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mildly hyperexpanded lungs, but no evidence of acute cardiopulmonary abnormality.
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large right pleural effusion, increased from prior with compressive right middle and lower lobe atelectasis.
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interval resolution of the previous left lower lobe collapse. no radiographic evidence for acute cardiopulmonary disease.
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densely calcified bilateral pleural plaques which obscure detailed evaluation of the underlying lung parenchyma. persistent left-sided pleural effusion, not definitely changed in size compared to the recent ct scan. please note that underlying parenchymal opacity would be difficult to exclude given extensive pleural plaque.
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findings suggest mild vascular congestion. mild cardiomegaly.
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in comparison to recent radiograph of <num> day earlier, a moderate, partially loculated left pleural effusion has apparently slightly decreased in size. large left apical lung mass with contiguous lymphadenopathy in malignant pleural thickening appears similar to the recent study. diffuse interstitial abnormalities also persist, and may reflect pulmonary edema; lymphangitic carcinomatosis is an additional consideration in a patient with malignancy.
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emphysema without convincing signs of pneumonia. top-normal heart size. apparent enlargement of the main pulmonary artery which could indicate pulmonary arterial hypertension. please correlate clinically.
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no signs of pneumonia. equivocal signs of mild pulmonary congestion and mild cardiomegaly.
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no significant interval change, no focal consolidation. persistent cardiomegaly and increased interstitial markings likely combination of chronic interstitial process and mild pulmonary edema
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heart size and mediastinum are unchanged. no evidence of increase in pleural effusion. subcutaneous air is demonstrated within the left chest wall. there is minimal left apical pneumothorax. right subclavian line has been removed.
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increased opacities primarily in the right upper lobe likely progression in pneumonia. right hilum spiculated mass concerning for primary malignancy. endotracheal tube positioned appropriately.
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no acute cardiopulmonary process.
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central peribronchial wall thickening without definite focal consolidation.
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no signs of pneumonia.
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mild left basal atelectasis, otherwise unremarkable exam.
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comparison. no relevant change. low lung volumes. mild to moderate cardiomegaly and mild to moderate pulmonary edema. bilateral areas of atelectasis, predominating on the left, accompanied by a small left pleural effusion. no pneumothorax. unchanged normal position of the right picc line.
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there is cardiomegaly which appears slightly bigger than the prior study. there is also a new left retrocardiac opacity. there is prominence of the central pulmonary vascular markings suggestive of mild pulmonary edema, stable. irregularity of the right distal clavicle at the ac joint is likely posttraumatic with secondary osteoarthritic changes.
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a left chest tube remains in place and there is a persistent small but stable left apical pneumothorax. lungs are somewhat hyperinflated consistent with underlying emphysema. a small left pleural effusion persists. the left lateral chest wall subcutaneous emphysema has slightly increased. bilateral radiation changes are stable. no pulmonary edema. overall cardiac and mediastinal contours are unchanged. marked thoracic kyphosis with several mid thoracic vertebral compression fractures unchanged since at least.
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compared to chest radiographs and :<num>. mediastinum has returned to normal caliber. right hilus is less distended. heart size is top-normal. moderate pulmonary edema and moderate right pleural effusion have decreased. consolidation persists at both lung bases, and could be atelectasis, dependent edema, or even aspiration pneumonia. no pneumothorax. tip of the endotracheal tube at the thoracic inlet is in standard placement. esophageal drainage tube ends in the upper portion of a nondistended stomach.
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questionable retrocardiac opacity. this would best be assessed with pa and lateral if patient is amenable.
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in comparison with the study of , the nasogastric tube has been removed. right chest tube remains in place and there is no evidence of pneumothorax. epidural catheter remains in position. overall, little change in the appearance of the neo esophagus and heart and lungs, with continued volume loss in the left lower lobe and pleural fluid on this side.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no definite acute cardiopulmonary process. post-surgical changes on the right. nodular opacity in the left upper lung, not clearly identified on prior exam, which should be followed on subsequent studies. no definite acute cardiopulmonary process.
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no displaced rib fracture. if clinical concern for a fracture persists, dedicated rib series could be performed.
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as compared to chest radiograph, there has been little change in the appearance of the chest except for development of a focal linear opacity at the left lung base attributed to localized atelectasis.
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no acute cardiopulmonary abnormality.
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ap chest reviewed in the absence of prior chest radiographs: right jugular infusion port ends in the mid svc. no pneumothorax, pleural effusion, or mediastinal widening. lungs clear. heart normal.
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ap chest compared to : what was relatively limited left perihilar consolidation on , now involves a good deal more of the left lung. there may also be new cavitary lesions in the right lung, suggesting sepsis. pleural effusion is small if any. heart size top normal. no pulmonary edema. dr was paged at when the findings were recognized.
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ap chest centered at the diaphragm shows a nasogastric tube passing through the distal portion of a non-distended stomach. left lower lobe atelectasis is improved since chest ct on. milder atelectasis is present at both bases.
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moderate bilateral effusions, left greater than right with bibasilar opacities which may represent compressive atelectasis or infection in the appropriate clinical setting. mild vascular congestion without frank pulmonary edema.
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normal chest radiograph. no pneumonia.
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radiograph centered at the thoracoabdominal junction was obtained for assessment of a nasogastric tube, which courses below the diaphragm. due to image artifact, the distal tip of the nasogastric tube is not confidently visualized. repeat radiograph of the upper abdomen may be helpful in this regard.
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again seen hyperinflated lungs. 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 significant interval change.
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new opacity in the rul consistent with right upper lobe pneumonia increase in left pleural effusion with stable right pleural effusion
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no acute cardiopulmonary process. slight elevation of the left hemidiaphragm.
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bibasilar atelectasis, but no focal consolidations. moderate enlargement of the mediastinal silhouette, likely due to a tortuous aorta and mediastinal lipomatosis.
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there is no pneumothorax, effusion, consolidation or chf. there is cardiomegaly which obscures views of the left base. degenerative changes and scoliosis are present in the spine. there are degenerative changes present in both shoulders. there are old rib fractures present on the left posteriorly.
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worsening congestive heart failure with small right effusion. moderate left pleural effusions with adjacent left lower lobe opacity. this may reflect atelectasis and dependent edema, but coexisting infection should be considered in the appropriate clinical setting.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute findings in the chest.
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no acute intrathoracic process
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increased right pleural loculated effusion with chest tube in place. increasing consolidation in the right lung is concerning for pneumonia.
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mild cardiac enlargement compatible with systemic hypertension, but no signs of chf or acute pulmonary infiltrates in this -year-old female patient with history of seizures.
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no acute cardiopulmonary abnormality.
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resolved pulmonary vascular congestion pulmonary edema. mild bibasilar atelectasis persists.
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left lower lobe process could be infectious. recommend followup.
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interval advancement of an et tube now terminating <num> cm above the level carina. ngt should be further advanced. otherwise, stable appearance of the chest.
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no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
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left lower lobe pneumonia. scoliosis of thoracic spine. tortuous aorta.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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slight increase in right-sided pleural effusion which is now moderate.
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there has been interval placement of a dobbhoff feeding tube which courses below the diaphragm and is coiled within the stomach. bibasilar chest tubes remain in place with no pneumothorax appreciated. the patient is status post median sternotomy for cabg and valve replacement with stable cardiac and mediastinal contours. lungs are relatively well inflated with small residual pleural effusions and suggestion of possible underlying emphysema. patchy opacities at the bases likely reflect scarring or atelectasis. no pulmonary edema.
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stable severe cardiomegaly without pulmonary edema and no evidence of pneumonia.
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in comparison with the study of , there is continued opacification in the left upper zone, consistent with the known malignant lesion and possible postobstructive consolidation. substantial enlargement of the cardiac silhouette is again seen without definite vascular congestion. this raises the possibility of cardiomyopathy or even pericardial effusion. right ij catheter tip is in the lower svc.
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endotracheal tube has its tip <num> cm above the carina. nasogastric tube is seen coursing below the diaphragm with the tip not identified. cardiac and mediastinal contours are stable. lungs are grossly clear. there is mild pulmonary venous hypertension but no overt pulmonary edema. no pneumothorax, although the sensitivity to detect pneumothorax is diminished given semi-erect technique.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. no fracture identified on this non dedicated exam however if desired rib series with marker at the site of point tenderness can be performed.
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clear left upper lobe with no current signs of pneumonia.
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right great than left, upper lobe streaky opacities may be chronic, but infection cannot be excluded. left base streaky opacity, atelectasis vs pneumonia.
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ap chest compared to : lung volumes are lower, accounting in part for worsening of two regions of abnormal lung, axillary region of the left upper lobe and right lung base medially, both of which are concerning for pneumonia. lateral aspect of the right mid lung shows there is also a component of mild-to-moderate pulmonary edema. moderate cardiomegaly is unchanged. there is no appreciable pleural effusion or pneumothorax. ng tube passes into the stomach and out of view. right central venous catheter ends in the region of the superior cavoatrial junction.
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as compared to the previous radiograph, there is a substantial decrease in extent of the pre-existing right pleural effusion. mild pulmonary edema is unchanged. moderate cardiomegaly. unremarkable left lung, with the exception of a small retrocardiac atelectasis. the monitoring and support devices are in unchanged correct position.
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in comparison with the previous study, the dobhoff tube has been redirected into the esophagus and extends to the upper stomach.
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a nasogastric tube has been placed and courses below the diaphragm with the tip and side port projecting over the stomach. overall, airspace opacities in the lungs have improved suggestive of resolving edema and there are residual streaky linear opacities bilaterally. overall cardiac and mediastinal contours are stable given differences in patient rotation between studies. no pneumothorax. no large effusions.
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increased opacification in the right lower hemithorax suggesting increase in small to moderate pleural effusion, atelectasis or both. presence of pneumonia is not excluded by this study.
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in comparison with the study of , there is little change. again there are low lung volumes that accentuate the transverse diameter of the heart. little if any vascular congestion. no evidence of acute focal pneumonia or pleural effusion.
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as compared to radiograph, widespread diffuse pulmonary opacities have minimally decreased and a stent. improved visualization of right hemidiaphragm could relate to spared lung parenchyma in this region or potentially a basilar pneumothorax. left lateral decubitus radiograph with attention to right lung could be performed to better assess this region if warranted clinically.
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no acute cardiopulmonary process.
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left lower lobe opacities are worrisome for pneumonia. cardiomediastinal contours are unchanged. there is no pneumothorax or pleural effusions. there are low lung volumes.
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no acute cardiopulmonary process or free abdominal air.
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peribronchial cuffing and diffuse interstitial abnormality consistent with asthma. mild chronic cardiomegaly
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nasogastric drainage tube ends in the upper stomach, partially withdrawn since , an should be advanced at least <num> cm to move all side ports into the stomach. long-standing bibasilar infiltrative pulmonary abnormalities are unchanged. heart size normal. pleural effusions small if any. no pneumothorax. tracheostomy tube and right internal jugular line are unchanged in standard positions. no pneumothorax.
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no acute cardiopulmonary abnormality.
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right upper lobe opacity concerning for pneumonia. mild cardiomegaly stable. hiatal hernia redemonstrated.
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suspicious focal opacity at the right lung base is indeterminate for infection. followup ct at four weeks is recommended to assess for interval change.
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no radiographic explanation for chest pain.
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right lower lobe pneumonia. follow up radiographs after treatment are recommended to ensure resolution of this finding.
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support lines and tubes are unchanged in position. unchanged cardiomegaly. there are large bilateral effusions and likely consolidation at the bases, stable. there are no pneumothoraces.
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unremarkable chest radiograph. the patient's known pulmonary nodules are beyond the resolution of this radiograph.
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no radiographic evidence for acute cardiopulmonary process.
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left apical nodule, which may be internal or external to the patient. repeat radiograph without overlaying clothes, and if still present, consider ct for further characterization. results conveyed via critical results by dr on.
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no acute cardiopulmonary process.
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normal chest radiograph
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no acute cardiopulmonary process.
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pa and lateral chest compared to : hyperinflation suggests emphysema and/or small airway obstruction. lungs are clear of any focal abnormality. heart is not enlarged and there is no edema or substantial pleural effusion.
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no acute cardiopulmonary process.
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in comparison with the study of , there is little change. the pacemaker does ventilator leads again extend to the right atrium and apex of the right ventricle and there is no evidence of post procedure pneumothorax. cardiomediastinal silhouette is unchanged and there is no definite vascular congestion or acute focal pneumonia.
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on review of prior imaging, patient has severe tracheomalacia mild bilateral pulmonary edema and vascular congestion persistent right pleural effusion and right lower base atelectasis
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in comparison with the study , the dobbhoff tube extends to the distal stomach. otherwise little change.
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no evidence of enlarged mediastinal lymph nodes or lung lesions.
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no acute intrathoracic abnormality.
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a right internal jugular line tip is at the right atrium and should be pulled back approximately <num> cm to secure it position at the cavoatrial junction or above. cardiomegaly is substantial, unchanged. the patient was extubated. right pigtail catheter is in place. bibasal consolidations are unchanged as well as mild vascular congestion. no definitive evidence of pneumothorax is present on the current study
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no evidence of pleurisy, cardiac enlargement or pulmonary congestion in this -year-old male patient with chest pain for three weeks.