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apparent decrease in size of retrocardiac pulmonary nodule. no evidence of pulmonary edema or other acute cardiopulmonary process.
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no acute cardiopulmonary process.
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new right-sided central venous catheter with tip likely in the right atrium and retraction of <num> cm would be ideal. this was conveyed to dr.
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only chest radiographs from available. large calcified pleural plaques obscure much of the left lower lung, but there appears to be at least mild, new, bilateral perihilar pulmonary edema. left basal atelectasis has improved since the chest ct on. moderate right basal atelectasis has not. pleural effusion small if any...
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comparison to. no relevant change is seen. the right mid and lower lung are unremarkable. in particular there is no evidence of local pneumonia. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pleural effusions. no pulmonary edema.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection.
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mediastinal fat and pleural thickening at the left lung base. no evidence of pneumonia or atelectasis.
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ap chest compared to through : severe heterogeneous opacification of the right lung has progressed dramatically between when chest ct scans suggested limited carcinomatosis in the right lung, inferior to the apical mass. although some pneumonia is certainly a possibility and there could be components of hemorrhage, b...
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no acute cardiopulmonary process.
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bilateral mid-lower lung opacities concerning for aspiration and/or pneumonia. small b/l pleural effusions.
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left basilar opacities suggesting atelectasis. no potential nodules are visualized on this study, possibly due to decreased lung volumes, but please note the prior recommendation to follow-up with a pa view using nipple markers.
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no findings suggestive of pneumonia.
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no pneumonia, edema, or effusion. severe emphysema is similar to.
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small left pleural effusion comment developed between and earlier today, unchanged. mild pulmonary edema and increased pulmonary vascular congestion are also stable. moderate cardiomegaly and enlargement of the main and left pulmonary arteries are chronic. there is no appreciable right pleural effusion or indication o...
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interval development of bilateral pleural effusions. retrocardiac opacity likely represents left lower lobe pneumonia. these findings were reported to by dr telephone at <num>
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no acute intrathoracic abnormalities identified.
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in comparison with the study of , the cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. of incidental note is an azygos fissure, of no clinical significance.
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no acute cardiopulmonary process. no edema or other radiographic findings to suggest chf.
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no relevant change. moderate cardiomegaly, no pulmonary edema. mild elongation of the descending aorta. no pneumonia, no pleural effusions.
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in comparison with the study of , there is little interval change and no evidence of acute cardiopulmonary disease. cardiac silhouette is within normal limits. there is no evidence of pulmonary edema, pleural effusion, or acute focal pneumonia.
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in comparison with the study of , there has been a substantial increase in opacifications diffusely involving both lungs. cardiac silhouette remains within normal limits an there is no evidence of pleural effusion. the appearance suggests diffuse pulmonary edema. however, in the appropriate clinical setting, widespread...
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no acute cardiopulmonary process. moderate cardiomegaly.
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subtle bibasilar including left base retrocardiac opacity on the frontal view, not substantiated on the lateral view, may be due to atelectasis and overlying vascular structures, although residual pneumonia is not excluded in the appropriate clinical setting in this patient is recently diagnosed with pneumonia. compari...
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normal chest radiograph. no pneumonia.
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no acute cardiopulmonary process.
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possible early left lower lung infectious process.
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interval increase in the right lower lobe opacification compared to the prior exam. this could be secondary to progression of pneumonitis, or if the patient is clinically presenting with cough/fever, could be secondary to an infectious etiology. slight interval increase in right-sided pulmonary edema and pulmonary vasc...
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no evidence of acute cardiopulmonary process. thoracic vertebral bodies demonstrate height loss, which will be better evaluated on the ct of the t-spine, which is already ordered at the time of this dictation.
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linear opacity at the left lung base present on prior examination now more conspicuous and may reflect atelectasis although superimposed aspiration cannot be excluded.
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no previous images. there is some hyperexpansion of the lungs suggesting some chronic pulmonary disease. however, no evidence of acute cardiopulmonary disease or old tuberculous disease.
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no acute intrathoracic process.
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no acute intrathoracic process, specifically no pneumonia.
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dual lead pacemaker in similar position with the tips in the right atrium and right ventricle.
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bibasilar atelectasis and moderate cardiomegaly. otherwise, no acute cardiopulmonary process.
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mild pulmonary vascular congestion, improved from prior exam. otherwise, no acute cardiopulmonary process.
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mild interstitial pulmonary abnormality has progressed somewhat since. lung volumes are still hyperinflated suggesting a component of emphysema or small airway obstruction. there may be small pleural effusions, but there is no pulmonary edema or consolidation. heart size is normal. rightward rotation exaggerates the ri...
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standard positioning of the endotracheal and enteric tubes. low lung volumes with bibasilar atelectasis.
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as compared to radiograph, cardiomegaly and pulmonary vascular congestion accompanied by persistent interstitial edema and a layering right pleural effusion. confluent opacity in right infrahilar region could be due to acute aspiration given clinical suspicion for this entity. asymmetrical edema is an additional consi...
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no evidence of active or latent tb infection. no acute cardiopulmonary process.
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extensive bilateral perihilar and basilar opacities which appear slightly increased are most worrisome for worsening pulmonary edema, superimposed infection not excluded. obscuration of the left greater than right diaphragms could be due to small pleural effusion or related to atelectasis.
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interval resolution of right lung base patchy opacification, likely asymmetric edema. decreased size of small right pleural effusion. right basilar chest tube side ports no longer lie in the posterior costophrenic angle.
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ap chest compared to through : biapical scarring with a component of bronchiectasis is longstanding. emphysema is severe. previous mild pulmonary edema has not recurred. heart size normal.
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as compared to the previous radiograph, no relevant change is seen. moderate pulmonary edema. moderate cardiomegaly. small left pleural effusion. the external pacemaker and the alignment of the sternal wires is constant. no pneumothorax.
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comparison to. stable extent of the severe right and of the minimal left pleural effusion. subsequent areas of atelectasis at the lung bases are stable. moderate cardiomegaly persists. no overt pulmonary edema. the monitoring and support devices are correctly position.
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no acute intrathoracic process.
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since the prior study there is slight interval improvement in bilateral apical opacities but there is a progression of the left more than left basal opacities concerning for progression of the left lower lobe process, infectious in the patient with known history of cystic fibrosis.
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endotracheal tube, nasogastric tube, and left subclavian central line are unchanged in position. incidental note is made of an azygos lobe. there are small layering effusions with patchy opacity at the right base suggestive of atelectasis. there is improved aeration at the left base. a minimally displaced fracture of t...
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in comparison with the study of , there is continued enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications that again could reflect rapid progression of pulmonary edema or lymphangitis carcinomatosis. there appears to be some mild improvement in the reticular markings since the previous ...
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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as compared to , the position and course of the right central venous access line is constant. no parenchymal opacities. no pleural effusions. no pneumothorax. unchanged moderate cardiomegaly. elevation of the right hemidiaphragm persists in unchanged manner.
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compared with the prior study, there is worsened interstitial pulmonary edema. grossly unchanged bilateral loculated pleural effusions.
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no acute findings.
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no evidence of acute disease.
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right upper lobe likely calcified granuloma. no displaced rib fracture seen. if clinical concern for rib fracture persists, dedicated rib series or chest ct is more sensitive.
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et tube tip is <num> cm above the carina should be withdrawn for more standard position. cardiac size is top-normal accentuated by the projection. ng tube tip is out of view below the diaphragm. bibasilar atelectasis are larger on the left. there is no evident pneumothorax or pleural effusion. mild vascular congestion ...
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in comparison with study of , there is little overall change. no definite right apical pneumothorax is appreciated. bibasilar opacifications again are consistent with bilateral pleural effusions and underlying compressive atelectasis, both more prominent on the right. cardiomediastinal silhouette is unchanged, as are t...
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , there is little overall change. there is severe fibrosing interstitial lung disease diffusely involving the hemithoraces. this makes it extremely difficult to detect superimposed pneumonia, and this diagnosis would have to be based on clinical considerations. there is evidence of a cer...
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as compared to the previous image, no relevant change is seen. the right-sided apical and basal parenchymal opacities and consolidations are constant in extent and severity. no new opacities are noted, notably at the left lung remains normal. unchanged borderline size of the cardiac silhouette without pulmonary edema. ...
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overall cardiac and mediastinal contours are stable. lungs appear well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pulmonary edema, pleural effusions or pneumothorax. aorta is somewhat unfolded and tortuous.
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new bibasilar pneumonia.
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no acute cardiopulmonary process.
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as compared to , the position of the picc line is not substantially changed. the line continues to project over the mid svc. no complications. unchanged extent of a large right pleural effusion. unchanged appearance of the cardiac silhouette.
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clear lungs. small hiatal hernia.
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no new areas of opacification identified to indicate pneumonia. left upper lobe consolidative opacity compatible with the patient's known lung mass with adjacent radiation fibrosis.
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moderate right and small left pleural effusions, increased on the right and stable to possibly slightly increased on the left. right base opacity may be due to combination of pleural effusion and atelectasis, but consolidation is not excluded. prominence of the hila possibly due to vascular congestion is again seen.
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no acute cardiopulmonary process.
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in comparison with the study , there is been placement of an endotracheal tube, with its tip approximately <num> cm above the carina. although slightly lower lung volumes, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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no acute cardiopulmonary pathology.
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as compared to the previous radiograph, the very extensive consolidations in the left lung have further increased, causing near total opacification of the left hemi thorax, associated to substantial volume loss. the tip of the endotracheal tube is within <num> cm of the carinal and should be pulled back by approximatel...
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chronic pulmonary changes, predominately in the left upper lung. no acute pneumonia.
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compared to prior chest radiographs since , most recently. right pic line ends in lower svc. heart size is normal. lungs are clear. there is no pleural abnormality. mild fullness in the mediastinum with thickening of the right paratracheal stripe is less pronounced today than in late , due to a combination of enlarged ...
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previous transvenous right atrial ventricular pacer leads and left pectoral generator have been replaced. the new right atrioventricular pacer defibrillator leads are continuous from the left pectoral generator. there is no pneumothorax pleural effusion or mediastinal widening. lungs are well expanded and clear. vascul...
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no acute intrathoracic process.
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no evidence of acute disease.
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moderate congestive changes, enlarging pleural effusions enlarging and worsening left basal changes, still thought most likely to reflect atelectasis flow continued attention and correlation for clinical findings suggestive of pneumonia is suggested
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mildly hyperinflated lungs can be seen in the setting of emphysema and chronic obstructive airways. heterogeneous and nodular right mid lung opacities consistent with known history of bronchiolitis and. no new focal opacity.
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heart size and mediastinum are stable. there is interval improvement in the right lung base variation. there is no appreciable pleural effusion. there is no pneumothorax.
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retrocardiac opacity with trace left pleural effusion is worrisome for pneumonia.
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as compared to the previous image, the extent of the existing fluid or pneumothorax on the left has increased despite drainage of the pathology. unchanged appearance of the heart and of the right lung.
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mild pulmonary edema with small right pleural effusion and right basilar opacification, possibly reflecting atelectasis, though infection is not excluded. previously noted small left pleural effusion appears resolved.
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bilateral pleural effusions, right greater left, with atelectasis at the right base, significantly more pronounced than on. possibility of an early pneumonic infiltrate at the right base cannot be entirely excluded. severe compression deformity (vertebra plana) of mid thoracic vertebral body, unchanged compared with re...
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moderate bibasilar atelectasis, unchanged since. upper lungs clear. heart size top- normal. no evidence of cardiac decompensation. no pneumothorax or appreciable pleural effusion. although no fracture is seen, conventional chest radiographs are not sensitive for detection of chest cage trauma. regions where there are f...
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normal chest radiograph.
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no acute cardiopulmonary process. no pneumonia. small hiatal hernia. stable right upper mediastinal prominence.
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the heart remains enlarged, which may reflect cardiomegaly or pericardial effusion. clinical correlation is advised. right subclavian picc line in unchanged position. right-sided vp shunt is partially visualized. lungs remained well inflated and clear, with no evidence of focal airspace consolidation to suggest pneumon...
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no evidence of pneumonia.
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no visualization of the picc line in the thorax or axilla. stat read was called to dr by dr at at time of discovery by telephone.
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stable asbestos pleural disease. no acute cardiopulmonary process.
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as compared to the previous radiograph, all monitoring and support devices, including the endotracheal tube, are in correct position. the tip of the endotracheal tube projects approximately <num> cm above the carina. minimally improved ventilation at the left and right lung bases.
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no acute cardiopulmonary abnormality.
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limited study. extrememly low lung volumes. no frank pulmonary edema. repeat with better respirator effort if desired.
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comparison to ,. the monitoring and support devices, including the ventricular assist, are stable. no increase in severity of the pre-existing pulmonary edema. mild left pleural effusion. no evidence of pneumonia. stable cardiomegaly.
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no acute chest abnormality to explain the patient's presentation. possible abnormality in the left superior pulmonary hilus should be re-evaluated in <num> months with repeat chest radiograph to include bilateral oblique views. the change to the original wet read of "no acute findings" was discussed with dr ob-gyn at...
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there is patchy density in both lung bases. this could be related to atypical chf, aspiration, infection including opportunistic infections. there is no definite effusion or pneumothorax. there is no chf. the central line on the right is unchanged.
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no definite acute cardiopulmonary process. irregularity at the distal left clavicle may relate to prior trauma, correlation with clinical history advised.