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no acute cardiopulmonary abnormality.
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mediastinal widening is substantially improved with moderate left and right pleural effusions.
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no appreciable change since one. persistent elevation of the left lung base, could be due to moderate, subpulmonic pleural effusion and/or diaphragmatic elevation with a small left pleural effusion. left lower lobe is probably substantially atelectatic. right lung is clear. heart shadow is mildly enlarged. no pneumotho...
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new tavr in place. mild cardiomegaly stable. incidental note made of extremely heavy mitral anulus calcification, but no evidence of mitral regurgitation. lungs are slightly lower in volume today but clear and there is no pulmonary edema. normal mediastinal and hilar contours and pleural surfaces.
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no evidence of acute cardiopulmonary disease.
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moderate cardiomegaly and bilateral layering effusion have not substantially changed given for differences in patient positioning. bibasilar atelectasis is probably substantial, unchanged
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right picc tip projecting over the brachiocephalic vein, just above the level of the svc.
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compared to prior chest radiographs through. mild pulmonary edema unchanged. right infrahilar consolidation could be atelectasis. followup advised. no appreciable pleural effusion. no pneumothorax. et tube, right internal jugular line, and nasogastric drainage tube in standard placements. sharp definition of the upper...
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mild bibasilar atelectasis.
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mild pulmonary edema. chronic moderate cardiomegaly.
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no acute findings.
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small to moderate left pleural effusion with adjacent compressive atelectasis. no evidence of pneumonia.
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as compared to the previous radiograph, there is unchanged evidence of mild to moderate pulmonary edema. the right pleural effusion is slightly increased as compared to the prior exam. moderate cardiomegaly persists. the monitoring and support devices are constant.
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no significant interval change, no definite new consolidation.
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no acute cardiopulmonary process.
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compared to chest radiographs through. severe subcutaneous emphysema in the chest wall, right greater than left, and neck, has not improved. moderate right basal atelectasis has worsened. left lung grossly clear. no definite pneumothorax of a small amount of pleural air would be missed. multiple displaced right rib fr...
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no radiographic evidence of pneumonia. peribronchial thickening is unchanged and may represent bronchitis.
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no acute cardiopulmonary process. no rib fractures are identified.
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no acute intrathoracic process.
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unremarkable chest radiographic examination.
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comparison to. the patient has undergone left-sided biopsy. there currently is no evidence for the presence of a pneumothorax. the lung volumes are normal. normal size of the cardiac silhouette. mild elongation of the descending aorta. no pulmonary edema. no pleural effusions.
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cardiomediastinal silhouette is stable. right pleural effusion is loculated, moderate. the appearance is unchanged since the prior study. no interval increase in cardiomediastinal silhouette, increase in pleural effusion or development of pneumothorax is noted
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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compared to there is improvement in bilateral pulmonary opacities with interval removal of the tracheostomy and mask. no focal consolidation identified.
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no acute intrathoracic process.
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compared to chest radiographs since , most recently read in conjunction with chest ct most recently. compared to , the consolidation in the right middle lobe (which was new from the chest ct in which showed only bronchiectasis in that region), has cleared. there was also consolidation in the previously normal lingula...
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appropriately positioned right ij central venous catheter terminating in the low svc near the cavoatrial junction.
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no acute cardiopulmonary abnormality.
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previous mild pulmonary edema has improved, while left lower lobe atelectasis is worsened. mild cardiomegaly is exaggerated by the markedly elevated diaphragm, probably also responsible for atelectasis in the right midlung. no pneumothorax. endotracheal tube ends in the right main bronchus. nasogastric tube ends in the...
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no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities. new median sternotomy wire fracture as described above, concerning for sternal instability. failure of the sternumto fuse postoperatively is appreciated on recent ct chest dated.
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low lung volumes. no acute process.
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no acute cardiopulmonary abnormality.
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subtle left base opacity worrisome for pneumonia.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease. , md, phd
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no evidence of acute intrathoracic abnormality.
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in comparison to radiograph, overall radiographic appearance of the chest is similar, with no new areas of consolidation to suggest pneumonia. if clinical suspicion persists, standard pa and lateral views may be helpful for more complete assessment of the lung bases.
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the contribution of pulmonary edema to diffuse severe interstitial pulmonary abnormality has improved since than the accompanying moderate right pleural effusion is smaller. no pneumothorax heart is normal size, also smaller today. residual abnormality, with confluence and consolidation in the right lower lobe is pres...
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no acute cardiopulmonary process.
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moderate left pneumothorax with chest tube in place. interval resolution of right pneumothorax. endotracheal tube is low, directed towards the right mainstem bronchus and should be pulled back to avoid bronchial intubation. findings discussed with by phone at pm on.
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in comparison with the study of , the dobhoff tube has been advanced so that the opaque tip is probably at or just distal to the esophagogastric junction. for optimal position, it should be pushed forward about <num> cm. continued opacification at the left base, worrisome for pneumonia.
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in comparison with the study of , there is again substantial enlargement of the cardiac silhouette without definite vascular congestion. this discordance raises the possibility of cardiomyopathy. in view of the cardiac size, the possibility of superimposed pneumonia cannot be excluded, especially in the absence of a la...
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compared to chest radiographs since most recently. previous large right pleural effusion has been nearly entirely drained, permitting re-expansion of the previously collapsed right lower lobe, with pigtail drainage catheter positioned at the base of the right thorax. right apical pneumothorax is tiny. small opacities ...
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no opacity concerning for pneumonia.
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increase in bilateral pleural effusions and volume loss/infiltrate at the bases
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bibasilar and right mid lung opacities which certainly could represent pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution with attempted improved inspiratory effort would be of most use.
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no definite signs of pneumonia.
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no acute pneumonia.
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no acute cardiopulmonary process. retrocardiac atelectasis.
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esophageal stent is in unchanged position compared to.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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the nasogastric tube is unchanged position. cardiac silhouette is upper limits of normal. there is unchanged bibasilar atelectasis. no definite consolidation is seen. there are no pneumothoraces.
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status post endotracheal tube placement which projects approximately <num> cm from the carina.
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in comparison to study of , there has been placement of a stent involving the lower trachea and proximal mainstem bronchi. no evidence of postprocedure pneumothorax or other change from the prior examination.
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no previous images. there is a left chest tube in place following a vats procedure with no evidence of pneumothorax. moderate subcutaneous gas is seen along the left lateral chest wall. there is blunting of the left costophrenic angle consistent with recent surgery. no vascular congestion or acute focal pneumonia.
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bilateral pleural effusions with overlying atelectasis, bibasilar consolidations cannot be excluded. enlarged cardiac silhouette and likely pulmonary vascular engorgement.
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support lines and tubes are unchanged in position. the sideport of the nasogastric tube is again at the ge junction and could be advanced <num> cm for more optimal placement. cardiomediastinal silhouette is within normal limits. there are small bilateral effusions. there are bibasilar opacities which are unchanged. the...
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normal chest radiograph. no pneumonia.
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no definite acute cardiopulmonary process.
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findings suggesting mild pulmonary venous hypertension without frank pulmonary edema. stable prominent mediastinal and hilar contours which may reflect mild residual lymphadenopathy, enlargement of central pulmonary arteries, or perhaps both.
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there is perihilar and interstitial edema which has worsened since. there is a layering left effusion and some patchy left basilar opacity likely reflecting compressive atelectasis. the heart remains enlarged. mediastinal contours are stable. calcification of the aorta consistent with atherosclerosis. no obvious pneumo...
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persistently enlarged cardiac silhouette, trace pleural effusion and possible mild vascular congestion. patchy right basilar opacity is seen, which could be due to a combination of pleural effusion and atelectasis; however, an infectious process is not excluded.
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no acute cardiopulmonary process.
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resolving multifocal consolidation.
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focal consolidation in the right upper lung concerning for pneumonia. followup to resolution advised.
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compared to chest radiographs since , most recently. lungs are well expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. stabilization hardware projects over the lower cervical spine, along with vascular clips.
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no acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process.
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comparison to. stable cardiomegaly. the previously malpositioned right picc line is now in correct position, the tip projects over the lower svc. borderline size of the cardiac silhouette with mild fluid overload but no overt pulmonary edema. there is stable right basilar atelectasis but no evidence of pneumonia in the...
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et tube in standard placement. nasogastric tube ends in the nondistended stomach. no pleural effusion. lungs are clear.
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in comparison to chest radiograph, right pleural catheter has apparently slightly changed in position with associated development of a small right pleural effusion. there is no visible pneumothorax, and it appearance of the chest is otherwise similar to the recent study.
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no acute cardiopulmonary process. an attempt was made to call these result to dr.
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no acute cardiopulmonary process.
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hyperlucent upper lobes with paucity of vessels consistent with emphysema.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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comparison with the earlier study of this date, the left subclavian picc line has been repositioned with the tip in the region of the cavoatrial junction. area of increased opacification is seen in the right infrahilar region. in the appropriate clinical setting, this would be worrisome for developing consolidation. th...
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no acute cardiopulmonary process.
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in comparison with the study , there again are low lung volumes with bibasilar atelectatic changes. slightly more increased opacification in the left base could, in the appropriate clinical setting, represent aspiration pneumonia. remainder the study is unchanged.
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no acute intrathoracic abnormality.
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ngt tube can be push down <num> cm. there are no new cardiopulmonary processes. findings were paged to dr at <num> pm by dr
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as compared to the previous radiograph, the left central venous access line has been removed. there is unchanged evidence of diaphragmatic elevation on the left as well as of moderate cardiomegaly. otherwise the postoperative appearance of the left lung is normal. no pulmonary edema. no pneumonia. no pleural effusions ...
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no acute cardiopulmonary abnormality. near complete resolution of previously seen bibasilar pneumonia with only trace opacity seen, likely chronic sequela.
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no acute cardiopulmonary process. elevated right hemidiaphragm, similar in appearance to radiographs from. no evidence of a displaced rib fracture.
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comparison to. decrease in severity of the pre-existing pulmonary edema. the edema is still mild to moderate in severity. improved retrocardiac ventilation. no larger pleural effusions. borderline size of the heart.
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no acute intrathoracic process.
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as compared to the previous radiograph, the patient has received a dobbhoff catheter. the course of the catheter is unremarkable, the tip of the catheter is not displayed on the image. the other monitoring and support devices as well as the bilateral parenchymal opacities, combined to a small to moderate pleural effusi...
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unchanged loculated right pleural effusion. significantly improved opacification of the left retrocardiac region with persistent opacity at the periphery of the left midlung. vascular congestion is improved.
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no acute cardiopulmonary process.
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lower lung volumes may explain some of the increase in generalized pulmonary radiodensity but i think mild pulmonary edema has worsened since. severe left lower lobe atelectasis and moderate cardiomegaly are stable. small to moderate bilateral pleural effusion is also stable. there is no pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process, specifically no free intraperitoneal air.
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interval resolution of small, bilateral pleural effusions.
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stable bilateral pleural plaques.
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suspected subpulmonic effusion on the left. new apparent widening of the right mediastinum, possibly distention of the superior vena cava and perhaps primarily related to ap technique. when clinically appropriate, evaluation with standard pa and lateral radiographs is recommended to see whether widening may persist and...
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in comparison with study of , there is an placement of a dual-channel pacer from a left subclavian approach with leads in appropriate position in the right atrium and right ventricle. specifically, no evidence of post -procedure pneumothorax. remainder the study is unchanged.
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compared patient has severe pulmonary fibrosis. the component of pulmonary edema which developed after , improved on the but not subsequently. no pneumothorax. pleural effusion small if any. mild cardiomegaly stable. et tube and left pic line are in standard placements and an esophageal drainage tube passes below the ...