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<num>. left subclavian central venous catheter terminates at the mid svc. <num>. moderate pulmonary edema has improved since the prior study. <num>. side port of the enteric tube situated above the ge junction and should be advanced by at least <num> cm to place it into the gastric body. recommendation(s): advancement of the enteric tube.
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<num>. no evidence of pneumonia. <num>. multiple pulmonary nodules, consistent with patient's history of metastatic rectal cancer.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality. no pneumothorax.
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no findings to suggest acute pneumonia. mild-to-moderate enlargement of the cardiac silhouette.
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moderate bilateral pleural effusions with overlying atelectasis, underlying consolidation is not excluded. additional areas of small patchy opacity in the mid lungs bilaterally, right greater than left, foci of infection not excluded.
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no acute cardiopulmonary process.
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a right pleural catheter remains in place and there is a slightly smaller but persistent apical lateral pneumothorax. overall, there is improving aeration at the right base with decrease in size of the pleural collection. the heart remains markedly enlarged which may reflect cardiomegaly, although a pericardial effusion cannot be excluded. opacity at the left base most likely reflects partial lower lobe atelectasis, although pneumonia cannot be excluded. no evidence of pulmonary edema.
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normal chest x-ray.
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dobbhoff catheter not seen. clinical correlation is recommended for coiling in the pharynx. findings and recommendations discussed with <unk> by <unk> by telephone at <time> a.m. on <unk> at the time of initial review of the study.
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<num>. no definite evidence of acute cardiopulmonary process. <num>. mild blunting of posterior costophrenic angle -- early pneumonic infiltrate in this area cannot be excluded. this should be followed to resolution.
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no acute cardiopulmonary abnormality.
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persistent right upper and middle lobe opacities, mildly improved from <unk>, likely represent infiltrative tumor though a superimposed pneumonia cannot be excluded. minimal right pleural effusion.
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no acute findings.
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low lung volumes with basilar atelectasis.
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no evidence of acute disease.
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right lower lobe pneumonia. recommend treatment and followup in four to six weeks.
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bibasilar subsegmental atelectasis. no subdiaphragmatic free air.
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no acute cardiopulmonary process.
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small left pleural effusion. significant interval improvement in left lower lobe collapse with mild atelectasis remaining.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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moderate to severe cardiomegaly with slight interval increase in mild pulmonary vascular congestion without frank pulmonary edema.
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no acute cardiopulmonary process.
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pulmonary edema is improved. pulmonary vascular congestion is mild.
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no radiographic evidence for acute cardiopulmonary process. dr. <unk> <unk> the findings with dr. <unk> <unk> telephone at <time> on <unk>, <num> minutes after discovery.
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linq device seen in a somewhat horizontal orientation projecting over the medial left lower chest, approximately at the level of the anterior left fourth and fifth ribs. on the lateral view, the device is seen to be very superficial in the anterior skin of the chest, and possibly protruding from it.
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right ij access dialysis catheter seen terminating in the low svc. cardiomegaly again noted.
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no acute cardiopulmonary process.
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no radiographic evidence of pneumonia. stable radiographic appearance of the chest.
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no pneumonia, edema, or effusion.
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stable patchy regions of consolidation throughout the bilateral lungs concerning for multi focal pneumonia.
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<num>. linear opacities in the right middle and lower lobes are nonspecific, possibly platelike atelectasis, however developing, especially interstitial pneumonia (e.g. viral or atypical bacterial), could also give this appearance <num>. no evidence of diffuse interstitial lung abnormality.
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low lung volumes with mild bibasilar atelectasis.
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left-sided chest tube in place without evidence of pneumothorax. ett terminating <num> cm above the carina.
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right lower lobe consolidation is suspicious for focal pneumonia or aspiration.
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no acute cardiopulmonary process.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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<num>. new left lung base infiltrate is concerning for pneumonia. <num>. small, bilateral pleural effusions are new.
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mild vascular congestion without other definite acute cardiopulmonary process.
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feeding tube tip probably in the first portion of duodenum.
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no evidence of acute disease.
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<num>. new right lung base opacity is concerning for an infectious process. short interval follow up is recommended after treatment to document resolution. <num>. increased right sided pleural effusion.
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no acute intrathoracic process. air-fluid level in the upper abdomen, correlate clinically.
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no radiographic evidence of pneumonia.
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right lower lobe pneumonia. although the right lower lung density was initially attributed to soft tissue projection rather than pneumonia, the patient was discharged from the ed with antibiotics.
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unchanged moderate to severe enlargement of the cardiac silhouette. no acute cardiopulmonary abnormality.
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patchy opacities in the upper lobes, more so on the right, may reflect areas of infection. mild pulmonary vascular congestion with small bilateral pleural effusions.
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cardiomegaly. otherwise unremarkable.
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waxing and waning left lower lobe airspace opacity which demonstrates a morphological appearance suggestive of atelectasis, although superimposed infection or aspiration is difficult to exclude.
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patchy opacities in the mid and upper lung zones bilaterally may represent aspiration given that the patient was found down.
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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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<num>. no substantial interval change from the previous ct examination with persistent pneumonia in the left upper lobe. <num>. bilateral calcified pleural plaques indicative of prior asbestos exposure. <num>. pulmonary arterial hypertension.
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no acute intrathoracic process.
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small right pleural effusion, not substantially changed in the interval, with associated right basilar atelectasis.
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no acute intrathoracic abnormalities identified.
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bilateral interstitial opacities concerning for edema. please correlate clinically.
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left lower lobe pneumonia.
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stable mild pulmonary edema. increased large right pleural effusion. increased small layering left pleural effusion with associated left basilar atelectasis.
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no acute cardiopulmonary process.
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increased size of right middle lobe lung lesion. mild right basilar atelectasis. persistent mild cardiomegaly.
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no definite acute cardiopulmonary process.
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no acute intrathoracic process.
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<num>. improved pulmonary edema with persistent central vascular engorgement, particularly on the right. <num>. right middle lung nodule no longer seen on this radiograph. .
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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moderate cardiomegaly with worsening pulmonary edema.
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interval placement of a left internal jugular central venous line, with the tip ending in the upper svc.
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no acute cardiopulmonary process.
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bilateral posterior costophrenic angle and faint right mid lung opacifications stable since and better evaluated on <unk>, chest ct at thought to represent infectious process.
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no significant interval change of bilateral upper lobe opacities concerning for pneumonia.
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no acute cardiopulmonary process.
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normal chest radiograph.
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no acute cardiopulmonary pathology.
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low lung volumes limit assessment of the lung bases. bibasilar airspace opacities could reflect atelectasis but infection or aspiration is not excluded. consider repeat views when the patient is able to take an improved inspiratory effort for further assessment.
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no acute cardiopulmonary abnormalities. previously identified, large, retrocardiac soft tissue abnormality is most likely a hiatal hernia, but also on the differential are a large, lower esophageal mass or descending thoracic aorta aneurysm. recommend correlation with prior imaging if available. recommendation(s): recommend correlation with prior imaging, if available, for further evaluation of the retrocardiac soft tissue abnormality.
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no acute intrathoracic process.
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normal radiograph of the chest without evidence of pneumonia.
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mild cardiomegaly, otherwise unremarkable.
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no acute intrathoracic process.
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minimal left basilar atelectasis. otherwise no acute cardiopulmonary process.
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right mainstem bronchus intubation, recommend retraction of endotracheal tube for more optimal positioning.
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no acute cardiopulmonary process. no evidence of displaced rib fractures. please correlate with focal tenderness for need of dedicated rib series.
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low lung volumes. no acute intrathoracic abnormality.
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no interval change the appearance of the chest since the earlier study from today. redemonstration of bibasilar opacities, right greater the left, representing layering pleural fluid and/ or atelectasis. no pneumothorax. this preliminary report was reviewed with dr. <unk>, <unk> radiologist.
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no evidence of acute disease.
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no evidence of acute disease.
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no acute cardiopulmonary abnormality.
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<num>. persistent low lung volumes with bibasilar atelectasis. new triangular opacity at the left base medially may reflect some superimposed segmental atelectasis. if clinically indicated, a lateral view may help for further assessment. <num>. no pneumothorax detected. <num>. mild vascular plethora is similar to the prior film and likely accentuated by low lung volumes. no gross effusions.
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no definite acute cardiopulmonary process. right middle lobe mass again seen.
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cardiomegaly, emphysema, otherwise unremarkable.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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slight increase in interstitial markings, particularly overlying the right lung, could be due to mild fluid overload or atypical infection.
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no evidence of acute cardiopulmonary process.
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complex opacification of the right lung, more completely characterized on ct obtained <num> day earlier. probable minimal atelectasis and/or scarring in the left lung. attention to these areas on followup radiographs is requested.