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limited exam. probable bibasilar atelectasis, though infection cannot be excluded. evaluation for a thoracic spine fracture is limited on this study.
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subcentimeter density in left lung, likely representing a calcified granuloma from prior tb exposure. patchy opacification of left base, which could represent atelectasis, or pneumonia in the appropriate clinical setting.
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no definite focal consolidation identified. improved pulmonary edema
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opacity in the right upper lobe consistent with pneumonia. these findings were discussed with at <num> o'clock on by telephone.
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two chest radiographs taken one min apart show advancement of the nasogastric feeding tube, with the wire stylet in place, from the mid esophagus to the upper stomach. low lung volumes exaggerate heart size which is normal. greater opacification at the base the right lung could be worsening atelectasis. followup advise...
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the right ij central line and heart valve replacement are unchanged in position. there is cardiomegaly which is unchanged. there is minimal bibasilar atelectasis. there is no pulmonary edema or pneumothoraces.
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since a recent radiograph of , support and monitoring devices have been removed with development of a new small right apical pneumothorax. cardiomediastinal contours are stable in the postoperative. interval improvement in extent of bibasilar atelectasis and decreased bilateral effusions which have nearly resolved.
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no acute cardiopulmonary process.
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interval increase in moderate left pleural effusion from. results were conveyed to dr by dr on at within <num> minutes of results.
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surgical clips at the left apex are again seen. overall cardiac and mediastinal contours are unchanged. lungs appear well inflated without evidence of focal airspace consolidation, pleural effusions, pneumothorax or pulmonary edema. an oval opacity overlying right seventh posterolateral rib corresponds to a sclerotic r...
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mild prominence of the pulmonary vasculature.
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no acute cardiopulmonary abnormality. no rib fractures are identified. if further assessment of the ribs is necessary, consider a dedicated rib series.
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mild cardiomegaly. no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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the patient is rotated and bending to the right, severely distorting the thoracic cage. within this limitation, no evidence to suggest focal pneumonia.
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compared to chest radiographs and. large right pleural effusion and small subpulmonic left pleural effusion have both increased. moderate to severe enlargement of the cardiac silhouette is unchanged. pulmonary vascular engorgement he is improved, and previous mild edema has resolved. severe consolidation at both lung ...
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no acute cardiopulmonary process.
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normal chest.
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in comparison to chest ct obtained on same date, there is near-complete resolution of the moderate-to-large left pneumothorax following left-sided chest tube placement.
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no focal consolidation. slight blunting of the posterior right costophrenic angle may be artifactual, although trace pleural effusion not excluded. hiatal hernia. persistent cardiomegaly without overt pulmonary edema.
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no relevant change as compared to the previous image. mild to moderate pulmonary edema. moderate cardiomegaly. parenchymal opacity in the left lower lung, likely atelectatic in origin. however, coexisting pneumonia cannot be excluded. small left pleural effusion. no pneumothorax.
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heart size is normal. mediastinum is normal. lungs are essentially clear. tip minimal atelectasis at the left lung base is noted. otherwise no abnormalities demonstrated.
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compared to chest radiographs since , most recently. chronic pulmonary hyperinflation reflects emphysema or small airway obstruction. new transvenous right atrial right ventricular pacer leads follow their expected courses from the left pectoral generator. no mediastinal widening or pneumothorax. blunting of posterior ...
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no acute cardiopulmonary process.
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stable right apical pneumothorax and substantial left lower subsegmental atelectasis.
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interval improvement in the degree of pulmonary edema. increased left pleural effusion with adjacent left basilar atelectasis.
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left lower lobe pneumonia. followup of the patient four weeks after completion of antibiotic therapy is recommended.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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in comparison with the study of , there again are low lung volumes that accentuate the transverse diameter of the cardiac silhouette. no evidence of acute pneumonia, vascular congestion, or pleural effusion. multiple breaks in the sternal wires are again seen. again there is an impression on the lower right side of the...
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no radiographic evidence for pneumonia.
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no acute cardiopulmonary process.
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multi focal pneumonia. recommend follow-up chest x-ray in <num> weeks to evaluate resolution of the infectious process. if abnormalities persist, recommend further characterization of an underlying central process with chest ct. tenting of the diaphragm consistent with a prior inflammatory process.
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ap chest compared to : tip of the new feeding tube, with a wire stylet in place, is at the gastroesophageal junction and would need to be advanced <num> cm to move it into the stomach. endotracheal tube is no less than <num> cm from the carina and should be advanced <num> cm. left subclavian line still ends in the upp...
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bibasilar patchy opacities again noted. the differential includes atelectasis, early infectious infiltrates, and/or changes related to aspiration, but no definite interval change is identified compared to <num> day earlier. no new opacity identified. pulmonary vascular plethora, likely accentuated by low lung volumes, ...
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no acute abnormalities identified to explain the patient's persistent cough. no rib fractures identified.
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compared to prior chest radiographs, through. left subclavian infusion port ends in the upper svc. esophageal drainage tube ends in nondistended stomach. ureteral pelvic urinary catheters noted in the upper abdomen. borderline cardiomegaly increased slightly since with no pulmonary vascular congestion or edema. lungs...
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probable atelectasis at the lung bases, greater on the left than right, although aspiration and/or infection are not completely excluded. old right posterior rib fractures.
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no previous images. the cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
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as compared to the previous radiograph, no relevant change is seen. minimal bilateral basal areas of atelectasis but no evidence of pneumonia. no pleural effusions. moderate cardiomegaly. known calcified left hilar lymph nodes.
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no acute cardiopulmonary process.
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in comparison with the study , the heart remains mildly enlarged and there are atelectatic changes and effusion at the left base. no evidence ofvascular congestion or acute focal pneumonia. the right ij catheter extends to the right atrium.
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low lung volumes without evidence of acute cardiopulmonary process.
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no radiographic evidence of tuberculosis.
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large area of consolidation in the right lower lobe new since is pneumonia, alternatively pulmonary hemorrhage, accompanied by new small right pleural effusion. left lung grossly clear. heart size normal. no pneumothorax.
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no acute cardiopulmonary process.
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top normal heart size without acute findings. updated interpretation discussed with dr by by phone at on after attending radiologist review.
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no acute findings in the chest.
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in comparison with the study of , the right hemidiaphragm is more sharply seen, consistent with improving pleural effusion or possibly a manifestation of a more erect position of the patient. little change in the opacification at the left base consistent with pleural fluid and compressive atelectasis. there is again mi...
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no relevant change as compared to the previous image. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions.
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no acute cardiopulmonary process.
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minimal pleural thickening versus trace effusion on the right. low lung volumes with left basilar atelectasis. no evidence of congestive heart failure.
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comparison to. no radiographic evidence of pneumomediastinum. the tracheostomy tube and the right central venous access line are in constant position. minimal increase in radiodensity of the right hemi thorax, likely caused by patient rotation. no new focal parenchymal opacities. unchanged size of the cardiac silhouett...
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no displaced rib fracture. <num> mm right nodule overlying the right lung base. shallow oblique views with markers on the nipples and any skin lesions (on the right breast or back) should be obtained for evaluation. final impression was emailed to the ed nursing staff.
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pa and lateral chest compared to through : pulmonary edema on has almost entirely cleared, with a small perihilar residual and persistence of small bilateral pleural effusions. moderate-to-severe cardiomegaly is longstanding.
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swan-ganz catheter tip has moved, now the tip is in the proximal main pulmonary artery. no other interval change from prior study including collapse of the left lower lobe.
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improved aeration of the right upper lobe. bibasilar vague opacities, right greater than left, is compatible with asymmetric edema.
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compared to prior chest radiographs. previous pleural effusions any basal atelectasis have resolved. lungs are well expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. dual channel right supraclavicular central venous dialysis catheters end in the low svc and close to the superi...
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heterogeneous opacities in right lower lung, likely corresponding to pneumonia complicating pre-existing bronchiectasis, with associated mucus plugging. consider a <num> week followup chest x-ray to confirm resolution following appropriate therapy. if this fails to improve at followup chest x-ray, or if symptoms progre...
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persistent pleural fluid. tiny right apical pneumothorax unchanged.
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chronically elevated left hemidiaphragm with left lower lobe atelectasis, unchanged from the ct. severe cardiomegaly also unchanged. no pulmonary edema or definite airspace consolidation.
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no acute findings in chest.
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resolution of right middle lobe consolidation.
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comparison to. mild overinflation. elongation of the ascending and descending aorta. normal size of the heart. no pleural effusions. no pneumonia, no pulmonary edema. vertebral
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as compared to the previous radiograph, the known middle lobe opacity has moderately decreased in extent and severity. no new opacities have occurred. known left healed rib fractures. normal size of the cardiac silhouette.
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no pneumonia.
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persistent right basilar patchy opacity, likely representing pneumonia. diffuse reticulonodular interstitial thickening and bronchiectasis, consistent with chronic lung disease. persistent hiatal hernia.
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normal chest radiograph.
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in comparison with the study of , there is little change. continued enlargement of the cardiac silhouette with tortuosity of the aorta, but no vascular congestion, pleural effusion, or acute focal pneumonia. specifically, no evidence of interstitial changes to suggest amiodarone toxicity radiographically.
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no acute intrathoracic process.
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in the right pneumonectomy space there is small right pleural effusion. air in the right pneumonectomy space decreased. right chest tube is in place. cardiomediastinal structures are midline. right chest wall subcutaneous emphysema has minimally decreased. the right hemidiaphragm is elevated. opacities in the left lung...
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no acute cardiopulmonary process.
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findings worrisome for right middle lobe pneumonia.
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no focal consolidation. increased interstitial markings in the lungs, potentially due to interstitial edema although given chronicity, chronic underlying interstitial process is also possible.
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right-sided picc terminates at expected location of the cavoatrial junction. a lucency projecting over the posterior right seventh rib may reflect a healing rib fracture. if no clinical history to support this possibility, recommend ct chest to rule out an underlying osseous lesion.
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bibasilar atelectasis. please refer to subsequent ct of the chest for further details.
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no acute intrathoracic process.
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findings concerning for pneumonia in the left lower lobe.
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opacities overlying the left lung apex and right lung base are new since. the right basilar lesion could represent a focal pneumonia. the left apical opacity may be a rib or apical lung process. a chest ct is recommended for evaluation of both findings.
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no acute intrathoracic abnormality.
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no comparison. mild scoliosis. the lung volumes are normal. the lung parenchyma shows unremarkable structure and transparent see. no pneumonia, no pulmonary edema, no pleural effusions. the hilar and mediastinal contours are normal. tips projects over the liver.
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moderate left pleural effusion has increased, raising concern for hemo thorax or infection. mild pulmonary edema has worsened. left lower lobe remains airless. postoperative widening of the mediastinum has not recurred. mediastinal caliber is stable. no pneumothorax. et tube and right internal jugular lines are in stan...
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mild pulmonary vascular congestion and moderate to severe cardiomegaly, unchanged.
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tip of the dobhoff is in the body of the stomach, unchanged. bilateral lower lobe atelectasis and moderate layering pleural effusions have not significantly changed. probable ascending thoracic aortic aneurysm, occluded documented stability only since. no prior pertinent imaging available here. recommendation(s): evalu...
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worsening right basilar consolidation, consistent with aspiration pneumonia. findings were discussed by dr with dr by phone at on.
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no acute cardiopulmonary pathology.
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slightly low inspiratory volumes. patchy opacity left lower lobe again seen, consistent with left lower lobe collapse and/or consolidation. minimal patchy opacity in the right cardiophrenic region is unchanged. new platelike atelectasis at the right lung base. no chf, gross effusion or pneumothorax detected.
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persistent right hydropneumothorax and adjacent moderate right lung atelectasis are possibly mildly larger. moderate rightward shift of mediastinal structures is unchanged.
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no evidence of acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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no signs of pneumonia.
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no evidence of acute disease including no evidence for free air.
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small bilateral pleural effusions and minimal increase in interstitial markings compatible with congestive heart failure, improving from the exam from <num> hours prior.
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normal chest radiograph.
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widened mediastinum on the right, secondary to known aortic dissection. lungs are essentially clear.
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no acute intrathoracic process.
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no previous images. there is substantial elevation of the right hemidiaphragmatic contour. however, no evidence of pneumonia, vascular congestion, or pleural effusion.
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in comparison to the prior chest radiograph of , a pattern of chronic interstitial lung disease with associated low lung volumes is again demonstrated superimposed mild pulmonary vascular congestion is present, associated with a small right pleural effusion. exam is otherwise similar to the recent study except for wors...