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cardiomegaly, slightly increased compared with. is there concern for pericardial effusion? mild chf with small bilateral effusions and bibasilar atelectasis. prominence of the right hilum, unchanged compared with. attention to this area on followup films, after resolution of acute symptoms, is requested. possible background copd.
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no acute cardiopulmonary process. specifically no pneumonia.
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progressive opacity at the right lung base. given sharp demarcation at the expected site of the minor fissure, this is suggestive of a segmental or partial lobar pneumonia.
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heart size is normal. mediastinum is normal. lungs are essentially clear. there is no pleural effusion or pneumothorax. nodule in the left upper lobe, located inferior to the aortic arch is <num> mm in diameter, unchanged since does consistent most likely with calcified granuloma. no new nodules masses are consolidations demonstrated. there is no pleural effusion or pneumothorax.
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as compared to the previous radiograph, the large known hiatal hernia now filled with air. they dobbhoff catheter is located at the bottom of the hernia. unchanged presence of bilateral pleural effusions and subsequent areas of atelectasis. but no new focal parenchymal opacities are detected. the picc line on the right has been slightly advanced and the tip now projects over the cavoatrial junction. unchanged mild cardiomegaly.
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normal chest radiograph without radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no pneumonia.
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normal chest.
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no acute cardiothoracic process.
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no acute cardiopulmonary process.
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no evidence of interstitial lung disease.
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moderate cardiomegaly with increasing interstitial pulmonary edema, now moderate-severe. linear, left lower lobe airspace opacity likely represents atelectasis.
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normal chest radiograph; no evidence of pneumonia.
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no evidence of acute cardiopulmonary process.
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no significant interval change since with persistent probable right infrahilar atelectasis.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. no radiopaque foreign body identified and no free intraperitoneal air identified.
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similar small-moderate right apical pneumothorax without mediastinal shift.
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resolved pneumonia.
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no focal consolidation concerning for pneumonia. stable bibasilar scarring.
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no evidence of acute cardiopulmonary process.
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nearly total resolution of right-sided pneumothorax after placement of a right-sided chest tube which is in appropriate position. pulmonary vascular congestion.
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enteric tube courses below the diaphragm, the tip, however, is not visualized. recommend advancing for secure positioning.
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trace bilateral effusions otherwise, no acute cardiopulmonary process.
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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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in comparison with the study of , the patient has taken a slightly better inspiration. monitoring and support devices are unchanged. continued enlargement of cardiac silhouette with elevated pulmonary venous pressure. left pleural effusion with compressive atelectasis at the base. decreasing opacification at the right base with sharp and hemidiaphragm. this could reflect improved of pleural effusion or merely a more erect position of the patient's.
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marked cardiomegaly with mild pulmonary edema.
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no focal consolidation.
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stable mediastinal prominence which has been previously evaluated on ct from. stable chronic right rib cage deformity.
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worsening bilateral multifocal opacities could reflect multifocal pneumonia or aspiration.
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no acute cardiopulmonary abnormality. no free air.
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interval improvement in right apical pneumothorax with persistent small pneumothorax seen.
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ap chest compared to : lungs are essentially clear. a region of previous peribronchial infiltration in the left mid lung has resolved. there is no pulmonary edema or pleural effusion and the heart size is top normal.
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subtle patchy left lower lobe opacity could be due to infection or aspiration.
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mild chronic interstitial pulmonary abnormality. no acute process.
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no acute cardiopulmonary process.
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right lower lobe aspiration or early pneumonia.
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right perihilar opacity is concerning for pneumonia in the correct clinical setting. moderate size bilateral pleural effusions with bibasilar airspace opacities, likely atelectasis, though infection is not excluded. no pulmonary edema.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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improvement in interstitial edema and bibasilar opacities. small but apparently increased right-sided pleural effusion.
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mild to moderate disseminated interstitial abnormality could be pulmonary edema should be followed closely to exclude interstitial lung disease, including infection, since the heart is not enlarged and there is no pulmonary vascular or mediastinal venous engorgement. healing right posterior rib fractures are chronic. normal mediastinal caliber. no pleural effusions.
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as compared to chest radiograph, there has not been appreciable change in the appearance of the chest.
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in comparison with the study of , there is little change. the cardiac silhouette remains mildly enlarged, but there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. surgical clips are again projected over the lower lungs on the right.
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no overall change from the prior radiograph.
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no comparison. stent in the superior vena cava. masslike opacity adjacent to the right mediastinal interface, obliteration of the paratracheal stripe as well as substantial elevation of the right hemidiaphragm, combines to diffuse and apical predominant pleural thickening. normal appearance of the left heart border and the left hemi thorax.
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no focal consolidation. mild pulmonary vascular congestion and cardiomegaly. small left pleural effusion
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improvement in right pleural effusion.
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in comparison with the earlier study of this date, the malpositioned dobhoff tube has been removed and a new tube extends to the mid body of the stomach. otherwise, little change.
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there to chest radiographs since , most recently through. lung volumes have improved. lungs are clear. mild to moderate cardiomegaly stable. no pulmonary vascular congestion. no appreciable pleural effusion. no pneumothorax. et tube and transesophageal drainage tube and right transjugular venous line are in standard placements respectively.
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<num>-cm rounded density projecting over the right lower lung may correlate with <num>cm lesion on recent ct. concern for aggressive metastatic disease. recommend re-assessment with chest ct and possible biopsy evaluation. placed these findings on the critical communications dashboard at <num>pm on.
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no acute cardiopulmonary process.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection, including tuberculosis.
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extremely low lung volumes with crowding of bronchovascular markings and probable right basilar atelectasis. please note that infection cannot be entirely excluded.
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no acute cardiopulmonary process.
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pa and lateral chest compared to , : the new opacification at the base of the left lung on the study earlier today has nearly resolved, indicating it was atelectasis and not pneumonia. right lung is entirely clear, displaying chain suture from prior surgery and multiple healed right rib fractures. heart size is normal and there is no pleural effusion. dr was paged.
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comparison to. no relevant change is noted. the patient carries a left pectoral single lead pacemaker. moderate cardiomegaly and elongation of the descending aorta persist. no pulmonary edema, no pneumonia, no pleural effusions.
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no acute cardiopulmonary process. no evidence of mediastinal widening or pneumothorax.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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mild enlargement of the right hilus could be due to mild pulmonary artery or lymph node node enlargement. there if this is a aa no bronchial narrowing, and no evidence of central adenopathy elsewhere in the chest. heart size is top-normal. although the pulmonary vasculature is unremarkable, a mild interstitial abnormality in the right, consisting of thickened septal lines, could be very mild edema. there is no pleural effusion.
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low lung volumes with mild bibasilar atelectasis, but no focal consolidation.
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no acute cardiopulmonary process.
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interval decrease in size of the left pleural effusion, now small in extent. equivocal trace left pneumothorax.
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no acute cardiopulmonary process. specifically no pneumothorax.
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limited exam secondary to motion. right-sided pleural effusion has increased in size. hazy right midlung opacity could represent fluid within the fissure although superimposed consolidation is possible.
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no acute cardiopulmonary process.
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no substantial change compared to the prior examination.
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no significant interval change. bilateral effusions. right medial basilar opacity potentially atelectasis noting that infection is not excluded.
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no acute cardiopulmonary process.
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no intraperitoneal free air. no acute cardiopulmonary abnormality. mild cardiomegaly is stable.
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heterogeneous opacification in the lower lungs is relatively mild and although i cannot exclude pneumonia, at least at the right lung base it looks more like atelectasis and minimal dependent edema. severe cardiomegaly and pulmonary and mediastinal vascular engorgement have worsened since , stable since. et tube and upper enteric drainage tube and right jugular central venous line are in standard placements respectively. pleural effusion if present is not substantial. no pneumothorax. sharp definition of the upper margin of the cuff of the et tube indicates that secretions are pooling above that.
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compared to chest radiographs since , most recently. small right pleural effusion and small right apical pneumothorax are present following removal of the right apical thoracostomy tube. aside from region of resection in the right upper lung, lungs are clear. cardiomediastinal and hilar silhouettes are unremarkable.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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a moderate right and a small left pleural effusion are increased in size in comparison to.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process
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stable chronic-appearing findings including left basilar scarring and pleural thickening; no definite evidence of pneumonia.
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no acute cardiopulmonary process.
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in comparison with the study of , the cardiac silhouette remains within normal limits and there is no vascular congestion or acute focal pneumonia. opacification at the left base is consistent with a combination of pleural fluid and atelectasis. in the appropriate clinical setting, superimposed pneumonia could be considered.
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ap chest compared to : small volume of pleural fluid at the base of the right hemithorax has increased, pneumothorax of equivalent size is probably still present. there may also be an increase in small right fissural pleural collection. moderate left pleural effusion and severe left lower lobe atelectasis are stable. severe cardiomegaly is chronic. a left-sided catheter, presumably a pic line, ends low in the right atrium. thoracic aorta is heavily calcified but not clearly dilated.
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right lung infiltrates, minimally improved. small pleural effusions, similar. increased heart size.
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no acute cardiopulmonary process. ng tube side port likely at the ge junction, consider advancing for optimal positioning
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slightly increased right pleural effusion compared to the prior study from. underlying consolidation is suspected. cardiomegaly is stable.
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no significant change.
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since the prior study there has been interval improvement in pulmonary vascular congestion. right pleural effusion is substantial, unchanged recruitment. left pleural effusion is present. a left pleural effusion is most likely moderate. there is no evidence of pneumothorax. there is left retrocardiac opacity most likely representing a combination of pleural effusion and atelectasis.
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normal chest radiograph. no focal opacity suggest pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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tiny right apical pneumothorax.
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no acute cardiopulmonary process.
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interval resolution of lingular lobe pneumonia since the prior study.
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ap chest compared to through : consolidation limited to the lingula on , accompanied by mild interstitial edema on at is now joined by new consolidation in the right lower lung. this could be asymmetric edema, but raises real concern for spreading pneumonia. small left pleural effusion has accumulated since earlier in the day. no pneumothorax.
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no definite consolidation identified. the lung volumes are low with resultant crowding of bilateral pulmonary vasculature, of which appears more prominent on the lateral radiograph, however has an unchanged appearance compared to.
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no evidence of pneumonia.
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no acute cardiopulmonary process.