study_id,report,dicom_id
50010466,"Mild cardiomegaly, upper zone redistribution, and hilar prominence suggestive of pulmonary hypertension. Mild enlargement of the cardiac silhouette and prominence of the interstitial markings reflects normal physiological changes in this pregnant patient. ",144f46e1-630ba5e3-82d84674-9f0575c5-6017bdd1
50010747,Enlarged cardiac silhouette is accompanied by pulmonary vascular congestion and diffuse interstitial edema. Marked cardiomegaly is accompanied by pulmonary vascular congestion and mild to moderate edema. ,77e614cb-6c987153-793f83ce-20c1f507-f6a49f49
50014127,"AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. ",73da0836-553a87de-58ef0562-f9c31de6-c47927ac
50016102,"There are limited lung volumes with enlargement of the cardiac silhouette, pulmonary edema, and probable bilateral pleural effusions with compressive basilar atelectasis. There are limited lung volumes with enlargement of the cardiac silhouette, pulmonary edema, and probable bilateral pleural effusions with compressive basilar atelectasis. ",b57face8-df2c3c57-2a99e6b1-4919f774-c8c3e93c
50016413,"Moderate to severe cardiomegaly following insertion of transvenous right ventricular pacer lead which runs from the left pectoral generator to the floor of the right ventricle and out of view. Cardiomegaly, pacemaker leads and Swan-Ganz catheter terminating in the right upper lobe pulmonary arteries are in position. ",edf64680-6038da78-f6693f72-535ac2bb-feee4c8b
50017760,"AP chest and chest radiographs: Opacification in the right mid and lower lung zones is moderate, while background interstitial pulmonary edema is mild, strongly suggestive of probably pneumonia. AP chest: Mild peribronchial opacification in the right lower lung could represent pneumonia, but I suspect this is mild pulmonary edema or hemorrhage. ",645dd223-bb4a40c3-d6a19aeb-fcd36a22-ca6478a3
50019396,There is bilateral pleural effusions and volume loss in the lower lungs. There is bilateral pleural effusions and volume loss in the lower lungs. ,1908e913-d3051cf7-34f98451-4ed66f58-15582c1d
50020371,"Slight blunting of the right costophrenic angle with subtle linear opacity at the right costophrenic angle, could be due to a very trace pleural effusion with overlying atelectasis. Blunting the right costophrenic angle compatible with a trace right pleural effusion. ",a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27
50022945,Small bilateral effusions with adjacent atelectasis Right IJ catheter tip in the proximal right atrium Small bilateral effusions with adjacent atelectasis Right IJ catheter tip in the proximal right atrium,4331c9eb-f6e0c046-8c50bffc-6f363a16-02f0f87f
50027153,"Left lower lobe opacities, a combination of pleural effusion, postoperative seroma and a dilated fluid-filled esophagus. Left lower lobe opacities, a combination of pleural effusion, postoperative seroma and a dilated fluid-filled esophagus. ",4347b81b-2a702858-6a330ca4-e115c0ac-f1017427
50031776,"Blunting of the costophrenic angles is seen, consistent with bilateral small pleural effusions. Blunting of the costophrenic angles is seen, consistent with bilateral small pleural effusions. ",3309c1ea-ab3bd4ee-d7677769-da248132-c26d7c02
50034238,"Prominence of the superior mediastinum may be due to AP portable technique low lung volumes and unfolded aorta however, if there is clinical concern for acute mediastinal process, chest CT is more sensitive. Low lung volumes exaggerate caliber of the mediastinum, due to tortuous thoracic aorta and possibly distended mediastinal veins. ",96ea3d09-e928fb3b-dc086815-e0a3d015-45d3b08a
50035498,There is moderate loculated hydro pneumothorax at the right base with chest tube in place. There is moderate right hydro pneumothorax and pleural thickening. ,2d669c63-3ec31080-3ee62b8b-7002f5b5-bf8e73b6
50036264,"Moderate-to-severe cardiomegaly is pronounced and mediastinal veins dilated, perhaps a reflection of supine positioning. There is moderate-to-severe cardiomegaly, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. ",4ef84da8-ff83a551-31f0aa42-d17ba6a2-c6561835
50037292,"There is asymmetric opacification most prominent in the right mid and lower zones, consistent with superimposed pneumonia on a background of vascular congestion in a patient with enlargement of the cardiac silhouette. There is a centralized bilateral and symmetrical pattern of parenchymal opacities, predominantly alveolar in morphology, an combined to enlarged vessels and an enlarged cardiac silhouette. ",10a6246b-f2e3ec72-8c956609-ee81d40f-4a962883
50037760,AP chest: Severe cardiomegaly is pronounced with small right pleural effusion. AP chest: Severe cardiomegaly.,0788829b-5419d8e4-5ce8eb81-87a77c03-98c15a1a
50043351,"AP chest: There is extensive, irregular right pleural thickening, with moderate right pleural effusion following insertion of a right basal pleural pigtail catheter. AP chest:  Moderate right pleural effusion  following placement of a pigtail pleural drainage catheter, which is coiled over the right diaphragmatic region. ",f4a818e5-89d51e2d-9f478ecb-8774a1bf-739673b3
50049540,A right IJ catheter terminating at the mid right atrium and multiple sternal wires and mediastinal clips are in position. A right IJ catheter terminating at the mid right atrium and multiple sternal wires and mediastinal clips are in position.,e973d1f1-67f0309d-c6f961a4-02eda522-e311557e
50051329,"Lung volumes are low, but the only pulmonary abnormality is platelike atelectasis or scarring at the left base. ",abea5eb9-b7c32823-3a14c5ca-77868030-69c83139
50065267,"Left subclavian right atrial pacer and right ventricular pacer leads are in standard placements with no evidence of complication, specifically no mediastinal widening, pneumothorax, or left pleural effusion. Left subclavian right atrial pacer and right ventricular pacer leads are in standard placements with no evidence of complication, specifically no mediastinal widening, pneumothorax, or left pleural effusion. ",1f13c4be-a6bc48a6-5675f256-e95b8a28-c017e780
50065890,"The patient has had median sternotomy, cardiac valve replacement, probably mitral, and transvenous right atrial and ventricular pacer leads are in standard placements.",fb45550c-b18bc286-c44ccc22-7ef82df9-02181d75
50071311,Small right and small left pleural effusions related to known chest wall mass and severe emphysema. Small right and small left pleural effusions related to known chest wall mass and severe emphysema.,9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5
50078440,"AP chest:  A severe global pulmonary consolidation, favoring the right lung is seen following intubation, ET tube in standard placement, OG tube ending in the upper stomach.",70ee568a-e2a70b5f-9f73d45e-c3015d3a-2a6bf3c0
50083620,Enlargement of the cardiac silhouette with elevation of pulmonary venous pressure superimposed on diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease. Bilateral interstitial opacities with cardiomegaly and probable small pleural effusions compatible with either asymmetric moderate pulmonary edema versus infection.,a652c914-9dee6fe8-96a798f8-8450007c-69a5592a
50084331,"AP chest:  Volume of the neoesophagus is within normal range and there is presence of contrast agent. AP chest: There is opacification in the right hemithorax and a well-circumscribed mass-like lesion above the level of the right hilus, some of which could be pleural fluid loculated in the fissure. ",5d8d15d2-dc99cbe5-5c910973-385d5e29-82320f37
50093776,"Mild cardiomegaly, hiatal hernia, calcified granulomas. Mild cardiomegaly, hiatal hernia, calcified granulomas. ",28737f0b-1389eccb-3debcb12-da4fbf04-3401a0a4
50094334,There are extremely low lung volumes with striking elevation of the left hemidiaphragmatic contour related to a large hiatal hernia. There are low lung volumes and elevation of the left hemidiaphragm. ,ad2d9faa-b8c9c2ee-833f7217-e4abe541-ffbe0f8f
50109176,Diffuse distention of colonic loops of bowel in the upper abdomen. Diffuse distention of colonic loops of bowel in the upper abdomen.,4f83231e-ae6e7b91-bf1ea6b3-6053e3f6-55fc3e1f
50111035,"As denoted by moderate vascular congestion, mild pulmonary edema may account for the extent of heterogeneous consolidation in both the lower lungs, or this could be due to significant pneumonia. AP chest:  There is moderate generalized pulmonary edema in all regions except for consolidation in the left lower lobe which could be pneumonia. ",432f5b8d-dbf9d5f6-b2ae5422-ee46f656-00caa39c
50112134,"Left IJ catheter again extends to the mid SVC and aortic stent is in position. Mild cardiomegaly, pectus deformity, and left pacemaker lead placement. ",7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f
50121027,"AP chest:  Moderate opacification in the lower lungs and perihilar left lung, accompanied by mild cardiomegaly, suggests pulmonary edema is the explanation for the pulmonary findings. AP chest:  There is mild pulmonary edema, partially obscuring areas of likely pneumonia in the right mid and lower lung zones. ",2687e47d-96929b39-f0f102b3-d5e17213-31865ec4
50126222,"Moderate cardiomegaly and extensive left lower lobe atelectasis. Within the chest, note is made of mild left retrocardiac atelectasis and small left pleural effusion. ",0ae07ada-41d03c2a-ec74ae48-d0c17cec-343ae6fa
50127750,"AP chest: The patient has had median sternotomy and the lung volumes are low, nevertheless, cardiac silhouette is wide due to moderate cardiomegaly and/or pericardial effusion, and there is moderate widening of the apparent mediastinum at the level of the aortic arch, which could be due to paramediastinal pleural fluid collection or, if the patient has had attempted line placement to mediastinal bleeding. AP chest:  There is post-operative widening of the cardiomediastinal silhouette is stable. ",23f0b24d-61c1f12c-eb2434aa-f6d2c69e-86a2cd20
50128467,"Patchy and linear bibasilar opacities likely reflect atelectasis, but similar appearance can be seen in the setting of acute aspiration and early, developing infectious pneumonia. Blunting of the costophrenic angles is seen, consistent with pleural fluid and some atelectasis at the bases. ",ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f
50146341,"AP chest:  A severe global pulmonary consolidation, favoring the right lung is seen following intubation. ET tube in standard placement, OG tube ending in the upper stomach. AP chest:  Very severe pulmonary consolidation is present throughout both lungs, accompanied by at least moderate right pleural effusion. ",b418d709-571d80f6-35f680e3-16a938ff-bde93b89
50165831,Mediastinal widening above the cardiac silhouette and hilar enlargement are seen due to a combination of adenopathy and pulmonary hypertension. Mediastinal widening above the cardiac silhouette and hilar enlargement are seen due to a combination of adenopathy and pulmonary hypertension.,467886fc-bdd148bc-96415ce2-3ea24428-0ee1d9a1
50170341,"SMALL RIGHT PNEUMOTHORAX WITH APICAL AND BASAL COMPONENTS, BECAUSE OF THE OVERLYING DEVICES I CANNOT TELL WHETHER IN ADDITION TO THE LARGE BORE RIGHT THORACOSTOMY TUBE THERE IS A RIGHT BASAL PLEURAL DRAIN. AP chest:  There is a small right pneumothorax with components at the apex, and at the right base lateral to the pleural drainage tube.",0e3f8459-2b944097-bffb91c8-6578b8ac-e143b9a2
50170739,"Right atrial ventricular pacer leads are in position, but localization would require conventional frontal and lateral views. Dual lead pacer noted. ",bb42be73-33be1577-a742e6e6-9c47b56b-95a9659e
50174434,Mild cardiomegaly is accompanied by pulmonary vascular congestion and interstitial edema. Mild cardiomegaly is accompanied by pulmonary vascular congestion and interstitial edema. ,a84bccbe-728dfb05-43811a78-46904061-d629b3bb
50178679,Elevation of the right hemidiaphragm is seen and there is a dual -channel pacer device in place. Elevation of the right hemidiaphragm is seen and there is a dual -channel pacer device in place.,861f9946-68cebd2f-e11dbfba-aaad1909-7ccc759e
50183767,"AP chest:  There is severe widespread pulmonary opacification, particularly in the lower lungs, but the pattern is pulmonary edema. AP chest:  Moderately severe and slightly asymmetric perihilar pulmonary opacification is probably a pulmonary edema and with moderate cardiomegaly.",c85e209c-a1fec74b-431277e7-6032eb3a-95fe7881
50184397,"Emphysema with persistent bibasilar opacities, more pronounced in the left lung base, suggestive of chronic airway inflammation and potentially infection or aspiration. Emphysema with persistent bibasilar opacities, more pronounced in the left lung base, suggestive of chronic airway inflammation and potentially infection or aspiration.",6631d848-2c0cb2c2-f85d6490-f5df355f-11011cb8
50195073,"There is widespread subcutaneous emphysema. AP chest:  Severe widespread subcutaneous emphysema throughout the chest wall and neck, and severe pneumomediastinum.",a94afe1d-af9219e1-0a7b8d8c-96262c1c-2f5b9d27
50205123,"Diffuse interstitial abnormality predominantly in the upper lung zones, consistent with known sarcoidosis. Diffuse interstitial opacity which could reflect known sarcoidosis, though a component of superimposed edema difficult to exclude. ",5df8c586-2f6adf15-722e6f13-ffa8a117-acd92b9a
50211839,There is fullness of the left perihilar region compatible with known mass and emphysema. There is fullness of the left perihilar region compatible with known mass and emphysema. ,711d6472-5ff3166e-7741ea62-00213982-c3a8a67b
50225181,"Marked cardiomegaly with retrocardiac opacity which could in part reflect an underpenetrated technique, though consolidation and effusion cannot be excluded on the basis of this exam. Severe enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure and retrocardiac opacification. ",2fba7496-4ddb5c26-026164b8-c3e4e111-e43f94f9
50226423,"Right jugular line ends at the origin of the SVC, right atrial and two right ventricular pacer defibrillator leads in place. AP single view portable chest x-ray in semi-erect position shows mild vascular congestion. ",e20fecce-83e539b8-cb06143a-49ca3124-35dd992d
50227249,"Mild right perihilar opacification could be due to early pneumonia in the superior segment of the right lower lobe, there is a suggestion of infrahilar common consolidation as well. Mild right lower lung opacification, correlating with mild opacification in the retrocardiac clear space on lateral view, concerning for pneumonia given the clinical history. ",1b6d925a-664fef76-ced5cc25-d1a46648-b32130e4
50239281,"AP chest:  There is severe cardiomegaly and mild-to-moderate pulmonary edema, accompanied by at least small right pleural effusion. There is cardiomegaly and pulmonary edema, with left lower lobe collapse and/or consolidation. ",0c69d156-6f5f3a89-7d361367-57f8c979-583ef198
50240427,The patient has mild pulmonary edema and small bilateral pleural effusions. The patient has mild pulmonary edema and small bilateral pleural effusions.,8830e4fd-71e68c81-f6292cf4-2a931e58-be84168d
50241018,Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.,c2af2ab3-6a11cbae-d9fa4d64-21ab221e-cf6f2146
50242373,"Enlarged cardiac silhouette in a somewhat globular configuration, underlying pericardial effusion is not excluded. Enlarged cardiac silhouette in a somewhat globular configuration, underlying pericardial effusion is not excluded. ",60df340a-31a5266d-2f3912a7-3758a59c-9a5baa79
50246988,AP chest:  Extensive relatively homogeneous pulmonary opacification in the setting of moderate cardiomegaly and pulmonary vascular and mediastinal venous engorgement is explained by edema. AP chest: There is severe pulmonary edema accompanied by moderate-to-severe cardiomegaly. ,8f98b8f6-592203f8-128d7f76-bf2331d4-78b1c4af
50247294,There has been apparent resection of the right lung mass with chest tube in place and no definite pneumothorax. No evidence of pneumothorax status post bronchoscopic biopsy of large right upper lobe mass. ,7e530d0e-05f64408-24c921b8-1929b8f8-29ec99fd
50255843,Fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis. Fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis. ,a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5
50259315,"Cardiomediastinal contours are widened with pulmonary vascular congestion accompanied by interstitial edema and right pleural effusion. Cardiomegaly is accompanied by significant interstitial pulmonary edema, accompanied by a small right pleural effusion. ",40e0dc90-fdd63c47-3a4502b4-c7dd49d6-b903b2b9
50277921,"Alternatively, this could be asymmetric pulmonary edema, it could be explained if the patient is in left decubitus position or the very rare circumstance of a large pulmonary embolus occluding circulation to the right lung protecting it from edema on that side. Alternatively, this could be asymmetric pulmonary edema, it could be explained if the patient is in left decubitus position or the very rare circumstance of a large pulmonary embolus occluding circulation to the right lung protecting it from edema on that side. ",397252c6-f7b6111e-367341df-b8fc523c-599cfcbd
50281752,"OG tube tip projects in the left lower hemi thorax the tip is likely in the known intrathoracic stomach, the patient has a large hiatal hernia. A feeding tube has been inserted but the tube is not inserted sufficiently D.  The tip is above the gastroesophageal junction, that might be deviated by a moderate hiatal hernia. ",97766a6d-6ee96b98-90cacba0-3eb50d93-77416ad1
50282926,Moderate cardiomegaly and mild left pleural effusion with mild retrocardiac atelectasis. Enlargement of the cardiac silhouette with basilar opacification on the left with volume loss in the lower lobe and possible small effusion.,ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0
50286241,There is a cavitary focus at the right apex with loculated fluid as well as post-radiation changes in the right lung and hilar tissues. There is a cavitary focus at the right apex with loculated fluid as well as post-radiation changes in the right lung and hilar tissues.,a8c08cbf-15ac0dac-b76a40a0-dab826c7-18015767
50289849,Innumerable diffuse nodular opacities with left upper lobe dominant mass concerning for multiple metastatic nodules and left lingular mass. Innumerable diffuse nodular opacities with left upper lobe dominant mass concerning for multiple metastatic nodules and left lingular mass.,add88ac4-2338dc16-a58a1ae9-57b1ecae-0a8f018a
50290463,"Diffuse interstitial abnormality predominantly in the upper lung zones, consistent with known sarcoidosis. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",f576c221-e516f6b2-ee125faa-a1af8c31-ed2991b8
50291999,Marked cardiomegaly with no acute process. Marked cardiomegaly without evidence for acute pulmonary process. ,09a7bc78-861b7d8a-bf31a633-67e32681-cec68e43
50296389,AP chest:  Mild right pleural effusion is layering. AP chest: There is pneumothorax on the right and mild right pleural effusion.,36309315-d8541009-0bd1a6c7-61a61b57-a33c1b81
50297024,Retrocardiac opacities associated with adjacent pleural effusion these could represent atelectasis or aspiration in the appropriate clinical setting Pneumoperitoneum There is no pulmonary vascular congestion. There is mild left pleural effusion and postoperative pneumoperitoneum.,674352c6-0c0645c1-b23ec675-6af58553-7af149b1
50305989,AP chest: There is mild cardiomegaly and mediastinal diameter could be due to supine positioning alone. AP chest:  Supine positioning probably explains apparent mild pulmonary vascular engorgement.,2f10769e-95f1782e-58bcd178-a4cd46d2-cd832272
50307780,"AP chest: Left lower lobe atelectasis predominantly posterior basal segment and small left pleural effusion. AP chest:  Left lower lobe has partially expanded, reflected in return of the mediastinum to the midline, but there is still atelectasis and small residual left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients. ",05422169-24d04e58-5084d62b-7d1d9ce1-16bfe2af
50308220,Widespread airspace opacities superimposed on fibrotic interstitial lung disease. PA and lateral chest:  Widespread asymmetric infiltrative pulmonary abnormality consisting of large areas of consolidation and peribronchial infiltration in the right mid and lower lung zones and more discrete nodular abnormalities in the left lung is most likely widespread infection.,83469f17-940d9bb0-be3fdd29-f87627c3-eeb3d334
50319774,"Moderate to severe enlargement of the cardiac silhouette is significant and could be due to moderate pericardial effusion or moderate cardiomegaly. There is moderate-to-severe enlargement of the cardiac silhouette  due to cardiomegaly and/or pericardial effusion, but mediastinal venous engorgement indicates an element of right heart failure or volume overload. ",ac2bc5fb-c181f807-907ef393-692441ee-057ffb40
50323020,"Asymmetric right upper lobe subpleural opacity but warrants re-evaluation with well positioned PA, lateral and apical lordotic radiographs. 4 cm rounded opacity right upper chest, may represent pleural or lung mass, infiltrate. ",234b22c4-55fb91a9-44f7a42f-b764d462-018d3bb9
50323961,Nodular opacities project over the right mid to upper lung zone. Nodular opacities project over the right mid to upper lung zone.,a582694c-9ecb47ce-40948acb-e0ef8797-d08a41a6
50324889,"AP chest:  Mild interstitial pulmonary edema is and great opacification at the lung bases, though it could be dependent edema and atelectasis is concerning for possible pneumonia, particularly in the left lower lobe. AP chest:  Mild interstitial pulmonary edema is and great opacification at the lung bases, though it could be dependent edema and atelectasis is concerning for possible pneumonia, particularly in the left lower lobe. ",d6326d09-908b90e7-7f3c10fc-620713fc-4e490c4a
50331901,"There is a cardiomediastinal silhouette, position of the NG tube, vascular stents projecting over the left upper mediastinum as well as interstitial opacities and pleural calcifications. AP chest: Upper enteric drainage tube ends in the distal duodenum. ",687754ce-7420bfd3-0a19911f-a27a3916-9019cd53
50348450,"PA and lateral chest:  Moderate cardiomegaly and pulmonary vascular congestion are present, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest:  Moderate cardiomegaly and pulmonary vascular congestion are present, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. ",449420e9-bd45dc1c-91a5471c-ef301a2d-f5734a2d
50354419,"There are diffuse interstitial opacities with small bilateral pleural effusions and mild cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which is possibly attributable to drug reaction, COPD or vasculitis. There are diffuse interstitial opacities with small bilateral pleural effusions and cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which is possibly attributable to drug reaction, COPD or vasculitis. ",473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104
50365719,"Enlargment of the cardiac silhouette with pulmonary edema and opacification at the left base is consistent with pleural fluid and volume loss in the left lower lobe. There is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, more prominent on the left. ",46501b98-e0a88786-27dbb719-b9a7468c-376d9f6a
50367895,Emphysematous changes without focal opacity convincing for pneumonia. Emphysematous changes without focal opacity convincing for pneumonia.,43b6f8f9-f0d77b57-b2603100-48f5611a-a7405f03
50371697,AP chest:  Small right pleural effusion with an elliptical fissural component. AP chest:  Small right pleural effusion with an elliptical fissural component. ,65275408-6db6d9a9-13c023c8-a6a96579-434dee3d
50373067,Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation. Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation.,66607c54-01766ee9-0296b1fd-b642145d-24ea1577
50380203,"AP chest:  Large bilateral pleural effusions. AP chest:  Lung volumes are quite a bit low, exaggerating the severity of pulmonary edema which is probably moderate with moderate-to-large bilateral pleural effusion. ",ca3df6c0-8ce90248-b3cecb87-71db5654-312cdcf6
50380704,"No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid. No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid. ",2b34055b-5ae8bcf1-5a188ee8-135d064b-19c2f6ce
50382515,"Widespread parenchymal consolidations are noted in particular involving the left lower lobe, corresponding to multifocal pneumonia and septic emboli. AP chest:  There is bilateral perihilar pulmonary consolidation and significantly pronounced on the left than the right. ",29a9ca2f-50292418-e78e2999-12755e18-3103a476
50382908,"AP chest:  Post-operative widening of the mediastinum is in the region of the arch, but there may be a significant large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. Widening mediastinum is significant.",661a83d2-e84a4cd7-d05d7218-a81de999-15a66bea
50383259,"AP chest:  Severe pulmonary consolidation in the right upper and perihilar left lung in a fashion indicating that much of that was due to asymmetric edema. AP chest:  There is significant pulmonary consolidation in both lungs, moderate-to-severe cardiomegaly and mediastinal veins are moderately dilated, the marked asymmetry and consolidation strongly suggests significant left pneumonia and perhaps a pneumonia in the right lower lobe. ",7dea99ce-f65ab6a2-cd11e9ee-34a5071f-c8877a75
50394941,"AP chest:  Some of the widening of the mediastinum at and just below the thoracic inlets can be attributed to supine positioning and volume overload, but hemorrhage or other acute fluid accumulation must be considered clinically. AP chest:  Post-operative widening of the mediastinum is in the region of the arch, but there may be a large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. ",033b5311-bd309afe-0b070613-65e6e2f1-0481fd48
50406925,AP chest:  Severe pulmonary edema and moderate-to-large bilateral pleural effusion are significant.  AP chest:  Severe pulmonary edema and moderate-to-large bilateral pleural effusion are significant.,c9fec029-7cff7a68-c85274cf-7a560cce-becdcb7e
50407173,"Significant right middle lobe focal opacity with associated bronchiectasis and patchy bilateral lower lobe opacities, to possibly reflect a combination of infection and graft-versus-host disease. Significant right middle lobe focal opacity with associated bronchiectasis and patchy bilateral lower lobe opacities, to possibly reflect a combination of infection and graft-versus-host disease. ",2a0ce644-defed4a1-f1d778d7-8da5ba60-b5d8e243
50416709,Bibasilar atelectasis and minimal blunting of the right and left costophrenic angles. Bibasilar atelectasis and minimal blunting of the right and left costophrenic angles.,33afaafe-a1605f54-f33616de-424605bf-7c961442
50421764,PA and lateral chest:  Rapidly significant global pulmonary opacification. Moderate to severe bilateral pulmonary opacification.,26393ff4-c9d02afc-434bf477-b067a8a6-c0e534c8
50423865,"PA and lateral chest:  There is extensive consolidation, predominantly at the base of the right lung in the lower lobe, probably also in the right middle lobe and to a small extent in the mid left lung. PA and lateral chest:  There is extensive consolidation, predominantly at the base of the right lung in the lower lobe, probably also in the right middle lobe and to a much lesser extent in the mid left lung. ",f961f806-615b33d3-168639c0-b14af1da-ce8962b2
50425819,"Small left apical pneumothorax, with right greater than left pleural effusions and left chest tube placement. Small left apical pneumothorax, with right greater than left pleural effusions and left chest tube placement. ",845cab57-7175f1f2-caf520b2-83bdf74a-434a7206
50431066,"Given that the patient assumes a different position, the potentially loculated left lateral part of a pleural effusion, masked in part by the left pectoral pacemaker, is visualized. There is left upper lobe collapse and known left paramediastinal mass with post radiation changes. ",a6dc99c7-6d793ce2-188bd506-b751deab-79f8ebbb
50432000,"Extremely low lung volumes with crowding of the bronchovascular markings and likely bibasilar atelectasis. Suboptimal assessment of the lower lungs due to low lung volumes with probable atelectasis, less likely pneumonia causing obscuration at this level. ",7a75be73-77ed1349-e974ef60-e017dcfa-5be7d3fa
50433627,"There is mild pulmonary edema and moderate to severe left pleural effusion and moderate to severe cardiomegaly. Enlarged heart, pulmonary edema and left lower lobe pleural effusion, most consistent with mild congestive heart failure. ",9ffd35db-e8513d0b-320dab7d-17429141-c3c6f7d3
50442960,There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with a history of median sternotomy with a CABG and mitral valve replacement. There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with a history of median sternotomy with a CABG and mitral valve replacement. ,ef02f416-70219126-6c3d8fbf-807c73fc-d7bd31a6
50447060,Pacemaker leads are in position. There is bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated shin with small amount of pleural effusion. There is diffuse bilateral pulmonary opacifications in a patient with cardiomegaly and intact midline sternal wires. ,b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a
50448867,"There is accumulation of fluid within the right pleural space with associated airspace opacity which most likely represents partial lower lobe atelectasis, although pneumonia cannot be excluded. There is right pneumothorax that is substantially filled with fluid, presumably loculated since there is a right pleural drainage catheter still in position at the base of the right hemi thorax more medially. ",7e6b2f67-75c969ed-bbc30375-abddcfdb-1f16d824
50449690,"Enlarged heart, pulmonary edema and left lower lobe pleural effusion, most consistent with mild congestive heart failure. Moderate pulmonary edema with moderate-to-severe left pleural effusion. ",985f40a6-13022580-845b32b1-fccaba5a-60bffb12
50452688,"LVAD, right ventricular pacer defibrillator lead in their respective positions. LVAD and associated lead in their respective positions projecting over the cardiac apex.",252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c
50453286,"There is left hemidiaphragmatic elevation and moderate left lower lobe atelectasis reflecting respiratory splinting from known left-sided rib fractures. AP chest:  Much of the opacification projected over the left lower hemithorax is due to fluid-filled stomach that is either herniated or beneath the chronically elevated left hemidiaphragm, but it obscures what is probably a substantially atelectatic left lower lobe and perhaps some pleural effusion. ",ae4c4185-418ae838-935a5921-92daeeca-f8194630
50453673,"Right hemidiaphragm may be elevated and right lower lobe is substantially atelectatic and there could be a moderate residual of right pleural effusion, following VATS and placement of 2 right pleural drains. Moderate cardiomegaly with mild interstitial edema as well as moderate-to-large right-sided subpulmonic effusion and marked density at the right lung base which may represent concurrent pneumonia. ",76c350ea-1a3f5c17-77dc0d18-f3ac57a7-27bd14f8
50482541,There is mild pulmonary fibrosis and severe aortic valvular calcification undoubtedly stenotic. There is engorgement of pulmonary vessels suggesting some pulmonary vascular congestion. ,9370636b-c15ba900-6d4fa453-e8725bf7-124cf815
50482798,There are low lung volumes and there is pronounced diffuse bilateral parenchymal process favoring moderate pulmonary and interstitial edema rather than pneumonia. There are low lung volumes with diffuse bilateral pulmonary opacifications most likely consistent with widespread pneumonia. ,13b3f835-9d35e2fb-bef55a2d-4bf1a470-21b7626c
50491354,AP chest: Right internal jugular line ends in the upper SVC. AP chest:  Right internal jugular line ends in the upper SVC.,11b1705d-30db94a7-a7782a30-f6fbb83d-d63373de
50492868,The temporary pacing lead is in place with that lead likely terminating in the right ventricle. Right jugular line ends in the mid to low SVC and transvenous right atrial and ventricular pacer leads are in their respective positions. ,f3c65ae4-81c03654-c3fe857f-dec24a17-a5a118b9
50494220,"A 2 cm oval shaped opacity in the right mid lung adjacent to surgical chain sutures could potentially represent loculated fluid in the fissure, but should be further evaluated by dedicated PA and lateral chest radiographs when the patient's condition permits to help exclude a pulmonary nodule. A 2 cm oval shaped opacity in the right mid lung adjacent to surgical chain sutures could potentially represent loculated fluid in the fissure, but should be further evaluated by dedicated PA and lateral chest radiographs when the patient's condition permits to help exclude a pulmonary nodule. ",741811fe-d3a0f32c-0f5c16f2-5ab6eace-f84f5233
50494700,"There is widening of the superior mediastinum with substantial enlargement of the cardiac silhouette, pulmonary vascular congestion, and pronounced opacification at the left base which most likely reflects pleural fluid and substantial volume loss in the left lower lobe. Lung volumes are substantially low exaggerating moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. ",36147048-4907c6d9-99ef69b7-c4b50592-a5f2a9cd
50498205,"AP chest:  The extensive subcutaneous emphysema in the right chest wall and neck could be related to small right pneumothorax despite apical pleural tube. Neither pneumothorax nor pleural effusion is evident in the right chest, with 2 apical thoracostomy tubes in place, despite severe subcutaneous emphysema in the right chest wall. ",d9661ff6-877ac981-a20a8810-92309d46-173008ad
50498321,"AP chest:  Lungs are fully expanded, if not somewhat hyperinflated, and clear of any focal abnormalities. AP chest:  Lungs are fully expanded and clear. ",ea1dfe84-8bf677b6-f51b1859-160571df-4fd62876
50498379,Cardiomegaly with left retrocardiac opacity possibly reflecting atelectasis versus pneumonia. Cardiomegaly with left retrocardiac opacity possibly reflecting atelectasis versus pneumonia.,6a7ae1e7-25818d8d-e2aaca48-19d5034e-df932bae
50501667,"There is marked opacification at the right base with obscuration of the hemidiaphragm, consistent with collapse of the right lower lobe and possibly a portion of the middle lobe. There is marked opacification at the right base with obscuration of the hemidiaphragm, consistent with collapse of the right lower lobe and possibly a portion of the middle lobe. ",174bc762-69cee932-214e862b-e75fe715-f1300a15
50501762,"Diffuse interstitial and airspace opacities the differential for which includes pulmonary edema, pulmonary hemorrhage, interstitial lung disease, or components of each; subtly pronounced in left upper lung. Mild pulmonary edema with superimposed left upper lung consolidation, potentially more confluent edema versus superimposed infection. ",58c735ba-cc7d2492-f290f622-154bc6f2-5fdc853c
50510286,AP chest:  There is left lower lobe collapse and moderate-to-severe left pleural effusion. AP chest:  Moderate-to-severe lleft pleural effusion and there is left lower lobe collapse accounting for marked leftward shift of the mediastinum. ,ff2efa2a-247e7e02-2a1deddd-82479afe-136446a9
50515450,"PA and lateral chest:  There is diffuse pulmonary abnormality characterized by both bronchiectasis and extensive peribronchial infiltration, some ground-glass and some bronchiolitis. PA and lateral chest:  There is diffuse pulmonary abnormality characterized by both bronchiectasis and extensive peribronchial infiltration, some ground-glass and some bronchiolitis.",221d35b8-df2b99dc-be23b128-b7f8e7e7-4e76e5ae
50519818,"COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted. COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted.",ce3a9dd6-9affc487-1b6847b3-9f555332-e0baea73
50533006,"AP chest:  Exaggerated by the size of a large hiatus hernia, there is a large cardiac diameter to the level of at least mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. AP chest:  Exaggerated by the size of a large hiatus hernia, there is a large cardiac diameter to level of at least mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure.",d6fbe6a9-57f6ae9d-07f24e69-1c032794-76d80d8f
50535279,AP chest:  Peripheral somewhat indistinct opacification in the left mid lung is markedly extensive. Status post left lung biopsy with left lung postprocedural changes and no pneumothorax.,8ecf5181-09dec4e6-27b43fca-3b8999bf-6d25f591
50535882,"Small symmetric bilateral pleural effusion probably reflects congestive heart failure, the pacer defibrillator lead is in position and follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects congestive heart failure, the pacer defibrillator lead is in position and follows the expected course to the distal right ventricle. ",dd4903ae-cb2e72fa-55472aa9-b4e1aa63-9c138d54
50545797,Fullness of the left perihilar region compatible with known mass and emphysema. Fullness of the left perihilar region compatible with known mass and emphysema. ,c768ecd2-dec91075-b6e6d204-6a9d0da8-e1ce939a
50546279,Small right pleural effusion with small right hydropneumothorax. There is right hydropneumothorax and right chest wall subcutaneous emphysema.,89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1
50547182,AP chest:  The patient has had median sternotomy and coronary bypass grafting. AP chest:  The patient has had median sternotomy and coronary bypass grafting.,423fc237-2b2e1394-e5255f87-97ae0a26-96fd38d9
50553646,"Dense consolidation in the left mid lung along with hazy opacification in the right perihilar region and lung bases, concerning for pneumonia and/or aspiration. AP chest:  Although pulmonary consolidation is significant in both lungs, moderate cardiomegaly is very severe and mediastinal veins are very dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps a pneumonia in the right lower lobe. ",912e2ddc-d5d8cb35-d2736bcd-4a25d08f-ee68cba1
50555779,"Patient has severe COPD, so it is possible that the interstitial abnormality at the lung bases could be asymmetric edema. Findings consistent with severe COPD, pulmonary arterial hypertension, and mild bibasilar interstitial process. ",49219783-9d403555-ff694f12-b2693e65-a4c63e44
50567642,"PA and lateral chest:  Radiographs document right middle lobe atelectasis, and episodes of pneumonia in different areas of the lungs. PA and lateral chest:  Radiographs document right middle lobe atelectasis, and episodes of pneumonia in different areas of the lungs. ",2ae448b2-53515c0d-312135f4-a7a50238-20ffa8b0
50580104,"Blunting of the left costophrenic angle with indistinctness of the outer portion of the hemidiaphragm could reflect mild atelectasis and small pleural he fusion. Blunting of the left costophrenic angle with left basilar opacity likely relates to a small left pleural effusion with overlying atelectasis, underlying consolidation not excluded. ",92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34
50602713,"AP chest:  Widened caliber of the pulmonary and mediastinal veins, and moderate-to-severe cardiomegaly suggest that peribronchial opacification in the right mid and upper lung zone is asymmetric edema rather than pneumonia. AP chest: There is moderate opacification in the right mid and lower lung zones, while background interstitial pulmonary edema is mild, strongly suggestive of probably pneumonia. ",09248f93-7275a552-c55b735a-29981340-e0b66153
50610932,"AP chest:  There is a small right pneumothorax with components at the apex, and at the right base lateral to the pleural drainage tube. AP chest:  There is a small right pneumothorax with components at the apex, and at the right base lateral to the pleural drainage tube. ",9ae19357-ed8ab74b-7c794e86-235ab6b4-b0b98b54
50617748,"Swan-Ganz catheter tip is deep into the right lower lobe segmental subsegmental branches and should be pulled back at least 6 cm. There is an inserted nasogastric tube and left Swan-Ganz catheter, the tip projects over the outflow tract of the pulmonary artery. ",513c2a6c-c081efd7-5d2b0a10-5ae31d2c-1664a879
50620677,"No acute findings on this single supine frontal chest radiograph. Faint opacity at right lung apex is probably due to summation of normal structures, but standard PA and lateral chest radiographs would be helpful for more complete assessment of this region when the patient's condition permits. ",0b9184ba-a570a2c0-10adfa1b-8c804f0a-280b0de1
50633646,Status post ascending aortic graft repair and dilatation of the descending thoracic aortic contour compatible with known dissection. Status post ascending aortic graft repair and dilatation of the descending thoracic aortic contour compatible with known dissection.,23a461cb-eb3f1804-b272899e-c6e30098-39682b9c
50634232,"Severe pulmonary consolidation significant in right lower lobe compared to remainder of the lungs and in the apices. There is extensive severe consolidation in the right mid and lower lung zones, probably pneumonia or alternatively pulmonary hemorrhage. ",509fd9e1-43b8892b-e1fc8e15-f4cb2ac1-b2e65974
50636786,Orogastric tube may be advanced for more optimal positioning. Orogastric tube may be advanced for more optimal positioning.,8452bd2c-ba775d23-e46872fa-f0e9c5bd-63897743
50637233,"AP chest:  There is severe widespread pulmonary infiltration, with near confluence of opacification in the left lung, moderate-to-severe left pleural effusion. AP chest:  There is severe extensive bilateral pulmonary consolidation in the right lung than the left. ",90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f
50639335,Moderate cardiomegaly and vascular congestion with left basilar opacification consistent with pleural effusion and compressive atelectasis. Moderate cardiomegaly and vascular congestion with left basilar opacification consistent with pleural effusion and compressive atelectasis.,e4cb9fd1-a291ed0a-a3be1461-78de463c-57194e49
50639964,Pectus excavatum. Pectus excavatum.,ac277596-5c3b9719-41671839-4aedfd51-6e90e579
50640370,Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. ,e8f40dc1-eb1d35c9-581a0b09-a78294c8-1a9ab9f1
50640881,Enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. Emphysema and cardiomegaly without focal opacity convincing for pneumonia.,98267606-76ec973b-5884e28c-692b590a-093841f0
50641273,"Status post aortic valve replacement with mild coarsening of lung markings that could be seen with mild vascular congestion, but potentially chronic. Status post aortic valve replacement with mild coarsening of lung markings that could be seen with mild vascular congestion, but potentially chronic.",68bd5521-ca187f93-ae93cbe6-8bb8f491-3fb2dd0f
50643762,Mild blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions. Mild blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions.,d021c1f9-134fd8f8-e73a3e87-387d59f4-ea4ea7a6
50645297,"Left jugular line passes as far as the left brachiocephalic vein where it is obscured by overlying right atrial biventricular pacer defibrillator leads which follow their expected courses, continuous from the left pectoral generator. The cardiomediastinal silhouette is enlarged and the pacer leads are in position.",c3271fa5-173bb62f-8507daf0-46005d57-ba663779
50650921,"Lung volumes are significantly low exaggerating a moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There are low lung volumes with enlargement of the cardiac silhouette, elevation in pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left, with compressive atelectasis at the bases. ",54b04013-9b1c7ca0-452a3623-7e225698-0696e372
50654010,"The position of the leads is unremarkable, with 1 lead projecting over the right atrium, 1 over the coronary sinus and 1 over the right ventricle. Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. ",be4aa5f6-99ccaf97-2b5e3e91-41ef9449-536d6ae5
50660013,"PA and lateral chest:  There may be a very mild deposition of edema in the lower lungs, denoted by septal lines at the right base. PA and lateral chest:  There may be a very mild deposition of edema in the lower lungs, denoted by septal lines at the right base.",bc589c1d-1abbef0a-78f9c190-81bdf6e8-e1429133
50664785,"Moderately severe pulmonary edema, moderate cardiomegaly, mediastinal venous engorgement and small bilateral pleural effusions, indicating cardiac decompensation and/or volume overload. Cardiac silhouette is enlarged and there is evidence of pulmonary edema with bibasilar atelectatic changes and probable pleural effusions. ",db39cf32-d22fb990-e46ba7c8-c73f9b0b-c77db2a1
50674735,"Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. ",34385126-4e8184f2-e9ac8e38-eb0d5a59-31d37002
50682888,"However, small but focal retrocardiac opacity with air thickening may be due to pneumonia or lower airways infection or inflammation in the left lower lobe. However, small but focal retrocardiac opacity with air thickening may be due to pneumonia or lower airways infection or inflammation in the left lower lobe. ",08da513d-5325ee2d-d57746d8-762cf929-bf1c0fa4
50683984,"PA and lateral chest:  Lung volumes are significantly low, exaggerating borderline cardiomegaly. PA and lateral chest:  Lung volumes are significantly low, exaggerating borderline cardiomegaly. ",6f5ad7b4-5e6497b9-1e50930a-cda9e2cf-52a9524b
50686747,"There is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, more prominent on the left. There is substantial enlargement of the cardiac silhouette with moderate pulmonary edema and left pleural effusion with compressive atelectasis at the base. ",6da80776-b8a61cbe-7898eaa5-29b7ca8f-c0ea57e5
50697229,"AP chest:  Although the patient is intubated, lung volumes are significantly low, due in part to significantly small-to-moderate pleural effusions. AP chest:  There are small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs. ",be78e28d-1c76d439-9b5e832e-b0935ea9-62e6cf91
50701063,There is enlargement of the cardiac silhouette with the monitoring and support devices in position.,8421105f-75a36b56-fb945313-e4f6d3a0-e2876c01
50701107,The appearance of the right middle lobe on the frontal view is equivocal the region is normal. The appearance of the right middle lobe on the frontal view is equivocal the region is normal.,08b3a2f5-6a4527a8-cea348a9-b559b9e1-42a62261
50706776,"There is enlargement of the cardiac silhouette that could represent pulmonary edema or, in the appropriate clinical setting, no evidence of pneumothorax. THE CARDIAC SILHOUETTE IS ENLARGED AND THERE IS SOME INDISTINCTNESS OF PULMONARY VESSELS WITH B-LINES, CONSISTENT WITH MILD ELEVATION OF PULMONARY VENOUS PRESSURE. ",77ab84c4-ba890f3a-4d161cb1-8516d2ff-ba5e1842
50710771,"Lungs clear except for band of linear atelectasis or scarring probably in one of the lower lobes, probably the right. Lungs clear except for band of linear atelectasis or scarring probably in one of the lower lobes, probably the right. ",746e9051-aea1fe10-f765dc71-17daa29f-ae4a658d
50714348,There is moderate left pleural effusion with reduced aeration. There is moderate left pleural effusion with reduced aeration. ,e5a35d58-daafa26b-836bd682-17f54c3c-a3f33527
50717913,"Healed fracture deformity, proximal right humerus. There is marked irregularity of proximal right humerus.",3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76
50718199,"Borderline cardiomegaly with suggestion of possible left atrial enlargement, but no evidence of acute disease. Borderline cardiomegaly with suggestion of possible left atrial enlargement, but no evidence of acute disease. ",a77d2e8f-c6ecaa1e-c2b76bec-23469463-3e9de1f1
50725635,"There is significantly moderate pulmonary edema, severe cardiomegaly and mediastinal venous engorgement. There is enlargement of the cardiac silhouette with pulmonary edema that may be slightly prominent. ",734c67d2-b59dd146-cf5a3db9-59c50b7d-f735c758
50729749,"There is marked low lung volumes, mediastinal venous engorgement and moderate cardiomegaly could be due to cardiac decompensation. Mild pulmonary edema is more significant in the right lung than the left lung. Findings could be due to decrease positive pressure ventilator support. There is pulmonary vascular congestion and the right lung base has minimally reduced aeration.",42ca390f-5819f578-c74fd59e-a7561a1a-0040b454
50740166,Cardiomediastinal silhouette including severe cardiomegaly and widened mediastinum are observed. Cardiomediastinal silhouette including severe cardiomegaly and widened mediastinum are observed.,96039f47-3e02e23d-f1c42efb-ed41fb27-4376aa85
50744319,"AP chest:  Lung volumes are very low and large areas of both lungs are obscured by hemidiaphragm on the right and heart on the left. AP chest:  Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion. ",36f6dd1e-fefeef89-03c80035-d373c61b-1a4e895b
50744964,Evidence of heart failure with enlarged cardiomediastinal silhouette as well as moderate-to-severe pulmonary edema. Moderate to severe pulmonary edema with moderate cardiomegaly and small left pleural effusion.,1ef64d55-b80da23e-67810283-ad56b0ab-22c83b5b
50749866,A view of the abdomen shows the tip of the nasogastric tube in the lower body of the stomach. ,9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f
50751429,There is pulmonary edema with triple- lead pacer remaining in place. There is pulmonary edema with triple- lead pacer remaining in place.,7568a044-7f2b130e-9af97f69-17cda54e-cb366755
50752207,"AP chest:  There is severe pulmonary consolidation in both lungs, more significant in the right lung compared to left lung. AP chest:  There is severe pulmonary consolidation in both lungs, more significant in the right lung compared to left lung.",3fee0682-231a4968-00593ef2-652c36ae-98495700
50753069,"There is cardiomegaly, and the patient has moderate pericardial effusion. PA and lateral chest:  The cardiomediastinal silhouette is seen as well as cardiomegaly and/or pericardial effusion. ",5c8c0263-8d94687e-2a7896c8-5682bae9-6aeefbc4
50762309,AP chest:  The patient has pulmonary edema with cardiomegaly and at least moderate right pleural effusion. Findings most consistent with congestive heart failure and a right pleural effusion.,28d71c5a-7f16c42f-ec973545-72a7a3e9-3d2193e6
50767671,"AP chest:  Patient is intubated, ET tube in standard placement, but there is moderate bilateral perihilar consolidation has improved sufficiently that one can exclude non-cardiogenic edema as the cause of bulk of the abnormality. AP chest:  Patient is intubated, ET tube in standard placement, but moderate bilateral perihilar consolidation has improved sufficiently that one can exclude non-cardiogenic edema as the cause of bulk of the abnormality. ",f60e6301-358d7f2f-b52c2c0c-ffea6e75-c35bdbe2
50773892,"Severe right lower lobe consolidation accompanied by some volume loss and there are several small foci of consolidation in the periphery of the right lung, all pointing to widespread pneumonia and heavy secretions. PA and lateral chest: There is substantial bibasilar consolidation and some atelectasis in both lower lobes and particularly the right middle lobe. ",30105040-38b1165a-cdffbc34-0acc1b2b-1a69a7b9
50775862,Orphaned right atrial and right ventricular pacer leads are coiled in the right chest. There is enlargement of the cardiac silhouette with single lead pacer extending to the right ventricle.,0396bbb8-89af3082-08140a7c-6f9e487e-44400561
50776901,"Moderate to severe cardiomegaly, exaggerated by supine positioning, which also shows widened mediastinal venous caliber. Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning. ",b57f6693-0b6cfcff-9a77d958-c0a4c1f5-fab766d2
50780353,The cardiomediastinal silhouette is observed as well as bilateral pleural effusions with left pleural fluid after placement of the left pigtail catheter. AP chest:  There is small-to-moderate bilateral pleural effusions despite pigtail pleural drainage catheter in each hemithorax.,90e79548-fcbab121-6100c047-b413fab9-912f13a5
50788655,"Mild loss of height anteriorly of mid and lower thoracic vertebral bodies, which are age indeterminate. Mild loss of height anteriorly of mid and lower thoracic vertebral bodies, which are age indeterminate.",0a5e513b-7a7ee423-b8c4a49e-66eb48ce-2ad0011a
50790949,"ET tube and left subclavian line are in standard placements respectively:  Small right pleural effusion, severe left lower lobe atelectasis and left pleural effusion that is at least small. There is left lower lobe collapse and there is at least a small volume of bilateral pleural effusion. ET tube in standard placement. ",eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808
50792961,"Mediastinum is widened beyond cardiomegaly by mediastinal fat and relatively mild prevascular and paratracheal adenopathy. Cardiomediastinal contours are slightly widened, and accompanied by pulmonary vascular congestion and mild edema. ",786239e7-5c2c7f97-0c5c6b36-f8e00af3-91804ffc
50796456,"Lines, tubes and drains are in place with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. The widening of the postoperative cardiomediastinal silhouette is responsible for rightward displacement of the trachea, so that the endotracheal tube, at the proper height, abuts the left tracheal wall. ",32857e2f-0b7d1d34-77083bdf-dc8f1be8-d456e85c
50799000,There are moderate right and small left pleural effusions as well as large calcified pleural plaques in the left mid and lower hemi thorax. The patient positioning may account in part for the moderate right pleural effusion and the height of the apical visceral pleura denoting the size of the apical component of the left pneumothorax. ,128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84
50801992,"AP chest:  There is moderate-to-severe pulmonary edema, accompanied by moderate-to-severe right pleural effusion and moderate cardiomegaly. AP chest:  There is moderate-to-severe pulmonary edema, accompanied by moderate-to-severe right pleural effusion and moderate cardiomegaly. ",e75af3b7-a3b4f881-b1f68642-609d0775-916ece62
50810335,"There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could represent elevated pulmonary venous pressure, chronic pulmonary disease, or both. Finding suggesting slight vascular congestion or fluid overload, as well as enlargement of pulmonary arteries, but with no evidence for superimposed pneumonia. ",b52282c3-1c808e3a-7ffee928-83083ac2-8cff0c2d
50818829,"There is moderately severe pulmonary edema, accompanied by severe left lower lobe atelectasis and small to moderate bilateral pleural effusion. AP chest:  There is mild generalized edema and great consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. ",c2f49f11-42bbe227-0e97f6b4-10ea93f4-e05ef9fb
50821093,There is scattered pleural plaques. There is scattered pleural plaques.,f0c7fed9-f0dd13bd-29757304-7d67a895-423549b2
50822353,"Mildly tortuous and dilated ascending aorta, compatible with a history of aortic stenosis. Mildly tortuous and dilated ascending aorta, compatible with a history of aortic stenosis. ",42cb7646-ac2acc5b-504f6247-07366b48-3d2bd573
50827294,"There is massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. There is massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. ",ddd9741c-9e15a25a-d4b08e32-9ee083c4-b7671def
50829485,"AP chest:  The volume and severity of consolidation in the right lung involving lower lobe superior segment and upper lobe are significant, revealing severe bronchiectasis, possible cavitation and some loss of volume in the right upper lobe. AP chest:  Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. ",b8f743d0-49b92246-83708dd6-caec53a5-fa07d8f5
50841626,"AP chest:  Although the widespread distribution of opacification in both lungs suggest pulmonary edema, lucencies in the right mid lung could be due to cavitation in pneumonia. AP chest: There is moderate right pneumothorax. There is mild-to-moderate pulmonary edema. ",e8ee2b4d-8ea54f5a-fbbd13ae-b0322e55-8d89e12b
50844004,"AP chest:  Despite pulmonary hyperinflation suggesting a substantial COPD, pulmonary vasculature is engorged, suggesting that mild interstitial abnormality is edema due to cardiac decompensation. There is enlargement of the cardiac silhouette in a patient with elevated pulmonary venous pressure and right apical thickening as well as substantial chronic pulmonary disease. ",f247ce2e-c31bcf04-9a2b6df8-40d590b5-a96518b7
50844750,"There is pulmonary edema and opacification of right upper lung and left mid lung, concerning for superimposed pneumonia. There is moderate-to-severe pulmonary edema, and in addition to the large right hilar or juxtahilar mass, there is suggestion of consolidation in both the right suprahilar lung and at the left lung base medially. ",e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637
50845269,There is moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place. There is moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place.,f24dcfb8-8d336748-8d0d5686-a52f7cc9-2aefd3a6
50848467,"Mild interstitial pulmonary abnormality is attributable to pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion  The trans subclavian right atrial right ventricular pacer leads are continuous from the left pectoral generator. Mild interstitial pulmonary abnormality is attributable to pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion  The trans subclavian right atrial right ventricular pacer leads are continuous from the left pectoral generator. ",d4e70647-9bed282e-fd4e5b2f-d659e2f5-2b751fc4
50848970,"Findings consistent with CHF, including extensive interstitial edema and probable small areas of alveolar edema, as well small bilateral effusions. Moderately severe pulmonary edema, moderate cardiomegaly, mediastinal venous engorgement and small bilateral pleural effusions, indicating cardiac decompensation and/or volume overload. ",c8cfc832-b771f3f4-0862618d-c5b40b2a-86706006
50853840,"Right pleural catheters are in place, with very small right apical lateral pneumothorax, and probable additional small loculated hydropneumothoraces at the right lung base adjacent to a small right pleural effusion. Three right-sided chest tubes are in place with loculated basilar hydropneumothoraces and severely reduced aeration at the right base. ",c1379178-96a24a21-fe62e710-94cf9946-111ded9a
50855550,"Pneumothorax, if present, is not appreciable, difficult to exclude in this image of the supine patient, particularly with extensive subcutaneous emphysema in the left chest wall, upper abdomen and both sides of the neck. Extensive subcutaneous air might potentially obscure pneumothorax or mediastinal air. ",a94ddbc2-40a2c88a-c00a1b50-4a09d704-8ebb8115
50875682,Cardiomegaly is accompanied by interstitial pulmonary edema and small right pleural effusion. There is pulmonary vascular congestion accompanied by interstitial edema and right pleural effusion. ,264b88e4-6c089e5c-86f6e75e-aba9afc2-5effc446
50877377,"There is moderate cardiomegaly, cardiac pacer is seen, moderate right effusion, consolidation at the right base, the marked amount of interstitial edema. There is moderate cardiomegaly, cardiac pacer is seen, moderate right effusion, consolidation at the right base, the marked amount of interstitial edema. ",bc930c3b-03f10f77-32ff77d5-13f5f708-5a1ce695
50882034,"AP chest:  Supine positioning probably explains apparent mild pulmonary vascular engorgement. AP chest:  There is generalized pulmonary vascular engorgement and the heart size is significantly large, within upper normal range. ",cbd0493a-45581768-2a4a0cdc-ed7b4ccf-20000354
50882471,"Moderate cardiomegaly, marked mild-moderate pulmonary edema, and small bilateral pleural effusions with adjacent atelectasis. Pacemaker leads are in position. There is bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated shin with small amount of pleural effusion. ",283df983-fd666130-de72e26e-a2fb9b59-88a371f7
50891752,"There is right pleural effusion, deviation of the cardiomediastinal to the right, position of 2 basal pigtail catheters and a right middle lobe and right lower lobe atelectasis. There is hazy opacification at the right base silhouetting the hemidiaphragm consistent with moderate layering right pleural effusion and compressive basilar atelectasis. ",e3462cbd-2ad9049e-4bc04cbf-4f3005ab-3c4c0678
50894711,"Patient had mild interstitial pulmonary edema that suggests that a large interstitial abnormality, even though it is predominantly left sided, is due to heart failure. AP chest:  Left lung shows vascular congestion and mild interstitial edema. ",adbfc9ce-b82d1181-fce57c7d-f71a436a-708693b0
50903359,"There is bilateral pleural effusions, atelectasis and the moderately enlarged cardiac silhouette. CHF findings, bilateral effusions, and underlying collapse and/or consolidation are considerably significant.",4a9977bd-7c6765ff-7951cc3c-36666101-51dfc3fa
50903895,There is CHF associated with right pleural effusion. There is CHF associated with right pleural effusion.,658ef774-35bbcbca-076591cf-e4bb58ca-243724d2
50906117,"AP chest:  Lung volumes are markedly low, but the lungs are clear, heart is normal size and there is no pleural abnormality. AP chest:  Lung volumes are low, but lungs are clear and with mild cardiomegaly.",3f80bbda-1c82f45d-788d2535-2c56bc02-94651d15
50908995,"Left lower lobe is completely airless due to dense consolidation; there is mild accompanying leftward mediastinal shift, significant atelectasis, but the extent to which pneumonia is concurrent is radiographically indeterminate. AP chest: Although pulmonary consolidation is appreciably significant in both lungs, there is moderate-to-severe cardiomegaly is mediastinal veins are dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps pneumonia in the right lower lobe. ",4e0d67fd-8d58f83e-cf09219c-27ea6f95-f4b09d70
50910303,Dual lead pacemaker and median sternotomy wires are in position. There are small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position. There are small bilateral pleural effusions and left basal atelectasis.,de862699-c552320b-11e6f6c8-5087a74f-98f0b80d
50916783,"Lines, tubes and drains as described with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. In addition to left lower lobe collapse, the bilateral heterogeneous basal pulmonary opacification could be due to a dependent edema. ",a83a9a0b-f3f4d97f-3a796f51-aca87088-8244d6b5
50918803,Thickened minor fissure with some volume loss in the right lower lobe. Thickened minor fissure with some volume loss in the right lower lobe.,809123a3-3a8ec764-0d6f069f-d1b0935b-161bfff4
50920770,"AP chest:  Lung volumes are appreciably low, there is mild-to-moderate cardiomegaly, pulmonary vascular congestion, although there is no pulmonary edema, and there is a small pleural or extrapleural hematoma associated with left upper lateral rib fractures. AP chest:  Overall, heart size is normal, but there is a suggestion of substantial left atrial enlargement and not accompanied by appreciable pulmonary vascular plethora, edema, or even pleural effusion. ",288e9b61-c5cfce3d-38a26f8f-2f3f97f6-fdf08c07
50921864,"AP chest:  There are large bilateral pleural effusions, layering dependently. AP chest:  There are large bilateral pleural effusions, layering dependently. ",07b49600-045da45b-0a9a9c85-40312bf9-29eb90ba
50926698,There is enlargement of the cardiac silhouette with tortuosity of the aorta and bilateral pleural effusions with compressive basilar atelectasis. There is enlargement of the cardiac silhouette with tortuosity of the aorta and bilateral pleural effusions with compressive basilar atelectasis.,b7d77fd6-bf863ed1-0d7c7510-dde731ba-1e25abec
50927676,"Lung volumes are substantially low exaggerating moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is moderate-to-severe cardiomegaly and mediastinal vascular engorgement and the caliber of pulmonary vessels and background density in the lungs are slightly large.",0e980298-0aa23b64-1ce41467-47d7e2a2-f9ed5194
50935375,There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with previous median sternotomy with a CABG and mitral valve replacement. There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with previous median sternotomy with a CABG and mitral valve replacement.,41df0913-e1804610-248fbdd1-6c00cbe1-01bebf5e
50936626,"Cardiac and mediastinal contours are prominent and there is mild pulmonary and interstitial edema. Mediastinal veins are mildly dilated, and there is cardiomegaly. It could be due to pulmonary edema, but is so evenly distributed I would think instead of infection, including Pneumocystis, or pulmonary drug reaction. ",a25b5ac3-3b72b7c3-74275421-5dc344b8-b3a2cd7c
50943671,Status post right ventricular pacer lead revision; COPD and small pleural effusions. Status post right ventricular pacer lead revision; COPD and small pleural effusions.,9c4e6c30-f517fbdf-d045185b-4f7d3c4b-5cb54b42
50947201,"Generalized opacification reflects, in part, tracheal extubation, but probably pulmonary edema as well, superimposed on the multifocal infection and non cardiac edema in the lungs. There is significantly reduced aeration in the right lung, revealing large areas of consolidation and probably moderate right pleural effusion left lower lobe consolidation, suggesting another focus of widespread pneumonia. ",e05c237c-fb8a0000-33d30826-2a3cf122-3e58c1f4
50949626,"AP chest:  Despite pulmonary hyperinflation suggesting a substantial COPD, pulmonary vasculature is engorged, suggesting that mild interstitial abnormality is edema due to cardiac decompensation. AP chest:  Appearance of the lower lungs suggests either mild interstitial lung disease or mild edema in the setting of emphysema. ",1e457cbb-b441fc85-d8d29551-0cb1fed9-15dee5bd
50950402,"AP chest:  Despite the right basal pleural tube, there are fissural and apical components of multiloculated right pleural effusion, responsible for severe atelectasis in the right lung. AP chest:  There is moderate-to-severe right pleural effusion despite the right basal pleural pigtail drain. ",9b81caad-45950b63-68fae78a-caa9bc51-74483a78
50952862,"The cardiac silhouette again is enlarged without evidence of vascular congestion, pleural effusion, or acute focal pneumonia. The cardiac silhouette again is enlarged without evidence of vascular congestion, pleural effusion, or acute focal pneumonia. ",2343dc55-38e48c6b-7156e38e-160821ce-be18c5a3
50953777,"PA and lateral chest:  Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. PA and lateral chest:  Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. ",c9bd6dd6-c8328950-4f61c412-81766efb-2d9c193f
50955371,"Bibasilar opacities more pronounced on the right, in the setting of seizure, could be due to aspiration or infection. Mild interstitial edema with bibasilar opacities and air bronchograms in the right lower lobe concerning for pneumonia. ",835047f2-adf49b86-e80c6954-330c111c-da7aeea9
50956811,Cardiomegaly in findings suggestive of chronic interstitial lung disease. Cardiomegaly in findings suggestive of chronic interstitial lung disease.,34c46b78-c751bfe6-f38375be-f360ffe3-d6a24fda
50957430,"AP chest:  Right upper lung is partially expanded. Tracheostomy tube, right supraclavicular dual channel central venous dialysis catheter in standard placements respectively. ",3056f052-ff3c284f-0d46f60a-7d4ee6af-498142fb
50961878,"There is pulmonary vascular congestion and moderate edema, accompanied by a layering of bilateral pleural effusions. Mild-to-moderate bilateral effusions and edema with satisfactory ET tube position. ",8b0cada7-ecc1d1e7-0910b65f-cf44db21-afca8926
50964400,"The volume of air in the right hydro pneumothorax is small, there is moderate to large right pleural fluid component. Right pleural effusion is additional right sub cutaneous air within the right chest wall are present and there is a pneumothorax in apex and lung base. ",827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb
50966773,"There is right pleural catheter placement with markedly small right pleural effusion. The right pigtail pleural catheter is in place, with moderate-to-severe right pneumothorax, which remains most marked at the right lung base. ",2a262a8c-c8739dde-30e57c4d-800f4b3a-51d54c14
50968695,"PA and lateral chest:  There is extensive consolidation, predominantly at the base of the right lung in the lower lobe, probably also in the right middle lobe and to a much lesser extent in the mid left lung. PA and lateral chest:  There is extensive consolidation, predominantly at the base of the right lung in the lower lobe, probably also in the right middle lobe and to a much lesser extent in the mid left lung. ",c022d06a-77b2c5f7-55dfded9-8877f098-e7038b30
50969842,"Postsurgical changes in the right hemi thorax in the form of widening of upper mediastinum, right upper and lower lobe linear atelectasis and a moderate right pleural effusion are seen. The right chest pigtail catheter is in place, with loculated medial right pleural fluid and reduced aeration of the right upper lobe. ",4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed
50971332,"AP chest:  Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion. AP chest:  Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion. ",5ffb8e9f-1dc93608-ff50a406-6235935c-ab05fa59
50971742,"COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted. COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted. ",c2e3e4cd-fd889116-52b37c72-db4f46df-52939006
50975397,Significant densities in the right hilus with nodular densities along the minor fissure as well as peribronchial opacities and bronchiectasis in the right lung base which may represent primary malignancy with superimposed infection. Significant densities in the right hilus with nodular densities along the minor fissure as well as peribronchial opacities and bronchiectasis in the right lung base which may represent primary malignancy with superimposed infection. ,6ba63140-f35853ba-1c3f30d6-79e8a6d9-972b8b3a
50989704,"AP chest:  Severe nearly confluent and symmetric bilateral pulmonary opacification obscures what are smaller foci of probable pneumonia in the right mid lung laterally. AP chest:  Severe pulmonary consolidation is asymmetrically distributed, predominantly right upper lobe and left perihilar and lower lung. ",8de65847-743ba591-16ca4044-0b5f1002-f1545e14
50999536,"Small left pleural effusion with left basilar streaky opacity, likely atelectasis, but infection is not excluded. Small left pleural effusion with left basilar streaky opacity, likely atelectasis, but infection is not excluded.",c1875b25-77500901-b90303e0-9b5c3aac-2b57b80c
51002383,"No acute cardiopulmonary abnormalities. There is significant mediastinal, hilar lymphadenopathy and lung findings suggestive of sarcoid. No acute cardiopulmonary abnormalities. No acute cardiopulmonary abnormalities. There is significant mediastinal, hilar lymphadenopathy and lung findings suggestive of sarcoid.No acute cardiopulmonary abnormalities. ",5668d9ef-e5b61aae-8a38e823-b668e8ba-837392e7
51006959,"AP chest:  Aside from a band of subsegmental atelectasis at the right base, the lungs are clear, with peribronchial opacification in the lungs, particularly the right lower lobe suggested pneumonia. AP chest:  Significant right lower lobe consolidation could be atelectasis, but raises serious concern for pneumonia. ",b5599aff-71fe317d-6e792fbc-d586d408-3b18b394
51009376,"AP chest:  Severe cardiomegaly is pronounced, but lungs are clear and pulmonary vasculature is normal. AP chest:  Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. ",e120ed69-a974706b-30acf181-38be212f-48eb872d
51014967,"3.7 cm wide oval abnormality in the left lower quadrant has been called a renal pelvic stone. Deviation of the trachea to the left, with mild narrowing of the tracheal lumen, likely caused by a goiter. ",afa46108-e06269ce-05deb812-e12dad4d-ef863113
51017703,"The cardiac silhouette is prominent, which could be a manifestation of the AP portable instead of PA erect technique. The cardiac silhouette may be mildly enlarged. ",5764a70f-234a5a0d-42ae4b8f-b130f5c4-63dac3a1
51021074,"AP chest:  There is significant severe pulmonary edema, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins. AP chest:  There is significant severe pulmonary edema, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins. ",956ec432-03e9c40c-ff58e74d-db0b9443-71042da1
51024049,"Large region of consolidation in the right lower lobe, with marked pleural drain raising concern for either rapidly developing pneumonia or pulmonary bleeding. Pneumothorax exaggerates the extent of consolidation in the right mid and lower lung zone.",0fef51dc-8e713f62-0c7f23dc-fb145074-68b8ec4b
51030152,"Left basilar opacity is greater than right likely reflecting atelectasis with moderate-to-severe left pleural effusion and pneumonia with empyema should be considered. Severe cardiomegaly is significant suggesting that some of the bilateral pulmonary consolidation could be edema, and heart failure could be responsible for some of moderate-to-severe left pleural effusion, however the asymmetry in consolidation and the left-sided predominance of pleural effusion are strong indications that pneumonia is present.",9bb1fe4e-c234466a-72525367-a54b28d3-b91d05fe
51034858,"AP chest:  Very severe pulmonary consolidation is present throughout both lungs, accompanied by at least moderate right pleural effusion. AP chest:  Widespread pulmonary opacification is significant, particularly in the right upper lung, accompanied by moderate-to-severe right pleural effusion.",3e2089f9-a5133cb9-a2ccafcd-956a95d1-c2af1f26
51044625,"AP chest:  There is generalized interstitial abnormality, accompanied by cardiomegaly, probably cardiogenic pulmonary edema exacerbated by tracheal extubation. AP chest:  There is generalized interstitial abnormality, accompanied cardiomegaly, probably cardiogenic pulmonary edema exacerbated by tracheal extubation. ",0d930f0a-46f813a9-db3b137b-05142eef-eca3c5a7
51050206,"In view of the enlargement of the cardiac silhouette and pacer device, this appearance could well represent mild pulmonary edema. In view of the enlargement of the cardiac silhouette and pacer device, this appearance could well represent mild pulmonary edema. ",3eb5d0cd-b53603ab-1055c1ab-0136cead-bd105e22
51054780,Right internal jugular vein catheter in situ. Right internal jugular vein catheter in situ.,e48e959d-10d7b785-3ba7d6d0-87d614c1-19ed06cc
51067581,"Mild right lung base opacity and small right pleural effusion. Consider obtaining PA and lateral radiograph for better evaluation of right lung base. AP chest:  Small right pleural effusion is substantially small and there is no pneumothorax, and the right lower lobe has substantially expanded. ",0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff
51069079,Attempted trans esophageal drainage tube ends at the upper margin of a very large left trans diaphragmatic gastrointestinal hernia. Attempted trans esophageal drainage tube ends at the upper margin of a very large left trans diaphragmatic gastrointestinal hernia.,8e149da2-2dbbcfe5-fbd731aa-9f1582b8-4c08fb8b
51070813,"Patient has widespread mild to moderate bronchiectasis and small areas of peribronchial inflammation, presumably related to bronchiectasis. Patient has widespread mild to moderate bronchiectasis and small areas of peribronchial inflammation, presumably related to bronchiectasis. ",8aeadf93-9670a6fd-2e65b3ce-0719a2c7-d178e34c
51074951,No acute findings on this single supine frontal chest radiograph. AP chest: Lungs clear.,5b3a073e-8c070064-383e87bc-900d5646-a15c9576
51078371,"AP chest:  Moderate-to-severe pulmonary edema accompanied by significantly small bilateral pleural effusion. Significant bilateral pleural effusions, and moderate to severe interstitial pulmonary edema reflecting fluid overload. ",66e86adc-70548bf4-9981e744-42d0da07-838b4d2a
51096107,"Nasogastric feeding tube with the wire stylet in place from the upper midline, in the esophagus or right main bronchus, to the upper stomach, and to the lower stomach close to the pylorus. Nasogastric feeding tube with the wire stylet in place from the upper midline, in the esophagus or right main bronchus, to the upper stomach, and to the lower stomach close to the pylorus. ",5142f79d-ca2bee0e-d70061cd-e31c5917-98f78f0e
51099690,"AP chest:  Moderate left pleural effusion following thoracentesis, with small-to-moderate right pleural effusion, severe cardiomegaly, and pulmonary vascular engorgement. Moderate left pleural effusion and probable left lower lobe consolidation. Mild pulmonary edema and bibasilar consolidation. ",e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3
51111527,"AP chest:  Extensive opacification in both lungs, sparing the left mid and lower lung zone. AP chest: Pulmonary consolidation is appreciably significant in both lungs, moderate-to-severe cardiomegaly and mediastinal veins are dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps a new pneumonia in the right lower lobe. ",7d2c16b5-f6f795bc-48420b1a-415e3df8-8d442753
51114398,AP chest: RA and RV leads are in standard position. AP chest: RA and RV leads are in standard position. ,ff4180bc-fa800289-1e6a39c6-4c38b356-ad513e6a
51115148,AP chest:  Short vascular catheter projects over the mid right humerus. AP chest:  Short vascular catheter projects over the mid right humerus. ,8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6
51125097,Substantial enlargement of the cardiac silhouette with pulmonary vascular congestion and probable small bilateral effusions. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and probable bilateral pleural effusions with compressive basilar atelectasis.,65b85d44-6bcf71a2-508b0589-a48d95ed-d4997747
51129150,"Pulmonary vascular congestion and platelike atelectasis in the left midlung, reflecting exceedingly low lung volumes. Low lung volumes exaggerate vascular crowding and possible interstitial edema in the left lung.",1d74ca1d-12ac2785-bd84a322-376f04bc-b9fdaa99
51131705,AP chest:  Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. Status post CABG with positioning of all lines and tubes in place.,4f8a1691-89998d68-1647d35a-65f86204-16385ae8
51137224,Postsurgical changes in the right suprahilar region without definite acute cardiopulmonary process. Postsurgical changes in the right suprahilar region without definite acute cardiopulmonary process.,c8913af9-734e331d-173b2e64-3bd029ab-fb2771ae
51140141,"Small left apical pneumothorax, with right greater than left pleural effusions and left chest tube placement. Small left apical pneumothorax, with right greater than left pleural effusions and left chest tube placement. ",a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2
51140249,Cardiomegaly and widening of mediastinum status post median sternotomy. Cardiomegaly and widening of mediastinum status post median sternotomy. ,0b573d4b-fece5236-ea941b33-c752a0ab-b5cfdd68
51140369,AP chest:  Pulmonary edema with concurrent right upper lung consolidation. AP chest:  Right upper lobe consolidation is moderate and aeration in the remainder of the right lung is significantly reduced and there is left perihilar edema. ,a9fa9dcf-791d8328-1f38b677-e6d7a2aa-56b111e5
51140617,"Findings suggestive of congestive heart failure including apparent large heart size, small pleural effusions and prominent perihilar pulmonary vasculature. Findings suggestive of congestive heart failure including apparent large heart size, small pleural effusions and prominent perihilar pulmonary vasculature. ",fbc1d1b7-2217f22b-74904fff-5061c77a-930f05c8
51143879,"Right upper lobe spiculated opacity appears conspicuous, suggesting inflammatory etiology. Right upper lobe spiculated opacity appears conspicuous, suggesting inflammatory etiology.",4a11826b-f6d01af0-18890057-960c5a8c-f24fc5f0
51144460,AP chest:  Large heart and large tortuous thoracic aorta are seen. AP chest:  Large heart and large tortuous thoracic aorta are seen. ,4076e969-56f5b8aa-66ad39cc-833e7f03-cd0854e9
51150576,"THERE IS RIGHT BASAL OPACITY  WHIC MIGHT REFLECT ASPIRATION BUT ATTENTION TO EXCLUDE DEVELOPING INFECTION IS RECOMMENDED. NG TUBE TIP IS IN THE STOMACH. There is opacification at the right base, consistent with clearing of aspiration. ",bb664e62-f26a58fb-f3f6515a-0cb91fa0-2638766f
51153042,Findings compatible with mild to moderate pulmonary edema and probable small pleural effusions. Bilateral interstitial opacities with cardiomegaly and probable small pleural effusions compatible with either asymmetric moderate pulmonary edema versus infection.,c8a6b25d-257241cf-19fa30f5-20bedbc5-b371e581
51153135,"Over riding acute left rib fractures are responsible for local pleural or extrapleural hematoma along the lateral costal pleural surface, but there has also been small areas of consolidation in the adjacent left lung. Patchy and linear left lower lobe opacities with volume loss favor atelectasis, but coexisting aspiration or infectious pneumonia are possible.",842c80c2-40a8d117-9d30e18e-4548b4b6-99f871ed
51161513,Left subclavian central infusion port ends in the low SVC close to the superior cavoatrial junction. Left subclavian central infusion port ends in the low SVC close to the superior cavoatrial junction.,2e0c4b42-d1ef618d-2b25304c-1b6ef8a5-29e7671d
51162875,"Cardiac silhouette and is somewhat enlarged and there is blunting posteriorly of what appears to be the left costophrenic angle, suggestive of minimal pleural effusion or pleural thickening. Cardiac silhouette and is somewhat enlarged and there is blunting posteriorly of what appears to be the left costophrenic angle, suggestive of minimal pleural effusion or pleural thickening. ",cd5bb1b2-3fb23145-b033324b-a7cb4c43-c1641cc9
51168408,Cardiomediastinal silhouette including severe cardiomegaly and widening mediastinum. Cardiomediastinal silhouette including severe cardiomegaly and widening mediastinum.,a274e07c-68b358c4-454f3eab-c28f2256-061b00e2
51177209,Transvenous right atrial and right ventricular pacer leads are as far as one can tell on the frontal view alone. Transvenous right atrial and right ventricular pacer leads noted. ,0240c2bd-1a2d54ea-8ccdf075-26529d30-cc00fd94
51183691,"Left greater than right basilar opacity likely reflecting atelectasis with moderate left pleural effusion and pneumonia with empyema should be considered. In addition to mild pulmonary edema, the major change is left lower lobe consolidation and an accompanying moderate pleural effusion, strongly suggestive of pneumonia. ",2d35647b-697aa705-d56cc89e-da6818b0-3ebe0b23
51184012,Similar scarring and bronchiectasis within the right apex and calcifications projecting over the right upper and mid lung fields. Similar scarring and bronchiectasis within the right apex and calcifications projecting over the right upper and mid lung fields.,7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed
51192088,"Limited views of the upper abdomen show a generally distended colon, redundant in the right upper abdominal quadrant, making it difficult to exclude pneumoperitoneum. Limited assessment due to patient positioning, particularly of the lung apices, more so on the right. ",eae9b998-2b29a12b-6d6fd4c2-8227ce7b-7f1c4262
51196890,"Nodular opacity projecting over the right upper lung, question confluence of shadows, may be resolved with dedicated PA and lateral possibly with oblique projections. Nodular opacity projecting over the right upper lung, question confluence of shadows, may be resolved with dedicated PA and lateral possibly with oblique projections. ",0e94f694-f43b9926-aae6e13a-c3d97e2d-3a975b5b
51199892,"Borderline heart size top-normal. In the appropriate clinical setting, subtle crowding of bronchovascular markings in the right cardiophrenic region could represent a very subtle infiltrate. ",2e11d19f-7fd45c8b-fd747233-8ee0a18d-191447d3
51202805,"There is prominent interstitial markings, which may reflect patient's known history of underlying asthma. There is prominent interstitial markings, which may reflect patient's known history of underlying asthma. ",f13c668b-a7cbd8c4-3de552f9-4c0921fe-7c8b4a12
51203739,There is enlargement of the cardiac silhouette with pulmonary edema that may be superimposed upon chronic interstitial lung disease. There is enlargement of the cardiac silhouette with elevation of pulmonary venous pressure superimposed on diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease.,e023c3e4-39101fc9-0c1d4cb4-1566e997-0080096e
51210366,There is some enlargement of the cardiac silhouette with engorgement of indistinct pulmonary vessels consistent with elevated pulmonary venous pressure. The cardiac silhouette is enlarged and there are engorged and indistinct pulmonary vessels consistent with elevated pulmonary venous pressure. ,dd3a86eb-069878c6-f4880473-9cc83b95-17983197
51210610,"There is interstitial markings bilaterally in this patient with known chronic lung disease; chronic lung disease, superimposed infectious process difficult to exclude, although no lobar pneumonia seen. There is interstitial markings bilaterally in this patient with known chronic lung disease; chronic lung disease, superimposed infectious process difficult to exclude, although no lobar pneumonia seen.  ",9428e731-163d993c-618d497c-871a84b1-39a4138e
51214350,"Heart is normal size though slightly larger and pulmonary vasculature is engorged, but there is no appreciable pleural effusion or pneumothorax. Heart is normal size though slightly larger and pulmonary vasculature is engorged, but there is no appreciable pleural effusion or pneumothorax. ",88569944-e427b76f-c9db3157-972a1ec1-4d0f7523
51229730,Prominence of the ascending aorta and aortic arch contour raising possibility of aneurysmal dilatation which can be assessed by CT.  No acute cardiopulmonary process. Prominence of the ascending aorta and aortic arch contour raising possibility of aneurysmal dilatation which can be assessed by CT.  No acute cardiopulmonary process.,d642ad26-82bef23a-5b41c13c-5f34e5e1-f45e10aa
51229977,"AP chest:  Severe enlargement of the cardiac silhouette, and distention of both pulmonary hilar, and mediastinal vasculature. AP chest:  Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. ",4ffa9df0-24b7231c-3f67bde1-d9698406-f27658a3
51230608,"PA and lateral chest:  Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. PA and lateral chest:  Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. ",e68bb7df-05039df8-44346b6b-c34ca52e-a92432c7
51233388,"PA and lateral chest:  There is moderate right pleural effusion, accompanied by substantial atelectasis in the right lower lung, at least the base of the lower lobe, pleural nodulation in the right upper chest projecting over the second and third anterior ribs raises concern for malignancy. PA and lateral chest:  There is moderate right pleural effusion, accompanied by substantial atelectasis in the right lower lung, at least the base of the lower lobe, pleural nodulation in the right upper chest projecting over the second and third anterior ribs raises concern for malignancy. ",c95ac9a4-70c1c602-421eacbd-bb29c3f1-7ab0862c
51233560,There is confluent opacity involving the medial aspect of the right base raises concern for acute infection superimposed upon chronic basilar predominant fibrotic change. There is confluent opacity involving the medial aspect of the right base raises concern for acute infection superimposed upon chronic basilar predominant fibrotic change. ,fcf2656a-1407b4d0-e029e995-c324e158-e2b9ce15
51237274,"PA and lateral chest:  There his severe chronic cardiomegaly, small right pleural effusion and the loculated right pleural or extrapleural fluid collection. PA and lateral chest:  There his severe chronic cardiomegaly, small right pleural effusion and the loculated right pleural or extrapleural fluid collection. ",2cdb2a27-7c2b2d98-f15e16f6-14f179ab-c34735ea
51244125,There is no pulmonary edema but there is moderate cardiomegaly and pulmonary vascular engorgement. There is no pulmonary edema but there is moderate cardiomegaly and pulmonary vascular engorgement. ,fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0
51244261,"AP chest:  Extensive opacification in both lungs, sparing the left mid and lower lung zone. AP chest:  There is severe widespread pulmonary infiltration, with near confluence of opacification in the left lung, and moderate left pleural effusion. ",17ff7369-20912497-3b539b61-9c4ace20-7dc7fa12
51248899,There is significant right pleural effusion with collapse of the right middle lobe and large atelectasis in the right lower lobe. There is significant right pleural effusion with collapse of the right middle lobe and large atelectasis in the right lower lobe.,dace8d97-bff4cdf8-b6025d03-54255fb2-666c6a31
51259731,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,a3c40907-043e8021-0482ce61-34670856-7cd45fdf
51264956,"AP chest:  Moderate-to-severe right pleural effusion. AP chest:  Mild-to-moderate right pleural effusion, layering.",0172482f-ff4eeb46-e6e40eaa-2659ae08-97fb1158
51265253,"AP chest:  Right lung is completely collapsed, without appreciable leftward shift in the mediastinum, and very large multiloculated right pleural effusion. Moderate right apical pneumothorax, with rightward shift of the mediastinum and substantial collapse of the remaining right lung, with only minimal aeration seen. ",09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0
51265278,"AP chest:  Lung volumes are quite low with marked elevation of the left hemidiaphragm, attributable to distention of both the stomach and the transverse and splenic flexure of the colon. Mild elevation left hemidiaphragm with gaseous distention of stomach and possibly bowel beneath, correlate with gastrointestinal symptoms. ",0d5def63-8ca29ddc-bf6bde42-fab8887f-19a6e96c
51266767,"AP chest:  Moderate-to-severe cardiomegaly is pronounced, pulmonary vascular engorgement and mild interstitial edema. AP chest:  Severe cardiomegaly is significant, mild interstitial pulmonary edema has developed, with right lower lobe consolidation or atelectasis. ",474c4fbb-14f486fd-a3c9e647-da14a57d-dcf9e39a
51274564,"AP chest:  Significant heart size and heterogeneous opacification at the lung bases could be due to dependent edema, but raises more concern for pneumonia. There is opacification at the bases with further enlargement of the cardiac silhouette and prominence of pulmonary markings. ",ee20ed6a-2dc0af0c-24d33cf6-5386e01a-c281e8c5
51280998,There is large right pleural effusion associated right middle and lower lobe collapse. There is large right pleural effusion associated right middle and lower lobe collapse. ,115a50e2-b668b74b-81a73b76-9d53579f-12ea7431
51285349,"Right upper lung is air less, containing a large mass, and atelectasis in the right mid and lower lungs is is severe. There are low lung volumes and consolidation involving the mid and upper portion of the right lung. ",d9e22dc4-c2df3c29-6bbda3ee-d5d33e26-c93e5f4e
51293673,Findings worrisome for left perihilar mass as well as mediastinal lymphadenopathy. Findings worrisome for left perihilar mass as well as mediastinal lymphadenopathy.,4b64a5b1-add48a29-703a757c-e888cd6b-4684205e
51300469,"The heart is enlarged and there is minimal fluid overload as well as a small left pleural effusion, associated to a left retrocardiac atelectasis. There is moderate-to-severe left lower lobe consolidation and mild-to-moderate cardiomegaly, although mediastinal veins are engorged. ",6cb983aa-64b252ae-99834c29-3233ef10-ba21f892
51301343,"AP chest:  Bibasilar consolidation, moderate on the right severe on the left are significant and accompanied by bilateral pleural effusion, small on the right and moderate on the left. AP chest:  Opacification at both lung bases could be explained by moderate-to-severe pleural effusion, left greater than right, atelectasis, in the setting of interstitial pulmonary edema. ",c84df635-43b1c5bd-cbd8fd29-e41b2428-dae6a1b9
51309585,"Moderate congestive heart failure with moderate pulmonary edema, small bilateral pleural effusions, and bibasilar airspace opacities likely reflective of atelectasis. Findings compatible with acute pulmonary edema with possible layering pleural effusions. ",42a56014-a47bf1c7-ea0611ef-536278b4-881a4f91
51320163,Mild leftward curvature of thoracic spine may be positional however is suspicious for scoliosis. Overall cardiac and mediastinal contours are within normal limits given AP technique.,4977b9cb-187b6611-2a2cd5ec-75b12655-890f56b5
51322686,"Large left upper-mid lung consolidation, in view of clinical history is worrisome for pneumonia. Large left upper-mid lung consolidation, in view of clinical history is worrisome for pneumonia. ",4ab443e8-381a282a-dfe41cd5-8edde8bf-72cbeb68
51323886,"Small symmetric bilateral pleural effusion probably reflects congestive heart failure, insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects congestive heart failure, insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. ",856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5
51339993,AP chest:  Moderate-to-large right pleural effusion and moderately-severe pulmonary edema are significant substantially and there is distention of mediastinal veins. AP chest:  Moderately-severe pulmonary edema and small-to-moderate right pleural effusion,3d99ed96-dc2263d9-e1073168-b827579b-63b897ec
51345585,Blunting of the costophrenic angles bilaterally may reflect trace bilateral pleural effusions versus chronic pleural thickening. Blunting of the costophrenic angles bilaterally may reflect trace bilateral pleural effusions versus chronic pleural thickening.,b7ae7112-d3ab965d-c43adc90-30533667-3b307ee3
51347031,"Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. ",4a04164c-bf7a47b2-39273bf3-6f841e34-278431eb
51351077,"Coarse interstitial marking with basilar predominance, likely reflective of chronic lung disease without evidence of an acute intrathoracic abnormality. Coarse interstitial marking with basilar predominance, likely reflective of chronic lung disease without evidence of an acute intrathoracic abnormality. ",c8d8a6ba-39f605e7-31f65aff-3edf85bf-f9e26e9b
51351495,"AP chest:  Mild generalized edema but there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. AP chest:  Although there is significant pulmonary consolidation in both lungs, moderate cardiomegaly is more severe and mediastinal veins are dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps a pneumonia in the right lower lobe. ",5636d20b-bf2bc860-a877f98d-84cf4456-7d982baa
51363438,"Patchy bilateral lower lobe airspace opacities with bronchial wall thickening, more pronounced in the right lower lobe, compatible with bronchiectasis and small airways infectious or inflammatory process. Patchy bilateral lower lobe airspace opacities with bronchial wall thickening, more pronounced in the right lower lobe, compatible with bronchiectasis and small airways infectious or inflammatory process. ",6bee882f-357d1846-ca771638-0a877fc8-6d19d615
51370405,"There are bilateral lower lobe infiltrates, right greater than left and new small pleural effusions right greater than left the left perihilar infiltrate. There are bilateral lower lobe infiltrates, right greater than left and new small pleural effusions right greater than left the left perihilar infiltrate.",03549470-b3b9bbfa-9829200c-9e8fbdda-228a6817
51371355,"No acute findings on this single supine frontal chest radiograph. No evidence of cardiac enlargement, pulmonary congestion or acute infiltrates as has been assessed on single view examination with patient in supine position. ",de6f3d70-eadfcea2-4074743a-28118cf6-707e9cfd
51375357,"There is greater fullness in the right lower paratracheal station of the mediastinum, which could be due to distal distention of the azygos vein or development of enlarged lymph nodes in that region. There is greater fullness in the right lower paratracheal station of the mediastinum, which could be due to distal distention of the azygos vein or development of enlarged lymph nodes in that region. ",8ce5c1e8-5314070b-aed98ebb-f5135400-c6c11c2f
51380921,"Small amount of Subcutaneous emphysema, left lower lateral thoracoabdominal wall at the rib resection site. Old left midclavicular and left fifth posterolateral rib fractures. ",a628980c-8235948c-af0bf50a-9aec5850-fcd593fc
51391219,"Very faint curvilinear lucency on the frontal view, overlying the left posterior seventh rib. Very faint curvilinear lucency on the frontal view, overlying the left posterior seventh rib.",e585ac0f-fc079ecc-ae54b1f8-1121c4b0-52a0b7f0
51392471,"PA and lateral chest:  Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. PA and lateral chest:  Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. ",c02bdcc0-549bf4f3-5f78b267-f547a2ea-ad315318
51398188,"There are slightly low lung volumes in this patient with enlargement of the cardiac silhouette and a dual-channel pacer device with leads in the right atrium and apex of the right ventricle. A biventricular pacing lead has been placed, with no visible pneumothorax. ",406ff57a-8c66ca32-af21faa2-a53b08d6-7b5a0bdf
51402047,There is enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. There is enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease.,4370c5f0-17617acf-dad6d891-c543e14e-cc79120c
51406657,"AP chest:  Lung volumes are appreciably low due in part to moderately severe pulmonary edema, following extubation. AP chest:  Widespread pulmonary opacification is significant, particularly in the lower lungs, but the pattern is consistent with progressive pulmonary edema. ",8213e26d-d00f0c0f-5125e457-8602815c-1ccc2765
51407808,"Large areas of heterogeneous consolidation in the left mid and lower lung zone, combination of lung mass, pneumonia, and collapse in the lingula. Widespread fibrotic interstitial lung disease is demonstrated as well as confluence of opacification in the left perihilar and retrocardiac regions, potentially due to developing infection in the appropriate clinical setting. ",005f2399-b87f52cf-d010c801-5426064b-05e4afd4
51427095,Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,95e57a26-a6de4499-4dddba72-f21f0627-c864e681
51427308,"AP chest:  Moderate-to-severe left pleural effusion and the left lower lobe is airless, either collapsed or, less likely, consolidated. AP chest Large left pleural effusion is slightly large, further reducing the volume of the nearly collapsed left lung, with moderate rightward mediastinal shift and probably responsible for moderately severe atelectasis in the right lower lobe. ",cd20a77e-2332eb46-6c09f2d2-e0e8d1d9-8f18baf1
51435896,AP chest:  Large region of consolidation in the right mid and lower lung zone  and some of the opacity in the right lower chest was probably pleural effusion. Heart size is difficult to appreciate giving the obscuration of the right heart border by right mid and lower lung consolidation. ,dba61a64-de733cca-c91730b7-7870dfef-c173ffd9
51455625,"AP chest:  Some degree of pulmonary edema and at least moderate bilateral pleural effusions have been present. There are lower lung volumes with enlargement of the cardiac silhouette, pulmonary edema, in bilateral pleural effusions with compressive basilar atelectasis on both sides. ",77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253
51464763,Narrowed upper mediastinal contour is likely due to known congenital heart disease. Narrowed upper mediastinal contour is likely due to known congenital heart disease.,4c2fb727-6b6a721b-befb2d0a-f87fb73f-ee302214
51467319,"AP chest:  Heavy asbestos-related pleural calcifications obscure much of the lower lungs, but nevertheless I can see that there is mild edema in the lower lungs and small pleural effusions. AP chest:  Mild interstitial pulmonary edema, best appreciated in the left lung. ",7701efe6-56cfaf62-917ec157-bf142818-4a6993ee
51468636,Limited exam due to large body habitus. Limited exam due to large body habitus.,05f9a070-a4116dd6-f7ba75fb-5e8dea94-59328a7f
51473674,"AP chest:  Lung volumes are considerably low, exaggerating the pulmonary vascular congestion. AP chest:  Lung volumes are very low, and there is a mild interstitial pulmonary edema, although there is moderate cardiomegaly and pulmonary vascular congestion only mild. ",e0f5b52f-7723f470-e1b422a4-73ef70cb-2a76d9c3
51474707,"There are low lung volumes that accentuate the transverse diameter of the heart in this patient with a left subclavian pacer with leads in the right atrium and right ventricle. LVAD, right ventricular pacer defibrillator lead in their respective positions. ",f2baee8f-ab9bb3f0-cd412d19-fa6f5014-d0388839
51479309,"There is pulmonary vascular redistribution with hazy alveolar infiltrate in the right upper lobe greater than left upper lobe the heart is moderately enlarged the mediastinum is prominent, likely due the vascular engorgement the ET tube is in position the overall impression is that of pulmonary edema. Pulmonary edema and mediastinal vascular engorgement is significant.",879a6090-bc908584-faa34013-2ab152cc-c80f9feb
51485773,"Lung volumes are substantially low exaggerating moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and obscuration of the hemidiaphragm on the left consistent with volume loss in the left lower lobe and pleural effusion. ",474f9207-e0279fb3-96a3641e-438ab1d1-01b657e9
51493934,AP chest:  Moderate right pneumothorax that had been treated.  Moderate pulmonary edema. AP chest:  Severe pulmonary edema and severe cardiomegaly and moderate right and small left pleural effusion.,82fb374b-501cd085-de6db06c-337de2f5-3f5d1157
51499550,There are substantially low lung volumes with atelectatic changes at the bases. There are low lung volumes with continued atelectatic changes at the bases. ,d40ff923-1ae1c675-0bf6d047-42ce5585-8d8da7bb
51503417,"Lung volumes are low, but the only pulmonary abnormality is platelike atelectasis or scarring at the left base. Lung volumes are low, but the only pulmonary abnormality is platelike atelectasis or scarring at the left base. ",86f89f10-d6932134-162d3d5b-689149a3-81dd2b70
51511674,Cardiomegaly and tortuous aorta. No acute process with poor visualization of the T10 and T11 fractures. Likely preexisting interstitial lung disease. ,bf73d8b0-3e093d0f-dd91f13c-0d6e276b-53136b54
51513702,"The heart appears enlarged given portable technique and may reflect cardiomegaly, although pericardial effusion should also be considered. Low lung volumes account for accentuation of the cardiac silhouette appearing moderately enlarged. ",053e0fdd-17dbee89-17885e49-08249a30-7f829c9c
51514260,Large right pleural effusion with leftward shift of mediastinal structures and interval development of a small right pneumothorax. Large right pleural effusion with leftward shift of mediastinal structures and interval development of a small right pneumothorax. ,9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b
51522722,Cardiomegaly and marked tortuosity of the descending thoracic aorta. Cardiomegaly and marked tortuosity of the descending thoracic aorta. ,4a102c0d-0f7d000d-98e8aac0-7509e4c8-b9d60545
51526655,"AP chest:  Severe pulmonary consolidation is asymmetrically distributed, predominantly right upper lobe and left perihilar and lower lung. AP chest:  Extensive opacification in both lungs, sparing the left mid and lower lung zone. ",78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2
51527425,Enlargement of the cardiac silhouette with a configuration raising concern for underlying pericardial effusion. Enlargement of the cardiac silhouette with a configuration raising concern for underlying pericardial effusion.,84dac834-d9f40739-755532a0-1ddab50a-cae07005
51540424,Bilateral pleural effusions with basilar compressive atelectasis associated with enlargement of the cardiac silhouette and pulmonary vascular congestion. Findings suggestive of congestive failure and moderate bilateral effusions.,3c6607cb-2b24a862-ba454139-42d40dec-a4aed625
51544976,"AP chest:  Severe enlargement of the cardiac silhouette, and distention of both pulmonary hilar, and mediastinal vasculature. AP chest:  Moderate-to-severe enlargement of the cardiac silhouette, but there is no pulmonary edema, although mediastinal veins are dilated, possibly a reflection of supine positioning. ",74a8518e-540825ef-5348424e-50918195-a06fc105
51545557,"AP chest:  Mild-to-moderate right pleural effusion following placement of a pigtail pleural drainage catheter, which is coiled over the right diaphragmatic region. AP chest:  Moderate right pleural effusion, presumably the patient has had an intervening thoracentesis. ",b83a98a1-69ae5692-5fc5b2eb-140a525a-abf289ab
51548785,"There is an apical lateral pneumothorax with reduced aeration in the right lung suggestive of pulmonary edema. Right apical hydropneumothorax, moderate cardiomegaly, and moderate interstitial pulmonary edema. ",8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca
51551684,"There has been a right pigtail catheter placed in the pleural space with layering effusion and compressive basilar atelectasis. Bilateral pigtail pleural catheters are in place, with small right pleural effusion and no significant left pleural effusion. ",8dc7bad7-d7cdbfe7-7231abb5-65e3168d-12e734c2
51566590,Bibasilar airspace opacities concerning for infection or aspiration. Bibasilar airspace opacities concerning for infection or aspiration.,9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66
51568216,"There are low lung volumes with bibasilar atelectasis most prominent on the left. There are bilateral atelectatic changes, more prominent on the left, in a patient with low lung volumes. ",4ffe5eff-a5a604c2-4da5dcda-0801d405-88939c8f
51579601,There is enlargement of the cardiac silhouette with biventricular pacer leads in good position. Pacemaker leads are in demonstrated with 1 terminating is a most likely in the right atrium the second 1 in the left ventricle and as third 1 most likely present within the epicardial vein of the left ventricle.,a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504
51580913,"Mild interstitial pulmonary edema with small bilateral pleural effusions, left greater than right, and bibasilar ill-defined opacities which may reflect atelectasis though infection is not excluded. Mild interstitial pulmonary edema with small bilateral pleural effusions, left greater than right, and bibasilar ill-defined opacities which may reflect atelectasis though infection is not excluded. ",5033a612-cecd8c09-fda1ffcf-89bbc30e-147ecb44
51584806,"Nodular density projecting over the right first costochondral cartilage area, potentially degenerative; however, two-view chest x-ray recommended on a nonurgent basis to exclude underlying lung lesion. Prominence of the ascending aorta may relate to a tortuous aorta, however, this could be further evaluated on nonurgent chest CT to assess for dilation of the ascending aorta. ",b800c916-3b94102e-b30f93af-af52c677-167e5233
51599732,"AP chest: Lung volumes are quite low with marked elevation of the left hemidiaphragm, attributable to distention of both the stomach and the transverse and splenic flexure of the colon. AP chest: Lung volume is within normal range on the right, and there is crowding to the pulmonary vasculature, and atelectasis at the left base above the elevated left hemidiaphragm. ",c2d5f938-8ac36872-dfac1b06-126c490e-6f63e582
51612287,Right IJ catheter terminating at the low SVC. Right IJ catheter terminating in the mid SVC.,32c5499f-c7a8f116-bc3516cf-55127c10-d77b160c
51612379,"There is a left retrocardiac opacity, small bilateral pleural effusions, and water pulmonary interstitial edema. There is a left retrocardiac opacity, small bilateral pleural effusions, and water pulmonary interstitial edema. ",1f39a0e5-eb257452-7629c4fc-d3d059e7-17bf34f5
51613553,Mild widening of the cardiac mediastinal silhouette is probably due to supine positioning. Mild widening of the cardiac mediastinal silhouette is probably due to supine positioning.,41ac266f-165c8df4-32f6976e-54066ffd-f078337c
51615087,"PA and lateral chest: Opacification in the right mid lung zone, accompanied by greater vascular congestion suggests this is probably a component of pulmonary edema. In the setting of chronic vascular engorgement and mild cardiomegaly, greater opacification in the right mid and lower lung zone could be a combination of atelectasis and early edema. ",29f643b7-e5408002-2f731ee3-cb5b8634-0d438145
51621137,AP chest:  Large scale abnormality at the base of the left hemithorax was combination of moderate left pleural effusion and lower lobe atelectasis. AP chest:  Moderate left pleural effusion and basal atelectasis.,0beab5cd-dd1bb454-0df993cf-f3c0ae3d-8f0e0c27
51621424,"There is enlargement of the cardiac silhouette with engorgement of indistinct pulmonary vessels, consistent with developing pulmonary edema. There is enlargement of the cardiac silhouette with engorgement of poorly defined pulmonary vessels consistent with the diagnosis of pulmonary edema. ",d85667b8-c62dec2e-998b6abd-7f553ce3-75954004
51623828,"AP chest:  Mild generalized edema, there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. Leftward mediastinal shift suggests opacification of the left lung is due to severe left lower lobe atelectasis. ",9dcbd7ac-9d6ca173-f7e669fd-bb419597-97f58083
51634830,"Prominent caliber of the aorta at the junction of the arch and descending portions could be due in part to difference in radiographic positioning, but there is  mediastinal venous distention denoted by dilatation of the azygos vein accompanying mild pulmonary edema. Prominent in caliber of the aorta at the junction of the arch and descending portions could be due in part to difference in radiographic positioning, but there is mediastinal venous distention denoted by dilatation of the azygos vein accompanying mild pulmonary edema. ",9ef32bb6-e50747e2-dcc3e2c5-8eb088ab-1299485a
51640383,"PA and lateral chest:  Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained. PA and lateral chest:  Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained. ",46f5be5f-70e3e741-542f6fde-edbbdbfe-a4ed00d6
51644170,"Upper mediastinal widening, particularly in the right tracheal paratracheal station is seen with central line placement. Lung volumes are low with associated accentuation of cardiomediastinal contours and crowding of bronchovascular structures. ",68fca727-3938158e-eb97e5dc-141e63e2-53d66c78
51648837,"AP chest:  Somewhat asymmetric, but evenly distributed bilateral consolidation, severe in the right lung, moderate in the left.  AP chest:  There is reduced aeration in the right lower lung, due to either some withdrawal of right pleural effusion, and most likely severe obstruction to the right middle and lower lobe. ",4460b78c-d6c33b0d-eb6264df-74386a2b-371f79ec
51654271,The cardiomediastinal silhouette and pulmonary hila remain enlarged. The cardiomediastinal silhouette and pulmonary hila remain enlarged. ,0e02f05c-dfa11803-7fd610f9-7011086c-eeeeb1fb
51656138,AP chest:  There is bilateral perihilar consolidation and right pleural effusion which suggests a large component of cardiac edema. AP chest:  There is bilateral perihilar consolidation and right pleural effusion which suggests a large component of cardiac edema. ,64988a4a-7c2cfce5-4e93b5ca-d55602d6-94c83006
51664027,"AP chest:  Severe but asymmetric infiltrative pulmonary abnormality, most pronounced throughout the left lung and in the right lower lobe and sparing the right upper lobe. AP chest:  Severe pulmonary consolidation is asymmetrically distributed, predominantly right upper lobe and left perihilar and lower lung. ",ff6e7a7d-9a6dcd6f-295e7a94-b49fbcc3-502bd3ab
51683155,There is tortuosity of the descending aorta and hyperexpansion of the lungs raising the possibility of chronic pulmonary disease. There is tortuosity of the descending aorta and hyperexpansion of the lungs raising the possibility of chronic pulmonary disease. ,7e26f6a7-ec126822-1bcdc587-a3f5d439-b4715eae
51691897,There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads. There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads.,d901a9f6-27dda78a-1ff8e05e-69f9de4f-38ccb2a1
51696222,"Rounded configuration of the heart may represent normal variation, though raises the question of possible pericardial fluid. Top normal cardiac silhouette size. ",5d9cf85d-134469a1-4ea8049e-fd8251d2-d8281018
51707133,The chest CT showed severe exacerbation of pulmonary fibrosis as well as extensive edema largely confined areas of fibrosis suggesting that the edema is more likely due to exacerbation of the underlying lung disease rather than superimposed cardiac edema. Severe pulmonary reticulation due in large part to pulmonary fibrosis.,bb795051-0e639ffa-dbded494-287ec2f7-1a213bd1
51711520,Deformities of bilateral humeral heads are likely related to severe osteoarthritis or prior trauma. COPD and cardiomegaly with a tortuous aorta and possible pulmonary hypertension. ,3457e40c-876244f2-a9b678c4-5af63665-49377d02
51712579,There is enlargement of the cardiac silhouette in a patient with a prosthetic valve an intact midline sternal wires. There is enlargement of the cardiac silhouette in a patient with midline sternal wires. ,cbcc7f2d-85037ab8-b4a6295b-36cbbacc-09003a12
51715383,"AP chest:  Post-operative widening of the mediastinum is in the region of the arch, but there may be a large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. Widening of the superior mediastinum with substantial enlargement of the cardiac silhouette, pulmonary vascular congestion, and opacification at the left base which most likely reflects pleural fluid and substantial volume loss in the left lower lobe. ",3e8684a6-648033ea-79431638-c694d922-dadb2370
51715673,"Left lower lobe opacification has developed in the retrocardiac region, and may be due to acute aspiration and or atelectasis. Patchy retrocardiac opacity consistent with left lower lobe collapse and/or consolidation. ",2e2e7a5d-da7ea8dc-7b5aae28-24978ba4-346238f9
51719198,"Mild anterior wedging of at least 2 lower thoracic vertebral bodies is of indeterminate age, but could be degenerative. Mild anterior wedging of at least 2 lower thoracic vertebral bodies is of indeterminate age, but could be degenerative. ",7574674d-a958763c-1c48667a-18e60f35-dfd1f3d3
51719671,"AP chest:  Mild-to-moderate right pleural effusion following placement of a pigtail pleural drainage catheter, which is coiled over the right diaphragmatic region. AP chest:  Small-to-moderate right pleural effusion has slightly reduced, with a right basal pleural drain alongside the mediastinum. ",7d45bb0a-531ab42d-d3820493-112d47e5-6eafa5a1
51723789,"Lung volumes are substantially low exaggerating moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. Lung volumes are low and there is diffuse bilateral parenchymal process favoring moderate pulmonary and interstitial edema rather than pneumonia. ",bcb5e90b-c7d3f928-7bd202ee-4e772a8f-e2240e90
51725523,"Limited, with mild interstitial opacity which could represent mild edema. Limited, with mild interstitial opacity which could represent mild edema. ",4ada6367-cb70c4dd-8f2b5739-ef9da5fa-f1c91813
51725613,There is mild vascular congestion in this patient with dual-channel pacer device with leads extending to the right atrium and apex of the right ventricle. Cardiac silhouette is within normal limits and there it are clips from previous CABG procedure with intact midline sternal wires dual channel pacer device has leads in the right atrium and apex the right ventricle.,5e6a1e77-fe7d7c1c-14f0897f-85cfc35e-7b7fd799
51738740,"Opacity seen in the posterior costophrenic angle on the lateral view, potentially secondary to atelectasis given very low lung volumes on this view. Opacity seen in the posterior costophrenic angle on the lateral view, potentially secondary to atelectasis given very low lung volumes on this view. ",3a8a17fc-3cd357d9-83466363-91dc5a06-a401e5ed
51749906,"AP chest: Severe bilateral perihilar pulmonary consolidation has shifted from the mid and lower lung zones to the mid and upper lung zones, suggesting this is edema. AP chest:  Generalized pulmonary abnormality due in large part to dependent consolidation in both lungs, and probably a component of mild pulmonary edema, despite extubation. ",3609ba5b-c6aace8b-4557ed37-bf396c15-50b6ba75
51751626,"There is significant interstitial component of edema in the upper lungs and the confluent consolidation at both lung bases, as well as  pleural effusion, at least moderate in size. There is pulmonary edema as well as opacification at the bases consistent with pleural effusions and compressive volume loss in the lower lobes. ",951b8a76-9ad92cfa-c2b49c2d-9e519d6c-2b8b9dd7
51759935,"AP chest:  Small bilateral pleural effusions are significantly large, and there is severe enlargement of the cardiomediastinal silhouette and there is no pulmonary edema. AP chest:  There is moderately severe cardiomegaly, and small-to-moderate bilateral pleural effusion, right greater than left, and pulmonary vascular engorgement. ",59d23a34-823a7104-45271e4a-39555147-92da6698
51766355,"PA and lateral chest:  Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall is most likely pneumonia, and the interval enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy. PA and lateral chest:  Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall is most likely pneumonia, and the interval enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy. ",8d2b343d-5f569dbe-d6ced9ab-01862237-a2d8520c
51770967,Demonstration of a left suprahilar mass compatible with known malignancy with lymphangitic spread in the left lung and diffuse left-sided pleural thickening with a small to moderate left pleural effusion. Demonstration of a left suprahilar mass compatible with known malignancy with lymphangitic spread in the left lung and diffuse left-sided pleural thickening with a small to moderate left pleural effusion.,dd9cfc23-b05701f2-26215d83-46297578-48e163ea
51773416,Pectus excavatum deformity of the sternum likely simulates a right middle lobe pneumonia though clinical correlation is advised. Pectus excavatum deformity of the sternum likely simulates a right middle lobe pneumonia though clinical correlation is advised.,0d3c825a-9753f20e-bc1e0aa5-f14f69e5-eaa3adee
51777321,"Right apical hydropneumothorax, moderate cardiomegaly, and moderate interstitial pulmonary edema. Right apical hydropneumothorax, moderate cardiomegaly, and moderate interstitial pulmonary edema. ",8b71881c-c896b1ec-9e6c08d8-6f61075a-c98e7454
51777681,"Large right upper lobe mass, consistent with patient's history of non-small-cell lung carcinoma. Large right upper lobe mass, consistent with patient's history of non-small-cell lung carcinoma. ",7cdd0c6e-d0263417-262f1fce-bd3d2712-99409e00
51780323,AP chest:  The patient first developed left lower lobe consolidation and apparent mild pulmonary edema. AP chest:  Some of the left lower lobe is partially obscured by the cardiac silhouette. ,93f1cff6-36f3e02f-d36cdf6d-ee6f284b-c618d6fd
51780481,Right lateral pleural thickening and right basilar pleural thickening could be post-operative or represent some pleural fluid. Right lateral pleural thickening and right basilar pleural thickening could be post-operative or represent some pleural fluid.,6ec5e4b8-6821d041-b2fd540f-a1d42270-467d72bd
51782829,Enlargement of the cardiac silhouette with pulmonary edema that may be superimposed upon chronic interstitial lung disease. Findings may reflect pulmonary edema noting that superimposed infection is entirely possible.,6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63
51788121,Cardiomegaly in findings suggestive of chronic interstitial lung disease. Cardiomegaly in findings suggestive of chronic interstitial lung disease.,598a87a7-0c33ee5b-7a11cdc4-ad0d69cf-a5ca8524
51788928,Moderate to severe cardiomegaly within pacer leads. Substantial enlargement of the cardiac silhouette with left ventricular assisting device in position.,4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8
51791247,"Emphysema with opacity at the right lung apex which may represent scarring though given underlying emphysema, a nonemergent CT is recommended to further assess for the presence of lung nodule. Emphysema with bibasilar linear and patchy airspace opacities, likely atelectasis or scarring, although infection cannot be excluded in the correct clinical setting. ",9adf1edf-b9cd0878-60c0cc62-6a5125d2-d77223ee
51807337,"AP chest:  Moderate-to-severe right pleural effusion despite the right basal pleural pigtail drain. Cardiac silhouette is enlarged with bilateral pleural effusions and compressive basilar atelectasis, more prominent on the right. ",53f16e4e-347b6971-9312cbfa-d05f1ca8-6046ec2f
51807934,Moderate left and small right pleural effusions with pacemaker insertion. Dual lead pacemaker and median sternotomy wires are in position. Small bilateral pleural effusions and left basal atelectasis.,d7f19d0e-f85e6043-96b8d9b9-fd64fd5b-7594b0ea
51808820,"Left chest tube is in place and a tracheostomy tube has its tip at the thoracic inlet. The right-sided chest tube, tracheostomy, and left-sided central line appear is in position. ",35d6d97a-9cbb9f6a-78b7bf1d-f7a49df3-fa17a2b5
51811172,There is enlargement of the cardiac silhouette in a patient with a prosthetic valve an intact midline sternal wires. There are enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG. ,178a003a-0d5784da-664f8272-6c14ae7b-135dfadb
51818744,Cardiomegaly is accompanied by interstitial edema which is predominantly left-sided. There is pulmonary vascular congestion and bilateral perihilar opacities and on the left there is reduced aeration in the retrocardiac region. ,60b550de-e91988cd-eb265e25-8c98e078-fc12db16
51820068,"There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could represent elevated pulmonary venous pressure, chronic pulmonary disease, or both. There is substantial enlargement of the cardiac silhouette with tortuosity of the aorta, but no definite vascular congestion. ",10a3cd75-c86d7f2a-f350e7bc-b872fc06-79271f33
51830719,"AP chest:  Mild cardiomegaly and mediastinal vascular engorgement are slightly great, but there is no pulmonary edema, small right pleural effusion is likely. AP chest: Heart size is still normal and mediastinal vascular engorgement suggest volume overload but there is no pulmonary edema and pleural effusion is small if any. ",cfdc6369-be819fb3-b05a78fa-9695a910-82883c69
51835810,There is opacity in the right upper lobe likely in part due to central obstructing perihilar mass better characterized by prior cross-sectional imaging. There is demonstrated opacity along the right major fissure at which time atypical mycobacterial infection was suggested. ,03da26e7-8b50eef0-1b7ebc08-6a620d75-b320cbc4
51835823,"Lower lobe predominant airspace opacities, consistent with known severe bronchiectasis.  Lower lobe predominant airspace opacities, consistent with known severe bronchiectasis. ",6b316ff1-09afc29c-706a4def-20612025-cb976104
51837636,There is evidence of extensive chronic disease at the right base that showed prominent FDG avidity consistent with malignancy on PET scanning. There are parenchymal opacities at the right the left lung bases with areas of relatively extensive basal bronchiectasis which still clearly seen on both the frontal and the lateral radiograph. ,2eb05c0b-30b37945-71fb6374-45cab675-82128ecc
51837713,"AP chest:  Large right pleural effusion, moderate left pleural effusion, severe pulmonary edema and mediastinal vascular engorgement. There is demonstration of massive right-sided pleural effusion with moderate to severe edema of the left aerated lung. ",7fcfad8c-62cf43c4-53d85ee1-2c8bb890-c7773830
51842805,There is enlargement of the cardiac silhouette in this patient with intact midline sternal wires following previous CABG procedure. There is enlargement of the cardiac silhouette in a patient who has undergone a CABG procedure with intact midline sternal wires. ,70e841c4-5db69600-a5ae730e-bd97e1d0-49246a22
51844819,"Bibasilar parenchymal opacities with cardiomegaly suggests underlying pulmonary edema, but cannot exclude right lung base pneumonia. Pulmonary edema with bibasilar air space opacities that could represent superimposed pneumonia. ",5dfffffd-68cbd012-f3428c65-ebd2ffd8-57793a0c
51850726,"Left lower lobe collapse, possible small pleural effusions, and monitor/support devices. Left basilar opacification likely reflects volume loss and right lower lobe collapse, but consolidation cannot be excluded. ",bb2896e3-7eeb9cba-9b026443-c0ee46b8-694ab8ed
51857131,"AP and lateral chest:  Marked elevation of the right hemidiaphragm, responsible for linear atelectasis in the right middle lobe. AP and lateral chest:  Marked elevation of the right hemidiaphragm, responsible for linear atelectasis in the right middle lobe. ",23f44245-c3dac2e5-2fe37a44-0f33bdee-fb440ccf
51858688,"AP chest:  Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly. AP chest:  Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly. ",24a1e121-f2e8a2ee-fd9ceefb-fcd921af-d278d679
51863042,"Right mid to lower lung opacity worrisome for worsened pneumonia and/ or aspiration. Extensive asymmetrical opacification of the right mid to lower lung and heterogeneous opacities in the left lower lung, raise concern for infectious or aspiration pneumonia. ",1c038d27-c6193e6a-d4588595-a78608bd-565e11fa
51865597,"AP chest:  Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest:  Normal heart, lungs, hila, mediastinum and pleural surfaces. ",ea89b622-63cd1a03-7338ee75-9ccef395-57d58bdc
51877138,"There is substantial enlargement of the cardiac silhouette with left ventricular assisting device in position. AP chest: Large cardiac silhouette, following insertion of a pericardial drainage catheter. ",bbfadd26-26a1370d-69d5f8f9-5b210fd9-a89a0589
51882937,"Right middle lobe pneumonia, small right pleural effusion, emphysema. Right middle lobe pneumonia, small right pleural effusion, emphysema. ",727f555b-ca31baa2-5a5d16fd-ca9b8960-5a9ce4e0
51887095,"AP chest: Somewhat asymmetric, but evenly distributed bilateral consolidation, severe in the right lung, moderate in the left. AP chest: Patient had right thoracotomy and two apical and a basal pleural drains were placed and there was a significant volume of homogenous opacity in the right upper chest, presumably hematoma. ",7482f461-69260c1c-6d80e1ef-de9d3167-e122de4e
51889790,"Cardiomegaly, bilateral small pleural effusions and diffuse interstitial lung marking prominence as well as prominence of upper lobe vessels compatible with pulmonary edema. Small bilateral pleural effusions, moderate cardiomegaly and moderate interstitial pulmonary edema. ",404c92ca-507a2663-933cb795-d5538049-f6ed552e
51895071,Mild cardiomegaly and and COPD. There is right apical patchy opacity with calcifications. ,4c8cfdf2-2ceef04b-440ed4a3-a43a738c-f031c582
51900597,"Mild distention of the pulmonary and mediastinal vasculature with left atrial enlargement, suggest intravascular volume or mild cardiac decompensation. Mild distention of the pulmonary and mediastinal vasculature with left atrial enlargement, suggest intravascular volume or mild cardiac decompensation. ",b94eec73-cb649388-7099d440-7f1bbf0c-f1a3b98d
51904170,"Although heart size is normal, hilar enlargement and mediastinal and pulmonary vascular engorgement all point to cardiac decompensation:  ET tube is in standard placement and a nasogastric tube passes into the stomach and out of view. AP chest:  Supine positioning may be largely responsible for marked upper mediastinal caliber and large cardiac diameter. ",cf6229c4-0dbb5dd3-64610954-17ed414a-c7d2837d
51907814,"Right lower and middle lobe opacities, potentially due to infection or infarct given recent pulmonary emboli in this distribution. Right lower and middle lobe opacities, potentially due to infection or infarct given recent pulmonary emboli in this distribution. ",2b9d6438-d4549d50-64eabcc2-0159f860-4702ea69
51909919,"Allowing for the portable technique, the cardiac silhouette may be mildly enlarged. There is mild cardiomegaly and mediastinal veins are dilated, but there is no pulmonary vascular congestion, edema, or pleural effusion. ",cc9633ee-0f1c87c6-d3eab33a-ac1eccd5-1bd7608f
51924292,"Left upper lobe opacity, known underlying pulmonary lesion with overlying fiducial sees placed status post biopsy. Left upper lobe opacity, known underlying pulmonary lesion with overlying fiducial sees placed status post biopsy. ",849c8a62-044aeedd-d82807e1-77d0a8f3-b9d0e893
51927179,There is enlargement of the cardiac silhouette with opacification at the left base. Cardiomegaly with left basilar atelectasis versus scarring.,3413b4c9-e7447f62-2f6619a0-bbe0438e-8bb7d995
51943302,The cardiac silhouette is enlarged and there is increasing pulmonary vascular congestion with bilateral pleural effusions and compressive basilar atelectasis. The cardiac silhouette is enlarged and there is pulmonary vascular congestion with bilateral pleural effusions and compressive basilar atelectasis. ,1ea0d122-9ef34e51-ee2bbb71-1cb23417-70894090
51943964,"Lung volumes are low with bibasilar predominantly linear opacities favoring scarring or subsegmental atelectasis. Lung volumes are low, exaggerating heart size, which is probably mildly enlarged. ",2f1eba54-06686151-156f45ff-76e953f6-03665181
51946836,"Right jugular line ends at the origin of the SVC, right atrial and two right ventricular pacer defibrillator leads in place. Right jugular line ends in the region of the superior cavoatrial junction and transvenous right atrial right ventricular pacer leads are in standard placements, continuous from the left pectoral generator. ",3084f617-e040a88c-2e4bb84f-d190e19b-fc86d543
51947909,PA and lateral chest:  Moderate-to-severe right pleural effusion and mild-to-moderate left pleural effusion. PA and lateral chest:  Moderate-to-severe right pleural effusion and mild-to-moderate left pleural effusion. ,bc8db468-b178d3ba-03bdb07d-16e95e5f-775875b8
51951386,Unremarkable lung parenchyma. Mild generalized bronchial wall thickening may reflect underlying asthma or bronchial inflammation.,0bb60711-8098a084-5f12d2bb-e8739a70-870e72a1
51958195,A mal-positioned Dobbhoff tube coiled in the mid esophagus courses superiorly ending in the oropharynx. The Dobbhoff tube tip is in the third part of duodenum.,e098de1a-7399b454-7d99f39c-193c0665-82223533
51966612,Emphysema is reflected in hyperinflation. Emphysema is reflected in hyperinflation.,8797515b-595dfac0-77013a06-226b52bd-65681bf2
51972257,"AP chest:  Nearly global opacification of both lungs characterized as combination of interstitial infiltration, some chronic and fibrotic, and subsequent diffuse ground-glass alveolar opacification. AP chest:  Slightly low lung volumes account for radiographic progression of diffuse infiltrative pulmonary abnormality, largely pulmonary fibrosis. ",03e4f490-80c314d6-8e4e9cee-cfdf8702-faac4644
51972716,"Large fluid collection in the left pneumonectomy space is prominent, since the mediastinum has migrated slightly to the left and air in the left pneumonectomy space has extruded into the left chest wall and neck. There is complete opacification of the left hemithorax following pneumonectomy. ",02cab5e2-32c693a1-f28fc960-a42cc4a2-4d8d7c44
51983905,Mild-to-moderate pleural effusion extensive opacity in the right lung likely represents patient's known malignancy though superimposed pneumonia is difficult to exclude. Mild-to-moderate pleural effusion extensive opacity in the right lung likely represents patient's known malignancy though superimposed pneumonia is difficult to exclude. ,ab1e1361-80eb18db-60ce9d49-0c7e8e71-477b3559
51985577,"Bilateral lower lung zone opacities and small left layering pleural effusion. Bibasilar opacities are present, left greater than right, with probable adjacent small pleural effusions. ",92104a74-78d6ae95-2b62a235-6f522a7c-13202ce0
51986565,"PA and lateral chest:  Thoracic scoliosis is mild, but vertebral bodies and disc space heights are within normal range. PA and lateral chest:  Thoracic scoliosis is mild, but vertebral bodies and disc space heights are within normal range. ",232aed3a-74900285-3fa279f4-43c5af2a-e8406c03
51987558,"AP chest:  The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. AP chest:  Severe widespread subcutaneous emphysema throughout the chest wall and neck, and severe pneumomediastinum.",c03a2997-80360638-ff758347-c676024c-e71aca82
51988570,No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly. No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly.,a2f93b13-6b7f3079-3610454c-347f5e93-ad8f103b
52008677,Hyperexpansion of the lungs is seen with biapical scarring worse on the right. Hyperexpansion of the lungs is again seen with biapical scarring worse on the right.,59a291bb-a5b73755-8efc4039-1a4e13f2-887e46d2
52011718,"AP chest:  Moderate-to-severe enlargement of the cardiac silhouette, but there is no pulmonary edema, although mediastinal veins are dilated, possibly a reflection of supine positioning. The cardiac silhouette is enlarged, likely caused by the known patent ductus. ",9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9
52019812,This patient is status post median sternotomy with an aortic graft and CABG and valve replacement. There is mild prominence of the cardiac silhouette and tortuosity of the aorta and and a person with intact midline sternal wires. ,c1ca2269-888c6d31-99903c19-c02256b7-390f38a1
52026509,"Borderline cardiomegaly and tortuous and enlarged thoracic aorta, which, harbors a large dissection starting at the arch and involving the descending thoracic aorta into the abdomen. Borderline cardiomegaly and tortuous and enlarged thoracic aorta, which, harbors a large dissection starting at the arch and involving the descending thoracic aorta into the abdomen. ",c84b7521-c75b5b52-ce5dc9c4-ec6fb779-a69ee6b1
52033279,PA and lateral chest: Substantial bibasilar consolidation and some atelectasis has developed in both lower lobes and particularly the right middle lobe. PA and lateral chest: Substantial bibasilar consolidation and some atelectasis has developed in both lower lobes and particularly the right middle lobe. ,dc1a93ef-539208d4-97e94a0c-0081a869-6bf2996a
52034094,"There is enlargement of the cardiac silhouette in a patient with intact midline sternal wires following valve repair. There is mild indistinctness of pulmonary vessels, consistent with mild elevation of pulmonary venous pressure. Mild cardiomegaly with indistinct vascular markings and new small right pleural effusion, consistent with mild pulmonary vascular congestion. ",92c14d77-ecf00fa7-99e8dbe5-0a1591ae-be39eec7
52042427,AP chest and an image of the right humerus:  Short vascular catheter projects over the mid right humerus. AP chest and an image of the right humerus:  Short vascular catheter projects over the mid right humerus. ,d8358039-56377194-16d2e4ae-7f54b999-53da73f7
52056685,"AP chest:  Heart is moderately enlarged and pulmonary vasculature mildly engorged, but there is no pulmonary edema, no pleural effusion or pneumothorax. AP chest:  Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. ",833353ab-ca676eba-dc9127a5-675bc9a1-79e5737d
52057634,"Left-sided PICC tip terminating within the mid SVC, but with the tip oriented superiorly. Enteric catheter terminating in the medial right upper quadrant, likely within the distal stomach or proximal duodenum. ",0d200bb3-f8564775-b6f65f57-a21dd9b7-d25d90ff
52062711,PA and lateral chest:  Moderate-to-severe bilateral pleural effusions and severe bibasilar atelectasis are significant. PA and lateral chest:  Moderate-to-severe bilateral pleural effusions and severe bibasilar atelectasis are significant. ,5938dc8c-6914ab03-cb2b6ff3-957fb03f-04f24b21
52062769,"Moderate postoperative widening of the cardiomediastinal silhouette, with significant pulmonary vascular engorgement, mediastinal venous distension, and moderate-to-severe left pleural effusion, most readily explained by cardiac decompensation. The right internal jugular Swan-Ganz catheter is in position in this patient status post median sternotomy for CABG and aortic valve replacement. ",78de0f59-b436260e-9d46d449-56c7de3b-ff3655cd
52062934,"There are low lung volumes, despite intubation and with moderate-to-severe pulmonary edema. Multifocal, heterogeneous lung consolidations with low lung volumes likely represent an organizing fibrosing stage or ARDS. ",f014bbdd-d959187e-caba9ce3-18da1106-ed34d3bc
52070116,"There is cardiomegaly and postoperative mediastinal widening. Postoperative widening of the cardiomediastinal silhouette is relatively, commonly seen after the termination of positive pressure ventilator support. ",93545eeb-752a09e2-3a5afc63-bbdfdacf-0161e920
52076561,Atrial the imaged particular pacer defibrillator leads are in standard positions. Atrial the imaged particular pacer defibrillator leads are in standard positions.,bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac
52077543,Globular enlargement of the heart which raises concern for pericardial effusion. Globular enlargement of the heart which raises concern for pericardial effusion.,b6ce62d8-12124de8-769cb0d0-07e96bef-ca38036d
52078894,"Streaky right basilar opacities, probably associated with elevation of the right hemidiaphragm, although airway inflammation or infection is difficult to entirely exclude. Streaky right basilar opacities, probably associated with elevation of the right hemidiaphragm, although airway inflammation or infection is difficult to entirely exclude. ",cfc2ef1b-a194024a-6147d0d3-6d42379a-575c395f
52085657,"There is severe enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure and retrocardiac opacification. AP chest:  There is severe cardiomegaly, pulmonary vascular engorgement and mild interstitial edema. ",f983cdd1-c3d0de12-3db3f665-cdadb3af-3ffd4c47
52095390,AP chest: There is significant consolidation in the right upper lobe and scarring is responsible for more rightward shift of the ipsilateral hilus and upper mediastinum. AP chest: There is significant consolidation in the right upper lobe and scarring is responsible for more rightward shift of the ipsilateral hilus and upper mediastinum. ,099c25fb-f6a4a9b0-7ee9e6b8-3bf0eba9-4a09366d
52110166,Bilateral interstitial opacities with cardiomegaly and probable small pleural effusions compatible with either asymmetric moderate pulmonary edema versus infection. Diffuse bilateral interstitial opacities suggesting pulmonary edema with small effusions.,3c683456-9107fcf5-4722c784-358a526d-54f47984
52110487,"AP chest:  The patient is in severe pulmonary edema and cardiomegaly, some of which was due to pericardial effusion. Cardiac silhouette is enlarged and there is evidence of pulmonary edema with bibasilar atelectatic changes and probable pleural effusions. ",16d25586-c7ca5d57-d25ac386-16c24f70-adba1791
52114176,"Prominent lucency left upper quadrant, likely mildly distended stomach, decubitus radiograph may be helpful if clinically indicated. Clip in the right upper quadrant likely reflects prior cholecystectomy. ",076a4be2-5c874ed2-8924ba25-a91078bf-433b46a2
52117264,"Moderate anterior wedge compression of a vertebral body, approx level of L1. Moderate anterior wedge compression of a vertebral body, approx level of L1.",78abcbc7-6b5aa7c5-013f4e3b-2fd7d3b6-6a5986ee
52124829,"Hyperinflation, postsurgical changes and small right effusion. Hyperinflation, postsurgical changes and small right effusion. ",8a6b0550-8fa3b54b-4703a676-db84baf7-e4fe2d48
52124955,Dual lead pacemaker and median sternotomy wires are in position  Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position  Small bilateral pleural effusions and left basal atelectasis.,f2623666-d215e0db-d9e21905-b5e17801-8f754dd9
52145612,"Diffuse bilateral parenchymal opacities, may be combination of metastasis/lymphangitic spread of tumor with possible superimposed consolidation/infection and possible effusion, particularly on the right. Marked fibrotic changes throughout both lungs with bilateral opacity, particularly in the right lung which could reflect infection. ",2f04b963-317903c2-c937a1b3-84194e4c-5ce01852
52149367,"AP chest:  Lung volumes have substantially low, moderate consolidation and moderate pleural effusion at the right base, small pleural effusion at the left base, moderate-to-severe cardiomegaly, and mediastinal vascular engorgement. Hypoinflated lungs with mild to moderate pulmonary edema, moderate right and small left pleural effusions, and cardiomegaly. ",89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6
52152296,"AP chest:  Large right pneumothorax, predominantly basal, despite stable position of the pigtail catheter projecting over the right lung base medially. AP chest:  Moderate-to-severe right pleural effusion despite the right basal pleural pigtail drain. ",67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1
52162827,There are extremely low lung volumes with striking elevation of the left hemidiaphragmatic contour related to a large hiatal hernia. Cardiac silhouette is obscured by large hiatus hernia and marked elevation of the left hemidiaphragm responsible for left lower lobe collapse. ,459cfba0-0e5fabcb-a6cd2ff8-887d8f8c-59a166aa
52164077,Platelike atelectasis in the right lower lung. Possible AP single view of the chest shows low lung volume with right lower lobe opacity compatible with atelectasis.,a17a8e28-46038399-4f9764d7-2338ca4c-6234bf11
52169517,Left-sided AICD device is in position without acute cardiopulmonary process.,dd7f3873-773c451c-3500ff51-f62851f4-3a6116a9
52170957,"Lung volumes are extremely low, exaggerating what is probably mild pulmonary edema on the right and left lower lobe atelectasis. Cardiac silhouette is exaggerated by low lung volumes and partially obscured by the elevated hemidiaphragm accompanied by large mediastinal diameter suggesting venous distention due to elevated central venous pressure or volume. ",4d837b55-e381fd19-f31d9007-733a21e2-276bf002
52173177,There is evidence of low lung volumes and moderate bilateral pleural effusions as well as cardiomegaly. There is evidence of low lung volumes and moderate bilateral pleural effusions as well as cardiomegaly. ,465880ed-ec1f9352-286bce36-cb6b9286-50c2af29
52185534,"Severe cardiomegaly and mediastinal veins are dilated, perhaps a reflection of supine positioning. Severe cardiomegaly, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. ",b0777bfe-820d4a8b-e6e4ec7a-7aacd190-f85113cf
52186853,"Moderate enlargement of the cardiac silhouette, borderline interstitial edema has developed, moderate left pleural effusion, and heterogeneous opacification at the right base could be dependent atelectasis and edema. Moderate enlargement of the cardiac silhouette, borderline interstitial edema has developed, moderate left pleural effusion, and heterogeneous opacification at the right base could be dependent atelectasis and edema. ",b68a7d7b-d7e76417-af2376cd-215c9620-c3934be4
52189004,"Cardiomegaly, bilateral small pleural effusions and diffuse interstitial lung marking prominence as well as prominence of upper lobe vessels compatible with pulmonary edema. There is decompensated congestive heart failure with mild pulmonary edema, moderate right and small left pleural effusions. ",1b6cfbee-901f801d-651c11f8-2c84bb31-91883814
52190468,"There is substantial engorgement and indistinctness of pulmonary vessels, consistent with the clinical impression of pulmonary edema. There is some indistinctness and engorgement of pulmonary vessels, consistent with the clinical impression of elevated pulmonary venous pressure. ",70cdba5b-2e0ec97d-779d4d58-23a484e4-02ec1b1c
52193168,AP chest:  Large area of heterogeneous opacification in the left mid and lower lung zone is most likely pneumonia. AP chest:  Great opacification in the left upper lung could be pneumonia.,a4f93da0-4d009b5c-20e08390-7fac8bcc-5ec0a4a7
52195893,"Moderate pulmonary edema, large right pleural effusion, bibasilar atelectasis, severity indeterminate. Low lung volumes with worsening pulmonary edema and large right pleural effusion with cardiomegaly. ",445fdcdb-f4896587-4f3f5bf8-e3a051ad-290f10ae
52206840,Congestive heart failure with interstitial edema superimposed on likely chronic interstitial lung airways disease. Congestive heart failure with interstitial edema superimposed on likely chronic interstitial lung airways disease.,9b21566f-2fa02275-f08686bc-4b67b21b-5dc922fb
52210901,Status post right ventricular pacer lead revision as described above; COPD and small pleural effusions. Status post right ventricular pacer lead revision as described above; COPD and small pleural effusions.,8328656b-7a7c59ec-fba66d3e-d4e3b7d3-2d5332bc
52215519,"There is minimal blunting the left costophrenic angle, which may represent a tiny effusion or chronic pleural thickening. Small left pleural effusion with adjacent nonspecific left lower lobe opacities, possibly due to infarcts in the setting of documented pulmonary embolism on separately dictated CTA. ",9367b100-a7a0afff-943d155e-be050317-86dce692
52224512,AP chest:  Lung volumes are appreciably low and there is considerably consolidation in both lower lobes as well as mediastinal and pulmonary vascular congestion and perihilar opacification suggesting concurrent pulmonary edema. Lung volumes are low and there is diffuse bilateral parenchymal process which favoring moderate pulmonary and interstitial edema rather than pneumonia. ,8a2e287f-a1d2adab-ab39ac3c-c8e1077c-c3811102
52240207,There is enlargement of the cardiac silhouette with tortuosity of the aorta and moderate pulmonary edema. There is enlargement of the cardiac silhouette with tortuosity of the aorta and moderate pulmonary edema. ,c5f6b48e-5ca7ae46-4fab692c-24718944-688b465f
52241282,AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD. AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD.,917859c3-e459ee3b-965451a4-1d4a3e3b-cdbac544
52246418,Dual lead pacemaker and median sternotomy wires are in position. Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position. Small bilateral pleural effusions and left basal atelectasis.,c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa
52259319,"Mediastinal venous engorgement and moderate-to-severe cardiomegaly and and mild pulmonary edema in the left lung. Lung volumes are substantially low with moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. ",f3ef0ecb-ccfce0d5-19aa565a-74bee17a-411e1628
52266880,"Mild left pleural abnormality, and elevation of the left hemidiaphragm reflects either generalized atelectasis or restrictive pleural physiology. There is left pleural effusion and lingular and left lower lobe atelectasis. ",117eb2b7-898e9ead-83d83cb1-c1bd5852-60ba72f4
52268728,"There is enlargement of the cardiac silhouette with biventricular pacer leads in good position. Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. ",67412cf5-519f1711-72f5a403-2e6ec7fa-84dfa6b6
52279876,"There is hyperexpansion of the lungs with coarseness of interstitial markings that could reflect chronic pulmonary disease, elevated pulmonary venous pressure, or both. There is hyperexpansion of the lungs with coarseness of interstitial markings that could reflect chronic pulmonary disease, elevated pulmonary venous pressure, or both. ",c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7
52284383,"There is engorgement and indistinctness of the interstitial markings, consistent with worsening pulmonary venous pressure in this patient with previous cardiac surgery and intact midline sternal wires. ",4d33ac8f-8d9c4251-e9defb1a-a8f77096-4e2a228e
52296113,"POSTOPERATIVE CHANGES IN THE LEFT JUXTA HILAR REGION ARE PRESENT, AND WITH SMALL BILATERAL PLEURAL EFFUSIONS. POSTOPERATIVE CHANGES IN THE LEFT JUXTA HILAR REGION ARE PRESENT, AND WITH SMALL BILATERAL PLEURAL EFFUSIONS. ",e0112e51-895b5e80-732b15a1-fd8008b4-e8bf044d
52296776,"There is enlargement of the cardiac silhouette with pulmonary vascular congestion and right pleural effusion with compressive basilar atelectasis.There is asymmetric opacification most prominent in the right mid and lower zones, consistent with superimposed pneumonia on a background of vascular congestion in a patient with enlargement of the cardiac silhouette. ",8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a
52299675,Left IJ central venous catheter in appropriate position. Left IJ is in appropriate standard position.,1f3770d8-292e129a-67319735-0573718a-8fcb1e31
52300884,"AP chest:  Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly. AP chest:  Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly. ",fe59a37b-153a2ffa-4552395e-09148941-f3badae1
52302794,"AP chest:  Patient has been intubated, ET tube ends in standard position in the midline just below the upper margin of the clavicles. AP chest: Endotracheal tube ends at the level of the aortic apex, between 4.5 cm from the carina, in standard placement. ",e12f3c50-f3483123-b58a8f99-6e949bb7-98729b1a
52305481,Dual lead pacemaker and median sternotomy wires are in position  Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position  Small bilateral pleural effusions and left basal atelectasis.,39c0aa47-d1bbe85e-ce60e6c7-48015716-b4e39643
52307593,"Diffuse interstitial and alveolar opacities in the setting of severe cardiomegaly and moderate-to-severe pulmonary edema. Diffuse pulmonary abnormality, probably pulmonary edema since it is accompanied by moderate chronic cardiomegaly and enlargement of the hilar vessels. ",f44cd0b1-41c1556c-8cb1b4db-632a0833-ed413255
52307671,"Bilateral pleural effusions, and moderate to severe interstitial pulmonary edema reflecting fluid overload. Cardiac silhouette is at the upper limits of normal or enlarged and there is pulmonary edema and bilateral pleural effusions with compressive basilar atelectasis. ",13b4969f-569b4e51-d63f9659-778309be-d1ef9815
52314112,"Multifocal bronchiectasis and lung nodules, likely due to history of atypical mycobacterial infection. Multifocal bronchiectasis and lung nodules, likely due to history of atypical mycobacterial infection. ",7bd2406e-7c8114ad-31d1b818-28c7e563-6a1a6176
52321096,Enlarged heart and engorged vessels may reflect high output cardiac dysfunction in this patient with Sickle Cell Disease. Enlarged heart and engorged vessels may reflect high output cardiac dysfunction in this patient with Sickle Cell Disease.,e8a8bd48-feafd477-16f9cfa0-575478d2-bc2c5cbb
52321575,"Severe bilateral apical scarring, cystic cicatrization, right apical pleural thickening. Severe bilateral apical scarring, cystic cicatrization, right apical pleural thickening. ",655fe8bc-af25268c-f206b4d3-5d5ed0cb-8d545266
52325695,"AP chest: Low lung volumes, accounting in part, but probably not entirely for moderate-to-severe cardiomegaly, accompanied by small left pleural effusion. AP chest:  Upper enteric drainage tube ends in the distal duodenum. ",9bb9ac9f-5c0710a7-9ff3aaa6-12658f5a-ddbe2f3b
52329768,"Mild interstitial markings bilaterally could relate to mild interstitial edema, although atypical infection is not excluded. Mild interstitial markings bilaterally could relate to mild interstitial edema, although atypical infection is not excluded. ",ab5d8429-a48d1b05-af73d020-ef1f6e53-30f8ae8d
52332522,"Opacification of the right hemithorax, when correlated with the CT findings, is mostly due to infiltration of airspaces with tumor as opposed to significant component of pleural fluid. Opacification involving the right hemithorax and left upper lung opacification could represent infection or spread of metastatic disease, edema is less likely given asymmetry. ",2c6c22f3-33a5cbf1-a81aa482-24c67693-17d97e01
52336902,"ETT in appropriate position, bilateral basal haze representing pleural effusions. There has reduced aeration at both lung bases and bilateral pleural effusions.",916efce3-8ded2d22-21ca5070-3c1635b7-84c51396
52349735,Standard position of the left single lead pacemaker. The leads of the left pectoral pacemaker are in standard position.,7e7b19ac-d29aedbe-10d9f138-4037688a-57615f21
52350132,"AP chest:  Exaggerated by the size of a large hiatus hernia, mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. AP chest:  Exaggerated by the size of a large hiatus hernia, mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. ",3a15717b-35330afb-c621652c-6072ec95-cbce9765
52353624,"PA and lateral chest:  The diffuse pulmonary abnormality characterized by both bronchiectasis and extensive peribronchial infiltration, some ground-glass and some bronchiolitis. PA and lateral chest:  The diffuse pulmonary abnormality characterized by both bronchiectasis and extensive peribronchial infiltration, some ground-glass and some bronchiolitis.",b05e2bad-8b5b414e-de701c91-cd96ce95-3dd20d77
52355113,"In view of the enlargement of the cardiac silhouette and pacer device, this appearance could well represent mildly improving pulmonary edema. In view of the enlargement of the cardiac silhouette and pacer device, this appearance could well represent mildly improving pulmonary edema. ",0126b395-890302f7-05e04391-5fdff456-bda0a891
52356321,"Small right pleural effusion, cardiomegaly, standard position of tripolar pacemaker. Small right pleural effusion, cardiomegaly, standard position of tripolar pacemaker. ",ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84
52356800,Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,7d705bf2-0c6a9344-d86b9381-311c9eb2-e4b1ab6c
52381425,"Mild congestive heart failure with mild interstitial pulmonary edema, and small bilateral pleural effusions, with the left pleural effusion. Mild congestive heart failure with mild interstitial pulmonary edema, and small bilateral pleural effusions, with the left pleural effusion.",971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39
52382860,"AP chest:  Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest:  Normal heart, lungs, hila, mediastinum and pleural surfaces. ",bbe6ecaf-aac06564-603fea4c-3e3026e0-8a5cb7c8
52385480,AP chest: Dobbhoff tube is in the distal right lower lobe bronchial tree. AP chest: Dobbhoff tube is in the distal right lower lobe bronchial tree.,d2c67694-56bd35b7-4aad9a81-9c1ca076-546a019a
52391187,"Moderate-to-severe left lower lobe consolidation and mild-to-moderate cardiomegaly, although mediastinal veins are engorged. The cardiac silhouette is enlarged and there is evidence of retrocardiac opacification consistent with volume loss in the left lower lobe. ",df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5
52398109,The cardiac silhouette may be mildly enlarged. AP chest:  Short vascular catheter projects over the mid right humerus. ,5d4e5d0a-add681d2-faf8a518-e0062eff-6554d2d2
52400146,"AP chest:  Although heart size and mediastinal caliber are normal, there is pulmonary vascular engorgement in the upper lobes. AP chest:  Although heart size is normal and mediastinal veins are not dilated, pulmonary vasculature is generally mildly or engorged. ",4fe86d2a-a88e414b-d58dd0c1-51340b76-e7353509
52402828,"There is opacity within the left perihilar region and upper lung, which could be secondary to pneumonia. There is opacity within the left perihilar region and upper lung, which could be secondary to pneumonia. ",318975e1-0f1046f7-331e3d92-185e4805-d5ac3b65
52404879,"Right mainstem intubation, with slightly improved aeration of the left hemithorax, although there is volume loss and leftward shift of the mediastinum. AP chest:  Post-operative widening of the mediastinum is in the region of the arch, but there may be a large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. ",25bf2edc-f6ba2b7c-b60cce3d-7f3ba548-0606e88a
52412265,Possible component of fluid overload which is difficult to assess given large body habitus. Possible component of fluid overload which is difficult to assess given large body habitus.,a6aad5da-2b346586-e6b4b977-d71b3973-925a1eb1
52415062,Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,47c8159c-71388595-84bf105d-5a7e99e4-077fb801
52426022,Large fluid collection within the pleural space is seen on the right. Moderate right hydropneumothorax with loculated right pleural effusion and compressive atelectasis.,dbc771b6-00a9d1dc-3d5f7a54-acb63200-cc010192
52428322,"Cardiomediastinal caliber is normal for supine positioning. AP chest:  Normal heart, lungs, hila, mediastinum and pleural surfaces. ",754c8b94-ddf3a484-279e5c47-973dad5c-3e52b57c
52432749,Abnormal mediastinal contours with mild widenening. Abnormal mediastinal contours with mild widenening.,b2187498-bd6044fd-89eafb88-63b96bdd-2794d412
52437271,"There is edema of interstitial component in the upper lungs and the confluent consolidation at both lung bases, as well as pleural effusion, at least moderate in size. Moderate to large left and moderate to large right pleural effusion, interstitial pulmonary edema has developed,  mediastinal vasculature is engorged, and the heart is normal in size.",9e80889a-f414a035-63eed5d0-37d21607-88a2a076
52440373,Dual lead pacemaker and median sternotomy wires are in position  Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position  New small bilateral pleural effusions and left basal atelectasis.,197bf9c8-df093f83-61f247e8-7511a327-df92e5be
52449022,"There is continued substantial enlargement of cardiac silhouette with pulmonary edema and bilateral basilar opacifications consistent with layering effusions and compressive atelectasis. There is massive enlargement of the cardiac silhouette with moderate pulmonary edema and bibasilar opacifications consistent with pleural effusion and compressive basilar atelectasis, especially involving the left lower lobe. ",526dc590-f658c26e-49300669-427e7124-ac0f1350
52467293,"There is substantial enlargement of the cardiac silhouette without appreciable vascular congestion, a discordance that raises the possibility of cardiomyopathy. There is substantial enlargement of the cardiac silhouette without appreciable pulmonary edema. ",fbaf1e44-468cb5b9-2cd8fc25-a7f7e778-1dde8b89
52481016,"Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. ",c57c824d-1eddb1d5-5933f11b-3da0b20b-0bd14eef
52481248,Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis. Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis.,c6264595-96860b66-fd1dfa5b-4697f3ba-214d913a
52509761,There is enlargement of the cardiac silhouette with bilateral layering pleural effusions and compressive atelectasis at the bases. Little change in the bilateral layering pleural effusions with compressive basilar atelectasis and substantial enlargement of the cardiac silhouette.,27c8aa21-0a66ebf9-667f13ca-9695345c-caa66257
52511628,"The hand of the patient completely obscures much of the noted pneumonia in the right mid and lower zones. AP chest:  Severe interstitial infiltration, most pronounced in the right lung.",d77fc718-e1eacd2f-2fa45ea8-a06418df-85ae6300
52513249,The Swan-Ganz catheter tip extends about 2-3 cm beyond the mediastinum on this image and there are lower lung volumes which could accentuate this appearance. ,5f626d47-f0333190-ef348062-b306b136-d126da29
52514701,"AP chest:  Heart is moderately enlarged, and pulmonary vasculature is engorged, but edema, if present, is minimal. AP chest:  Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. ",1fa07d59-1b6609db-c7feef15-3888f71e-17d91291
52519155,"There is bibasilar opacity likely atelectasis with left lower lobe collapse. Bibasilar atelectasis with a more confluent opacity in the left lower lobe, which may represent aspiration or contusion in the setting of trauma. ",b7d847bc-3c2c9b05-dcc55b53-b7bd2a6c-f8496f99
52521827,There is enlargement of the cardiac silhouette in a patient with a prosthetic valve an intact midline sternal wires. There is enlargement of the cardiac silhouette with intact sternal wires and pacer device in place. ,959366ef-34cddc43-1c3e238c-99503ed8-b5fc863c
52522246,"Cardiomegaly is accompanied by pulmonary vascular congestion and bibasilar opacities superimposed upon chronic interstitial lung disease and emphysema. Overall lung volumes are reduced, but there is indistinctness of the pulmonary vascularity suggestive of worsening interstitial pulmonary edema. ",dd86cc8c-ae1e2c39-3bc3e62b-b15de0ae-652648de
52523882,There is hyperexpansion of the lungs consistent with chronic pulmonary disease and a dual-channel pacer with leads in place. There is hyperexpansion of the lungs consistent with chronic pulmonary disease and a dual-channel pacer with leads in place.,690e5219-a0d2190e-2017488b-4a4feda7-4ef08c2d
52529720,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",eaf0eb79-03580da7-ae1a0398-5fcef938-acdb31dd
52538997,"PA and lateral chest:  Moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest:  Moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. ",aa76851a-342b6f60-4e4b51be-3a80fe61-92b39e20
52541396,Lung volumes are low with stable bibasilar predominantly linear opacities favoring scarring or subsegmental atelectasis. Bibasilar areas of linear atelectasis/scarring are noted.,46bdab14-1fa0233c-c0b0841d-4c0869de-6564ff0d
52543396,"There is engorgement of pulmonary vessels suggesting some pulmonary vascular congestion. There is indistinctness and dilatation of pulmonary vessels, consistent with pulmonary vascular congestion.",f6300671-0644a211-45639c11-c0ef0484-67a8c5c0
52546073,Placement of a pigtail left-sided chest catheter with small left pneumothorax. AP chest: Left pigtail catheter is in position projecting over the left upper abdominal quadrant and posterior pleural recess. ,1ec07497-ec6f4ace-baa95464-3ff6c941-6418e970
52546911,AP chest:  Lung volumes are appreciably low and explaining in part what is nevertheless a moderate to large hiatus hernia. Low lung volumes and a large hiatal hernia.,65c9e42e-6093fd2c-66ffbba3-b6fa9d18-48594809
52547146,"Cardiomediastinal silhouette including cardiomegaly is with bilateral pleural effusions which are at least moderate in right pigtail catheter being in position and minimal right apical pneumothorax is seen. Right pneumothorax with bibasilar consolidations, moderate bilateral pleural effusions, and mild pulmonary vascular congestion. ",d0ce0dbb-82f88ba2-6467498e-a4e23f78-c203cf06
52548008,There is pulmonary vascular congestion. Cardiomegaly is accompanied by pulmonary vascular congestion and development of moderate edema. ,69185846-837b415c-5aa118ec-802f32df-bdc6985a
52552967,"Moderate to severe cardiomegaly, exaggerated by supine positioning, wherein large mediastinal venous caliber is seen. AP chest:  Moderate-to-severe enlargement of the cardiac silhouette, but there is no pulmonary edema, although mediastinal veins are dilated, possibly a reflection of supine positioning. ",9ce5a44f-66532667-66a23383-cbbb4b96-4a927036
52555178,Moderate to severe cardiomegaly within pacer leads. Continued enlargement of cardiac silhouette with pacer device and 3 leads are in position.,5fd6fa4a-2108246f-d9199b99-e14370ae-0eea894d
52556177,"AP chest:  Heavy pleural calcification due to asbestos exposure obscures large areas in the lower lungs, but radiodensity in the lung bases is probably due to pulmonary edema. AP chest:  Heavy asbestos-related pleural calcifications obscure much of the lower lungs, but nevertheless I can see that there is mild edema in the lower lungs and small pleural effusions.",1319398f-f8e49347-72a5d7a0-1ccd8a53-85ba807c
52573647,"There are low lung volumes with substantial enlargement of the cardiac silhouette with elevated pulmonary venous pressure and what appear to be multiple pleural plaques. Severe enlargement of the cardiac silhouette, accompanied by mediastinal widening probably due to venous distention indicating elevated right heart pressure. ",554fad67-08d3ea82-687b0b92-4825e624-b17ef914
52578479,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5
52589781,"It could be due to vascular engorgement, but given evidence of prior median sternotomy and coronary bypass grafting, an acute aortic syndrome needs to be excluded, if not clinically, then with imaging. Mild cardiomegaly, upper zone redistribution, and hilar prominence suggestive of pulmonary hypertension.",2583e77d-666ff867-9384b210-c059e9e6-31c7da01
52603243,"AP chest:  Moderate-to-severe cardiomegaly is pronounced, with pulmonary vascular engorgement and mild interstitial edema. AP chest:  Severe cardiomegaly is pronounced, with mild interstitial pulmonary edema, but with right lower lobe consolidation or atelectasis. ",ea8f47d3-a878270a-7a5e0d98-b1d62b7e-6061c574
52604478,"Moderate-to-severe pulmonary edema, severe cardiomegaly and mediastinal venous engorgement are significant. The cardiac silhouette is substantially enlarged and signs of mild to moderate pulmonary edema are present.",687582eb-5fef8f7a-db199474-71f15674-1418c028
52605645,"Severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. Severe cardiomegaly, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. ",6350bc28-5c2d7079-26abfdf4-fb25349a-5e8564d3
52606958,"There is enlargement of the cardiac silhouette with elevation of pulmonary venous pressure superimposed on diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",55339975-113cd016-3378dc51-976067bf-8b4e471f
52607379,Pulmonary vascular congestion is seen without appreciable cardiac enlargement and pacer devices are in place. THE DEGREE OF VASCULAR CONGESTION IS SIGNIFICANT IN THIS PATIENT WITH ENLARGEMENT OF CARDIAC SILHOUETTE AND TO A-CHANNEL PACER DEVICE IN PLACE. ,3ae4f21a-20a3c90a-520e7d42-5f306168-85d0d88e
52616494,There is near complete opacification of the left mid and lower lung with some aerated lung at the left apex. There is near complete opacification of the left mid and lower lung with some aerated lung at the left apex.,647c3bd0-6e8ea0e4-e367edee-d6eefb00-174fcf42
52618697,"Severe cardiomegaly with mild pulmonary vascular congestion and diffuse bilateral pulmonary edema, with consolidation at the right lower lobe concerning for pneumonia. Severe cardiomegaly with mild pulmonary vascular congestion and diffuse bilateral pulmonary edema, with consolidation at the right lower lobe concerning for pneumonia. ",a336fc81-7ee080cf-fe8b1be1-38aa5c12-add53acc
52624179,"No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid. No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid.",c89c7ca8-466643b7-e8480932-1b791a6f-4ae17f31
52630162,"AP chest:  Mild generalized edema and great consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. There is left lower lobe atelectasis and bilateral perihilar alveolar opacities suggestive of edema, particularly on the left. ",0619df15-9da411e1-9a47d1bf-973bbcf8-97f09ae0
52631051,Poor definition of the hemidiaphragm and right heart border are consistent with volume loss in the right lower lobe and probably right middle lobe is well. Right hemidiaphragm is elevated and platelike atelectasis is present in the right lower lung zone.,35ebe520-b4297eea-cf802191-670576d1-51ca727d
52640725,"The right internal jugular vein catheter is in position. There is cardiomegaly, retrocardiac opacity, no pneumothorax and standard position of the right IJ catheter and right PICC ",6722c21a-9a65dc03-dbc8707e-83f326f7-09e1768c
52659811,There is postoperative appearance of the neoesophagus and small right pleural effusion. There is postoperative appearance of the neoesophagus and small right pleural effusion.,a2566d1b-00966175-0f4ab3bf-f1a2acbb-3061c18a
52660908,"Findings consistent with severe COPD, pulmonary arterial hypertension, and bibasilar interstitial process. Findings consistent with severe COPD, pulmonary arterial hypertension, and bibasilar interstitial process. ",2f0868eb-1a137784-02208ca9-db04ed1a-dfd94665
52664853,"There is left perihilar opacification, some which is due to the overlying ventilator tubing, but this may be due to mild pulmonary edema. There is left lower lobe atelectasis and bilateral perihilar alveolar opacities suggestive of edema, particularly on the left. ",f90cf339-aa7d8134-75731035-a7d65403-efba5d83
52667466,Enlargement of the hila is due to mild enlargement of the pulmonary arteries and lymphadenopathy. Enlargement of the hila is due to mild enlargement of the pulmonary arteries and lymphadenopathy.,fe314fbf-50e95159-d593c5dd-390f58f6-7a7cb04b
52670967,The patient has mild pulmonary edema and small bilateral pleural effusions. The patient has mild pulmonary edema and small bilateral pleural effusions.,2905a219-0044b483-8315fff6-2258fe9f-a288ed45
52673752,"There is enlargement of the cardiac silhouette with the monitoring and support devices in position. The monitoring and support devices are in place, with enlargement of the cardiac silhouette in a patient with previous CABG procedure.",2cdf54d6-df90d07a-cbaaa135-454278cd-ffe7eb4e
52680361,"Status post aortic valve surgery with moderate cardiac enlargement and elongated thoracic aorta, but no evidence of pulmonary congestion or acute pulmonary infiltrates. Status post aortic valve surgery with moderate cardiac enlargement and elongated thoracic aorta, but no evidence of pulmonary congestion or acute pulmonary infiltrates. ",415af9ca-d0b69fbe-b3b8dfa6-271f3f0f-5592cc53
52680917,"Left chest tube is in place and a tracheostomy tube has its tip at the thoracic inlet. Midline defibrillator, LVAD, tracheostomy tube, in standard placements. ",ff4c00a4-74c0b483-307446fe-e534b390-224db689
52684832,"AP chest:  Interstitial pulmonary edema and substantially great opacification at the lung bases, though it could be dependent edema and atelectasis is concerning for possible pneumonia, particularly in the left lower lobe. AP chest:  Interstitial pulmonary edema and substantially great opacification at the lung bases, though it could be dependent edema and atelectasis is concerning for possible pneumonia, particularly in the left lower lobe.",a9757208-a33ffdfd-f85aa4b3-e2f7e4ba-8c77011e
52686545,"Diffuse interstitial opacities at least partially due to interstitial lung disease, although cannot exclude superimposed pulmonary edema. This could well reflect pulmonary edema superimposed on the known reticulonodular opacification that could reflect possible infection or lymphangitis carcinomatosis. ",3a0553aa-9c31867a-e614b9d9-628054fd-27e6053f
52690612,"Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. ",d9804d7c-635ee55c-7df369a2-fad70e3c-4b5af3fb
52692431,"Moderate-to-severe bibasilar pneumonia, widespread bronchiectasis, and bronchiolitis, with the exception of the lateral aspect of the right lung which is severely affected, and the consolidation in the superior segment of the right lower lobe. Moderate-to-severe bibasilar pneumonia, widespread bronchiectasis, and bronchiolitis, with the exception of the lateral aspect of the right lung which is severely affected, and the consolidation in the superior segment of the right lower lobe. ",ac311552-a76f7711-c263444b-9819dc86-6fd39b27
52695304,"Multifocal consolidations with moderate right and small left pleural effusions. Diffuse prominence of lung vasculature associated with bilateral pleural effusions, right greater than left and cardiomegaly reflect fluid overload and pulmonary edema. ",8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a
52697942,"Heterogeneous opacification at the left lung base is probably a combination of atelectasis and pleural effusion, with left pleural fluid as well as a large diameter of the moderately enlarged cardiac silhouette. There is enlargement of the cardiac silhouette with opacification at the left base consistent with volume loss in the lower lobe and pleural effusion. ",928a3662-7a9bc2d9-1808833b-79fd5d7b-76aabf9d
52702994,Top normal cardiac silhouette size. Top normal cardiac silhouette size.,4fe6df12-6ecc6b81-5dce29b5-8002ce3e-8a91378d
52705433,"AP chest:  There is pulmonary consolidation in both lungs, moderate-to-severe cardiomegaly and mediastinal veins dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps a pneumonia in the right lower lobe. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and left basilar opacification consistent with pleural effusion and substantial volume. ",70e31905-dd605e80-305f056b-4f88ec80-cbb4b3fb
52706130,"AP chest:  Lung volumes are low with great atelectasis at both bases, particularly the left, where there is probably also a small left pleural effusion. AP chest:  Lung volumes are very low, with left basal atelectasis, but there has been pulmonary vascular congestion and dilated mediastinal veins.",0aca2329-7932adb6-984bd8e0-a597477e-92276d94
52718973,"AP chest:  Severe enlargement of the cardiac silhouette, and distention of both pulmonary hilar, and mediastinal vasculature. There is severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. ",de92b434-5ef9d4ce-61d1d2b2-1b3efd95-949c6123
52726859,AP chest:  A dual transvenous right ventricular pacer defibrillator lead is curled in the left axilla. AP chest: Transvenous right atrial and right ventricular pacer leads follow their expected courses.,2c8df100-4309e350-7d82cb04-094d8978-ce88debf
52731689,Standard position of right hilar and right apical metallic clip. RECOMMENDATION:  Initial further evaluation with 15 degree shallow oblique radiographs is recommended for confirmation of apparent right upper lung nodular opacity.,b91c97ed-5177ed0b-fa1759b1-28b3e6ac-e518d525
52736852,"There is mild interstitial pulmonary abnormality, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion. Trans subclavian right atrial right ventricular pacer leads are continuous from the left pectoral generator. There is mild interstitial pulmonary abnormality, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion. Trans subclavian right atrial right ventricular pacer leads are continuous from the left pectoral generator. ",2dfbf7e0-85ed2f34-4c60e220-a5f1fa98-464b3ce2
52737025,"AP chest:  Large left hilar mass is pronounced, with left pleural abnormality consisting of fluid and/or tumor in the left major fissure and along the costal and diaphragmatic surfaces of the left lung. There is a mass in the superior segment of the left lower lobe suspicious for malignancy. ",ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17
52737492,Cardiomegaly in findings suggestive of chronic interstitial lung disease. Cardiomegaly in findings suggestive of chronic interstitial lung disease.,eae4f18b-52b36d2b-1d522da3-36dfb123-0de8cd13
52749045,There is enlargement of cardiac silhouette suggesting pericardial effusion with moderate left and small right pleural effusions. There is enlargement of cardiac silhouette suggesting pericardial effusion with moderate left and small right pleural effusions.,897059e3-92ae214b-1458e44d-75eb5510-5098e1f8
52754826,PA and lateral chest:  Lung volumes are substantially low with development of a second large band of atelectasis at the right base. PA and lateral chest:  Lung volumes are substantially low with development of a second large band of atelectasis at the right base.,a406f2bc-128ca407-f2400f61-701fd17b-17f85e90
52755492,"AP chest:  Moderate-to-severe cardiomegaly, it is possible that the widened caliber to the upper mediastinum, particularly to the right, could be due to venous engorgement. AP chest: Severe cardiomegaly is pronounced, but lungs are clear and pulmonary vasculature is normal. ",879b56b3-4245dde9-c71d9c23-87bdd54b-6e81d2c5
52761853,"Mild-to-moderate left pleural effusion and heterogeneous opacification in the left lower lobe some of which is atelectasis, may be partly pneumonia. Heterogeneous opacification in the left lower lobe is pneumonia until proved otherwise, accompanied by small left pleural effusion. ",444dfa8e-bb3ce9c4-55126266-43629bc2-fce21515
52764071,"There are opacities in the right mid to lower lung, with air bronchograms may be due infection and/or malignant disease. Similar appearance of the right juxta hilar mass with moderate right-sided pleural effusion, loculated at the apex. ",e3592dcd-ca0b0f88-415e34bf-6f5bb257-2502a74e
52767831,"Opacification diffusely involves the right hemithorax, most likely representing asymmetric pulmonary edema in a patient with substantial enlargement of the cardiac silhouette and a biventricular pacer device in place. There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads. ",425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe
52775752,Bilateral perihilar bronchial wall thickening is suggestive of atypical pneumonia such as viral or mycoplasma pneumonia. Bilateral perihilar bronchial wall thickening is suggestive of atypical pneumonia such as viral or mycoplasma pneumonia.,91aa37d1-c2d7d819-bea91a37-602f27c2-ab6984ae
52779908,The Swan-Ganz catheter tip extends about 2-3 cm beyond the mediastinum on this imag there are low lung volumes which could accentuate this appearance. There has been placement of a right IJ Swan-Ganz catheter that extends to the right pulmonary artery at the outer limits of the mediastinum. ,501a71e8-c63c6501-4de1111d-c931b2b6-261814fe
52785638,"Moderate to large left and moderate right pleural effusion are significant, with interstitial pulmonary edema,  mediastinal vasculature is engorged, and the heart is normal in size. There is interstitial component of edema in the upper lungs and the confluent consolidation at both lung bases, as well as pleural effusion, at least moderate in size. ",7bbe1cff-ed671a8a-c85e3d86-24870873-e6c6e150
52786632,Moderate cardiomegaly with mild interstitial edema as well as moderate-to-large right-sided subpulmonic effusion and marked density at the right lung base which may represent concurrent pneumonia. Moderate cardiomegaly with loculated moderate right pleural effusion and consolidation in the right mid and lower lung.,6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047
52793175,Pacer seen with leads in good position with a slightly atypical course of the right ventricular lead. Pacer seen with leads in good position with a slightly atypical course of the right ventricular lead.,1b3d4f71-68977c5e-a070ff6b-29584c84-b70bf667
52796134,"No definite acute cardiopulmonary process bsed on this limited, rotated exam. No definite acute cardiopulmonary process based on this limited, rotated exam. ",4732ed95-933b87bb-7e3ef418-22b2990f-9b0a9efa
52798218,"AP chest:  Mild-to-moderate cardiomegaly, following placement of pericardial drainage catheter projected over the mid portion of the cardiac silhouette. AP chest: Severe cardiomegaly is pronounced, but lungs are clear and pulmonary vasculature is normal. ",bc28ea67-0dc950d7-d5c81ea4-c8640ac1-e0a88e8d
52816124,Cardiomegaly and bilateral pleural effusions with dense left retrocardiac opacity likely atelectasis. There is enlargement of the cardiac silhouette and bilateral pleural effusions with compressive basilar atelectasis that is pronounced on the left. ,a044ddbb-f45fc0ce-2f0a6955-8242603e-184c26b0
52818853,"Prominent right hilar and infrahilar contours, possibly due to accentuation by patient rotation, but a repeat nonrotated radiograph would be helpful for confirmation and to exclude a neoplastic mass. Prominent right hilar and infrahilar contours, possibly due to accentuation by patient rotation, but a repeat nonrotated radiograph would be helpful for confirmation and to exclude a neoplastic mass. ",60b7b7e2-29b9d91d-f3fd7cd8-8eca0ccf-2ac86d24
52819811,"There is right pleural effusion, deviation of the cardiomediastinal to the right, position of 2 basal pigtail catheters and a right middle lobe and right lower lobe atelectasis. There is opacification at the right base, most likely reflecting a combination of pleural effusion and substantial volume loss in the right middle and lower lobes. ",4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b
52824127,"AP chest:  Some degree of pulmonary edema and at least moderate bilateral pleural effusions. AP chest:  Moderately severe pulmonary edema in the mid and upper lung zones, which are significant in lung bases, accompanied by moderate bilateral pleural effusion. ",8312c3a4-f0043050-3db9e48c-8b180ed0-faf4d335
52824884,AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD. AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD.,1bfd4f62-e1254bfb-54b0a6ac-29453546-2c0e7100
52825626,There is mild cardiomegaly and sternal wires are in place. Top-normal to mildly enlarged cardiac silhouette in this patient status post median sternotomy and CABG. ,00dbc849-560058de-e051c029-8cd120fe-9a4f3202
52834337,"Bilateral air space and interstitial opacities with an upper lobe predominance, which could reflect an atypical distribution of pulmonary edema in this patient with underlying emphysema; further follow up chest radiographs will be required to confirm potential early pneumonia. Emphysematous lungs with superimposed pulmonary edema. ",5f7c7fb3-6f209488-379bbb42-6c8cebf3-f91a4d93
52835225,"Moderate to severe cardiomegaly, exaggerated by supine positioning, which also has widened the mediastinal venous caliber.  RECOMMENDATION(S):  Low lung volumes and AP technique exaggerate the enlarged cardiac silhouette.",7f6d7289-9941e757-2663be13-0dde50f8-5d2670aa
52837403,There is superior anterior mediastinal mass with rightward tracheal deviation likely reflective of a large thyroid goiter. There is superior anterior mediastinal mass with rightward tracheal deviation likely reflective of a large thyroid goiter.,609ca0e0-3dcbf65f-38322c64-03e4fea0-3faa3a90
52841174,There are bilateral pleural effusions and aneurysmal dilation of the descending thoracic aorta. There are bilateral pleural effusions and aneurysmal dilation of the descending thoracic aorta. ,4eab5702-5e51a961-a59e4e84-b5aa758f-4e367b89
52852042,"Widespread interstitial and, to some extent, airspace disease with a pattern suggestive of severe widespread infection than pulmonary edema; clinical correlation is suggested. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",e196e03a-34fb9428-f771233d-53d2e101-d419be46
52874049,Right hemidiaphragm is elevated and there is likely a small right pleural effusion. Right hemidiaphragm is elevated and there is likely a small right pleural effusion.,a67e2e2b-c5902ccf-adf291f3-51b417af-5b71eeaa
52874646,"AP chest:  Given the very low lung volumes, pulmonary vascular caliber is probably normal and cardiomegaly only mild. Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive. ",af39d55c-0622bc39-b9865798-29ff5a61-eb7cfb93
52890842,"PA and lateral chest: Significantly low lung volume exaggerates mild cardiomegaly, but pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. PA and lateral chest: Significantly low lung volume exaggerates mild cardiomegaly, but pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. ",a394c19b-0162826e-0284eb07-bdb3fa8c-6cdf1a8b
52891865,"There is mild pulmonary edema and small bilateral pleural effusions, and mild atelectasis reflected in low lung volumes. Heterogeneous interstitial abnormality in the lungs, probably atypical pulmonary edema since there are small-to-moderate bilateral pleural effusions as is significant cardiomegaly. ",e51c0403-d316954a-0ea8f97b-063b0ac1-c4fb078e
52893597,Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation. Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation.,61ed122d-80b347e7-d2269b6b-e28fb75e-e5585f0f
52894975,"AP chest:  Following right lung biopsy, large opacity in the mid lung is presumably local hemorrhage and/or atelectasis. AP chest:  Volume of the neoesophagus is within normal range and there is presence of contrast agent.",91612855-728b71c5-52138016-9cb33506-c5fc594e
52901628,"Widespread bronchiectasis and peribronchial infiltrative abnormalities, generally reduced in the upper lungs, but significant in the right lower lobe. There are diffuse areas of patchy opacification throughout both lungs consistent with multifocal infectious process and bronchiectasis. ",02277520-0c2f2dfc-48595e9d-67e7b3d0-51eb5d78
52917147,"Mid left clavicular fracture, potentially chronic, however the acuity of which is uncertain based on this single view and clinical correlation suggested regarding need for additional imaging. Mid left clavicular fracture, potentially chronic, however the acuity of which is uncertain based on this single view and clinical correlation suggested regarding need for additional imaging. ",c2402f4a-6c5552e7-e0b4749a-2b88ba69-f59a01a6
52918822,"Moderate to severe cardiomegaly, exaggerated by supine positioning, which also shows widened mediastinal venous caliber. Severe cardiomegaly and pulmonary vascular congestion are exaggerated by supine positioning. ",b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954
52920123,"Severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. There is pulmonary edema and significant mediastinal vascular engorgement.",66a9bbd8-4711cfe3-80145c82-d9611044-07ee1359
52921410,"Pacemaker lead is in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data. There is cardiomegaly is with bilateral pleural effusions which are at least moderate in right pigtail catheter being in position and minimal right apical pneumothorax seen. ",270ee8d2-c6faa805-d42cb329-a3cd5951-c4b26875
52923540,"Findings consistent with acute decompensated congestive heart failure including cardiomegaly, moderate pulmonary edema, and small, left greater than right, pleural effusion. Moderate pulmonary edema with probable bilateral pleural effusions and retrocardiac opacity for which an underlying infectious process cannot be excluded. ",26429055-6f36df1c-a048f115-c1f04dc8-d04f9b02
52929450,"There is widening of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis, most prominent on the left. There are bilateral pleural effusions with significant left pleural fluid after placement of the left pigtail catheter. ",c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778
52930375,"Stable postoperative appearance to the cardiac and mediastinal contours status post median sternotomy and aortic valve replacement  Lungs appear well inflated with streaky bibasilar linear opacities, which may reflect subsegmental atelectasis or scarring. Stable postoperative appearance to the cardiac and mediastinal contours status post median sternotomy and aortic valve replacement  Lungs appear well inflated with streaky bibasilar linear opacities, which may reflect subsegmental atelectasis or scarring. ",97bbae6e-3d8e3ff8-4be7f377-ce5fb58c-572b0bac
52933806,Streaky perihilar opacity concerning for atypical infection with probable mild congestion and edema. Streaky perihilar opacity concerning for atypical infection with probable mild congestion and edema.,7d75166a-47342cde-9303b619-7fff892c-486713f7
52935265,"No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid. No acute cardiopulmonary abnormalities. Significant mediastinal, hilar lymphadenopathy and lung findings of sarcoid.",9587ec7a-e6b7082f-0b22b670-b924b608-674375e2
52937462,Left hilar opacity with upward retraction of the left hilar structures in this patient with known lung cancer. Left hilar opacity with upward retraction of the left hilar structures in this patient with known lung cancer. ,f1e6712c-61dabae0-6691539a-039dcbb7-6c467216
52937624,"Lung volumes are substantially low exagerrating moderate-to-large pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There are low lung volumes with enlargement of the cardiac silhouette, elevation in pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left, with compressive atelectasis at the bases. ",d9cc9107-872f0471-6fba0396-edc86cf6-6e1a2a4e
52939447,"AP chest:  There is severe pulmonary fibrosis, probably a function of either concurrent pneumonia or acceleration of pulmonary fibrosis. AP chest:  Severe infiltrative pulmonary abnormality asymmetrically distributed because of severe pulmonary fibrosis and small left pleural effusion. ",f9e470de-c60bca39-abdf839e-6a6732b2-852ee038
52943383,"PA and lateral chest:  Patient has had median sternotomy and aortic valve replacement, possibly coronary bypass grafting. PA and lateral chest:  Patient has had median sternotomy and aortic valve replacement, possibly coronary bypass grafting. ",150a4890-ad806dcc-cc602c78-0f644480-ea77a79e
52949410,"The left lung has collapsed, shifting the mediastinum to the left obscuring the size of the large cardiac silhouette. The moderate-to-large left pleural effusion and mediastinal vascular widening are significant.",a443aa83-1d05b68f-6c199039-85500391-ea4904a1
52969022,"PA and lateral chest: There is peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia. PA and lateral chest:  There is peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia. ",fed84864-f68bc255-fce404b6-c38c836c-08a9985d
52969052,Marked cardiomegaly is accompanied by pulmonary vascular congestion without overt edema. There is moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place. ,b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43
52971492,PA and lateral chest: Elevation of the base of the right lung due to subpulmonic pleural effusion and widened caliber of the cardiac silhouette due to a combination of cardiomegaly and pericardial effusion which developed. PA and lateral chest: Elevation of the base of the right lung due to subpulmonic pleural effusion and widened caliber of the cardiac silhouette due to a combination of cardiomegaly and pericardial effusion which developed. ,ccb75760-a2c8e314-d3d63bc2-17217a91-123a376d
52979134,AP chest and an image of the right humerus:  Short vascular catheter projects over the mid right humerus. AP chest and an image of the right humerus:  Short vascular catheter projects over the mid right humerus. ,ebf694d1-74d14ed6-c1695437-a0c9b0f3-cb905ce8
52981971,"Mild-to-moderate pulmonary edema accompanied by marked small pleural effusions in large heart size, but this may all be attributable to tracheal extubation and withdrawal of positive pressure ventilator support rather than real cardiac decompensation. AP chest: Patient developed probable dependent pulmonary edema and small pleural effusions are present. ",b2f5bef1-dc067a8c-521f6348-16787841-eb270634
52987117,"There is enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure. There is no pneumothorax or appreciable pleural effusion, and there is  left lower lobe lesion largely obscured by cardiac silhouette following biopsy.",33aac685-1abdf680-75cd5689-530f4138-195db35f
52991108,"AP chest:  Moderate-to-large right pleural effusion despite the right basal pleural pigtail drain. MODERATE-TO-LARGE RIGHT PLEURAL EFFUSION, OBSCURING THE EXTENT OF ATELECTASIS IN THE RIGHT LUNG WHICH IS PROBABLY CONSIDERABLE IN THE LOWER LOBE. ",d1136eed-65e29502-7df50d94-26d66f4a-513b4e1c
52994496,Cardiomegaly and tortuous aorta. Cardiomegaly and tortuous aorta.,6facf396-7379189e-2e080917-b29d6209-25eb040b
52998742,"Healed fracture deformity, proximal right humerus. Marked irregularity of proximal right humerus.",8ee276bc-f8413bb2-79639432-b58d2a14-2d9f78c0
52998783,"There are reduced lung volumes with dense atelectatic streaks at both bases. Low lung volumes with bibasilar linear atelectasis, no pulmonary edema. ",66b2b4e8-470a1e57-77371a47-f3e6f263-0b7d1783
53002522,"Hyperlucent right lung, likely due to a combination of bullae and emphysema. Hyperlucent right lung, likely due to a combination of bullae and emphysema.",901ff9da-8c7918cf-2c1642f7-2db14f83-c386dfe5
53004850,"A PleurX catheters in place on the right, there is basilar opacification consistent with pleural fluid and compressive atelectasis. A PleurX catheters in place on the right, there is basilar opacification consistent with pleural fluid and compressive atelectasis. ",c836e7ff-0f43d4ff-f91fabcf-b1522150-030daf2c
53008088,"Opacification diffusely involves the right hemithorax, most likely representing asymmetric pulmonary edema in a patient with substantial enlargement of the cardiac silhouette and a biventricular pacer device in place. There is moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place. ",22a06cfc-11fababd-02d9a890-42cbc80e-34757e33
53010349,Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,299e5b56-5569fb81-d1129251-b7cb6071-ab3dc20b
53012323,Normal chest radiograph aside from thoracic vertebral disc degeneration. Normal chest radiograph aside from thoracic vertebral disc degeneration.,ceb97930-fe5ec7d6-6ee4c8aa-56e46341-d0fbfd43
53015743,Small right pleural effusion. Mild emphysema and stable small right pleural effusion.,2e15d44b-391ff16c-0474e263-a0536b97-de75b719
53018485,"Allowing for the AP supine technique, there is moderate enlargement of cardiac silhouette. AP chest:  Moderate-to-severe cardiomegaly, there is pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion. ",25fd1806-d10b52d5-9a3103c0-66e21a5f-36fb5086
53021526,"Widespread fibrotic interstitial lung disease is demonstrated as well as significant confluence of opacification in the left perihilar and retrocardiac regions, potentially due to developing infection in the appropriate clinical setting. Widespread fibrotic interstitial lung disease is demonstrated as well as significant confluence of opacification in the left perihilar and retrocardiac regions, potentially due to developing infection in the appropriate clinical setting. ",27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd
53021891,"Right internal jugular central line, esophageal probe, and nasogastric tube are likely in position. Dobbhoff and NG tubes have their tips projecting below the diaphragm. ",046bbbe6-823f11ab-c43a868b-b3342241-8cf3254b
53024166,Status post right ventricular pacer lead revision; COPD and small pleural effusions. Status post right ventricular pacer lead revision; COPD and small pleural effusions.,8854ac17-02cbb55b-6797803e-0247f114-8e114394
53025898,"Right basilar opacity and moderate pleural effusion, findings concerning for a right lower lobe pneumonia, other differentials include pulmonary edema. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and substantial right pleural effusion with underlying compressive atelectasis. ",e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915
53033654,"No acute cardiopulmonary abnormalities. Tortuous and elongated aorta, the ascending aorta is probably at least ectatic. No acute cardiopulmonary abnormalities Tortuous and elongated aorta, the ascending aorta is probably at least ectatic. ",92d9fd50-81412806-b71e4d05-9ef38071-6b25204c
53035658,At least moderate right pleural effusion is present and right basal dense opacity. Moderate right pleural effusion with severe right lower lobe atelectasis.,5932603f-64abd8a2-713ef8b9-907f95b0-106004c5
53038366,"RECOMMENDATION(S):  If the condition of the patient allows, recommend PA and lateral chest x-ray for further characterization of right upper lung asymmetry. No acute findings on this single supine frontal chest radiograph. ",5d3b28e1-1aac3fe6-a4122890-9105accb-061b8489
53038880,Postsurgical changes from right upper and middle lobectomies and gastric pull through and small right pleural effusion. Postsurgical changes from right upper and middle lobectomies and gastric pull through and small right pleural effusion. ,3c34e348-938dd3fa-3c42bcb9-a7da976b-030bc4b0
53049402,Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.,135201b0-4fcaa92b-4ddb24bd-c100f251-566a7a5b
53051689,AP chest:  Lung volumes are very low and large areas of both lungs are obscured by hemidiaphragm on the right and heart on the left. Moderate cardiomegaly is exaggerated by extremely large hiatus hernia transmitting at least stomach and bowel. ,98137eef-20e5fe78-d9065728-7b29c856-f6a77003
53053588,There is slightly reduced aeration at the right lung apex but consolidation in the right mid and lower lung with probable associated layering effusion. There is hazy opacification at the right base silhouetting the hemidiaphragm consistent with moderate layering right pleural effusion and compressive basilar atelectasis. ,2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db
53053945,"Small bilateral pleural effusions with left retrocardiac opacity which may represent atelectasis; however, infection is not excluded. Minimal atelectasis at the left lung bases, caused by bilateral pleural effusions.",e667b137-83bbec7b-b70747b9-9ab0e43e-176a3441
53060219,"AP chest:  Large left pleural effusion is significant, and moderate pulmonary edema in the right lung, with small-to-moderate right pleural effusion. AP chest:  Severe widespread consolidative pulmonary abnormality accompanied by moderate-to-severe bilateral pleural effusions. ",ede20c8a-3e1c0c67-30c5c122-dfcf20cc-b8acc6ae
53060440,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",cf5f1f4f-b4d8bc5b-dccb823c-51fa4849-94f65859
53060980,Bibasilar atelectasis with possible small associated effusions. Basilar plate-like atelectasis without definite signs of pneumonia or CHF.,81cfd2c3-1f5ca0a7-0c161ae2-ee73d31b-b51df559
53078182,PA and lateral chest:  Severe retraction of the hila and cystic transformation in the lung apices is often seen with sarcoidosis. PA and lateral chest:  Severe retraction of the hila and cystic transformation in the lung apices is often seen with sarcoidosis. ,a86e243b-eb7c225e-ad44bbf8-9125ef98-3d02d669
53078789,The dilatation of the ascending aorta is not excluded although the arch and descending aorta are normal. The dilatation of the ascending aorta is not excluded although the arch and descending aorta are normal.,d18abe57-80923646-8d3f05f6-dafedd8b-289ed541
53086061,"Right basilar linear opacities, likely scarring and/ or atelectasis with small right pleural effusion. Right basilar linear opacities, likely scarring and/ or atelectasis with small right pleural effusion. ",8c4ad17a-c6ec16dc-137e714a-10dc9541-499191a1
53091268,The left single lead pacemaker is in standard position. Satisfactory position of left-sided pacemaker leads.,0d8631a3-76f811f9-2cdcf377-22f2f8eb-4d5a97e4
53091413,"Moderate-to-severe cardiomegaly is pronounced and mediastinal veins dilated, perhaps a reflection of supine positioning. There is substantial enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure in prominence of the mediastinum. ",1e758c6a-4edc885c-05366f8b-05549d3d-fa35c2cf
53091531,"Difficult to exclude left base retrocardiac consolidation due to patient body habitus, although no large focal consolidation is seen. Difficult to exclude left base retrocardiac consolidation due to patient body habitus, although no large focal consolidation is seen. ",5cdfb771-109f66be-85ce962d-5d7f0653-ae3c1100
53092956,"Monitoring and support devices are in position, with large cardiac silhouette and with normal lung parenchyma. Monitoring and support devices are in position and mild cardiomegaly is present. ",930dd047-b21f81bf-197ca30e-463d627b-aedbcdc3
53102363,"AP chest: Coarse reticulation in the lower lungs presumably pulmonary fibrosis. AP chest:  Lung volumes are low, primarily because of subsegmental atelectasis at the lung bases, left greater than right; a nonspecific finding but certainly consistent with acute pulmonary embolus. ",c063f72d-3383a805-adfef1af-05414ba2-9eba728c
53104217,"Severe cardiomegaly, left pleural effusion, mild left-sided edema and vascular congestion all point to cardiac decompensation. Severe cardiomegaly, left pleural effusion, mild left-sided edema and vascular congestion all point to cardiac decompensation. ",62e9edcc-50892c5b-d1908c61-edfdb644-33f323c6
53118049,"AP chest:  Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly. AP chest:  Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly. ",5ad9e573-14e0965d-8b13a6a1-42aa4edf-949f7839
53128548,"AP chest showed very small right pleural effusion and right basal atelectasis. AP chest:  The patient has severe emphysema, cardiomegaly and pulmonary hypertension. ",edbc95bb-75d52166-1e3ecf1b-24889c9f-9598b9a9
53130454,Nodular airspace consolidation with associated air bronchograms/bronchiectasis seen in the medial basal segment of the right lower lobe. Nodular airspace consolidation with associated air bronchograms/bronchiectasis seen in the medial basal segment of the right lower lobe.,878ffc5b-fbc8c37b-45a5b548-6883c9d4-5fa06364
53131726,"Moderate-to-severe cardiomegaly is pronounced and mediastinal veins dilated, perhaps a reflection of supine positioning. AP chest:  Heart is moderately enlarged, and pulmonary vasculature is engorged, but edema, if present, is minimal. ",1b09adcd-7bd70867-f05e7f34-ad26a085-cf236edb
53145122,Middle to upper left lung consolidation and bilateral lower lobe reticular pattern consistent with known interstitial lung disease. PA and lateral chest:  Moderate cardiomegaly and pulmonary vascular congestion with generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. ,a463b913-a54ea4ef-38bc3985-0d13db59-fa42b204
53154034,"PA and lateral chest:  Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. PA and lateral chest:  Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. ",5cecf989-3c537ad2-d38c50a6-2ca6b9d1-743a7756
53155287,Low lung volumes accentuate the transverse diameter of the heart in this patient with intact midline sternal wires. Low lung volumes accentuate the transverse diameter of the heart in this patient with intact midline sternal wires.,85487fb8-4d1bb78d-357fad99-bd6075d5-8b2da39c
53158366,"AP chest:  Lung volumes are quite low, although there is a band of subsegmental atelectasis in each lower lung, the upper lungs are clear, and there is no pulmonary edema or pleural effusion. AP chest: Lungs are very low in volume but clear of focal abnormality, and there is mild pulmonary vascular congestion.",43a15b39-91e19d8c-aa4bf7b9-1f192be3-ad880dd8
53158507,The heart is mildly enlarged status post median sternotomy. Status post median sternotomy with valvular replacement and enlarged heart. ,eb00136d-bf3de8a4-e4b112fb-e086aa9e-97dc80ff
53164365,"AP chest:  Extensive opacification in both lungs, sparing the left mid and lower lung zone. AP chest:  Severe widespread pulmonary infiltration is significant, with near confluence of opacification in the left lung, and moderate-to-severe left pleural effusion. ",25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c
53183707,"AP chest:  Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. AP chest:  Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. ",d570aba7-45a558d7-52f77673-704bdc98-85e97946
53183813,"Widespread multifocal pneumonia, most prominent on the left. There are large areas of heterogeneous consolidation in the left mid and lower lung zone, combination of lung mass, pneumonia, and collapse in the lingula. ",e07fa786-650ff653-81675db1-7d20a8f0-b4a5b8f3
53202055,"Cardiomegaly, pacemaker leads and Swan-Ganz catheter terminating in the right upper lobe pulmonary arteries are in position. Moderate to severe cardiomegaly is present following insertion of transvenous right ventricular pacer lead which runs from the left pectoral generator to the floor of the right ventricle and out of view. ",c4d47932-145d1a89-7f6d200d-9b16a4d6-84c0d0f0
53203970,"Moderate-to-severe chronic cardiomegaly, noting a large left ventricular aneurysm calcified at the apex. Cardiomegaly and enlarged aortic arch, potentially reflecting aneurysm and should be correlated with cross-sectional imaging. ",42fd3d74-fe3267e7-82ffa036-96225174-327660f6
53218289,Follow up radiographs after diuresis are recommended to assess for an underlying interstitial lung disease. Follow up radiographs after diuresis are recommended to assess for an underlying interstitial lung disease. ,97a75129-d39c5832-904e9f3a-3f98ba5f-9f23cd4a
53222889,"Lordotic positioning makes lung volumes looks small and cardiac size local large, but there has been a widened pulmonary vascular caliber and mediastinal veins reflecting volume overload or cardiac decompensation although there is no pulmonary edema or appreciable pleural effusion. Lordotic positioning makes lung volumes looks small and cardiac size local large, but there has been a widened pulmonary vascular caliber and mediastinal veins reflecting volume overload or cardiac decompensation although there is no pulmonary edema or appreciable pleural effusion. ",d1b9813f-08d920a6-85c9bb6f-c516c1ee-a56f9d38
53233378,"Chest radiographic features are consistent with the moderately severe pulmonary edema, basal predominant, but concurrent pneumonia could be present in either or both lower lobes. Moderate-to-severe pulmonary edema with small-to-moderate bilateral pleural effusions and bibasilar airspace opacities likely reflective of atelectasis. ",dcdd32f6-e80f7f1f-0c2448f5-0816540b-3b890ebf
53234157,"There are bilateral pleural effusions, right greater than left, and cardiomegaly. There are bilateral pleural effusions, right greater than left, and cardiomegaly.",a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed
53235571,"PA and lateral chest: Reduced lung volume exaggerates mild cardiomegal, but pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. PA and lateral chest: Reduced lung volume exaggerates mild cardiomegaly, but pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. ",8a046a64-8ed795ff-765071a4-668a3e83-c8c7fa28
53239683,"AP chest: Widened caliber of the pulmonary and mediastinal veins, and moderate-to-severe cardiomegaly suggest that peribronchial opacification new in the right mid and upper lung zone is asymmetric edema rather than pneumonia. AP chest: The patient is in moderately severe pulmonary edema and severe cardiomegaly some of which was due to pericardial effusion. ",8d9be95b-acae4c91-b54b7471-ffba1791-2685235f
53247313,"Lung volumes are substantially low with moderate-to-severe pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. AP chest: Lung volumes are appreciably low, and there is considerably consolidation in both lower lobes as well as mediastinal and pulmonary vascular congestion and perihilar opacification suggesting concurrent pulmonary edema. ",54a9e5bc-2d3b9e9a-43c44b54-7c16e7b1-f923f86c
53261956,"AP chest:  Large right pleural effusion, moderate left pleural effusion, severe pulmonary edema and mediastinal vascular engorgement. AP chest:  Moderately-severe pulmonary edema and small-to-moderate right pleural effusion. ",1c46590a-4ab8d375-c539829a-8adff157-efdba049
53266756,"Mild interstitial abnormality, particularly bronchial cuffing and possible bronchospasm suggest mild congestive heart failure and possibly cardiac asthma. Mild central and diffuse interstitial prominence, potentially due to bronchovascular crowding in the setting of low lungs volumes. ",46b732fa-3e6e9bc7-4487868d-2db2ea7c-b27ecdd1
53273158,Right hydropneumothorax and right chest wall subcutaneous emphysema. Moderate right hydropneumothorax with loculated right pleural effusion and compressive atelectasis.,384b766e-a666fc50-5510a97f-c615a43c-1bfebe33
53273257,"Subsegmental retrocardiac opacity, potentially atelectasis although infection or infarct in the setting of sickle cell disease would be possible. Subsegmental retrocardiac opacity, potentially atelectasis although infection or infarct in the setting of sickle cell disease would be possible. ",55249a04-13ab44b1-04c4b5e6-803f6e35-0c091a7d
53276158,AP chest:  The patient has had median sternotomy and coronary bypass grafting. The cardiac silhouette is at the upper limits of normal or mildly enlarged in this patient with previous CABG procedure and intact mid lines sternal wires. ,e5d1a79a-101a6822-e589102f-05d0d1c7-fe74e5e5
53282268,"Mild pulmonary edema and severe heterogeneous opacification at the base of the right lung due to infection secondary to severe impacted bronchiectasis. Chest radiographic features are consistent with moderately severe pulmonary edema, basal predominant, but concurrent pneumonia could be present in either or both lower lobes.",e71f51f3-72341a6f-e930d575-66d2c3ef-339886c5
53292802,"Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. ",f853039e-e541ff3f-875071bd-62705831-03bd8d9e
53295276,"Hyperinflation of the lungs with interstitial markings, concerning for chronic lung disease. COPD with hilar prominence suggestive of pulmonary arterial hypertension. ",31b151ec-75ddc4a9-e85ecaab-f72df771-c55ef3b5
53297811,"AP chest:  Moderately severe interstitial edema and moderately severe right pleural effusion. Reticulations are present and moderate right, possibly loculated, pleural effusion and interstitial abnormalities could be mild to moderate pulmonary edema. ",1816d50c-d9282769-fd97cb8d-d105e548-27569b20
53305461,Left greater than right bilateral perihilar streaky opacities could be due to infection and/or fluid overload. Left greater than right bilateral perihilar streaky opacities could be due to infection and/or fluid overload.,bfa3c5fe-e3616a0b-f2cede25-46b58e40-679b44d1
53308168,"There is prominence of interstitial markings bilaterally, especially on the right, raising the possibility of asymmetric pulmonary edema. In addition to mild cardiomegaly, vascular congestion and mild-to-moderate pulmonary edema, there are three regions of pulmonary consolidation, a region in the right mid lung and larger areas at the bases of both lungs.",d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972
53311302,"AP chest: Small right pleural effusion following thoracentesis, and there is no pneumothorax, and the right lower lobe has substantially expanded. There are small bilateral pleural effusions status post extubation. ",241b6402-15f482d1-da524f5e-92653c29-84172d3d
53318102,"Severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. The cardiac silhouette is enlarged, likely caused by the known patent ductus. ",5698b16b-b25ed251-4149b897-8f2393c0-1a6fed9b
53325824,Heart is mildly-to-moderately enlarged. There is enlargement of the cardiac silhouette and with tortuosity of the aorta and brachiocephalic vessels and some prominence of the central pulmonary vessels which could reflect some pulmonary arterial hypertension. ,6a31f7f3-592b6144-a0b7e38c-d11761b4-bd2bf9e3
53330219,"Moderate cardiomegaly with extensive bilateral parenchymal opacities at the lung bases, combines to retrocardiac atelectasis and a mild to moderate left pleural effusion. Bilateral lung opacities, prominant hila and fullness of azygous vein suggests a combination of mild to moderate bilateral pleural effusions,  mild pulmonary edema and lower lung atelectasis. ",b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f
53333931,The Swan-Ganz catheter tip extends about 2-3 cm beyond the mediastinum on this image there are low lung volumes which could accentuate this appearance. The Swan-Ganz catheter has been pulled back so that the the tip still lies within the outer aspect of the mediastinum. ,0f0038e8-aa61d68a-c46ef78e-4ee08f4b-d4a8e62d
53339862,"AP chest:  Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest:  Normal heart, lungs, hila, mediastinum and pleural surfaces. ",c375e421-68a1e118-133cd727-71b1be6f-8d62fa58
53342490,There are small bilateral pleural effusions. Right greater than left upper to mid lung peripheral patchy opacities noted. There are small bilateral pleural effusions. Right greater than left upper to mid lung peripheral patchy opacities again noted.,82c1c97a-b5708e95-baa8ec84-c1237993-93b67d8b
53346804,"AP chest:  Nearly confluent acinar opacification of the right mid and upper lung and to a lesser degree perihilar left upper lung. Bilateral air space and interstitial opacities with an upper lobe predominance, which could reflect an atypical distribution of pulmonary edema in this patient with underlying emphysema; further follow up chest radiographs will be required to confirm potential early pneumonia. ",0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab
53348686,There is cardiomegaly and enlarged aorta. There is cardiomegaly and enlarged aorta.,35deb322-043ec12f-b33e7567-530c7a88-8b213991
53349756,"There is significant retrocardiac atelectasis, potentially caused by a mild left pleural effusion. There is a layering left effusion with retrocardiac consolidation suggestive of partial lower lobe atelectasis. ",f0d18848-8b3b0e31-92ab7c89-0a569510-bac46a4e
53350789,"Small symmetric bilateral pleural effusion probably reflects congestive heart failure, there is a pacer defibrillator lead which follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects congestive heart failure, there is a pacer defibrillator lead which follows the expected course to the distal right ventricle. ",3480ade8-6825b33b-dc07898d-97d83f8a-c743b07b
53351384,"AP chest:  Bibasilar consolidation, moderate-to-severe on the right and severe on the left accompanied by bilateral pleural effusion, small on the right and moderate on the left. ET tube and left subclavian line are in standard placements respectively:  Small right pleural effusion, severe left lower lobe atelectasis and left pleural effusion that is at least small.",b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770
53352013,"There is substantial enlargement of the cardiac silhouette with tortuosity of the aorta, but no definite vascular congestion. There is moderately enlarged heart with enlarged tortuous aorta. ",783fc94d-12b747b1-600f2e10-c1c51d2a-97240f95
53353190,AP chest: Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. AP chest:  Severe cardiomegaly and mediastinal vascular engorgement are significant.,172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1
53353191,Severe pulmonary consolidation spread from the right lower lobe to the remainder of the lungs. Widespread severe heterogeneous alveolar opacification in both lungs.,67f96700-fa7ae0b7-52f52249-55e93d91-53fcc6c8
53354417,Superior displacement of right proximal humerus with narrowing of the acromiohumeral distance suggestive of chronic rotator cuff tear and associated degenerative changes. Widening of the mediastinum related to known aortic arch pseudoaneurysm.,3851190a-af79fb41-4c2b3b1e-b4269325-f8a2fb78
53356050,"Cardiomediastinal silhouette, mildly distorted by lower pectus deformity, is normal. Cardiomediastinal silhouette, mildly distorted by lower pectus deformity, is normal. ",4e60f3da-37ed157d-a469a568-0b2ee907-4b01c924
53357801,There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and left basilar opacification consistent with volume loss in the lower lobes and small pleural effusion. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and retrocardiac opacification consistent with substantial volume loss in the left lower lobe and small pleural effusion.,d829d785-9cf108d0-cc72151c-457d3b95-b2d38263
53358228,"Cardiomegaly and tortuous aorta. It could be due to vascular engorgement, but given evidence of median sternotomy and coronary bypass grafting, an acute aortic syndrome needs to be excluded, if not clinically, then with imaging. ",10c89fd8-d213373d-7803e8df-fe8a4a8d-2d9a9503
53363173,"There are hazy opacifications at the bases which are consistent with layering pleural effusions and compressive atelectasis, with substantial volume loss in the left lower lobe. There are bilateral layering effusions with consolidation in the retrocardiac area of likely reflecting left lower lobe collapse. ",4d4debb7-b1377375-9b140439-417adb5f-b593b670
53366281,"Moderate to severe cardiomegaly, exaggerated by supine positioning, which also shows widened mediastinal venous caliber. There is moderate enlargement of cardiac silhouette. ",3ed3bb4b-239e165f-32a0305f-6e40b696-afdec18d
53367019,"There are postoperative right basal lateral opacities. A right basilar chest tube is in place, and there is some right lateral pleural thickening, subcutaneous emphysema of the right lateral chest wall soft tissues, chain sutures at the right lung base and the right mid lung, surgical clips at the right base and a streaky opacity in the right upper lobe which likely represents post-surgical or post-inflammatory change. ",226379d0-ea16df78-cc85e54b-2f773a4c-8afb5ba2
53368667,There is leftward mediastinal shift which suggests opacification of the left lung is due to severe left lower lobe atelectasis. There is leftward mediastinal shift which suggests opacification of the left lung is due to severe left lower lobe atelectasis.,aebc8b32-83f9db36-e7859808-602b3b39-66bb2765
53372149,"PA and lateral chest: There is peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia. PA and lateral chest: There is peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia. ",7e445e5a-27e30425-98d438f2-9619da9c-e53b8453
53377112,"Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. ",1d5931ea-ae06916c-5082d79e-ce203e51-6581ddc9
53378145,"There are severe and very diffuse parenchymal opacities present in both the left and the right lung. AP chest: A severe widespread infiltrative pulmonary abnormality is present, somewhat better in the left upper lung, worse on the right, and there has been a widened cardiac diameter suggesting that much of the abnormality is volume or cardiac related pulmonary edema. ",ba5b5b5f-13d50976-7e931ab9-b5cae769-76a2d17e
53379869,Mild cardiomegaly with mild hilar congestion with possible nodularity at the right pulmonary hilus for which nonemergent CT is recommended to further assess. Mild cardiomegaly with mild hilar congestion with possible nodularity at the right pulmonary hilus for which nonemergent CT is recommended to further assess.,294ebc2b-bda5301f-54062c24-9d36e9fe-0770d722
53386512,"There are small bilateral pleural effusions, which combine with signs of mild pulmonary edema. Findings suggest small bilateral pleural effusions, pulmonary vascular congestion and bibasilar atelectasis. ",efea65d1-1ef297f0-129ff6e4-c843bd43-2db0b71d
53387141,Mild widening of the right paratracheal stripe and fullness of the right hilum likely reflect underlying lymphadenopathy. Mild widening of the right paratracheal stripe and fullness of the right hilum likely reflect underlying lymphadenopathy.,1a0d4a94-6ef86f39-cbfdfcac-7dd9b3a7-a693ce1d
53389484,"AP chest:  There is pulmonary vascular engorgement and moderate bilateral pleural effusion, right greater than left. AP chest:  There is pulmonary vascular engorgement and moderate bilateral pleural effusion, right greater than left. ",7b6c20ba-0e7929d3-490f9731-a935273d-1ba4d12f
53398424,The film is somewhat limited due to the patient's kyphosis and rotation. The film is somewhat limited due to the patient's kyphosis and rotation.,8011d9cb-8f3ea017-86ad36bd-5e7380ff-32005f00
53400246,"There is severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. There substantial enlargement of the cardiac silhouette with only mild engorgement of pulmonary vessels. ",3b45981c-22a218c1-895088c8-70cb300c-bb013a16
53401540,"PA and lateral chest:  Significant size of the right hilus, right paratracheal tissue to the tracheobronchial angle and the mediastinum in the region of the AP window could be due to adenopathy or pulmonary hypertension. ",ed842464-13c00e81-9df3129d-439db19a-7b5804f7
53403421,Cardiomediastinal contours are within normal range and lungs and pleural surfaces are grossly clear allowing for limited assessment of the upper lobes due to overlap of the scapula from suboptimal patient positioning. There has been placement of a catheter in the right bronchus intermedius. ,209500b4-f8bc630b-f0a648c8-da518e7f-ab714f17
53404392,"Otherwise, there is an enlargement of the cardiac silhouette with a pacer device in place, but no evidence of pulmonary edema. The cardiac silhouette is enlarged with 3-channel pacer device in place.",6814b280-d33103fb-57bac34d-4b2fe11e-850ad502
53405597,"Retrocardiac opacification obscuring the hemidiaphragm is consistent with volume loss in the left lower lobe with probable pleural effusion. mild opacification is seen in the retrocardiac region with poor definition of the hemidiaphragm, consistent with volume loss in the left lower lobe and pleural effusion.",1b6de453-c29f3bea-062b74e0-18018703-0456f192
53407845,"PA and lateral chest:  mild-moderate peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia. PA and lateral chest:  mild-moderate peribronchial opacification in both lower lobes, particularly the right, most likely pneumonia, could be either aspiration or progression of viral pneumonia or superimposition of superseding bacterial pneumonia.",e8da4f53-f62c1459-cc4b5add-8a21431c-c2395de1
53410264,PA and lateral chest:  Normal postoperative cardiomediastinal silhouette. PA and lateral chest:  Normal postoperative cardiomediastinal silhouette.,01162a03-2f26a872-9c7a120b-f5ce80a2-46b2577b
53412826,"Evidence of pulmonary nodules, better assessed on CT.  Lateral right mid lung and bilateral lower lung opacities are worrisome for multifocal pneumonia. Evidence of pulmonary nodules, better assessed on CT.  Lateral right mid lung and bilateral lower lung opacities are worrisome for multifocal pneumonia.",1cbba3f1-9473d496-6a09bade-908af686-5568c136
53417168,Pulmonary edema with triple- lead pacer standard in place. Pulmonary edema with triple- lead pacer standard in place.,63bc3ab0-da8f9dcb-006bcd2c-5af27843-de7a7597
53418217,The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect.,4c813a56-c3955f56-d8575305-9347eb08-6c581dc1
53423060,Right pleural effusion with small right hydropneumothorax. Moderate right hydro pneumothorax seen at the base of the right lung is demonstrated.,74e72ac6-d04d2e9a-135b0911-cce87e45-cdf6d625
53424979,Pulmonary vascular congestion is seen without appreciable cardiac enlargement and pacer devices are in place. Transvenous right atrial and left ventricular pacer leads have been inserted from the left pectoral generator.,469c319a-57c55551-e71b3f83-73849157-a180b0ee
53426027,"Moderate-to-severe chronic cardiomegaly, noting large a left ventricular aneurysm calcified at the apex. Heavy calcification of the cardiac silhouette along the diaphragmatic surface is probably left ventricular aneurysm or pseudoaneurysm.",75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4
53426458,"AP chest:  Post-operative widening of the mediastinum in the region of the arch, but there may be a moderate-severely enlarged caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. There is mediastinal venous engorgement, moderate cardiomegaly, and edema in the left lung is mild.",93cda90a-dff91783-8c5eaa57-5242ceca-f2ba281a
53433801,"Left lower lobe is partially expanded, reflected in postion of the mediastinum to the midline, but there is atelectasis and small left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients. Left lower lobe is partially expanded, reflected in postion of the mediastinum to the midline, but there is atelectasis and small left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients. ",565704ba-15b1f276-8b2cb4d4-45b87f43-ac9aae54
53450140,"The chest consists of small loculated right pleural effusion, and the fluid filled neo esophagus. The chest consists of small loculated right pleural effusion, and the fluid filled neo esophagus.",8d5ad6ce-5614528c-96b4dc9c-90955e74-7a3a722b
53452091,"Severe bilateral pulmonary consolidation is noted, moderate cardiomegaly and mediastinal vascular engorgement are present and pleural effusions at least moderate in size are evident. Lung volumes are markedly low and there are likely layering bilateral effusions and diffuse airspace process which more likely represents moderate-to-severe pulmonary edema, although diffuse pneumonia should also be in the differential.",e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7
53458025,"Small right pleural effusion, accompanies slight thickening of right minor and major fissure, cited as suspicious for malignant reccurence. Small right pleural effusion, accompanies slight thickening of right minor and major fissure, cited as suspicious for malignant reccurence. ",f3baaf80-a55a5d5c-780ab97b-5fade2b1-80096e7e
53459280,"Subtle rounded enlargement of the inferior right paratracheal soft tissue density, suggest further evaluation on nonemergent chest CT in this patient with history of breast cancer. Subtle rounded enlargement of the inferior right paratracheal soft tissue density, suggest further evaluation on nonemergent chest CT in this patient with history of breast cancer.",be1ddefb-9327567f-aef38bd8-e918043d-91c40219
53460154,"The rest of the findings including tubes and lines, pacemaker leads are unremarkable. The cardiomediastinal silhouette is severely enlarged. Pacemaker lead is seen in position. Moderately enlarged cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data are evident",b4391db8-8076224b-e326c566-f0ee0cd4-94341441
53461201,"Findings consistent with severe COPD, pulmonary arterial hypertension, and mild bibasilar interstitial process. Findings consistent with severe COPD, pulmonary arterial hypertension, and mild bibasilar interstitial process.",b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31
53462360,"Right lower lobe collapse is evident. Right lower lobe collapse is seen, but the lower lobe is severely atelectatic and/or consolidated.",aada2247-29840013-b9823ba1-08f3f7f8-795716fd
53462705,Moderate cardiac enlargement without evidence of CHF in patient with evidence of previous sternotomy. Moderate cardiac enlargement without evidence of CHF in patient with evidence of previous sternotomy.,d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d
53469163,"Cardiac silhouette is enlarged with bilateral pleural effusions and compressive basilar atelectasis, more prominent on the right. Cardiac silhouette is enlarged with bilateral pleural effusions and compressive basilar atelectasis, more prominent on the right.",fb3ef8ae-36255356-cb0d2269-7e268b4a-a253c3bf
53474620," 2 chest tubes are in place in the right hemi thorax with  large right pleural effusion and increasing adjacent parenchymal opacification involving a majority of the right lung, with relative sparing of the right apex. No pneumothorax or pleural effusion in the right chest or abnormal gas collections in the pneumonectomy space.",5d12427f-41fd4e5e-6db33536-0d265b21-1b800caf
53479699,"Mild generalized edema is noted, but there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis.Although pulmonary consolidation is noted appreciably in both lungs, moderate cardiomegaly is more severe and mediastinal veins more dilated, the marked asymmetry and consolidation strongly suggests left pneumonia and perhaps a new pneumonia in the right lower lobe.",86d7a0e2-a6e5e874-ed2fed4c-1c2ffbf1-4f1621e3
53481305,"Pulmonary edema, cardiomegaly, and volume overload, concerning for CHF exacerbation; advancement of endogastric tube is recommended. Limited study due to body habitus, however there is diffuse bilateral pulmonary edema.",374a4a0d-c236bc19-25ea8b17-2f7f41cb-2b323110
53481703,Vague interstitial process in the right lower lobe which may reflect an unusual asymmetric pattern of mild pulmonary vascular congestion noting the clinical context. Vague interstitial process in the right lower lobe which may reflect an unusual asymmetric pattern of mild pulmonary vascular congestion noting the  clinical context.,129b160a-a04df689-fd8a2f39-c04a597d-736a0245
53492798,"Mediastinal contours are unremarkable, including the region of the ascending aorta. Only 1 of several calcified pleural plaques is visible on the conventional radiographs, along the right diaphragmatic surface.Mediastinal contours are unremarkable, including the region of the ascending aorta. Only 1 of several calcified pleural plaques is visible on the conventional radiographs, along the right diaphragmatic surface. ",18f0fd6d-f513afc9-e4aa8de2-bc5ac0d6-ea3daaff
53499416,One nasogastric feeding tube passes into the distal stomach or proximal duodenum where it is sharply folded and could be partially occluded. An upper enteric drainage tube passes to the junction of the second and third parts of the duodenum.,ea90382d-329c4f3b-73ff1b45-e7f3f9f7-63cd342d
53504804,Enlargement of the cardiac silhouette with pulmonary vascular congestion and substantial right pleural effusion with underlying compressive atelectasis. Moderate right-sided pleural effusion and findings suggesting fluid overload or mild-to-moderate vascular congestion.,5b433593-d02544b5-225e12eb-2d963391-108a1692
53512860,"Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive. Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive.",3e25d193-509147d7-b305908a-51e0da17-7cb23fda
53517180,Moderate pulmonary edema or pneumonia superimposed on chronic lung disease. Chronic obstructive pulmonary disease with superimposed mild-to-moderate interstitial edema.,a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a
53520984,"Top normal heart size, coarsened interstitial markings , likely due to chronic lung disease. Mild enlargement of the cardiac silhouette and prominence of the interstitial markings reflects normal physiological changes in this pregnant patient.",1cc3aae6-387f9950-c591a39d-320f3621-7c4e1b19
53521887,"Today's conventional chest x-ray will serve as a baseline for subsequent imaging. Mild-moderate enlargement and contour abnormalities of adenopathy in the right hilus and adjacent paratracheal mediastinum, are seen. Today's conventional chest x-ray will serve as a baseline for subsequent imaging. Mild-moderate enlargement and contour abnormalities of adenopathy in the right hilus and adjacent paratracheal mediastinum, are seen",c1735f23-afbc50c0-23b33129-f274cfa7-737f29c2
53527484,"Transvenous right atrial and right ventricular pacer leads noted. Left pectoral pacemaker, correctly position, normal size of the cardiac silhouette with minimal elongation of the descending aorta.",711f27df-b3aacd5a-c3fb842d-dcadab6d-36569853
53532692,"Minimal blunting of the bilateral posterior costophrenic angles, which may represent tiny pleural effusions or pleural thickening. Minimal blunting of the bilateral posterior costophrenic angles, which may represent tiny pleural effusions or pleural thickening.",bb03b651-512952bc-0ea27cd3-c61b8255-0b80bbb5
53536595,"There is collapse of the left upper lobe distal to obstructing hilar mass around a large necrotic upper lobe mass, or in small loculated left pleural effusion inferiorly, even even with 2 left pigtail pleural drainage catheters in place. There is collapse of the left upper lobe distal to obstructing hilar mass around a large necrotic upper lobe mass, or in small loculated left pleural effusion inferiorly, even even with 2 left pigtail pleural drainage catheters in place. ",a30e6be6-cdb72787-3efd0ffc-438f4522-1a95c8da
53537165,"Mild cardiomegaly, upper zone redistribution, and hilar prominence suggestive of pulmonary hypertension. Enlarged hila bilaterally suggestive of pulmonary arterial hypertension.",f9f7d4af-2d90cb81-2541b729-6aab0e3f-06acb455
53538935,"Right mainstem bronchus intubation with complete opacification of the left hemithorax. Right mainstem intubation, with Poor aeration of the left hemithorax, although volume loss and leftward shift of the mediastinum is evident.",09fd7280-e167baec-da92ec8e-8203309b-6dbcb6d1
53546263,Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease.,1a329778-20bfaa24-80dfc02f-7f896fba-39d0dd88
53555445,"Left lower lobe collapse is mild-moderate and bilateral perihilar opacities is noted, compatible with increasing pulmonary edema. Left lower lobe collapse is mild-moderate and bilateral perihilar opacities is noted, compatible with increasing pulmonary edema.",ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85
53565184,"Overall cardiac and mediastinal contours are unremarkable, although there is some fullness of the right paratracheal soft tissues which is felt to represent distended vascular structures and lymphadenopathy. Overall cardiac and mediastinal contours are unremarkable, although there is some fullness of the right paratracheal soft tissues which is felt to represent distended vascular structures and lymphadenopathy.",886b46d2-5577e6fc-fe1bb0e6-08228079-9b623407
53565622,"Large left hilar mass is present, probably due to limited bleeding, but there is presence of a left pleural abnormality consisting of fluid and/or tumor in the left major fissure and along the costal and diaphragmatic surfaces of the left lung. The appearance of the left lung could be due to scarring or a slowly resolving residual of infection.",8cf47922-21ea9567-ee9bd67f-e77c69fc-88638572
53567752,"There is right pleural effusion however it is moderate in size and is layering posteriorly. Moderate right pleural effusion is present with layering, previously non-hemorrhagic.",58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf
53570653,"Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. There is no large right pneumothorax or appreciable pleural fluid collection, although a small amount of pleural air would be difficult to detect in the setting of severe subcutaneous emphysema and pneumomediastinum.",39af0cd9-82745eb4-2fe05152-1dfd448e-8725c801
53574399,Mild pulmonary edema and trace right pleural effusion. Overal pattern compatible with congestive heart failure with superimposed right lower lobe consolidations concerning for infectious/inflammatory process.,fcacd1e7-993853b9-c2a8e32f-c4fff20c-7792291b
53576176,The cardio mediastinal silhouette is mild-moderately enlarged and the left IJ catheter is in correct position. The cardiomediastinal silhouette is mild-moderately enlarged but there is  proximal termination of the left internal jugular line currently terminating at the junction with the left brachycephalic vein,93a674e7-7bde63bd-1ebe3a67-b6eddd64-f55473fe
53583954,"Large left hilar mass is evident, probably due to limited bleeding, but there is a small left pleural abnormality consisting of fluid and/or tumor in the left major fissure and along the costal and diaphragmatic surfaces of the left lung.  Moderate left pleural effusion is present despite the left pleural drain, whose most proximal side port is in the plane of the intercostal space or extrathoracic.",0efbdb11-4a6e04cf-2acc8b02-8b0ee7b6-36a1e507
53591854,"Although heart size is top-normal, there is  pulmonary vascular engorgement and widening to the mediastinum in the region of the ascending aorta. The cardiomediastinal silhouette and pulmonary hila are enlarged.",fd6e4f88-f10a601f-5ab99df7-15c792e7-3edf3e2c
53593299,"Small right pleural effusion, accompanies slight thickening of right minor and major fissure, cited as suspicious for malignant recurrence. Small right pleural effusion, accompanies slight thickening of right minor and major fissure, cited as suspicious for malignant recurrence.",3e2248aa-fadcd991-d4227891-01a43de5-fd31834a
53595850,Clip in the right upper quadrant likely reflects prior cholecystectomy. Clip in the right upper quadrant likely reflects prior cholecystectomy.,5d38b235-8992ecec-2b630078-d290f396-00fdf5db
53598647,"Emphysema with noted opacity at the right lung apex which may represent scarring though given underlying emphysema, a nonemergent CT is recommended to further assess for the presence of lung nodule. Hyperinflation of the lungs with chronic interstitial markings, concerning for chronic lung disease.",0ac370ca-d14e45b3-07c05241-b3a551b3-4cde1652
53600674,"Status post aortic valve surgery with moderate cardiac enlargement and elongated thoracic aorta, but presently no evidence of pulmonary congestion or acute pulmonary infiltrates. Status post aortic valve surgery with moderate cardiac enlargement and elongated thoracic aorta, but presently no evidence of pulmonary congestion or acute pulmonary infiltrates.",ab41acce-48c02bd3-f4172b1a-f1eb4eee-8032c437
53602937,A long-standing elevation of the hemidiaphragm raises the question of a phrenic nerve palsy or diaphragmatic injury. A long-standing elevation of the hemidiaphragm raises the question of a phrenic nerve palsy or diaphragmatic injury.,4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef
53605259,Mild widening of the mediastinal silhouette is likely due to known mediastinal lymphadenopathy. Mild widening of the mediastinal silhouette is likely due to known mediastinal lymphadenopathy.,60565158-58324362-cca18ef0-bb2bc393-750737fd
53607277,Innumerable bilateral pulmonary nodules compatible with known carcinoid metastases. Innumerable bilateral pulmonary nodules compatible with known carcinoid metastases.,b1009aff-e698f80d-330e0345-8dc761eb-889e6c69
53608469,There is substantial enlargement of the cardiac silhouette with moderate pulmonary edema and mild right pleural effusion. There is substantial enlargement of the cardiac silhouette with asymmetric pulmonary edema more prominent on the right and layering right effusion with basilar atelectasis.,1385f4a5-f1a65c0d-03e20ca7-6c7c7812-681c33fe
53619001,Small right pleural effusion seen on the lateral view is present. Mediastinum has a normal appearance. Small right pleural effusion seen on the lateral view only is present. .Mediastinum has a normal appearance.,a9a7d29d-d6bfc7f0-0cf3ce22-1a6a9dbc-1df52ce1
53632136,"Though interstitial pulmonary edema has almost cleared and small bilateral pleural effusions are minimal, the irregular right juxtahilar mass-like consolidation is evident. Though interstitial pulmonary edema has almost cleared and small bilateral pleural effusions are minimal, the irregular right juxtahilar mass-like consolidation is evident. ",cf4509de-e07c9ef6-ac4ef196-5d471150-97723ba4
53637827,"There is mild-moderate cardiomegaly, large bilateral effusions with adjacent atelectasis with probably collapsed left lower lobe and mild vascular congestion. Left lower lobe collapse and moderate left pleural effusion are evident, leftward mediastinal shift obscures some of the cardiac apex, with severe cardiomegaly presumably appearing present.",ce079139-3dd3fe97-6c8688b6-c1ff49b1-d8b8585f
53652133,"Slightly lower lung volumes account for radiographic progression of diffuse infiltrative pulmonary abnormality, largely pulmonary fibrosis. Widespread pulmonary opacification are quite severe bilaterally.",6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243
53653168,"Left mid lung pneumonia  Left lower lobe collapse with pleural effusion  Right middle lobe volume loss and collapse  ET tube tip is 5 cm above carina  Leftward mediastinal shift suggests volume loss in the left lung, and therefore heterogeneous opacification in the infrahilar left lower lobe could be atelectasis.",c9028d9d-b5be82c7-94f4e115-fcd0cbb2-bdc86018
53656059,Enlargement of the cardiac silhouette with the monitoring and support devices seen. Marked cardiomegaly is accompanied by mild-moderate pulmonary edema.,f3627f06-7f8dc376-299731cc-3607780e-44c820e4
53663749,Large subdiaphragmatic lucency may represent pneumoperitoneum related to recently placed PEG or a markedly distended viscous. Guess collecting between both diaphragmatic leaflets indicates pneumoperitoneum.,083a3e76-48cf31d2-b2f088df-9c323345-ef72f46f
53679398,"The cardiac silhouette including extensive cardiomegaly, the position of the left ventricular assisting devise and the position of the pacemaker leads including ICD coiled in the azygos vein inserted through left subclavian and right ventricle. Increasing moderate cardiomegaly, mild pulmonary edema, and moderate left pleural effusion which suggests pericardial effusion may also be present.",4f32b256-67629057-efe5e52b-06323e27-46eeb15b
53685384,"Following extubation, lung volumes are small but mild-moderate opacification in the lower lobes could be atelectasis or pneumonia, and some coalescence of mild pulmonary edema. The bilateral basal parenchymal opacities are mild-moderate in extent and severity.",d3033719-9b507af8-6e6975ac-c32ea556-6f68613d
53702175,"Chronic findings of mild-moderate cardiomegaly and enlargement of the bilateral pulmonary arteries, suggesting underlying pulmonary hypertension. Chronic findings of mild-moderate cardiomegaly and enlargement of the bilateral pulmonary arteries, suggesting underlying pulmonary hypertension.",e35b1970-3dfc9412-ec657374-09990870-561ca892
53708518,"Mild peribronchial opacification in the left lower lobe could be the residual of previously severe postoperative left lower lobe atelectasis, or new infection. Asymmetry of the breast shadows with clips in the left axilla suggestive of history of left breast cancer with left axillary node dissection.",92afaf0a-1599ea5d-299de00c-663008be-231fd983
53711569,"Some of this could reflect a more supine position of the patient, though this is not the indication printed on the radiograph. Some of this could reflect a more supine position of the patient, though this is not the indication printed on the radiograph.",e340b826-77b272b0-563eb16a-9d61d7c8-debd50bf
53716910,Severe left lower lobe atelectasis is present since extubation; moderately severe right lower lobe atelectasis is evident. Severe left lower lobe atelectasis and moderate right lower lobe atelectasis are both present.,15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2
53731827,"Minimal blunting of the bilateral posterior costophrenic angles, which may represent tiny pleural effusions or pleural thickening. Minimal blunting of the bilateral posterior costophrenic angles, which may represent tiny pleural effusions or pleural thickening.",d89e6f21-a446eef4-a01c2b56-b8c103af-64774131
53733833,Mild cardiomegaly and mediastinal vascular engorgement may be due in part to supine positioning. Cardiac silhouette and mediastinal vascular caliber are exaggerated by supine positioning.,d50e8844-70b979c1-018fdf07-8a21dee8-bea92072
53736575,"Postoperative left mediastinal widening in aorticopulmonary window, which may be due to a postoperative hematoma or loculated fluid collection. Postoperative left mediastinal widening in aorticopulmonary window, which may be due to a postoperative hematoma or loculated fluid collection.",946ab43b-aafbeb4c-99c6b132-43bf9624-4c09a5f4
53739758,"Borderline cardiomegaly and mediastinal vascular engorgement is moderate in severity.Although cardiogenic pulmonary edema is a possible explanation for findings, concurrent pulmonary hemorrhage or pneumonia should be considered,  Right jugular line ends in the mid SVC and its nasogastric tube ends in nondistended stomach. Background density in the lungs is mild-moderate in severity, indicating this was a component of require overall bulk edema, but there is severe and heterogeneous infiltrative abnormality throughout the lungs, probably widespread infection.",cfe95f11-8443d7dd-4d3b5c96-d6c7892c-e037193e
53743811,"Moderate enlargement of the cardiac silhouette is noted, but there is no pulmonary edema, although mediastinal veins are dilated, possibly a reflection of supine positioning. Enlargement of the cardiomediastinal silhouette may be accentuated by the low lung volumes and AP portable technique, however, if there is clinical concern for mediastinal injury, chest CTA is more sensitive and should be considered.",b68909bd-ab26c600-5bce4577-31a3f9ad-8bac4c2c
53749286,There is substantial enlargement of the cardiac silhouette with indistinct and engorged pulmonary vessels consistent with elevated pulmonary venous pressure.There is substantial enlargement of the cardiac silhouette with relatively mild elevation of pulmonary venous pressure.,a43142f0-504e9beb-f5710f72-fb264e8b-1a8d6b9c
53762508,Bilateral perihilar and right basilar opacities could relate to fluid overload although atypical infection is not excluded. Bilateral perihilar and right basilar opacities could relate to fluid overload although atypical infection is not excluded.,52117609-b59d4ebd-52c7b52f-db36024d-ceb8cb10
53768980,"Nevertheless I think the heart is enlarged, pulmonary vascular congestion is moderate-severe, pleural effusions are moderate and there is moderate-severe perihilar edema, all pointing toward relative cardiac decompensation. Small lung volumes, with presence of mild-moderate enlargement of the cardiac silhouette, pulmonary edema, and bilateral pleural effusions.",3398c38d-190a9992-bebb2e85-7ca0c527-214906cb
53774431,"Mild pulmonary edema and mild-to-moderate cardiomegaly is evident; pulmonary vasculature is moderately engorged, and small-to-moderate right pleural effusion is present, findings all pointing to cardiac decompensation.There is enlargement of the cardiac silhouette with moderate pulmonary edema and small right pleural effusion with basilar atelectatic changes.",79eee504-b1b60ab8-5e8dd843-b6ed87aa-670747b1
53776243,Normal chest radiograph aside from thoracic vertebral disc degeneration. Normal chest radiograph aside from thoracic vertebral disc degeneration.,52b95950-9baac352-83f0d8c5-1959eabc-a5a3ea0b
53779297,The position of the right atrial and right ventricular lead is unremarkable. The position of the right atrial and right ventricular lead is unremarkable.,ba22c676-fe74f3b9-b6e53609-c7281450-9f52ce69
53780576,"Postsurgical changes following right middle and lower lobe resection with right basilar atelectasis, retraction of the right hemidiaphragm, and small right pleural effusion. Postsurgical changes following right middle and lower lobe resection with right basilar atelectasis, retraction of the right hemidiaphragm, and small right pleural effusion.",973f7776-683260ca-ddf5aa13-cf5e3cb1-e2828914
53788698,"Findings consistent with acute decompensated congestive heart failure including moderate-to-severe cardiomegaly and moderate pulmonary edema, without pleural effusion. Findings consistent with acute decompensated congestive heart failure including moderate-to-severe cardiomegaly and moderate pulmonary edema, without pleural effusion.",e9f8beb8-4ee1436c-72c497d0-1bc5a42c-e9cfb483
53789660,"There is extensive opacification in the left hemithorax, reflecting a combination of substantial volume loss in left lower lobe, enlargement of the cardiac silhouette, the and obliquity of the patient. The current state in the left lung is probably due to pulmonary edema.",ebb4833f-b98cb523-ee32fa0a-90c24211-81d147e0
53792271,Hyperinflation and vascular deficiency in the upper lungs indicate emphysema. Hyperinflation and vascular deficiency in the upper lungs indicate emphysema.,f1af4079-d3abad02-2bdd2d45-9f43ee98-bb00dc90
53795595,"Severe widespread pulmonary infiltration, with near confluence of opacification in the left lung, moderate left pleural effusion. There is extensive parenchymal opacity in the right lung as well as the parenchymal opacity at the left lung bases, both with extensive air bronchograms.",def3b450-db2f7c7f-a082b686-800a5de0-6b74e997
53809636,"Lung volumes are small, with at least moderate consolidation and moderate pleural effusion at the right base, small pleural effusion at the left base, moderate-to-severe cardiomegaly, and mediastinal vascular engorgement. Moderate-to-severe cardiomegaly, small bilateral pleural effusions and mediastinal vascular congestion are also present..",1360763e-71ee973d-a29d16c9-9763397e-37844701
53815637,"Generalized interstitial abnormality accompanied by mild enlargement heart size, is probably cardiogenic pulmonary edema exacerbated by tracheal extubation. Generalized interstitial abnormality accompanied by mild enlargement in heart size, is probably cardiogenic pulmonary edema exacerbated by tracheal extubation.",482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81
53822449,"Fever in the presence of mild-moderate pulmonary and mediastinal vascular congestion and borderline interstitial abnormality can be seen with blood product transfusion.  Lung volumes are lowe and pulmonary and mediastinal vasculature are engorged, with mild-moderate interstitial edema, all pointing toward cardiac decompensation.",85e6c011-1020a8b3-3145216e-1aed7acb-abe82459
53829371,"Lung volumes are appreciably low, mild-to-moderate cardiomegaly is noted, pulmonary vascular congestion is evident, although there is no pulmonary edema, and there is a small pleural or extrapleural hematoma associated with left upper lateral rib fractures. An enlargement in both cardiac diameter and size of the at least moderate to large hiatus hernia could be due to supine and AP positioning, but there is mediastinal vascular engorgement suggesting increased intravascular volume or pressure.",d093e190-64d95289-7b99a592-ca302be2-6987d800
53829822,Moderate cardiomegaly with retrocardiac atelectasis and mild to moderate pulmonary edema noted. Enlargement of the cardiac silhouette with probable pulmonary edema.,8b38d41a-f5185160-d311d652-8d19e4c2-9f97688a
53831546,"Left lower lobe collapse is mild, but moderate left pleural effusion is present. Left lower lobe collapse and atelectasis around the hilus, presumably in the upper lobe is mild.",8e011dfc-c2e23780-6e926bd4-fdef5895-a403ee8f
53836642,"Lung volumes are low, but lungs are clear, mild cardiomegaly. Low lung volumes exaggerate pulmonary vascular caliber and crowding, but there may be early consolidation or at least atelectasis at the left lung base.",5a57f9ad-cca470ce-4338e8a1-bd61ba63-c40ce753
53845981,"The patient has mild pulmonary edema and small bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph. The patient has mild pulmonary edema and small bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph. ",0762369f-af8531f3-09fc45b2-f00d90c9-88e6ff7d
53850178,Moderate right pleural effusion is seen despite the right basal pleural pigtail drain. Mild engorgement of pulmonary vessels with hazy opacification at the base suggests mild elevation of pulmonary venous pressure and layering right pleural effusion.,cab19714-ab5c9c6b-9130cd3c-ca463b15-840b0cc4
53850317,Large fluid collection within the pleural space is seen on the right. Large right pleural effusion with an air-fluid level suggesting a component of hydropneumothorax.,20f54ecb-20a32ed8-5f27bfe6-e9d07de1-ce76357e
53855617,"A region of irregular peribronchial opacification in the right upper lobe, probably along the major fissure in the axillary subsegments is slightly radiodense. A region of irregular peribronchial opacification in the right upper lobe, probably along the major fissure in the axillary subsegments is slightly radiodense.",c2573c49-b633214e-7ade830e-9fd88137-e444e65e
53881360,"Asymmetry in opacification of both sides of the hemithorax is due to moderate right pleural effusion layering posteriorly and possible asymmetry in perihilar infiltration most likely due to pulmonary edema. Mild pulmonary edema, moderate right pleural effusion and mild distention of mediastinal veins are present.",32ec8188-8c334483-81cb6b13-428e8019-c0db3517
53883066,"Although pulmonary consolidation is present in both lungs, moderate cardiomegaly and dilated mediastinal veins are evident, the marked asymmetry and consolidation strongly suggests  left pneumonia and perhaps a  pneumonia in the right lower lobe. Much of the opacification projected over the left lower hemithorax is due to fluid-filled stomach that is either herniated or beneath the chronically elevated left hemidiaphragm, but it obscures what is probably a substantially atelectatic left lower lobe and perhaps some pleural effusion.",878341cc-7587aff2-e1f70246-3a29413e-36f37ddb
53884408,Emphysema with basilar atelectasis/scarring. Bibasilar reticular nodular opacities on the right greater than the left may be reflective of a chronic interstitial process.,50ca584b-f859bda7-fd523d01-28a67cc1-ac2b5c55
53886138,The bowel is markedly distended suggesting bowel obstruction or severe ileus. Pneumoperitoneum is likely related to recent gastrostomy tube placement.,9bdc75bb-bfb40b21-54ac066c-4c718750-ef2b4f22
53887723,Presence of mild to moderate cardiomegaly with left atrial enlargement. Presence of mild to moderate cardiomegaly with left atrial enlargement.,f822bf04-bb6d44c7-d992163b-54e7d6ac-9355a7aa
53896301,Low lung volumes and moderateopacification throughout lungs is attributable to at least mild pulmonary edema superimposed on baseline interstitial lung disease. Lung volumes are low and there is diffuse bilateral parenchymal process which favors moderate pulmonary and interstitial edema rather than pneumonia.,3fb53bea-f1dad119-d26160af-4b106702-04691d32
53904896,"Lung volumes are low exaggerating a real increase in moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. Lung volumes are low and there is diffuse bilateral parenchymal process which favors moderate pulmonary and interstitial edema rather than pneumonia.",2482c720-f75763bb-00774ba9-894119a7-24bd15a6
53905237,NG tube tip at the gastric fundus. NG tube tip coils in the fundus of the stomach.,d9e22f16-a5b260d1-2a5aee7a-4cd66d44-b590afb8
53907259,"There is moderate combined atelectasis of the right middle and right lower lobes, likely due to mucous impaction in the bronchus intermedius. Lung volumes are quite low, presumably due to abdominal organomegaly, and there is substantial right basal atelectasis.",c9f4d430-e4b86819-292b0c15-3b043b8f-eda461f1
53909940,Likely calcified granulomas projecting over the left mid and lower zones. Likely calcified granulomas projecting over the left mid and lower zones.,3a00ab90-4563967d-ad46d969-ae884a78-c7f2dd2b
53913710,Senile kyphosis is moderate-to-severe without any discrete compression fracture. Senile kyphosis is moderate-to-severe without any discrete compression fracture.,874cdceb-f11d06e9-1aaf9f3e-6760e629-4060531f
53919021,"Peribronchial cuffing and bilateral interstitial denisties may represent a viral or other atypical infection if acute, or underlying interstitial lung disease. Peribronchial cuffing and bilateral interstitial denisties may represent a viral or other atypical infection if acute, or underlying interstitial lung disease.",6eaf56a0-ded30052-29edb3ad-20da2133-db0cf728
53923012,Irregular opacification in the right lower lobe and poor definition of the basal pleural surface suggests moderate pleural effusion and/or atelectasis. Irregular opacification in the right lower lobe and poor definition of the basal pleural surface suggests moderate pleural effusion and/or atelectasis.,96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7
53924742,Pneumonia in the right mid and upper lung is quite severe. Medial right upper lung and right perihilar opacities are concerning for a hematoma.,04b94a16-2f255dc1-135c9cbd-82107f89-2d706167
53924935,"Opacification at the right lung base, though it does not obscure the diaphragmatic surface, could be due to pneumonia, alternatively posteriorly layering right pleural effusion. Right lower lobe consolidation could be atelectasis, but raises serious concern for pneumonia.",99aeda2e-665dd4de-645bda53-e43dbd3e-e3b45e9f
53927305,"Pacemaker leads are in correct position  There is bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated shin with small amount of pleural effusion. The patient has had median sternotomy, cardiac valve replacement, probably mitral, and transvenous right atrial and ventricular pacer leads are in standard placements.",dc433c13-ef033a1e-75763e20-db477b3f-da3e909b
53930112,"Mild pulmonary edema, moderate cardiomegaly and small-to-moderate pleural effusions, right greater than left as well as a moderate volume of left lower lobe atelectasis are seen. There are small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs.",b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb
53933599,Small right pleural effusion and right middle lobe linear atelectasis or scarring is evident. Appearance of small right pleural effusion and right middle lobe linear atelectasis or scarring.,81662f3f-0c97fb86-66099abe-260ad401-e1d61e16
53939178,"There is enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure atelectatic changes and possible small effusion at the left base. However, the heart is enlarged and there is minimal fluid overload as well as a small left pleural effusion, associated to a left retrocardiac atelectasis.",97dce762-0f106b37-190de5f9-33071881-9d9e0b6d
53941529,"Wispy opacity abutting the left heart border is most compatible with atelectasis, less likely early pneumonia. Wispy opacity abutting the left heart border is most compatible with atelectasis, less likely early pneumonia.",c541b4b9-e18c9d0c-428f0bcd-4b4fcf3c-ca7acd25
53942185,Findings suggesting mild-to-moderate pulmonary vascular congestion with bilateral pleural effusions and opacities at the lung bases likely due to associated atelectasis. Findings suggesting mild-to-moderate pulmonary vascular congestion with bilateral pleural effusions and opacities at the lung bases likely due to associated atelectasis.,b900fc21-dda79088-8dc65796-63160053-790a5628
53943549,"Severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention are very evident. There is evidence of severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema.",7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82
53948906,"The size of the cardiac silhouette is mildly enlarged, the mild right basal opacity, the signs of mild fluid overload and the left pectoral pacemaker are all present. There is no evidence of pulmonary edema but mild ivascular congestion is noted  Pacemaker lead terminates in the right ventricle.",54e6075a-d4d2c1d4-d742150c-7e4e64c8-f98b4179
53951719,"Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery, are evident. Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery, is noted.",042b8e55-50d27345-7b393528-2e2d0294-10141795
53953586,"Small right pleural effusion, accompanies slight increase in thickening of right minor and major fissure, cited as suspicious for malignant recurrence.  Small right pleural effusion, accompanies slight increase in thickening of right minor and major fissure, cited as suspicious for malignant recurrence. ",0dc02be2-fdb6e050-1b51dc0a-7bf9718e-a4bc2f13
53956186,There is enlargement of the cardiac silhouette with pulmonary edema more prominent on the right.There is enlargement of the cardiac silhouette with pulmonary edema more prominent on the right.,e199d51c-58d0356d-8ed19c9f-64ddb8ec-cd3fdc7a
53961391,"A left-sided chest tube is in place with apparent  small left pneumothorax and mild subcutaneous emphysema, and pneumomediastinum, as well as multiple left rib fractures and adjacent pleural fluid and/or extrapleural hematoma. While I do not see any left pneumothorax, there is mild subcutaneous emphysema in the left neck and chest wall which is sometimes an indication of incipient pneumothorax.",97264070-c4f4a7bf-14e97575-719452ba-811afedf
53964812,Superior displacement of right proximal humerus with narrowing of the acromiohumeral distance suggestive of chronic rotator cuff tear and associated degenerative changes. Avulsion fracture of the right humeral greater tuberosity confirmed and raises concern for rotator cuff injury.,77986392-2dac3752-b145c42b-2ba010de-d49de562
53967875,Dobbhoff feeding tube is beyond the upper stomach and out of view. Dobbhoff feeding tube is beyond the upper stomach and out of view. ,b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c
53970354,Evidence of small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs. Moderate opacification at the lung bases is probably a combination of bibasilar consolidation and moderate pleural effusions.,dda5719b-c91a5364-ffb7de98-16adf278-3aac7099
53975458,"There is  no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.There is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.",4f1bb588-0dc670a4-6ec07af4-aa421e00-6bd3d8db
53978610,"Severe cardiomegaly is chronic, as is pulmonary vascular engorgement and re-distribution, but I do not see pulmonary edema, and  small bilateral pleural effusions are present. Severe cardiomegaly is chronic, as is pulmonary vascular engorgement and re-distribution, but I do not see pulmonary edema, and  small bilateral pleural effusions are present.",957e4fa0-2b741119-9fb1f79c-62130589-86d6cbed
53984746,"Tthe patient was in moderately severe pulmonary edema and showed enlargement of apparent heart size, some of which was due to pericardial effusion.Severe cardiomegaly is present and mild-to-moderate pulmonary edema is noted, accompanied by at least small right pleural effusion.",f138d1b9-51f16615-50213e4d-c67d164b-78ea6c15
53994053,Right transjugular central venous infusion catheter ends close to the superior cavoatrial junction. Right transjugular central venous infusion catheter ends close to the superior cavoatrial junction.,bf7c2bb6-a8ce931b-a0037382-88c9ab10-ef166969
53999109,"Lungs are low in volume, interstitial abnormality is seen and pulmonary and mediastinal vasculature is mildly engorged, all pointing to mild pulmonary edema due to cardiac decompensation.  Lung volumes are quite low, and  small region of opacification at the base of the left lung could be either atelectasis or early pneumonia.",ba5d48f0-3105c3a1-1e049eec-c72ac120-415942b0
54001264,"Mild pulmonary edema and probable emphysema accompanied by small left pleural effusion. There is enlargement pulmonary vascular caliber, small bilateral pleural effusions and suggestion of mild edema all pointing toward biventricular cardiac decompensation.",c6cd8924-91d9c0b3-cb90ad47-aa32d3f4-86a66ea8
54007778,"Large bilateral pleural effusions is noted, layering dependently.  Large bilateral pleural effusions is noted, layering dependently.",c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d
54010994,Dual lead pacemaker and median sternotomy wires are appropriate in position  Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are appropriate in position  Small bilateral pleural effusions and left basal atelectasis. ,bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a
54013815,There are extremely low lung volumes with striking elevation of the left hemidiaphragmatic contour related to a large hiatal hernia. Severe elevation of the left hemidiaphragm is noted.,703e42a5-6b45dc45-ddce2dde-27e08236-58af4c95
54025444,"The Swan-Ganz catheter tip extends about 2-3 cm beyond the mediastinum on this imag there are lower lung volumes which could accentuate this appearance. Following tracheal extubation, atelectasis in the right lower lobes is seen but pulmonary vasculature is mild-moderately engorged and moderate enlargement of the cardiac silhouette is new suggesting effective increase in intravascular volume, particularly in the chest, although mediastinal veins are not particularly distended.",a2082ebd-e2e4d325-ba2534ae-474619f3-c8f5ba9e
54026146,Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease.,39f8070e-150fed7a-edc48fc5-4957b38f-cd627a7e
54028344,"It could be due to vascular engorgement, but given evidence of prior median sternotomy and coronary bypass grafting, an acute aortic syndrome needs to be excluded, if not clinically, then with imaging. Mild pulmonary vascular congestion with possible trace bilateral pleural effusions or chronic pleural thickening.",4a5283d6-157b6054-3840ea3d-d27e7ba1-d6689022
54030442,"Lung volumes are slightly low, accentuating the cardiac silhouette and resulting in crowding of bronchovascular structures at the lung bases. Lung volumes are slightly low, accentuating the cardiac silhouette and resulting in crowding of bronchovascular structures, particularly in the lower lobes.",bcd7e653-bdbda5eb-c1e8c446-d66776b2-7e86ed00
54038933,Bilateral pleural and parenchymal abnormalities are present except for moderate confluent opacification in the right juxta hilar region. Bilateral pleural and parenchymal abnormalities are present except for moderate confluent opacification in the right juxta hilar region.,8843b742-43dcfeeb-168fb178-f01da082-579b4dd4
54040548,"Moderate cardiomegaly is present, there is pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion. Moderate cardiomegaly is noted, there is pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion.",e57f1292-5588d57d-2a9585b6-09d738a5-16b9c9f6
54046592,The current study is extremely limited due to low lung volumes and the chin and other devices about the patient greatly obscuring detail. The current study is extremely limited due to low lung volumes and the chin and other devices about the patient greatly obscuring detail.,6b246587-087f7413-b47b8a33-a9e5c257-20aaf460
54050506,"Even accounting for differences in radiographic technique, moderate cardiomegaly is evident, and although there is pulmonary vascular engorgement, there is no pulmonary edema or focal pulmonary abnormality to explain hypoxia. Heart is mildly enlarged and pulmonary vasculature is engorged, but I do not see pulmonary edema, and pleural effusion, if any, is small on the right.",8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49
54052607,Status post intubation with ETT and OGT in proper position. Status post intubation and OGT placement with appropriate positon.,a7086ff1-0170e249-78abab05-8879d1bc-4bf53b97
54060800,"Moderately severe cardiomegaly and small-to-moderate bilateral pleural effusion, right greater than left is subsequently present with findings of moderate pulmonary vascular engorgement. There is enlargement of the cardiac silhouette with bilateral pleural effusions and compressive basilar atelectasis.",9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014
54061371,"Lateral to that  is a large region of consolidation in the right lower lobe, presumably pneumonia, accompanied by increasing small right pleural effusion. There is dense right lower lobe pneumonia and probable small bilateral pleural effusions.",0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689
54062940,"There is  moderate enlargement of cardiac silhouette. Moderate to severe cardiomegaly and dilatation of mediastinal and hilar vessels are noted, exaggerated by supine positioning.",23e4102f-653bff1f-e3b35573-f3e54b6a-472f2c8a
54066754,There is enlargement of the cardiac silhouette in a patient with a prosthetic valve an intact midline sternal wires. Enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG.,2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd
54073075,"Severe bibasilar atelectasis is present, accompanied by small bilateral pleural effusions. Severe bibasilar atelectasis is present, accompanied by small bilateral pleural effusions.",06da0b0e-ad407abe-e199913d-e079da96-22a7c445
54074259,Top-normal to mildly enlarged cardiac silhouette in this patient status post median sternotomy and CABG. Top-normal to mildly enlarged cardiac silhouette in this patient status post median sternotomy and CABG.,55065f66-4391f4b6-dfb89de6-2d41c91d-8c4fef83
54082940,Enlarged hila bilaterally suggestive of pulmonary arterial hypertension. Enlargement of the hila bilaterally suggestive of underlying pulmonary arterial hypertension.,a0a7577d-53a8748e-450244b3-39cec864-8a18f0cf
54092122,A very small subpulmonic right pleural effusion is seen. A very small subpulmonic right pleural effusion is seen.,68710c1c-c25658b5-17ec54e1-6038ff18-c2cd7f78
54093116,AP positioning exaggerates mild cardiomegaly. Short vascular catheter projects over the mid right humerus.,44d21fe9-7d185d5f-00927b0f-11bf3dce-45b85640
54097861,"Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. Current consolidation in the posterior segment of the right upper lobe and heterogeneous opacification in the right lower lung consistent with chronic aspiration and pneumonia.",744a983f-6e2d9a27-ed516cc1-1ec2dea6-d65f542b
54098643,"Following extubation, allowing for an expected decrease in lung volume, there is moderate consolidation in just the left lower lobe component of multifocal pneumonia. Bilateral heterogenous airspace opacification, predominantly in the lower lobes is concerning for acute respiratory distress syndrome or hemorrhage with concurrent septic emboli or pneumonia.",cccfa82d-f56ed730-031b5dac-53bafa2b-f20378ad
54100996,Status post ascending aortic stent placement and demonstration of known large pseudoaneurysm of the ascending aorta. Right upper lung is partially expanded.,c875e4c8-ab736220-04569ba0-857889ce-042ea536
54103072,"Lines and tubes in place; retrocardiac atelectasis. Right internal jugular central line, esophageal probe, and nasogastric tube are in appropriate position.",46258faf-c930aa13-1b09c523-4972126b-47bba114
54103570,"Although heart size is normal, severe hilar enlargement and mediastinal and pulmonary vascular engorgement all point to cardiac decompensation. ET tube is in standard placement and a nasogastric tube passes into the stomach and out of view. Mediastinal widening consistent with known hematoma is severe.",1bc3bed7-2aa120b0-65805fec-266c7e92-f3eebc0a
54103833,"Neither pneumothorax nor pleural effusion is evident in the right chest, with 2 apical thoracostomy tubes in place, despite severe subcutaneous emphysema in the right chest wall. No obvious right-sided pneumothorax, though extensive subcutaneous emphysema is seen on the right.",6ce54ac9-077864fe-84217f97-5f43c4e3-f0578456
54115583,"Severe pulmonary edema is present, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins. Severe pulmonary edema is present, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins. ",b17112f4-c4b08b8b-00a18968-0495ad7f-80aab2f4
54124205,"Right internal jugular vein catheter is in correct position with mild pulmonary edema and mild cardiomegaly. Mild edema, cardiomegaly, dialysis catheter in place.",37583135-5e94d264-ff4574d6-cdb16475-77c6bbe2
54127292,"Pacemaker lead is appropriate in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data. Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",603fdb7f-afe35a77-b061a67b-584da7df-a8c17895
54128006,"The cardiac silhouette is mildly enlarged with prominence of interstitial markings at the bases, which could reflect chronic pulmonary disease, elevated pulmonary venous pressure, or both. Although this appearance can be seen with interstitial edema, chronic reticular opacities in the lung bases without other signs of vascular congestion or edema are more suggestive of chronic interstitial lung disease in the setting of moderate cardiomegaly.",ba3fb88d-d17476f9-7e265acc-3818caee-7fe0f04e
54128066," Lung volumes are small, with at least moderate consolidation and moderate pleural effusion at the right base, small pleural effusion at the left base, moderate-to-severe cardiomegaly, and mediastinal vascular engorgement. There are low lung volumes with enlargement of the cardiac silhouette, pulmonary edema, in bilateral pleural effusions with compressive basilar atelectasis on both sides.",88fa75e4-2f2e9c03-71433ae3-1d8780f4-1e2eae3c
54130139,"Asymmetry in opacification of both sides of the hemithorax is due to moderate right pleural effusion layering posteriorly and possible asymmetry in perihilar infiltration most likely due to pulmonary edema.  Small right apical pneumothorax present, small right pleural effusion seen and there is a consolidative abnormality at the right lung base laterally which should be followed to exclude the possibility of active pulmonary bleeding.",7688e895-1ec37491-98ad4a70-8efc45b7-f8ba74da
54133231,"Difficult to exclude left base retrocardiac consolidation due to patient body habitus, although no large focal consolidation is seen. Difficult to exclude left base retrocardiac consolidation due to patient body habitus, although no large focal consolidation is seen.",2f40daa6-51dad1b2-e683d1c3-cdf10946-d37ae69f
54133721,Scattered calcified pleural plaques seen. Scattered calcified pleural plaques seen.,91ba091c-cee12c63-ff22dde9-147ea7bb-418900c4
54135185,"Small left pleural effusion or pleural thickening due to lateral fractures of the left posterior ribs, are noted. Small left-sided pleural effusion with patchy posterior left lower lobe opacity.",59f7b1a5-e3b803cc-ec6d1131-1e8caefd-eed8e970
54137212,"Substantial bibasilar opacification, probably largely atelectasis but concurrent pneumonia or dependent edema could be contributory, since there is moderate pulmonary edema evident in the upper lungs. Findings compatible with mild to moderate pulmonary edema and bibasilar airspace opacities, possibly atelectasis, but infection cannot be excluded.",e279d10a-22b3d14a-0527c87a-bbd31c9b-de232422
54145592,Supine positioning probably explains apparent mild pulmonary vascular engorgement. Borderline cardiomegaly and mediastinal vascular engorgement is exaggerated by supine positioning.,2e02dd1a-6c84da2d-c2df5435-9ac1ab07-f7351caa
54147285,Presence of left pleural effusion and left pleural thickening with adjacent rib fractures and subcutaneous emphysema. Presence of left pleural effusion and left pleural thickening with adjacent rib fractures and subcutaneous emphysema.,28905df6-b5221808-9da88146-e62944a2-7fb81888
54151404,"Mild peribronchial opacification in the lateral aspect of the right lung base, above the chronically elevated hemidiaphragm could be the residual of recent larger infection, or an early pneumonia. Right lower lobe consolidation could be atelectasis, but raises serious concern for pneumonia.",6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183
54153150,Small-to-moderate left pleural effusion is noted following thoracentesis and aspiration of the majority of the left pleural fluid.  Mild-to-moderate left pleural effusion and basal atelectasis are present.,461c1b4b-8af2df2c-c3ea9702-28e13d4f-5e912d17
54164323,"As far as I can see on a single frontal portable chest radiograph, there is appropriate position of left trans subclavian right atrial biventricular pacer defibrillator leads, continuous from the left pectoral generator. Mild interstitial pulmonary abnormality is also long-standing attributable to previous episodes of pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion  THe trans subclavian right atrial right ventricular pacer leads continuous from the left pectoral generator.",405e6cc1-70b9d9b3-1c752677-010c4ee9-b217b783
54167884," Despite the basal pleural drains in the right hemithorax, there is moderate right pleural effusion, largely basal, with a small lateral component. Despite the basal pleural drains in the right hemithorax, there is moderate right pleural effusion, largely basal, with a small lateral component. ",9f188b25-a57547b5-c0fafc1a-be325b3f-6cbae579
54170209,"Left basilar air-fluid levels may represent hydropneumothorax, posterior loculated pleural air fluid collection, or diaphragmatic herniation. Small left apical pneumothorax and subcutaneous emphysema in the left lower thoracoabdominal wall are noted.",c177928c-699001c4-7f0cb68c-de208759-e10a09ee
54171810,"Heavy asbestos-related pleural calcifications obscure much of the lower lungs, but nevertheless I can see that there is mild edema in the lower lungs and small pleural effusions . There is diffuse interstitial and alveolar density in both bases.",8eb4a26d-a860ddfd-44a66c3f-49fcc3f5-9e3142a2
54172798,"Retrocardiac streaky opacity likely relates to the patient's known left lower lobe mass, however an adjacent area of atelectasis and/or infection cannot be excluded. Retrocardiac streaky opacity likely relates to the patient's known left lower lobe mass, however an adjacent area of atelectasis and/or infection cannot be excluded.",51e9421b-c2f395da-5dd48889-7e307aca-1472d6a6
54176477,Large right pleural effusion. Large right pleural effusion.,1de4e2d6-0112fe2a-07780296-bc4a23d6-fbcc2872
54186218,"In the left hemithorax there is a loculated left pneumothorax and subcutaneous emphysema within the chest wall soft tissues. There is no mediastinal shift, pneumothorax or appreciable left pleural effusion, although there is subcutaneous emphysema in the left chest wall, traversed by the left pleural drain which terminates at the apex of the hemithorax.",fbad1142-d5b71f5c-b7c34de3-9e985bf2-02239890
54193371,"Pectus, best appreciated on the lateral radiograph, normal size of the cardiac silhouette. Pectus, best appreciated on the lateral radiograph, normal size of the cardiac silhouette.",f781fb92-d5c744fe-58574051-17d2e843-3ba0a211
54211038,"Although the widespread distribution of opacification in both lungs suggest pulmonary edema, lucencies in the right mid lung could be due to cavitation in pneumonia. Generalized pulmonary abnormality due in large part to dependent consolidation in both lungs, and probably a component of mild pulmonary edema is present, despite extubation.",f2a7f664-bfff0efe-5bb44ad4-469f58a4-0e6b7892
54212695,"Evidence of enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure. Appearance of left thyroid enlargement displacing the trachea to the right with associated coronal narrowing, marked cardiomegaly, and a large hiatal hernia with adjacent left basilar atelectasis and or consolidation and small pleural effusion.",435f9f3d-20761ab9-c5f2bca8-9d5b204f-3520a1a0
54214300,The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. Right-sided pneumothorax with extensive subcutaneous gas.,3b132e00-e784c635-410bd026-a7a98d77-878308f5
54218896,"Heart is upper limits of normal in size and accompanied by pulmonary vascular congestion and interstitial edema. The cardiac silhouette is at the upper limits or of normal in size or mildly enlarged with mild indistinctness of pulmonary vessels, which could reflect either venous congestion or high E arterial flow state in this patient with sickle cell disease.",e4e0e4ff-71138eac-7cef38bd-ce820887-d59037ff
54223010,"The edema is mild, but in the meantime moderate left and small right pleural effusions are evident. Small right pleural effusion and small-to-moderate left pleural effusion is present.",fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b
54224166,"Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly noted. Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly noted.",f9939219-9d47f1d2-245483ba-56d3429b-896a3f2e
54225810,"Diffuse interstitial opacities with small bilateral pleural effusions and moderate cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which  was possibly attributable to drug reaction, COPD or vasculitis. Diffuse interstitial opacities with small bilateral pleural effusions and moderate cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which was possibly attributable to drug reaction, COPD or vasculitis. ",a02fc8d7-4d89d7b2-2bcaaf26-ebd72059-2e9d5341
54232340,"Patient has been extubated but lung volumes are low, there is no appreciable atelectasis, pulmonary vascular engorgement is minimal, small right pleural effusion is present, cardiomediastinal silhouette is a normal postoperative appearance. Nonspecific right basilar opacity may reflect atelectasis, aspiration, or an early focus of pneumonia is accompanied by a small right pleural effusion.",a160eb01-5f36fb58-b0a04a57-1773448e-934b5036
54232840,"Right middle and lower lobes are substantially expanded, moderate-to-large right pleural effusion is present. There is elevation of the right hemidiaphragm with opacification at the right base which likely represents a combination of right middle and lower lobe collapse as well as a mass with a small pleural effusion.",44251f87-ca5a8427-8e49b093-f5b069ce-c533adef
54233043,Postsurgical changes from prior right upper and middle lobectomies and gastric pull through and small right pleural effusion. Postsurgical changes from prior right upper and middle lobectomies and gastric pull through and small right pleural effusion.,914b17d9-ffa084b2-cf81dd9b-6a125b63-3a69dd01
54236662,"The sternotomy wires and the left pectoral pacemaker are in proper position. Appropriate position of pacemaker leads, Adequate alignment of the sternal wires.",2661a129-f2f4b642-9b833ee7-ab398d55-07a36871
54240852,"Within the imaged portion of the upper abdomen, distended loops of bowel are present which may be more fully assessed by CT abdomen. Cardiomediastinal contours are grossly enlarged and lungs are clear except for minor bibasilar atelectasis.",525c7667-53fd7624-6f104340-1895a29c-1ee766f1
54242750,"Significant enlargement of the cardiac contour with bulging of the right border raises concern for developing pericardial effusion. Calcified granuloma in the right lung, partly projecting over the seventh right rib moderate cardiomegaly with elongation of the descending aorta.",cb8f1bee-76ec4235-a62de65b-43589ff5-04413eab
54247614,"Moderate enlargement of the cardiac silhouette is seen, borderline interstitial edema is present, small left pleural effusion is mild, and heterogeneous opacification at the right base could be dependent atelectasis and edema.Moderate enlargement of the cardiac silhouette is seen, borderline interstitial edema ise present, small left pleural effusion is mild, and heterogeneous opacification at the right base could be dependent atelectasis and edema.",669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17
54251102,"Mild pulmonary edema is present, but there is severe heterogeneous opacification at the base of the right lung due to infection secondary to severe impacted bronchiectasis. Moderate generalized interstitial abnormality with mild bibasilar confluence, with the pattern being a strong indication that the explanation is pulmonary edema.",c9f72311-636e3e48-e91cc14d-ba98d9ce-c823252f
54254493,"Moderately severe interstitial edema, moderate right pleural effusion.  Lung volumes are low, exaggerating mild pulmonary edema, accompanied by at least a small right pleural effusion and suggestion mild cardiomegaly.",244ae491-3e0f01f5-8506784c-32d65ab2-f96e30b6
54257499,Large right pleural effusion collapsing the middle lobe and most of the right lower lobe is noted. Large right pleural effusion is present.,74563f2b-130e98d8-7c3f6d5a-d341b141-30042633
54259835,"Lung volumes are low, and pulmonary and mediastinal vasculature are mild-moderately engorged, with moderate interstitial edema, all pointing toward cardiac decompensation. Pulmonary vasculature is more pronounced, but this may be due in part to supine positioning.",88723780-1ba2f066-c81f8785-f1b6c689-360af444
54259878,"Enlarged right hilum could be due to pulmonary artery enlargement or underlying adenopathy and attention suggested on followup. Ill-defined rounded opacity measuring approximately 1 cm projecting over the lateral mid-to-lower lung, difficult to discern whether osseous or pulmonary in nature particularly given underpenetration due to patient's body habitus.",2ff8144f-c833baaa-899af187-89dbc6ce-3adfc088
54265960,The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect.,a0578edb-12a640ca-1ddab351-089c4d4c-00bb6f19
54280501,Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place. Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place.,bc25fa99-0d3766cc-7704edb7-5c7a4a63-dc65480a
54282937,"There is a small right pneumothorax with components at the apex, and at the right base lateral to the pleural drainage tube. There is a small right pneumothorax with components at the apex, and at the right base lateral to the pleural drainage tube.",7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb
54292875,"Presence of severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention. Mediastinal venous engorgement and moderate cardiomegaly is noted and edema in the left lung is mild.",70818042-77dd5d27-a1bb1102-3e734f24-228582d0
54300688,Mild to moderate cardiomegaly and widened right paratracheal stripe compatible with underlying lymphadenopathy. Mild to moderate cardiomegaly and widened right paratracheal stripe compatible with underlying lymphadenopathy.,21f6f51a-c6b2fab8-8c228bb8-1a8f8c46-d568b413
54323585,"Presence of severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention.Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition are longstanding.",5b07d9a6-0d3955a8-5134f6fa-5357ca78-485cd5af
54325260,"Bilateral pleural effusions with compressive atelectasis at the bases, more prominent on the right. There are bilateral pleural effusions, small to moderate and a adjacent opacities that potentially can represent infectious process but also can represent atelectasis.",8e24f563-9ef7ca91-17190c86-0d7d6406-35d94599
54328164,The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect.,f562ddad-3fb08dd0-f299d5c8-61447a92-3111dfa5
54330319,"Patient had right thoracotomy and two apical and a basal pleural drains were placed and there was a small volume of homogenous opacity in the right upper chest, presumably hematoma. Right basilar chest tube is in place with some right lateral chest wall subcutaneous emphysema.",f87d7943-a25e6d95-2b683eb7-c03c1ff4-587591bc
54330512,"Borderline cardiomegaly is present, but there is no pulmonary vascular abnormality. Borderline cardiomegaly is present, but there is no pulmonary vascular abnormality. ",f9dce1d5-9980fc56-0112f0b6-88e9a45f-48e80619
54335229,"Severe cardiomegaly and mild bibasilar pulmonary edema and severe left lower lobe atelectasis are noted. There is nsevere cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema.",de8ba3a7-575f2651-ec81a20e-b45631f7-2acc972a
54335521,"Mild distention of the pulmonary and mediastinal vasculature and mild left atrial enlargement, suggest intravascular volume or mild cardiac decompensation. Mild distention of the pulmonary and mediastinal vasculature and mild left atrial enlargement, suggest intravascular volume or mild cardiac decompensation.",b9515644-3201e291-84f9839a-308ca0a6-fb3dc5c3
54346596,"Lung volumes are low, moderate right pleural effusion, and mediastinal veins mildly engorged suggesting volume overload. Lung volumes are low, moderate right pleural effusion, and mediastinal veins mildly engorged suggesting volume overload. ",ed9c3e31-eb090a92-2961be8b-dbc881e0-11aff1ff
54350292,Postpyloric nasoenteric tube with the tip in the first portion of the duodenum. Post-pyloric tube folded upon itself in the third portion of the duodenum.,da234986-086e6232-706fdd79-a63870a6-7801b85d
54350641,"Lung volumes are quite low, exaggerating any abnormality, particularly at the lung bases, but there does appear to be very mild bronchopneumonia, which developed in the left lower lobe and is worse in the right.  Lung volumes are quite low, exaggerating any abnormality, particularly at the lung bases, but there does appear to be very mild bronchopneumonia, which developed in the left lower lobe and is worse in the right. ",76e72399-4ee134f7-c1d4538e-8c0a7451-bacc3a48
54353466,"Moderately severe pulmonary edema accompanied by moderate vascular congestion and  severe cardiomegaly. Severe cardiomegaly with mild-to-moderate pulmonary edema, accompanied by at least small right pleural effusion.",71836ad3-c65f5072-d88d098b-00ab4c24-98994b02
54355585,Blunting of the costophrenic angles posteriorly on the lateral view could suggest pleural thickening or trace bilateral pleural effusions. Blunting of the costophrenic angles posteriorly on the lateral view could suggest pleural thickening or trace bilateral pleural effusions.,df7b8cfc-12798a16-4d5f66d6-63417bad-c5e6fca0
54357764,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.  Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1
54359651,Severe cardiomegaly and mediastinal vascular engorgement are noted. Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition are longstanding.,a8398d17-610399a9-7f2059be-9b8fe9f8-b05f3290
54362315,Widened mediastinum is nonspecific and can be seen in the setting of ascending aortic aneurysm and dissection. Widened mediastinum is nonspecific and can be seen in the setting of ascending aortic aneurysm and dissection.,c1835b44-25f4ae1d-7fe2caf9-d07d4f59-ab0150b4
54364406,"Very severe pulmonary consolidation is present throughout both lungs, accompanied by at least moderate right pleural effusion.  Moderately severe pulmonary edema and moderate-to-large right pleural effusion is evident.",a1098fcf-e29bde8b-dbee420d-402eebb7-24afad1e
54365112,The side port is in the fundus of the stomach. The side port is in the fundus of the stomach.,de13dc29-ab4770e3-694cb466-85af8a49-c0778b90
54372986,There is substantial enlargement of the cardiac silhouette with proper position of the Swan-Ganz catheter and pacer lead. A pericardial catheter is in place with enlarged appearance of the cardiac silhouette.,f2566882-96120f55-11c10432-9c3d638d-2b4fc411
54375943,Mild cardiomegaly and mediastinal vascular engorgement also slightly pronounced though due in part to supine positioning. Borderline cardiomegaly and mediastinal vascular engorgement is exaggerated by supine positioning.,7022a121-c39c1e71-7fc1c7f7-d24120be-62decb00
54377872,"Severe multifocal, nearly confluent bilateral pulmonary consolidation is present. Severe widespread somewhat asymmetric pulmonary opacification probably pulmonary edema in most lung regions, but I cannot exclude pneumonia or pulmonary hemorrhage in the left perihilar and lower lung zone.",c10a5364-1d030517-1045826d-0914fda6-b9c30acc
54381763,"Patchy lateral right apical opacity seen and while could theoretically be related to scarring, given patient is underlying emphysema and COPD and , nonemergent chest CT recommended to further assess. Emphysema without superimposed acute process.",d7455c33-4a0f90a6-565ee283-906f14b4-c737ba31
54389393,There is enlargement of the cardiac silhouette with pulmonary vascular congestion and probable bilateral pleural effusions with compressive basilar atelectasis. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and probable bilateral pleural effusions with compressive basilar atelectasis.,d7395617-98bb6ef8-6f0187e5-2c3df909-6f3a57c4
54393658,Mediastinal vascular engorgement is due in part to supine positioning.  Short vascular catheter projects over the mid right humerus.,7c70e574-d72b406a-b5eddc73-e53c3242-c9c99c9b
54398860,There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads. There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads.,600bdfe3-0d53440d-a74bdb21-e9faee00-958ca49f
54399607,"The patient has mild pulmonary edema and small bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph. The patient has mild pulmonary edema and small bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph. ",68e2da8e-4b0cc570-5f6dac62-dd096bf8-ce452663
54414101,"Cardiomediastinal contours are mildly enlarged, with pulmonary vascular congestion accompanied by interstitial edema and right pleural effusion. Cardiomegaly and pulmonary vascular congestion accompanied by interstitial edema and a layering right pleural effusion.",d4c3eb06-68dcce85-81bae663-853a3883-288dc307
54416722,Mild to moderate cardiomegaly and widened right paratracheal stripe compatible with underlying lymphadenopathy.  mild to moderate cardiomegaly and widened right paratracheal stripe compatible with underlying lymphadenopathy.,2b1a5138-f3160270-992271a6-a4c40f13-eadcb090
54422699,"All these findings suggest an extensive right upper lung malignancy with local lymphangitic extension and central adenopathy, on both sides of the midline. All these findings suggest an extensive right upper lung malignancy with local lymphangitic extension and central adenopathy, on both sides of the midline.",53c18304-54fac49c-cabe4615-c2a37b60-8555c705
54423575,"ET tube is in standard placement and the nasogastric tube loops in the stomach. There is  mild upper vascular engorgement, and heterogeneous opacification at the base of the left lung accompanied by some volume loss.",20e44254-9f4485b6-a2900fa5-1137bf64-76cc897f
54423763,"Chronic left pleural thickening, with proper position of multiple transvascular pacer and pacer defibrillator leads, some active, some orphaned. The left-sided pacemaker and sternotomy wires are in appropriate position.",f3d55fb5-65898a76-c35f1782-805b2fd0-ffaa1772
54434271,"Left pleural collection is mild, and pneumothorax could be moderate in size, difficult to delineate, despite three left pleural tubes in place. Volume of pneumopericardium is low, there may be some fluid in the pericardial sac but the overall enlargement of the cardiomediastinal silhouettes are mild-moderate.",e8149721-c9e4afbc-7a9dde4a-3c9f7362-fec663a4
54437537,Enlargement of the cardiac silhouette with basilar opacification on the left consistent with volume loss in the lower lobe and possible small effusion. Moderate cardiomegaly and mild left pleural effusion with subsequent mild retrocardiac atelectasis are seen.,6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f
54452010,Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis. Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis.,8adb9931-4175c4ce-48e51965-ef56eb3d-4c575d17
54457720,"Right apical pleural space is minimal, traversed by a pleural drain. There is no appreciable pneumothorax, and right pleural effusion is minimal, in the fissure, following right lung surgery.",44a2ba52-bf35cfa7-d309c49c-306c1f3e-ba524d4a
54459875,"Large bilateral pleural effusions noted, layering dependently.Large bilateral pleural effusions noted, layering dependently.",ae60e1b1-f9d562ba-0ac12b85-a554cdd0-beebdc8f
54472974,Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease.,0ff0bb39-4a3b9b22-0150d88d-040cd9e6-c1d6078b
54477721,moderate enlargement of the cardiac silhouette with pulmonary edema that may be superimposed upon chronic interstitial lung disease. moderate of the cardiac silhouette with moderate pulmonary edema.,56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9
54499704,"Enlargement of the mediastinum in the AP window is combination of adenopathy and pulmonary arterial enlargement, not acute. Cardiac and mediastinal contours are likely mildly enlarged although difficult to assess given the lordotic technique.",93fba7a5-97290f6f-6fa12fc2-309c0f28-4e98f3d2
54504950,Normal chest radiograph besides pectus excavatum with no explanation for patient's symptoms within the limitations of the study technique. Normal chest radiograph besides pectus excavatum with no explanation for patient's symptoms within the limitations of the study technique.,d3b0d36d-5201ca16-3476454c-0e031e78-004217a2
54507407,"Enteric catheter terminating in the medial right upper quadrant, likely within the distal stomach or proximal duodenum. Right paratracheal mediastinal bulge could be mass or cyst or aneurysm.",a839e43c-1d7f9788-1f4d11ef-8bf9c279-74ebcc3f
54517823,"Left pleural effusion is chronic, currently moderate-to-large, partially obscuring a large cardiac silhouette due to chronic cardiomegaly with or without pericardial effusion. Large cardiac silhouette is present with a moderate pericardial effusion as well as the loculated left pleural effusion containing clot, and left lower lobe collapse.",515703bc-4c8240a5-4b5d0a83-1f8c8dda-289ce799
54517998,There is mild elevation of the right hemidiaphragm which may be related to atelectasis in the right base. There is mild elevation of the right hemidiaphragm which may be related to atelectasis in the right base.,93173301-ef0856de-7bf3d950-005faeed-a2f8a466
54518631,"Large right pleural effusion collapsing the middle lobe and most of the right lower lobe is noted.  Right middle and lower lobes are now substantially expanded, moderate-to-large right pleural effusion noted.",647aafbc-96122ceb-7150d6ce-c281d11c-148e092c
54527138,"Massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. Massive enlargement of the cardiac silhouette,  concerning for large pericardial effusion.",eb52937f-7fa55b40-86540246-ca98fc35-a5a9b68a
54532060,"Lung volumes are low, moderate right pleural effusion seen, and mediastinal veins mildly engorged suggesting volume overload.  Moderate right pleural effusion is noted.",ac0f76b9-e3215599-284b52b4-c3ae75a0-7c841c4c
54537700,"Right upper and middle lobe opacities, which are moderate, likely represent infiltrative tumor though a superimposed pneumonia cannot be excluded. Right upper and middle lobe opacities, which are moderate, likely represent infiltrative tumor though a superimposed pneumonia cannot be excluded.",406539e1-fd9fe3f2-6192f2a5-e24d2d07-5ff88d1d
54538310,"Loculated, moderate right hydro pneumothorax and moderate dependent pleural effusion. Loculated, moderate right hydro pneumothorax and moderate dependent pleural effusion.",a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8
54545268,Mild interstitial pulmonary edema with small bilateral pleural effusions and loculated fluid in the right major fissure. Mild interstitial pulmonary edema with small bilateral pleural effusions and loculated fluid in the right major fissure.,078b8107-6b122d1a-325d9a89-33038b55-a20ebabc
54548144,"Very small right pleural effusion and right basal atelectasis and sufficient calcification in the aortic valve to raise question of hemodynamically significant aortic stenosis. Exaggerated by the size of a large hiatus hernia,at least mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure.",ddace369-8c8f0353-59316221-492cdda4-f6bfe724
54548504,"The feeding tube, right internal jugular central line and right subclavian line are in proper position. The feeding tube, right internal jugular central line and right subclavian line are in proper position. ",3f6f35af-03521081-03baee76-dd388d3b-a0fd1305
54552753,"Lungs are low in volume, interstitial abnormality is present and pulmonary and mediastinal vasculature ismoderately engorged, all pointing to mild pulmonary edema due to cardiac decompensation. Lung volumes are low, and there is  interstitial abnormality and mediastinal venous engorgement suggesting it might be edema.",67ba33ad-ec43cf26-e563d64a-3069ed2e-c5844c0c
54562273,Focal prominence of the descending thoracic aortic contour at the level of the AP window corresponds to  noted focal type B aortic dissection with saccular aneurysm.  No acute cardiopulmonary abnormality otherwise demonstrated. Presence of right paratracheal mediastinal bulge compatible with known mediastinal cyst.,db019b7e-d9ed7caa-dce2242f-4d94ffd2-276acfb6
54572206,"Mild distention of the pulmonary and mediastinal vasculature andmoderate left atrial enlargement, suggest intravascular volume or mild cardiac decompensation. Mild distention of the pulmonary and mediastinal vasculature andmoderate left atrial enlargement, suggest intravascular volume or mild cardiac decompensation.",3358b4e8-14a2bc35-f84f23f1-d2e9e486-dd707de1
54581813,"There is however the suggestion of bronchiectasis where we saw a small elliptical opacity in the right upper lobe, interposed between the anterior second and third ribs that could be a impacted dilated bronchus. COPD, with extensive background parenchymal scarring, right apical pleural thickening, right apical scarring and calcification, and right hilar retraction, seen.",b019f6c5-62bfcfe4-13976b55-788794c1-c400accb
54586308,"Lung volumes are generally low, exaggerating pulmonary vascular engorgement, reflecting Severe atelectasis which has occurred in the left lower lobe and moderate right basal atelectasis is seen. Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and severe dilation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion.",5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b
54594848,There is evidence of extensive chronic disease at the right base.There is evidence of extensive chronic disease at the right base.,36d187c2-a2f1c238-25e77d89-19d5e8b8-ca837472
54596345,Smoothly marginated mass in the right upper lung without hilar adenopathy or cavitation. Smoothly marginated mass in the right upper lung without hilar adenopathy or cavitation.,a5bb1dd6-32ef2b29-b27f45f5-4980a5b0-34f11cf0
54613857,There is an placement of a Dobbhoff tube that is coiled within the fundus of the stomach. There is an placement of a Dobbhoff tube that is coiled within the fundus of the stomach.,7776d1fb-792c88a8-721a0773-7d142590-639999fb
54614605,"Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly noted. Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly noted.",e38221a2-36d9eedb-5a9af804-2eba7cb0-ea8d7ffd
54616688,The Port-A-Cath extends to the mid portion of the SVC. The Port-A-Cath extends to the mid portion of the SVC.,fd043f2e-fb851408-681f3799-13b1ec21-5a635d01
54616934,Mild interstitial edema is seen accompanied by a small right pleural effusion. Mild interstitial edema is new accompanied by a  small right pleural effusion.,7cb35601-837df231-b3efc10a-3a761298-85f39d17
54622603,"Lung volumes are substantially low exaggerating a moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and obscuration of the hemidiaphragm on the left consistent with volume loss in the left lower lobe and pleural effusion.",fe0232d1-c95b0422-80d78fe1-e50e1bd0-85e85cc2
54624512,"There is opacification at the left base in this patient with low lung volumes that accentuate the transverse diameter of the heart. Bibasilar atelectasis, more severe on the left than right, is present as is small left pleural effusion, borderline cardiomegaly and mediastinal vascular engorgement.",d91f5a1b-ccae5866-ec492d00-03828bba-bedd8a19
54625738,"Linear radiopaque density projecting over left upper quadrant, uncertain etiology, potentially external. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.",0f257273-0fa8c76f-737b4a98-eedda2aa-44d82e39
54629839,"Opacity seen in the posterior costophrenic angle on the lateral view, potentially secondary to atelectasis given very low lung volumes on this view. Opacity seen in the posterior costophrenic angle on the lateral view, potentially secondary to atelectasis given very low lung volumes on this view.",8c75550e-9aac921d-95015c3f-ac9bc81b-13abd432
54644366,"There is substantial enlargement of the cardiac silhouette, pulmonary edema, and bilateral layering pleural effusions more prominent on the right with basilar atelectatic changes. Severely enlarged cardiac silhouette, moderate right pleural effusion, pulmonary edema, is present predominantly in the lower lungs where there is also heterogeneous consolidation.",adcf4325-aa59cd31-be329869-32fd0147-d3cd1387
54651626,"Large fluid collection within the pleural space is seen on the right. Large multiloculated right pleural effusion which occurred is severe, obliterating most aeration in the right lower lobe.",b87403e9-8463e40a-a104367f-cb96ab7e-b13e08a2
54655227,"Moderate patchy and linear bibasilar opacities likely reflect atelectasis, and less likely aspiration or infectious pneumonia. Moderate patchy and linear bibasilar opacities likely reflect atelectasis, but similar appearance can be seen in the setting of acute aspiration and early, developing infectious pneumonia.",a38b4a62-5deaca1f-e0321ec0-146245c7-e41f6981
54655485,"Mild cardiomegaly, which could be a sequela of chronic interstitial lung disease, pulmonary arterial disease or both. Mild cardiomegaly, which could be a sequela of chronic interstitial lung disease, pulmonary arterial disease or both.",69392c89-8fa3a6e8-6c3bc53f-f09b09e2-a33a44e3
54657707,Blunting of bilateral costophrenic angles which could represent tiny pleural effusions or pleural thickening. Blunting of bilateral costophrenic angles which could represent tiny pleural effusions or pleural thickening.,a93cd149-9d1bdad3-ca3f7d1d-1e6235b5-9cde6b9c
54657781,"Lung volumes are lowt, mild-to-moderate cardiomegaly is seen, pulmonary vascular congestion is noted, although there is no pulmonary edema, and there is a small pleural or extrapleural hematoma associated with left upper lateral rib fractures. Apparent mediastinal widening is likely due to accentuation of a tortuous thoracic aorta by a rightward patient rotation, but should be confirmed by a repeat nonrotated radiograph when clinically feasible.",441735fc-34bd0286-fa539675-6602e72a-1fed5ed4
54661616,Mottling of the T11 vertebral body or depression of the T11 vertebral body superior endplate is present. Mottling of the T11 vertebral body or depression of the T11 vertebral body superior endplate is present. ,57dd992a-c736b67a-5a1f24e1-fcef3aea-76faae84
54669609,"There is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, noted, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature. There is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, noted, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature. ",bc998aad-c88d87cc-d89c4aa6-63477af5-c75767d8
54675277,"Presence of interstitial markings bilaterally suggesting moderate pulmonary edema, and/or chronic thromboembolic pulmonary disease. Presence of interstitial markings bilaterally suggesting moderate pulmonary edema, and/or chronic thromboembolic pulmonary disease.",33e89953-a3344800-0b12cc28-ae13c39f-f350e654
54692227,Large left lower lobe consolidative mass. Large left lower lobe consolidative mass. ,6bfb9064-03f991cd-bc8d36dd-fd64d740-edfaab18
54694185,"Widespread asymmetric infiltrative pulmonary abnormality consisting of large areas of consolidation and peribronchial infiltration in the right mid and lower lung zones and more discrete nodular abnormalities in the left lung is most likely widespread infection. Widespread asymmetric infiltrative pulmonary abnormality consisting of large areas of consolidation and peribronchial infiltration in the right mid and lower lung zones and more discrete nodular abnormalities in the left lung is most likely widespread infection, ",ff86990a-2b9b1ae4-abec4188-55d0170a-72142dca
54696287,Patient has had mitral and tricuspid valve surgery. There is enlargement of the cardiac silhouette with hyperexpansion of the lungs and flattened hemidiaphragms.,9a4ccf98-58c3f0da-81d2cd90-38c242fb-cc48af1b
54696391,"Patient is rightward shifted which projects the large heart over the right lower lung, but nevertheless, there is severe opacification of the right lung and low volume of the right hemithorax suggesting a large component of atelectasis, conceivably obscuring pneumonia, but not necessarily. There is little aeration in the right lower lung, due to either some withdrawal of right pleural effusion, There is most likely severe obstruction to the right middle and lower lobe.",f292b1a8-2e6fdb2c-a2e020b7-ae3b0cc9-9e3866d1
54703104,"Mild edema is present in both lower lungs, and there is consolidation at the right base, either pneumonia or atelectasis, accompanied by small to moderate right pleural effusion. Confluent opacities in the lower lobes are noted (right greater than left) and may also be due to infection or coexisting process such as edema.",86d32dd1-50a12d52-f95eadf5-8f436965-b8669247
54712047,"Left pleural collection is mild, and pneumothorax could be moderate in size, difficult to delineate, despite three left pleural tubes in place. Left lower lobe has partially expanded, reflected in return of the mediastinum to the midline, but there is atelectasis and small residual left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients.",cd9d349b-0c057599-fc4663a0-98ae4d7c-774a31ce
54715839,"Overall hyperinflation indicates severe emphysema. Severe bullous emphysema makes it difficult to exclude any pleural air at all, there is no evidence to suggest an air leak.",b4220d24-884a0275-1552d547-a339b365-4417b9d5
54716295,Right internal jugular Swan-Ganz catheter has its tip in the pulmonary outflow tract. There is placement of a right IJ Swan-Ganz catheter that extends into the right pulmonary artery at the mediastinal level.,14a4a35d-8763ba28-085afc05-45f80848-08962597
54717370,Superior mediastinal widening may be due to low lung volumes and supine positioning though a chest CTA can be performed for further evaluation if there is concern for mediastinal injury. Widened mediastinum which may be secondary to low lung volumes and repeat PA and lateral views with improved inspiration may be helpful for further assessment.,e5f2a417-f5d646ca-33f15b0f-5b7c75b3-2b9611d5
54721212,"Findings consistent with severe COPD, pulmonary arterial hypertension, and moderate bibasilar interstitial process. Findings consistent with severe COPD, pulmonary arterial hypertension, and moderate interstitial process.",51150936-2cf82a04-6fa1a638-e1577644-0ba4c3a3
54721804,"Right upper lung is air less, containing a large mass, and atelectasis in the right mid and lower lungs is is severe. The large right metastatic lesion at the base appears to have been resected.",d87efb8c-2b6c913c-52f20a43-a8cbf2ba-2b20410d
54723356,"Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion.",cf48760b-bc0b549d-17be5069-3e7b5248-e5f62e37
54725023,"Severe cardiomegaly is chronic, with moderately severe pulmonary edema and small-to-moderate bilateral pleural effusion. Opacification diffusely involves the right hemithorax, most likely representing asymmetric pulmonary edema in a patient with substantial enlargement of the cardiac silhouette, evidence of previous cardiac surgery, and a biventricular pacer device in place.",5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508
54729238,"Extensive right perihilar radiation changes and large areas of atelectasis are noted, with small right pleural effusion.Extensive right perihilar radiation changes and large areas of atelectasis are noted, with small right pleural effusion",7e1f323f-a2ad8df6-c4803950-58e8a9d6-7058b48e
54730459,"Nevertheless I think the heart is large, pulmonary vascular congestion is moderately severe, pleural effusions are large and there is moderate perihilar edema, all pointing toward relative cardiac decompensation. There is substantial enlargement of cardiac silhouette with pulmonary edema and bilateral basilar opacifications consistent with layering effusions and compressive atelectasis.",725b3b1f-cc1d9a66-0292de54-7bea58ed-5b724b75
54733030,"Somewhat limited examination, but substantial cardiomegaly without definite evidence for acute disease. Marked enlargement of the cardiac silhouette, however, this may relate to AP, portable technique.",d240a096-eb1996ea-8a08a168-367aa57b-96adf6ad
54735623,There is hyperexpansion of the lungs consistent with chronic pulmonary disease and enlargement of the cardiac silhouette without evidence of vascular congestion or pleural effusion.There is hyperexpansion of the lungs consistent with chronic pulmonary disease and enlargement of the cardiac silhouette without evidence of vascular congestion or pleural effusion.,e87655af-053bad7e-3bd0b4e8-0ca44de9-652ca403
54742755,"Review of the radiographic record shows episodes of decompensation of chronically enlarged heart, severe emphysema, and right apical tuberculous scarring. Review of the radiographic record shows episodes of decompensation of chronically enlarged heart, severe emphysema, and right apical tuberculous scarring.",1b02ffa5-a6da06e3-9063b9ef-5e540245-c18323b5
54745568,"Lungs are clear, heart is chronically enlarged with a large apical left ventricular aneurysm. Mild pulmonary edema is not present, and moderate left lower lobe atelectasis and small left pleural effusion are noted.",a1c961e5-048307f2-6354c600-52da3efe-47edd590
54749599,"Large neoplastic mass in right hemithorax with associated right upper and right middle lobe collapse, ipsilateral lymphangitic spread of tumor, lymphadenopathy and contralateral lung nodules. Large neoplastic mass in right hemithorax with associated right upper and right middle lobe collapse, ipsilateral lymphangitic spread of tumor, lymphadenopathy and contralateral lung nodules.",4a15096e-ded396cd-2f74c587-afc7d7b0-c226c5cb
54753684,"Lung volumes are low with patchy bibasilar opacities most likely reflecting bibasilar atelectasis, although aspiration cannot be entirely excluded. Lung volumes are low withbibasilar predominantly linear opacities favoring scarring or subsegmental atelectasis.",2ff152b9-2b4549f1-9fc64fbd-baf8d8e4-cafcdbee
54756918,"Left greater than right pleural effusions with cardiomegaly and moderate pulmonary edema. Moderate cardiomegaly, moderate left-sided and small right-sided pleural effusions, and moderate pulmonary edema, findings compatible with congestive heart failure.",641cc7ad-8d3dc0c6-ee97f6e1-7bf62c19-d12ac7bd
54759244,Minimal anterior wedging of ___ vertebral body at the thoracolumbar junction of indeterminate age. Minimal anterior wedging of ___ vertebral body at the thoracolumbar junction of indeterminate age.,f762fbc6-ca1926fb-06f3ef2a-b996a151-66a3b743
54765591,"Right lung is now completely collapsed, without appreciable leftward shift in the mediastinum, in the background of a very large multiloculated right pleural effusion. Severe consolidation in the right lung and moderate to large right pleural effusion are both present.",6911b0d3-34d72504-00da42b3-d727c19f-52754910
54766893,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible.",d978970a-5331f2f1-940f4bea-9da9bbf3-4724f2cf
54770541,"Left lung is largely expanded but diffusely opacified, probably with re-expansion edema. Left lung is largely expanded but diffusely opacified, probably with re-expansion edema.",b267e44d-493a0dca-420b4fd5-a91a1026-c3386cac
54772630,"Heart size top normal, lungs clear.  Heart size top normal, lungs clear.",5ffe4561-fd5efe80-1fb3d78d-8d867983-fd9561af
54773340,"Patchy left posterior basilar opacity for which pneumonia or atelectasis could be considered, superimposed upon severe background pulmonary fibrosis. Patchy left posterior basilar opacity for which pneumonia or atelectasis could be considered, superimposed upon severe background pulmonary fibrosis.",c030b6d3-bd30c805-6a5b4a1c-43939f5d-e533cace
54780158,Large bilateral pleural effusions noted. Overall cardiac and mediastinal contours are difficult to assess due to the extensive effusions and the technique of the examination.,5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13
54783326,Blunting of the costophrenic angles may be due to trace pleural effusions and/or mild atelectasis. Mild cardiomegaly without definite signs of acute intrathoracic process.,1a81259c-493d3b3c-de7e0965-b13a0f4c-d813d91d
54793306,Moderate cardiomegaly with pulmonary vascular congestion an single lead pacer extending to the right ventricle. Moderate enlargement of the cardiac silhouette with possible mild elevation of pulmonary venous pressure in a patient with a pacer lead extending to the apex of the right ventricle.,c9696dea-5c1429f6-f7f379f6-a8b0af2c-8d29d931
54801364,Chronic obstructive pulmonary disease with superimposed mild-to-moderate interstitial edema. Chronic obstructive pulmonary disease with superimposed mild-to-moderate interstitial edema.,94c11798-961e79c2-6916a44a-2f90e301-46fa937d
54808796,"Moderate cardiomegaly, and distention of mediastinal venous and pulmonary and hilar vessels suggest heart failure.  Mild-to-moderate cardiomegaly is present, but pulmonary and mediastinal vasculature are not particularly engorged and there is no edema or pleural effusion.",a13f355f-dafd65c3-ab50b75f-03d32b03-0a659e44
54809707,"Mild mediastinal widening at the level of the aortic arch, particularly in the right paratracheal station is noted, and indication that there is no abnormality of any clinical significance. Mild mediastinal widening at the level of the aortic arch, particularly in the right paratracheal station is noted, and indication that there is no abnormality of any clinical significance.",80b3c768-af7774d2-b929f0f3-cc00f7e1-a8bb88eb
54811277,"Severe opacification in the right lower lung could be fissural pleural fluid, but raises serious concern for pneumonia in a solitary aerated right lung. Appearance of right hilar enlargement compatible with underlying mass with streaky right basilar opacification likely reflecting a combination of mucous plugging and atelectasis, but infection is not excluded.",89853b2a-bf88984c-37910d68-2401fca9-884951db
54813526,"Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker.",776bbba3-c093e000-865ac0e7-9b6ee214-91574d04
54821838,Status post right ventricular pacer lead revision as described above; COPD and small pleural effusions. Status post right ventricular pacer lead revision as described above; COPD and small pleural effusions.,2e63cbea-9e89b6ef-7aa9d94c-5c2f5dbd-2969f6e4
54823444,"Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. ",e2706168-aad7b524-06ccdf55-031e9a4f-5c0bdcb8
54826768,"Bilateral basilar opacifications are consistent with pleural fluid and compressive atelectasis in the lower lobes, especially on the left. Mild pulmonary edema is present while moderate left and somewhat smaller right pleural effusion is accompanied by substantial bibasilar atelectasis.",1c6b6253-4298b326-603a70e5-89968c12-4c6900f8
54830140,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.  Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6
54833205,"Right upper lung is partially expanded. There is no detectable right pneumothorax, and minimal right pleural effusion if any, right pleural tube appears several centimeters moving the side port close to the intercostal plane.",61b4d5e0-66a2bcaf-6c4d6c19-6b735e59-b1390cb2
54842270,"Left lower lobe atelectasis, cardiac enlargement, standard position of support tubes. Indwelling ET tube, left subclavian line, transesophageal drainage tube, are in standard placements.",7536f4a6-1fbe0f20-f19b428c-ed5f66a2-68198980
54843884,Minimal size and amount of fluid within the neoesophagus (prior  esophagectomy with gastric pull-through). Minimal size and amount of fluid within the neoesophagus (prior  esophagectomy with gastric pull-through).,0eb1e826-78e313fd-5cfbb793-495ebe3d-8a33deb6
54844091,"Heart size and mediastinum are moderately enlarged including mild cardiomegaly but there is mild pulmonary edema, which is present but interstitial, moderate associated with small bilateral pleural effusions. The patient has mild pulmonary edema and small bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph.",efdbb954-7179fa49-509d0620-ab87eace-f42022d3
54844678,"Right jugular catheter ends in atriocaval junction. Right IJ catheter extends to the lower SVC, and the Dobhoff tube is coiled within the lower stomach.",5180e323-2f458dd9-ed09ecb3-6528c63a-6b9b4f1f
54849848,Presence of bilateral pleural effusions with bibasilar atelectasis  Pneumomediastinum is mild.  No pneumothorax. Presence of bilateral pleural effusions with bibasilar atelectasis  Pneumomediastinum is mild.  No pneumothorax. ,9189763d-c3b6ee12-d0d89f14-29a0cb1f-e3dee331
54861751,Leftward mediastinal shift suggests that  opacification of the left lung is due to severe left lower lobe atelectasis. Leftward mediastinal shift suggests that  opacification of the left lung is due to severe left lower lobe atelectasis.,b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5
54867671,"There is presence of severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. Moderately severe cardiomegaly is present, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema.",6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4
54870311,"There is widespread parenchymal opacities nodular and reticular, with slightly more peripheral than central predominance, highly concerning to multifocal infection. There is widespread parenchymal opacities nodular and reticular, with slightly more peripheral than central predominance, highly concerning to multifocal infection. ",7acf30bd-0ed39a38-bb6159dd-2ed09689-dd05ba98
54879730,"A temporary pacing lead has been placed, terminating in the expected location of the right ventricle. Temporary pacing lead standard in place with that lead likely terminating in the right ventricle.",d974aeb8-59d6b3c0-b7dec6c1-a25cf20c-541f88c0
54882267,COPD and cardiomegaly with a tortuous aorta and possible pulmonary hypertension. Fullness of the left perihilar region compatible with mass.,59a459f5-0bd58411-1d739d65-1d7477bf-92d830cb
54891883,"Nodular density projecting over the right first costochondral cartilage area, potentially degenerative; however, two-view chest x-ray recommended on a nonurgent basis to exclude underlying lung lesion. This could potentially due to superimposed shadows of degenerative changes in the spine and the adjacent aorta; however, non-urgent chest CT is suggested to exclude underlying mass or thoracic aortic abnormality.",398b9c15-85897d9b-b04d11e2-25092267-47db634a
54898695,"Large left hilar mass has grown since yesterday, probably due to limited bleeding, but there is left pleural abnormality consisting of fluid and/or tumor in the left major fissure and along the costal and diaphragmatic surfaces of the left lung. The left apical opacification is noted, consistent with a large necrotic mass.",78557a90-bc5812ac-af24ac90-bce0a937-28b47ee6
54899257,Enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG. Enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG.,3e179ec6-2dd8aea9-b1ef694b-eafe6ce6-0a175813
54900154,"Low lung volume exaggerates mild cardiomegaly, but moderate pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. Low lung volume exaggerates mild cardiomegaly, but moderate pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. ",3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85
54904275,Multi loculated right hydro pneumothorax with overall moderate volume but contains more fluid in the superior component that is posterior to the right upper lobe. Multi loculated right hydro pneumothorax with overall moderate volume but contains more fluid in the superior component that is posterior to the right upper lobe. ,30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3
54904335,"There is bilateral hilar enlargement, likely caused by dilatation of the central vasculature, as seen in pulmonary edema.Cardiac silhouette ismoderate enlarged in size and is accompanied by pulmonary vascular congestion and development of mild pulmonary edema which appears asymmetrical, predominantly right-sided.",b32d0041-1490ad2c-bb80e629-0738da5e-cd128891
54906849,"Lung volumes are substantially low exaggerating a real moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and obscuration of the hemidiaphragm on the left consistent with volume loss in the left lower lobe and pleural effusion.",87528f6b-d04a6330-74d35720-8c8af75d-54f79a11
54907683,"Lung volumes are low, but the only pulmonary abnormality is platelike atelectasis or scarring at the left base. Lung volumes are low, but the only pulmonary abnormality is platelike atelectasis or scarring at the left base.",f9d601d7-0eb2306d-2e66934e-5db0f766-edb49564
54913354,"Hazy bilateral perihilar opacities which can be seen in setting of atypical infection, potentially PCP in this patient with history of HIV. Hazy bilateral perihilar opacities which can be seen in setting of atypical infection, potentially PCP in this patient with history of HIV.",7ee153a9-e00f7cd0-8c44b852-d83a1175-db28c1e7
54917064,Right lower lobe opacity with prominence of the right hilum raises concern for right lower lung mass with right-sided lymphadenopathy given lack of infectious symptoms. Right lower lobe opacity with prominence of the right hilum raises concern for right lower lung mass with right-sided lymphadenopathy given lack of infectious symptoms.,feab557c-84c132e2-a4172ea5-87289e6b-4c74334d
54918942,Left pacemaker and right Port-A-Cath are in correct position. Left pacemaker and right Port-A-Cath are in correct position.,2a443c5b-911d577f-f0f52f16-9d2662c4-4c3a0fad
54920051,"Generalized opacification in the right hemithorax is due largely to a large right pleural effusion projected over at least moderately severe pulmonary edema, seen better in the left lung.There is hazy opacification at the right base consistent with extensive pleural effusion and underlying compressive atelectasis.",d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5
54920956,"There is substantial right basal consolidation concerning for progression of pneumonia, currently extensive and potentially including more than 1 low. Large area of basilar opacity involving the right mid-to-lower hemithorax as well as left base retrocardiac lucency consistent with patient's known large hiatal hernia.",a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997
54922650,"Left upper lobe has substantially expanded, following insertion of endotracheal tube, but the left lower lobe is largely collapsed and there is a left apical pneumothorax. 3 left pleural drains, tracheostomy tube, ET tube, and left internal jugular line are in standard placements respectively.",17c72825-5e526be7-2960df0b-bf160fda-b97951bf
54925240,There is enlargement of the cardiac silhouette with tortuosity of the descending thoracic aorta. There is enlargement of the cardiac silhouette with tortuosity of the descending thoracic aorta.,28286aca-22f060d1-344a3628-b2cd36f8-df90a34a
54932317,"Extensive opacification in both lungs, sparing the left mid and lower lung zone is present. Extensive opacification in the left lung is diffuse in distribution and moderate in severity.",d5bdde56-163d7da0-c0c9fbcd-b1e3b312-4ad7853c
54937394,"Mild generalized edema is present, but there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. Nasogastric tube passes below the diaphragm and out of view, a left trans jugular Swan-Ganz catheter ends in the main pulmonary artery, right internal jugular line ends in the region of the superior cavoatrial junction.",27dd77c0-a8c3f1a1-f33fb0c9-928377b3-b5ae13f7
54943123,"Pacemaker lead is correct in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data Right pneumothorax with bibasilar consolidations, moderate bilateral pleural effusions, and mild pulmonary vascular congestion.",c97cba0f-be9c81e1-e3b2f294-5af9f1ac-aa4dab80
54946834,"the left hemi thorax is now nearly completely opacified, likely due to near-complete collapse of the left lung as well as a left pleural effusion with pigtail pleural catheter in place. Complete opacification of left hemi thorax is noted with substantial left mediastinal shift consistent with left lung collapse.",4c91821b-955decb6-08bf90f3-372970dc-45cb6ac2
54953521,"No acute findings on this single supine frontal chest radiograph. Lungs are clear, cardiomediastinal silhouette noted including mild general dilatation of the aorta without focal aneurysm.",bd752951-5d4e5b88-c3f34820-c9e7fcd4-1d2b4af7
54970692,"There is enlargement of the cardiac silhouette with moderate pulmonary edema and small right pleural effusion with basilar atelectatic changes. Moderate pulmonary edemis noted, small right pleural effusion  Moderate cardiomegaly noted.",983faa39-85b84785-39cbeb3d-01519146-5be82c3b
54972841,"Relatively symmetric interstitial abnormality most pronounced in the lower lungs at the same time mediastinal vascular pedicle is widened, and both hila have enlarged. Relatively symmetric interstitial abnormality most pronounced in the lower lungs at the same time mediastinal vascular pedicle is widened, and both hila have enlarged.",12fcd1f0-96b6eb00-a6a5ee27-7e8d19ee-63f16bc2
54973829,"Moderate cardiomegaly with a strongly left atrial component and large pulmonary arteries are chronic. Relatively symmetric interstitial abnormality most pronounced in the lower lungs hat the same time mediastinal vascular pedicle is widened, and both hila have enlarged.",f430ec0f-40b790de-a5178baf-9dd6c108-9fc32de6
54985612,"ET tube tip is approximately 2 cm from the carina, with the chin elevated.  ET tube tip is approximately 2 cm from the carina, with the chin elevated.",cae34b8f-cef454bf-250bd88e-8bef265d-9a3f0172
54993114,There is enlargement of the cardiac silhouette that is exaggerated by pectus deformity of the lower sternum. There is enlargement of the cardiac silhouette that is exaggerated by pectus deformity of the lower sternum.,7cbc9371-93ae74a8-4d6234b9-a496d3e4-8812a350
54995727,"Generalized edema in the right lung is moderately severe, while right lower lobe atelectasis is mild. Rest of the tubes and lines are unremarkable as well as the appearance of the lungs but there is mild left lower lobe consolidation and moderate right basal consolidation.",03f5be94-94356058-6e153b3e-9d89dc4b-bc540c4c
55001052,Apparent bibasilar opacities likely represent layering effusions with supine positioning. The layering effusions are seen at the bases posteriorly.,7d1a5c64-703847ae-fbf3b643-c3e08a4b-4153d0d7
55001746,"Moderate-to-severe cardiomegaly is more pronounced, pulmonary vascular engorgement and mild interstitial edema are noted. Huge cardiac silhouette is expanded predominantly to the right by an unusual intrapericardial collection which  severely compromises the volumes of the right atrium and ventricle.",86d4ab20-e9abbc54-b65af50f-128d2b48-d9884715
55011437,"Lungs clear, normal cardiomediastinal and hilar silhouettes and pleural surfaces.  Normal heart, lungs, hila, mediastinum and pleural surfaces.",93df2443-2b80a0f4-6c12dc92-910966a7-3da34ae3
55011686,"Normal heart, lungs, hila, mediastinum and pleural surfaces aside from minimal thickening at the lateral aspect of the minor fissure. Normal heart, lungs, hila, mediastinum and pleural surfaces aside from minimal thickening at the lateral aspect of the minor fissure.",c97d3493-abb1b43d-c412174e-d867f08b-b887698d
55023208,Presence of bilateral pleural effusions with bibasilar atelectasis  Pneumomediastinum is moderate.  No pneumothorax. Presence of bilateral pleural effusions with bibasilar atelectasis  Pneumomediastinum is moderate.  No pneumothorax. ,121a82e4-e8fcc625-76d8bd71-defee5fe-3f48af2b
55036801,Right hemidiaphragm is moderately elevated of uncertain chronicity in the absence of older radiographs for comparison. Mild elevation of the right hemidiaphragm with minimal atelectasis at the right lung basis.,6a92203f-216df921-4fce7d2a-acd7f2ac-ff08b6bf
55048341,"There is asymmetric opacification most prominent in the right mid and lower zones, consistent with superimposed pneumonia on a background of vascular congestion in a patient with enlargement of the cardiac silhouette. Severe consolidation of the right lung base could be pneumonia exaggerated by the deposition of edema, or, simply very asymmetric edema and no pneumonia.",e0e15315-038cc10d-12da55fb-533193ff-f67ce0bd
55048387,Moderate right middle lobe scarring and bronchiectasis and mild bibasilar atelectasis. Moderate right middle lobe scarring and bronchiectasis and mild bibasilar atelectasis.,7a56c5a4-63fabea2-e65cd08b-42dd34c4-a1867f86
55049183,Single lead left-sided pacer is in proper position. There may be a withdrawn second pacer lead coiled above the left pectoral generator.,c826ff67-cd70843b-c8ce2e1a-49f768a6-5738d4cc
55058349,"Small region of consolidation in the right lower lung is noted, consistent with active pneumonia.  Small consolidation in the right lower lobe could represent spreading pneumonia or supervening atelectasis.",429fa17a-9886b777-b604dcc3-2aa91a9f-3963b43a
55058518,"Severe bibasilar consolidation, probably right lower lobe pneumonia and either left lower lobe pneumonia or left lower lobe collapse. There is consolidation of both lung bases in the exam.",48d78c08-a2ca4095-efd2e551-da6b1010-e90a62ef
55058843,The mass or loculated pleural fluid in the right upper chest a marginating mediastinum is present. Superior vena caval stent correct in place and there is a right mediastinal mass.,0b2c6fb8-4ee25db1-a506d249-fa80e84d-2f05a467
55060932,Cardiomegaly and pulmonary vascular congestion accompanied by interstitial edema and a layering right pleural effusion. Cardiomegaly and pulmonary vascular congestion accompanied by interstitial edema and a layering right pleural effusion.,d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29
55062075,"Moderate generalized interstitial abnormality with mild bibasilar confluence noted, strong indication that the explanation is pulmonary edema. Findings suggestive of interstitial edema with basilar opacity in the lateral view, potentially due to atelectasis; however, infection is not completely excluded.",e652c211-269bf80b-7db4a010-71e01204-f164bb7c
55065784,"Left lower lobe has partially expanded, reflected in return of the mediastinum to the midline, but there is atelectasis and small residual left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients. Left lower lobe has partially expanded, reflected in return of the mediastinum to the midline, but there is atelectasis and small residual left pleural effusion, a common accompaniment to lower lobe atelectasis, particularly in elderly patients.",c2a99a61-6ccc4c17-7a976c51-c9961784-bdfe8a3e
55084084,Right lower lobe collapse is moderate. A right pleural catheter is in place with small to moderate right pleural effusion andmoderate adjacent right basilar atelectasis.,627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43
55086195,Limited due to underpenetration due to the patient's body habitus without evidence of displaced fracture. Limited due to underpenetration due to the patient's body habitus without evidence of displaced fracture.,7b9c311b-b511e83b-75a5a6cf-d46efb9d-ac034314
55092691,"The left apical pleural collection is mild-moderate, with  a mass posterior to the left hilus inseparable from the descending thoracic aorta, and atelectasis in the lingula. The left apical pleural collection is mild-moderate, with  a mass posterior to the left hilus inseparable from the descending thoracic aorta, and atelectasis in the lingula.",3b9b84d5-b76eb1db-a43caa85-b33c92a4-4ed50db2
55095340,"Substantial enlargement of the cardiac silhouette with tortuosity of the aorta, but no definite vascular congestion. Cardiomegaly with aneurysmally dilated and tortuous thoracic aorta.",7958accd-21d0f8fa-0a0f1a50-fbb2ce69-5128a4a4
55098650,"______________________________________________________________________________                                 FINAL REPORT INDICATION:  ___ year old woman with  noted right sided rib pain no history of trauma, pleuritic  // eval for abnormality  TECHNIQUE:  Chest PA and lateral    FINDINGS:   Atrioventricular pacemaker with leads terminating in the right atrium and right ventricle. ______________________________________________________________________________                                 FINAL REPORT INDICATION:  ___ year old woman with  noted right sided rib pain no history of trauma, pleuritic  // eval for abnormality  TECHNIQUE:  Chest PA and lateral    FINDINGS:   Atrioventricular pacemaker with leads terminating in the right atrium and right ventricle. ",10b7a5e0-c721996a-b5046563-dd86ee1f-5d1caa58
55101140,Moderate enlargement of the cardiac silhouette in a patient with well positioned pacer leads and mild to moderate elevation of pulmonary venous pressure. Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place.,acea85a3-8db7b0ba-78f1bef1-81f7d8de-342f03f5
55101327,"Significant substantial enlargement of the cardiac silhouette due to cardiomegaly and/or pericardial effusion. Severe cardiomegaly is noted, but lungs are clear and pulmonary vasculature is normal.",92fd0922-955eb1c3-1cccf867-afd0d2e5-1e5a368b
55107790,RECOMMENDATION:  Initial further evaluation with 15 degree shallow oblique radiographs is recommended for confirmation of  noted right upper lung nodular opacity. RECOMMENDATION:  Initial further evaluation with 15 degree shallow oblique radiographs is recommended for confirmation of presence of right upper lung nodular opacity.,39c36e59-7b5c308e-a9153759-84676a45-4cadadf0
55108041,Hyperinflated lungs with mild bibasilar opacities which may represent atelectasis although underlying aspiration or infection not excluded. There is some hyperexpansion of the lungs suggesting underlying chronic pulmonary disease with the cardiac silhouette at or above upper limits of normal.,d504dbe8-1c4f781c-0df439c0-f9d111e3-383d8361
55108847,"Low lung volumes with appearance of patchy but predominantly linear opacities at both bases, left greater than right, which most likely reflects patchy atelectasis, although bibasilar pneumonia cannot be entirely excluded. Also bilateral basal areas of atelectasis, left more than right, and appreciated on both the frontal and the lateral image.",a8ad38e3-9a288818-536ed867-e22718fb-0d0833f5
55110396,"A third region of consolidation, left lower lobe ismoderate. Retrocardiac opacification is consistent with substantial volume loss in the left lower lobe and probable small effusion.",be5abf2d-532464c2-7ec963e5-0b5da9f9-fa74529e
55111273,"Some of the cardiac enlargement was due to a small pericardial effusion and there was extensive mediastinal adenopathy, which I presume is present. Slightly enlarged contour of the mediastinum and the enlarged left hilus containing moderate adenopathy are noted.",a8175445-d55b2d93-a5a3a22c-7662cb0a-6519b608
55116033,There is enlargement of the cardiac silhouette with moderate pulmonary edema and small right pleural effusion with basilar atelectatic changes. Cardiomegaly is accompanied by moderate to marked pulmonary edema with both alveolar and interstitial components.,22fe9215-499eca85-e1ae812f-e8e4bc0a-31234c00
55133499,"There are low lung volumes that accentuate the transverse diameter of the heart in this patient with a left subclavian pacer with leads in the right atrium and right ventricle. Left subclavian right atrial pacer and right ventricular pacer leads are in standard placements with no evidence of complication, specifically no mediastinal widening, pneumothorax, or left pleural effusion.",bd8fc3e9-687db5d6-574cb5a6-b78d18b2-2f5fb4de
55134684,"Large left pleural effusion in combination with severe right basilar atelectasis has shifted mediastinum further to the right,.  Large left and moderate right pleural effusion are noted.",583590d0-c9c3ce35-4b385739-1623390c-62fd1b5d
55135726,Right basilar chest catheter is coiled in the posterior inferior right hemithorax and is in standard position. Right basilar chest catheter is coiled in the posterior inferior right hemithorax and is in standard  position.,a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9
55139599,"Old healed fracture deformity of the right proximal humerus is visualized. Noted right apical patchy opacity with calcifications, better assessed on chest CT.",b85ad152-d351373d-9b33bc0d-584cf132-a45e2d7a
55146164,"There is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, noted, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature. There is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, noted, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature. ",377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03
55153576,Severely enlarged heart with mild pulmonary edema raises the possibility of pericardial effusion. Possible component of fluid overload which is difficult to assess given large body habitus.,92ca8ae9-3cd416c1-c8b97c65-2d1a7560-3a11ae68
55161126,"Pacemaker lead is proper in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data Small bilateral pleural effusions are appreciated only on the lateral view and since they are bilateral, they are not attributable to the pacer insertion.",1944fc3b-e15f09ec-eafd2e68-fa2452be-6505ea41
55167068,There is substantial enlargement of the cardiac silhouette with moderate of pulmonary edema. There is substantial enlargement of the cardiac silhouette with pulmonary edema that is present.,8137d98b-e8a60482-a158cc07-096a8d02-978fa0cc
55167612,Status post ascending aortic graft repair and moderate dilatation of the descending thoracic aortic contour compatible with known dissection. Status post ascending aortic graft repair and moderate dilatation of the descending thoracic aortic contour compatible with known dissection.,a55b384b-7dd7a06c-b48b46f4-b7522c74-c7f156b3
55176260,"Right middle and lower lobes are now substantially expanded, moderate-to-large right pleural effusion is present. Large right pleural effusion collapsing the middle lobe and most of the right lower lobe is unoted.",93ca5245-a3a6c687-b3723eb4-4e89b56b-3cda2cc7
55183572,Enlargement of the cardiac silhouette with the monitoring and support devices in unremarkable position. Post-operative widening of the cardiomediastinal silhouette is present.,9197e8a6-688e955b-b870d598-a611016b-66ef0b8e
55185117,"Severe pulmonary edema moderate bilateral pleural effusions, severe cardiomegaly, and severe mediastinal pulmonary vascular engorgement are noted indicating cardiac decompensation. Moderately severe pulmonary edema accompanied by increasing moderate bilateral pleural effusions and severe cardiomegaly.",0d768fcf-0bb1bca1-eb1fe1d6-686b876b-675a2e95
55187337,Dual lead pacemaker and median sternotomy wires are proper in position  New small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are proper in position  New small bilateral pleural effusions and left basal atelectasis.,be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0
55198163,"Findings consistent with CHF, including extensive interstitial edema and probable small areas of alveolar edema, as well small bilateral effusions. Moderate congestive heart failure including moderate alveolar pulmonary edema and bilateral pleural effusions, moderate on the left and small on the right.",84ffb901-893b00a7-7f2090be-d5cf6a4e-c34ab763
55198378,"Moderate bilateral airspace process, left greater than right, with associated layering effusions, left greater than right, all superimposed upon known emphysema. Bilateral pleural effusions, left greater than right, with underlying severe emphysema and mild pulmonary vascular congestion.",49c6a0af-c1fc71ef-9a008d1f-a69a11c6-ae390e99
55206854,"CHF findings, with interstitial and probably with some alveolar edema and suspected layering right effusion. Severe pulmonary edema seen, accompanied by increasing moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins.",89211728-267e6ae0-5cf3d9d3-8ed03442-8764ee24
55212349,"No acute findings on this single supine frontal chest radiograph. Normal heart, lungs, hila, mediastinum and pleural surfaces, specifically no edema or pleural effusion, intrathoracic hematoma or pneumothorax.",76bdc5c2-cca422ab-3223abe7-7b01baa8-cca25210
55214075,"Right jugular line ends in the mid to low SVC and transvenous right atrial and ventricular pacer leads are correct in their respective positions. Right jugular line ends in the region of the superior cavoatrial junction and transvenous right atrial right ventricular pacer leads are in standard placements, continuous from the left pectoral generator.",8b1136e5-87e823d7-65c62300-10d83255-4f550379
55233589,"Diffuse extent of the severe air inclusions in the soft tissues of the chest wall. Extensive pulmonary opacities accounted for by known metastatic disease and fibrotic changes with more confluent left lower lobar opacities which could reflect aspiration or an infectious process in the appropriate clinical setting, or relate to the underlying metastatic disease.",a7911dd6-f061c0a0-424f7e91-c27237d4-97faf732
55238104,"The cardiac silhouette appears enlarged, some of which may represent the supine AP.Allowing for the portable technique, the cardiac silhouette may be mildly enlarged.",92c32c82-12a62f9c-f28ef1de-aa6bdc04-c6946e9e
55240854,"Depending on clinical history, the suprahilar findings could be due to previous radiation in a patient who has a history of follicular lymphoma, and had extensive central and axillary adenopathy. The several pulmonary nodules are not as well appreciated on this study, as CT is more sensitive.",ba892f90-88618ff7-28ff47ef-ffe24fdc-ede9c315
55244705,"The edema is diffuse with moderate left and small right pleural effusions. Relatively symmetric bilateral perihilar consolidation, most likely edema, is severe in the right lung, not on the left, where there is evidence of moderate left pleural effusion.",1cbf90c3-079d9678-607bf65b-a3840c0f-02de10b9
55255832,Diameter of the cardiac silhouette is moderately enlarged; with presence of epicardial pacer leads. Diameter of the cardiac silhouette is moderately enlarged; with presence of epicardial pacer leads.,68d1a72f-0552bded-deae306a-343f5d03-ccf9853f
55259608,"There is substantial enlargement of the cardiac silhouette with retrocardiac opacification most likely reflecting substantial volume loss in the left lower lobe. Severe enlargement of the cardiac silhouette, due to cardiomegaly and/or pericardial effusion is present post-operatively, and left lower lobe atelectasis is seen..",6973b010-49ac25bb-d2e035bc-667938df-855b7f4c
55265250,"Diffuse, prominent interstitial lung markings in the setting of prominence of pulmonary vasculature and mild cardiomegaly likely represents pulmonary edema. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible.",9bfe49ac-87087878-1110949f-335e751c-ddc3d7fe
55266015,"There are small bilateral pleural effusions, left greater than right, Small pleural effusions are present, left greater than right appear",176e0588-2fc59c9a-096765cc-a04685eb-e860762a
55268779,"Constant extensive bilateral parenchymal changes, likely reflecting pneumonia on the left and scarring on the right, associated with a small right pleural effusion. Constant extensive bilateral parenchymal changes, likely reflecting pneumonia on the left and scarring on the right, associated with a small right pleural effusion.",3b728ba8-286ccc7c-03fe6ea5-cd414e08-a5ee38c1
55277653,Dual-lumen central venous catheter tip appears to terminate in the proximal right atrium. Dual-lumen central venous catheter tip appears to terminate in the proximal right atrium.,aef6ded2-a74cef0f-acdbb6d6-a96e3909-9fc8c2e9
55300369,Right internal jugular vein catheter is in correct position mild pulmonary edema and mild cardiomegaly are seen. Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place.,f3d507c2-a374ec9a-30b7c848-c991828c-333297ff
55301691,"The lung volumes are low, exaggerating top normal heart size. The lung volumes are low, exaggerating top normal heart size.",d8f6df8b-a89ccea2-63bada22-1566fcf0-126ceeb7
55310022,"Lung volumes are slightly low, exaggerating heart size, but lungs are clear. Lung volumes are slightly low, exaggerating heart size, but lungs are clear.",ee0ef8eb-6e0b96dd-964fb803-b19c1c2c-cd735b21
55312260,"Right postoperative changes in this patient status post right upper lobectomy with poor aeration in the right mid and lower lung. Fluid level just above the tip of the transesophageal drainage catheter is presumably retained air and fluid in the neo esophagus, but I cannot identify on the lateral view and therefore cannot be certain that the air and fluid collection is in the neo esophagus rather than mediastinum or pleura which are much less likely.",22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc
55316579,Congestive heart failure with interstitial edema superimposed on likely chronic interstitial lung airways disease. Congestive heart failure with interstitial edema superimposed on likely chronic interstitial lung airways disease.,f067c77a-54a4358e-ff4a3ce6-75df62e9-a3be270f
55316723,"Bibasilar consolidation, moderate on the right severe on the left is noted accompanied by bilateral pleural effusion, small on the right and moderate on the left.  Severe atelectasis in the left lower lobe is evident, moderate right pleural effusion now layers posteriorly.",c8432be1-b79e41da-834ae99a-c6cd0b0f-414d4eec
55317494,There is hyperexpansion of the lungs with enlargement of the cardiac silhouette. There is hyperexpansion of the lungs with enlargement of the cardiac silhouette.,39f36124-b86b485a-6817fbeb-6ac41cca-8ee5b9c1
55324135,"Dobbhoff tube with tip now in the stomach. The tip of the Dobbhoff tube lies at least at the esophagogastric junction, where it crosses the lower margin of the image.",4fe2791a-5a6ddb9b-d73fb7f6-bdb8d5ad-01ab723d
55328340,Very small right pleural effusion and right basal atelectasis and sufficient calcification in the aortic valve to raise question of hemodynamically significant aortic stenosis. Borderline cardiomegaly is present as is the tortuous and enlarged thoracic aorta which harbors a large dissection starting at the arch and involving the descending thoracic aorta into the abdomen.,cb7831a4-b96e79a9-fb92a40e-661f84c9-35010799
55339618,Cardiomegaly in findings suggestive of chronic interstitial lung disease. Cardiomegaly in findings suggestive of chronic interstitial lung disease.,5037ce6f-1b5a2beb-cefbe169-b7e53cbf-427eaf91
55340847,Asymmetry of the breast shadows with clips in the left axilla suggestive of history of left breast cancer with left axillary node dissection. Asymmetry of the breast shadows with clips in the left axilla suggestive of history of left breast cancer with left axillary node dissection.,093baa2b-62a8c5b2-9255859f-2edf2dcf-4f5ed090
55341919,There is enlargement of the cardiac silhouette with intact sternal wires and pacer device in place. Impella LVAD and transvenous atrioventricular pacer leads in their respective positions.,b10086a9-a4ddd90e-8d225a77-9c7b3e0b-261c474f
55353288,"Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. Large right pneumothorax with greater eversion of the right hemidiaphragm and moderate leftward mediastinal shift, indicating that the right pigtail pleural catheter is not adequately draining the right pleural space.",a249c5ba-c1c92f36-682ef4b1-98f3bd56-7d2f6932
55364313,"Severe scoliosis limits the evaluation of the lungs. Extensive kyphosis and loss of height of several inferior thoracic vertebral bodies is present, kyphoplasty is seen, and the upper portion of the lumbar fusion procedure appears unremarkable.",a5b415f2-b092fbdd-488fd0f8-0d4c383a-eed231bc
55368341,"COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted. COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker noted.",f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83
55372843,"Hyperinflation of the chest, best appreciated on lateral view suggests emphysema. Hyperinflation of the chest, best appreciated on lateral view suggests emphysema.",d4800b11-08ea5ece-04ba7667-a463e711-378c3893
55391430,"The contents of both large upper lobe cystic spaces, the extent of right apical pleural thickening, and bronchiectasis and nodulation outside the left apical cavities are moderate in severity. The contents of both large upper lobe cystic spaces, the extent of right apical pleural thickening, and bronchiectasis and nodulation outside the left apical cavities are moderate in severity.",3fde5d9d-38f2f63c-650afe46-ecc5ae96-a8126971
55391861,"Peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction. Peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction.",db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6
55395733,"Moderate anterior wedge compression of a vertebral body, approx level of L1. Moderate anterior wedge compression of a vertebral body, approx level of L1.",fb97dc99-52ef2345-cca09851-57c3d33d-c0fcf34c
55400628,Cardiomegaly and right lung base scarring. Cardiomegaly and right lung base scarring.,5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559
55403688,Cardiomegaly with globular configuration raising potential for concern for pericardial effusion. Severely enlarged heart with mild pulmonary edema raises the possibility of pericardial effusion.,407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187
55413705,Noted small bilateral pleural effusions and patchy bibasilar airspace opacities which may reflect infection or aspiration. Noted small bilateral pleural effusions and patchy bibasilar airspace opacities which may reflect infection or aspiration.,41bee34e-e9476a64-f28f2775-7d097a58-d88789f6
55418359,There is opacification at the left base consistent with severe pleural effusion and underlying compressive atelectasis. Opacification at the left base is consistent with substantial pleural effusion and underlying compressive atelectasis.,5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3
55420069,Status post total arthroplasty of the right shoulder with humeral component projecting inferiorly. Status post total arthroplasty of the right shoulder with humeral component projecting inferiorly.,5777b9e5-d14e2655-cb9eecfa-52bda043-992f6f80
55420918,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.  Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",10b653ab-46de5007-fc3c0784-46a5a718-df7713ba
55421522,Moderate cardiomegaly with stadard placement of the pacemaker leads. Moderate to severe cardiomegaly within pacer leads is noted.,0b935875-ccc24ae1-ff220578-be4e3835-6acc2e7a
55430187,Position of the biventricular pacer leads is standard. Proper position of dual-channel pacer device in this patient with previous CABG procedure and intact midline sternal wires.,5f4fdb1c-97aed97d-fa4a3b1b-9da4ea33-e9df38ee
55430447,"Moderate congestive heart failure with small bilateral pleural effusions, right greater than left, and bibasilar atelectasis. Moderate congestive heart failure with small bilateral pleural effusions, right greater than left, and bibasilar atelectasis.",2773b5c2-bd9e0357-064af3b4-ddc4997e-61ff380f
55438657,"Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall, is most likely pneumonia, and the enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy. Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall, is most likely pneumonia, and the enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy.",4a706f94-eae311b0-de845977-dcc52bde-4615615e
55438661,"Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly noted. Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly noted.",a3c2266d-8b1ffac0-48100adb-18621806-7ba7faa5
55447530,"There has been a substantial decrease in what is severe central adenopathy, with particular involution in the subcarinal, paraesophageal station, and both lower paratracheal stations, and probably in the aortopulmonic window. There has been a substantial decrease in what is severe central adenopathy, with particular involution in the subcarinal, paraesophageal station, and both lower paratracheal stations, and probably in the aortopulmonic window.",67046a75-310cfff1-2dd57e2f-6208c141-d18736f5
55452685,"MODERATE BILATERAL PLEURAL EFFUSIONS WITH EACH ADJACENT BIBASILAR LUNG OPACITIES, INCLUDING HIGH DENSITY RIGHT LOWER LOBE OPACITIES SUGGESTIVE OF ASPIRATED BARIUM. MODERATE BILATERAL PLEURAL EFFUSIONS WITH EACH ADJACENT BIBASILAR LUNG OPACITIES, INCLUDING HIGH DENSITY RIGHT LOWER LOBE OPACITIES SUGGESTIVE OF ASPIRATED BARIUM.",4b21950a-5565f60b-5e86b9fd-fde33a71-2a564240
55453302,"There is extensive multifocal pneumonia, particularly in the lower lobes, moderate pulmonary edema extending to the level of both hila, moderate right pleural effusion, small left pleural effusion, and probably moderate cardiomegaly as well. Moderate pulmonary edema seen and there is appreciably consolidation at both lung bases probably pneumonia.",fbe2b85e-495d3c4a-efdfbec7-0fd71f4d-058b81ff
55463602,"Right internal jugular line tip is most likely in the right atrium, it difficult to establish giving the large bilateral pleural effusions and pulmonary edema that is seen. Within those limitations there is pulmonary edema at least moderate and there are large bilateral pleural effusions.",bf9f8403-f941bbb9-13c134ff-ac80d6b9-e8442bdf
55469953,"Allowing for differences in projection, PA versus AP, mild-to-moderate cardiomegaly is noted, following placement of pericardial drainage catheter projected over the mid portion of the cardiac silhouette. Pericardial drainage catheter projects over the diaphragmatic midline and the cardiac silhouette is substantially smaller.",6ff741e9-6ea01eef-1bf10153-d1b6beba-590b6620
55470597,"Pulmonary edema is not present, but there is substantial consolidation in both lower lungs, which could be collapse or pneumonia, and bilateral pleural effusions, small on the right, moderate on the left, as well as moderate enlargement of the cardiac silhouette are evident.  Moderate right pleural effusion is present despite the right basal pleural pigtail drain.",ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea
55477134,"Post-operative widening of the mediastinum is present in the region of the arch, but there may be an increased caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. Left pleural collection is large, and pneumothorax could be moderate in size, difficult to delineate, despite three left pleural tubes in place.",b057552d-dcaef0e0-258a2453-37c600b2-d8d2b31f
55481818,Streaky bibasilar opacities potentially atelectasis or scarring with underlying COPD is mild. Streaky bibasilar opacities potentially atelectasis or scarring with underlying COPD is mild.,229975a2-d2e6a791-a66a597a-9b370606-8323c2cd
55484286,"Diffuse mediastinal widening is likely a combination of mediastinal lipomatosis and distended vessels, but the possibility of underlying lymphadenopathy is not excluded. Mild to moderate cardiomegaly and widened right paratracheal stripe compatible with underlying lymphadenopathy.",e9683fa3-283e5f0c-c05c217c-b320d070-4a8e9fc0
55485079,"Severe pulmonary consolidation in both lungs is seen, worse on the right than on the left. Severe pulmonary consolidation in both lungs is seen, worse on the right than on the left.",7299f098-d62bc751-9fe83648-b69333fb-38bddb75
55490259,"Linear left basilar atelectasis seen and linear atelectasis noted at the right lung base. Small opacity in the left retrocardiac region is probably a combination of elevated left hemidiaphragm bend adjacent atelectasis, although coexisting aspiration or infectious pneumonia are possible in the appropriate clinical setting.",9ca1e240-842fe6d2-5b26c6f5-a9523752-6603498e
55494760,The severe bilateral perihilar consolidation and right pleural effusion pattern suggests a large component of cardiac edema. The severe bilateral perihilar consolidation and right pleural effusion pattern suggests a large component of cardiac edema.,e6b4a152-bc73f001-84e7b150-4191779a-754f8459
55498995,"There is substantial enlargement of the cardiac silhouette consistent with the diagnosis pericardial effusion, as well as opacification at the left base suggesting pleural effusion and volume loss in the left lower lobe. Enlargement of the cardiac silhouette with left basilar opacification consistent with pleural fluid and volume loss in all left lower lobe.",e538135c-ebad1b7e-5f239803-3d6bcf94-7c5fddc4
55499739,There is substantial enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. There is substantial enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease.,06df3b11-81898aee-955508ec-3c40c0bd-2c592b21
55504914,NGT ends in the fundus of a moderately to severely distended stomach. Dobbhoff catheter at the gastroduodenal junction.,fd4126e5-c5485b35-3bbc48fc-acb448fa-fb1b42b7
55511619,"Lung volumes are low, and pulmonary and mediastinal vasculature are mildly engorged, with moderate interstitial edema, all pointing toward cardiac decompensation. Mild pulmonary edema and mediastinal venous engorgement are noted.",7e424a42-38f2b8c3-7cdac166-95452e5b-2ada132a
55514554,Small volume of right pleural effusion noted. Small volume of right pleural effusion noted. ,031f7904-9bf7d478-6ebc3f26-2ddf2209-700c9c83
55515719,"There is no pneumothorax on the right following thoracentesis and moderate right pleural effusion with a small fissural fluid. Small right pleural effusion is  noted following thoracentesis, and there is no pneumothorax, and the right lower lobe has substantially expanded.",b378a3b5-08a7504a-631c758a-059fd7ba-eea6caf2
55518195,"Bilateral pleural effusions and left lower lobe atelectasis or pneumonia are not evident. Moderate bibasilar retrocardiac atelectasis is seen, and small to moderate bilateral pleural effusions, left greater than right, are present.",744f71f1-f6d7965d-b1962186-ee28d9f1-b157b253
55525523,There is substantial enlargement of the cardiac silhouette with standard placement of the Swan-Ganz catheter and pacer lead. Massively enlarged cardiac silhouette with Swan-Ganz catheter.,049f350d-00784726-84389895-f7bb753f-7695f2b6
55528477,"Mild interstitial pulmonary edema with small bilateral pleural effusions, left greater than right, and bibasilar ill-defined opacities which may reflect atelectasis though infection is not excluded. Mild interstitial pulmonary edema with small bilateral pleural effusions, left greater than right, and bibasilar ill-defined opacities which may reflect atelectasis though infection is not excluded.",242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce
55534474,Pulmonary edema with large left and small right pleural effusions is concerning for heart failure. Mild to moderate pulmonary edema and bilateral pleural effusions as well as a left basal parenchymal opacity are noted.,02e9477c-659b97b0-28c5c1b2-6f4e0865-3e04a039
55544509,"There is asymmetric opacification most prominent in the right mid and lower zones, consistent with superimposed pneumonia on a background of vascular congestion in a patient with enlargement of the cardiac silhouette.There is enlargement of the cardiac silhouette with moderate pulmonary vascular congestion and moderate right pleural effusion with compressive basilar atelectasis.",ec82f84b-cccfc6e5-fa5fe314-b10d2e0f-0d272479
55553875,"Orogastric tube extending into the stomach, with the tip beyond the scope of this examination. Orogastric tube extending into the stomach, with the tip beyond the scope of this examination.",d506da5a-b2dad80c-f31e282e-15154de3-b4385bea
55562335,The lung bases are relatively underpenetrated on the frontal view due to patient body habitus. The lung bases are relatively underpenetrated on the frontal view due to patient body habitus.,cd202e14-5a239c8c-8bba8f71-28fcffad-3ee8715f
55563866,"Small right pleural effusion, cardiomegaly, properly positioned tripolar pacemaker. Small right pleural effusion, cardiomegaly, properly positioned tripolar pacemaker.",1b28921d-4ff1da35-9168d4d3-3ae39a1f-15dedb6c
55564287,Old healed fracture deformity of the right proximal humerus is visualized. Nodular opacity projecting over the tip of the left scapula is present and might potentially represent summation of shadows but a pulmonary nodule is a possibility and S correlation with PA and lateral views or potentially chest CT if clinically warranted would be identified,91db5745-87b0042c-4728fa53-e5352d85-501dae1c
55570024,Low lung volumes and greater opacification throughout the lungs is attributable to at least mild pulmonary edema superimposed on baseline interstitial lung disease. Lung volumes are low with mild interstitial reticular opacity due to pulmonary fibrosis and superimposed mild pulmonary edema.,aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd
55575670,Congestive heart failure is moderately severe with moderate pulmonary edema and apparent severe bilateral pleural effusions and adjacent basilar atelectasis. Congestive heart failure is moderately severe with moderate pulmonary edema and apparent severe bilateral pleural effusions and adjacent basilar atelectasis. ,b93327f5-228e6c2c-3dde8c34-4ed1cae0-997d5fc4
55578653,"Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle.",6d3bfa82-e23e5cc3-0ffb37e5-cd4bd075-a922da89
55583412,The severe bilateral perihilar consolidation and right pleural effusion pattern suggests a large component of cardiac edema. The severe bilateral perihilar consolidation and right pleural effusion pattern suggests a large component of cardiac edema.,94baae89-465cf7b4-d12f450e-b149838d-67c2edb4
55588562,Moderate right pleural effusion is noted despite the right basal pleural pigtail drain.  Large right pleural effusion collapsing the middle lobe and most of the right lower lobe is noted.,a54a1c95-9ef227c1-e64321cb-98c9470d-761b66f8
55593187,"There is bilateral apical scarring, right more than left, with subsequent minimal apical pleural thickening. There is bilateral apical scarring, right more than left, with subsequent minimal apical pleural thickening.",318e2d2a-cd564b66-987b939f-2b0ded80-8fc82ad2
55597534,"Findings compatible with COPD with superimposed acute bilateral process predominantly in the lower lungs, potentially edema or atypical infection. Findings compatible with COPD with superimposed acute bilateral process predominantly in the lower lungs, potentially edema or atypical infection.",1cbfd6d5-9adcc975-837ade15-105b6280-655efe4f
55597572,Presence of left chest cardiac device with associated single lead. Presence of left chest cardiac device with associated single lead.,1f96d075-e46aa57f-d3aa1e67-42ce2b69-83381327
55598285,"Of note, heavy aortic valvular calcification and heavy mitral annular calcification, either of which could be hemodynamically significant, particularly the aortic. Probably specific bilateral apical scar formations, moderate cardiac enlargement with mild degree of chronic CHF but no evidence of acute pulmonary infiltrates or pleural effusions.",4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d
55599778,"Mild bronchial wall thickening due to bronchitis, asthma, or early  viral pneumonia, although no lobar consolidation is identified. Mild bronchial wall thickening due to bronchitis, asthma, or early  viral pneumonia, although no lobar consolidation is identified.",b53a5d0c-beb58dcc-f874282d-0102846b-2e781894
55607397,"Moderately severe pulmonary edema accompanied by severe vascular congestion and  severe cardiomegaly. Severe cardiomegaly with mild-to-moderate pulmonary edema, accompanied by at least small right pleural effusion.",ee320893-4029e55f-63eb67d9-b7889903-20c23ab3
55609137,The cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the aorta. The cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the aorta. ,c04f1959-6d763649-3561d2d3-baf924f7-bac2214b
55609649,"Greater opacification in the lower lungs and perihilar left lung, accompanied by enlarged heart size, though normal, suggests pulmonary edema is the explanation for the new pulmonary findings. Right lung is clearing, but there is greater vascular congestion in the left upper lobe than before, and there may be a component of re-distribution due to patient positioning, particularly if patient is intermittently left decubitus.",6bad4c60-b2e3becf-a99801f7-aac3757c-2b669f35
55610477,"There are low lung volumes with enlargement of the cardiac silhouette mild elevation of pulmonary venous pressure, and bilateral pleural effusions with compressive basilar atelectasis, more prominent on the left. There are low lung volumes with enlargement of the cardiac silhouette, elevation in pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left, with compressive atelectasis at the bases.",676f47c0-d614cf37-78b5c5d0-274cd2aa-9d6211ac
55610892,Lung volumes are low and there is diffuse bilateral parenchymal process favoring moderate pulmonary and interstitial edema rather than pneumonia. Markedly low lung volumes with crowding of the pulmonary vasculature with indistinct vasculature on the left raising a concern for asymmetric pulmonary edema.,e2639104-28411e18-bfafdd6f-8f7fed3a-0801198b
55611611,"Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. ",a4849658-ce9b054b-b59e436d-df3b5ab8-80025982
55611959,"A remnant dual transvenous right ventricular pacer defibrillator lead is curled in the left axilla. Right jugular line ends at the origin of the SVC, right atrial and two right ventricular pacer defibrillator leads in place.",2e0ac0a9-c4f5e463-bfc3a350-8515448c-2f9a7358
55615214,Elevation of the right hemidiaphragmatic contour with blunting of the costophrenic angle. Elevation of the right hemidiaphragmatic contour with blunting of the costophrenic angle.,5e56226b-f483939b-5c83520e-f030d297-124a879a
55620198,"The cardiac silhouette is enlarged with extensive cardiomegaly; standard position of the left ventricular assisting devise and the position of the pacemaker leads including ICD coiled in the azygos vein inserted through left subclavian and right ventricle. Moderate cardiomegaly and pulmonary vascular congestion and left lower lobe atelectasis, probably due to the impact of the left ventricle, are all long-standing.",da0fe691-6fcfcca4-8246f750-cb8b78a2-eec222bc
55629622,"A moderate-sized right hydropneumothorax is noted, with small component of pleural fluid dependent in the right lower chest. A moderate-sized right hydropneumothorax is noted, with small component of pleural fluid dependent in the right lower chest. ",982578b4-18516c2a-5faf15d7-e4641de2-eca3ad55
55644325,"There is opacification at the left base with blunting of the costophrenic angle, consistent with pleural effusion and atelectasis. There is opacification at the left base with blunting of the costophrenic angle, consistent with pleural effusion and atelectasis.",00791688-1fab1483-c2c6bc65-78567732-ff0cf7cc
55645174,"Mild generalized edema is noted, but there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. In addition to left lower lobe collapse, and the bilateral heterogeneous basal pulmonary opacification could be due to a dependent edema.",97772d75-88b9c893-d5ad4dd5-f7763053-ca0dd70a
55646831,Largely diffuse left upper lobe opacity and left perihilar reticular opacities worrisome for significant pneumonia. Largely diffuse left upper lobe opacity and left perihilar reticular opacities worrisome for significant pneumonia.,1e31fec1-1f4cbc01-4583b395-5127c6f7-43b9a7e7
55649635,"Moderate-to-severe pulmonary edema is evident accompanied by small bilateral pleural effusion. Widespread pulmonary opacification is moderately severe, particularly in the lower lungs, but the pattern is consistent with severe pulmonary edema.",fa76addb-604afc82-2fed6189-2657d8ca-8464dc84
55650924,"Low lung volumes crowd the lung vessels; I can say there is no pulmonary edema, but there is presence of heterogeneous opacification at the left lung base concerning for aspiration. Lower mediastinum is shifted to the left, suggesting that left infrahilar opacification has a large component of atelectasis.",f65458e7-7ef7e73f-fea3b7ca-40749fee-38fb4aeb
55652630,"Left jugular line passes as far as the left brachiocephalic vein where it is obscured by overlying right atrial biventricular pacer defibrillator leads which follow their expected courses, continuous from the left pectoral generator. There is standard placement of the biventricular pacer device.",a4ced79c-68a99c35-e4a2aa15-21423671-0559dedf
55652987,"Small-to-moderate right and small left pleural effusion are noted, mild interstitial pulmonary edema and mediastinal and pulmonary vascular engorgement and borderline cardiomegaly are present. There is probably small to moderate right pleural effusion which would be better assessed with a lateral view.",8f27588d-1bdebd8f-27072fe7-d51a60d5-c6968fcf
55657134,"Moderately severe interstitial edema, moderate right pleural effusion. Severely enlarged cardiac silhouette is noted, moderate right pleural effusion is present, pulmonary edema is evident, predominantly in the lower lungs where there is also heterogeneous consolidation.",15f947b4-1be82012-29928936-17ccf8d3-135a3760
55661010,"Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. ",010357e5-15fa3bea-a68903e4-6326524d-9a77b7db
55671568,"There is enlargement of the cardiac silhouette with moderate pulmonary edema and small right pleural effusion with basilar atelectatic changes. Moderate pulmonary edemis noted, small right pleural effusion  Moderate cardiomegaly noted.",a182520b-602fa4e1-b77eda67-469d74a8-9403dc79
55675760,"Right middle lobe opacity noted, query acute (infection or aspiration) on chronic process or worsening of known chronic lung disease. Right middle lobe opacity evident, query acute (infection or aspiration) on chronic process or worsening of known chronic lung disease.",aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2
55681597,"Slight blunting of the costophrenic angles could be due to low lung volumes and pleural thickening, although trace pleural effusions are difficult to exclude. Low lung volumes with blunting of the costophrenic angles may be due to trace pleural effusions.",d53ea806-f9b5f637-2a0ee3e9-a8409e3d-56e8cf0f
55683961,"The small right apical pneumothorax is evident, A very small right pleural effusion is present and there is severe subcutaneous emphysema in the right chest wall.  The small right apical pneumothorax is evident, A very small right pleural effusion is present and there is severe subcutaneous emphysema in the right chest wall.",c7891af4-7df49803-0c120b40-692b164a-f6728f33
55687833,Moderate cardiac enlargement and mediastinal widening due to fat deposition is present. Moderate cardiac enlargement and mediastinal widening due to fat deposition is notedd.,b6a6935d-4971116a-88062d67-ad36e7ac-0fc76bdf
55693697,"Pacemaker lead is standard in position with mildly enlarged cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data Dual lead pacemaker and median sternotomy wires are standard in position  Small bilateral pleural effusions and left basal atelectasis.",0121bc37-2ed8a362-8f9cdb83-edfbd075-1e86a1d6
55694501,Moderate left and small right pleural effusions with associated compressive atelectasis. Moderate left and small right pleural effusions with associated compressive atelectasis.,9cb7472a-803c242b-a9526718-19d7b53c-e332df01
55695509,"Greater opacification at the lung bases is probably a combination of bibasilar consolidation and moderate pleural effusions. Bibasilar airspace opacity with likely layering effusions, right greater than left, suggestive of compressive atelectasis, although bibasilar pneumonia cannot be excluded.",2d13a8b7-f90c5932-218e4fdf-056b5c2f-550c0a09
55710466,"Cardiomegaly is accompanied by moderate interstitial pulmonary edema, accompanied by a small right pleural effusion. Cardiac silhouette is enlarged  in size and is accompanied by moderate extent of pulmonary edema and mild right pleural effusion.",a1cd58cf-bef24282-3f8dd017-ac556cfc-92537bf4
55714183,"There is patchy opacity at the right base which may reflect re-expansion pulmonary edema, although patchy ateclectasis or pneumonia should also be considered. Mild pulmonary vascular congestion/interstitial edema with opacities in the right lung base, which may represent asymmetric edema or superimposed pneumonia.",19e1160c-64331a2f-1c1287f4-deca2aae-a62a7beb
55715754,"Heart is enlarged but largely shifted into the right hemithorax. Marked enlargement of the cardiac silhouette, however, this may relate to AP, portable technique.",e539ba13-0f60a2b9-c5777304-ac5661fd-236f33a8
55719726,Presence of very small right pleural effusion and right basal atelectasis and sufficient calcification in the aortic valve to raise question of hemodynamically significant aortic stenosis. Lungs are clear except for patchy and linear bibasilar opacities which may reflect atelectasis or aspiration.2,e2355bc9-8bf0bfaf-605c4222-bf3592b9-e1259f5b
55720395,"Lung volumes are very low and large areas of both lungs are obscured by hemidiaphragm on the right and heart on the left. Limited examination due to respiratory motion, but tip of NG tube appears to lie near the gastric antrum.",525f290c-cf5cb6e5-11ee38a0-a2a67848-2f55c7df
55725911,There is moderate enlargement of cardiac silhouette. Supine portable radiographs demonstrate placement of a feeding tube into the stomach.,2e5ac89a-e2d5d8c6-8cbf02bc-ec6e4725-9339a9cc
55728799,"Normal heart, lungs, hila, mediastinum and pleural surfaces. Normal heart, lungs, hila, mediastinum and pleural surfaces.",aa546728-20bdd90f-5ff37933-03763e88-8460fa7e
55736427,There are low lung volumes with a more elliptical opacity in the right mid lung likely representing loculated fluid/blood within the horizontal fissure. There are low lung volumes with a more elliptical opacity in the right mid lung likely representing loculated fluid/blood within the horizontal fissure.,1a734389-4bcb9234-220a253e-c22386fd-4f018ada
55739720,"Lung volumes are low, with a second large band of atelectasis at the right base. Lung volumes are low, with a second large band of atelectasis at the right base. ",53b32671-685e3433-612784a3-6c684cd8-e06dd901
55740020,"Demonstration of cardiomegaly with mild globular appearance which may suggest a component of pericardial effusion along with large bilateral pleural effusions and mild-to-moderate pulmonary edema. Mild pulmonary edema, moderate bilateral pleural effusions, moderate to severe cardiac enlargement and substantial bibasilar atelectasis, left greater than right are present.",7576b31f-3445c62b-0b2c892b-4ec42aea-61ada0c6
55741690,A wide band of linear scarring in the juxta hilar left midlung is present. A wide band of linear scarring in the juxta hilar left midlung is noted.,2a5046e4-c023b60a-61a89d1b-464d705c-e2b1eae7
55743226,Left subclavian transvenous pacer defibrillator lead follows the expected course from the left axillary pacemaker to the floor of the right ventricle. The left axillary pacer pack is in standard position..,fd480467-a520cdee-c10d86b1-219b21f7-64bb593d
55746776,Mild leftward curvature of thoracic spine may be positional however is suspicious for scoliosis. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.,ae4c91eb-797ef162-94445cf7-b657d732-2344c20d
55748723,"There is substantial enlargement of cardiac silhouette with pulmonary edema and bilateral basilar opacifications consistent with layering effusions and compressive atelectasis. There is substantial enlargement of the cardiac silhouette, pulmonary edema, and bilateral layering pleural effusions more prominent on the right with basilar atelectatic changes.",f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77
55751115,"Moderate right pleural effusion is seen, and moderate enlargement of the cardiac silhouette is also present consistent with moderate cardiomegaly and/or pericardial effusion. Moderate right pleural effusion is seen, along with pulmonary vascular congestion, in the setting of moderate to severe cardiomegaly.",839692be-04ae989a-2d56b63c-541abfe9-f8be40ec
55755138,"Severe postoperative volume loss, including marked leftward mediastinal shift and hilar elevation, after left upper lobectomy and left apical pleural thickening are present. Severe postoperative volume loss, including marked leftward mediastinal shift and hilar elevation, after left upper lobectomy and left apical pleural thickening are present.",b3c74d2a-5af41aa3-b45b6c26-d2267e9d-7c4138ac
55758533,"Mildly tortuous and dilated ascending aorta, compatible with a history of aortic stenosis. Mildly tortuous and dilated ascending aorta, compatible with a history of aortic stenosis.",44fd9408-57bb7612-99f6002c-71e76b77-a2040d14
55775366,Saccular bronchiectasis and peribronchial infiltration in the right middle lobe and anterior segment of the right upper lobe are mild.,a19a99df-7a50369f-ebdcd74f-f24c8839-d8ab6214
55775814,"Low lung volume exaggerates mild cardiomegaly, but moderate pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. Low lung volume exaggerates mild cardiomegaly, but moderate pulmonary vascular engorgement accompanied by mild interstitial edema in the lower lungs has an indication of cardiac decompensation. ",8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a
55779414,Large right-sided hydropneumothorax with leftward shift of mediastinal structures compatible with tension. Large right-sided hydropneumothorax with leftward shift of mediastinal structures compatible with tension.,e12bad7a-760b3371-e15d9215-21ede9cc-79748575
55782151,"The cardiac silhouette is more prominent and there is indistinctness of engorged pulmonary vessels, consistent with mild to moderate pulmonary edema. There is enlargement of the cardiac silhouette with engorgement of indistinct pulmonary vessels, consistent with  pulmonary edema.",95d5ba34-c754c542-a7da4947-9dce8e85-e0668736
55782701,Mediastinal and hilar contour abnormality should be assessed with chest CTA when clinically appropriate. Enlarged cardiac and mediastinal contours with somewhat tortuous unfolded aorta.,9e39cc45-a2ff14d4-3339ec28-dae4711c-f856e2b8
55793283,Moderate enlargement of the cardiac silhouette with diffuse sclerotic bone metastases. Substantial enlargement of the cardiac silhouette in a patient with extensive sclerotic metastases related to prostate cancer.,e4803482-51fd078d-b1b0c75c-e66487fe-0e881cdc
55795536,"The cardiac and mediastinal contours are enlarged despite portable technique, but are likely present given differences in positioning. Heart is enlarged and the mediastinum appears widened but likely related to relatively low lung volumes and portable technique.",3c164f3b-ffb14176-c30b82ea-4fea8e11-213e5240
55797023,"Right base opacity may be due to atelectasis adjacent to a large hiatal hernia though additional focus of infection or aspiration is not excluded. Mild pulmonary vascular congestion with noted bibasilar airspace opacities, nonspecific, possibly reflecting atelectasis though aspiration or infection cannot be excluded.",c9af77d2-fad3eeed-901b28fb-003041ad-d1ad165e
55799349,Low lung volumes accentuate the transverse diameter of the heart. Low lung volumes accentuate the transverse diameter of the heart.,d45a4f1c-aa9b0b1d-714e476e-b6f28f01-34d6bcdc
55801123,"There is all enlargement of the cardiac silhouette with elevated pulmonary venous pressure and left pleural effusion with compressive atelectasis at the base. Left pleural effusion is chronic, currently moderate-to-large, partially obscuring a large cardiac silhouette due to chronic cardiomegaly with or without pericardial effusion.",6de51358-d77c44f7-19d5cd49-0d32b6fa-15f71ae5
55803143,"Mild peribronchial opacification in the lateral aspect of the right lung base, above the chronically elevated hemidiaphragm could be the residual of recent larger infection, or an early pneumonia.  Asymmetry in the lower lungs consisted of mild-to-moderate opacification on the right, which could be an early pneumonia.",a1746ff2-d1af8629-93c25ff4-e7d87c86-532f4829
55803590,"Widening of the superior mediastinum may be due to supine position and AP technique, although acute mediastinal process is not excluded. Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive.",42f9b759-e6e7ad97-975fc45e-f1a03ce4-1f252352
55811525,"Diffuse airspace opacities in the background of fibrotic lung disease, findings could be secondary to vascular congestion, atypical infection, or acute exacerbation of interstitial lung disease. Diffuse airspace opacities in the background of fibrotic lung disease, findings could be secondary to vascular congestion, atypical infection, or acute exacerbation of interstitial lung disease.",3ea6406a-214fd5a4-1e6e4b0e-195445b8-1ea913b3
55812727,"Borderline cardiomegaly with suggestion of possible left atrial enlargement, but no evidence of acute disease. Borderline cardiomegaly with suggestion of possible left atrial enlargement, but no evidence of acute disease.",0f3b10cd-b3e6a500-20370ada-6e3ab8b3-ad1019c5
55815964,"Status post left VATS with post-surgical changes including atelectasis and volume loss in the left lung with left chest tube positioned appropriately. There is substantial partial left lung atelectasis, most likely of the post left upper and lower lobes with left mediastinal shift.",8556763c-b1bc6f79-edf4b821-e6261f21-f1f60684
55827546,"Moderately severe cardiomegaly seen, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. Limited exam due to patient body habitus and portable technique.",6961188b-c38e2a5b-a99c020f-7b1d396a-86da5f49
55831566,Cardiomegaly with appropriately positioned pacer wire. There is enlargement of the cardiac silhouette with intact sternal wires and pacer device in place.,40994464-b17516cf-be885c02-984e9fa1-79da2ac8
55832727,"Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle.",64f99800-8450e0a6-9bcd9fa5-3fe8ad9f-9c164aa4
55834779,"Diffuse parenchymal reticulation suggestive of interstitial lung disease, noted and consistent with known sarcoidosis. Diffuse parenchymal reticulation suggestive of interstitial lung disease, noted  and consistent with known sarcoidosis.",9763cff1-26fe3d95-bb076c42-59a33d2e-4986039e
55847451,"Though interstitial pulmonary edema has almost cleared and small bilateral pleural effusions have decreased over the past five days, the irregular right juxtahilar mass-like consolidation is noted. Though interstitial pulmonary edema has almost cleared and small bilateral pleural effusions have decreased over the past five days, the irregular right juxtahilar mass-like consolidation is present.",dc259d24-611aa4fd-ede77026-cf06f0b3-9c9ae10a
55849664,Noted right middle and lower lobe pneumonia with small parapneumonic effusion. Noted right middle and lower lobe pneumonia with small parapneumonic effusion.,25392829-b64500bf-57a3c5ab-8bd982c2-cf08a2f6
55851227,"Evidence of pulmonary nodules, better assessed on CT.  Lateral right mid lung and bilateral lower lung opacities are worrisome for multifocal pneumonia. Evidence of pulmonary nodules, better assessed on CT.  Lateral right mid lung and bilateral lower lung opacities are worrisome for multifocal pneumonia.",6e9a74d7-21c84522-a747db35-77dec447-6c76dd6e
55853389,"Pulmonary vascular congestion and hilar diameters are moderate in severety and small bilateral pleural effusions are noted, indicating mild cardiac decompensation.  Pulmonary vascular congestion and hilar diameters are moderate in severity and small bilateral pleural effusions are noted, indicating mild cardiac decompensation. ",2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7
55863688,"Status post extubation, the Swan-Ganz catheter tip extends about 2-3 cm beyond the mediastinum on this imag there are lower lung volumes which could accentuate this appearance.",e9d9f329-da18eb49-3fe8868a-a0852356-4e2cc1a8
55866796,"Pectus, best appreciated on the lateral radiograph, normal size of the cardiac silhouette. Pectus, best appreciated on the lateral radiograph, normal size of the cardiac silhouette.",4f39f3cc-21398fd5-98bdb9b6-55653602-c53fc011
55866927,Placement of Dobhoff and NG tubes is within the stomach. Orogastric tube coils upon itself in the stomach with the tip at the gastroesophageal junction.,e5ff06eb-15534151-f0889a9a-1ef2a26f-14945911
55874928,"Bilateral pulmonary consolidation, most severe in the right lower lobe, less pronounced on the left, small to moderate bilateral pleural effusion, mild cardiomegaly and mild interstitial edema are evident. Bibasilar pulmonary consolidation accompanied by moderate pulmonary edema is worse in the right middle and lower lobes particularly.",fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9
55875120,"Moderate to severe cardiomegaly, mild pulmonary edema and small bilateral effusions. Moderate to severe cardiomegaly, mild pulmonary edema and small bilateral effusions.",c12759af-b70b6882-d6cca08e-8811c264-7caf797c
55876368,"It could be due to vascular engorgement, but given evidence of prior median sternotomy and coronary bypass grafting, an acute aortic syndrome needs to be excluded, if not clinically, then with imaging. The heart is enlarged status post median sternotomy for CABG.",031113f9-e2466fb7-08d11a74-231bed81-45441968
55876844,"Fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis, is present. Fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis, is present.",eddb9933-b3f09de6-7a247c23-5008736e-5f1faba5
55883502,"Patchy right lower lobe opacification, probably compatible with atelectasis noting elevation of the right hemidiaphragm, although pneumonia is hard to entirely exclude. Patchy right lower lobe opacification, probably compatible with atelectasis noting elevation of the right hemidiaphragm, although pneumonia is hard to entirely exclude.",e03dd9c2-d0a3ddb0-0e9d72c3-1b4c5f92-9593c85f
55895933,Mild reticulation in the right mid lung at the upper pole of the hilus is probably mild bronchiectasis. Mild reticulation in the right mid lung at the upper pole of the hilus is probably mild bronchiectasis.,251055e0-64cd0630-6673abff-5459cfcf-d5ddcf0b
55901243,"Moderate bilateral pleural effusion, left greater than right. There are radiographic findings, specifically small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs.",f329badd-5f934b2d-44503f43-93b04e89-810e8f0c
55902256,"Extensive opacification in both lungs, sparing the left mid and lower lung zone seen. Severe widespread pulmonary infiltration has noted, with near confluence of opacification in the left lung, an increase in moderate left pleural effusion.",e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98
55907924,"lung volumes are chronically low and the right hemidiaphragm is elevated, responsible for right lower lobe atelectasis, but there is no pulmonary edema or pneumonia, or indication of significant pleural effusion. Heart size is indeterminate, obscured by elevated diaphragm and kyphotic positioning.",9c8bbef1-95e3b0fb-eea57c06-586fe950-918a79be
55908245,"There is moderately enlarged pulmonary vascular caliber, small bilateral pleural effusions and suggestion of mild edema all pointing toward biventricular cardiac decompensation. Moderate cardiomegaly and mild interstitial edema accompanied by small bilateral pleural effusions are noted.",c8f77e9b-ae1d0935-5fc5b81a-bbae4b84-91567aec
55926507,"Low lung volumes with linear opacity in the right mid lung consistent with subsegmental atelectasis and retrocardiac consolidation with air bronchograms likely representing lower lobe atelectasis given the position of the endotracheal tube being in the right main stem bronchus. There is severe combined atelectasis of the right middle and right lower lobes, likely due to mucous impaction in the bronchus intermedius.",e3e6cc59-4cfa69f0-eb73c903-0346145f-f6ae821f
55937788,Moderate cardiac enlargement without evidence of CHF in patient with evidence of previous sternotomy. Moderate cardiac enlargement without evidence of CHF in patient with evidence of previous sternotomy.,af0c4020-5add1573-1c5ab2bf-de56409e-b3748c43
55940912,Small pulmonary nodules in this patient with known history of multiple pulmonary nodules. Small pulmonary nodules in this patient with known history of multiple pulmonary nodules. ,a025f08e-de9dddc4-8716a1ac-899ce213-d7289c7a
55944918,Cardiomediastinal contours including the small bulge in aortopulmonic window are noted. Cardiomediastinal contours including the small bulge in aortopulmonic window are noted. ,6021cfe7-e84289ad-c2738e0c-e8db237c-d7147774
55946640,"Small right pleural effusion, pwith associated right basilar atelectasis. Small right pleural effusion, pwith associated right basilar atelectasis.",ed9628e5-62ce1427-67e04f11-6daf5632-424ef2d1
55947318,"There is mild vascular congestion in this patient with dual-channel pacer device with leads extending to the right atrium and apex of the right ventricle. Mild interstitial pulmonary abnormality is also long-standing attributable to previous episodes of pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion  New trans subclavian right atrial right ventricular pacer leads continuous from the new left pectoral generator.",2c5c8a39-6ae3dd9e-2b4d5279-6bb07505-1b57f5ab
55947692,"Substantial amount of pneumoperitoneum, consistent with patient's known perforated diverticulitis. Substantial amount of pneumoperitoneum, consistent with patient's known perforated diverticulitis.",5338edd0-50f5acc9-e2b17f61-df5423a3-36b08d58
55957472,"Rght internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion.",10de7e37-6e13bc83-6797db44-6cac4fdb-8bcba198
55958316,"Moderate cardiomegaly and mild interstitial edema accompanied by small bilateral pleural effusions are noted over the past several days. There  mild pulmonary edema, more edema or concurrent atelectasis in the right lower lobe, left lower lobe atelectasis, severe cardiomegaly, a small fissural right pleural effusion.",b570093b-0dc0e880-c0006423-ad6a31ed-d87e89fa
55960520,"Mild pulmonary edema his evident, but greater opacification at the right lung base is concerning for pneumonia, accompanied by small right pleural effusion. Mild edema is present in both lower lungs, and there is severe consolidation at the right base, either pneumonia or atelectasis, accompanied by small to moderate right pleural effusion.",33ecbdf2-35c3aa31-e848a7b9-a49131b4-0690b4a3
55966450,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,488be5c1-df6c98d6-5a8ab963-a827d34e-5a25ccc3
55968926,"There is a left upper lobe mass with associated opacification are rounded consistent with possible malignancy or associated pneumonia. However, the extensive opacification in the left mid lung is seen, consistent with chronic necrotic pneumonia with abscess formation in the lingula.",09a1e64f-23ae347f-cda48fff-8cd6e499-65b4bed0
55972946,Post-operative pneumoperitoneum and low lung volumes and bibasilar subsegmental atelectasis. Post-operative pneumoperitoneum and low lung volumes and bibasilar subsegmental atelectasis.,db1c4e24-acd97bc7-d5e97d65-04ffb3e5-9c036419
55980966,"Lung volumes are quite low, exaggerating what is at least mild cardiomegaly and some pulmonary vascular engorgement, and probably explaining mild-to-moderate bibasilar subsegmental atelectasis. Lung volumes are low, pulmonary vasculature is engorged and hila are large, all pointing toward cardiac decompensation.",f1a28150-66237dd6-699fd87a-ac1c6ec6-61f0f104
55983006,"There no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. There no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. ",8385af08-8516e6ef-1401e3b8-75199f0d-5e5877e1
55999205,"There is moderate enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure.There is mild pulmonary edema, top-normal size heart, and small left pleural effusion with atelectatic changes at the base.",9b3b2ac9-c7621799-9c520077-028dc771-d93cf2d7
56007699,Right hilar mass is associated with atelectasis of right middle lobe that is moderate in severity as well as there is moderate adjacent lymphangitic carcinomatosis and consolidation. Right hilar mass is associated with atelectasis of right middle lobe that is moderate in severity as well as there is moderate adjacent lymphangitic carcinomatosis and consolidation.,4d0cd285-e11ff67a-d4f1a9ed-0286ae1b-f74190b1
56012267,Two thick-walled cavitary lesions in the right upper lobe are present. Two thick-walled cavitary lesions in the right upper lobe are present.,daf6cf16-a484b5dd-18011dd3-da52fe5d-68986a14
56013519,Left-sided dual-chamber intracardiac device is noted with leads in appropriate position. Left-sided dual-chamber intracardiac device is noted with leads in appropriate position.,0f513599-eb6bddc9-4306d15d-46c7c0c2-a3c6c854
56013922,The cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the aorta. The cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the aorta. ,c874667d-3a322fbd-378b624c-a8b7113e-491c9160
56018459,Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis. Low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis.,f268f466-63237ff9-71f67025-2f256fa0-8f9c0e56
56024131,"Small bilateral pleural effusions are noted, but heart size is moderately enlarged and there is mild interstitial edema most evident in the right lower lobe. Cardiomediastinal silhouette including cardiomegaly is noted with bilateral pleural effusions which are at least moderate in right pigtail catheter being standard in position and minimal right apical pneumothorax is seen.",217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b
56024784,"Lungs are hyperinflated, due to chronic obstructive pulmonary disease, but clear of focal abnormality. Hyperinflated right lung is good evidence for COPD, either small airway obstruction or emphysema or both.",41cf21eb-9d52be87-edeedec8-7aecd1ac-5e5662c4
56026588,"Transvenous left ventricular pacer lead is in standard position, terminating along the diaphragmatic surface of the left ventricle. Transvenous left ventricular pacer lead is in standard = position, terminating along the diaphragmatic surface of the left ventricle. ",db56756a-36970d83-92b338a6-23a982c5-fe090973
56031350,Large right and small left pleural effusions is present. There are substantial bilateral pleural effusions and large reaches of consolidation in the right middle and lower lobes.,74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70
56042355,"Extreme lung apices and right lateral chest are excluded from the examination. Frontal view of the supine torso centered at the umbilicus shows a feeding tube with wire stylet in place ending in the upper stomach, and a nasogastric tube extending just beyond to the mid stomach.",04833a58-a2f015d6-5d9e4afe-efa203f9-cfd9c1c6
56042734,No acute intrathoracic process with mild right middle lobe and lingular bronchiectasis. No acute intrathoracic process with mild right middle lobe and lingular bronchiectasis.,c7c68b52-54b2bc92-e88ecc8c-e4048535-e3dbb409
56043376,The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. The course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect.,928427f2-ea258174-1e7a326a-223e2d87-14e3a792
56043671,"No definite free intraperitoneal air based on this portable exam.  Lung volumes are slightly low, but lungs are clear.",d616d0a0-41025591-43cd391a-ee10bd11-29c865b3
56051681,"Enteric catheter terminating in the medial right upper quadrant, likely within the distal stomach or proximal duodenum. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.",417162c9-a460e98a-56bf6ab3-b6c591a2-86230b6d
56055109,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,f7995b00-70025839-1b735979-92983f8a-5fb639f8
56058164,"Lung volumes are low and there is diffuse bilateral parenchymal process which is seen favoring moderate pulmonary and interstitial edema rather than pneumonia. Lung volumes low, and there is interstitial abnormality and mediastinal venous engorgement suggesting it might be edema.",67106e2c-168fd4e2-52fbcc7d-4c4b2f27-5499c157
56061315,"Appearance of the lower lungs suggests either mild interstitial lung disease or mild edema in the setting of emphysema. Mediastinal veins have reverted to normal caliber, suggesting that volume overload is not present, even though there is borderline interstitial pulmonary edema, and a small right pleural effusion.",0ac2b288-52510797-df0a6b75-70a649b5-d526e4dd
56078456,"The cardiac silhouette is enlarged and there is some prominence of interstitial markings that could reflect elevated pulmonary venous pressure, chronic lung disease, or both. The cardiac silhouette is enlarged and there is some prominence of interstitial markings that could reflect elevated pulmonary venous pressure, chronic lung disease, or both.",5c549479-dcb2c159-300ce6a6-b8362dc7-c43d8f1d
56081327,"Although there is severe enlargement of the cardiac silhouette and mild interstitial pulmonary edema, pleural effusion associated with congestive heart failure is generally predominantly right-sided and therefore this effusion is concerning for another diagnosis, including hemo thorax. There is severe chronic cardiomegaly, small right pleural effusion and the loculated right pleural or extrapleural fluid collection.",3df17cad-5c3f8bbb-76d9b10d-006a7939-4d898c97
56081681,Cardiomegaly with appropriately positioned pacer wire. There is enlargement of the cardiac silhouette with intact sternal wires and pacer device in place.,0325340c-c95a8b30-4a454b66-d20de6cb-d5353596
56084617,"Right pleural catheter standard in position, and is associated with a large loculated hydro pneumothorax in the right mid and lower lung. Large right pneumothorax with significant right lung collapse and leftward mediastinal shift.",68a9dec9-436c84d0-572f0df9-18929544-6b237d3b
56091680,"The course of this line is unremarkable and the tip of this line projects over the inflow tract of the right atrium. Standard placement of the left subclavian Port-A-Cath with the tip ending in the upper SVC, which courses into the lower SVC; however, loops back and the tip is in the upper SVC.",efd6465a-dbaa29e8-244c7d40-06f432d7-c7150e7d
56093476,Left lower lobe opacity a combination of small left effusion and retrocardiac atelectasis are noted. Patient has been extubated which may account for increase in caliber of the cardiomediastinal silhouette as well as moderately severe left lower lobe atelectasis and new milder atelectasis at the right base.,210f9c01-9e0728bf-4b8ec9bf-34d1564e-16cf509c
56094236,"Heart is moderately enlarged, bilateral pleural effusions probably moderate in size, accompanying mild interstitial pulmonary edema attest to cardiac decompensation. Findings consistent with moderate congestive heart failure including pleural effusions with suspected left basilar atelectasis.",eb810218-60a5a044-852328e8-4cdeeaef-1befd540
56094879,Marked cardiomegaly with no acute process. No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly.,8514ae6a-487dc3d0-b8e0ee76-b3d06968-3aad7ad0
56097707,Enlargement of the cardiac silhouette with elevated pulmonary venous pressure and left basilar opacification consistent with pleural effusion and substantial volume. Enlargement of the cardiac silhouette with pulmonary edema that is moderate and may well be somewhat mild opacification at the left base is consistent with pleural fluid and volume loss in the left lower lobe.,3de6e01e-157ea365-d2474e3c-ab60b297-9e6bcadc
56101582,"There are lower lung volumes with moderate enlargement of the cardiac silhouette, pulmonary edema, bilateral pleural effusions with compressive basilar atelectasis on both sides. The the cardiac silhouette is more prominent and there is increasing pulmonary edema with bilateral pleural effusions more prominent on the left and bibasilar atelectatic changes.",c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4
56104633,"Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional. Defibrillator lead tip slightly posterior to expected location on lateral, potentially projectional.",378d7d48-0cfa19a3-361e40d3-6bd71394-bca64527
56107641,"Allowing for the AP supine technique, there is  moderate enlargement of cardiac silhouette. The cardiac silhouette appears enlarged, some of which may represent the supine AP rather than upright PA study.",1576fdb0-f3f769a3-0cc33e1a-059fcee1-ff10d20d
56116675,"However, the extensive opacification in the left mid lung is seen, consistent with chronic necrotic pneumonia with abscess formation in the lingula. However, the extensive opacification in the left mid lung is seen, consistent with chronic necrotic pneumonia with abscess formation in the lingula.",d439d39d-cacf925c-2737a0f6-204add42-44e8cd99
56118817,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.  Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",0a48d5b4-3f3aff93-e685c884-b13d2c6c-2c2ab46b
56129930,"Emphysema and left lower lobe pneumonia evident. If there was pneumonia in the left lower lobe it is mild, and since the patient has severe emphysema, it is more likely to have been largely atelectasis.",9870d11d-3a0d9c78-f49f71c6-58644dd5-ce1b85fb
56140154,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.  Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",fd8df0f3-08320e37-c337efdf-505d4348-76e89a9e
56140866,"Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.  Moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",7b43b8ff-190d3ca9-03cfbbd3-45ad3d0d-72d06c1c
56151362," The lower right lung lower lobe and possibly middle lobe are collapsed and there is  at least a small-to-moderate right pleural effusion, but edema in the right upper lobe is moderate.",9aa39b17-1e7fadb7-8b82c0a2-f73018d2-7ac798d1
56153875,There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with previous median sternotomy with a CABG and mitral valve replacement. There is hyperexpansion of the lungs consistent with chronic pulmonary disease in this patient with previous median sternotomy with a CABG and mitral valve replacement.,a3d44928-d6b84811-5b2676b1-f659918e-bd270e68
56162656,"Borderline cardiomegaly and mediastinal vascular engorgement. Although cardiogenic pulmonary edema is a possible explanation for although findings, concurrent pulmonary hemorrhage or pneumonia should be considered,  Right jugular line ends in the mid SVC and it nasogastric tube ends in nondistended stomach. Nasogastric tube extends to the upper stomach, with the side-port in the region of the esophagogastric junction. Moderate enlargement of the cardiac silhouette with pulmonary edema.",3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc
56167449,"CHF with interstitial and alveolar edema, bibasilar effusions, and underlying collapse and/or consolidation, is present. Moderate pulmonary edema is is seen in the upper lungs, accompanied by at least moderate bilateral pleural effusion.",97e428ce-51d4215e-210ed55c-4327be47-4a10e46c
56179563,"Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. Mild interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. ",dbb3e7c3-35a17f99-7bcd2d4c-57f5a932-d79a20cd
56185390,There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib. There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib.,2434d6b8-4828302e-7923908c-d6ea3b85-b4cfc271
56188631,"Aside from a band of subsegmental atelectasis at the right base, the lungs are clear. Moderate quantity of free air beneath the right hemidiaphragm.",d2d3a213-793a92c9-4c2f0695-bf38104e-033b7d22
56193921,"There is opacification at the right base silhouetting the hemidiaphragm but not the heart border, consistent with collapse of the right lower lobe. The opacification at the right base is moderate, consistent with clearing of aspiration.",17e49d5f-2581bb66-bff08b0c-021e7e8e-38c4fcc5
56194064,There is enlargement of the cardiac silhouette with tortuosity of the aorta and hyperexpansion of the lungs with flattening of the hemidiaphragms. There is enlargement of the cardiac silhouette with tortuosity of the aorta and hyperexpansion of the lungs with flattening of the hemidiaphragms.,26735886-785c02a9-9ec5f305-c16caeb7-8ddeb3c0
56196471,Pulmonary edema with triple- lead pacer standard in place. Pulmonary edema with triple- lead pacer standard in place.,3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05
56199247,"Moderately severe pulmonary edema, mild cardiomegaly and mediastinal vascular engorgement noted indicating moderate decompensation in the face of volume overload.   Moderately severe pulmonary edema, mediastinal vascular engorgement.",56941204-63c3a811-c32c65ee-fd5dc81e-ef6dc8e0
56214455,"There is bilateral layering effusions with bibasilar airspace disease, and these findings likely reflect bilateral pleural effusions with compressive atelectasis and superimposed moderate pulmonary edema. There is moderate interstitial component of edema in the upper lungs and the confluent consolidation at both lung bases, as well as pleural effusion, at least moderate in size.",aaae2ccb-5195b34a-97d13c9d-2f9ad735-44a7d31a
56216095,The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. Right apical and mid chest pleural tubes standard in their respective positions.,cadd4a61-f20934b5-eb57e9f4-3b4f3b61-8718edab
56216565,Significant enlargement of the cardiac contour with bulging of the right border raises concern for developing pericardial effusion. Cardiomegaly with globular configuration raising potential for concern for pericardial effusion.,de9e7463-d51a6b2a-2601990d-3ca399d2-0f7a8df4
56217980,Moderate bilateral effusions and moderate interstitial edema. Constant moderate bilateral pleural effusions with signs of mild to moderate pulmonary edema as well as mild cardiomegaly.,430828eb-7dec0d0c-7b255eae-3baecf25-4a61cddb
56218099,Coarse reticulation in the lower lungs is presumably pulmonary fibrosis.  Mild left basal atelectasis is the only focal pulmonary abnormality.,20d18a78-8f7cd753-628b5cf4-7d43c522-c3e8f53e
56219969,"Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly noted. Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly noted.",4311ab39-fdf14b78-f7e1cb44-06f554ac-a50702b8
56220925,"Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. Post-operative widening of the cardiomediastinal silhouette is present.",0f20cabf-36c73318-eec1255d-ebc5dd0a-3389d19c
56230969,"Absence of heterogeneous interstitial abnormality in both lungs, probably pneumonitis or embolic phenomenon related to TAC therapy. Absence of heterogeneous interstitial abnormality in both lungs, probably pneumonitis or embolic phenomenon related to TAC therapy.",b8ec370f-450e80d9-25461f27-72d3da41-d6e10bae
56231194,"Cardiomegaly with aneurysmally dilated and tortuous thoracic aorta, better assessed on chest CTA. Moderately enlarged heart with enlarged tortuous aorta.",e919ccde-cbde9eef-ec83c6fe-361b22e6-fea7aa96
56233609,"Hazy opacities bilaterally raising concern for mild pulmonary edema or possibly sequelae of acute chest syndrome; however, a somewhat focal component at the right lung base may be due to an early pneumonia. Mild cardiomegaly with diffuse ground-glass pulmonary opacity concerning for pulmonary edema or an atypical infection.",9c67a2e3-68620391-2e5a5578-0433f757-1eba00c6
56234141,"Despite the right basal pleural tube, fissural and apical components of multiloculated right pleural effusion are moderate in severity, responsible for severe atelectasis in the right lung. Volume of the neoesophagus is small and there is retained contrast agent, seen.",39c4b238-25f6b12b-afab2399-a95f4e2b-a02239de
56237499,"AP chest:  Lungs are clear, possibly hyperinflated, most commonly due to small airway obstruction or emphysema. AP chest:  Lungs are hyperinflated, an indication of small airway obstruction or perhaps emphysema, but clear of any focal abnormality.",db368d36-8c00c286-fd73c287-46b788dc-3238c890
56238840,One nasogastric feeding tube passes into the distal stomach or proximal duodenum where it is sharply folded and could be partially occluded. An upper enteric drainage tube passes to the junction of the second and third parts of the duodenum.,45dc8b2b-703d5d88-d0e05f85-35cc43ba-84b1f4be
56241369,"Bibasilar consolidation is moderate on the right and moderate to severe on the left. Bibasilar consolidation, moderate on the right, moderate to severe on the left could be pneumonia.",67a32863-338f2899-5e526d84-2639d564-a2204b9b
56249524,"Findings consistent with severe COPD, pulmonary arterial hypertension, and bibasilar interstitial process. Findings consistent with severe COPD, pulmonary arterial hypertension, and bibasilar interstitial process.",0fd2483e-20dd0ce1-75329782-17d1ddfd-e4e835a7
56264253,"Tip of the new endotracheal tube is at the orifice of the right main bronchus and should be withdrawn 3.5 cm for appropriate positioning.  A severe global pulmonary consolidation, favoring the right lung, is noted appreciably following intubation, ET tube in standard placement, OG tube ending in the upper stomach.",3ced14b8-2accf862-b2eab013-efdf4f2d-991f75eb
56267214,"Pneumonia in the right mid and upper lung is quite severe. Heterogeneous opacification in the axillary region of the right upper lung, most likely pneumonia.",dc460b17-20bafc45-b91e6c92-311eb0ad-7ea1a883
56268607,"Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. ",da8cd0dd-573be530-0024ff8e-15e20b59-21e4a61d
56271024,"Small left perihilar opacity, may reflect known primary lung cancer or treatment related fibrosis. Small left perihilar opacity, may reflect known primary lung cancer or treatment related fibrosis. ",f403c773-516b1bf3-4068dd21-67aadc38-513ad05f
56272498,"Small left pleural effusion, moderate left lower lobe atelectasis, and moderate cardiomegaly are present. Obscuration of the left hemidiaphragm with blunting the costophrenic angles consistent with volume loss in the left lower lobe and pleural fluid.",67e8e551-3fb614a6-58610388-c92da136-a8d32ff8
56277244,"Opacity in the right hemithorax could be right middle lobe pneumonia, or more likely an artifact of pectus excavatum. Opacity in the right hemithorax could be right middle lobe pneumonia, or more likely an artifact of pectus excavatum.",d8b6b619-9e181de2-c46adb2d-08194ead-eefd7108
56290236,Limited study demonstrating small bilateral pleural effusions. Limited study demonstrating small bilateral pleural effusions.,ecd3a847-44218ca9-e9039305-57d97776-45c6a231
56291217,Series of 3 images demonstrating placement of a Dobbhoff tube with the final image showing it terminating within the gastric body . Series of 3 images demonstrating placement of a Dobbhoff tube with the final image showing it terminating within the gastric body .,384cf52b-9692fbc2-b3a9f35b-7afe21a3-e935fdb1
56302138,"There is moderately enlarged cardiac silhouette including extensive cardiomegaly, the position of the left ventricular assisting devise and the position of the pacemaker leads including ICD coiled in the azygos vein inserted through left subclavian and right ventricle. Enlargement of the cardiac silhouette with pulmonary edema is moderate and moderate opacification at the left base is consistent with pleural fluid and volume loss in the left lower lobe.",54140bf8-0a93e22f-fcdfa610-39ed40a3-a0e0136d
56304327,"If there are any calcifications in the left hilus, it is possible that the lymphadenopathy preseason may not necessarily be related to the new lung nodules, due to sarcoidosis instead. If there are any calcifications in the left hilus, it is possible that the lymphadenopathy preseason may not necessarily be related to the new lung nodules, due to sarcoidosis instead.",b9c18cbb-323135fb-0118b586-6d8846f0-a1099863
56316578,"On the right, in a region of scarring involving the subpleural right lung along the major fissure, there is a region of roughly crescentic opacity which, in the presence of small bilateral pleural effusions is probably fissural fluid. On the right, in a region of scarring involving the subpleural right lung along the major fissure, there is a region of roughly crescentic opacity which, in the presence of small bilateral pleural effusions is probably fissural fluid.",6a69146c-06c97494-0560bf85-9106a119-4dad5197
56321140,"Standard placement of the left subclavian Port-A-Cath with the tip ending in the upper SVC, which courses into the lower SVC; however, loops back and the tip is in the upper SVC. Normal postoperative appearance following left lower lobectomy, including anterior herniation of the right upper lobe.",200f5a93-8ca89ca4-c8399b9c-c65fba89-1fb40abc
56321718,Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation. Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation.,4aea4393-f44d4dd2-55ae2d64-e3486a9c-ee57460c
56329592,"There is enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure. Generalized interstitial abnormality, accompanied by mild enlargement of heart size, is probably cardiogenic pulmonary edema exacerbated by tracheal extubation.",2807416a-1e2f3ee5-da0d8c38-d898df41-666df4df
56348027,"Moderate to severe cardiomegaly within pacer leads are in standard position.. Enlargement of the cardiac silhouette, but with a somewhat globular configuration , underlying pericardial effusion or cardiomyopathy may be present.",c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa
56348727,Significant enlargement of the cardiac contour with bulging of the right border raises concern for developing pericardial effusion. Opacity in the right cardiophrenic recess likely represents epicardial fat in the setting of a severe pectus excavatum deformity.,2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7
56349601,"Findings suggest mild zone pulmonary edema, but with concern for focal opacification in the left lower lung which may indicate coinciding atelectasis or pneumonia. Findings consistent with acute decompensated congestive heart failure including cardiomegaly, moderate pulmonary edema, and small, left greater than right, pleural effusion.",28846b1c-da929f47-35763299-12d7c8fa-da2e4559
56350217,"Patient has returned to his left, with the heart now obscuring the midportion of the left lung, but there may be perihilar consolidation on the left. Mild pulmonary edema, moderately enlarged cardiac size, Left lower lobe collapse and moderate left pleural effusion are all noted.",14200531-39fee1a8-8d9a8e5b-6371c2b4-a4440c1e
56354797,"Lung volumes are low, with at least some increase in moderate consolidation and moderate pleural effusion at the right base, small pleural effusion at the left base, moderate-to-severe cardiomegaly, and mediastinal vascular engorgement. CHF with moderate bilateral pleural effusions and underlying infectious infiltrate can't be excluded, particularly on the right.",5c3a891f-05d81eb0-c4ade60a-d0b2c55e-b6856098
56362705,"Multiple sub cm nodules in the bilateral upper lobes, which could represent an atypical pneumonia in the appropriate clinical setting. Multiple sub cm nodules in the bilateral upper lobes, which could represent an atypical pneumonia in the appropriate clinical setting.",64613c7b-ce9fb911-c2eb42ab-41a905ea-97ce9a9d
56372001,"There is poor aeration in the right lower lung, due to either some withdrawal of right pleural effusion, although I cannot see the Pleurx catheter at the base of the right chest; most likely severe obstruction to the right middle and lower lobe. Large region of consolidation in the right mid and lower lung zone is present, the patient showed evidence of mild cardiac decompensation and some of the opacity in the right lower chest was probably pleural effusion.",a57921f1-082e4298-c45f0a33-97a652fc-627f468e
56373683,"Right mainstem bronchus intubation, recommend retracting tube approximately 3 cm for more optimal positioning query hyperinflated balloon. Hyperinflation of the cuff has been constant since initial intubation, presumably the trachea is malacic or the ET tube is smaller than appropriate.",02c9f4f3-ce818858-04a867b4-0c5c1823-e247eb67
56381590,"Streaky bibasilar opacities, likely atelectasis but infection is not excluded. Streaky bibasilar opacities, likely atelectasis but infection is not excluded.",b4f28648-ad5e7b85-c9c36b5c-975bd159-3da2a25f
56389775,"Left perihilar consolidation is severe in the mid and upper lung zones, but moderate in the lower. AP chest. ",70cc5d8f-bbf4b758-e95c371a-f0e2a6b1-09a32c70
56397547,"Severe right lower lobe consolidation accompanied by some volume loss is present and in there are several small foci of consolidation in the periphery of the right lung, all pointing to widespread pneumonia and heavy secretions. The mass like consolidation due to pneumonia in the right lower lobe is severe.",e4ecf4d9-5ce7b0e1-e325db2b-85ecca33-c69c8031
56400373,There is elevation of the right hemidiaphragm with opacification at the right base which likely represents a combination of right middle and lower lobe collapse as well as a mass with a small pleural effusion. There is  elevation of the right hemidiaphragm with opacification at the right base which likely represents a combination of right middle and lower lobe collapse as well as a mass with a small pleural effusion.,30f6ed61-a49ee720-ba423996-56ae29fa-88f76b59
56415175,Minimal blunting of the right costophrenic sulcus suggests a trace pleural effusion. Minimal blunting of the right costophrenic sulcus suggests a trace pleural effusion.,88dd4b9d-f5dc2b18-5e9e6141-943b90b2-39b71300
56426120,"Somewhat unfolded prominent and tortuous aorta, noted. Tortuous aorta with likely ascending aortic aneurysm, noted, which can better be assessed with contrast-enhanced CT.  Emphysema.",69e36e8f-cfe80296-fba1f08a-4b1e0db3-a8ace269
56426152,"Mild edema, atelectasis and possible left lung contusion are not evident, linear bands of atelectasis are present in the left lower lung. Mild edema, atelectasis and possible left lung contusion are not evident, linear bands of atelectasis are present in the left lower lung. ",32f29bbd-708c39d5-e0e01140-65e5a8ac-a2a6f01c
56426309,"Heart is moderately enlarged, and pulmonary vasculature is engorged, but edema, if present, is minimal. Mild pulmonary edema and moderately enlarged heart size and pulmonary hila reflect volume resuscitation and relative cardiac insufficiency.",5432fbd3-085280d8-b2452bf4-52defb60-99f287db
56431482,Known aortic dissection.   Short vascular catheter projects over the mid right humerus.,495e73be-71f5ed15-35bbd67d-363dfe60-32f375b6
56433442,"Large area of opacity projecting over the right mid to lower lung is concerning for large pleural effusion, underlying consolidation for pulmonary mass not excluded. Large area of opacity projecting over the right mid to lower lung is concerning for large pleural effusion, underlying consolidation for pulmonary mass not excluded.",d263e868-0cc6db67-58f15831-a2a8a9ac-4c59911c
56440140,"Moderate right pneumothorax, particularly the basal component, following the placement of a right pleural tube. Monitoring and support devices are standard in place, as is the heterogeneous and calcified right lower lobe opacity consistent with a pleural based mass that is present.",421dff97-6d2b4aab-02ed28a8-54dd67f9-da2f957b
56440919,Cardiac and mediastinal contours are within normal limits given AP technique. Cardiac and mediastinal contours are within normal limits given AP technique.,7358c522-a008ba73-ad82f64d-377361fe-34cb3b0a
56441444,"Right lung is mildly congested but there is vascular congestion in the left upper lobe, and there may be a component of re-distribution due to patient positioning, particularly if patient is intermittently left decubitus. An enlargement in both cardiac diameter and size of the at least moderate to large hiatus hernia could be due to supine and AP positioning, but there is mediastinal vascular engorgement suggesting increased intravascular volume or pressure.",f50a6967-0c476fd1-f6b7ff3a-5cdaaa5f-c072b628
56443683,"Substantially enlarged cardiac silhouette in a patient with extensive sclerotic metastases related to prostate cancer. Left hilar opacity with upward retraction of the left hilar structures, is present in this patient with known lung cancer.",5b429228-9769c874-369577de-11d25077-c9ad1f2b
56446284,There is hyperexpansion of the lungs reflecting underlying COPD. There is hyperexpansion of the lungs reflecting underlying COPD.,510e2767-2a04a9c8-afb492f8-57d38e8e-75d5d488
56451222,"Heterogeneous pulmonary opacification is moderate in severity, but heart size is normal, and pulmonary vasculature is not particularly engorged. Heterogeneous pulmonary opacification is moderate in severity, but heart size is normal, and pulmonary vasculature is not particularly engorged.",408936b5-77f25bee-8f73cc21-251fc7bc-013094dc
56454351,"There is mildfullness in the right lower paratracheal station of the mediastinum, which could be due to distal distention of the azygos vein or development of enlarged lymph nodes in that region. There is mild fullness in the right lower paratracheal station of the mediastinum, which could be due to distal distention of the azygos vein or development of enlarged lymph nodes in that region.",cb8d35f1-a0181bde-a8292078-9c949b30-f3ba3ace
56456060,Mild blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions. Mild blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions.,eb015667-db827ca3-eadd5d39-1e4f2e30-bf09f5b6
56460885," Moderate right pleural effusion is present, with layering. There is hazy opacification at the right base silhouetting the hemidiaphragm consistent with moderate layering right pleural effusion and compressive basilar atelectasis.",3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893
56466110,Cardiomediastinal silhouette including cardiomegaly is noted with bilateral pleural effusions which are at least moderate in right pigtail catheter being standard in position and  minimal right apical pneumothorax seen. Small right pleural effusion noted after insertion of a right basal pleural pigtail drainage catheter.,a7747cf0-5a042d25-ae9af09d-d8f2956d-ecfb087d
56469870,"Moderate right hydro pneumothorax, mostly fluid and substantial right basal atelectasis noted after initial pleural drainage. Moderate right pleural effusion is noted despite the right basal pleural pigtail drain.",92666ac1-70ccc2f3-66bc3d47-ed08bd0e-d444a359
56470564,"Combination of dependent edema and atelectasis in lower lungs, largely obscured by heavy asbestos-related pleural calcification, isnoted. Combination of dependent edema and atelectasis in lower lungs, largely obscured by heavy asbestos-related pleural calcification, is noted. ",8ec25d32-d8679702-2fb2e638-24c54c84-34d1ee79
56477444,"Severe enlargement of caliber of the pulmonary and mediastinal veins, and moderate cardiomegaly suggest that peribronchial opacification in the right mid and upper lung zone is asymmetric edema rather than pneumonia. Supine positioning is probably responsible for apparent increase in moderate to severe cardiomegaly and upper lobe pulmonary vascular engorgement.",b5ba8da0-31b932cf-ce8505a8-183cf855-29f186d7
56480068,"Small bilateral pleural effusions and severe enlargement of the cardiomediastinal silhouette are present and there is no pulmonary edema. Small bilateral pleural effusions, pulmonary vascular engorgement, borderline edema, and moderate cardiomegaly with particular left atrial enlargement are evident..",567a1582-500df953-fc2fffac-c43d2f76-d2601cb4
56486000,"Lung volumes are lower, new infrahilar consolidation in the left lower lobe could be collapse or pneumonia. 1  left hemidiaphragmatic elevation and moderate left lower lobe atelectasis reflecting respiratory splinting from known left-sided rib fractures.",144841f5-0126909a-cde81d66-1db1375d-b3ed7127
56492056,"Question aortic valvular calcifications, difficult to differentiate from lung nodules, would be better assessed on CT. Question aortic valvular calcifications, difficult to differentiate from lung nodules, would be better assessed on CT.",a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8
56494283,Enlargement of the cardiac silhouette with the monitoring and support devices in standard position. There is severe  cardiomediastinal widening.,957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb
56497798,"Left-sided pacemaker, left ventricular assist device, bilateral chest tubes, mediastinal drains, and right-sided PICC line are standard in position. The left-sided pacemaker and pericardial drain are standard position.",9d32e96f-dcc52f72-a7262f7a-298b9e97-39fc55bb
56498272,"Interstitial alveolar opacities may reflect mild pulmonary congestion or active inflammation or infection superimposed on a background of severe fibrosing chronic lung disease. Patchy left posterior basilar opacity for which pneumonia or atelectasis could be considered, superimposed upon severe background pulmonary fibrosis.",cbf70dce-197f82f4-7b8613a7-c0b0b099-d1de4726
56506968,"Lower lung volumes also accounts for severely enlarged heart size, and greater distention of mediastinal veins. Apparent increase in cardiac size and widening of the mediastinum likely relates to the portable technique and patient positioning.",431a17b6-190ff348-b3f07795-8b75e49c-9c2e5030
56508966,"Left basilar opacification suggests volume loss in the lower lobe with pleural fluid, which could be related to splinting following rib fractures. Bibasal areas of atelectasis, a left pleural effusion are noted but there is more of atelectatic component at the left lower lobe potentially reflecting progression of infectious process in this location.",b5031f7d-b438708b-34d144c5-851d4759-a3184a84
56512741,Enlargement of the cardiac silhouette with elevation of pulmonary venous pressure superimposed on diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease. Enlargement of the cardiac silhouette with elevation of pulmonary venous pressure in a patient with diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease.,f0efdf99-db7193c1-b47f4ffa-dd90a48e-2071134d
56521187,"Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery, noted. Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery, present.",7a216775-e98f5afc-c42f634c-2a4eb3e2-58227ec8
56535476,Peribronchiolar opacities in the juxtahilar regions likely represent a bronchopneumonia in the setting of recent history of cough. Peribronchiolar opacities in the juxtahilar regions likely represent a bronchopneumonia in the setting of recent history of cough.,fa80d52e-25c85b24-0302d3d0-f2052c45-6faebca9
56536310,"Supine positioning probably accounts for distention of the azygos vein and moderate enlargement in heart size, but the lungs are clear and there is no pleural effusion. Pulmonary vascularity is mildly engorged in the upper lobes and mediastinal veins are borderline dilated.",924ee1f2-b4628f80-13244a4a-e74a358f-825abf61
56536391,"Lung volumes are low exaggerating a real increase in moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. Intermittent pulmonary edema is present, exaggerated by very low lung volumes but at least moderately severe reflected in enlarged hilar and mediastinal vessels, moderate cardiomegaly accompanied by moderate bilateral pleural effusion.",108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f
56541072,"Spine is not well assessed due to osteopenia and overlying external artifact, however, compression deformities in the mid thoracic spine are not excluded. Spine is not well assessed due to osteopenia and overlying external artifact, however, compression deformities in the mid thoracic spine are not excluded.",66fece2b-2fccf418-d23f1eda-9dde45e2-d85df8da
56545860,"Indwelling right PIC line ends close to the superior cavoatrial junction, indwelling atrial biventricular pacer defibrillator leads are standard in their respective locations continuous from the left pectoral generator. As far as I can see on a single frontal portable chest radiograph, there is proper position of left trans subclavian right atrial biventricular pacer defibrillator leads, continuous from the left pectoral generator.",c54b631c-b7726bc9-2bb21f6f-25f9eee0-57a0d6a6
56570382,"There are patchy bibasilar opacities and at the left base, there is blunting of the costophrenic angle which most likely reflects patchy atelectasis in the setting of an effusion, although aspiration and pneumonia could also have this radiographic appearance. There are patchy bibasilar opacities and at the left base, there is blunting of the costophrenic angle which most likely reflects patchy atelectasis in the setting of an effusion, although aspiration and pneumonia could also have this radiographic appearance.",da99191c-5176d7bc-b809d55a-4429a7cd-ae8b21e9
56587463,There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib. There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib.,7558ad38-de530501-5c2ff2a1-d74fe121-ba0cf77a
56589755,"There is severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. Cardiac silhouette is enlarged with elevation of pulmonary venous pressure and bibasilar opacification consistent with pleural fluid and atelectasis, especially involving the left lower lobe.",5561133e-55a2fb38-51a45d25-98a90295-40203962
56592251,"Post-surgical changes in the right lower lobe with a small effusion, pleural thickening, and small right apical pneumothorax. Post-surgical changes in the right lower lobe with a small effusion, pleural thickening, and small right apical pneumothorax.",fd446187-4918e937-9c58f354-86463aca-af75d8a6
56598807,"Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread.",9b4f1964-734c3d45-d58e0850-71a0baee-535ae2c8
56599347,"Lungs are clear, cardiomediastinal silhouette noted including mild general dilatation of the aorta without focal aneurysm. Short vascular catheter projects over the mid right humerus.",2e25b67d-2fe26860-9bd31e83-0ae5d783-44e5bc1e
56605562,One nasogastric feeding tube passes into the distal stomach or proximal duodenum where it is sharply folded and could be partially occluded. An upper enteric drainage tube passes to the junction of the second and third parts of the duodenum.,e17d84db-087290bd-4a5f8f5b-fa788033-cfd452da
56605732,"Enlarged cardiac silhouette with bilateral perihilar opacities concerning for pulmonary edema, underlying pulmonary hemorrhage or infection not excluded in the appropriate clinical setting. Opacities projecting over the bilateral lung fields, in part relating to calcified pleural plaques, although perihilar opacities, left greater than right, raise concern for pulmonary edema with possible underlying infection, as above.",a445c04c-f8447b3a-f83c989c-97f7024d-ba4c2370
56605773,"Mild distention of the pulmonary and mediastinal vasculature and mild left atrial enlargement, suggest intravascular volume or mild cardiac decompensation. Mild distention of the pulmonary and mediastinal vasculature and mild left atrial enlargement, suggest intravascular volume or mild cardiac decompensation.",5f058986-c0a46f7a-7d175c3e-c40f1bd2-e71884bf
56614061,"There is moderate interstitial lung edema, with a small to moderate right pleural effusion. Pulmonary vascular congestion is accompanied by moderate pulmonary edema and moderate right pleural effusion with associated slight aeration at the right lung base.",bd63a995-5035baef-7f63c277-92915a7a-253995c5
56615285,"There are  low lung volumes with enlargement of the cardiac silhouette, pulmonary edema, and probable bilateral pleural effusions with compressive basilar atelectasis. There are  low lung volumes with enlargement of the cardiac silhouette, pulmonary edema, and probable bilateral pleural effusions with compressive basilar atelectasis.",64c24dca-a414a27f-c24e46d6-b41d673e-1a01d73e
56616764,"There isg mild pulmonary edema, more edema or concurrent atelectasis in the right lower lobe, left lower lobe atelectasis, severe cardiomegaly, a small fissural right pleural effusion. There is mild pulmonary edema, more edema or concurrent atelectasis in the right lower lobe, left lower lobe atelectasis, severe cardiomegaly, a small fissural right pleural effusion.",f76c2a78-65248647-1c1b4bdf-9896fb2b-f5c2ab8d
56617468,"Status post right pleural pigtail catheter placement with pleural effusion and no pneumothorax; pulmonary edema and small left pleural effusion are present. Cardiomegaly is accompanied by asymmetrical pulmonary edema,  moderate right pleural effusion, and a small left pleural effusion and adjacent left retrocardiac atelectasis.",53013423-847183db-f162b5ca-9a000174-6427b00e
56618601,Small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs. One Dobbhoff feeding tube passes into the upper stomach and out of view.,dbbd8ca0-a3e78630-061e92f4-cc6ea2d3-05314ad2
56618763,Consider a dedicated abdominal series to distinguish post-operative ileus from obstruction Consider a dedicated abdominal series to distinguish post-operative ileus from obstruction,ac34d85d-8a18bdb4-6a76e6b3-63e71de7-dd331e6c
56619225,Low lung volumes with exaggeration of the cardiac silhouette and bronchovascular crowding. Low lung volumes with exaggeration of the cardiac silhouette and bronchovascular crowding.,8146d764-df8a61cc-05eee7e7-2a09b0ca-af854e29
56625924,Enlargement of the cardiac silhouette with single lead pacer extending to the right ventricle. Enlargement of the cardiac silhouette with single lead pacer extending to the right ventricle.,e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8
56630223,"The small right apical pneumothorax is present, A very small right pleural effusion is evident and there is severe subcutaneous emphysema in the right chest wall. The small right apical pneumothorax is present, A very small right pleural effusion is evident and there is severe subcutaneous emphysema in the right chest wall.",d915fd90-d34450bb-ed88704e-ead739d2-470fa99f
56644987,There is enlargement of the cardiac silhouette with pulmonary edema that may be mildly prominent. There is substantial enlargement of the cardiac silhouette with pulmonary edema and left basilar opacification consistent with volume loss in the lower lobe and pleural effusion.,498f05dc-57343a1b-c611226d-832d85bd-a088cd1e
56646773,"Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion.",e54056af-0e47378b-d4809463-9d218a22-17591156
56648385,There is enlargement of the cardiac silhouette in a patient with a prosthetic valve an intact midline sternal wires. There is enlargement of the cardiac silhouette without definite vascular congestion or pleural effusion.,0b71f9fb-3c56b3bf-52d2654d-3143a294-060a965c
56659228,Widened mediastinum with engorgement of the pulmonary vessels is concerning for pulmonary edema in the setting of low lung volumes. Widened mediastinum with engorgement of the pulmonary vessels is concerning for pulmonary edema in the setting of low lung volumes.,46e392dd-8bae92bc-05e946e4-dad0f6d9-5866b783
56661177,"Heart is enlarged but partially obscured by the elevated hemidiaphragm and the bibasilar atelectasis, left greater than right. Given the severe cardiomegaly and distortion of the left main bronchus, this could all be left lower lobe atelectasis in the setting of severe cardiomegaly, particularly left atrial enlargement.",a46cc3e2-acca97ab-6d4f6afb-2f31ce8e-81435979
56661236,"Lingular pneumonia, with possible extension into the left lower lobe. Lingular pneumonia, with possible extension into the left lower lobe.",a10dea57-90f876f4-c66af250-6fb45322-6ef88ddc
56661680,"Hazy opacity overlying the left lower hemithorax could be due to overlying soft tissues, but dedicated PA and lateral chest radiograph is recommended to further evaluate this region to exclude an infectious consolidation in the left lower lobe. Elevated or herniated left hemidiaphragm noted.",537866b5-4423c6f9-f01223bc-1a4b2a8a-a550fd36
56663989,"The large heart obscures left lower lobe but poor definition of the diaphragmatic interface has suggests atelectasis, and pneumonia not excluded. Obscuration of the left hemidiaphragm may in part relate to underpenetration, however as underlying atelectasis, consolidation, or pleural effusion is difficult to exclude.",74539665-467d0bc8-6f5c9920-f9b6e911-a6f92f44
56664513,Multiple bilateral opacities throughout both lungs are highly concerning for septic emboli and less likely malignancy or inflammatory etiologies such as Wegener's granulomatosis. Multiple bilateral opacities throughout both lungs are highly concerning for septic emboli and less likely malignancy or inflammatory etiologies such as Wegener's granulomatosis.,f6996351-b7330fe0-c77b11b0-628b7301-475c940f
56666007,No pneumothorax with  small bilateral pleural effusions and atelectasis with mild pulmonary edema. No pneumothorax with small bilateral pleural effusions and atelectasis with mild pulmonary edema.,0f55eb03-9eb3edde-1c46e2fb-60625b8b-86fdba40
56670181,"Post-operative widening of the mediastinum is seen in the region of the arch, but there may be an enlarged caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion.",5c6e01e3-164c30db-22196724-376748a3-d299a9eb
56676503,"Patient has chronic widespread mild to moderate bronchiectasis and occurence of small areas of peribronchial inflammation, presumably related to bronchiectasis. Patient has chronic widespread mild to moderate bronchiectasis and occurence of small areas of peribronchial inflammation, presumably related to bronchiectasis. ",293ccf0f-bbec782f-8f4cd724-1cb95930-9e395539
56678203,"Patient has chronic widespread mild to moderate bronchiectasis and occurence of small areas of peribronchial inflammation, presumably related to bronchiectasis. Patient has chronic widespread mild to moderate bronchiectasis and occurence of small areas of peribronchial inflammation, presumably related to bronchiectasis. ",45b13b1f-9e2d6eb7-f39f8df6-c24b1ef4-7f0aa665
56679657,Lungs are low in volume but essentially clear. Upper enteric drainage tube ends in the distal duodenum.,135f75db-12a94b0c-6c6aab28-36eee09d-648f5827
56680584,Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning. Large cardiac silhouette is noted. s/p insertion of a pericardial drainage catheter.,ef97e724-84de20c9-3e73a8b5-65a01e95-2f82137a
56693397,"Massive cardiomegaly, known left lower lobe collapse. Severe cardiomegaly and moderate-to-severe left lower lobe atelectasis are noted.",7e950526-ccc5960e-735b0f76-a80365d9-139f5bff
56696460,"Bibasilar opacities, likely due to atelectasis, severe right base opacity may be due to atelectasis, although underlying infection or aspiration is not excluded. Right base opacity may be due to atelectasis adjacent to a large hiatal hernia though additional focus of infection or aspiration is not excluded.",a86906cf-710c164d-b996484a-ac9ade58-dbcff302
56699078,Signifcantly the left large hydrothorax causing near complete collapse of the left lung. THERE IS ALMOST COMPLETE OPACIFICATION OF THE LEFT HEMITHORAX FOLLOWING PNEUMONECTOMY.,efc15848-2e4788fd-35891eca-87c4c2a8-e9d28d15
56712342,"Moderate cardiomegaly with mild interstitial edema as well as  moderate-to-large right-sided subpulmonic effusion and significant density at the right lung base which may represent concurrent pneumonia. Moderate cardiomegaly with significant right pleural effusion and right mid and lower lung atelectasis, difficult to exclude a superimposed pneumonia.",a9c772ae-200934a7-b6e1a70f-b42f3c60-9ddecf2b
56713351,"Moderate enlarged of the cardiac silhouette making it unlikely that there is clinically significant pericardial effusion, always a concern with disseminated malignancy. Cardiomegaly is chronic, and the patient has had moderate pericardial effusion. ",db395251-352c94c2-fcee5f77-85922f20-33f7f530
56721487,"Cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the aorta in this patient with previous CABG procedure and intact midline sternal wires. Status post aortic valve surgery with moderate cardiac enlargement and elongated thoracic aorta, but presently no evidence of pulmonary congestion or acute pulmonary infiltrates.",9c119cc4-8b633d5b-b1c3b4c6-82ee52b6-ff4477dd
56723000,"AP chest:  Severe widespread subcutaneous emphysema throughout the chest wall and neck, and severe pneumomediastinum over the past several days. Extensive bilateral subcutaneous emphysema, with a small right apical pneumothorax which is likely given differences in positioning. ",40abd28b-1aff0d0a-65b3fc64-515e3b46-9caef400
56749558,"There are known pleural and parenchymal changes on the right, including a small loculated intrafissural pleural effusion. There are known pleural and parenchymal changes on the right, including a small loculated intrafissural pleural effusion. ",f6a45850-afbc320a-ab118fd9-85e788d6-d88d5060
56753331,The tip of the Dobbhoff tube extends to the distal stomach or possibly into the proximal portion of the duodenum bulb. Dobbhoff tube coiled in fundus of stomach.,3fc3893f-6a756dad-3cfcb050-5d1e7080-9ef06032
56753518,"Enlarged heart with increased bibasilar airspace opacities, consistent with pulmonary edema. The pigtail catheters are again seen at the bases and there is again prominence of interstitial markings bilaterally.",ab680048-8257c201-858ba25c-718b230c-186cf3f4
56761306,"AP chest. There is volume of the small residual right pneumothorax, with some pleural fluid replacing air at the base and small residual of pleural air at the apex. AP chest:  There are minimal right pneumothorax  in the basal medial components, now predominantly apical, and the small amount of pleural fluid or thickening at the lateral aspect of the pleural space. ",460564da-f530de8e-fabb35c1-53d562ae-404235d0
56771404,"A 2 CM WIDE RING SHADOW PROJECTING OVER ANTERIOR RIGHT FOURTH RIB COULD BE SUPERIMPOSITION OF NORMAL STRUCTURES OR ANY REAL REGION OF FOCAL INFECTION, EVEN SEPTIC EMBOLUS. 1 is a roughly 2 cm wide ring shadow projecting lateral to the left hilus at the level of the third anterior interspace neck could be a cavity. ",7c32ce35-7b1034c4-629b82bd-91ec7754-06210160
56775180,"Enlarged cardiac silhouette with bilateral pleural effusions and compressive basilar atelectasis, more prominent on the right. Enlarged cardiac silhouette with bilateral pleural effusions and compressive basilar atelectasis, more prominent on the right.",b9fa87e8-60fe2f5e-ead3ccb6-7ad496d8-8233efbd
56776331,"PA and lateral chest read: The lower lobes are symmetrically involved by a diffuse process consisting of mildly dilated and generally thick-walled bronchi, peribronchial infiltration that is predominantly linear, and thickening of interlobular septae. PA and lateral chest read: The lower lobes are symmetrically involved by a diffuse process consisting of mildly dilated and generally thick-walled bronchi, peribronchial infiltration that is predominantly linear, and thickening of interlobular septae.",ec2613ac-d859c02c-90a0d8c7-09a107c4-990690ec
56790426,"Patchy bilateral lower lobe airspace opacities with bronchial wall thickening, more pronounced in the right lower lobe, compatible with bronchiectasis and small airways infectious or inflammatory process. Patchy bilateral lower lobe airspace opacities with bronchial wall thickening, more pronounced in the right lower lobe, compatible with bronchiectasis and small airways infectious or inflammatory process. ",82d144fd-f088da1b-377b3165-5f6cfb78-e3e4ae80
56801982,Evaluation of the right pneumothorax is limited by the presence of large subcutaneous gas collection and known severe bolus formation in the lungs. Extensive subcutaneous emphysema is present as well as pneumoperitoneum in this recently postoperative patient.,dedc8034-9860140a-df88abb0-b9b2fab5-3265641f
56805129,There is pacemaker leads. There is bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated shin with small amount of pleural effusion. There is large  cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads.,8b21e141-af653815-b3918024-c96d4b9e-6805e677
56817456,"There are substantially large cardiac silhouette with pulmonary vascular congestion and probable small bilateral effusions. Limited examination due to patient body habitus, though no definite pneumonia.",1a48fcb9-1ba60fd5-37d6cc93-9996cbca-e4a827ee
56833050,"Moderate to severe degenerative changes fo both acromioclavicular and glenohumeral joints, with probable chronic rotator cuff tear on the right. Moderate to severe degenerative changes fo both acromioclavicular and glenohumeral joints, with probable chronic rotator cuff tear on the right. ",b73bf324-b73f2173-694c520e-85a82ce2-93e7be3d
56836177,"Significantly diffuse interstitial markings bilaterally in this patient with known history of diffuse fibrotic interstitial lung disease, concerning for progression of interstitial lung disease and/or possible superimposed vascular congestion. Significantly diffuse interstitial markings bilaterally in this patient with known history of diffuse fibrotic interstitial lung disease, concerning for progression of interstitial lung disease and/or possible superimposed vascular congestion.",686a2b90-af0e2b68-75f6acc2-ea6fecdc-a69f5c88
56839020,"AP chest:  Large bilateral pleural effusions. Large left and moderate-to-large right, bilateral pleural effusions with bibasilar airspace opacities likely reflecting compressive atelectasis.",5644c5de-1ae5b48c-edb63079-e8230bfa-79dfbf13
56840019,Cardiomegaly is accompanied by moderate pulmonary vascular congestion and moderate diffuse interstitial opacities suggestive of interstitial edema. AP chest:  Large diameter of the heart and mediastinal and pulmonary vascular caliber suggests that moderate interstitial abnormality is due to asymmetric pulmonary edema.,3e9bfa41-70250cb0-d33887c3-436560fc-339ed2d6
56847326,Pectus excavatum. Pectus excavatum.,42c0684d-a2f6f499-1215efe0-496a6638-f805c597
56849860,"Substantial enlargement of the cardiac silhouette with tortuosity of the aorta, but no definite vascular congestion. Enlargement of the cardiac silhouette with tortuosity of the aorta but no definite vascular congestion. ",8e067d88-2ea4ee8d-21db2c6b-f78701cb-91ad53f9
56855230,Granulomatous calcifications are present in both hila. Granulomatous calcifications are present in both hila.,2aadeb6e-8b5af4b3-f3ddd4f9-8d552d40-d8a5e821
56858524,The cardiac silhouette remains enlarged with 3-channel pacer device in place. Enlargement of the cardiac silhouette with pacer device in unchanged position.,70da9ce8-660f957c-cff2916f-1e067a32-1f7149f9
56883120,Consolidation in the left lower lobe with at least some component of volume loss suggestive of probable infection and component of atelectasis. Consolidation in the left lower lobe with at least some component of volume loss again suggestive of probable infection and component of atelectasis.,919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de
56886005,"AP chest:  Exaggerated by the size of a large hiatus hernia, cardiac diameter has mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. AP chest:  Exaggerated by the size of a large hiatus hernia, cardiac diameter is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure.",3891bb0c-3698159b-42c6500c-2c690e15-10917f35
56889771,"Diffuse pulmonary abnormality is significant, probably pulmonary edema since it is accompanied by moderate chronic cardiomegaly and enlargement of the hilar vessels. There is enlargement of the cardiac silhouette with engorgement of poorly defined pulmonary vessels consistent with the diagnosis of pulmonary edema. ",def6f212-4f61456d-60919d0b-c6cddaaf-db3f108a
56894803,"AP chest: Exaggerated by the size of a large hiatus hernia, cardiac diameter is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure. AP chest: Lung volumes are low substantially, with moderate consolidation and moderate pleural effusion at the right base, small pleural effusion at the left base, moderate-to-severe cardiomegaly, and mediastinal vascular engorgement.",2e82b549-d2fb6a33-4747e742-d21b905f-813ff996
56895158,There is blunting of the left costophrenic angle which could represent small pleural effusion or pleural thickening. There is blunting of the left costophrenic angle which could represent small pleural effusion or pleural thickening.,c855dbbc-7d247e08-21f25260-20ed7254-73ac858a
56896759,"AP chest: Significant consolidation in the right mid lung of the diffuse infiltrative pulmonary abnormality could be due to progression of pneumonia, mild edema or local pulmonary hemorrhage. AP chest and chest radiographs:  Moderate opacification in the right mid and lower lung zones, while background interstitial pulmonary edema is mild, strongly suggestive of probably pneumonia. ",3b31865b-b41244e4-c46dbdca-c33ad6e4-3cca5768
56900002,Significant pulmonary edema with triple- lead pacer remaining in place. Significant pulmonary edema with triple- lead pacer remaining in place.,d025d08b-868642d3-1968cca6-f44c2f1d-4c1dd9c7
56901180,Re- demonstration of right infrahilar opacity compatible with known malignancy with adjacent patchy opacity in the right lung base which may reflect areas of atelectasis though infection cannot be excluded. Re- demonstration of right infrahilar opacity compatible with known malignancy with adjacent patchy opacity in the right lung base which may reflect areas of atelectasis though infection cannot be excluded.,27be8e47-777aa20b-bdfc0d00-edfb3263-1cebe4df
56902932,"Lung volumes are low with patchy bibasilar opacities and patchy peripheral linear opacities in the right upper lung favoring atelectasis, although pneumonia or aspiration should also be considered. Appearance of the chest includes low lung volumes and bibasilar atelectasis or scarring. ",4e2deb58-2087d69f-a4c1a7c8-776af924-1bd0202d
56905708,"There is substantial enlargement of the cardiac silhouette with only mild engorgement of pulmonary vessels. There are severe cardiomegaly and significantly engorged pulmonary vasculature, but there is no clear pulmonary edema or appreciable pleural effusion.",c35cd6f5-6d2f944e-e7517ba8-3d33af2c-aeb61176
56908039,"Nasogastric tube passes below the diaphragm and out of view, a left trans jugular Swan-Ganz catheter ends in the main pulmonary artery, right internal jugular line ends in the region of the superior cavoatrial junction. AP chest:  There is mild generalized edema, but there is significant consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis.",85023ebc-975e666f-4be00ab3-0de8159d-71962698
56917340,"Moderate enlargement of the cardiac silhouette, a component which may reflect a moderate size pericardial effusion. 2. Moderate enlargement of the cardiac silhouette, a component which may reflect a moderate size pericardial effusion. 2. ",8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350
56918682,"PA and lateral chest: Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery. PA and lateral chest: Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery. ",e8bee7e8-3d046a2b-a495f848-e8247e92-8a180494
56921440,"Apparent large in caliber of the aorta at the junction of the arch and descending portions could be due in part to difference in radiographic positioning, but there is a significant mediastinal venous distention denoted by dilatation of the azygos vein accompanying mild pulmonary edema. Apparent large caliber of the aorta at the junction of the arch and descending portions could be due in part to difference in radiographic positioning, but there is a significant mediastinal venous distention denoted by dilatation of the azygos vein accompanying mild pulmonary edema.",d47b1887-47d16d76-fc1df56f-5a5cd514-a9f91c9e
56921446,"Significant bibasilar opacities, suggestive of atelectasis, and right hemidiaphragm elevation with chronic blunting of the right costophrenic angle. Significant bibasilar opacities, suggestive of atelectasis, and right hemidiaphragm elevation with chronic blunting of the right costophrenic angle.",154a0276-f9cc72dc-9907f2e1-f1f11272-93cc90ff
56922475,"Moderate to severe enlargement of the cardiac silhouette,may be due to significant cardiomyopathy or the presence of a pericardial effusion. Moderate to severe enlargement of the cardiac silhouette, may be due to sigificant cardiomyopathy or the presence of a pericardial effusion. ",41452399-c1ad7798-f6b82bec-04239f92-3d1db04e
56925922,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1
56929753,"There are moderate-to-severe cardiomegaly and significantly dilated mediastinal veins, perhaps a reflection of supine positioning. Moderate to severe cardiomegaly, exaggerated by supine positioning, which also large mediastinal venous caliber.",2386d449-ff60da90-15b0f79f-2a63ae3d-146cb799
56936171,"AP chest: Mild interstitial edema, along with a small left pleural effusion, partially fissural. AP chest: There are mild pulmonary edema and upper lobe vascular distention indicative of cardiac dysfunction, small bilateral pleural effusions, and the signficantly large cardiac silhouette. ",8ad111d7-bd7f226a-d10f242f-59b1df46-5defb013
56948056,The cardiac silhouette remains within normal limits and there is moderate tortuosity of the aorta. The cardiac silhouette remains within normal limits and there is moderate tortuosity of the aorta.,ee1b7363-7791f3b8-05250aa7-b16ae53b-f1d3e209
56951123,Pectus excavatum. Pectus excavatum.,0e20294a-a19790ed-687b001e-481e4273-f89dd2c4
56956118,"Findings suggestive of congestive heart failure including apparent large heart size, small pleural effusions and prominent perihilar pulmonary vasculature. Findings suggestive of congestive heart failure including apparent large heart size, small pleural effusions and prominent perihilar pulmonary vasculature.",577e3751-aef1bbf3-e970d911-b1ad5a8e-af1b41d3
56958096,No acute intrathoracic process with a large hiatal hernia causing mild left basilar atelectasis. No acute intrathoracic process with a large hiatal hernia causing mild left basilar atelectasis.,ea644819-f1117ff7-4f06774f-336c60f0-51a50fd0
56961814,Significant pulmonary edema with triple- lead pacer remaining in place. Significant pulmonary edema with triple- lead pacer remaining in place.,61ae8e67-88ced0e9-c454f0c6-1cb71dd6-26e77a9e
56969126,Mild hyperexpansion and suggestion of emphysematous changes compatible with COPD. Mild hyperexpansion and suggestion of emphysematous changes compatible with COPD.,ca198d4c-70be63ec-5974f3e9-d6320a38-4eb83158
56970093,"AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion.",56800e51-37c27e17-e57356ac-463bc851-663bdfa9
56971397,"There is mild bilateral apical opacities but more severe of the left more than left basal opacities concerning for progression of the left lower lobe process, infectious in the patient with known history of cystic fibrosis. There is mild bilateral apical opacities but more severe of the left more than left basal opacities concerning for progression of the left lower lobe process, infectious in the patient with known history of cystic fibrosis.",9867f9b8-833b5f7f-18a67bac-b62caa15-7a215a2b
56972683,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. AP chest: There are mild pulmonary edema, significant edema or concurrent atelectasis in the right lower lobe, left lower lobe atelectasis, severe cardiomegaly, a small fissural right pleural effusion.",1b4e1f55-4fa1febf-abf7ed18-4531ddc4-2081f4ae
56983444,"Enteric tube is in good position and there is substantial dilatation of gas- filled loops of large and small bowel, consistent with an adynamic ileus pattern. Upper enteric feeding tube passes into the duodenum and out of view.",99417741-ca740461-763a545e-baf5aa74-65bf4e43
56984180,Successful images show no advanced was the Dobbhoff catheter to good position  Left-sided internal jugular vein catheter points cranially and should be repositioned Successful images show no advanced was the Dobbhoff catheter to good position  Left-sided internal jugular vein catheter points cranially and should be repositioned,39bea45f-8269a068-67fbcd81-495f87cc-bde587cb
56986984,"Diffuse, prominent interstitial lung markings in the setting of prominence of pulmonary vasculature and mild cardiomegaly likely represents pulmonary edema. There is enlargement of the cardiomediastinal silhouette with poor definition of engorged pulmonary vessels, consistent with pulmonary vascular congestion.",b3068b62-93af079c-28037ceb-5f8b41e3-8d9c5e81
56991236,Chronic fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis. Chronic fibrotic changes with bilateral calcified pleural plaques compatible with asbestosis.,cf080221-83e85abe-e7849064-2dae1076-601c8319
56993005,"There is severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. Moderately severe cardiomegaly, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema.",32fc392a-9a450d85-3d0a2229-e89958e6-49584ed9
56993533,"AP chest:  Lungs are clear, possibly hyperinflated, most commonly due to small airway obstruction or emphysema. AP chest: Hyperinflated lungs are due to emphysema or small airway obstruction.",c3827619-5b104baa-e1895045-007f9978-837ef55e
56997833,"Overall appearance of left perihilar opacity, may reflect known primary lung cancer or treatment related fibrosis. Overall appearance of left perihilar opacity, may reflect known primary lung cancer or treatment related fibrosis.",ff9fed32-307dfd9e-3f70b114-c9234fbc-6a057052
56998267,"Significant consolidation in the right middle lobe is noted, most likely reflecting progression of infectious process, most likely consistent with postobstructive pneumonia. Significant multifocal pneumonia with residual opacity in the right middle lobe.",be319f71-2b1ab302-55580f5d-ffc6e9e0-9e90689a
56998787,Cardiomegaly in findings suggestive of chronic interstitial lung disease. Cardiomegaly in findings suggestive of chronic interstitial lung disease.,ca74e920-4ca91dba-8ccc5185-617107a8-82e5a48a
57001251,SEVERE Cardiomegaly with a cardiac device and its leads in stable position. Moderate to severe cardiomegaly and bibasilar atelectasis.,9dbf45cb-e6b01b87-76e4d3db-7a480daf-192bce3b
57001723,"Left hilar mass, consolidation in the lingula, severe emphysema, opacities in the right peripheral mid lung and in the left upper lobe. There is severe chronic pulmonary disease with emphysema, fibrous scarring, and bronchiectasis diffusely involving both lungs, especially in the apical and perihilar regions.",091d7e7b-911382e5-4350f5a9-e20145c0-1c75286f
57001920,"Mild interstitial pulmonary edema, coupled with small mild pericardial effusion and cardiomegaly, consistent with decompensated congestive heart failure. Mild interstitial pulmonary edema, coupled with small mild pericardial effusion and cardiomegaly, consistent with decompensated congestive heart failure.",0e7807f6-04937b8e-ac237c79-1200da23-76b0b8e3
57005451,"Elevation of the left hemidiaphragm with overlying atelectasis, subpulmonic effusion not excluded. Elevation of the left hemidiaphragm with overlying atelectasis, subpulmonic effusion not excluded. ",a3ebe8b0-1678004d-48fa1d7d-c4d3b940-5f7a57d2
57012563,Essentially unremarkable chest x-ray noting low inspiratory effort. Essentially unremarkable chest x-ray noting low inspiratory effort.,839682a6-30ec6c4c-12520bec-1825e8a9-d6a263d4
57014765,"No evidence of acute pneumonia, but findings suggestive of COPD and moderately sized hiatal hernia. No evidence of acute pneumonia, but findings suggestive of COPD and moderately sized hiatal hernia. ",5abbfd91-57ab30f3-231c4823-f55fbfa9-5d5300a8
57018476,Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.,9fbe751e-040f98f7-66f9047b-8c7b8554-28250c9c
57019853,"AP chest:  What was predominantly a bibasilar infiltrative abnormality, left greater than right, is now significantly pronounced in the right lung, particularly upper lobe. AP chest.  A left skinfold over the major fissure highlighting severe edema or consolidation in the left lower lobe should not be mistaken for pneumothorax.",cc421e05-ba52c579-96137ca0-fa81a980-c78a2d2f
57024984,There are significant upper lobe predominant emphysema and an asymmetrically distributed pattern of pulmonary edema. There is no widespread pulmonary edema in the mid and upper lung zones. ,98bf2cef-0c6a64e5-89934255-e10b6ef7-c38474b7
57032173,"AP chest: What appeared to be a focal consolidation in the left lower lung is subsumed by moderately severe pulmonary edema. Moderately severe postoperative pulmonary edema, but looks  severe due to lower lung volumes following tracheal extubation. ",0e064bcb-a3b8ea89-90e85aa8-525a773b-7c2718a7
57033562,"AP chest: Nearly global opacification of both lungs characterized as combination of interstitial infiltration, some chronic and fibrotic, and subsequent diffuse ground-glass alveolar opacification is significant. Severe pulmonary reticulation due in large part to pulmonary fibrosis. ",b7af070d-78068621-15eff16b-a70624dd-db393d15
57041570,Right jugular central venous infusion port ends just above the superior caval atrial junction. Right internal jugular central venous line terminating at the superior cavoatrial junction.,cd4c13d7-949c45ee-8508ec30-c9fed36f-bea3a8f6
57045066,AP chest: Mild pulmonary edema and large caliber of heart and pulmonary hila reflect volume resuscitation and relative cardiac insufficiency. AP chest: Mild pulmonary edema and large caliber of heart and pulmonary hila reflect volume resuscitation and relative cardiac insufficiency.,b1286b1b-54d1211b-a25a3203-41c53701-f8ba9413
57045176,"Grossly signficant thyroid goiter causing widening of the right paratracheal stripe. Patchy medial right lower lung opacity, non-specific; compatible with atelectasis but infection could be considered depending on clinical circumstances. ",20826cb6-21536aea-251f6984-7d353fb1-029fb362
57048625,"AP chest:  Heart may be slightly enlarged, though exaggerated by AP and supine positioning and low lung volumes. Heart size is enlarged, although it might be due to supine position of the patient in portable nature of the radiograph.",a23f7cc0-2cc8da91-5f864f5b-6672534c-98f63cd8
57049495,Underpenetrated chest likely due to patient body habitus. Underpenetrated chest likely due to patient body habitus.,6e87c959-24dfa50c-d3d91e0a-70a0dfad-96865517
57051632,"Allowing the difference in technique there is cardiomegaly, large bilateral effusions with adjacent atelectasis with probably collapsed left lower lobe and mild vascular congestion. There is a large left pleural effusion, obscuring the left heart border and possibly displacing the cardiac silhouette to the right, however the trachea is not shifted, and therefore I believe that there is considerable enlargement of the cardiac silhouette. ",d8d27634-c797ba3f-79f7384e-6dd55810-93915d51
57053258,"The areas of diffuse ground-glass opacities in the left mid and upper zone is mild, most likely reflecting resolving hemorrhage or aspiration following the biopsy procedure. Bilateral perihilar infiltration, left-greater-than-right is probably not cardiogenic edema, alternatively diffuse alveolar damage, including acute drug toxicity, atypical pneumonia, or pulmonary hemorrhage. ",7f53537b-fa6d85dc-ba21f7bb-f4c04a3c-177aeed6
57069327,"There is left lower lobe opacification in the retrocardiac region, and may be due to acute aspiration and or atelectasis. AP chest: Pneumoperitoneum, which developed after gastrostomy, is substantial. ",8531a641-5f0bd3c1-b6e592c6-294f4e41-1dc643c3
57077344,"AP chest:  Severe widespread pulmonary consolidation is dramatically significant, initially in the right upper and lower lobes, throughout both lungs accompanied by an severe left and small right pleural effusions. Generalized opacification reflects, in part, tracheal extubation, but probably significant pulmonary edema as well, superimposed on the multifocal infection and non cardiac edema in the lungs.",83833260-15c2f0ce-07c1f262-5cd7007e-819f17e6
57080795,"AP chest: Generalized opacification in the right hemithorax is due largely to a large right pleural effusion projected over at least moderately severe pulmonary edema, seen signficant in the left lung. AP chest:  There are large right pleural effusion, consolidation or collapse in the right mid and lower lung worse, and mild pulmonary edema in the left lung. ",196c8e5f-ab6084a7-145ac6ef-54b05747-9768ba0f
57086341,"PA and lateral chest: There are small right apical pneumothorax, a very small right pleural effusion, and severe subcutaneous emphysema in the right chest wall. PA and lateral chest: There are small right apical pneumothorax, a very small right pleural effusion, and severe subcutaneous emphysema in the right chest wall.",e3878a3c-d7eccddd-4784c189-6b006b3b-e58c987a
57086484,There is enlargement of the cardiac silhouette with moderate pulmonary edema and small right pleural effusion with basilar atelectatic changes. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and right pleural effusion with compressive basilar atelectasis.,f9af4910-694f5e1f-75e4a512-0bd1c6dc-e4616d88
57089146,"The bilaterals alveolar opacities have disappeared on the right and are relatively significant on the left, again most likely representing a combination of pulmonary edema an infectious pneumonia. There is increased vascular plethora with patchy areas of alveolar infiltrate that are significant. The heart is globular in configuration the overall impression is that of significant CHF.",aaaa9831-9d16cbd6-73e400af-8f17ddaf-44968eda
57096024,"A right chest tube remains in place and there continues to be loculated right apical pneumothorax with some adjacent chain sutures and surgical clips in the right suprahilar region, suggestive of a post status of right upper lobectomy. PA and lateral chest: the small right apical pneumothorax is mild. A very small right pleural effusion is significant and there is severe subcutaneous emphysema in the right chest wall.",4998e40c-698af874-8c293856-85757f55-1a4817e4
57107868,There is a substantial right and smaller left pleural effusion with compressive atelectasis at the bases. There is a substantial right and smaller left pleural effusion with compressive atelectasis at the bases.,d471efcd-b9883de0-61154002-0ed78c74-1fe5a5e5
57120452,"Mild cardiomegaly with mild hilar congestion with possible nodularity at the right pulmonary hilus for which nonemergent CT is recommended to further assess. Calcified granuloma in the right lung, partly projecting over the seventh right rib moderate cardiomegaly with elongation of the descending aorta. ",b7013a8b-6c5dab19-f07b823e-d65d3507-a7548d2f
57120453,"AP chest: There is moderately severe pulmonary edema, obscuring what could be concurrent pneumonia, particularly in the left lung. AP chest: There has been a generalized heterogeneous pulmonary opacification in both lungs.",5cc8a35c-430e95e2-0ece986e-69a22503-cc4bf39e
57124801,"There are severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. Cardiac silhouette is enlarged with some elevation of pulmonary venous pressure and probable layering effusions with compressive atelectasis at the bases. ",c2b22508-19420edd-b20d6189-f63a4ebf-54d99e64
57132221,"There is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. There is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.",38a9b23d-4349cfb4-451a3bfd-346ed01f-b4360327
57135264,"AP chest:  There are moderate to severe cardiomegaly, pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion. AP chest: There are moderate to severe cardiomegaly has worsened, there is new pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion. ",742a919c-4e4a6e34-f49de182-4a0dafcf-8b3c101b
57137730,"There is cardiomegaly with appropriately positioned pacer wire. Right jugular line ends at the origin of the SVC, right atrial and two right ventricular pacer defibrillator leads in place. ",f0e11656-d359330e-8e7c2e5d-09c9d0d0-583da81f
57142346,"Thickening of the right apical pleural margin could be a lung tumor, although there is abnormality in the right lung apex that looks like bronchiectasis or scarring. Emphysema with right apical pleural cap, likely scarring and pleural fluid after pleurodesis. ",12f2d9bf-89dc902e-a9cd6aaa-22c63b63-c5abd408
57147904,Apparent lesion in left mid to upper lung compatible with underlying central mass lesion with superimposed postobstructive pneumonia and/or atelectasis. Apparent lesion in left mid to upper lung compatible with underlying central mass lesion with superimposed postobstructive pneumonia and/or atelectasis.,ef905e68-392ffa59-22123661-7afd32ae-30f983d5
57149976,"Limited exam: large opacity obscuring the majority of the left lung which could be secondary to effusion and consolidation. There is apparently signficant in size of a large, partially loculated left pleural effusion.",9899772e-b051b74d-f68faa87-f45ebf9b-3fcd4d7b
57153483,"Multifocal bronchiectasis and lung nodules, likely due to history of atypical mycobacterial infection. Multifocal bronchiectasis and lung nodules, likely due to history of atypical mycobacterial infection. ",1497c1a7-0f52e042-8b3ffade-b8b71145-17eae73d
57163975,AP chest:  Nearly confluent acinar opacification of the right mid and upper lung and to a lesser degree perihilar left upper lung. AP chest:  There is extensive malignancy in the left upper lobe and infiltrate in the mediastinum and left hilus.,97a5f522-bb4f6eac-5f7d4736-30880e7b-872ea26f
57164346,"AP chest:  Although the patient is intubated, lung volumes are lower, due in part to small-to-moderate pleural effusions. AP chest: ET tube, left internal jugular line are in standard placements, an enteric feeding and an enteric drainage tube pass into the stomach and out of view, right internal jugular large-bore catheter ends in the upper right atrium, approximately 2 cm below the low SVC.",135f90e3-562abed8-10d18797-fc0fc641-ea889ffb
57165304,"There is substantial cardiomegaly, biventricular pacemaker is and large bilateral pleural effusions as well as bibasal opacities that potentially represent layering pleural effusion versus consolidation, continues surveillance was continues diuresis is recommended. Large cardiac silhouette, pulmonary edema, bilateral pleural effusions suggests CHF that is significant, given differences in inspiration/technique.",efeee902-a228cde6-a6a4b031-7c26bc53-842009b9
57166957,"Small right apical pneumothorax and right basal atelectasis following removal of the bilateral pleural drains. Blunting of the costophrenic angles is seen, consistent with pleural fluid and some atelectatic changes at the bases.",9e0b006b-70cbcb07-0aaf5bd7-5faf6256-c93f4008
57167682,Layering bilateral pleural effusions with patchy bibasilar airspace disease consistent with compressive atelectasis and moderate to severe pulmonary and interstitial edema. Bilateral layering effusions and mild-to-moderate pulmonary and interstitial edema.,3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8
57169558,"AP chest: Post-operative widening of the mediastinum is in the region of the arch, but there may be a large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. Severe postoperative cardiomediastinal widening, presumably hematoma. ",7ceecc91-32932b6b-bf0ae761-92a74cf7-fe124fbc
57171514,Hyperinflation and biapical blebs raising the possibility of underlying emphysema. Hyperinflation and biapical blebs raising the possibility of underlying emphysema.,1de015eb-891f1b02-f90be378-d6af1e86-df3270c2
57174042,"A PA and lateral chest:  There are a minimal pulmonary edema, extensive right pleural thickening or loculated fluid at the periphery of the right lung. A PA and lateral chest: There are a minimal, extensive right pleural thickening or loculated fluid at the periphery of the right lung.",0a8acf4e-79fa1809-f8cb320e-ec64a315-52784159
57175390,"There is marked cardiomegaly, accompanied by pulmonary vascular congestion and interstitial edema as well as a small right pleural effusion. Threre is marked cardiomegaly is stable, accompanied by pulmonary vascular congestion and interstitial edema as well as a small right pleural effusion. ",50da6cea-7757397e-e0e5175b-5dfd32f3-3183a4d4
57187080,Right hilar mass is associated with atelectasis of right middle lobe and there is a significant adjacent lymphangitic carcinomatosis and consolidation. Right hilar mass is associated with atelectasis of right middle lobe and there is a signficant adjacent lymphangitic carcinomatosis and consolidation.,b9d07ae5-876bb931-85ce766f-8dc425d4-5948363d
57188350,ET tube is in standard position preop with bilateral effusions. ET tube is in standard position preop with bilateral effusions.,334a4b19-e795f613-8d2902bb-9395ee99-28f4cf54
57192814,"Right jugular line ends at the origin of the SVC, right atrial and two right ventricular pacer defibrillator leads in place. Tracheostomy tube and right subclavian vascular line, and transvenous atrio-biventricular pacer defibrillator leads are all in standard placements. ",a78450bf-630d9aa5-d48a79f1-41a5d2c2-802321fb
57198058,"AP chest: The patient was clearly in pulmonary edema with moderate cardiomegaly and at least moderate right pleural effusion. Right basilar opacity may be due to combination of pulmonary edema and right pleural effusion/atelectasis, however, underlying infection is not excluded in the appropriate clinical setting.",23944c5d-05acde48-c46484e1-0c68641c-e9ad6fd2
57199757,"The left IJ dialysis line tip projects at the low SVC. AP chest: Supine positioning may explain large mediastinal caliber due to venous engorgement, particularly since the pulmonary vessels are distended and there is mild pulmonary edema. ",50c4c252-0054801a-aa949595-362953d3-23b18e2e
57204056,"AP chest: Aeration in the left lower lobe lowers. AP chest. Two pleural tubes are in position, both impinging on the midline, one at the level of the left upper lobe bronchus, the other at the level of the diaphragm.",f46e8d2c-be685657-0321ae36-1093f777-379d385b
57210258,AP chest: Significant substantial enlargement of the cardiac silhouette due to severe cardiomegaly and/or pericardial effusion. AP chest: Severe enlargement of the cardiac silhouette. ,5f17fe93-aaa0c148-72ccdc7f-ad2268b1-56572a09
57214202,"Emphysema with persistent bibasilar opacities, more pronounced in the left lung base, suggestive of chronic airway inflammation and potentially infection or aspiration. Emphysema with persistent bibasilar opacities, more pronounced in the left lung base, suggestive of chronic airway inflammation and potentially infection or aspiration. ",4859ca51-f9aec9f3-e0959b5c-a6342b33-28811875
57219522,"RECOMMENDATION(S):  Recommend follow-up chest x-ray in ___ weeks, following pneumonia treatment, and if bilateral hilar prominence persists would recommend follow-up contrast enhanced CT chest to confirm and further characterize hilar lymphadenopathy which can be seen in infectious, inflammatory (sarcoid) and malignant (lymphoma, metastatic disease) conditions. RECOMMENDATION(S):  Recommend follow-up chest x-ray in ___ weeks, following pneumonia treatment, and if bilateral hilar prominence persists would recommend follow-up contrast enhanced CT chest to confirm and further characterize hilar lymphadenopathy which can be seen in infectious, inflammatory (sarcoid) and malignant (lymphoma, metastatic disease) conditions. ",c190fb7d-da5b3a51-5f074369-736f62a6-589d6474
57233393,"A left lateral convexity in the lower posterior mediastinal contour is most commonly a hiatus hernia, but an aortic aneurysm or lower mediastinal mass, could have the same appearance. Tortuosity of the aorta and moderate hiatal hernia are seen.",1072c678-fa1edea2-a74424cb-595778ce-39f7fe0e
57238617,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible.",2dbc33d8-a5b00a49-a6bfeea2-cff69532-91a4aac1
57241138,"Right internal jugular line and the left trans subclavian right atrial and ventricular pacer leads, intact from the left axillary generator, are in standard placements respectively. Tunneled transvenous left ventricular pacer lead follows right subclavian approach. ",4bc5f178-5d714644-9cc072b9-d1ac0ed5-b4db2ba0
57241942,There is significant pulmonary edema with triple- lead pacer remaining in place. There is significant pulmonary edema with triple- lead pacer remaining in place.,72173005-a21c911f-2db2f17d-033364e2-aaee101d
57242265,There are enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease. There are enlargement of the cardiac silhouette with biventricular pacer and hyperexpansion of the lungs consistent with chronic pulmonary disease.,af6c2c8b-de4ab155-e59a3a03-1f473d61-d357be8d
57243655,"AP chest: Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. AP chest: Emphysematous left lung hyperinflated but clear.",e71e1f01-11b4f60d-139fce5f-3eed20e2-1b61e149
57254304,Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation. Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation.,d8d6bec6-48c8a366-841c2d03-d9845540-66735bb4
57258004,"Enteric catheter terminating in the medial right upper quadrant, likely within the distal stomach or proximal duodenum. Partially imaged abdomen demonstrates air distended loops of bowel, correlate clinically for possible underlying obstruction need for additional imaging. ",6e2797cc-f1c60fb3-30a651cc-c23cf3d1-b15803bb
57261102,"AP chest: Over the course of the day a mild cardiomegaly and pulmonary vascular congestion are minimal, mediastinal venous engorgement exists, but this could be a function of supine positioning. Prominence of the vessels and of the left hilum, suggesting CHF, though likely accentuated by supine positioning.",dd4d07ba-c78dcfab-fc8fc38e-e425a71b-29874f79
57265603,"Patchy opacities the lung bases, more so on the right lower lobe, which may reflect infection or aspiration. Patchy opacities the lung bases, more so on the right lower lobe, which may reflect infection or aspiration. ",38708899-5132e206-88cb58cf-d55a7065-6cbc983d
57272372,"Given body habitus, mediastinal lipomatosis may also contribute. Mediastinal venous and pulmonary vascular engorgement have developed suggesting volume overload or early cardiac decompensation, but there is no edema and pleural effusion is minimal if any. ",3e95e1d8-dfda84b0-7eded0f8-e83090e4-12e3ff68
57273388,The chest shows low lung volumes and a large hiatal hernia. Tthe chest shows low lung volumes and a large hiatal hernia.,880f55b2-21e9c680-823ecd8e-9ac3a7b2-836baabb
57274207,"AP chest: Right lower lobe collapse does not exist, but the lower lobe is severely atelectatic and/or consolidated. Left lower lobe collapse and right lower lung atelectasis.",5ca8e895-727feeb6-2817230e-65ce2e3b-5b8f315f
57276121,The more confluent left lower lobe opacity although may represent asymmetric pulmonary edema residua is concerning currently for infectious process. Hazy opacity within the left mid and lower lung fields with vascular indistinctness could reflect asymmetric pulmonary edema though additional areas of pneumonia are not excluded.,dd3bb5f4-72efaaca-854cacfc-e1b8f92d-745973bd
57279525,"AP chest: There are mild to moderate pulmonary edema and a moderate amount of loculated right pleural effusion. AP chest: Endotracheal tube has been removed, accounting in part for lower lung volumes. There are large cardiomediastinal silhouette and severe right pleural effusion, and mild interstitial edema and therefore vascular engorgement and cardiac decompensation are presumed.",414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb
57281227,"There are severely enlarged cardiac silhouette, moderate right pleural effusion, pulmonary edema, predominantly in the lower lungs where there is also heterogeneous consolidation. There are moderate cardiomegaly and pulmonary vascular congestion, accompanied by a moderate right pleural effusion and adjacent right basilar atelectasis.",44272033-b5295be7-f0373b0f-729ae692-1e1a3ba0
57282583,"AP chest: Greater opacification of the lung bases is due largely to increasing small-to-moderate bilateral pleural effusions, atelectasis and mild dependent edema in the setting of very low lung volumes. AP chest: There are minimal pulmonary edema, but moderate to severe bilateral pleural effusions, and more atelectasis at both lung bases.",350c270f-70f4a764-33a53729-ec529c84-cd886aa9
57289014,"Moderate anterior wedge compression of a vertebral body, approx level of L1, otherwise indeterminate age. Moderate anterior wedge compression of a vertebral body, approx level of L1, otherwise indeterminate age.",a30e7a85-23910be3-967d6653-109accd7-e4101dcf
57290683,"Diffuse interstitial abnormality predominantly in the upper lung zones, consistent with known sarcoidosis. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. ",9d8483b4-460ba2c2-3a8322ea-4d7df3ca-e1789d06
57292244,Small right pleural effusion and right basilar opacity likely reflecting a combination of atelectasis and postsurgical scarring. Small right pleural effusion and right basilar opacity likely reflecting a combination of atelectasis and postsurgical scarring.,9bb86127-fb575908-ca75aaee-e4e15b0b-b804e9d3
57293911,AP chest: Moderate right pleural effusion is significant despite the right basal pleural pigtail drain. AP chest: There is moderate pulmonary edema as has the volume of the moderate-to-large right pleural effusion.,a3dbcc01-a336ba92-1a8702d2-124e81f5-6a525305
57294152,"PA chest: Moderate to severe enlarged cardiac silhouette, mediastinal veins, and new interstitial edema suggest cardiac decompensation, perhaps due to volume overload. The cardiac silhouette is enlarged and there is some prominence of interstitial markings that could reflect elevated pulmonary venous pressure, chronic lung disease, or both.",31b932ba-757c9228-940b6753-513b8ecb-705d05b5
57304510,"AP chest:  There are severe pulmonary edema, severe cardiomegaly, moderate right and small left pleural effusion. AP chest: There are mild pulmonary edema, moderate cardiomegaly, signficant pulmonary vasculature engorgement, and small-to-moderate right pleural effusion, findings all pointing to worsening cardiac decompensation. ",6c24203f-eb2ae77d-f8dc8d4b-8ca91798-a6dddd76
57307723,"Left lower lobe collapse could be due to contralateral intubation; ETT should be withdrawn 5cm. THere is left lower lung collapse, probably from mucous plug. ",8f647240-3f5e4425-7c6a1798-7fa8005f-ecc04d35
57308128,Overal pattern compatible with congestive heart failure with superimposed right lower lobe consolidations concerning for infectious/inflammatory process. Moderate cardiomegaly with mild interstitial edema as well as  moderate-to-large right-sided subpulmonic effusion and increased density at the right lung base which may represent concurrent pneumonia.,5d60432d-9a9f7b91-2a3f88ee-8f0c574e-de8f7187
57320234,PA and lateral chest: There are small bilateral pleural effusions and mild postoperative widening of the cardiac silhouette. PA and lateral chest: There are small bilateral pleural effusions and mild postoperative widening of the cardiac silhouette.,72a15dc0-cfcca17f-201baf20-76f2e298-e4123143
57330459,"PA and lateral chest: Lateral view shows a surprisingly large anterior component of moderate-to-large right pleural effusion, with smaller posterior component. PA and lateral chest: Lateral view shows a surprisingly large anterior component of moderate-to-large right pleural effusion, with smaller posterior component. ",beb55654-98504d02-98628cdb-06081de2-be7990a2
57331547,"There are enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure. Mediastinal veins are mildly dilated, but there is no pulmonary edema and the mild-to-moderate post-operative cardiac enlargement.",7d047120-d24a497e-fc26ea7e-6c3acc0c-ce5bc190
57332361,Low lung volumes with right lung base mass visualized. Possible AP single view of the chest shows low lung volume with new right lower lobe opacity compatible with atelectasis.,11bf7fcd-96d58d34-49415fcc-c20c2b7d-1f340544
57333607,There is significant enlargement of the cardiac silhouette with mediastinal venous engorgement and mild to moderate pulmonary edema. There is significant enlargement of the cardiac silhouette with mediastinal venous engorgement and mild to moderate pulmonary edema.,9748d26b-62549e8c-0a4fec22-48ae4480-691c7013
57334765,"Multifocal bronchiectasis and lung nodules, likely due to previously provided history of atypical mycobacterial infection. Multifocal bronchiectasis and lung nodules, likely due to previously provided history of atypical mycobacterial infection. ",1f37fa7f-bbfdda2f-9ae5bac4-0027124f-f462fe0b
57361130,Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,92e316b6-8facf11c-bce58686-26309d9a-afc8bed3
57361873,Basilar plate-like atelectasis without definite signs of pneumonia or CHF. Basilar plate-like atelectasis without definite signs of pneumonia or CHF.,7634db9d-273d50e3-b619164d-90d11c3f-2a46ab37
57363067,"AP chest: Lung volumes are lower, exaggerating severe enlargement of the cardiac silhouette and volume of moderate-sized bilateral pleural effusions. AP chest: Although moderate bilateral pleural effusions and mediastinal vascular engorgement are signficant, pulmonary edema if any is only mild. ",d8bc7ccc-a2bac7c8-1dd6d0a5-5ed27c66-4f556bac
57365217,"AP chest: Relatively symmetric bilateral perihilar consolidation, most likely edema, is substantially miminal to mild in the right lung, not on the left, where there is moderate left pleural effusion. AP chest: There are moderate-to-large left pleural effusion, moderate right pleural effusion, moderate pulmonary edema, and large scale left lower lobe consolidation due to atelectasis or pneumonia, and all except the moderate left pleural effusion are prominent. ",ea76870d-7fdf2c99-bec8634e-1362050a-edc3c8fd
57368679,Chronic blunting of the costophrenic angles posteriorly may reflect chronic pleural thickening or trace bilateral pleural effusions aerated Chronic blunting of the costophrenic angles posteriorly may reflect chronic pleural thickening or trace bilateral pleural effusions aerated,f7349b90-c86e0ac7-2794b96b-e665dc2a-b3f47921
57372388,"Opacities projecting over the bilateral lung fields, in part relating to calcified pleural plaques, although increased perihilar opacities, left greater than right, raise concern for pulmonary edema with possible underlying infection, as above. Opacities projecting over the bilateral lung fields, in part relating to calcified pleural plaques, although increased perihilar opacities, left greater than right, raise concern for pulmonary edema with possible underlying infection, as above.",f2029c31-2acb877f-a7000d23-c119d2f1-b5d4844b
57373953,"There are severe cardiomegaly, severe consolidation in the left lower lung, milder residual atelectasis at the right lung base and anterior segment of the right upper lobe. Left lower lobe is largely airless, and cardiac silhouette is severely enlarged. ",b201c59c-783b3811-27abc766-9831d333-e648e28e
57377735,"Subtle area of increased opacity in right upper lung could be due to superimposition of normal structures, but short-term followup radiographs may be helpful to exclude a developing pneumonia in this region. Sternum otherwise within normal limits radiographically. ",eaf779dc-f580b7b8-168b1b3c-53ee66c1-21268250
57379357,Nodular opacity projecting over the tip of the left scapula is present and might potentially represent summation of shadows but a pulmonary nodule is a possibility and S correlation with PA and lateral views or potentially chest CT if clinically warranted would be identified Focal prominence of the descending thoracic aortic contour at the level of the AP window corresponds to focal type B aortic dissection with saccular aneurysm. No acute cardiopulmonary abnormality otherwise demonstrated.,e5ba5704-ce2f09d3-e28fe2a2-8a9aca96-86f4966a
57387398,"There are widespread bilateral pulmonary opacities, small bilateral pleural effusions, and extensive subcutaneous emphysema. AP chest: There aer moderate left pneumothorax and small collection of subcutaneous emphysema in the left chest wall.",c2e5830a-4b63b683-99043c6b-d9c3e685-cd66aa23
57390903,"Cardiac silhouette and is somewhat enlarged and there is blunting posteriorly of what appears to be the left costophrenic angle, suggestive of minimal pleural effusion or pleural thickening. Cardiac silhouette and is somewhat enlarged and there is blunting posteriorly of what appears to be the left costophrenic angle, suggestive of minimal pleural effusion or pleural thickening.",8f866521-2083f0bb-a12df756-24346ecd-5e484e40
57397512,Cardiomegaly with minimal interstitial edema vs. chronic interstitial changes; small right pleural effusion. Cardiomegaly with minimal interstitial edema vs. chronic interstitial changes; small right pleural effusion.,7d2e3c50-e0ca79fb-74b46922-68f9cb02-e05269e5
57399078,There is signficant opacification in the right upper lobe with associated volume loss. Prominent right upper lobe opacity could be related to lavage fluid and or hemorrhage. ,85904052-28d3a26a-9a756f5e-03c7a51b-3a9f5f19
57414582,"PA and lateral chest: Significant background opacification in the right mid lung zone, accompanied by greater vascular congestion suggests this is probably a component of pulmonary edema. AP chest:  Huge cardiac silhouette is prominent predominantly to the right by an unusual intrapericardial collection which severely compromises the volumes of the right atrium and ventricle. ",8db7bace-d0275263-d4c4cdf2-a7b97382-76817caf
57420525,"Fullness in the right paratracheal mediastinum is due to a chronically enlarged azygos vein and mediastinal fat deposition, not adenopathy. There are some of the cardiac enlargement due to a small pericardial effusion and extensive mediastinal adenopathy. ",614cf968-41dc136f-73eb6d42-6b73032b-e0dde637
57424140,"Signficant opacification the right hemithorax with large cardiac silhouette and engorged hilar vasculature, consistent with pulmonary edema. Opacification of the right hemithorax is mostly due to infiltration of airspaces with tumor as opposed to significant component of pleural fluid.",2d93fd96-9b0fecad-1fdab811-37caf33a-3874a948
57426287,Large region of consolidation in the right lower lobe with history of the exacerbation of pneumothorax and its treatment with pleural drain is signficant raising concern for either rapidly developing pneumonia or pulmonary bleeding. Extensive consolidation and atelectasis predominantly involving the right upper and middle lobes is likely post obstructive from a right juxta hilar mass.,a18c7507-2e69a04b-701ddbf9-526439aa-c754e39b
57427881,"PA and lateral chest : The lung volumes are low, exaggerating top normal heart size. PA and lateral chest : The lung volumes are low, exaggerating top normal heart size. ",92134f99-0e73faba-1280ad81-218c68ba-933a85c5
57429813,"There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could represent elevated pulmonary venous pressure, chronic pulmonary disease, or both. Enlargement of the cardiac silhouette with elevation of pulmonary venous pressure in a patient with diffuse prominence of interstitial markings consistent with fibrotic pulmonary disease. ",2518c7ca-5bc35dd2-e35d9b4f-c44f6549-ee3b0443
57432088,"AP chest: Heavy asbestos-related pleural calcifications obscure much of the lower lungs, but nevertheless I can see that there is mild edema in the lower lungs and small pleural effusions. AP chest:  There is severe pulmonary fibrosis over the course of this hospitalization, probably a function of either concurrent pneumonia or acceleration of pulmonary fibrosis. ",e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868
57433211,"There is no pneumothorax pleural effusion or mediastinal widening. There is mild cardiomegaly but there is no pulmonary vascular congestion or edema. Regarding to cardiomediastinal contours, there are cardiac size top normal and mild widening of the mediastinum.",f0f60c0b-52abfabd-2b92739a-f825fa77-74c719e9
57440750,"Otherwise, there is enlargement of the cardiac silhouette with a pacer device in place, but no evidence of pulmonary edema. There has been placement of what appears to be a cardiac device superimposed over the lower portion of that heart shadow. ",27e83fc9-b156bdac-0ec31eb2-21403864-d2def4c7
57441180,"There is a layering right effusion with bilateral airspace process, right greater than left. There is a layering right effusion with bilateral airspace process, right greater than left.",aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c
57446197,PA and lateral chest: Large right pleural effusion collapsing the lower half of the right lung and shifting the mediastinum to the left. PA and lateral chest: Large right pleural effusion collapsing the lower half of the right lung and shifting the mediastinum to the left.,e7917cda-a7acb02f-631867d3-7fc91d5b-db5cdeef
57446337,"Lung volumes are substantially lower exaggerating and therer are moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is enlargement of the cardiac silhouette with elevation of pulmonary venous pressure and extensive opacification in the retrocardiac area consistent with volume loss in the lower lobe.",6a88bbb2-ff756840-e3f513d9-ff4d1499-f9628163
57447816,Cardiomediastinal silhouette including severe cardiomegaly and widening mediastinum. Cardiomediastinal silhouette including severe cardiomegaly and widening mediastinum.,23fdc685-8851eb9b-b5ee438b-0f486c37-4677e1ed
57448721,RECOMMENDATION(S): Mild cardiomegaly and distention of pulmonary and mediastinal vessels due to biventricular cardiac decompensation. RECOMMENDATION(S): Mild cardiomegaly and distention of pulmonary and mediastinal vessels due to biventricular cardiac decompensation.,5b9d3fcb-ec593910-a4df74dc-05deda2c-9719c9ea
57452809,There are postoperative appearance of the neoesophagus and small right pleural effusion. There are postoperative appearance of the neoesophagus and small right pleural effusion. ,2a18ff9e-bcc1e679-a9be811c-4cd490dc-fa3faf63
57454413,Cardiomegaly with aneurysmally dilated and tortuous thoracic aorta. Mediastinum in the region of the ascending thoracic the aorta is enlarged and could be due to aneurysm.,158479af-cf9c24d6-99ee742e-bbb91960-bfa7f46c
57456610,Mild widening of the cardiac mediastinal silhouette is probably due to supine positioning. Mild widening of the cardiac mediastinal silhouette is probably due to supine positioning.,51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a
57458228,"There are reduced lung volumes and consolidation in the right lower and left mid lungs, probably pneumonia. There are reduced lung volumes and consolidation in the right lower and left mid lungs, probably pneumonia.",344efa4b-02fb5b16-9db4229a-51955f21-7522b595
57463116,"There are no endotracheal and nasogastric tubes, as has the Swan-Ganz catheter, which has been replaced with a right IJ sheath. There are enlargement of the cardiac silhouette with the monitoring and support devices. ",552b9cdb-02b1e116-417a8a56-d2f54f1e-865a2a0c
57464511,"COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker are noted. COPD, cardiomegaly, suspected pulmonary hypertension, and pacemaker are noted.",64e9fab8-be276430-8b0b8d08-b7aff644-5d287946
57470809,"Diffuse interstitial opacities with small bilateral pleural effusions and signficant cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which previously was possibly attributable to drug reaction, COPD or vasculitis. Diffuse interstitial opacities with small bilateral pleural effusions and signficant cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which previously was possibly attributable to drug reaction, COPD or vasculitis.",b8bed4d3-d993a18e-0991e847-d35ed326-8aebc923
57474634,"Right middle and lower lobe collapse with large right effusion and heterogeneous densities in the remainder of the right lung likely representing chronic right lower lung postobstructive atelectasis with superimposed pneumonia. There are moderate to large right pleural fluid collection with decreased aeration in the right mid and lower lung likely reflecting compressive atelectasis, although an underlying mass or pneumonia cannot be excluded.",5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4
57481340,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. ",3627c932-73fba01b-b50c256b-fe25f602-a175bb99
57486536,"Cardiomegaly, enlarged main pulmonary trunk, and diffuse right greater than left lung opacities, findings favor moderate to severe pulmonary edema. Pulmonary edema with more confluent opacity in the right infrahilar region which could represent edema versus superimposed infection. ",804b2558-1b928d2d-a41b4959-275e9da9-5ccdeca5
57495351,"Severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention. There are severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. ",fabe7221-766cf8c9-b0580fa0-a0df3ab8-2082dc65
57501180,"There are large calcifications in the right pleura, coarse calcifications in the apices, small bilateral effusions now larger on the right. There are mild right apical air cavity, moderate right basilar atelectasis, and moderate in right pleural effusion. ",6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c
57502393,"Patchy lateral right apical opacity is signifcant and while could theoretically be related to scarring, given patient is underlying emphysema and COPD and again, nonemergent chest CT recommended to further assess. Findings suggesting emphysema including hyperinflation and coarse lung markings.",2f142040-3d2b5cf2-a37622c9-4909cb67-92fad10f
57513198,"Lung volumes are substantially lower which may account in part for some of the continued progression of severe interstitial pulmonary abnormality, but the findings suggest interstitial abnormality is significant. Lung volumes is reduced, background density of the lungs has substantially signficant and caliber of the mediastinal vasculature is moderate all pointing to the resolution of pulmonary edema superimposed on severe pulmonary fibrosis.",a4d62fc4-613c998d-9a906778-5703a1a3-21507e30
57517941,"Allowing for the portable technique, the cardiac silhouette may be mildly enlarged. Obliquity of the patient is probably responsible for the apparent displacement of the heart into the left hemithorax. ",4c9812bf-f392e749-e5a9e763-24de2d49-20271034
57523636,Two AP views of the chest:  Severe bibasilar atelectasis. Two AP views of the chest:  Severe bibasilar atelectasis.,6620c86d-6be6ba2b-c1c0beb1-2b89f89b-a0a59da4
57526648,"Large hiatal hernia with patchy bibasilar airspace opacities, likely atelectasis, however aspiration is not excluded. Slightly limited exam with bibasilar atelectasis and mild pulmonary vascular congestion. ",eb48e944-d1f04023-e3dc8926-7ddd1131-a91ef09a
57531802,"AP chest:  Severe cardiomegaly and mediastinal vascular engorgement. AP chest: Severe enlargement of the cardiac silhouette, and distention of both pulmonary hilar, and mediastinal vasculature.",308bf948-d05f2a1d-2c32a818-2df09584-d17283f6
57537037,There are small bilateral pleural effusions and small right chest wall subcutaneous emphysema. There are small bilateral pleural effusions and small right chest wall subcutaneous emphysema,ea1b22a8-7ee63c4a-1ad1ae64-defd894b-1a52dcac
57540712,Hiatal hernia and hyperexpanded lungs with no acute cardiopulmonary process. Hiatal hernia and hyperexpanded lungs with no acute cardiopulmonary process.,e90de45f-b12a6a45-721981dc-7df46eae-aa3318e1
57544155,"Left lung is severely consolidated and return of the mediastinum to the midline suggests signficant left pleural effusion, probably substantial. Left lung collapse explains severe leftward mediastinal shift and hyper expansion of the already and is edematous right lung. ",b6243df3-d51d165a-8d436de1-245fac16-bbd54062
57554056,"Focal nodular opacity projecting over the right upper lung, potentially superimposed shadows however repeat PA is suggested to confirm. Focal nodular opacity projecting over the right upper lung, potentially superimposed shadows however repeat PA is suggested to confirm. ",b4ea00dd-29a8687d-10b1e7eb-d6d1cd5b-ebd65d6c
57554917,"AP chest:  Although pulmonary consolidation is significant appreciably in both lungs, moderate cardiomegaly is severe and mediastinal veins moderately dilated, the marked asymmetry and consolidation strongly suggests significant left pneumonia and perhaps a pneumonia in the right lower lobe. AP chest:  There are mild generalized edema, but moderate consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis.",6235b1fc-c21d03f8-be2bbeff-8fe43d75-2e28779b
57560204,"AP chest: Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and progressive dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion. AP chest: Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and progressive dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion.",29d26885-efc84164-2901f05a-89f605c8-9d4338ff
57561947,"There are very extensive pneumonia in the adjacent, central, right middle upper and lower lobes, and mild to moderate right pleural effusion. There are very extensive pneumonia in the adjacent, central, right middle upper and lower lobes, and mild to moderate right pleural effusion has decreased over the past several days.",540eb477-f05ddda1-09bc6606-ab931f74-e466d39e
57571408,"AP chest: There are mass-like and nodular opacities in the right lung and the widespread infiltrative findings on the left. AP chest:  There are extensive opacification in both lungs, sparing the left mid and lower lung zone. ",42ca3426-3c2dc573-7e2d42fe-aa2b9627-d888b47b
57576479,Left chest wall ICD with lead terminating in the expected location of the right ventricle. Sternal wires and left pectoral pacemaker in alignment.,bdc767d8-f9566903-2dda971f-c7110e57-164c5277
57578542,"PA and lateral chest:  Small bilateral pleural effusions, right greater than left. PA and lateral chest:  Small bilateral pleural effusions, right greater than left",124f973d-d060d2cb-f7f48073-f3b3298e-8e8bcfac
57580196,Satisfactory positioning of left chest wall ICD generator with appropriately positioned right ventricular lead. Satisfactory positioning of left chest wall ICD generator with appropriately positioned right ventricular lead.,28b8b684-7ffead3e-fcd898b8-7e034854-2f48b563
57583790,Enlargement of the cardiac silhouette and right basilar opacity which likely represents combination of pleural effusion and atelectasis. Extensive opacification is seen in the lower half of the right hemithorax consistent with substantial pleural effusion and volume loss in the right middle and lower lobes.,1cdaf07a-2bc25a95-58bb06b1-543156aa-39b0b6ef
57605154,Right mid to lower lung patchy opacities worrisome for pneumonia on a background of mild interstitial edema. Right mid to lower lung patchy opacities worrisome for pneumonia on a background of mild interstitial edema.,d5aa0315-53869b6c-10151e97-c12a5f0f-d369e178
57611237,There has been placement of a subcutaneous ICD lead extending just to the right of the spinal column at the level of the transverse arch of the aorta. The patient is status post median sternotomy and valve replacement along with CABG. ,a231b16b-dd2f002a-f99f05d9-20a0f431-bbeee698
57617376,PA and lateral chest: Courses of the transvenous right atrial and two right ventricular leads. PA and lateral chest: Courses of the transvenous right atrial and two right ventricular leads.,f15b72a4-0e6020a3-cf98cd7c-c8f430f5-1a7d3aa9
57618911,"Pacemaker lead is in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left with adjacent rounded data Two left pleural drains are in their positions at the apex and base, respectively, and there is little pleural effusion and probably no pneumothorax.",73ee1dc8-28fc5f5b-76e543d9-70afa724-b6dc8113
57619468,Nodular opacity projecting over the tip of the left scapula is present and might potentially represent summation of shadows but a pulmonary nodule is a possibility and S correlation with PA and lateral views or potentially chest CT if clinically warranted would be identified Somewhat linear left basilar opacity potentially atelectasis or scar however repeat suggested when the patient is amenable with PA and lateral films.,3352c0d5-7f41c92d-b1178750-7dc794c6-979ffba3
57622301,"Removal of the right pigtail catheter. There is significant accumulation of fluid within the right pleural space with associated airspace opacity which most likely represents partial lower lobe atelectasis, although pneumonia cannot be excluded. A pleural catheter is in place in the right hemi thorax, with a persistent large, loculated right pleural effusion with associated air fluid level and locules of pleural gas.",d1d6666e-15233295-0295b986-083aa34f-88ba93b2
57629666,Diffuse bilateral interstitial opacities compatible with bronchiectasis and scarring with more confluent regions of consolidation on the right particularly in the middle lobe which could represent superimposed infection versus atelectasis. Diffuse bilateral interstitial opacities compatible with bronchiectasis and scarring with more confluent regions of consolidation on the right particularly in the middle lobe which could represent superimposed infection versus atelectasis.,2f7e40ab-fd3ebb8f-1f00d1a6-1aecdf69-793d8d35
57629869,There is no prominent mediastinal and bilateral hilar lymphadenopathy. There is no prominent mediastinal and bilateral hilar lymphadenopathy.,68fe8811-11486a87-1a63faec-cbde0858-b889b677
57631028,"PA and lateral chest: There are mild to moderate interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. PA and lateral chest: There are mild to moderate interstitial pulmonary abnormality characterized by septal thickening, probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion.",247e5fc9-da9bb4e3-d9886dfa-057f6e18-f694d947
57635079,"AP single view portable chest x-ray in supine position shows significant bilateral perihilar opacity,  consistent with multifocal pneumonia. AP single view portable chest x-ray in supine position shows significant bilateral perihilar opacity,  consistent with multifocal pneumonia.",16b32195-cb3e0995-d4cf9ac1-4af71b24-8d42365f
57642788,"Lung volumes are substantially lower exaggerating moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and obscuration of the hemidiaphragm on the left consistent with volume loss in the left lower lobe and pleural effusion. ",97365c4c-68d2ec4d-fbc504dc-02498793-2914b5de
57648356,"AP single view portable chest x-ray in supine position shows significant bilateral perihilar opacity, consistent with multifocal pneumonia. AP single view portable chest x-ray in supine position shows significant bilateral perihilar opacity, consistent with multifocal pneumonia.",07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb
57661470,Large left perihilar mass with extensive nodular opacities within both lungs concerning for metastasis. Large left perihilar mass with extensive nodular opacities within both lungs concerning for metastasis.,8a783cbe-d52d08bc-f2c3bbf8-9b3be898-4872449b
57661627,AP chest: Patient has had median sternotomy and coronary bypass grafting. There is enlargement of the cardiac silhouette without vascular congestion in this patient with hyperexpansion of the lungs consistent with chronic underlying pulmonary disease.,0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42
57663243,"The heart appears enlarged given portable technique and may reflect cardiomegaly, although pericardial effusion should also be considered. There is some enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure.",71bfff81-56c6477b-3432d360-6d1f41d2-8b2d7988
57664750,"AP chest: There are moderate to severe right pleural effusion, moderately to severe pulmonary edema, significant distention of mediastinal veins. There is signficant right pleural effusion, obscuring the right lower lobe, where asymmetric interstitial and confluent pulmonary abnormality is been present.",ba7962b1-c57c8310-baaa8f93-1ae65fab-edcaa58b
57665537,"The cardiac and mediastinal contours are enlarged which may reflect cardiomegaly, although pericardial effusion should also be considered. The heart appears enlarged given portable technique and may reflect cardiomegaly, although pericardial effusion should also be considered. ",c6d9dcd8-49e961d7-227e2c94-92994086-9831113b
57667161,"Small to moderate size left, and trace right pleural effusions. Small to moderate size left, and trace right pleural effusions.",9cc3281f-64ff9f26-d2f759b1-ee26296f-50d416d4
57667222,"AP chest: Mild peribronchial opacification in the lateral aspect of the right lung base, above the chronically elevated hemidiaphragm could be the residual of recent larger infection, or an early pneumonia. AP chest:  Lung volumes are quite low, exaggerating any abnormality, particularly at the lung bases, but there does appear to be very mild bronchopneumonia, which developed in the left lower lobe, remains stable on the right in that period.",13c8c746-5d1d71f5-af021e53-041a96c3-710e3730
57674897,There is the postsurgical change follow bowing right upper lobectomy. There is the postsurgical change follow bowing right upper lobectomy. ,4e3be0c2-0bf7b260-9ee5b4e0-56975598-6b3bd28e
57676222,"AP chest: Moderate enlargement of the cardiac silhouette, accompanied by small right pleural effusion and significant mediastinal vascular engorgement. AP chest: Moderate postoperative widening of the mediastinal silhouette. ",8a1b28a3-0922cd6a-282ceb83-59fd9271-ebf56ff4
57678258,"AP chest: Pulmonary edema, moderate right pleural effusion and possible bilateral consolidation and tracheal extubation. Moderate pulmonary edema and mild to moderate right pleural effusion and small right apical pneumothorax.",cff0405e-7c684aeb-122051b9-dec202c9-1dfbb41e
57693388,"Signifcant cardiac enlargement and vascular pedicle widening, accompanied by imoderate pulmonary edema which is asymmetrical, involving the right lung to a greater degree than the left. THERE are CARDIOMEGALY, PULMONARY VASCULAR CONGESTION, AND MULTIPLE NODULES CONSISTENT WITH PULMONARY SEPTIC EMBOLI IN VIEW OF THE HISTORY OF ENDOCARDITIS.",0ac866f1-b3bfe12a-db469934-8e3130a5-407a9e34
57695180,"There are opacities in the left upper lobe, left perihilar region and right mid lung field concerning for multifocal pneumonia. There are opacities in the left upper lobe, left perihilar region and right mid lung field concerning for multifocal pneumonia. ",c11514bb-319a3161-c0c85326-68094c62-0220f4f4
57697281,Underpenetrated chest likely due to patient body habitus. Underpenetrated chest likely due to patient body habitus.,95133322-5ad8fb3e-dea16125-70e718db-6cef790a
57723077,"Signficant bilateral perihilar interstitial infiltrationand moderate cardiomegaly suggesting processes pulmonary edema, rather than infection. The component of pulmonary edema is probably not entirely resolved, but most of the residual pulmonary abnormality is infiltrative lung disease. ",d4dae1e3-f77d7d94-06b441f0-f5f8ffab-230cd387
57723670,"BILATERAL HILAR ADENOPATHY IS CHRONIC, ALONG WITH mild IN RIGHT PARATRACHEAL MEDIASTINAL FULLNESS INDICATING A mild CENTRAL ADENOPATHY, PRESUMABLY DUE TO SARCOIDOSIS. BILATERAL HILAR ADENOPATHY IS CHRONIC, ALONG WITH mild IN RIGHT PARATRACHEAL MEDIASTINAL FULLNESS INDICATING A mild CENTRAL ADENOPATHY, PRESUMABLY DUE TO SARCOIDOSIS.",965cab94-dee35b99-bf9616fc-1707a75d-e2368901
57731696,"Large cardiomediastinal silhouette, mediastinal venous engorgement, and left lower lobe collapse. Atelectasis in the left lung leads to complete collapse of the upper lobe as well as the lower.",ebaf1946-49389902-bfa1191f-e932bc43-ece7d70d
57732352,Bibasilar atelectasis is mild on the left and is mild to moderate on the right. Bibasilar atelectasis is mild on the left and is mild to moderate on the right.,7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c
57735649,"Significant peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction. Significant peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction.",5ed57121-75e45b45-cfdc4f14-e8706b9a-5413f693
57739082,"Borderline cardiomegaly as is the tortuous and enlarged thoracic aorta, harbors a large dissection starting at the arch and involving the descending thoracic aorta into the abdomen. Borderline cardiomegaly as is the tortuous and enlarged thoracic aorta, harbors a large dissection starting at the arch and involving the descending thoracic aorta into the abdomen.",5e587c3b-2593ff0d-f7ac821e-4955e532-83ba9419
57740891,AP chest: Atelectasis in the superior subsegment of the lingula is chronic accounts for some of the peribronchial opacification in the left lower lung. AP chest: Atelectasis in the superior subsegment of the lingula is chronic accounts for some of the peribronchial opacification in the left lower lung.,5758677b-81333edd-2eafbc17-012681ec-83ab1ff4
57746739,"AP chest: Lung volumes are quite low with marked elevation of the left hemidiaphragm, attributable to distention of both the stomach and the transverse and splenic flexure of the colon. Consider a dedicated abdominal series to distinguish post-operative ileus from obstruction ",5f26481a-d3858281-c46fc79d-2f850d48-53f84f5d
57752575,AP chest showed very small right pleural effusion and right basal atelectasis and sufficient calcification in the aortic valve to raise question of hemodynamically significant aortic stenosis. AP chest: Mild interstitial edema is accompanied by a small right pleural effusion. ,3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa
57757467,AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD. AP single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of COPD.,727e2aa5-ddfdd2ff-b5723867-520a758e-c81ca8e2
57761141,"Severe diffuse pulmonary fibrosis. Widespread fibrotic interstitial lung disease is demonstrated as well as signficant confluence of opacification in the left perihilar and retrocardiac regions, potentially due to developing infection in the appropriate clinical setting. ",62cd4342-77a1737e-da11be7c-6914655a-20dc273b
57765703,"AP chest: Bilateral pulmonary consolidation, most severe in the right lower lobe, less pronounced on the left, small to moderate bilateral pleural effusion, mild cardiomegaly and mild interstitial edema. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral opacifications consistent with significant layering effusions and compressive basilar atelectasis. ",2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0
57776801,"NOTIFICATION: Extensive lung opacities, Cardiomegaly, widening of the mediastinum,  lines and tubes. There are moderate cardiomegaly and mediastinal vascular engorgement and large caliber of pulmonary vessels and signficant background density in the lungs. ",668168bb-d505142b-df37a7a6-f4d12e0f-ba63c1f6
57778607,"There is considerable atelectasis in the left lower lobe due to mass effect by the intrathoracic bowel lobes, probably the cause of the hypoxia. PA and lateral chest: A moderately large wedge of atelectasis in the right lower lobe. ",aac431c4-71ce2760-10747748-4fd37654-0f440dd6
57780214,The more normal apical lung parenchyma. The more normal apical lung parenchyma.,480f169c-15ef13a4-4ca3b85d-181a240e-edc79169
57798090,"There is mild prominence of interstitial markings at the bases, which could reflect chronic pulmonary disease, elevated pulmonary venous pressure, or both. Coarse interstitial marking with basilar predominance, likely reflective of chronic lung disease without evidence of an acute intrathoracic abnormality. ",3a8c9fa9-90b94fc1-484469e2-d0316be1-245e5d13
57801123,Appearance of the interstitial disease along with vascular congestion suggest mild vascular congestion and/or significant interstitial disease with concern for pneumonia at the right lung base. Appearance of the interstitial disease along with vascular congestion suggest mild vascular congestion and/or significant interstitial disease with concern for pneumonia at the right lung base.,80f8c1cf-51619e01-2da83861-7c12a49d-f6858e53
57809151,"PA and lateral chest: Although there is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature. PA and lateral chest: Although there is in fact mild pulmonary edema, accompanied by small bilateral pleural effusions, there is also the possibility of concurrent pathology, which represented as lung nodules, bronchiectasis, and extraordinarily dilated pulmonary vasculature.",76ee4972-231e2314-e4e35ff5-8d2cd919-a98450dd
57811906,"Severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention. Postoperative widening of the cardiomediastinal silhouette is relatively, commonly seen after the termination of positive pressure ventilator support. ",c9829806-80ccefe4-60749d0a-05402ead-54784a88
57812270,"Allowing for the AP supine technique, there is moderate enlargement of cardiac silhouette. AP chest: There is moderate to severe enlargement of the cardiac silhouette, but there is no pulmonary edema, although mediastinal veins are significantly dilated, possibly a reflection of supine positioning.",efff7e71-8fb08183-a867eeaa-1bf8c237-82103b3e
57825235,"Pacemaker lead is in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left. No pneumothorax with mild bilateral pleural effusions and atelectasis with mild pulmonary edema. ",001bb54b-a4e0bb99-48a28f4c-9df85f1b-e1606587
57826660,"A pattern of chronic interstitial lung disease with associated low lung volumes is demonstrated superimposed mild pulmonary vascular congestion, associated with a small right pleural effusion. Small right pleural effusion and known bilateral interstitial fibrosis with honeycombing. ",bdece112-0ab84104-d2b05f42-10b6388c-49b93a37
57833493,"PA and lateral chest: No right pneumothorax and no appreciable right pleural effusion, apical pleural tube still in place. PA and lateral chest: Volume of the right apical pneumothorax is little with the lung apex at the level of the third posterior rib and there is no appreciable pleural effusion anteriorly placed.",21dd100a-bf76f673-4ee97c34-87797534-1ff8583e
57835182,Large fluid-filled gastric hiatus hernia projects over a tortuous and generally mildly enlarged descending thoracic aorta. Large fluid-filled gastric hiatus hernia projects over a tortuous and generally mildly enlarged descending thoracic aorta.,5320dce2-60fde2c2-0590fad0-36474905-b3318771
57840198,"AP chest: There is severe pulmonary edema, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins. AP chest: There is severe pulmonary edema, accompanied by moderate pleural effusion and severely enlarged cardiac silhouette and severely distended mediastinal veins.",f2b84959-05a7275a-931bd2c9-4755b948-797561fe
57843717,"There is mild cardiomegaly, exaggerated by supine positioning which may account for upper lobe vascular engorgement on the left. Although heart size is normal, there are hilar enlargement and mediastinal and pulmonary vascular engorgement all point to cardiac decompensation:  ET tube is in standard placement and a nasogastric tube passes into the stomach and out of view. ",b6c0d2ce-6f3d53f3-df8a2161-37fbfb66-a1f871b4
57847867,"There is prominence of the hila, possibly due to vascular engorgement, however, underlying lymphadenopathy is not excluded into be further evaluated for on nonurgent chest CT. Streaky medial right lung base and left retrocardiac opacities may be due to atelectasis and aspiration, underlying infection not excluded. There is prominence of the hila, possibly due to vascular engorgement, however, underlying lymphadenopathy is not excluded into be further evaluated for on nonurgent chest CT. Streaky medial right lung base and left retrocardiac opacities may be due to atelectasis and aspiration, underlying infection not excluded.",9762049c-4ede04ad-3686cd0b-abfae75d-795cb083
57850217,"AP chest: Severe nearly confluent and symmetric bilateral pulmonary opacification obscures foci of probable pneumonia in the right mid lung laterally. AP chest: Nearly global opacification of both lungs characterized as combination of interstitial infiltration, some chronic and fibrotic, and subsequent diffuse ground-glass alveolar opacification. ",2d53d7a6-952779d8-cf36815b-c0de03a5-65207ded
57862102,"AP chest: Severe widespread subcutaneous emphysema throughout the chest wall and neck, and severe pneumomediastinum. AP chest: The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. ",4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4
57863444,"Heart is severely enlarged, perhaps due to mitral regurgitation from a heavily calcified mitral annulus. PA and lateral chest: Transvenous right atrial lead projects low over the right atrium, and the right ventricular lead along the floor of the right ventricle to the apex. ",cb0502af-22b9aa9f-6f613ef2-15552b8e-5b4238eb
57865645,"AP chest: There is pulmonary edema, exaggerated by very low lung volumes but at least moderately severe reflected in enlarged hilar and mediastinal vessels, moderate cardiomegaly accompanied by moderate bilateral pleural effusion. AP chest: There is pulmonary edema, exaggerated by very low lung volumes but at least moderately severe reflected in enlarged hilar and mediastinal vessels, moderate cardiomegaly accompanied by moderate bilateral pleural effusion. ",f5f335c8-148fbc15-8bb36e82-d7f364d8-066a5b50
57867628,"Right internal jugular line tip is most likely in the right atrium, it difficult to establish giving the large bilateral pleural effusions and pulmonary edema. AP chest: There are large bilateral pleural effusions. ",88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570
57874436,There is enlargement of the cardiac silhouette with no vascular congestion. There is enlargement of the cardiac silhouette with no vascular congestion.,c5257468-fb41d9ce-701fc319-a6141214-92bb351c
57876331,There is substantial enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. There is substantial enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease.,a1e78eb5-72f569fd-f5c8c795-887b8a35-97d007e1
57878445,PA and lateral chest: Large right pleural effusion collapsing the lower half of the right lung and shifting the mediastinum to the left. PA and lateral chest: Large right pleural effusion collapsing the lower half of the right lung and shifting the mediastinum to the left.,0c49c7b0-26167f04-e2cfa26a-15361a7f-6a33c4b8
57879373,"Tracheostomy tube, right internal jugular line, and upper enteric drainage tubes are in standard placements. Tracheostomy tube, right internal jugular line, and upper enteric drainage tubes are in standard placements. ",39291b24-1045b1ed-af35c04e-d467233c-9c0a3be0
57880532,"There is probably combination of chronic heart failure and pulmonary fibrosis. Radiographic severity of the lung abnormality and heart size indicates a component of pulmonary edema. PA and lateral chest: Moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. ",1e3926d7-a660ecde-c6e6282e-98039f5e-6c6714c8
57880955,"Moderate cardiomegaly, with single-lead pacer in place. Moderate cardiomegaly, with single-lead pacer in place. ",1b969967-88c2b36b-65da30a7-644c09d3-96356c51
57881979,Cardiomegaly with appropriately positioned pacer wire. Cardiac and mediastinal contours are enlarged status post median sternotomy for CABG.,ff8b2af5-e8c313a0-9caec8e9-f6a90929-3b53792a
57884279,There are mild edema. Mild dependent pulmonary edema is accompanied by moderate left pleural effusion.,320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778
57885384,"Superior mediastinal widening may be due to low lung volumes and supine positioning though a chest CTA can be performed for further evaluation if there is concern for mediastinal injury. Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive. ",838d96da-8d9d8d8d-2aacafdf-9f280c96-573b74db
57886251,"Bilateral linear streaky opacities most compatible with atelectasis, though cannot exclude an early pneumonia. Bilateral linear streaky opacities most compatible with atelectasis, though cannot exclude an early pneumonia. ",eca4fc13-1e4006db-4372cf2e-ed001e18-a7050d3e
57889845,"Multifocal bronchiectasis and lung nodules, likely due to previously provided history of atypical mycobacterial infection. Multifocal bronchiectasis and lung nodules, likely due to previously provided history of atypical mycobacterial infection. ",fe5bce5c-5c949faf-1120fe46-1ac9de4b-5c4f5072
57890092,"There is moderate pulmonary edema, right greater than left, accompanied by bibasilar atelectasis and probable small pleural effusions. AP chest: Mild pulmonary edema has developed, partially obscuring areas of likely pneumonia in the right mid and lower lung zones. ",38d03b04-0d7ed79f-2cf5f34d-96d831d3-227a44aa
57907009,"Although the due lung bases appear clear or on the frontal view, on the lateral there are bilateral pleural effusions. Although the due lung bases appear clear or on the frontal view, on the lateral there are bilateral pleural effusions.",060219ba-448fe7d4-8a19694c-92b20db5-74035416
57910301,PA and lateral chest: Sharp definition of the left major fissure on the lateral view could be either fissural component of the small to moderate left pleural effusion. PA and lateral chest: Sharp definition of the left major fissure on the lateral view could be either fissural component of the small to moderate left pleural effusion.,a7d5115b-c9749937-8502636c-ce1d2580-57e370dc
57911714,"Indwelling right internal jugular central venous line comment ET tube, and transesophageal drainage tree overall in standard placements There is mild edema. ",dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660
57913072,"AP chest: There are crowding to the pulmonary vasculature, atelectasis at the left base above the chronically elevated left hemidiaphragm. AP chest: Lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is mild pulmonary edema and significant dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion. ",581dfa62-66e36227-8f7c3128-aec0feaa-c7111e6e
57913253,"Pulmonary vasculature and mediastinal veins are significantly engorged, suggesting volume overload, and the extent of cardiomegaly is indeterminate, obscured by bilateral pleural effusions. Lower lung volumes, mediastinal venous engorgement and moderate cardiomegaly could be due to signficant cardiac decompensation, but pulmonary edema is mild and therefore the findings could be due instead to decrease positive pressure ventilator support. ",e81642df-ca0321d7-9a90c5ce-db185fb3-f79598ce
57917788,Lungs are grossly clear without focal consolidation.There is minimal subsegmental atelectasis at the lung bases. Lungs are grossly clear without focal consolidation.There is minimal subsegmental atelectasis at the lung bases.,866da04c-e24c3141-42311ab2-6a52b25a-82cf9674
57929429,"Dual-channel pacer device in this patient with previous CABG procedure and intact midline sternal wires. Patient with ICD device, no evidence of pulmonary congestion or acute infiltrate that could explain the patient's history of three months of cough. ",4121b513-0b19d16a-eae78b94-9ad9e2c6-d0f50262
57932391,"There are mild-to-moderate cardiac enlargement, permanent pacer and ICD device, mild degree of chronic pulmonary congestion but absence of new acute infiltrates or significant pleural effusion. There are mild-to-moderate cardiac enlargement, permanent pacer and ICD device, mild degree of chronic pulmonary congestion but absence of new acute infiltrates or significant pleural effusion. ",2c34a6e4-968a506c-a8b39537-c46c370e-184792f4
57935403,"AP chest: There are small right apical pneumothorax, small right pleural effusionand, and a consolidative abnormality at the right lung base laterally which should be followed to exclude the possibility of active pulmonary bleeding. There is relatively large pneumothorax at the right lung, predominantly at the right lung base, after chest tube placed on waterseal. ",f05b9731-d6bf3b29-6197f242-4cc974a3-fe0f5b56
57940242,AP chest: Moderate right pleural effusion despite the right basal pleural pigtail drain. AP chest: There are moderate right pleural effusion and right middle and lower lobe atelectasis.,cdd198d4-7b34ff26-cdf455d8-f2c979c2-93535229
57949791,"The Dobbhoff catheter shows a normal course, the tip projects over the middle parts of the stomach. The Dobbhoff catheter shows a normal course, the tip is located in the middle parts of the stomach. ",080eb78a-c3c3f369-1eaacd39-7f6cc416-8810586c
57953072,"The right juxta hilar mass with moderate right-sided pleural effusion, loculated at the apex. The right juxta hilar mass with moderate right-sided pleural effusion, loculated at the apex. ",414fca72-91452400-5dfedcd2-5363eab9-ff09d8c2
57955448,"AP chest:  Although the determination is difficult to make in the setting of severe large bullous emphysema, the right pigtail pleural drainage catheter may have evacuated the large right pneumothorax entirely and there is no right pleural effusion. AP chest: The patient has very severe emphysema, with totally absent vasculature in the mid and upper right lung.",14047a00-16ef4559-fd349a7f-fc7d9ef5-2667ceaf
57959841,Left perihilar mass with subsequent left lower lobe collapse and opacities in the aerated left upper lobe. Left perihilar mass with subsequent left lower lobe collapse and opacities in the aerated left upper lobe.,a7fdae9e-97d1a4d6-df3c7f40-29a51d88-39463d76
57966185,"Left lower lobe collapse, possible small pleural effusions, and monitor/support devices. AP chest: Greater opacification at the base of the left hemithorax is present, probably due to mild left basal atelectasis and posteriorly pooling left pleural effusion in the supine patient.",8b8058e3-2e73b083-ad0be703-248c6dde-e81698ed
57967105,"Bibasilar chest tubes and right internal jugular Swan-Ganz catheter with its tip in the pulmonary outflow tract. There is no endotracheal and nasogastric tubes, Swan-Ganz catheter.",c1dd019a-29949553-f64d3355-1ab093c4-cd18e32c
57971060,Enlarged cardiac silhouette and marked vascular engorgement due to cardiac decompensation; pericardial effusion could be present also. Enlarged cardiac silhouette and marked vascular engorgement due to cardiac decompensation; pericardial effusion could be present also.,77911e4a-fb35c2ec-cd17f417-a514b2d2-47244970
57974904,The postoperative appearance of the neoesophagus is within normal range wiht a pre-existing small right pleural effusion. The postoperative appearance of the neoesophagus is within normal range wiht a pre-existing small right pleural effusion.,6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0
57976739,"AP chest: There is signficant extent of consolidation in both lower lobes, on the left where some of it may be due to atelectasis since the left hemidiaphragm is elevating, but on the right, more likely pneumonia or continued bleeding in a region of previous contusion, perhaps because there is a small unrecognized pulmonary laceration or because the patient has developed a bleeding tendency from delusional thrombocytopenia, DIC, etc. AP chest: Mild generalized edema, but there is signficant consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis.",d6010cbd-efa41b72-2fbc0daf-8fa1dc40-bdd4fe35
57977763,"Hyperinflation of the lungs with chronically increased interstitial markings, concerning for chronic lung disease. Hyperinflation and increased prominence of the interstitial markings, both suggestive of chronic lung disease. ",c3eeff7f-5128e28a-d1f3fadb-2db97e3e-c47fbc96
57980363,"Severe exacerbation of pulmonary fibrosis as well as extensive edema largely confined areas of fibrosis suggesting that the edema is more likely due to exacerbation of the underlying lung disease rather than superimposed cardiac edema. PA and lateral chest: There are moderate pulmonary edema, reduced lung volumes, and significant heterogeneous consolidation in the right upper lobe probably anterior segment attributable to developing pneumonia.",b28c193b-b49d6d0c-3105d352-5dc8e17f-3d0e39cd
57980670,"PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",c6f1c4e9-f329ac22-634957fc-4f7f9884-fa9f9fc8
57983519,"AP chest: The volume and severity of consolidation in the right lung involving lower lobe superior segment and upper lobe, revealing severe bronchiectasis, possible cavitation and some loss of volume in the right upper lobe. AP chest: The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. ",942b87db-92f73c39-9eae876d-2731e13d-fd427d86
57984287,"AP chest: The large bilateral pleural effusions is substantial and may account entirely for significant opacification in both hemithoraces, without any real abnormality in the lungs. AP chest: There are moderately pulmonary edema, moderate bilateral pleural effusions, and there is either a fissural pleural effusion in the right major fissure superiorly or consolidation in the right upper lobe. ",6601dbab-fdc90be3-902f9414-9ec944e9-72ac116c
57988469,"AP chest: Small right pleural effusion following thoracentesis, and there is no pneumothorax, and the right lower lobe has substantially expanded. There is minimal blunting of the right costophrenic sinus, likely caused by a small right pleural effusion. ",cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b
57988903,"There are signs of mild pulmonary edema as well as minimal bilateral areas of pleural effusion, better appreciated on the lateral than on the frontal radiograph. There are signs of mild pulmonary edema as well as minimal bilateral areas of pleural effusion, better appreciated on the lateral than on the frontal radiograph. ",8d8b26e3-3c8ee293-aad9533f-8fc6f107-c58c3f36
57996680,"There are moderate to severe cardiomegaly, exaggerated by supine positioning, large mediastinal venous caliber. Enlargement of the cardiomediastinal silhouette may be accentuated by the low lung volumes and AP portable technique, however, if there is clinical concern for mediastinal injury, chest CTA is more sensitive and should be considered.",49e45fba-5b48f519-adb35266-68939cbb-dfda8e0f
58000887,"Extensive right lung parenchymal opacities and bilateral small pleural effusions as well as moderate cardiomegaly and mild fluid overload. Diffuse interstitial opacities with small bilateral pleural effusions and signficant cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which previously was possibly attributable to drug reaction, COPD or vasculitis.",7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35
58001075,Large left posterior left lung mass with multiple metastatic nodules. Large left posterior left lung mass with multiple metastatic nodules. ,8faff40c-536b8347-b1b760e0-182dc706-77835a8e
58001303,PA and lateral chest: Courses of the transvenous right atrial and two right ventricular leads. PA and lateral chest: Courses of the transvenous right atrial and two right ventricular leads.,162f9e5e-d9cee36e-fe144338-a9759990-471aa8c0
58003864,There are extremely low lung volumes with striking elevation of the left hemidiaphragmatic contour related to a large hiatal hernia. Limited evaluation of the left lung given the presence of a large hiatal hernia.,20973f59-31a0c792-a3f0870b-bebcadce-934a76f3
58005336,Streaky bibasilar opacities which could reflect aspiration. Streaky bibasilar opacities which could reflect aspiration.,c9411698-f64564b3-5ea07940-87d583ad-154d647b
58006032,METAL DEVICE PROJECTING OVER THE RIGHT MEDIASTINAL BORDER IS PRESUMABLY FRAGMENT OF RETAINED PACER OR PACER DEFIBRILLATOR LEAD. Biventricular pacer is in expected positions.,6edd5960-4028d9f1-6f2353cb-61d0c6bf-5048c68e
58008930,"AP chest: Allowing for differences in projection, PA versus AP, mild-to-moderate cardiomegaly, following placement of pericardial drainage catheter projected over the mid portion of the cardiac silhouette. AP chest: Heart is moderately enlarged, and pulmonary vasculature is engorged, but edema, if present, is minimal.",35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d
58025986,"There is substantial enlargement of the cardiac silhouette with prominence of interstitial markings that could reflect elevated pulmonary venous pressure, chronic lung disease, or both. The cardiac silhouette is enlarged and there is some prominence of interstitial markings that could reflect elevated pulmonary venous pressure, chronic lung disease, or both.",ac61125d-0a43dbdc-3c290b21-1ded59a4-0131570a
58039469,"Bibasilar opacities, concerning for pneumonia or aspiration in the right clinical setting. Bibasilar opacities, concerning for pneumonia or aspiration in the right clinical setting. ",7befa7d6-9faf5ce7-987928ab-7b81ed09-d8eb8af7
58039737,"There appears to be some significant opacification at the bases consistent with layering pleural effusion and compressive atelectasis superimposed on enlargement of the cardiac silhouette and pulmonary vascular congestion. There are cardiomegaly, vascular congestion, and bilateral layering pleural effusions with compressive atelectasis at the bases. ",4a5f0ca9-a2d5198d-f01da2b2-1477e643-9b23e5ee
58039954,"Pacemaker lead is in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left. Enlarged cardiac silhouette, bilateral pleural effusions, and interstitial edema suggest CHF. ",702ea80d-45e751b9-f310cea5-80c50417-c80de945
58056251,"Lung volumes are low with a small layering left effusion. Lung volumes are low, with more bibasilar atelectasis, left greater than right, accompanied by increasing small bilateral pleural effusions. ",04e57623-af378474-c0649f6f-0260ef77-8d56543d
58056585,Left pleural effusion with pleural catheter in place and underlying parenchymal changes compatible with underlying lesion with associated parenchymal changes. Left pleural effusion with pleural catheter in place and underlying parenchymal changes compatible with underlying lesion with associated parenchymal changes.,ce6c73a2-bfbdbdf8-f7f014a2-bfffc5e3-232d2d80
58068113,"Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. There is no endotracheal tube, but there are right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement.",f6eee07f-b610f72b-a8832d42-b5472b4d-7cc97271
58071016,"Signifcant cardiomegaly, left lower lobe collapse and/or consolidation, right base atelectasis. Significant enlargement of the cardiac silhouette with the monitoring and support devices. ",e043f870-1670fd0c-cf68f196-4f351347-4a665c39
58072789,"Bibasilar chest tubes and right internal jugular Swan-Ganz catheter with its tip in the pulmonary outflow tract. There are 2 chest tubes in place on the right following drainage of the substantial hemothorax, significant cardiac silhouette with indistinctness of pulmonary vessels consistent with some elevated pulmonary venous pressure.",22626212-038a564e-86e62d8b-9d61ea9c-daa48afc
58084217,"AP chest: Severe widespread subcutaneous emphysema throughout the chest wall and neck, and severe pneumomediastinum. Extensive bilateral subcutaneous emphysema, with a  small right apical pneumothorax which is likely given differences in positioning. ",4161612b-04b736ab-f5965aae-1028ae0b-6bf634ae
58084420,"Rounded reticular opacity at the left perihilar region, likely reflecting radiation pneumonitis given history of radiotherapy. Rounded reticular opacity at the left perihilar region, likely reflecting radiation pneumonitis given history of radiotherapy.",7494cb49-099d351b-0e03726b-10674f3a-b482faaa
58085167,"AP supine chest: Supine positioning probably accounts for distention of the azygos vein and slight relative large heart size, but the lungs are clear and there is no pleural effusion. Heart size is top normal, exaggerated by AP supine positioning. ",4d9de708-0d2bc7fe-d09123f4-cddd314f-81bceaad
58087032,"Significant opacity at the right base likely representing aspiration or pneumonia. Bibasilar patchy opacities, likely atelectasis, with chronic elevation of the right hemidiaphragm and small right pleural effusion. ",322387f2-af76ba8f-755323f0-51c76e2e-5aa7a8d7
58088717,"There are enlargement of the cardiac silhouette, left pleural pigtail catheter without pneumothorax, and elevated pulmonary vascular pressure. There are enlargement of the cardiac silhouette with increased elevation of pulmonary venous pressure and left basilar opacification consistent with volume loss in the lower lobe and pleural effusion.",4f4c1ed7-5e3e7b32-534f3142-60dfa8a1-b5350381
58093109,"Lung volumes are very low, probably because of diaphragm eventration, and producing secondary moderate-to-severe bibasilar atelectasis. Lung volumes are extremely low reflected in bibasilar atelectasis, severe but slightly lighter on the left.",737fe166-1d61ed17-45d7d04d-b55e438d-4f23f221
58096693,Left base opacity most likely due to combination of large hiatal hernia with adjacent atelectasis. Left base opacity most likely due to combination of large hiatal hernia with adjacent atelectasis.,5df5745b-a26b6124-07ab0ff7-a79cf0ca-d84b7fa1
58099159,Enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG. Enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG.,cf85ad05-11574785-5d5c24bc-5931200b-df7f068a
58100629,Other lines and tubes are in standard position. Other lines and tubes are in standard position,8d36f63d-6e725615-3f005c82-5e0213ba-13cc3761
58103596,"AP chest: Though lung volumes are low, and there are moderate bilateral pleural effusions, the upper lungs are clear. AP chest: Though lung volumes are low, and there are moderate bilateral pleural effusions, the upper lungs are clear.",aa9371dd-52fdb59b-0cafade1-142e3fc3-116591ab
58103833,"PA and lateral chest: There are minimal interstitial pulmonary edema, small bilateral pleural effusions, the irregular right juxtahilar mass-like consolidation. PA and lateral chest: There are minimal interstitial pulmonary edema, small bilateral pleural effusions, the irregular right juxtahilar mass-like consolidation.",445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3
58106953,"AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. AP chest: Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion.",3ce5c898-0662e770-176651fe-92d12c6e-a6d793f8
58107496,"There is considerable atelectasis at the base of the left lung where the bulk of the intestinal hernia, predominantly colon, displaces the lung. AP chest: Patient is rightward shifted which projects the large heart over the right lower lung, but nevertheless, there is clearly significant opacification of the right lung and reduced volume of the right hemithorax suggesting a large component of atelectasis, conceivably obscuring pneumonia, but not necessarily. ",bf010702-69e984da-d0e9d988-cb6dbed8-1f759220
58117612,"PA and lateral chest: Small pneumomediastinum, seen best over the aortopulmonic window, could be residual of recent surgery, which is also responsible for small bilateral pleural effusions layering posteriorly and secondarily for a moderate left lower lobe atelectasis. PA and lateral chest: Small pneumomediastinum, seen best over the aortopulmonic window, could be residual of recent surgery, which is also responsible for small bilateral pleural effusions layering posteriorly and secondarily for a moderate left lower lobe atelectasis.",34fcf711-355f24f3-53a8dbc6-97730735-1d046d5a
58121758,Right jugular line ends in the mid to low SVC and transvenous right atrial and ventricular pacer leads in their respective positions. There is placement of a core valve as well as right IJ temporary pacer with its tip in the apex of the right ventricle. ,e84c9b1f-a3692bc5-ec24fb5f-c4874a9d-79cada2a
58125581,PA and lateral chest:  Moderate right pneumothorax despite placement of a right pigtail pleural drain projecting over the right mid-to-lower lung zone laterally. PA and lateral chest:  Moderate right pneumothorax despite placement of a right pigtail pleural drain projecting over the right mid-to-lower lung zone laterally.,060cf092-fe76bdf7-19fee515-26cbef2c-5c16ba6f
58127477,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,106523df-7e5cdd25-a3523b28-f80e71b7-4ed5143c
58128416,"There is marked cardiomegaly, accompanied by pulmonary vascular congestion and interstitial edema as well as a small right pleural effusion. There is marked cardiomegaly, accompanied by pulmonary vascular congestion and interstitial edema as well as a small right pleural effusion.",4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562
58137643,"AP chest:  Extensive opacification in both lungs, sparing the left mid and lower lung zone. AP chest: A left skinfold over the major fissure highlighting severe edema or consolidation in the left lower lobe should not be mistaken for pneumothorax.",9b9cce32-6e61e5c8-31b59b5f-9aa235c9-7fc98cb1
58139207,"Old, probably specific bilateral apical scar formations, moderate cardiac enlargement with mild degree of chronic CHF but no evidence of acute pulmonary infiltrates or pleural effusions. Old, probably specific bilateral apical scar formations, moderate cardiac enlargement with mild degree of chronic CHF but no evidence of acute pulmonary infiltrates or pleural effusions. ",84a95f3a-a7060282-499a7492-bc0c8ebd-3fb68b34
58141048,"Cardiac silhouette is enlarged and the diffuse bilateral pulmonary opacification is significant, consistent with pulmonary edema and bilateral pleural effusions with basilar atelectasis. There is substantial enlargement of the cardiac silhouette with pulmonary edema and bilateral layering effusions with basilar compressive atelectasis, more prominent on the right. ",f1b89b54-27c193cd-47878997-195a1a2f-9d7bbffb
58141612,"AP chest: Large cardiac silhouette, following insertion of a new pericardial drainage catheter. Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning.",b5f871d3-8702f640-44c08eed-e1b45081-74211f61
58144042,"PA and lateral chest: Substantial generalized interstitial pulmonary abnormality, confluent region of consolidation in the infrahilar left lower lobe, and moderate right pleural effusion. PA and lateral chest: Substantial generalized interstitial pulmonary abnormality, confluent region of consolidation in the infrahilar left lower lobe, and moderate right pleural effusion.",c973cc75-e43e939d-63395fb7-0e75eeb1-8abb0081
58144724,"Mild interstitial pulmonary abnormality attributable to episodes of pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion  Trans subclavian right atrial right ventricular pacer leads from the left pectoral generator. Mild interstitial pulmonary abnormality attributable to episodes of pulmonary edema, but there is no vascular or mediastinal venous congestion to suggest current cardiac decompensation, and no pleural effusion  Trans subclavian right atrial right ventricular pacer leads from the left pectoral generator.",cd986c7a-427ddb9f-9727cd08-4715c210-8b6ffc50
58145542,"Lung volumes are quite low, exaggerating mild pulmonary edema. No pneumothorax. Lung volumes are low exaggerating mild to moderate pulmonary edema and the caliber of the moderately widened upper mediastinum.",b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74
58154356,"AP chest: There is widespread pulmonary opacification, particularly in the lower lungs, but the pattern is consistent with progressive pulmonary edema. AP chest: Moderately severe widespread pulmonary opacification, probably asymmetric pulmonary edema.",c4d33fe5-ac2ec3d5-49786015-e5ea7a4d-04c82de3
58155125,"Severe left and moderate right pleural effusions, substantial bibasilar atelectasis. Large left and moderate-to-large right, bilateral pleural effusions with bibasilar airspace opacities likely reflecting compressive atelectasis. ",2bc6a85c-e37491cd-8408dde1-e5061580-b890fc2f
58167653,"Tracheostomy tube, upper enteric drainage tube, right dual-channel internal jugular line and right subclavian central venous line are all in standard positions. Tracheostomy tube and right internal jugular line are in standard placements respectively and an upper enteric drainage tube passes into the stomach and out of view. ",3beddebe-77318989-f0a94514-750bd4e3-c009749d
58168356,"PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained. PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained.",a0d2c039-f522ccd9-d97c1582-07999a4b-ffdb3140
58177798,Enlarged cardiac silhouette which is compatible with patient's history of pericardial effusion. Enlarged cardiac silhouette which is compatible with patient's history of pericardial effusion.,9b8c8c16-1ff93d63-c49fdc62-8256171e-4c4acb9d
58191597,Substantial enlargement of the cardiac silhouette with left ventricular assist Ding device in position. Enlargement of the cardiac silhouette with pacer device in position.,73f1035a-9d57466e-92c2b0b1-5ee3d31c-78ad1ad4
58195876,Mild lung hyperinflation. Mild lung hyperinflation.,a431832f-c2debb14-58876089-dc9b0d60-95e4c67f
58198532,"Healed fracture deformity, proximal right humerus. Superior displacement of right proximal humerus with narrowing of the acromiohumeral distance suggestive of chronic rotator cuff tear and associated degenerative changes. ",42493196-32cde3ff-b94d0ab0-baf74d8e-a88ad016
58198778,"The right juxta hilar mass with moderate right-sided pleural effusion, loculated at the apex. The right juxta hilar mass with moderate right-sided pleural effusion, loculated at the apex.",cb2f4f2e-e36e5b5c-fabde40d-22a6a15f-4a4b48ad
58204843,"Right internal jugular central venous catheter extends into either the right axillary vein or one of its tributaries. The position of the right internal jugular vein catheter is correct, with the tip projecting over the cavoatrial junction. ",7b714b4a-a32cd9a3-99984154-eacb273a-b64ec97a
58214761,"The limited view of the right shoulder shows marked degenerative change, severe demineralization, perhaps due to disuse. Massive bilateral known pleural calcifications. ",73ca3214-e0c93052-7e191b81-356439da-354da5eb
58215117,Patient is status post left blebectomy and pleurodesis with no residual pneumothorax seen. Patient is status post left blebectomy and pleurodesis with no residual pneumothorax seen.,5fdb7189-ead5e2fd-71a6d19b-3862ce63-28bc762e
58228725,"AP chest: Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. Lower lung volumes also accounts for enlarging heart size, and significant distention of mediastinal veins.",5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884
58231918,"Three AP views. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus on the earlier attempts was on the latest of three images beyond the upper stomach and out of view. Three AP views. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus on the earlier attempts was on the latest of three images beyond the upper stomach and out of view.",96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469
58232231,"The large mass in the left upper lobe, extensive left pleural thickening and lymphangitic tumor extension throughout the left lung. The large mass in the left upper lobe, extensive left pleural thickening and lymphangitic tumor extension throughout the left lung.",f33df19b-40b70f49-e2089e24-af20049c-136fb213
58245185,"Hyperinflation suggests emphysema, which incidentally shows heavy asbestos-related pleural plaques and extensive bronchial secretions, nearly occluding the airway in the left lower lobe bronchial tree. Chronic hyperinflation of the right hemi thorax in the configuration of the right lung base suggest emphysema or small airway obstruction, aside from greater linear atelectasis at the lung bases, best appreciated on the lateral view, there is no radiographic evidence of an acute cardiopulmonary abnormality. ",99a719f1-338c19ff-4c6100c3-a98e761a-254572ee
58248722,"There is extensive opacification in the right hemithorax consistent with the known pneumonia. There is a substantial hazy opacification in the right hemithorax, consistent with re-accumulation of a substantial amount of pleural fluid. ",ef34a791-15321a3d-aa9eca93-84157fc9-6fccd907
58255680,"Diffuse interstitial opacities with small bilateral pleural effusions and significant cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which was possibly attributable to drug reaction, COPD or vasculitis. Diffuse interstitial opacities with small bilateral pleural effusions and significant cardiomegaly likely reflect superimposed mild to moderate pulmonary edema on a background of known interstitial lung disease which was possibly attributable to drug reaction, COPD or vasculitis.",6c07c33a-7fa8c707-954343f0-26c7f512-379005a9
58255867,"Overal pattern compatible with congestive heart failure with superimposed right lower lobe consolidations concerning for infectious/inflammatory process. Persistent cardiomegaly with hazy opacity in the right mid lung, concerning for pneumonia. ",0f33dea2-1c4e6245-7b21b568-ef0299e9-03c0863a
58274962,"AP and lateral chest: There is severe cardiomegaly, accompanied by mild basal pulmonary edema and small pleural effusions.AP and lateral chest: There is severe cardiomegaly, accompanied by mild basal pulmonary edema and small pleural effusions.",f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15
58286219,"AP chest:  Significant opacification at the apex of the left lung could be hemorrhage or pseudoaneurysm, as well as local pleural collection related to chest tube. AP chest: One limb of the dual ET tube ends in the left main bronchus just proximal to the upper lobe takeoff, the other in the low trachea. ",7c2b70be-625cb0d4-aaf7b0f6-84685c72-50a04089
58303567,"AP chest: Moderate-to-severe pulmonary edema accompanied by mild to moderate bilateral pleural effusion. AP chest: Significant opacification of both lungs, with a substantial component of pulmonary edema and mild to moderate pleural effusions, which make it difficult to assess pneumonia.",10c8ac36-a2853890-23c30e54-90a676c0-9a66c8eb
58304701,"Significant right upper lobe scarring with right hilar elevation and bronchial wall thickening/bronchiectasis may be due to postradiation fibrosis, if there is a corresponding history. Significant right upper lobe scarring with right hilar elevation and bronchial wall thickening/bronchiectasis may be due to postradiation fibrosis, if there is a corresponding history. ",772a5436-29f7b5fa-5ad23833-0939fd67-e58a599f
58306324,PA and lateral chest: Mild postoperative enlargement of the cardiac silhouette. PA and lateral chest: Mild postoperative enlargement of the cardiac silhouette.,7b764993-32d1c941-d0ddfd50-1022cf30-82cdcfc7
58307391,Nevertheless heart may be enlarged and there may be central adenopathy. Significant reticular markings compatible with interstitial disease and bilateral enlarged hila compatible with lymphadenopathy and known left upper lobe nodule.,638f2c7f-1ddfe2c3-062f8057-b3e8a5aa-17b03955
58317281,"There are small bilateral pleural effusions, moderate cardiomegaly with left atrial enlargement, and pulmonary hypertension. AP chest: Exaggerated by the size of a large hiatus hernia, there is mild cardiomegaly, accompanied by mediastinal vascular engorgement and small bilateral pleural effusions suggesting mild right heart failure.",137c9581-82049ac3-2bce7676-8032c119-9845711c
58318333,"Lung volumes are substantially lower exaggerating moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis. Severe cardiomegaly, widened mediastinum, large retrocardiac consolidation, probably small left effusion and mild vascular congestion.",947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd
58319427,There are postoperative appearance of the neoesophagus and small right pleural effusion is constant. There are postoperative appearance of the neoesophagus and small right pleural effusion is constant.,28e4376e-045edb59-84977ca1-d0deb357-1d35d4b9
58324748,"AP chest: Lung volumes are lower, exaggerating severe enlargement of the cardiac silhouette and volume of moderate-sized bilateral pleural effusions. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral opacifications consistent with significant layering effusions and compressive basilar atelectasis. ",c8591b84-dfb9bd0c-54f0a9f4-e5258ccd-4fec4b57
58327706,"There are left upper lobe, left hilar and left infrahilar masses. There are left upper lobe, left hilar and left infrahilar masses.",b973beee-a64f055b-a96181c0-05105bc5-25dcc796
58340193,"OG tube tip projects in the left lower hemi thorax the tip is likely in the known intrathoracic stomach, the patient has a large hiatal hernia. Malpositioned NG tube located in the supradiaphragmatic location projecting over the left main stem bronchus most likely in a large hiatal hernia vs contained within the airway. ",dee14392-cc692fb3-6f2ebd41-a3c076db-05568231
58345071,"The IABP has been pulled back to approximately 4 cm below the transverse arch of the aorta and just above the upper aspect of the left mainstem bronchus. AP chest: Post-operative widening of the mediastinum in the region of the arch, but there may be an large caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. ",552535b0-f25af20e-f0731a45-c3c4dec8-3f85e93b
58349137,Significant pulmonary edema with triple- lead pacer remaining in place. Significant pulmonary edema with triple- lead pacer remaining in place.,f59791dd-2e8e1e7a-607b2f6e-18b713c7-aed09023
58351102,"There are loculated right-sided hydropneumothorax/empyema, postoperative appearance of the neoesophagus, small right pleural effusion.",b758e8f4-574ee6a8-32a4c691-81f94a5b-96a0773c
58352175,Post-surgical changes of the left hemi-thorax. It shows the appearance of the postsurgical left hemi thorax.,31d674c7-da219c63-72219f57-202ccfaf-94a9a6f6
58357438,Mild limitation due to low lung volumes without definite signs of pneumonia. Mild limitation due to low lung volumes without definite signs of pneumonia.,84d86cc8-682db79b-a57522b4-e65281b6-4d040d2f
58365706,Cardiac silhouette is large in size and is accompanied by significant pulmonary edema and moderate right pleural effusion. Cardiomegaly and pulmonary vascular congestion accompanied by significant interstitial edema and a layering right pleural effusion. ,eec556a6-1c46381e-1b9492b9-f747e8ec-048b888a
58367071,"AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces.",fe5dd4a7-d88ab43b-fe20fb3b-aa6f0fe1-c9efd533
58369249,"Interstitial abnormality with peribronchial opacification in the left midlung is probably pneumonia, alternatively asymmetric edema, either developing or resolving. Interstitial abnormality with peribronchial opacification in the left midlung is probably pneumonia, alternatively asymmetric edema, either developing or resolving. ",4fe5756d-bd504c0e-ec57e8bd-d9d21f15-a2cd65f3
58373469,There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads. There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads.,f1324f6e-a72d0eb7-dbe2b51f-8da51dcb-822e61dc
58377417,The cardiac silhouette is enlarged and there are engorged and indistinct pulmonary vessels consistent with elevated pulmonary venous pressure.The cardiac silhouette is enlarged and there are engorged and indistinct pulmonary vessels consistent with elevated pulmonary venous pressure.,97cfb5fb-f151949c-ec5357b7-3b5b1046-5ef2a77c
58379619,AP and lateral chest: Transvenous pacemaker lead follows the expected course to the apex of a large right ventricle. AP and lateral chest: Transvenous pacemaker lead follows the expected course to the apex of a large right ventricle.,76d2e3a0-a3074ba0-1b66d561-1eb29b13-3bb093aa
58387591,"Patient with ICD device, no evidence of pulmonary congestion or acute infiltrate that could explain the patient's history of three months of cough. Patient with ICD device, no evidence of pulmonary congestion or acute infiltrate that could explain the patient's history of three months of cough. ",6a7a8448-ea976adb-343bc548-9a621bc5-db423765
58387960,"Status post surgery, with marked leftward shift of the mediastinum into the left chest, together with associated drains, catheters and prosthetic valve, with resultant near-complete opacification of the left lung. There is minimal aeration in the left lung with marked leftward mediastinal shift. ",8f34e6a7-a9a93480-381afaf2-33925be7-c183ae6f
58395298,"There is enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive basilar atelectasis, more prominent on the right. There is enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive basilar atelectasis, more prominent on the right.",a797fb72-ac31496e-fb500d8f-daa52795-1800ca2e
58400851,"AP chest:  Mild-to-moderate pulmonary edema. AP chest: Moderately severe pulmonary edema, mediastinal vascular engorgement. ",e1eb5589-20b5223f-dfff33dd-0d4ed3f6-19b045fd
58402174,"Low lung volumes with opacification at the left base silhouetting of the hemidiaphragm consistent with pleural fluid and underlying compressive atelectasis. There are low lung volumes with bibasilar atelectatic changes, more prominent on the left, and blunting of the left costophrenic angle consistent with some pleural fluid. ",8d3d599d-c63f3e85-fcd2ddbe-2e931945-482b1161
58404829,"AP chest:  Normal heart, lungs, hila, mediastinum and pleural surfaces. AP chest:  Normal heart, lungs, hila, mediastinum and pleural surfaces. ",3214e64d-afc36832-c264b9cd-9eb7a079-59a7eedd
58406467,"Frontal view of the supine torso centered at the umbilicus shows a feeding tube with wire stylet in place ending in the upper stomach, and a nasogastric tube extending just beyond to the mid stomach. Status post orogastric tube placement. ",ef578547-4e4219db-c1753821-922ec956-1d6e6770
58409548,A cluster of cystic spaces in a severely retracted right lung apex is presumably the residual of tuberculosis. There are the large right apical mass.,84ee4f3c-27c6c5ff-e84f61b7-1ab68ce3-99820e85
58409843,"Lung volumes are lower, exaggerating borderline interstitial edema, reflected in increasing bibasilar atelectasis. Increase bibasilar atelectasis and mild the increased pulmonary vascular congestion consistent with postextubation status. ",c1d5b4f7-c4ed16c1-202cd868-0f06cd8a-25de3389
58414605,PA and lateral chest: There are moderate to severe right pleural effusion and moderate left pleural effusion. PA and lateral chest: There are moderate to severe right pleural effusion and moderate left pleural effusion.,5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a
58423258,Severe degenerative change noted in the thoracoabdominal region with kyphosis and large osteophytes. Severe degenerative change noted in the thoracoabdominal region with kyphosis and large osteophytes.,f11d267a-fb7c10b3-abbbef5e-66e9412c-99b8c90d
58425600,"AP chest: Though lung volumes are low, and there are moderate bilateral pleural effusions, the upper lungs are clear. AP chest: Though lung volumes are low, and there are moderate bilateral pleural effusions, the upper lungs are clear. ",0c315fcb-cb93603a-1fde59fe-bb8bfefe-b74f4205
58449130,AP chest: Large cardiac silhouette with insertion of a pericardial drainage catheter. enlarged cardiac contours status post median sternotomy with mitral valve annular ring and CABG. ,4255ddc7-829f3037-52171b91-e25d271a-75bb4204
58455247,"AP chest: Much of the opacification projected over the left lower hemithorax is due to fluid-filled stomach that is either herniated or beneath the chronically elevated left hemidiaphragm, but it obscures what is probably a substantially atelectatic left lower lobe and perhaps some pleural effusion. AP chest: Much of the opacification projected over the left lower hemithorax is due to fluid-filled stomach that is either herniated or beneath the chronically elevated left hemidiaphragm, but it obscures what is probably a substantially atelectatic left lower lobe and perhaps some pleural effusion.",00c7d4e9-802b89b1-4bd840b3-e5fd2fc9-5d38566e
58459168,"Mild congestive heart failure with mild interstitial pulmonary edema, and small bilateral pleural effusions, with the left pleural effusion appearing significant in size. Mild congestive heart failure with mild interstitial pulmonary edema, and small bilateral pleural effusions, with the left pleural effusion appearing significant in size.",8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f
58464643,Right thoracostomy and left basal pigtail pleural drainage catheters in their respective positions.Following hiatal hernia repair there is substantial gas in subcutaneous tissues along the left lateral chest wall.,4d43eeba-0e94bfc5-ca416d6f-449ceb69-688d7ae5
58466818,"Large areas of heterogeneous consolidation in the left mid and lower lung zone, combination of lung mass, pneumonia, and collapse in the lingula. Significant left basilar opacification concerning for infection superimposed on a background of confluent metastatic disease and atelectasis in the lingula.",2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6
58466988,"Allowing for the AP supine technique, there is moderate enlargement of cardiac silhouette. Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning. ",20ac90a4-87044528-f3284c7b-e22cd4ff-feeeb0df
58469571,There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads. There is enlargement of the cardiac silhouette with pulmonary edema in a patient with intact midline sternal wires and well-positioned pacer leads.,db0ff7a9-8860e50f-7b50f798-2e24594e-9c16c38d
58470850,Possible component of fluid overload which is difficult to assess given large body habitus. Possible component of fluid overload which is difficult to assess given large body habitus.,1b9a76c5-24e784cb-4a768979-edd5e575-042c91a0
58480173,Borderline heart size top-normal. Mild prominence of central bronchovascular markings could reflect acute asthma exacerbation and central airways inflammation.,90e0275c-fdf15b9e-fa00d384-ace49c70-f4727012
58485731,AP chest: One Dobbhoff feeding tube passes into the upper stomach and out of view. AP chest: Dobbhoff tube ends in the region of the pylorus.,abaf3f48-e5ba0e33-b7c52893-aa44a3b8-7aa9a7d2
58489635,The left perihilar opacity may reflect known primary lung cancer or treatment related fibrosis. The left perihilar opacity may reflect known primary lung cancer or treatment related fibrosis.,3dc71595-c47bd185-73aaa5e1-d15818c0-c6096a22
58495524,Status post median sternotomy for CABG with mild cardiac enlargement. Thyroid goiter causing widening of the right paratracheal stripe.,5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb
58501970,"There is significant opacification in the retrocardiac region with poor visualization of the hemidiaphragm, consistent with volume loss in the left lower lobe and small pleural effusion. AP chest: There are miminal pulmonary edema, severe opacification of the left lower lobe, consolidation at the right lung base. ",6a53a787-2e1025f2-59359f42-140f8938-45899305
58503033,"Pacemaker leads are in position  There is development of bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated small amount of pleural effusion. There are diffuse bilateral opacities, and the position of the pacemaker leads in position, and widening of the mediastinum.",32c1d55b-e82e8109-857245af-c7f729c8-050f2e67
58510466,AP chest:  Mild interstitial edema is accompanied by a small right pleural effusion.AP chest:  Mild interstitial edema is accompanied by a small right pleural effusion.,4d50716a-ce9e59d8-2bccee5f-9fd75a55-f12cd66a
58517699,"AP chest: Significant consolidation in the right mid lung of the diffuse infiltrative pulmonary abnormality could be due to progression of pneumonia, mild edema or local pulmonary hemorrhage. AP chest and chest radiographs: Significant opacification in the right mid and lower lung zones, while background interstitial pulmonary edema is mild, strongly suggestive of probably pneumonia. ",d9ebed54-0d6d34ff-31652ffe-bcd2f65d-009a29ee
58519194,"AP chest. Two pleural tubes in position, both impinging on the midline, one at the level of the left upper lobe bronchus, the other at the level of the diaphragm. Esophageal temperature probe is above the clavicles, ET tube tip at the thoracic inlet, 6.5 cm from the carina should not be withdrawn further, upper enteric drainage tube ends in the upper stomach, ECMO cannula in position at the level of the inferior cavoatrial junction. ",a012623c-3d2f7d18-ccd7f833-c984c099-56fbef61
58521372,"Nodular density projecting over the right first costochondral cartilage area, potentially degenerative; however, two-view chest x-ray recommended on a nonurgent basis to exclude underlying lung lesion. Prominence of the ascending aorta may relate to a tortuous aorta, however, this could be further evaluated on nonurgent chest CT to assess for dilation of the ascending aorta. ",1675afce-31756f63-a165a417-94a2c4ab-41fa955f
58528625,"AP chest: Severe cardiomegaly mild-to-moderate pulmonary edema, accompanied by at least small right pleural effusion. AP chest: Increased caliber of the pulmonary and mediastinal veins, and severe cardiomegaly suggest that peribronchial opacification in the right mid and upper lung zone is asymmetric edema rather than pneumonia. ",253ff311-29b03520-fb3b41cc-943dee43-7ac172d5
58568223,"There is enlargement of the cardiac silhouette with fibrotic changes bilaterally, especially at the left base. There is enlargement of the cardiac silhouette with fibrotic changes bilaterally, especially at the left base.",a3a06d4a-738a23e2-049e6887-d1e5cc2f-c1573666
58576963,"The patient has had median sternotomy, cardiac valve replacement, probably mitral, and transvenous right atrial and ventricular pacer leads are in standard placements. Status post right ventricular pacer lead revision as described above; COPD and small pleural effusions. ",37281a6b-d40f025d-51681f11-e078aa8f-3c6452d2
58577683,There are lower lung volumes which could accentuate this appearance. The Swan-Ganz catheter is pulled back so that it is with in the mediastinum. ,28436719-d87f3ae5-9c69e639-adb91cdf-96771118
58581234,"Heart is moderately enlarged, mediastinum is widened in part due to fat deposition, but an azygos fissure displays the azygos vein which is distended indicating elevated central venous pressure or volume, accompanied by mild pulmonary vascular engorgement. The cardiac and mediastinal contours are enlarged despite portable technique. ",3c172ae3-82504f6a-6de0bc7a-28294cec-278aa9d6
58581962,Hyperinflation of the lung fields with hyperlucency suggestive of emphysema. Hyperinflation of the lung fields with hyperlucency suggestive of emphysema.,f84cbcd6-8eef4c5e-b8c536b9-7121aa4e-7233d805
58582715,The heart is upper limits of normal in size and is less globular in configuration making pericardial effusion less likely. PA and lateral chest: The patient has had median sternotomy and coronary bypass grafting.,a7c2113c-b5445d48-45d2238f-d7cfa15c-6fd2383a
58584546,"Left hilar mass with reticular opacities extending to the chest wall is consistent with known history of malignancy and radiation therapy. Worsening peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction. ",2c699f50-503e7098-01ecae7c-d395875a-02612502
58585557,"Large area of significant opacification at the base of the right hemithorax is probably moderate atelectasis in the setting of persistently elevated right hemidiaphragm. The lung volumes are low, but severe relative elevation of the right hemidiaphragm is significant and there is moderate right basal atelectasis. ",036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a
58585627,"Lung volumes are lower exaggerating mild pulmonary edema and moderately severe right basal atelectasis, and moderate bilateral pleural effusion. AP chest: Lung volumes are lower, reflected in moderate-to-severe bibasilar atelectasis, and there are moderate bilateral pleural effusion, moderate cardiomegaly and vascular engorgement of the lungs and mediastinum, not yet presenting as pulmonary edema. ",42c22f15-803b9ea1-709d9163-e1ec1da8-df4d6d86
58588894,"AP chest: Though lung volumes were low, and there were moderate bilateral pleural effusions, the upper lungs were clear. AP chest: Though lung volumes were low, and there were moderate bilateral pleural effusions, the upper lungs were clear.",bcc505e7-72cc89ad-2e8eca24-f93e86f8-c5623967
58598132,"AP chest: Moderate enlargement of the cardiac silhouette, accompanied by small right pleural effusion and mediastinal vascular engorgement. Cardiomegaly is accompanied by pulmonary vascular congestion, minimal interstitial edema and moderate right pleural effusion.",9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98
58598370,"Multiple bilateral pulmonary nodules overall appear conspicuous, which may be due to differences in technique/penetration, concerning for slight progression of disease. Multiple bilateral pulmonary nodules overall appear conspicuous, which may be due to differences in technique/penetration, concerning for slight progression of disease.",90700f34-2bf7712e-44ca9a85-f62ca3ec-083c083b
58600769,AP chest: Large bilateral pleural effusions and moderate enlargement of the cardiac silhouett.AP chest: Large bilateral pleural effusions and moderate enlargement of the cardiac silhouett,60fa6a80-205ed57c-835e6296-1969c8b7-58eeaacf
58608964,"There are moderate cardiomegaly, the monitoring and support devices in position, including the ventricular assist device. Eenlargement of the cardiac silhouette with the monitoring and support devices. ",fab6875e-e58537aa-922ded04-7be27ddc-15a63067
58611846,"Pacemaker lead is in position as well as the cardiomediastinal silhouette, bibasal opacities and small amount of bilateral pleural effusions, loculated on the left. There are dual lead pacemaker and median sternotomy wires in position, small bilateral pleural effusions and left basal atelectasis.",320c382c-ac349a5d-0bd44e5e-5e5cd679-682ea75e
58621321,"Moderate cardiomegaly, with single-lead pacer in place. Moderate cardiomegaly, with single-lead pacer in place. ",e3fc5bd6-0ebd345c-dd63d96c-6844627c-1b6cf82b
58623741,"There is the large fluidopneumothorax on the right, with mild depression of the right hemidiaphragm. There is the large fluidopneumothorax on the right, with mild depression of the right hemidiaphragm. ",a03ac33d-fe835365-82973c3a-0bf2e738-fbb8a2f1
58635342,"Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive. Prominence of the superior mediastinum may relate to supine position and AP technique along with low lung volumes, however, if there is clinical concern for acute mediastinal injury, CT is more sensitive. ",38c9787f-8f9a7af2-3814ee5a-ebd8ba86-d55e4279
58640644,No acute cardiothoracic process on this study limited by underpenetration. No acute cardiothoracic process on this study limited by underpenetration.,88599fd0-57288634-2d77f19e-73726d34-90158ecc
58644358,There is the left upper lobe mass with associated opacification are rounded consistent with progressive malignancy or associated pneumonia. Significant left upper lobe opacity and left perihilar reticular opacities worrisome for significant pneumonia.,cad294ec-5e2a00a5-5080644b-2dcc1bb7-3c743d0a
58645463,"Left lower lobe atelectasis, cardiac enlargement, standard position of support tubes. Dobbhoff tube appearing to enter trachea and left mainstem bronchus, with diaphragmatic penetration and distal tip projecting over the left mid abdomen. ",ac9317c6-52379372-d9464c93-abdb2215-2daad9f1
58656783,There is widespread subcutaneous emphysema as well as the small apical pneumothoraces. There are bilateral pneumothoraces and degree of subcutaneous gas adjacent to the right chest wall and extending upward to the neck in downward to the abdomen. ,e426b51e-f7222833-d8ee3136-30f0df83-872a415e
58666319,"AP chest: Significant opacification at the lung bases and probably a combination of bibasilar consolidation and moderate pleural effusions. There are bilateral layering effusions with bibasilar airspace opacities likely reflecting compressive atelectasis, although pneumonia cannot be excluded. ",57b2666a-699fa6ab-57992ba2-54520a2e-7ee60ae6
58669896,THERE IS Significant VASCULAR CONGESTION IN THIS PATIENT WITH ENLARGEMENT OF CARDIAC SILHOUETTE AND TO A-CHANNEL PACER DEVICE IN PLACE. THERE IS Significant VASCULAR CONGESTION IN THIS PATIENT WITH ENLARGEMENT OF CARDIAC SILHOUETTE AND TO A-CHANNEL PACER DEVICE IN PLACE.,e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f
58679736,"Mildly bulging left mid mediastinal contour, suggesting enlargement of the left atrial appendage. Mildly bulging left mid mediastinal contour, suggesting enlargement of the left atrial appendage. ",03c9f091-1ac40a2e-362d8a50-c5e3a9c0-eaea0cd2
58680008,Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly. Coarse interstitial lung markings suggestive of chronic underlying lung disease and probable cardiomegaly.,3f111bf1-0ce0a81f-76b66ed5-c8517077-9373dbea
58698919,There is enlargement of the cardiac silhouette with elevated pulmonary venous pressure and obscuration of the hemidiaphragm on the left consistent with volume loss in the left lower lobe and pleural effusion. There is all enlargement of the cardiac silhouette with elevated pulmonary venous pressure and left pleural effusion with compressive atelectasis at the base. ,4b3c3806-311dc11c-5c89f911-3f5b98e5-e5291eb6
58701930,"AP chest: Normal heart, lungs, hila, mediastinum and pleural surfaces. No evidence of cardiac enlargement, pulmonary congestion or acute infiltrates. ",463d2a28-b411bb98-f7bda38e-7030ebb9-74a8a1e0
58706366,Postsurgical changes from prior right upper and middle lobectomies and gastric pull through and small right pleural effusion. Postsurgical changes from prior right upper and middle lobectomies and gastric pull through and small right pleural effusion.,103cf62f-89baecec-69aa24c2-0d1c769f-e3c40ac1
58721487,"Right middle lobe focal opacity with associated bronchiectasis and patchy bilateral lower lobe opacities, to reflect a combination of infection and graft-versus-host disease. Right middle lobe focal opacity with associated bronchiectasis and patchy bilateral lower lobe opacities, to reflect a combination of infection and graft-versus-host disease.",859b40aa-1f46d6a7-7f299ecf-38260eb3-897580c1
58728926,AP chest and an image of the right humerus: Short vascular catheter projects over the mid right humerus. AP chest and an image of the right humerus: Short vascular catheter projects over the mid right humerus.,9df378ca-1a460144-f9bb32fc-35303d15-8b86f4c9
58732756,"AP chest:  Large cardiac silhouette, following insertion of a pericardial drainage catheter. AP chest: There are moderate-to-severe cardiomegaly, pulmonary vascular engorgement and mild interstitial edema. ",c536f749-2326f755-6a65f28f-469affd2-26392ce9
58736291,Severe emphysema and bullous disease. Severe emphysema and bullous disease.,c4713b43-d31ad200-30f7309b-ba7d87e3-b69db479
58737609,"AP chest: Though lung volumes were low, and there are moderate bilateral pleural effusions, the upper lungs were clear. AP chest: Though lung volumes were low, and there are moderate bilateral pleural effusions, the upper lungs were clear.",c6daa86b-28de832b-4cdd7e0d-51eca585-d7dad6ce
58739295,Increasing opacification at the bases with silhouetting hemidiaphragms is consistent with layering effusions underlying volume loss in the lower lungs. There are the supporting tubes and lines as well as parenchymal opacities and potentially present bilateral pleural effusions.,d581d98c-1d55ec95-27066557-bcd43551-e1ff2218
58740782,"AP chest: Small-to-moderate left pleural effusion is following thoracentesis and aspiration of the majority of the left pleural fluid. AP chest: Moderate left pleural effusion. Left lower lobe is poorly aerated, presumably due to atelectasis, though pneumonia is not excluded. ",d423cd88-d0739c64-5212e268-96f30c3b-7bd9f6ae
58757097,"PA and lateral chest: There are moderate cardiomegaly, pulmonary vascular congestion, generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: There are moderate cardiomegaly, pulmonary vascular congestion, generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",87839031-cf5f44d0-580a18ad-b86bcca4-c95455c5
58760787,"AP chest: The volume and severity of consolidation in the right lung involving lower lobe superior segment and upper lobe, revealing severe bronchiectasis, possible cavitation and some loss of volume in the right upper lobe. AP chest: Current consolidation in the posterior segment of the right upper lobe and heterogeneous opacification in the right lower lung consistent with chronic aspiration and pneumonia.",a66051d0-9ed3a477-30455196-064ccf0d-b667f74e
58768954,AP chest: Heart size top normal. Known intra-abdominal free air.,b78b1110-28e93f4d-b7e0e8f6-22552c4c-b967810b
58771580,The patient is rotated somewhat to the left; low lung volumes and bibasilar atelectasis; trace pleural effusions are difficult to exclude. There are low lung volumes and a large hiatal hernia.,5ad11416-2d53dd53-96e1fcda-ca3b80c0-c0fb1e6f
58773373,"Bilateral left greater than right effusions with pulmonary vascular congestion. Bilateral pleural effusions, left greater than right with bibasilar atelectasis in combination with pulmonary vascular congestion suggests CHF. ",ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0
58773579,Moderate cardiomegaly with placement of the pacemaker leads. Enlargement of the cardiac silhouette with a configuration raising concern for underlying pericardial effusion.,4a6b6a7c-83ed2cdc-41c74d6e-ed8815a2-84ed02ff
58778783,"Bibasilar and right middle lobe opacification, most compatible with multifocal pneumonia though a post-obstructive process is of concern. Bibasilar and right middle lobe opacification, most compatible with multifocal pneumonia though a post-obstructive process is of concern. ",7954b023-74e12365-5c4fbe43-07ef3edc-a3caf1df
58786693,"Low lung volumes with bilateral perihilar opacity which could relate to edema, however, infection may be present. Low lung volumes with bilateral perihilar opacity which could relate to edema, however, infection may be present. ",8a31b2b4-ae7e2d63-755cd377-936102cb-9bb02fac
58788581,"AP chest: Despite the right basal pleural tube, there are fissural and apical components of multiloculated right pleural effusion, responsible for severe atelectasis in the right lung. AP chest:  Volume of the neoesophagus is with in normal range and there is retained contrast agent. ",b247a4b1-847a7108-49cb4bd9-b119da1e-70ea9fa6
58789310,Consider nonemergent outpatient CT to further assess given extensive background emphysema. Consider nonemergent outpatient CT to further assess given extensive background emphysema.,c230ce72-acc26270-caefebe0-f6b07913-7033227d
58797209,"Moderate to severe cardiomegaly with moderate to severe pulmonary edema, layering bilateral pleural effusions, and probable bibasilar atelectasis. Findings compatible with acute pulmonary edema with possible layering pleural effusions. ",f63472c6-7fff6462-6df9fd25-2705bc5e-08edc54f
58798180,"There is mild pulmonary edema, severe heterogeneous opacification at the base of the right lung due to infection secondary to severe impacted bronchiectasis. AP chest: There is the combination of pulmonary fibrosis and pulmonary edema, which is at least moderate, along with small-to-moderate right pleural effusion. ",4f8923e8-cf82750b-69755c55-a9d1c9ac-e3a2f0fb
58800563,"Low lung volumes with bibasilar linear atelectasis, no pulmonary edema. Low lung volumes with mild bibasilar linear atelectasis, no pleural effusion or pneumothorax. ",4c940923-a59ab393-7984e607-b473ed13-af98d60c
58801080,Status post ascending aortic graft repair and dilatation of the descending thoracic aortic contour compatible with known dissection. Status post ascending aortic graft repair and dilatation of the descending thoracic aortic contour compatible with known dissection.,37d5e0a8-71e3174e-de2a7542-4cb0ba66-76531312
58807210,"PA and lateral chest: There are moderate cardiomegaly, pulmonary vascular congestion, generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: There are moderate cardiomegaly, pulmonary vascular congestion, generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",e3555bac-cb4ffa77-657be5f9-38bcdc9b-0b46292b
58808413,Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning. AP chest and an image of the right humerus compared: Short vascular catheter projects over the mid right humerus. ,2756fb1d-45bdeff0-4f3cab91-67c49af9-04c378d9
58817744,"On the left, it is difficult to determine whether the dense oblique opacification represents a thick band of atelectasis or if there is mild elevation of the left hemidiaphragmatic contour with atelectatic changes just above it. There is considerable atelectasis in the left lower lobe due to mass effect by the intrathoracic bowel lobes, probably the cause of the hypoxia. ",b4090c18-9828842b-111e341f-0673f4ad-e42afebc
58819781,Dual lead pacemaker and median sternotomy wires are in position  Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position  Small bilateral pleural effusions and left basal atelectasis.,b56a09de-a517e1c9-1e37badb-c8820169-834c4cd1
58824000,"The cardiac silhouette appears enlarged, some of which may represent the supine AP. AP chest: There are moderate cardiomegaly, pulmonary and mediastinal vascular engorgement and mild interstitial edema, but no appreciable pleural effusion. ",e3c80a40-fc49e72a-6cd50354-445adf30-3d360387
58831403,"AP chest: Lungs mildly hyperinflated, could be emphysematous. AP chest: Lungs mildly hyperinflated, could be emphysematous. ",2528f6e5-586bb3a0-e00e7283-5c594954-fe27b052
58833368,"AP chest: There are mild generalized edema, significant consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis. AP chest: Nasogastric tube traverses a non-distended stomach, ending in the region of or just beyond the pylorus:  Mild pulmonary edema and severe cardiomegaly. ",e01e8de2-d5095cb4-f851985e-df9c203c-89326fdb
58836461,Linear left basilar scar/atelectasis with adjacent left pleural thickening or small effusion. Linear left basilar scar/atelectasis with adjacent left pleural thickening or small effusion.,dc93422b-fd5ec685-19eb4eba-fb31f8d0-b60d8b47
58836797,"AP chest: Small right apical pneumothorax, basal pigtail pleural drain in place. AP chest: Small right apical pneumothorax is presumably following thoracentesis, with placement of a mid chest tube and basal tube in the right hemithorax. ",29fa67ed-eafe7bd7-b310f744-078a1939-72c2aacb
58847709,"Right basilar opacity is likely a combination of atelectasis/consolidation and effusion, but PA and lateral CXR may be helpful for more complete assessment when the patient's condition permits. Hazy opacification of the right base with silhouetting hemidiaphragms suggests layering effusion with basilar atelectasis. ",99afae49-8d95e258-a1717ce5-74e8f9fa-715ae11a
58856677,"AP chest: A left skinfold over the major fissure highlighting severe edema or consolidation in the left lower lobe should not be mistaken for pneumothorax. Mild pulmonary edema accounting in part for the significant radiographic appearance what is probably progressing multifocal pneumonia, and contributing to small to moderate left pleural effusion. ",fd82faa7-31410b18-fae37f67-70086b23-f1ead160
58857549,"Healed fracture deformity, proximal right humerus. Old healed fracture deformity of the right proximal humerus is visualized. ",5c2bf1b4-d3738135-b0f5cea4-bfa67dda-166feb65
58858468,"AP chest: Moderate enlargement of the cardiac silhouette, but there is no pulmonary edema, although mediastinal veins are dilated, possibly a reflection of supine positioning. Moderate to severe cardiomegaly, exaggerated by supine positioning, with a large mediastinal venous caliber. ",2c306616-b3005c87-d05f4dd6-a7f274c1-e15bf2a1
58864570,"Left upper to mid lung opacity, more consolidated peripherally with concern for malignant involvement and/or postobstructive pneumonia. Left upper to mid lung opacity, more consolidated peripherally with concern for malignant involvement and/or postobstructive pneumonia.",218c9927-cdee34db-c4b93920-adfa83cb-cfb580c5
58865157,Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women. Effacement of the mediastinal contours in the region of the aortopulmonic window can be a normal finding in young women.,879c5bd5-8fde6e6e-470c4bdb-323689b2-fac6fa7e
58866273,"AP chest: There is reduced aeration in the right lower lung, due to either some withdrawal of right pleural effusion, although I no longer can see the Pleurx catheter at the base of the right chest, or what is most likely severe obstruction to the right middle and lower lobe.Placement of a NG tube terminates in the right lower hemithorax, most likely within the neoesophagus. ",95aeb67d-dda857ec-1fa24d4f-f0b7d118-eaf906ea
58869711,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. The left and right chest tubes as well as the left venous access line and the tracheostomy tube in position. ",995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731
58878473,AP chest: Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. Moderate-to-severe cardiomegaly is exaggerated by AP supine positioning.,7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3
58881734,Widening mediastinum is signficant. There is mild pulmonary edema and mediastinal vascular engorgement.,05497016-015d9fb6-1dcbc401-ad586ed8-ff4595d4
58890549,"There is diffuse bilateral pulmonary opacifications consistent with significant multifocal pneumonia. Widespread bilateral pulmonary opacifications, more prominent on the left, are essentially consistent with multifocal pneumonia. ",ee316aaf-4836b322-7a19300e-e45cd9fd-b0399146
58895837,"AP chest: There are large pulmonary vascular caliber, small bilateral pleural effusions, and suggestion of mild edema all pointing toward biventricular cardiac decompensation. AP chest: Mild-to-moderate pulmonary edema is accompanied by small bilateral pleural effusions and mediastinal vascular engorgement. ",aed9fe49-bb7468b2-ba4f60dd-25410316-df9b9d8c
58897728,Mild to moderately distended small bowel in the left upper quadrant. Mild to moderately distended small bowel in the left upper quadrant.,7fae1179-39697856-a9795bb4-19feb4f6-b065f924
58898395,"AP chest: An upper enteric drainage tube passes to the junction of the second and third parts of the duodenum. AP chest:  Dobbhoff tube is in position, looped in the upper stomach. ",b4a939d3-05849610-14a75408-ef6f57b3-c3a0f6fb
58899269,"Indwelling right PIC line ends close to the superior cavoatrial junction, indwelling atrial biventricular pacer defibrillator leads in their respective locations continuous from the left pectoral generator. Right PIC line can be traced as far as the region of the superior cavoatrial junction where it is obscured by the indwelling right atrial right ventricular pacer and defibrillator leads. ",96f00041-94cc6063-63bfa4e2-d764e039-a73d562c
58905647,Cardiomediastinal caliber is normal for supine positioning. No acute findings on this single supine frontal chest radiograph.,1b02e072-fa368bfc-a9a77874-e1a0094e-7cac5d6a
58907220,The cardiac silhouette is at the upper limits of normal or mildly enlarged in this patient with previous CABG procedure an intact mid lines sternal wires. Cardiac and mediastinal contours are status post median sternotomy for CABG. ,496ca4eb-96600429-f794c4d3-8b1b7172-f615041e
58908940,Low lung volumes with substantial enlargement of the cardiac silhouette and pulmonary edema. Low lung volumes with substantial enlargement of the cardiac silhouette and pulmonary edema.,39ca48e7-53f0eca0-ce297a4a-84fa12a4-cb30308f
58911568,Large right pleural effusion with collapse of the right middle lobe and large atelectasis in the right lower lobe. Large right pleural effusion with persistent collapse of the right middle lobe and large atelectasis in the right lower lobe.,1b1b23db-a13b7b1e-1cdeca0e-a6d035c6-a4699be0
58917922,There is substantial enlargement of the cardiac silhouette with the Swan-Ganz catheter and pacer lead. Moderate to severe cardiomegaly following insertion of transvenous right ventricular pacer lead which runs from the left pectoral generator to the floor of the right ventricle and out of view.,7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69
58929044,"Peribronchial cuffing and interstitial prominence suggest small airways disease, which could be secondary to reactive airways and/or a viral process. Peribronchial cuffing and interstitial prominence suggest small airways disease, which could be secondary to reactive airways and/or a viral process. ",a603cd8b-deb5791e-0af13e1c-291d022f-105c7d5c
58929701,"There are severe enlargement of the cardiac silhouette, small right pleural effusion, and pleural scarring. Severe cardiomegaly and marked enlargement of the hila due to pulmonary arterial hypertension.",db56399e-4f04b226-d9773c85-a6d565a6-04fe3904
58936335,"AP chest: Moderate right pleural effusion despite the right basal pleural pigtail drain. AP chest: Moderate-to-severe pulmonary edema, accompanied by moderate right pleural effusion and moderate cardiomegaly. ",9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28
58936592,"Severe enlargement of the cardiac silhouette, accompanied by mediastinal widening probably due to venous distention indicating elevated right heart pressure. Cardiomediastinal silhouette including severe cardiomegaly and widening mediastinum. ",b9d3a2a8-efad6e43-fd5c9461-389ea619-4454f98c
58938414,"AP chest: Vascular congestion in the upper lobes, bibasilar consolidation, left greater than right, probably combination of atelectasis and residual dependent edema with overlying small bilateral pleural effusion. There is mildy reduced aeration at the right lung base, significant left retrocardiac opacification, and small left pleural effusion. ",f6375332-e3c8491e-6a6b59ed-929cb010-d0f4ae4a
58950601,AP chest: Severe cardiomegaly with moderately severe pulmonary edema and small-to-moderate bilateral pleural effusion. Enlargement of the cardiac silhouette with elevated pulmonary venous pressure and bilateral pleural effusions with compressive atelectasis at the bases. ,44af3e4a-0cc1e98d-377c1626-46bc8189-2c995eb3
58952033,Retrocardiac opacification with obscuration of the medial aspect of the hemidiaphragm consistent with volume loss in the left lower lobe. Retrocardiac opacification with obscuration of the medial aspect of the hemidiaphragm consistent with volume loss in the left lower lobe.,418536fe-ce5ff76a-25c69892-fa4beedf-88916c53
58953417,"AP chest: Patient has an upper and drainage tube, coiled amply in the fundus of the stomach which is only mildly distended with gas. AP chest: Upper enteric drainage tube ends in the fundus of a non-distended stomach. ",0a5b6b02-70afce7a-5660c265-198ba57b-b6283f58
58955981,"Significant peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction. Significant peripheral left mid lung consolidation, for which the differential diagnosis includes infectious pneumonia, radiation pneumonitis (the extent of radiographic abnormalities is greater than typically observed in the setting of breast cancer radiation therapy), organizing pneumonia, and less likely infarction. ",5aa672e1-1a4bfdc1-770847af-e76adb3d-a2d61d6a
58957750,"AP chest: Significant opacification at both lung bases could be explained by moderate pleural effusion, left greater than right, prominent atelectasis, in the setting of interstitial pulmonary edema. In addition to mild pulmonary edema, there are moderate left lower lobe consolidation and an accompanying moderate pleural effusion, strongly suggestive of pneumonia. ",ba4dca32-34db70b8-58f97bd4-a77b4632-6e2ee9ca
58958987,Small bilateral effusions with COPD and likely pulmonary vascular congestion. Small bilateral effusions with COPD and likely pulmonary vascular congestion.,0d6db000-b7832a09-4e80e472-89242ef5-20701513
58959180,Mediastinum is widened beyond cardiomegaly by mediastinal fat and relatively mild prevascular and paratracheal adenopathy. Mediastinal widening above the cardiac silhouette and hilar enlargement due to a combination of adenopathy and pulmonary hypertension.,038426f2-7b990f98-24487e3e-2bd7a156-4761c39a
58966181,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. The pericardial drain and left pleural pigtail basilar catheter are in position. ",438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d
58971300,"Lungs are slightly lower in volume, exaggerating mild pulmonary vascular engorgement, but there is no edema or pleural effusion and heart size remains top-normal. Lungs are slightly lower in volume, exaggerating mild pulmonary vascular engorgement, but there is no edema or pleural effusion and heart size remains top-normal. ",19cd7ef0-e01da8c2-54eba4e0-a3a25327-1ab839b7
58971994,"AP chest: Lungs are clear, cardiomediastinal silhouette including mild general dilatation of the aorta without focal aneurysm. No acute findings on this single supine frontal chest radiograph. ",44388ee4-a43ff605-7edf7add-37dd01f3-7596e2a5
58981887,"Significant interstitial markings bilaterally could relate to mild interstitial edema, although atypical infection is not excluded. Significant interstitial markings bilaterally could relate to mild interstitial edema, although atypical infection is not excluded.",be82eebb-cd25c088-b3c1ddfa-6ccf0b10-880a3a77
59001506,"Transvenous atrioventricular pacer defibrillator leads are in standard placements nasogastric drainage tube ends in nondistended stomach. Left jugular line passes as far as the left brachiocephalic vein where it is obscured by overlying right atrial biventricular pacer defibrillator leads which follow their expected courses, continuous from the left pectoral generator. ",37d75746-aa6bbc7a-bbbf7bd9-3bb0f97b-3bd37684
59009773,"PA and lateral chest: There are severe cardiomegaly, pulmonary vascular engorgement and re-distribution, mild bilateral pleural effusions but I do not see pulmonary edema. PA and lateral chest: There are severe cardiomegaly, pulmonary vascular engorgement and re-distribution, mild bilateral pleural effusions but I do not see pulmonary edema.",4d9ec74c-58ee4dca-9bf9fe37-360c15ab-2b67b1a8
59014702,"AP chest: Severe atelectasis in the left lung marked by opacification of most of the lower lung, heterogeneous lucency in the upper, and marked leftward mediastinal shift. Mild extent of opacification in the left lung, which is more severe than the right, is probably due to clearance of atelectasis in the left lower lobe, probably a function of bronchial obstruction. ",c09fde7b-fe3f3f21-4ea1ee09-6a8497f7-7e901050
59015305,"AP chest: Slightly lower lung volumes and mild interstitial edema probably account for generalized opacification throughout the lungs, partially obscuring multiple lung nodules.AP chest: Slightly lower lung volumes and mild interstitial edema probably account for generalized opacification throughout the lungs, partially obscuring multiple lung nodules.",adcfcdab-0a36144e-b4e69df7-c2ecd6e8-ed71e420
59018724,"AP chest: There is mild-to-moderate pulmonary edema, seen in the mid portion of the right lung,  suggesting advancing pneumonia. AP chest.  As denoted by greater vascular congestion, mild pulmonary edema may account for the significant extent of heterogeneous consolidation in both the lower lungs, or this could be due to worsening pneumonia. ",58d3a7e8-1cc861cc-3428518f-8b578623-d3be6ba1
59024525,"AP chest: Although the widespread distribution of opacification in both lungs suggest pulmonary edema, lucencies in the right mid lung could be due to cavitation in pneumonia. AP chest: Severe extensive bilateral pulmonary consolidation is signficant in the right lung than the left. ",855b1f9b-cacca17f-ff431f6d-3e9c2ba3-65382faf
59027235,PA and lateral chest: Small bilateral pleural effusions left greater than right following tracheal extubation. PA and lateral chest: Small bilateral pleural effusions left greater than right following tracheal extubation.,0f1b4789-8c43bc5c-ec9ef921-5cd7c4a7-5acfae4d
59032183,emphysema chk after edma rx  mild cardiomegaly emphysema chk after edma rx  mild cardiomegaly,1d1ad085-bc04d368-4062c6ff-8388f25c-c9acb192
59037095,Heterogeneous right lower lobe opacity only seen on frontal projection is most consistent with right lower lobe atelectasis however superimposed infection cannot be excluded. Heterogeneous right lower lobe opacity only seen on frontal projection is most consistent with right lower lobe atelectasis however superimposed infection cannot be excluded.,fd15a691-c9a3b644-6c5f2cce-8d81a9f7-8a6dc366
59039129,Small right greater than left pleural effusions with indistinct pulmonary vascular markings and cardiomegaly suggestive of congestive failure. Small right greater than left pleural effusions with indistinct pulmonary vascular markings and cardiomegaly suggestive of congestive failure.,62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e
59041431,Lingular pneumonia with also possible involvement of the inferior aspect of the left upper lobe. Lingular pneumonia with also possible involvement of the inferior aspect of the left upper lobe.,9905499f-c48f304d-f9efd154-a921881b-f71b7f86
59041802,"Moderate cardiomegaly with large right pleural effusion and lower lobe consolidation likely atelectasis. Large area of opacity projecting over the right mid to lower lung is concerning for large pleural effusion, underlying consolidation for pulmonary mass not excluded. ",ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302
59044123,The cardiac silhouette is at the upper limits of normal in size with a dual-channel pacer device in place. The cardiac silhouette is at the upper limits of normal in size with a dual-channel pacer device in place. ,c055e51a-f8fe191f-bc7f8dd3-78c1727e-d50f9a14
59047668,No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly. No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly.,9c04078c-dee8c858-bc2a105e-d5fb538e-ac5a7c69
59048499,"Heart size is indeterminate, obscured by elevated diaphragm and kyphotic positioning. Large area of significant opacification at the base of the right hemithorax is probably significant atelectasis in the setting of persistently elevated right hemidiaphragm. ",372f588f-f2061650-9cc50694-12a70654-dd425821
59060938,Right lung base opacification which could represent right middle lobe pneumonia. Bilateral lower lobe and right middle lobe opacities are worrisome for atypical infection.,519f4481-6aee1c53-394dccc4-d527eee2-05f59923
59061065,"There is mild rightward deviation of the trachea and mediastinum likely reflecting right lower lobe collapse. Left basilar opacification likely reflects volume loss and right lower lobe collapse, but consolidation cannot be excluded. ",f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d
59063233,Elargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease.,48a254ba-4d6ccab1-b254dcf7-a7f305bc-9aae746b
59066796,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. Status post surgery, with marked leftward shift of the mediastinum into the left chest, together with associated drains, catheters and prosthetic valve, with resultant near-complete opacification of the left lung.",6d5d81f0-24db4698-0b10ede2-80628bfa-6c5de5f8
59067739,"AP chest: Severe cardiomegaly with moderately severe pulmonary edema and small-to-moderate bilateral pleural effusion. AP and lateral chest: Severe cardiomegaly, accompanied by mild basal pulmonary edema and small pleural effusions. ",043df04d-931d53c9-ae497983-ce79d340-656e2354
59071382,"Lung volumes are low and there is diffuse bilateral parenchymal process which favors moderate pulmonary and interstitial edema rather than pneumonia. Very low lung volumes with diffuse parenchymal opacities, consistent with either pulmonary edema or fibrosis. ",da5580a4-d85e8eac-795ffec6-41e6d24b-273b3747
59081164,There is an intact right humeral head arthroplasty. Consider a dedicated abdominal series to distinguish post-operative ileus from obstruction.,09c081f1-c1f32700-e71bf5b1-b0dc10ee-1e584a9c
59083566,"AP chest: Bibasilar consolidation could represent atelectasis or pneumonia, particularly aspiration. AP chest: There are bibasilar opacification. ",0d86089a-9603976b-4b216712-10d8d41a-4dba01b5
59083645,"Significant opacities in the right mid-to-upper lung and potentially left lung base, superimposed on chronic lung disease compatible with patient's known pulmonary fibrosis. Significant opacities in the right mid-to-upper lung and potentially left lung base, superimposed on chronic lung disease compatible with patient's known pulmonary fibrosis. ",7bcd081b-869f44f4-57a93477-646a8796-ee97546c
59089386,"There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could represent elevated pulmonary venous pressure, chronic pulmonary disease, or both. There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could reflect some elevated pulmonary venous pressure. ",2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711
59108077,"Bibasilar parenchymal opacities with cardiomegaly suggests underlying pulmonary edema, but cannot exclude right lung base pneumonia. Moderate pulmonary edema, but cannot exclude right lung base pneumonia.",bfb7a467-e88452aa-9ca0804d-6b66419b-ebbeec35
59114520,AP chest: Moderate bilateral pleural effusions are presumably still present. Termination point of Dobbhoff line not identified on this film.,3f0f5cbb-59b29982-c936c70b-36a6c86d-23da1915
59116935,"There is prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema, more confluent within the left mid lung field. There is prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema, more confluent within the left mid lung field.",00005197-869d72f3-66210bf4-fa2c9d83-b613c4e7
59124380,Significant bibasilar atelectasis and mild the increased pulmonary vascular congestion consistent with postextubation status. AP chest: There are small to moderate bilateral pleural effusions and moderately severe bibasilar atelectasis or consolidation and only relatively mild pulmonary vascular engorgement in the upper lungs.,8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2
59143968,"AP chest: The patient has chronic right upper lobe collapse and rapidly progressive multifocal pneumonia. There are widespread bilateral pulmonary opacities, small bilateral pleural effusions, and extensive subcutaneous emphysema.",4fa7066f-1353fcd0-c894483b-a6140dd1-91994574
59144799,"Three AP views. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus on the earlier attempts was on the latest of three images beyond the upper stomach and out of view. Three AP views. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus on the earlier attempts was on the latest of three images beyond the upper stomach and out of view.",6dd1de7d-99ce0b82-cd1c5e0c-f5046bb6-8f5d23ba
59146382,Moderate cardiomegaly following insertion of transvenous right ventricular pacer lead which runs from the left pectoral generator to the floor of the right ventricle and out of view. There is enlargement of the cardiac silhouette with prosthetic valve and to a-channel pacemaker with leads in good position. ,8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993
59152117,"Pulmonary vascular congestion is seen without appreciable cardiac enlargement and pacer devices remain in place. There is cardiomediastinal silhouette, as are the pacer leads. ",01c5daed-cf6a5552-a23ad3f6-5850acca-d9619ea2
59155076,"AP chest: Large region of consolidation in the right mid and lower lung zone, when the patient showed evidence of mild cardiac decompensation and some of the opacity in the right lower chest was probably pleural effusion. AP chest: There is no pneumothorax on the right following thoracentesis and substantial decrease in right pleural effusion with a fissural residual. ",ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54
59166131,"PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",2cc38dd6-d1f5970f-055155bc-e9e8fccd-8ec98168
59170987,AP chest: Severe cardiomegaly and mediastinal widening due to vascular engorgement and fat deposition. AP chest: Severe cardiomegaly and mediastinal vascular engorgement.,74501968-2251dd66-a1905203-8ff7c470-9c45dcb6
59175350,"Severe cardiomegaly and pulmonary vascular congestion are exaggerated by supine positioning. Moderate to severe cardiomegaly, exaggerated by supine positioning, with large mediastinal venous caliber.",a3f94558-fcb3a66f-7b6f0be2-1c09857b-168fb462
59190819,"Severe bibasilar consolidation, probably right lower lobe pneumonia and either left lower lobe pneumonia or left lower lobe collapse. Widespread opacification in the right lower lobe, probably pneumonia. ",24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968
59191421,Pectus excavatum. Pectus excavatum.,39a0863f-9a6a4e94-41b1b286-8536e7dc-75252ad8
59191972,"AP chest: Nearly global opacification of both lungs characterized as combination of interstitial infiltration, some chronic and fibrotic, and subsequent diffuse ground-glass alveolar opacification. Widespread pulmonary opacification, obscuring the margins were previously well defined lung nodules.",bea5fb24-e1d13af2-d70b5be5-fb32e7b8-15828f56
59200846,Moderate left pleural effusion of the thoracocentesis. PA and lateral chest: Sharp definition of the left major fissure on the lateral view could be either fissural component of the small to moderate left pleural effusion.,d1cb903c-16d23127-ba525151-91a0fa21-20a12246
59203230,Thickening of the right paratracheal stripe. Thickening of the right paratracheal stripe.,38e5d885-855b370d-ff1f67a4-ece45a25-cc36e325
59206877,Enlarged cardiac silhouette is compatible with pericardial effusion. Enlarged cardiac silhouette is compatible with pericardial effusion.,d69cce11-46d26bdd-72a95d03-473ab83c-553c9c91
59207607,"AP chest:  Severe pulmonary edema, accompanied by moderate to severe pleural effusion and severely  enlarged cardiac silhouette and severely distended mediastinal veins. AP chest:  Severe pulmonary edema, accompanied by moderate to severe pleural effusion and severely  enlarged cardiac silhouette and severely distended mediastinal veins.",9f03f488-52d9e9df-006302a9-227c8b18-48e15125
59215725,"The right IJ and PICC are stable in position, the cardiac and mediastinal silhouette with bibasilar right larger than left opacities and bilateral pleural effusions. The hemidiaphragms are not well seen bilaterally, consistent with layering pleural effusion and compressive atelectasis.",c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988
59217830,"Emphysema with biapical opacities, likely scarring, more so on the right. Emphysema with biapical opacities, likely scarring, more so on the right. ",959ee516-d090d9d5-a95977ac-303cdde2-c9309e8c
59218667,"AP chest:  Given the very low lung volumes, pulmonary vascular caliber is probably normal and cardiomegaly only mild. AP chest: Lung volumes remain low, heart moderately enlarged, mediastinal veins dilated, and pulmonary vasculature only minimally engorged. ",722a3b68-5254c3ea-469c8294-7e6fb73d-46f35121
59219088,"Low lung volumes with increased interstitial markings, some of which is chronic, could represent superimposed edema or infection. Low lung volumes with increased interstitial markings, some of which is chronic, could represent superimposed edema or infection.",1fba2de2-36345a9e-ea2ef064-76c702c3-b80e6127
59221699,"AP chest: Patient is rightward shifted which projects the large heart over the right lower lung, but nevertheless, there is clearly significant opacification of the right lung and low volume of the right hemithorax suggesting a large component of atelectasis, conceivably obscuring pneumonia, but not necessarily. Marked elevation of the right hemidiaphragm may be due in part or may be responsible for moderate-to-severe atelectasis at the right lung base, in the setting of severe distention of the intestinal tract.",81450711-ce3a0e1f-48fce3df-720d7107-44bf0a49
59223989,Calcified pleural plaques and interstitial abnormality suggesting prior asbestos exposure. Calcified pleural plaques and interstitial abnormality suggesting prior asbestos exposure.,a8d732de-7a28af8e-8a5a6a3f-c66be26f-ad23f1aa
59225625,Diffuse interstitial lung disease with an upper lobe predominance consistent with patient's known history of sarcoidosis. Diffuse interstitial lung disease with an upper lobe predominance consistent with patient's known history of sarcoidosis.,f79eadd6-c024fbbc-dec2a8a7-0d75c594-a53f0aa1
59232798,"AP chest:  Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion. AP chest:  Heart is moderately enlarged, but the pulmonary vasculature is not engorged and there is no edema or pleural effusion.",8f3afa87-cb2c2fec-210903d7-8faa6559-a7b6bf8e
59234239,"AP chest: There is moderately decreased aeration in the right lower lung, related to either some withdrawal of right pleural effusion, although I no longer can see the Pleurx catheter at the base of the right chest, or what is most likely severe obstruction to the right middle and lower lobe. AP chest:  There are moderate right pleural effusion, collecting along the costal pleural surface on what is presumably a supine chest radiograph, two right pleural tubes in place, one crossing the midline of the chest, the other at the base.",382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1
59239338,"Severe bullous emphysema makes it difficult to exclude any pleural air at all, but there is no air leak. Severe bullous emphysema makes it difficult to exclude any pleural air at all, but there is no air leak.",df947133-0a0bb9b7-96bc6378-2eeb01c8-dcb9c4d5
59242045,"Limited study due to body habitus, however there is  diffuse bilateral pulmonary edema. Limited study due to body habitus, however there is  diffuse bilateral pulmonary edema.",1432843f-fca7eaa3-df3e65b3-c45419fa-71029980
59243134,"Diffuse interstitial abnormality predominantly in the upper lung zones, consistent with known sarcoidosis. Diffuse interstitial lung disease with an upper lobe predominance consistent with patient's known history of sarcoidosis.",bb067a71-304abf94-bb1611d4-e8ac9115-189005f3
59245308,"Extensive bilateral subcutaneous emphysema, with a small right apical pneumothorax. AP chest: The extensive subcutaneous emphysema in the right chest wall and neck could be related to a small right pneumothorax despite apical pleural tube. ",bcf2cc18-3401053b-113ae6db-daa24d50-08934ad9
59249979,"PA and lateral chest: Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall is most likely pneumonia, and the enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy. PA and lateral chest: Severe heterogeneous opacification in the left mid lung extending from the hilus to the lateral chest wall is most likely pneumonia, and the enlargement of the left hilus and fullness in the prevascular mediastinum would be due to reactive adenopathy.",7356a3c4-b08d7964-33f10497-0dc8f50e-4c20aa7f
59258574,"There is significant opacification at the bases with enlargement of the cardiac silhouette and prominence of pulmonary markings. Heart is moderately enlarged, pulmonary and mediastinal vasculature is engorged and mild edema is present in the right lower lobe. ",524967a5-136b039a-0f60c1fe-2450be2a-a34378a7
59281953,There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib. There is hyperexpansion of the lungs consistent with chronic pulmonary disease with pleural thickening and blunting of the costophrenic sinuses as well as postsurgical changes at the right hilum and resection of the right upper rib.,47aa8fda-9852d351-ef7343e7-38ee20f2-b982b15d
59284918,"Post-operative appearance with bilateral small pleural effusions, greater on the right than the left. Post-operative appearance with bilateral small pleural effusions, greater on the right than the left.",af8f292e-eecbb702-9aeef1d2-46861e97-709d3307
59285132,Abnormal left mediastinal contour with rim calcified convexity at the AP window suggestive of a pseudoaneurysm arising from the aorta. There is some hyperexpansion of the lungs suggesting underlying chronic pulmonary disease with the cardiac silhouette at or above upper limits of normal.,8bedfff2-8d66e0f5-e4b03459-1e0fd124-b7efed95
59286076,"Limited exam with indistinct pulmonary vascular markings throughout which could potentially be to extremely low lung volumes, however, atypical infection or edema may have a similar appearance. Limited exam with indistinct pulmonary vascular markings throughout which could potentially be to extremely low lung volumes, however, atypical infection or edema may have a similar appearance. ",3706cb8c-281ab1eb-f066978e-bce7d893-4b60bca9
59289980,"Extensive pneumonia within the left lung. Extensive bilateral pneumonia, left preceding and greater than right primarily in the right mid and lower lung zones. ",6a3ffb5c-a406d8c7-ed1414d0-d1521e7f-48b48a9a
59299448,The cardiomediastinal silhouette and pulmonary hila are enlarged. The cardiomediastinal silhouette and pulmonary hila are enlarged.,db46fb79-5ef144b5-a30257dc-a364a08f-731905ea
59301985,Dobbhoff catheter tip in the duodenum. Dobbhoff catheter tip in the duodenum.,f2ea048e-52ada468-199a5a64-06f14cb3-76e57312
59306733,"Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is not evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is not evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. ",74728f75-0a018add-11c546f2-e847b4e1-25501802
59317044,"Retrocardiac opacification is consistent with substantial volume loss in the left lower lobe with associated small pleural effusion, consistent with mucous plugging. There is a left retrocardiac opacity which may be due to partial lower lobe collapse. ",f8f0ddd7-c4671c6e-c2f37429-85d69299-f23286bf
59325966,Mild elevation of the right hemidiaphragm with minimal atelectasis at the right lung basis. Mild elevation of the right hemidiaphragm with minimal atelectasis at the right lung basis.,c6db0413-f3266e66-031e9892-2809b536-c13cf9f2
59329945,The lateral radiograph shows degenerative vertebral disease and a lumbar fixation but no traumatic or compressive vertebral lesions. The lateral radiograph shows degenerative vertebral disease and a lumbar fixation but no traumatic or compressive vertebral lesions.,e8878eba-69ed4f98-5a498583-69912c0d-cf6a7773
59332553,"Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. Interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible.",165711e8-c8b71f3b-2d2cbf76-dca067bc-f2ba9089
59343122,"Cardiac silhouette appears to be enlarged and might potentially be related to the sickle cell crisis. There are hazy and linear parenchymal opacities with increased central pulmonary congestion and cardiomegaly, most compatible with cardiogenic pulmonary edema. ",8af32f0b-aeaad02d-8979cb3c-7935b38a-e1461335
59345475,"Removal of the endotracheal tube, right internal jugular Swan-Ganz catheter, mediastinal drains, left-sided chest tubes, and nasogastric tube in this patient status post median sternotomy for CABG and aortic valve replacement. Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. ",2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac
59350509,"Allowing for the AP supine technique, there is moderate enlargement of cardiac silhouette. Moderate to severe cardiomegaly, exaggerated by supine positioning, and increased mediastinal venous caliber.",e376439c-52cdf885-41f17afb-9a4a3fea-43c74d55
59357257,"The patient has had median sternotomy, cardiac valve replacement, probably mitral, and transvenous right atrial and ventricular pacer leads are in standard placements. There are chronic moderate cardiomegaly and/or found and fractured pacer leads.",937a086b-d6d3022b-88e3053e-885699b2-46431cc5
59358922,Small bilateral pleural effusions and enlarged cardiac silhouette. Small bilateral pleural effusions and enlarged cardiac silhouette.,fba838cc-fa4eb8b6-b3e8de64-e89c00ab-1bb9216a
59361128,"There is cardiomegaly with mild globular appearance which may suggest a component of pericardial effusion along with large bilateral pleural effusions and mild-to-moderate pulmonary edema. Bilateral pleural effusions, pulmonary edema, and marked enlargement of the cardiac silhouette suggest CHF, however underlying consolidation due to pneumonia at the lung bases not excluded in the appropriate clinical setting.",d8fc9055-45df8285-80757692-6ab96494-af6f56a0
59366677,Heart is borderline enlarged but the pulmonary vasculature is unremarkable. Heart is borderline enlarged but the pulmonary vasculature is unremarkable.,67d864d4-d51e968e-6523ea3d-51098156-ed3ea015
59371598,Apparent bibasilar opacities likely represent layering effusions with supine positioning. Apparent bibasilar opacities likely represent layering effusions with supine positioning.,e0c01c42-2132558f-c787b79d-98ea70a0-a03aeca7
59371821,Bibasal areas of atelectasis appear to be pronounced but there is left basal opacities that might potentially represent aspiration. AP chest: Lungs are substantially lower with moderately severe left and mild right basal atelectasis.,603b6fc2-24054d99-32b7b09a-fd1fec08-ca0b306f
59372049,There is peribronchial cuffing bilaterally suggesting reactive airway disease. There is peribronchial cuffing bilaterally suggesting reactive airway disease.,baf21f49-b3c34e24-016e1cf0-2d79e385-87cef256
59375093,"Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread.",6698971c-6ec76761-85ca680f-24dfc39f-790eb123
59375123,"Focal opacity in right cardiophrenic region and blunting of the right costophrenic angle, which may correspond to the opacity seen against the lower posterior chest wall. Focal opacity in right cardiophrenic region and blunting of the right costophrenic angle, which may correspond to the opacity seen against the lower posterior chest wall. ",ee7e973e-09b18407-53d2a8d5-becd082f-6debca86
59379638,"Severe enlargement of the cardiac silhouette due to severe cardiomegaly and/or pericardial effusion.There is probably a substantial hiatus hernia. Therer are severe cardiomegaly, tortuous aorta, and hiatal hernia. ",93b163fa-7f80655a-ef8a0aa1-a7f79efd-6feebd5f
59379876,"There are pleural thickening along the lateral chest wall extending into the right major fissure and pleural thickening at the apex of the right lung. A PA and lateral chest:  There are miminal pulmonary edema, extensive right pleural thickening or loculated fluid at the periphery of the right lung. ",f2519fc1-a453a942-fcb47d26-f30fa862-72fc2107
59381739,No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly. No acute process with findings of right atrial lead revision and moderate-to-severe cardiomegaly.,35901623-dfa281b0-60bd2a48-cb5eacfb-bbab810e
59395427,"Severe uniform bilateral pulmonary consolidation is probably more pronounced, with increasing moderate bilateral pleural effusion right greater than left. To what extent the progressing consolidation on the right is hydrostatic edema, diffuse alveolar damage or multifocal pneumonia is radiographically indeterminate, but I am aware that the patient is receiving large volumes of fluid resuscitation. ",540bedcf-8202c1a0-6499b7ab-c43d0c66-a287c997
59397956,AP chest: Lungs clear. AP chest: Heart size is normal and pulmonary vasculature unremarkable.,ef98f5b9-a2a8261a-8138e17e-bc61edb2-729d5908
59402852,"There are low lung volumes with the monitoring and support devices. Lung volumes are reduced, and slightly minimal aeration at both lung bases, likely due to a combination of pleural effusions and atelectasis. ",39fd5a3b-600c7c44-8426c20e-dafdd287-f5b59fca
59409427,"Presence of mild fluid overload, bilateral mild to moderate pleural effusions as well as relatively extensive basal and retrocardiac areas of atelectasis. Cardiac silhouette is enlarged with elevation of pulmonary venous pressure with layering effusions and basilar volume loss, especially involving the left lower lobe. ",7f267ae9-96a871a2-d6201f05-95d76d1d-0e0ce72b
59413372,"Large multiloculated right hydro pneumothorax. Large right hydro pneumothorax and under expanded right lung, despite the right basal pleural drainage catheter. ",fef81fa7-75d8ca91-07651606-538e5b40-bb00dbff
59427483,There is enlargement of the cardiac silhouette with pulmonary vascular congestion in this patient with previous CABG and intact midline sternal wires. There is enlargement of the cardiac silhouette with tortuosity of the aorta and some residual indistinctness of pulmonary vessels consistent with mild elevation in pulmonary venous pressure.,77283979-b7b02317-bf3cf53e-4068c643-ba29c7d7
59438963,Superior displacement of right proximal humerus with narrowing of the acromiohumeral distance suggestive of chronic rotator cuff tear and associated degenerative changes. Marked irregularity of proximal right humerus likely reflects prior fracture.,099dc924-692466a3-cd889469-1d9dee6c-3a61f779
59440363,"PA and lateral chest: Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. PA and lateral chest: Transsubclavian atrial, right ventricular pacer defibrillator leads follow their expected courses from the left axillary pacemaker. ",368f87de-9f5ace1d-685ab2ab-845aa8b8-5fd1e2ed
59454336,"Nevertheless, there is substantial enlargement of the cardiac silhouette with bilateral pleural effusions an areas of compressive lung volume loss. Cardiac silhouette is enlarged and there is pulmonary vascular congestion with bilateral pleural effusions and compressive atelectasis at the bases.",f39b05b1-f544e51a-cfe317ca-b66a4aa6-1c1dc22d
59480672,"There is fluid-filled loops of bowel in the large hiatus hernia now fluid-filled. There are evidence of prior left thoracotomy, extremely tortuous thoracic aorta, and a convex upward abnormality filling the left lower lateral pleural sulcus, probably a small trans diaphragmatic herniation of subphrenic fat. ",4dab8652-904d5fa6-0cbdc7ce-b4ef75fa-17ddb82e
59480739,"Moderate congestive heart failure with small to moderate size bilateral pleural effusions, left greater than right, and bibasilar compressive atelectasis. Moderate congestive heart failure with small to moderate size bilateral pleural effusions, left greater than right, and bibasilar compressive atelectasis. ",04d8b146-8f27fd48-e07afc43-464529fc-57350e1b
59481059,"AP chest: Post-operative widening of the mediastinum is in the region of the arch, but there may be an increased caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular Swan-Ganz catheter. AP chest:  Severe mediastinal widening. ",b3a377e6-a4f90277-7bd8361f-bfc64687-a4ee054b
59488278,"A PleurX catheter is barely visible at the base of the right lung, extending upward across the midline, impinging on the mediastinum, and there is mild right pneumothorax. A PleurX catheter is barely visible at the base of the right lung, extending upward across the midline, impinging on the mediastinum, and there is mild right pneumothorax. ",2490c254-7417637a-6aa79f1e-ce072f64-173c1e05
59502822,Heart with continued tortuosity of the aorta. Heart with continued tortuosity of the aorta.,737016db-c820a9cb-11c8e000-a5eef752-c1d20274
59503672,"AP chest: Appearance of the lower lungs suggests either mild interstitial lung disease or mild edema in the setting of emphysema. AP chest: Lungs mildly hyperinflated, could be emphysematous.",146e8390-fd657795-492c6a0b-7aaa1bef-06c08c00
59504314,"PA and lateral chest: There are minimal to mild interstitial pulmonary edema and bilateral pleural effusions, the irregular right juxtahilar mass-like consolidation. PA and lateral chest: There are minimal to mild interstitial pulmonary edema and bilateral pleural effusions, the irregular right juxtahilar mass-like consolidation.",f04b1aeb-e42a14c0-ad437e4e-dee054c7-e24bbe86
59504476,The lateral radiograph shows degenerative vertebral disease and a lumbar fixation but no traumatic or compressive vertebral lesions. The lateral radiograph shows unchanged degenerative vertebral disease and a lumbar fixation but no traumatic or compressive vertebral lesions.,70ad5a5e-35834f2a-a5619c1e-5deaac58-b6657063
59505688,"Severe enlargement of the cardiac silhouette is chronic, accompanied by recent, persistent mediastinal widening probably due to venous distention indicating elevated right heart pressure. Massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. ",0fecd070-24b67744-93fe3cdb-429860a4-386b63f5
59507972,Dual lead pacemaker and median sternotomy wires are in position. Small bilateral pleural effusions and left basal atelectasis. Dual lead pacemaker and median sternotomy wires are in position. Small bilateral pleural effusions and left basal atelectasis.,2a04d342-b9a115ec-6a14561e-678580c9-d2feb9ec
59509358,"Hazy opacification primarily within the right perihilar region could reflect asymmetric pulmonary edema though aspiration, hemorrhage or infection is not excluded. Asymmetrically distributed perihilar alveolar opacities, right greater than left, could reflect asymmetrical edema or coexisting infectious pneumonia. ",596ada03-4cd1298c-35965d3c-db44850a-0baa9257
59510962,"Evidence for placement of a pigtail catheter in the left pleural space with and substantial reduced affection of the large pleural effusion. AP chest.  Large left pleural effusion, nearly collapsing left lung, with moderate rightward mediastinal shift and probably responsible for moderately severe atelectasis in the right lower lobe.",a1c0c58e-8c137d13-93b93845-da0433ee-9ccb3c91
59519248,PA and lateral chest: Borderline cardiomegaly. PA and lateral chest: Borderline cardiomegaly.,1129d3bb-924babcc-6bcb3caf-4a76b42e-b4b64f89
59522601,Appearance of disseminated lung cancer and right-sided pneumothorax. PA and lateral chest:  There is no right apical pneumothorax but there is re-expansion of the collapsed right middle lobe filling that space.,efe3cdc5-c0ced06a-212a5901-9c1ee7c7-bbbe0e6b
59523573,AP chest: Lung volumes are very low and large areas of both lungs are obscured by hemidiaphragm on the right and heart on the left. AP view of the torso centered at the diaphragm: Loops of catheter projecting over the midline abdomen cannot be traced for patency.,6cbf6e4a-3f35b74e-ea811e34-73b49766-fa916b88
59523783,"Cardiac silhouette is enlarged with some elevation of pulmonary venous pressure and probable layering effusions with compressive atelectasis at the bases. There are severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema.",c6e5e02a-e2e30f50-3bb2f2f2-ab3882d4-b94c8610
59532499,"AP chest: Asymmetry in opacification of both sides of the hemithorax is due to moderate right pleural effusion layering posteriorly and possible asymmetry in perihilar infiltration most likely due to pulmonary edema. AP chest: Although interstitial pulmonary edema is mild, moderate right pleural effusion is significant, accompanied by greater distention of mediastinal veins. ",33cbca42-cc8136d7-714fe7b7-c6fd6342-7bfbd4f1
59535316,"There are significant bilateral, left greater than right, alveolar opacities, worrisome for multifocal infection with possible superimposed component of edema. Widespread fibrotic interstitial lung disease is demonstrated as well as significant confluence of opacification in the left perihilar and retrocardiac regions, potentially due to developing infection in the appropriate clinical setting.",38ea1228-340e5c29-16578c7c-9c80eaed-1bb35307
59542064,"AP chest: Widespread pulmonary opacification is signficant, particularly in the lower lungs, but the pattern is still consistent with progressive pulmonary edema. AP chest: There are signficant opacification of both lungs, substantial component of pulmonary edema and pleural effusions, which make it difficult to assess pneumonia.",44265749-00dd7405-287e7f77-b68607f3-663cc2f7
59557085,Pulmonary edema with triple- lead pacer remaining in place. Pulmonary edema with triple- lead pacer remaining in place.,35526265-ad9db1b3-08d311e6-d1193a33-473315c3
59560734,"There are loculated, moderate right hydro pneumothorax and moderate dependent pleural effusion. There are loculated, moderate right hydro pneumothorax and moderate dependent pleural effusion.",871b39ac-d22367db-2644f680-703ffc97-e29ad517
59568059,Minimal atelectasis at the right lung basis and elevation of the right hemidiaphragm. There are significant elevation of the right hemidiaphragm with right  basilar subsegmental atelectasis. ,0edc4350-79bed040-c995383a-424e4573-a701ab07
59569764,Moderate right pleural effusion with collapse of the right middle lobe and large atelectasis in the right lower lobe. Moderate right pleural effusion with collapse of the right middle lobe and large atelectasis in the right lower lobe.,ca6c3a22-e08cabaf-4c95b666-384ca2dc-25e4e850
59573711,"There are moderate to severe cardiomegaly, exaggerated by supine positioning, large mediastinal venous caliber. There are moderate-to-severe cardiomegaly and significant mediastinal veins dilated, perhaps a reflection of supine positioning. ",fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12
59584894,Nodular opacities project over the right mid to upper lung zone. Nodular opacities project over the right mid to upper lung zone.,2f8885a1-06440c4f-d3013600-227e0bbf-1a438c73
59589248,There is loculated hydro pneumothorax at the right base with chest tube in place. There is significant loculated pneumothorax at the right base. ,60781ae0-7016f7ed-54a825ab-7509c1b0-9b9b2725
59599357,Significant right greater than left moderate pleural effusions and associated atelectasis with mild pulmonary vascular congestion. Moderate to large bilateral pleural effusions and compressive atelectasis of bilateral lung bases are noted.,e1a199d2-0a67b663-57e4049b-c809b2ac-789cce80
59608214,"AP chest: Right apical pleural space is minimal, traversed by a pleural drain. AP chest: Significant right pleural effusion or pleural thickening. Apical pleural tube in position. ",e26df0e6-03380fa6-44f4ce97-dbb30b9d-c1bc0ec5
59608718,Right hydropneumothorax and right chest wall subcutaneous emphysema. Moderate right pleural effusion with small right hydropneumothorax.,c418a7ea-f382ef9c-a8aa6045-d0ecf7cb-87214437
59610928,Cardiomegaly with aneurysmally dilated and tortuous thoracic aorta. The patient is rotated giving rise to apparent cardiomegaly with obscuration of medial right lower zone.,b5d3da06-fd20e016-8b1924e1-3ff9ceed-fb365036
59612133,Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place. Moderate enlargement of the cardiac silhouette with pulmonary vascular congestion and dual channel pacer device in place.,a0ff876f-331fe46d-c522fdea-c26a2300-676e3cfa
59631450,"PA and lateral chest: Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery. PA and lateral chest: Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery.",5b73306f-64ed83f7-dc6e0957-f8d1a9b2-bdd393f3
59633653,"Large opacity projecting over the right mid-to-lower hemithorax may represent combination of pleural effusion and atelectasis, underlying consolidation is not excluded. Large opacity projecting over the right mid-to-lower hemithorax may represent combination of pleural effusion and atelectasis, underlying consolidation is not excluded. ",1d7c427a-6e76e27f-2aa441d5-dc1ce213-c075b375
59638609,"Three AP views of the chest. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus beyond the upper stomach. Three AP views of the chest. Dobbhoff feeding tube, placed in the right bronchial tree, and in the lower esophagus beyond the upper stomach.",f4ed24b7-7ce4f984-cadc1a40-43fde803-53ae7d9b
59642258,"AP chest:  Mild to moderate right pleural effusion following placement of a pigtail pleural drainage catheter, which is coiled over the right diaphragmatic region. AP chest: Small right pleural effusion with an elliptical fissural component. ",74634e78-46bff1c6-0f55af35-ffc09ea6-543ee803
59644344,"AP chest: The patient has very severe emphysema, with totally absent vasculature in the mid and upper right lung. AP chest: The patient has very severe emphysema, with totally absent vasculature in the mid and upper right lung.",3960bfee-3d775493-bb08f568-81bff471-ef4dfaa5
59644580,"Pacemaker leads are in position  There is bilateral perihilar relatively homogeneous opacities most likely representing pulmonary edema and associated shin with small amount of pleural effusion. Opacification diffusely involves the right hemithorax, most likely representing asymmetric pulmonary edema in a patient with substantial enlargement of the cardiac silhouette, evidence of previous cardiac surgery, and a biventricular pacer device in place. ",d2ff69b9-d6534a05-a33ca72e-8d998fcf-78a65663
59646245,"Left basilar patchy and streaky opacity appears signifcant, possibly atelectasis though infection or aspiration is not excluded. Left basilar patchy and streaky opacity appears signifcant, possibly atelectasis though infection or aspiration is not excluded.",8ce33378-337bc3e6-2915b9bf-0ea16f16-2c986cfe
59648796,"The pre-existing known parenchymal opacities and scarring at the level of the upper lobes, right more than left, the left lung bases and the right lung bases. Bibasal consolidation are diffuse and are concerning for interstitial pulmonary edema most likely in the presence of substantial emphysema. ",370db7dd-bdd6ffce-5e0e6b83-bc6f534f-61ce5045
59649088,Moderate sized left pleural effusion and mild-to-moderate pulmonary edema/vascular congestion suggesting acute heart failure. Heart size is large and moderate to severe left pleural effusion as well suggest all findings could be due to signficant edema.,32f9d0a6-a71c3e37-8285ac35-90d110a9-d3f838cf
59652151,"Extensive bilateral airspace opacities which are in keeping with the provided history of ARDS. AP chest :  Severe widespread pulmonary consolidation, initially in the right upper and lower lobes, and then throughout both lungs accompanied by moderate to severe left and small right pleural effusions. ",9fe1d7c8-517e71cd-ac942a65-345092b2-8bbb82c0
59654440,"AP chest: Mediastinal veins are normal caliber, suggesting that there is no volume overload, even though there is borderline interstitial pulmonary edema, and a small right pleural effusion. There are right internal jugular vein catheter in correct position, mild pulmonary edema, and mild cardiomegaly.",981f5956-9dbb9f69-8b7bbf12-b872f7a3-16f09cf4
59654928,Findings of heart failure including moderate cardiomegaly and interstitial pulmonary edema. Findings of heart failure including moderate cardiomegaly and interstitial pulmonary edema.,4db0b107-b92cf8bd-4725e810-1ceb5f96-fcbd4d2a
59669144,"PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. PA and lateral chest: There are moderate cardiomegaly and pulmonary vascular congestion, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease.",41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279
59671026,"There are significant bilateral pleural effusions, and moderate to severe interstitial pulmonary edema reflecting fluid overload. Findings consistent with CHF, including extensive interstitial edema and probable small areas of alveolar edema, as well small bilateral effusions.",87694c3c-e07ea01b-0ee35fd8-55a7defd-8e318d65
59672442,"Bibasilar peribronchial opacification, greater on the right, could be atelectasis, and would be concerning for pneumonia particularly aspiration, especially in the right lower lobe, and the findings could be due to pulmonary infarction and hemorrhage instead. AP chest. As denoted by great vascular congestion, mild pulmonary edema may account for the significant heterogeneous consolidation in both the lower lungs, or this could be due to pneumonia aggravation. ",67486f3c-a4ef806f-47d7541c-c1f00d2e-9c2f09fe
59679445,"Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect. Neither the extensive asbestos-related pleural plaque nor the large right intraatrial mass or thrombus is evident, although the course of the right ventricular pacer defibrillator lead suggests displacement by that atrial filling defect.",6e061299-d827a367-715485b9-dc146072-974eb92a
59680684,There is a doboff tube with the tip in the proximal stomach. There is an placement of a Dobbhoff tube that is coiled within the fundus of the stomach.,2e87f158-0b24dcfb-c1faa72a-75f96efd-3e82f4c4
59684377,The cardiac silhouette remains at the upper limits of normal or mildly enlarged with tortuosity of the descending aorta. Cardiomediastinal contours suggest moderate cardiomegaly and tortuous aorta.,cc94c95e-0ab572e9-4530d0e6-f22f983e-4b10755a
59685259,Patient has had mitral and tricuspid valve surgery. Patient has had mitral and tricuspid valve surgery.,553f6199-37bc0e92-8f246bbd-f36f847e-8d0c8e14
59688743,"Multiple calcified granulomas in right upper lung. Multiple calcified granulomas are seen projecting over the bilateral lungs, the largest measuring 6 mm on the right and 4 mm on the left. ",09eef487-ce5f18a5-ba553a04-30f2617c-4f4a6692
59697640,Hyperexpansion of the lungs is seen with biapical scarring especially on the right. Hyperexpansion of the lungs is seen with biapical scarring especially on the right. ,20ae33e5-c3a0b30d-d737101f-b47e9ae1-d804765a
59698565,"Pulmonary edema with small bilateral pleural effusions and right hilar and middle lobe consolidative opacities, suggestive of pneumonia. Pulmonary edema with small bilateral pleural effusions and right hilar and middle lobe consolidative opacities, suggestive of pneumonia. ",3266c7b2-a469a79f-ec915bdc-b0101f49-8eaaf917
59698726,"Focal airspace opacity within the right mid upper lung is seen predominantly on the AP views, and suspicious for pneumonia in the appropriate clinical setting. Focal airspace opacity within the right mid upper lung is seen predominantly on the AP views, and suspicious for pneumonia in the appropriate clinical setting. ",91031e5e-6f1e3df2-774ccea8-0e77fbca-e12d0749
59700587,There is interstitial thickening of bilateral bases and right middle lobe due to fibrosis and bronchiectasis.  It is difficult to exclude underlying pneumonia. There is interstitial thickening of bilateral bases and right middle lobe due to fibrosis and bronchiectasis. It is difficult to exclude underlying pneumonia.,cc5ac61e-f2bd2109-93d1046f-d8eba485-5a753deb
59702344,"Severe enlargement of the cardiac silhouette is chronic, accompanied by mediastinal widening probably due to venous distention indicating elevated right heart pressure. Enlargement of the cardiac silhouette and right basilar opacity which likely represents combination of pleural effusion and atelectasis. ",d52c36ac-6e608971-bbafb23d-06547ea6-1979d9e3
59707249,"There is the cardiac silhouette and heart and lungs, and the monitoring and support device. The monitoring and support devices are in position, as is the appearance of the enlarged heart and tortuous aorta.",bbad6bc5-31fe40b0-2bc52219-211c9426-e57faa9b
59712299,"In the absence of evidence of adenitis elsewhere, the right infrahilar opacity is unlikely to be isolated adenopathy due to TB. In the absence of evidence of adenitis elsewhere, the right infrahilar opacity is unlikely to be isolated adenopathy due to TB. ",cfba203e-fe166598-71452568-2adea590-f7158b8f
59716296,"3 images are submitted, showing sequential progression of the esophageal feeding tube with the wire stylet in place from the upper midline on image labeled #1., to the mid esophagus on #2, to the distal esophagus on # 3.  . 3 images are submitted, showing sequential progression of the esophageal feeding tube with the wire stylet in place from the upper midline on image labeled #1., to the mid esophagus on #2, to the distal esophagus on # 3.  . ",7c499c84-2b72bcf9-4271a344-f85a3488-f06eca31
59721249,Resolution of a left lower lobe pneumonia with left pleural scarring and elevation of the lateral left hemidiaphragm. Resolution of a left lower lobe pneumonia with new left pleural scarring and elevation of the lateral left hemidiaphragm.,bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1
59735304,Bibasilar linear and subsegmental atelectasis. Bibasilar linear and subsegmental atelectasis.,1a0662d4-8bee75af-c5c452a9-4b43c737-b74d27c1
59735543,"There are mild pulmonary vascular congestion, severe cardiomegaly, but no pulmonary edema. AP chest: There are severe cardiomegaly, mild to moderate pulmonary vascular and mediastinal congestion,  but no pulmonary edema, appreciable pleural effusion or pneumonia. ",92b3ce9d-9a7bb494-1dec6d0b-93cf4386-82995e53
59741915,"Mild elevation of the right hemidiaphragm, with platelike atelectasis at the right lung basis. Signifcant elevation of the right hemidiaphragm and linear scarring in the left mid lung zone. ",484ad440-175df0f1-5dfa85f0-c66c85d9-8b671d66
59748962,"Massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. Massive enlargement of the cardiac silhouette, concerning for large pericardial effusion. ",1dfc0e48-5089885c-04550c95-ad10c948-f2488a05
59749696,"AP chest: Lungs clear aside from mild left basal consolidation which could be atelectasis. AP chest:  Although heart size is normal, pulmonary vasculature is not engorged, there is mild distention of the azygos vein so that bibasilar pulmonary opacification could represent edema. ",4ce9e5bc-91147696-d0c4b6cd-fc5ffa18-c485b700
59753947,"AP chest: Lung volumes are lower, but lungs are clear. AP chest: Lung volumes are lower, but the lungs are clear, heart is normal size and there is no pleural abnormality. ",8062997c-91b95843-31ddb21e-b92bf46a-73af4721
59756815,"Right paratracheal opacity without indentation on the adjacent trachea may relate to prominent vascular structures and/or mediastinal fat; however, recommend further evaluation with nonurgent dedicated PA and lateral views of the chest or chest CT. No evidence of free intraperitoneal air based on a semi supine film. ",80e284b5-fdeeb82c-1b888818-0881ac87-eeaaeffa
59760473,"Left lung is generally clear, but there is recurrent obscuration of the descending thoracic aorta which could be due to adjacent atelectasis in the lower lobe, when bronchiectasis was visible in the posterior basal segment ; this may be responsible for segmental collapse. There are moderate cardiomegaly, elongation of the descending aorta, sternal wires, small left pleural effusion, combined to retrocardiac atelectasis.",92ed1b87-016202fb-06cb6d9b-524f6193-a2cafa9c
59761780,"Moderate right pleural effusion is signficant, and the lateral view suggests a pneumonia may be present in the superior segment of the right lower lobe Enlargement of the postoperative cardiomediastinal silhouette. Moderate right pleural effusion is significant, and the lateral view suggests a pneumonia may be present in the superior segment of the right lower lobe. Enlargement of the postoperative cardiomediastinal silhouette. ",7f83f5d5-3afe2911-3b666b80-5dbde6e1-f2a9d980
59762262,Limited exam due to large body habitus. Limited exam due to large body habitus.,69a388e4-94fb2974-fac79369-7a8ffbfd-0331e4d3
59763018,"Temporary pacing lead is in place with that lead likely terminating in the right ventricle. Right jugular sheath ends at the origin of the SVC, transvenous right ventricular pacer defibrillator lead is in standard position.",e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c
59775769,"Left lower lobe pneumonia is obscured by moderate pulmonary edema and bilateral pleural effusions. There are moderate pulmonary edema and moderate bilateral pleural effusions, and lung volumes remain very low, reflected in severe left lower lobe atelectasis. ",d80a6738-8d88d0fb-04d18b57-35d87a21-0ec6ff6a
59787158,No acute process with poor visualization of the T10 and T11 fractures. Likely preexisting interstitial lung disease. There is enlargement of the cardiac silhouette with tortuosity of the aorta and some residual indistinctness of pulmonary vessels consistent with mild elevation in pulmonary venous pressure. ,b0a3c7f8-26d03d87-2b85a969-b02fab24-22c44433
59788853,"AP chest:  Hyperinflated right lung is good evidence for COPD, either small airway obstruction or emphysema or both. AP chest: Lungs are clear, possibly hyperinflated, most commonly due to small airway obstruction or emphysema.",2e8951da-ac479fb3-79e5a820-7bb84b0f-5b41ef08
59790228,"The opacification at the right base appears to be significant, raising the possibility of superimposed pneumonia in this patient with hyperexpansion of the lungs consistent with chronic pulmonary disease. There is opacity at right greater than left lung apices. ",dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c
59791814,"Aside from mild-to-moderate scoliosis, centered in the mid thoracic spine, this is a normal chest radiograph. PA and lateral chest:  Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained. ",31639564-55c66aa7-7df2435c-cd3f159f-35b723f1
59794465,"Lung volumes are lower exaggerating mild pulmonary edema and severe right basal atelectasis, and enlarging moderate bilateral pleural effusion. There has been significant opacification at the right base, most likely reflecting a combination of prominent pleural effusion and substantial volume loss in the right middle and lower lobes.",e6250467-5024835a-ee6e25b1-59ef82bc-d2a286a5
59794546,"AP chest: Lung volumes are quite low, exaggerating what is at least mild cardiomegaly and some pulmonary vascular engorgement, and probably explaining mild-to-moderate bibasilar subsegmental atelectasis. AP chest: There are borderline cardiomegaly and pulmonary vascular congestion, though I see no frank pulmonary edema or appreciable pleural effusion.",002ec547-39998a44-001fa06f-b2d03591-048c0d40
59798652,"AP chest: Lung volumes are low, heart moderately enlarged, mediastinal veins dilated, and pulmonary vasculature only minimally engorged. AP chest: Lung volumes are quite low, presumably due to abdominal organomegaly, and there is substantial right basal atelectasis.",09b5b0a8-2cb137c2-240ac597-66295226-2b2af51c
59798967,There is significant in the opacification at the right base. There is significant in the opacification at the right base. ,4768d670-31d218ed-86c26700-a7daf75d-5fe57928
59804376,"No definite acute cardiopulmonary process; however, diffuse sclerotic osseous metastases throughout the visualized osseous structures obscures detailed evaluation of the lungs. No definite acute cardiopulmonary process; however, diffuse sclerotic osseous metastases throughout the visualized osseous structures obscures detailed evaluation of the lungs. ",ab08af63-948a2416-3f9f6080-5d16badd-02c43b45
59808558,Extremely low lung volumes with bibasilar opacifications consistent with pleural fluid and atelectasis. Lung volumes are very low with significant bibasilar consolidation due either to dependent edema or combination with atelectasis.,d06735eb-af56afba-fcf0d03b-004b6c6c-93909724
59816233,"Severe cardiomegaly is accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. Lung volumes are substantially lower exaggerating a moderate pulmonary edema, severe cardiomegaly, and severe left lower lobe atelectasis.",5e2919b3-f5b224d9-f8a61359-61a65dbd-1f996976
59825509,"The hemidiaphragms are poorly seen with hazy opacification at the bases, consistent with layering pleural effusion and volume loss in the lower lobes, especially on the left. Left basilar opacification suggests volume loss in the lower lobe with pleural fluid, which could be related to splinting following rib fractures. ",4598aebc-969c6b3b-a13242a3-a9bd01f3-b870c101
59826830,AP chest and an image of the right humerus:  Short vascular catheter projects over the mid right humerus. AP chest and an image of the right humerus:  Short vascular catheter projects over the mid right humerus.,d531af35-5e195d3a-0756d7c2-7e3aff86-d6c94461
59828891,Interstitial edema with associated left-sided pleural effusion in the setting of moderate cardiomegaly. Interstitial edema with associated left-sided pleural effusion in the setting of moderate cardiomegaly.,ac8313a2-9e5439a8-e287d978-72c66b71-8d91da34
59836321,"Enlargement of the cardiac silhouette with hazy opacification on the right consistent with substantial layering pleural effusion. AP chest: Generalized opacification in the right hemithorax is due largely to a  large right pleural effusion projected over at least moderately severe pulmonary edema, seen better in the left lung.",1452c2ed-ce6c7d7b-02bcde56-a4636a4f-849b5534
59838108,AP chest: Large scale opacification of the left lower lobe is probably collapse. Opacification of the left lower lobe with volume loss and leftward shift of mediastinal structures most compatible with partial left lower lobe collapse in keeping with right mainstem bronchus intubation.,22bfb9c3-48dc5066-5924828a-23e779f2-11ad6018
59839373,AP chest compared to coarse reticulation in the lower lungs is presumably pulmonary fibrosis. Emphysematous lungs with superimposed pulmonary edema.,2c64848d-cd007bfa-b3e2c794-d206cd7b-26b4ec95
59842151,Moderately severe pulmonary edema moderate cardiomegaly pronounced since then following tracheal extubation. Moderately severe pulmonary edema moderate cardiomegaly pronounced since then following tracheal extubation.,430e6100-bae3aa34-d72132a7-2c61b505-8d2056bb
59842808,"Indwelling right internal jugular central venous line comment ET tube, and transesophageal drainage tree overall in standard placements. AP chest: Pulmonary vascular congestion is minimal on the right, residual edema in the perihilar left lung. ",bbdcb05c-156dd562-ae7470ee-946facfc-07efcfcd
59857884,"Hyperinflated lungs with mild bibasilar opacities which may represent atelectasis although underlying aspiration or infection not excluded. Medial biapical airspace opacities and mild vascular congestion, possibly secondary to aspiration; but underlying infection cannot be excluded.",832a229c-642318e5-0b042be6-fc394a0a-c8c99a46
59862902,"There is enlargement of the cardiac silhouette with mild prominence of interstitial markings that could represent elevated pulmonary venous pressure, chronic pulmonary disease, or both. There is enlargement of the cardiomediastinal silhouette with poor definition of engorged pulmonary vessels, consistent with pulmonary vascular congestion. ",02ed59f0-43d0aa6f-4bf3340b-c891b4b8-42ea5f9b
59870920,"Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. Cardiomegaly and interstitial prominence, right greater than left concerning for asymmetric edema versus lymphangitic tumor spread. ",9e0fc31a-ce25b7bc-30362279-d96a0c0c-f6d54e86
59875098,Fullness of the left perihilar region compatible with known mass. Emphysema. Fullness of the left perihilar region compatible with known mass. Emphysema. ,9188d253-7432f199-b8668189-c4b015e6-24ed4f79
59876822,There are extensive pleural calcifications consistent with asbestos. No evidence of acute pneumonia or vascular congestion. There are extensive pleural calcifications consistent with asbestos. No evidence of acute pneumonia or vascular congestion.,ab062fe2-bf183eec-059ed8b1-b3b1917c-26fe6fdc
59884344,"AP and lateral chest: Lung volumes are quite low, making it difficult to interpret the significance of increased opacification at the lung bases, particularly the right. AP and lateral chest: Lung volumes are quite low, making it difficult to interpret the significance of increased opacification at the lung bases, particularly the right.",927fb781-4f9bc44e-a7fdd883-151703e1-8e450752
59886749,"Healed fracture deformity, proximal right humerus. Superior displacement of right proximal humerus with narrowing of the acromiohumeral distance suggestive of chronic rotator cuff tear and associated degenerative changes. ",a31cf547-a85da812-785f9396-ec422967-38d69e1c
59891116,Enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure and relatively small bilateral pleural effusions with underlying compressive atelectasis. Enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure and relatively small bilateral pleural effusions with underlying compressive atelectasis.,17a72ae0-23c30abe-90d2e3d6-03c3c393-2cbeda3d
59915934,"It could be due to vascular engorgement, but given evidence of prior median sternotomy and coronary bypass grafting, an acute aortic syndrome needs to be excluded, if not clinically, then with imaging. Enlargement of the cardiac silhouette with prominence of interstitial markings that could reflect pulmonary vascular congestion, chronic pulmonary disease, or both.",4584e73d-af69492e-8ad8e520-97439184-5c788f58
59918608,"Supine positioning probably exaggerated severe cardiomegaly, but there is the suggestion of mild pulmonary edema. Moderately severe cardiomegaly, accompanied by severe mediastinal venous engorgement and probable mild pulmonary edema. ",8fd47aef-a0002ac5-00dd791e-784fc4a3-a7bc5026
59920150,"Thickening of the right apical pleural margin could be a lung tumor, although there is abnormality in the right lung apex that looks like bronchiectasis or scarring. Emphysema with right apical pleural cap, likely scarring and pleural fluid after pleurodesis. ",802aa49f-a2a5d56e-91eab903-012ba3a8-2bfc4156
59937017,"AP chest: Moderate right pleural effusion is signficant despite the right basal pleural pigtail drain. AP chest: Although interstitial pulmonary edema is mild, moderate right pleural effusion is significant, accompanied by greater distention of mediastinal veins. ",ea9b867c-c8a2b175-f813e34d-9ae7229d-23ab7c24
59938198,Blunted right costophrenic angle with opacity along the right mid to lower pleura could be due to pleural thickening and/or pleural effusion. Blunted right costophrenic angle with opacity along the right mid to lower pleura could be due to pleural thickening and/or pleural effusion.,e2a298e7-794b6f39-1efd0c79-f922ddff-2b8f0010
59941176,"Significant opacities of the right middle lobe, right lower lobe, and possibly left mid-lung, compatible with infection superimposed on the patient's known lung cancer. Significant opacities of the right middle lobe, right lower lobe, and possibly left mid-lung, compatible with infection superimposed on the patient's known lung cancer.",b8dfd605-1122ed45-3fd45f18-5d90932a-5f2dab90
59941702,"Patient has been extubated which may account for large caliber of the cardiomediastinal silhouette as well as moderately severe left lower lobe atelectasis and mild to moderate atelectasis at the right base. AP chest: There is mild generalized edema, but there is greater consolidation in the left lower lobe, with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis.",df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d
59942551,"PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained. PA and lateral chest: Thoracic scoliosis is mild, but vertebral bodies and disc space heights are maintained.",4e536fbd-1d3c1f99-c3494ba6-918a4177-3e3b72ff
59947539,"There are moderate to severe cardiomegaly, exaggerated by supine positioning, large mediastinal venous caliber. Allowing for the AP supine technique, there is moderate enlargement of cardiac silhouette.",b90427be-b8e2a5b2-d96a239f-5b791587-230e2fe5
59953900,Heart is upper limits of normal in size and accompanied by pulmonary vascular congestion and interstitial edema. The cardiac silhouette is more prominent and the pulmonary vessels are engorged and not as sharply seen.,a6af277c-9bba350e-4a71b3e8-137d82db-cb01dd0e
59956491,"There are severely enlarged cardiac silhouette, moderate right pleural effusion, pulmonary edema, predominantly in the lower lungs where there is heterogeneous consolidation. There are moderate to severe pulmonary congestion and mild to moderate interstitial edema, moderate right pleural effusion, and moderate to severe left basilar atelectasis, consistent with acute CHF exacerbation.",721e19bf-893cd83c-ea610180-ee56a931-b0b7c146
59956784,Small right greater than left pleural effusions are significant with indistinct pulmonary vascular markings and cardiomegaly suggestive of congestive failure. Small right greater than left pleural effusions are significant with indistinct pulmonary vascular markings and cardiomegaly suggestive of congestive failure.,a4398b56-ec603dc8-a33c3c3b-d4969bf3-6ae3e7b1
59962443,"Continued enlargement of the cardiac silhouette in a patient with elevated pulmonary venous pressure and right apical thickening as well as substantial chronic pulmonary disease. Finding suggesting slight vascular congestion or fluid overload, as well as enlargement of pulmonary arteries, but with no evidence for superimposed pneumonia. ",93e655d4-f85397d7-f5a5bd25-3ff6da79-c4342fc6
59966980,A series of 3 sequential frontal chest radiographs starting at 17:55 show significant advancement of the Dobbhoff feeding tube to the lower esophagus. A series of 3 sequential frontal chest radiographs starting at 17:55 show significant advancement of the Dobbhoff feeding tube to the lower esophagus.,c810fda6-49f22def-580efb22-d9ed1837-c3e002b1
59968351,Severe degenerative changes at both shoulders include probable rotator cuff tears. Chronic non-healed fracture of right humerus noted.,9eef23a6-9ec5cac1-17521310-3e505395-c63ed35d
59969148,"Lung volumes remain low and there is diffuse bilateral parenchymal process which are moderate pulmonary and interstitial edema rather than pneumonia. AP chest: Low lung volumes makes it difficult to exclude a basal consolidation, particularly on the right, but all the findings can be explained by significant pulmonary vascular engorgement,accompanied by a moderate cardiomegaly and persistent mediastinal vascular engorgement.",234437dc-32485521-78bd0c1a-5997bd43-47401378
59970698,"A PleurX catheters in place on the right, where there is the basilar opacification consistent with pleural fluid and compressive atelectasis. A PleurX catheters in place on the right, where there is the basilar opacification consistent with pleural fluid and compressive atelectasis.",02088c92-5c6bfe4f-9fd824af-09b698c6-a2ac2b87
59980986,Patient is status post left blebectomy and pleurodesis with no residual pneumothorax seen. Patient is status post left blebectomy and pleurodesis with no residual pneumothorax seen.,380fda55-d2283afd-511dcad7-803d3b6a-ed8c6b64
59981256,A Swan-Ganz catheter is in position terminating in the lateral aspect of the right hilum. There has been placement of a right IJ Swan-Ganz catheter that extends into the right pulmonary artery at the mediastinal level.,92a2a181-8f508ced-b3cb8aae-f4da8efa-3df4edc0
59983953,"AP chest:Three right pleural drains, right internal jugular line, ET tube, and upper enteric drainage tube are all in standard placements. AP view of the torso centered at the diaphragm, excluding the lateral left upper abdomen shows an upper enteric drainage tube ending in a non-distended stomach as well as upper abdominal drains, skin and a Swan-Ganz catheter ending in the right pulmonary artery.",138e15e1-82368001-70725244-1ac06c0d-a272de11
59984376,"Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. Small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. ",87f64c4d-93ab83e7-04f10c4b-a9ed71f7-d05889f2
59986698,"Right PIC line ends close to the superior cavoatrial junction, transvenous right atrial and right ventricular pacer pacer defibrillator leads are in standard placements. Indwelling right PIC line ends close to the superior cavoatrial junction, indwelling atrial biventricular pacer defibrillator leads are unchanged in their respective locations continuous from the left pectoral generator. ",417d5c5e-b521f965-35306684-68e7deb2-cda06f5c
59990602,The chest with bilateral calcified pleural plaques and slightly hazy opacities with significant interstitial markings at the lung bases suggestive of chronic interstitial lung disease. The chest with bilateral calcified pleural plaques and slightly hazy opacities with significant interstitial markings at the lung bases suggestive of chronic interstitial lung disease.,2d5f73c2-9a6138e2-d33b6539-067b7734-2b55b088
59995405,The heart is mildly enlarged and there are atelectatic changes and effusion at the left base. The heart is mildly enlarged and there are atelectatic changes and effusion at the left base.,16fd3cf3-d29c1429-19334155-3ffd9fd5-a25b09bf
59999362,"Rounded radiopaque structure with the appearance of a ring projects over the left upper quadrant on the frontal view, not seen/included on the lateral view. Rounded radiopaque structure with the appearance of a ring projects over the left upper quadrant on the frontal view, not seen/included on the lateral view. ",fb713bef-44a802dc-179def5b-4baaedb7-991610c2