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MIMIC-CXR-JPG/2.0.0/files/p14283373/s58563186/052f0bf6-0f95fb91-8f2de812-eacce28c-cc4eab9f.jpg
no acute cardiopulmonary process.
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clear right lung without focal consolidation or pleural effusion. large left pleural effusion with overlying atelectasis. left apical cavitary lesion, better assessed on ct.
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no evidence of pneumonia.
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mild pulmonary edema and possible small effusions. otherwise unchanged.
MIMIC-CXR-JPG/2.0.0/files/p15874317/s51840765/fa189f84-f2993401-d62cb991-0df5c118-da498c21.jpg
no acute cardiopulmonary process.
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left lower lobe opacity could represent atelectasis or pneumonia with an associated effusion.
MIMIC-CXR-JPG/2.0.0/files/p11924512/s55604577/312b68f0-54de21c7-5692e90b-dce80343-9b50056e.jpg
no acute cardiopulmonary abnormality.
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in comparison with the study of , there is little interval change. cardiac silhouette is within normal limits and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. stable contour of the aortic arch and known pseudoaneurysm.
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no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13056000/s52320417/e34a815f-5e94f0d3-e9db75d6-cce2014a-f2194c38.jpg
no evidence of acute cardiopulmonary disease.
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no significant interval change in diffuse pulmonary edema. superimposed infection cannot be entirely excluded.
MIMIC-CXR-JPG/2.0.0/files/p16061352/s56521074/58a65447-cedc4492-7ae411e8-6e1d56db-489f1bbf.jpg
no active pulmonary disease. evidence of small left effusion which may have decreased slightly in the interval.
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in comparison with the study of pa and lateral view shows a small amount of residual pleural fluid on the left. there are streaks of atelectasis at the left base, but the hemidiaphragm is now sharply seen. the pleurx catheter is been removed and there is no definite pneumothorax. the right lung is essentially clear and there is no vascular congestion.
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compared to chest radiographs through. small right pleural effusion unchanged. postoperative mediastinal silhouette stable. no pneumothorax. right pigtail pleural drainage catheter unchanged in position, projecting along side the transesophageal drainage tube ending in the low neo esophagus. left lung is clear. no left pleural abnormalities. heart size normal.
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multifocal linear atelectasis and small pleural effusions. free intraperitoneal air, in keeping with recent abdominal surgery.
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no acute cardiopulmonary process. no definite fracture. although no fracture or other bone abnormality is seen, conventional chest radiographs are not appropriate for detection or characterization of chest cage lesions. any focal findings should be clearly marked and imaged with either bone detail views or ct scanning.
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no acute cardiopulmonary process.
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in comparison with the study of , there is little change except for low lung volumes. no pneumonia, vascular congestion, or pleural effusion.
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marked enlargement of the cardiac silhouette, could be due to underlying cardiomyopathy or pericardial effusion. no focal consolidation or pulmonary edema.
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compared to prior chest radiographs since , most recently. it is hard to tell whether there is some clearing at the periphery of the severe cicatricial consolidative pulmonary abnormality or whether the patient is developing subpleural pneumatoceles, for example in the left upper lobe laterally. heart size is normal. no pleural effusion. right pic line ends in the low svc.
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low lung volumes with possible minimal interstitial edema.
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in comparison with the study of , the right chest tube remains in place and there is no evidence of pneumothorax. continued low lung volumes with increasing opacification at the left base consistent with pleural fluid and underlying atelectatic changes. area of increased opacification at the right base medially does not silhouette the right heart border or hemidiaphragm. this could represent merely atelectatic changes, though in the appropriate clinical setting, superimposed pneumonia could be considered.
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ap chest compared to : no good evidence for pneumonia currently. small left pleural effusion remains. lungs grossly clear. heart size normal. lines and tubes in standard positions.
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diffuse reticular opacities could represent mild interstitial edema versus atypical infection. please correlate clinically.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection.
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mild heart enlargement, likely related to recent pericarditis, no pleural effusion or signs of pneumonia.
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the cardiopulmonary findings are unchanged compared to prior exam. there has been interval placement of a right ij line whose tip sits in the mid svc. there is no pneumothorax or apical cap.
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moderate pulmonary edema, similar to the previous study, with new small left pleural effusion. bibasilar atelectasis.
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right upper lobe mass with pleural tag, concerning for primary lung malignancy. additional nodular opacity in left mid lung is indeterminate. a ct chest is recommended for further evaluation. m on. bibasilar opacities may reflect aspiration, atelectasis or infectious pneumonia. these may be further evaluated at the time of ct.
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comparison to. no relevant change. severity in distribution of the known opacities and consolidations is stable. stable appearance of the cardiac silhouette. stable correct position of the monitoring and support devices.
MIMIC-CXR-JPG/2.0.0/files/p19321088/s57571826/6b016931-2e194862-e0576023-122536f1-21e50858.jpg
no acute cardiopulmonary process.
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no evidence of pneumonia. a new <num> mm rounded density projecting over the mid thoracic spine may be a pulmonary nodule or within the bone. shallow lateral oblique views are recommended for further evaluation.
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no pneumonia. these findings were communicated to the ordering physician,. , by dr , telephone at on immediately upon reivew of the radiographs.
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no acute cardiopulmonary process.
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heart size and mediastinum are stable. interval improvement in pleural effusions and bibasal atelectasis is demonstrated. left apical pneumothorax is minimal and unchanged.
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lead wire, likely left ventricular wire, is looped and projects over the superior right hilus. no pneumothorax.
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somewhat lower lung volumes with no focal airspace consolidation to suggest pneumonia or evidence of pulmonary edema. no pneumothorax. right paratracheal soft tissue is felt to represent prominent vessels. overall, the cardiac and mediastinal contours are unchanged. clips in the right upper quadrant are consistent with prior cholecystectomy. no pneumothorax. unchanged left hiatal hernia.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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unremarkable appearance of the chest radiograph.
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no acute intrathoracic process.
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persistent small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12733064/s51110774/5865028a-fe96d0c0-4a993cfe-385788a4-69a101de.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16168883/s53608616/8667366a-6a10f870-c0d0b71b-42f0f71b-eaeebbdb.jpg
right middle lobe and left lower lobe consolidations concerning for pneumonia; small bilateral pleural effusions.
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in comparison with the earlier study of this date, there is little interval change. extensive subcutaneous emphysema persists along the chest walls and into the neck bilaterally as well as in the pectoral muscles. left chest tube is in place and there is no definite pneumothorax. otherwise, little change in the appearance of the monitoring and support devices as well as the heart and lungs.
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ng tube has been withdrawn, now with tip in the lower third of the esophagus, should be pushed down at least <num> cm. et tube tip ends at <num> cm from the carina. right ij catheter ends in mid svc. right lung base opacification is minimally improved since , for improved atelectasis, but with stable small right base pleural effusion. left lung base atelectasis and small pleural effusion are unchanged. cardiomediastinal silhouette is normal. aortosclerosis is mild. there is no pneumothorax.
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chronic interstitial lung disease without definite evidence of an acute intrathoracic abnormality.
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persistent low lung volumes. et tube has been removed. vascular congestion has improved. right chest tube remains in place. right chest wall subcutaneous emphysema has decreased. left lower lobe opacities have increased consistent wake atelectasis. widened mediastinum is stable. no enlarging pneumothorax pleural effusions
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pleural thickening, similar to prior. no worsening pleural effusion or evidence of other acute cardiopulmonary process. multiple small nodular opacities, consistent with patient's known metastatic disease.
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no acute cardiopulmonary process.
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stable chest radiographs.
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no pneumonia, edema or pleural effusion.
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substantial rightward shift of mediastinal structures in conjunction with widespread right basilar opacification, which is nonspecific but suggests partial collapse of the right lower lobe, in addition to a persistent left-sided pneumothorax, although two well-placed chest tubes are visualized. the referring team is aware of the findings based on review of a recent outside ct discussed in the reading room.
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focal consolidation at the left lung base. correlate for clinical signs of pneumonia. short-term followup radiographs are recommended to ensure resolution.
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decreased evidence of pulmonary edema, though there is persistent multifocal opacifications, which may represent asymetric resolving edema versus infectious process. small left pleural effusion.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process
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no evidence of pneumonia.
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left pleural effusion with superimposed consolidation or atelectasis not excluded.
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as compared to radiograph, pulmonary vascular congestion has improved. improving asymmetrical left perihilar and basilar opacities may reflect improving asymmetrical edema with or without coexisting infection. right pleural effusion has apparently resolved, and a small to moderate left pleural effusion has not appreciably changed.
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markedly irregular opacification of the left mid lung as well as opacities at the lung apices, as seen previously, apparently chronic in nature with no definite radiographic finding suggestive of a superimposed acute process.
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standard position of the endotracheal tube. right internal jugular central venous catheter tip in the mid svc. suboptimal position of the enteric tube, with tip in the distal esophagus. advancement by at least <num> cm is advised. mild pulmonary edema. focal opacity within the left upper lung field may reflect an area of infection or aspiration.
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no acute cardiopulmonary process.
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increased attenuation in the peripheral lung bases likely represents artifact due to overlying soft tissues; however there is subtle opacity projecting over the lateral left lung base, while not substantiated on the lateral view, consolidation from infection can not be entirely excluded.
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as compared to the previous radiograph, a nasogastric tube was inserted. the tip is located at the distal portion of the new esophagus. the other monitoring and support devices are in constant position, except for the removal of the endotracheal tube. the lung volumes have returned to knee and normal conditions. bilateral postoperative atelectasis are seen at the lung bases. no larger pleural effusions.
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comparison to. the patient has received a new right-sided picc line. the course of the line is unremarkable, the tip projects over the lower svc. no complications, notably no pneumothorax. the previously placed right internal jugular vein catheter has been removed. borderline size of the cardiac silhouette. bilateral areas
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small right pleural effusion. no evidence of pneumonia, pneumothorax or pneumoperitoneum.
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no reaccumulation of the pneumothorax following chest tube removal.
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unchanged moderate cardiomegaly with mild pulmonary edema. right lower lower lobe partial atelectasis. coexisting pneumonia cannot be excluded in this region. follow up cxr is recommended to ensure resolution.
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no acute cardiopulmonary process.
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dense retrocardiac opacity represents pleural effusion and atelectasis, however superimposed infection could be considered in the appropriate clinical setting.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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findings concerning for moderate asymmetric pulmonary edema, right worse than left, but infection cannot be completely excluded in the right lung base. follow up radiographs after diuresis are recommended for further assessment.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , there is more coalescence of opacification at the right base with silhouetting of the hemidiaphragm. this is consistent with volume loss in the right lower lobe, probably with pneumonia as suggested by the recent ct scan. less prominent opacification at the left base could represent atelectasis or multifocal pneumonia. no evidence of cardiomegaly or appreciable vascular congestion.
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normal chest.
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bibasilar opacities concerning for pneumonia, with small bilateral pleural effusions.
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no focal consolidation. <num> cm nodule in the right upper lobe, which is not fully characterized radiographically. a ct chest is recommended for further evaluation.
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slight increase in cardiomediastinal silhouette since immediate postoperative image from , but is unchanged since earlier today.
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mild interstitial pulmonary edema and small pleural effusions have increased since the prior.
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in comparison with the study of , the patient has taken a much better inspiration. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion or pleural effusion. atelectatic changes are seen at the left base.
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no acute intrathoracic abnormalities identified.
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no acute intrathoracic process.
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heart size and mediastinum are stable. trans femoral e inserted pacemaker lead terminates in the right ventricle. heart size and mediastinum are stable. pulmonary edema is noted, moderate. no pneumothorax or increase in pleural effusion demonstrated.
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no acute cardiopulmonary process.
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in comparison with the study of , there is increased opacification at the left base with silhouetting of the hemidiaphragm. this is consistent with increasing volume loss in the left lower lobe. mild atelectatic changes are seen at the right base. cardiac silhouette again is at the upper limits of normal or mildly enlarged, but there is no evidence of pulmonary vascular congestion. extensive spinal surgery is again seen.
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bilateral lower lobe opacities in a pattern similar to multiple prior images, consistent in appearance with multifocal pneumonia. consider non-emergent, outpatient evaluation with ct to further assess in the setting of nonresolving opacity.
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no acute cardiopulmonary abnormality.
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severe cardiomegaly with mild pulmonary vascular congestion. <num>-cm additional rounded contour at the apical lateral aspect of the aortic knob, which is of unclear etiology. further evaluation with a dedicated chest ct with contrast is recommended. results were uploaded to the online critical results database.
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as compared to radiograph, overall appearance of the chest is similar except for improving aeration in the left retrocardiac region.
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no acute cardiopulmonary process.
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persistent bilateral pulmonary opacities with interval changes as described.
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improving left basilar atelectasis. bilateral, small pleural effusions, increasing on the right. increasing opacity at the right base is consistent with postoperative changes.
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compared to the prior radiograph, interstitial edema is present, superimposed upon previous findings attributed to multifocal pneumonia with possible area of cavitation in the left mid lung. apparent slight increase in size of moderate right pleural effusion, and persistent small left pleural effusion.
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no portable radiographic findings to suggest pneumonia or complications of aortic dissection. however, a portable chest radiograph has a low sensitivityive for diagnosing aortic dissection, and dedicated chest cta may be considered if there remains clinical suspicion for this entity.
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no evidence of acute cardiopulmonary process.
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patchy opacity at both bases, similar, though slightly different in configuration, compared with. oblong opacity in the lower lobe posteriorly, new compared with ct scan. the differential diagnosis includes a pneumonic infiltrate. rounded atelectasis and loculated fluid are considered less likely.
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no acute findings.
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