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as above.
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right lower lobe opacity could represent crowding of normal bronchovascular structures or less likely pneumonia. mild cardiomegaly.
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no acute cardiopulmonary process.
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<num>. no evidence of acute cardiopulmonary process. <num>. free intraperitoneal air. please refer to concurrent ct abdomen for further details.
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mild bibasilar atelectasis, similar to the prior chest radiograph.
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cardiomegaly with mild pulmonary edema. possible pneumonia at the right medial lung base.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no pneumomediastinum or radiographic evidence of an intrathoracic mass.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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low lung volumes with no strong evidence for pneumonia or pulmonary edema.
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normal mediastinal contour. no evidence for pneumonia.
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no acute cardiopulmonary process.
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increased left lung base opacity, may represent a combination of a small left pleural effusion and atelectasis. however, an underlying infectious process cannot be excluded.
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status post endotracheal intubation. sidehole marker of orogastric tube projecting at the gastroesophageal junction. if clinically indicated, advancing the tube somewhat may be appropriate. no evidence of acute cardiopulmonary disease.
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tiny right apical pneumothorax with the chest tubes to water seal.
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interval removal of right pleural catheter with a right subpulmonic effusion remaining. no pneumothorax.
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compared to the prior chest radiograph, there has been interval progression of disease with increased size and number of pulmonary nodules, and worsening metastatic disease within the right hemithorax. small left pleural effusion. persistent right basilar opacification reflecting a combination of pleural effusion, right basilar atelectasis, and pleural based disease.
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normal chest radiograph. specifically, no evidence of pneumonia.
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increased volume loss in the right lung and increased interstitial opacities in the right lung suggestive of worsening lymphatic engorgement, superimposed upon tumor infiltration. unchanged small to moderate right pleural effusion.
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possibly loculated moderate size right pleural effusion is increased since <unk>.
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lateral segment right middle lobe pneumonia. recommendation(s): recommend follow-up radiograph in <num> - <num> weeks to assess for resolution.
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interval worsening of the patient's pulmonary edema, with persistent bibasilar atelectasis and associated small bilateral pleural effusions.
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bibasilar atelectasis in the setting of low lung volumes.
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no acute cardiopulmonary process.
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bibasilar atelectasis. no definite infiltrate and no focal consolidation.
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persistent but improved edema.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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trace left pleural effusion, new in the interval. no radiographic evidence for pneumonia.
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no acute cardiopulmonary process.
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left-sided pacer remains in place with the leads intact and unchanged in position. overall cardiac and mediastinal contours are stable. no pulmonary edema, pleural effusions, focal airspace consolidation, or pneumothorax.
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no acute cardiopulmonary process. no significant interval change.
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<num>. new consolidative opacity in the left lung base, potentially atelectasis though infection or aspiration remain in the differential. <num>. small bilateral pleural effusions and right basilar atelectasis. <num>. mild asymmetric pulmonary vascular congestion.
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no acute cardiopulmonary process.
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recurrent mild pulmonary edema due to chronic congestive heart failure. left lower lobe atelectasis and confluent edema, less likely pneumonia.
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no acute cardiopulmonary process. this examination neither suggests nor excludes the diagnosis of pericarditis.
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<num>. no acute cardiopulmonary abnormality. <num>. rounded densities are seen projecting over the right scapular region, which could reflect sclerotic lesions within the scapula, or possibly soft tissue calcifications. this could be further assessed with dedicated right shoulder radiographs if clinically indicated.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality. bullet fragment projecting posterior to the heart.
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no acute findings in the chest.
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no acute abnormalities identified to explain patient's leukocytosis and cough.
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lung volumes are slightly diminished with streaky linear opacities the left base likely reflecting atelectasis. a <num> mm nodular opacity overlying the left seventh anterior rib is felt to correspond to a nipple shadow. no pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are stable. mild degenerative changes in the thoracic spine.
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moderate cardiomegaly without evidence of acute cardiopulmonary process.
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<num>. no intraperitoneal free air. <num>. fullness of the right hilum. further evaluation may be obtained by ct evaluation in a non-emergent setting.
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no radiographic evidence of pneumonia. mild cardiomegaly is new since <unk>.
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<num>. low lung volumes with bibasilar atelectasis. <num>. diffuse osteopenia with compression deformity at the thoracolumbar junction appearing unchanged. please note that the assessment for compression fractures is limited given the presence of osteopenia and if there is high concern for a vertebral body fracture, ct is recommended.
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small right pleural effusion. no evidence of consolidation or pulmonary vascular congestion.
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ill-defined opacities in both lower lobes, more so on the right, concerning for multifocal infection. pulmonary embolism is not excluded on this exam, and if there is continued concern, a chest ct angiogram is recommended.
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no acute cardiopulmonary process.
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cardiomegaly and mild pulmonary edema. no consolidation.
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no acute cardiopulmonary abnormality.
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left upper lobe collapse and fullness of the left hilum worrisome for underlying obstructing mass lesion. ct scan had been ordered at time of dictation, based on discussion between dr. <unk> <unk> attending <unk> physician.
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<num>. increased moderate right loculated pleural effusion. unchanged positioning of a right pleural catheter. <num>. slight increase in right mid to lower lung heterogeneous opacities, likely partially due to increased pleural fluid, although atelectasis or infection in this region is certainly possible. <num>. borderline pulmonary edema. <num>. unchanged mild cardiomegaly. <num>. increased central adenopathy compared to prior radiographs from <unk>. further evaluation could be performed with ct, if clinically indicated. findings and recommendations were discussed with dr. <unk> by dr. <unk> at <time> a.m. via telephone on the day of the study.
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minimal right basilar atelectasis. otherwise, no acute cardiopulmonary abnormality.
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unchanged moderate bilateral pleural effusions.
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no acute cardiopulmonary process.
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<num>. interval placement of a right ij central venous catheter which ends in the proximal right atrium, would need to be withdrawn <unk>-<num> mm to end in the low svc. <num>. lucency at the right lung apex likely represents a skin fold but a tiny apical pneumothorax is possible, attention to this area on followup imaging. <num>. retraction of endotracheal tube, now in appropriate position. <num>. improved lung volumes compared to prior.
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cardiomegaly, with calcified, slightly tortuous aorta. upper zone redistribution with slight vascular plethora, compatible with mild fluid overload. no overt chf. elevated, eventrated right hemidiaphragm. this is associated with crowding of vessels in the right infrahilar region. both findings are slightly more pronounced than in <unk>. the appearance is more suggestive of atelectasis/scarring than an acute infiltrate. the possibility of an early infiltrate or area of aspiration pneumonitis in this location is considered unlikely, but cannot be entirely excluded. elsewhere, no focal infiltrate or consolidation to suggest pneumonia. no pleural effusions.
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mild pulmonary edema and possible trace bilateral pleural effusions.
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no evidence of acute cardiopulmonary process.
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no radiographic evidence of an acute cardiopulmonary process.
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<num>. no focal consolidation concerning for pneumonia. <num>. unchanged healed rib fractures.
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moderate pulmonary edema with moderate size right and small left pleural effusions. bibasilar opacities may reflect atelectasis but infection is not excluded in the correct clinical setting.
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progression of the patient's diffuse interstitial abnormalities compatible with worsening nsip and/or superimposed infection both of which are potentially accentuated by lower lung volumes.
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no acute cardiopulmonary process. no mediastinal widening.
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no acute cardiopulmonary abnormality.
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left upper lobe mass as seen on recent pet-ct. no definite superimposed acute cardiopulmonary process.
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low lung volumes with bibasilar atelectasis. otherwise, no acute pulmonary process.
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no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
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no acute intrathoracic process. stable chronic severely enlarged cardiac silhouette.
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no acute cardiopulmonary process.
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moderate pulmonary edema with small bilateral pleural effusions and mild cardiomegaly.
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mild cardiomegaly. hiatal hernia. no signs of pneumonia.
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no acute cardiopulmonary process. interval resolution of previously seen left-sided pneumonia.
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patchy opacities in lung bases likely reflects atelectasis given the presence of low lung volumes, but infection is difficult to exclude in the correct clinical setting.
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<num>. no focal consolidation to suggest pneumonia. <num>. mild pulmonary vascular congestion.
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no acute cardiopulmonary process.
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limited study due to low lung volumes. repeat lateral radiograph with improved technique may be helpful to exclude the possibility of an early pneumonia at the left lung base.
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dense right lung base opacity with an associated effusion. this could represent pneumonia in the setting of infectious symptoms, although malignancy could have a similar radiographic appearance. clinical correlation is recommended, and a chest radiograph should be repeated in <num> weeks, if cross-sectional imaging is not warranted earlier. recommendation(s): repeat chest radiograph in <num> weeks at the least, is cross-sectional imaging is not warranted earlier.
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no acute cardiopulmonary process.
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cardiomegaly without acute cardiopulmonary process.
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no acute findings in the chest.
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portable upright chest radiograph shows no pneumothorax status post removal of the left-sided thoracic catheter seen on the <unk> film. moderately large right pleural effusion and diffuse bilateral airspace consolidation and nodularity persists
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no evidence of acute disease.
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no acute findings in the chest.
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no acute cardiopulmonary process.
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no acute cardiac or pulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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new left ij catheter with tip in the upper svc, no pneumothorax.
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no acute cardiopulmonary process.
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bibasilar opacities worrisome for aspiration. next hiatal hernia no pulmonary edema
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no acute cardiopulmonary process.
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low lung volumes with mild bibasilar atelectasis.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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no acute cardiopulmonary abnormality. pulmonary nodules seen on recent ct are not well assessed on the current radiograph.