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in comparison with the earlier study of this date, the new. off tube is within the upper to mid stomach. otherwise little change.
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no acute cardiopulmonary process.
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low lung volumes without definite acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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findings raising concerning for aortic dissection. recommend further evaluation with ct. given patient's contrast allergy and extensive area of calcifications, a ct non-contrast would be of utility.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. persistent small bilateral pleural effusions.
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low lung volumes without definite acute cardiopulmonary process. consider repeat two-view chest x-ray with improved aeration for better evaluation.
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left basilar atelectasis without evidence of pneumonia.
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no acute cardiopulmonary process.
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compared to prior chest radiographs since , most recently. moderate right pleural effusion continues to increase. it obscures what is either worsening right perihilar edema or upper and lower lobe pneumonia. heart size is top-normal and unchanged but mediastinal veins are dilated suggesting increased intravascular volu...
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no signs for acute cardiopulmonary process.
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no acute cardiopulmonary process with an enlarged aorta.
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mild right suprahilar opacity may represent consolidation due to infection; not clearly seen on recent prior chest ct. recommend followup to resolution.
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right middle lobe pneumonia.
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streaky opacities in the lung bases likely reflect atelectasis.
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no acute cardiopulmonary process.
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increased opacity projecting over the left lung base laterally without correlate on the lateral view. this could potentially be due to overlying soft tissues although underlying parenchymal opacity is possible, noting no correlate to confirm on the lateral view. consider repeat exam with greater inspiratory effort for ...
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normal chest radiograph.
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since the prior study there has been interval substantial improvement of pulmonary edema, still present. mild to moderate mostly involving lower lobes. left subclavian line tip is at the cavoatrial junction. small bilateral pleural effusions are most likely present. ng tube tip is in svc.
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in comparison with the study of earlier in this date, there again is some asymmetry in opacification at the bases, more prominent on the left. in view of the clinical history, this could well represent aspiration or infectious pneumonia. there has been placement of an endotracheal tube with its tip approximately <num> ...
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no evidence of pneumonia or other acute abnormality.
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expected postsurgical changes following tavr. opacities in the left upper lobe are likely from atelectasis but close attention is recommended on follow up exams. the tip of the ett is <num> cm above the carina. recommendation(s): close attention is recommended on follow up exams on left upper lobe opacities.
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left upper lobe pneumonia. recommend repeat after treatment to document resolution.
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no acute cardiopulmonary abnormality. no acute rib fracture identified. if there is continued concern for a rib fracture, then a dedicated rib series is recommended.
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as compared to prior radiograph of <num> day earlier, tiny left apical pneumothorax is again demonstrated. bibasilar atelectasis has decreased in extent, and left rib fractures are unchanged.
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no acute cardiopulmonary pathology.
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ap chest compared to , , and : mild pulmonary edema has improved, still asymmetric, affecting the left lung, worst on the right. heart size has decreased since. small pleural effusions are presumed, but unchanged. no pneumothorax.
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in comparison with the study of , the lung volumes have improved. continued enlargement of the cardiac silhouette with tortuosity of the aorta, though no evidence of pulmonary vascular congestion, pleural effusion, or acute focal pneumonia.
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slight improvement of bilateral consolidations with improved pulmonary aeration.
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right ventricular pacer lead follows a normal course from a left pectoral generator. no pleural abnormality or mediastinal widening. moderate pulmonary fibrosis with possible fluid overload is stable from.
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as compared to the previous radiograph, there is a minimal decrease in extent and severity of the pre-existing multifocal bilateral parenchymal opacities. this decrease is notably seen at the bases of the right lung. no new focal parenchymal opacities. moderate cardiomegaly persists. the right central venous access lin...
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no acute cardiopulmonary process. the mediastinum does not appear widened.
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no acute cardiopulmonary process.
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mild pulmonary vasculature engorgement similar to prior. new right basilar atelectasis.
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possible right infrahilar pneumonia in the appropriate clinical context.
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et tube tip is <num> cm above the carinal. cardiomegaly is substantial. role right pleural effusion is large. left pleural effusion is small. the patient continues to be in moderate to severe pulmonary edema.
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mild congestive heart failure with minimal interstitial edema. coexisting viral infection is possible, but there are no lobar areas of consolidation to suggest a bacterial pneumonia.
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no pneumonia. residual pulmonary vascular congestion without overt edema.
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previous small left pleural effusion has been evacuated. note pneumothorax. right lung clear. stable appearance, post treatment, left upper lobe lesion. heart size normal. rightward deviation of the trachea at the thoracic inlet is due to the left lobe of the large goiter.
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pa and lateral chest compared to : aside from mild atelectasis in the left lower lobe, probably related to the chronic moderate-sized hiatus hernia, lungs are clear. there is no pleural effusion or evidence of central lymph node enlargement. heart is normal size.
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bibasilar opacities and right pleural effusion. findings may represent atelectasis, but cannot exclude pneumonia or aspiration in the right clinical setting.
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary process.
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stable mild cardiomegaly without evidence of acute cardiac decompensation. no pleural effusions.
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et tube -- position above the level of clavicular heads. clinical correlation regarding possible advancement is requested. ng tube -- sideport in the region of ge junction. clinical correlation regarding possible advancement is requested. right clavicular, right scapular and multiple right-sided rib fractures again not...
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dobbhoff tube coils within the stomach. otherwise, no interval change.
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as compared to the previous radiograph, no relevant change is seen. the lung volumes remain low. no pleural effusions. normal size of the cardiac silhouette. normal hilar and mediastinal structures.
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interval worsening of opacity in the left mid hemi thorax is consistent with worsening large areas of atelectasis. persistent deviation of the cardiomediastinal silhouette towards the left. presumed small left effusion is probably unchanged. there is any new tiny right apical pneumothorax. pulmonary edema has resolved....
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no acute cardiopulmonary process. recent development of elevated right hemidiaphragm, could be secondary to diaphragmatic injury or phrenic palsy.
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in comparison with the study of , there again is mild hyperexpansion of the lungs, which could reflect some mild chronic pulmonary disease. the cardiac silhouette is within normal limits and there is no evidence of pulmonary vascular congestion, pleural effusion, or acute focal pneumonia at this time.
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as compared to the previous radiograph, the patient is now intubated. the tip of the endotracheal tube projects approximately <num> cm above the carinal. the patient also has received a left chest tube. there is no apparent left pneumothorax. on the right, a moderate pleural effusion has developed and a right picc line...
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no acute cardiopulmonary process.
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left basilar atelectasis. unchanged right lower lobe nodule.
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nasogastric tube extends to the level of the diaphragm terminating in the expected location of the stomach. air distended portions of the gastrointestinal tract not well evaluated on this study. slight prominence of the ascending aorta may relate to tortuosity and technique, however, mild dilatation of the ascending ao...
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lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces unremarkable. nasogastric tube passes into the stomach and out of view.
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no pneumonia. no significant interval change.
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clear lungs without focal consolidation. slight prominence at the region of the ap window, slightly prominent pulmonary artery or underlying lymphadenopathy not excluded. recommend comparison with any prior chest radiograph and consider non-urgent ct.
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pulmonary edema though improved since. more dense consolidation projecting over the lung base on the lateral view could represent superimposed infection.
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no significant interval change in mild pulmonary edema and bilateral pleural effusions, right greater than left.
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no evidence of acute cardiopulmonary process.
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no pneumothorax is detected following chest tube removal. left lung base consolidation, likely atelectasis with associated small-to-moderate left pleural effusion, slightly increased in size since study obtained six hours prior.
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no focal consolidation concerning for pneumonia.
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limited exam without acute cardiopulmonary process.
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diffuse reticulonodular opacifications with slightly central predominance likely represent interstitial edema; however, atypical infection is a consideration. please correlate with lab values.
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slight interval improvement in chf findings. no obvious pneumothorax.
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no acute cardiopulmonary process.
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compared to chest radiographs through. multifocal consolidation worsened since has not improved. mild pulmonary edema on has decreased. small right pleural effusions stable. no pneumothorax. heart size top-normal. nasogastric. drainage tube is looped in the mid esophagus and returns the hypopharynx. et tube in stand...
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comparison to. monitoring and support devices are in constant position. the right pleural effusion has completely resolved. a small left pleural effusion with subsequent atelectasis is unchanged. slight increase in radiodensity in the right lung apex is noted. in the appropriate clinical setting pneumonia must be suspe...
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no acute cardiopulmonary abnormality. known mediastinal lymphadenopathy is better seen on the previous chest ct.
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read in conjunction with the abdomen ct. there is no corresponding finding on the chest radiograph, aside from the suggestion of mild bronchial wall thickening in the posterior basal segment of the left lower lobe. it is possible that patient had a recent episode of aspiration, that cleared in <num> hr. lungs elsewhere...
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no acute cardiopulmonary pathology.
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no evidence of acute cardiopulmonary abnormality.
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no relevant change. interval removal of one of the right chest tubes.
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no pneumothorax.
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no acute cardiopulmonary process.
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion. there is no pneumothorax.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process. possible hyperinflation.
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no acute cardiopulmonary process.
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et tube tip is <num> cm above the carinal. right picc line tip is deep in the right atrium and should be pulled back at least <num> cm to secure it position at the cavoatrial junction or above. multifocal consolidations have substantially progressed since the prior study, concerning for multifocal infection in combinat...
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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no acute cardiopulmonary process.
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improved appearance of left pleural effusion with minimal residual effusion.
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no acute cardiopulmonary process.
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multi lobar pneumonia involving at the right hemithorax. in a patient with diff and radiographic abnormality, atypical pathogens should be considered.
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in comparison with the study of , the right chest tube is been removed and there is no definite evidence of pneumothorax. the patient has taken a better inspiration and there are mild atelectatic changes at the left base.
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right-sided pleural effusion with associated atelectasis. focal superimposed infection is not excluded.
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no acute cardiopulmonary process.
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normal. no evidence of pneumonia.
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hyperexpansion without acute cardiopulmonary process.
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pa and lateral chest compared to : the region of peribronchial infiltration at the right lung base is larger, best appreciated on the lateral view, reflecting activity of bronchiectasis, which is widespread. severe hyperinflation due to emphysema and small airways obstruction also noted there is no evidence of cardiac ...
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mild bibasilar atelectasis, left greater than right with small bilateral pleural effusions. no pneumothorax.
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mild left basilar atelectasis.
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no acute intrathoracic abnormalities identified.
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no focal consolidation. prominent interstitial lung markings at the right lung base, likely sequela of chronic lung disease.
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low lung volumes with exaggeration of the cardiac silhouette and bronchovascular crowding. within these limitations, no acute cardiopulmonary process. the lower lungs are difficult to evaluate given low lung volumes. if there is continued concern, repeat radiographs with good inspiration should be obtained.
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no acute cardiopulmonary process. no fractures.