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there is some persistent density in the right lung base but there is overall better aeration than on the earlier study. there is no chf or pneumothorax. a shunt tube overlies the right hemithorax.
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<num> mm diameter left lower lobe opacity is unchanged since recent chest radiograph, but is not fully characterized. considering patient's immunosuppressed status and concern for acute infection, ct may be considered for more complete evaluation of this region if warranted clinically. this was discussed by telephone w...
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nasogastric tube is seen coursing below the diaphragm with the tip not identified. the left subclavian picc line now has its tip in the distal svc. tracheostomy tube in satisfactory position. the heart remains enlarged. there are stable layering bilateral effusions. the pulmonary edema has slightly improved. no pneumot...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no displaced osseous injury. current study is not tailored for assessment of rib fractures, which could be correlated with focal tenderness.
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no evidence of acute cardiopulmonary disease.
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no acute intrathoracic process. compression fractures in the thoracic spine of uncertain chronicity and correlation with exam findings is recommended.
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no definite acute cardiopulmonary process.
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increased right lower mediastinal contour suggesting a dilatation of gastric pull-up, increased atelectasis associated with contour abnormality due to the pull-up or both; this type of appearance appears to have waxed and waned on prior films. obstruction of the pull-up is a possibility to consider clinically in the se...
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no evidence of pneumonia.
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prominent interstitial markings which may represent pulmonary edema or alternatively chronic lung disease. no prior studies are available for comparison. right lower lobe atelectasis and possible small right pleural effusion or scarring.
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no pneumonia, edema or effusion.
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no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions.
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ng tube side port above the ge junction, consider advancing <num> cm. this recommendation was posted to the ed dashboard at on by.
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moderate bilateral effusions and lower lung volume loss are worse compared to prior.
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status post left lung biopsy with left lung postprocedural changes and no pneumothorax. increased retrocardiac opacification is likely due to worsening atelectasis. clear right lung.
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no evidence of pulmonary edema or pneumonia.
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previous mild pulmonary edema has improved and right pleural effusion if any is smaller. moderate cardiomegaly is chronic. pulmonary vascular and mediastinal venous engorgement persist. new et tube in standard placement. nasogastric tube ends in a nondistended stomach. , md
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relatively stable exam with no acute process identified. there is hypertensive cardiomediastinal configuration. there is a stable compression fracture involving the lower thoracic vertebral body. question possible small underlying right pleural effusion versus scarring.
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compared to chest radiographs. no pneumothorax or appreciable pleural effusion. pulmonary vascular engorgement is mild. heart size top-normal. normal mediastinal and hilar contours. rib fractures are not detectably displaced.
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right lower lobe pneumonia. recommend follow-up radiographs in <num> weeks after treatment to ensure resolution. probable sequelae of prior granulomatous disease in the lung apices. recommendation(s): follow-up chest radiograph in <num> weeks after treatment of pneumonia to ensure resolution.
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a minimally displaced fracture involving posterior left fifth rib. no pneumothorax.
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in comparison with the study of , there are lower lung volumes so that it is difficult to detect any significant decrease in the diffuse bilateral pulmonary opacifications. this and placement of an endotracheal tube with its tip approximately <num> cm above the carina. nasogastric tube extends to the stomach. right upp...
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no pneumothorax or obvious rib fracture.
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in comparison debris , multifocal areas of consolidation have progressed in the interval particularly in the right mid and both lower lungs. observed findings are consistent with progressive multifocal pneumonia. coexisting right pleural effusion is small to moderate in size.
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unchanged appearance of the thorax compared with examination from <num> days prior, with mild vascular congestion on the setting of mild cardiomegaly. no evidence of pneumonia
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no acute cardiopulmonary abnormality.
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nearly complete resolution of the left apical pneumothorax since earlier today.
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moderate left and small right pleural effusion, unchanged from prior with associated bibasilar atelectasis.
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satisfactory positioning of the new icd device. no pneumothorax. small left pleural effusion and left lung base atelectasis.
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unchanged overinflation. new partial left lower lobe atelectasis. no larger pleural effusions. no pneumonia, no pulmonary edema. the size of the cardiac silhouette is unchanged.
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no acute cardiopulmonary process.
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cabg changes. no acute cardiopulmonary process.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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unremarkable chest radiographic examination.
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increasing opacity in the left hemithorax is concerning for an evolving infectious process. close radiographic follow-up is warranted. the right lung remains well aerated.
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in comparison with the earlier study of this date, there are slightly lower lung volumes. left subclavian pacer line extends to the apex of the right ventricle. there is again enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure. blunting of the costophrenic angles is again seen.
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improved position of et tube
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right internal jugular central venous catheter tip is within the svc.
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right lower lobe opacity is compatible with pneumonia in the correct clinical setting. recommend follow-up after treatment to document resolution.
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no acute cardiopulmonary abnormality.
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low lung volumes limiting exam without definite acute cardiopulmonary process.
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tracheostomy tube has its tip approximately <num> cm above the carina. two right subclavian picc lines are seen, one with the tip in the distal svc near the cavoatrial junction and the other of which is in the proximal subclavian vein. left chest tube is unchanged in position. there has been interval decrease in the am...
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no evidence of pneumonia.
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no focal opacity concerning for aspiration.
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as compared to the previous radiograph, the lateral radiograph now shows mild bilateral dorsal pleural effusions. no evidence of substantial atelectasis. no focal parenchymal opacities suggesting pneumonia. moderate cardiomegaly with elongation of the descending aorta. normal hilar and mediastinal structures.
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compared to prior chest radiographs through. mild cardiomegaly and pulmonary vascular congestion have worsened, but not minimal pulmonary edema. small areas of consolidation in the lower lobes, stable on the right, increased on the left could be atelectasis or aspiration. small pleural effusions are likely, but there ...
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no focal consolidation concerning for pneumonia. large hiatal hernia.
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tip of pacemaker in left ventricle.
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moderate pulmonary edema with a more focal opacity seen in the left lung base. super-imposed pneumonia cannot be excluded in the appropriate clinical setting.
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moderate to severely pulmonary edema has worsened. bibasilar atelectasis have worsened. bilateral effusions are small larger on the right. cardiomegaly cannot be assessed. there is no pneumothorax
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comparison to. no relevant change is noted. borderline size of the cardiac silhouette without pulmonary edema. mild elongation of the descending aorta. normal hilar and mediastinal contours. no pneumonia, no pleural effusions.
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hilar enlargement and multiple pulmonary nodules compatible with history of sarcoidosis. pulmonary nodules appear grossly stable since. however, they are increased since and a non-urgent ct scan of the chest is still recommended for complete evaluation if this has not been done elsewhere.
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small bilateral pleural effusions. prominence of the pulmonary vasculature suggests fluid overload. additional patchy right upper lobe opacity could relate to prominent vessels although underlying infectious process is not excluded in the appropriate clinical setting.
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in comparison with the study , there has been decrease in the bilateral pulmonary opacifications at the bases. continued low lung volumes accentuates the transverse diameter of the heart. again, some of the basilar opacification could reflect small residual elevation of pulmonary venous pressure.
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no acute cardiopulmonary process.
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compared to chest radiograph. lung volumes have improved, mild pulmonary edema has decreased. new right central venous catheter ends close to the superior cavoatrial junction. previous moderate upper mediastinal widening stable. no pneumothorax or appreciable pleural effusion. et tube in standard placement. esophageal ...
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no acute cardiopulmonary abnormality.
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pacemaker leads terminate in right atrium and right ventricle. heart size and mediastinum are stable. there is interval development of all more prominent interstitial opacity that might potentially reflect he mild vascular enlargement versus minimal interstitial changes. no focal consolidations to suggest infectious pr...
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right middle lobe and left upper lobe pneumonia.
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no substantial interval change from the prior study with similar appearing small right pleural effusion and right middle lobe linear atelectasis or scarring.
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in comparison with the earlier study of this date, the right chest tube has been below. new definite pneumothorax. continued atelectatic streak of these.
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slight lung hyperinflation. no focal consolidation.
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bibasilar streaky opacities are new and may represent atelectasis or aspiration. et tube and enteric tube in appropriate position.
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no acute intrathoracic process.
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port-a-cath catheter tip is at the level of lower svc. heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax.
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ap chest compared to : pulmonary edema has improved substantially in the right lung, now mild, while edema through most of the left lung is relatively unchanged since early on , while the transient worsening of chronic left lower lobe atelectasis has improved as well. severe cardiomegaly is also less pronounced today t...
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mild interstitial pulmonary edema.
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left basal opacity likely atelectasis though difficult to exclude pneumonia.
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as compared to the previous radiograph, the monitoring and support devices are constant. constant appearance of the cardiac silhouette. a pre-existing parenchymal opacity at the left lung bases. has almost completely resolved. no new opacities.
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bibasilar opacities with more dense consolidation posteriorly, likely in the right lower lobe. findings may represent atelectasis, however, effusion or component of consolidation due to infection is also possible. please clinically correlate.
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no previous images. there is enlargement of the cardiac silhouette with <num> triple lead pacer device extending to the right atrium, right ventricle, and coronary sinus distribution. there may be minimal indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. there is increased opacific...
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no acute cardiopulmonary process. tortuous aorta; if there is clinical concern for dissection, chest cta should be obtained. moderate hyperexpansion.
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heart size and mediastinum are stable. lungs are essentially clear. bilateral rib fractures are noted. no interval development of pleural effusion or pneumothorax demonstrated. no new focal consolidations seen.
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new right lower lobe subtle opacity is best seen on the lateral view, and concerning for developing infection in the correct clinical setting. alternatively, if there is a strong clinical suspicion for pulmonary embolism given the age and clinical presentation, a cta - pe protocol should be obtained. recommendation(s):...
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as compared to previous radiograph of , right pigtail pleural catheter has changed in position and extensive subcutaneous emphysema in the right chest wall has slightly decreased in severity. small right pneumothorax is present with apical and basilar components, with slight increase in the apical component. linear bib...
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no acute cardiopulmonary process.
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moderate cardiomegaly with chronic mild pulmonary vascular congestion.
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ap chest compared to normal heart, lungs, hila, mediastinum and pleural surfaces. there are no findings of cardiac decompensation.
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ap chest compared to : bibasilar consolidation has improved slightly since earlier on. emphysema is severe. there is no pulmonary edema or appreciable pleural effusion. heart size is normal. et tube in standard placement. nasogastric tube ends in the upper portion of a non-distended stomach.
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top-normal cardiac silhouette size. no pulmonary edema. no focal consolidation or evidence of pneumothorax.
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no acute cardiopulmonary process.
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probable atelectasis/scarring at the left base. doubt penumonia. otherwise, no evidence of focal infiltrate. if symptoms worsen, consider repeat chest x-ray to assess for any evolution at the left lung base.
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low lung volumes, with persistent elevation of the right hemidiaphragm relative to the left side. no new consolidation or pulmonary edema. faint linear opacity in the left lower lobe/ lingula remains unchanged and likely represents atelectasis.
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as compared to the previous image, the patient remains intubated. the left picc line is in unchanged position. the lung volumes remain low and there are areas of atelectasis at both the right and the left lung bases. no overt pulmonary edema. no larger pleural effusions. no pneumonia.
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as compared to the previous radiograph, the signs indicative of pulmonary edema have completely resolved. the lung parenchyma shows normal transparency and structure. there is no evidence of pulmonary edema or pneumonia. no pleural effusions. borderline size of the cardiac silhouette with mild elongation of the descend...
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interval development of dense biapical opacifications, left greater than right, opacifications concerning for pneumonia. placed these findings on the critical communications dashboard on.
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a right-sided picc terminates in the mid svc a
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no previous images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. specifically, no evidence of hilar or mediastinal
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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mildly increased opacity at the left lung base is likely atelectasis, but could represent aspiration or pneumonia in the appropriate clinical setting.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, no relevant change is seen. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pleural effusions, no pulmonary edema. no pneumothorax. the ribcage appears unremarkable.
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cardiomegaly with central pulmonary vascular congestion with moderate interstitial edema.
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expected positions of pacemaker leads which are intact. worsening airspace consolidation on the right
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heart size and mediastinum are stable. postsurgical changes in the left upper lung are stable. there is minimal apical pneumothorax noted, similar or slightly smaller than on the previous examination. no increase in pleural effusion is demonstrated.
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no acute cardiopulmonary process. retrocardiac atelectasis.