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comparison to. decreased lung volumes. all monitoring and support devices have been removed. signs of mild pulmonary edema. moderate cardiomegaly. mild retrocardiac atelectasis. no larger pleural effusions.
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stable moderate-sized pleural effusions, larger on the right than the left, with associated bibasilar atelectasis. no new infiltrate or edema. stable moderate cardiomegaly from known pericardial effusion.
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right upper lobe opacity and nodular opacities in the left upper lung for which further evaluation with ct is recommended.
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ap chest compared to through at : consolidation developed at the left lung base since was accompanied by ipsilateral mediastinal shift earlier in the day an indication of atelectasis. the shift has resolved, but the consolidation has not cleared, suggesting developing pneumonia. moderate-to-severe cardiomegaly is ch...
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compared to chest radiographs since , most recently. radiographic appearance of the chest has not changed since , including poor definition of the posterior diaphragmatic surface on the lateral view and greater radiodensity projecting over the lower thoracic spine. since these are chronic findings, i do not attribute t...
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left lower lobe pneumonia. these findings were discussed with at on by telephone.
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possible small airway obstruction. no acute cardiopulmonary process.
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interval increase in size of the cardiac silhouette which is now moderate to severely enlarged, likely due to cardiomyopathy.
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compared to chest radiographs, through. left basal consolidation moderate left pleural effusion are stable. right basal atelectasis and pulmonary vascular congestion have worsened. mediastinal widening is attributable largely to fat deposition. the retrosternal hematoma is unlikely to be visible on conventional fronta...
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no acute cardiopulmonary process.
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subtle opacity in the right lung base which likely reflects atelectasis, but cannot exclude aspiration or pneumonia right clinical setting.
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small pleural effusions, basilar atelectasis, cannot exclude pneumonia.
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the tip of a right ij central line terminates at the cavoatrial junction. otherwise, exam is unchanged since chest radiograph from <num> hour ago.
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in comparison with the study of , the apical left chest tube has been removed and there is no evidence of pneumothorax. continued opacification at the left base silhouetting the hemidiaphragm. right lung is clear.
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as compared to , the lung volumes have decreased. there is increasing evidence of vascular distension, likely caused by mild pulmonary edema. in addition, there is new blunting of the left costophrenic sinus, with subsequent atelectasis of the retrocardiac lung regions on the left. the monitoring and support devices co...
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no significant interval change. again seen tortuous aorta with possible dilatation of the ascending region, slightly less conspicuous as compared to the prior study. no focal consolidation. no overt pulmonary edema.
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no acute intrathoracic process.
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as compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. the lung volumes continue to be low but there is no evidence of acute abnormality in the lung parenchyma. neither the frontal nor the lateral radiograph show pleural effusions. borderline size of the cardiac sil...
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moderate left pleural effusion with overlying atelectasis, underlying consolidation is not excluded.
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no acute cardiopulmonary process. the mediastinum is not widened.
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comparison to. no relevant change. normal chest radiograph without evidence of cardiac or lung parenchymal changes.
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no signs for acute cardiopulmonary process.
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pa and lateral chest compared to : pneumoperitoneum is smaller, but still present after four days. small left pleural effusion is new or newly apparent. pleural effusion on the right is minimal if any and there is no pneumothorax. new esophagus is mildly distended with air. subcutaneous emphysema in the right chest wal...
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substantial interval improvement in widespread parenchymal consolidations demonstrated in particular of the is in the left upper lung and right upper lungs as well as an lower lobes. et tube tip is <num> cm above the carinal. right internal jugular line tip is at the cavoatrial junction. there is no pneumothorax or int...
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diffuse increased interstitial markings bilaterally, which could be due to mild pulmonary vascular engorgement or an atypical infectious process and clinical correlation is recommended.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. no evidence of pneumonia or atelectasis.
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no appreciable reason radiographic change, in the lower mediastinum widened with air and fluid, small right pleural loculation. upper lungs are clear. the heart is not enlarged. there is no pulmonary edema.
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new left basilar airspace opacity may reflect atelectasis versus infection. a right internal jugular catheter is positioned within the right atrium, this could be withdrawn <num> cm.
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previously visualized bilateral opacities involving the right mid and lower lung and left lower lobe suggestive of multifocal pneumonia are again noted and appear minimally increased over the right lung but improved on the left; suggesting pneumonia or recurrent aspiration. additionally, there is mild cephalization of ...
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no evidence of pneumonia.
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a dobbhoff is post pyloric. prominence of the pulmonary vasculature and mild interstitial edema are unchanged from.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. relatively low lung volumes.
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increased interstitial markings could reflect an element of chf. other interstitial processes cannot be entirely excluded. interval increase in left pleural effusion with underlying collapse and/or consolidation. the differential diagnosis includes a pneumonic infiltrate. stable small right effusion with right basilar ...
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no evidence of pulmonary edema. subsegmental left basilar atelectasis.
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pulmonary vascular remains prominent. no acute consolidation. ground glass opacities are not evident on chest radiograph.
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mild cardiomegaly, small pleural effusions and mild pulmonary edema.
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left lower lung opacity concerning for pneumonia.
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compared to chest radiographs since , most recently. lung volumes are chronically low. pulmonary vascular engorgement and slight cardiomegaly are consistent with late pregnancy. opacification of both lower lungs medially could be due to atelectasis alone. there is probably no pulmonary edema or appreciable pleural effu...
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pulmonary edema.
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no acute cardiopulmonary process.
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persistent patchy bilateral infiltrates, which could be multifocal pneumonia. given that it has not improved with treatment(although one week), other considerations would be an inflammatory process or an atypical infection. suggest continued follow-up to assess for resolution. if warranted, this could be further charac...
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as compared to the previous radiograph, no relevant change is seen. normal size of the cardiac silhouette. no pleural effusions. no pulmonary edema. no pneumonia. the hilar and mediastinal structures are unremarkable. congenital rib fusion at the level of the first and second left rib. no rib fractures.
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ap chest compared to : a feeding tube with a wire stylet in place ends in the mid stomach. lung volumes are still low, due to elevation of the left hemidiaphragm by a large spleen and persistent small bilateral pleural effusion. heart is mildly enlarged. pulmonary and mediastinal vasculature are engorged but there is n...
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no acute cardiopulmonary process. no significant interval change.
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no evidence for acute cardiopulmonary process.
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no evidence of pneumonia. mildly hyperinflated lungs suggest obstructive disease.
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pa and lateral chest compared to : the frontal view shows small left pneumothorax along the lateral costal pleural surface is unchanged since earlier in the day, but the lateral view shows a larger persistent anterior pleural space vacated by the resected left upper lobe. it also shows small bilateral pleural effusions...
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slight worsening of a small left pleural effusion. no pulmonary edema.
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small right apical pneumothorax has minimally increased. right basal pigtail remains in place. no other interval change from prior study.
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low lung volumes but no acute cardiopulmonary process.
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in comparison with the study of , the patient has taken a better inspiration. continued enlargement of the cardiac silhouette with the pulmonary vascular status improved. hazy opacification at the bases, especially on the right, suggests layering pleural effusion with compressive basilar atelectasis. right ij catheter ...
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layering right pleural effusion with cardiomegaly and mild pulmonary edema. et and enteric tubes appropriately positioned.
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interval worsening in pulmonary edema, which is now moderate to severe, with small bilateral pleural effusions, and stable cardiomegaly compared to.
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no acute cardiopulmonary abnormality is identified.
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ap chest compared to through : marked elevation of the left hemidiaphragm accompanied by persistent severe gaseous distention of stomach and colon, developed between and. there is no lobar collapse, so the findings suggest severe progression of diaphragmatic eventration or development of a paralyzed or otherwise non-...
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worsening of currently severe pulmonary edema associated with large bilateral pleural effusions.
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a left picc likely terminates at the confluence of the left brachiocephalic vein and svc. increased retrocardiac opacity and apparent leftward mediastinal shift suggests increasing left lower lobe atelectasis. superimposed infection cannot be ruled out. recommend follow-up radiographs ensuring optimum patient positioni...
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lungs remain hyperinflated consistent with underlying emphysema. interval resolution of streaky opacities at the right base consistent with either resolved atelectasis or pneumonia. a calcified nodule in the left mid lung is stable consistent with a granuloma. no evidence of pulmonary edema, pleural effusions or pneumo...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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increased interstitial markings within the lung bases with more focal opacity in the left lower lobe. findings may reflect pneumonia with mild pulmonary vascular congestion, but atypical infection should also be considered.
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mild pulmonary edema, slightly improved in the interval.
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no acute intrathoracic abnormality.
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status post right upper lobectomy with unchanged loculated fluid overlying the right apex. no new focal consolidation.
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opacity in the left lower lung is increased since and most likely represents pneumonia.
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no acute cardiac or pulmonary findings. normal appearance of the mediastinum.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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in comparison study of , there has been the development of a moderate right pleural effusion with compressive atelectasis at the base. little change is in the appearance of the collapse of the right upper lobe presumably related to a hilar mass. multiple nodular opacifications in the left upper zone are most consistent...
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normal chest radiograph.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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in comparison with the study of , the endotracheal tube and nasogastric tube have been removed. the tip of the left subclavian catheter again extends to the lower svc. dense opacification is again seen in the right upper zone, consistent with pneumonia. cardiac silhouette remains enlarged and there is some element of p...
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no acute cardiopulmonary process.
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mild pulmonary vascular congestion and enlarged heart size. no focal opacity convincing for pneumonia.
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no evidence of acute cardiopulmonary process.
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no definite focal consolidation to suggest pneumonia. possible mild pulmonary vascular congestion.
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heart size is normal to mildly enlarged. mediastinum is stable. there are slightly increased opacities in the left upper lobe, linear potentially representing increase in interstitial lung disease. given the provided history of amiodarone treatment the might reflect are matter likely alternatively much duration of pos...
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no acute cardiopulmonary process.
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in comparison with the study of , there is little overall change. cardiac silhouette remains at the upper limits of normal or mildly enlarged. there is minimal elevation of pulmonary venous pressure. opacification at the bases with poor definition of the hemidiaphragms is consistent with pleural fluid and underlying co...
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bilateral pleural effusions are large associated with bibasal consolidations with mild degree of vascular congestion, slightly improved since the prior study. right picc line tip is at the level of lower svc. no pneumothorax. overall within the limitations of slightly different positioning of the patient node changes d...
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no previous images. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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ap chest compared to : moderate cardiomegaly stable. lung volumes have improved and pulmonary vascular engorgement slightly decreased. lungs are clear and there is no pleural effusion. transvenous right atrial and ventricular pacer leads follow their expected courses. no pleural effusion or pneumothorax.
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compared to prior chest radiograph. there is no swan-ganz catheter in place. that component of the wet read was entered incorrectly. lungs are fully expanded and essentially clear. heart size is top-normal. no pleural abnormality.
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no findings to account for cough. if there is strong clinical suspicion for a radiographically occult cause such as interstitial or airways disease, then high-resolution chest ct may be considered.
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no acute cardiopulmonary process.
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no focal consolidation concerning for pneumonia.
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there is mild hyperinflation. there is no pneumothorax, effusion, consolidation or chf. there is chronic thickening of the major fissure on the right. there is no acute disease.
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slightly low lung volumes. opacity projecting at the medial right lung base is felt to be due to overlapping vascular structures and possibly some underlying atelectasis. no correlate is seen on the lateral view. no definite focal consolidation.
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no acute cardiopulmonary process. please note that chest ct is more sensitive in detecting small pulmonary lesions.
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no acute cardiopulmonary process.
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increased coarse interstitial opacification of the right lung mid to lower lung, worrisome for lymphangitic carcinomatosis or lymphatic congestion, which could result from hilar obstruction. increased right hilar opacification. differential considerations also include superimposed infection. otherwise the examination i...
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as compared to the previous radiograph, no relevant change is seen. the lung volumes have slightly decreased. there is minimal atelectasis at both lung bases but no overt pulmonary edema or pneumonia. normal size of the cardiac silhouette. known left hilar calcification. no pleural effusions.
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no evidence of acute cardiopulmonary process or mediastinal widening.
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increased opacity at the left lung base with volume loss. poor visualization of trace suspected pneumothorax.
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no acute cardiopulmonary abnormality.
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no displaced rib fracture identified. if clinical concern for rib fracture persists, dedicated rib films can be obtained with radiopaque marker at the site of clinical concern.