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pa and lateral chest compared to : the elevation of the right lung base due at least in part to pleural effusion has not changed appreciably since. to what extent the appearance is due to elevation of the diaphragm is radiographically indeterminate, but it was very high on the torso ct performed. best way of determinin...
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no acute intrathoracic process.
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no evidence of pneumonia.
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<num>) small right effusion and right base opacity are unchanged compared with. no chf or new opacity identified. interval removal of pic line noted. <num>) targeted review of a radiograph suggests that the right base opacity represents a combination of atelectasis and a fat pad. it may also in part be accounted for b...
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increasing small right pleural effusion, accompanies slight increase in thickening of right minor and major fissure, cited as suspicious for malignant recurrence on report of chest ct.
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lingular opacity is concerning for infection in the correct clinical setting. previously seen left upper lobe mass appears more vague with adjacent ill-defined opacity which could reflect post-treatment changes.
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no acute findings. port-a-cath again noted.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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<num> x <num> cm rounded opacity in the left upper lobe concerning for neoplasm. enlargement of the left hilum is also worrisome for hilar lymphadenopathy. further assessment with chest ct with contrast is recommended.
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compared to chest radiographs through. combination of previous severe left lower lobe atelectasis and large left pleural effusion has improved following insertion of a left basal pigtail pleural drainage catheter. there is no pneumothorax. mild pulmonary edema has improved. small to moderate right pleural effusion is ...
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mild pulmonary vascular congestion. no pneumonia.
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interval increase in subcutaneous emphysema involving the neck soft tissues and right lateral chest wall. there is also a lucency in the left mediastinum raising concern for pneumomediastinum. overall, there has been improved aeration at the left upper and mid lung, although there is persistent consolidation at the lef...
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in comparison with study of , there is little overall change. asbestos related calcified pleural plaques are seen. cardiac silhouette is at the upper limits of normal in size or mildly enlarged without appreciable vascular congestion. postsurgical changes are seen bilaterally following vats procedure. on the lateral vi...
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ap chest compared to on : there has been no appreciable interval change. bilateral perihilar consolidation, more pronounced in the right lung and multinodular opacities in the right lower lung suggests that virtually all of the widespread pulmonary abnormality could be due to pneumonia. contribution of ards may be qu...
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as compared to the previous radiograph, no relevant change is seen. unchanged evidence of a small left apical pneumothorax without evidence of tension. small left pleural effusion. small retrocardiac atelectasis. the pacemaker leads are in unchanged position.
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as compared to the previous image, no relevant change is seen. status post sternotomy with unchanged alignment of the sternal wires. old healed rib fractures on the right with adjacent pleural thickening. left pectoral pacemaker with correct lead positioning. moderate cardiomegaly with calcifications of the aortic arch...
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no pneumonia. patient is status post orthopedic stabilisation with surgical clips in the lower neck.
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there is again seen a right ij central line with the distal lead tip in the right atrium. heart size is prominent but stable. small bilateral effusions are seen. pulmonary edema has improved since prior and there has been reduction in the size of pleural effusions. there are no pneumothoraces.
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no appreciable change since. right upper lung is air less, containing a large mass, and atelectasis in the right mid and lower lungs is is severe. left lung is well aerated. moderate cardiomegaly stable. right basal pleural drain unchanged in position. right pleural effusion is small to moderate but unchanged and there...
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no acute pneumonia.
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bibasilar opacities likely due to atelectasis with possible component of small effusions.
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no acute chest abnormality.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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no evidence of acute disease.
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as compared to the previous radiograph, there is now again complete atelectasis of the right upper lobe. mild pleural effusion has newly occurred. the position of the right chest tube is unchanged. moderate atelectasis at the right lung bases. unchanged appearance of the cardiac silhouette, of the monitoring and suppor...
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compared to chest radiographs through. moderately severe pulmonary edema has worsened. interval increase in caliber of the left hilum and upper mediastinum are probably due to vascular engorgement. heart is mildly enlarged, unchanged,, obscures increased opacification at the left lung base which could be combination o...
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as compared to the previous image, the malpositioned right picc line has been removed. no complications, notably no pneumothorax. otherwise the radiograph is unchanged.
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in comparison with study of , there is little if any apical pneumothorax with right chest tube in place. no evidence of acute cardiopulmonary disease.
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no radiographic evidence of acute cardiopulmonary disease.
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acute rib fractures. right basilar opacity, atelectasis versus pneumonitis.
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no acute cardiopulmonary process. stable severe lumbar kyphosis.
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ap chest compared to : tip of the endotracheal tube at the thoracic inlet is no less than <num> cm from the carina and could be advanced <num> mm for more secured seating. lungs remain low in volume but essentially clear. heart size is normal. no appreciable pulmonary abnormality. upper enteric drainage tube loops in a...
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no evidence of acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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patchy retrocardiac opacities localizing to the left lower lobe on the lateral projection may reflect atelectasis or pneumonia.
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comparison to. no relevant change is seen. the patient is slightly rotated. moderate cardiomegaly persists. the presence of a small right pleural effusion cannot be excluded. mild fluid overload but no overt pulmonary edema. mild right basal parenchymal atelectasis.
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ap chest compared to : tip of the new right pic line is indistinct. it passes as far as the mid and perhaps low svc. previous moderate pulmonary vascular congestion has improved. at the right lung base is a region of atelectasis or residual consolidation unchanged since , improved since. whether this was pneumonia or a...
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persistent right middle lobe collapse. interval decrease in right-sided pleural effusion. no pneumothorax.
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new complete collapse of the left lung.
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no evidence of pna
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bibasilar atelectasis without definite focal consolidation. old right-sided rib fractures. no definite new rib fracture seen, although if clinical concern is high, ct is more sensitive.
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ap chest compared to : et tube is in standard placement, tip approximately <num> to <num> cm above the carina. consolidation is worsening in both lungs and there is more mediastinal vascular engorgement. interval change is presumably due to cardiac decompensation, but concurrent pneumonia is presumed, particularly in t...
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heart size is top-normal. no evidence of pulmonary edema.
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no evidence of pneumonia or atelectasis.
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as compared to the previous radiograph, the pre-existing parenchymal opacity at the right lung base is now masked by a moderate pleural effusion. this effusion extends to the right lung basis and to the right costophrenic sinus. moderate cardiomegaly, elongation of the descending aorta. mild pulmonary edema. moderate c...
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no acute cardiac or pulmonary process. no evidence of a rib fracture. if clinical concern persists, a dedicated rib series with appropriately placed skin markers could be obtained.
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interval exchange with placement of a dual lumen left internal jugular central line which has its most distal tip in the distal svc. right subclavian picc line unchanged in position. tracheostomy tube in satisfactory position. status post median sternotomy for cabg with stable postoperative cardiac and mediastinal cont...
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increased left posterior basilar opacification including persistent small pleural effusion. mild interstitial abnormality, which may reflect emphysema and mild chronic interstitial disease, although mild superimposed vascular congestion could be considered in the appropriate setting.
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mild pulmonary edema and cardiomegaly.
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bibasilar opacities, left greater than right. findings could be due to infection in the proper clinical setting. repeat after treatment is suggested to document resolution and exclude underlying focal lesion.
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no acute cardiopulmonary process.
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small right pneumothorax is unchanged since. no pleural effusion or left pneumothorax.
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small right pleural effusion. no evidence of pneumonia, pneumothorax or pneumoperitoneum.
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as compared to the previous image, the patient has been extubated. the pre-existing bilateral basal parenchymal opacities are smaller and more confined to the lung bases. no new opacities. no pleural effusions. no pulmonary edema.
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no consolidation. normal radiographic examination of the chest. central catheter ends in the cavoatrial junction.
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no evidence of pneumonia.
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insertion of a left chest tube and re-expansion of the left lung. no appreciable pneumothorax on the left. clear right lung.
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since , new possible right upper lobe pneumonia. chronic elevation of left hemidiaphragm. chronic left lower lobe collapse. unchanged small left pleural effusion.
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possible mild pulmonary vascular congestion. bibasilar atelectasis.
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a right chest tube has been placed in the interim resulting in substantial decrease in the loculated right pleural effusion. rest of the findings are similar to previous examination
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no acute cardiopulmonary abnormality. stable enlargement of the cardiomediastinal silhouette.
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as compared to the previous radiograph from less than <num> hr earlier, right picc has been repositioned, but distal terminates within the left brachycephalic vein. no other relevant changes except for resolution of right basilar atelectasis.
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pa and lateral chest compared to. no appreciable change in the configuration of the elevated and lobular right lung base since. no new lung lesions. previous left pleural effusion has resolved.
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limited exam with given low lung volumes with bibasilar atelectasis, difficult to exclude a superimposed pneumonia.
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no acute cardiopulmonary process.
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right upper lobe collapse moderate right-sided pleural effusion. large amount of intra-abdominal free air, more than would be expected <num> days after surgery.
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allowing for differences in technique, there has not been a relevant change the appearance of the chest since recent study of <num> day earlier.
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hyperinflation without evidence of pneumonia.
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no definite pneumonia with persistent atelectasis and small pleural effusions. multiple compression fractures of the thoracic spine, as before.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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possible trace pleural effusion, but no large pleural effusion. moderate cardiomegaly and moderate pulmonary vascular congestion.
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no acute cardiopulmonary process.
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low lung volumes with bibasilar atelectasis.
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no focal consolidation concerning for pneumonia.
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mild-to-moderate pulmonary edema with a tiny left pleural effusion.
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moderate to large right pleural effusion with associated right middle and lower lobe atelectasis. mild hilar congestion with possible mild interstitial edema.
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no fracture identified.
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as compared to the previous image, no relevant change has occurred in extent and severity of the known right pleural effusion. also unchanged are the associated right parenchymal opacities. the effusion on the left remains minimal. the size of the cardiac silhouette is constant.
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pa and lateral chest compared to through : hyperinflation is chronic, consistent with copd, either emphysema or chronic small airway obstruction. enlargement of the hila suggests elevated pulmonary artery pressure, although overall heart size is normal. there is no pleural effusion or evidence of central adenopathy. l...
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new, interstitial, bibasilar opacities since could represent a chronic interstitial process; however, acute infection is also possible.
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increased elevation of the left hemidiaphgram. no evidence of pneumonia.
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retrocardiac opacity in the setting of low lung volumes could be due to atelectasis or pneumonia. if desired, a repeat lateral radiograph with better inspiratory effort could help further characterize the opacity. alternatively, could repeat a chest radiograph after treatment to document resolution.
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endotracheal tube has its tip <num> cm above the carina. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. there is persistent mild to moderate pulmonary edema which does not appear to be significantly changed since the prior study. persistent retrocardiac consolidation is seen, likel...
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no acute cardiopulmonary process.
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lines and tubes in appropriate position. right lower lobe atelectasis. retrocardiac opacity could represent pneumonia, aspiration or atelectasis.
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coarsened lung markings likely reflect emphysema. large hiatal hernia. age-indeterminate lower thoracic compression deformity.
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slight enlargement of the cardiac silhouette potentially due to underlying cardiomegaly. no superimposed acute cardiopulmonary process.
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no evidence of pneumothorax. substantial decrease in right-sided pleural effusion. persistent right upper lobe collapse worrisome for post-obstructive pneumonitis. the possibility of underlying central malignancy to explain this appearance should be considered.
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moderate cardiomegaly with mild pulmonary edema and small bilateral pleural effusions. patchy opacities within the lung bases may reflect atelectasis but infection is not excluded.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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heart size and mediastinum are stable. right internal jugular line has been removed. left basal aeration has substantially improved since the prior study. there is still present most likely loculated left superior portion of the fissure effusion as demonstrated and should be further assessed with lateral view. left pic...
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enteric-type tube with radiopaque tip overlying gastric fundus.
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no acute process
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marked interval improvement of right pleural effusion with small residual effusion remaining.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection. mild thoracic scoliosis is minimally increased, if at all, since.