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satisfactory placement of dobbhoff tube with tip in the stomach.
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no acute cardiopulmonary process.
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subtle linear in configuration left base opacities felt to more likely represent atelectasis rather than pneumonia. no pneumothorax seen.
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lungs are hyperinflated, due to emphysema or small airway obstruction, but clear of any focal abnormality. small right pleural effusion has increased since. cardiomediastinal and hilar silhouettes are normal. a left-sided central venous infusion port ends in the mid svc.
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comparison to. the lung volumes have increased, likely reflecting improved ventilation. as a consequence, the density of the known bilateral parenchymal opacities, left more than right, has slightly decreased. there overall extent of the opacities, however, is not substantially changed. the left costophrenic sinuses bl...
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left upper lobe pneumonia and left-sided pleural effusion. no priors to evaluate for interval change.
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moderate cardiomegaly with mild interstitial edema. no focal consolidation to suggest the presence of pneumonia.
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normal chest radiograph.
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lungs are now clear, cardiomediastinal silhouette normal, hilar and pleural surfaces are unremarkable. no indication for radiographic followup.
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in the interval, the right internal jugular vein catheter has been removed. there is a minimal scar at the right lung bases but no evidence of pneumonia or pulmonary edema. no other focal or diffuse parenchymal opacity. the lateral radiograph shows absence of pleural effusions. normal size of the cardiac silhouette.
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patchy opacity seen in the lateral view obscuring the posterior cardiac margin raises concern for left lower lobe pneumonia.
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normal chest radiograph with resolution of previously seen pulmonary congestion and pleural effusion. no evidence of pulmonary mass on this exam.
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moderate bilateral pleural effusions are unchanged. bilateral dependent pulmonary edema and atelectasis. suggest follow up to rule out pneumonia in the lower lobes.
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findings compatible with mild interstitial pulmonary edema.
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low lung volumes with probable bibasilar atelectasis.
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in comparison with the study of , there is slight decrease in the subcutaneous gas along the left lateral chest wall. substantial supraclavicular subcutaneous emphysema is again seen. what appear to be medial pneumothorax on the previous study is less prominent at this time. remainder of the heart and lungs appears unc...
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as compared to the previous radiograph, the pre-existing right pleural effusion has mildly increased. the extent of the effusions, both on the left than on the right, are better appreciated on the lateral than on the frontal view. moderate cardiomegaly is unchanged. mild fluid overload but no overt pulmonary edema. the...
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no significant interval change, no hilar infiltrate.
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in comparison with the study of , there is progressive increase in fluid in the right hemithorax with corresponding decrease an air. substantial subcutaneous gas remains along the right lateral chest wall and extending into the neck. the left lung is is essentially clear.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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as compared to the previous radiograph, the patient has received the new top of catheter. the tip of the catheter projects over the middle parts of the stomach. no complications, notably no pneumothorax. unchanged appearance of the cardiac silhouette. minimal areas of atelectasis at the left lung bases. unchanged corre...
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patchy bibasilar opacities are worrisome for multifocal pneumonia and/or aspiration.
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trace right pleural effusion again seen. no definite focal consolidation.
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in comparison with the study of , the opacification at the left base is less prominent, though there is still obscuration of the hemidiaphragm. this most likely represents a combination of pleural effusion and compressive atelectasis, with the difference reflecting a more upright position of the patient. otherwise litt...
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mild pulmonary edema secondary to cardiac decompensation. possible right upper lobe lung nodule. recommend followup ct imaging rule out pulmonary nodule. these findings were communicated via the radiology critical results dashboard at on.
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a right-sided central brachial swan-ganz catheter terminates in the proximal right ventricular outflow tract and should be advanced <num> cm for ideal positioning. no pneumothorax. clear lungs.
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no evidence of pneumonia
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no acute cardiopulmonary abnormality.
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small bilateral pleural effusions. mild enlarged of the cardiac silhouette, underlying cardiomyopathy or pericardial effusion not excluded. no pulmonary edema.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease. when clinically feasible repeat standard pa and lateral radiography is suggested in order to reassess the left lung base regarding artifact versus, less likely, nodular density.
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no acute cardiopulmonary process.
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cardiac silhouette has increased substantially since following removal of midline drains. rib this could be due to volume overload and mediastinal venous engorgement, but raises concern for accumulating mediastinal or pericardial fluid, including hemorrhage. moderate right basal and severe left lower lobe atelectasis ...
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the patient is after right bronchoscopy. there is no evidence of a radiodense foreign body in the right lung. no evidence of pneumothorax is seen. normal appearance of the left lung and of the cardiac silhouette.
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no acute cardiopulmonary process.
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no plain film evidence of metastatic disease to the thorax
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ap chest compared to : small bilateral pleural effusions have increased. greater opacification in both lung bases is most likely atelectasis or pneumonia, raising concern for aspiration, particularly since the stomach is moderately distended and there is no enteric drainage tube in place. heart is moderately enlarged a...
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in comparison with the study of , there is some increasing opacification in the left mid zone and base, consistent with pleural fluid that could be free or loculated. no evidence of pneumothorax or pulmonary vascular congestion.
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heart size and mediastinum are stable. there is new small to moderate right pleural effusion that appears to be new as compared to several days ago but unchanged from <num> hr prior. there is no pneumothorax. left lung is clear.
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minimal atelectasis in the lung bases without focal consolidation to suggest pneumonia.
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comparison. increase in lung volumes, decrease in size of the cardiac silhouette. stable small right pleural effusion. no pulmonary edema. no pneumonia, no pneumothorax. the monitoring and support devices are in unchanged position.
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no acute intrathoracic process.
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as compared to the previous radiograph, no relevant change is seen. the right picc line in is in constant correct position. moderate cardiomegaly persists. minimal retrocardiac and right basilar atelectasis. no overt pulmonary edema. old left humeral fracture.
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no acute cardiopulmonary abnormality.
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atypical pneumonia vs assymetric edema.
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in comparison with the study of , there is little overall change. postoperative appearance of the right hemithorax is stable and there is again elevation of pulmonary venous pressure on the left.
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similar basilar opacities and pleural effusions, allowing for increased lung volumes.
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decreased pulmonary vascular congestion with stable cardiomegaly. enlarged pulmonary arteries, suggestive of pulmonary arterial hypertension.
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no definite focal consolidation to suggest pneumonia.
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comparison to. no relevant change is noted. borderline diameter of the hilar structures. several nodular lesions in the left and right perihilar lung zones are also unchanged. no evidence of pulmonary micronodules. no evidence of fibrosis. stable appearance of the cardiac silhouette.
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normal radiographs of the chest.
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no acute cardiopulmonary process.
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right iv line terminating in the brachial vein. this would be an appropriate position for a midline.
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new small right pleural effusion, unchanged left pleural effusion. increased bibasilar atelectasis and consolidation since are concerning for aspiration.
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in comparison with the study of , there is little overall change. monitoring and support devices remain in place. bibasilar at areas of opacification are again seen. on the left, poor definition of the hemidiaphragms suggests substantial volume loss in the left lower lobe. again, however, in the appropriate clinical se...
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probable moderate pulmonary edema. careful imaging followup advised for detection of alternative diagnoses, including pneumonia. chronic moderate cardiomegaly.
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no acute intrathoracic process. no pneumonia.
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persistent bilateral hilar adenopathy, stable since is benign.
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prominence of the ascending aorta and aortic arch contour raising possibility of aneurysmal dilatation which can be assessed by ct. no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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previous large left pneumothorax has substantially resolved following insertion of a pigtail pleural drainage catheter ending in the left upper chest. atelectasis at the right lung base, possibly substantial, is new. right upper lung clear. upper esophageal drainage tube ends intrathoracic stomach due to a chronic larg...
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right internal jugular swan-ganz catheter has its tip in the proximal right pulmonary artery, unchanged. a dual-lead left-sided pacer remains in place. the heart is stably enlarged which may represent cardiomegaly, although pericardial effusion should also be considered. lungs are without evidence of focal airspace con...
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heart size and mediastinum are stable in appearance. postsurgical changes in the left lower lung and right lung are similar with unchanged distortion of the lung parenchyma. no new consolidations, lesions or areas of opacification demonstrated. right apical bronchiectasis and thickening is unchanged as compared to che...
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dense atelectasis of the left lung base, less likely pneumonia.
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no acute cardiopulmonary abnormality. no evidence of pneumonia.
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enlarged pulmonary artery suggesting pulmonary arterial hypertension. cardiomegaly.
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interval improvement in alveolar edema with minimal interstitial edema seen currently. no new focal consolidation.
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over last <num> hours, moderate-to-large pleural effusion accompanying right lung atelectasis and increased retrocardiac density reflecting volume loss and small effusion are all unchanged.
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no acute cardiopulmonary process.
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possible minimal bibasilar atelectasis without acute cardiopulmonary process seen.
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cardiomegaly with hilar congestion and mild interstitial pulmonary edema.
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left basilar subsegmental atelectasis. no acute intrathoracic process otherwise identified.
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mild vascular congestion. interval improvement of bibasilar opacities, which may represent improving atelectasis or resolving pneumonia.
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in comparison with the study of , the monitoring and support devices are unchanged. the patient has taken a better inspiration. the right hemidiaphragmatic contour is sharply seen. opacification at the left base with silhouetting hemidiaphragm again is consistent with pleural fluid and volume loss in the left lower lob...
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unremarkable chest radiograph.
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as compared to the previous radiograph, a second nasogastric tube was inserted. the course of the tube is unremarkable, the tip of the tube is not included on the image. the position of the endotracheal tube is normal and unchanged. low lung volumes. mild fluid overload but no overt pulmonary edema. no complications su...
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no acute intrathoracic process.
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two left chest tubes in place without evidence of pneumothorax, with continued improvement of subcutaneous emphysema. improving bilateral effusions and bibasilar atelectasis. recommend withdrawal of endotracheal tube by <num> cm.
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compared to chest radiographs since , most recently. head band of chronic atelectasis in the right lower lobe is slightly thicker today. right hemidiaphragm remains chronically elevated, probably due to eventration. lungs are otherwise clear. mild enlargement of the pulmonary arteries is long-standing. heart is normal ...
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widespread peribronchial opacities and right upper zone opacity are unchanged since.
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mild pulmonary edema and small bilateral pleural effusions, slightly increased in size compared to the prior study. bibasilar airspace opacities may reflect atelectasis but infection cannot be excluded.
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unchanged right lung base mass corresponding with known metastatic disease. no acute cardiopulmonary process.
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in comparison with the earlier study of this date, the tip of the endotracheal tube now measures approximately <num> cm above the carina. again there is interval obscuration of the left hemidiaphragm consistent with pleural effusion and substantial volume loss in the left lower lobe. otherwise little change.
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mild to moderate pulmonary edema.
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right picc terminating in the low svc without evidence of pneumothorax.
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cardiomegaly is moderate, unchanged. the icd devise is in expected position. there is no pneumothorax. right basal atelectasis and small bilateral pleural effusions are unchanged.
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minimally increased pulmonary edema. large right pleural effusion and moderate left pleural effusion are not significantly changed. significant right middle lobe and right lower lobe atelectasis as well as atelectasis the left base.
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no acute cardiopulmonary process.
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new, mild pulmonary edema. a right-sided picc is coiled and terminates within the right internal jugular vein.
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chest findings within normal limits. no evidence of chf or pneumonic infiltrate.
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standard positioning of the endotracheal tube. bibasilar atelectasis. mild gaseous distention of the stomach. there may be a dilated loop of small bowel in the left upper abdomen. ct abdomen and pelvis is currently pending.
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findings suggestive of right upper lung atelectasis versus scarring. no definite acute cardiopulmonary process given limitation of this significantly rotated examination.
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no acute cardiopulmonary abnormality.
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extremely limited exam. no definite large consolidation. consider repeat if clinically indicated.
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moderate to marked enlargement of the cardiac silhouette with mild pulmonary vascular congestion. small bilateral pleural effusions.
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no acute cardiopulmonary process; no displaced rib fracture. nodular density projecting over the left lower lung; correlation with chest ct suggested.
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endotracheal tube should be pulled back. bibasilar opacities likely atelectasis, consider pneumonia clinically appropriate. there a shallow inspiration.
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mild cardiomegaly and trace bilateral pleural effusions.
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no evidence of pneumonia.