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in comparison with the study of , the tip of the right ij catheter is now just below the carina, in the mid to lower svc. there is coalescent opacification in the right mid to lower zone, which would be worrisome for developing pneumonia in the appropriate clinical setting.
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left lower lobe pneumonia.
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no acute intrathoracic process.
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comparison to. improved ventilation of the retrocardiac lung regions. stable appearance of the postoperative esophagus in right paramediastinal location. no pneumonia, no pneumothorax, no pleural effusions.
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ap chest compared to : poor expansion of the post-operative right lung has not improved, small basal layering component of pleural effusion has been replaced with air, and the larger apical component of persistent pleural space is essentially unchanged and largely filled with air. left lung is mildly hyperemic but ther...
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in comparison with the study of , the position of the right chest tube is unchanged and there is no definite pneumothorax. subcutaneous gas in the right supraclavicular region is no longer identified. continued prominence of the cardio mediastinal silhouette with some indistinctness of pulmonary vessels consistent with...
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no acute cardiopulmonary process. stable cardiomegaly with mild vascular congestion, but no overt pulmonary edema.
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no acute cardiopulmonary process.
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since , right atrial pacer and right ventricular pacer defibrillator leads are unchanged in their positions, but the left ventricular lead has been extended more peripherally toward the left ventricular apex. pulmonary vasculature is minimally more engorged, but the lungs are clear. very small bilateral pleural effusio...
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as compared to chest radiograph, there has not been an appreciable change in the appearance of the chest.
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small right pleural effusion. right basilar opacities and scattered left mid-to-lower lung opacities could be due to pneumonia due to infection and/or aspiration. there appears to be air-fluid level in the region of the distal esophagus.
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no significant interval change since the radiograph performed <num> hours prior.
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improvement since prior exam without complete resolution
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increased interstitial markings and haziness in bilateral mid and lower zones likely a combination of interstitial process with underlying pulmonary edema. there is no lobar consolidation.
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biventricular cardiac decompensation with associated pulmonary edema. left lower lobe atelectasis. iabp position standard.
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no acute cardiopulmonary abnormality.
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worsening bilateral heterogenous and predominantly bibasilar opacities could represent multifocal pneumonia or recurrent aspiration. unchanged hyperinflation of the lungs.
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as compared to the previous radiograph, there is a decrease in right basal opacities, reflecting improvement of the drained pleural effusion. the position of the right chest drain is unchanged. minimal <num> mm right apical lateral pneumothorax. unchanged appearance of the heart and of the left lung.
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stable left rib and displaced clavicular fractures with possible adjacent pneumothorax. increased left basilar atelectasis with concern for developing superimposed pneumonia of the left lower lobe.
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no definite acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic abnormality.
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minimal bibasilar atelectasis; otherwise no acute cardiopulmonary process. mild compression of at least one mid and at least one lower thoracic vertebral bodies, of indeterminate age. ct pending.
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comparison to. all monitoring and support devices, with the exception of a right internal jugular vein catheter, have been removed. a relatively large left lateral pleural consolidation has newly occurred. the left basal pleural effusion persists. moderate cardiomegaly is unchanged. the pre-existing mild pulmonary edem...
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no acute cardiopulmonary process.
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interval placement of a right internal jugular swan-ganz catheter which has its tip in the right interlobar artery. there has been interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified. interval placement of an endotracheal tube, which has its tip approximately <num> cm ...
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no acute cardiopulmonary process.
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small bilateral pleural effusions with bibasilar atelectasis. vascular congestion has improved bilaterally. if further evaluation is needed, ct chest is the next imaging modality.
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allowing for differences in technique and positioning, there has not been a substantial change in the appearance of the chest since a recent study of <num> day earlier.
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no acute changes seen.
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in comparison to prior radiograph from earlier the same date, pulmonary vascular congestion has slightly improved. nonspecific bibasilar opacities have also slightly decreased in extent. no other relevant change in the short time interval between the <num> studies.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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interval extubation with removal of the nasogastric tube as well. right internal jugular central line, mediastinal drains and left chest tube remain in place. stably enlarged cardiac and mediastinal contours in this postoperative patient status post median sternotomy. residual but improved mild pulmonary edema. no pneu...
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no evidence of pneumonia or pulmonary edema.
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compared to chest radiographs since most recently. left hilar and adjacent mediastinal mass involuted between and. it is unchanged subsequently. lungs are clear. heart size is normal.
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impression worsened fluid status
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tracheostomy tube again noted, as described. persistent left lower lobe collapse and/or consolidation, possibly with a small left effusion. new opacity in the right upper zone medially extending to the right hilum. the appearance is suggestive of a new area of focal consolidation. if clinically feasible, the differenti...
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the lung volumes are large and the shape of the hemidiaphragms indicate massive overinflation. there is paucity of lung structure at apices, suggesting massive pulmonary emphysema. in addition, bilateral partly calcified parenchymal scars are seen, both on the lung bases and at the lung apices. all these changes are be...
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small to moderate left apical pneumothorax is unchanged in volume since following removal of the left pleural drainage catheter. there is no appreciable left pleural effusion. lungs are grossly clear. heart size is normal.
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consolidation in the right lower lobe worsened through , and has not improved. in addition to likely pneumonia, there is also a large component of right lower lobe atelectasis. the moderate right pleural effusion is stable. heterogeneous opacification in the left lower lung could be either bronchopneumonia or pulmonar...
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intra-aortic balloon pump appears to be approximately <num> cm below the roof of the aortic arch. heart size is top-normal. mediastinum is unremarkable. left lower lobe opacity appears to be done representing either consolidation or potentially aspiration. no pneumothorax or appreciable pleural effusion demonstrated. s...
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new bibasilar opacities, left greater than right, are concerning for developing pneumonia, given the patient's clinical history.
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bibasilar atelectasis, left greater than right. please refer to subsequent cta chest for further details.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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stable cardiomegaly.
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new mild right lower lobe interstitial edema.
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in comparison to the recent study of <num> day earlier, bilateral layering of the effusions appear minimally worse on the right and slightly improved on the left. stable cardiomegaly accompanied by pulmonary vascular congestion and improving mild pulmonary edema.
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no acute abnormality.
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no radiographic evidence of pneumonia.
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in comparison to chest radiograph, moderate to large right pleural effusion with adjacent right lower lobe atelectasis have slightly worsened in the interval. remainder the exam is not appreciably changed.
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no definite evidence of acute disease. blunting of the right costophrenic sulcus, more prominent, probably a chronic finding. oval nodular focus suggesting a nipple shadow projecting over the left side, although hard to confirm since it was not visible on the prior study. when clinically appropriate evaluation with an ...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process specifically no evidence of interstitial edema. mild hyperinflation suggestive of copd.
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no acute cardiopulmonary process.
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numerous pulmonary metastases obscure the right lower lung field, and superimposed infection cannot be excluded.
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complete whiteout of the right hemi thorax without significant mediastinal shift likely reflecting combination of effusion and atelectasis. this preliminary report was reviewed with dr , radiologist.
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comparison to. no relevant change. mild pulmonary edema. mild cardiomegaly. no pneumonia. no pleural effusions. no lung nodules or masses.
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as compared to the previous radiograph, the gastric bubble is over distended. the patient would likely benefit from insertion of a nasogastric tube. status post left thoracic surgery, the left chest tube is in unchanged position. there is evidence of the minimal left apical lateral pneumothorax. no signs of tension. un...
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status post left pneumonectomy with no acute cardiopulmonary abnormality
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no acute cardiopulmonary abnormality. no displaced rib fracture.
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pulmonary vascular congestion, without interstitial edema. mild-to-moderate cardiomegaly, decreased compared to the prior study from.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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low lung volumes with bibasilar atelectasis. right base opacity could be due to atelectasis but consolidation is not excluded in the appropriate clinical setting. pulmonary nodules seen on prior ct from were better assessed on ct and recommendation for ct remains. gaseous distension of bowel.
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right upper lobe ill-defined opacity, likely reflective of pneumonia in the correct clinical setting. hilar prominence is suggestive of underlying lymphadenopathy, and further evaluation with chest ct can be obtained in this patient with a history of sarcoidosis.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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moderate left pleural effusion which has increased since. no right pleural effusion.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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low lung volumes with crowding of bronchovascular markings and bibasilar opacification increased on the right, most likely representing atelectasis; however, infectious process such as pneumonia cannot be completely excluded in the correct clinical setting. no rib fractures. if rib fractures are clinically suspected th...
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cardiomediastinal contours are enlarged, but stable from. focal opacification adjacent to the right heart border may represent atelectasis or pneumonia in the appropriate clinical setting. bilateral, prominent bibasilar alveolar opacities are unchanged from. these likely represent a combination of pulmonary edema and a...
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mild cardiomegaly without acute cardiopulmonary process.
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compared to chest radiographs through. small left apical pneumothorax is smaller. small right apical pneumothorax is stable. bilateral pleural drains unchanged in their positions. no new pleural effusion. heart size normal. et tube and nasogastric drainage tubes in standard placements.
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no acute cardiopulmonary process.
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as compared to the previous radiograph from today, a large left pneumothorax is again demonstrated with associated partial collapse of the left lung. overall, the pneumothorax is similar in size except for apparent increase in a medial basilar component at the left base. pneumopericardium has decreased in extent. inte...
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interval improvement in the opacification of the right mid to lower lungs.
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left lower lobe atelectasis with likely left pleural effusion. no definite rib fracture seen, although rib series or ct are more sensitive. these findings were reported to dr by dr by telephone at <num>: on at the time of discovery of these findings.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia. lung hyperexpansion suggestive of emphysema/copd. results were discussed of the telephone with dr by at on at time of initial review.
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minimal patchy opacities in the lung bases, likely atelectasis, however infection within the left lung base is not completely excluded in the correct clinical setting.
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possible mild central pulmonary vascular engorgement without overt pulmonary edema. no focal consolidation.
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no acute cardiopulmonary process. mildly underinflated lungs.
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the lung volumes remain low with streaky opacity at the left base 's favoring atelectasis. overall, there is increasing hazy opacity within the right lung which may reflect a combination of increasing airspace disease as well as layering pleural fluid. these findings, given the asymmetry, would be concerning for evolvi...
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marked cardiomegaly, tiny left effusion with central congestion.
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mild vascular congestion with a probable small right pleural effusion.
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ap chest compared to : lung volumes are maintained even though the patient has been extubated. there is however more atelectasis at the left lung base and moderate right pleural effusion persists. there is no pneumothorax or pulmonary edema. heart size is normal. a transvenous temporary pacer lead loops over the tricus...
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no acute cardiopulmonary process such as pneumonia.
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no acute cardiopulmonary process. old distal clavicular fracture.
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improved mild pulmonary edema. stable small bilateral pleural effusions.
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no acute cardiopulmonary process.
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severe emphysema. no pneumonia or evidence of heart failure. left humeral head enchondroma.
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no acute cardiopulmonary process. no displaced rib fracture. mild cardiomegaly.
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cardiomegaly. no acute cardiopulmonary process.
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new retrocardiac consolidation and small, left pleural effusion is concerning for a developing left lower lobe pneumonia.
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bibasilar subsegmental atelectasis. no definite displaced rib fracture is seen. recommendation(s): if there is continued concern for a rib fracture, consider a dedicated rib series.
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enlarged cardiac silhouette. bilateral mid lung zone opacities are likely reflective of atelectasis.