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no acute findings. stable mild cardiomegaly.
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low lung volumes with bibasilar atelectasis and mild pulmonary vascular congestion. no subdiaphragmatic free air.
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removal of left pigtail catheter. stable appearance of bilateral pleural effusions, post-surgical changes, and left lung opacities.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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within the limitations of this study technique, no abnormalities to explain patient's symptoms demonstrated. if clinically warranted, correlation with chest ct might be considered. findings were discussed with nurse over the phone by dr at on.
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as compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. low lung volumes. moderate cardiomegaly. decreasing severity of pre-existing pulmonary edema. no pleural effusions.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the patient has developed minimal pleural effusions. the patient has also received the nasogastric tube, the tip of the tube is not visualized on the image but appears to be located in the pre-pyloric parts of the stomach. the other monitoring and support devices are constant. th...
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no radiographic evidence for acute cardiopulmonary process.
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left-sided pacemaker has been inserted with the leads terminating in the right atrium and right ventricle expected location. diffuse interstitial changes are similar to prior study in the extent but appear to be more linear than consolidative and might reflect interval partial resolution of the process. correlation wit...
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no acute cardiopulmonary process. no free air.
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persistently hyperinflated lungs suggesting chronic obstructive pulmonary disease. otherwise, no significant interval change and no acute cardiopulmonary process.
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compared to chest radiographs. previous bibasilar pneumonia has substantially cleared since , except for residual bronchial wall thickening. the upper lungs are clear. overall hyperinflation is mild. heart size and probable very left pleural scarring is chronic.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the bilateral chest tubes have been removed. the mediastinal drains are also removed. there is no convincing evidence for the presence of a pneumothorax. no larger pleural effusions. the swan-ganz catheter is in unchanged normal position. moderate cardiomegaly persists. unchanged...
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no acute process
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comparison to. no relevant change. normal lung volumes. normal size of the heart. no pleural effusions. no pulmonary edema. no pneumonia.
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in comparison with the study of , the endotracheal tube has been pushed forward with the tip approximately <num> cm above the carina. an there has been reduction in the diffuse bilateral pulmonary opacification is with the cardiac silhouette again within normal limits. this could reflect noncardiogenic pulmonary edema ...
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subtle left basilar opacity may correspond to findings on recent chest ct. no new opacities.
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no acute findings. marked kyphotic angulation of the chest at the level of a mid thoracic vertebral body severe compression deformity which has been seen on prior imaging studies.
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port-a-cath catheter tip is in the right atrium. heart size and mediastinum are unchanged. there is tortuous aorta is re- demonstrated. lateral view demonstrate compression fractures of the mid thoracic vertebral bodies, similar to. there is no pleural effusion. there is no pneumothorax.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, no relevant change is seen. the massive bilateral parenchymal opacities in both upper lungs are constant in appearance. massive cardiomegaly with retrocardiac and right basilar atelectasis. no larger pleural effusions. unchanged monitoring and support devices.
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previous small pleural effusions have resolved. atelectasis or scarring in the left upper lobe has improved. unusual mediastinal contour, a convexity at the level of the left atrial appendage, is still present but heart size is now normal. there is no evidence of esophageal dilatation.
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interval increase in large right pleural effusion and atelectasis at the right lung base, and worsening pulmonary edema.
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no acute cardiopulmonary abnormality.
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no focal consolidation.
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small bilateral pleural effusions with overlying atelectasis. mild central pulmonary vascular engorgement. enlargement of the cardiac silhouette.
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no pneumonia. large right lower lobe lung mass. heart size mildly enlarged. no pulmonary edema or pleural effusion.
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unchanged moderate right pleural effusion. no pneumothorax. hyperinflated lungs suggesting chronic obstructive disease.
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low lung volumes. no evidence of acute disease.
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no acute cardiopulmonary process.
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endotracheal tube terminates <num> cm above the carina. left retrocardiac opacification, likely atelectasis.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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possible multifocal pneumonia. ct imaging may provide further information in evaluating for infectious process. recommendation(s): ct imaging to rule out possible multifocal infection.
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port-a-cath catheter tip is in the right atrium, unchanged. heart size and mediastinum are stable. lungs overall clear. no appreciable pleural effusion or pneumothorax is seen. ng tube tip appears to be terminating at the level of distal esophagus. subsequent studies demonstrate the tip terminating in the proximal stom...
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ap chest compared to , : mild interstitial edema is new, moderate right and small left pleural effusion have increased, obscuring right heart border. dual-channel right supraclavicular central venous line ends in the svc mid and low portions. no pneumothorax.
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no pneumonia or edema. small left pleural effusion.
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ap chest compared to : consolidation at both lung bases, right greater than left, has progressed consistent with pneumonia. upper lungs clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces. no pulmonary edema or vascular congestion. dr was paged at , within a minute when the findings were recogni...
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no acute intrathoracic abnormality.
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persistent right lower lobe opacity compatible with a known underlying mass with some improved aeration since prior. linear left basilar opacities most suggestive of atelectasis noting that infection is not totally excluded.
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no acute intrathoracic abnormality.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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following lung biopsy, there is no evidence of post procedure pneumothorax. low lung volumes accentuate the transverse diameter of the enlarged heart. opacification at the right base new reflects a combination of pleural fluid and volume loss in the lower lobe. probable mild elevation of pulmonary venous pressure.
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low lung volumes without acute cardiopulmonary process.
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small right pleural effusion. no focal consolidation.
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ap chest compared to through : mild cardiomegaly unchanged. lungs clear. no pulmonary edema or pleural effusion. no pneumothorax.
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following recent transbronchial biopsy procedure of a right juxta hilar mass, the mass is less well defined, and surrounding opacities have worsened. this could be due to post procedural hemorrhage or secondary process such as aspiration or infection. no definite pneumothorax is identified. small curvilinear opacity ad...
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no acute cardiopulmonary process seen. partial uncoiling of the pigtail for the percutaneous gastrostomy tube.
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appropriate positioning of all lines and tubes. cavitary lesion within the right midlung, better characterized on the recent ct, along with other lesions. increasing bibasilar opacification representing a combination of parenchymal consolidations and pleural fluid. no pneumothorax seen.
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ap chest compared to through : persistent moderate left pleural effusion has not changed appreciably since. left lung base is presumably atelectatic, but the left upper lung and the entire right lung are clear. heart size is normal and the mediastinum is midline. no pneumothorax.
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small bilateral pneumothoraces are minimally increased on the right side from prior study. no other interval change from prior study.
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previous mild pulmonary edema has nearly resolved. severe cardiomegaly, with particular left atrial enlargement and pulmonary artery dilatation are chronic end indicative of mitral valvular abnormality in pulmonary arterial hypertension. there is no appreciable pleural effusion. the extent of compression of to lower th...
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the lung volumes are normal. status post sternotomy and valve replacement. minimal fluid overload but no overt pulmonary edema. no evidence of pneumonia. the left picc line has been slightly pulled back, the tip is now located at the level of the junction between brachiocephalic vein and superior vena cava.
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no acute cardiopulmonary process.
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a small region of peribronchial opacification at the base the left lung is probably atelectasis. upper lungs are entirely clear. i would recommend conventional chest radiographs for better assessment of the lungs. heart is normal size. thoracic aorta unchanged in contour since is tortuous, generally large and might be...
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as compared to the previous radiograph, the retrocardiac atelectatic opacities unchanged. in addition, a minimal left pleural effusion could have occurred. in addition, a new subtle parenchymal opacity at the left lung base would be consistent with the presence of aspiration pneumonia. the monitoring and support device...
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the previously seen heterogenous opacities are less prominent on today's exam but still present, suggestive of resolving infection. no new consolidations are seen. recommendation(s): if symptoms persist, a repeat chest radiograph is recommended in weeks.
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no acute cardiopulmonary process.
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nodular opacity over left lung projecting over nipple shadow, recommend repeat examination with nipple markers. otherwise, no acute cardiopulmonary process.
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successful placement of right internal jugular central venous line.
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ap chest compared to : some of the heterogeneous opacification at the lung bases, which worsened between and , has reticular quality of fibrosis or bronchiectasis. in the absence of radiographic findings to suggest variations in cardiac function, i would attribute the day-to-day changes to aspiration. hyperlucency in ...
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in comparison with the study of earlier in this date, the left ij catheter is been removed. mild elevation of pulmonary venous pressure is suggested by a the indistinct interstitial markings and b-lines. continued hyperexpansion of the lungs without acute pneumonia.
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no cardiopulmonary pathology.
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no acute cardiopulmonary abnormality. copd.
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bibasilar irregular opacities have increased on the right, consistent with multifocal pneumonia. there are low lung volumes. there is no pneumothorax or pleural effusion. right ij catheter tip is in the lower svc. dobhoff tube tip is in the stomach.
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no focal infiltrate identified to suggest pneumonia. minimal bilateral pleural fluid and/or thickening. curvilinear lucency at the right lung apex. in the absence of relevant symptoms, this more likely represents a subtle change due to chronic scarring than a true tiny right apical pneumothorax.
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mild pulmonary edema. swan-ganz terminating at the pulmonary outflow tract. no pneumothorax.
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no new focal consolidation. mild cardiomegaly, similar to prior.
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normal chest radiograph
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likely anterior mediastinal mass that warrants further evaluation with ct chest. upper thoracic vertebral sclerosis raises concern for metastatic disease, especially given the history of prostate cancer, and also warrants further evaluation with ct chest. no acute pneumonia. recommendation(s): obtain ct chest for furth...
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no definite acute cardiopulmonary process.
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right internal jugular central line unchanged in position. multiple surgical clips overlying the left hemithorax and lower axilla in this patient status post left mastectomy. overall cardiac and mediastinal contours are stable. no pulmonary edema. no pneumothorax. no focal airspace consolidation to suggest pneumonia. b...
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an apparent right hilar mass could be due to be due to unusual collapse of the right middle lobe, but is nevertheless concerning for obstructive adenopathy. <num> mm nodule in the right midlung is concerning for active malignancy or infection. left hilus is not enlarged. mediastinal contours are normal but central aden...
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mediastinal and cardiac appearance is stable. left apical opacity is stable, postsurgical. the assessment of the left upper lobe resection site is unremarkable. there is no pneumothorax.
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right internal jugular line terminates at the cavoatrial junction. no pneumothorax. left chest wall soft tissue thickening and edema compatible with extensive soft tissue infection better seen on the recent chest ct.
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when compared to chest radiograph, there is stable severe cardiomegaly however previously seen pulmonary edema and pleural effusions have resolved. there is no evidence of pneumonia. given the limited nature of portable chest radiograph, recommend pa and lateral chest radiograph for better evaluation of the lung paren...
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new right basilar opacity for which pneumonia could be considered, although the chronicity is uncertain, noting the given history, but it is new since the prior available radiographs from this institution. atelectasis or pneumonia could be considered. resolving left lower lung opacity.
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moderate pulmonary edema has worsened. marked increase retrocardiac opacity is due to almost complete collapse of the left lower lobe. there is increase in bilateral pleural effusions larger on the left side. et tube is seen standard position. swan-ganz catheter tip is in the main pulmonary artery. ng tube tip is out o...
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cardiac size is normal. there are low lung volumes. lines and tubes are in unchanged standard position. in the left there is improvement of the vascular congestion and atelectasis. dobhoff tube tip isout of view, below the diaphragm. no other interval change from prior study of the widened mediastinum, masslike consoli...
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comparison to. moderate overinflation with mild enlargement of the cardiac silhouette. more obvious than on the previous examination is a mild generalized interstitial pattern, predominantly in the lower and middle lung areas bilaterally. ct is recommended to workup this abnormalities and to exclude a potential combina...
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et tube tip and a cm above the carinal. ng tube tip in the stomach. left internal jugular line tip is at the cavoatrial junction. heart size and mediastinum are unchanged as well as multiple cavitated nodules in loculated right pleural effusion. bibasal consolidations are unchanged.
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interval extubation and removal of the nasogastric tube. right internal jugular swan-ganz catheter has its tip in the pulmonary outflow tract, unchanged. a dual-lead left-sided pacer remains in place. a left tube remains in place. lung volumes are markedly diminished with streaky bibasilar opacities suggestive of atele...
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slightly worsened moderate pulmonary edema with more prominent small bilateral pleural effusions. unchanged moderate to severe cardiomegaly with widened mediastinum.
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no acute cardiopulmonary process.
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comparison to. the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carina. the course of the nasogastric tube is unchanged. no complications, no pneumothorax.
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read in conjunction with chest radiographs since , most recently. relatively symmetric severe infiltrative pulmonary abnormality has improved since , not since. the interstitial findings and suggest organizing, fibrosing stage of diffuse alveolar damage. heart size normal. no pleural effusion.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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in comparison with the study of earlier in this date, the right chest tube has been removed. there is some expansion of the small pneumothorax. otherwise little change.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. unchanged position of the pacemaker and its leads.
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of the right bronchoscopy there is no evidence of pneumothorax. the extensive parenchymal opacities on the right are unchanged as compared to previous radiographs.
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worsening pulmonary edema which is asymmetric and moderate in degree, with moderate to large bilateral pleural effusions, left greater than right. the left pleural effusion is slightly increased in the interval.