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normal chest radiograph.
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moderately severe pulmonary edema has progressed since accompanied by increasing moderate to large right pleural effusion. poor aeration at the left lung base can be explained by combination of edema and atelectasis, but there is less volume loss there today than there was on. endotracheal tube has been removed. esoph...
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endotracheal tube is at the carina and should be withdrawn by at least <num> cm. this was discussed with , md at pm,. orogastric tube tip is within the stomach. bibasilar opacities may reflect aspiration or infection.
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there are no prior chest radiographs available for review. lungs are clear. heart size normal. pulmonary outflow tract may be dilated. no pneumothorax or pleural effusion.
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right basilar opacity may represent a combination of cardiac silhouette and atelectasis. left basilar atelectasis. no definite focal consolidation. stable moderate cardiomegaly without evidence of pulmonary edema.
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dobbhoff tube tip probably post-pyloric. however, the tubing lies disproportionately on the left side. if clinically indicated, a lateral view may help to better assess this.
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comparison to. no relevant change. borderline size of the cardiac silhouette. mild fluid overload but no overt pulmonary edema. no pneumonia, no pleural effusions.
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no pneumonia.
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as compared to the previous radiograph, the intraaortic balloon pump has been pulled back by approximately <num> cm. the pump is now in correct position. the other monitoring and support devices are constant. the lung volumes have slightly decreased, potentially as a result of decreased ventilatory pressure. no evidenc...
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no evidence of pneumonia.
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postsurgical changes are stable. moderate atelectasis at the right lung base and midlung are unchanged. no significant changes from the previous examination.
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linear opacity in the right lung, improved since prior chest radiograph from. findings are better assessed on ct performed the same date. slight blunting of the bilateral posterior costophrenic angles may be due to trace pleural effusions or atelectasis.
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there are no prior chest radiographs available for review. nasogastric tube ends in the upper portion of a nondistended stomach. right supraclavicular central venous infusion catheter ends in the upper svc. radiodensity in the lower chest is due to left lower lobe collapse and mild dependent edema in the right lower lo...
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patchy opacities in the lung bases most likely reflective of atelectasis.
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right-sided pic line appears to terminate at the cavoatrial junction, overall similar in position compared to the prior exam. mild pulmonary edema.
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no acute cardiopulmonary process.
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in comparison with the study of , the right subclavian picc line is not well seen past the upper to mid svc. continued low lung volumes without evidence of acute pneumonia or vascular congestion.
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no acute cardiopulmonary process.
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right lower lobe consolidation, worrisome for pneumonia with possible superimposed pulmonary vascular congestion.
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previous moderate left pleural effusion is substantially smaller. there is no pneumothorax. elevation of the left hemidiaphragm persists, due in part to left basal atelectasis, but perhaps pleural restriction as well. right lung is clear. heart size is normal.
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no acute focal consolidation, pleural effusion, or pneumothorax. increased bibasilar interstitial markings, due to chronic lung disease, as described on the prior ct chest.
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subtle left base opacity may be due to atelectasis, although underlying infection is not excluded in the appropriate clinical setting. consider dedicated pa and lateral views if patient able.
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impression severe diffuse infiltrative pulmonary abnormality has worsened slightly over the past <num> days. no pneumothorax or pulmonary or pleural effusion. heart size normal. et tube and left subclavian line in standard placements. nasogastric tube coiled in the stomach.
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new focal opacity adjacent to the coiled pigtail catheter may reflect hematoma were loculated effusion. attention on follow-up. large dependent left pleural effusion is unchanged.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process. et tube in appropriate position.
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standard positioning of the endotracheal and enteric tubes. unchanged right mid lung field opacity concerning for pneumonia.
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small right pleural effusion. no convincing evidence of pneumonia.
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tip of the new right jugular central venous infusion port is in the mid svc. no pneumothorax pleural effusion or mediastinal widening. lungs are essentially clear. the large mediastinal mass is unchanged since but appreciably smaller compared to. small left pleural effusion increased from to , unchanged.
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bibasilar atelectasis, right greater than left. if clinical suspicion for an acute infection is high, a dedicated chest ct is recommended for further characterization.
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comparison with the next previous study suggests mild regression of left-sided superior mediastinal densities where stable appearance of pleural effusions is noted in the lower left hemithorax.
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no pneumothorax.
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nasogastric tube at gastroesophageal junction, advance <num> cm.
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no acute intrathoracic abnormality.
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findings suggest minor atelectasis in the right middle lobe; otherwise no significant change.
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impression with the study of , there are again are bilateral pleural effusions. all mild areas of atelectasis are seen at the bases, especially on the left.
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findings consistent with left lower lobe pneumonia.
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in comparison with the study of , the monitoring and support devices are stable. bibasilar opacifications are consistent with pleural effusions and volume loss in the lower lobes. continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. the left picc line again extends only to t...
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new moderate pulmonary vascular congestion with associated interstitial pulmonary edema
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opacity at the right base compatible with opacity seen on ct chest, most likely infarct. small right pleural effusion.
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the monitoring and support devices, in particular the endotracheal tube, are in correct and unchanged position. moderately improved ventilation of the right lung base. otherwise unchanged radiograph.
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severe consolidation in the right lung has progressed since consistent with marked aspiration pneumonia. cardiac silhouette has also enlarged and vascular congestion and early edema are present in the left lung. in addition there may be developing left lower lobe pneumonia. et tube and feeding tube are in standard pla...
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no acute chest abnormality. chondroid matrix within the left humeral head likely represents a benign entity such as enchondroma. if there is pain referable to this region, this could be better evaluated with mri to exclude a more aggressive chondroid lesion.
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right basal pleural tube has been removed or at least partially withdrawn. previous small right apical pneumothorax is smaller. the small right pleural effusion is little changed. right perihilar radiation fibrosis and small right upper lobe are unchanged. left lung is hyperinflated but grossly clear. previous early ed...
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no acute cardiopulmonary abnormalities
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mediastinal prominence concerning for lymphadenopathy. diffuse osseous sclerosis concerning for metastatic disease. cta advised.
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no acute cardiopulmonary process.
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chest ct scans show substantial progression of paramediastinal pulmonary consolidation, with relatively clear margination suggesting acute radiation pneumonia. pulmonary edema is mild if any, but a mild peripheral interstitial pulmonary abnormality contributes to some of the apparent worsening in lung aeration. heart s...
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in comparison with the study of , a new dobhoff tube is been inserted. the tip again is in the fundus of the stomach. continued enlargement of the cardiac silhouette. indistinctness of pulmonary vessels suggests increased elevation of pulmonary venous pressure.
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heart size and mediastinum are stable. bibasal consolidations and bilateral pleural effusions are moderate, unchanged. there is no pneumothorax.
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no acute cardiopulmonary process. no pleural effusion.
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the dobbhoff tube terminates in the right lung. otherwise stable chest radiograph.
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nodular opacity at the right apex, which may represent costochondral cartilage versus an nodule. shallow oblique films are recommended for further evaluation.
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no significant interval change with re-demonstration of mild vascular congestion and bibasilar atelectasis.
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low lung volumes with bibasilar atelectasis.
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as compared to the previous radiograph, the patient has received a right internal jugular vein catheter. and a swan-ganz catheter inserted via the is access. the tip is located in the right pulmonary artery and should be pulled back by approximately <num> cm. unchanged evidence of bilateral pulmonary edema and small pl...
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in comparison with the study of , the dobbhoff tube extends to the body of the stomach these <num> correlating back on itself so that the tip lies in the region of the esophagogastric junction pointing toward the midline. no evidence of acute cardiopulmonary disease. central catheter tip is in the mid to lower portion ...
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no acute cardiopulmonary process.
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there is unchanged appearance of the right upper lobe partial collapse. right basal consolidation and bilateral pleural effusions are present. widespread left lung consolidation is unchanged. no interval change in bilateral substantial pleural effusions noted. there is no pneumothorax et tube tip is <num> cm above the ...
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no acute cardiopulmonary process.
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interval improvement in the right basal pleural effusion. new bilateral airspace opacities likely reflect pulmonary edema, infection cannot be excluded.
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no acute cardiopulmonary process.
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no significant interval change. no acute cardiopulmonary process.
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no signs of pneumonia.
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as compared to the previous radiograph, the known right pneumothorax is unchanged. no evidence of tension. appearance of the cardiac silhouette and of the left lung persist.
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chronic lung disease-- and/or bronchiectasis. right upper lobe lung nodule, nature indeterminate, needs further imaging. no definite evidence of acute cardiopulmonary process.
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in comparison with the study of , there is little change in the diffuse opacification involving most of the right hemithorax and the lower left lung. the monitoring support devices appear essentially unchanged.
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pulmonary vascular congestion with possible small bilateral pleural effusions. bibasilar opacities, likely atelectasis.
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new left upper zone opacity, concerning for aspiration or infection. resolution of a right pleural effusion. unchanged small left pleural effusion
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ap chest compared to : lungs are fully expanded and clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces. multiple right-sided skinfolds should not be mistaken for pneumothorax.
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heterogeneous opacity in the left mid lung, concerning for primary lung malignancy, better characterized on recent prior ct. possible small bilateral pleural effusions. no overt pulmonary edema.
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interval improvement in mild pulmonary vascular engorgement without overt pulmonary edema. bibasilar atelectasis.
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overlying soft tissue along the lateral aspect of the left lung is difficult to discriminate from a definite left mid lung opacity. conventional radiographs should be considered if clinical concern is present.
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no focal consolidation concerning for pneumonia.
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moderate enlargement of cardiac silhouette is roughly unchanged. no pneumothorax or appreciable right pleural effusion following removal of the right pleural and midline drains. small left pleural effusion stable. upper lungs clear. borderline interstitial edema and bibasilar atelectasis are stable.
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interval improvement in bilateral mid to lower lung opacities with blunting of the bilateral costophrenic angles persisting. decreased left base patchy opacity,, most likely representing atelectasis/scarring, however, underlying consolidation due to pneumonia is not excluded in the appropriate clinical setting.
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comparison to. improved inspiration. a density in the right lung apex is caused by a calcified costosternal junction of the first right rib. currently there is no evidence of pneumonia. no pulmonary edema. minimal atelectasis in the retrocardiac lung areas. borderline size of the cardiac silhouette. mild elongation of ...
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trace bilateral pleural effusions. otherwise, no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute traumatic injuries.
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minimal retrocardiac opacity likely reflecting atelectasis.
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mild pulmonary edema, not substantially changed in the interval with small layering bilateral pleural effusions and bibasilar atelectasis.
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no radiographic evidence for acute cardiopulmonary process.
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lungs fully expanded and clear. heart size normal. ascending thoracic aorta tortuous or mildly dilated, but unchanged since at least. no mediastinal or hilar abnormalities. pleural surfaces are normal.
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pa and lateral chest compared to : minimal interstitial edema may have worsened slightly since , moderate cardiomegaly and mediastinal vascular engorgement are unchanged. small bilateral pleural effusion, stable. transvenous right atrial and ventricular pacer leads unchanged. no pneumothorax.
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no acute cardiopulmonary process.
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interval development of large left and small-to-moderate right pleural effusions, of unclear etiology, and adjacent atelectasis.
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low lung volumes with bibasilar atelectasis.
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in comparison with the study of , the lungs are almost completely clear with no evidence of new focal pneumonia or atelectatic changes. the right subclavian picc line extends to the lower portion of the svc.
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large left pleural effusion with probable associated compressive lower lobe atelectasis, though pneumonia cannot be excluded. small right pleural effusion, unchanged. no pulmonary edema.
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no acute cardiopulmonary process.
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comparison to. no relevant change. the massive bilateral parenchymal opacities are stable. stable position of the monitoring and support devices. the bronchial stents are in unchanged position.
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patchy opacification of the left lung base likely reflects atelectasis though infection is not excluded in the correct clinical setting.
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compared to chest radiographs through at. combination of moderate to large pleural effusion, right greater than left and bibasilar consolidation, left greater than right is unchanged since. previous mild pulmonary edema has improved. severe cardiomegaly is chronic. cardiopulmonary support devices in standard placemen...
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interval significant decrease in right pleural effusion status post placement of pigtail catheter.
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<num> consecutive images of the chest demonstrates subsequent advancement of a feeding tube with distal tip within the body of the stomach. there are low lung volumes. there is atelectasis at the lung bases.
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possible mild vascular congestion.
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no acute intrathoracic process.
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stable cardiovascular findings, evidence of rather advanced interstitial fibrosis on the lung bases as well as evidence of pleural and diaphragmatic plaques consistent with previous asbestos exposure. no evidence of acute new pulmonary infiltrates or advanced chf in comparison with preceding studies.