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as compared to the previous radiograph, no relevant change is seen. bilateral pleural effusions at relatively low lung volumes, combined to areas of mild parenchymal atelectasis, notably in the retrocardiac lung region. no pulmonary edema. no pneumonia, no pneumothorax.
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this study is somewhat limited due to patient rotation to the right. an endotracheal tube is present the tip is <num> cm above the carina. the nasogastric tube is present the tip is in the stomach. central line tip is unchanged. there is no pneumothorax. there is some increase in the patchy density previously noted in ...
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no acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process.
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possible mild interstitial edema.
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no acute cardiopulmonary abnormality.
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no convincing consolidation concerning for pneumonia.
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new right lower lung pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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pulmonary edema, left upper lobe focal consolidation could represent pneumonia. small left pleural effusion. cardiomegaly.
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no acute cardiopulmonary process.
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compared to chest radiographs through. patient has severe emphysema and history of radiation therapy to left hilar mass and mediastinum. moderate left pleural effusion has increased over the past several days, accompanied by worsening aeration at the left lung base medially, either pneumonia or more likely atelectasis...
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no acute cardiopulmonary process. no focal consolidation or pneumomediastinum.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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mild pulmonary vascular congestion. subsegmental atelectasis within likely the left upper lobe.
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normal chest radiograph.
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compared to chest radiographs through. severe infiltrative pulmonary abnormality continues to worsen. relatively symmetric distribution and presence of septal lines suggests it could all be pulmonary edema. concurrent infection or pulmonary hemorrhage cannot be excluded. heart is normal size. pleural effusions are lik...
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interval extubation, removal of the nasogastric tube, left chest tube, mediastinal drains and right internal jugular swan-ganz catheter. the right internal jugular introducer remains in place with the tip in the proximal svc. the patient is status post median sternotomy with expected postoperative cardiac and mediastin...
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no acute cardiopulmonary process.
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left upper lobe pneumonia. recommend follow-up to resolution to exclude underlying lesion.
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previous left lower lobe collapse has improved substantially since , although lung volumes remain low. this exaggerates heart size which is mildly enlarged. lungs are clear and pulmonary vasculature is unremarkable although distension of mediastinal veins, suggest elevated central venous pressure or volume. tracheostom...
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no acute intrathoracic process.
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moderate-to-severe enlargement of the cardiac silhouette with minimal interstitial edema.
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left subcutaneous icd with the lead in proper position.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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improving heterogeneous lung opacities. rapid change suggests pulmonary edema, though underlying pneumonia in the right lung should be considered in the appropriate clinical setting.
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status post right-sided chest tube placement with some improvement seen in right-sided pleural effusion.
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subtle nodular opacity abutting the left heart border, thought to represent summation of shadows. consider obliques views of the chest to further assess.
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no acute intrathoracic abnormalities identified. mild enlargement of the upper mediastinum. this may be secondary to an enlarged thyroid gland, however recommend correlation with physical exam.
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non-resolving right upper lobe pneumonia superimposed on bilateral juxtahilar scarring which could be due to prior granulomatous process such as tb or sarcoid. consider ct to further evaluate the right upper lobe and to exclude central necrosis, as well as to further characterize for causes of non-resolving pneumonia.
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ap chest compared to : subject to the limitations of bedside radiographic technique with the patient of this size, the right lung and left upper lung are clear. the left lower lobe is obscured by the cardiac silhouette and cannot be characterized. conventional views, particularly the lateral would be very helpful in re...
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heart is upper limits of normal in size accompanied by mild pulmonary vascular congestion and minimal interstitial edema. no new areas of consolidation are identified to suggest pneumonia, but periphery of left lung base has been excluded from the study and cannot be assessed.
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no acute cardiopulmonary process.
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<num>) left base atelectasis, equivocal small left pleural effusion. <num>) pulmonary vascular congestion but no frank edema at this time.
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no acute intrathoracic process.
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no acute intrathoracic process. moderately distended stomach.
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emphysema. very small pleural effusions. no definite evidence for pneumonia.
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no acute cardiopulmonary pathology.
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heart size is top-normal. mediastinum is unremarkable. bilateral enlargement of the hila is present. lungs are clear. small amount of bilateral pleural effusion is noted. no pneumothorax, pneumonia pulmonary edema is present.
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improving lingular pneumonia with new inferior lingular subsegmental atelectasis.
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no evidence of acute cardiopulmonary process.
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rapidly improving multifocal lung opacities, which may be due to multifocal aspiration or asymmetrical edema given the time course.
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no acute intrathoracic process. no radiographic evidence of a mass.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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worsening moderate right effusion and right perihilar opacity. stable left perihilar opacity.
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no acute intrathoracic abnormality.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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moderate left pleural effusion. underlying infection cannot be excluded. no ptx.
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no acute intrathoracic process.
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no acute intrathoracic process.
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subtle right middle lobe opacity and bibasilar opacities could be due to atelectasis versus infection.
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no acute cardiopulmonary abnormality.
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in comparison with the previous study, there is no definite pneumothorax following bronchial brushing on the right.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. <num> mm nodular opacity projecting over the left eighth rib posteriorly. this could reflect a pulmonary nodule or a sclerotic focus within rib. comparison with prior chest radiographs would be helpful to determine the stability of this finding for alternatively bilateral oblique v...
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vague opacity in the lower lungs is concerning for pneumonia and/or atelectasis.
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endotracheal tube terminates approximately <num> cm above the level the carina. moderate pulmonary vascular congestion with interstitial edema.
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no new opacity to suggest infection. unchanged basilar opacities consistent with scarring.
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no previous images. the cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. specifically, no evidence of acute focal pneumonia. right subclavian picc line is at the cavoatrial junction or possibly in the upper portion of the right atrium.
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status post chest tube removal on the left. no pneumothorax. remaining minimal air collections in the left lateral soft tissues. postoperative parenchymal opacities at the left lung apex are constant in extent and distribution. no signs suggesting the presence of a left or right pneumothorax.
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airspace opacities seen inferior to the hila bilaterally, left greater than right. in the appropriate clinical setting, this could represent multifocal pneumonia.
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multifocal regions of consilation worrisome for multifocal pneumonia or potentially aspiration. component of edema in setting of background emphysema is possible.
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findings worrisome for left lower lobe pneumonia. recommend followup to resolution.
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bibasilar airspace opacities likely reflect atelectasis.
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no acute cardiopulmonary abnormality.
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overall cardiac and mediastinal contours are stable. calcified hilar lymph nodes are consistent with known sarcoidosis. deformity of the right upper chest wall with some right lateral pleural thickening and scarring and volume loss in the right medial lung base are stable. the left hemidiaphragm is now better visualize...
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right middle and lower lobe consolidation compatible with pneumonia. left basilar opacity, potentially atelectasis although additional areas infection is also possible.
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no acute cardiopulmonary process.
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in comparison with the study of , the patient has taken a better inspiration. continued enlargement of the cardiac silhouette without vascular congestion or pleural effusion. on the lateral view, there is suggestion of some increased opacification in the retrocardiac area. in the appropriate clinical setting, this coul...
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moderate right and small left pleural effusions with associated haziness of the right hemothorax likely due to layering fluid posteriorly. difficult to exclude an underlying pneumonia.
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no acute intrathoracic process.
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right lower lobe collapse is improved slightly since , but along with the collapsed right middle lobe is still substantially atelectatic. moderate right pleural effusion stable. mild cardiomegaly and pulmonary vascular congestion persists and there is as yet no pulmonary edema. right supraclavicular central venous infu...
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no acute intrathoracic process.
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as compared to the previous radiograph, the bilateral pleural effusions but distributed in a slightly different way but are overall unchanged in extent and severity. moderate cardiomegaly and bilateral areas of basilar atelectasis persist. no new parenchymal opacities. the monitoring and support devices are in constant...
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stable appearance of moderate pulmonary edema. removal of left-sided subclavian line. heavily calcified ascending aorta.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no pleural effusion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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heart size is normal. slightly tortuous descending aorta is demonstrated. lungs are clear. there is no pleural effusion or pneumothorax.
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comparison to. the patient is now intubated. the tip of the endotracheal tube projects <num> cm above the carina. no complications, notably no pneumothorax. otherwise unchanged radiograph with a borderline size of the cardiac silhouette but no evidence of pulmonary edema or pneumonia. no pleural effusions.
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comparison with the study of , there is little overall change. significant diffuse bilateral pulmonary opacifications are again seen. the monitoring and support devices are stable.
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no acute cardiopulmonary abnormality.
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new moderate right hydropneumothorax is indicative of the anastomotic leak demonstrated on the contemporaneous chest ct.
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as compared to radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and worsening edema. asymmetrically distributed opacities involving the right lung to a greater degree than the left could reflect asymmetrical edema or coexisting pneumonia. small left and moderate right pleural effusions have inc...
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no pneumonia.
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right basilar opacity likely represents atelectasis or fluid in the fissure. no pneumonia.
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in comparison with the study of , following bronchoscopy with biopsies there is no evidence of pneumothorax or hemorrhage. otherwise little change.
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an orogastric tube remains in place with it coursing below the diaphragm and the tip not identified on the current study. interval placement of a single-lead left-sided pacer with the lead terminating over the expected location of the right ventricle. there are bilateral layering effusions which has increased on the le...
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no definite acute cardiopulmonary process.
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no acute cardiopulmonary process.
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persistent left base opacity raises concern for consolidation, underlying pleural effusion with atelectasis may also be present. pulmonary vascular congestion.
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normal exam.
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no acute cardiopulmonary process. no mediastinal widening.
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compared to chest radiograph, left pleural catheter remains in place with apparent slight increase in size of a small left pleural effusion with adjacent left basilar atelectasis. a small right pleural effusion has nearly resolved. no other relevant changes.