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markedly improved left hilar mass, but increased left basilar opacification with pleural effusion suggesting atelectasis or pneumonia.
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pa and lateral chest compared to and : moderate right pleural effusion is larger. severe cardiomegaly is probably larger as well and pulmonary vascular engorgement is essentially unchanged. dual-channel right supraclavicular central venous dialysis catheter ends in the low svc and right atrium. right jugular line ends...
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right lower lobe pneumonia.
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in this patient with a known left upper lobe mass, there is a new small left pleural effusion with adjacent atelectasis. overlying infection in this region cannot be excluded. additionally, a faint opacity is noted over the right middle lobe. further characterization may be obtained with a dedicated chest ct.
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no acute cardiopulmonary process.
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calcified pleural plaques. although there is no prior to assess for interval change, there is suspected superimposed consolidation at the right lung base which could represent pneumonia. correlation with prior exams would be helpful to assess for interval change. followup will be necessary.
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no acute intrathoracic abnormality.
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no focal pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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normal chest.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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low lung volumes with possible early heart failure.
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no cardiomegaly. no acute pulmonary process.
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tracheostomy tube in standard placement. the lumen of the peg projects over the mid portion of a nondistended stomach. low lung volumes exaggerate borderline pulmonary vascular congestion and heart size. right lower lobe consolidation which improved between and has nearly resolved.
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pa and lateral chest reviewed in the absence of prior chest radiographs: mild interstitial abnormality in the lung bases may be an indication of chronic tobacco use. it is probably not an acute finding. there is no consolidation. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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right lower lobe atelectasis and moderate right pleural effusion slightly increased since.
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mild pulmonary edema and right juxta- and infrahilar opacity similar appearance to which remains suspicious for pneumonia. results were conveyed over the telephone to at the office of dr by dr at on , <num> minutes after discovery.
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no evidence of acute cardiopulmonary abnormalities.
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no radiographic evidence for acute cardiopulmonary process. blunting of the bilateral costophrenic angles, which may be due to the there pleural effusions or pleural thickening. multiple, bilateral, healed rib fractures
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ett is <num> cm from the carina. remaining support devices are in good position. increasing bibasal opacities and bilateral pleural effusions.
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left pic line has been partially withdrawn and now ends in the low svc. lungs are fully expanded and clear. no pleural abnormality. heart size normal.
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no evidence of pneumonia.
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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces.
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compared to prior chest radiographs, through. recommendation(s): moderate bilateral pleural effusions, stable on the right, increased on the left. left lower lobe still densely consolidated. mild pulmonary edema present elsewhere are unchanged. heart size top-normal. no pneumothorax. left pic line ends in the low svc....
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no acute cardiopulmonary process.
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small amount of post-procedural pulmonary hemorrhage. no pneumothorax.
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mild interstitial pulmonary edema, trace right pleural effusion, and moderate cardiomegaly.
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comparison to. no relevant change is noted. monitoring and support devices, including the <num> right-sided chest tubes are stable. no pneumonia, no pulmonary edema, stable right pleural effusion of the decortication.
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no pneumonia. stable moderate cardiomegaly.
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small right basilar pneumothorax. small left pleural effusion. bibasilar atelectasis. decreased heart size, pulmonary vascularity.
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in comparison study of , the heart is normal in size and is no vascular congestion, pleural effusion, or acute focal pneumonia.
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diffusely increased interstitial markings bilaterally, new since the prior study, may be due to pulmonary edema versus atypical infection. additional left base patchy opacity could relate to the above, although underlying consolidation due to infection or aspiration not excluded.
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no acute cardiopulmonary process. dr the results with dr at on via telephone.
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stable mild cardiomegaly. possible minimal stable upper zonredistibution. no evidence of pneumonia.
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no acute cardiopulmonary process.
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comparison to. stable alignment of the sternal wires. stable moderate cardiomegaly and substantial enlargement of the aortic arch. the pre-existing lung parenchymal changes have almost completely resolved. currently there is no evidence of pulmonary edema, pneumonia or pleural effusions.
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no new process demonstrated. no abnormality seen.
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moderate bilateral pleural effusions have increased since despite the right basal pleural drainage catheter. since this is accompanied by increasing moderate cardiac size and persistent interstitial edema, congestive heart failure is likely. no pneumothorax. right jugular line ends in the low svc.
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persistent large right pleural effusion with likely subpulmonic component. multiple pulmonary nodules consistent with metastatic renal cell carcinoma. known destructive right rib lesions are seen to better detail on prior ct.
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left lower lobe consolidation is new concerning for infectious process. heart size and mediastinum are stable. upper lungs are clear. no appreciable pleural effusion demonstrated.
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new right middle and lower lobe collapse. increased, moderate pulmonary edema. interval placement of a tracheostomy without pneumothorax or other obvious acute complications. new, right-sided ij central venous catheter terminates the upper svc.
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persistent right mid lung nodular opacity is not significantly changed from recent cxr; however, further evaluation by a chest ct is recommended as it was not present on earlier studies. increased lucency in chronically collapsed right upper lobe raises the possibility of a chronic cavitary process for which ct would a...
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low lung volumes, but no bibasilar atelectasis. no pneumothorax.
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improvement in severity of the pre-existing pulmonary edema. the edema is now mild. mild cardiomegaly persists. unchanged mild retrocardiac atelectasis. no pneumonia. no larger pleural effusions.
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no acute intrathoracic process.
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mild interval improvement in bilateral alveolar consolidations, consistent with slowly resolving pulmonary edema.
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moderate right pleural effusion. scarring and volume loss in the right upper lobe. right perihilar fullness corresponds to possible lymphangitic spread of tumor on recent pet-ct.
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biventricular heart failure manifested as increased cardiomegaly pulmonary and mediastinal vascular engorgement worsened after , improved on , and looks worse today. whether that is due to real clinical regression, or lower lung volumes is difficult to say. bibasilar atelectasis, mild on the right and moderate to sever...
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no evidence of acute cardiopulmonary disease.
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improved small-to-moderate left pleural effusion
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low lung volumes with patchy bibasilar opacities, more pronounced in the left lung base, likely atelectasis. please note however that infection cannot be completely excluded.
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comparison to ,. as compared to the previous radiograph, the patient is slightly rotated. overall, the signs of moderate pulmonary edema and bilateral atelectatic opacities are stable. the presence of small pleural effusion is likely. stable moderately enlarged cardiac silhouette.
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no acute findings in the chest.
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heart remains enlarged. there is calcification in the aorta consistent with atherosclerosis. there is interstitial prominence which may reflect age-related changes or small airways disease. overall, there is somewhat improved aeration at the right lung base where there are residual streaky opacities which may represent...
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free intraperitoneal air
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no acute cardiopulmonary process. stable mild convex contour in the ap window. this is almost certainly a normal vascular contour. repeat shallow oblique chest radiographs are suggested for confirmation.
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normal chest radiographs; specifically, no evidence of pneumonia.
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no acute intrathoracic abnormality.
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stable cardiomegaly with improved pulmonary vascular congestion and interstitial edema. stable, moderate bilateral pleural effusions, right greater than left.
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findings concerning for multifocal pneumonia superimposed on probable interstitial lung disease. clinical correlation is advised.
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satisfactory ng tube position. minimally dilated loops of bowel are not fully evaluated and may reflect ileus from the patient's overlying pancreatitis.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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cardiac and mediastinal silhouettes are stable. there is obscuration of the left hemidiaphragm most likely due to atelectasis and possible small pleural effusion. no definite focal consolidation is seen.
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no definite evidence for pneumonia.
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findings compatible with right middle lobe pneumonia.
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in comparison with the study of , the left basilar opacification seen previously has resolved. there are low lung volumes, but no evidence of acute pneumonia, vascular congestion, pleural effusion, or pneumothorax.
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new bilateral peribronchial opacities, concerning for infectious process particularly in an immunocompromised patient. recommend ct chest for further evaluation. if any concern for pulmonary embolism, obtain cta chest instead.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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consolidative atelectasis in the entire right lower lobe and at least the posterior basal segment of the left lower lobe are unchanged for the past several days. micro nodularity in the left lung is also unchanged, either disseminated tumor or infection. esophageal stent has not migrated. heart size is normal. no pneum...
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no acute cardiopulmonary process.
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no evidence of pneumonia
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focal pneumonia in left lower lobe. dr findings with dr , on at approximately
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no acute cardiopulmonary abnormality.
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no pulmonary edema. stable chest x-ray.
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slight blunting of the posterior right costophrenic angle may be due to a trace pleural effusion versus artifact. no new focal consolidation.
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in comparison with the study , there is increased opacification at both bases. much of this probably represents atelectatic changes, though there may be small pleural effusions. no evidence of acute focal pneumonia or pneumothorax.
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no acute intrathoracic process.
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as compared to the previous radiograph, no relevant change is seen. the position of the right pigtail catheter is constant. the right lung remains well expanded, there currently is no evidence of a right pneumothorax. substantial overinflation persists. unchanged right upper lobe opacities. normal size of the cardiac s...
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary abnormality.
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previous mediastinal widening has improved. loculated left pleural effusion, predominantly apical, unchanged. left lower lobe probably collapsed. mild vascular engorgement, right lung is new. no appreciable right pleural effusion. right jugular line ends in the upper svc
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mild interstitial edema.
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no definite acute cardiopulmonary process based on this limited exam. enlarged cardiac silhouette likely accentuated by technique and poor inspiratory effort.
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as compared to previous radiograph from several hr earlier, pulmonary vascular congestion and mild interstitial edema are new. accompanying slight increase in size of small right pleural effusion. no other relevant changes.
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no evidence of acute cardiopulmonary process.
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comparison to. elevation of the right hemidiaphragm. mild left retrocardiac atelectasis that is unchanged. no evidence of pneumonia. mild fluid overload but no overt pulmonary edema. moderate cardiomegaly persists.
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recent consolidation in the right lower lung which developed on has improved substantially, with a rapidity that is more consistent with bland aspiration or pulmonary hemorrhage than pneumonia. heart size normal. large bore vascular cannula ends in the mid right atrium. no pleural abnormality.
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silicone stent is not well visualized, however the right mainstem bronchus appears patent.
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bibasal opacities, likely relate to aspiration.
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no acute abnormalities identified to explain patient's leukocytosis and cough.
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subtle right lower lobe opacity may represent atelectasis however early pneumonia is also possible. stable cardiomegaly.
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no acute cardiopulmonary process.
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no significant interval change.
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low lung volumes with bibasilar opacities, likely atelectasis. otherwise, no acute cardiopulmonary process.