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no acute cardiopulmonary process. emphysema.
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unchanged left mid lung zone scarring. no evidence of pneumonia. results were discussed with dr assistant at pm on via telephone by dr.
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no definite pleural effusion based on a single supine portable film. consider lateral view for more detailed evaluation if desired. mild pulmonary edema. decreased retrocardiac opacity with new right lower lobe opacity which could be atelectasis. differential includes pneumonia in the appropriate clinical setting.
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right pleural effusion, right basal consolidation with air within the right pleural space, better characterized on prior ct chest and concerning for bronchopleural fistula.
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no acute cardiopulmonary process.
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large hiatal hernia. mild cardiomegaly.
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no acute findings. limited exam.
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focal opacity in the right lung base silhouetting the right hemidiaphragm may represent atelectasis or early pneumonia, depending upon the clinical setting.
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ng tube tip is in the stomach although the side hole appears to be <num> high and the tip is just at the gastroesophageal junction that should be advanced at least <num> cm. the lungs are essentially clear. no pleural effusion or pneumothorax is seen.
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no acute cardiopulmonary process although study limited by underpenetration.
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no acute intrathoracic process.
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no pneumonia or pulmonary edema. mild overinflation.
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since a recent study of , a nasogastric tube has been replaced, terminating within the stomach. exam is otherwise remarkable for improved pulmonary vascular congestion and apparent decrease in size of a small to moderate right pleural effusion.
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no acute cardiopulmonary abnormality.
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possible pneumonia, atelectasis, or, given the appropriate clinical history, radiation fibrosis in the lingula. additional oblique views are recommended for further evaluation. possible new right upper lung nodule. ct is recommended for further evaluation of metastatic disease in the lung and additionally, in the pleur...
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in comparison with the study , the right ij catheter has been removed. continued globular enlargement of the cardiac silhouette without vascular congestion or pleural effusion. the previous gas along the upper mediastinum has cleared. pacer device remains in place.
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no acute cardiopulmonary abnormality.
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no acute pulmonary process identified.
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mild pulmonary edema and small to moderate bilateral pleural effusions all improved since following extubation. heart size normal. no pneumothorax. left subclavian line ends in the svc
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no acute cardiopulmonary abnormality.
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no significant interval change.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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focal opacity at the right lung base concerning for pneumonia. diffuse background interstitial lung disease, potentially caused by chronic underlying infection.
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no acute intrathoracic process. dislocation of the left glenohumeral joint. correlate with exam and dedicated left shoulder radiographs.
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interstitial opacities compatible with pulmonary edema. there may be a left layering pleural effusions.
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lungs are low in volume. mild to moderate subsegmental atelectasis has worsened slightly at the right base. moderate to severe cardiomegaly, exaggerated by supine positioning, which also increases mediastinal venous caliber, is unchanged. there is no pulmonary edema or appreciable pleural effusion or any indication of ...
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persistent nodularity in the right upper lobe, but overall marked decrease in opacification. findings suggest improvement in malignancy and associated atelectasis; acute process is doubtful.
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moderate to severe cardiomegaly is chronic. compared to , pulmonary vascular congestion has improved and there is no pulmonary edema. small left pleural effusion is likely, also improved. patient has had median sternotomy and mitral valve replacement. right supraclavicular dual channel catheter, commonly used for hemod...
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comparison to. the pre-existing right apical pneumothorax has almost completely resolved and is barely visible on today's examination. the pneumothorax is millimetric in. no evidence of tension. normal size of the heart. normal appearance of the mediastinum. no pleural effusions. no pneumonia. no pulmonary edema.
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heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax. no definitive rib fracture is seen. correlation with dedicated three views is to be considered if clinically warranted.
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subtle increase in opacification over the lateral left lung base, likely secondary to overlapping structures, however mild consolidation secondary to effusion or aspiration/infection is not excluded.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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nonspecific multifocal airspace opacification which shows interval progression in distribution. no interval change in the heart size, pulmonary cephalization or pleural effusions to suggest pulmonary edema. recommendation(s): short-term follow-up imaging recommended to evaluate for disease progression/resolution.
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ap chest compared to : lung volumes are very low, perhaps in part to severe gaseous distention of the stomach and intestinal tract in the upper abdomen, but there is new mild pulmonary edema and progressive dilatation of mediastinal and pulmonary vasculature accompanied by likely small right pleural effusion. i doubt f...
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heart size is normal. mediastinum is normal. lung volumes are relatively low, but lungs are clear and there is no pleural effusion or pneumothorax. there is no evidence of active or chronic tuberculosis.
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the endotracheal tube and nasogastric tubes have been removed. the right ij line and left ij line are unchanged. the right chest tube is unchanged. there are no definite effusions visualized. there is no pneumothorax. there is some re-expansion of the linear atelectasis in the right lung base. a pigtail catheter is see...
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with the study of , there is little change in the appearance of the monitoring and support devices. opacification at the left base is unchanged.
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no acute cardiothoracic process.
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comparison to. all monitoring and support devices, with the exception of the right venous introduction sheet and the left picc line, have been removed. there is no evidence for the presence of a pneumothorax. minimal bilateral pleural effusions and bilateral areas of postoperative atelectasis. are slightly more extensi...
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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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in comparison to the prior exam, the patchy opacities at the right lung base have improved. chain sutures are again seen in the right mid lobe. prominence of the mediastinum is noted compatible with the known mediastinal lymphadenopathy. no pneumothorax or pulmonary edema. cardiac size remains normal.
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patchy right base opacity could be due to atelectasis or pneumonia.
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no acute cardiopulmonary process.
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ap chest compared to : lungs are consistently low in volume but better aerated today than on the. severe cardiomegaly is chronic, but pulmonary vasculature engorgement has resolved. a right internal jugular line ends in the upper right atrium as before. pleural effusion is small on the right, if any. no pneumothorax.
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bilateral mid to lower lung opacities, right more than left, have worsened. superimposed pneumonia in the right hemithorax cannot be ruled out.
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low lung volumes with bibasilar atelectasis. elevation of the right hemidiaphragm of unknown chronicity.
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no evidence of acute disease.
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no relevant change as compared to the prior image. normal lung volumes. normal size of the cardiac silhouette. normal appearance of the lung parenchyma. no a typically predominant opacities. no cavitations. no pleural effusions.
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since , persistent large pleural effusion with loculated and dependent components. right sided atelectasis that exceeds extent of pleural effusion.
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findings most consistent with consolidative pneumonia in the left lower lobe. followup radiographs are recommended to show resolution after treatment in approximately eight weeks.
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nodular opacity projecting over the left lower lung measuring <num> cm that was not seen on prior chest radiographs or recent chest ct. this may represent a loculated pleural fluid given recent pleural effusions and hazy opacity over the left lower lung laterally, however, pulmonary nodule cannot be ruled out. oblique ...
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no acute intrathoracic process.
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interstitial edema. mild cardiomegaly.
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ap chest compared to preoperative chest radiograph,. i think the remaining right lung fields, approximately half of the right hemithorax, the rest filled with air and no appreciable fluid while a pleural drainage tube crosses the right hemithorax obliquely from base to apex. cardiomediastinal silhouette has a normal po...
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pa and lateral chest radiograph compared to : hyperinflation and vascular deficiency in the upper lungs indicate emphysema. new irregularly shaped opacity in the right mid lung laterally at the level of the third anterior rib is probably an area of bronchiectasis or peribronchial inflammation, but this would be prudent...
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no acute cardiopulmonary abnormality.
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hemorrhage catheter terminates in the right atrium. since the prior study there is overall unchanged appearance of the large left pleural effusion. there is no evidence of pulmonary edema. mediastinal silhouette is unchanged. pacemaker leads appear to be unchanged. no pneumothorax
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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new moderate right pneumothorax without tension physiology. ng tube with its port at or near the ge junction. no clear radiographic evidence for aspiration pneumonia.
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compared to prior chest radiographs since , most recently at. feeding tube still ends in the upper stomach, just beyond the gastroesophageal junction. moderate cardiomegaly and mild pulmonary vascular congestion exaggerated by low lung volumes unchanged. left rib fractures noted, but there is no hematoma or pleural ef...
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as compared to the previous radiograph, signs of mild pulmonary edema have overall decreased in severity. however, there are new parenchymal opacities with air bronchograms at the bases of the left lung. this could be infectious in origin. calcified pleural plaques are present. moderate cardiomegaly. clips projecting o...
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no evidence of main bronchus stent occlusion. some progression of pulmonary abnormalities is, however, noted.
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no acute cardiopulmonary process.
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mild bibasilar atelectasis in the setting of low lung volumes.
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in comparison to chest radiograph, exam is remarkable for new left basilar atelectasis and a confluent airspace opacity at the right lung base. the latter could reflect aspiration or developing pneumonia in the appropriate clinical setting. small bilateral pleural effusions are present, but there is no evidence of pne...
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in comparison with the study of , there is again some hyperexpansion of the lungs consistent with chronic pulmonary disease. however, no acute pneumonia, vascular congestion, or pleural effusion.
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small or moderate left pleural effusion is new. low lung volumes reflect bibasilar atelectasis, but there is no lobar collapse. upper lungs grossly clear. heart is obscured by the elevated diaphragm, but not particularly enlarged. no pneumothorax.
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no acute cardiopulmonary process. no significant interval change.
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ap chest compared to : right lung base is partially obscured, probably by small right pleural effusion, but the appearance still raises concern for several small regions of pneumonia. when feasible, a lateral chest radiograph would be helpful to determine the contribution of each. thoracic aorta is very large generally...
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bilateral pneumonia with increased effusion.
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right picc tip is difficult to evaluate obscured by a large right central catheter, the tip appears to be in the upper svc. moderate cardiomegaly is stable. retrocardiac opacities have increased consistent with increasing atelectasis. other in the diffuse lung consolidations consistent with pneumonia larger in the uppe...
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et tube <num> cm from the carina. mild pulmonary vascular congestion and probable small bilateral pleural effusions. this preliminary report was reviewed with dr , radiologist.
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no acute cardiopulmonary abnormality.
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compared to prior chest radiographs through at. minimal residual interstitial edema change since earlier in the day, substantially improved since. small right pleural effusion probably persists. severe cardiomegaly is chronic. no pneumothorax. no focal consolidation. esophageal drainage tube passes into the stomach a...
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mild pulmonary edema, improving from the prior examination on. bibasilar opacities are most consistent with edema however underlying infection should be considered in the appropriate setting.
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as compared to the previous image, the patient has received a left chest tube. most of the pleural effusion has subsequently drained. no evidence of pneumothorax. mild cardiomegaly and retrocardiac atelectasis persist. no evidence of pneumonia.
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lungs low in volume but clear. heart size top-normal. no pleural or mediastinal abnormality.
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no acute intrathoracic process.
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no acute cardiothoracic process.
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no acute intrathoracic process.
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no evidence of active tuberculous.
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slight interval enlargement of the right pneumothorax since <num> hr earlier.
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improved interstitial edema. increasing bilateral small pleural effusions. no increasing pneumothorax.
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bilateral lower lobe opacities most likely represent atelectasis.
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no acute findings in the chest.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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there is again seen a left-sided pleural catheter. there is a tiny left apical pneumothorax which has decreased in size since previous. heart size is normal. lungs are grossly clear.
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persisting small left pleural effusion with associated atelectasis.
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left ij dialysis catheter in appropriate positioning. worsening right middle lobe consolidation, which may represent pneumonia or hemorrhage.
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no acute cardiopulmonary process.
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no acute findings in the chest.
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right-sided effusion is resolved. left effusion is improved.