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moderate cardiomegaly and mild bibasilar atelectasis. no overt chf or focal consolidation.
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no acute cardiopulmonary process.
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no evidence of mediastinal lymphadenopathy.
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lines and tubes positioned as described. consider advancement of ng tube for more optimal positioning. bilateral pleural effusions, severe pulmonary edema, cannot exclude pneumonia.
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<num>. no pneumonia or evidence of volume overload. <num>. top-normal heart size, slightly increased since <unk>.
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no acute abnormalities identified to explain patient's cough and asthma flare.
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<num>. no evidence of pneumonia. <num>. blunting of the right posterior costophrenic sulcus may be a tiny right pleural effusion.
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no pneumothorax after right pigtail catheter insertion. slight interval decrease in the right-sided moderate effusion.
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no acute cardiopulmonary process.
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improved expansion of the lungs. decreased right lower lung opacity.
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no evidence of acute disease.
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clear lungs with no evidence of pneumonia.
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stable right-sided volume loss and pleural thickening. interval improvement in scattered right-sided ground glass and reticular opacities which are nonspecific; however, given the appearance on recent ct examination, they could be representative of improving asymmetrical drug toxicity or atypical infection. results wer...
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<num>. worsening asymmetric pulmonary vascular congestion, right worse than left, on the background of mild cardiomegaly. <num>. poor aeration of the left lower lung and retrocardiac opacities are likely a combination of atelectasis and pleural effusion. however superimposed infectious/inflammatory process cannot be ex...
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increased bibasilar opacification compared to <unk> is concerning for pneumonia, which could be due to aspiration.
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no evidence of tuberculosis.
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right lung base opacity concerning for early or resolving focus of pneumonia.
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no acute intrathoracic process.
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<num>. no evidence of pneumothorax. <num>. unchanged appearance of multiple opacities in right lung, representing multifocal pneumonia.
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no substantial change.
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hyperinflation. no definite evidence of acute disease. streaky opacities suggesting minor scarring.
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possible very minimal pulmonary vascular congestion. otherwise, no acute cardiopulmonary process seen.
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no acute cardiopulmonary process.
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unchanged large hiatal hernia with an increased, adjacent, moderate right pleural effusion associated with atelectasis. the left pleural effusion and left lower lobe atelectasis appear grossly unchanged.
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blunting of the posterior costophrenic angles, potentially trace effusions or atelectasis. otherwise, no acute cardiopulmonary process.
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no change.
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no acute intrathoracic abnormality. multiple bilateral healed rib fractures again noted.
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ng tube extends below the diaphragm into the fundus of the stomach.
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<num>. since <unk>, bilateral pleural effusions, moderate on the right and small on the left, are increased, mild pulmonary edema and right hilar opacity is unchanged, and left retrocardiac opacities are not clearly seen. <num>. mild tracheal deviation may be due to enlarged thyroid or vascular tortuosity. please corre...
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subtle patchy lateral left base opacity is nonspecific, could represent infectious process/ pneumonia versus scarring or atelectasis.
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no acute intrathoracic process.
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pacemaker leads terminate in right atrium and right ventricle. otherwise no acute cardiopulmonary process.
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normal chest x-ray.
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mild interstitial pulmonary edema and small bilateral pleural effusions, right greater than left, not significantly changed compared to the prior study.
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increase in right apical opacity and three new right upper lung opacities located inferiorly could be scarring, however, malignancy cannot be excluded. ct chest is recommended for clarification.
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interval widening of mediastinum likely due to normal vascular filling. no evidence of airway abnormalities.
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<num>. volume overload without overt pulmonary edema. <num>. diffuse sclerotic osseous lesions compatible with metastatic prostate cancer.
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unchanged bilateral pleural effusions and associated atelectasis.
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no evidence of acute cardiopulmonary disease.
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status post aortic valve replacement with mild coarsening of lung markings that could be seen with mild vascular congestion, but potentially chronic, although prior studies are not available. no definite evidence for pneumonia.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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<num>. small amount of pneumomediastinum, which is not unexpected post-operatively. <num>. stable appearance of the right upper lobe nodule, better evaluated on the recent pet-ct.
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no acute cardiac or pulmonary process.
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no unfavourable change, no metastatic disease by chest radiograph.
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rib fractures as described above. no pneumothorax.
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normal chest radiograph.
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increased right basal lung opacity may be due to atelectasis, but follow up cxr may be helpful to exclude early infection.
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<num>. moderate to severe pulmonary edema with moderate cardiomegaly and small left pleural effusion. <num>. heterogeneous left mid lung opacity likely represents asymmetric pulmonary edema however differential includes pneumonia in the appropriate clinical setting.
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no focal consolidation concerning for pneumonia.
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<num>. no evidence of pneumothorax. <num>. <num>-mm rounded nodular density projecting over the posterior right lung base may represent a calcified granuloma and can be further evaluated on the pending chest ct.
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no acute cardiopulmonary process. no displaced rib fracture. if clinical concern persists, dedicated rib series or ct are more sensitive.
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hyperinflation without evidence of acute cardiopulmonary process.
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feeding tube tip in the mid stomach
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<num>. increased vascular markings and interstitial edema suggestive of congestive heart failure. <num>. collapse of the right middle and lower lobes, unchanged from <unk>.
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status quo.
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no acute cardiopulmonary change. heart size top normal, should be evaluated clinically in light of recurrent complaints of left chest pain.
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no evidence of pneumonia, pulmonary edema, or pneumothorax. cardiac size top normal. extensive calcifications of the aorta.
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<num>. interval improvement of diffuse bilateral airspace opacities, consistent with improving pulmonary edema. unchanged moderate bilateral pleural effusions. <num>. feeding tube terminates above the ge junction, recommend advancing for standard positioning. these findings were discussed with <unk> by <unk> via teleph...
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persistent right middle lobe consolidation. given the lack of resolution, a bronchoscopy is recommended for further evaluation.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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volume loss/ infiltrate in the left lower lobe mildly dilated loops of small bowel with unusual appearance to the bowel wall. a followup upright film to exclude free air would be helpful
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no significant interval change.
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no acute cardiopulmonary process.
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new left lower lobe opacity concerning for pneumonia. findings discussed with icu team during morning case conference on <unk>.
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stable exam without acute intrathoracic process.
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clear lungs.
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no residuals of previously identified questionable chf. presently, the chest findings are within normal limits.
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no acute cardiopulmonary process.
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<num>. new right lower lung opacity which may be secondary to aspiration or pneumonia. <num>. bilateral pleural thickening with prominent left pleural mass consistent with known asbestos exposure, better assessed on recent ct torso from <unk>.
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no signs of pneumonia or other acute intrathoracic process.
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possible small bilateral effusions. left basilar linear opacities likely due to atelectasis given the low lung volumes noting that infection is not completely excluded.
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no acute cardiopulmonary process.
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in comparison to <unk> exam, diffuse interstitial abnormalities have progressed with interval development of small pleural effusions and mild enlargement of the cardiac size. the above findings most likely reflect worsening pulmonary edema superimposed on chronic interstitial lung disease.
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previous left lower lung pneumonia has substantially improved.
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no acute cardiopulmonary process.
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post interval sternal washout. small left pleural effusion persists. mild pulmonary edema.
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right upper lobe opacity which may represent sequela of radiation treatment or acute pneumonia.
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left lower lobe pneumonia. these findings were discussed with dr. <unk> by dr. <unk> at <time>pm by telephone on the day of the exam.
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minimal streaky left lower lobe opacity, likely atelectasis. early infection cannot be completely excluded in the correct clinical setting.
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no acute cardiopulmonary process. possible lesion projecting over the right lung apex / supierior-anterior ribs. followup radiograph in frontal and ap lordotic views is suggested.
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possible small left pleural effusion. persistently enlarged cardiac silhouette. pulmonary vascular congestion.
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no mass to suggest pancoast tumor.
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<num>. multifocal parenchymal opacities bilaterally concerning for widespread pneumonia. <num>. satisfactory position of endotracheal and enteric tubes.
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no evidence of acute cardiopulmonary abnormalities to explain the patient's leukocytosis.
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no acute cardiopulmonary process.
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stable hyperinflation of lungs. no focal opacifications. please note chest radiographs are not sensitive for subtle interstitial lung disease or endobronchial lesions. if continued clinical concern, recommend evaluation with hrct.
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normal chest radiograph.
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no acute cardiopulmonary process. linear lucency projecting over the inferior left scapula is most likely artifactual. no acute fracture seen at the inferior left scapula on subsequent ct.
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left basilar atelectasis.
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no evidence of pneumonia or fluid overload.
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no acute cardiopulmonary process.
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opacification in the superior segment of the left lower lobe and left lung base, concerning for pneumonia.
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left lung base opacity, likely atelectasis with associated small left pleural effusion.
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no acute intrathoracic process.