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persistent atelectasis and postradiation changes in the right upper lobe. no pneumothorax.
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no acute cardiopulmonary process.
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worsening multifocal pneumonia and persistent small bilateral pleural effusions. mild pulmonary vascular congestion, also worse in the interval.
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mild bibasilar atelectasis. no evidence of pneumothorax.
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no acute cardiopulmonary process.
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no acute findings in the chest.
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endotracheal tube in appropriate position. central pulmonary vascular congestion.
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<num> cm rounded opacity within the superior segment of the right lower lobe could be a lung mass such as bronchogenic carcinoma or lung abscess. further evaluation with cross-sectional imaging is recommended. these findings were discussed with dr. <unk> by dr. <unk> on <unk> at <time> by telephone <unk> minutes after discovery.
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no radiographic evidence for tunneled catheter dysfunction. no acute cardiopulmonary process.
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normal radiograph of the chest.
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possible small pleural effusions. no focal consolidation. diffuse osseous metastases.
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lingular pneumonia. recommend follow-up chest radiograph in <unk> weeks to assess for resolution. recommendation(s): follow-up chest radiograph in <unk> weeks to evaluate resolution of pneumonia.
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mild improvement in pulmonary edema. small pleural effusions. cardiac enlargement, pulmonary vascular congestion.
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<num>. mild left basal atelectasis. <num>. right upper extremity picc line terminates in the mid svc region.
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no acute cardiopulmonary process. increased opacity at the right lung apex compared to prior while this may be due to apical scarring, given progression, dedicated nonurgent chest ct is suggested to further evaluate.
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no acute cardiopulmonary process.
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no acute cardiopulmonary findings.
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no evidence of acute disease.
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no acute cardiopulmonary abnormalities tortuous and elongated aorta, the ascending aorta is probably at least ectatic. ct could be performed to exclude the presence of aneurysm
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<num>. patchy opacities within the lung bases may reflect atelectasis, but infection is not excluded in the correct clinical setting. <num>. trace left pleural effusion.
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no acute cardiopulmonary abnormality. <num> mm right upper lobe nodule is unchanged compared to the prior chest ct allowing for differences in technique.
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probable small left pleural effusion.
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small bilateral effusions, otherwise no acute cardiopulmonary process.
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no evidence of acute disease.
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<num>. swan-ganz catheter ends beyond the right mediastinum and should be pulled back approximately <num> cm. <num>. no definite pneumothorax. <num>. stable right lower and upper lobe opacification. findings were discussed with dr. <unk> by dr. <unk> <unk> the telephone on <unk> at <num> p.m., <num> minutes after they were made.
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right internal jugular central line has its tip in the distal svc. there continues to be a layering left effusion with patchy associated airspace opacity which could reflect compressive lower lobe atelectasis, although pneumonia should also be considered. overall cardiac and mediastinal contours are likely stable. a more subtle patchy opacity the right medial lung base is suggestive of atelectasis. no pulmonary edema. no pneumothorax. multiple left-sided rib deformities consistent with remote trauma.
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no acute intrathoracic process.
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no change in multifocal opacities. no new opacities identified.
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interval enlargement of the right-sided pleural effusion with adjacent atelectasis.
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<num>. increased opacity projecting over the left lung base laterally without correlate on the lateral view. this could potentially be due to overlying soft tissues although underlying parenchymal opacity is possible, noting no correlate to confirm on the lateral view. consider repeat exam with greater inspiratory effort for further characterization. <num>. severe cardiomegaly and pulmonary vascular congestion without overt pulmonary edema.
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<num>. moderate pulmonary edema is unchanged. <num>. small left pleural effusion is improved. <num>. right lower lung opacity may represent pleural effusion, atelectasis, or pulmonary infarct.
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<num>. limited evaluation of the ribs due to overlying structures. however, no definite acute rib fracture detected. <num>. re demonstration of diffusely increased interstitial lung markings, compatible with progression of known chronic interstitial lung disease. again, in the appropriate clinical setting, this may also represent atypical infection or a component of interstitial edema.
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very small bilateral pleural effusions and bibasilar atelectasis. stable cardiomegaly.
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no acute cardiopulmonary process.
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no acute findings in the chest.
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normal chest radiograph.
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no evidence of pneumomediastinum. soft tissue swelling in the left supraclavicular region and focal widening of left superior mediastinal contour, more fully evaluated on recent outside neck ct.
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no acute cardiopulmonary process.
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no evidence of pneumonia. emphysema
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moderate-to-large right pleural effusion and bibasilar atelectasis, no change from <unk>.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no evidence of free air beneath the diaphragms.
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<num>. nasogastric tube extends below the diaphragm with the tip located within the body of the stomach. distention of the stomach and visualized small bowel loops is consistent with patient's known small bowel obstruction as seen on the ct of the abdomen performed on <unk> at <time> p.m. <num>. bibasilar atelectasis, while due in part to elevated diaphragm, could also be due to aspiration.
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no evidence of acute cardiopulmonary process.
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<num>. no evidence of pneumonia. <num>. volume loss and scarring at the rul. refer to subsequently performed cta chest for details.
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no acute cardiopulmonary process. no free intraperitoneal air.
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patchy lateral left basilar opacity could relate to atelectasis, but consolidation is not excluded in the appropriate clinical setting.
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the patient is rotated to the left. otherwise, no acute cardiopulmonary process.
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<num>. hyperinflation with coarse interstitial lung markings, likely due to interstitial lung disease. <num>. no focal consolidations to suggest pneumonia.
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no acute cardiopulmonary process.
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no pneumothorax or other acute cardiopulmonary process.
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worsening diffuse lung opacities, which may represent worsening organizing pneumonia or superimposed infection.
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no acute cardiopulmonary abnormality.
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decreasing but persisting pulmonary edema.
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no acute cardiopulmonary process.
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<num>. pulmonary vascular congestion without frank interstitial edema. <num>. no focal consolidation.
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slight improvement in pulmonary edema.
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no new lung opacities. no evidence of pericardial effusion.
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no acute cardiopulmonary abnormalities.
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retrocardiac opacification concerning for pneumonia. repeat radiograph <num> weeks after completion of treatment is recommended to ensure resolution. recommendation(s): repeat chest radiograph <num> weeks after completion of treatment is recommended to ensure resolution.
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no acute cardiopulmonary abnormality.
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<num>. the left upper lobe ill-defined opacity is concerning for infarction versus infection but the appearance is atypical of infection. <num>. diffuse interstitial opacities of unclear etiology. <num>. unchanged pulmonary venous congestion. recommendation(s): ct chest with contrast to further characterize the nature of the left upper lobe hazy opacity and of the diffuse interstitial opacity.
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no acute intrathoracic process.
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no acute intrathoracic process.
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satisfactory positioning of enteric tube with tip in the stomach. slight improvement in bilateral parenchymal opacities.
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small left apical pneumothorax is similar to prior.
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no acute cardiopulmonary process.
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unchanged moderate bilateral pleural effusions with no other significant interval change.
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<num>. bibasilar opacities would be consistent with pneumonia and/or aspiration in the right clinical setting. likely some component of pulmonary edema given the interstitial thickening. <num>. multiple dilated loops of small bowel may represent ileus or obstruction. dedicated abdominal radiograph may be performed for better characterization.
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no notable interval change. et tube terminates <num> cm above the carina. consider pulling the et tube by <num> cm.
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no definite acute disease on limited study with very low lung volumes.
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minimal patchy retrocardiac opacity likely reflects atelectasis in the setting of low lung volumes.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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bilateral effusions, right greater than left with possible consolidation in the right mid and lower lung.
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no radiographic evidence for acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. a compression fracture of a lower thoracic vertebral body is slightly worse than <unk>.
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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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no definite pneumothorax identified. no pleural effusion or focal consolidation.
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no acute cardiopulmonary abnormality.
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mild cardiomegaly and probable mild chf. left lower lobe collapse and/or consolidation. probable small left and possible small right effusions. no pneumothorax detected.
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<num>. intervally increased consolidations in the right upper lobe are concerning for pneumonia. <num>. stable degree of pulmonary edema. <num>. endotracheal and orogastric tubes in appropriate position.
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no evidence of acute disease.
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low lung volumes with patchy bibasilar airspace opacities, possibly reflecting atelectasis though a chronic interstitial abnormality is not excluded. findings appear similar compared to the prior exam, and repeat radiographs can be obtained with improved inspiratory effort for clearer assessment of the lung bases.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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no radiographic evidence for acute cardiopulmonary process.
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mild interstitial edema. patchy lower lung opacity seen on the lateral view could be due to infectious process. recommend followup to resolution.
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bilateral pleural effusions and pulmonary vascular congestion. post-surgical changes seen in the right lung.
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no acute intrathoracic process.
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<num>. right lower lobe pneumonia. recommend follow-up radiographs in <num> weeks after treatment to ensure resolution. <num>. probable sequelae of prior granulomatous disease in the lung apices. recommendation(s): follow-up chest radiograph in <num> weeks after treatment of pneumonia to ensure resolution.
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small right-sided pneumothorax status post vats.
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as above.
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mild pulmonary vascular congestion and small bilateral pleural effusions, new from the previous study.
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interval increase in diffuse bilateral parenchymal opacities, which may be secondary to edema, infection or with ards.