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MIMIC-CXR-JPG/2.0.0/files/p13069267/s52312622/fcc52ad2-6bb12a39-7bd4e629-54971f46-635596e5.jpg
appropriate positioning of single cardiac lead with no pneumothorax.
<unk> year old woman s/p ppm // <unk> year old woman s/p ppm
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no acute cardiopulmonary process.
<unk>f with calf pain, leukocytosis. eval for pneumonia.
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equivocal mild cardiomegaly. mild upper zone redistribution. slight increase in faint retrocardiac opacity, consistent with atelectasis. an early left lower lobe infectious infiltrate is considered less likely but cannot be entirely excluded.
<unk> year old woman with heart transplant. // chest pain
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interval placement of the nasogastric tube, which terminates in the body of the stomach.
history: <unk>m with ngt placed // eval ngt placement.
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no acute cardiopulmonary abnormalities
<unk> year old woman with intermittent substernal chest discomfort. // h/o lymphoma and breast cancer. smoking hx. r/o mass.
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mild prominence of the central pulmonary vasculature, left main pulmonary artery. clear lungs.
history: <unk>m with chest pain // acute process
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<num>. no acute cardiopulmonary process. <num>. partially imaged gaseous distention of small bowel.
<unk>f with hx of volvulus, w/severe abdominal tenderness, nausea/vomiting, evaluate for consolidation.
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no acute cardiopulmonary process.
history: <unk>f with neutropenia // infiltrate?
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no acute findings in the chest.
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cardiomegaly. no acute cardiopulmonary process.
<unk> year old female with new agitation, confusion evaluate for pneumonia.
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<num>. unchanged top normal heart size. <num>. no acute cardiopulmonary process.
chest pain, here to evaluate for acute cardiopulmonary process.
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no radiographic evidence of pnuemonia.
cough and pleuritic chest pain.
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improvement of generalized opacities, except for a region of increased opacity of the left mid-lower lungs, representing either asymmetric resolution of ards or ards coexisting with pneumonia.
recent ards status post extubation with persistent hypoxemia. evaluate for interval change.
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no acute intrathoracic abnormality.
<unk>-year-old woman presenting with nausea, fever, recent egd, epigastric/right upper quadrant tenderness, evaluate for acute changes or free air.
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no acute cardiopulmonary process.
<unk>-year-old man with cough. evaluate for infiltrate.
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findings most consistent with pulmonary edema. follow-up radiographs may be helpful, however, to reassess.
dyspnea.
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minimal left basilar atelectasis. otherwise, normal.
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no significant interval change in the pulmonary vascular congestion. bibasal opacities and right pleural effusion have decreased.
<unk> year old woman with ards // assess pulm edema/ ards
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persistent mild blunting of the right costophrenic angle may be due to a small pleural effusion or pleural thickening. no significant change from the prior study.
history: <unk>m with nausea, vomiting, esld, epig discomfort // eval ? edema, free air
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no acute intrathoracic abnormality.
<unk>f with cough, dyspnea // eval for pna
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<num>. persistent mild pulmonary edema and small bilateral effusions. <num>. no evidence of pneumonia.
<unk>-year-old man with syncope and shortness of breath, evaluate for pneumonia.
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findings concerning for a posterior mediastinal mass with convex opacity overlapping with the mid-to-lower t-spine, new from prior exam. correlation with ct advised.
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no acute cardiopulmonary abnormalities
<unk> year old man with chronic left sided chest pain with minimal relief. // rule out pathology that may be leading to chronic left chest wall pain.
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no acute cardiopulmonary process.
<unk>-year-old female with chest pain. question pneumothorax.
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no acute cardiopulmonary process.
<unk>f s/p seizure, known seizure disorder. pls eval for cardiopulm change or intracranial bleed // <unk>f s/p seizure, known seizure disorder. pls eval for cardiopulm change or intracranial bleed
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no radiographic evidence of pneumonia. lower thoracic/upper lumbar vertebral body height loss new since remote prior.
<unk>f with anaphalaxis after chemo no with new dyspnea // eval for pna
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no acute intrathoracic process.
<unk>-year-old woman with chest pain, evaluate for acute process.
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<num>. no radiographic evidence for an acute cardiopulmonary process. <num>. stable appearance of subacute fractures of the right <unk>-<unk> posterior ribs. <num>. redemonstrated is a displaced distal right clavicle fracture. findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time>pm <unk> <unk>, at the time of discovery.
status post mvc several weeks prior with multiple rib fractures seen on ct examination. now with anterior right-sided rib pain.
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mild pulmonary edema. basilar opacification, may be due to atelectasis, consolidation not excluded. elevated/eventration of right hemidiaphragm seen on subsequent ct.
decreased o<num> sats at rest. atelectasis or pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p14322005/s57527268/2bc67fd2-839c9ca0-71660eb4-15ec01d7-c3bebf0b.jpg
no acute cardiopulmonary process.
<unk>m with shortness of breath // eval for pna
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no change.
<unk> year old man with trach // please eval for acute process
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no evidence of pneumonia.
<unk>-year-old female with chest pain, shortness of breath. question pneumonia.
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mild left basal atelectasis. otherwise unremarkable.
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no acute findings in the chest.
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no acute cardiopulmonary process. please note that conventional radiographs are not sensitive in the assessment of thoracic cage abnormalities. if clinical concern persists, dedicated radiographs or ct chest may be obtained.
pain.
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no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16391183/s53583144/0f11db86-5a07d4dd-8a3fa04b-ff714955-05fa1e80.jpg
no acute cardiopulmonary process.
history: <unk>m with cp // eval for cp
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stable appearance of left chest wall port with catheter terminating at the cavoatrial junction. these findings were relayed to dr. <unk> at <time> a.m.
metastatic breast cancer with a port with no blood return. confirm port placement.
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endotracheal and enteric tubes in appropriate position. bilateral perihilar and basilar opacities may be due to pulmonary edema. underlying aspiration or infection not excluded.
history: <unk>m with ams, intubated*** warning *** multiple patients with same last name! // ett placement
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similar pattern to bilateral lung opacities which represents known metastatic disease. impossible to exclude superimposed subtle pneumonia.
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no acute findings in the chest.
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suspected trace new pleural effusions and thickened fissures which may indicate slight fluid overload, but otherwise no significant change in a mild interstitial abnormality which is most likely to reflect airway inflammation.
cough and chest pain.
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no acute intrathoracic abnormality identified.
<unk>-year-old female with dyspnea on exertion and cough.
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no acute cardiopulmonary process.
<unk> year old man with new hypoxia.
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normal chest radiograph.
history of asthma, presents with chest pain. assess for acute process.
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small bilateral effusions new over five days. lungs are clear.
<unk> year old woman with metastatic breast ca and new cough // ?pneumonia vs pulm edema
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no change.
<unk> year old woman with intraabdominal sepsis, renal failure, pleural effusions, fluid overload // please eval for interval change
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<num>. widening of the mediastinum for which further evaluation with a chest ct with contrast or comparison to prior studies is recommended. <num>. right upper lobe pneumonia. <num>. mild pulmonary edema. <num>. the enteric tube could be advanced <num> cm for positioning of the side port within the stomach. these findings were discussed with dr. <unk> by dr. <unk> at <time> on <unk> via telephone at the time of discovery.
respiratory distress with possible pneumonia in an intubated. evaluate for tube placement.
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no acute cardiopulmonary process.
<unk>f with asthma history, p/w wheezing and sob after being exposed to indoor chemical cleaning agents. // volume, infiltrate, effusion.
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no pneumothorax.
pleuritic chest pain. evaluate for a pneumothorax.
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no acute cardiopulmonary process.
history: <unk>f with chest pain and sob // eval pneumonia, other acute process
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no acute cardiopulmonary abnormality.
history: <unk>m with ekg changes
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normal chest.
<unk>f with sle c/b nephritis who presents with palpitations, anemia, doe, evaluate for interval change.
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cardiomegaly with pulmonary edema and small right pleural effusion.
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multifocal pneumonia. increased underlying interstitial abnormality is likely secondary to underlying viral process. findings were discussed with <unk> by <unk> by telephone at <time> on <unk> at the time of discovery of these findings.
<unk>-year-old female with flu-like symptoms, persistent fever, and abnormal lung exam.
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no acute cardiopulmonary process.
<unk>-year-old woman with intermittent, left-sided chest pain for the past <num> days, here to evaluate for evidence of heart failure or pneumothorax.
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no active disease.
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improved aeration of the left lower lobe with some residual patchy opacity and blunting of the left costophrenic sulcus. no new focal airspace consolidation.
<unk>-year-old male with trach and shortness of breath. evaluate for pneumonia.
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<num>. bibasilar opacities either represent atelectasis or pneumonia. correlate clinically. <num>. ng tube ends in the stomach with its last side port near the eg junction. recommend advancing <num>-<num> cm.
status post ex lap, loa, with desaturations and cough, question pulmonary process.
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subtle right lower lobe opacities which may reflect pneumonia in the correct clinical setting, alternatively atelectasis.
shortness of breath, question pneumonia.
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<num>. improvement in pulmonary edema. <num>. no pneumonia.
patient with cardiomegaly and chronic dry cough. evaluate for infiltrate, volume overload.
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no acute intrathoracic process. findings were discussed with dr. <unk> by dr. <unk> at <unk> on <unk>.
persistent cough
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no acute cardiopulmonary process.
chest pain.
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no acute intrathoracic process.
<unk>-year-old woman with chest pain, evaluate for acute process.
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<num>. persistent mild pulmonary edema and small bilateral effusions. <num>. no evidence of pneumonia.
<unk>-year-old man with syncope and shortness of breath, evaluate for pneumonia.
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no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
history: <unk>f with cough x<num> week // evidence of pneumonia
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trace right pleural effusion.
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new bronchial cuffing and recurrent linear opacities at the left base likely reflect repeat aspiration or asymmetric pulmonary edema. suggest close follow-up to evaluate possible early broncho pneumonia recommendation(s): suggest close follow-up to evaluate possible early broncho pneumonia
<unk>-year-old man with a history of copd, now with productive cough and rales on exam. clinical concern for left lower lobe pneumonia.
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mild cardiomegaly, otherwise unremarkable.
<unk>f with afib w/ rvr // eval ? pulmonary edema, cardiomegaly
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no acute intrathoracic process.
<unk>m with intermittent palpitations/chest discmofort
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no significant interval change since the prior examination with a persisting retrocardiac consolidation concerning for pneumonia.
<unk> year old man with sbo // ?consolidation
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no acute cardiopulmonary abnormalities
<unk> year old man with chronic left sided chest pain with minimal relief. // rule out pathology that may be leading to chronic left chest wall pain.
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no acute cardiopulmonary process.
history: <unk>f with muscle aches // r/o pna
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<num>. no evidence of pulmonary tb. <num>. small left basilar pleural thickening is unchanged since <unk>.
<unk> year old woman with h/o + ppd, no cough, fever, or chest pain. r/o pulmonary tb.
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<num>. right upper lobe pulmonary opacities consistent with pulmonary contusion. <num>. rib fractures, better evaluated in the ct from the same day. <num>. distal right clavicle fracture.
<unk>-year-old female status post biking accident.
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nasogastric tube is coiled within the distal esophagus.
history: <unk>m with new ng tube // ng tube placement?
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no acute intra thoracic abnormality.
<unk>-year-old male with acute chest pain.
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no acute cardiopulmonary process.
history: <unk>f with cp // eval pneumonia vs pneumothorax
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<num>. left mid to lower lung nodule measuring <num> mm. a nonemergent chest ct is recommended to further assess. <num>. no free air below the right hemidiaphragm.
<unk>f with surgical abdomen // eval for free air
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no evidence of acute cardiopulmonary process.
<unk>-year-old female with cough and shortness of breath.
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no acute cardiopulmonary abnormality
<unk> year old woman with history of tracheal stenting, severe asthma with resp distress and significant rhonchi // evaluate interval change
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slight interval improvement of right moderate effusion and adjacent atelectasis.
<unk> year old man with necrotizing pancreatitis c/b hemorrahgic ascites and vre bacteremia, respiratory failure <unk> fluid overload and b/l pleural effusions; recently self-extubated in resp distress requiring re-intubation // assess for et tube palcement
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a feeding tube is seen coursing below the diaphragm with the tip not identified. persistent linear opacity in the right mid lung likely reflects scarring. lung volumes remain low but no focal airspace consolidation is seen to suggest pneumonia. no pulmonary edema or pneumothorax. no large effusions. overall cardiac and mediastinal contours are likely stable given patient rotation on the current study.
<unk> year old man with etoh cirrhosis with worsening tbili and hyponatremia. concern for infection // ?pna ?pna
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no acute cardiopulmonary process.
history: <unk>f with chest pain // eval for ptx or pna
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fracture seen on ct cannot be evaluated on this plain film, normal chest radiograph.
<unk>-year-old female with multiple rib fractures status post bicycle accident.
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near complete opacification of the left hemi thorax with leftward shift of midline structures. scattered opacities in the right lung, question pneumonia. ct is needed to further assess as malignancy is difficult to exclude.
<unk>m with diffuse wheeze, crackles on lung exam
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<num>. opacity at the right lung base may represent asymmetric pulmonary edema, however underlying pneumonia cannot be excluded. <num>. mild pulmonary edema.
<unk> year old woman with cough, toxic exposure // assess for abn lung findings.
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no acute cardiopulmonary process.
chest pain.
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left basilar opacification. this appearance could be seen with atelectasis or pneumonia, potentially with pleural effusion. ribs are not well delineated owing to background opacification.
dyspnea, chest pain, and hypoxia after fall.
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no acute cardiopulmonary process.
history: <unk>f with hx pancreatitis now with burning epigastric pain radiating to back // please assess for etiologies of abdominal pain
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worsening diffuse parenchymal opacities likely reflecting widespread metastatic disease with superimposed worsening pulmonary edema. increased bilateral pleural effusions, small to moderate on the right and small on the left.
weakness, tachycardia.
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no acute intrathoracic process.
history of pneumonia presenting with productive cough and wheezing.
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unremarkable position of newly placed icd device.
<unk>-year-old female patient with dilated cardiomyopathy, status post icd yesterday. check lead placement and rule out pneumothorax.
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near complete opacification of the left hemi thorax with leftward shift of midline structures. scattered opacities in the right lung, question pneumonia. ct is needed to further assess as malignancy is difficult to exclude.
<unk>m with diffuse wheeze, crackles on lung exam
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no acute cardiopulmonary process.
history: <unk>f with chest pain // eval for pna
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no acute cardiopulmonary process. no evidence of a radiopaque foreign body.
missing tooth fragment. evaluate for tooth fragment aspiration.
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no acute cardiopulmonary abnormalities
<unk> year old woman with positive quantiferon gold, pt originally from <unk>, no symptoms // any sign of latent or active tb?
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<num>. improving multifocal pneumonia in the right lung. please note that it is important to document radiographic clearance of the residual right upper lobe opacity especially as there is overlap in imaging features of the pneumonic form of adenocarcinoma and an infectious pneumonia. <num>. resolution of pulmonary edema. <num>. calcified pleural plaques consistent with prior asbestos exposure and peripheral interstitial fibrosis suggestive of asbestosis.
<unk>-year-old man status post avr. evaluate for interval change.
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<num>. opacity at the right lung base may represent asymmetric pulmonary edema, however underlying pneumonia cannot be excluded. <num>. mild pulmonary edema.
<unk> year old woman with cough, toxic exposure // assess for abn lung findings.
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increasing right cardiophrenic angle opacity; in the appropriate clinical setting may represent pneumonia. findings also suggesting mild vascular congestion.
<unk>-year-old female with altered mental status.
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