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hyperinflation. bibasilar opacities which could be chronic, due to scarring although superimposed infection or potentially aspiration is also possible.
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elevated left hemidiaphragm with adjacent retrocardiac opacity likely reflecting atelectasis though infection or aspiration cannot be excluded.
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clear lungs with no evidence of pneumonia.
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no acute intrathoracic process.
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pa and lateral chest compared to : moderate left pleural effusion is larger, following prior thoracentesis. there is no pneumothorax. lungs are grossly clear. heart size is top normal. thoracic aorta is generally large but not focally dilated. there is no pulmonary edema or vascular engorgement.
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no evidence of acute cardiopulmonary process.
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et tube positioned <num> cm above the carina. consider slight retraction by approximately <num> cm for more optimal positioning. left lower lobe atelectasis versus small volume aspiration.
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possible right hilar and adjacent mediastinal lymphadenopathy. possible lung nodule lung nodule. recommendation(s): contrast-enhanced chest ct for further evaluation of the above findings.
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no evidence of acute cardiopulmonary process.
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interval increase in mild pulmonary vascular congestion and associated interstitial edema with a new small to moderate left pleural effusion. right lung base opacity is most likely related to pulmonary edema, however superimposed infectious process is possible in the proper clinical setting. copd
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the endotracheal tube tip has been advanced and the tip is <num> cm above the carina near the clavicular heads. hardware within the lower cervical spine is again seen. there is an unchanged left-sided picc line with the distal lead tip in the mid svc. heart size is upper limits of normal. lungs are grossly clear withou...
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marked cardiomegaly, similar compared to prior, without evidence for acute pulmonary process.
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mild pulmonary edema with top-normal heart size and small to moderate bilateral pleural effusions consistent with patient's history of congestive heart failure.
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mild pulmonary edema with congestion.
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support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there has been worsening of the large right-sided pleural effusion with now extends to the right lung apex. there is a persistent left retrocardiac opacity. no pneumothoraces are seen.
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in comparison with the study of , there is further increase in the degree of right pneumothorax with increasing subpulmonic component. the left hemidiaphragm is more sharply seen, though there is again substantial volume loss in the left lower lobe. some shift of the mediastinum to the left is seen.
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as compared to the previous radiograph, a pigtail catheter was inserted into the left pleural space. a small part of the left fluid collection has been drained. however, the remaining fluid collection is still substantial. no evidence of complications, notably no pneumothorax. unchanged position of the right picc line ...
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comparison to. no relevant change is noted. lung volumes have minimally increased, reflecting improved ventilation. moderate cardiomegaly persists. monitoring and support devices are stable. no pulmonary edema. no pneumonia.
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right ij central line terminates in the right atrium. no evidence of pneumothorax. no pulmonary edema.
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normal.
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no acute cardiopulmonary process.
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right lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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cardiomegaly with possible minimal central vascular congestion. no overt chf.
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persistent opacity within the left lung base, likely reflecting a combination of small pleural effusion and atelectasis, though infection is not excluded.
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no acute cardiopulmonary abnormality.
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vascular congestion. no evidence of pneumonia.
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mild cardiomegaly is stable. small bilateral effusions have decreased. right picc tip is in the lower svc. there is no pneumothorax. interstitial opacities predominating in the upper lobes are grossly unchanged likely interstitial edema. there are no new lung abnormalities
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interval replacement of central line/catheter, now placed via the left ij, with tip over right atrium. no pneumothorax or focal consolidation identified.
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no acute cardiopulmonary abnormality.
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patient is status post right lower lobectomy with stable postsurgical changes. no evidence of pleural effusion or vascular congestion.
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left lower lobe pneumonia.
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in comparison with the study of , there again are relatively low lung volumes that accentuate the transverse diameter of the heart. no evidence of vascular congestion in a or pleural effusion, though there is tortuosity of the aorta. no acute focal pneumonia.
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new peripheral patchy opacity within the left upper lung field which could reflect an area of infection or inflammation. pulmonary infarct also cannot be excluded. unchanged clusters of nodules within the right upper lobe and left lower lobe, as seen on the previous exams, which may be due to chronic infection or infla...
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endotracheal tube <num> cm from the carina. persistent left pleural effusion and atelectasis.
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in comparison to study of , there has been a substantial increase in the left pleural effusion. no evidence of mediastinal shift, indicates compensatory collapse of the left lower lobe and lingula. right lung is clear and there is no evidence of pulmonary vascular congestion.
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previous mild pulmonary edema has improved. there is no pneumothorax or pleural effusion. multiple bullet fragments have not migrated. bilateral pleural drains in place. normal cardiomediastinal silhouette.
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postoperative ap and lateral chest views demonstrate unchanged enlarged heart size, new left basal density compatible with left lower lobe atelectasis and some postoperative pleural effusions. no pneumothorax and no evidence of new acute pulmonary infiltrates.
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mild crowding of bronchovascular markings at both bases, question slight atelectasis. no focal infiltrate or frank consolidation identified.
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no acute cardiopulmonary process.
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decreased opacification in the right lower lobe, but otherwise unchanged appearance of the chest, including metastatic disease.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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bibasilar opacities, improved on the right and slightly more pronounced on the left. small bilateral effusions, improved on the right. suspect mild cardiomegaly, unchanged.
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bibasilar patchy opacities may reflect atelectasis in the setting of low lung volumes, but infection is not excluded.
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mild bibasilar atelectasis. no subdiaphragmatic free air.
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postsurgical changes the left lung apex, with elevation of the left hemidiaphragm. doubt acute pulmonary process. minimal blunting of both costophrenic angles is however noted. no gross pleural effusion. nonvisualization of the left clavicular companion shadow. this could reflect surgical changes in this area. the diff...
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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persistent small bilateral pleural effusions, improved since. improved multifocal pneumonia
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no acute cardiopulmonary disease.
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equivocal for mild interstitial edema. otherwise, no acute findings.
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improved lung base ventilation with reduced atelectasis. all the monitoring devices are unchanged.
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small left apical pneumothorax appears new from the prior exam. markedly low lung volumes.
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no acute cardiopulmonary abnormality. no displaced rib fractures are seen, but if there is continued concern for a rib fracture, a dedicated rib series is recommended.
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compare radiograph, an endotracheal tube is in place, terminating <num> cm above the carinal. additionally, the cuff is slightly over distended. repositioning assessment of the cuff would be helpful for optimal placement. nasogastric tube terminates below the diaphragm beyond the field of view. low lung volumes accent...
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as compared to , the lung volumes remain low. retrocardiac atelectasis and mild fibrotic changes in the right upper lung. unchanged bilateral enlargement of the vascular hilar structures. no new parenchymal opacities. unchanged borderline size of the heart.
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enlarged cardiomediastinal silhouette with left pleural effusion and prominence of central pulmonary vasculature suggestive of acute heart failure.
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ap chest compared to : lungs clear. heart size normal. no pleural abnormality. transvenous right atrial and ventricular pacer leads in standard placements. no pneumothorax.
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portable ap upright radiograph demonstrates bibasilar atelectasis and pleural effusions, which appear stable in extent when compared to prior study. streaky opacity within the right lower lung zone appears minimally more conspicuous which may reflect atelectasis or alternatively developing pneumonia. a right picc is se...
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in comparison with the study , the patient has taken a better inspiration. this may account for the the apparent improvement in the bilateral pulmonary opacification is, especially on the left. the degree of right upper lobe collapse may be slightly improved, though the right apical region is difficult to evaluate due...
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no acute intrathoracic process.
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moderate left pleural effusion. fractured median sternotomy wire and clockwise rotation of most inferior wire compared with others raising question about alignment, unsure of chronicity given lack of prior imaging in our system.
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pa and lateral chest compared to : moderate-sized hiatus hernia is larger. there is no good evidence for pneumonia. small right pleural effusion is new and the pulmonary vasculature is more engorged, but i don't see pulmonary edema. loops of bowel interposed between the liver and the right hemidiaphragm should not be m...
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lung volumes are still quite low. previous mild pulmonary edema is improving. heart size is normal. moderately severe bibasilar atelectasis is unchanged. pleural effusion is small on the left if any. no pneumothorax. right pic line ends in the region of the superior cavoatrial junction, repositioned since at from the...
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small pneumoperitoneum. recommend dedicated abdominal imaging for further evaluation. recommendation(s): dedicated abdominal imaging for further evaluation.
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no acute cardiopulmonary process.
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satisfactory positioning of dual-chamber pacemaker with leads in the right atrium and right ventricle with no pneumothorax.
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no signs of pneumonia.
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no acute cardiopulmonary process.
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mild cardiomegaly with mild interstitial pulmonary edema with tiny left pleural effusion.
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in comparison with the study of , the monitoring and support devices are unchanged. again there are low lung volumes with enlargement of the cardiac silhouette, pulmonary vascular congestion, and bilateral pleural effusions with compressive basilar atelectasis. given these pulmonary changes, it would be extremely diffi...
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no acute cardiopulmonary process. diffusely increased interstitial markings as seen on prior, suggestive of chronic underlying lung disease.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no substantial interval change in appearance of moderate left pleural effusion with associated left basilar atelectasis.
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removal of left chest tube with small amount of left pleural gas.
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mild cardiomegaly. otherwise, no acute cardiopulmonary pathology.
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no radiographic evidence for acute cardiopulmonary process.
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no acute findings.
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nodular opacity projecting over the left lower lung most likely reflects a prominent nipple shadow. otherwise unremarkable exam.
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support lines and tubes are unchanged in position. there is cardiomegaly, stable. there is some atelectasis at the lung bases. there are no definite areas of consolidation. there are no pneumothoraces.
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normal chest.
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dobhoff tube tip isin the stomach. this is limited study due to the position of the patient. no interval change from prior study.
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no acute process.
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left lung remains fully aerated. subcutaneous emphysema in the right chest wall is increasing and the lateral view suggests there may be small, posterior pneumothorax as well as small right pleural effusion. normal cardiomediastinal silhouette. left bronchial stents in place, grossly unchanged. long-standing vascular s...
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decrease in right pleural effusion, trace bilateral pleural effusions persist.
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no evidence of acute cardiopulmonary abnormality.
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no previous images. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. scoliosis of the thoracic spine is convex to the right. specifically, no evidence of hilar or mediastinal lymphadenopathy.
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no acute cardiopulmonary process.
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no relevant change as compared to the previous image. moderate pulmonary edema. low lung volumes. moderate cardiomegaly. no pleural effusions. retrocardiac atelectasis. no pneumonia.
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in comparison with the study of , the cardiac silhouette is more prominent and there is indistinctness of pulmonary vessels suggesting elevation of pulmonary venous pressure. the left hemidiaphragm is more elevated on the current study. bibasilar atelectatic changes are seen. although no definite consolidation is appre...
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stable postoperative changes with vague lower lung opacities, which could represent pneumonia in the correct clinical setting.
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no pulmonary edema.
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in comparison to chest radiograph, the patient has undergone placement of a tracheostomy tube, in standard position. note is also made of marked improvement in the extent of atelectasis in the right middle and both lower lobes. no other relevant change.
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cardiomegaly. no acute cardiopulmonary process.
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no acute cardiopulmonary process. no rib fracture seen.
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in comparison to chest radiograph, right pleural catheter remains in place with persistent moderate right basilar hydropneumothorax, with interval increase in its fluid component. left pleural catheter also remains in place with a moderate left pneumothorax with apical, lateral and basilar components, slightly increas...
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no acute cardiopulmonary process.
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no pneumothorax.
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mild congestive heart failure without overt pulmonary edema. left basilar opacity is likely atelectasis and scarring, less likely infection.