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multiple bilateral pulmonary nodules overall appear more conspicuous as compared to the prior study, which may be due to differences in technique /penetration, although is concerning for slight progression of disease. no definite new focal consolidation seen. small right pleural effusion, new/increased compared to the prior study. persistent blunting of the left costophrenic angle.
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low lung volumes with increasing bibasilar atelectasis, but no evidence for pneumothorax or pleural effusion. rib fractures are not well assessed.
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no pneumonia. hyperinflated lungs.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10347477/s56986794/cefdb9ed-e054355c-e9168cdf-6cc15b7f-14da68e8.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11290019/s50804227/95763ae2-b9913752-0b1a8497-adb6ffb5-1eebc602.jpg
low lung volumes. otherwise, no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17985912/s50905706/7486a1e4-80a9908b-5c84bd5e-a49f2b71-f94d4e42.jpg
no acute intrathoracic abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12668744/s56230026/7f27a8d9-28dc8d97-fc2eeec7-5b5ad09e-abdfc900.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16437473/s57552480/5ce74c55-cbd4a185-29acfad5-4a12e697-0857b07a.jpg
left lower lobe pneumonia. small left effusion. mild right basal atelectasis.
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<num>. right port-a-cath terminating in the upper right atrium. <num>. borderline mild vascular congestion.
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unchanged diffuse interstitial abnormality. the differential diagnosis includes hypersensitivity pneumonitis or early fibrosis. although pcp infection is less likely, it would be a consideration if the patient is hiv positive. if further evaluation is clinically warranted, could obtain a repeat ct of the chest with thin section reformats. results were discussed with dr. <unk> at <num> p.m. <unk> via telephone by dr. <unk> at the time the findings were discovered.
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mild bibasilar atelectasis. no definite evidence of pneumonia.
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no acute cardiothoracic process.
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chronic pulmonary disease. no acute pneumonia.
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no acute cardiopulmonary abnormality.
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mild edema.
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subtle heterogeneous opacification of the left lung base may represent a developing infection, possibly atypical pneumonia.
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no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17364884/s57651158/6ae1c481-618595c0-2396d3eb-168326c2-75b244ca.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16007214/s52749005/0aa9cdb4-4596d083-74e9c98d-4feffac1-12cc4f36.jpg
mild bibasilar atelectasis.
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no acute cardiopulmonary process.
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endotracheal tube positioned within the right mainstem bronchus for which repositioning is advised.
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signs consistent with overinflation of the lungs.
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prominence of the left hilum appears slightly less confluent as compared to the prior study, but otherwise persists; again, underlying lymphadenopathy is not entirely excluded, and could be further assessed for on nonurgent chest ct. no focal consolidation.
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no acute findings in the chest.
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increased interstitial markings bilaterally with more confluent area in the right lung base. findings are similar to prior; however, it is unclear whether findings may represent chronic pulmonary edema, pneumonia with superimposed pulmonary edema or atypical infection.
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no acute cardiopulmonary process.
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no evidence of pneumonia
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<num>. mild bibasilar atelectasis with a small left pleural effusion is new from <unk>. no pneumonia. <num>. borderline cardiomegaly.
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no acute cardiopulmonary process.
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findings suggest mild vascular congestion. no definite rib fracture identified. dedicated rib series would be more sensitive to detect rib fracture if needed clinically.
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no acute cardiopulmonary abnormality.
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<num>. mild to moderate enlargement of the cardiac silhouette. while this could be due to cardiomyopathy, the somewhat globular configuration raises concern for a possible pericardial effusion and correlation with echocardiogram is suggested. <num>. pulmonary vascular engorgement. <num>. dense retrocardiac opacity concerning for pneumonia in the correct clinical setting.
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right basilar opacity may reflect pneumonia.
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resolved pulmonary edema with persistent cardiomegaly and possibly small bilateral pleural effusions with mild basilar atelectasis.
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increased bibasilar airspace opacities may represent atelectasis related to low lung volumes or, in the proper clinical setting, aspiration or early pneumonia.
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no acute intrathoracic process.
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compared to prior study from <num> days ago, there is little change.
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no pneumonia.
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<num>. increased size of moderate left pleural effusion and new trace right pleural effusion compared to the prior chest radiograph. <num>. bibasilar patchy opacities may reflect atelectasis but infection or aspiration cannot be excluded. <num>. moderate enlargement of the cardiac silhouette, slightly increased from the prior chest radiograph, may reflect slightly increased component of the pericardial effusion as seen on the previous chest ct. <num>. post treatment changes in the left hilar region.
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no acute cardiopulmonary abnormality.
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m oderate right pleural effusion is larger in size from <unk>. top normal cardiac size with mild pulmonary edema consistent with cardiac decompensation which is stable from <unk>. calcified mitral annulus with a hugely dilated left atrium.
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<num>. no acute chest pathology. <num>. top normal heart size, increasing in size compared with <unk>. the can be physiologic if the patient is pregnant (though we were not alerted to that); otherwise increase in heart size warrants evaluation. these findings were e-mailed to the ed qa nurses.
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new right ij catheter terminates at the superior cavoatrial junction / right atrium. no pneumothorax.
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no evidence of acute cardiopulmonary disease.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13183615/s52516462/2d28b04b-1abc8223-05819fc2-d191a288-48e69e7e.jpg
no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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nearly completely resolved pulmonary edema as compared with prior.
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<num>. stable positioning of the esophageal stent. <num>. morphologically changed left pleural effusion with air-fluid levels that represent new air collections or the redistribution of previous loculations.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no pneumonia, effusion or edema.
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right internal jugular central line its tip which appears to terminate within the right atrium. for placement within the superior vena cava, recommend withdrawal of <num> cm. right basilar opacity appears less conspicuous on current examination.
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subtle opacity overlying the left cardiac border could reflect an early infectious process in the appropriate clinical setting. short interval followup is advised to document resolution. discussed in person with dr. <unk> by <unk> on <unk> at <time> am.
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no acute intrathoracic process.
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cardiomegaly without superimposed acute cardiopulmonary process.
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<num>. interval worsening of pulmonary vascular congestion and edema. <num>. interval improvement of right-sided pleural effusion.
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no acute cardiopulmonary process.
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markedly improved multifocal pneumonia, not completely resolved
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findings concerning for pneumonia, likely within the lingula.
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<num>. minimal increase of a small left pleural effusion. <num>. persistently hyperinflated lungs compatible with emphysema.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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<num>. no evidence of chf. <num>. bilateral extrapleural lesions with associated rib deformities concerning for multiple myeloma or multifocal metastatic disease. chest ct is recommended for initial further evaluation.
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acute appearing fractures of the left <unk>th ribs. no pneumothorax is seen.
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no acute cardiopulmonary process.
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essentially normal chest radiographs.
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no acute intrathoracic abnormalities identified.
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<num>. et tube and ng tube in appropriate positions. <num>. mild pulmonary edema, right greater than left. <num>. chest ct would help assess possible right hilar, mediastinal and pleural tumor recurrence. <num>. emphysema.
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no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10146311/s56184592/d1ed8450-575dad41-fb0a237e-91adcfc6-ad901592.jpg
no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process
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right lower lobe pneumonia. follow up radiographs after treatment are recommended to ensure resolution of this finding.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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<num>. new right ij line with tip in the mid svc, no pneumothorax within the confines of a supine exam. <num>. ng tube tip still in the distal esophagus and should be advanced.
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interval change in moderate right and small left pleural effusions with partial collapse of the right lower and middle, and left lower lobes.
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no acute intrathoracic process.
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small bilateral pleural effusions and elevation of the right hemidiaphragm.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. low lung volumes.
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no acute cardiopulmonary process.
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there is bibasilar atelectasis. no acute intrapulmonary process.
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ng tube tip difficult to trace, likely over fundus. an ng tube sideport, if present, is not distinctly visible on this film. enlarged cardiomediastinal silhouette with suspected pulmonary artery enlargement, similar to the prior study. vascular plethora and interstitial edema , consistent with mild chf, increased compared with the prior study. . left lower lobe collapse and/or consolidation, similar to prior. bibasilar atelectasis. minimal blunting of the right and question left costophrenic angles.
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no significant change since recent comparisons. persistent edema.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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diffuse interstitial prominence consistent with interstitial lung disease, slightly more prominent on today's examination. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone on <unk> at <time> pm, <num> minutes after discovery.
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interval intubation and placement of an esophageal catheter in standard positions.
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increased size of left pleural effusion.
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<num>. mild pulmonary edema is partially improved. <num>. a new right pleural effusion is small. <num>. there are no new focal opacities concerning for pneumonia.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality. unchanged appearance of anterior mediastinal contour which may be representative of the pulmonary outflow tract or alternatively adjacent soft tissue within the prevascular space. if available, radiographs prior to <unk> should be reviewed. if clinically warranted, dedicated imaging with chest ct can be performed for further investigation.
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no acute intrathoracic process.
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no acute findings.
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no evidence of acute disease. mild hyperinflation.
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no focal consolidation concerning for pneumonia.