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<num>. endotracheal tube tip approximately <num> cm above the carina. <num>. esophageal catheter terminates in the region of the proximal stomach with side port in the expected location of the gastroesophageal junction or distal esophagus. suggest advancement so that it is well within the stomach. <num>. low lung volum...
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<num>. small bilateral pleural effusions and moderate central pulmonary vascular engorgement. <num>. retrocardiac opacity seen on the lateral view most likely relates to pleural effusions and atelectasis, although underlying consolidation cannot be excluded. <num>. cardiomegaly.
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endotracheal tube is directed towards right mainstem bronchus, less than a centimeter above the carina. consider withdrawal <num>-<num> cm. this was discussed in person with dr. <unk> by dr. <unk> at <unk> on <unk>, <num> minute after discovery.
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stable appearance of the chest with no pulmonary edema.
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<num>. worsening opacification within the right upper lobe which is concerning for recurrent pneumonia or aspiration. follow up radiographs are recommended after treatment to ensure resolution of this finding. <num>. status post esophagectomy and gastric pull-through with right upper lobe medial scarring related to pri...
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no change from <unk>. no acute process.
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findings concerning for bronchitis as described above.
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new right middle lobe opacity, obscuring the right heart border, concerning for pneumonia given the patient's clinical history.
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moderate left basilar pneumothorax.
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no acute cardiopulmonary process.
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limited assessment of the left lower lobe due to patient rotation, however no definite abnormalities are identified. recommend repeat true upright and lateral radiographs for further evaluation.
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<num>. mild left mid-to-lower lung atelectasis. no focal consolidation. <num>. possible trace bilateral pleural effusions.
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right upper and middle lobes opacities concerning for multifocal pneumonia. followup radiographs after treatment are recommended to ensure resolution of these findings.
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interval increase in the left-sided pleural effusion and atelectasis, underlying consolidation not excluded. stable cardiomegaly and widened mediastinum and stable left upper lobe mass.
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moderate bilateral pleural effusions with overlying atelectasis with mid to lower lung opacities increased compared to the prior study. moderate pulmonary edema.
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no acute cardiopulmonary process.
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<num>. small to moderate right pleural effusion, small left pleural effusion. <num>. interval improvement in postoperative mediastinal widening.
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no acute cardiopulmonary process. indistinctness of a posterior lower rib may represent a mildly displaced overlapping fracture or less likely a lytic lesion of the bone. if this is the patient's area of pain, recommend chest ct for further evaluation. these findings were discussed with dr. <unk> by dr. <unk> at <num>a...
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no acute cardiopulmonary process.
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small right apical pneumothorax is unchanged.
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no focal consolidation to suggest pneumonia.
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no acute cardiopulmonary abnormality.
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<num>. stable moderate-to-severe cardiomegaly and pulmonary vascular congestion. <num>. no focal lung consolidation.
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no acute cardiopulmonary process, including no pneumonia.
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no acute intrathoracic abnormality.
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a new focal opacity in the right upper lobe may represent an early pneumonia. nonspecific interstitial abnormality, which is been more fully evaluated by chest ct.
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right apical pneumothorax cannot be excluded and if indicated, this can be assessed by ct chest or followed with radiographs. findings were discussed with dr. <unk> by dr. <unk> at <unk> on <unk> by phone.
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no acute cardiopulmonary process.
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<num>. no acute cardiopulmonary process. <num>. new small left pleural effusion.
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right picc terminates in the mid-to-upper svc.
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no acute cardiopulmonary process.
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resolution of right chest wall air inclusions. otherwise, essentially unchanged chest radiograph.
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no acute intrathoracic process. no displaced rib fracture. if there is further concern a dedicated rib series may be performed to further evaluate.
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no evidence of acute disease.
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subtle increase in opacity at the retrocardiac region is likely secondary to atelectasis; however, an infectious process cannot be entirely excluded.
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worsening right lower lobe consolidation and right pleural effusion. substantial improvement in pulmonary edema bilaterally.
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no relevant change since prior radiograph dated <unk>. multiple small lung nodules and mediastinal and hilar lymphadenopathy demonstrated on the prior chest cts are not visualized. ct is more sensitive in detecting the lung nodules, mediastinal lymphadenopathy and interval changes.
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increased basilar opacities concerning for pneumonia. attenuation of upper lung markings and hyperinflation consistent with emphysema.
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no evidence of pneumonia.
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no significant interval change.
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no acute intrathoracic process.
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<num>. unchanged position of dual-channel pacer leads. <num>. interval removal of et and ng tubes with otherwise stable placement of support devices. <num>. opacification of the right lung with elevated right hemidiaphragm likely reflects a combination of pleural fluid, atelectasis and possible asymmetric pulmonary ede...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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left lung mass is again seen without definite superimposed acute cardiopulmonary process. please see subsequent ct scan for additional details.
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stable top-normal heart size. no pneumothorax. no definite rib fracture identified. if there is persistent clinical concern for rib fracture, dedicated rib views could be obtained for further evaluation.
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<num>. no focal consolidation. <num>. slightly low lung volumes with mild bibasilar atelectasis and unchanged mild pulmonary edema compared to <unk>.
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new left lower lobe infiltrate, small.
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top normal heart size.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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no significant cardiovascular or pulmonary abnormalities identified.
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no acute cardiopulmonary process.
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possible asymmetric right greater than left, pulmonary edema; superimposed infectious process not excluded. given history of hemoptysis, underlying pulmonary hemorrhage is not excluded. small right pleural effusion.
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<num>. ng tube in good location. <num>. increase fluid overload. <num>. new alveolar infiltrates on the right, likely due to pulmonary edema but cannot exclude superimposed infection.
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no significant interval change; except the cardiac silhouette appears slightly less prominent as compared to the prior study. no focal consolidation to suggest pneumonia.
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no acute findings in the chest. stable mild cardiomegaly. no signs of chf or pulmonary edema.
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interval improvement in the right basilar opacity with stable appearance of right chest tube and right pleural effusion. no new consolidation.
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mild pulmonary edema.
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<num>. increased opacification of the bilateral lung bases appears interstitial and could be a manifestation of elevated pulmonary venous pressure or chronic pulmonary disease. however, in the appropriate clinical setting, pneumonia is considered.
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no pneumonia.
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no acute intrathoracic abnormalities identified.
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<num>. the intra-aortic balloon pump tip terminates less than <num> cm from the aortic knob apex. no pneumothorax. <num>. interval improvement in the degree of right lower lobe pulmonary edema.
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no acute cardiopulmonary process. please note that entities such as pcp may be radiographically occult.
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stable chest radiograph.
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no acute cardiopulmonary process. of note, chest radiograph is not sensitive for the detection of nondisplaced rib fractures.
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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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normal chest radiographs.
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no significant cardiopulmonary abnormalities to suggest amiodarone pulmonary toxicity.
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hyperexpanded lungs, which can be seen in copd. no evidence of acute cardiopulmonary process.
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findings concerning for pneumonia in the right lower lobe.
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no significant interval change. bilateral, right greater than left, perihilar and basilar opacities, similar in distribution and appearance as compared to the prior study from <unk>. chest ct from <unk> described findings as secondary to amiodarone toxicity.
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left lower lobe pneumonia. recommend followup to resolution. difficult to exclude an additional focus of infection in the right mid to lower lung. copd.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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bilateral patchy consolidations, predominantly in a perihilar distribution with relative subpleural sparing, consistent with multifocal infection. in the setting of immunosuppression, atypical and fungal infections should be considered. specifically, pneumocystis jiroveci pneumonia is of concern, particularly in the ab...
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no acute cardiopulmonary abnormality.
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interval repositioning of the left picc line, now extending to the mid svc. left lower lobe atelectasis.
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probable right lower lobe pneumonia in the clinical context of cough and fever. however, given the patient's history of lupus, ct may aid diagnosis by excluding the possibility of pulmonary nodules, abscess or other atypical infection if clinically indicated. findings were discussed by dr. <unk> with dr. <unk> <unk> ge...
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bibasilar and right middle lobe opacification, most compatible with multifocal pneumonia though a post-obstructive process is of concern. recommend followup to resolution or alternatively chest ct is recommended.
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no significant interval change.
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no acute cardiopulmonary process.
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known right middle lobe malignancy. additional smaller bilateral opacities may represent multifocal pneumonia, better evaluated on the subsequent ct.
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no significant interval change. persistent right lower lobe opacity, although less conspicuous when compared to prior exam. known pulmonary nodules better seen on recent ct scan.
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no acute cardiopulmonary process.
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<num>. moderate, slightly asymmetric, pulmonary edema in a perihilar distribution. <num>. unchanged enlargement of the cardiac silhouette may reflect cardiomegaly or long standing pericardial effusion. there is no evidence of tamponade. updated results were submitted to the ed qa nurse for communication to the primary ...
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<num>. satisfactory position of support lines and tubes. <num>. moderate pulmonary edema and right pleural effusion have increased since <unk>.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. right lower lobe calcified granuloma, better seen on prior ct.
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<num>. left picc tip in the upper svc. <num>. large right pleural effusion, slightly increased in size compared to the prior exam with associated right basilar atelectasis. <num>. new ill-defined opacities within the left mid lung field concerning for infection.
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bibasilar airspace opacities likely represent atelectasis, however may be infectious in the appropriate clinical setting.
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no acute intrathoracic process.
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no acute intrathoracic process.
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status post median sternotomy for cabg with stable postoperative cardiac and mediastinal contours. there is deformity of the right posterior ribs consistent with prior trauma. lungs are well inflated with no focal airspace consolidation to suggest pneumonia. no pulmonary edema or pleural effusions. no pneumothorax. def...
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normal radiographic examination of the chest. these findings were discussed with dr. <unk> at <time> p.m. on <unk> by telephone.
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no acute cardiopulmonary process.
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appropriately positioned endotracheal and nasogastric tubes. otherwise, unremarkable.
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unchanged moderate right and small left pleural effusion without evidence of pneumonia, and interval improvement in interstitial edema.