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<num>. linear opacities in the bilateral lower lobes are unchanged from chest radiograph <unk> and likely represents scarring versus less likely atelectasis. <num>. no focal consolidation. <num>. stable moderate cardiomegaly.
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no definite evidence of pulmonary edema. mild prominence of the azygos vein could be a reflection of increased volume status, however. patchy left basilar opacity, for which developing pneumonia could be considered.
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no acute intrathoracic process.
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<num>. picc ends in the mid svc. <num>. no acute cardiopulmonary process.
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no pneumonia.
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left lower lobe peribronchial opacity could reflect aspiration or pneumonia in the appropriate clinical setting.
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small left pleural effusion with indistinctness of the cardiac border, likely not significantly changed from prior.
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no radiographic evidence of sarcoidosis. no acute cardiopulmonary process.
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mild pulmonary edema.
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<num>. unchanged severe pulmonary edema. bilateral pleural effusions are unchanged. <num>. right atrial lead still ends at the inferior cavoatrial junction.
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possible emphysema or small airways obstruction. no pneumonia.
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no acute cardiopulmonary process.
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slightly displaced left lateral seventh rib fracture. no pneumothorax or other acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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enlarged cardiac silhouette.
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no acute cardiopulmonary abnormalities
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no acute cardiopulmonary process. no significant interval change.
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retrocardiac airspace opacity is most likely due to atelectasis. stable cardiomegaly. new minimal post-procedural pneumomediastinum and moderate chest wall subcutaneous emphysema.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no radiographic evidence of pneumonia.
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diffuse bilateral airspace opacities with sparing of the right mid/upper lung would be a somewhat unusual pattern for asymmetric pulmonary edema and it is thought to be concerning for a multifocal infectious process.
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no definite acute cardiopulmonary process.
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new contour deformity of the body of the sternum is consistent with a subacute fracture
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cardiomegaly with central pulmonary vascular congestion and <unk> b-lines, consistent with pulmonary edema.
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progression of bilateral hazy opacities likely represents increased edema on a background of interstitial lung disease.
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marked reduction in left pleural effusion after catheter placement. small new left-sided pneumothorax.
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possible small amount of atelectasis or trace effusions. otherwise, no acute cardiopulmonary process. free intraperitoneal air, not an unexpected finding given recent surgery.
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worsening pulmonary edema. the swan-ganz catheter is in the right ventricle.
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no acute cardiopulmonary process. stable cardiomegaly.
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<num>. left basilar atelectasis. <num>. mild mid thoracic vertebral body compression fracture, similar to <unk>.
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normal chest radiograph.
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no evidence of pneumonia.
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normal chest radiograph.
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no acute cardiopulmonary process.
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large right pleural effusion and possible hydropneumothorax. further workup with ct might be considered. findings discussed with the covering physician, chest tube is planned.
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mild congestive heart failure with small bilateral pleural effusions, not significantly changed compared to the prior exam.
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no acute cardiopulmonary process.
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trace right pleural effusion.
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no acute cardiopulmonary process.
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cardiomegaly with vascular congestion and moderate asymmetric pulmonary edema, right greater than left. retrocardiac opacity likely represents atelectasis and possible pleural effusion, however in the appropriate clinical setting, pneumonia cannot be excluded.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. coarse interstitial markings are unchanged.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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mild interstitial edema and bibasilar atelectasis. otherwise, no change from <unk>.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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copd without superimposed pneumonia.
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no evidence of acute cardiopulmonary process. mild cardiac enlargement.
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no acute intrathoracic abnormality. stable examination since <unk>.
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no acute intrathoracic process.
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left pectoral pacemaker has a single lead terminating in the right ventricle.
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overall stable examination from <num> hours prior.
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no acute cardiopulmonary process.
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increased nodularity superior to the left hilus. shallow oblique views recommended for further evaluation.
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tracheostomy tube is unchanged in position. overall cardiac and mediastinal contours are stable with prominent calcification in the aorta consistent with atherosclerosis. improving aeration at the left lung base. streaky linear opacities in the left mid lung consistent with subsegmental atelectasis. parenchymal distort...
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<num>. large consolidation in the left lower lung may represent aspiration or pneumonia. <num>. patchy opacities in the right lower lung may represent atelectasis or aspiration.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. focal opacity in the left upper lobe, which could be seen with consolidative pneumonia, but a mass is not excluded. if clinical circumstances suggest pneumonia, then short-term followup radiographs could be considered within four weeks for close surveillance. otherwise, chest ct could be considered, although the...
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nearly completely resolved pulmonary edema as compared with prior.
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<num>. mild cardiomegaly, bilateral pleural effusions right greater than left. <num>. consolidation in the right lower lung likely atelectasis and/or pneumonia. <num>. mild hilar congestion.
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no evidence of pneumothorax status post left pacemaker placement. pacemaker is in expected position. mild interstitial abnormality of unknown significance or chronicity.
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normal chest.
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normal chest x-ray.
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<num>. bibasilar opacities likely reflect atelectasis. no findings concerning for pneumonia. <num>. calcified pleural plaques suggest prior asbestos exposure.
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interval improvement in the mild to moderate pulmonary edema and right lower lobe aeration, with decreased right-sided effusion.
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lingular opacity consistent with pneumonia. <unk> was unable to be reached by the paging system and an email was sent with receipt confirmation request.
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ng tube ends in the esophagus.
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stable, large left hiatal hernia without acute intrathoracic abnormality.
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<num>. compared with the prior radiograph, there is new interstitial pulmonary edema and small bilateral pleural effusions. <num>. persistent bilateral lower lung opacities concerning for multifocal pneumonia. these have improved in the right lung base, but are stable to marginally worsened in the left lung base.
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hyperinflation with regions of consolidation in the right lung. these are compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution.
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interval placement of a right apical chest tube with decreased size of the right hydropneumothorax and improved aeration of the right lung. there is still a residual moderate size right hydropneumothorax. continued small left pleural effusion with patchy atelectasis in the left lung base, slightly worse in the interval...
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no acute cardiopulmonary process.
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endotracheal tube tip <num> cm from the carina. enteric tube side port in the region of the ge junction and should be advanced several cm for optimal positioning.
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findings concerning for right lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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slight increase in the size of the right apical pneumothorax, with interval placement of a right-sided pigtail catheter.
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extensive loculated pleural effusion is demonstrated, minimally improved from <unk> and better characterized on recent ct from <unk>. right-sided opacities predominantly affecting the inferior portion of the right upper lobe and the right lower lobe are most consistent with the loculated effusion however underlying inf...
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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hyperinflated lungs, without acute cardiopulmonary process.
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lungs clear.
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<num>. new opacity in the right mid and lower lung zones, which given the asymmetry is concerning for pneumonia or aspiration. in the setting of mild pulmonary edema, asymmetric edema is also a consideration. <num>. unchanged small right pleural effusion. slight decrease in size of a trace left pleural effusion. stable...
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similar appearance of the chest compared to <num> day prior, with small left and possible trace right pleural effusions and stable mild pulmonary vascular congestion. no new focal consolidation seen.
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slight blunting of the posterior costophrenic angles may be due to trace pleural effusions. no large full effusion. no definite focal consolidation. top-normal to mildly enlarged cardiac silhouette. no pulmonary edema.
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mild pulmonary vascular congestion.
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no evidence of acute disease.
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no acute intrathoracic process.
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left basilar streaky atelectasis. no focal consolidation. no displaced rib fracture identified. if there is continued concern for rib fracture, consider a dedicated rib series.
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no acute cardiopulmonary process. no free air below the diaphragm.
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no pneumonia.
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medial left lower lobe opacity has slightly improved since the prior exam, however this was also present in <unk> and an underlying lesion is not excluded. dedicated non-emergent chest ct is recommended.
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no acute cardiopulmonary process.
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given differences in technique, there is persistent bilateral airspace opacity which likely is not significantly changed but may reflect moderate to severe pulmonary edema or a diffuse infectious process. clinical correlation is recommended. the heart remains enlarged likely reflecting cardiomegaly, although pericardia...
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moderate cardiomegaly is stable. no evidence of pneumonia.
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no acute cardiopulmonary process.
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mild pulmonary edema and small bilateral pleural effusions.
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no evidence of acute cardiopulmonary process.
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<num>. almost complete resolution of the previously visualized lingular pneumonia. <num>. round opacity over the right lower lung likely represents an nipple shadow, however a repeat chest radiograph with nipple markers is required.