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<num>. moderate left pneumothorax without findings to suggest tension. possible small left pleural effusion. left-sided rib fractures, as above, some of which may be subacute. <num>. left perihilar opacity is likely chronic. left infrahilar/lower lobe opacity most likely relates to decreased lung volume /atelectasis due to the left pneumothorax, however, could relate to patient's malignancy, prior imaging is not available for comparison. the above findings were discussed with dr. <unk> in the <unk> emergency department at <time> on <unk> via telephone <unk> min after discovery.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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<num>. persistent cardiomegaly with mild pulmonary vascular congestion. <num>. no rib fracture detected, but sensitivity is limited on routine chest radiography. if clinical suspicion is high, dedicated rib series is recommended. findings and recommendations were discussed with <unk> by <unk> by telephone at <time> a.m. on <unk> at the time of discovery of these findings.
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<num>. endotracheal tube ends <num>-<num> cm above the carina and if advanced <num>-<num> cm would be in proper position. <num>. persistent low lung volumes and new right lower lung platelike atelectasis.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease. no suspicious radiographic findings.
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no radiographic evidence of pneumonia.
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possible artifact projecting over the sternum seen only on the lateral view. a repeat lateral radiograph or ct could be considered for further evaluation if there is high clinical concern for sternal fracture.
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no acute cardiopulmonary process.
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bilateral lower lobe infiltrates.
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no new focal consolidations concerning for infection are identified.
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<num>. interval decrease in moderate-sized left pleural effusion with stable small right pleural effusion. <num>. interval resolution of small left apical pneumothorax with residual apical pleural fluid. <num>. osseous metastases. results were conveyed to dr. <unk> team by dr. <unk> on <unk> at <time> a.m. and again at <time> a.m. via telephone.
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no change.
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no evidence of pneumonia or pleural effusions.
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persistent chronic left pleural effusion. no evidence of pneumonia.
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<num>. developing lateral right basilar opacity adjacent to multiple rib fractures concerning for pulmonary contusion. pneumonia is also possible in the correct clinical setting. <num>. mild interstitial edema has resolved, with likely chronic interstitial abnormality remaining. <num>. air filled dilated bowel, partly imaged. clinical correlation is recommended to determine the need for further imaging. dr. <unk> <unk> item <num> in the impression with dr. <unk> <unk> telephone on <unk> at approximately <num> pm. also, dr. <unk> discussed with dr. <unk> <unk> finding of a concerning liver lesion on the ct abdomen pelvis on <unk> from<unk> for which a mri for further evaluation was recommended on the outside hospital report. please note that the report for this ct abdomen pelvis is not available in careweb at this time. dr. <unk> <unk> a ct technician at<unk> regarding this issue on <unk> at approximately <time>pm, and it is being resolved.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. residual hydropneumothorax within a right upper lobe resection cavity. <num>. air-filled hiatal hernia, unchanged.
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no evidence of acute disease.
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<num>. no focal consolidation or pleural effusion. bibasilar atelectatic changes. <num>. no fracture identified. please note, however, the chest radiograph is not optimal for evaluation of bony detail. if clinical concern persists, consider ct chest for further evaluation.
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increasing bilateral pleural effusions with overlying atelectasis, greater on the right.
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right basilar opacity likely represents atelectasis or fluid in the fissure. no pneumonia.
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ng tube enters the stomach and courses out of view.
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relatively large hazy opacity in the right mid zone consistent with pneumonia, likely in the lower portion of the right upper lobe. the differential could include other etiologies for an alveolar opacity, but, given the history of fevers, these are considered less likely. this finding is new compared with the chest ct from <unk>. the lungs are otherwise grossly clear.
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no significant interval change. stable small right pleural effusion.
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mild linear anterior mid lung opacity seen on the lateral view most likely represents atelectasis or scarring. no definite focal consolidation seen.
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persistent mild cardiomegaly with bibasilar atelectasis.
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pulmonary edema with moderate cardiomegaly. increased right basilar opacity at the right lung base may represent atelectasis, although infection cannot be excluded.
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low lung volumes. otherwise, no acute cardiopulmonary process.
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no change.
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no focal consolidation concerning for pneumonia.
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no acute cardiopulmonary process.
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no signs of pneumonia or other acute intrathoracic process.
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<num>. right chest port-a-cath terminates in the mid svc without complications. <num>. right hilar mass and multiple bilateral lung nodules consistent with known metastatic disease.
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moderate right-sided pleural effusion, new since prior.
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interval improvement in bilateral pleural effusions and left lower lobe collapse.
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no acute cardiopulmonary process. dr. <unk> <unk> these results to dr. <unk> at <time> am on <unk> via telephone, <unk> minutes after the time of discovery.
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no pulmonary edema. bilateral small pleural effusions, left worse than right. pneumo peritoneum as expected postoperatively.
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no acute intrathoracic process.
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malpositioned enteric tube in the right mainstem bronchus. standard position of et tube. dr. <unk> <unk> these results with dr. <unk> <unk> telephone at <time> pm on <unk>.
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no acute cardiopulmonary process.
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<num>. no focal consolidation to suggest pneumonia. mild interstitial pulmonary abnormality may reflect chronic changes. recommend comparison with priors. <num>. there is mild loss of height of an upper thoracic vertebral body, likely chronic.
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interval decrease in right pleural effusion. otherwise unchanged.
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no evidence of pneumonia.
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unchanged mild pulmonary edema and moderate cardiomegaly.
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no acute cardiopulmonary process.
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<num>. left-sided picc terminates deep in the right atrium and could be retracted <num> cm to lie in the distal svc. <num>. the opacity at the right lung base medially appears more prominent and a pneumonia cannot be excluded.
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<num>. right lower lobe pneumonia. <num>. a rounded density projecting over the anterior right second rib was not seen on <unk>. attention on follow-up and correlation with clinical examination is recommended as this may lie outside the patient.
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multifocal pneumonia. follow-up radiograph <num> weeks after treatment is recommended to ensure resolution. recommendation(s): multifocal pneumonia. follow-up radiograph <num> weeks after treatment is recommended to ensure resolution.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary process.
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no evidence of pneumonia.
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low lung volumes with streaky retrocardiac opacity, possibly reflecting atelectasis. infection cannot be completely excluded.
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no significant interval change of the bilateral pleural effusions with component of loculation bilaterally.
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increased bibasilar opacification compared to <unk> is concerning for pneumonia, which could be due to aspiration.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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<num>. new white-out of the left hemithorax, likely a combination of pleural effusion and collapse. <num>. stable moderate right pleural effusion. <num>. all tubes and lines in satisfactory position.
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no acute cardiopulmonary process.
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superior segment left lower lobe and posterior segment left upper lobe consolidation consistent with pneumonia. given the dependent distribution, these findings may represent an aspiration pneumonia. recommend follow up cxr <num> weeks post treatment to document resolution if warranted clinically. these findings were discussed with <unk>, dr. <unk> nurse by dr. <unk> <unk> telephone on <unk> at <time> am, time of discovery.
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no acute cardiopulmonary process. no evidence of free air beneath the diaphragms.
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streaky bibasilar airspace opacities may reflect atelectasis though infection or aspiration are not excluded.
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no acute cardiopulmonary process.
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persistent right-sided pleural effusion with platelike atelectasis. please note that superimposed infection cannot be entirely excluded however overall appearance is similar compared to priors.
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<num>. right ij central venous catheter terminates in the mid svc. no pneumothorax. <num>. pulmonary edema with bilateral small pleural effusion. opacities at the lung bases likely reflect atelectasis, however an underlying pneumonia cannot be excluded.
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interval removal of ett with resolution of right lower lobe collapse.
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moderate right pleural effusion, mild pulmonary edema. developing left lower lobe opacity may reflect aspiration or pneumonia.
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no acute cardiopulmonary process. hiatal hernia.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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small residual left pleural effusion.
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<num>. right port with the tip in the right atrium, as before, without obvious kink or obstruction. <num>. redemonstration of chronic collapse of the right upper lobe and severe multifocal bronchiectasis/scarring, generally improved.
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<num>. patchy vague opacity in the right mid lung field with associated peribronchial thickening could reflect an area of infection. <num>. mild pulmonary vascular congestion. <num>. small bilateral pleural effusions, right greater than left with associated bibasilar atelectasis, not significantly changed. <num>. unchanged right apical pleural thickening and scarring compatible with prior radiation changes.
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<num>. no evidence of pneumonia. <num>. no visualized rib fractures.
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increased opacity in the right upper lobe/paramediastinal region could represent disease progression or an area of hemorrhage after biopsy. no pneumothorax.
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no radiopaque foreign body identified. no acute cardiopulmonary process.
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no acute process.
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interval increase in size of large left-sided pleural effusion with adjacent atelectasis.
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no acute cardiopulmonary abnormality.
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improving bibasilar atelectasis and decreasing bilateral effusions.
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<num>. no pneumothorax. <num>. right port-a-cath ends in the ivc. recommend pulling back by approximately <num> cm if desired location is cavoatrial junction. <num>. mild pulmonary vascular congestion.
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no findings to account for anterior chest wall discomfort. if a skeletal etiology is considered clinically, dedicated skeletal radiographs may be helpful for more complete assessment.
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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>. moderate left and small right pleural effusions with associated atelectasis. <num>. right perihilar opacity in the region of prior pneumonia. recommend repeat chest radiograph in <num> weeks to assess resolution.
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no acute findings.
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no acute cardiopulmonary process.
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normal chest radiograph.
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stable cardiomegaly with large right pleural effusion and lower lobe consolidation likely atelectasis. mild interstitial edema persists. right rib fractures.
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<num>. vascular congestion with mild increase in small bilateral pleural effusions. <num>. emphysema or chronic obstructive pulmonary disease. <num>. right lower lobe opacity is most consistent with atelectasis. recommendation(s): clinical correlation for superimposed right lower lobe infection is recommended.
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no acute intrathoracic process.
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small to moderate size layering bilateral pleural effusions and probable bibasilar atelectasis. no subdiaphragmatic free air.
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mild progression of heart size and development of small left-sided pleural effusion but the examination does not show any findings that would match the clinical description of severe chf. no acute pulmonary infiltrates of pneumonic appearance.
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no pneumothorax.
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<num>. bibasilar opacities, right worse than left, suggestive of pneumonia versus aspiration. <num>. ij line ends in the right atrium. withdrawal of approximately <num> cm is recommended for placement in the lower superior vena cava. <num>. no gross pleural effusion identified. a small effusion might not be apparent on this view.
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no evidence of acute cardiopulmonary process.