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heart size and medius are stable. lungs are essentially clear. there is no appreciable pleural effusion or pneumothorax.
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low lung volumes. unchanged retrocardiac opacity, this may represent atelectasis however infection cannot be ruled out. no pneumothorax.
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no acute cardiopulmonary process.
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no appreciable pneumothorax. minimal atelectasis in the left lung base has improved
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no evidence of acute disease.
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ng tube tip is in the stomach. heart size and mediastinum are unchanged. bibasal consolidations are new o potentially representing aspiration. no pneumothorax is seen. no appreciable interval increase in pleural effusion noted.
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no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pulmonary edema, no pneumonia, no pleural effusions.
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right pigtail catheter is in place. there is slight interval increase in subcutaneous air within the will the right chest wall. cardiomediastinal silhouette is unchanged but there is slight interval increase in right pleural effusion. although no pneumothorax is definitely seen on the current examination and cannot be ...
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no acute cardiopulmonary process with no rib fractures identified.
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no significant interval change. no focal consolidation or large pleural effusion seen.
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low lung volumes with likely small bilateral pleural effusions. posterior nodular opacities abutting the pleural surface seen on the lateral view are likely in the right lung base, and appear similar compared to the prior radiograph from. agree with previous recommendation for ct scan with contrast non urgently.
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no acute cardiopulmonary pathology, especially no pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no focal opacity concerning for an infiltrate.
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marked improvement in pulmonary opacities with suspected residual atelectasis in the posterior lower lobes, but no definite acute process.
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large left pleural effusion has increased since. presence of pericardial effusion is indeterminate, but there is no evidence of cardiac tamponade. previous mild interstitial edema is improved. tiny right pleural effusion may be present. the left lower lobe is probably collapsed, but is substantially obscured by pleural...
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left picc terminating at the upper svc.
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no pneumonia.
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comparison to. the patient has developed moderate pulmonary edema. a minimal right pleural effusion is present. moderate cardiomegaly persists.
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multiple new opacities which could reflect multifocal pneumonia in the appropriate clinical circumstance. recommend chest ct for further characterization. increasing bilateral pleural effusions, both small-to-moderate though right greater than left.
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retrocardiac left lower lobe opacity concerning for infection or alternatively atelectasis. bronchovascular crowding secondary to low lung volumes. enlarged heart.
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persistent pulmonary edema, possibly worsening. concurrent pneumonia not excluded.
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no evidence of acute disease.
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no acute cardiopulmonary abnormality.
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stable cardiomegaly with mild pulmonary edema. aicd in place.
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limited, negative.
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central line terminating at the brachiocephalic confluence. no pneumothorax.
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low lung volumes with unchanged left pleural effusion and underlying atelectasis and/or consolidation. mild interval improvement in right lower lobe atelectasis.
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there continue to be bilateral layering effusions, right greater than left, with associated patchy bibasilar airspace disease which may reflect compressive atelectasis, although pneumonia cannot be excluded. there is no evidence of pulmonary edema. mediastinal widening particularly in the right paratracheal vicinity li...
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ap chest compared to through at : mild pulmonary vascular congestion which developed over the course of the day has persisted. moderate cardiomegaly unchanged. no focal findings to suggest pneumonia. right apical pleural parenchymal opacification is also chronic. nasogastric tube loops in the stom
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ap chest compared to : upper enteric drainage tube ends in the mid portion of a minimally distended stomach. heterogeneous opacification at both lung bases is more obvious today than on. there could be early pneumonia, particularly due to aspiration. upper lungs are clear and there is no pulmonary edema. pleural effusi...
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substantial decrease from previous moderate enlargement to top-normal size cardiac silhouette in just over a month. previous pulmonary vascular congestion has almost cleared and there is no pulmonary edema or pleural effusion. lungs are clear.
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right lower lobe pneumonia.
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ng tube in appropriate position. no acute intrathoracic process.
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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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persistent subtle peribronchial opacity in left lung is worrisome for early pneumonia in the appropriate clinical setting.
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normal chest radiograph.
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previously visualized left upper lobe opacity has resolved. this rapid change suggests that this may have been due to asymmetrical pulmonary edema.
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there has been significant improvement in the bilateral interstitial and alveolar densities as compared to yesterday's film. there is some persistent density in the right base and a small area of density is seen in the left base. given the rapid transition, it is possible that this represents atypical pulmonary edema/f...
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no acute pulmonary process identified.
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persistent bilateral pleural effusions, left greater than right with consolidation in the left lower lung concerning for atelectasis versus pneumonia.
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atelectasis in the lung bases without focal consolidation. unchanged focal rounded opacity in the right upper lobe which corresponds to an area of nonspecific ground-glass opacification on the previous pet-ct.
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no evidence of pneumonia. hilar and mediastinal lymphadenopathy represents known history of sarcoidosis.
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left lower lobe or lingular pneumonia.
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no acute intrathoracic process.
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no acute pulmonary process identified. no focal opacity to suggest aspiration pneumonitis identified at this time.
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in comparison with the study of , the patient has taken a much better inspiration and there is no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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no acute intrathoracic process.
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no signs of pneumonia.
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new moderate pulmonary edema. right lung base opacification may represent asymmetric edema or superimposed pneumonia in the proper clinical setting.
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increased bibasilar consolidation with pleural effusion more conspicuous at the right base, suspicious for pneumonia.
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moderate amount of pleural effusion in right lateral and apical chest area following drainage chest tube removal. no new pulmonary abnormalities.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection, including tuberculosis.
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et tube tip is relatively high, at the level of the clavicular heads, approximately <num> cm above the carina and might be advanced <num> cm. port-a-cath catheter tip is at the level of lower svc. heart size and mediastinum are stable. bilateral large pleural effusions, left greater than right are unchanged. mild vascu...
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as compared to the previous radiograph, no relevant change is seen. low lung volumes. moderate cardiomegaly. bilateral areas of atelectasis are unchanged, left more than right, the left basal opacity is suspicious for pneumonia. mild pulmonary edema persists.
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no acute intrathoracic abnormalities identified.
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no acute cardiopulmonary process.
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mild pulmonary vascular congestion without signs of overt edema. no pleural effusion.
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no acute cardiopulmonary abnormality.
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left-sided pic line. based on the lateral and oblique view, i suspect this overlies the proximal/mid svc. no acute pulmonary process identified. no pneumothorax detected.
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no evidence of pneumonia.
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no pneumothorax or other acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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no subdiaphragmatic free air. chronic interstitial lung disease with fibrosis, findings which can be better characterized with high-resolution chest ct if not done previously.
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no acute cardiopulmonary process. no pneumonia.
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no evidence of infection.
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no acute cardiopulmonary process. , md =
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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right lower lobe pneumonia.
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moderate loculated right effusion is not significantly changed from the prior examination. opacity at the base of the right lung may represent atelectasis or infection. small left pleural effusion is stable.
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right apical pleural drain is still in place. there is no appreciable pneumothorax or pleural effusion. a wedge shaped area of radiopacity is more discrete today than earlier postoperatively, but i suspect it is a region of atelectasis that previously occupied a more superior location in the chest. without details of s...
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no pneumothorax.
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the appearance of the lungs is unchanged with right-sided picc line in compressive changes at the bases and mild pulmonary vascular redistribution with mild cardiomegaly. the ng tube is not visualized in the chest. it is visualized coiled over the region of the patient's neck likely in the oropharynx
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compared to chest radiographs dated through. heterogeneous opacification in the upper lungs has improved. there is less edema in the left lower lung, although moderate left basal atelectasis persists. i suspect the upper lobe abnormality was asymmetric edema. small to moderate left pleural effusion and mild cardiomega...
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no acute intrathoracic process.
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poor inspirational effort and bilateral plate atelectasis but absence of any acute pneumonic infiltrate.
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satisfactory placement of new left icd. interval increase in large, right greater than left, pleural effusions and atelectasis. tiny right apical pneumothorax without evidence of tension.
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no acute cardiopulmonary abnormalities
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right lower lobe lung metastatic nodule redemonstrated. small to moderate left effusion with subjacent atelectasis, cannot exclude pneumonia. port-a-cath in place with tip in the low svc.
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no evidence of acute disease. nodule in the left upper lobe.
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no radiographic evidence pneumonia.
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since the prior radiograph of , a right picc has been repositioned to terminate in the lower superior vena cava. exam is otherwise remarkable for increasing patchy bibasilar opacities which could reflect atelectasis, aspiration, or developing infectious pneumonia. no other relevant change.
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ap chest compared to , most recently : lung volumes are lower. severe bilateral perihilar pulmonary consolidation has worsened on the left, improved on the right. heart is larger, and mediastinal veins are more dilated. findings point to acute cardiac decompensation in the setting of a possible acute myocardial infarc...
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small right pleural effusion. bibasilar opacities favor atelectasis, but coexisting aspiration or infectious pneumonia are not excluded.
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mild interstitial edema, cardiomegaly.
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extensive metastatic disease in the chest, which appears grossly stable compared with prior exams.
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improving interstitial abnormality. patchy left basilar opacification with potential pleural effusion. this latter opacity component appears more chronic, although perhaps recently increased somewhat in the recent past; waxing and waning atelectasis is favored.
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no infiltrate.
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right middle lobe partial atelectasis and left retrocardiac peribronchial opacity are potentially related to an acute infectious process given symptoms of fever and cough. follow up radiographs <num> to <num> weeks after antibiotics is recommended to ensure resolution. if this fails to resolve, ct would be recommended....
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no acute cardiopulmonary process.
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unremarkable chest radiographic examination. no displaced rib fracture seen; if there is continued concern for a rib fracture, then a dedicated rib series is recommended.
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as compared to the previous radiograph, no relevant change is seen. the mid than lung opacities on the left than on the right are constant in appearance. borderline diameter of the pulmonary arteries is also constant. no cardiomegaly. large left apical thickening is unchanged. right picc line in situ.
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no acute abnormalities. stable appearance of the mediastinum. no signs of aspiration. please refer to subsequent cta for additional details.
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as compared to the previous radiograph, no relevant change is seen. low lung volumes. mild fluid overload but no overt pulmonary edema. moderate cardiomegaly. areas of atelectasis are seen at both the left and the right lung bases. but there is no convincing evidence for the presence of pneumonia. no pneumothorax.
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interval improvement as described above.
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new small retrocardiac opacity that could be due to volume loss or infiltrate
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comparison to. as compared to the previous radiograph, there is a new small left pleural effusion. the perihilar mass with traction bronchiectasis on the left is stable in appearance. the minimal atelectasis at the right lung basis is also stable. moderate cardiomegaly. mildly progressive elevation of the left hemidiap...
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low lung volumes with bibasilar airspace opacities likely reflective of atelectasis.