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<num>. enteric tube with distal tip projecting approximately <num> cm above the carina within the esophagus. <num>. no acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process. findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time>am on <unk>, <num> minutes after discovery.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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mild pulmonary vascular engorgement. bibasilar atelectasis.
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interval worsening of bilateral parenchymal opacities may be due to pulmonary edema or ards, in the appropriate clinical setting.
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<num>. interval increase in right pleural effusion. <num>. stable right upper lobe area of bronchiectatic change. given the increasing pleural effusion and bronchiectatic change, this raises a question of a possible underlying malignancy. chest ct is indicated for further evaluation for malignancy.
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no acute cardiopulmonary process.
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no remaining pneumothorax.
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large dependent left lung opacity silhouetting the left hemidiaphragm and left heart border concerning for a pleural effusion consisting of either simple or complex fluid. additionally, a lucency concerning for air (in the shape of a stomach bubble) is seen abutting the most nondependent aspect of the opacity, raising the remote possibility of a diaphragmatic rupture. the compression deformity in the mid to lower thoracic spine is better characterized on the ct of <unk>.
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improving aeration at lung bases with residual retrocardiac opacities. small pleural effusions, left greater than right.
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no pulmonary nodules or other evidence of malignancy.
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unremarkable post-operative findings status post vats resection for right superior mediastinal mass.
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no acute cardiopulmonary process. chronic changes. likely left upper lobe and lingular atelectasis/scarring.
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no acute cardiopulmonary process. specifically, no pneumonia.
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no acute intrathoracic abnormalities identified.
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persistent heterogeneous bilateral airspace opacities, consistent with multifocal pneumonia.
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interval development of pulmonary edema. other findings of peripheral opacities previously described as septic emboli and bilateral small pleural effusions are unchanged.
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subtle left perihilar opacity with associated bronchial wall thickening, concerning for an early focus of pneumonia. acute aspiration is an additional consideration.
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no pneumonia.
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similar appearance of the lungs as compared to <unk>, with abnormalities accountable by known malignant findings. supervening infection is felt less likely but should be clinically correlated.
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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/p13211234/s51975346/ba482e84-838548dd-cb8510ab-3ad45bb2-8cfd82e0.jpg
<num>. resolved mild pulmonary vascular congestion and right upper lobe parenchymal opacities from <unk>. <num>. faint right basilar opacities are improved from the prior study.
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left internal jugular central venous catheter tip terminates near the confluence of the brachiocephalic veins. no pneumothorax.
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no evidence of acute cardiopulmonary disease.
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no radiographic evidence of pneumonia.
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normal radiographic examination of the chest.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16289299/s56576834/44b0bed5-5a030272-505267bd-1684ea37-031669b0.jpg
patchy bibasilar airspace opacities likely atelectasis.
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no acute cardiopulmonary process. degenerative changes at the right shoulder.
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no acute cardiopulmonary process. no significant interval change. please note that chest ct is more sensitive in detecting small pulmonary nodules.
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mild pulmonary vascular congestion with no overt pulmonary edema. no focal consolidation.
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slightly increased atelectasis and bilateral pulmonary effusions.
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no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12931492/s59776824/6f745589-1b9c42be-938d2019-241ccac5-b07580ae.jpg
no acute cardiopulmonary process.
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<num>. no focal consolidation. <num>. low lung volumes with left base atelectasis.
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low lung volumes without acute intrathoracic process.
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no change.
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no acute findings in the chest.
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normal chest radiograph.
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no acute cardiopulmonary abnormality.
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interval placement of pigtail catheter with essentially complete radiographic clearing of the left effusion. no pneumothorax detected. extensive opacity in the left lung, corresponding to the extensive airspace consolidation/abscess on the <unk> ct scan is slightly different in appearance, but overall similar. right middle lobe consolidation seen on the recent ct is not well visualized radiographically. severe background copd, with dense apical calcifications again noted.
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worsening patchy ill-defined opacities within the lung apices and the right lung base concerning for infection. streaky opacity in the left lung base appears improved compared to the prior study, and could reflect an area of atelectasis. small left pleural effusion persists.
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no acute cardiopulmonary process.
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mild cardiomegaly, probable trace left pleural effusion, and left retrocardiac airspace opacities which may reflect atelectasis although superimposed infection is not excluded. additional considerations include asymmetric pulmonary edema.
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right internal jugular port-a-cath and left subclavian picc line are unchanged in position. diffuse bilateral interstitial abnormalities are stable consistent with known underlying interstitial lung disease. no developing consolidation is seen to suggest pneumonia. no large effusions. no pneumothorax. overall cardiac and mediastinal contours are unchanged.
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no acute cardiopulmonary process.
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bibasilar opacities most likely reflect atelectasis, particularly on the right which has a more linear configuration.
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no acute cardiopulmonary process.
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no focal consolidation concerning for pneumonia.
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re- demonstrated lateral, peripheral masslike lobular opacification in the left upper zone, worrisome for a neoplasm/malignancy. no new focal consolidation to suggest pneumonia.
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no evidence of pneumonia.
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<num>. no pneumothorax. <num>. reticulonodular interstitial opacities, unchanged from <unk> and most likely due to atypical infection.
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bibasilar atelectasis, but no areas of consolidation to suggest an acute pneumonia.
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low lung volumes with mild bibasilar atelectasis.
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patchy atelectasis in the lung bases.
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no acute cardiopulmonary process.
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no pneumothorax. worsening moderate pulmonary edema and vascular congestion.
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tiny pleural effusions are new from ct <unk>. no pneumonia.
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general findings compatible with rather advanced copd, but no evidence of acute pulmonary infiltrates can be identified. no pneumothorax in the apical area.
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no acute intrathoracic process with unchanged blunting of the costophrenic sulci due to pleural thickening or trace effusions. sensitivity for chest radiographs is low for incisional herniae. consider cross-sectional imaging if diagnostic uncertainty persists.
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small bilateral pleural effusions and bibasilar atelectasis.
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no acute cardiopulmonary abnormality.
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no change.
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focal opacity seen posteriorly on lateral view is not localized on frontal view. ct chest would be necessary to exclude malignancy. these findings were entered onto the critical communications dashboard at <unk> on <unk>.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17402342/s51331558/d51ea8dd-edb2b335-85277077-a8e43bb8-c301074a.jpg
no acute cardiopulmonary process.
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trace pleural fluid.
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no evidence of acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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mild cardiomegaly. no evidence of pneumonia.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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focal left lower lobe pneumonia. findings entered into radiology communications dashboard on date of study along with recommendations for followup chest x-ray in four weeks after completion of antibiotic therapy.
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<num>. et tube <num> cm above the carina. <num>. ng tube sideport overlies the lower mediastinum, proximal to the ge junction. distal tip of the ng tube is likely immediately beyond the ge junction. <num>. findings concerning for multi focal pneumonia/aspiration. the possibility of distinguishing an acute from chronic component would be difficult in this setting. <num>. small right pleural effusion.
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no acute pulmonary process. in light of apparent clinical symptoms, consider nonurgent outpatient high-resolution chest ct for further evaluation.
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suboptimal evaluation of the lower lungs which in this patient with recent right lower lobe pneumonia renders this exam incomplete. recommend dedicated pa and lateral views to more clearly the lung bases.
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<num>. moderate to large bilateral pleural effusions, greater on the left, are unchanged since the ct from <unk>. <num>. no new focal consolidation concerning for pneumonia.
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multiple bilateral rib fractures, acute on the right, possibly chronic on the left, without pneumothorax. bleeding localized. spine is scoliotic, but not evaluated by this study. the indication for spinal or additional chest imaging depends upon clinical circumstances.
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enlarged heart with hazy parahilar densities reflective of early congestive heart failure. trace bilateral pleural effusions.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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bibasilar opacities which are most likely due to atelectasis in the setting of low lung volumes. no definite evidence of infarction.
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no acute cardiopulmonary process.
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<num>. satisfactory position of the tracheostomy tube and picc, with the tip in the mid svc. <num>. mild pulmonary edema. <num>. right basilar opacity, which may represent atelectasis or asymmetric edema. a superimposed infection cannot be completely excluded. recommend a repeat radiograph after diuresis. <num>. small right pleural effusion.
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limited, negative.
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no acute cardiopulmonary process.
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bibasilar atelectasis. no pleural effusion or pneumothorax.
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no acute findings in the chest.
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low lung volumes without focal consolidation concerning for pneumonia.
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no acute abnormalities identified to explain patient's cough.
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no acute intrathoracic process. if there is further concern for lung nodule, a nonemergent chest ct may be performed.
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no acute intrathoracic process.
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findings concerning for multifocal pneumonia with trace pleural effusions and top normal heart size.
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no acute cardiac or pulmonary process.
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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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bilateral streaky perihilar opacities, compatible with reactive airway disease, similar to <unk> though progressed since <unk>.