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/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15646456/s54434436/085968a3-1ff5db96-ec247256-bb0de7fa-d1defc60.jpg
no evidence of acute cardiopulmonary disease.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15291456/s55624991/3c94f9e2-802c2ca7-0d401660-25f2f33c-125d36af.jpg
no acute cardiopulmonary process. findings were discussed with dr. <unk>.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12485064/s59872403/2daa4fa6-1092abb7-97864f20-04044b97-0afbfac4.jpg
no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16233094/s54126586/25db6eda-f1035ac4-df936f67-d52d2d81-68cbd98b.jpg
bibasilar atelectasis. no focal consolidation to suggest pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10788351/s54443658/349da336-0963419e-f8d79261-cc392eec-3ff3f747.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19112585/s51825039/ed33263a-e35f6636-9c2018a1-259dfa81-3022c5b4.jpg
interval intubation with the endotracheal tube having its tip approximately <num> cm above the carina. the feeding tube courses below the diaphragm with the tip not identified. the right internal jugular swan-<unk> catheter continues to have its tip in the right pulmonary outflow tract. there are layering effusions, right greater than left, with associated bibasilar opacities suggestive of atelectasis. increasing retrocardiac consolidation likely reflects left lower lobe collapse. there is stable bilateral diffuse airspace process suggestive of moderate pulmonary edema. no pneumothorax. status post median sternotomy with stable cardiac enlargement.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12982085/s52630835/249167fb-49ef2933-3e18df2a-b91bd098-4bd1d8dc.jpg
no acute cardiac or pulmonary process. l<num> burst fracture better appreciated/evaluated on ct.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14944697/s54675870/ff227789-df655f92-d73b2ffb-a80f6f5b-70076187.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16860825/s50992504/b753faa0-f7b89b9f-862cdb17-86dbf885-5e1398ea.jpg
low lung volumes. persistent mild cardiomegaly and vascular congestion. no evidence of pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17485030/s58151877/2926be41-932a9fa6-ef24bc16-a46d9ecd-3701ad39.jpg
no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16431831/s57803570/86cd6b6c-ed3b0ed9-9f324add-75f05fc6-e762a593.jpg
no pneumothorax.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13398905/s50841988/5a7d7a02-bdbaeaea-ac21244d-d2f3c98f-9c9e6650.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17083786/s54134757/ca6f4c27-7c333c80-688997a5-1f7f1768-140af231.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13188963/s58259647/4f586f48-23ab9c94-7bc8972a-4e150955-21b58367.jpg
new bilateral pleural effusions, right greater than left.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18529128/s56161323/5ec8302b-6eb31ea0-a41c1c23-606487f8-56fef58c.jpg
no acute cardiopulmonary pathology.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18656167/s50620670/9cef6262-5a0dab95-2635de03-50d10d6d-e772cb3c.jpg
low lung volumes with bibasilar atelectasis. no focal consolidation.
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mild cardiomegaly.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14494263/s51887420/18e99c47-24450125-2e6f5993-be3e2dfa-d719c0ca.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11720904/s52232690/52a1476b-8f079863-bf974ad2-d4696f2b-21ac514b.jpg
no acute cardiopulmonary process. no displaced fracture is seen' however please note that dedicated rib series or ct are more sensitive in evaluating for rib fracture.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10234145/s56455036/ec01c62a-b6bd5734-2a8f9cb6-73b1eef4-f13899aa.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19950864/s52815959/61b2e5b3-5192e298-d28244ef-a46613e7-13ff9c2e.jpg
mild interstitial edema. left basilar opacity may reflect atelectasis though infection can be considered in the appropriate clinical setting.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11523342/s58952356/76d061dc-3df5d897-88036437-e5142899-efe068f1.jpg
low lung volumes. increased prominence of the pulmonary vasculature, suggestive of mild pulmonary vascular congestion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15412344/s57560998/3fe47c9c-47166d00-bde9f83f-bd0f8292-53dc4781.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13661500/s56321181/ba77f9ee-5e6d6a13-2710361d-0ddeea2d-3fa07644.jpg
no acute findings.
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no pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12017586/s54261645/0e8a55d8-c2153c52-bfe2b114-07ea375d-fbd8c868.jpg
right internal jugular central venous line ends in the mid svc.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12426368/s58076456/27c1c8d9-bca94620-9a0cd155-1be02264-bd4d3ea0.jpg
bibasilar collapse and/or consolidation, slightly more pronounced compared with <unk>. the possibility of an associated infectious infiltrate cannot be excluded. small right and possible smaller left pleural effusion. upper zone redistribution and diffuse vascular blurring. in a conventional setting, this appearance, all taken together, would be compatible with chf and interstitial and alveolar edema. given the history of hiv, if the patient has an appropriately low cd<num> count, the differential for the interstitial opacities could include pcp.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17754292/s52443528/8781241d-d20bfff1-6c037477-9ab34347-149043b9.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13668295/s57785647/2cfc6bba-b1d863f0-ac5e99ab-71234474-91dc4c08.jpg
subtle ground-glass opacity in the right mid lung could represent an early focus of pneumonia. mild basal atelectasis.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16914470/s57503720/398e42a8-22507de2-b0cbf2aa-563170c6-a4e5358f.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10831202/s50371495/c5f82fe0-ea8d6933-cacd150c-29e069b2-80029fe8.jpg
no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16389957/s53819185/4f083f51-321d96d6-d096d50c-2f43ae32-1d75eade.jpg
opacity projecting over the left lower lung zone is noted possibly sequela of aspiration or infectious process. no air under the right hemidiaphragm.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16565704/s57225328/ebaa45ae-c4ec9b2f-85d1b9ed-ed076c2e-8e31ecf3.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16046758/s52359277/40df79e5-0e1c1012-dafcb2ee-0b422e32-70c78cdf.jpg
only a small amount of residual aerated lung is present in the right chest. on the left, an effusion has increased in size, resulting in collapse of the basal segments of the left lower lobe.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11619087/s59172899/59e40a5c-511e6bd9-33157c57-86d1d7f6-5164b2e3.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12766159/s51769356/9d52ddbf-4c15cef8-d74592a4-970cbf0b-09e73869.jpg
bibasilar atelectasis.
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no significant interval change. no acute cardiopulmonary process.
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endotracheal tube, nasogastric tube and left internal jugular central line unchanged in position. overall cardiac and mediastinal contours are stable. overall, there continues to be a diffuse bilateral airspace process but it appears to be somewhat improved suggesting resolving edema and/or an improving pneumonia. clinical correlation is advised. there is likely a layering left effusion. no pneumothorax is appreciated.
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<num>. persistent right pleural-based abnormality with associated slightly asymmetric appearance of the overlying soft tissue in the right chest cage is of uncertain etiology. non-emergent chest ct is recommended to further evaluate. <num>. no focal pneumonia or pneumothorax. recommendation(s): dedicated non-emergent chest ct is again recommended to further evaluate the right pleural-based abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14490249/s59937159/bf8353a1-ed45f753-41655ab5-b98359a3-023e24b5.jpg
normal chest radiographs.
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normal chest x-ray.
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small left pleural effusion with mild bibasilar atelectasis but no focal consolidation.
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<num>. no acute cardiopulmonary process. <num>. rounded opacity near the right hilum is likely a pulmonary vessel, and appears unchanged since <unk>.
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right picc tip in the svc. no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18854374/s52501050/921adc41-381b0481-88470674-e34f492a-ae617f2d.jpg
no pneumonia
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a right-sided single lead pacer remains in place with the lead appearing intact and terminating over the expected location of the right ventricle. the heart is enlarged favoring cardiomegaly, although pericardial effusion cannot be excluded. interval increase in lung volumes with prominent perihilar vasculature but no overt pulmonary edema. patchy opacity at the right medial lung base may represent atelectasis, although early pneumonia or aspiration should also be considered. this can be better assessed on followup imaging. no pneumothorax.
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<num>. mild interstitial pulmonary edema, slightly worse than prior study. <num>. retrocardiac opacity, likely atelectasis. <num>. fractured median sternotomy wires superiorly with displaced wire fragments.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11165038/s52257683/00e27c46-8af32cfe-239afbed-c70de73e-58ea9b2f.jpg
no acute cardiopulmonary process.
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no acute pulmonary process identified.
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left perihilar opacity, infiltrate versus edema.
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<num>. marked cardiomegaly is similar to the prior film, allowing for differences in positioning. <num>. multifocal opacities most pronounced in the right upper and left lower zones again noted, non-specific, but compatible with pneumonic infiltrates. equivocal new area of patchy opacity at the left upper zone. <num>. although there may be small bilateral effusions, the difference, if any, is minimal. <num>. no definite superimposed chf.
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tip of the dobbhoff tube is in the upper stomach.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13069266/s54547706/75f232ad-e8f3f44d-142ce124-d2eb3ce6-ee8f9173.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19658917/s50185469/016d553a-ac6e2801-9040773a-1c4e0a2e-247b4cbf.jpg
bilateral pleural effusions with overlying atelectasis in combination with prominence of the hila and enlarged cardiac silhouette, could be due to chf/fluid overload in the appropriate clinical setting. alternatively, infectious process is not excluded, nor is underlying hilar adenopathy. suggest repeat after diuresis for further evaluation. .
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16952127/s58296861/0ac6600b-5f14054e-f96c1d6d-300894ce-5bb63fb1.jpg
mild pulmonary edema, slightly worse in the interval with probable trace bilateral pleural effusions and bibasilar atelectasis.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19797687/s52552229/5a358ade-d2847d53-320a9551-fc25b10a-b72d009d.jpg
new small opacity is seen in the right upper lobe along the minor fissure. this is concerning for pneumonia. previously characterized pulmonary nodules on ct are not well seen on this exam. d/w dr. <unk> by phone on day of the exam.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18504243/s54350786/92d16a95-d33bdf05-0e1e0c99-4fbb17a2-8d66b698.jpg
no acute pulmonary process identified. in particular, no focal infiltrate to suggest infection. no significant change compared with <unk>.
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possible trace pleural effusions and minimal interstitial edema.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11706906/s50078109/de976e6a-8c72260e-ad52cbd9-738497c9-c57f5d7a.jpg
pulmonary vascular congestion and interstitial edema. more confluent opacities at the lung bases could relate to dependent pulmonary edema, although aspiration and infectious pneumonia are additional considerations in the appropriate clinical setting. short-term followup radiographs may be helpful in this regard if warranted clinically.
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findings of mild interstitial abnormality which may be due to slight congestion or airway inflammation. patchy left basilar opacity is nonspecific but could probably be seen with atelectasis. no definite rib fractures are visualized but ct imaging is more sensitive.
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no acute cardiopulmonary abnormality.
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<num>. mild central pulmonary vascular congestion. <num>. stable cardiomegaly.
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<num>. stable cardiomegaly. slight interval improvement in mild pulmonary edema. <num>. right lung base opacities, slightly more conspicuous since <unk>, which may relate to low lung volumes, represent atelectasis or infection in the appropriate clinical setting.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18032922/s50083705/087199d1-f0824baa-f1a3b970-21b77384-f4c73ece.jpg
patchy basilar opacities concerning for pneumonia in the appropriate setting.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11173142/s50936299/568981c8-72cc6095-aa181d11-934cc983-2c1b288c.jpg
moderate, basal predominant pulmonary edema most likely, although viral infection can give similar findings.
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moderate right pleural effusion has increased in size since <unk>.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17390025/s51165210/59be1dea-1c753a59-70d834a3-c1037aa2-7c397159.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14709954/s51963325/1364c766-bdea5220-6a15c8c9-113d3401-15906464.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13847892/s51151521/a2115d29-1f915fa7-dc328d68-337072bf-cc1acd60.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17951208/s59641070/05129fa7-5832592e-810fc5fe-07b4a058-aaf40421.jpg
no acute findings in the chest. please refer to subsequently obtained ct torso for further details.
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<num>. no acute intrathoracic process. <num>. nodule in the right upper lobe is superimposed over the right posterior rib, new from <unk>. shallow obliques off the frontal view could be performed for further evaluation. findings and recommendations discussed with dr. <unk> by phone at <time>pm <unk>.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11219670/s52663636/6308a79c-98b3300d-d1830463-499f54ef-2c3f1551.jpg
no change.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19231117/s55553005/85a3f448-19491fce-f77ce1d9-903c960a-5a0a7f22.jpg
normal chest radiograph.
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<num>. no focal consolidation worrisome for pneumonia. <num>. no evidence of pulmonary edema. <num>. multiple calcified pleural plaques suggestive of prior asbestos exposure.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19225125/s55453029/a31dabb1-2739b968-ffc62ebb-d1a4984d-84f6d8ef.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10879723/s58557418/7f1556c2-0727a0fa-4ebba1b5-41c9d760-52a27e81.jpg
unremarkable chest radiographic examination.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15930062/s50840663/39632861-f703d4fa-ee79dd42-d3128845-6682b3bb.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18386137/s55790426/63ace0c4-6b160429-cc50302a-57767de8-03106434.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19454512/s58575387/a72f6d09-9b90a5f9-1a334fe9-ac971702-f22d9aa4.jpg
<num>. mild pulmonary vascular congestion and small left pleural effusion. <num>. stable elevation of the right hemidiaphragm and linear scarring in the left mid lung zone.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11148683/s55621399/4f974188-5838b38d-f699d8a0-d80c5fa8-5dcaafa1.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12794612/s56955974/37424203-5aa89e79-fbf18d7f-0bb1ddbf-48b1cad5.jpg
no acute cardiopulmonary abnormality.
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<num>. nasogastric tube in appropriate position. <num>. small right pleural effusion with right basilar atelectasis, grossly unchanged from chest radiograph <unk>.
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no acute cardiopulmonary process.
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severe emphysema with mild cardiomegaly. no signs of pneumonia.
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diffuse pulmonary interstitial abnormality and right hilar fullness likely relates to patient's underlying sarcoidosis, and is unchanged in appearance in comparison to multiple prior exams. no evidence of superimposed acute process.
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trace bilateral pleural effusions and possible minimal pulmonary vascular congestion. persistent cardiomegaly.
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no evidence of acute cardiopulmonary process.
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newly placed enteric tube terminates in the stomach. mild interval worsening in pulmonary edema.
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no acute cardiopulmonary process.
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pulmonary vascular congestion.
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no acute intrathoracic process.
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stable bilateral pleural effusions and aneurysmal dilation of the descending thoracic aorta.
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patchy non-specific right infrahilar opacity, which could be seen with atelectasis, although the possibility of pneumonia is not excluded in the appropriate setting.
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no radiographic evidence of pneumonia.
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coarsened interstitial markings which may suggest chronic lung disease.
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focal left basilar opacity, which appears superimposed on preexisting lingular atelectasis and probably within the medial left lower lobe with air bronchograms. differential considerations, include included atelectasis; in the appropriate clinical setting, pneumonia is not excluded, however. correlation with other patient factors is suggested.