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interval removal of the right internal jugular central line. stable postoperative cardiac and mediastinal contours status post median sternotomy for cabg. small bilateral pleural effusions with expected associated patchy bibasilar airspace process likely reflecting atelectasis. no pulmonary edema or pneumothorax.
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no significant interval change when compared to the prior study. persistent airspace opacity in the left lower lobe may reflect a combination of pleural effusion and atelectasis however pneumonia cannot be excluded.
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severe pulmonary edema is most likely cardiac in etiology. bilateral pleural effusions are presumed, but not large.
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status post median sternotomy with heart being upper limits of normal in size given portable technique. the aorta is somewhat unfolded. pulmonary arteries are slightly prominent raising the possibility of pulmonary arterial hypertension. patchy opacity at the right lung base most likely reflects atelectasis given the c...
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no significant interval change.
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<num>. right middle lobe collapse. chest ct with contrast for further assessment of right middle lobe collapse is recommended. <num>. patchy opacity in the right lower lobe concerning for pneumonia. <num>. moderate size right and trace left bilateral pleural effusions. <num>. emphysema.
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ett terminating <num> cm above the carina. at the time of this dictation, a repeat chest radiograph with ett in more optimal position has been obtained.
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no acute findings in the chest. specifically, no signs of pneumonia.
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slight decrease in pleural fluid and improved aeration at the right lung base.
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continued improvement/resolution of pulmonary edema. no focal consolidation concerning for pneumonia.
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no acute cardiopulmonary process.
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moderate to severe cardiomegaly. right basilar atelectasis.
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bibasilar opacities concerning for pneumonia, with small bilateral pleural effusions.
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stable chest findings as can be identified on portable single ap chest examination.
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<num>. new small abnormal density in the right midlung zone for which either chest ct for further characterization or empiric pneumonia treatment with followup radiographs in <unk> weeks is recommended.
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hazy opacity at the right lung base may represent a combination of a small amount of pleural fluid and/or atelectasis. some patchy retrocardiac opacity is also present. no definite consolidation is identified at either lung base, though an early infiltrate would be difficult to completely exclude in either location. do...
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stable diffuse bilateral pulmonary hemorrhage or edema. slightly high-riding et tube could be advanced by <num>-<num> cm for better positioning within the mid to lower trachea.
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possible early basilar pneumonia, visualized only on the lateral radiograph.
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<num>. no evidence of acute cardiopulmonary process. <num>. unchanged mild narrowing of the upper trachea, potentially related to an enlarged thyroid gland.
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no acute cardiopulmonary abnormality.
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no radiographic evidence of an acute cardiopulmonary process.
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no pneumonia.
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no acute cardiopulmonary process.
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endotracheal tube ends <num> cm above the carina. mild cardiomegaly.
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no acute cardiopulmonary abnormality. no acute fractures identified. old bilateral rib fractures. if there is continued concern for a rib fracture, then a dedicated rib series is recommended.
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no acute cardiopulmonary abnormality.
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<num>. feeding tube is seen in the stomach with the side ports in the esophagus. <num>. apparent changes in lungs are likely due to patient positioning. recommendation(s): recommend advancement of og tube by <num> cm.
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bibasilar linear atelectasis. known osseous lesions are better assessed on the recent ct including t<num> vertebra plana.
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left basilar atelectasis without definite focal consolidation.
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normal chest radiographs. if a scapular abnormality is suspected clinically, dedicated scapular radiograph would be recommended.
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no evidence of acute cardiopulmonary process.
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multiple bilateral opacities throughout both lungs are highly concerning for septic emboli and less likely malignancy or inflammatory etiologies such as wegener's granulomatosis.
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no radiographic evidence of underlying pulmonary drug toxicity. tortuous aorta.
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<num>. no evidence of pneumothorax after right ij central venous catheter insertion. <num>. left basilar opacity may represent atelectasis, pneumonia not excluded in the appropriate clinical setting.
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low lung volumes without acute cardiopulmonary process.
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normal chest radiograph.
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no acute cardiopulmonary process seen.
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<num>. new, right lower lobe and possible right middle lobe consolidation, concerning for pneumonia. <num>. right-sided mild to moderate pleural effusion. findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time> on <unk>, at the time of discovery.
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no change.
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low lung volumes with mild bibasilar atelectasis. no overt pulmonary edema. mild loss of height anteriorly of a mid thoracic vertebral body, age indeterminate, but new when compared to the prior radiograph.
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questionable <num>-cm nodular opacity at the left lung base in this patient with low lung volumes. recommend repeat with deep inspiration or nonurgent chest ct for further evaluation.
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no evidence of acute cardiopulmonary disease.
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linear streaky bibasilar opacities consistent with atelectasis. no focal consolidation to suggest pneumonia.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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decrease in lung volumes with crowding of the bronchovascular structures. heart size is increased compared to the prior study, but no overt pulmonary edema is demonstrated.
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no acute cardiopulmonary process seen. no pleural effusion seen.
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no significant interval change given limitation by patient positioning, patient's <unk> obscures the medial lung apices.
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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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no acute intrathoracic abnormality.
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no definite acute cardiopulmonary process.
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moderate cardiomegaly. no focal consolidation.
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subsegmental bibasilar atelectasis. moderate to large hiatal hernia.
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<num>. right ij central venous catheter terminates in the lower right atrium or proximal right ventricle. <num>. interval increase in pulmonary vascular congestion with now mild interstitial edema.
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normal chest radiograph.
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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 acute cardiopulmonary process.
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<num>. mild cardiac decompensation. <num>. endotracheal tube no less than <num> cm from the carina, for which advancing <num>-<num> cm is recommended for a more secure seating.
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no acute cardiopulmonary abnormality.
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possible small bilateral pleural effusions. low lung volumes with crowding of bronchovascular markings within the lower lungs.
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no acute intrathoracic process.
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no pneumonia.
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<num>. interval increase in size of moderate bilateral pleural effusions, right worse than left in the setting of decreased lung volumes. <num>. bibasilar opacities which could reflect atelectasis, however an underlying infectious process cannot be entirely excluded. <num>. mild pulmonary edema.
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bony prominence in the distal <unk> of the left clavicle, probably due to an old fracture. no other osseous abnormalities are identified.
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possible left-sided pleural effusion and left basilar atelectasis.
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no acute cardiopulmonary process. no signs of pneumoperitoneum.
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no evidence of acute disease.
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no acute intrathoracic process. these findings were discussed with dr. <unk> <unk> telephone by dr. <unk> at <time> a.m. on the date of the study.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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hyperinflated lungs consistent with copd. no acute cardiopulmonary process.
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stable chest findings as can be identified on portable single ap chest examination.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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vagus nerve stimulator is appropriately positioned, without evidence of lead fracture.
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no definite evidence of acute disease.
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no acute process
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. left retrocardiac opacification could be atelectasis or infection. <num>. pulmonary vascular congestion without evidence of interstitial edema. <num>. possible small left pleural effusion.
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no significant interval change.
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no acute cardiopulmonary process. no evidence of pneumothorax. if clinical concern for spine injury, suggest dedicated imaging of that region of the spine.
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nonspecific perihilar streaky opacities, concerning for central airways inflammation versus bronchovascular crowding.
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increasing right basilar opacity worrisome for pneumonia. follow-up radiographs are recommended within eight weeks in order to ensure resolution. if opacification were to persist, then chest ct should then be considered.
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new small right pleural effusion. calcified pleural plaques reflective of prior asbestos exposure.
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no acute cardiopulmonary process.
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no focal consolidation concerning for pneumonia.
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no acute cardiopulmonary process.
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subtle increase opacity in right middle lobe may reflect early bronchopneumonia. follow-up chest radiograph in <num> to <num> weeks after treatment to ensure resolution. recommendation(s): follow-up chest radiograph in <unk> weeks after treatment to ensure resolution.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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partial silhouetting of the left hemidiaphragm on the frontal view only. although possibly due to focal scarring, an early pneumonia should be considered given the clinical suspicion for infection.
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vague opacity in the right upper lobe abutting the minor fissure concerning for pneumonia.
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hazy opacity in the base of the right lung could be due to aspiration or infection.
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no chest radiographic evidence of amiodarone lung toxicity.
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no acute cardiopulmonary process.
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no acute intrathoracic process.