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in comparison with the study of , the pulmonary vascularity is within normal limits. cardiac silhouette is moderate lead enlarged, but no pleural effusion or acute focal pneumonia. as on previous study, there is some increased opacification along the right lateral chest wall, which could well relate to previous trauma....
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as compared to the previous image, a pre-existing left pleural effusion has completely resolved. there is mild scoliosis of the thoracic spine with mild asymmetry of the ribcage. status post sternotomy with unchanged normal alignment of the wires. no pleural effusions. no pneumonia, no pulmonary edema. no lung nodules ...
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tiny right apical pneumothorax
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no acute cardiopulmonary process.
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single lead defibrillator in appropriate position without pneumothorax. stable moderate cardiomegaly and small left pleural effusion.
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ap chest compared to : previously marked asymmetric pulmonary abnormality has improved on the right and worsened slightly on the left. this could be pulmonary edema alone. moderate-to-severe cardiomegaly is chronic. azygous distention reflects elevated right heart pressure. there is no good evidence for active pneumoni...
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there is no radiographic evidence for the patient's cough and mild hypoxia.
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dual-lead left-sided pacer remains in place. overall cardiac and mediastinal contours are unchanged. there continues to be evidence of a right upper lobectomy with volume loss on the right side. there is central vascular congestion which is not significantly changed, although there are some slightly more prominent inte...
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no focal consolidation concerning for pneumonia is identified.
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new blunting of the right costophrenic angle raises concern for small right pleural effusion with overlying atelectasis. right base consolidation is difficult to exclude. likely left base atelectasis. right upper hemi thorax post radiation change.
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as compared to the previous radiograph, the lung volumes have slightly decreased. the pre-existing mild fluid overload has progressed to mild to moderate pulmonary edema. in addition, there is a new zone of parenchymal opacity at the right lung bases, consistent with the clinically suspected aspiration. retrocardiac at...
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no relevant change as compared to the previous image. status post cabg. the sternal wires are in correct alignment. no pulmonary edema. no pleural effusions. no pneumonia. unchanged moderate elongation of the descending aorta.
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l<num> compression deformity better assessed on concurrently obtained t and l-spine radiographs. otherwise unremarkable.
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the right internal jugular catheter now terminates in the mid svc.
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no acute cardiopulmonary process.
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mild congestion and interstitial pulmonary edema.
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small left pleural effusion and moderate left lower lobe atelectasis are probably unchanged since. there is no pneumothorax. transvenous right atrial pacer and right ventricular pacer defibrillator leads follow their expected courses from the left pectoral generator. heart is normal size. there is no mediastinal wideni...
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no acute cardiopulmonary process.
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right perihilar opacity likely reflects known malignancy, with small right pleural effusion. right basilar patchy opacity could reflect atelectasis or infection. widened right paratracheal stripe suggests lymphadenopathy. comparison with prior imaging exams are recommended to assess for interval change.
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swan-ganz catheter tip is in the main pulmonary artery or proximal right pulmonary artery. there is no pneumothorax. there is stable atelectasis or scarring in the right mid and lower lung zone. there is no new consolidation or chf.
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ng tube tip overlies the stomach. sideport probably lies immediately distal to the ge junction. clinical correlation regarding possible advancement is requested. interval improvement in retrocardiac density, though retrocardiac density persists. mild crowding of bronchovascular markings about the hila, similar to prior...
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heart size and mediastinum are stable. lungs are essentially clear. no appreciable pleural effusion or pneumothorax seen. minimal left basal atelectasis is unchanged.
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no acute cardiopulmonary process.
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comparison to. the lung volumes are low. bilateral areas of atelectasis persist. no pulmonary edema, no pleural effusions. no pneumonia. borderline size of the cardiac silhouette.
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no evidence of acute cardiopulmonary process.
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there is an unchanged left apical pleural catheter. there is a small left apical pneumothorax which is slightly larger than previous. heart size is normal. lungs are grossly clear.
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chronic obstructive airways disease. bibasilar atelectasis.
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improved pulmonary edema and right pleural effusion. no definite consolidation seen.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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left lower lobe pneumonia.
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no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.
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ap chest compared to : previous mild edema, atelectasis and possible left lung contusion have all essentially cleared, only linear bands of atelectasis remaining in the left lower lung. subcutaneous emphysema has resolved and there is no pleural abnormality. heart size normal.
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no acute intrathoracic process.
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persistent right upper paramediastinal density and right extra pulmonary lesion. a ct chest may be performed for better characterization. no new areas of airspace consolidation.
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no acute cardiopulmonary process.
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no pneumothorax seen. a perihilar opacity at the left hilum may reflect loculated pleural fluid versus a parenchymal hematoma.
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no acute intrathoracic process.
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no acute cardiopulmonary process. cardiac silhouette is not enlarged.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. lucency under the hemidiaphragms bilaterally is likely contained within bowel. if there is clinical concern for intraperitoneal free air, a left lateral decubitus abdominal radiograph can be obtained, as clinically indicated.
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as compared to the previous radiograph, there is improved ventilation of both the left and the right lung. a small right pleural effusion persists, causing blunting of the costophrenic sinus. the lateral radiograph shows a dorsal left-sided area of pleural thickening that should be monitoring with repeat chest x-ray in...
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interval placement of bilateral pigtail catheters with complete resolution of pleural effusions. no pneumothorax.
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bibasilar patchy opacities favoring atelectasis and bilateral layering effusions are stable. crowding of the pulmonary vasculature in the setting of low volumes. no pulmonary edema. endotracheal tube, nasogastric tube and right internal jugular central line are unchanged in position, although the tip of the nasogastric...
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cardiac silhouette is enlarged but stable. there is a right lower lobe consolidation which has worsened since the previous study. there are no pneumothoraces.
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no acute intrathoracic findings.
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opacity over the left lateral lower lobe may represent overlying soft tissue but atelectasis or early infection is also possible.
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findings concerning for developing right lower lobe pneumonia.
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no acute cardiopulmonary abnormality, specifically no evidence of edema or vascular congestion. punctate calcifications projecting over the anterior soft tissues diffusely are new and of unclear etiology, correlate with external artifact/history.
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no acute cardiopulmonary process.
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there is persistent patchy density in the left lower lobe. there is no pneumothorax, effusion or chf. the right central line and the nasogastric tubes have been removed.
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mild right lung fibrotic changes. no sign of acute cardiopulmonary process.
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as compared to the previous radiograph, the patient has received a left pleural catheter. the effusion on the left has substantially decreased. there is no evidence for a postprocedural pneumothorax. otherwise the radiograph is unchanged. the other monitoring and support devices are constant.
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improved lung volumes with mild pulmonary vascular congestion.
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mildly enlarged cardiomediastinal silhouette, largely unchanged from prior examination.
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resolving multifocal pneumonia with residual opacity in the right middle lobe.
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interval placement of feeding tube, the tip of which passes below the level of the diaphragm and is directed cephalad towards the gastroesophageal junction, or perhaps within a hiatal hernia. unchanged bibasilar atelectasis, pulmonary vascular engorgement, and mild pulmonary edema
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cardiomegaly. no focal consolidation.
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no significant interval change from prior. persistent bibasilar airspace opacities likely reflective of acute on chronic bronchitis and bronchiolitis with unchanged small left pleural effusion.
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as compared chest radiograph, pulmonary vascular congestion and interstitial edema are new. additionally, a new poorly defined rounded opacity has developed in the right mid lung as well as multifocal patchy ill-defined mid and lower lung opacities bilaterally. differential diagnosis includes asymmetrical edema versus...
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no acute intrathoracic process.
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unchanged mediastinal and hilar lymphadenopathy. small right pleural effusion and patchy bibasilar opacities likely atelectasis.
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no acute intrathoracic process.
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left basilar atelectasis. compression deformity at the thoracolumbar junction.
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no radiographic evidence of an acute cardiopulmonary process.
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in comparison with an outside study of , there may be a tiny left apical pneumothorax following the transbronchial biopsy. indistinctness of pulmonary vessels again seen concerning for elevated pulmonary venous pressure. asymmetric opacification at the left base could reflect a combination of atelectatic changes and po...
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normal chest radiograph.
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normal study of the chest.
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since a recent radiograph of <num> day earlier, under orogastric tube is been removed. cardiomediastinal contours are stable. bilateral small to moderate pleural effusions have apparently increased in size with adjacent bibasilar atelectasis and or consolidation. no other relevant changes.
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left picc line tip now terminates in the azygos vein, for which repositioning is recommended. interval decrease of small right apical pneumothorax. increasing moderate bilateral pleural effusions.
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no pneumonia.
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no acute cardiopulmonary process.
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possible early right lower lobe consolidation.
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no evidence of acute disease.
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lungs are clear. cardiac silhouette is normal in size. right-sided picc terminates in the low svc. no pleural effusion, pulmonary edema or evidence of pneumonia.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. there is a dual-channel pacer with leads extending to the right atrium and apex of the right ventricle.
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as compared to the previous radiograph, no relevant change is seen. extensive left-sided pleural effusion that occupies approximately % of the left hemi thorax. subsequent atelectasis and blunting of the left cardiac contour. normal appearance of the right lung and of the sternal wires.
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no significant interval change. no radiographic evidence of active infection or malignancy.
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no displaced rib fracture is seen. if clinical concern for rib fracture persists, suggest dedicated rib series. no pneumothorax. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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pa and lateral chest compared to and : previous mild pulmonary edema has not recurred. mild cardiomegaly is longstanding. lungs are clear of any focal abnormality. there is a small amount of residual pleural thickening or abnormality in the subpleural left lung along the lower costal pleural surface, but no findings t...
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no interval changes suggestive of pneumonia. persistent right pleural effusion and lower lobe atelectasis.
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mild left basilar opacity, atelectasis versus pneumonitis
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no radiographic explanation for chest pain.
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no evidence of acute disease.
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no significant interval change.
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no acute findings. hyperinflated lungs without superimposed acute process.
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dobhoff tube tip probably lies in the stomach and has not passed beyond the pylorus, but is not imaged in its entirety. if clinically indicated, an abdominal film could help to lay out the entire course of the dobhoff tube.
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no acute findings in the chest.
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in comparison with the study of , there is persistent opacification at the left base, predominantly reticular, most likely relating to atelectatic changes. low lung volumes accentuate the transverse diameter of the heart. mild tortuosity of the aorta. no vascular congestion identified.
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slight improvement in right lower lung consolidation and minimal worsening of right upper lobe consolidation.
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et tube tip is <num> cm above the carinal. cardiomediastinal silhouette is unchanged. bibasal consolidations are unchanged.
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copd. no focal consolidation.
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comparison to. lung volumes have slightly decreased. sternal wires are in stable alignment. moderate cardiomegaly persists. mild elongation of the descending aorta. no pleural effusions. no pneumonia. no pulmonary edema.
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no acute intrathoracic process.
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minimal left basilar atelectasis. no evidence of pneumonia.
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no acute cardiopulmonary process.
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mild cardiomegaly with tiny left pleural effusion.