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et tube terminates <num> cm above the carina. there is increased volume loss at the right lung base. left lung base volume loss and pleural effusion is stable.
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heart size and mediastinum are stable. left subclavian line tip is at the level of lower svc. no interval development of consolidations to suggest pneumonia demonstrated. no pleural effusion or pneumothorax seen.
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no evidence of acute cardiopulmonary process.
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persistent biapical fibrosis without superimposed acute consolidation.
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dense atelectasis at the right base. no significant change. no pneumothorax.
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comparison to. the pre-existing small pleural effusions have further decreased. the extent of the effusions is now minimal both on the frontal and on the lateral view. the pleurx catheter on the left is in unchanged position. unchanged appearance of the cardiac silhouette and of the lung parenchyma.
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coarsened subpleural markings c/w known interstitial lung disease with scarring versus atelectasis in the left lower lobe. no signs of pneumonia or chf.
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no evidence of acute disease.
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new right lower lobe opacity suggestive of right lower lobe pneumonia. a followup radiograph six weeks after resolution of symptoms is recommended to ensure resolution.
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interval improvement compared to suggests that may have been a component of pulmonary edema. the diffuse infiltrative pulmonary abnormality is similar in severity to. pleural effusion is small fna. noting a similar but much more restricted abnormality in the right upper lung on raises the possibility of a slowly progressive process such as pulmonary alveolar proteinosis, as well as the previously mentioned drug toxicity. right atrial atrial and right ventricular pacer leads and stent placements. heart is moderately enlarged. no pneumothorax.
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<num>) left lower lobe collapse and/or consolidation, possibly slightly worse <num>) right perihilar opacity, overall similar. <num>) upper zone re-distribution without overt chf, unchanged.
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intra-aortic balloon pump is high the tip is <num> mm from the top of the in aortic arch asymmetric pulmonary edema has improved. there are persistent low lung volumes. retrocardiac opacities have improved. et tube is in standard position. ng tube tip is in the stomach. swan-ganz catheter tip is in the main pulmonary artery. there is probably a right effusion. there is no pneumothorax. mediastinal and chest tubes remain in place. sternal wires are aligned. cardiomegaly is a stable.
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left upper lobe linear opacities at site of prior treatment for lung carcinoma. recommendation(s): if clinically indicated a ct thorax can be considered to assess the left upper lobe in order to better differentiate post treatment scar from residual cancer.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pleural effusions. no pneumonia, no pulmonary edema.
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ap chest compared to : lungs are clear of consolidation or pulmonary edema. branching structure in the left lower lung is probably vascular, but i would welcome reviewing it on conventional chest radiographs to make sure it is not a mucoid impaction. there is no vascular engorgement or pleural effusion and the heart size is normal.
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cardiomegaly. no acute cardiopulmonary process.
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bibasilar opacities potentially atelectasis. otherwise unremarkable portable chest x-ray.
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in comparison with the study , there is little change in the appearance of the extensive postoperative opacities in the periaortic and upper zone on the left, consistent with previous surgery. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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as compared to the previous radiograph, the opacity in the right lung has decreased in extent and severity. the massive bilateral areas of scarring and pleural thickening as well as pleural calcifications are overall unchanged in extent and severity. the alignment of the sternal wires is constant. constant appearance of the cardiac silhouette. no pulmonary edema.
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no evidence of acute cardiopulmonary process.
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unchanged position of the left pigtail catheter and of the cervical tip of the endotracheal tube. no relevant change in appearance of the left lung.
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airspace opacity involving the left lower lobe may represent developing pneumonia in the appropriate clinical context. slight prominence of the right mediastinum may relate to low lung volumes, an unfolded ascending aorta or, alternatively, a soft tissue density such has lymphadenopathy. findings can be further evaluated on nonurgent chest ct.
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no evidence of congestive heart failure.
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moderate bilateral pleural effusions with adjacent atelectasis.
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moderate-to-large right effusion and pulmonary vascular congestion.
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no acute intrathoracic process
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no pneumonia or pulmonary edema. mild-to-moderate sized hiatal hernia.
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no acute cardiopulmonary process.
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dobbhoff tube tip is coiled in the proximal stomach. right central venous line tip terminates at the distal right atrium. right pleural effusion is moderate, unchanged. bibasal atelectasis is present. upper lungs were excluded from the field of view
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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small right pleural effusion, decreased in size from the prior study, with mild pulmonary vascular congestion. patchy opacities in the lung bases may reflect atelectasis, but aspiration or infection cannot be completely excluded in the right lung base.
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left lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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as compared to the previous radiograph, the monitoring and support devices are in unchanged position. the patient now shows bilateral pleural effusions. subsequent basal areas of atelectasis. mild pulmonary edema. moderate cardiomegaly. no new focal parenchymal opacities.
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severe enlargement of the cardiac silhouette, similar to outside hospital studies, and new mild pulmonary edema.
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small right pleural effusion, likely right lower lung atelectasis, difficult to exclude pneumonia.
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no radiographic evidence of pneumonia. if there is continued clinical concern for pneumonia, consider obtaining chest ct for better evaluation.
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no acute cardiopulmonary process.
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ap chest compared to through at : mild pulmonary vascular congestion which developed over the course of the day has persisted. moderate cardiomegaly unchanged. no focal findings to suggest pneumonia. right apical pleural parenchymal opacification is also chronic. nasogastric tube loops in the stom
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no acute cardiopulmonary process.
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no pneumonia, collapse, or pulmonary edema.
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lower lobes were clear on , atelectasis has developed at the right base, and there is consolidation on the left also possibly atelectasis or pneumonia. upper lungs are clear. pleural effusions are small if any. heart size top- normal. no pneumothorax. et tube is in standard placement esophageal drainage tube passes below the diaphragm and out of view.
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no radiographic evidence of pneumonia.
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left-sided pleural effusion. left mid lung pulmonary nodular opacity, new since prior study, additional site of metastatic disease not excluded. no evidence of acute consolidation. right base mass again seen.
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no convincing radiographic evidence for pneumonia is identified. mild bibasilar opacities are likely atelectasis.
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no previous images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. there is lobulated prominence of the hila as well as enlargement of the soft tissues in the region of the azygos node. the findings are consistent with the clinical diagnosis of sarcoidosis.
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opacity in the right lower lobe concerning for pneumonia.
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limited exam. right picc tip is not definitively identified. repeat should be considered.
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mild interstitial pulmonary edema versus atypical infectious process. background chronic interstitial abnormality. enteric catheter continues to end in the upper stomach with its sidehole at the level of the gastroesophageal junction. advancement recommended. small right pleural effusion, not significantly changed.
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emphysema without superimposed acute process.
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no acute cardiopulmonary process.
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lower lung volumes when compared to the most recent prior examination. bibasilar opacities could represent atelectasis, infection or mild asymmetric edema. s
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no radiographic evidence of pulmonary metastases. however, please note that if there is persistent clinical concern for metastatic disease, cross-sectional imaging should be obtained.
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right lung base opacity obscuring right cardiac , represent atelectasis or infection in the appropriate clinical setting.
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stable basilar opacities without new focal consolidation. bilateral pleural effusions.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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no pneumonia.
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small left pleural effusion. diffuse left pulmonary parenchymal abnormality as before.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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top normal heart size, hilar congestion. right upper lobe mass with fiducial marker again noted. no convincing evidence for pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute findings in the chest.
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small bilateral pleural effusions minimally increased from prior exam. no acute process.
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as compared to the previous radiograph, the right pleural effusion has minimally decreased in extent. the left pleural effusion is constant. constant moderate cardiomegaly and atelectasis in the retrocardiac lung regions. the monitoring and support devices are constant in position.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no pneumonia, edema, or effusion. dr the preliminary findings to dr by phone at on per request.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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right upper lung surgical chain sutures appear unchanged. the previously described possible left upper lung nodule is not seen today. the lungs are well-expanded and clear.
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hyperexpanded but clear lungs.
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et tube in acceptable position. enteric tube should be advanced by several centimeters to ensure position of side holes within the stomach. mild pulmonary edema with moderate right pleural effusion. internal iatrogenic implement projecting over the left mid lung medially, suspected to be cardiac in location. correlation with known cardiac history is advised.
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no previous images. there is mild hyperexpansion of the lungs, raising the possibility of some underlying chronic pulmonary disease. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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no acute findings in the chest.
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as compared to the previous radiograph, no relevant change is seen. the monitoring and support devices are constant. minimal retrocardiac atelectasis with air bronchograms. no pleural effusions. no pneumonia, borderline size of the cardiac silhouette.
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correct positioning of the dobbhoff tube improvement of the bibasilar atelectasis.
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no acute cardiopulmonary process.
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limited, negative.
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interval development of pulmonary edema. right basilar opacification is likely due to asymmetric pulmonary edema and atelectasis. however, a concurrent right lower lobe pneumonia cannot be excluded.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no enlargement of the hilar or mediastinal lymph nodes. no evidence of fibrosis or micronodules in the lung parenchyma. the ventriculoperitoneal shunt shows a normal course.
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focal opacity adjacent to the right hilus which reflects probable right middle lobe or right lower lobe pneumonia. follow-up imaging after treatment is recommended to ensure resolution.
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patchy opacities within the right mid lung field and left lung base concerning for an infectious process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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compared to prior chest radiographs, through. recommendation(s): small right apical pneumothorax has decreased. no appreciable right pleural effusion. <num> right pleural drains still in place. left lung clear. heart size normal.
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no acute cardiopulmonary process.
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since a recent radiograph of <num> day earlier, an orogastric tube is been placed, terminating in the body of the stomach. large left pleural effusion has substantially increased in size since ct of , and is associated with adjacent atelectasis in the lingula and left lower lobe. the effusion could be due to hemothorax in the setting of recent splenic rupture. persistent right basilar atelectasis and possible small right pleural effusion. diffuse haziness throughout the upper abdomen is consistent with known ascites on ct of <num> day earlier.
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large left pneumothorax has increased despite placement of left pleural drain, raising questions about the location and/or function of the drain. by the time this study was available for review, , the left pneumothorax had been treated. no notification was necessary. there is no appreciable right pneumothorax, pleural drain in place. severe atelectasis persists at the right lung base. heart size normal, though rightward mediastinal shift suggests possibility of hemodynamic tension.
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linear opacity along the left apex extending down laterally may represent a new pneumothorax. alternatively, it could represent a skinfold. recommend a repeat chest radiograph for further clarification. increasing basilar opacities, likely from worsening re-expansion edema. there is a stable small left pleural effusion and likely a small residual right pleural effusion. scattered bilateral opacities are otherwise unchanged, likely reflective of the known multifocal pneumonia. results were discussed with dr ( resident) at on via telephone by dr at the time the findings were discovered.
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similar radiographic appearance of multiple bilateral lung nodules, concerning for multifocal lung malignancy. no acute superimposed areas of consolidation to suggest an acute infectious pneumonia, but subtle infectious foci may be difficult to detect in the setting of baseline nodules and postoperative changes.
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small pleural effusion on the left, but no evidence of parenchymal edema. persistent volume loss at the left lung base.
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no acute intrathoracic process.
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lung volumes are chronically very low, with particular elevation of the right hemidiaphragm, conforming to the provided history of diaphragm paralysis reflected in moderately severe atelectasis at both lung bases. the upper lobes vessels are engorged, but i do not believe there is pulmonary edema or pneumonia. heart size is normal. pleural effusions are small if any.
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no acute cardiopulmonary process.
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increased right effusion in patient with known stage iv lung cancer, hilar and mediastinal lymphadenopathy on the right
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increased opacity at the left lung base which may be due to a combination of effusion, atelectasis or consolidation. small right pleural effusion.