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no evidence of acute cardiopulmonary disease.
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large right-sided effusion.
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in comparison with the study of , there is been a vats procedure in the left hemithorax with expected postoperative changes. no definite evidence of pneumothorax with chest tube in place. the right lung is essentially clear.
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no definite interval change in right upper and lower lobe perihilar consolidative opacities which remain concerning for malignancy with continued right lateral and basilar pleural thickening. increased interstitial markings in the right lower lobe remain concerning for lymphangitic spread of tumor.
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no acute cardiopulmonary process.
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ap chest compared to earlier post-operative chest radiograph, , : lung volumes are slightly better. previous mediastinal widening has improved substantially, though the cardiac portion of the central silhouette is still widened post-operatively. et tube now in standard position, as are the right internal jugular line,...
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et tube ends <num> cm above the carina. worsening diffuse ground-glass reticular opacities bilaterally could reflect worsening infection, ards or edema.
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minimal increase in the right-sided loculated hydro pneumothorax.
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no acute cardiopulmonary process. minimal lingular atelectasis/scarring.
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patchy bibasilar airspace opacities concerning for aspiration pneumonia in the correct clinical setting.
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unchanged chronic interstitial prominence, likely related to sickle cell disease. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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mild pulmonary edema with moderate cardiomegaly, a pericardial effusion is possible. left basilar opacity which may represent atelectasis or an early developing infection in the proper clinical setting.
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no acute cardiopulmonary abnormality. please note that the small airways disease seen on recent ct is not well assessed on the current radiograph.
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resolved apical pneumothoraces. small bilateral pleural effusions and cardiomegaly.
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extensive right lower lobe consolidation, present since at least is unchanged since , worse compared to. this is most likely pneumonia or pulmonary hemorrhage. the volume of the left lung has improved, reflected in reversal of previous left hemidiaphragm elevation. pulmonary vasculature is borderline enlarged, but the...
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mild pulmonary edema and small bilateral pleural effusions. bibasilar airspace opacities may reflect atelectasis though infection or aspiration is not excluded.
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no evidence of free subdiaphragmatic gas. mediastinal widening can be further evaluated with ct if clinically indicated.
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normal chest x-ray.
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compared to prior chest radiographs, most recently. lungs are hyperinflated, but clear of any focal abnormality aside from chronic subsegmental atelectasis in the right middle lobe. previous vascular congestion in has improved and diffuse bronchial wall thickening seen on the chest ct is not evident today. heart size...
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no acute findings.
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persistent consolidation and volume loss in the right upper and left lower lobes, not significantly changed from the prior study. this may represent aspiration or pneumonia in the appropriate clinical setting.
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion. there is no pneumothorax.
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pa and lateral chest compared to : borderline cardiomegaly is unchanged. there is no pleural abnormality. lungs are clear. mediastinal and hilar silhouettes are unremarkable.
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bronchovascular crowding in the lower lungs. mild cardiomegaly.
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no evidence of new pulmonary abnormalities in comparison with next preceding chest examination of. thus, no evidence of new aspiration pneumonitis.
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no acute intrathoracic process.
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hyperinflated lungs, mild cardiomegaly.
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no evidence of acute process.
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no evidence of active or latent tuberculosis infection. no evidence of pneumonia.
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as compared to the previous radiograph, there is a marked improvement, with a substantial decrease in severity of the pre-existing interstitial lung edema. mild edema, however, is still visible. no pleural effusions. unchanged appearance of the cardiac silhouette. unchanged position of the right port-a-cath.
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no evidence of acute cardiopulmonary process.
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diffuse bilateral opacities with hazy pulmonary vasculature likely represents pulmonary edema; however, concurrent pneumonia cannot be excluded. recommend repeat conventional radiographs when feasible.
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unchanged moderate left pleural effusion.
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compared to chest radiographs since , most recently. persistent peribronchial opacification at the lung bases could be atelectasis or early pneumonia, increased since. upper lungs clear. normal postoperative cardiomediastinal silhouette. right pleural effusions small if any.
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no radiographic evidence of pneumonia, pulmonary edema or pneumothorax.
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comparison to. stable mild pulmonary edema. stable moderate cardiomegaly. stable retrocardiac atelectasis. no new parenchymal changes. no pneumothorax. no larger pleural effusions.
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improving left lower lobe atelectasis. repositioned picc line.
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comparison to. no relevant change. no evidence of pneumonia. no other pathology in the lung parenchyma. mild scoliosis. normal size of the heart. no pleural effusions. no pulmonary edema.
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persistent elevation of the right hemidiaphragm. no evidence of hilar lymphadenopathy.
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clear lungs.
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<num>) copd. <num>) mild to moderate cardiomegally. <num>) increased opacity at the right lung base is concerning for pneumonia. changes at the left base could be due to atelectasis, but could also represent an early pneumonic infiltrate. probable small right effusion.
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patchy left posterior opacities suggesting minor atelectasis.
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right perihilar and lower lung opacity which has developed over last <num> hours is likely from aspiration or asymmetric edema. pleural effusion is unchanged.
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comparison to. increasing retrocardiac atelectasis. slightly increasing right pleural effusion. the right the relatively extensive parenchymal opacities have increased of the bronchoscopy. however, there is no evidence for the presence of a pneumothorax. stable appearance of the cardiac silhouette.
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no infiltrates
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mild pulmonary vascular congestion without focal consolidation to suggest pneumonia.
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in comparison with the study of , this little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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interval improvement in the left lung is due to resolving pulmonary edema. the volume of the pneumonia in the right lung is minimally improved since , but moderate left pleural effusion which developed subsequently is still present. emphysema is severe, and biapical scarring could be due to prior tuberculosis. heart si...
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left internal jugular line has been inserted terminating at the level of the superior svc. it is potentially can be at the confluence of the brachial cephalic veins as well. extensive bilateral parenchymal opacities and a right pleural effusion are unchanged compared to the prior radiograph performed <num> hours prior....
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heart size is slightly larger, mild interstitial pulmonary edema has developed. pleural effusions are not appreciable. consolidation or collapse of the superior segment of the right lower lobe is probably still present, explaining the definition of the lowered major fissure medially. transesophageal drainage tube would...
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no acute intrathoracic process.
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mild pulmonary vascular congestion with patchy left basilar atelectasis and probable trace bilateral pleural effusions.
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ng tube within the stomach.
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in comparison with the study of , there is again is substantial enlargement of the cardiac silhouette in a patient with valve replacement and dual-channel pacer with leads extending to the right atrium and apex of the right ventricle. blunting of the left costophrenic angle is again seen. no definite vascular congestio...
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<num> left basal pleural drainage tubes are unchanged in position. adjacent subcutaneous emphysema in the left chest wall has migrated inferiorly, but not increased. there is no appreciable left pleural effusion or pneumothorax. left pleural lobulation and right apical lung nodule are unchanged. recently. there is a ne...
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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mild pulmonary edema, small bilateral pleural effusions, moderate cardiomegaly.
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no acute cardiopulmonary abnormality.
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no new focal opacity convincing for pneumonia. previously described right basilar opacity on radiograph dated is less apparent on current examination.
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comparison to. the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carinal. the tube should be advanced by <num> cm. low lung volumes. minimal atelectasis at the right lung bases. moderate cardiomegaly. mild fluid overload but no overt pulmonary edema. the previously seen left p...
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in comparison with the study of , there is little overall change. bibasilar opacifications are consistent with small pleural effusions and compressive atelectasis. the opacification in the infrahilar region on the right again could represent an area of consolidation in the appropriate clinical setting.
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moderate pulmonary edema with small bilateral pleural effusions. more focal opacities in the lung bases likely reflect areas of atelectasis.
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new right lower lobe opacity is at minimum atelectasis. however given the clinical history, superimposed pneumonia is not excluded.
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stable, small right pleural effusion.
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decreased small bilateral pleural effusions. no focal consolidation.
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no acute intrathoracic process.
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no significant interval change.
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in comparison with the study of , there again are bilateral pleural effusions with compressive atelectasis at the bases. cardiac silhouette is at the upper limits of normal in size or slightly enlarged, mild prominence of interstitial markings is consistent with elevation of pulmonary venous pressure. no evidence of ac...
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no evidence of acute cardiopulmonary disease or injury.
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no acute cardiopulmonary abnormality.
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ap chest compared to at : in the interim, previous moderate left pleural effusion has been nearly completely aspirated and in its place is a moderate left pneumothorax with basal, apical and medial components. moderate right pleural effusion is somewhat different in distribution, but not appreciably in volume compared...
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no acute cardiothoracic process. large hiatal hernia containing at least stomach.
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no acute cardiopulmonary abnormality.
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no evidence for acute cardiopulmonary process. proximal right humerus fracture. please refer to subsequent shoulder radiographs for details.
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compared to chest radiographs since , most recently. pulmonary edema is mild, small right pleural effusion is minimally larger. heart size is normal. : no focal pulmonary abnormality is seen to suggest pneumonia, small areas of infection would be difficult to separate from edema. no pneumothorax. right jugular line end...
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no evidence of acute cardiopulmonary abnormality. the heart size is top normal, unchanged.
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lungs are fully expanded and clear. borderline cardiomegaly is unchanged. previous mild pulmonary edema has resolved and pulmonary vascular distribution is normal now.
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no evidence of pneumonia.
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no comparison. low lung volumes. mild cardiomegaly. mild fluid overload but no overt pulmonary edema. no pneumonia, no pleural effusions. left pectoral pacemaker with correctly positioned leads.
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new small-to-moderate possibly bilateral pleural effusions. otherwise, no acute intrathoracic process.
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slight improvement in multifocal bilateral opacities compared to.
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support and monitoring devices are stable in position, and cardiomediastinal contours are unchanged. worsening opacity in left retrocardiac region could be due to either atelectasis or developing infectious pneumonia. adjacent small left pleural effusion is present.
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dual-chamber cardiac pacemaker leads ending in the right atrium and right ventricle. no acute cardiopulmonary process.
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in comparison with the study of , there are lower lung volumes. however, no evidence of cardiomegaly, vascular congestion, pleural effusion, or acute focal pneumonia.
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compared to chest radiographs. patient has been extubated, and previous pulmonary edema has resolved. severe cardiomegaly is chronic. there is no pneumonia or pleural effusion.
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comparison to. no relevant change. tracheostomy tube is stable. stable borderline size of the cardiac silhouette without pulmonary edema. stable minimal left pleural effusion with retrocardiac atelectasis. normal appearance of the right lung.
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tip of the nasogastric tube is above the level of the diaphragm and a large hiatus hernia. loops of tubing in the hypopharynx, oropharynx, and upper esophagus, attest to attempt at advancing tube. findings were discussed by dr with dr at by telephone.
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left upper lobe region of consolidation which would be compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution to exclude underlying mass lesion.
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<num> pacemaker leads terminate in the expected location of right atrium and right ventricle. heart size is difficult to assess giving bibasal consolidations and right pleural effusion. the right pleural effusion is small to moderate and there is no pneumothorax. bibasal consolidations primarily involving lower lobes b...
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patchy opacities within the lung bases may reflect areas of atelectasis, but infection is not excluded in the correct clinical setting. no pulmonary edema.
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with the exception of worsening of mild bibasilar atelectasis, there has not been a substantial change in the appearance of the chest since recent study of <num> day earlier.
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small left pleural effusion. no evidence of congestive heart failure.
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patchy opacity at the right medial lung base is again seen and unchanged most likely reflecting atelectasis, although pneumonia or aspiration should also be considered. right basilar pleural pigtail catheter remains in place. a very tiny right apical pneumothorax is now present and in retrospect was likely present but ...
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as compared to the previous radiograph, the right lung is now fully expanded, there is no evidence for the presence of a right pneumothorax. minimal atelectasis at the right lung bases persists. normal appearance of the left lung and of the cardiac silhouette.
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mild interstitial edema.
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bilateral patchy consolidations, predominantly in a perihilar distribution with relative subpleural sparing, consistent with multifocal infection. in the setting of immunosuppression, atypical and fungal infections should be considered. specifically, pneumocystis jiroveci pneumonia is of concern, particularly in the ab...
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no acute cardiopulmonary pathology.
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persistent bilateral interstitial opacities, grossly unchanged compared to prior examination, and thought to reflect nsip on previous ct. no consolidation or pleural effusion.
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no acute cardiopulmonary abnormality.