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Tracheostomy is in place. NG tube tip is in the stomach. Heart size and mediastinum are stable. There is no pulmonary edema 0 vascular congestion noted. | |
There is no longer any appreciable pleural effusion. Heart size top-normal. Upper lungs clear. Pulmonary vasculature mildly engorged. No pulmonary edema. New right PIC line ends in the mid SVC alongside the indwelling left subclavian central venous infusion port catheter. | |
Single frontal view of the chest was obtained. Heterogeneous opacification of the left lung is consistent with a combination of pleural fluid and consolidation/atelectasis, presumably related to multiple fractures left middle ribs laterally. The pulmonary vasculature is diffusely indistinct, consistent with mild pulmon... | |
The feeding tube is off the film, at least in the stomach. The ET tube tip is 4.4 cm above the carina. Bilateral central lines are unchanged. There continues to be bilateral alveolar infiltrates, lower lobe greater than upper lobe central greater than peripheral likely representing a combination of edema and volume los... | |
As compared to ___ chest radiograph, cardiomediastinal contours are within normal limits and without change. Lungs are clear except for linear left basilar atelectasis. | |
As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects approximately 6 cm above the carinal. The patient has also received the nasogastric tube, the tip is not included on the image, the course is unremarkable, the other monitoring and support devices are uncha... | |
In comparison with the study of ___, there are somewhat lower lung volumes. Left chest tube remains in place without pneumothorax. The right base is more sharply seen, suggesting some improved atelectasis and effusion. However, the left base is less well seen on the current study, raising the possibility of developing ... | |
Endotracheal tube tip is 1 cm from the carina. Enteric tube seen with tip at the inferior field of view side port likely at the GE junction. Low lung volumes are noted with secondary crowding of the bronchovascular markings. There is probable superimposed atelectasis. Cardiomediastinal silhouette is slightly enlarged b... | |
AP portable upright view of the chest. There has been interval intubation with the tip of the endotracheal tube residing 2 cm above the carina. An OG tube extends into the left upper quadrant. Lung volumes are low though lungs remain clear. Cardiomediastinal silhouette is unchanged. Bony structures appear grossly intac... | |
In comparison with the earlier study of this date, following the procedure, there is some improved aeration at the left base with no longer any displacement of the mediastinal contents to the left. Residual opacification at the left base is consistent with some atelectasis and possible effusion. The right lung remains ... | |
Unchanged scoliosis with left what rotation of the patient. Unchanged position of the Dobbhoff catheter. Unchanged minimal increase in radiodensity around the right hilus, likely rotational in origin. However, developing pneumonia cannot be excluded. No pleural effusions. At the time of dictation and observation, 09:15... | |
As compared to the previous radiograph, the opacity on the left as well as the small left pleural effusion have decreased. However, at decreasing lung volumes, the reticular opacities on the right have substantially increased. No larger pleural effusions. A small pleural effusion on the left is unchanged. | |
As compared to the previous radiograph, no change is seen with respect to the cardiac silhouette and the bilateral pleural effusions, right more than left. The atelectatic changes on the right, that pre existed, have minimally increased, but there is no evidence for pulmonary edema or pneumonia. Unchanged position of t... | |
As compared to the previous radiograph, the extent of the known left pneumothorax has not substantially changed. The left chest tube remains in constant position. However, the left pleural effusion has slightly decreased in extent. The right lung appears constant. Constant appearance of the cardiac silhouette. Unchange... | |
No new parenchymal opacities on the current radiograph. Borderline size of the cardiac silhouette. Relatively low lung volumes. Mild tortuosity of the thoracic aorta. No pulmonary edema. Unchanged left pectoral pacemaker. | |
As compared to the previous radiograph, the lung volumes have slightly increased, notably on the left, potentially suggesting improved left lung ventilation. The overall extent of the opacities, however, persists. Unchanged monitoring and support devices. Unchanged size of the cardiac silhouette. | |
Previous moderate to severe pulmonary edema has improved substantially since ___:33. There is substantial volume of pleural effusion remains, but has also improved. Heart size is mildly enlarged, unchanged. Mediastinal venous engorgement has improved. Nasogastric drainage tube is coiled in the upper portion of the nond... | |
AP chest compared to ___ through ___: The transient worsening of pulmonary and mediastinal venous engorgement on ___ has reversed. Findings are comparable to ___ and ___. Pleural effusions are small if any. Heart moderately enlarged. No pneumothorax. Right jugular line ends low in the SVC and an upper enteric drainage ... | |
Lung volumes are lower and bibasilar opacification is increased, probably a combination of edema and atelectasis. Small right and moderate left pleural effusion are stable or slightly larger. Heart severely enlarged. No pneumothorax. ET tube in standard placement. Nasogastric tube ends in the upper portion of a nondist... | |
ET tube tip is 5 cm above the carinal. NG tube tip is in the stomach. Left chest tube and left pigtail catheter are in place. There is interval decrease in the left hemi thorax opacification. Right lung is unchanged in appearance. Left pneumothorax is re- demonstrated. | |
In comparison with the study of ___, there is little change in the appearance of the nasogastric tube, which is coiled in the upper stomach. No evidence of acute pneumonia, vascular congestion, or pleural effusion. Dilatation of loops of bowel in the abdomen are again seen. | |
As compared to the previous radiograph, there is no relevant change. Unchanged appearance of the lung parenchyma with mild fluid overload and areas of bilateral atelectasis. The patient has been extubated and the nasogastric tube has been left in situ. The right internal jugular vein catheter has also been removed. Unc... | |
No previous images in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.. The heart is normal | |
Previous mild pulmonary edema has almost cleared, previous moderate bilateral pleural effusions are smaller. Heart size is normal. Mediastinal veins are still distended. Residual consolidation in both lower lungs, particular the left raises concern for concurrent pneumonia in should be followed closely. No pneumothorax... | |
As compared to the previous radiograph, the 2 left-sided chest tubes are in unchanged position. Unchanged bilateral areas of atelectasis that have, however, improved on the right. . No new parenchymal opacities. Unchanged appearance of the cardiac silhouette. | |
In comparison with the study of ___, there is little change. Again there is enlargement of the cardiac silhouette with mild vascular congestion. The right IJ temporary pacer is been removed and replaced with a right subclavian pacer that extends to the right atrium. Otherwise little change. | |
Compared to chest radiographs since ___, most recently ___ through ___. Pulmonary edema has cleared from the right lung. Left upper lobe pneumonia is stable since ___ but improved since ___. Severe cardiomegaly is chronic. No appreciable pleural effusion. No pneumothorax. ET tube in standard placement. Right jugular li... | |
As compared to ___ chest radiograph, bilateral pleural effusions and adjacent basilar atelectasis have slightly worsened. The right pleural effusion is now moderate, in the left is small to moderate. No other relevant changes. . | |
The lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact. | |
Pulmonary vasculature is more engorged, and small right pleural effusion is new since ___. High-density pulmonary edema. Moderate cardiomegaly is stable. Right atrial and two ventricular transvenous pacemaker leads are unchanged in their respective positions since ___ but cannot be localized on this frontal view. No pn... | |
As compared to the previous radiograph, the right basal chest tube is still visible. There is a right basal pneumothorax of unchanged ___. No evidence of tension. Unchanged size of the cardiac silhouette. Unchanged appearance of the lung parenchyma with signs of mild fluid overload. | |
There has been interval placement of an endotracheal tube that extends up to the carina. An orogastric tube courses across the left hemidiaphragm into the stomach, its distal course not visualized. The lung volumes are low. There is no definite pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contou... | |
There has been overall interval worsening, with bilateral pleural effusions have increased. The interstitial pulmonary edema has also increased. The visualized cardiomediastinal silhouette appears enlarged. No pneumothorax. | |
Endotracheal tube tip terminates approximately 4.5 cm from the carina. An enteric tube courses below the left diaphragm, with tip off the inferior borders of the film. The patient is status post median sternotomy, CABG, and prostatic valve replacement. Heart size is mildly enlarged. The aorta is tortuous. Lung volumes ... | |
Heart size is normal. Mediastinal and hilar contours are unchanged. Patchy opacities in the lung bases are re- demonstrated along with a more consolidative opacity within the right upper lobe, findings worrisome for multifocal pneumonia. Previously demonstrated suspicious nodule within the left mid lung field is better... | |
If there is any right pneumothorax it is tiny. Relative elevation of the right hemidiaphragm could be due to moderate bibasilar atelectasis, right greater than left, or fluid collected either inferior to the lung or in the right upper abdominal quadrant. Heart is normal size. Mediastinal widening, particularly in the r... | |
Right PICC tip is in themid SVC. Mild to moderate cardiomegaly is a stable. HD catheter is in standard position. There is no pneumothorax. Moderate to large left and small right pleural effusions have increased with increasing adjacent atelectasis. Mild vascular congestion is stable. | |
The ETT terminates approximately 3 cm above the carina. There is increasing consolidation within the right middle, right lower, and left lower lobe, consistent with multifocal pneumonia. The pulmonary vasculature is normal. The cardiomediastinal silhouette stable. There is no large pleural effusion. There is no pneumot... | |
As compared to the prior radiograph of 1 day earlier, a Swan-Ganz catheter has been repositioned, now terminating more proximally in the right interlobar pulmonary artery at the central hilar region. Exam is otherwise remarkable for improved pulmonary vascular congestion. | |
As compared to the previous radiograph, there is no relevant change. Bilateral pleural effusions, left more than right with subsequent areas of atelectasis. Unchanged size of the cardiac silhouette. Unchanged mild fluid overload. The course of the nasogastric tube is unremarkable, the tip of the tube is not included on... | |
Previous device in the right internal jugular vein has been removed. Previous moderate cardiomegaly is improved now mild. There is no new focal airspace opacity. Mild bibasilar atelectasis is not significantly changed. There is no pneumothorax or large pleural effusion. The mediastinal and hilar contours are normal. Lo... | |
Since prior exam, new right-sided chest tube is present with the tip in the medial mid lung zone. Some subcutaneous air is noted in the right chest wall. The lung volumes are lower with patchy interstitial opacities, likely from mild edema. A more focal opacity in the left mid lung zone is present. There is no definite... | |
Right chest wall Port-A-Cath is again seen. Calcified pleural plaques again seen on the right is well as bilateral calcified granulomas. Appearance of lungs has not significantly changed noting that the right is obscured due pleural calcifications. The left lung is clear. The cardiac silhouette is enlarged but stable. ... | |
There are no prior chest radiographs available for review. Transesophageal tube ends in the stomach. Cardiomegaly is moderate. Right pleural effusion is small. No left pleural effusion. No pneumothorax. No pulmonary edema or pneumonia. | |
Patient is status post median sternotomy, CABG, and aortic valve replacement. Moderate to severe cardiac enlargement is unchanged. The aorta is unfolded. Pulmonary vascular congestion is present, new in the interval, without overt pulmonary edema. Subsegmental atelectasis is noted in the right mid lung field. No focal ... | |
In comparison with the study of ___, the monitoring and support devices are essentially unchanged with the endotracheal tube approximately 2.5 cm above the carina. . Continued enlargement of the cardiac silhouette in a patient with pacer device in place. There is still pulmonary vascular congestion, but this has improv... | |
In comparison with the study of ___, there is little overall change. Bibasilar atelectasis and small left effusion are again seen. In the appropriate clinical setting, the retrocardiac opacification could represent a developing pneumonia. | |
A right internal jugular central venous catheter intrudes minimally into the right atrium. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | |
Mild pulmonary edema has slightly worsened since last exam. There is also increased density at the right lung base which could represent asymmetric pulmonary edema, atelectasis or even early pneumonia. There is no pneumothorax. Mediastinal and cardiac contours are normal. Right-sided PICC line ends in lower SVC. NG tub... | |
The lungs are hypoinflated and exaggerated pulmonary vascular markings. There are new increased left basilar opacities which may represent atelectasis or aspiration in this clinical setting. The lungs are otherwise clear. The cardiac and mediastinal contours are normal. There is no pleural effusion or pneumothorax. No ... | |
Small right and small to moderate left pleural effusion have increased since ___. Pulmonary arterial distention is still significant, while mediastinal venous engorgement has improved minimally. Peripheral pulmonary vascular engorgement has improved. Mild to moderate cardiomegaly unchanged. Upper lungs clear. | |
Severe infiltrative pulmonary abnormality unchanged for several days, accompanied by substantial bilateral pleural effusions. Heart is top-normal size. No pneumothorax. ET tube, left internal jugular line, right jugular introducer, and nasogastric drainage tube are unchanged in their respective standard positions. | |
AP single view of the chest has been obtained with patient in supine position. Comparison is made with the next preceding PA and lateral chest examination of ___. The chest appearance on the frontal views can be compared. They demonstrate unchanged appearance of previously described pacer and ICD device. A new right-si... | |
As compared to the previous radiograph, the alignment of the sternal wires is constant. A previously placed right internal jugular vein catheter has been removed. The left lung basis is substantially better ventilated than on the previous image. The bony changes in the left humeral head are constant. | |
The OG tube terminates in the stomach. The ET tube is in appropriate position approximately 4 cm from the carina. Lung volumes remain low. Bilateral multifocal opacities which were seen on CT torso yesterday are not appreciably changed. The heart is top normal in the mediastinal silhouette is unchanged. The aorta is to... | |
Comparison is made to previous study from ___. Heart size is within normal limits. There has been worsening of multifocal opacities throughout both lung fields which is suspicious for pneumonia. There are no pneumothoraces. There are small bilateral pleural effusions. | |
Comparison is made to previous study from ___. There is cardiomegaly, which is stable. There is sclerosis of the thoracic aorta. There are again seen airspace opacities most prominent within the lung bases, left greater than right. Underlying infiltrates in those locations cannot be entirely excluded. The opacification... | |
There is mild enlargement of cardiac silhouette which is unchanged. There is mild perihilar haziness and cephalization of the pulmonary vascular markings suggestive of mild pulmonary vascular congestion, similar compared to the previous exam. Patchy retrocardiac opacity most likely reflects atelectasis. There is no ple... | |
Swan-Ganz catheter tip has moved, now the tip is in the proximal main pulmonary artery. No other interval change from prior study including collapse of the left lower lobe. | |
As compared to ___ chest radiograph, bilateral lower lobe opacities have slightly improved, and they remain more severe in the left lower lobe than the right. Left pleural effusion is persistent and small right pleural effusion has nearly resolved. No other relevant changes. | |
In comparison with the study of ___, decreased opacification at the bases. Findings are consistent with residual pneumonia, especially at the right base, possibly with some improvement in pulmonary vascular status. Obscuration of the left hemidiaphragm is consistent with volume loss in the left lower lobe. Probable bil... | |
As compared to the previous radiograph. , there is no relevant change. No evidence of pneumonia, pulmonary edema or pleural effusions. The lung volumes remain low, with resulting crowding of vascular and bronchial structures at the lung bases. Borderline size of the cardiac silhouette. | |
As compared to the previous radiograph, the position of the bilateral chest tubes is unchanged. Unchanged appearance of the lung parenchyma. The right internal jugular vein catheter has been removed. There currently is no evidence of pneumothorax. Air collection in the left lateral soft tissues better visualized than o... | |
As compared to the previous radiograph, no relevant change is seen. Constant appearance of the moderately enlarged cardiac silhouette and the lung parenchyma. Unchanged retrocardiac atelectasis and mild fluid overload but no overt pulmonary edema. No new focal parenchymal opacities. Unchanged alignment of the sternal w... | |
AP portable upright view of the chest. Lungs appear clear though hyperinflated. No focal consolidation, effusion or pneumothorax. No overt edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. | |
1. Retraction of minor fissure suggests atelectasis in the right upper zone, of uncertain etiology. 2. Probable atelectasis both lung bases, with low lung volumes. Early infectious infiltrate or aspiration pneumonitis is considered less likely, but remains in the differential. 3. Prominence of the cardiomediastinal sil... | |
In comparison with the study of ___, there is an placement of a dual-channel pacer with leads extending to the right atrium and apex of the right ventricle. No evidence of post -procedure pneumothorax. Otherwise, little overall change. | |
Surgical clips at the left hilum are unchanged in position. The heart size is top-normal. The hilar and mediastinal contours are unchanged. A Left thoracostomy tube is unchanged at the left base. Again seen is a moderate left pneumothorax, stable over the past prior 2 radiographs. A small left pleural effusion is also ... | |
Comparison is made with prior study performed a day earlier. There are persistent low lung volumes. Cardiomegaly is stable. Right IJ catheter tip is in the right atrium, should be withdrawn approximately 3 cm for more standard position. There is no pneumothorax. Diffuse bilateral lung opacities are unchanged. The opaci... | |
AP chest compared to ___ through ___: Left lower lobe atelectasis is moderate to severe, worsened since ___ when there might have been pneumonia in the same location. Small left pleural effusion is often the case with left lower lobe atelectasis. Heart is top normal size. Mitral annulus is heavily calcified, but there ... | |
As compared to the previous radiograph, the patient remains intubated, the nasogastric tube appears to be coiled in the pharynx. The endotracheal tube could be advanced by approximately 2-3 cm, it is projecting currently 7 cm above the carina. Unchanged low lung volumes and minimal bilateral pleural effusions with area... | |
Again seen is an right sided indwelling catheter with tip at SVC/RA junction an NG tube, with tip and side-port curled in the expected location of the gastric fundus. There are low inspiratory volumes, similar to 1 day earlier. Triangular opacity at the left base medially, with new obscuration of the medial left hemidi... | |
Interval removal of the endotracheal tube with placement of a tracheostomy which has its tip at the thoracic inlet, approximately 3 cm above the carina. A left internal jugular central line and a right PICC line are in unchanged position. A nasogastric tube is seen coursing below the diaphragm with the tip projecting o... | |
IN COMPARISON WITH THE STUDY OF ___, THE ENDOTRACHEAL TUBE HAS BEEN REMOVED. THERE IS EVEN FURTHER DIFFUSE OPACIFICATION BILATERALLY, CONSISTENT WITH LARGE PLEURAL EFFUSIONS, BILATERAL VOLUME LOSS, AND PROBABLE UNDERLYING PULMONARY EDEMA. | |
Tip of right PICC terminates within the mid-to-lower superior vena cava. Heart size is normal, and lungs are clear except for minimal linear scar or atelectasis at the right base. | |
There is stable consolidation in the right lung base. There may be small bilateral pleural effusions. There is stable cardiomegaly. There is no pneumothorax or CHF. There is no significant interval change. | |
Portable AP radiograph of the chest was reviewed in comparison to ___. Tubes and lines are in unchanged position. The right chest tube is in place. Left retrocardiac opacity is slightly more pronounced than on the prior study. Left infrahilar opacity has minimally improved. No pneumothorax is seen. No interval developm... | |
AP chest compared to ___ through ___: Previous pulmonary edema and vascular congestion have nearly resolved. Heart size top normal. Right perihilar atelectasis still present. No pneumothorax or appreciable pleural effusion. Right jugular line ends in the mid SVC. An enteric drainage tube passes into the stomach and out... | |
The tip of the left PICC line projects over the junction of the left jugular and brachiocephalic veins. New bilateral hilar enlargement with prominent reticular markings throughout both lung fields suggestive of pulmonary interstitial edema. Retrocardiac opacity, likely reflecting atelectasis. No pleural effusion or pn... | |
The patient is status post median sternotomy and aortic valvular surgery. Indwelling support and monitoring devices remain in standard position. Persistent widening of right mediastinal contour, similar in appearance to previous postoperative radiographs. Improving aeration in the right upper lobe with residual mild at... | |
Swan-Ganz catheter is in the right main pulmonary artery. This should not be advanced any further. Left PICC line terminates in the mid SVC. Intra-aortic balloon pump terminates 3.5 cm from the superior aspect of the aortic arch and may be advanced 1-2 cm. There is no pneumothorax. Lung volumes remain low. | |
Allowing for differences in technique and lung volumes, there has not been a relevant change in the appearance of the chest since recent study of 1 day earlier. | |
Tip of endotracheal tube terminates about 2 cm above the carina. Cardiomediastinal contours are stable in appearance allowing for slight differences in degree of patient rotation. Worsening opacity at the right lung base may reflect layering pleural effusion on this semi-upright radiograph, but co-existing atelectasis ... | |
NG tube tip isin the stomach. Intra-aortic balloon pump is in standard position. No other interval change from prior study. | |
Comparison to ___. Interval removal of the left chest tube. The millimetric left pneumothorax is unchanged. No evidence of tension. Unchanged appearance of the right lung. | |
AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of ___. Comparison of the two examinations with less than 24 hours interval demonstrate that the Dobbhoff line has been advanced by a few centimeters. The tip of the line... | |
The right chest tube has been pulled back. The right hemithorax shows a massive tension pneumothorax with displacement of the mediastinum and depression of the hemidiaphragm. Immediate action is required. At the time of dictation and observation, 10:39 a.m., on ___, the referring physician, ___. ___ was paged for notif... | |
An NG tube is present, tip extending beneath diaphragm, off film. On the current film, there is again suggestion of looping of the tube in the hypopharynx. Left-sided PICC line is present, tip likely over the mid SVC. Compared with ___ and allowing for technical differences, spine doubt significant interval change. Bac... | |
Cardiomegaly is substantial. Mediastinal silhouette is stable. Pulmonary edema appears to be minimally improved. There is right upper lobe new opacity most likely representing atelectasis. Pacemaker leads are in expected position. | |
As compared to the previous radiograph, the nasogastric tube has been replaced. The course of the tube is unremarkable, the tip of the tube is not included in the image. No evidence of complications, notably no pneumothorax. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma. Overinflation ... | |
The heart is mildly enlarged. The aortic arch is calcified. The descending aorta also shows patchy calcification. The cardiac, mediastinal and hilar contours appear unchanged. Streaky right basilar opacities are associated with a moderate persistent relative elevation of the right hemidiaphragm, not significantly chang... | |
The heart remains markedly enlarged. There has been interval removal of the endotracheal tube and nasogastric tube. Mediastinal contours are stable. There has been interval appearance of mild to moderate pulmonary and interstitial edema. Increasing retrocardiac consolidation may reflect a component of compressive lower... | |
Mild to moderate pulmonary edema appears minimally increased from the prior examination on ___. Small bilateral pleural effusions are also minimally increased. Retrocardiac opacity may represent compressive atelectasis or infection in the appropriate clinical setting. No pneumothorax. | |
As compared to the previous radiograph, the right pleural effusion has increased in extent and severity. Also increased is a subsequent opacity at the right lung bases. Unchanged moderate cardiomegaly and moderate pulmonary edema. No change in appearance of the left lung. | |
Right PICC terminates in low SVC. Small opacity at the left lung base near the costophrenic angle likely reflect atelectasis. Cardiomediastinal silhouette is normal size. There is no pneumothorax or large pleural effusion. | |
In comparison with study of ___, there has been placement of a nasogastric tube that extends well into the body of the stomach, then coils back on itself to lie in the mid body. The central catheter is essentially unchanged. There are somewhat lower lung volumes. Hazy opacification at the bases suggests some pleural fl... | |
As compared to the previous radiograph, the severity of the bilateral pleural effusions is unchanged. Mild pulmonary edema persists. Moderate cardiomegaly with retrocardiac and right basilar atelectasis is constant. Several skin folds project over the chest. No evidence of pneumonia in the well ventilated lung areas. | |
Comparison to ___. The endotracheal tube has been slightly pulled back and the tip of the tube now projects 3 cm above the carina. Mild pulmonary edema. Elevation of the right hemidiaphragm with subsequent right basilar atelectasis. Moderate cardiomegaly persists. | |
Mild to moderate pulmonary edema improved. Moderate enlargement of the postoperative cardiomediastinal silhouette also improved. Pleural effusions are presumed, but not large. No pneumothorax. Cardiopulmonary support devices in standard placements. | |
Portable upright chest radiograph demonstrates a hemodialysis catheter, the tip of which projects over the right atrium. A left upper extremity PICC tip projects over the lower SVC. A Dobbhoff tube has been placed, which does pass below the level of the diaphragm and curls cephalad with its tip projecting over the expe... |
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