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diffuse opacification and cardiomegaly suggesting pulmonary edema. patchy focal left posterior lower lobe opacity, which can probably be explained by atelectasis, although pneumonia is not excluded. in addition to correlation with clinical presentation, short-term followup radiographs may be helpful to reassess.
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stable chest radiographs.
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extensive pneumomediastinum as seen on the chest ct, extending up into the neck.
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no acute cardiopulmonary process.
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bibasilar subsegmental atelectasis with small left pleural effusion. no definite displaced rib fractures are identified. if there is continued concern for a rib fracture, recommend a dedicated rib series.
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left-sided picc with tip in an uncertain anatomic location but not within the svc. recommend completely removing the picc line and attempting to re-insert a new picc line. these findings were communicated to <unk> with the iv nursing team at <time> a.m. on <unk> by phone.
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no acute cardiopulmonary process.
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<num>. moderate pulmonary edema. <num>. right upper lobe opacity might represent pneumonia, neoplasm or asymmetric edema. follow-up chest radiography is recommended after resolution of the edema. dw dr. <unk> at <num>.<unk> am by dr. <unk> <unk> the phone.
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no evidence of free subdiaphragmatic air. low lung volumes due to expiratory phase of this chest radiograph.
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interval placement of pigtail-type catheter at the right lung base, with considerable re-expansion of the right lung. a residual right apical pneumothorax remains visible. <num> nodular densities in the left lung. these correspond to nodular, presumed metastatic, lesions seen in left lung on a chest ct from <unk>.
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normal chest radiograph.
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worsened appearance to the lungs
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no significant change from earlier the same day.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no significant interval change without new focal consolidation.
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normal chest radiograph
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a feeding tube is seen coursing below the diaphragm with the tip not identified. right subclavian picc line has its tip in the distal svc. lung volumes are lower with increasing bibasilar opacities and layering effusions consistent with partial lobar atelectasis. superimposed infection cannot be excluded. the pulmonary...
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no focal consolidations concerning for pneumonia identified.
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worsening alveolar pulmonary edema.
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no acute cardiopulmonary process.
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persistent right hilar prominence is concerning for underlying mass. right lower lobe consolidation has cleared.
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cardiomegaly. no other acute cardiopulmonary pathology.
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findings that may indicate minimal fluid overload but otherwise unremarkable examination without convincing evidence for pneumonia.
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no acute cardiopulmonary process.
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no pneumonia.
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small right pleural effusion. no evidence of pneumonia, pneumothorax or pneumoperitoneum.
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no acute intrathoracic process.
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<num>. small right apical pneumothorax. <num>. increased bibasilar opacification, post endotracheal tube removal is likely related to atelectasis.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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slight improvement in infiltrate
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cardiomegaly with vascular congestion. no evidence of pneumonia.
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no change.
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indistinct pulmonary vascular markings suggestive of mild edema.
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no acute cardiopulmonary process.
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<num>. heart size is top-normal. no pulmonary vascular congestion or pleural effusion. <num>. iabp tip is less than <num>cm below the aortic arch. more standard positioning may be achieved by pulling it back at least <num> cm.
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interval left chest tube placement with decrease in size of left pleural effusion and resultant reexpansion edema in the left lower lobe. there is a right moderate pleural effusion remains.
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no radiographic evidence of pneumonia.
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poor definition of the right heart border may be positional. consider repeat frontal and lateral radiographs for further evaluation.
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larger right pleural effusion, increased in size minimally since prior study dated <unk>. small left pleural effusion. patchy airspace opacities in the left lung field is predominantly perihilar. etiologies are broad and include infection, pulmonary edema, less likely pulmonary hemorrhage.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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copd without acute intrathoracic process.
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blunting of the bilateral costophrenic angles suggests trace pleural effusion and/ or pleural thickening.
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no acute cardiopulmonary process.
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cardiomegaly without superimposed acute cardiopulmonary process.
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extensive consolidation in the left lung may reflect asymmetric pulmonary edema but infection cannot be excluded.
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no evidence of acute disease.
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interval decrease of left-sided pleural effusion. no pneumothorax.
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no acute intrathoracic process.
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unremarkable chest radiograph.
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mild interstitial pulmonary edema. no focal consolidation.
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right pneumonia, unchanged from earlier same-day study.
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the nasogastric tube ends in the stomach with the last side port at the ge junction, and should be advanced further prior to use.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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normal chest radiograph.
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interval intubation with endotracheal tube approximately <num> cm from the carina. otherwise no gross interval change with continued signs of pulmonary edema.
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<num>. a consolidation in the right upper lobe is new and may represent pneumonia or asymmetric pulmonary edema from mitral regurgitation. <num>. mild pulmonary edema elsewhere has improved. <num>. severe cardiomegaly is unchanged. <num>. small right pleural effusion is new.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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bibasilar platelike opacities are most consistent with atelectasis. clinical correlation for superimposed infection is recommended.
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cardiomegaly without acute cardiopulmonary process.
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enlarged cardiac silhouette and possible minimal interstitial edema.
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left chest port with distal tip seen at least to the level of the mid-to-low svc. no acute cardiopulmonary process.
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changing appearance of lower lobe infiltrates.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no evidence of acute disease.
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<num>. pneumomediastinum. <num>. bilateral parenchymal opacities could indicate atelectasis, infection, or contusions in the setting of any trauma.
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<num>. left picc coiled in the left brachiocephalic vein should be repositioned <num>. worsening opacity at the left base may reflect pneumonia or hemorrhage.
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slight interval decrease of known right apical pneumothorax. slightly improved left lower lobe atelectasis. stable mild cardiomegaly.
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somewhat limited examination without evidence of pneumonia or fluid overload.
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stable pulmonary vascular prominence.
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<num>. endotracheal tube tip is in standard position. <num>. dense retrocardiac opacity could reflect pneumonia or aspiration with atelectasis also in the differential diagnosis. small to moderate left pleural effusion, and trace right pleural effusion. <num>. increased interstitial opacities with indistinctness of the...
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no evidence of active or latent tuberculosis.
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borderline cardiomegaly with no signs of pneumonia or chf.
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diffuse opacification of the right lung, combination of tumor and consolidation. right hydropneumothorax is very small by ct, barely appreciable by radiography, and likely secondary to catheter placement thus followup by radiography is of doubtful utility.
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bronchial wall thickening without focal consolidation.
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findings compatible with interstitial pulmonary edema in the right lung. again seen near complete opacification of the left hemi thorax with complete collapse of the residual left upper lobe and lefward mediastinal shift. lucency projecting over the mid chest, best seen on the latera view, is of unclear etiology, may h...
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<num>. limited study. no acute intrathoracic process identified. <num>. apparent mediastinal widening is most likely due to portable technique and low lung volumes. if further evaluation is needed, conventional radiographs could be performed with pa and lateral views.
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et and enteric tubes as above. cardiomegaly with bilateral parenchymal opacities potentially infection or edema.
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<num>. new right upper lobe opacity is worrisome for pneumonia/aspiration. <num>. moderate bilateral pleural effusions, unchanged from <unk>, accounting for differences in positioning. <num>. percutaneous gastrojejunostomy tube is coiled within the stomach and directed retrograde. repositioning is recommended. <num>. w...
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slight interval improvement of interstitial markings. increased right lower lobe opacity consistent with aspiration or atelectasis.
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dobbhoff terminating within the stomach antrum or pylorus.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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a feeding tube remains unchanged with its tip projecting over the stomach. there continues to be persistent opacity at both lung bases suggestive of at least partial atelectasis of the right lower and middle lobes and the left lower lobe and lingula. superimposed infection cannot be excluded. given differences in techn...
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no acute cardiopulmonary abnormality.
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increased right pleural effusion, now large, with underlying consolidation, compatible with right middle and lower lobe collapse. superimposed infection may be present.
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limited, negative chest x-ray.
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no evidence of acute, displaced rib fracture on this portable chest radiograph. if clinical suspicion is high, cone-down rib radiograph at the level of symptomatology could be considered if warranted clinically.
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no significant interval changes with persistent left lower lobe atelectasis and small left pleural effusion.
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moderate-to-severe pulmonary edema with coalescent right upper lung and left retrocardiac opacities which could reflect multifocal pneumonia and accompanying perhaps slightly increased bilateral pleural effusions, greater on the right.
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resolved right pleural effusion. equivocal pericardial effusion.
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orogastric tube coiled in the neck. repositioning is needed. appropriately positioned endotracheal tube. extensive subcutaneous emphysema and pneumomediastinum. please refer to subsequent ct of the neck and chest for further details.
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no acute cardiopulmonary process.