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no definite acute cardiopulmonary process. bilateral pleural effusions.
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low lung volumes without definite acute cardiopulmonary process.
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persistent large left effusion with compressive atelectasis in the lower lung difficult to exclude a superimposed pneumonia. increased interstitial opacities concerning for interstitial edema.
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stable tiny right apical pneumothorax.
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no acute intrathoracic process.
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no acute abnormalities identified to explain patient's left-sided chest pain.
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moderate cardiomegaly but no evidence of chf, increased interstitial pattern on the bases probably related to patient's copd. comparison with next previous examination four months ago does not disclose evidence of new acute 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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no acute findings in the chest.
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bilateral lower lobe opacities/infiltrates that have worsened in the interval.
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moderate to severe cardiac enlargement, due to both cardiomegaly and pericardial effusion on separately dictated ct of abdomen of the same date. there is mild pulmonary vascular congestion without overt edema.
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right-sided port-a-cath terminates in the mid svc, unchanged from the prior radiograph.
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no acute cardiopulmonary abnormality.
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mild enlargement of the cardiac silhouette without overt pulmonary edema or pleural effusion.
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new right lower lung opacities are concerning for pneumonia.
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probable atelectasis, less likely pneumonia in the left infrahilar region.
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no acute cardiopulmonary abnormalities. obliteration of the ap window, these warrants further evaluation with ct
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no acute cardiopulmonary process. no significant interval change.
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complete resolution of bilateral pleural effusions since <unk>. no acute cardiopulmonary process.
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streaky left lung opacity suggesting minor atelectasis or scarring. no definite evidence of acute cardiopulmonary disease.
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cardiomegaly, mild edema. aicd of appears in appropriate position.
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no acute intrathoracic process.
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marked improvement in pleural effusions and pulmonary edema but with persistent right-sided effusion, potentially with some loculation and residual unilateral interstitial abnormality. short-term follow-up with chest ct is recommended to reassess previously noted nodular opacities.
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no acute cardiopulmonary process.
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<num>. endotracheal tube ends <num> cm above the carina and could be slightly pulled back to avoid bronchial intubation. <num>. pulmonary edema but supervening infection cannot be excluded.
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mild cardiomegaly with mild bibasilar atelectasis.
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chronic interstitial fibrotic changes, lower lobe bronchiectasis, and extensive subpleural nodularity is similar compared to prior studies.
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no acute findings, including no signs of pneumoperitoneum.
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worsening of the left mid and lower lung opacities may represent developing aspiration pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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blunting of the bilateral costophrenic angles may be due to trace pleural effusions, atelectasis, or pleural thickening. no focal consolidation.
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interval increase in large left pleural effusion and left lung atelectasis. right lung remains well aerated.
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no definite acute cardiopulmonary process.
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<num>. enteric tube terminating in the distal duodenum. <num>. findings most likely representing intraperitoneal air, likely related to recent interventional procedure. examination and dictation reviewed with dr. <unk>.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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no evidence of pneumomediastinum. right upper lobe opacity; differential considerations pneumonia in the appropriate setting or perhaps a more chronic opacity. correlation with prior radiographs is recommended in follow-up, if available, or alternatively follow-up radiographs within three months to reassess.
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enlarged cardiac silhouette with mild pulmonary edema. trace pleural effusion is difficult to exclude. no large pleural effusion seen.
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no evidence of pneumonia.
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new pulmonary infiltrates, consider pneumonia, aspiration.
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<num>. retrocardiac opacity, which may be due to atelectasis, however superimposed pneumonia cannot be excluded. <num>. mild cardiomegaly with pulmonary vascular congestion and interstitial edema. <num>. bilateral small pleural effusions.
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bibasilar opacities most likely atelectasis. no displaced rib fractures on this nondedicated exam.
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no acute cardiopulmonary abnormality. mild compression deformity of an upper lumbar vertebral body is new compared to the prior exam, but is of unknown chronicity.
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normal chest radiograph.
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no acute intrathoracic process.
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<num>. low lung volumes with likely moderate pulmonary vascular congestion/mild pulmonary edema. <num>-mm nodular opacity projecting over the right mid lung, at the level of the posterior right eighth rib/anterior right third rib, could possibly represent a bone island that was seen in the ninth rib on prior chest ct of <unk>. however, given the uncertainty whether this is the same finding, findings could be further evaluated on chest ct.
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<num>. interval improvement in left lower lobe atelectasis. <num>. endotracheal tube terminates <num> cm above the carina. recommend inserting the endotracheal tube farther by several cm for more optimal positioning. recommendation(s): insert endotracheal tube farther in by several cm.
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no acute cardiopulmonary process.
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no acute intrathoracic process. no focal consolidation to suggest pneumonia.
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no evidence of pulmonary sarcoid.
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mild central pulmonary vascular congestion without frank edema. patchy opacities in the right upper and lower lung field may reflect areas of infection.
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no acute cardiopulmonary process.
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<num>. stable small to moderal right pleural effusion. <num>. improved asymmetric edema is noted on the left.
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no acute intrathoracic process.
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<num>. new moderately sized left apical pneumothorax and left pleural fluid. <num>. redemonstration of left lower lobe atelectasis and left lateral rib fractures. vertebral body fractures are better evaluated on recent ct. these findings were communicated via telephone by dr. <unk> to dr. <unk> at <unk> on <unk>, <unk> min after discovery.
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no evidence of acute cardiopulmonary process.
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no definite evidence of acute cardiopulmonary process such as pneumonia.
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mild pulmonary vascular congestion, borderline pulmonary edema, and moderate-to-severe cardiomegaly.
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there is no acute cardiopulmonary abnormality. <num> mm right upper lobe nodule has been previously reported. a chest ct would be required to confirm the appearance on conventional radiographs, that the lesion has not grown since <unk>.
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normal chest findings in male patient with positive ppd. thus, no evidence of active or latent pulmonary infection.
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worsening consolidative opacities within both lung bases concerning for recurrent aspiration pneumonia. small right pleural effusion is new.
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<num>. mild interstitial pulmonary edema, new since <unk>, and bilateral small pleural effusions. <num>. bibasilar streaky opacities likely reflect atelectasis, however, infection should be considered in the appropriate clinical setting. <num>. severe emphysema. scattered ill-defined nodules within the lungs are better demonstrated on the prior chest ct.
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low lung volumes. medial right base opacity felt to more likely be due to vascular structures rather than consolidation.
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consolidation likely in the right middle lobe, which may be related to aspiration pneumonia. an additional opacity adjacent to the left heart border may reflect atelectasis versus an additional focus of aspiration pneumonia. small right pleural effusion and mild vascular congestion.
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as above.
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no free air. <num> nails projecting over the left upper abdomen, likely residing within the stomach.
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left basilar groundglass opacities, stable from <unk>. appearance is suggestive of pulmonary hemorrhage or vasculitis. infection is less likely.
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<num>. increasing size of the loculated, left pleural effusion. <num>. consistent right-sided pleural effusion as well as right-sided volume loss and loculated fluid.
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no pneumonia, edema, or effusion.
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<num>. bibasilar bronchial wall thickening and subtle lung opacities, which could potentially represent a developing bronchopneumonia. followup chest radiographs may be helpful in this regard. <num>. probable small bilateral pleural effusions.
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no acute cardiopulmonary abnormality. the heart is not enlarged.
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no acute intrathoracic process.
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no acute pneumonia.
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normal chest radiograph.
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no acute cardiopulmonary process.
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<num>. ett should be pulled back <num>-<num> cm for better positioning. <num>. advancement of the enteric tube by at least <num> cm is recommended for positioning within the stomach. <num>. air-filled loops of dilated bowel, no free air seen on this supine view. <num>. right lower lung rounded opacity which may reflect metastatic disease, pulmonary infarction or atelectasis. this could be further evaluated with cross-sectional imaging or repeat radiograph at full inspiration. these findings were discussed with dr. <unk> by dr. <unk> at <time> am on <unk> the time of discovery.
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<num>. no significant change from yesterday. retrocardiac pneumonia appears similar to yesterday. <num>. ett tip is approximately <num> cm above the carina.
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mild increased opacification of left lower lobe could be related to compression of the effusion, atelectasis or pneumonia. mild upper lobe prominence of background pulmonary vascularity suggests mild coinciding vascular congestion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no significant interval change. persistent widening of the mediastinum which may be related to a dilated tortuous aorta which can be further evaluated on ct.
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<num>. ng tube tip and sidehole projecting over the expected location of the stomach. <num>. mild pulmonary edema and bibasilar opacities, likely reflecting aspiration and/or pneumonia.
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no acute pneumonia. compared to prior study, less pulmonary congestion.
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no acute cardiopulmonary process.
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<num>. slight improvement in pulmonary edema. <num>. swan-ganz catheter in appropriate position.
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nasogastric tube in situ with the tip in the mid stomach. interval decrease in gaseous distention of the stomach.
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unchanged moderate cardiomegaly and mild pulmonary edema. asymmetric enlargement of the right hila may represent vascular congestion due to left heart failure, however this also can be seen with acute pulmonary embolism, which would need to be assessed with ct if clinically indicated.
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persistent small bilateral pleural effusions and bibasilar atelectasis, with some possible improvement on the left.
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no acute cardiopulmonary process.
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bilateral pleural effusions, left greater than right, as on prior. no visualized rib fracture on these nondedicated views.
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<num>. moderate cardiomegally. <num>. dense diffuse bilateral opacities. the differential diagnosis includes pulmonary interstitial edema. however, in the appropriate clinical setting, severe atypical pneumonia and inflammatory causes of infiltrates are also in the differential. pulmonary hemorrhage is also in the differential, in the appropriate context. <num>. suspected moderate right pleural effusion. <num>. endotracheal tube is appropriately positioned <num> cm above the carina. the right internal jugular venous catheter is in the mid svc. ng tube is just beyond the ge junction and should be advanced for optimal positioning.
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no acute intrathoracic process.
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minimal residual righ pleural effusion.
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mild decompensated congestive heart failure.
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tiny residual pleural effusions with mild residual left basal atelectasis. subtle nodularity in the right mid lung, newly conspicuous, question tiny focus of pneumonia. follow-up to resolution is recommended.
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as above.
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widespread airspace disease suggesting moderate pulmonary edema.
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possible small bilateral pleural effusions. otherwise, no acute cardiopulmonary process.