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stable radiographic appearance of diffuse lung disease.
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no acute cardiopulmonary process.
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significant bilateral hilar fullness and mediastinal enlargement, present on the outside hospital radiographs from <unk>. however there are no other studies available for comparison. these findings are concerning for an intrathoracic mass, and therefore ct of the chest is recommended for further workup.
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improved bibasilar atelectasis and no evidence of pneumonia.
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slight blunting of the right costophrenic angle, trace pleural effusion not excluded. no focal consolidation.
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no acute cardiopulmonary abnormality.
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subtle patchy right lower lobe opacity may relate to atelectasis and overlying vascular structures, but overlying consolidation due to pneumonia is not excluded in the appropriate clinical setting.
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status post removal of right ij central venous line, endotracheal and nasogastric tubes with no other significant interval change.
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<num>. right lower lobe pneumonia with associated right pleural effusion on the background of vascular congestion and interstitial pulmonary edema. <num>. significant interval improvement of previous enlarged globular appearance of the heart.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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right upper lobe collapse. recommend repeat exam at some point to document re-expansion. enteric tube is seen with tip at the gastric fundus, side port not visualized but likely in the distal esophagus and should be advanced for optimal positioning.
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no radiographic explanation for chest pain.
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no significant interval change.
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no definite acute cardiopulmonary process. abnormal appearance of left hemidiaphragm with either eventration with underlying colonic loops below the diaphragm or possible intrathoracic herniation of the bowel loops. correlate with prior imaging if possible would be of use, otherwise ct scan could further characterize.
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no acute cardiopulmonary abnormalities
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stable small right pleural effusion and right basilar atelectasis. no pneumonia or pulmonary edema.
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no new focal consolidations concerning for pneumonia.
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no acute cardiopulmonary process.
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<num>. small bilateral pleural effusions. <num>. severe cardiomegaly.
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enteric tube high in position, terminates at the ge junction. recommend advancement that is spelled limb stomach. left-sided picc terminates in the low svc without evidence of pneumothorax. bilateral pleural effusions. right base opacity could be due to combination of pleural effusion and atelectasis, but consolidation is not excluded in the appropriate clinical setting. there is also subtle right perihilar opacity.
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extensive bilateral metastatic pulmonary lesions, not significantly changed <unk> <unk>.
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no acute cardiopulmonary process. no cardiomegaly.
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increased right lower lobe opacity adjacent to suture material may represent residual alveolar hemorrhage from recent vats biopsy.
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new right-sided port-a-cath tip is at mid svc. no pneumothorax or pleural effusion.
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interval placement of right chest pigtail catheter with re-expansion of the right lung with minimal to no right pneumothorax currently seen.
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mild cardiomegaly with tiny pleural effusions. no overt evidence for pneumonia or edema. probable underlying copd.
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<num>. no acute cardiopulmonary process. <num>. hyperinflated lungs with flattening of the diaphragm, suggestive of emphysema.
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no change in small right pleural effusion. stable small air-fluid levels in the right lateral chest wall.
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<num>. improving pulmonary edema. an underlying chronic interstitial process cannot be excluded, and continued radiographic followup may be helpful in this regard. <num>. improving right pleural effusion and persistent left pleural effusion. <num>. post-treatment changes in left juxtahilar region. <num>. pericardial calcifications as described above.
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hazy right basilar opacity is suspicious for an area of infection.
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overall, slight interval increase in small right pleural effusion compared to <unk>. the right-sided pleurx catheter is poorly visualized but appears unchanged in position.
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moderate to large left pleural effusion with overlying atelectasis, underlying consolidation not excluded. significant interval decrease in right pleural effusion, essentially resolved. bilateral perihilar and right basilar opacities could relate to fluid overload although atypical infection is not excluded.
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no acute intrathoracic process. no displaced rib fracture seen. however, please note that if clinical concern is high, dedicated rib series or ct is more sensitive.
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no acute intrathoracic process.
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no pneumonia, edema, or effusion. severe emphysema is similar to <unk>.
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significant interval decrease in right pleural effusion which is now small in size, with overlying right mid and lower lung atelectasis. trace left pleural effusion.
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no acute intrathoracic process.
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no acute intrathoracic process.
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no evidence for acute cardiopulmonary process.
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no acute cardiopulmonary process.
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standard positioning of right picc.
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no acute cardiopulmonary abnormality.
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moderate size right and small left pleural effusions, perhaps slightly smaller in size compared to recent ct with associated bibasilar atelectasis.
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no acute cardiopulmonary process.
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subtle nodular opacity projecting over the right lung base on the frontal projection, may represent overlapping structures in the body wall, though true nodule not excluded. consider dedicated chest ct to further assess.
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unremarkable portable chest x-ray.
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bilateral calcified pleural plaques. given the extent, evaluation for subtle parenchymal abnormality is limited. however, there is no evidence of new consolidation since <unk>. known underlying fibrotic lung changes better seen on ct.
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increase interstitial opacities at the left lung base, and possibly right lung base may represent pneumonia.
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no acute findings.
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cardiomegaly with minimal pulmonary vascular congestion.
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no evidence of pneumonia.
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superior right lower lobe pneumonia
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no pneumothorax. left retrocardiac opacity with associated volume loss may be atelectasis but in the right clinical setting can suggest pneumonia. again noted is the atypical configuration of the left ij catheter likely in a persistent left svc or one of its branches
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<num>. no focal consolidation. <num>. stable subsegmental atelectasis or scarring in the lower lungs.
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subtle heterogeneous opacity at the right posterior lung base which could represent either atelectasis or pneumonia.
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<num>. no acute cardiopulmonary radiographic abnormality. <num>. lower parasternal bony prominence, likely corresponding to large parasternal osteophytes on prior chest ct <unk> <unk>. correlation with physical exam findings may be helpful to determine whether this corresponds to the site of palpable abnormality.
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new basilar infiltrates
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no acute intrathoracic abnormality.
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small to moderate -sized bilateral pleural effusions with bibasilar patchy opacities, potentially compressive atelectasis, but infection or aspiration cannot be excluded.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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persistent moderate size right pleural effusion. new small to moderate sized left pleural effusion with left basilar opacity either reflecting atelectasis or possibly infection. unchanged post radiation treatment changes within the right upper paramediastinal lung.
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<num>. no acute cardiopulmonary process. <num>. bilateral calcified granulomas, calcified mediastinal lymph nodes, and elevated hila again seen.
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<num>. possible pneumonia, atelectasis, or, given the appropriate clinical history, radiation fibrosis in the lingula. additional oblique views are recommended for further evaluation. <num>. possible new right upper lung nodule. ct is recommended for further evaluation of metastatic disease in the lung and additionally, in the pleural surfaces.
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<num>. no pneumothorax detected status post removal of right chest tube. <num>. otherwise, no significant interval change. again seen is patchy retrocardiac density consistent with left lower lobe collapse and/or consolidation, minimal patchy opacity at the right base, and possible tiny bilateral pleural effusions.
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no acute cardiopulmonary process. no evidence of pneumonia.
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no evidence of acute cardiopulmonary process.
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persisting but decreased pulmonary edema. a trace right pleural effusion is likely present.
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no evidence of acute cardiopulmonary process.
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stable chest findings, no evidence of new pulmonary pleural or vascular abnormalities.
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low long volumes. no signficant change.
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no acute cardiopulmonary process.
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small bilateral pleural effusions with overlying atelectasis, underlying consolidation cannot be excluded in the appropriate clinical setting. persistent enlargement of the cardiac silhouette. mild pulmonary vascular congestion.
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no evidence of acute disease. hyperinflation.
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left-sided single-chamber icd, terminating in the right ventricle, though relationship with the anterior ventricular wall cannot be determined.
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<num>. no evidence of pneumomediastinum or pneumothorax. <num>. possible right upper lobe lung nodule. recommend initial confirmation with standard pa and lateral chest radiographs. if confirmed, ct would be recommended for further assessment. dr. <unk> has been notified by telephone of this result at <num> p.m. on <unk>.
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patchy right base opacity could be due to atelectasis or pneumonia.
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no acute cardiopulmonary abnormality.
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small focal rounded opacity in the peripheral right upper lobe could reflect focal pneumonia or mucous plugging, less likely a mass given the short time course of development. recommend treatment for infection and short interval follow-up after treatment to ensure resolution. recommendation(s): follow-up radiograph after treatment for pneumonia to ensure resolution of new right upper lobe opacity.
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enlarged cardiac silhouette with elevated pulmonary venous pressure/mild edema. likely trace right pleural effusion.
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small apical pneumothorax measuring <num> mm in diameter.
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slight prominence of the hila suggest pulmonary vascular engorgement without overt pulmonary edema. basilar atelectasis without definite focal consolidation.
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no acute cardiopulmonary process.
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<num>. nasogastric tube with side port near the gastroesophageal junction. this can be advanced several cm for standard positioning <num>. new bilateral layering pleural effusions with bibasilar atelectasis.
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new right lung consolidation and right pleural effusion; pleural metastasis cannot be excluded. further evaluation is recommended with chest ct with iv contrast if clinically possible. findings and recommendations were discussed with <unk> by <unk> by telephone at <time> p.m. on <unk> at the time of discovery of these findings.
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findings suggesting mild pulmonary edema.
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<num>) no acute findings <num>) stable interstitial lung disease.
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<num>. no evidence of acute cardiopulmonary disease. <num>. possible lytic lesion in the left fourth rib with adjacent pulmonary parenchymal reaction which may indicate that the lesion is posttraumatic but the possibility of soft tissue mass should be considered. initial further evaluation with dedicated left rib radiographs is suggested.
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<num>. increased opacification within the right middle and lower lobe, concerning for infectious etiology such as pneumonia, although asymmetric pulmonary edema may be considered. <num>. persistent severe enlargement of the cardiac silhouette. <num>. unchanged small right pleural effusion. <num>. multiple thoracic vertebral compression fractures, better delineated on the cta chest of <unk>.
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no acute cardiopulmonary abnormality.
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elevation of the right lung base and associated opacity noted on the frontal view. shallow oblique views may be helpful in discerning if there is any focal process which could contribute to the patient's chest pain. updated findings communicated with <unk> of the ed.
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no evidence of pneumonia.
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normal chest radiograph. specifically, no evidence of pneumonia.
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previous pattern of pulmonary vascular congestion has nearly resolved. no radiographic evidence for pneumonia.
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no acute cardiopulmonary process.
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normal chest radiograph.
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no acute cardiopulmonary process.
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possible mass positioned posteriorly on the lateral view in the upper lungs. recommend ct to further assess.
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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.