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no acute cardiopulmonary abnormality.
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no focal consolidations concerning for pneumonia identified. note is made of mild bibasilar atelectasis.
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small bilateral pleural effusions with right lower lobe opacity which could reflect atelectasis or infectious process.
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no acute intrathoracic process.
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low lung volumes with patchy bibasilar airspace opacities, likely atelectasis. pneumonia or aspiration at the lung bases cannot be completely excluded.
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as compared to the previous radiograph, the lung volumes are not substantially changed. mild increase in diameter of the aortic arch. this increase in diameter is seen on both the frontal and the lateral view. in addition, the vessels at the upper aspect of the right hilus appears slightly increased in caliber. unchan...
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in comparison with the earlier study of this date, the tip of the orogastric tube is within the stomach, though the side port is at the level of the esophagogastric junction. the tube should be pushed forward several cm. little overall change in the appearance of the heart and lungs.
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no acute intrathoracic process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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stable post-operative appearance with bilateral small pleural effusions, greater on the right than the left, unchanged from.
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as compared to prior radiograph of <num> day earlier, left chest tube remains in place. with persistent small left pneumothorax and pneumomediastinum as well as extensive subcutaneous emphysema in the left chest wall. exam is otherwise remarkable for worsening right basilar opacity, likely a combination of atelectasis ...
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no acute findings.
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bibasilar consolidation or atelectasis is unchanged, accompanied by small bilateral pleural effusion. both examinations suggest air beneath the right hemidiaphragm due to pneumoperitoneum, but i suspect this is instead an unusual appearance to segmental atelectasis in the right lower lobe. i will discuss this possibili...
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compared to chest radiographs since , most recently. lungs mildly hyper inflated, but clear. no pneumonia currently. no pleural effusion. heart size top-normal. thoracic aorta is heavily calcified, extending into the head neck vessels, and enlarged in both the ascending and descending portions, but difficult to measure...
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in comparison to chest radiograph, a subtle opacity in the left retrocardiac region is new, and may reflect atelectasis, aspiration, or developing infectious pneumonia. remainder of the examination, including a small left pleural effusion, is unchanged.
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combination of widespread interstitial pulmonary abnormality and interstitial emphysema is unchanged for the past several days. pneumothorax is minimal if any, bilateral pleural drainage tubes are still in place. severe subcutaneous emphysema in the chest wall and neck and large scale pneumomediastinum are not apprecia...
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no acute cardiopulmonary process. specifically, no evidence of free intraperitoneal air.
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bibasilar atelectasis. slight blunting of the left costophrenic angle may be due to atelectasis versus a trace pleural effusion. no definite focal consolidation.
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no acute cardiopulmonary abnormality.
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et tube now <num> cm above the carina, has retracted by <num> cm. thickening of the right apical pleural line "apical cap," unchanged from prior study, consistent with small apical pleural effusion, likely hemothorax from rib fracture.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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persistent left hydropneumothorax. stable left pleural effusion and left lateral wall pleural thickening. unchanged loculated fluid collection in the posterior left hemithorax.
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worsening global pulmonary consolidation some of which is edema, but widespread infection or pulmonary hemorrhage may well be concurrent.
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in comparison with the study of , there is little overall change in the appearance of the heart and lungs and the right subclavian port-a-cath. no definite evidence of focal consolidation.
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ap chest compared to. lung volumes are appreciably lower, producing severe crowding of the pulmonary vasculature and making it difficult to determine if there is vascular congestion. small right pleural effusion and right basal atelectasis are new. widening of the upper mediastinum could be due to venous engorgement, b...
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small bilateral pleural effusions remain. no pneumothorax. there is persistent consolidation of the right middle lobe. cardiomegaly.
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no relevant change as compared to the previous examination. no evidence of pneumonia, no pulmonary edema. no pleural effusions. a <num> mm rounded structure in the right upper lobe reflect a vascular cross section, visible on the frontal image only.
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interval placement nasogastric tube, with tip terminating below the diaphragm but side port proximal to the ge junction. exam is otherwise remarkable for development of moderate to severe pulmonary edema.
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findings compatible with chronic interstitial lung disease. no definite new areas of opacification to suggest a superimposed pneumonia. no pulmonary edema is seen.
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compared to chest radiographs since , most recently , read in conjunction with chest ct on. large areas of heavy pleural calcification obscure both lungs. patient has severe emphysema. pneumonia probably developed in the left lower lobe superior segment between and , accompanied by dense consolidation in the posterior...
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no evidence of acute cardiopulmonary process.
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increased opacification of the right hemithorax consistent with a combination of tumor progression, pleural effusion, and/or consolidation.
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no acute cardiopulmonary process.
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moderate cardiomegaly. enlarged hilar contours which are thought to be due to pulmonary artery enlargement, but this can be confirmed by ct.
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right chest tube has been discontinued. there is no evidence of pneumothorax. cardiomediastinal silhouette is unchanged. lung variation has improved in the interim. there is no pleural effusion or pneumothorax.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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et tube in standard placement. right jugular line in the mid to low svc. nasogastric tube in standard placement. previous mild pulmonary edema has improved. no appreciable residual pleural effusion. suggestion of small nodules in the left lung could be vessels lung and lower the residual of previous heterogeneous conso...
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no acute cardiac or pulmonary process.
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no acute cardiopulmonary process, no focal consolidation.
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mild vascular congestion and pulmonary edema. unchanged moderate cardiomegaly.
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hyperinflated lungs can be seen with emphysema and small airways disease. no pneumonia.
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no radiographic evidence for acute cardiopulmonary process.
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compared to chest radiographs. lung volumes are low. heart size top-normal. small left pleural effusion is likely. no right pleural abnormality or pneumothorax. no pulmonary edema. heavy mitral annulus calcification noted.
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no evidence of a pleural effusion. unchanged cardiomediastinal silhouette. improved vascular congestion.
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in comparison with the study of , the monitoring and support devices are essentially unchanged. continued bibasilar opacification with retrocardiac opacification is consistent with atelectatic changes and small pleural effusions. no definite vascular congestion.
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copd. chronic cardiomegaly and pulmonary hypertension.
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bilateral hilar prominence, which could reflect prominent pulmonary vasculature or symmetrical hilar lymph node enlargement such as may be encountered in sarcoidosis. comparison to older chest radiographs would be helpful to determine long-term stability. in the absence of older chest x-rays, contrast-enhanced ct could...
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scattered atelectasis, no signs of pneumonia.
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no acute cardiopulmonary process. hyperinflated lungs, consistent with emphysema.
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clearing infiltrates. mild failure persists.
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no acute cardiopulmonary process.
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mild cardiomegaly, new since. interval weight gain. low lung volumes. no focal consolidation.
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mild interstitial pulmonary edema.
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normal chest radiograph without evidence of pneumonia.
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there is moderate cardiomegaly, moderate pulmonary edema, and mild to moderate bilateral effusions larger on the right associated with adjacent atelectasis. opacities in the lower lobes are like atelectasis but superimposed infection cannot be excluded in the appropriate clinical setting. there is no pneumothorax.
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no acute intrathoracic process.
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mild pulmonary edema and left basilar atelectasis. stable cardiomegaly.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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no plain film evidence of metastatic disease to the thorax
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no acute cardiopulmonary process.
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no evidence for pneumonia or other acute cardiopulmonary abnormalities.
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no radiographic evidence of active pulmonary infection or interstitial lung disease. if warranted clinically, high-resolution ct could be performed that to exclude radiographically occult airway or interstitial lung abnormality.
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no acute cardiopulmonary process.
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heart size and mediastinum are stable in appearance. pulmonary edema is mild, interstitial but appears to be slightly more pronounced than on the prior study. focal consolidations are not seen although retrocardiac location might be difficult to appreciate on the radiograph.
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no evidence of acute disease.
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no acute pulmonary process.
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as compared to the previous radiograph, the right chest tube has been slightly pulled back. no intra pleural component of the chest tube can be identified. the known right pneumothorax has moderately increased in extent and severity. minimal flattening of the right hemidiaphragm is not substantially changed as compared...
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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doubt acute pulmonary process. faint rounded density in the right cardiophrenic region is unchanged compared with and may relate to focal atelectasis.
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low lung volumes with vascular crowding and possible right base atelectasis. no focal consolidation to suggest pneumonia. subtle leftward deviation of the trachea at the thoracic inlet is nonspecific, but can be seen in the setting of an enlarged right lobe of the thyroid. consider non urgent, outpatient thyroid ultras...
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as compared to chest radiograph, support and monitoring devices remain in standard position, and cardiomediastinal contours are stable. interval slight improvement in bibasilar opacities and apparent slight decrease in size of bilateral pleural effusions with residual small left and moderate right effusion remaining. ...
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ap chest compared to : tip of the intraaortic balloon pump is still, less than <num> mm from the apex of the aortic knob, unchanged over the past several days. moderately severe pulmonary edema is exaggerated by moderate bilateral pleural effusions, all unchanged. heart size is normal. no definite pneumothorax. dialysi...
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no evidence for active cardiopulmonary disease.
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no acute cardiopulmonary process, no pneumonia.
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normal chest findings. no evidence of acute pulmonary infiltrates or mediastinal abnormalities.
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no acute intrathoracic process.
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slight interval increase in the size of the moderate right pleural effusion.
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hyperinflation and the vascular distribution in the upper lobes indicates emphysema. since pulmonary edema has nearly resolved and pulmonary vascular congestion improved and mild cardiomegaly decreased there is no pneumonia or appreciable pleural abnormality.
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low lung volumes. mild pulmonary edema.
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apical thickening on the right in the setting of tobacco use. further evaluation with chest ct is recommended. no pneumonia. recommendation(s): apical thickening on the right in the setting of tobacco use. further evaluation with chest ct is recommended.
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no focal consolidation concerning for pneumonia. prominence of the right paratracheal region is nonspecific, but could represent mediastinal lipomatosis or lymphadenopathy or possibly mild dilatation of the ascending aorta. consider comparison with outside hospital films, if they can be obtained, or nonemergent chest c...
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no acute pulmonary process.
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ng tube tip difficult to trace, likely over fundus. an ng tube sideport, if present, is not distinctly visible on this film. enlarged cardiomediastinal silhouette with suspected pulmonary artery enlargement, similar to the prior study. vascular plethora and interstitial edema , consistent with mild chf, increased compa...
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compared to chest radiographs since , most recently. moderate right pleural effusion is larger. residual lung mass, right upper lobe. lungs otherwise clear. mild cardiomegaly has improved but pulmonary vasculature is still engorged. no edema as yet. no pneumothorax.
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no consolidations concerning for infection identified.
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in comparison with the study of , there are bilateral pleural effusions with atelectatic changes at the bases. the cardiac silhouette is within normal limits in size and there is no definite vascular congestion. in view of the basilar changes, it would be difficult to exclude superimposed pneumonia in the appropriate c...
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early left lower lobe pneumonia. marked cardiomegaly with evidence of left atrial and left ventricular enlargement suggesting mitral regurgitation no pulmonary edema. findings were conveyed to dr by dr telephone on at.
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mild cardiomegaly with vascular congestion. no evidence of pneumonia.
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right upper lobe consolidation has improved substantially since , as has left perihilar consolidation. left lung base remains consolidated. overall, these findings suggest improvement of multifocal pneumonia. nevertheless the distribution of the residual abnormality is entirely consistent with persistence of moderately...
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normal chest radiograph.
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small bilateral effusions. otherwise, no acute cardiopulmonary process.
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no failure, no pneumonia.
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right basilar opacity could reflect atelectasis, but pneumonia is not excluded in the correct clinical setting.