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<num>. no significant interval change in left lung base opacity. this may represent a consolidative process of the lung although other etiologies such as loculated pleural effusions cannot be excluded. further assessment with ct could be pursued if clinically appropriate. <num>. endotracheal and ng tube in appropriate ...
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stable elevated left hemidiaphragm with consolidation at the base of the left lung which likely reflects atelectasis.
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normal chest radiograph.
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no evidence of pneumonia.
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<num>. no acute cardiopulmonary process. specifically no pulmonary edema. <num>. stable cardiomegaly.
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slight interval increase in the right-sided pneumothorax.
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nodular infrahilar opacity, which may correspond to streaky right infrahilar opacities. this appearance may be nodular appearance of the lower airway inflammation, infection, or even pneumonia. however, a true pulmonary nodule cannot be excluded. depending on clinical circumstances, either short-term followup radiograp...
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no acute intrathoracic process.
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no acute cardiopulmonary process. lines and tubes as above.
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multifocal, bilateral parenchymal opacities are increased from <unk> consistent with worsening infection.
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mild cardiomegaly without definite cardiopulmonary process or congestive failure.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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cardiomegaly, but no evidence of fluid overload.
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stable appearance of the chest and pacemaker
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no acute cardiopulmonary abnormality.
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tiny left apical pneumothorax with chest tube in place.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no visualized fractures on this nondedicated examination. consider dedicated rib series.
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<num>. no evidence of pneumothorax or recurrent effusion following placement of chest tube on waterseal. <num>. persistent extensive subcutaneous emphysema. <num>. persistent right middle lobe atelectasis. <num>. stable minimally displaced fractures of the posterior second and fifth ribs on the left.
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posttraumatic change in the right hemi thorax. status post mvr. bilateral subsegmental atelectasis or scarring. no evidence of pneumonia.
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normal chest radiographs. specifically, no cardiomegaly.
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dobbhoff tube was originally in the upper esophagus and repositioned into the stomach. no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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near resolution of small right pleural effusion. no pneumothorax.
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no acute intra thoracic process. no evidence of pneumothorax. no definite rib fractures identified on this non dedicated study. there is persisting clinical concern for rib fracture, consider dedicated rib views.
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no acute cardiopulmonary process.
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no focal pneumonia.
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left pneumothorax without evidence of mediastinal shift.
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possible minimal pulmonary vascular congestion. no definite focal consolidation seen. gaseous distention of what appears to be the stomach vs represent splenic flexure. correlate clinically.
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again seen diffuse reticular markings in this patient with known bronchiectasis, similar in distribution as compared to prior studies. no definite new focal consolidation is seen although infectious process would be difficult to exclude.
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continuing re-expansion of the right lung, with interval decrease in size of the right apical and right base pneumothoraces and improvement in the right base atelectasis. as before, there is actually a hydro pneumothorax at the right base, with a small right base pleural effusion.
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no evidence of pneumonia.
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<num>. diffuse rounded opacities throughout the bilateral lungs again seen, some increased in size compared to the most recent chest radiograph. it would be difficult to detect a focal consolidation given these underlying opacities. <num>. right pleural effusion, similar to slightly decreased in size.
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no acute cardiopulmonary process, no edema.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process. no rib fracture identified.
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right-sided central venous access catheter terminates in the mid svc, unchanged since <unk>. no radiographic explanation for current loss of blood return. these findings were discussed with <unk> by <unk> via telephone on <unk> at <time> pm, time of discovery.
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worsening left basilar opacification concerning for infection superimposed on a background of confluent metastatic disease and atelectasis in the lingula. small left pleural effusion.
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dobhoff tube terminates the proximal stomach.
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no acute cardiopulmonary process.
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moderate size right and small left pleural effusions with adjacent compressive atelectasis. moderate pulmonary edema.
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mild to moderate pulmonary edema, similar to prior exam.
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new small left pleural effusion. otherwise, no change.
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<num>. right middle lung opacity is more conspicious. <num>. probable interval improvement in the small right pleural effusion. <num>. otherwise, no significant interval change.
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mild cardiomegaly with hilar congestion and mild interstitial pulmonary edema. no convincing evidence for pneumonia.
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no acute cardiopulmonary process.
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mild pulmonary vascular congestion and interstitial edema slightly improved since <unk>. trace bilateral pleural effusions are new.
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<num>. cardiac silhouette appears to be enlarged compared to the prior study. <num>. small bilateral pleural effusions. <num>. a <num>-mm pulmonary nodule noted projecting over the second anterior rib on the right.
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endotracheal tube and nasogastric tube are likely unchanged in position. there is improving aeration in the left hemithorax but persistent consolidation in the left upper and lower lobes consistent with lobar atelectasis, infection, or pulmonary hemorrhage. clinical correlation is advised. there is likely a layering ef...
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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slight interval progression of the left lower lobe atelectasis and left-sided pleural effusion.
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insertion of right-sided pleurx catheter right-sided effusion which is now moderate to large. no apical pneumothorax.
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moderate cardiomegaly, mild pulmonary edema, and small, left greater than right pleural effusions are unchanged. a right-sided ij swan-ganz catheter terminates several cm beyond optimal positioning.
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no acute intrathoracic abnormalities and no evidence of free air under the diaphragm.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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normal chest radiograph.
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mild bibasilar opacities are improved, likely improved atelectasis.
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improved pulmonary edema, with improvement of a prior retrocardiac consolidation, suggesting clearing of a prior mucous plug.
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no acute process
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no acute cardiopulmonary process.
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<num>. anterior inferior left shoulder dislocation. <num>. no acute intrathoracic process. please refer to same-day ct chest for further details.
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somewhat decreased aeration of the residual right lung but otherwise no significant change since earlier studies. dilatation of small bowel in the epigastrium which is non-specific, not necessarily significant clinically, although correlation with clinical findings is recommended.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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persistent left greater than right small pleural effusions with bibasilar atelectasis.
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no acute cardiopulmonary abnormality.
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stable exam from outside hospital study performed earlier today with diffuse airspace opacities concerning for pneumonia.
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right apical pleural thickening increased from prior examination with new suspicious nodular opacity in the right upper lobe. recommend chest ct for further characterization and evaluation for neoplastic process. ct will also help to clarify mediastinal morphology it was appears to be a colon interposition within the a...
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small opacification in the right lung may represent trace pleural effusion or it may potentially be due to suboptimal inspiration. if clinically warranted, examination may be repeated with emphasis on inspiration.
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stable, bilateral, small pleural effusions and cardiomegaly. no relevant interval change.
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no acute cardiopulmonary process.
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multifocal parenchymal opacities in the right middle lobe, lingula and left lower lobe, with possible accompanying bronchiectasis. in the setting of chronic cough, these findings could be due to chronic atypical mycobacterial infection, although an acute pneumonic process is also possible in the appropriate clinical se...
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no acute cardiopulmonary process.
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left upper lung mass again noted. residual vascular plethora, consistent with mild residual chf. however, the appearance is improved compared with <unk>.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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<num>. multiple chronic left rib fractures, better characterized on the concomitant dedicated rib series, and originally identified on the prior chest ct. acute on chronic fractures cannot be completely excluded. <num>. two thoracic vertebral body wedge shaped compression deformities, one new since the prior examinatio...
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<num>. mild pulmonary edema and small bilateral pleural effusions. <num>. no evidence of focal consolidation to suggest pneumonia.
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worsening, now severe, bilateral pulmonary edema. supervening pneumonia can certainly not be excluded in the appropriate clinical setting. interval removal of endotracheal tube. cardiomediastinal silhouette stable.
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no acute intrathoracic process.
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cardiomegaly, otherwise unremarkable.
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no acute intrathoracic process.
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new small right pleural effusion with adjacent atelectasis, stable small left pleural effusion.
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doppler off tube is in the distal body of the stomach.
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cardiomegaly with mild hilar congestion.
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<num>. increased size of a chronic right pleural effusion, now moderate, with adjacent atelectasis. unless the etiology of this abnormality is known and understood, ct is recommended for further evaluation. <num>. mildly enlarged cardiac silhouette could represent a pericardial effusion. findings were communicated via ...
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no acute intrathoracic process.
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right basilar streaky opacities likely reflect atelectasis.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no radiographic evidence of active pulmonary infection or interstitial lung disease. if warranted clinically, high-resolution ct could be performed that to exclude radiographically occult airway or interstitial lung abnormality.
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no acute cardiopulmonary process.
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chronic lung disease without acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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enteric tube descends below the left hemidiaphragm and below the field of view, likely within the stomach. no other significant change.
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no pneumothorax.
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no acute cardiopulmonary process.