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new -mm nodular opacity seen on the lateral projection could be a focus of infection or a pulmonary nodule. if there is clinical concern for infection, recommend repeating chest radiographs after treatment. if there is no concern for infection, recommend a dedicated chest ct for further evaluation.
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multifocal pneumonia involving the right lower lobe and lingula. aspiration is also a consideration in the appropriate clinical setting.
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persistent left hydropneumothorax with substantial increase in fluid component, much of which appears to be loculated. results were discussed over the telephone with dr by at on at time of initial review.
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tiny left apical pneumothorax unchanged.
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no airspace consolidation to suggest pneumonia
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no acute cardiopulmonary process. hiatal hernia again seen.
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mild cardiomegaly and mild pulmonary edema. repeat cxr after diuresis is recommended to assess.
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mild increased interstitial opacities appear chronic and may reflect mild interstitial pulmonary edema or chronic interstitial abnormality, unchanged.
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hyperinflated lungs without acute intrathoracic process.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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moderate right pleural effusion. slightly increased haziness of the right lung may be secondary to layering pleural fluid versus mild pulmonary vascular congestion. severe cardiomegaly.
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stable right small pleural effusion and slight increase in small left pleural effusion compared with prior.
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no significant interval change since the prior exam.
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no pneumothorax. short interval worsening of bilateral airspace opacities with perihilar distribution and small bilateral pleural effusions consistent with worsening pulmonary edema, now moderate in severity.
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the looped feeding tube has been removed from the hypopharynx. a nasogastric drainage tube passes into the stomach and out of view. et tube is in standard placement. heterogeneous opacification in the lower lobes is unchanged, consistent with aspiration, with no progression to pneumonia. heart is normal size though sli...
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stable appearance of the chest.
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no acute cardiopulmonary process.
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low lung volumes limit evaluation somewhat; however, there is no evidence of pneumonia.
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in comparison to radiograph, the patient has apparently been extubated. rotation limits assessment of cardiomediastinal contours. persistent moderate left pleural effusion and interval apparent decrease in extent of a small to moderate right pleural effusion. no other relevant change.
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slight increase in bibasilar opacities could be due to aspiration or pneumonia or even atelectasis. mild to moderate pulmonary vascular congestion. increase in interstitial opacities bilaterally most likely due to vascular congestion, but atypical infection not excluded in the appropriate clinical setting.
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worsening consolidative opacification within the right lung base concerning for pneumonia.
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no acute cardiopulmonary process.
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no pneumothorax. the previously seen right upper lobe opacity has resolved.
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no acute cardiopulmonary process. specifically, no evidence of pneumonia.
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no acute cardiopulmonary process. no rib fractures seen.
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no radiographic evidence for acute cardiopulmonary process. bilateral calcified granulomas, stable in appearance.
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no evidence of pneumonia or pulmonary edema.
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no acute intrathoracic process
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in comparison to radiograph, pulmonary vascular congestion and mild edema are new. no other relevant change.
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interval worsening of bibasilar opacities concerning for infection/aspiration. interval increase in moderate bilateral pleural effusions, and moderate pulmonary edema, is also concerning for chf exacerbation.
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no acute intrathoracic process.
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moderate right pleural effusion, extensive consolidation right lower lung and small left pleural effusion are unchanged since. mild pulmonary edema in the left lung has improved. there is no pneumothorax. heart size is normal.
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no significant interval change. low lung volumes and substantial bibasilar atelectasis.
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as compared to the previous radiograph, a pre-existing left basal parenchymal opacity has completely cleared. no evidence of remnant opacities or of complications. both the frontal and the lateral radiograph appear unremarkable. no pleural effusions. no pulmonary edema. moderate scoliosis, causing asymmetry of the ribc...
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low lung volumes with linear bibasilar opacities most likely atelectasis.
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multifocal patchy interstitial opacities are seen predominantly at the mid lungs and lung bases. given the presence of a normal heart size and the absence of central venous vascular congestion, this is most consistent with multifocal pneumonia, perhaps aspiration. recommend follow-up to resolution. known right upper lo...
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bilateral lower lobe hazy opacities, compatible with pneumonia or aspiration.
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the right pigtail pleural catheter has been removed. nevertheless small right pleural effusion has decreased. there is no pneumothorax. opacification at both lung bases has not cleared, could be atelectasis. moderate enlargement of the cardiac silhouette is smaller. right pic line ends in the upper svc.
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no acute cardiopulmonary process.
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no evidence for pneumonia.
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normal lung volumes. borderline size of the cardiac silhouette. no pulmonary edema. no pleural effusions. no pneumonia.
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small pleural effusion, side undetermined. no focal consolidation or pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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ett tip approximately <num> cm from the carina. retrocardiac opacity, likely atelectasis and small pleural effusion.
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no acute intrathoracic process.
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no acute pulmonary process identified.
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interval increase in retrocardiac opacity which may reflect a combination of a layering effusion with compressive atelectasis, although pneumonia cannot be entirely excluded. no evidence of pulmonary edema. rounded opacity at the right base is unchanged and is felt to correspond to the pleural-based mass seen on the re...
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mild interstitial pulmonary edema.
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in comparison with the study of , the dobhoff tube is been repositioned so that the tip extends to the distal antrum. continued opacification at the left base with blunting the costophrenic angle, consistent with volume loss in the left lower lobe and pleural effusion. the right lung is essentially clear and there is n...
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no acute intrathoracic abnormalities identified.
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left picc line tip is at the level of mid svc. ng tube tip is in the stomach. the bibasal consolidations and bilateral pleural effusions are unchanged. the patient is after right humeral replacement.
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pa and lateral chest reviewed in the absence of prior chest radiographs: multifocal pulmonary consolidation is most pronounced in the lingula and left lower lobe, with probable tertiary component in the right middle lobe. moderate left pleural effusion and small right pleural effusion are present. cardiac silhouette is...
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normal radiograph of the chest.
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no evidence of acute cardiopulmonary process. possible emphysema.
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increasing patchy bilateral opacities suggestive of atelectasis; however, pneumonia is not excluded given the appropriate clinical setting.
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heart size and mediastinum are stable in appearance. lungs are clear. no interval development of pneumothorax is seen. minimal left pleural effusion is present, similar in appearance to pre-procedure radiograph as well as , does most likely consistent with chronic pleural thickening.
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worsened background of pulmonary vascular congestion. stable dense left mid and lower lung opacification, a combination of collapse and effusion, with increased opacification in the left upper lobe concerning for pneumonia.
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no relevant change as compared to prior.
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no evidence of pneumonia.
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no comparison. the lung volumes are low. there is bilateral relatively symmetrical hilar enlargement without obliteration of mediastinal contours or lines. in addition, parenchymal opacities with air bronchograms are visualized, on both the frontal and the lateral radiograph, at the bases of the right lung, in the midd...
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no acute cardiopulmonary process.
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in comparison with the study of , there is little interval change. continued enlargement of the cardiac silhouette with pulmonary vascular congestion and probable bilateral small pleural effusions with compressive atelectasis. the asymmetry on the right with a more coalescent pattern at the base would raise the possibi...
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mild atelectasis in the right middle and right lower lobes. no definite displaced rib fracture identified.
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no pneumonia.
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hyperinflated lungs without focal consolidation.
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comparison. the lung volumes have increased, likely reflecting improved ventilation or increased ventilatory pressures. the monitoring and support devices are stable. the cavitary structure and the right lung is visually less obvious than on the previous exam. however, a minimal new left pneumothorax might have develop...
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ap chest compared to : new right internal jugular line ends in the upper svc. no pneumothorax or attributable pleural effusion. mediastinal widening is comparable to the pre-insertion radiographs, and there is no leftward tracheal shift to suggest that any of it is due to hematoma. severe cardiomegaly is chronic and pu...
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no acute intrathoracic abnormality.
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no radiographic evidence of pneumonia. small bilateral pleural effusions. free intraperitoneal air is probably related to recent c-section procedure. clinical correlation suggested.
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as compared to the previous radiograph, no relevant change is seen. the lung volumes have slightly decreased, causing increased radiodensity of the pre-existing known diffuse parenchymal opacities. in addition, increased diameters of the vascular structures suggest overlying mild pulmonary edema. unchanged mild cardiom...
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no acute cardiopulmonary process. please note that tiny centrilobular nodules seen on prior chest ct from are better evaluated on ct.
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limited study due to low lung volumes and patient body habitus demonstrates no evidence of acute cardiopulmonary process. however, a repeat radiograph would be helpful in further evaluation of the lower lobes. pulmonary arteries appear slightly prominent and raise suspicion for early heart failure. point <num> was disc...
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pulmonary edema, worsening effusions, mild cardiomegaly.
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mildly worsened right basilar opacity. otherwise stable.
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no acute findings, specifically no free air below the right hemidiaphragm.
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comparison to. unchanged position of the right chest tube. a small right basal lateral pneumothorax is now visible. no evidence of tension. stable bilateral fibrotic changes at the lung bases. borderline size of the heart without pulmonary edema. no new focal parenchymal opacities.
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no evidence of pneumonia.
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possible tiny left pleural effusion.
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persistent ill-defined opacity within the right lower lobe. this finding should be further investigated with a chest ct given its continued presence.
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no acute cardiopulmonary process.
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interval decrease in moderate-sized left pleural effusion with stable small right pleural effusion. interval resolution of small left apical pneumothorax with residual apical pleural fluid. osseous metastases. results were conveyed to dr team by dr on at and again at via telephone.
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minimal patchy left lower lobe opacity could reflect early developing pneumonia in the correct clinical setting. followup radiographs after treatment are recommended to ensure resolution of this finding.
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low lung volumes with probable mild pulmonary vascular congestion.
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widespread heterogeneous pulmonary abnormality suggests considerable pneumonia rather than simple edema, but borderline cardiomegaly and mediastinal venous engorgement indicate a component of cardiac decompensation. pleural effusion is small if any. et tube in standard placement. right internal jugular line ends in the...
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no significant interval change.
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ng tube tip is in the stomach. right internal jugular line tip is at the level of mid svc. bilateral pleural effusions are present. no pneumothorax.
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no acute cardiopulmonary process.
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a right-sided single lead pacer remains in place with the lead appearing intact and terminating over the expected location of the right ventricle. the heart is enlarged favoring cardiomegaly, although pericardial effusion cannot be excluded. interval increase in lung volumes with prominent perihilar vasculature but no ...
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top normal to mildly enlarged cardiac silhouette. no focal consolidation.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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there is increased bibasilar atelectasis and pleural effusions, especially in the right base. all monitoring devices are unchanged.
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no acute intrathoracic process.
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no significant changes compared to the prior study.
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bilateral picc lines terminate in the right atrium and should be pulled back by approximately <num> cm for more optimal placement. interval improvement of nodular bilateral parenchyma opacities.