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comparison to. the extent of the left pneumothorax is not substantially changed. no evidence of tension. mild retrocardiac atelectasis persists. stable appearance of the right lung.
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enlargement of the cardiac silhouette which may be due to cardiomegaly, although pericardial effusion is also possible. consider echocardiogram. mild height loss of a mid thoracic vertebral body, age indeterminate and clinical correlation is suggested.
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comparison to. no relevant change is seen. moderate right pleural effusion. stable interstitial thickening caused by lymphangitis picc spread of disease. moderate cardiomegaly. mild elongation of the descending aorta. stable position of the right picc line.
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increase in left lung base atelectasis. no pneumothorax or pleural effusion.
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moderate cardiomegaly without pulmonary edema. no acute cardiopulmonary process.
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no definite acute cardiopulmonary process. vague opacity projecting over the right mid lung may be due to confluence of shadows and repeat exam with shallow obliques is suggested to ensure clearance.
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comparison to. the patient is in mild to moderate pulmonary edema. small bilateral pleural effusions and fluid accumulations in the pleural fissures are visible. moderate cardiomegaly. mild elongation of the descending aorta. no pneumonia, no pneumothorax.
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linear opacity in the right upper lung zone, which has increased in size since the prior exam. given the underlying copd, recommend further characterization with a non-emergent ct of the chest to exclude malignancy. results were emailed to the ed nurses on by dr.
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mild central pulmonary vascular congestion. no definite focal consolidation.
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coarse widespread reticular opacities likely representing chronic interstitial disease. no superimposed consolidation is seen.
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mild decrease in pulmonary vascular congestion.
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mild prominence of the central pulmonary vasculature, left main pulmonary artery. clear lungs.
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et tube tip is low, <num> cm above the carina and should be pulled back at least <num> cm. ng tube tip is in the stomach. right internal jugular line tip is at the level of lower svc. cardial mediastinal silhouette is stable, overall unremarkable. there is interval improvement in pulmonary edema which is still persistent with associated increased in the interim pleural effusion most likely reflecting the clearance of pulmonary edema. the effusions are at least moderate and bilateral. left retrocardiac consolidation might reflect atelectasis due to increasing pleural effusion but infection this area cannot be excluded.
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ap chest compared to fluoroscopy spot film, : tip of the right pic line is at the origin of the svc, it may be <num> cm more peripheral than documented fluoroscopically on. it is still in a large central vein. normal heart, lungs, hila, mediastinum and pleural surfaces.
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prominence of main and right pulmonary possibly due to pulmonary arterial hypertension, unchanged compared to. no focal opacification is evident.
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right ij catheter tip is in thecavoatrial junction. et tube is in standard position. right chest tubes are in place. right skin are again noted. bibasilar opacities have minimally increased consistent with increasing atelectasis. small right effusion is unchanged. there is probably small left effusion. there is no evident pneumothorax. cardiomediastinal contours are unchanged.
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minimally displaced right ninth rib fracture. nondisplaced right sixth rib fracture.
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limited exam demonstrating bibasilar atelectasis, slight fullness of the right pulmonary hilum. no definite sign of free air below the right hemidiaphragm. to resolve the apparent right hilar prominence, consider dedicated pa and lateral views with more optimized inspiratory effort.
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comparison to. no relevant change. primary complex in the right upper lobe. minimal scarring in the left upper lung. healed left-sided rib fractures. normal size of the cardiac silhouette. no pulmonary edema, no pneumonia, no pleural effusions.
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no acute cardiopulmonary process.
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no significant interval change in the appearance of the chest compared to.
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ap chest compared to , : tip of the new endotracheal tube is in standard placement. cuff distends the tracheal caliber and its upper margin is sharply defined by pooled secretions. clinical attention is recommended. nasogastric tube is looped distally and returns to the gastric fundus. bibasilar atelectasis, more severe on the left than right, is stable as is small left pleural effusion, borderline cardiomegaly and mediastinal vascular engorgement. new right jugular line can be traced as far as the mid svc, but the tip is indistinct. no pneumothorax.
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as compared to the previous radiograph, the patient has received a new left pectoral pacemaker. <num> lead projects over the coronary sinus and <num> over the right atrium. no evidence of complications, notably no pneumothorax. the pre-existing, relatively diffuse lung parenchymal opacities are constant in extent and distribution.
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no acute cardiopulmonary abnormality.
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low lung volumes. no acute cardiopulmonary abnormality.
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mild central pulmonary vascular engorgement. subtle right base opacity may represent overlap of vascular structures; however, a small consolidation is not excluded in the appropriate clinical setting.
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hyperinflation, with mild peribronchial cuffing, possibly due to underlying asthma. otherwise, no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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comparison to ,. no relevant change is noted. the extent of the known left pleural effusion is stable. a displaced rib fracture on the left is visualized in unchanged manner. unchanged appearance of the normal right lung and the right heart border.
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no acute cardiopulmonary abnormality.
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since the prior study, there is interval increase in pulmonary vascular markings suggesting vascular congestion/minimal interstitial edema, superimposed on chronic lung disease. mild basilar atelectasis is seen without definite focal consolidation
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mild-to-moderate loculated fluid in the right lower lung is new following the removal of the right pigtail drain tube. right lower lung atelectasis is mild to moderate and persisting.
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aside from a calcified granuloma in the right lung, lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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clear lungs with no evidence of pneumonia.
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persistent posterior right apical loculated pleural fluid of with probable air-fluid level, air-fluid level more conspicuous as compared to the prior study, fluid component appear similar. chest ct would provide further assessment.
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no radiographic evidence of pulmonary masses or other significant cardiopulmonary abnormalities.
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large right pleural effusion not appreciably changed since. mediastinum midline indicates that the effusion developed slowly enough for equivalent atelectasis to develop. small left pleural effusion is unchanged. left lung is clear. heart size is normal. the right transjugular infusion port ends close to or just beyond the superior cavoatrial junction, as before. no pneumothorax.
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as compared to the previous radiograph, there is unchanged evidence of mild to moderate pulmonary edema. the severity of these changes is not substantially worsened since the previous examination. moderate cardiomegaly with left pectoral pacemaker persists. no larger pleural effusions. mild to moderate retrocardiac atelectasis.
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patchy opacities in the lower lobes with peribronchial cuffing. findings could reflect airways disease such as bronchitis, with associated atelectasis, but developing infection is not excluded in the correct clinical setting.
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no radiographic evidence of pneumonia. ground-glass opacities on the prior chest ct from are not appreciated by radiograph.
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no acute cardiopulmonary process. no clavicular fracture seen.
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no acute intrathoracic process.
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interval mild improvement of right basilar opacity.
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tip of the left subclavian picc line remains within the azygos vein
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no acute cardiopulmonary abnormality
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worsening right basilar pneumonia or severe atelectasis, either due to aspiration. worsening small bilateral pleural effusions.
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chest findings within normal limits. no evidence of adenopathy, pleural effusion or pneumothorax in this -year-old male patient with night sweats.
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no radiographic evidence for acute cardiopulmonary process.
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unremarkable radiograph of the chest. please refer to chest ct and mr which are more sensitive in the evaluation of the bones and soft tissues.
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asymmetric opacities in the left lower lobe which may be infectious. no findings suggestive of congestive heart failure. follow-up radiographs are suggested to reassess when clinically appropriate.
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apparent enlargement of the right hilum. pa and lateral suggested for better evaluation when patient is amenable. otherwise unremarkable portable chest x-ray.
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no evidence of pneumothorax and improving pulmonary edema. left picc course likely within normal limits; if clinical concern for an intra-arterial line exists, correlate with pulsatility of flow or an abg.
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no acute cardiopulmonary process.
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underlying emphysema and chronic interstitial changes. bilateral interstitial opacities may be due to mild pulmonary interstitial edema or atypical pneumonia. follow-up chest radiograph after diuresis would be helpful.
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mild to moderate pulmonary vascular congestion.
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low lung volumes with secondary bronchovascular crowding. bilateral pulmonary nodules as seen on prior exams including ct.
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ap chest compared to through. tracheostomy tube is midline. moderate cardiomegaly is chronic. pulmonary vascular congestion and borderline interstitial pulmonary edema persists. there is no pneumothorax or pleural effusion. right picc line ends in the region of the superior cavoatrial junction.
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bilateral pleural effusions with bibasilar atelectasis, but no evidence of interstitial or alveolar pulmonary edema.
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icd leads end in the right atrium and right ventricle. no evidence of bleeding or pneumothorax.
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dobbhoff tube is in the stomach. moderate left pleural effusion persists. right hemodialysis catheter is in the right atrium. substantial aortic calcifications, left pleural effusion and left basal atelectasis are unchanged. upper lungs were excluded from the field of view
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no comparison. the lung volumes are normal. normal size of the cardiac silhouette, normal hilar and mediastinal contours. no pleural effusions. no pneumonia, no pulmonary edema, no pneumothorax.
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no acute cardiopulmonary process. moderate hiatal hernia.
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ill-defined opacities within the left upper lobe and left lung base are unchanged from previous radiograph, and likely worse or new compared to the most recent chest ct. this could be due to an infectious etiology or cryptogenic organizing pneumonia, given that ground-glass opacities have been seen on prior chest cts in a waxing and waning fashion.
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moderate cardiomegaly.
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no pneumonia or other acute intrathoracic process.
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vagal nerve stimulator implanted in the left anterior chest wall without breaks or disconnections of the leads.
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no significant interval change from the prior exam with innumerable pulmonary metastases re- demonstrated.
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no acute cardiopulmonary process.
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in comparison to study , there is little change. monitoring support devices remain in place. specifically, no evidence of pneumothorax.
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no radiologic evidence of acute thoracic abnormality.
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standard positioning of endotracheal and enteric tubes. mild retrocardiac atelectasis.
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no acute cardiopulmonary process.
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left lower lobe opacity in the superior and posterior basal segments with substantial volume loss. although potentially due to an acute infectious pneumonia with a component of atelectasis from mucous plugging, a post obstructive process from obstructing neoplasm such as carcinoid may have a similar radiographic appearance. depending on clinical presentation, short-term follow-up chest radiograph in <num> weeks after antibiotic therapy or immediate chest ct with contrast is recommended. the latter would be suggested if the patient has been experiencing recurrent symptoms or if the process fails to substantially improved after treatment. recommendation(s): either short-term follow-up with chest radiograph in <num> weeks after completion of antibiotic therapy or chest ct with contrast is recommended.
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unchanged left pleural effusion mild pulmonary vascular congestion.
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tiny left apical pneumothorax. allowing for differences in patient positioning, unchanged from the
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiothoracic process including no evidence of pneumonia.
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no acute cardiopulmonary process.
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nonspecific pleural and parenchymal scarring at the left base. no findings specific for past or active tb infection.
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interval decrease in the aeration of the right lung secondary to worsening atelectasis and right pleural effusion. a superimposed infectious process cannot be excluded. widespread metastatic disease is better evaluated on the ct performed on the same day.
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pa and lateral chest compared to : transvenous right atrial and right ventricular pacer leads follow their expected courses. no pneumothorax, pleural effusion, mediastinal widening or other evidence of complication. lungs clear. heart size normal. pulmonary vasculature not engorged.
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no acute cardiopulmonary pathology.
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no evidence of acute cardiopulmonary abnormalities.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, there is unchanged low position of the right-sided picc line. the tracheostomy tube is in constant position. moderate cardiomegaly. low lung volumes. mild fluid overload but no overt pulmonary edema. no pleural effusions.
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central dialysis catheter courses posteriorly in the chest and is not along the expected course of the svc nor does it overlie the right atrium. the catheter does not appear to terminate in the svc or right atrium, but may be within a large azygous vein.
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comparison to. no relevant change. status post left pleurodesis. mild cardiomegaly. no pneumothorax. stable appearance of the right lung.
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tip of nasogastric tube terminates at the level of the carina, with apparent coiling in the cervical esophageal region. exam is otherwise similar to the recent study performed less than <num> hr earlier prior to the nasogastric tube placement.
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mild pulmonary edema with bilateral pleural effusions, cardiomegaly.
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new right picc ends in the mid svc with no evidence of complication, particularly no pneumothorax.
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ap chest compared to through : severe cardiomegaly has worsened since prior to surgery. it is comparable, however, to the postoperative appearance since. there is no pulmonary edema or appreciable pleural effusion and no pneumothorax. right jugular line ends in the right atrium.
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no acute cardiopulmonary abnormality.
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cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces.
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normal chest x-ray.
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no acute findings in the chest.
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dobhoiff tube now terminates in the stomach.
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interval increase in the size of the heart, however, still within the upper limits of normal. no secondary signs of congestive heart failure. there may be an interval increase in the size of the aorta compared to the prior ct from ; however, if clinically indicated, would recommend follow up ct for further evaluation and characterization.