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hazy opacification of the lung bases may be due to underpenetration. no definite consolidation concerning for pneumonia.
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persistent linear right upper lung opacity is demonstrated and similar in appearance to multiple prior examinations. hyperinflated lungs suggest emphysema. no focal consolidation or effusion. consider nonurgent, chest ct for further evaluation of right upper lung opacity when clinically appropriate.
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<num>. no radiographic evidence for acute cardiopulmonary process. <num>. stable right upper lobe scarring, better evaluated on the prior cta chest. <num>. the previously visualized <num> mm right middle lobe nodule is not well appreciated on this exam. however, prior ct follow-up recommendations still apply since it might not be consistently visible on radiographs.
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no acute cardiopulmonary abnormality.
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mild blunting the right costophrenic angle may be due to a small pleural effusion. enlarged right side of the heart, nonspecific, but could be due to chamber enlargement.
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mildly enlarged cardiac silhouette. otherwise, no radiographic evidence for acute cardiopulmonary process.
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small right pleural effusion.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19464810/s58998689/1b7264dc-c03ab2fe-e77b8a73-1d5dd353-fb7c431b.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19333013/s56435681/aa52c395-c0c622eb-77b7c4cf-30ab69f6-72d666a0.jpg
no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18503817/s53321817/c07d6f43-764526d2-1fda698e-01c68612-0c8e1913.jpg
no acute chest abnormality, with trace post-operative intraperitoneal free air.
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mild interstitial edema.
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mild bibasilar atelectasis. otherwise, no acute cardiopulmonary process.
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<num>. ng tube in proper position. <num>. bilateral pleural effusions, right greater than left, with bibasilar opacities consistent with atelectasis.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17975880/s58613808/2f33c76e-89afedc1-351bc4d7-78e461d5-4b8d4e57.jpg
stable cardiomegaly. emphysema, worse on the left than the right, without an acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15845559/s57764353/5641b5fa-6ee63b83-9df96397-e16da96d-6809da9d.jpg
mild left basilar atelectasis. otherwise no acute cardiopulmonary abnormality.
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right ij access dialysis catheter seen terminating in the low svc. cardiomegaly again noted.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17961065/s59396120/a5af135d-36427c30-fca358bc-9e716f64-6a596713.jpg
bibasilar opacities raise concern for pneumonia. aspiration is also in the differential.
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no acute cardiopulmonary abnormality.
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<num>. small unchanged right apical pneumothorax, without mediastinal shift. <num>. right-sided pleural effusion and volume loss in the right lower lobe, and possibly the right middle lobe. superimposed pneumonia is not excluded in the correct clinical setting.
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bibasilar atelectasis with small bilateral pleural effusions.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11866699/s56154132/bf134133-bb708a4d-7b5944ac-03a27e13-95195382.jpg
vascular engorgement, but no frank pulmonary edema. cardiomegaly, which may have increased compared to <unk>.
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lower lung volumes. perihilar opacities could be explained by atelectasis and crowding although superimposed vascular congestion or aspiration are difficult to exclude.
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no acute cardiopulmonary process.
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low lung volumes with patchy opacities at the lung bases, likely atelectasis. please note that infection is not excluded in the correct clinical setting.
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interval improvement with mild perihilar reticular opacity which could represent edema or atypical infection.
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severe hyperexpansion may reflect small airways obstruction or emphysema.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11216986/s57411545/482fe414-ab72477e-6eca1191-4f98b458-4438c902.jpg
no significant interval change since the prior radiograph.
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normal chest radiograph without radiographic evidence of tuberculosis.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12856213/s56747761/c0f32da1-02e629ab-121fa825-88856983-920ac36f.jpg
no acute cardiopulmonary process. previously seen left pleural effusion has resolved.
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no acute cardiopulmonary process. no evidence of active or latent tb.
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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/p16855505/s52087796/e0bca827-485ba6e1-c5cc7111-384a8190-89041d73.jpg
lung volumes remain relatively low. there is increasing perihilar and airspace opacities throughout both lungs with relative sparing of the right upper lung. given the interval change, this would favor mild to moderate pulmonary edema rather than an acute infectious process. overall cardiac and mediastinal contours are stable. endotracheal tube and right internal jugular central line are unchanged. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. no pneumothorax.
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no acute cardiopulmonary process. no evidence of rib fracture.
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mild pulmonary vascular congestion with moderate to large right pleural effusion and small left pleural effusions. right basilar opacification may reflect atelectasis and/or infection.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11494833/s57690675/aaf7bce5-6d5c690f-e9c373c9-aef9fbe1-663ac253.jpg
no acute cardiopulmonary abnormality.
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moderately sized right-sided pleural density that has increased considerably since the next preceding outside chest examination dated <unk>.
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right-sided catheter terminates in the right axilla ; if this is a midline catheter it may be in appropriate position, if it is a picc, it is not in appropriate position. interval decrease in pulmonary edema, which is now mild. small bilateral pleural effusions again seen, decreased from prior. more focal right base opacity could relate to combination of mild pulmonary edema and pleural effusion, but consolidation not excluded in the appropriate clinical setting.
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mildly enlarged heart size.
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no acute cardiopulmonary process.
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small to moderate right pleural effusion, perhaps slightly decreased in size.
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no acute cardiopulmonary process. no significant interval change.
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mild vascular congestion and marked cardiomegaly. more confluent opacity at the right lung base which could reflect edema although superimposed infection is not excluded.
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no acute cardiopulmonary abnormality. hyperinflation of lungs suggestive of copd.
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no acute cardiopulmonary process seen on this limited exam.
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endotracheal and enteric tubes in appropriate position. contour irregularity of the medial aspect of the proximal left humerus could be further assesses by nonurgent dedicated exam when feasible.
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hyperinflated lungs without focal consolidation.
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no acute intrathoracic process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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a right-sided picc line is within the right atrium.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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<num>. subtle opacity projecting the right mid lung is nonspecific and likely represents focal area of atelectasis, however clinical correlation is recommended to assess for overlying infectious process. <num>. elevation of left hemidiaphragm on lateral projection may reflect underlying diaphragmatic dysfunction.
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likely chronic interstitial opacities in the right lung base may be related to post-treatment changes. no acute cardiopulmonary process. treated lung neoplasm is not well visualized on this study.
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normal chest x-ray.
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no change.
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no definite new focal consolidation.
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elevation of the left hemidiaphragm of uncertain etiology with mild left basilar atelectasis.
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persistent right hilar mass compatible with known malignancy with worsening right lower lobe opacification concerning for postobstructive pneumonia. small bilateral pleural effusions. left basilar atelectasis.
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no acute findings.
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on the lateral view, there is subtle retrosternal opacity which may be due to atelectasis although consolidation due to infection is not excluded in the appropriate clinical setting. no focal consolidation is seen elsewhere. attention at follow-up.
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new small bilateral pleural effusions and mild pulmonary vascular congestion.
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no acute intrathoracic process
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no acute cardiopulmonary process.
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nasogastric tube is coiled in the esophagus.
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cardiomegaly and mild interstitial edema. no focal consolidation.
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rounded prominence of the left hilus is likely vascular, however, given the provided history a ct is recommended for further characterization. these findings were entered into the critical results dashboard on <unk>.
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<num>. limited study due to patient positioning and low lung volumes demonstrate evidence of mild pulmonary edema as well as bibasilar opacities suggestive of atelectasis and pleural effusions. pneumonia must be excluded in the proper clinical setting. <num>. lucent focus adjacent to the right heart border may be representative of a herniated loop of bowel.
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stable bilateral pleural effusions and opacities bibasilar atelectasis. stable cardiomegaly. findings were conveyed via telephone to dr. <unk> on <unk> at approximately <time> by dr. <unk> <unk> following review.
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no evidence of pneumonia. interval increase in severe cardiomegaly since <unk>.
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no acute cardiopulmonary process.
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no change.
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no acute findings in the chest.
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slight improvement in right lower lobe consolidation likely due to history of pulmonary contusion. adjacent small pleural effusion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13556397/s53207088/42890459-cde55394-7a08d8b6-71055b8e-829276d6.jpg
no acute pulmonary process identified. no pleural effusion or pneumothorax detected.
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no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15738586/s51466956/37bb7d95-1433af68-55e844eb-00692536-0877c7b7.jpg
no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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clear lungs without focal consolidation. hiatal hernia.
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no acute intrathoracic abnormalities.
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no acute cardiopulmonary abnormality.
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bilateral parenchymal opacities, right greater than left have progressed since recent ct. this could represent edema or infection including possibility of atypical infection.
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no acute cardiopulmonary abnormality.
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right basilar opacity improved since prior imaging. persistent left basilar opacity. otherwise, essentially unchanged chest radiograph from prior imaging.
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no acute cardiopulmonary process.
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low lung volumes. no displaced rib fracture.
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no focal opacification concerning for pneumonia. mild interstitial edema. tiny right lower lung nodules. given history of prior malignancy recommend evaluation with chest ct.
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<num>. similar appearance of ill-defined right upper lobe opacity likely reflecting a combination of malignancy and post biopsy changes. <num>. mild pulmonary edema, small to moderate bilateral pleural effusions, and bibasilar atelectasis.
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findings consistent with multifocal pneumonia with improvement. resolution of pulmonary congestion.
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no definite focal consolidation.
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no definite consolidation worrisome for pneumonia. linear opacity within left lingula suggests the possibility of proximal bronchial narrowing and severe bronchitis. additional oblique views are recommended for further localization and characterization, though diagnosis is unlikely to be changed. lower thoracic lumbar compression fracture, new since <unk>, and expansion of left ribs consistent with known diagnosis of myeloma. these findings and recommendations were discussed with ordering physician <unk>. <unk> by dr. <unk> <unk> telephone at <time> on <unk> immediately upon review of the radiographs.
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no acute findings in the chest.
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<num>. high position of the endotracheal tube. recommend advancement. <num>. bibasilar opacities, left greater than right, concerning for possible aspiration or developing pneumonia. recommend follow-up radiographs.
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no acute cardiopulmonary process.
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bilateral hilar prominence, which could reflect prominent pulmonary vasculature or symmetrical hilar lymph node enlargement such as may be encountered in sarcoidosis. comparison to older chest radiographs would be helpful to determine long-term stability. in the absence of older chest x-rays, contrast-enhanced ct could be considered to further assess the hilar structures if warranted clinically.