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unchanged small right apical pneumothorax in conjunction with multiple acute-on-chronic fractures. the multiplicity of acute-on-chronic fractures as well as possibility of underlying pathologic process was discussed over the telephone with dr. <unk> <unk> by dr. <unk> at <time> a.m. on <unk> at time of initial review.
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mild pulmonary vascular congestion, and low lung volumes.
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no acute cardiopulmonary process.
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mild cardiomegaly otherwise normal chest.
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<num>. left retrocardiac opacity, likely representing atelectasis. small consolidations in this area cannot be excluded. <num>. trace pneumoperitoneum, within post surgical limits. <num>. trace bilateral pleural effusions.
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apparent minimal interval widening of mediastinum likely exaggerated by patient positioning and low lung volumes though cannot exclude aneurysmal dilatation which could be further evaluated for on chest cta.
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stable mediastinal widening. please correlate clinically, consider ct to further assess.
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no acute cardiopulmonary process, no significant interval change.
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normal chest x-ray.
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no acute intrathoracic process.
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new right lower lobe pneumonia.
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no acute cardiopulmonary radiographic abnormality.
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no acute intrathoracic process. post-cabg changes.
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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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interval significant improvement of left pneumothorax.
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normal radiograph of the chest.
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mild right basal atelectasis. otherwise, unremarkable.
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no acute cardiopulmonary process, specifically no evidence of pneumothorax.
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large hiatal hernia. possible small right pleural effusion.
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pulmonary vascular engorgement and mild vascular congestion. right basilar opacity may be due to atelectasis and mild fluid overload, but infectious process is not excluded in the appropriate clinical setting.
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<num>. no acute cardiopulmonary process. <num>. no evidence of a rib fracture. however, please note that a chest radiograph is suboptimal for evaluation of subtle rib fractures. if there is persistent clinical concern, recommend further evaluation with dedicated rib series.
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stable moderate-to-large bilateral pleural effusions with no strong evidence for pulmonary edema.
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low lung volumes without an acute cardiopulmonary process.
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moderate left pleural effusion, similar compared to the previous exam with persistent left basilar compressive atelectasis. infection is not completely excluded.
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no acute cardiopulmonary process.
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stable mild cardiomegaly. no evidence of pneumonia.
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suggestion of tension on a right pleural catheter; correlation with catheter condition is recommended. improving aeration of the right base, but persistent left retrocardiac opacification.
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no acute intrathoracic abnormalities identified.
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<num>. small left perihilar density is present and most likely represents a vessel, although a small pulmonary nodule cannot be excluded. finding will be further evaluated on pending chest cta. <num>. no evidence of pneumonia or pulmonary edema.
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et and enteric tubes in appropriate position. increased opacity projecting over the hila, potentially due to bronchovascular crowding in the setting of low lung volumes however followup will be necessary when clinically feasible to exclude underlying abnormal hilar enlargement or mass lesion.
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no acute intrathoracic process.
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no acute intrathoracic process
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<num>. no evidence of acute cardiopulmonary abnormality.
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<num> cm rounded opacity projecting over the edge of the anterior right first rib likely relates to the rib however, was less evident on the prior study. findings could be further assessed with shallow oblique views or ap lordotic view. no focal consolidation seen elsewhere. thoracic spine compression deformities, not ...
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clear lungs. no displaced fracture. please note that if clinical concern for rib fracture is high, rib series is more sensitive.
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<num>. right-sided pleural effusion has worsened. <num>. plate-like atelectasis along the right middle lobe. <num>. resolution of small left-sided pleural effusion
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no evidence of pneumonia.
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bilateral pleural effusions with associated bibasilar atelectasis, right greater than left, similar to prior exam. mild prominence of the hila is unchanged.
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no signs of pneumonia or other acute intrathoracic process.
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<num>. no evidence of pneumonia or congestive heart failure. <num>. stable anterior compression fracture of a lower thoracic vertebral body, unchanged from previous examination.
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normal radiographic study of the chest.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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right lower lobe pneumonia.
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<num>. left apical pneumothorax still small, but considerably larger. left base pneumothorax also slightly larger. <num>. minimal lucency adjacent to the the aortic knob may also represent part of the left lung pneumothorax. attention to this area on followup films to exclude any mediastinal air is requested. <num>. ex...
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no acute cardiopulmonary process.
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bilateral lower lobe atelectasis and/or scarring. no radiographic evidence for pneumonia.
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left-sided dual chamber pacemaker with leads terminating in the right atrium and right ventricle, no evidence of complication.
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<num>. no acute cardiopulmonary process. <num>. displaced transverse fracture through the distal right clavicle.
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slight interval improvement in the aeration of the right upper lung, slight interval increase in size in the right-sided pleural effusion. unchanged loculated right basal pneumothorax.
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no pneumonia.
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<num>. mildly increased right apical pneumothorax. <num>. mildly improved bilateral pulmonary edema. <num>. cardiomegaly and bilateral pleural effusions remain unchanged.
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no acute abnormality. no evidence for new pneumonia. recommendation(s): followup chest films including obliques are recommended.
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no acute intrathoracic process.
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minimal residual asymmetric right lung parenchymal opacities since <unk> which were concerning for pneumonia have markedly improved.
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trace bilateral pleural effusions, likely improved from prior exams. streaky opacities within the lung bases may reflect atelectasis but infection cannot be excluded in the correct clinical setting.
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no evidence of pneumothorax. known fractures better seen on ct from same day. bibasilar atelectasis with a more confluent opacity in the left lower lobe, which may represent aspiration or contusion in the setting of trauma.
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no radiographic evidence of an acute cardiopulmonary process.
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cardiomegaly without superimposed acute cardiopulmonary process.
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no acute cardiopulmonary process.
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interval improvement in left pleural effusion and lung volumes.
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no acute cardiopulmonary process.
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no pneumonia.
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no acute cardiopulmonary process.
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increasing left-sided pleural effusion, now moderate with adjacent compressive atelectasis. superimposed pneumonia is possible in the proper clinical setting.
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no acute cardiopulmonary process.
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<num>. interval improvement.
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slight interval increase in the bibasilar consolidations, likely secondary to atelectasis. slight interval widening of the esophagus compared to the prior exam.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
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no significant change in abnormal mediastinal contour, corresponding to known aortic pseudoaneurysm. unchanged right basilar atelectasis.
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no acute cardiopulmonary abnormality.
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small right pleural effusion and bibasilar atelectasis.
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no acute cardiopulmonary process. no overt pulmonary edema.
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no evidence of pneumothorax status post right-sided lung biopsy.
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no acute fractures or cardiopulmonary process.
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reticular nodular opacity in the right mid to lower lung is concerning for pneumonia.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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increasing heterogeneous opacities at the lung bases is most consistent with multifocal pneumonia. small left pleural effusion.
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no acute intrathoracic process.
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chronic changes related to copd. slightly increased opacification along the left heart border appears new or more pronounced than on <unk> could represent an early infectious infiltrate and should becorrelated clinically .
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no gross interval change in right paratracheal mass, right hilar lymphadenopathy, and right upper lobe spiculated lesion, all better seen on the recent ct. no new focal consolidation.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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moderate-sized left pleural effusion, which has decreased in size compared to prior.
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no acute cardiopulmonary process. known bilateral pulmonary nodules better seen on prior imaging.
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opacity at the right base compatible with opacity seen on ct chest, most likely infarct. small right pleural effusion.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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limited, negative.
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no significant interval change, no focal consolidation. persistent small right and trace left pleural effusion.
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<num>. interval appearance of a right upper lobe mass measuring approximately <num> x <num> cm, with increased mediastinal width. <num>. increased right pleural effusion. these findings were entered into the critical communications dashboard by dr. <unk> at <unk> on <unk>.
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rib fractures.