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no evidence of acute rib fracture. <unk> obtain dedicated rib series, if clinically indicated. no pneumothorax.
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no acute cardiopulmonary process seen.
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no acute findings in the chest.
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no acute intrathoracic process.
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ng tube is coiled in the oropharynx.
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since <unk>, bilateral moderate pleural effusions with associated bibasal atelectasis have increased; moderate heart size, mediastinal and hilar contours are stable.
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left chest tube with no pneumothorax. subcutaneous emphysema present as previously.
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pulmonary edema. opacity in the right lower lobe may represent pneumonia and/or aspiration in correct clinical setting.
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mild cardiomegaly without overt pulmonary edema. no evidence of free air beneath the diaphragm.
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<num>. no evidence of pneumonia. <num>. unchanged moderate cardiomegaly.
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<num>. improvement of right hilar contour, no further followup required. <num>. improved pulmonary edema and pulmonary vascular congestion, now mild. <num>. vascular distribution suggests pulmonary valve pathology, echocardiogram is recommended if clinically indicated.
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no evidence of an acute cardiopulmonary abnormality.
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findings consistent with left lower lobe pneumonia.
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stable bilateral pleural effusions and pneumothoraces.
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<num>. mild pulmonary vascular congestion. <num>. chronic enlargement of the pulmonary arteries bilaterally suggestive of pulmonary arterial hypertension.
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no acute cardiopulmonary abnormality.
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no evidence of pneumonia or pulmonary edema.
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no acute cardiopulmonary abnormality.
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new left internal jugular central venous catheter with the tip in the mid svc. no pneumothorax.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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interval development of right upper lobe/right apical opacity, could represent infection, given underlying copd/pulmonary emphysema, malignancy is not excluded. findings could be further assessed on ct.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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left-sided picc line with distal tip projecting over the mid svc.
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slight improvement of multifocal consolidations.
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no acute cardiopulmonary process.
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<num>. no acute cardiopulmonary process. <num>. stable mild cardiomegaly.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality is identified.
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no acute intrathoracic process.
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no acute intrathoracic process.
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since yesterday, bilateral lower lobe opacities likely from combination of effusion and atelectasis are unchanged.
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minimal right apical pneumothorax is not significantly changed since <num> day prior.
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increased perihilar opacities since prior, better characterized by subsequent cta as progression of disease.
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<num>. resolution of the soft tissue density along the right heart border representing seroma/hematoma. <num>. tiny rounded opacity projecting over the left lung base likely represents residual focus of atelectasis (prior cta chest demonstrated pleural effusion and atelectasis in this region). however, recommend a foll...
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process. no focal consolidation or pneumothorax seen.
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new patchy opacification in the right upper to mid lung field concerning for pneumonia.
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moderately enlarged heart size, stable since <unk>. no findings concerning for pulmonary edema or pneumonia.
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no evidence of acute disease.
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<num>. right middle and lower lobe opacities are non-specific and can be seen with pneumonia in the appropriate clinical situation, but pulmonary infarct cannot be excluded given the provided clinical history. <num>. no pneumothorax.
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no definite acute cardiopulmonary process. distal right clavicular fracture for which clinical correlation is suggested regarding timing.
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no definite new focal consolidation. mildly elevated right hemidiaphragm. bronchial wall thickening, and subtle basilar ground-glass opacity are stable.
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no acute cardiopulmonary process.
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<num>. left lower lobe collapse and consolidation of the right base may be secondary to aspiration. <num>. the et tube terminates <num> cm from the carina <num>. known right upper rib fractures are better seen on concurrent ct of the chest.
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no acute intrathoracic abnormality. no evidence of pneumonia.
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no acute cardiopulmonary process.
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mild interstitial pulmonary edema and moderate cardiomegaly.
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subtle opacity in the right mid lung laterally, potentially atelectasis. repeat exam with better inspiratory effort on the frontal exam can be performed to clarify, as infection is not completely excluded.
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<num>. et tube tip <num> cm above the carina. trachea in midline. <num>. cardiomegaly and probable mild interstitial edema. <num>. left lower lobe collapse and/or consolidation. question small left effusion.
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no acute cardiopulmonary abnormality.
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no radiographic evidence of an acute cardiopulmonary process.
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bibasilar patchy opacities likely reflect atelectasis in the setting of low lung volumes.
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stable mild cardiomegaly. otherwise, unremarkable.
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no displaced rib fracture, pneumothorax, or acute cardiopulmonary process.
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chronic underlying interstitial abnormality with superimposed bilateral moderate pleural effusions, left greater than right. superimposed infection particularly at the left lung base would be difficult to exclude.
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normal chest radiographs.
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aside from lower lung volumes, no significant interval change.
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no acute cardiopulmonary process.
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left internal jugular central venous catheter tip in the upper svc. no pneumothorax.
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left picc tip is in the right atrium. if withdrawn by <num> cm will place tip in the low svc. results were conveyed via telephone by dr.<unk> to dr. <unk>on <unk> at <time> pm within <num> minutes of observation of findings.
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bilateral basilar all plate atelectasis and elevated right hemidiaphragm with no interval change. no new acute changes.
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no acute cardiopulmonary abnormality.
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slight interval improvement in the aeration of the right lung base.
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no focal consolidation or pulmonary edema.
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no radiographic evidence for acute cardiopulmonary process.
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the right subclavian picc line is unchanged in position. a portion of a right-sided ventriculoperitoneal shunt is again seen overlying the upper right hemithorax. the heart remains stably enlarged. lung volumes are low with worsening mild to moderate pulmonary and interstitial edema. no pneumothorax. calcification of t...
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<num> cm irregularly marginated right lower lobe nodular opacity has apparently increased in size since <unk> and is concerning for primary lung neoplasm or indolent infection. followup chest ct is recommended for more complete characterization and to allow more accurate comparison to the chest ct of <unk>, as entered ...
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progression of upper lobe opacities consistent with aspiration or pulmonary edema.
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no acute cardiopulmonary process.
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persisting small bilateral pleural effusions with overlying atelectasis, increased in extent on the left since prior. an underlying pneumonia cannot be excluded.
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patchy opacity in the lingula raising concern for pneumonia; however not well characterized on a portable radiography, and if further delineation is needed clinically, then standard pa and lateral radiographs may be helpful if feasible.
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no pneumonia.
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extremely low lung volumes, which accentuate the bronchovascular markings. prominent and indistinct hila could in part relate to low lung volumes, although underlying pulmonary vascular congestion/edema may be present. if patient able, suggest repeat with better inspiration.
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right basilar consolidation with associated small right pleural effusion. findings may be due to pneumonia in the proper clinical setting. rounded region of consolidation in the region of the right middle lobe for which additional imaging is recommended after treatment to document resolution.
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normal chest x-ray.
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no acute cardiopulmonary process.
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there is no acute finding. there is no sign of asbestos exposure.
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cardiomegaly with small bilateral pleural effusions.
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no acute cardiopulmonary abnormality. mild elevation of the left hemidiaphragm of unknown chronicity with mild left basilar atelectasis.
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normal chest radiograph. no focal consolidation to suggest pneumonia.
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<num>. interval decrease in size of the left pleural effusion. a small pleural effusion persists. no pneumothorax. <num>. opacity in the left mid lung zone in the area of the fiducial seeds is better characterized on the recent ct and likely represents a combination of tumor and/or atelectasis.
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status post aortic valve replacement with expected postoperative findings, including mild pulmonary edema and mild left basilar subsegmental atelectasis.
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biapical bullous emphysematous changes. right upper lobe spiculated opacity appears less conspicuous in comparison to the prior study, suggesting a resolving infectious or inflammatory etiology. a follow up chest ct, however, is recommended, as was noted on the prior ct report.
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no acute cardiopulmonary process.
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no focal consolidation concerning for pneumonia or overt signs of pulmonary edema. top-normal heart size.
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no evidence of pneumonia. unchanged moderate to severe cardiomegaly.
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no evidence of pneumonia.
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no pneumothorax.
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left pacemaker and leads in appropriate position.
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blunting of bilateral costophrenic angles which could represent tiny pleural effusions or pleural thickening. otherwise normal chest radiograph.
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<num>. interval placement of left-sided chest tube. no large pneumothorax identified. <num>. linear opacity along the periphery of the left lung is nonspecific, though could represent a loculated fluid collection lung pleural biopsy. <num>. persistent bilateral pleural effusions. mild interval worsening of right basila...
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top normal heart size. otherwise unremarkable.
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given the clinical history, there is concern for left lower lobe pneumonia.
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<num>. low lung volumes, but otherwise no acute cardiopulmonary process. <num>. sclerosis of the left scapular spine is concerning for osseous metastases. additional foci of osseous metastases seen on prior ct, better evaluated on ct.
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<num>. interval extubation with appropriate positioning of all other lines and tubes. <num>. no evidence of pneumothorax on today's examination. <num>. stable postoperative appearance of the mediastinum. <num>. small left pleural effusion.
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<num>. a left picc likely terminates at the confluence of the left brachiocephalic vein and svc. <num>. increased retrocardiac opacity and apparent leftward mediastinal shift suggests increasing left lower lobe atelectasis. superimposed infection cannot be ruled out. recommend follow-up radiographs ensuring optimum pat...
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no acute intrathoracic process.
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no acute cardiopulmonary pathology.