0e9d72c3-1b4c5f92-9593c85f +55895933,Mild reticulation in the right mid lung at the upper pole of the hilus is probably mild bronchiectasis. Mild reticulation in the right mid lung at the upper pole of the hilus is probably mild bronchiectasis.,251055e0-64cd0630-6673abff-5459cfcf-d5ddcf0b +55901243,"Moderate bilateral pleural effusion, left greater than right. There are radiographic findings, specifically small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs.",f329badd-5f934b2d-44503f43-93b04e89-810e8f0c +55902256,"Extensive opacification in both lungs, sparing the left mid and lower lung zone seen. Severe widespread pulmonary infiltration has noted, with near confluence of opacification in the left lung, an increase in moderate left pleural effusion.",e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98 +55907924,"lung volumes are chronically low and the right hemidiaphragm is elevated, responsible for right lower lobe atelectasis, but there is no pulmonary edema or pneumonia, or indication of significant pleural effusion. Heart size is indeterminate, obscured by elevated diaphragm and kyphotic positioning.",9c8bbef1-95e3b0fb-eea57c06-586fe950-918a79be +55908245,"There is moderately enlarged pulmonary vascular caliber, small bilateral pleural effusions and suggestion of mild edema all pointing toward biventricular cardiac decompensation. Moderate cardiomegaly and mild interstitial edema accompanied by small bilateral pleural effusions are noted.",c8f77e9b-ae1d0935-5fc5b81a-bbae4b84-91567aec +55926507,"Low lung volumes with linear opacity in the right mid lung consistent with subsegmental atelectasis and retrocardiac consolidation with air bronchograms likely representing lower lobe atelectasis given the position of the endotracheal tube being in the right main stem bronchus. There is severe combined atelectasis of the right middle and right lower lobes, likely due to mucous impaction in the bronchus intermedius.",e3e6cc59-4cfa69f0-eb73c903-0346145f-f6ae821f +55937788,Moderate cardiac enlargement without evidence of CHF in patient with evidence of previous sternotomy. Moderate cardiac enlargement without evidence of CHF in patient with evidence of previous sternotomy.,af0c4020-5add1573-1c5ab2bf-de56409e-b3748c43 +55940912,Small pulmonary nodules in this patient with known history of multiple pulmonary nodules. Small pulmonary nodules in this patient with known history of multiple pulmonary nodules. ,a025f08e-de9dddc4-8716a1ac-899ce213-d7289c7a +55944918,Cardiomediastinal contours including the small bulge in aortopulmonic window are noted. Cardiomediastinal contours including the small bulge in aortopulmonic window are noted. ,6021cfe7-e84289ad-c2738e0c-e8db237c-d7147774 +55946640,"Small right pleural effusion, pwith associated right basilar atelectasis. Small right pleural effusion, pwith associated right basilar atelectasis.",ed9628e5-62ce1427-67e04f11-6daf5632-424ef2d1 +55947318,"There is mild vascular congestion in this patient with dual-channel pacer device with leads extending to the right atrium and apex of the right ventricle. Mild interstitial pulmonary abnormality is also long-standing attributable to previous episodes of pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion New trans subclavian right atrial right ventricular pacer leads continuous from the new left pectoral generator.",2c5c8a39-6ae3dd9e-2b4d5279-6bb07505-1b57f5ab +55947692,"Substantial amount of pneumoperitoneum, consistent with patient's known perforated diverticulitis. Substantial amount of pneumoperitoneum, consistent with patient's known perforated diverticulitis.",5338edd0-50f5acc9-e2b17f61-df5423a3-36b08d58 +55957472,"Rght internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion.",10de7e37-6e13bc83-6797db44-6cac4fdb-8bcba198 +55958316,"Moderate cardiomegaly and mild interstitial edema accompanied by small bilateral pleural effusions are noted over the past several days. There mild pulmonary edema, more edema or concurrent atelectasis in the right lower lobe, left lower lobe atelectasis, severe cardiomegaly, a small fissural right pleural effusion.",b570093b-0dc0e880-c0006423-ad6a31ed-d87e89fa +55960520,"Mild pulmonary edema his evident, but greater opacification at the right lung base is concerning for pneumonia, accompanied by small right pleural effusion. Mild edema is present in both lower lungs, and there is severe consolidation at the right base, either pneumonia or atelectasis, accompanied by small to moderate right pleural effusion.",33ecbdf2-35c3aa31-e848a7b9-a49131b4-0690b4a3 +55966450,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,488be5c1-df6c98d6-5a8ab963-a827d34e-5a25ccc3 +55968926,"There is a left upper lobe mass with associated opacification are rounded consistent with possible malignancy or associated pneumonia. However, the extensive opacification in the left mid lung is seen, consistent with chronic necrotic pneumonia with abscess formation in the lingula.",09a1e64f-23ae347f-cda48fff-8cd6e499-65b4bed0 +55972946,Post-operative pneumoperitoneum and low lung volumes and bibasilar subsegmental atelectasis. Post-operative pneumoperitoneum and low lung volumes and bibasilar subsegmental atelectasis.,db1c4e24-acd97bc7-d5e97d65-04ffb3e5-9c036419 +55980966,"Lung volumes are quite low, exaggerating what is at least mild cardiomegaly and some pulmonary vascular engorgement, and probably explaining mild-to-moderate bibasilar subsegmental atelectasis. Lung volumes are low, pulmonary vasculature is engorged and hila are large, all pointing toward cardiac decompensation.",f1a28150-66237dd6-699fd87a-ac1c6ec6-61f0f104 +55983006,"There no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. There no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. ",8385af08-8516e6ef-1401e3b8-75199f0d-5e5877e1 +55999205,"There is moderate enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure.There is mild pulmonary edema, top-normal size heart, and small left pleural effusion with atelectatic changes at the base.",9b3b2ac9-c7621799-9c520077-028dc771-d93cf2d7 +56007699,Right hilar mass is associated with atelectasis of right middle lobe that is moderate in severity as well as there is moderate adjacent lymphangitic carcinomatosis and consolidation. Right hilar mass is associated with atelectasis of right middle lobe that is moderate in severity as well as there is moderate adjacent lymphangitic carcinomatosis and consolidation.,4d0cd285-e11ff67a-d4f1a9ed-0286ae1b-f74190b1 +56012267,Two thick-walled cavitary lesions in the right upper lobe are present. Two thick-walled cavitary lesions in the right upper lobe are present.,daf6cf16-a484b5dd-18011dd3-da52fe5d-68986a14 +56013519,Left-sided dual-chamber intracardiac device is noted with leads in appropriate position. Left-sided dual-chamber intracardiac device is noted with leads in appropriate position.,0f513599-eb6bddc9-4306d15d-46c7c0c2-a3c6c854 +56013922,The cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the aorta. The cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the aorta. ,c874667d-3a322fbd-378b624c-a8b7113e-491c9160 +56018459,Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis. Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis.,f268f466-63237ff9-71f67025-2f256fa0-8f9c0e56 +56024131,"Small bilateral pleural effusions are noted, but heart size is moderately enlarged and there is mild interstitial edema most evident in the right lower lobe. Cardiomediastinal silhouette including cardiomegaly is noted with bilateral pleural effusions which are at least moderate in right pigtail catheter being standard in position and minimal right apical pneumothorax is seen.",217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b +56024784,"Lungs are hyperinflated, due to chronic obstructive pulmonary disease, but clear of focal abnormality. Hyperinflated right lung is good evidence for COPD, either small airway obstruction or emphysema or both.",41cf21eb-9d52be87-edeedec8-7aecd1ac-5e5662c4 +56026588,"Transvenous left ventricular pacer lead is in standard position, terminating along the diaphragmatic surface of the left ventricle. Transvenous left ventricular pacer lead is in standard = position, terminating along the diaphragmatic surface of the left ventricle. ",db56756a-36970d83-92b338a6-23a982c5-fe090973 +56031350,Large right and small left pleural effusions is present. There are substantial bilateral pleural effusions and large reaches of consolidation in the right middle and lower lobes.,74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70 +56042355,"Extreme lung apices and right lateral chest are excluded from the examination. Frontal view of the supine torso centered at the umbilicus shows a feeding tube with wire stylet in place ending in the upper stomach, and a nasogastric tube extending just beyond to the mid stomach.",04833a58-a2f015d6-5d9e4afe-efa203f9-cfd9c1c6 +56042734,No acute intrathoracic process with mild right middle lobe and lingular bronchiectasis. No acute intrathoracic process with mild right middle lobe and lingular bronchiectasis.,c7c68b52-54b2bc92-e88ecc8c-e4048535-e3dbb409 +56043376,The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect.,928427f2-ea258174-1e7a326a-223e2d87-14e3a792 +56043671,"No definite free intraperitoneal air based on this portable exam. Lung volumes are slightly low, but lungs are clear.",d616d0a0-41025591-43cd391a-ee10bd11-29c865b3 +56051681,"Enteric catheter terminating in the medial right upper quadrant, likely within the distal stomach or proximal duodenum. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.",417162c9-a460e98a-56bf6ab3-b6c591a2-86230b6d +56055109,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,f7995b00-70025839-1b735979-92983f8a-5fb639f8 +56058164,"Lung volumes are low and there is diffuse bilateral parenchymal process which is seen favoring moderate pulmonary and interstitial edema rather than pneumonia. Lung volumes low, and there is interstitial abnormality and mediastinal venous engorgement suggesting it might be edema.",67106e2c-168fd4e2-52fbcc7d-4c4b2f27-5499c157 +56061315,"Appearance of the lower lungs suggests either mild interstitial lung disease or mild edema in the setting of emphysema. Mediastinal veins have reverted to normal caliber, suggesting that volume overload is not present, even though there is borderline interstitial pulmonary edema, and a small right pleural effusion.",0ac2b288-52510797-df0a6b75-70a649b5-d526e4dd +56078456,"The cardiac silhouette is enlarged and there is some prominence of interstitial markings that could reflect elevated pulmonary venous pressure, chronic lung disease, or both. The cardiac silhouette is enlarged and there is some prominence of interstitial markings that could reflect elevated pulmonary venous pressure, chronic lung disease, or both.",5c549479-dcb2c159-300ce6a6-b8362dc7-c43d8f1d +56081327,"Although there is severe enlargement of the cardiac silhouette and mild interstitial pulmonary edema, pleural effusion associated with congestive heart failure is generally predominantly right-sided and therefore this effusion is concerning for another diagnosis, including hemo thorax. There is severe chronic cardiomegaly, small right pleural effusion and the loculated right pleural or extrapleural fluid collection.",3df17cad-5c3f8bbb-76d9b10d-006a7939-4d898c97 +56081681,Cardiomegaly with appropriately positioned pacer wire. There is enlargement of the cardiac silhouette with intact sternal wires and pacer device in place.,0325340c-c95a8b30-4a454b66-d20de6cb-d5353596 +56084617,"Right pleural catheter standard in position, and is associated with a large loculated hydro pneumothorax in the right mid and lower lung. Large right pneumothorax with significant right lung collapse and leftward mediastinal shift.",68a9dec9-436c84d0-572f0df9-18929544-6b237d3b +56091680,"The course of this line is unremarkable and the tip of this line projects over the inflow tract of the right atrium. Standard placement of the left subclavian Port-A-Cath with the tip ending in the upper SVC, which courses into the lower SVC; however, loops back and the tip is in the upper SVC.",efd6465a-dbaa29e8-244c7d40-06f432d7-c7150e7d +56093476,Left lower lobe opacity a combination of small left effusion and retrocardiac atelectasis are noted. Patient has been extubated which may account for increase in caliber of the cardiomediastinal silhouette as well as moderately severe left lower lobe atelectasis and new milder atelectasis at the right base.,210f9c01-9e0728bf-4b8ec9bf-34d1564e-16cf509c +56094236,"Heart is moderately enlarged, bilateral pleural effusions probably moderate in size, accompanying mild interstitial pulmonary edema attest to cardiac decompensation. Findings consistent with moderate congestive heart failure including pleural effusions with suspected left basilar atelectasis.",eb810218-60a5a044-852328e8-4cdeeaef-1befd540 +56094879,Marked cardiomegaly with no acute process. No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly.,8514ae6a-487dc3d0-b8e0ee76-b3d06968-3aad7ad0 +56097707,Enlargement of the cardiac silhouette with elevated pulmonary venous pressure and left basilar opacification consistent with pleural effusion and substantial volume. Enlargement of the cardiac silhouette with pulmonary edema that is moderate and may well be somewhat mild opacification at the left base is consistent with pleural fluid and volume loss in the left lower lobe.,3de6e01e-157ea365-d2474e3c-ab60b297-9e6bcadc +56101582,"There are lower lung volumes with moderate enlargement of the cardiac silhouette, pulmonary edema, bilateral pleural effusions with compressive basilar atelectasis on both sides. The the cardiac silhouette is more prominent and there is increasing pulmonary edema with bilateral pleural effusions more prominent on the left and bibasilar atelectatic changes.",c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4 +56104633,"Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional.",378d7d48-0cfa19a3-361e40d3-6bd71394-bca64527 +56107641,"Allowing for the AP supine technique, there is moderate enlargement of cardiac silhouette. The cardiac silhouette appears enlarged, some of which may represent the supine AP rather than upright PA study.",1576fdb0-f3f769a3-0cc33e1a-059fcee1-ff10d20d +56116675,"However, the extensive opacification in the left mid lung is seen, consistent with chronic necrotic pneumonia with abscess formation in the lingula. However, the extensive opacification in the left mid lung is seen, consistent with chronic necrotic pneumonia with abscess formation in the lingula.",d439d39d-cacf925c-2737a0f6-204add42-44e8cd99 +56118817,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",0a48d5b4-3f3aff93-e685c884-b13d2c6c-2c2ab46b +56129930,"Emphysema and left lower lobe pneumonia evident. If there was pneumonia in the left lower lobe it is mild, and since the patient has severe emphysema, it is more likely to have been largely atelectasis.",9870d11d-3a0d9c78-f49f71c6-58644dd5-ce1b85fb +56140154,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",fd8df0f3-08320e37-c337efdf-505d4348-76e89a9e +56140866,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",7b43b8ff-190d3ca9-03cfbbd3-45ad3d0d-72d06c1c +56151362," The lower right lung lower lobe and possibly middle lobe are collapsed and there is at least a small-to-moderate right pleural effusion, but edema in the right upper lobe is moderate.",9aa39b17-1e7fadb7-8b82c0a2-f73018d2-7ac798d1 +56153875,There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with previous median sternotomy with a CABG and mitral valve replacement. There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with previous median sternotomy with a CABG and mitral valve replacement.,a3d44928-d6b84811-5b2676b1-f659918e-bd270e68 +56162656,"Borderline cardiomegaly and mediastinal vascular engorgement. Although cardiogenic pulmonary edema is a possible explanation for although findings, concurrent pulmonary hemorrhage or pneumonia should be considered, Right jugular line ends in the mid SVC and it nasogastric tube ends in nondistended stomach. Nasogastric tube extends to the upper stomach, with the side-port in the region of the esophagogastric junction. Moderate enlargement of the cardiac silhouette with pulmonary edema.",3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc +56167449,"CHF with interstitial and alveolar edema, bibasilar effusions, and underlying collapse and/or consolidation, is present. Moderate pulmonary edema is is seen in the upper lungs, accompanied by at least moderate bilateral pleural effusion.",97e428ce-51d4215e-210ed55c-4327be47-4a10e46c +56179563,"Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. ",dbb3e7c3-35a17f99-7bcd2d4c-57f5a932-d79a20cd +56185390,There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib. There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib.,2434d6b8-4828302e-7923908c-d6ea3b85-b4cfc271 +56188631,"Aside from a band of subsegmental atelectasis at the right base, the lungs are clear. Moderate quantity of free air beneath the right hemidiaphragm.",d2d3a213-793a92c9-4c2f0695-bf38104e-033b7d22 +56193921,"There is opacification at the right base silhouetting the hemidiaphragm but not the heart border, consistent with collapse of the right lower lobe. The opacification at the right base is moderate, consistent with clearing of aspiration.",17e49d5f-2581bb66-bff08b0c-021e7e8e-38c4fcc5 +56194064,There is enlargement of the cardiac silhouette with tortuosity of the aorta and hyperexpansion of the lungs with flattening of the hemidiaphragms. There is enlargement of the cardiac silhouette with tortuosity of the aorta and hyperexpansion of the lungs with flattening of the hemidiaphragms.,26735886-785c02a9-9ec5f305-c16caeb7-8ddeb3c0 +56196471,Pulmonary edema with triple- lead pacer standard in place. Pulmonary edema with triple- lead pacer standard in place.,3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05 +56199247,"Moderately severe pulmonary edema, mild cardiomegaly and mediastinal vascular engorgement noted indicating moderate decompensation in the face of volume overload. Moderately severe pulmonary edema, mediastinal vascular engorgement.",56941204-63c3a811-c32c65ee-fd5dc81e-ef6dc8e0 +56214455,"There is bilateral layering effusions with bibasilar airspace disease, and these findings likely reflect bilateral pleural effusions with compressive atelectasis and superimposed moderate pulmonary edema. There is moderate interstitial component of edema in the upper lungs and the confluent consolidation at both lung bases, as well as pleural effusion, at least moderate in size.",aaae2ccb-5195b34a-97d13c9d-2f9ad735-44a7d31a +56216095,The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. Right apical and mid chest pleural tubes standard in their respective positions.,cadd4a61-f20934b5-eb57e9f4-3b4f3b61-8718edab +56216565,Significant enlargement of the cardiac contour with bulging of the right border raises concern for developing pericardial effusion. Cardiomegaly with globular configuration raising potential for concern for pericardial effusion.,de9e7463-d51a6b2a-2601990d-3ca399d2-0f7a8df4 +56217980,Moderate bilateral effusions and moderate interstitial edema. Constant moderate bilateral pleural effusions with signs of mild to moderate pulmonary edema as well as mild cardiomegaly.,430828eb-7dec0d0c-7b255eae-3baecf25-4a61cddb +56218099,Coarse reticulation in the lower lungs is presumably pulmonary fibrosis. Mild left basal atelectasis is the only focal pulmonary abnormality.,20d18a78-8f7cd753-628b5cf4-7d43c522-c3e8f53e +56219969,"Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly noted. Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly noted.",4311ab39-fdf14b78-f7e1cb44-06f554ac-a50702b8 +56220925,"Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. Post-operative widening of the cardiomediastinal silhouette is present.",0f20cabf-36c73318-eec1255d-ebc5dd0a-3389d19c +56230969,"Absence of heterogeneous interstitial abnormality in both lungs, probably pneumonitis or embolic phenomenon related to TAC therapy. Absence of heterogeneous interstitial abnormality in both lungs, probably pneumonitis or embolic phenomenon related to TAC therapy.",b8ec370f-450e80d9-25461f27-72d3da41-d6e10bae +56231194,"Cardiomegaly with aneurysmally dilated and tortuous thoracic aorta, better assessed on chest CTA. Moderately enlarged heart with enlarged tortuous aorta.",e919ccde-cbde9eef-ec83c6fe-361b22e6-fea7aa96 +56233609,"Hazy opacities bilaterally raising concern for mild pulmonary edema or possibly sequelae of acute chest syndrome; however, a somewhat focal component at the right lung base may be due to an early pneumonia. Mild cardiomegaly with diffuse ground-glass pulmonary opacity concerning for pulmonary edema or an atypical infection.",9c67a2e3-68620391-2e5a5578-0433f757-1eba00c6 +56234141,"Despite the right basal pleural tube, fissural and apical components of multiloculated right pleural effusion are moderate in severity, responsible for severe atelectasis in the right lung. Volume of the neoesophagus is small and there is retained contrast agent, seen.",39c4b238-25f6b12b-afab2399-a95f4e2b-a02239de +56237499,"AP chest: Lungs are clear, possibly hyperinflated, most commonly due to small airway obstruction or emphysema. AP chest: Lungs are hyperinflated, an indication of small airway obstruction or perhaps emphysema, but clear of any focal abnormality.",db368d36-8c00c286-fd73c287-46b788dc-3238c890 +56238840,One nasogastric feeding tube passes into the distal stomach or proximal duodenum where it is sharply folded and could be partially occluded. An upper enteric drainage tube passes to the junction of the second and third parts of the duodenum.,45dc8b2b-703d5d88-d0e05f85-35cc43ba-84b1f4be +56241369,"Bibasilar consolidation is moderate on the right and moderate to severe on the left. Bibasilar consolidation, moderate on the right, moderate to severe on the left could be pneumonia.",67a32863-338f2899-5e526d84-2639d564-a2204b9b +56249524,"Findings consistent with severe COPD, pulmonary arterial hypertension, and bibasilar interstitial process. Findings consistent with severe COPD, pulmonary arterial hypertension, and bibasilar interstitial process.",0fd2483e-20dd0ce1-75329782-17d1ddfd-e4e835a7 +56264253,"Tip of the new endotracheal tube is at the orifice of the right main bronchus and should be withdrawn 3.5 cm for appropriate positioning. A severe global pulmonary consolidation, favoring the right lung, is noted appreciably following intubation, ET tube in standard placement, OG tube ending in the upper stomach.",3ced14b8-2accf862-b2eab013-efdf4f2d-991f75eb +56267214,"Pneumonia in the right mid and upper lung is quite severe. Heterogeneous opacification in the axillary region of the right upper lung, most likely pneumonia.",dc460b17-20bafc45-b91e6c92-311eb0ad-7ea1a883 +56268607,"Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. ",da8cd0dd-573be530-0024ff8e-15e20b59-21e4a61d +56271024,"Small left perihilar opacity, may reflect known primary lung cancer or treatment related fibrosis. Small left perihilar opacity, may reflect known primary lung cancer or treatment related fibrosis. ",f403c773-516b1bf3-4068dd21-67aadc38-513ad05f +56272498,"Small left pleural effusion, moderate left lower lobe atelectasis, and moderate cardiomegaly are present. Obscuration of the left hemidiaphragm with blunting the costophrenic angles consistent with volume loss in the left lower lobe and pleural fluid.",67e8e551-3fb614a6-58610388-c92da136-a8d32ff8 +56277244,"Opacity in the right hemithorax could be right middle lobe pneumonia, or more likely an artifact of pectus excavatum. Opacity in the right hemithorax could be right middle lobe pneumonia, or more likely an artifact of pectus excavatum.",d8b6b619-9e181de2-c46adb2d-08194ead-eefd7108 +56290236,Limited study demonstrating small bilateral pleural effusions. Limited study demonstrating small bilateral pleural effusions.,ecd3a847-44218ca9-e9039305-57d97776-45c6a231 +56291217,Series of 3 images demonstrating placement of a Dobbhoff tube with the final image showing it terminating within the gastric body . Series of 3 images demonstrating placement of a Dobbhoff tube with the final image showing it terminating within the gastric body .,384cf52b-9692fbc2-b3a9f35b-7afe21a3-e935fdb1 +56302138,"There is moderately enlarged cardiac silhouette including extensive cardiomegaly, the position of the left ventricular assisting devise and the position of the pacemaker leads including ICD coiled in the azygos vein inserted through left subclavian and right ventricle. Enlargement of the cardiac silhouette with pulmonary edema is moderate and moderate opacification at the left base is consistent with pleural fluid and volume loss in the left lower lobe.",54140bf8-0a93e22f-fcdfa610-39ed40a3-a0e0136d +56304327,"If there are any calcifications in the left hilus, it is possible that the lymphadenopathy preseason may not necessarily be related to the new lung nodules, due to sarcoidosis instead. If there are any calcifications in the left hilus, it is possible that the lymphadenopathy preseason may not necessarily be related to the new lung nodules, due to sarcoidosis instead.",b9c18cbb-323135fb-0118b586-6d8846f0-a1099863 +56316578,"On the right, in a region of scarring involving the subpleural right lung along the major fissure, there is a region of roughly crescentic opacity which, in the presence of small bilateral pleural effusions is probably fissural fluid. On the right, in a region of scarring involving the subpleural right lung along the major fissure, there is a region of roughly crescentic opacity which, in the presence of small bilateral pleural effusions is probably fissural fluid.",6a69146c-06c97494-0560bf85-9106a119-4dad5197 +56321140,"Standard placement of the left subclavian Port-A-Cath with the tip ending in the upper SVC, which courses into the lower SVC; however, loops back and the tip is in the upper SVC. Normal postoperative appearance following left lower lobectomy, including anterior herniation of the right upper lobe.",200f5a93-8ca89ca4-c8399b9c-c65fba89-1fb40abc +56321718,Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation. Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation.,4aea4393-f44d4dd2-55ae2d64-e3486a9c-ee57460c +56329592,"There is enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure. Generalized interstitial abnormality, accompanied by mild enlargement of heart size, is probably cardiogenic pulmonary edema exacerbated by tracheal extubation.",2807416a-1e2f3ee5-da0d8c38-d898df41-666df4df +56348027,"Moderate to severe cardiomegaly within pacer leads are in standard position.. Enlargement of the cardiac silhouette, but with a somewhat globular configuration , underlying pericardial effusion or cardiomyopathy may be present.",c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa +56348727,Significant enlargement of the cardiac contour with bulging of the right border raises concern for developing pericardial effusion. Opacity in the right cardiophrenic recess likely represents epicardial fat in the setting of a severe pectus excavatum deformity.,2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7 +56349601,"Findings suggest mild zone pulmonary edema, but with concern for focal opacification in the left lower lung which may indicate coinciding atelectasis or pneumonia. Findings consistent with acute decompensated congestive heart failure including cardiomegaly, moderate pulmonary edema, and small, left greater than right, pleural effusion.",28846b1c-da929f47-35763299-12d7c8fa-da2e4559 +56350217,"Patient has returned to his left, with the heart now obscuring the midportion of the left lung, but there may be perihilar consolidation on the left. Mild pulmonary edema, moderately enlarged cardiac size, Left lower lobe collapse and moderate left pleural effusion are all noted.",14200531-39fee1a8-8d9a8e5b-6371c2b4-a4440c1e +56354797,"Lung volumes are low, with at least some increase in moderate consolidation and moderate pleural effusion at the right base, small pleural effusion at the left base, moderate-to-severe cardiomegaly, and mediastinal vascular engorgement. CHF with moderate bilateral pleural effusions and underlying infectious infiltrate can't be excluded, particularly on the right.",5c3a891f-05d81eb0-c4ade60a-d0b2c55e-b6856098 +56362705,"Multiple sub cm nodules in the bilateral upper lobes, which could represent an atypical pneumonia in the appropriate clinical setting. Multiple sub cm nodules in the bilateral upper lobes, which could represent an atypical pneumonia in the appropriate clinical setting.",64613c7b-ce9fb911-c2eb42ab-41a905ea-97ce9a9d +56372001,"There is poor aeration in the right lower lung, due to either some withdrawal of right pleural effusion, although I cannot see the Pleurx catheter at the base of the right chest; most likely severe obstruction to the right middle and lower lobe. Large region of consolidation in the right mid and lower lung zone is present, the patient showed evidence of mild cardiac decompensation and some of the opacity in the right lower chest was probably pleural effusion.",a57921f1-082e4298-c45f0a33-97a652fc-627f468e +56373683,"Right mainstem bronchus intubation, recommend retracting tube approximately 3 cm for more optimal positioning query hyperinflated balloon. Hyperinflation of the cuff has been constant since initial intubation, presumably the trachea is malacic or the ET tube is smaller than appropriate.",02c9f4f3-ce818858-04a867b4-0c5c1823-e247eb67 +56381590,"Streaky bibasilar opacities, likely atelectasis but infection is not excluded. Streaky bibasilar opacities, likely atelectasis but infection is not excluded.",b4f28648-ad5e7b85-c9c36b5c-975bd159-3da2a25f +56389775,"Left perihilar consolidation is severe in the mid and upper lung zones, but moderate in the lower. AP chest. ",70cc5d8f-bbf4b758-e95c371a-f0e2a6b1-09a32c70 +56397547,"Severe right lower lobe consolidation accompanied by some volume loss is present and in there are several small foci of consolidation in the periphery of the right lung, all pointing to widespread pneumonia and heavy secretions. The mass like consolidation due to pneumonia in the right lower lobe is severe.",e4ecf4d9-5ce7b0e1-e325db2b-85ecca33-c69c8031 +56400373,There is elevation of the right hemidiaphragm with opacification at the right base which likely represents a combination of right middle and lower lobe collapse as well as a mass with a small pleural effusion. There is elevation of the right hemidiaphragm with opacification at the right base which likely represents a combination of right middle and lower lobe collapse as well as a mass with a small pleural effusion.,30f6ed61-a49ee720-ba423996-56ae29fa-88f76b59 +56415175,Minimal blunting of the right costophrenic sulcus suggests a trace pleural effusion. Minimal blunting of the right costophrenic sulcus suggests a trace pleural effusion.,88dd4b9d-f5dc2b18-5e9e6141-943b90b2-39b71300 +56426120,"Somewhat unfolded prominent and tortuous aorta, noted. Tortuous aorta with likely ascending aortic aneurysm, noted, which can better be assessed with contrast-enhanced CT. Emphysema.",69e36e8f-cfe80296-fba1f08a-4b1e0db3-a8ace269 +56426152,"Mild edema, atelectasis and possible left lung contusion are not evident, linear bands of atelectasis are present in the left lower lung. Mild edema, atelectasis and possible left lung contusion are not evident, linear bands of atelectasis are present in the left lower lung. ",32f29bbd-708c39d5-e0e01140-65e5a8ac-a2a6f01c +56426309,"Heart is moderately enlarged, and pulmonary vasculature is engorged, but edema, if present, is minimal. Mild pulmonary edema and moderately enlarged heart size and pulmonary hila reflect volume resuscitation and relative cardiac insufficiency.",5432fbd3-085280d8-b2452bf4-52defb60-99f287db +56431482,Known aortic dissection. Short vascular catheter projects over the mid right humerus.,495e73be-71f5ed15-35bbd67d-363dfe60-32f375b6 +56433442,"Large area of opacity projecting over the right mid to lower lung is concerning for large pleural effusion, underlying consolidation for pulmonary mass not excluded. Large area of opacity projecting over the right mid to lower lung is concerning for large pleural effusion, underlying consolidation for pulmonary mass not excluded.",d263e868-0cc6db67-58f15831-a2a8a9ac-4c59911c +56440140,"Moderate right pneumothorax, particularly the basal component, following the placement of a right pleural tube. Monitoring and support devices are standard in place, as is the heterogeneous and calcified right lower lobe opacity consistent with a pleural based mass that is present.",421dff97-6d2b4aab-02ed28a8-54dd67f9-da2f957b +56440919,Cardiac and mediastinal contours are within normal limits given AP technique. Cardiac and mediastinal contours are within normal limits given AP technique.,7358c522-a008ba73-ad82f64d-377361fe-34cb3b0a +56441444,"Right lung is mildly congested but there is vascular congestion in the left upper lobe, and there may be a component of re-distribution due to patient positioning, particularly if patient is intermittently left decubitus. An enlargement in both cardiac diameter and size of the at least moderate to large hiatus hernia could be due to supine and AP positioning, but there is mediastinal vascular engorgement suggesting increased intravascular volume or pressure.",f50a6967-0c476fd1-f6b7ff3a-5cdaaa5f-c072b628 +56443683,"Substantially enlarged cardiac silhouette in a patient with extensive sclerotic metastases related to prostate cancer. Left hilar opacity with upward retraction of the left hilar structures, is present in this patient with known lung cancer.",5b429228-9769c874-369577de-11d25077-c9ad1f2b +56446284,There is hyperexpansion of the lungs reflecting underlying COPD. There is hyperexpansion of the lungs reflecting underlying COPD.,510e2767-2a04a9c8-afb492f8-57d38e8e-75d5d488 +56451222,"Heterogeneous pulmonary opacification is moderate in severity, but heart size is normal, and pulmonary vasculature is not particularly engorged. Heterogeneous pulmonary opacification is moderate in severity, but heart size is normal, and pulmonary vasculature is not particularly engorged.",408936b5-77f25bee-8f73cc21-251fc7bc-013094dc +56454351,"There is mildfullness in the right lower paratracheal station of the mediastinum, which could be due to distal distention of the azygos vein or development of enlarged lymph nodes in that region. There is mild fullness in the right lower paratracheal station of the mediastinum, which could be due to distal distention of the azygos vein or development of enlarged lymph nodes in that region.",cb8d35f1-a0181bde-a8292078-9c949b30-f3ba3ace +56456060,Mild blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions. Mild blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions.,eb015667-db827ca3-eadd5d39-1e4f2e30-bf09f5b6 +56460885," Moderate right pleural effusion is present, with layering. There is hazy opacification at the right base silhouetting the hemidiaphragm consistent with moderate layering right pleural effusion and compressive basilar atelectasis.",3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893 +56466110,Cardiomediastinal silhouette including cardiomegaly is noted with bilateral pleural effusions which are at least moderate in right pigtail catheter being standard in position and minimal right apical pneumothorax seen. Small right pleural effusion noted after insertion of a right basal pleural pigtail drainage catheter.,a7747cf0-5a042d25-ae9af09d-d8f2956d-ecfb087d +56469870,"Moderate right hydro pneumothorax, mostly fluid and substantial right basal atelectasis noted after initial pleural drainage. Moderate right pleural effusion is noted despite the right basal pleural pigtail drain.",92666ac1-70ccc2f3-66bc3d47-ed08bd0e-d444a359 +56470564,"Combination of dependent edema and atelectasis in lower lungs, largely obscured by heavy asbestos-related pleural calcification, isnoted. Combination of dependent edema and atelectasis in lower lungs, largely obscured by heavy asbestos-related pleural calcification, is noted. ",8ec25d32-d8679702-2fb2e638-24c54c84-34d1ee79 +56477444,"Severe enlargement of caliber of the pulmonary and mediastinal veins, and moderate cardiomegaly suggest that peribronchial opacification in the right mid and upper lung zone is asymmetric edema rather than pneumonia. Supine positioning is probably responsible for apparent increase in moderate to severe cardiomegaly and upper lobe pulmonary vascular engorgement.",b5ba8da0-31b932cf-ce8505a8-183cf855-29f186d7 +56480068,"Small bilateral pleural effusions and severe enlargement of the cardiomediastinal silhouette are present and there is no pulmonary edema. Small bilateral pleural effusions, pulmonary vascular engorgement, borderline edema, and moderate cardiomegaly with particular left atrial enlargement are evident..",567a1582-500df953-fc2fffac-c43d2f76-d2601cb4 +56486000,"Lung volumes are lower, new infrahilar consolidation in the left lower lobe could be collapse or pneumonia. 1 left hemidiaphragmatic elevation and moderate left lower lobe atelectasis reflecting respiratory splinting from known left-sided rib fractures.",144841f5-0126909a-cde81d66-1db1375d-b3ed7127 +56492056,"Question aortic valvular calcifications, difficult to differentiate from lung nodules, would be better assessed on CT. Question aortic valvular calcifications, difficult to differentiate from lung nodules, would be better assessed on CT.",a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8 +56494283,Enlargement of the cardiac silhouette with the monitoring and support devices in standard position. There is severe cardiomediastinal widening.,957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb +56497798,"Left-sided pacemaker, left ventricular assist device, bilateral chest tubes, mediastinal drains, and right-sided PICC line are standard in position. The left-sided pacemaker and pericardial drain are standard position.",9d32e96f-dcc52f72-a7262f7a-298b9e97-39fc55bb +56498272,"Interstitial alveolar opacities may reflect mild pulmonary congestion or active inflammation or infection superimposed on a background of severe fibrosing chronic lung disease. Patchy left posterior basilar opacity for which pneumonia or atelectasis could be considered, superimposed upon severe background pulmonary fibrosis.",cbf70dce-197f82f4-7b8613a7-c0b0b099-d1de4726 +56506968,"Lower lung volumes also accounts for severely enlarged heart size, and greater distention of mediastinal veins. Apparent increase in cardiac size and widening of the mediastinum likely relates to the portable technique and patient positioning.",431a17b6-190ff348-b3f07795-8b75e49c-9c2e5030 +56508966,"Left basilar opacification suggests volume loss in the lower lobe with pleural fluid, which could be related to splinting following rib fractures. Bibasal areas of atelectasis, a left pleural effusion are noted but there is more of atelectatic component at the left lower lobe potentially reflecting progression of infectious process in this location.",b5031f7d-b438708b-34d144c5-851d4759-a3184a84 +56512741,Enlargement of the cardiac silhouette with elevation of pulmonary venous pressure superimposed on diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease. Enlargement of the cardiac silhouette with elevation of pulmonary venous pressure in a patient with diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease.,f0efdf99-db7193c1-b47f4ffa-dd90a48e-2071134d +56521187,"Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery, noted. Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery, present.",7a216775-e98f5afc-c42f634c-2a4eb3e2-58227ec8 +56535476,Peribronchiolar opacities in the juxtahilar regions likely represent a bronchopneumonia in the setting of recent history of cough. Peribronchiolar opacities in the juxtahilar regions likely represent a bronchopneumonia in the setting of recent history of cough.,fa80d52e-25c85b24-0302d3d0-f2052c45-6faebca9 +56536310,"Supine positioning probably accounts for distention of the azygos vein and moderate enlargement in heart size, but the lungs are clear and there is no pleural effusion. Pulmonary vascularity is mildly engorged in the upper lobes and mediastinal veins are borderline dilated.",924ee1f2-b4628f80-13244a4a-e74a358f-825abf61 +56536391,"Lung volumes are low exaggerating a real increase in moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. Intermittent pulmonary edema is present, exaggerated by very low lung volumes but at least moderately severe reflected in enlarged hilar and mediastinal vessels, moderate cardiomegaly accompanied by moderate bilateral pleural effusion.",108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f +56541072,"Spine is not well assessed due to osteopenia and overlying external artifact, however, compression deformities in the mid thoracic spine are not excluded. Spine is not well assessed due to osteopenia and overlying external artifact, however, compression deformities in the mid thoracic spine are not excluded.",66fece2b-2fccf418-d23f1eda-9dde45e2-d85df8da +56545860,"Indwelling right PIC line ends close to the superior cavoatrial junction, indwelling atrial biventricular pacer defibrillator leads are standard in their respective locations continuous from the left pectoral generator. As far as I can see on a single frontal portable chest radiograph, there is proper position of left trans subclavian right atrial biventricular pacer defibrillator leads, continuous from the left pectoral generator.",c54b631c-b7726bc9-2bb21f6f-25f9eee0-57a0d6a6 +56570382,"There are patchy bibasilar opacities and at the left base, there is blunting of the costophrenic angle which most likely reflects patchy atelectasis in the setting of an effusion, although aspiration and pneumonia could also have this radiographic appearance. There are patchy bibasilar opacities and at the left base, there is blunting of the costophrenic angle which most likely reflects patchy atelectasis in the setting of an effusion, although aspiration and pneumonia could also have this radiographic appearance.",da99191c-5176d7bc-b809d55a-4429a7cd-ae8b21e9 +56587463,There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib. There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib.,7558ad38-de530501-5c2ff2a1-d74fe121-ba0cf77a +56589755,"There is severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. Cardiac silhouette is enlarged with elevation of pulmonary venous pressure and bibasilar opacification consistent with pleural fluid and atelectasis, especially involving the left lower lobe.",5561133e-55a2fb38-51a45d25-98a90295-40203962 +56592251,"Post-surgical changes in the right lower lobe with a small effusion, pleural thickening, and small right apical pneumothorax. Post-surgical changes in the right lower lobe with a small effusion, pleural thickening, and small right apical pneumothorax.",fd446187-4918e937-9c58f354-86463aca-af75d8a6 +56598807,"Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread.",9b4f1964-734c3d45-d58e0850-71a0baee-535ae2c8 +56599347,"Lungs are clear, cardiomediastinal silhouette noted including mild general dilatation of the aorta without focal aneurysm. Short vascular catheter projects over the mid right humerus.",2e25b67d-2fe26860-9bd31e83-0ae5d783-44e5bc1e +56605562,One nasogastric feeding tube passes into the distal stomach or proximal duodenum where it is sharply folded and could be partially occluded. An upper enteric drainage tube passes to the junction of the second and third parts of the duodenum.,e17d84db-087290bd-4a5f8f5b-fa788033-cfd452da +56605732,"Enlarged cardiac silhouette with bilateral perihilar opacities concerning for pulmonary edema, underlying pulmonary hemorrhage or infection not excluded in the appropriate clinical setting. Opacities projecting over the bilateral lung fields, in part relating to calcified pleural plaques, although perihilar opacities, left greater than right, raise concern for pulmonary edema with possible underlying infection, as above.",a445c04c-f8447b3a-f83c989c-97f7024d-ba4c2370 +56605773,"Mild distention of the pulmonary and mediastinal vasculature and mild left atrial enlargement, suggest intravascular volume or mild cardiac decompensation. Mild distention of the pulmonary and mediastinal vasculature and mild left atrial enlargement, suggest intravascular volume or mild cardiac decompensation.",5f058986-c0a46f7a-7d175c3e-c40f1bd2-e71884bf +56614061,"There is moderate interstitial lung edema, with a small to moderate right pleural effusion. Pulmonary vascular congestion is accompanied by moderate pulmonary edema and moderate right pleural effusion with associated slight aeration at the right lung base.",bd63a995-5035baef-7f63c277-92915a7a-253995c5 +56615285,"There are low lung volumes with enlargement of the cardiac silhouette, pulmonary edema, and probable bilateral pleural effusions with compressive basilar atelectasis. There are low lung volumes with enlargement of the cardiac silhouette, pulmonary edema, and probable bilateral pleural effusions with compressive basilar atelectasis.",64c24dca-a414a27f-c24e46d6-b41d673e-1a01d73e +56616764,"There isg mild pulmonary edema, more edema or concurrent atelectasis in the right lower lobe, left lower lobe atelectasis, severe cardiomegaly, a small fissural right pleural effusion. There is mild pulmonary edema, more edema or concurrent atelectasis in the right lower lobe, left lower lobe atelectasis, severe cardiomegaly, a small fissural right pleural effusion.",f76c2a78-65248647-1c1b4bdf-9896fb2b-f5c2ab8d +56617468,"Status post right pleural pigtail catheter placement with pleural effusion and no pneumothorax; pulmonary edema and small left pleural effusion are present. Cardiomegaly is accompanied by asymmetrical pulmonary edema, moderate right pleural effusion, and a small left pleural effusion and adjacent left retrocardiac atelectasis.",53013423-847183db-f162b5ca-9a000174-6427b00e +56618601,Small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs. One Dobbhoff feeding tube passes into the upper stomach and out of view.,dbbd8ca0-a3e78630-061e92f4-cc6ea2d3-05314ad2 +56618763,Consider a dedicated abdominal series to distinguish post-operative ileus from obstruction Consider a dedicated abdominal series to distinguish post-operative ileus from obstruction,ac34d85d-8a18bdb4-6a76e6b3-63e71de7-dd331e6c +56619225,Low lung volumes with exaggeration of the cardiac silhouette and bronchovascular crowding. Low lung volumes with exaggeration of the cardiac silhouette and bronchovascular crowding.,8146d764-df8a61cc-05eee7e7-2a09b0ca-af854e29 +56625924,Enlargement of the cardiac silhouette with single lead pacer extending to the right ventricle. Enlargement of the cardiac silhouette with single lead pacer extending to the right ventricle.,e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8 +56630223,"The small right apical pneumothorax is present, A very small right pleural effusion is evident and there is severe subcutaneous emphysema in the right chest wall. The small right apical pneumothorax is present, A very small right pleural effusion is evident and there is severe subcutaneous emphysema in the right chest wall.",d915fd90-d34450bb-ed88704e-ead739d2-470fa99f +56644987,There is enlargement of the cardiac silhouette with pulmonary edema that may be mildly prominent. There is substantial enlargement of the cardiac silhouette with pulmonary edema and left basilar opacification consistent with volume loss in the lower lobe and pleural effusion.,498f05dc-57343a1b-c611226d-832d85bd-a088cd1e +56646773,"Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion.",e54056af-0e47378b-d4809463-9d218a22-17591156 +56648385,There is enlargement of the cardiac silhouette in a patient with a prosthetic valve an intact midline sternal wires. There is enlargement of the cardiac silhouette without definite vascular congestion or pleural effusion.,0b71f9fb-3c56b3bf-52d2654d-3143a294-060a965c +56659228,Widened mediastinum with engorgement of the pulmonary vessels is concerning for pulmonary edema in the setting of low lung volumes. Widened mediastinum with engorgement of the pulmonary vessels is concerning for pulmonary edema in the setting of low lung volumes.,46e392dd-8bae92bc-05e946e4-dad0f6d9-5866b783 +56661177,"Heart is enlarged but partially obscured by the elevated hemidiaphragm and the bibasilar atelectasis, left greater than right. Given the severe cardiomegaly and distortion of the left main bronchus, this could all be left lower lobe atelectasis in the setting of severe cardiomegaly, particularly left atrial enlargement.",a46cc3e2-acca97ab-6d4f6afb-2f31ce8e-81435979 +56661236,"Lingular pneumonia, with possible extension into the left lower lobe. Lingular pneumonia, with possible extension into the left lower lobe.",a10dea57-90f876f4-c66af250-6fb45322-6ef88ddc +56661680,"Hazy opacity overlying the left lower hemithorax could be due to overlying soft tissues, but dedicated PA and lateral chest radiograph is recommended to further evaluate this region to exclude an infectious consolidation in the left lower lobe. Elevated or herniated left hemidiaphragm noted.",537866b5-4423c6f9-f01223bc-1a4b2a8a-a550fd36 +56663989,"The large heart obscures left lower lobe but poor definition of the diaphragmatic interface has suggests atelectasis, and pneumonia not excluded. Obscuration of the left hemidiaphragm may in part relate to underpenetration, however as underlying atelectasis, consolidation, or pleural effusion is difficult to exclude.",74539665-467d0bc8-6f5c9920-f9b6e911-a6f92f44 +56664513,Multiple bilateral opacities throughout both lungs are highly concerning for septic emboli and less likely malignancy or inflammatory etiologies such as Wegener's granulomatosis. Multiple bilateral opacities throughout both lungs are highly concerning for septic emboli and less likely malignancy or inflammatory etiologies such as Wegener's granulomatosis.,f6996351-b7330fe0-c77b11b0-628b7301-475c940f +56666007,No pneumothorax with small bilateral pleural effusions and atelectasis with mild pulmonary edema. No pneumothorax with small bilateral pleural effusions and atelectasis with mild pulmonary edema.,0f55eb03-9eb3edde-1c46e2fb-60625b8b-86fdba40 +56670181,"Post-operative widening of the mediastinum is seen in the region of the arch, but there may be an enlarged caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion.",5c6e01e3-164c30db-22196724-376748a3-d299a9eb +56676503,"Patient has chronic widespread mild to moderate bronchiectasis and occurence of small areas of peribronchial inflammation, presumably related to bronchiectasis. Patient has chronic widespread mild to moderate bronchiectasis and occurence of small areas of peribronchial inflammation, presumably related to bronchiectasis. ",293ccf0f-bbec782f-8f4cd724-1cb95930-9e395539 +56678203,"Patient has chronic widespread mild to moderate bronchiectasis and occurence of small areas of peribronchial inflammation, presumably related to bronchiectasis. Patient has chronic widespread mild to moderate bronchiectasis and occurence of small areas of peribronchial inflammation, presumably related to bronchiectasis. ",45b13b1f-9e2d6eb7-f39f8df6-c24b1ef4-7f0aa665 +56679657,Lungs are low in volume but essentially clear. Upper enteric drainage tube ends in the distal duodenum.,135f75db-12a94b0c-6c6aab28-36eee09d-648f5827 +56680584,Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning. Large cardiac silhouette is noted. s/p insertion of a pericardial drainage catheter.,ef97e724-84de20c9-3e73a8b5-65a01e95-2f82137a +56693397,"Massive cardiomegaly, known left lower lobe collapse. Severe cardiomegaly and moderate-to-severe left lower lobe atelectasis are noted.",7e950526-ccc5960e-735b0f76-a80365d9-139f5bff +56696460,"Bibasilar opacities, likely due to atelectasis, severe right base opacity may be due to atelectasis, although underlying infection or aspiration is not excluded. Right base opacity may be due to atelectasis adjacent to a large hiatal hernia though additional focus of infection or aspiration is not excluded.",a86906cf-710c164d-b996484a-ac9ade58-dbcff302 +56699078,Signifcantly the left large hydrothorax causing near complete collapse of the left lung. THERE IS ALMOST COMPLETE OPACIFICATION OF THE LEFT HEMITHORAX FOLLOWING PNEUMONECTOMY.,efc15848-2e4788fd-35891eca-87c4c2a8-e9d28d15 +56712342,"Moderate cardiomegaly with mild interstitial edema as well as moderate-to-large right-sided subpulmonic effusion and significant density at the right lung base which may represent concurrent pneumonia. Moderate cardiomegaly with significant right pleural effusion and right mid and lower lung atelectasis, difficult to exclude a superimposed pneumonia.",a9c772ae-200934a7-b6e1a70f-b42f3c60-9ddecf2b +56713351,"Moderate enlarged of the cardiac silhouette making it unlikely that there is clinically significant pericardial effusion, always a concern with disseminated malignancy. Cardiomegaly is chronic, and the patient has had moderate pericardial effusion. ",db395251-352c94c2-fcee5f77-85922f20-33f7f530 +56721487,"Cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the aorta in this patient with previous CABG procedure and intact midline sternal wires. Status post aortic valve surgery with moderate cardiac enlargement and elongated thoracic aorta, but presently no evidence of pulmonary congestion or acute pulmonary infiltrates.",9c119cc4-8b633d5b-b1c3b4c6-82ee52b6-ff4477dd +56723000,"AP chest: Severe widespread subcutaneous emphysema throughout the chest wall and neck, and severe pneumomediastinum over the past several days. Extensive bilateral subcutaneous emphysema, with a small right apical pneumothorax which is likely given differences in positioning. ",40abd28b-1aff0d0a-65b3fc64-515e3b46-9caef400 +56749558,"There are known pleural and parenchymal changes on the right, including a small loculated intrafissural pleural effusion. There are known pleural and parenchymal changes on the right, including a small loculated intrafissural pleural effusion. ",f6a45850-afbc320a-ab118fd9-85e788d6-d88d5060 +56753331,The tip of the Dobbhoff tube extends to the distal stomach or possibly into the proximal portion of the duodenum bulb. Dobbhoff tube coiled in fundus of stomach.,3fc3893f-6a756dad-3cfcb050-5d1e7080-9ef06032 +56753518,"Enlarged heart with increased bibasilar airspace opacities, consistent with pulmonary edema. The pigtail catheters are again seen at the bases and there is again prominence of interstitial markings bilaterally.",ab680048-8257c201-858ba25c-718b230c-186cf3f4 +56761306,"AP chest. There is volume of the small residual right pneumothorax, with some pleural fluid replacing air at the base and small residual of pleural air at the apex. AP chest: There are minimal right pneumothorax in the basal medial components, now predominantly apical, and the small amount of pleural fluid or thickening at the lateral aspect of the pleural space. ",460564da-f530de8e-fabb35c1-53d562ae-404235d0 +56771404,"A 2 CM WIDE RING SHADOW PROJECTING OVER ANTERIOR RIGHT FOURTH RIB COULD BE SUPERIMPOSITION OF NORMAL STRUCTURES OR ANY REAL REGION OF FOCAL INFECTION, EVEN SEPTIC EMBOLUS. 1 is a roughly 2 cm wide ring shadow projecting lateral to the left hilus at the level of the third anterior interspace neck could be a cavity. ",7c32ce35-7b1034c4-629b82bd-91ec7754-06210160 +56775180,"Enlarged cardiac silhouette with bilateral pleural effusions and compressive basilar atelectasis, more prominent on the right. Enlarged cardiac silhouette with bilateral pleural effusions and compressive basilar atelectasis, more prominent on the right.",b9fa87e8-60fe2f5e-ead3ccb6-7ad496d8-8233efbd +56776331,"PA and lateral chest read: The lower lobes are symmetrically involved by a diffuse process consisting of mildly dilated and generally thick-walled bronchi, peribronchial infiltration that is predominantly linear, and thickening of interlobular septae. PA and lateral chest read: The lower lobes are symmetrically involved by a diffuse process consisting of mildly dilated and generally thick-walled bronchi, peribronchial infiltration that is predominantly linear, and thickening of interlobular septae.",ec2613ac-d859c02c-90a0d8c7-09a107c4-990690ec +56790426,"Patchy bilateral lower lobe airspace opacities with bronchial wall thickening, more pronounced in the right lower lobe, compatible with bronchiectasis and small airways infectious or inflammatory process. Patchy bilateral lower lobe airspace opacities with bronchial wall thickening, more pronounced in the right lower lobe, compatible with bronchiectasis and small airways infectious or inflammatory process. ",82d144fd-f088da1b-377b3165-5f6cfb78-e3e4ae80 +56801982,Evaluation of the right pneumothorax is limited by the presence of large subcutaneous gas collection and known severe bolus formation in the lungs. Extensive subcutaneous emphysema is present as well as pneumoperitoneum in this recently postoperative patient.,dedc8034-9860140a-df88abb0-b9b2fab5-3265641f +56805129,There is pacemaker leads. There is bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated shin with small amount of pleural effusion. There is large cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads.,8b21e141-af653815-b3918024-c96d4b9e-6805e677 +56817456,"There are substantially large cardiac silhouette with pulmonary vascular congestion and probable small bilateral effusions. Limited examination due to patient body habitus, though no definite pneumonia.",1a48fcb9-1ba60fd5-37d6cc93-9996cbca-e4a827ee +56833050,"Moderate to severe degenerative changes fo both acromioclavicular and glenohumeral joints, with probable chronic rotator cuff tear on the right. Moderate to severe degenerative changes fo both acromioclavicular and glenohumeral joints, with probable chronic rotator cuff tear on the right. ",b73bf324-b73f2173-694c520e-85a82ce2-93e7be3d +56836177,"Significantly diffuse interstitial markings bilaterally in this patient with known history of diffuse fibrotic interstitial lung disease, concerning for progression of interstitial lung disease and/or possible superimposed vascular congestion. Significantly diffuse interstitial markings bilaterally in this patient with known history of diffuse fibrotic interstitial lung disease, concerning for progression of interstitial lung disease and/or possible superimposed vascular congestion.",686a2b90-af0e2b68-75f6acc2-ea6fecdc-a69f5c88 +56839020,"AP chest: Large bilateral pleural effusions. Large left and moderate-to-large right, bilateral pleural effusions with bibasilar airspace opacities likely reflecting compressive atelectasis.",5644c5de-1ae5b48c-edb63079-e8230bfa-79dfbf13 +56840019,Cardiomegaly is accompanied by moderate pulmonary vascular congestion and moderate diffuse interstitial opacities suggestive of interstitial edema. AP chest: Large diameter of the heart and mediastinal and pulmonary vascular caliber suggests that moderate interstitial abnormality is due to asymmetric pulmonary edema.,3e9bfa41-70250cb0-d33887c3-436560fc-339ed2d6 +56847326,Pectus excavatum. Pectus excavatum.,42c0684d-a2f6f499-1215efe0-496a6638-f805c597 +56849860,"Substantial enlargement of the cardiac silhouette with tortuosity of the aorta, but no definite vascular congestion. Enlargement of the cardiac silhouette with tortuosity of the aorta but no definite vascular congestion. ",8e067d88-2ea4ee8d-21db2c6b-f78701cb-91ad53f9 +56855230,Granulomatous calcifications are present in both hila. Granulomatous calcifications are present in both hila.,2aadeb6e-8b5af4b3-f3ddd4f9-8d552d40-d8a5e821 +56858524,The cardiac silhouette remains enlarged with 3-channel pacer device in place. Enlargement of the cardiac silhouette with pacer device in unchanged position.,70da9ce8-660f957c-cff2916f-1e067a32-1f7149f9 +56883120,Consolidation in the left lower lobe with at least some component of volume loss suggestive of probable infection and component of atelectasis. Consolidation in the left lower lobe with at least some component of volume loss again suggestive of probable infection and component of atelectasis.,919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de +56886005,"AP chest: Exaggerated by the size of a large hiatus hernia, cardiac diameter has mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. AP chest: Exaggerated by the size of a large hiatus hernia, cardiac diameter is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure.",3891bb0c-3698159b-42c6500c-2c690e15-10917f35 +56889771,"Diffuse pulmonary abnormality is significant, probably pulmonary edema since it is accompanied by moderate chronic cardiomegaly and enlargement of the hilar vessels. There is enlargement of the cardiac silhouette with engorgement of poorly defined pulmonary vessels consistent with the diagnosis of pulmonary edema. ",def6f212-4f61456d-60919d0b-c6cddaaf-db3f108a +56894803,"AP chest: Exaggerated by the size of a large hiatus hernia, cardiac diameter is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. AP chest: Lung volumes are low substantially, with moderate consolidation and moderate pleural effusion at the right base, small pleural effusion at the left base, moderate-to-severe cardiomegaly, and mediastinal vascular engorgement.",2e82b549-d2fb6a33-4747e742-d21b905f-813ff996 +56895158,There is blunting of the left costophrenic angle which could represent small pleural effusion or pleural thickening. There is blunting of the left costophrenic angle which could represent small pleural effusion or pleural thickening.,c855dbbc-7d247e08-21f25260-20ed7254-73ac858a +56896759,"AP chest: Significant consolidation in the right mid lung of the diffuse infiltrative pulmonary abnormality could be due to progression of pneumonia, mild edema or local pulmonary hemorrhage. AP chest and chest radiographs: Moderate opacification in the right mid and lower lung zones, while background interstitial pulmonary edema is mild, strongly suggestive of probably pneumonia. ",3b31865b-b41244e4-c46dbdca-c33ad6e4-3cca5768 +56900002,Significant pulmonary edema with triple- lead pacer remaining in place. Significant pulmonary edema with triple- lead pacer remaining in place.,d025d08b-868642d3-1968cca6-f44c2f1d-4c1dd9c7 +56901180,Re- demonstration of right infrahilar opacity compatible with known malignancy with adjacent patchy opacity in the right lung base which may reflect areas of atelectasis though infection cannot be excluded. Re- demonstration of right infrahilar opacity compatible with known malignancy with adjacent patchy opacity in the right lung base which may reflect areas of atelectasis though infection cannot be excluded.,27be8e47-777aa20b-bdfc0d00-edfb3263-1cebe4df +56902932,"Lung volumes are low with patchy bibasilar opacities and patchy peripheral linear opacities in the right upper lung favoring atelectasis, although pneumonia or aspiration should also be considered. Appearance of the chest includes low lung volumes and bibasilar atelectasis or scarring. ",4e2deb58-2087d69f-a4c1a7c8-776af924-1bd0202d +56905708,"There is substantial enlargement of the cardiac silhouette with only mild engorgement of pulmonary vessels. There are severe cardiomegaly and significantly engorged pulmonary vasculature, but there is no clear pulmonary edema or appreciable pleural effusion.",c35cd6f5-6d2f944e-e7517ba8-3d33af2c-aeb61176 +56908039,"Nasogastric tube passes below the diaphragm and out of view, a left trans jugular Swan-Ganz catheter ends in the main pulmonary artery, right internal jugular line ends in the region of the superior cavoatrial junction. AP chest: There is mild generalized edema, but there is significant consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis.",85023ebc-975e666f-4be00ab3-0de8159d-71962698 +56917340,"Moderate enlargement of the cardiac silhouette, a component which may reflect a moderate size pericardial effusion. 2. Moderate enlargement of the cardiac silhouette, a component which may reflect a moderate size pericardial effusion. 2. ",8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350 +56918682,"PA and lateral chest: Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery. PA and lateral chest: Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery. ",e8bee7e8-3d046a2b-a495f848-e8247e92-8a180494 +56921440,"Apparent large in caliber of the aorta at the junction of the arch and descending portions could be due in part to difference in radiographic positioning, but there is a significant mediastinal venous distention denoted by dilatation of the azygos vein accompanying mild pulmonary edema. Apparent large caliber of the aorta at the junction of the arch and descending portions could be due in part to difference in radiographic positioning, but there is a significant mediastinal venous distention denoted by dilatation of the azygos vein accompanying mild pulmonary edema.",d47b1887-47d16d76-fc1df56f-5a5cd514-a9f91c9e +56921446,"Significant bibasilar opacities, suggestive of atelectasis, and right hemidiaphragm elevation with chronic blunting of the right costophrenic angle. Significant bibasilar opacities, suggestive of atelectasis, and right hemidiaphragm elevation with chronic blunting of the right costophrenic angle.",154a0276-f9cc72dc-9907f2e1-f1f11272-93cc90ff +56922475,"Moderate to severe enlargement of the cardiac silhouette,may be due to significant cardiomyopathy or the presence of a pericardial effusion. Moderate to severe enlargement of the cardiac silhouette, may be due to sigificant cardiomyopathy or the presence of a pericardial effusion. ",41452399-c1ad7798-f6b82bec-04239f92-3d1db04e +56925922,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1 +56929753,"There are moderate-to-severe cardiomegaly and significantly dilated mediastinal veins, perhaps a reflection of supine positioning. Moderate to severe cardiomegaly, exaggerated by supine positioning, which also large mediastinal venous caliber.",2386d449-ff60da90-15b0f79f-2a63ae3d-146cb799 +56936171,"AP chest: Mild interstitial edema, along with a small left pleural effusion, partially fissural. AP chest: There are mild pulmonary edema and upper lobe vascular distention indicative of cardiac dysfunction, small bilateral pleural effusions, and the signficantly large cardiac silhouette. ",8ad111d7-bd7f226a-d10f242f-59b1df46-5defb013 +56948056,The cardiac silhouette remains within normal limits and there is moderate tortuosity of the aorta. The cardiac silhouette remains within normal limits and there is moderate tortuosity of the aorta.,ee1b7363-7791f3b8-05250aa7-b16ae53b-f1d3e209 +56951123,Pectus excavatum. Pectus excavatum.,0e20294a-a19790ed-687b001e-481e4273-f89dd2c4 +56956118,"Findings suggestive of congestive heart failure including apparent large heart size, small pleural effusions and prominent perihilar pulmonary vasculature. Findings suggestive of congestive heart failure including apparent large heart size, small pleural effusions and prominent perihilar pulmonary vasculature.",577e3751-aef1bbf3-e970d911-b1ad5a8e-af1b41d3 +56958096,No acute intrathoracic process with a large hiatal hernia causing mild left basilar atelectasis. No acute intrathoracic process with a large hiatal hernia causing mild left basilar atelectasis.,ea644819-f1117ff7-4f06774f-336c60f0-51a50fd0 +56961814,Significant pulmonary edema with triple- lead pacer remaining in place. Significant pulmonary edema with triple- lead pacer remaining in place.,61ae8e67-88ced0e9-c454f0c6-1cb71dd6-26e77a9e +56969126,Mild hyperexpansion and suggestion of emphysematous changes compatible with COPD. Mild hyperexpansion and suggestion of emphysematous changes compatible with COPD.,ca198d4c-70be63ec-5974f3e9-d6320a38-4eb83158 +56970093,"AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion.",56800e51-37c27e17-e57356ac-463bc851-663bdfa9 +56971397,"There is mild bilateral apical opacities but more severe of the left more than left basal opacities concerning for progression of the left lower lobe process, infectious in the patient with known history of cystic fibrosis. There is mild bilateral apical opacities but more severe of the left more than left basal opacities concerning for progression of the left lower lobe process, infectious in the patient with known history of cystic fibrosis.",9867f9b8-833b5f7f-18a67bac-b62caa15-7a215a2b +56972683,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. AP chest: There are mild pulmonary edema, significant edema or concurrent atelectasis in the right lower lobe, left lower lobe atelectasis, severe cardiomegaly, a small fissural right pleural effusion.",1b4e1f55-4fa1febf-abf7ed18-4531ddc4-2081f4ae +56983444,"Enteric tube is in good position and there is substantial dilatation of gas- filled loops of large and small bowel, consistent with an adynamic ileus pattern. Upper enteric feeding tube passes into the duodenum and out of view.",99417741-ca740461-763a545e-baf5aa74-65bf4e43 +56984180,Successful images show no advanced was the Dobbhoff catheter to good position Left-sided internal jugular vein catheter points cranially and should be repositioned Successful images show no advanced was the Dobbhoff catheter to good position Left-sided internal jugular vein catheter points cranially and should be repositioned,39bea45f-8269a068-67fbcd81-495f87cc-bde587cb +56986984,"Diffuse, prominent interstitial lung markings in the setting of prominence of pulmonary vasculature and mild cardiomegaly likely represents pulmonary edema. There is enlargement of the cardiomediastinal silhouette with poor definition of engorged pulmonary vessels, consistent with pulmonary vascular congestion.",b3068b62-93af079c-28037ceb-5f8b41e3-8d9c5e81 +56991236,Chronic fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis. Chronic fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis.,cf080221-83e85abe-e7849064-2dae1076-601c8319 +56993005,"There is severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. Moderately severe cardiomegaly, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema.",32fc392a-9a450d85-3d0a2229-e89958e6-49584ed9 +56993533,"AP chest: Lungs are clear, possibly hyperinflated, most commonly due to small airway obstruction or emphysema. AP chest: Hyperinflated lungs are due to emphysema or small airway obstruction.",c3827619-5b104baa-e1895045-007f9978-837ef55e +56997833,"Overall appearance of left perihilar opacity, may reflect known primary lung cancer or treatment related fibrosis. Overall appearance of left perihilar opacity, may reflect known primary lung cancer or treatment related fibrosis.",ff9fed32-307dfd9e-3f70b114-c9234fbc-6a057052 +56998267,"Significant consolidation in the right middle lobe is noted, most likely reflecting progression of infectious process, most likely consistent with postobstructive pneumonia. Significant multifocal pneumonia with residual opacity in the right middle lobe.",be319f71-2b1ab302-55580f5d-ffc6e9e0-9e90689a +56998787,Cardiomegaly in findings suggestive of chronic interstitial lung disease. Cardiomegaly in findings suggestive of chronic interstitial lung disease.,ca74e920-4ca91dba-8ccc5185-617107a8-82e5a48a +57001251,SEVERE Cardiomegaly with a cardiac device and its leads in stable position. Moderate to severe cardiomegaly and bibasilar atelectasis.,9dbf45cb-e6b01b87-76e4d3db-7a480daf-192bce3b +57001723,"Left hilar mass, consolidation in the lingula, severe emphysema, opacities in the right peripheral mid lung and in the left upper lobe. There is severe chronic pulmonary disease with emphysema, fibrous scarring, and bronchiectasis diffusely involving both lungs, especially in the apical and perihilar regions.",091d7e7b-911382e5-4350f5a9-e20145c0-1c75286f +57001920,"Mild interstitial pulmonary edema, coupled with small mild pericardial effusion and cardiomegaly, consistent with decompensated congestive heart failure. Mild interstitial pulmonary edema, coupled with small mild pericardial effusion and cardiomegaly, consistent with decompensated congestive heart failure.",0e7807f6-04937b8e-ac237c79-1200da23-76b0b8e3 +57005451,"Elevation of the left hemidiaphragm with overlying atelectasis, subpulmonic effusion not excluded. Elevation of the left hemidiaphragm with overlying atelectasis, subpulmonic effusion not excluded. ",a3ebe8b0-1678004d-48fa1d7d-c4d3b940-5f7a57d2 +57012563,Essentially unremarkable chest x-ray noting low inspiratory effort. Essentially unremarkable chest x-ray noting low inspiratory effort.,839682a6-30ec6c4c-12520bec-1825e8a9-d6a263d4 +57014765,"No evidence of acute pneumonia, but findings suggestive of COPD and moderately sized hiatal hernia. No evidence of acute pneumonia, but findings suggestive of COPD and moderately sized hiatal hernia. ",5abbfd91-57ab30f3-231c4823-f55fbfa9-5d5300a8 +57018476,Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.,9fbe751e-040f98f7-66f9047b-8c7b8554-28250c9c +57019853,"AP chest: What was predominantly a bibasilar infiltrative abnormality, left greater than right, is now significantly pronounced in the right lung, particularly upper lobe. AP chest. A left skinfold over the major fissure highlighting severe edema or consolidation in the left lower lobe should not be mistaken for pneumothorax.",cc421e05-ba52c579-96137ca0-fa81a980-c78a2d2f +57024984,There are significant upper lobe predominant emphysema and an asymmetrically distributed pattern of pulmonary edema. There is no widespread pulmonary edema in the mid and upper lung zones. ,98bf2cef-0c6a64e5-89934255-e10b6ef7-c38474b7 +57032173,"AP chest: What appeared to be a focal consolidation in the left lower lung is subsumed by moderately severe pulmonary edema. Moderately severe postoperative pulmonary edema, but looks severe due to lower lung volumes following tracheal extubation. ",0e064bcb-a3b8ea89-90e85aa8-525a773b-7c2718a7 +57033562,"AP chest: Nearly global opacification of both lungs characterized as combination of interstitial infiltration, some chronic and fibrotic, and subsequent diffuse ground-glass alveolar opacification is significant. Severe pulmonary reticulation due in large part to pulmonary fibrosis. ",b7af070d-78068621-15eff16b-a70624dd-db393d15 +57041570,Right jugular central venous infusion port ends just above the superior caval atrial junction. Right internal jugular central venous line terminating at the superior cavoatrial junction.,cd4c13d7-949c45ee-8508ec30-c9fed36f-bea3a8f6 +57045066,AP chest: Mild pulmonary edema and large caliber of heart and pulmonary hila reflect volume resuscitation and relative cardiac insufficiency. AP chest: Mild pulmonary edema and large caliber of heart and pulmonary hila reflect volume resuscitation and relative cardiac insufficiency.,b1286b1b-54d1211b-a25a3203-41c53701-f8ba9413 +57045176,"Grossly signficant thyroid goiter causing widening of the right paratracheal stripe. Patchy medial right lower lung opacity, non-specific; compatible with atelectasis but infection could be considered depending on clinical circumstances. ",20826cb6-21536aea-251f6984-7d353fb1-029fb362 +57048625,"AP chest: Heart may be slightly enlarged, though exaggerated by AP and supine positioning and low lung volumes. Heart size is enlarged, although it might be due to supine position of the patient in portable nature of the radiograph.",a23f7cc0-2cc8da91-5f864f5b-6672534c-98f63cd8 +57049495,Underpenetrated chest likely due to patient body habitus. Underpenetrated chest likely due to patient body habitus.,6e87c959-24dfa50c-d3d91e0a-70a0dfad-96865517 +57051632,"Allowing the difference in technique there is cardiomegaly, large bilateral effusions with adjacent atelectasis with probably collapsed left lower lobe and mild vascular congestion. There is a large left pleural effusion, obscuring the left heart border and possibly displacing the cardiac silhouette to the right, however the trachea is not shifted, and therefore I believe that there is considerable enlargement of the cardiac silhouette. ",d8d27634-c797ba3f-79f7384e-6dd55810-93915d51 +57053258,"The areas of diffuse ground-glass opacities in the left mid and upper zone is mild, most likely reflecting resolving hemorrhage or aspiration following the biopsy procedure. Bilateral perihilar infiltration, left-greater-than-right is probably not cardiogenic edema, alternatively diffuse alveolar damage, including acute drug toxicity, atypical pneumonia, or pulmonary hemorrhage. ",7f53537b-fa6d85dc-ba21f7bb-f4c04a3c-177aeed6 +57069327,"There is left lower lobe opacification in the retrocardiac region, and may be due to acute aspiration and or atelectasis. AP chest: Pneumoperitoneum, which developed after gastrostomy, is substantial. ",8531a641-5f0bd3c1-b6e592c6-294f4e41-1dc643c3 +57077344,"AP chest: Severe widespread pulmonary consolidation is dramatically significant, initially in the right upper and lower lobes, throughout both lungs accompanied by an severe left and small right pleural effusions. Generalized opacification reflects, in part, tracheal extubation, but probably significant pulmonary edema as well, superimposed on the multifocal infection and non cardiac edema in the lungs.",83833260-15c2f0ce-07c1f262-5cd7007e-819f17e6 +57080795,"AP chest: Generalized opacification in the right hemithorax is due largely to a large right pleural effusion projected over at least moderately severe pulmonary edema, seen signficant in the left lung. AP chest: There are large right pleural effusion, consolidation or collapse in the right mid and lower lung worse, and mild pulmonary edema in the left lung. ",196c8e5f-ab6084a7-145ac6ef-54b05747-9768ba0f +57086341,"PA and lateral chest: There are small right apical pneumothorax, a very small right pleural effusion, and severe subcutaneous emphysema in the right chest wall. PA and lateral chest: There are small right apical pneumothorax, a very small right pleural effusion, and severe subcutaneous emphysema in the right chest wall.",e3878a3c-d7eccddd-4784c189-6b006b3b-e58c987a +57086484,There is enlargement of the cardiac silhouette with moderate pulmonary edema and small right pleural effusion with basilar atelectatic changes. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and right pleural effusion with compressive basilar atelectasis.,f9af4910-694f5e1f-75e4a512-0bd1c6dc-e4616d88 +57089146,"The bilaterals alveolar opacities have disappeared on the right and are relatively significant on the left, again most likely representing a combination of pulmonary edema an infectious pneumonia. There is increased vascular plethora with patchy areas of alveolar infiltrate that are significant. The heart is globular in configuration the overall impression is that of significant CHF.",aaaa9831-9d16cbd6-73e400af-8f17ddaf-44968eda +57096024,"A right chest tube remains in place and there continues to be loculated right apical pneumothorax with some adjacent chain sutures and surgical clips in the right suprahilar region, suggestive of a post status of right upper lobectomy. PA and lateral chest: the small right apical pneumothorax is mild. A very small right pleural effusion is significant and there is severe subcutaneous emphysema in the right chest wall.",4998e40c-698af874-8c293856-85757f55-1a4817e4 +57107868,There is a substantial right and smaller left pleural effusion with compressive atelectasis at the bases. There is a substantial right and smaller left pleural effusion with compressive atelectasis at the bases.,d471efcd-b9883de0-61154002-0ed78c74-1fe5a5e5 +57120452,"Mild cardiomegaly with mild hilar congestion with possible nodularity at the right pulmonary hilus for which nonemergent CT is recommended to further assess. Calcified granuloma in the right lung, partly projecting over the seventh right rib moderate cardiomegaly with elongation of the descending aorta. ",b7013a8b-6c5dab19-f07b823e-d65d3507-a7548d2f +57120453,"AP chest: There is moderately severe pulmonary edema, obscuring what could be concurrent pneumonia, particularly in the left lung. AP chest: There has been a generalized heterogeneous pulmonary opacification in both lungs.",5cc8a35c-430e95e2-0ece986e-69a22503-cc4bf39e +57124801,"There are severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. Cardiac silhouette is enlarged with some elevation of pulmonary venous pressure and probable layering effusions with compressive atelectasis at the bases. ",c2b22508-19420edd-b20d6189-f63a4ebf-54d99e64 +57132221,"There is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. There is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.",38a9b23d-4349cfb4-451a3bfd-346ed01f-b4360327 +57135264,"AP chest: There are moderate to severe cardiomegaly, pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion. AP chest: There are moderate to severe cardiomegaly has worsened, there is new pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion. ",742a919c-4e4a6e34-f49de182-4a0dafcf-8b3c101b +57137730,"There is cardiomegaly with appropriately positioned pacer wire. Right jugular line ends at the origin of the SVC, right atrial and two right ventricular pacer defibrillator leads in place. ",f0e11656-d359330e-8e7c2e5d-09c9d0d0-583da81f +57142346,"Thickening of the right apical pleural margin could be a lung tumor, although there is abnormality in the right lung apex that looks like bronchiectasis or scarring. Emphysema with right apical pleural cap, likely scarring and pleural fluid after pleurodesis. ",12f2d9bf-89dc902e-a9cd6aaa-22c63b63-c5abd408 +57147904,Apparent lesion in left mid to upper lung compatible with underlying central mass lesion with superimposed postobstructive pneumonia and/or atelectasis. Apparent lesion in left mid to upper lung compatible with underlying central mass lesion with superimposed postobstructive pneumonia and/or atelectasis.,ef905e68-392ffa59-22123661-7afd32ae-30f983d5 +57149976,"Limited exam: large opacity obscuring the majority of the left lung which could be secondary to effusion and consolidation. There is apparently signficant in size of a large, partially loculated left pleural effusion.",9899772e-b051b74d-f68faa87-f45ebf9b-3fcd4d7b +57153483,"Multifocal bronchiectasis and lung nodules, likely due to history of atypical mycobacterial infection. Multifocal bronchiectasis and lung nodules, likely due to history of atypical mycobacterial infection. ",1497c1a7-0f52e042-8b3ffade-b8b71145-17eae73d +57163975,AP chest: Nearly confluent acinar opacification of the right mid and upper lung and to a lesser degree perihilar left upper lung. AP chest: There is extensive malignancy in the left upper lobe and infiltrate in the mediastinum and left hilus.,97a5f522-bb4f6eac-5f7d4736-30880e7b-872ea26f +57164346,"AP chest: Although the patient is intubated, lung volumes are lower, due in part to small-to-moderate pleural effusions. AP chest: ET tube, left internal jugular line are in standard placements, an enteric feeding and an enteric drainage tube pass into the stomach and out of view, right internal jugular large-bore catheter ends in the upper right atrium, approximately 2 cm below the low SVC.",135f90e3-562abed8-10d18797-fc0fc641-ea889ffb +57165304,"There is substantial cardiomegaly, biventricular pacemaker is and large bilateral pleural effusions as well as bibasal opacities that potentially represent layering pleural effusion versus consolidation, continues surveillance was continues diuresis is recommended. Large cardiac silhouette, pulmonary edema, bilateral pleural effusions suggests CHF that is significant, given differences in inspiration/technique.",efeee902-a228cde6-a6a4b031-7c26bc53-842009b9 +57166957,"Small right apical pneumothorax and right basal atelectasis following removal of the bilateral pleural drains. Blunting of the costophrenic angles is seen, consistent with pleural fluid and some atelectatic changes at the bases.",9e0b006b-70cbcb07-0aaf5bd7-5faf6256-c93f4008 +57167682,Layering bilateral pleural effusions with patchy bibasilar airspace disease consistent with compressive atelectasis and moderate to severe pulmonary and interstitial edema. Bilateral layering effusions and mild-to-moderate pulmonary and interstitial edema.,3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8 +57169558,"AP chest: Post-operative widening of the mediastinum is in the region of the arch, but there may be a large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. Severe postoperative cardiomediastinal widening, presumably hematoma. ",7ceecc91-32932b6b-bf0ae761-92a74cf7-fe124fbc +57171514,Hyperinflation and biapical blebs raising the possibility of underlying emphysema. Hyperinflation and biapical blebs raising the possibility of underlying emphysema.,1de015eb-891f1b02-f90be378-d6af1e86-df3270c2 +57174042,"A PA and lateral chest: There are a minimal pulmonary edema, extensive right pleural thickening or loculated fluid at the periphery of the right lung. A PA and lateral chest: There are a minimal, extensive right pleural thickening or loculated fluid at the periphery of the right lung.",0a8acf4e-79fa1809-f8cb320e-ec64a315-52784159 +57175390,"There is marked cardiomegaly, accompanied by pulmonary vascular congestion and interstitial edema as well as a small right pleural effusion. Threre is marked cardiomegaly is stable, accompanied by pulmonary vascular congestion and interstitial edema as well as a small right pleural effusion. ",50da6cea-7757397e-e0e5175b-5dfd32f3-3183a4d4 +57187080,Right hilar mass is associated with atelectasis of right middle lobe and there is a significant adjacent lymphangitic carcinomatosis and consolidation. Right hilar mass is associated with atelectasis of right middle lobe and there is a signficant adjacent lymphangitic carcinomatosis and consolidation.,b9d07ae5-876bb931-85ce766f-8dc425d4-5948363d +57188350,ET tube is in standard position preop with bilateral effusions. ET tube is in standard position preop with bilateral effusions.,334a4b19-e795f613-8d2902bb-9395ee99-28f4cf54 +57192814,"Right jugular line ends at the origin of the SVC, right atrial and two right ventricular pacer defibrillator leads in place. Tracheostomy tube and right subclavian vascular line, and transvenous atrio-biventricular pacer defibrillator leads are all in standard placements. ",a78450bf-630d9aa5-d48a79f1-41a5d2c2-802321fb +57198058,"AP chest: The patient was clearly in pulmonary edema with moderate cardiomegaly and at least moderate right pleural effusion. Right basilar opacity may be due to combination of pulmonary edema and right pleural effusion/atelectasis, however, underlying infection is not excluded in the appropriate clinical setting.",23944c5d-05acde48-c46484e1-0c68641c-e9ad6fd2 +57199757,"The left IJ dialysis line tip projects at the low SVC. AP chest: Supine positioning may explain large mediastinal caliber due to venous engorgement, particularly since the pulmonary vessels are distended and there is mild pulmonary edema. ",50c4c252-0054801a-aa949595-362953d3-23b18e2e +57204056,"AP chest: Aeration in the left lower lobe lowers. AP chest. Two pleural tubes are in position, both impinging on the midline, one at the level of the left upper lobe bronchus, the other at the level of the diaphragm.",f46e8d2c-be685657-0321ae36-1093f777-379d385b +57210258,AP chest: Significant substantial enlargement of the cardiac silhouette due to severe cardiomegaly and/or pericardial effusion. AP chest: Severe enlargement of the cardiac silhouette. ,5f17fe93-aaa0c148-72ccdc7f-ad2268b1-56572a09 +57214202,"Emphysema with persistent bibasilar opacities, more pronounced in the left lung base, suggestive of chronic airway inflammation and potentially infection or aspiration. Emphysema with persistent bibasilar opacities, more pronounced in the left lung base, suggestive of chronic airway inflammation and potentially infection or aspiration. ",4859ca51-f9aec9f3-e0959b5c-a6342b33-28811875 +57219522,"RECOMMENDATION(S): Recommend follow-up chest x-ray in ___ weeks, following pneumonia treatment, and if bilateral hilar prominence persists would recommend follow-up contrast enhanced CT chest to confirm and further characterize hilar lymphadenopathy which can be seen in infectious, inflammatory (sarcoid) and malignant (lymphoma, metastatic disease) conditions. RECOMMENDATION(S): Recommend follow-up chest x-ray in ___ weeks, following pneumonia treatment, and if bilateral hilar prominence persists would recommend follow-up contrast enhanced CT chest to confirm and further characterize hilar lymphadenopathy which can be seen in infectious, inflammatory (sarcoid) and malignant (lymphoma, metastatic disease) conditions. ",c190fb7d-da5b3a51-5f074369-736f62a6-589d6474 +57233393,"A left lateral convexity in the lower posterior mediastinal contour is most commonly a hiatus hernia, but an aortic aneurysm or lower mediastinal mass, could have the same appearance. Tortuosity of the aorta and moderate hiatal hernia are seen.",1072c678-fa1edea2-a74424cb-595778ce-39f7fe0e +57238617,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible.",2dbc33d8-a5b00a49-a6bfeea2-cff69532-91a4aac1 +57241138,"Right internal jugular line and the left trans subclavian right atrial and ventricular pacer leads, intact from the left axillary generator, are in standard placements respectively. Tunneled transvenous left ventricular pacer lead follows right subclavian approach. ",4bc5f178-5d714644-9cc072b9-d1ac0ed5-b4db2ba0 +57241942,There is significant pulmonary edema with triple- lead pacer remaining in place. There is significant pulmonary edema with triple- lead pacer remaining in place.,72173005-a21c911f-2db2f17d-033364e2-aaee101d +57242265,There are enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. There are enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease.,af6c2c8b-de4ab155-e59a3a03-1f473d61-d357be8d +57243655,"AP chest: Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. AP chest: Emphysematous left lung hyperinflated but clear.",e71e1f01-11b4f60d-139fce5f-3eed20e2-1b61e149 +57254304,Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation. Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation.,d8d6bec6-48c8a366-841c2d03-d9845540-66735bb4 +57258004,"Enteric catheter terminating in the medial right upper quadrant, likely within the distal stomach or proximal duodenum. Partially imaged abdomen demonstrates air distended loops of bowel, correlate clinically for possible underlying obstruction need for additional imaging. ",6e2797cc-f1c60fb3-30a651cc-c23cf3d1-b15803bb +57261102,"AP chest: Over the course of the day a mild cardiomegaly and pulmonary vascular congestion are minimal, mediastinal venous engorgement exists, but this could be a function of supine positioning. Prominence of the vessels and of the left hilum, suggesting CHF, though likely accentuated by supine positioning.",dd4d07ba-c78dcfab-fc8fc38e-e425a71b-29874f79 +57265603,"Patchy opacities the lung bases, more so on the right lower lobe, which may reflect infection or aspiration. Patchy opacities the lung bases, more so on the right lower lobe, which may reflect infection or aspiration. ",38708899-5132e206-88cb58cf-d55a7065-6cbc983d +57272372,"Given body habitus, mediastinal lipomatosis may also contribute. Mediastinal venous and pulmonary vascular engorgement have developed suggesting volume overload or early cardiac decompensation, but there is no edema and pleural effusion is minimal if any. ",3e95e1d8-dfda84b0-7eded0f8-e83090e4-12e3ff68 +57273388,The chest shows low lung volumes and a large hiatal hernia. Tthe chest shows low lung volumes and a large hiatal hernia.,880f55b2-21e9c680-823ecd8e-9ac3a7b2-836baabb +57274207,"AP chest: Right lower lobe collapse does not exist, but the lower lobe is severely atelectatic and/or consolidated. Left lower lobe collapse and right lower lung atelectasis.",5ca8e895-727feeb6-2817230e-65ce2e3b-5b8f315f +57276121,The more confluent left lower lobe opacity although may represent asymmetric pulmonary edema residua is concerning currently for infectious process. Hazy opacity within the left mid and lower lung fields with vascular indistinctness could reflect asymmetric pulmonary edema though additional areas of pneumonia are not excluded.,dd3bb5f4-72efaaca-854cacfc-e1b8f92d-745973bd +57279525,"AP chest: There are mild to moderate pulmonary edema and a moderate amount of loculated right pleural effusion. AP chest: Endotracheal tube has been removed, accounting in part for lower lung volumes. There are large cardiomediastinal silhouette and severe right pleural effusion, and mild interstitial edema and therefore vascular engorgement and cardiac decompensation are presumed.",414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb +57281227,"There are severely enlarged cardiac silhouette, moderate right pleural effusion, pulmonary edema, predominantly in the lower lungs where there is also heterogeneous consolidation. There are moderate cardiomegaly and pulmonary vascular congestion, accompanied by a moderate right pleural effusion and adjacent right basilar atelectasis.",44272033-b5295be7-f0373b0f-729ae692-1e1a3ba0 +57282583,"AP chest: Greater opacification of the lung bases is due largely to increasing small-to-moderate bilateral pleural effusions, atelectasis and mild dependent edema in the setting of very low lung volumes. AP chest: There are minimal pulmonary edema, but moderate to severe bilateral pleural effusions, and more atelectasis at both lung bases.",350c270f-70f4a764-33a53729-ec529c84-cd886aa9 +57289014,"Moderate anterior wedge compression of a vertebral body, approx level of L1, otherwise indeterminate age. Moderate anterior wedge compression of a vertebral body, approx level of L1, otherwise indeterminate age.",a30e7a85-23910be3-967d6653-109accd7-e4101dcf +57290683,"Diffuse interstitial abnormality predominantly in the upper lung zones, consistent with known sarcoidosis. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",9d8483b4-460ba2c2-3a8322ea-4d7df3ca-e1789d06 +57292244,Small right pleural effusion and right basilar opacity likely reflecting a combination of atelectasis and postsurgical scarring. Small right pleural effusion and right basilar opacity likely reflecting a combination of atelectasis and postsurgical scarring.,9bb86127-fb575908-ca75aaee-e4e15b0b-b804e9d3 +57293911,AP chest: Moderate right pleural effusion is significant despite the right basal pleural pigtail drain. AP chest: There is moderate pulmonary edema as has the volume of the moderate-to-large right pleural effusion.,a3dbcc01-a336ba92-1a8702d2-124e81f5-6a525305 +57294152,"PA chest: Moderate to severe enlarged cardiac silhouette, mediastinal veins, and new interstitial edema suggest cardiac decompensation, perhaps due to volume overload. The cardiac silhouette is enlarged and there is some prominence of interstitial markings that could reflect elevated pulmonary venous pressure, chronic lung disease, or both.",31b932ba-757c9228-940b6753-513b8ecb-705d05b5 +57304510,"AP chest: There are severe pulmonary edema, severe cardiomegaly, moderate right and small left pleural effusion. AP chest: There are mild pulmonary edema, moderate cardiomegaly, signficant pulmonary vasculature engorgement, and small-to-moderate right pleural effusion, findings all pointing to worsening cardiac decompensation. ",6c24203f-eb2ae77d-f8dc8d4b-8ca91798-a6dddd76 +57307723,"Left lower lobe collapse could be due to contralateral intubation; ETT should be withdrawn 5cm. THere is left lower lung collapse, probably from mucous plug. ",8f647240-3f5e4425-7c6a1798-7fa8005f-ecc04d35 +57308128,Overal pattern compatible with congestive heart failure with superimposed right lower lobe consolidations concerning for infectious/inflammatory process. Moderate cardiomegaly with mild interstitial edema as well as moderate-to-large right-sided subpulmonic effusion and increased density at the right lung base which may represent concurrent pneumonia.,5d60432d-9a9f7b91-2a3f88ee-8f0c574e-de8f7187 +57320234,PA and lateral chest: There are small bilateral pleural effusions and mild postoperative widening of the cardiac silhouette. PA and lateral chest: There are small bilateral pleural effusions and mild postoperative widening of the cardiac silhouette.,72a15dc0-cfcca17f-201baf20-76f2e298-e4123143 +57330459,"PA and lateral chest: Lateral view shows a surprisingly large anterior component of moderate-to-large right pleural effusion, with smaller posterior component. PA and lateral chest: Lateral view shows a surprisingly large anterior component of moderate-to-large right pleural effusion, with smaller posterior component. ",beb55654-98504d02-98628cdb-06081de2-be7990a2 +57331547,"There are enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure. Mediastinal veins are mildly dilated, but there is no pulmonary edema and the mild-to-moderate post-operative cardiac enlargement.",7d047120-d24a497e-fc26ea7e-6c3acc0c-ce5bc190 +57332361,Low lung volumes with right lung base mass visualized. Possible AP single view of the chest shows low lung volume with new right lower lobe opacity compatible with atelectasis.,11bf7fcd-96d58d34-49415fcc-c20c2b7d-1f340544 +57333607,There is significant enlargement of the cardiac silhouette with mediastinal venous engorgement and mild to moderate pulmonary edema. There is significant enlargement of the cardiac silhouette with mediastinal venous engorgement and mild to moderate pulmonary edema.,9748d26b-62549e8c-0a4fec22-48ae4480-691c7013 +57334765,"Multifocal bronchiectasis and lung nodules, likely due to previously provided history of atypical mycobacterial infection. Multifocal bronchiectasis and lung nodules, likely due to previously provided history of atypical mycobacterial infection. ",1f37fa7f-bbfdda2f-9ae5bac4-0027124f-f462fe0b +57361130,Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,92e316b6-8facf11c-bce58686-26309d9a-afc8bed3 +57361873,Basilar plate-like atelectasis without definite signs of pneumonia or CHF. Basilar plate-like atelectasis without definite signs of pneumonia or CHF.,7634db9d-273d50e3-b619164d-90d11c3f-2a46ab37 +57363067,"AP chest: Lung volumes are lower, exaggerating severe enlargement of the cardiac silhouette and volume of moderate-sized bilateral pleural effusions. AP chest: Although moderate bilateral pleural effusions and mediastinal vascular engorgement are signficant, pulmonary edema if any is only mild. ",d8bc7ccc-a2bac7c8-1dd6d0a5-5ed27c66-4f556bac +57365217,"AP chest: Relatively symmetric bilateral perihilar consolidation, most likely edema, is substantially miminal to mild in the right lung, not on the left, where there is moderate left pleural effusion. AP chest: There are moderate-to-large left pleural effusion, moderate right pleural effusion, moderate pulmonary edema, and large scale left lower lobe consolidation due to atelectasis or pneumonia, and all except the moderate left pleural effusion are prominent. ",ea76870d-7fdf2c99-bec8634e-1362050a-edc3c8fd +57368679,Chronic blunting of the costophrenic angles posteriorly may reflect chronic pleural thickening or trace bilateral pleural effusions aerated Chronic blunting of the costophrenic angles posteriorly may reflect chronic pleural thickening or trace bilateral pleural effusions aerated,f7349b90-c86e0ac7-2794b96b-e665dc2a-b3f47921 +57372388,"Opacities projecting over the bilateral lung fields, in part relating to calcified pleural plaques, although increased perihilar opacities, left greater than right, raise concern for pulmonary edema with possible underlying infection, as above. Opacities projecting over the bilateral lung fields, in part relating to calcified pleural plaques, although increased perihilar opacities, left greater than right, raise concern for pulmonary edema with possible underlying infection, as above.",f2029c31-2acb877f-a7000d23-c119d2f1-b5d4844b +57373953,"There are severe cardiomegaly, severe consolidation in the left lower lung, milder residual atelectasis at the right lung base and anterior segment of the right upper lobe. Left lower lobe is largely airless, and cardiac silhouette is severely enlarged. ",b201c59c-783b3811-27abc766-9831d333-e648e28e +57377735,"Subtle area of increased opacity in right upper lung could be due to superimposition of normal structures, but short-term followup radiographs may be helpful to exclude a developing pneumonia in this region. Sternum otherwise within normal limits radiographically. ",eaf779dc-f580b7b8-168b1b3c-53ee66c1-21268250 +57379357,Nodular opacity projecting over the tip of the left scapula is present and might potentially represent summation of shadows but a pulmonary nodule is a possibility and S correlation with PA and lateral views or potentially chest CT if clinically warranted would be identified Focal prominence of the descending thoracic aortic contour at the level of the AP window corresponds to focal type B aortic dissection with saccular aneurysm. No acute cardiopulmonary abnormality otherwise demonstrated.,e5ba5704-ce2f09d3-e28fe2a2-8a9aca96-86f4966a +57387398,"There are widespread bilateral pulmonary opacities, small bilateral pleural effusions, and extensive subcutaneous emphysema. AP chest: There aer moderate left pneumothorax and small collection of subcutaneous emphysema in the left chest wall.",c2e5830a-4b63b683-99043c6b-d9c3e685-cd66aa23 +57390903,"Cardiac silhouette and is somewhat enlarged and there is blunting posteriorly of what appears to be the left costophrenic angle, suggestive of minimal pleural effusion or pleural thickening. Cardiac silhouette and is somewhat enlarged and there is blunting posteriorly of what appears to be the left costophrenic angle, suggestive of minimal pleural effusion or pleural thickening.",8f866521-2083f0bb-a12df756-24346ecd-5e484e40 +57397512,Cardiomegaly with minimal interstitial edema vs. chronic interstitial changes; small right pleural effusion. Cardiomegaly with minimal interstitial edema vs. chronic interstitial changes; small right pleural effusion.,7d2e3c50-e0ca79fb-74b46922-68f9cb02-e05269e5 +57399078,There is signficant opacification in the right upper lobe with associated volume loss. Prominent right upper lobe opacity could be related to lavage fluid and or hemorrhage. ,85904052-28d3a26a-9a756f5e-03c7a51b-3a9f5f19 +57414582,"PA and lateral chest: Significant background opacification in the right mid lung zone, accompanied by greater vascular congestion suggests this is probably a component of pulmonary edema. AP chest: Huge cardiac silhouette is prominent predominantly to the right by an unusual intrapericardial collection which severely compromises the volumes of the right atrium and ventricle. ",8db7bace-d0275263-d4c4cdf2-a7b97382-76817caf +57420525,"Fullness in the right paratracheal mediastinum is due to a chronically enlarged azygos vein and mediastinal fat deposition, not adenopathy. There are some of the cardiac enlargement due to a small pericardial effusion and extensive mediastinal adenopathy. ",614cf968-41dc136f-73eb6d42-6b73032b-e0dde637 +57424140,"Signficant opacification the right hemithorax with large cardiac silhouette and engorged hilar vasculature, consistent with pulmonary edema. Opacification of the right hemithorax is mostly due to infiltration of airspaces with tumor as opposed to significant component of pleural fluid.",2d93fd96-9b0fecad-1fdab811-37caf33a-3874a948 +57426287,Large region of consolidation in the right lower lobe with history of the exacerbation of pneumothorax and its treatment with pleural drain is signficant raising concern for either rapidly developing pneumonia or pulmonary bleeding. Extensive consolidation and atelectasis predominantly involving the right upper and middle lobes is likely post obstructive from a right juxta hilar mass.,a18c7507-2e69a04b-701ddbf9-526439aa-c754e39b +57427881,"PA and lateral chest : The lung volumes are low, exaggerating top normal heart size. PA and lateral chest : The lung volumes are low, exaggerating top normal heart size. ",92134f99-0e73faba-1280ad81-218c68ba-933a85c5 +57429813,"There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could represent elevated pulmonary venous pressure, chronic pulmonary disease, or both. Enlargement of the cardiac silhouette with elevation of pulmonary venous pressure in a patient with diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease. ",2518c7ca-5bc35dd2-e35d9b4f-c44f6549-ee3b0443 +57432088,"AP chest: Heavy asbestos-related pleural calcifications obscure much of the lower lungs, but nevertheless I can see that there is mild edema in the lower lungs and small pleural effusions. AP chest: There is severe pulmonary fibrosis over the course of this hospitalization, probably a function of either concurrent pneumonia or acceleration of pulmonary fibrosis. ",e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868 +57433211,"There is no pneumothorax pleural effusion or mediastinal widening. There is mild cardiomegaly but there is no pulmonary vascular congestion or edema. Regarding to cardiomediastinal contours, there are cardiac size top normal and mild widening of the mediastinum.",f0f60c0b-52abfabd-2b92739a-f825fa77-74c719e9 +57440750,"Otherwise, there is enlargement of the cardiac silhouette with a pacer device in place, but no evidence of pulmonary edema. There has been placement of what appears to be a cardiac device superimposed over the lower portion of that heart shadow. ",27e83fc9-b156bdac-0ec31eb2-21403864-d2def4c7 +57441180,"There is a layering right effusion with bilateral airspace process, right greater than left. There is a layering right effusion with bilateral airspace process, right greater than left.",aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c +57446197,PA and lateral chest: Large right pleural effusion collapsing the lower half of the right lung and shifting the mediastinum to the left. PA and lateral chest: Large right pleural effusion collapsing the lower half of the right lung and shifting the mediastinum to the left.,e7917cda-a7acb02f-631867d3-7fc91d5b-db5cdeef +57446337,"Lung volumes are substantially lower exaggerating and therer are moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is enlargement of the cardiac silhouette with elevation of pulmonary venous pressure and extensive opacification in the retrocardiac area consistent with volume loss in the lower lobe.",6a88bbb2-ff756840-e3f513d9-ff4d1499-f9628163 +57447816,Cardiomediastinal silhouette including severe cardiomegaly and widening mediastinum. Cardiomediastinal silhouette including severe cardiomegaly and widening mediastinum.,23fdc685-8851eb9b-b5ee438b-0f486c37-4677e1ed +57448721,RECOMMENDATION(S): Mild cardiomegaly and distention of pulmonary and mediastinal vessels due to biventricular cardiac decompensation. RECOMMENDATION(S): Mild cardiomegaly and distention of pulmonary and mediastinal vessels due to biventricular cardiac decompensation.,5b9d3fcb-ec593910-a4df74dc-05deda2c-9719c9ea +57452809,There are postoperative appearance of the neoesophagus and small right pleural effusion. There are postoperative appearance of the neoesophagus and small right pleural effusion. ,2a18ff9e-bcc1e679-a9be811c-4cd490dc-fa3faf63 +57454413,Cardiomegaly with aneurysmally dilated and tortuous thoracic aorta. Mediastinum in the region of the ascending thoracic the aorta is enlarged and could be due to aneurysm.,158479af-cf9c24d6-99ee742e-bbb91960-bfa7f46c +57456610,Mild widening of the cardiac mediastinal silhouette is probably due to supine positioning. Mild widening of the cardiac mediastinal silhouette is probably due to supine positioning.,51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a +57458228,"There are reduced lung volumes and consolidation in the right lower and left mid lungs, probably pneumonia. There are reduced lung volumes and consolidation in the right lower and left mid lungs, probably pneumonia.",344efa4b-02fb5b16-9db4229a-51955f21-7522b595 +57463116,"There are no endotracheal and nasogastric tubes, as has the Swan-Ganz catheter, which has been replaced with a right IJ sheath. There are enlargement of the cardiac silhouette with the monitoring and support devices. ",552b9cdb-02b1e116-417a8a56-d2f54f1e-865a2a0c +57464511,"COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker are noted. COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker are noted.",64e9fab8-be276430-8b0b8d08-b7aff644-5d287946 +57470809,"Diffuse interstitial opacities with small bilateral pleural effusions and signficant cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which previously was possibly attributable to drug reaction, COPD or vasculitis. Diffuse interstitial opacities with small bilateral pleural effusions and signficant cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which previously was possibly attributable to drug reaction, COPD or vasculitis.",b8bed4d3-d993a18e-0991e847-d35ed326-8aebc923 +57474634,"Right middle and lower lobe collapse with large right effusion and heterogeneous densities in the remainder of the right lung likely representing chronic right lower lung postobstructive atelectasis with superimposed pneumonia. There are moderate to large right pleural fluid collection with decreased aeration in the right mid and lower lung likely reflecting compressive atelectasis, although an underlying mass or pneumonia cannot be excluded.",5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4 +57481340,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. ",3627c932-73fba01b-b50c256b-fe25f602-a175bb99 +57486536,"Cardiomegaly, enlarged main pulmonary trunk, and diffuse right greater than left lung opacities, findings favor moderate to severe pulmonary edema. Pulmonary edema with more confluent opacity in the right infrahilar region which could represent edema versus superimposed infection. ",804b2558-1b928d2d-a41b4959-275e9da9-5ccdeca5 +57495351,"Severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention. There are severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. ",fabe7221-766cf8c9-b0580fa0-a0df3ab8-2082dc65 +57501180,"There are large calcifications in the right pleura, coarse calcifications in the apices, small bilateral effusions now larger on the right. There are mild right apical air cavity, moderate right basilar atelectasis, and moderate in right pleural effusion. ",6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c +57502393,"Patchy lateral right apical opacity is signifcant and while could theoretically be related to scarring, given patient is underlying emphysema and COPD and again, nonemergent chest CT recommended to further assess. Findings suggesting emphysema including hyperinflation and coarse lung markings.",2f142040-3d2b5cf2-a37622c9-4909cb67-92fad10f +57513198,"Lung volumes are substantially lower which may account in part for some of the continued progression of severe interstitial pulmonary abnormality, but the findings suggest interstitial abnormality is significant. Lung volumes is reduced, background density of the lungs has substantially signficant and caliber of the mediastinal vasculature is moderate all pointing to the resolution of pulmonary edema superimposed on severe pulmonary fibrosis.",a4d62fc4-613c998d-9a906778-5703a1a3-21507e30 +57517941,"Allowing for the portable technique, the cardiac silhouette may be mildly enlarged. Obliquity of the patient is probably responsible for the apparent displacement of the heart into the left hemithorax. ",4c9812bf-f392e749-e5a9e763-24de2d49-20271034 +57523636,Two AP views of the chest: Severe bibasilar atelectasis. Two AP views of the chest: Severe bibasilar atelectasis.,6620c86d-6be6ba2b-c1c0beb1-2b89f89b-a0a59da4 +57526648,"Large hiatal hernia with patchy bibasilar airspace opacities, likely atelectasis, however aspiration is not excluded. Slightly limited exam with bibasilar atelectasis and mild pulmonary vascular congestion. ",eb48e944-d1f04023-e3dc8926-7ddd1131-a91ef09a +57531802,"AP chest: Severe cardiomegaly and mediastinal vascular engorgement. AP chest: Severe enlargement of the cardiac silhouette, and distention of both pulmonary hilar, and mediastinal vasculature.",308bf948-d05f2a1d-2c32a818-2df09584-d17283f6 +57537037,There are small bilateral pleural effusions and small right chest wall subcutaneous emphysema. There are small bilateral pleural effusions and small right chest wall subcutaneous emphysema,ea1b22a8-7ee63c4a-1ad1ae64-defd894b-1a52dcac +57540712,Hiatal hernia and hyperexpanded lungs with no acute cardiopulmonary process. Hiatal hernia and hyperexpanded lungs with no acute cardiopulmonary process.,e90de45f-b12a6a45-721981dc-7df46eae-aa3318e1 +57544155,"Left lung is severely consolidated and return of the mediastinum to the midline suggests signficant left pleural effusion, probably substantial. Left lung collapse explains severe leftward mediastinal shift and hyper expansion of the already and is edematous right lung. ",b6243df3-d51d165a-8d436de1-245fac16-bbd54062 +57554056,"Focal nodular opacity projecting over the right upper lung, potentially superimposed shadows however repeat PA is suggested to confirm. Focal nodular opacity projecting over the right upper lung, potentially superimposed shadows however repeat PA is suggested to confirm. ",b4ea00dd-29a8687d-10b1e7eb-d6d1cd5b-ebd65d6c +57554917,"AP chest: Although pulmonary consolidation is significant appreciably in both lungs, moderate cardiomegaly is severe and mediastinal veins moderately dilated, the marked asymmetry and consolidation strongly suggests significant left pneumonia and perhaps a pneumonia in the right lower lobe. AP chest: There are mild generalized edema, but moderate consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis.",6235b1fc-c21d03f8-be2bbeff-8fe43d75-2e28779b +57560204,"AP chest: Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and progressive dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion. AP chest: Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and progressive dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion.",29d26885-efc84164-2901f05a-89f605c8-9d4338ff +57561947,"There are very extensive pneumonia in the adjacent, central, right middle upper and lower lobes, and mild to moderate right pleural effusion. There are very extensive pneumonia in the adjacent, central, right middle upper and lower lobes, and mild to moderate right pleural effusion has decreased over the past several days.",540eb477-f05ddda1-09bc6606-ab931f74-e466d39e +57571408,"AP chest: There are mass-like and nodular opacities in the right lung and the widespread infiltrative findings on the left. AP chest: There are extensive opacification in both lungs, sparing the left mid and lower lung zone. ",42ca3426-3c2dc573-7e2d42fe-aa2b9627-d888b47b +57576479,Left chest wall ICD with lead terminating in the expected location of the right ventricle. Sternal wires and left pectoral pacemaker in alignment.,bdc767d8-f9566903-2dda971f-c7110e57-164c5277 +57578542,"PA and lateral chest: Small bilateral pleural effusions, right greater than left. PA and lateral chest: Small bilateral pleural effusions, right greater than left",124f973d-d060d2cb-f7f48073-f3b3298e-8e8bcfac +57580196,Satisfactory positioning of left chest wall ICD generator with appropriately positioned right ventricular lead. Satisfactory positioning of left chest wall ICD generator with appropriately positioned right ventricular lead.,28b8b684-7ffead3e-fcd898b8-7e034854-2f48b563 +57583790,Enlargement of the cardiac silhouette and right basilar opacity which likely represents combination of pleural effusion and atelectasis. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,1cdaf07a-2bc25a95-58bb06b1-543156aa-39b0b6ef +57605154,Right mid to lower lung patchy opacities worrisome for pneumonia on a background of mild interstitial edema. Right mid to lower lung patchy opacities worrisome for pneumonia on a background of mild interstitial edema.,d5aa0315-53869b6c-10151e97-c12a5f0f-d369e178 +57611237,There has been placement of a subcutaneous ICD lead extending just to the right of the spinal column at the level of the transverse arch of the aorta. The patient is status post median sternotomy and valve replacement along with CABG. ,a231b16b-dd2f002a-f99f05d9-20a0f431-bbeee698 +57617376,PA and lateral chest: Courses of the transvenous right atrial and two right ventricular leads. PA and lateral chest: Courses of the transvenous right atrial and two right ventricular leads.,f15b72a4-0e6020a3-cf98cd7c-c8f430f5-1a7d3aa9 +57618911,"Pacemaker lead is in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data Two left pleural drains are in their positions at the apex and base, respectively, and there is little pleural effusion and probably no pneumothorax.",73ee1dc8-28fc5f5b-76e543d9-70afa724-b6dc8113 +57619468,Nodular opacity projecting over the tip of the left scapula is present and might potentially represent summation of shadows but a pulmonary nodule is a possibility and S correlation with PA and lateral views or potentially chest CT if clinically warranted would be identified Somewhat linear left basilar opacity potentially atelectasis or scar however repeat suggested when the patient is amenable with PA and lateral films.,3352c0d5-7f41c92d-b1178750-7dc794c6-979ffba3 +57622301,"Removal of the right pigtail catheter. There is significant accumulation of fluid within the right pleural space with associated airspace opacity which most likely represents partial lower lobe atelectasis, although pneumonia cannot be excluded. A pleural catheter is in place in the right hemi thorax, with a persistent large, loculated right pleural effusion with associated air fluid level and locules of pleural gas.",d1d6666e-15233295-0295b986-083aa34f-88ba93b2 +57629666,Diffuse bilateral interstitial opacities compatible with bronchiectasis and scarring with more confluent regions of consolidation on the right particularly in the middle lobe which could represent superimposed infection versus atelectasis. Diffuse bilateral interstitial opacities compatible with bronchiectasis and scarring with more confluent regions of consolidation on the right particularly in the middle lobe which could represent superimposed infection versus atelectasis.,2f7e40ab-fd3ebb8f-1f00d1a6-1aecdf69-793d8d35 +57629869,There is no prominent mediastinal and bilateral hilar lymphadenopathy. There is no prominent mediastinal and bilateral hilar lymphadenopathy.,68fe8811-11486a87-1a63faec-cbde0858-b889b677 +57631028,"PA and lateral chest: There are mild to moderate interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. PA and lateral chest: There are mild to moderate interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion.",247e5fc9-da9bb4e3-d9886dfa-057f6e18-f694d947 +57635079,"AP single view portable chest x-ray in supine position shows significant bilateral perihilar opacity, consistent with multifocal pneumonia. AP single view portable chest x-ray in supine position shows significant bilateral perihilar opacity, consistent with multifocal pneumonia.",16b32195-cb3e0995-d4cf9ac1-4af71b24-8d42365f +57642788,"Lung volumes are substantially lower exaggerating moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and obscuration of the hemidiaphragm on the left consistent with volume loss in the left lower lobe and pleural effusion. ",97365c4c-68d2ec4d-fbc504dc-02498793-2914b5de +57648356,"AP single view portable chest x-ray in supine position shows significant bilateral perihilar opacity, consistent with multifocal pneumonia. AP single view portable chest x-ray in supine position shows significant bilateral perihilar opacity, consistent with multifocal pneumonia.",07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb +57661470,Large left perihilar mass with extensive nodular opacities within both lungs concerning for metastasis. Large left perihilar mass with extensive nodular opacities within both lungs concerning for metastasis.,8a783cbe-d52d08bc-f2c3bbf8-9b3be898-4872449b +57661627,AP chest: Patient has had median sternotomy and coronary bypass grafting. There is enlargement of the cardiac silhouette without vascular congestion in this patient with hyperexpansion of the lungs consistent with chronic underlying pulmonary disease.,0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42 +57663243,"The heart appears enlarged given portable technique and may reflect cardiomegaly, although pericardial effusion should also be considered. There is some enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure.",71bfff81-56c6477b-3432d360-6d1f41d2-8b2d7988 +57664750,"AP chest: There are moderate to severe right pleural effusion, moderately to severe pulmonary edema, significant distention of mediastinal veins. There is signficant right pleural effusion, obscuring the right lower lobe, where asymmetric interstitial and confluent pulmonary abnormality is been present.",ba7962b1-c57c8310-baaa8f93-1ae65fab-edcaa58b +57665537,"The cardiac and mediastinal contours are enlarged which may reflect cardiomegaly, although pericardial effusion should also be considered. The heart appears enlarged given portable technique and may reflect cardiomegaly, although pericardial effusion should also be considered. ",c6d9dcd8-49e961d7-227e2c94-92994086-9831113b +57667161,"Small to moderate size left, and trace right pleural effusions. Small to moderate size left, and trace right pleural effusions.",9cc3281f-64ff9f26-d2f759b1-ee26296f-50d416d4 +57667222,"AP chest: Mild peribronchial opacification in the lateral aspect of the right lung base, above the chronically elevated hemidiaphragm could be the residual of recent larger infection, or an early pneumonia. AP chest: Lung volumes are quite low, exaggerating any abnormality, particularly at the lung bases, but there does appear to be very mild bronchopneumonia, which developed in the left lower lobe, remains stable on the right in that period.",13c8c746-5d1d71f5-af021e53-041a96c3-710e3730 +57674897,There is the postsurgical change follow bowing right upper lobectomy. There is the postsurgical change follow bowing right upper lobectomy. ,4e3be0c2-0bf7b260-9ee5b4e0-56975598-6b3bd28e +57676222,"AP chest: Moderate enlargement of the cardiac silhouette, accompanied by small right pleural effusion and significant mediastinal vascular engorgement. AP chest: Moderate postoperative widening of the mediastinal silhouette. ",8a1b28a3-0922cd6a-282ceb83-59fd9271-ebf56ff4 +57678258,"AP chest: Pulmonary edema, moderate right pleural effusion and possible bilateral consolidation and tracheal extubation. Moderate pulmonary edema and mild to moderate right pleural effusion and small right apical pneumothorax.",cff0405e-7c684aeb-122051b9-dec202c9-1dfbb41e +57693388,"Signifcant cardiac enlargement and vascular pedicle widening, accompanied by imoderate pulmonary edema which is asymmetrical, involving the right lung to a greater degree than the left. THERE are CARDIOMEGALY, PULMONARY VASCULAR CONGESTION, AND MULTIPLE NODULES CONSISTENT WITH PULMONARY SEPTIC EMBOLI IN VIEW OF THE HISTORY OF ENDOCARDITIS.",0ac866f1-b3bfe12a-db469934-8e3130a5-407a9e34 +57695180,"There are opacities in the left upper lobe, left perihilar region and right mid lung field concerning for multifocal pneumonia. There are opacities in the left upper lobe, left perihilar region and right mid lung field concerning for multifocal pneumonia. ",c11514bb-319a3161-c0c85326-68094c62-0220f4f4 +57697281,Underpenetrated chest likely due to patient body habitus. Underpenetrated chest likely due to patient body habitus.,95133322-5ad8fb3e-dea16125-70e718db-6cef790a +57723077,"Signficant bilateral perihilar interstitial infiltrationand moderate cardiomegaly suggesting processes pulmonary edema, rather than infection. The component of pulmonary edema is probably not entirely resolved, but most of the residual pulmonary abnormality is infiltrative lung disease. ",d4dae1e3-f77d7d94-06b441f0-f5f8ffab-230cd387 +57723670,"BILATERAL HILAR ADENOPATHY IS CHRONIC, ALONG WITH mild IN RIGHT PARATRACHEAL MEDIASTINAL FULLNESS INDICATING A mild CENTRAL ADENOPATHY, PRESUMABLY DUE TO SARCOIDOSIS. BILATERAL HILAR ADENOPATHY IS CHRONIC, ALONG WITH mild IN RIGHT PARATRACHEAL MEDIASTINAL FULLNESS INDICATING A mild CENTRAL ADENOPATHY, PRESUMABLY DUE TO SARCOIDOSIS.",965cab94-dee35b99-bf9616fc-1707a75d-e2368901 +57731696,"Large cardiomediastinal silhouette, mediastinal venous engorgement, and left lower lobe collapse. Atelectasis in the left lung leads to complete collapse of the upper lobe as well as the lower.",ebaf1946-49389902-bfa1191f-e932bc43-ece7d70d +57732352,Bibasilar atelectasis is mild on the left and is mild to moderate on the right. Bibasilar atelectasis is mild on the left and is mild to moderate on the right.,7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c +57735649,"Significant peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction. Significant peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction.",5ed57121-75e45b45-cfdc4f14-e8706b9a-5413f693 +57739082,"Borderline cardiomegaly as is the tortuous and enlarged thoracic aorta, harbors a large dissection starting at the arch and involving the descending thoracic aorta into the abdomen. Borderline cardiomegaly as is the tortuous and enlarged thoracic aorta, harbors a large dissection starting at the arch and involving the descending thoracic aorta into the abdomen.",5e587c3b-2593ff0d-f7ac821e-4955e532-83ba9419 +57740891,AP chest: Atelectasis in the superior subsegment of the lingula is chronic accounts for some of the peribronchial opacification in the left lower lung. AP chest: Atelectasis in the superior subsegment of the lingula is chronic accounts for some of the peribronchial opacification in the left lower lung.,5758677b-81333edd-2eafbc17-012681ec-83ab1ff4 +57746739,"AP chest: Lung volumes are quite low with marked elevation of the left hemidiaphragm, attributable to distention of both the stomach and the transverse and splenic flexure of the colon. Consider a dedicated abdominal series to distinguish post-operative ileus from obstruction ",5f26481a-d3858281-c46fc79d-2f850d48-53f84f5d +57752575,AP chest showed very small right pleural effusion and right basal atelectasis and sufficient calcification in the aortic valve to raise question of hemodynamically significant aortic stenosis. AP chest: Mild interstitial edema is accompanied by a small right pleural effusion. ,3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa +57757467,AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD. AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD.,727e2aa5-ddfdd2ff-b5723867-520a758e-c81ca8e2 +57761141,"Severe diffuse pulmonary fibrosis. Widespread fibrotic interstitial lung disease is demonstrated as well as signficant confluence of opacification in the left perihilar and retrocardiac regions, potentially due to developing infection in the appropriate clinical setting. ",62cd4342-77a1737e-da11be7c-6914655a-20dc273b +57765703,"AP chest: Bilateral pulmonary consolidation, most severe in the right lower lobe, less pronounced on the left, small to moderate bilateral pleural effusion, mild cardiomegaly and mild interstitial edema. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral opacifications consistent with significant layering effusions and compressive basilar atelectasis. ",2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0 +57776801,"NOTIFICATION: Extensive lung opacities, Cardiomegaly, widening of the mediastinum, lines and tubes. There are moderate cardiomegaly and mediastinal vascular engorgement and large caliber of pulmonary vessels and signficant background density in the lungs. ",668168bb-d505142b-df37a7a6-f4d12e0f-ba63c1f6 +57778607,"There is considerable atelectasis in the left lower lobe due to mass effect by the intrathoracic bowel lobes, probably the cause of the hypoxia. PA and lateral chest: A moderately large wedge of atelectasis in the right lower lobe. ",aac431c4-71ce2760-10747748-4fd37654-0f440dd6 +57780214,The more normal apical lung parenchyma. The more normal apical lung parenchyma.,480f169c-15ef13a4-4ca3b85d-181a240e-edc79169 +57798090,"There is mild prominence of interstitial markings at the bases, which could reflect chronic pulmonary disease, elevated pulmonary venous pressure, or both. Coarse interstitial marking with basilar predominance, likely reflective of chronic lung disease without evidence of an acute intrathoracic abnormality. ",3a8c9fa9-90b94fc1-484469e2-d0316be1-245e5d13 +57801123,Appearance of the interstitial disease along with vascular congestion suggest mild vascular congestion and/or significant interstitial disease with concern for pneumonia at the right lung base. Appearance of the interstitial disease along with vascular congestion suggest mild vascular congestion and/or significant interstitial disease with concern for pneumonia at the right lung base.,80f8c1cf-51619e01-2da83861-7c12a49d-f6858e53 +57809151,"PA and lateral chest: Although there is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature. PA and lateral chest: Although there is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature.",76ee4972-231e2314-e4e35ff5-8d2cd919-a98450dd +57811906,"Severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention. Postoperative widening of the cardiomediastinal silhouette is relatively, commonly seen after the termination of positive pressure ventilator support. ",c9829806-80ccefe4-60749d0a-05402ead-54784a88 +57812270,"Allowing for the AP supine technique, there is moderate enlargement of cardiac silhouette. AP chest: There is moderate to severe enlargement of the cardiac silhouette, but there is no pulmonary edema, although mediastinal veins are significantly dilated, possibly a reflection of supine positioning.",efff7e71-8fb08183-a867eeaa-1bf8c237-82103b3e +57825235,"Pacemaker lead is in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left. No pneumothorax with mild bilateral pleural effusions and atelectasis with mild pulmonary edema. ",001bb54b-a4e0bb99-48a28f4c-9df85f1b-e1606587 +57826660,"A pattern of chronic interstitial lung disease with associated low lung volumes is demonstrated superimposed mild pulmonary vascular congestion, associated with a small right pleural effusion. Small right pleural effusion and known bilateral interstitial fibrosis with honeycombing. ",bdece112-0ab84104-d2b05f42-10b6388c-49b93a37 +57833493,"PA and lateral chest: No right pneumothorax and no appreciable right pleural effusion, apical pleural tube still in place. PA and lateral chest: Volume of the right apical pneumothorax is little with the lung apex at the level of the third posterior rib and there is no appreciable pleural effusion anteriorly placed.",21dd100a-bf76f673-4ee97c34-87797534-1ff8583e +57835182,Large fluid-filled gastric hiatus hernia projects over a tortuous and generally mildly enlarged descending thoracic aorta. Large fluid-filled gastric hiatus hernia projects over a tortuous and generally mildly enlarged descending thoracic aorta.,5320dce2-60fde2c2-0590fad0-36474905-b3318771 +57840198,"AP chest: There is severe pulmonary edema, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins. AP chest: There is severe pulmonary edema, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins.",f2b84959-05a7275a-931bd2c9-4755b948-797561fe +57843717,"There is mild cardiomegaly, exaggerated by supine positioning which may account for upper lobe vascular engorgement on the left. Although heart size is normal, there are hilar enlargement and mediastinal and pulmonary vascular engorgement all point to cardiac decompensation: ET tube is in standard placement and a nasogastric tube passes into the stomach and out of view. ",b6c0d2ce-6f3d53f3-df8a2161-37fbfb66-a1f871b4 +57847867,"There is prominence of the hila, possibly due to vascular engorgement, however, underlying lymphadenopathy is not excluded into be further evaluated for on nonurgent chest CT. Streaky medial right lung base and left retrocardiac opacities may be due to atelectasis and aspiration, underlying infection not excluded. There is prominence of the hila, possibly due to vascular engorgement, however, underlying lymphadenopathy is not excluded into be further evaluated for on nonurgent chest CT. Streaky medial right lung base and left retrocardiac opacities may be due to atelectasis and aspiration, underlying infection not excluded.",9762049c-4ede04ad-3686cd0b-abfae75d-795cb083 +57850217,"AP chest: Severe nearly confluent and symmetric bilateral pulmonary opacification obscures foci of probable pneumonia in the right mid lung laterally. AP chest: Nearly global opacification of both lungs characterized as combination of interstitial infiltration, some chronic and fibrotic, and subsequent diffuse ground-glass alveolar opacification. ",2d53d7a6-952779d8-cf36815b-c0de03a5-65207ded +57862102,"AP chest: Severe widespread subcutaneous emphysema throughout the chest wall and neck, and severe pneumomediastinum. AP chest: The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. ",4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4 +57863444,"Heart is severely enlarged, perhaps due to mitral regurgitation from a heavily calcified mitral annulus. PA and lateral chest: Transvenous right atrial lead projects low over the right atrium, and the right ventricular lead along the floor of the right ventricle to the apex. ",cb0502af-22b9aa9f-6f613ef2-15552b8e-5b4238eb +57865645,"AP chest: There is pulmonary edema, exaggerated by very low lung volumes but at least moderately severe reflected in enlarged hilar and mediastinal vessels, moderate cardiomegaly accompanied by moderate bilateral pleural effusion. AP chest: There is pulmonary edema, exaggerated by very low lung volumes but at least moderately severe reflected in enlarged hilar and mediastinal vessels, moderate cardiomegaly accompanied by moderate bilateral pleural effusion. ",f5f335c8-148fbc15-8bb36e82-d7f364d8-066a5b50 +57867628,"Right internal jugular line tip is most likely in the right atrium, it difficult to establish giving the large bilateral pleural effusions and pulmonary edema. AP chest: There are large bilateral pleural effusions. ",88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570 +57874436,There is enlargement of the cardiac silhouette with no vascular congestion. There is enlargement of the cardiac silhouette with no vascular congestion.,c5257468-fb41d9ce-701fc319-a6141214-92bb351c +57876331,There is substantial enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. There is substantial enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease.,a1e78eb5-72f569fd-f5c8c795-887b8a35-97d007e1 +57878445,PA and lateral chest: Large right pleural effusion collapsing the lower half of the right lung and shifting the mediastinum to the left. PA and lateral chest: Large right pleural effusion collapsing the lower half of the right lung and shifting the mediastinum to the left.,0c49c7b0-26167f04-e2cfa26a-15361a7f-6a33c4b8 +57879373,"Tracheostomy tube, right internal jugular line, and upper enteric drainage tubes are in standard placements. Tracheostomy tube, right internal jugular line, and upper enteric drainage tubes are in standard placements. ",39291b24-1045b1ed-af35c04e-d467233c-9c0a3be0 +57880532,"There is probably combination of chronic heart failure and pulmonary fibrosis. Radiographic severity of the lung abnormality and heart size indicates a component of pulmonary edema. PA and lateral chest: Moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. ",1e3926d7-a660ecde-c6e6282e-98039f5e-6c6714c8 +57880955,"Moderate cardiomegaly, with single-lead pacer in place. Moderate cardiomegaly, with single-lead pacer in place. ",1b969967-88c2b36b-65da30a7-644c09d3-96356c51 +57881979,Cardiomegaly with appropriately positioned pacer wire. Cardiac and mediastinal contours are enlarged status post median sternotomy for CABG.,ff8b2af5-e8c313a0-9caec8e9-f6a90929-3b53792a +57884279,There are mild edema. Mild dependent pulmonary edema is accompanied by moderate left pleural effusion.,320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778 +57885384,"Superior mediastinal widening may be due to low lung volumes and supine positioning though a chest CTA can be performed for further evaluation if there is concern for mediastinal injury. Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive. ",838d96da-8d9d8d8d-2aacafdf-9f280c96-573b74db +57886251,"Bilateral linear streaky opacities most compatible with atelectasis, though cannot exclude an early pneumonia. Bilateral linear streaky opacities most compatible with atelectasis, though cannot exclude an early pneumonia. ",eca4fc13-1e4006db-4372cf2e-ed001e18-a7050d3e +57889845,"Multifocal bronchiectasis and lung nodules, likely due to previously provided history of atypical mycobacterial infection. Multifocal bronchiectasis and lung nodules, likely due to previously provided history of atypical mycobacterial infection. ",fe5bce5c-5c949faf-1120fe46-1ac9de4b-5c4f5072 +57890092,"There is moderate pulmonary edema, right greater than left, accompanied by bibasilar atelectasis and probable small pleural effusions. AP chest: Mild pulmonary edema has developed, partially obscuring areas of likely pneumonia in the right mid and lower lung zones. ",38d03b04-0d7ed79f-2cf5f34d-96d831d3-227a44aa +57907009,"Although the due lung bases appear clear or on the frontal view, on the lateral there are bilateral pleural effusions. Although the due lung bases appear clear or on the frontal view, on the lateral there are bilateral pleural effusions.",060219ba-448fe7d4-8a19694c-92b20db5-74035416 +57910301,PA and lateral chest: Sharp definition of the left major fissure on the lateral view could be either fissural component of the small to moderate left pleural effusion. PA and lateral chest: Sharp definition of the left major fissure on the lateral view could be either fissural component of the small to moderate left pleural effusion.,a7d5115b-c9749937-8502636c-ce1d2580-57e370dc +57911714,"Indwelling right internal jugular central venous line comment ET tube, and transesophageal drainage tree overall in standard placements There is mild edema. ",dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660 +57913072,"AP chest: There are crowding to the pulmonary vasculature, atelectasis at the left base above the chronically elevated left hemidiaphragm. AP chest: Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and significant dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion. ",581dfa62-66e36227-8f7c3128-aec0feaa-c7111e6e +57913253,"Pulmonary vasculature and mediastinal veins are significantly engorged, suggesting volume overload, and the extent of cardiomegaly is indeterminate, obscured by bilateral pleural effusions. Lower lung volumes, mediastinal venous engorgement and moderate cardiomegaly could be due to signficant cardiac decompensation, but pulmonary edema is mild and therefore the findings could be due instead to decrease positive pressure ventilator support. ",e81642df-ca0321d7-9a90c5ce-db185fb3-f79598ce +57917788,Lungs are grossly clear without focal consolidation.There is minimal subsegmental atelectasis at the lung bases. Lungs are grossly clear without focal consolidation.There is minimal subsegmental atelectasis at the lung bases.,866da04c-e24c3141-42311ab2-6a52b25a-82cf9674 +57929429,"Dual-channel pacer device in this patient with previous CABG procedure and intact midline sternal wires. Patient with ICD device, no evidence of pulmonary congestion or acute infiltrate that could explain the patient's history of three months of cough. ",4121b513-0b19d16a-eae78b94-9ad9e2c6-d0f50262 +57932391,"There are mild-to-moderate cardiac enlargement, permanent pacer and ICD device, mild degree of chronic pulmonary congestion but absence of new acute infiltrates or significant pleural effusion. There are mild-to-moderate cardiac enlargement, permanent pacer and ICD device, mild degree of chronic pulmonary congestion but absence of new acute infiltrates or significant pleural effusion. ",2c34a6e4-968a506c-a8b39537-c46c370e-184792f4 +57935403,"AP chest: There are small right apical pneumothorax, small right pleural effusionand, and a consolidative abnormality at the right lung base laterally which should be followed to exclude the possibility of active pulmonary bleeding. There is relatively large pneumothorax at the right lung, predominantly at the right lung base, after chest tube placed on waterseal. ",f05b9731-d6bf3b29-6197f242-4cc974a3-fe0f5b56 +57940242,AP chest: Moderate right pleural effusion despite the right basal pleural pigtail drain. AP chest: There are moderate right pleural effusion and right middle and lower lobe atelectasis.,cdd198d4-7b34ff26-cdf455d8-f2c979c2-93535229 +57949791,"The Dobbhoff catheter shows a normal course, the tip projects over the middle parts of the stomach. The Dobbhoff catheter shows a normal course, the tip is located in the middle parts of the stomach. ",080eb78a-c3c3f369-1eaacd39-7f6cc416-8810586c +57953072,"The right juxta hilar mass with moderate right-sided pleural effusion, loculated at the apex. The right juxta hilar mass with moderate right-sided pleural effusion, loculated at the apex. ",414fca72-91452400-5dfedcd2-5363eab9-ff09d8c2 +57955448,"AP chest: Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. AP chest: The patient has very severe emphysema, with totally absent vasculature in the mid and upper right lung.",14047a00-16ef4559-fd349a7f-fc7d9ef5-2667ceaf +57959841,Left perihilar mass with subsequent left lower lobe collapse and opacities in the aerated left upper lobe. Left perihilar mass with subsequent left lower lobe collapse and opacities in the aerated left upper lobe.,a7fdae9e-97d1a4d6-df3c7f40-29a51d88-39463d76 +57966185,"Left lower lobe collapse, possible small pleural effusions, and monitor/support devices. AP chest: Greater opacification at the base of the left hemithorax is present, probably due to mild left basal atelectasis and posteriorly pooling left pleural effusion in the supine patient.",8b8058e3-2e73b083-ad0be703-248c6dde-e81698ed +57967105,"Bibasilar chest tubes and right internal jugular Swan-Ganz catheter with its tip in the pulmonary outflow tract. There is no endotracheal and nasogastric tubes, Swan-Ganz catheter.",c1dd019a-29949553-f64d3355-1ab093c4-cd18e32c +57971060,Enlarged cardiac silhouette and marked vascular engorgement due to cardiac decompensation; pericardial effusion could be present also. Enlarged cardiac silhouette and marked vascular engorgement due to cardiac decompensation; pericardial effusion could be present also.,77911e4a-fb35c2ec-cd17f417-a514b2d2-47244970 +57974904,The postoperative appearance of the neoesophagus is within normal range wiht a pre-existing small right pleural effusion. The postoperative appearance of the neoesophagus is within normal range wiht a pre-existing small right pleural effusion.,6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0 +57976739,"AP chest: There is signficant extent of consolidation in both lower lobes, on the left where some of it may be due to atelectasis since the left hemidiaphragm is elevating, but on the right, more likely pneumonia or continued bleeding in a region of previous contusion, perhaps because there is a small unrecognized pulmonary laceration or because the patient has developed a bleeding tendency from delusional thrombocytopenia, DIC, etc. AP chest: Mild generalized edema, but there is signficant consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis.",d6010cbd-efa41b72-2fbc0daf-8fa1dc40-bdd4fe35 +57977763,"Hyperinflation of the lungs with chronically increased interstitial markings, concerning for chronic lung disease. Hyperinflation and increased prominence of the interstitial markings, both suggestive of chronic lung disease. ",c3eeff7f-5128e28a-d1f3fadb-2db97e3e-c47fbc96 +57980363,"Severe exacerbation of pulmonary fibrosis as well as extensive edema largely confined areas of fibrosis suggesting that the edema is more likely due to exacerbation of the underlying lung disease rather than superimposed cardiac edema. PA and lateral chest: There are moderate pulmonary edema, reduced lung volumes, and significant heterogeneous consolidation in the right upper lobe probably anterior segment attributable to developing pneumonia.",b28c193b-b49d6d0c-3105d352-5dc8e17f-3d0e39cd +57980670,"PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",c6f1c4e9-f329ac22-634957fc-4f7f9884-fa9f9fc8 +57983519,"AP chest: The volume and severity of consolidation in the right lung involving lower lobe superior segment and upper lobe, revealing severe bronchiectasis, possible cavitation and some loss of volume in the right upper lobe. AP chest: The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. ",942b87db-92f73c39-9eae876d-2731e13d-fd427d86 +57984287,"AP chest: The large bilateral pleural effusions is substantial and may account entirely for significant opacification in both hemithoraces, without any real abnormality in the lungs. AP chest: There are moderately pulmonary edema, moderate bilateral pleural effusions, and there is either a fissural pleural effusion in the right major fissure superiorly or consolidation in the right upper lobe. ",6601dbab-fdc90be3-902f9414-9ec944e9-72ac116c +57988469,"AP chest: Small right pleural effusion following thoracentesis, and there is no pneumothorax, and the right lower lobe has substantially expanded. There is minimal blunting of the right costophrenic sinus, likely caused by a small right pleural effusion. ",cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b +57988903,"There are signs of mild pulmonary edema as well as minimal bilateral areas of pleural effusion, better appreciated on the lateral than on the frontal radiograph. There are signs of mild pulmonary edema as well as minimal bilateral areas of pleural effusion, better appreciated on the lateral than on the frontal radiograph. ",8d8b26e3-3c8ee293-aad9533f-8fc6f107-c58c3f36 +57996680,"There are moderate to severe cardiomegaly, exaggerated by supine positioning, large mediastinal venous caliber. Enlargement of the cardiomediastinal silhouette may be accentuated by the low lung volumes and AP portable technique, however, if there is clinical concern for mediastinal injury, chest CTA is more sensitive and should be considered.",49e45fba-5b48f519-adb35266-68939cbb-dfda8e0f +58000887,"Extensive right lung parenchymal opacities and bilateral small pleural effusions as well as moderate cardiomegaly and mild fluid overload. Diffuse interstitial opacities with small bilateral pleural effusions and signficant cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which previously was possibly attributable to drug reaction, COPD or vasculitis.",7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35 +58001075,Large left posterior left lung mass with multiple metastatic nodules. Large left posterior left lung mass with multiple metastatic nodules. ,8faff40c-536b8347-b1b760e0-182dc706-77835a8e +58001303,PA and lateral chest: Courses of the transvenous right atrial and two right ventricular leads. PA and lateral chest: Courses of the transvenous right atrial and two right ventricular leads.,162f9e5e-d9cee36e-fe144338-a9759990-471aa8c0 +58003864,There are extremely low lung volumes with striking elevation of the left hemidiaphragmatic contour related to a large hiatal hernia. Limited evaluation of the left lung given the presence of a large hiatal hernia.,20973f59-31a0c792-a3f0870b-bebcadce-934a76f3 +58005336,Streaky bibasilar opacities which could reflect aspiration. Streaky bibasilar opacities which could reflect aspiration.,c9411698-f64564b3-5ea07940-87d583ad-154d647b +58006032,METAL DEVICE PROJECTING OVER THE RIGHT MEDIASTINAL BORDER IS PRESUMABLY FRAGMENT OF RETAINED PACER OR PACER DEFIBRILLATOR LEAD. Biventricular pacer is in expected positions.,6edd5960-4028d9f1-6f2353cb-61d0c6bf-5048c68e +58008930,"AP chest: Allowing for differences in projection, PA versus AP, mild-to-moderate cardiomegaly, following placement of pericardial drainage catheter projected over the mid portion of the cardiac silhouette. AP chest: Heart is moderately enlarged, and pulmonary vasculature is engorged, but edema, if present, is minimal.",35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d +58025986,"There is substantial enlargement of the cardiac silhouette with prominence of interstitial markings that could reflect elevated pulmonary venous pressure, chronic lung disease, or both. The cardiac silhouette is enlarged and there is some prominence of interstitial markings that could reflect elevated pulmonary venous pressure, chronic lung disease, or both.",ac61125d-0a43dbdc-3c290b21-1ded59a4-0131570a +58039469,"Bibasilar opacities, concerning for pneumonia or aspiration in the right clinical setting. Bibasilar opacities, concerning for pneumonia or aspiration in the right clinical setting. ",7befa7d6-9faf5ce7-987928ab-7b81ed09-d8eb8af7 +58039737,"There appears to be some significant opacification at the bases consistent with layering pleural effusion and compressive atelectasis superimposed on enlargement of the cardiac silhouette and pulmonary vascular congestion. There are cardiomegaly, vascular congestion, and bilateral layering pleural effusions with compressive atelectasis at the bases. ",4a5f0ca9-a2d5198d-f01da2b2-1477e643-9b23e5ee +58039954,"Pacemaker lead is in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left. Enlarged cardiac silhouette, bilateral pleural effusions, and interstitial edema suggest CHF. ",702ea80d-45e751b9-f310cea5-80c50417-c80de945 +58056251,"Lung volumes are low with a small layering left effusion. Lung volumes are low, with more bibasilar atelectasis, left greater than right, accompanied by increasing small bilateral pleural effusions. ",04e57623-af378474-c0649f6f-0260ef77-8d56543d +58056585,Left pleural effusion with pleural catheter in place and underlying parenchymal changes compatible with underlying lesion with associated parenchymal changes. Left pleural effusion with pleural catheter in place and underlying parenchymal changes compatible with underlying lesion with associated parenchymal changes.,ce6c73a2-bfbdbdf8-f7f014a2-bfffc5e3-232d2d80 +58068113,"Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. There is no endotracheal tube, but there are right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement.",f6eee07f-b610f72b-a8832d42-b5472b4d-7cc97271 +58071016,"Signifcant cardiomegaly, left lower lobe collapse and/or consolidation, right base atelectasis. Significant enlargement of the cardiac silhouette with the monitoring and support devices. ",e043f870-1670fd0c-cf68f196-4f351347-4a665c39 +58072789,"Bibasilar chest tubes and right internal jugular Swan-Ganz catheter with its tip in the pulmonary outflow tract. There are 2 chest tubes in place on the right following drainage of the substantial hemothorax, significant cardiac silhouette with indistinctness of pulmonary vessels consistent with some elevated pulmonary venous pressure.",22626212-038a564e-86e62d8b-9d61ea9c-daa48afc +58084217,"AP chest: Severe widespread subcutaneous emphysema throughout the chest wall and neck, and severe pneumomediastinum. Extensive bilateral subcutaneous emphysema, with a small right apical pneumothorax which is likely given differences in positioning. ",4161612b-04b736ab-f5965aae-1028ae0b-6bf634ae +58084420,"Rounded reticular opacity at the left perihilar region, likely reflecting radiation pneumonitis given history of radiotherapy. Rounded reticular opacity at the left perihilar region, likely reflecting radiation pneumonitis given history of radiotherapy.",7494cb49-099d351b-0e03726b-10674f3a-b482faaa +58085167,"AP supine chest: Supine positioning probably accounts for distention of the azygos vein and slight relative large heart size, but the lungs are clear and there is no pleural effusion. Heart size is top normal, exaggerated by AP supine positioning. ",4d9de708-0d2bc7fe-d09123f4-cddd314f-81bceaad +58087032,"Significant opacity at the right base likely representing aspiration or pneumonia. Bibasilar patchy opacities, likely atelectasis, with chronic elevation of the right hemidiaphragm and small right pleural effusion. ",322387f2-af76ba8f-755323f0-51c76e2e-5aa7a8d7 +58088717,"There are enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure. There are enlargement of the cardiac silhouette with increased elevation of pulmonary venous pressure and left basilar opacification consistent with volume loss in the lower lobe and pleural effusion.",4f4c1ed7-5e3e7b32-534f3142-60dfa8a1-b5350381 +58093109,"Lung volumes are very low, probably because of diaphragm eventration, and producing secondary moderate-to-severe bibasilar atelectasis. Lung volumes are extremely low reflected in bibasilar atelectasis, severe but slightly lighter on the left.",737fe166-1d61ed17-45d7d04d-b55e438d-4f23f221 +58096693,Left base opacity most likely due to combination of large hiatal hernia with adjacent atelectasis. Left base opacity most likely due to combination of large hiatal hernia with adjacent atelectasis.,5df5745b-a26b6124-07ab0ff7-a79cf0ca-d84b7fa1 +58099159,Enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG. Enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG.,cf85ad05-11574785-5d5c24bc-5931200b-df7f068a +58100629,Other lines and tubes are in standard position. Other lines and tubes are in standard position,8d36f63d-6e725615-3f005c82-5e0213ba-13cc3761 +58103596,"AP chest: Though lung volumes are low, and there are moderate bilateral pleural effusions, the upper lungs are clear. AP chest: Though lung volumes are low, and there are moderate bilateral pleural effusions, the upper lungs are clear.",aa9371dd-52fdb59b-0cafade1-142e3fc3-116591ab +58103833,"PA and lateral chest: There are minimal interstitial pulmonary edema, small bilateral pleural effusions, the irregular right juxtahilar mass-like consolidation. PA and lateral chest: There are minimal interstitial pulmonary edema, small bilateral pleural effusions, the irregular right juxtahilar mass-like consolidation.",445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3 +58106953,"AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion.",3ce5c898-0662e770-176651fe-92d12c6e-a6d793f8 +58107496,"There is considerable atelectasis at the base of the left lung where the bulk of the intestinal hernia, predominantly colon, displaces the lung. AP chest: Patient is rightward shifted which projects the large heart over the right lower lung, but nevertheless, there is clearly significant opacification of the right lung and reduced volume of the right hemithorax suggesting a large component of atelectasis, conceivably obscuring pneumonia, but not necessarily. ",bf010702-69e984da-d0e9d988-cb6dbed8-1f759220 +58117612,"PA and lateral chest: Small pneumomediastinum, seen best over the aortopulmonic window, could be residual of recent surgery, which is also responsible for small bilateral pleural effusions layering posteriorly and secondarily for a moderate left lower lobe atelectasis. PA and lateral chest: Small pneumomediastinum, seen best over the aortopulmonic window, could be residual of recent surgery, which is also responsible for small bilateral pleural effusions layering posteriorly and secondarily for a moderate left lower lobe atelectasis.",34fcf711-355f24f3-53a8dbc6-97730735-1d046d5a +58121758,Right jugular line ends in the mid to low SVC and transvenous right atrial and ventricular pacer leads in their respective positions. There is placement of a core valve as well as right IJ temporary pacer with its tip in the apex of the right ventricle. ,e84c9b1f-a3692bc5-ec24fb5f-c4874a9d-79cada2a +58125581,PA and lateral chest: Moderate right pneumothorax despite placement of a right pigtail pleural drain projecting over the right mid-to-lower lung zone laterally. PA and lateral chest: Moderate right pneumothorax despite placement of a right pigtail pleural drain projecting over the right mid-to-lower lung zone laterally.,060cf092-fe76bdf7-19fee515-26cbef2c-5c16ba6f +58127477,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,106523df-7e5cdd25-a3523b28-f80e71b7-4ed5143c +58128416,"There is marked cardiomegaly, accompanied by pulmonary vascular congestion and interstitial edema as well as a small right pleural effusion. There is marked cardiomegaly, accompanied by pulmonary vascular congestion and interstitial edema as well as a small right pleural effusion.",4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562 +58137643,"AP chest: Extensive opacification in both lungs, sparing the left mid and lower lung zone. AP chest: A left skinfold over the major fissure highlighting severe edema or consolidation in the left lower lobe should not be mistaken for pneumothorax.",9b9cce32-6e61e5c8-31b59b5f-9aa235c9-7fc98cb1 +58139207,"Old, probably specific bilateral apical scar formations, moderate cardiac enlargement with mild degree of chronic CHF but no evidence of acute pulmonary infiltrates or pleural effusions. Old, probably specific bilateral apical scar formations, moderate cardiac enlargement with mild degree of chronic CHF but no evidence of acute pulmonary infiltrates or pleural effusions. ",84a95f3a-a7060282-499a7492-bc0c8ebd-3fb68b34 +58141048,"Cardiac silhouette is enlarged and the diffuse bilateral pulmonary opacification is significant, consistent with pulmonary edema and bilateral pleural effusions with basilar atelectasis. There is substantial enlargement of the cardiac silhouette with pulmonary edema and bilateral layering effusions with basilar compressive atelectasis, more prominent on the right. ",f1b89b54-27c193cd-47878997-195a1a2f-9d7bbffb +58141612,"AP chest: Large cardiac silhouette, following insertion of a new pericardial drainage catheter. Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning.",b5f871d3-8702f640-44c08eed-e1b45081-74211f61 +58144042,"PA and lateral chest: Substantial generalized interstitial pulmonary abnormality, confluent region of consolidation in the infrahilar left lower lobe, and moderate right pleural effusion. PA and lateral chest: Substantial generalized interstitial pulmonary abnormality, confluent region of consolidation in the infrahilar left lower lobe, and moderate right pleural effusion.",c973cc75-e43e939d-63395fb7-0e75eeb1-8abb0081 +58144724,"Mild interstitial pulmonary abnormality attributable to episodes of pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion Trans subclavian right atrial right ventricular pacer leads from the left pectoral generator. Mild interstitial pulmonary abnormality attributable to episodes of pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion Trans subclavian right atrial right ventricular pacer leads from the left pectoral generator.",cd986c7a-427ddb9f-9727cd08-4715c210-8b6ffc50 +58145542,"Lung volumes are quite low, exaggerating mild pulmonary edema. No pneumothorax. Lung volumes are low exaggerating mild to moderate pulmonary edema and the caliber of the moderately widened upper mediastinum.",b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74 +58154356,"AP chest: There is widespread pulmonary opacification, particularly in the lower lungs, but the pattern is consistent with progressive pulmonary edema. AP chest: Moderately severe widespread pulmonary opacification, probably asymmetric pulmonary edema.",c4d33fe5-ac2ec3d5-49786015-e5ea7a4d-04c82de3 +58155125,"Severe left and moderate right pleural effusions, substantial bibasilar atelectasis. Large left and moderate-to-large right, bilateral pleural effusions with bibasilar airspace opacities likely reflecting compressive atelectasis. ",2bc6a85c-e37491cd-8408dde1-e5061580-b890fc2f +58167653,"Tracheostomy tube, upper enteric drainage tube, right dual-channel internal jugular line and right subclavian central venous line are all in standard positions. Tracheostomy tube and right internal jugular line are in standard placements respectively and an upper enteric drainage tube passes into the stomach and out of view. ",3beddebe-77318989-f0a94514-750bd4e3-c009749d +58168356,"PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained. PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained.",a0d2c039-f522ccd9-d97c1582-07999a4b-ffdb3140 +58177798,Enlarged cardiac silhouette which is compatible with patient's history of pericardial effusion. Enlarged cardiac silhouette which is compatible with patient's history of pericardial effusion.,9b8c8c16-1ff93d63-c49fdc62-8256171e-4c4acb9d +58191597,Substantial enlargement of the cardiac silhouette with left ventricular assist Ding device in position. Enlargement of the cardiac silhouette with pacer device in position.,73f1035a-9d57466e-92c2b0b1-5ee3d31c-78ad1ad4 +58195876,Mild lung hyperinflation. Mild lung hyperinflation.,a431832f-c2debb14-58876089-dc9b0d60-95e4c67f +58198532,"Healed fracture deformity, proximal right humerus. Superior displacement of right proximal humerus with narrowing of the acromiohumeral distance suggestive of chronic rotator cuff tear and associated degenerative changes. ",42493196-32cde3ff-b94d0ab0-baf74d8e-a88ad016 +58198778,"The right juxta hilar mass with moderate right-sided pleural effusion, loculated at the apex. The right juxta hilar mass with moderate right-sided pleural effusion, loculated at the apex.",cb2f4f2e-e36e5b5c-fabde40d-22a6a15f-4a4b48ad +58204843,"Right internal jugular central venous catheter extends into either the right axillary vein or one of its tributaries. The position of the right internal jugular vein catheter is correct, with the tip projecting over the cavoatrial junction. ",7b714b4a-a32cd9a3-99984154-eacb273a-b64ec97a +58214761,"The limited view of the right shoulder shows marked degenerative change, severe demineralization, perhaps due to disuse. Massive bilateral known pleural calcifications. ",73ca3214-e0c93052-7e191b81-356439da-354da5eb +58215117,Patient is status post left blebectomy and pleurodesis with no residual pneumothorax seen. Patient is status post left blebectomy and pleurodesis with no residual pneumothorax seen.,5fdb7189-ead5e2fd-71a6d19b-3862ce63-28bc762e +58228725,"AP chest: Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. Lower lung volumes also accounts for enlarging heart size, and significant distention of mediastinal veins.",5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884 +58231918,"Three AP views. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus on the earlier attempts was on the latest of three images beyond the upper stomach and out of view. Three AP views. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus on the earlier attempts was on the latest of three images beyond the upper stomach and out of view.",96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469 +58232231,"The large mass in the left upper lobe, extensive left pleural thickening and lymphangitic tumor extension throughout the left lung. The large mass in the left upper lobe, extensive left pleural thickening and lymphangitic tumor extension throughout the left lung.",f33df19b-40b70f49-e2089e24-af20049c-136fb213 +58245185,"Hyperinflation suggests emphysema, which incidentally shows heavy asbestos-related pleural plaques and extensive bronchial secretions, nearly occluding the airway in the left lower lobe bronchial tree. Chronic hyperinflation of the right hemi thorax in the configuration of the right lung base suggest emphysema or small airway obstruction, aside from greater linear atelectasis at the lung bases, best appreciated on the lateral view, there is no radiographic evidence of an acute cardiopulmonary abnormality. ",99a719f1-338c19ff-4c6100c3-a98e761a-254572ee +58248722,"There is extensive opacification in the right hemithorax consistent with the known pneumonia. There is a substantial hazy opacification in the right hemithorax, consistent with re-accumulation of a substantial amount of pleural fluid. ",ef34a791-15321a3d-aa9eca93-84157fc9-6fccd907 +58255680,"Diffuse interstitial opacities with small bilateral pleural effusions and significant cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which was possibly attributable to drug reaction, COPD or vasculitis. Diffuse interstitial opacities with small bilateral pleural effusions and significant cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which was possibly attributable to drug reaction, COPD or vasculitis.",6c07c33a-7fa8c707-954343f0-26c7f512-379005a9 +58255867,"Overal pattern compatible with congestive heart failure with superimposed right lower lobe consolidations concerning for infectious/inflammatory process. Persistent cardiomegaly with hazy opacity in the right mid lung, concerning for pneumonia. ",0f33dea2-1c4e6245-7b21b568-ef0299e9-03c0863a +58274962,"AP and lateral chest: There is severe cardiomegaly, accompanied by mild basal pulmonary edema and small pleural effusions.AP and lateral chest: There is severe cardiomegaly, accompanied by mild basal pulmonary edema and small pleural effusions.",f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15 +58286219,"AP chest: Significant opacification at the apex of the left lung could be hemorrhage or pseudoaneurysm, as well as local pleural collection related to chest tube. AP chest: One limb of the dual ET tube ends in the left main bronchus just proximal to the upper lobe takeoff, the other in the low trachea. ",7c2b70be-625cb0d4-aaf7b0f6-84685c72-50a04089 +58303567,"AP chest: Moderate-to-severe pulmonary edema accompanied by mild to moderate bilateral pleural effusion. AP chest: Significant opacification of both lungs, with a substantial component of pulmonary edema and mild to moderate pleural effusions, which make it difficult to assess pneumonia.",10c8ac36-a2853890-23c30e54-90a676c0-9a66c8eb +58304701,"Significant right upper lobe scarring with right hilar elevation and bronchial wall thickening/bronchiectasis may be due to postradiation fibrosis, if there is a corresponding history. Significant right upper lobe scarring with right hilar elevation and bronchial wall thickening/bronchiectasis may be due to postradiation fibrosis, if there is a corresponding history. ",772a5436-29f7b5fa-5ad23833-0939fd67-e58a599f +58306324,PA and lateral chest: Mild postoperative enlargement of the cardiac silhouette. PA and lateral chest: Mild postoperative enlargement of the cardiac silhouette.,7b764993-32d1c941-d0ddfd50-1022cf30-82cdcfc7 +58307391,Nevertheless heart may be enlarged and there may be central adenopathy. Significant reticular markings compatible with interstitial disease and bilateral enlarged hila compatible with lymphadenopathy and known left upper lobe nodule.,638f2c7f-1ddfe2c3-062f8057-b3e8a5aa-17b03955 +58317281,"There are small bilateral pleural effusions, moderate cardiomegaly with left atrial enlargement, and pulmonary hypertension. AP chest: Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure.",137c9581-82049ac3-2bce7676-8032c119-9845711c +58318333,"Lung volumes are substantially lower exaggerating moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. Severe cardiomegaly, widened mediastinum, large retrocardiac consolidation, probably small left effusion and mild vascular congestion.",947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd +58319427,There are postoperative appearance of the neoesophagus and small right pleural effusion is constant. There are postoperative appearance of the neoesophagus and small right pleural effusion is constant.,28e4376e-045edb59-84977ca1-d0deb357-1d35d4b9 +58324748,"AP chest: Lung volumes are lower, exaggerating severe enlargement of the cardiac silhouette and volume of moderate-sized bilateral pleural effusions. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral opacifications consistent with significant layering effusions and compressive basilar atelectasis. ",c8591b84-dfb9bd0c-54f0a9f4-e5258ccd-4fec4b57 +58327706,"There are left upper lobe, left hilar and left infrahilar masses. There are left upper lobe, left hilar and left infrahilar masses.",b973beee-a64f055b-a96181c0-05105bc5-25dcc796 +58340193,"OG tube tip projects in the left lower hemi thorax the tip is likely in the known intrathoracic stomach, the patient has a large hiatal hernia. Malpositioned NG tube located in the supradiaphragmatic location projecting over the left main stem bronchus most likely in a large hiatal hernia vs contained within the airway. ",dee14392-cc692fb3-6f2ebd41-a3c076db-05568231 +58345071,"The IABP has been pulled back to approximately 4 cm below the transverse arch of the aorta and just above the upper aspect of the left mainstem bronchus. AP chest: Post-operative widening of the mediastinum in the region of the arch, but there may be an large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. ",552535b0-f25af20e-f0731a45-c3c4dec8-3f85e93b +58349137,Significant pulmonary edema with triple- lead pacer remaining in place. Significant pulmonary edema with triple- lead pacer remaining in place.,f59791dd-2e8e1e7a-607b2f6e-18b713c7-aed09023 +58351102,"There are loculated right-sided hydropneumothorax/empyema, postoperative appearance of the neoesophagus, small right pleural effusion.",b758e8f4-574ee6a8-32a4c691-81f94a5b-96a0773c +58352175,Post-surgical changes of the left hemi-thorax. It shows the appearance of the postsurgical left hemi thorax.,31d674c7-da219c63-72219f57-202ccfaf-94a9a6f6 +58357438,Mild limitation due to low lung volumes without definite signs of pneumonia. Mild limitation due to low lung volumes without definite signs of pneumonia.,84d86cc8-682db79b-a57522b4-e65281b6-4d040d2f +58365706,Cardiac silhouette is large in size and is accompanied by significant pulmonary edema and moderate right pleural effusion. Cardiomegaly and pulmonary vascular congestion accompanied by significant interstitial edema and a layering right pleural effusion. ,eec556a6-1c46381e-1b9492b9-f747e8ec-048b888a +58367071,"AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces.",fe5dd4a7-d88ab43b-fe20fb3b-aa6f0fe1-c9efd533 +58369249,"Interstitial abnormality with peribronchial opacification in the left midlung is probably pneumonia, alternatively asymmetric edema, either developing or resolving. Interstitial abnormality with peribronchial opacification in the left midlung is probably pneumonia, alternatively asymmetric edema, either developing or resolving. ",4fe5756d-bd504c0e-ec57e8bd-d9d21f15-a2cd65f3 +58373469,There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads. There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads.,f1324f6e-a72d0eb7-dbe2b51f-8da51dcb-822e61dc +58377417,The cardiac silhouette is enlarged and there are engorged and indistinct pulmonary vessels consistent with elevated pulmonary venous pressure.The cardiac silhouette is enlarged and there are engorged and indistinct pulmonary vessels consistent with elevated pulmonary venous pressure.,97cfb5fb-f151949c-ec5357b7-3b5b1046-5ef2a77c +58379619,AP and lateral chest: Transvenous pacemaker lead follows the expected course to the apex of a large right ventricle. AP and lateral chest: Transvenous pacemaker lead follows the expected course to the apex of a large right ventricle.,76d2e3a0-a3074ba0-1b66d561-1eb29b13-3bb093aa +58387591,"Patient with ICD device, no evidence of pulmonary congestion or acute infiltrate that could explain the patient's history of three months of cough. Patient with ICD device, no evidence of pulmonary congestion or acute infiltrate that could explain the patient's history of three months of cough. ",6a7a8448-ea976adb-343bc548-9a621bc5-db423765 +58387960,"Status post surgery, with marked leftward shift of the mediastinum into the left chest, together with associated drains, catheters and prosthetic valve, with resultant near-complete opacification of the left lung. There is minimal aeration in the left lung with marked leftward mediastinal shift. ",8f34e6a7-a9a93480-381afaf2-33925be7-c183ae6f +58395298,"There is enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive basilar atelectasis, more prominent on the right. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive basilar atelectasis, more prominent on the right.",a797fb72-ac31496e-fb500d8f-daa52795-1800ca2e +58400851,"AP chest: Mild-to-moderate pulmonary edema. AP chest: Moderately severe pulmonary edema, mediastinal vascular engorgement. ",e1eb5589-20b5223f-dfff33dd-0d4ed3f6-19b045fd +58402174,"Low lung volumes with opacification at the left base silhouetting of the hemidiaphragm consistent with pleural fluid and underlying compressive atelectasis. There are low lung volumes with bibasilar atelectatic changes, more prominent on the left, and blunting of the left costophrenic angle consistent with some pleural fluid. ",8d3d599d-c63f3e85-fcd2ddbe-2e931945-482b1161 +58404829,"AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. ",3214e64d-afc36832-c264b9cd-9eb7a079-59a7eedd +58406467,"Frontal view of the supine torso centered at the umbilicus shows a feeding tube with wire stylet in place ending in the upper stomach, and a nasogastric tube extending just beyond to the mid stomach. Status post orogastric tube placement. ",ef578547-4e4219db-c1753821-922ec956-1d6e6770 +58409548,A cluster of cystic spaces in a severely retracted right lung apex is presumably the residual of tuberculosis. There are the large right apical mass.,84ee4f3c-27c6c5ff-e84f61b7-1ab68ce3-99820e85 +58409843,"Lung volumes are lower, exaggerating borderline interstitial edema, reflected in increasing bibasilar atelectasis. Increase bibasilar atelectasis and mild the increased pulmonary vascular congestion consistent with postextubation status. ",c1d5b4f7-c4ed16c1-202cd868-0f06cd8a-25de3389 +58414605,PA and lateral chest: There are moderate to severe right pleural effusion and moderate left pleural effusion. PA and lateral chest: There are moderate to severe right pleural effusion and moderate left pleural effusion.,5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a +58423258,Severe degenerative change noted in the thoracoabdominal region with kyphosis and large osteophytes. Severe degenerative change noted in the thoracoabdominal region with kyphosis and large osteophytes.,f11d267a-fb7c10b3-abbbef5e-66e9412c-99b8c90d +58425600,"AP chest: Though lung volumes are low, and there are moderate bilateral pleural effusions, the upper lungs are clear. AP chest: Though lung volumes are low, and there are moderate bilateral pleural effusions, the upper lungs are clear. ",0c315fcb-cb93603a-1fde59fe-bb8bfefe-b74f4205 +58449130,AP chest: Large cardiac silhouette with insertion of a pericardial drainage catheter. enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG. ,4255ddc7-829f3037-52171b91-e25d271a-75bb4204 +58455247,"AP chest: Much of the opacification projected over the left lower hemithorax is due to fluid-filled stomach that is either herniated or beneath the chronically elevated left hemidiaphragm, but it obscures what is probably a substantially atelectatic left lower lobe and perhaps some pleural effusion. AP chest: Much of the opacification projected over the left lower hemithorax is due to fluid-filled stomach that is either herniated or beneath the chronically elevated left hemidiaphragm, but it obscures what is probably a substantially atelectatic left lower lobe and perhaps some pleural effusion.",00c7d4e9-802b89b1-4bd840b3-e5fd2fc9-5d38566e +58459168,"Mild congestive heart failure with mild interstitial pulmonary edema, and small bilateral pleural effusions, with the left pleural effusion appearing significant in size. Mild congestive heart failure with mild interstitial pulmonary edema, and small bilateral pleural effusions, with the left pleural effusion appearing significant in size.",8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f +58464643,Right thoracostomy and left basal pigtail pleural drainage catheters in their respective positions.Following hiatal hernia repair there is substantial gas in subcutaneous tissues along the left lateral chest wall.,4d43eeba-0e94bfc5-ca416d6f-449ceb69-688d7ae5 +58466818,"Large areas of heterogeneous consolidation in the left mid and lower lung zone, combination of lung mass, pneumonia, and collapse in the lingula. Significant left basilar opacification concerning for infection superimposed on a background of confluent metastatic disease and atelectasis in the lingula.",2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6 +58466988,"Allowing for the AP supine technique, there is moderate enlargement of cardiac silhouette. Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning. ",20ac90a4-87044528-f3284c7b-e22cd4ff-feeeb0df +58469571,There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads. There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads.,db0ff7a9-8860e50f-7b50f798-2e24594e-9c16c38d +58470850,Possible component of fluid overload which is difficult to assess given large body habitus. Possible component of fluid overload which is difficult to assess given large body habitus.,1b9a76c5-24e784cb-4a768979-edd5e575-042c91a0 +58480173,Borderline heart size top-normal. Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation.,90e0275c-fdf15b9e-fa00d384-ace49c70-f4727012 +58485731,AP chest: One Dobbhoff feeding tube passes into the upper stomach and out of view. AP chest: Dobbhoff tube ends in the region of the pylorus.,abaf3f48-e5ba0e33-b7c52893-aa44a3b8-7aa9a7d2 +58489635,The left perihilar opacity may reflect known primary lung cancer or treatment related fibrosis. The left perihilar opacity may reflect known primary lung cancer or treatment related fibrosis.,3dc71595-c47bd185-73aaa5e1-d15818c0-c6096a22 +58495524,Status post median sternotomy for CABG with mild cardiac enlargement. Thyroid goiter causing widening of the right paratracheal stripe.,5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb +58501970,"There is significant opacification in the retrocardiac region with poor visualization of the hemidiaphragm, consistent with volume loss in the left lower lobe and small pleural effusion. AP chest: There are miminal pulmonary edema, severe opacification of the left lower lobe, consolidation at the right lung base. ",6a53a787-2e1025f2-59359f42-140f8938-45899305 +58503033,"Pacemaker leads are in position There is development of bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated small amount of pleural effusion. There are diffuse bilateral opacities, and the position of the pacemaker leads in position, and widening of the mediastinum.",32c1d55b-e82e8109-857245af-c7f729c8-050f2e67 +58510466,AP chest: Mild interstitial edema is accompanied by a small right pleural effusion.AP chest: Mild interstitial edema is accompanied by a small right pleural effusion.,4d50716a-ce9e59d8-2bccee5f-9fd75a55-f12cd66a +58517699,"AP chest: Significant consolidation in the right mid lung of the diffuse infiltrative pulmonary abnormality could be due to progression of pneumonia, mild edema or local pulmonary hemorrhage. AP chest and chest radiographs: Significant opacification in the right mid and lower lung zones, while background interstitial pulmonary edema is mild, strongly suggestive of probably pneumonia. ",d9ebed54-0d6d34ff-31652ffe-bcd2f65d-009a29ee +58519194,"AP chest. Two pleural tubes in position, both impinging on the midline, one at the level of the left upper lobe bronchus, the other at the level of the diaphragm. Esophageal temperature probe is above the clavicles, ET tube tip at the thoracic inlet, 6.5 cm from the carina should not be withdrawn further, upper enteric drainage tube ends in the upper stomach, ECMO cannula in position at the level of the inferior cavoatrial junction. ",a012623c-3d2f7d18-ccd7f833-c984c099-56fbef61 +58521372,"Nodular density projecting over the right first costochondral cartilage area, potentially degenerative; however, two-view chest x-ray recommended on a nonurgent basis to exclude underlying lung lesion. Prominence of the ascending aorta may relate to a tortuous aorta, however, this could be further evaluated on nonurgent chest CT to assess for dilation of the ascending aorta. ",1675afce-31756f63-a165a417-94a2c4ab-41fa955f +58528625,"AP chest: Severe cardiomegaly mild-to-moderate pulmonary edema, accompanied by at least small right pleural effusion. AP chest: Increased caliber of the pulmonary and mediastinal veins, and severe cardiomegaly suggest that peribronchial opacification in the right mid and upper lung zone is asymmetric edema rather than pneumonia. ",253ff311-29b03520-fb3b41cc-943dee43-7ac172d5 +58568223,"There is enlargement of the cardiac silhouette with fibrotic changes bilaterally, especially at the left base. There is enlargement of the cardiac silhouette with fibrotic changes bilaterally, especially at the left base.",a3a06d4a-738a23e2-049e6887-d1e5cc2f-c1573666 +58576963,"The patient has had median sternotomy, cardiac valve replacement, probably mitral, and transvenous right atrial and ventricular pacer leads are in standard placements. Status post right ventricular pacer lead revision as described above; COPD and small pleural effusions. ",37281a6b-d40f025d-51681f11-e078aa8f-3c6452d2 +58577683,There are lower lung volumes which could accentuate this appearance. The Swan-Ganz catheter is pulled back so that it is with in the mediastinum. ,28436719-d87f3ae5-9c69e639-adb91cdf-96771118 +58581234,"Heart is moderately enlarged, mediastinum is widened in part due to fat deposition, but an azygos fissure displays the azygos vein which is distended indicating elevated central venous pressure or volume, accompanied by mild pulmonary vascular engorgement. The cardiac and mediastinal contours are enlarged despite portable technique. ",3c172ae3-82504f6a-6de0bc7a-28294cec-278aa9d6 +58581962,Hyperinflation of the lung fields with hyperlucency suggestive of emphysema. Hyperinflation of the lung fields with hyperlucency suggestive of emphysema.,f84cbcd6-8eef4c5e-b8c536b9-7121aa4e-7233d805 +58582715,The heart is upper limits of normal in size and is less globular in configuration making pericardial effusion less likely. PA and lateral chest: The patient has had median sternotomy and coronary bypass grafting.,a7c2113c-b5445d48-45d2238f-d7cfa15c-6fd2383a +58584546,"Left hilar mass with reticular opacities extending to the chest wall is consistent with known history of malignancy and radiation therapy. Worsening peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction. ",2c699f50-503e7098-01ecae7c-d395875a-02612502 +58585557,"Large area of significant opacification at the base of the right hemithorax is probably moderate atelectasis in the setting of persistently elevated right hemidiaphragm. The lung volumes are low, but severe relative elevation of the right hemidiaphragm is significant and there is moderate right basal atelectasis. ",036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a +58585627,"Lung volumes are lower exaggerating mild pulmonary edema and moderately severe right basal atelectasis, and moderate bilateral pleural effusion. AP chest: Lung volumes are lower, reflected in moderate-to-severe bibasilar atelectasis, and there are moderate bilateral pleural effusion, moderate cardiomegaly and vascular engorgement of the lungs and mediastinum, not yet presenting as pulmonary edema. ",42c22f15-803b9ea1-709d9163-e1ec1da8-df4d6d86 +58588894,"AP chest: Though lung volumes were low, and there were moderate bilateral pleural effusions, the upper lungs were clear. AP chest: Though lung volumes were low, and there were moderate bilateral pleural effusions, the upper lungs were clear.",bcc505e7-72cc89ad-2e8eca24-f93e86f8-c5623967 +58598132,"AP chest: Moderate enlargement of the cardiac silhouette, accompanied by small right pleural effusion and mediastinal vascular engorgement. Cardiomegaly is accompanied by pulmonary vascular congestion, minimal interstitial edema and moderate right pleural effusion.",9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98 +58598370,"Multiple bilateral pulmonary nodules overall appear conspicuous, which may be due to differences in technique/penetration, concerning for slight progression of disease. Multiple bilateral pulmonary nodules overall appear conspicuous, which may be due to differences in technique/penetration, concerning for slight progression of disease.",90700f34-2bf7712e-44ca9a85-f62ca3ec-083c083b +58600769,AP chest: Large bilateral pleural effusions and moderate enlargement of the cardiac silhouett.AP chest: Large bilateral pleural effusions and moderate enlargement of the cardiac silhouett,60fa6a80-205ed57c-835e6296-1969c8b7-58eeaacf +58608964,"There are moderate cardiomegaly, the monitoring and support devices in position, including the ventricular assist device. Eenlargement of the cardiac silhouette with the monitoring and support devices. ",fab6875e-e58537aa-922ded04-7be27ddc-15a63067 +58611846,"Pacemaker lead is in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left. There are dual lead pacemaker and median sternotomy wires in position, small bilateral pleural effusions and left basal atelectasis.",320c382c-ac349a5d-0bd44e5e-5e5cd679-682ea75e +58621321,"Moderate cardiomegaly, with single-lead pacer in place. Moderate cardiomegaly, with single-lead pacer in place. ",e3fc5bd6-0ebd345c-dd63d96c-6844627c-1b6cf82b +58623741,"There is the large fluidopneumothorax on the right, with mild depression of the right hemidiaphragm. There is the large fluidopneumothorax on the right, with mild depression of the right hemidiaphragm. ",a03ac33d-fe835365-82973c3a-0bf2e738-fbb8a2f1 +58635342,"Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive. Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive. ",38c9787f-8f9a7af2-3814ee5a-ebd8ba86-d55e4279 +58640644,No acute cardiothoracic process on this study limited by underpenetration. No acute cardiothoracic process on this study limited by underpenetration.,88599fd0-57288634-2d77f19e-73726d34-90158ecc +58644358,There is the left upper lobe mass with associated opacification are rounded consistent with progressive malignancy or associated pneumonia. Significant left upper lobe opacity and left perihilar reticular opacities worrisome for significant pneumonia.,cad294ec-5e2a00a5-5080644b-2dcc1bb7-3c743d0a +58645463,"Left lower lobe atelectasis, cardiac enlargement, standard position of support tubes. Dobbhoff tube appearing to enter trachea and left mainstem bronchus, with diaphragmatic penetration and distal tip projecting over the left mid abdomen. ",ac9317c6-52379372-d9464c93-abdb2215-2daad9f1 +58656783,There is widespread subcutaneous emphysema as well as the small apical pneumothoraces. There are bilateral pneumothoraces and degree of subcutaneous gas adjacent to the right chest wall and extending upward to the neck in downward to the abdomen. ,e426b51e-f7222833-d8ee3136-30f0df83-872a415e +58666319,"AP chest: Significant opacification at the lung bases and probably a combination of bibasilar consolidation and moderate pleural effusions. There are bilateral layering effusions with bibasilar airspace opacities likely reflecting compressive atelectasis, although pneumonia cannot be excluded. ",57b2666a-699fa6ab-57992ba2-54520a2e-7ee60ae6 +58669896,THERE IS Significant VASCULAR CONGESTION IN THIS PATIENT WITH ENLARGEMENT OF CARDIAC SILHOUETTE AND TO A-CHANNEL PACER DEVICE IN PLACE. THERE IS Significant VASCULAR CONGESTION IN THIS PATIENT WITH ENLARGEMENT OF CARDIAC SILHOUETTE AND TO A-CHANNEL PACER DEVICE IN PLACE.,e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f +58679736,"Mildly bulging left mid mediastinal contour, suggesting enlargement of the left atrial appendage. Mildly bulging left mid mediastinal contour, suggesting enlargement of the left atrial appendage. ",03c9f091-1ac40a2e-362d8a50-c5e3a9c0-eaea0cd2 +58680008,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,3f111bf1-0ce0a81f-76b66ed5-c8517077-9373dbea +58698919,There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and obscuration of the hemidiaphragm on the left consistent with volume loss in the left lower lobe and pleural effusion. There is all enlargement of the cardiac silhouette with elevated pulmonary venous pressure and left pleural effusion with compressive atelectasis at the base. ,4b3c3806-311dc11c-5c89f911-3f5b98e5-e5291eb6 +58701930,"AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. No evidence of cardiac enlargement, pulmonary congestion or acute infiltrates. ",463d2a28-b411bb98-f7bda38e-7030ebb9-74a8a1e0 +58706366,Postsurgical changes from prior right upper and middle lobectomies and gastric pull through and small right pleural effusion. Postsurgical changes from prior right upper and middle lobectomies and gastric pull through and small right pleural effusion.,103cf62f-89baecec-69aa24c2-0d1c769f-e3c40ac1 +58721487,"Right middle lobe focal opacity with associated bronchiectasis and patchy bilateral lower lobe opacities, to reflect a combination of infection and graft-versus-host disease. Right middle lobe focal opacity with associated bronchiectasis and patchy bilateral lower lobe opacities, to reflect a combination of infection and graft-versus-host disease.",859b40aa-1f46d6a7-7f299ecf-38260eb3-897580c1 +58728926,AP chest and an image of the right humerus: Short vascular catheter projects over the mid right humerus. AP chest and an image of the right humerus: Short vascular catheter projects over the mid right humerus.,9df378ca-1a460144-f9bb32fc-35303d15-8b86f4c9 +58732756,"AP chest: Large cardiac silhouette, following insertion of a pericardial drainage catheter. AP chest: There are moderate-to-severe cardiomegaly, pulmonary vascular engorgement and mild interstitial edema. ",c536f749-2326f755-6a65f28f-469affd2-26392ce9 +58736291,Severe emphysema and bullous disease. Severe emphysema and bullous disease.,c4713b43-d31ad200-30f7309b-ba7d87e3-b69db479 +58737609,"AP chest: Though lung volumes were low, and there are moderate bilateral pleural effusions, the upper lungs were clear. AP chest: Though lung volumes were low, and there are moderate bilateral pleural effusions, the upper lungs were clear.",c6daa86b-28de832b-4cdd7e0d-51eca585-d7dad6ce +58739295,Increasing opacification at the bases with silhouetting hemidiaphragms is consistent with layering effusions underlying volume loss in the lower lungs. There are the supporting tubes and lines as well as parenchymal opacities and potentially present bilateral pleural effusions.,d581d98c-1d55ec95-27066557-bcd43551-e1ff2218 +58740782,"AP chest: Small-to-moderate left pleural effusion is following thoracentesis and aspiration of the majority of the left pleural fluid. AP chest: Moderate left pleural effusion. Left lower lobe is poorly aerated, presumably due to atelectasis, though pneumonia is not excluded. ",d423cd88-d0739c64-5212e268-96f30c3b-7bd9f6ae +58757097,"PA and lateral chest: There are moderate cardiomegaly, pulmonary vascular congestion, generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: There are moderate cardiomegaly, pulmonary vascular congestion, generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",87839031-cf5f44d0-580a18ad-b86bcca4-c95455c5 +58760787,"AP chest: The volume and severity of consolidation in the right lung involving lower lobe superior segment and upper lobe, revealing severe bronchiectasis, possible cavitation and some loss of volume in the right upper lobe. AP chest: Current consolidation in the posterior segment of the right upper lobe and heterogeneous opacification in the right lower lung consistent with chronic aspiration and pneumonia.",a66051d0-9ed3a477-30455196-064ccf0d-b667f74e +58768954,AP chest: Heart size top normal. Known intra-abdominal free air.,b78b1110-28e93f4d-b7e0e8f6-22552c4c-b967810b +58771580,The patient is rotated somewhat to the left; low lung volumes and bibasilar atelectasis; trace pleural effusions are difficult to exclude. There are low lung volumes and a large hiatal hernia.,5ad11416-2d53dd53-96e1fcda-ca3b80c0-c0fb1e6f +58773373,"Bilateral left greater than right effusions with pulmonary vascular congestion. Bilateral pleural effusions, left greater than right with bibasilar atelectasis in combination with pulmonary vascular congestion suggests CHF. ",ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0 +58773579,Moderate cardiomegaly with placement of the pacemaker leads. Enlargement of the cardiac silhouette with a configuration raising concern for underlying pericardial effusion.,4a6b6a7c-83ed2cdc-41c74d6e-ed8815a2-84ed02ff +58778783,"Bibasilar and right middle lobe opacification, most compatible with multifocal pneumonia though a post-obstructive process is of concern. Bibasilar and right middle lobe opacification, most compatible with multifocal pneumonia though a post-obstructive process is of concern. ",7954b023-74e12365-5c4fbe43-07ef3edc-a3caf1df +58786693,"Low lung volumes with bilateral perihilar opacity which could relate to edema, however, infection may be present. Low lung volumes with bilateral perihilar opacity which could relate to edema, however, infection may be present. ",8a31b2b4-ae7e2d63-755cd377-936102cb-9bb02fac +58788581,"AP chest: Despite the right basal pleural tube, there are fissural and apical components of multiloculated right pleural effusion, responsible for severe atelectasis in the right lung. AP chest: Volume of the neoesophagus is with in normal range and there is retained contrast agent. ",b247a4b1-847a7108-49cb4bd9-b119da1e-70ea9fa6 +58789310,Consider nonemergent outpatient CT to further assess given extensive background emphysema. Consider nonemergent outpatient CT to further assess given extensive background emphysema.,c230ce72-acc26270-caefebe0-f6b07913-7033227d +58797209,"Moderate to severe cardiomegaly with moderate to severe pulmonary edema, layering bilateral pleural effusions, and probable bibasilar atelectasis. Findings compatible with acute pulmonary edema with possible layering pleural effusions. ",f63472c6-7fff6462-6df9fd25-2705bc5e-08edc54f +58798180,"There is mild pulmonary edema, severe heterogeneous opacification at the base of the right lung due to infection secondary to severe impacted bronchiectasis. AP chest: There is the combination of pulmonary fibrosis and pulmonary edema, which is at least moderate, along with small-to-moderate right pleural effusion. ",4f8923e8-cf82750b-69755c55-a9d1c9ac-e3a2f0fb +58800563,"Low lung volumes with bibasilar linear atelectasis, no pulmonary edema. Low lung volumes with mild bibasilar linear atelectasis, no pleural effusion or pneumothorax. ",4c940923-a59ab393-7984e607-b473ed13-af98d60c +58801080,Status post ascending aortic graft repair and dilatation of the descending thoracic aortic contour compatible with known dissection. Status post ascending aortic graft repair and dilatation of the descending thoracic aortic contour compatible with known dissection.,37d5e0a8-71e3174e-de2a7542-4cb0ba66-76531312 +58807210,"PA and lateral chest: There are moderate cardiomegaly, pulmonary vascular congestion, generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: There are moderate cardiomegaly, pulmonary vascular congestion, generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",e3555bac-cb4ffa77-657be5f9-38bcdc9b-0b46292b +58808413,Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning. AP chest and an image of the right humerus compared: Short vascular catheter projects over the mid right humerus. ,2756fb1d-45bdeff0-4f3cab91-67c49af9-04c378d9 +58817744,"On the left, it is difficult to determine whether the dense oblique opacification represents a thick band of atelectasis or if there is mild elevation of the left hemidiaphragmatic contour with atelectatic changes just above it. There is considerable atelectasis in the left lower lobe due to mass effect by the intrathoracic bowel lobes, probably the cause of the hypoxia. ",b4090c18-9828842b-111e341f-0673f4ad-e42afebc +58819781,Dual lead pacemaker and median sternotomy wires are in position Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position Small bilateral pleural effusions and left basal atelectasis.,b56a09de-a517e1c9-1e37badb-c8820169-834c4cd1 +58824000,"The cardiac silhouette appears enlarged, some of which may represent the supine AP. AP chest: There are moderate cardiomegaly, pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion. ",e3c80a40-fc49e72a-6cd50354-445adf30-3d360387 +58831403,"AP chest: Lungs mildly hyperinflated, could be emphysematous. AP chest: Lungs mildly hyperinflated, could be emphysematous. ",2528f6e5-586bb3a0-e00e7283-5c594954-fe27b052 +58833368,"AP chest: There are mild generalized edema, significant consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. AP chest: Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus: Mild pulmonary edema and severe cardiomegaly. ",e01e8de2-d5095cb4-f851985e-df9c203c-89326fdb +58836461,Linear left basilar scar/atelectasis with adjacent left pleural thickening or small effusion. Linear left basilar scar/atelectasis with adjacent left pleural thickening or small effusion.,dc93422b-fd5ec685-19eb4eba-fb31f8d0-b60d8b47 +58836797,"AP chest: Small right apical pneumothorax, basal pigtail pleural drain in place. AP chest: Small right apical pneumothorax is presumably following thoracentesis, with placement of a mid chest tube and basal tube in the right hemithorax. ",29fa67ed-eafe7bd7-b310f744-078a1939-72c2aacb +58847709,"Right basilar opacity is likely a combination of atelectasis/consolidation and effusion, but PA and lateral CXR may be helpful for more complete assessment when the patient's condition permits. Hazy opacification of the right base with silhouetting hemidiaphragms suggests layering effusion with basilar atelectasis. ",99afae49-8d95e258-a1717ce5-74e8f9fa-715ae11a +58856677,"AP chest: A left skinfold over the major fissure highlighting severe edema or consolidation in the left lower lobe should not be mistaken for pneumothorax. Mild pulmonary edema accounting in part for the significant radiographic appearance what is probably progressing multifocal pneumonia, and contributing to small to moderate left pleural effusion. ",fd82faa7-31410b18-fae37f67-70086b23-f1ead160 +58857549,"Healed fracture deformity, proximal right humerus. Old healed fracture deformity of the right proximal humerus is visualized. ",5c2bf1b4-d3738135-b0f5cea4-bfa67dda-166feb65 +58858468,"AP chest: Moderate enlargement of the cardiac silhouette, but there is no pulmonary edema, although mediastinal veins are dilated, possibly a reflection of supine positioning. Moderate to severe cardiomegaly, exaggerated by supine positioning, with a large mediastinal venous caliber. ",2c306616-b3005c87-d05f4dd6-a7f274c1-e15bf2a1 +58864570,"Left upper to mid lung opacity, more consolidated peripherally with concern for malignant involvement and/or postobstructive pneumonia. Left upper to mid lung opacity, more consolidated peripherally with concern for malignant involvement and/or postobstructive pneumonia.",218c9927-cdee34db-c4b93920-adfa83cb-cfb580c5 +58865157,Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.,879c5bd5-8fde6e6e-470c4bdb-323689b2-fac6fa7e +58866273,"AP chest: There is reduced aeration in the right lower lung, due to either some withdrawal of right pleural effusion, although I no longer can see the Pleurx catheter at the base of the right chest, or what is most likely severe obstruction to the right middle and lower lobe.Placement of a NG tube terminates in the right lower hemithorax, most likely within the neoesophagus. ",95aeb67d-dda857ec-1fa24d4f-f0b7d118-eaf906ea +58869711,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. The left and right chest tubes as well as the left venous access line and the tracheostomy tube in position. ",995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731 +58878473,AP chest: Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning.,7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3 +58881734,Widening mediastinum is signficant. There is mild pulmonary edema and mediastinal vascular engorgement.,05497016-015d9fb6-1dcbc401-ad586ed8-ff4595d4 +58890549,"There is diffuse bilateral pulmonary opacifications consistent with significant multifocal pneumonia. Widespread bilateral pulmonary opacifications, more prominent on the left, are essentially consistent with multifocal pneumonia. ",ee316aaf-4836b322-7a19300e-e45cd9fd-b0399146 +58895837,"AP chest: There are large pulmonary vascular caliber, small bilateral pleural effusions, and suggestion of mild edema all pointing toward biventricular cardiac decompensation. AP chest: Mild-to-moderate pulmonary edema is accompanied by small bilateral pleural effusions and mediastinal vascular engorgement. ",aed9fe49-bb7468b2-ba4f60dd-25410316-df9b9d8c +58897728,Mild to moderately distended small bowel in the left upper quadrant. Mild to moderately distended small bowel in the left upper quadrant.,7fae1179-39697856-a9795bb4-19feb4f6-b065f924 +58898395,"AP chest: An upper enteric drainage tube passes to the junction of the second and third parts of the duodenum. AP chest: Dobbhoff tube is in position, looped in the upper stomach. ",b4a939d3-05849610-14a75408-ef6f57b3-c3a0f6fb +58899269,"Indwelling right PIC line ends close to the superior cavoatrial junction, indwelling atrial biventricular pacer defibrillator leads in their respective locations continuous from the left pectoral generator. Right PIC line can be traced as far as the region of the superior cavoatrial junction where it is obscured by the indwelling right atrial right ventricular pacer and defibrillator leads. ",96f00041-94cc6063-63bfa4e2-d764e039-a73d562c +58905647,Cardiomediastinal caliber is normal for supine positioning. No acute findings on this single supine frontal chest radiograph.,1b02e072-fa368bfc-a9a77874-e1a0094e-7cac5d6a +58907220,The cardiac silhouette is at the upper limits of normal or mildly enlarged in this patient with previous CABG procedure an intact mid lines sternal wires. Cardiac and mediastinal contours are status post median sternotomy for CABG. ,496ca4eb-96600429-f794c4d3-8b1b7172-f615041e +58908940,Low lung volumes with substantial enlargement of the cardiac silhouette and pulmonary edema. Low lung volumes with substantial enlargement of the cardiac silhouette and pulmonary edema.,39ca48e7-53f0eca0-ce297a4a-84fa12a4-cb30308f +58911568,Large right pleural effusion with collapse of the right middle lobe and large atelectasis in the right lower lobe. Large right pleural effusion with persistent collapse of the right middle lobe and large atelectasis in the right lower lobe.,1b1b23db-a13b7b1e-1cdeca0e-a6d035c6-a4699be0 +58917922,There is substantial enlargement of the cardiac silhouette with the Swan-Ganz catheter and pacer lead. Moderate to severe cardiomegaly following insertion of transvenous right ventricular pacer lead which runs from the left pectoral generator to the floor of the right ventricle and out of view.,7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69 +58929044,"Peribronchial cuffing and interstitial prominence suggest small airways disease, which could be secondary to reactive airways and/or a viral process. Peribronchial cuffing and interstitial prominence suggest small airways disease, which could be secondary to reactive airways and/or a viral process. ",a603cd8b-deb5791e-0af13e1c-291d022f-105c7d5c +58929701,"There are severe enlargement of the cardiac silhouette, small right pleural effusion, and pleural scarring. Severe cardiomegaly and marked enlargement of the hila due to pulmonary arterial hypertension.",db56399e-4f04b226-d9773c85-a6d565a6-04fe3904 +58936335,"AP chest: Moderate right pleural effusion despite the right basal pleural pigtail drain. AP chest: Moderate-to-severe pulmonary edema, accompanied by moderate right pleural effusion and moderate cardiomegaly. ",9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28 +58936592,"Severe enlargement of the cardiac silhouette, accompanied by mediastinal widening probably due to venous distention indicating elevated right heart pressure. Cardiomediastinal silhouette including severe cardiomegaly and widening mediastinum. ",b9d3a2a8-efad6e43-fd5c9461-389ea619-4454f98c +58938414,"AP chest: Vascular congestion in the upper lobes, bibasilar consolidation, left greater than right, probably combination of atelectasis and residual dependent edema with overlying small bilateral pleural effusion. There is mildy reduced aeration at the right lung base, significant left retrocardiac opacification, and small left pleural effusion. ",f6375332-e3c8491e-6a6b59ed-929cb010-d0f4ae4a +58950601,AP chest: Severe cardiomegaly with moderately severe pulmonary edema and small-to-moderate bilateral pleural effusion. Enlargement of the cardiac silhouette with elevated pulmonary venous pressure and bilateral pleural effusions with compressive atelectasis at the bases. ,44af3e4a-0cc1e98d-377c1626-46bc8189-2c995eb3 +58952033,Retrocardiac opacification with obscuration of the medial aspect of the hemidiaphragm consistent with volume loss in the left lower lobe. Retrocardiac opacification with obscuration of the medial aspect of the hemidiaphragm consistent with volume loss in the left lower lobe.,418536fe-ce5ff76a-25c69892-fa4beedf-88916c53 +58953417,"AP chest: Patient has an upper and drainage tube, coiled amply in the fundus of the stomach which is only mildly distended with gas. AP chest: Upper enteric drainage tube ends in the fundus of a non-distended stomach. ",0a5b6b02-70afce7a-5660c265-198ba57b-b6283f58 +58955981,"Significant peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction. Significant peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction. ",5aa672e1-1a4bfdc1-770847af-e76adb3d-a2d61d6a +58957750,"AP chest: Significant opacification at both lung bases could be explained by moderate pleural effusion, left greater than right, prominent atelectasis, in the setting of interstitial pulmonary edema. In addition to mild pulmonary edema, there are moderate left lower lobe consolidation and an accompanying moderate pleural effusion, strongly suggestive of pneumonia. ",ba4dca32-34db70b8-58f97bd4-a77b4632-6e2ee9ca +58958987,Small bilateral effusions with COPD and likely pulmonary vascular congestion. Small bilateral effusions with COPD and likely pulmonary vascular congestion.,0d6db000-b7832a09-4e80e472-89242ef5-20701513 +58959180,Mediastinum is widened beyond cardiomegaly by mediastinal fat and relatively mild prevascular and paratracheal adenopathy. Mediastinal widening above the cardiac silhouette and hilar enlargement due to a combination of adenopathy and pulmonary hypertension.,038426f2-7b990f98-24487e3e-2bd7a156-4761c39a +58966181,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. The pericardial drain and left pleural pigtail basilar catheter are in position. ",438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d +58971300,"Lungs are slightly lower in volume, exaggerating mild pulmonary vascular engorgement, but there is no edema or pleural effusion and heart size remains top-normal. Lungs are slightly lower in volume, exaggerating mild pulmonary vascular engorgement, but there is no edema or pleural effusion and heart size remains top-normal. ",19cd7ef0-e01da8c2-54eba4e0-a3a25327-1ab839b7 +58971994,"AP chest: Lungs are clear, cardiomediastinal silhouette including mild general dilatation of the aorta without focal aneurysm. No acute findings on this single supine frontal chest radiograph. ",44388ee4-a43ff605-7edf7add-37dd01f3-7596e2a5 +58981887,"Significant interstitial markings bilaterally could relate to mild interstitial edema, although atypical infection is not excluded. Significant interstitial markings bilaterally could relate to mild interstitial edema, although atypical infection is not excluded.",be82eebb-cd25c088-b3c1ddfa-6ccf0b10-880a3a77 +59001506,"Transvenous atrioventricular pacer defibrillator leads are in standard placements nasogastric drainage tube ends in nondistended stomach. Left jugular line passes as far as the left brachiocephalic vein where it is obscured by overlying right atrial biventricular pacer defibrillator leads which follow their expected courses, continuous from the left pectoral generator. ",37d75746-aa6bbc7a-bbbf7bd9-3bb0f97b-3bd37684 +59009773,"PA and lateral chest: There are severe cardiomegaly, pulmonary vascular engorgement and re-distribution, mild bilateral pleural effusions but I do not see pulmonary edema. PA and lateral chest: There are severe cardiomegaly, pulmonary vascular engorgement and re-distribution, mild bilateral pleural effusions but I do not see pulmonary edema.",4d9ec74c-58ee4dca-9bf9fe37-360c15ab-2b67b1a8 +59014702,"AP chest: Severe atelectasis in the left lung marked by opacification of most of the lower lung, heterogeneous lucency in the upper, and marked leftward mediastinal shift. Mild extent of opacification in the left lung, which is more severe than the right, is probably due to clearance of atelectasis in the left lower lobe, probably a function of bronchial obstruction. ",c09fde7b-fe3f3f21-4ea1ee09-6a8497f7-7e901050 +59015305,"AP chest: Slightly lower lung volumes and mild interstitial edema probably account for generalized opacification throughout the lungs, partially obscuring multiple lung nodules.AP chest: Slightly lower lung volumes and mild interstitial edema probably account for generalized opacification throughout the lungs, partially obscuring multiple lung nodules.",adcfcdab-0a36144e-b4e69df7-c2ecd6e8-ed71e420 +59018724,"AP chest: There is mild-to-moderate pulmonary edema, seen in the mid portion of the right lung, suggesting advancing pneumonia. AP chest. As denoted by greater vascular congestion, mild pulmonary edema may account for the significant extent of heterogeneous consolidation in both the lower lungs, or this could be due to worsening pneumonia. ",58d3a7e8-1cc861cc-3428518f-8b578623-d3be6ba1 +59024525,"AP chest: Although the widespread distribution of opacification in both lungs suggest pulmonary edema, lucencies in the right mid lung could be due to cavitation in pneumonia. AP chest: Severe extensive bilateral pulmonary consolidation is signficant in the right lung than the left. ",855b1f9b-cacca17f-ff431f6d-3e9c2ba3-65382faf +59027235,PA and lateral chest: Small bilateral pleural effusions left greater than right following tracheal extubation. PA and lateral chest: Small bilateral pleural effusions left greater than right following tracheal extubation.,0f1b4789-8c43bc5c-ec9ef921-5cd7c4a7-5acfae4d +59032183,emphysema chk after edma rx mild cardiomegaly emphysema chk after edma rx mild cardiomegaly,1d1ad085-bc04d368-4062c6ff-8388f25c-c9acb192 +59037095,Heterogeneous right lower lobe opacity only seen on frontal projection is most consistent with right lower lobe atelectasis however superimposed infection cannot be excluded. Heterogeneous right lower lobe opacity only seen on frontal projection is most consistent with right lower lobe atelectasis however superimposed infection cannot be excluded.,fd15a691-c9a3b644-6c5f2cce-8d81a9f7-8a6dc366 +59039129,Small right greater than left pleural effusions with indistinct pulmonary vascular markings and cardiomegaly suggestive of congestive failure. Small right greater than left pleural effusions with indistinct pulmonary vascular markings and cardiomegaly suggestive of congestive failure.,62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e +59041431,Lingular pneumonia with also possible involvement of the inferior aspect of the left upper lobe. Lingular pneumonia with also possible involvement of the inferior aspect of the left upper lobe.,9905499f-c48f304d-f9efd154-a921881b-f71b7f86 +59041802,"Moderate cardiomegaly with large right pleural effusion and lower lobe consolidation likely atelectasis. Large area of opacity projecting over the right mid to lower lung is concerning for large pleural effusion, underlying consolidation for pulmonary mass not excluded. ",ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302 +59044123,The cardiac silhouette is at the upper limits of normal in size with a dual-channel pacer device in place. The cardiac silhouette is at the upper limits of normal in size with a dual-channel pacer device in place. ,c055e51a-f8fe191f-bc7f8dd3-78c1727e-d50f9a14 +59047668,No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly. No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly.,9c04078c-dee8c858-bc2a105e-d5fb538e-ac5a7c69 +59048499,"Heart size is indeterminate, obscured by elevated diaphragm and kyphotic positioning. Large area of significant opacification at the base of the right hemithorax is probably significant atelectasis in the setting of persistently elevated right hemidiaphragm. ",372f588f-f2061650-9cc50694-12a70654-dd425821 +59060938,Right lung base opacification which could represent right middle lobe pneumonia. Bilateral lower lobe and right middle lobe opacities are worrisome for atypical infection.,519f4481-6aee1c53-394dccc4-d527eee2-05f59923 +59061065,"There is mild rightward deviation of the trachea and mediastinum likely reflecting right lower lobe collapse. Left basilar opacification likely reflects volume loss and right lower lobe collapse, but consolidation cannot be excluded. ",f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d +59063233,Elargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease.,48a254ba-4d6ccab1-b254dcf7-a7f305bc-9aae746b +59066796,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. Status post surgery, with marked leftward shift of the mediastinum into the left chest, together with associated drains, catheters and prosthetic valve, with resultant near-complete opacification of the left lung.",6d5d81f0-24db4698-0b10ede2-80628bfa-6c5de5f8 +59067739,"AP chest: Severe cardiomegaly with moderately severe pulmonary edema and small-to-moderate bilateral pleural effusion. AP and lateral chest: Severe cardiomegaly, accompanied by mild basal pulmonary edema and small pleural effusions. ",043df04d-931d53c9-ae497983-ce79d340-656e2354 +59071382,"Lung volumes are low and there is diffuse bilateral parenchymal process which favors moderate pulmonary and interstitial edema rather than pneumonia. Very low lung volumes with diffuse parenchymal opacities, consistent with either pulmonary edema or fibrosis. ",da5580a4-d85e8eac-795ffec6-41e6d24b-273b3747 +59081164,There is an intact right humeral head arthroplasty. Consider a dedicated abdominal series to distinguish post-operative ileus from obstruction.,09c081f1-c1f32700-e71bf5b1-b0dc10ee-1e584a9c +59083566,"AP chest: Bibasilar consolidation could represent atelectasis or pneumonia, particularly aspiration. AP chest: There are bibasilar opacification. ",0d86089a-9603976b-4b216712-10d8d41a-4dba01b5 +59083645,"Significant opacities in the right mid-to-upper lung and potentially left lung base, superimposed on chronic lung disease compatible with patient's known pulmonary fibrosis. Significant opacities in the right mid-to-upper lung and potentially left lung base, superimposed on chronic lung disease compatible with patient's known pulmonary fibrosis. ",7bcd081b-869f44f4-57a93477-646a8796-ee97546c +59089386,"There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could represent elevated pulmonary venous pressure, chronic pulmonary disease, or both. There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could reflect some elevated pulmonary venous pressure. ",2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711 +59108077,"Bibasilar parenchymal opacities with cardiomegaly suggests underlying pulmonary edema, but cannot exclude right lung base pneumonia. Moderate pulmonary edema, but cannot exclude right lung base pneumonia.",bfb7a467-e88452aa-9ca0804d-6b66419b-ebbeec35 +59114520,AP chest: Moderate bilateral pleural effusions are presumably still present. Termination point of Dobbhoff line not identified on this film.,3f0f5cbb-59b29982-c936c70b-36a6c86d-23da1915 +59116935,"There is prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema, more confluent within the left mid lung field. There is prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema, more confluent within the left mid lung field.",00005197-869d72f3-66210bf4-fa2c9d83-b613c4e7 +59124380,Significant bibasilar atelectasis and mild the increased pulmonary vascular congestion consistent with postextubation status. AP chest: There are small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs.,8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2 +59143968,"AP chest: The patient has chronic right upper lobe collapse and rapidly progressive multifocal pneumonia. There are widespread bilateral pulmonary opacities, small bilateral pleural effusions, and extensive subcutaneous emphysema.",4fa7066f-1353fcd0-c894483b-a6140dd1-91994574 +59144799,"Three AP views. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus on the earlier attempts was on the latest of three images beyond the upper stomach and out of view. Three AP views. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus on the earlier attempts was on the latest of three images beyond the upper stomach and out of view.",6dd1de7d-99ce0b82-cd1c5e0c-f5046bb6-8f5d23ba +59146382,Moderate cardiomegaly following insertion of transvenous right ventricular pacer lead which runs from the left pectoral generator to the floor of the right ventricle and out of view. There is enlargement of the cardiac silhouette with prosthetic valve and to a-channel pacemaker with leads in good position. ,8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993 +59152117,"Pulmonary vascular congestion is seen without appreciable cardiac enlargement and pacer devices remain in place. There is cardiomediastinal silhouette, as are the pacer leads. ",01c5daed-cf6a5552-a23ad3f6-5850acca-d9619ea2 +59155076,"AP chest: Large region of consolidation in the right mid and lower lung zone, when the patient showed evidence of mild cardiac decompensation and some of the opacity in the right lower chest was probably pleural effusion. AP chest: There is no pneumothorax on the right following thoracentesis and substantial decrease in right pleural effusion with a fissural residual. ",ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54 +59166131,"PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",2cc38dd6-d1f5970f-055155bc-e9e8fccd-8ec98168 +59170987,AP chest: Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. AP chest: Severe cardiomegaly and mediastinal vascular engorgement.,74501968-2251dd66-a1905203-8ff7c470-9c45dcb6 +59175350,"Severe cardiomegaly and pulmonary vascular congestion are exaggerated by supine positioning. Moderate to severe cardiomegaly, exaggerated by supine positioning, with large mediastinal venous caliber.",a3f94558-fcb3a66f-7b6f0be2-1c09857b-168fb462 +59190819,"Severe bibasilar consolidation, probably right lower lobe pneumonia and either left lower lobe pneumonia or left lower lobe collapse. Widespread opacification in the right lower lobe, probably pneumonia. ",24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968 +59191421,Pectus excavatum. Pectus excavatum.,39a0863f-9a6a4e94-41b1b286-8536e7dc-75252ad8 +59191972,"AP chest: Nearly global opacification of both lungs characterized as combination of interstitial infiltration, some chronic and fibrotic, and subsequent diffuse ground-glass alveolar opacification. Widespread pulmonary opacification, obscuring the margins were previously well defined lung nodules.",bea5fb24-e1d13af2-d70b5be5-fb32e7b8-15828f56 +59200846,Moderate left pleural effusion of the thoracocentesis. PA and lateral chest: Sharp definition of the left major fissure on the lateral view could be either fissural component of the small to moderate left pleural effusion.,d1cb903c-16d23127-ba525151-91a0fa21-20a12246 +59203230,Thickening of the right paratracheal stripe. Thickening of the right paratracheal stripe.,38e5d885-855b370d-ff1f67a4-ece45a25-cc36e325 +59206877,Enlarged cardiac silhouette is compatible with pericardial effusion. Enlarged cardiac silhouette is compatible with pericardial effusion.,d69cce11-46d26bdd-72a95d03-473ab83c-553c9c91 +59207607,"AP chest: Severe pulmonary edema, accompanied by moderate to severe pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins. AP chest: Severe pulmonary edema, accompanied by moderate to severe pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins.",9f03f488-52d9e9df-006302a9-227c8b18-48e15125 +59215725,"The right IJ and PICC are stable in position, the cardiac and mediastinal silhouette with bibasilar right larger than left opacities and bilateral pleural effusions. The hemidiaphragms are not well seen bilaterally, consistent with layering pleural effusion and compressive atelectasis.",c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988 +59217830,"Emphysema with biapical opacities, likely scarring, more so on the right. Emphysema with biapical opacities, likely scarring, more so on the right. ",959ee516-d090d9d5-a95977ac-303cdde2-c9309e8c +59218667,"AP chest: Given the very low lung volumes, pulmonary vascular caliber is probably normal and cardiomegaly only mild. AP chest: Lung volumes remain low, heart moderately enlarged, mediastinal veins dilated, and pulmonary vasculature only minimally engorged. ",722a3b68-5254c3ea-469c8294-7e6fb73d-46f35121 +59219088,"Low lung volumes with increased interstitial markings, some of which is chronic, could represent superimposed edema or infection. Low lung volumes with increased interstitial markings, some of which is chronic, could represent superimposed edema or infection.",1fba2de2-36345a9e-ea2ef064-76c702c3-b80e6127 +59221699,"AP chest: Patient is rightward shifted which projects the large heart over the right lower lung, but nevertheless, there is clearly significant opacification of the right lung and low volume of the right hemithorax suggesting a large component of atelectasis, conceivably obscuring pneumonia, but not necessarily. Marked elevation of the right hemidiaphragm may be due in part or may be responsible for moderate-to-severe atelectasis at the right lung base, in the setting of severe distention of the intestinal tract.",81450711-ce3a0e1f-48fce3df-720d7107-44bf0a49 +59223989,Calcified pleural plaques and interstitial abnormality suggesting prior asbestos exposure. Calcified pleural plaques and interstitial abnormality suggesting prior asbestos exposure.,a8d732de-7a28af8e-8a5a6a3f-c66be26f-ad23f1aa +59225625,Diffuse interstitial lung disease with an upper lobe predominance consistent with patient's known history of sarcoidosis. Diffuse interstitial lung disease with an upper lobe predominance consistent with patient's known history of sarcoidosis.,f79eadd6-c024fbbc-dec2a8a7-0d75c594-a53f0aa1 +59232798,"AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion.",8f3afa87-cb2c2fec-210903d7-8faa6559-a7b6bf8e +59234239,"AP chest: There is moderately decreased aeration in the right lower lung, related to either some withdrawal of right pleural effusion, although I no longer can see the Pleurx catheter at the base of the right chest, or what is most likely severe obstruction to the right middle and lower lobe. AP chest: There are moderate right pleural effusion, collecting along the costal pleural surface on what is presumably a supine chest radiograph, two right pleural tubes in place, one crossing the midline of the chest, the other at the base.",382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1 +59239338,"Severe bullous emphysema makes it difficult to exclude any pleural air at all, but there is no air leak. Severe bullous emphysema makes it difficult to exclude any pleural air at all, but there is no air leak.",df947133-0a0bb9b7-96bc6378-2eeb01c8-dcb9c4d5 +59242045,"Limited study due to body habitus, however there is diffuse bilateral pulmonary edema. Limited study due to body habitus, however there is diffuse bilateral pulmonary edema.",1432843f-fca7eaa3-df3e65b3-c45419fa-71029980 +59243134,"Diffuse interstitial abnormality predominantly in the upper lung zones, consistent with known sarcoidosis. Diffuse interstitial lung disease with an upper lobe predominance consistent with patient's known history of sarcoidosis.",bb067a71-304abf94-bb1611d4-e8ac9115-189005f3 +59245308,"Extensive bilateral subcutaneous emphysema, with a small right apical pneumothorax. AP chest: The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. ",bcf2cc18-3401053b-113ae6db-daa24d50-08934ad9 +59249979,"PA and lateral chest: Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall is most likely pneumonia, and the enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy. PA and lateral chest: Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall is most likely pneumonia, and the enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy.",7356a3c4-b08d7964-33f10497-0dc8f50e-4c20aa7f +59258574,"There is significant opacification at the bases with enlargement of the cardiac silhouette and prominence of pulmonary markings. Heart is moderately enlarged, pulmonary and mediastinal vasculature is engorged and mild edema is present in the right lower lobe. ",524967a5-136b039a-0f60c1fe-2450be2a-a34378a7 +59281953,There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib. There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib.,47aa8fda-9852d351-ef7343e7-38ee20f2-b982b15d +59284918,"Post-operative appearance with bilateral small pleural effusions, greater on the right than the left. Post-operative appearance with bilateral small pleural effusions, greater on the right than the left.",af8f292e-eecbb702-9aeef1d2-46861e97-709d3307 +59285132,Abnormal left mediastinal contour with rim calcified convexity at the AP window suggestive of a pseudoaneurysm arising from the aorta. There is some hyperexpansion of the lungs suggesting underlying chronic pulmonary disease with the cardiac silhouette at or above upper limits of normal.,8bedfff2-8d66e0f5-e4b03459-1e0fd124-b7efed95 +59286076,"Limited exam with indistinct pulmonary vascular markings throughout which could potentially be to extremely low lung volumes, however, atypical infection or edema may have a similar appearance. Limited exam with indistinct pulmonary vascular markings throughout which could potentially be to extremely low lung volumes, however, atypical infection or edema may have a similar appearance. ",3706cb8c-281ab1eb-f066978e-bce7d893-4b60bca9 +59289980,"Extensive pneumonia within the left lung. Extensive bilateral pneumonia, left preceding and greater than right primarily in the right mid and lower lung zones. ",6a3ffb5c-a406d8c7-ed1414d0-d1521e7f-48b48a9a +59299448,The cardiomediastinal silhouette and pulmonary hila are enlarged. The cardiomediastinal silhouette and pulmonary hila are enlarged.,db46fb79-5ef144b5-a30257dc-a364a08f-731905ea +59301985,Dobbhoff catheter tip in the duodenum. Dobbhoff catheter tip in the duodenum.,f2ea048e-52ada468-199a5a64-06f14cb3-76e57312 +59306733,"Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is not evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is not evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. ",74728f75-0a018add-11c546f2-e847b4e1-25501802 +59317044,"Retrocardiac opacification is consistent with substantial volume loss in the left lower lobe with associated small pleural effusion, consistent with mucous plugging. There is a left retrocardiac opacity which may be due to partial lower lobe collapse. ",f8f0ddd7-c4671c6e-c2f37429-85d69299-f23286bf +59325966,Mild elevation of the right hemidiaphragm with minimal atelectasis at the right lung basis. Mild elevation of the right hemidiaphragm with minimal atelectasis at the right lung basis.,c6db0413-f3266e66-031e9892-2809b536-c13cf9f2 +59329945,The lateral radiograph shows degenerative vertebral disease and a lumbar fixation but no traumatic or compressive vertebral lesions. The lateral radiograph shows degenerative vertebral disease and a lumbar fixation but no traumatic or compressive vertebral lesions.,e8878eba-69ed4f98-5a498583-69912c0d-cf6a7773 +59332553,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible.",165711e8-c8b71f3b-2d2cbf76-dca067bc-f2ba9089 +59343122,"Cardiac silhouette appears to be enlarged and might potentially be related to the sickle cell crisis. There are hazy and linear parenchymal opacities with increased central pulmonary congestion and cardiomegaly, most compatible with cardiogenic pulmonary edema. ",8af32f0b-aeaad02d-8979cb3c-7935b38a-e1461335 +59345475,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. ",2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac +59350509,"Allowing for the AP supine technique, there is moderate enlargement of cardiac silhouette. Moderate to severe cardiomegaly, exaggerated by supine positioning, and increased mediastinal venous caliber.",e376439c-52cdf885-41f17afb-9a4a3fea-43c74d55 +59357257,"The patient has had median sternotomy, cardiac valve replacement, probably mitral, and transvenous right atrial and ventricular pacer leads are in standard placements. There are chronic moderate cardiomegaly and/or found and fractured pacer leads.",937a086b-d6d3022b-88e3053e-885699b2-46431cc5 +59358922,Small bilateral pleural effusions and enlarged cardiac silhouette. Small bilateral pleural effusions and enlarged cardiac silhouette.,fba838cc-fa4eb8b6-b3e8de64-e89c00ab-1bb9216a +59361128,"There is cardiomegaly with mild globular appearance which may suggest a component of pericardial effusion along with large bilateral pleural effusions and mild-to-moderate pulmonary edema. Bilateral pleural effusions, pulmonary edema, and marked enlargement of the cardiac silhouette suggest CHF, however underlying consolidation due to pneumonia at the lung bases not excluded in the appropriate clinical setting.",d8fc9055-45df8285-80757692-6ab96494-af6f56a0 +59366677,Heart is borderline enlarged but the pulmonary vasculature is unremarkable. Heart is borderline enlarged but the pulmonary vasculature is unremarkable.,67d864d4-d51e968e-6523ea3d-51098156-ed3ea015 +59371598,Apparent bibasilar opacities likely represent layering effusions with supine positioning. Apparent bibasilar opacities likely represent layering effusions with supine positioning.,e0c01c42-2132558f-c787b79d-98ea70a0-a03aeca7 +59371821,Bibasal areas of atelectasis appear to be pronounced but there is left basal opacities that might potentially represent aspiration. AP chest: Lungs are substantially lower with moderately severe left and mild right basal atelectasis.,603b6fc2-24054d99-32b7b09a-fd1fec08-ca0b306f +59372049,There is peribronchial cuffing bilaterally suggesting reactive airway disease. There is peribronchial cuffing bilaterally suggesting reactive airway disease.,baf21f49-b3c34e24-016e1cf0-2d79e385-87cef256 +59375093,"Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread.",6698971c-6ec76761-85ca680f-24dfc39f-790eb123 +59375123,"Focal opacity in right cardiophrenic region and blunting of the right costophrenic angle, which may correspond to the opacity seen against the lower posterior chest wall. Focal opacity in right cardiophrenic region and blunting of the right costophrenic angle, which may correspond to the opacity seen against the lower posterior chest wall. ",ee7e973e-09b18407-53d2a8d5-becd082f-6debca86 +59379638,"Severe enlargement of the cardiac silhouette due to severe cardiomegaly and/or pericardial effusion.There is probably a substantial hiatus hernia. Therer are severe cardiomegaly, tortuous aorta, and hiatal hernia. ",93b163fa-7f80655a-ef8a0aa1-a7f79efd-6feebd5f +59379876,"There are pleural thickening along the lateral chest wall extending into the right major fissure and pleural thickening at the apex of the right lung. A PA and lateral chest: There are miminal pulmonary edema, extensive right pleural thickening or loculated fluid at the periphery of the right lung. ",f2519fc1-a453a942-fcb47d26-f30fa862-72fc2107 +59381739,No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly. No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly.,35901623-dfa281b0-60bd2a48-cb5eacfb-bbab810e +59395427,"Severe uniform bilateral pulmonary consolidation is probably more pronounced, with increasing moderate bilateral pleural effusion right greater than left. To what extent the progressing consolidation on the right is hydrostatic edema, diffuse alveolar damage or multifocal pneumonia is radiographically indeterminate, but I am aware that the patient is receiving large volumes of fluid resuscitation. ",540bedcf-8202c1a0-6499b7ab-c43d0c66-a287c997 +59397956,AP chest: Lungs clear. AP chest: Heart size is normal and pulmonary vasculature unremarkable.,ef98f5b9-a2a8261a-8138e17e-bc61edb2-729d5908 +59402852,"There are low lung volumes with the monitoring and support devices. Lung volumes are reduced, and slightly minimal aeration at both lung bases, likely due to a combination of pleural effusions and atelectasis. ",39fd5a3b-600c7c44-8426c20e-dafdd287-f5b59fca +59409427,"Presence of mild fluid overload, bilateral mild to moderate pleural effusions as well as relatively extensive basal and retrocardiac areas of atelectasis. Cardiac silhouette is enlarged with elevation of pulmonary venous pressure with layering effusions and basilar volume loss, especially involving the left lower lobe. ",7f267ae9-96a871a2-d6201f05-95d76d1d-0e0ce72b +59413372,"Large multiloculated right hydro pneumothorax. Large right hydro pneumothorax and under expanded right lung, despite the right basal pleural drainage catheter. ",fef81fa7-75d8ca91-07651606-538e5b40-bb00dbff +59427483,There is enlargement of the cardiac silhouette with pulmonary vascular congestion in this patient with previous CABG and intact midline sternal wires. There is enlargement of the cardiac silhouette with tortuosity of the aorta and some residual indistinctness of pulmonary vessels consistent with mild elevation in pulmonary venous pressure.,77283979-b7b02317-bf3cf53e-4068c643-ba29c7d7 +59438963,Superior displacement of right proximal humerus with narrowing of the acromiohumeral distance suggestive of chronic rotator cuff tear and associated degenerative changes. Marked irregularity of proximal right humerus likely reflects prior fracture.,099dc924-692466a3-cd889469-1d9dee6c-3a61f779 +59440363,"PA and lateral chest: Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. PA and lateral chest: Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. ",368f87de-9f5ace1d-685ab2ab-845aa8b8-5fd1e2ed +59454336,"Nevertheless, there is substantial enlargement of the cardiac silhouette with bilateral pleural effusions an areas of compressive lung volume loss. Cardiac silhouette is enlarged and there is pulmonary vascular congestion with bilateral pleural effusions and compressive atelectasis at the bases.",f39b05b1-f544e51a-cfe317ca-b66a4aa6-1c1dc22d +59480672,"There is fluid-filled loops of bowel in the large hiatus hernia now fluid-filled. There are evidence of prior left thoracotomy, extremely tortuous thoracic aorta, and a convex upward abnormality filling the left lower lateral pleural sulcus, probably a small trans diaphragmatic herniation of subphrenic fat. ",4dab8652-904d5fa6-0cbdc7ce-b4ef75fa-17ddb82e +59480739,"Moderate congestive heart failure with small to moderate size bilateral pleural effusions, left greater than right, and bibasilar compressive atelectasis. Moderate congestive heart failure with small to moderate size bilateral pleural effusions, left greater than right, and bibasilar compressive atelectasis. ",04d8b146-8f27fd48-e07afc43-464529fc-57350e1b +59481059,"AP chest: Post-operative widening of the mediastinum is in the region of the arch, but there may be an increased caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. AP chest: Severe mediastinal widening. ",b3a377e6-a4f90277-7bd8361f-bfc64687-a4ee054b +59488278,"A PleurX catheter is barely visible at the base of the right lung, extending upward across the midline, impinging on the mediastinum, and there is mild right pneumothorax. A PleurX catheter is barely visible at the base of the right lung, extending upward across the midline, impinging on the mediastinum, and there is mild right pneumothorax. ",2490c254-7417637a-6aa79f1e-ce072f64-173c1e05 +59502822,Heart with continued tortuosity of the aorta. Heart with continued tortuosity of the aorta.,737016db-c820a9cb-11c8e000-a5eef752-c1d20274 +59503672,"AP chest: Appearance of the lower lungs suggests either mild interstitial lung disease or mild edema in the setting of emphysema. AP chest: Lungs mildly hyperinflated, could be emphysematous.",146e8390-fd657795-492c6a0b-7aaa1bef-06c08c00 +59504314,"PA and lateral chest: There are minimal to mild interstitial pulmonary edema and bilateral pleural effusions, the irregular right juxtahilar mass-like consolidation. PA and lateral chest: There are minimal to mild interstitial pulmonary edema and bilateral pleural effusions, the irregular right juxtahilar mass-like consolidation.",f04b1aeb-e42a14c0-ad437e4e-dee054c7-e24bbe86 +59504476,The lateral radiograph shows degenerative vertebral disease and a lumbar fixation but no traumatic or compressive vertebral lesions. The lateral radiograph shows unchanged degenerative vertebral disease and a lumbar fixation but no traumatic or compressive vertebral lesions.,70ad5a5e-35834f2a-a5619c1e-5deaac58-b6657063 +59505688,"Severe enlargement of the cardiac silhouette is chronic, accompanied by recent, persistent mediastinal widening probably due to venous distention indicating elevated right heart pressure. Massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. ",0fecd070-24b67744-93fe3cdb-429860a4-386b63f5 +59507972,Dual lead pacemaker and median sternotomy wires are in position. Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position. Small bilateral pleural effusions and left basal atelectasis.,2a04d342-b9a115ec-6a14561e-678580c9-d2feb9ec +59509358,"Hazy opacification primarily within the right perihilar region could reflect asymmetric pulmonary edema though aspiration, hemorrhage or infection is not excluded. Asymmetrically distributed perihilar alveolar opacities, right greater than left, could reflect asymmetrical edema or coexisting infectious pneumonia. ",596ada03-4cd1298c-35965d3c-db44850a-0baa9257 +59510962,"Evidence for placement of a pigtail catheter in the left pleural space with and substantial reduced affection of the large pleural effusion. AP chest. Large left pleural effusion, nearly collapsing left lung, with moderate rightward mediastinal shift and probably responsible for moderately severe atelectasis in the right lower lobe.",a1c0c58e-8c137d13-93b93845-da0433ee-9ccb3c91 +59519248,PA and lateral chest: Borderline cardiomegaly. PA and lateral chest: Borderline cardiomegaly.,1129d3bb-924babcc-6bcb3caf-4a76b42e-b4b64f89 +59522601,Appearance of disseminated lung cancer and right-sided pneumothorax. PA and lateral chest: There is no right apical pneumothorax but there is re-expansion of the collapsed right middle lobe filling that space.,efe3cdc5-c0ced06a-212a5901-9c1ee7c7-bbbe0e6b +59523573,AP chest: Lung volumes are very low and large areas of both lungs are obscured by hemidiaphragm on the right and heart on the left. AP view of the torso centered at the diaphragm: Loops of catheter projecting over the midline abdomen cannot be traced for patency.,6cbf6e4a-3f35b74e-ea811e34-73b49766-fa916b88 +59523783,"Cardiac silhouette is enlarged with some elevation of pulmonary venous pressure and probable layering effusions with compressive atelectasis at the bases. There are severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema.",c6e5e02a-e2e30f50-3bb2f2f2-ab3882d4-b94c8610 +59532499,"AP chest: Asymmetry in opacification of both sides of the hemithorax is due to moderate right pleural effusion layering posteriorly and possible asymmetry in perihilar infiltration most likely due to pulmonary edema. AP chest: Although interstitial pulmonary edema is mild, moderate right pleural effusion is significant, accompanied by greater distention of mediastinal veins. ",33cbca42-cc8136d7-714fe7b7-c6fd6342-7bfbd4f1 +59535316,"There are significant bilateral, left greater than right, alveolar opacities, worrisome for multifocal infection with possible superimposed component of edema. Widespread fibrotic interstitial lung disease is demonstrated as well as significant confluence of opacification in the left perihilar and retrocardiac regions, potentially due to developing infection in the appropriate clinical setting.",38ea1228-340e5c29-16578c7c-9c80eaed-1bb35307 +59542064,"AP chest: Widespread pulmonary opacification is signficant, particularly in the lower lungs, but the pattern is still consistent with progressive pulmonary edema. AP chest: There are signficant opacification of both lungs, substantial component of pulmonary edema and pleural effusions, which make it difficult to assess pneumonia.",44265749-00dd7405-287e7f77-b68607f3-663cc2f7 +59557085,Pulmonary edema with triple- lead pacer remaining in place. Pulmonary edema with triple- lead pacer remaining in place.,35526265-ad9db1b3-08d311e6-d1193a33-473315c3 +59560734,"There are loculated, moderate right hydro pneumothorax and moderate dependent pleural effusion. There are loculated, moderate right hydro pneumothorax and moderate dependent pleural effusion.",871b39ac-d22367db-2644f680-703ffc97-e29ad517 +59568059,Minimal atelectasis at the right lung basis and elevation of the right hemidiaphragm. There are significant elevation of the right hemidiaphragm with right basilar subsegmental atelectasis. ,0edc4350-79bed040-c995383a-424e4573-a701ab07 +59569764,Moderate right pleural effusion with collapse of the right middle lobe and large atelectasis in the right lower lobe. Moderate right pleural effusion with collapse of the right middle lobe and large atelectasis in the right lower lobe.,ca6c3a22-e08cabaf-4c95b666-384ca2dc-25e4e850 +59573711,"There are moderate to severe cardiomegaly, exaggerated by supine positioning, large mediastinal venous caliber. There are moderate-to-severe cardiomegaly and significant mediastinal veins dilated, perhaps a reflection of supine positioning. ",fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12 +59584894,Nodular opacities project over the right mid to upper lung zone. Nodular opacities project over the right mid to upper lung zone.,2f8885a1-06440c4f-d3013600-227e0bbf-1a438c73 +59589248,There is loculated hydro pneumothorax at the right base with chest tube in place. There is significant loculated pneumothorax at the right base. ,60781ae0-7016f7ed-54a825ab-7509c1b0-9b9b2725 +59599357,Significant right greater than left moderate pleural effusions and associated atelectasis with mild pulmonary vascular congestion. Moderate to large bilateral pleural effusions and compressive atelectasis of bilateral lung bases are noted.,e1a199d2-0a67b663-57e4049b-c809b2ac-789cce80 +59608214,"AP chest: Right apical pleural space is minimal, traversed by a pleural drain. AP chest: Significant right pleural effusion or pleural thickening. Apical pleural tube in position. ",e26df0e6-03380fa6-44f4ce97-dbb30b9d-c1bc0ec5 +59608718,Right hydropneumothorax and right chest wall subcutaneous emphysema. Moderate right pleural effusion with small right hydropneumothorax.,c418a7ea-f382ef9c-a8aa6045-d0ecf7cb-87214437 +59610928,Cardiomegaly with aneurysmally dilated and tortuous thoracic aorta. The patient is rotated giving rise to apparent cardiomegaly with obscuration of medial right lower zone.,b5d3da06-fd20e016-8b1924e1-3ff9ceed-fb365036 +59612133,Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place. Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place.,a0ff876f-331fe46d-c522fdea-c26a2300-676e3cfa +59631450,"PA and lateral chest: Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery. PA and lateral chest: Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery.",5b73306f-64ed83f7-dc6e0957-f8d1a9b2-bdd393f3 +59633653,"Large opacity projecting over the right mid-to-lower hemithorax may represent combination of pleural effusion and atelectasis, underlying consolidation is not excluded. Large opacity projecting over the right mid-to-lower hemithorax may represent combination of pleural effusion and atelectasis, underlying consolidation is not excluded. ",1d7c427a-6e76e27f-2aa441d5-dc1ce213-c075b375 +59638609,"Three AP views of the chest. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus beyond the upper stomach. Three AP views of the chest. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus beyond the upper stomach.",f4ed24b7-7ce4f984-cadc1a40-43fde803-53ae7d9b +59642258,"AP chest: Mild to moderate right pleural effusion following placement of a pigtail pleural drainage catheter, which is coiled over the right diaphragmatic region. AP chest: Small right pleural effusion with an elliptical fissural component. ",74634e78-46bff1c6-0f55af35-ffc09ea6-543ee803 +59644344,"AP chest: The patient has very severe emphysema, with totally absent vasculature in the mid and upper right lung. AP chest: The patient has very severe emphysema, with totally absent vasculature in the mid and upper right lung.",3960bfee-3d775493-bb08f568-81bff471-ef4dfaa5 +59644580,"Pacemaker leads are in position There is bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated shin with small amount of pleural effusion. Opacification diffusely involves the right hemithorax, most likely representing asymmetric pulmonary edema in a patient with substantial enlargement of the cardiac silhouette, evidence of previous cardiac surgery, and a biventricular pacer device in place. ",d2ff69b9-d6534a05-a33ca72e-8d998fcf-78a65663 +59646245,"Left basilar patchy and streaky opacity appears signifcant, possibly atelectasis though infection or aspiration is not excluded. Left basilar patchy and streaky opacity appears signifcant, possibly atelectasis though infection or aspiration is not excluded.",8ce33378-337bc3e6-2915b9bf-0ea16f16-2c986cfe +59648796,"The pre-existing known parenchymal opacities and scarring at the level of the upper lobes, right more than left, the left lung bases and the right lung bases. Bibasal consolidation are diffuse and are concerning for interstitial pulmonary edema most likely in the presence of substantial emphysema. ",370db7dd-bdd6ffce-5e0e6b83-bc6f534f-61ce5045 +59649088,Moderate sized left pleural effusion and mild-to-moderate pulmonary edema/vascular congestion suggesting acute heart failure. Heart size is large and moderate to severe left pleural effusion as well suggest all findings could be due to signficant edema.,32f9d0a6-a71c3e37-8285ac35-90d110a9-d3f838cf +59652151,"Extensive bilateral airspace opacities which are in keeping with the provided history of ARDS. AP chest : Severe widespread pulmonary consolidation, initially in the right upper and lower lobes, and then throughout both lungs accompanied by moderate to severe left and small right pleural effusions. ",9fe1d7c8-517e71cd-ac942a65-345092b2-8bbb82c0 +59654440,"AP chest: Mediastinal veins are normal caliber, suggesting that there is no volume overload, even though there is borderline interstitial pulmonary edema, and a small right pleural effusion. There are right internal jugular vein catheter in correct position, mild pulmonary edema, and mild cardiomegaly.",981f5956-9dbb9f69-8b7bbf12-b872f7a3-16f09cf4 +59654928,Findings of heart failure including moderate cardiomegaly and interstitial pulmonary edema. Findings of heart failure including moderate cardiomegaly and interstitial pulmonary edema.,4db0b107-b92cf8bd-4725e810-1ceb5f96-fcbd4d2a +59669144,"PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279 +59671026,"There are significant bilateral pleural effusions, and moderate to severe interstitial pulmonary edema reflecting fluid overload. Findings consistent with CHF, including extensive interstitial edema and probable small areas of alveolar edema, as well small bilateral effusions.",87694c3c-e07ea01b-0ee35fd8-55a7defd-8e318d65 +59672442,"Bibasilar peribronchial opacification, greater on the right, could be atelectasis, and would be concerning for pneumonia particularly aspiration, especially in the right lower lobe, and the findings could be due to pulmonary infarction and hemorrhage instead. AP chest. As denoted by great vascular congestion, mild pulmonary edema may account for the significant heterogeneous consolidation in both the lower lungs, or this could be due to pneumonia aggravation. ",67486f3c-a4ef806f-47d7541c-c1f00d2e-9c2f09fe +59679445,"Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect.",6e061299-d827a367-715485b9-dc146072-974eb92a +59680684,There is a doboff tube with the tip in the proximal stomach. There is an placement of a Dobbhoff tube that is coiled within the fundus of the stomach.,2e87f158-0b24dcfb-c1faa72a-75f96efd-3e82f4c4 +59684377,The cardiac silhouette remains at the upper limits of normal or mildly enlarged with tortuosity of the descending aorta. Cardiomediastinal contours suggest moderate cardiomegaly and tortuous aorta.,cc94c95e-0ab572e9-4530d0e6-f22f983e-4b10755a +59685259,Patient has had mitral and tricuspid valve surgery. Patient has had mitral and tricuspid valve surgery.,553f6199-37bc0e92-8f246bbd-f36f847e-8d0c8e14 +59688743,"Multiple calcified granulomas in right upper lung. Multiple calcified granulomas are seen projecting over the bilateral lungs, the largest measuring 6 mm on the right and 4 mm on the left. ",09eef487-ce5f18a5-ba553a04-30f2617c-4f4a6692 +59697640,Hyperexpansion of the lungs is seen with biapical scarring especially on the right. Hyperexpansion of the lungs is seen with biapical scarring especially on the right. ,20ae33e5-c3a0b30d-d737101f-b47e9ae1-d804765a +59698565,"Pulmonary edema with small bilateral pleural effusions and right hilar and middle lobe consolidative opacities, suggestive of pneumonia. Pulmonary edema with small bilateral pleural effusions and right hilar and middle lobe consolidative opacities, suggestive of pneumonia. ",3266c7b2-a469a79f-ec915bdc-b0101f49-8eaaf917 +59698726,"Focal airspace opacity within the right mid upper lung is seen predominantly on the AP views, and suspicious for pneumonia in the appropriate clinical setting. Focal airspace opacity within the right mid upper lung is seen predominantly on the AP views, and suspicious for pneumonia in the appropriate clinical setting. ",91031e5e-6f1e3df2-774ccea8-0e77fbca-e12d0749 +59700587,There is interstitial thickening of bilateral bases and right middle lobe due to fibrosis and bronchiectasis. It is difficult to exclude underlying pneumonia. There is interstitial thickening of bilateral bases and right middle lobe due to fibrosis and bronchiectasis. It is difficult to exclude underlying pneumonia.,cc5ac61e-f2bd2109-93d1046f-d8eba485-5a753deb +59702344,"Severe enlargement of the cardiac silhouette is chronic, accompanied by mediastinal widening probably due to venous distention indicating elevated right heart pressure. Enlargement of the cardiac silhouette and right basilar opacity which likely represents combination of pleural effusion and atelectasis. ",d52c36ac-6e608971-bbafb23d-06547ea6-1979d9e3 +59707249,"There is the cardiac silhouette and heart and lungs, and the monitoring and support device. The monitoring and support devices are in position, as is the appearance of the enlarged heart and tortuous aorta.",bbad6bc5-31fe40b0-2bc52219-211c9426-e57faa9b +59712299,"In the absence of evidence of adenitis elsewhere, the right infrahilar opacity is unlikely to be isolated adenopathy due to TB. In the absence of evidence of adenitis elsewhere, the right infrahilar opacity is unlikely to be isolated adenopathy due to TB. ",cfba203e-fe166598-71452568-2adea590-f7158b8f +59716296,"3 images are submitted, showing sequential progression of the esophageal feeding tube with the wire stylet in place from the upper midline on image labeled #1., to the mid esophagus on #2, to the distal esophagus on # 3. . 3 images are submitted, showing sequential progression of the esophageal feeding tube with the wire stylet in place from the upper midline on image labeled #1., to the mid esophagus on #2, to the distal esophagus on # 3. . ",7c499c84-2b72bcf9-4271a344-f85a3488-f06eca31 +59721249,Resolution of a left lower lobe pneumonia with left pleural scarring and elevation of the lateral left hemidiaphragm. Resolution of a left lower lobe pneumonia with new left pleural scarring and elevation of the lateral left hemidiaphragm.,bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1 +59735304,Bibasilar linear and subsegmental atelectasis. Bibasilar linear and subsegmental atelectasis.,1a0662d4-8bee75af-c5c452a9-4b43c737-b74d27c1 +59735543,"There are mild pulmonary vascular congestion, severe cardiomegaly, but no pulmonary edema. AP chest: There are severe cardiomegaly, mild to moderate pulmonary vascular and mediastinal congestion, but no pulmonary edema, appreciable pleural effusion or pneumonia. ",92b3ce9d-9a7bb494-1dec6d0b-93cf4386-82995e53 +59741915,"Mild elevation of the right hemidiaphragm, with platelike atelectasis at the right lung basis. Signifcant elevation of the right hemidiaphragm and linear scarring in the left mid lung zone. ",484ad440-175df0f1-5dfa85f0-c66c85d9-8b671d66 +59748962,"Massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. Massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. ",1dfc0e48-5089885c-04550c95-ad10c948-f2488a05 +59749696,"AP chest: Lungs clear aside from mild left basal consolidation which could be atelectasis. AP chest: Although heart size is normal, pulmonary vasculature is not engorged, there is mild distention of the azygos vein so that bibasilar pulmonary opacification could represent edema. ",4ce9e5bc-91147696-d0c4b6cd-fc5ffa18-c485b700 +59753947,"AP chest: Lung volumes are lower, but lungs are clear. AP chest: Lung volumes are lower, but the lungs are clear, heart is normal size and there is no pleural abnormality. ",8062997c-91b95843-31ddb21e-b92bf46a-73af4721 +59756815,"Right paratracheal opacity without indentation on the adjacent trachea may relate to prominent vascular structures and/or mediastinal fat; however, recommend further evaluation with nonurgent dedicated PA and lateral views of the chest or chest CT. No evidence of free intraperitoneal air based on a semi supine film. ",80e284b5-fdeeb82c-1b888818-0881ac87-eeaaeffa +59760473,"Left lung is generally clear, but there is recurrent obscuration of the descending thoracic aorta which could be due to adjacent atelectasis in the lower lobe, when bronchiectasis was visible in the posterior basal segment ; this may be responsible for segmental collapse. There are moderate cardiomegaly, elongation of the descending aorta, sternal wires, small left pleural effusion, combined to retrocardiac atelectasis.",92ed1b87-016202fb-06cb6d9b-524f6193-a2cafa9c +59761780,"Moderate right pleural effusion is signficant, and the lateral view suggests a pneumonia may be present in the superior segment of the right lower lobe Enlargement of the postoperative cardiomediastinal silhouette. Moderate right pleural effusion is significant, and the lateral view suggests a pneumonia may be present in the superior segment of the right lower lobe. Enlargement of the postoperative cardiomediastinal silhouette. ",7f83f5d5-3afe2911-3b666b80-5dbde6e1-f2a9d980 +59762262,Limited exam due to large body habitus. Limited exam due to large body habitus.,69a388e4-94fb2974-fac79369-7a8ffbfd-0331e4d3 +59763018,"Temporary pacing lead is in place with that lead likely terminating in the right ventricle. Right jugular sheath ends at the origin of the SVC, transvenous right ventricular pacer defibrillator lead is in standard position.",e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c +59775769,"Left lower lobe pneumonia is obscured by moderate pulmonary edema and bilateral pleural effusions. There are moderate pulmonary edema and moderate bilateral pleural effusions, and lung volumes remain very low, reflected in severe left lower lobe atelectasis. ",d80a6738-8d88d0fb-04d18b57-35d87a21-0ec6ff6a +59787158,No acute process with poor visualization of the T10 and T11 fractures. Likely preexisting interstitial lung disease. There is enlargement of the cardiac silhouette with tortuosity of the aorta and some residual indistinctness of pulmonary vessels consistent with mild elevation in pulmonary venous pressure. ,b0a3c7f8-26d03d87-2b85a969-b02fab24-22c44433 +59788853,"AP chest: Hyperinflated right lung is good evidence for COPD, either small airway obstruction or emphysema or both. AP chest: Lungs are clear, possibly hyperinflated, most commonly due to small airway obstruction or emphysema.",2e8951da-ac479fb3-79e5a820-7bb84b0f-5b41ef08 +59790228,"The opacification at the right base appears to be significant, raising the possibility of superimposed pneumonia in this patient with hyperexpansion of the lungs consistent with chronic pulmonary disease. There is opacity at right greater than left lung apices. ",dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c +59791814,"Aside from mild-to-moderate scoliosis, centered in the mid thoracic spine, this is a normal chest radiograph. PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained. ",31639564-55c66aa7-7df2435c-cd3f159f-35b723f1 +59794465,"Lung volumes are lower exaggerating mild pulmonary edema and severe right basal atelectasis, and enlarging moderate bilateral pleural effusion. There has been significant opacification at the right base, most likely reflecting a combination of prominent pleural effusion and substantial volume loss in the right middle and lower lobes.",e6250467-5024835a-ee6e25b1-59ef82bc-d2a286a5 +59794546,"AP chest: Lung volumes are quite low, exaggerating what is at least mild cardiomegaly and some pulmonary vascular engorgement, and probably explaining mild-to-moderate bibasilar subsegmental atelectasis. AP chest: There are borderline cardiomegaly and pulmonary vascular congestion, though I see no frank pulmonary edema or appreciable pleural effusion.",002ec547-39998a44-001fa06f-b2d03591-048c0d40 +59798652,"AP chest: Lung volumes are low, heart moderately enlarged, mediastinal veins dilated, and pulmonary vasculature only minimally engorged. AP chest: Lung volumes are quite low, presumably due to abdominal organomegaly, and there is substantial right basal atelectasis.",09b5b0a8-2cb137c2-240ac597-66295226-2b2af51c +59798967,There is significant in the opacification at the right base. There is significant in the opacification at the right base. ,4768d670-31d218ed-86c26700-a7daf75d-5fe57928 +59804376,"No definite acute cardiopulmonary process; however, diffuse sclerotic osseous metastases throughout the visualized osseous structures obscures detailed evaluation of the lungs. No definite acute cardiopulmonary process; however, diffuse sclerotic osseous metastases throughout the visualized osseous structures obscures detailed evaluation of the lungs. ",ab08af63-948a2416-3f9f6080-5d16badd-02c43b45 +59808558,Extremely low lung volumes with bibasilar opacifications consistent with pleural fluid and atelectasis. Lung volumes are very low with significant bibasilar consolidation due either to dependent edema or combination with atelectasis.,d06735eb-af56afba-fcf0d03b-004b6c6c-93909724 +59816233,"Severe cardiomegaly is accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. Lung volumes are substantially lower exaggerating a moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis.",5e2919b3-f5b224d9-f8a61359-61a65dbd-1f996976 +59825509,"The hemidiaphragms are poorly seen with hazy opacification at the bases, consistent with layering pleural effusion and volume loss in the lower lobes, especially on the left. Left basilar opacification suggests volume loss in the lower lobe with pleural fluid, which could be related to splinting following rib fractures. ",4598aebc-969c6b3b-a13242a3-a9bd01f3-b870c101 +59826830,AP chest and an image of the right humerus: Short vascular catheter projects over the mid right humerus. AP chest and an image of the right humerus: Short vascular catheter projects over the mid right humerus.,d531af35-5e195d3a-0756d7c2-7e3aff86-d6c94461 +59828891,Interstitial edema with associated left-sided pleural effusion in the setting of moderate cardiomegaly. Interstitial edema with associated left-sided pleural effusion in the setting of moderate cardiomegaly.,ac8313a2-9e5439a8-e287d978-72c66b71-8d91da34 +59836321,"Enlargement of the cardiac silhouette with hazy opacification on the right consistent with substantial layering pleural effusion. AP chest: Generalized opacification in the right hemithorax is due largely to a large right pleural effusion projected over at least moderately severe pulmonary edema, seen better in the left lung.",1452c2ed-ce6c7d7b-02bcde56-a4636a4f-849b5534 +59838108,AP chest: Large scale opacification of the left lower lobe is probably collapse. Opacification of the left lower lobe with volume loss and leftward shift of mediastinal structures most compatible with partial left lower lobe collapse in keeping with right mainstem bronchus intubation.,22bfb9c3-48dc5066-5924828a-23e779f2-11ad6018 +59839373,AP chest compared to coarse reticulation in the lower lungs is presumably pulmonary fibrosis. Emphysematous lungs with superimposed pulmonary edema.,2c64848d-cd007bfa-b3e2c794-d206cd7b-26b4ec95 +59842151,Moderately severe pulmonary edema moderate cardiomegaly pronounced since then following tracheal extubation. Moderately severe pulmonary edema moderate cardiomegaly pronounced since then following tracheal extubation.,430e6100-bae3aa34-d72132a7-2c61b505-8d2056bb +59842808,"Indwelling right internal jugular central venous line comment ET tube, and transesophageal drainage tree overall in standard placements. AP chest: Pulmonary vascular congestion is minimal on the right, residual edema in the perihilar left lung. ",bbdcb05c-156dd562-ae7470ee-946facfc-07efcfcd +59857884,"Hyperinflated lungs with mild bibasilar opacities which may represent atelectasis although underlying aspiration or infection not excluded. Medial biapical airspace opacities and mild vascular congestion, possibly secondary to aspiration; but underlying infection cannot be excluded.",832a229c-642318e5-0b042be6-fc394a0a-c8c99a46 +59862902,"There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could represent elevated pulmonary venous pressure, chronic pulmonary disease, or both. There is enlargement of the cardiomediastinal silhouette with poor definition of engorged pulmonary vessels, consistent with pulmonary vascular congestion. ",02ed59f0-43d0aa6f-4bf3340b-c891b4b8-42ea5f9b +59870920,"Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. ",9e0fc31a-ce25b7bc-30362279-d96a0c0c-f6d54e86 +59875098,Fullness of the left perihilar region compatible with known mass. Emphysema. Fullness of the left perihilar region compatible with known mass. Emphysema. ,9188d253-7432f199-b8668189-c4b015e6-24ed4f79 +59876822,There are extensive pleural calcifications consistent with asbestos. No evidence of acute pneumonia or vascular congestion. There are extensive pleural calcifications consistent with asbestos. No evidence of acute pneumonia or vascular congestion.,ab062fe2-bf183eec-059ed8b1-b3b1917c-26fe6fdc +59884344,"AP and lateral chest: Lung volumes are quite low, making it difficult to interpret the significance of increased opacification at the lung bases, particularly the right. AP and lateral chest: Lung volumes are quite low, making it difficult to interpret the significance of increased opacification at the lung bases, particularly the right.",927fb781-4f9bc44e-a7fdd883-151703e1-8e450752 +59886749,"Healed fracture deformity, proximal right humerus. Superior displacement of right proximal humerus with narrowing of the acromiohumeral distance suggestive of chronic rotator cuff tear and associated degenerative changes. ",a31cf547-a85da812-785f9396-ec422967-38d69e1c +59891116,Enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure and relatively small bilateral pleural effusions with underlying compressive atelectasis. Enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure and relatively small bilateral pleural effusions with underlying compressive atelectasis.,17a72ae0-23c30abe-90d2e3d6-03c3c393-2cbeda3d +59915934,"It could be due to vascular engorgement, but given evidence of prior median sternotomy and coronary bypass grafting, an acute aortic syndrome needs to be excluded, if not clinically, then with imaging. Enlargement of the cardiac silhouette with prominence of interstitial markings that could reflect pulmonary vascular congestion, chronic pulmonary disease, or both.",4584e73d-af69492e-8ad8e520-97439184-5c788f58 +59918608,"Supine positioning probably exaggerated severe cardiomegaly, but there is the suggestion of mild pulmonary edema. Moderately severe cardiomegaly, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. ",8fd47aef-a0002ac5-00dd791e-784fc4a3-a7bc5026 +59920150,"Thickening of the right apical pleural margin could be a lung tumor, although there is abnormality in the right lung apex that looks like bronchiectasis or scarring. Emphysema with right apical pleural cap, likely scarring and pleural fluid after pleurodesis. ",802aa49f-a2a5d56e-91eab903-012ba3a8-2bfc4156 +59937017,"AP chest: Moderate right pleural effusion is signficant despite the right basal pleural pigtail drain. AP chest: Although interstitial pulmonary edema is mild, moderate right pleural effusion is significant, accompanied by greater distention of mediastinal veins. ",ea9b867c-c8a2b175-f813e34d-9ae7229d-23ab7c24 +59938198,Blunted right costophrenic angle with opacity along the right mid to lower pleura could be due to pleural thickening and/or pleural effusion. Blunted right costophrenic angle with opacity along the right mid to lower pleura could be due to pleural thickening and/or pleural effusion.,e2a298e7-794b6f39-1efd0c79-f922ddff-2b8f0010 +59941176,"Significant opacities of the right middle lobe, right lower lobe, and possibly left mid-lung, compatible with infection superimposed on the patient's known lung cancer. Significant opacities of the right middle lobe, right lower lobe, and possibly left mid-lung, compatible with infection superimposed on the patient's known lung cancer.",b8dfd605-1122ed45-3fd45f18-5d90932a-5f2dab90 +59941702,"Patient has been extubated which may account for large caliber of the cardiomediastinal silhouette as well as moderately severe left lower lobe atelectasis and mild to moderate atelectasis at the right base. AP chest: There is mild generalized edema, but there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis.",df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d +59942551,"PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained. PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained.",4e536fbd-1d3c1f99-c3494ba6-918a4177-3e3b72ff +59947539,"There are moderate to severe cardiomegaly, exaggerated by supine positioning, large mediastinal venous caliber. Allowing for the AP supine technique, there is moderate enlargement of cardiac silhouette.",b90427be-b8e2a5b2-d96a239f-5b791587-230e2fe5 +59953900,Heart is upper limits of normal in size and accompanied by pulmonary vascular congestion and interstitial edema. The cardiac silhouette is more prominent and the pulmonary vessels are engorged and not as sharply seen.,a6af277c-9bba350e-4a71b3e8-137d82db-cb01dd0e +59956491,"There are severely enlarged cardiac silhouette, moderate right pleural effusion, pulmonary edema, predominantly in the lower lungs where there is heterogeneous consolidation. There are moderate to severe pulmonary congestion and mild to moderate interstitial edema, moderate right pleural effusion, and moderate to severe left basilar atelectasis, consistent with acute CHF exacerbation.",721e19bf-893cd83c-ea610180-ee56a931-b0b7c146 +59956784,Small right greater than left pleural effusions are significant with indistinct pulmonary vascular markings and cardiomegaly suggestive of congestive failure. Small right greater than left pleural effusions are significant with indistinct pulmonary vascular markings and cardiomegaly suggestive of congestive failure.,a4398b56-ec603dc8-a33c3c3b-d4969bf3-6ae3e7b1 +59962443,"Continued enlargement of the cardiac silhouette in a patient with elevated pulmonary venous pressure and right apical thickening as well as substantial chronic pulmonary disease. Finding suggesting slight vascular congestion or fluid overload, as well as enlargement of pulmonary arteries, but with no evidence for superimposed pneumonia. ",93e655d4-f85397d7-f5a5bd25-3ff6da79-c4342fc6 +59966980,A series of 3 sequential frontal chest radiographs starting at 17:55 show significant advancement of the Dobbhoff feeding tube to the lower esophagus. A series of 3 sequential frontal chest radiographs starting at 17:55 show significant advancement of the Dobbhoff feeding tube to the lower esophagus.,c810fda6-49f22def-580efb22-d9ed1837-c3e002b1 +59968351,Severe degenerative changes at both shoulders include probable rotator cuff tears. Chronic non-healed fracture of right humerus noted.,9eef23a6-9ec5cac1-17521310-3e505395-c63ed35d +59969148,"Lung volumes remain low and there is diffuse bilateral parenchymal process which are moderate pulmonary and interstitial edema rather than pneumonia. AP chest: Low lung volumes makes it difficult to exclude a basal consolidation, particularly on the right, but all the findings can be explained by significant pulmonary vascular engorgement,accompanied by a moderate cardiomegaly and persistent mediastinal vascular engorgement.",234437dc-32485521-78bd0c1a-5997bd43-47401378 +59970698,"A PleurX catheters in place on the right, where there is the basilar opacification consistent with pleural fluid and compressive atelectasis. A PleurX catheters in place on the right, where there is the basilar opacification consistent with pleural fluid and compressive atelectasis.",02088c92-5c6bfe4f-9fd824af-09b698c6-a2ac2b87 +59980986,Patient is status post left blebectomy and pleurodesis with no residual pneumothorax seen. Patient is status post left blebectomy and pleurodesis with no residual pneumothorax seen.,380fda55-d2283afd-511dcad7-803d3b6a-ed8c6b64 +59981256,A Swan-Ganz catheter is in position terminating in the lateral aspect of the right hilum. There has been placement of a right IJ Swan-Ganz catheter that extends into the right pulmonary artery at the mediastinal level.,92a2a181-8f508ced-b3cb8aae-f4da8efa-3df4edc0 +59983953,"AP chest:Three right pleural drains, right internal jugular line, ET tube, and upper enteric drainage tube are all in standard placements. AP view of the torso centered at the diaphragm, excluding the lateral left upper abdomen shows an upper enteric drainage tube ending in a non-distended stomach as well as upper abdominal drains, skin and a Swan-Ganz catheter ending in the right pulmonary artery.",138e15e1-82368001-70725244-1ac06c0d-a272de11 +59984376,"Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. ",87f64c4d-93ab83e7-04f10c4b-a9ed71f7-d05889f2 +59986698,"Right PIC line ends close to the superior cavoatrial junction, transvenous right atrial and right ventricular pacer pacer defibrillator leads are in standard placements. Indwelling right PIC line ends close to the superior cavoatrial junction, indwelling atrial biventricular pacer defibrillator leads are unchanged in their respective locations continuous from the left pectoral generator. ",417d5c5e-b521f965-35306684-68e7deb2-cda06f5c +59990602,The chest with bilateral calcified pleural plaques and slightly hazy opacities with significant interstitial markings at the lung bases suggestive of chronic interstitial lung disease. The chest with bilateral calcified pleural plaques and slightly hazy opacities with significant interstitial markings at the lung bases suggestive of chronic interstitial lung disease.,2d5f73c2-9a6138e2-d33b6539-067b7734-2b55b088 +59995405,The heart is mildly enlarged and there are atelectatic changes and effusion at the left base. The heart is mildly enlarged and there are atelectatic changes and effusion at the left base.,16fd3cf3-d29c1429-19334155-3ffd9fd5-a25b09bf +59999362,"Rounded radiopaque structure with the appearance of a ring projects over the left upper quadrant on the frontal view, not seen/included on the lateral view. Rounded radiopaque structure with the appearance of a ring projects over the left upper quadrant on the frontal view, not seen/included on the lateral view. ",fb713bef-44a802dc-179def5b-4baaedb7-991610c2