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no acute cardiopulmonary process.
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comparison to ,. minimally improved ventilation of the right lung. the extensive left parenchymal opacities are stable. stable tracheal stent and monitoring and support devices. mild to moderate cardiomegaly persists.
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right internal jugular port-a-cath in unchanged position. no evidence of kinking. stable severe cardiomegaly.
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low lung volumes with mild pulmonary vascular congestion and bibasilar streaky atelectasis. no focal consolidation.
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as compared to the previous radiograph, the nasogastric tube has been changed. the new tube shows a normal course. the tip is located in the proximal parts of the stomach. moderate cardiomegaly with retrocardiac atelectasis persists. mild fluid overload. minimal blunting of the left costophrenic sinus, potentially caused by a small pleural effusion. slight cortical irregularity along the medial aspect of the sixth right rib could represent an old fracture.
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interval increase of left pleural effusion and atelectasis with improved ventilation of the right lung base. increased cardiomegaly warrants further characterization by echocardiography. findings were paged to dr , at by dr
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tracheostomy is not as well visualized on the current film as on the prior film, ? due to technical factors. very thin linear density seen through portions of the mediastinum and also in the upper abdomen, with a radiopaque tip overlying the stomach. clinical correlation is requested to confirm that this corresponds to the ng or orogastric tube placed. low inspiratory volumes with bibasilar atelectasis, improved on the right. air bronchograms seen in the retrocardiac region are consistent with left lower lobe collapse and/or consolidation, similar to the prior film.
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cardiomegaly again seen. prominent pulmonary vasculature bilaterally and is not as congested as that seen in chest radiograph in
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no evidence of pneumonia or signs of congestive heart failure.
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mild cardiomegaly is stable. the aorta is tortuous. there is mild vascular congestion. if any there is a small right effusion. there is no pneumothorax or pleural effusion. right chest wall deep brain stimulator is noted
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low lung volumes. moderate cardiomegaly, age indeterminate.
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interval increase in right pulmonary opacity the differential diagnosis including pneumonia with superimposed volume loss, worsening of malignant disease, possible component of radiation fibrosis, aspiration not excluded.
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mild interstitial edema with trace bilateral pleural effusions.
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no radiographic evidence of pneumonia
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no pneumothorax.
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similar appearance to prior
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improving right middle lobe atelectasis since. ct scan would be needed to assess the patency of the right middle lobe bronchus,. otherwise, no significant change. stable bilateral calcified pleural plaques consistent with asbestos exposure.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process. the known aneurysm appears radiographically occult.
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no pulmonary edema or acute intrathoracic process.
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worsening pulmonary edema. bilateral pleural effusions, grossly stable.
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adequate positioning of a left-sided picc within the distal svc. no acute cardiopulmonary abnormality.
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new volume loss in the right middle and lower lung with associated elevation of the hemidiaphragm. a component of subpulmonic effusion and/or consolidation cannot be completely excluded.
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hyperinflated lungs without radiographic evidence for acute cardiopulmonary process.
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compared to chest radiograph, tip of endotracheal tube terminates <num> cm above the carina. cardiomediastinal contours are stable. worsening left retrocardiac opacity is likely due to atelectasis and is accompanied by a small left pleural effusion.
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the feeding tube tip is in the distal stomach.
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expected postoperative changes after esophagectomy.
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in comparison with the earlier study of this date from an outside facility, there is little change. cardiac silhouette is within normal limits in a patient with intact midline sternal wires. no definite vascular congestion or pleural effusion or acute focal pneumonia. there is elevation of the right hemidiaphragmatic contour and evidence of old healed rib fractures on the left. on the single frontal view, no definite tracheal abnormality is appreciated. ct would be necessary to further evaluate this region
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no evidence of abnormality demonstrated.
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no evidence of acute cardiopulmonary process. moderate cardiomegaly and calcified and tortuous aorta.
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slight improvement in the right subpulmonic pleural effusion. postsurgical changes in the right lung without evidence of pneumonia.
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findings are compatible with mild pulmonary edema with small bilateral pleural effusions, increased from prior.
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no acute cardiopulmonary process.
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left pleural catheter is in place with a persistent small left pleural effusion and adjacent left lower lobe atelectasis and or consolidation. a small to moderate right pleural effusion is similar to the prior study, but adjacent right basilar lung opacification has improved.
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minimal opacification at the right lung base, likely atelectasis. no definite evidence of pneumonia. hyperinflation and coarse interstitial markings, likely due to interstitial lung disease.
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there is no evidence of an acute cardiopulmonary process. however, given the patient's history of aml, if clinical symptoms for a thoracic process are high, a dedicated chest ct is recommended.
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low lung volumes. subtle right basilar opacity may be due to atelectasis although mild infection or underlying aspiration is not excluded in the appropriate clinical setting.
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no evidence of pneumonia.
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no evidence of pneumonia.
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no relevant change as compared to the previous examination. left central venous access line. normal size of the cardiac silhouette. normal hilar and mediastinal contours. minimal tortuosity of the descending aorta.
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no acute cardiopulmonary process.
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interval placement of an enteric tube with the tip in the stomach. otherwise, unchanged compared to the prior examination.
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stable small bilateral layering pleural effusions with bibasilar subsegmental atelectasis. slightly high-riding et tube may be advanced by <num> cm for more optimal ventilation.
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standard positioning of the endotracheal tube and nasogastric tube. no acute cardiopulmonary process.
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compared to prior chest radiographs through sequential chest radiographs show advancement of the esophageal feeding tube with the wire stylet from the lower esophagus to the mid stomach. severe cardiomegaly is chronic but pulmonary vascular congestion and previous pleural effusions have improved since. lungs are grossly clear. nipple shadow should not be mistaken for lung nodules. there is no current pleural abnormality. right jugular line ends
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lung volumes remain very low. mild edema has substantially cleared in the right lung. on the left there is substantial lower lobe atelectasis and at least a moderate pleural effusion, so <num> would expect less clearing of edema. with the chin down, et tube at the thoracic inlet, though no less than <num> cm from the carina is probably optimally placed. an upper enteric drainage tube is traceable only as far as the mid esophagus, although it may go further. there is no pneumothorax. moderate cardiomegaly is unchanged from exaggerated by persistently low lung volumes.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , the there again is suggestion of basilar opacifications, more prominent on the left, which would be consistent with the clinical diagnosis of aspiration. the left subclavian picc line has been redirected so that the tip points downward
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lungs clear.
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as compared to the previous radiograph, no relevant change is seen. the lung parenchyma is normal. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the cardiac silhouette. normal hilar and mediastinal contours.
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low lung volumes and fluid overload/pulmonary edema.
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persistent small bilateral pleural effusions, but decreased compared to previous exam. atelectasis within the right lung base. no overt pulmonary edema.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no relevant change as compared to the previous examination. lower lung volumes with more atelectatic lung portions at both the right and left lung bases. normal size of the cardiac silhouette. normal course of the nasogastric tube. in the interval, the patient has been extubated. no new focal parenchymal opacities. no pulmonary edema. unchanged size of the cardiac silhouette appear
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no acute cardiopulmonary process.
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no acute intrathoracic process. gaseous distention of loops of bowel partially imaged and not well assessed on this study.
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worsening consolidative opacity in the right upper lobe as well as persistent patchy and interstitial opacities in both lung bases, findings concerning for progression of multifocal pneumonia.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormalities
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no acute cardiopulmonary process. hyperinflated lungs suggestive of copd.
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in comparison with the study of , there are lower lung volumes with continued diffuse bilateral pulmonary opacifications an enlargement of the cardiac silhouette. the appearance could represent any combination of pulmonary edema, widespread pneumonia, and ards. monitoring support devices are unchanged.
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no acute cardiopulmonary process.
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perhaps mild increase in hydropneumothorax but with chest tube remaining in place and no striking change. similar mass-like opacities in the right lower lung previously shown to probably reflect partial collapse of the right lung.
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increased densities present on the lateral chest radiograph at the posterior costophrenic angle relative to study dated may reflect superimposed shadows and atelectasis although infectious process cannot be entirely excluded for which clinical correlation is recommended.
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increasing bibasilar and perihilar opacifications since , concerning for aspiration or infection.
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lungs fully expanded and clear. heart size top-normal unchanged since at least. no pleural abnormality.
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no acute intrathoracic process
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no pleural effusions, edema or signs of congestive heart failure.
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no definite acute cardiopulmonary process.
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new right lower lobe atelectasis with additional opacities concerning for pneumonia.
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no interval change in orientation in course and caliber of a left pectoral mediport. clear lungs.
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no previous images. there is enlargement of the cardiac silhouette with tortuosity of the aorta. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. right ij catheter extends to the mid to lower portion of the svc.
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mild edema, bibasilar atelectasis.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic abnormality.
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no acute cardiac or pulmonary findings. no definite rib fracture identified. if there is continued clinical concern for a rib fracture, further evaluation can be performed with a dedicated rib series, including an appropriately positioned radiopaque skin marker.
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mild increase of left-sided pleural effusion apparently induced by tki administration (does this stand for tyrosine kinase inhibitor?).
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opacification at the right lung base concerning for infectious process. subtle opacification seen in the left upper lobe which may be within the lung, versus related to costochondral cartilage of the first rib. recommend dedicated ct of the chest with contrast for additional evaluation.
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no acute cardiopulmonary abnormality.
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extensive bilateral infiltrates, slightly worse at the left base and possibly slightly improved in the right upper zone. the differential diagnosis includes both pulmonary edema and infectious infiltrates.
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right middle lobe mass and multiple pulmonary nodules are re- demonstrated. bibasal atelectasis is noted. cardiomediastinal silhouette is stable. overall no substantial change since prior examination demonstrated.
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right lower lobe consolidation compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution.
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mild pulmonary edema has worsened since. moderate cardiomegaly is long-standing. mediastinal venous engorgement suggests elevated central venous pressure or volume. right lower lobe atelectasis has improved. no pneumothorax. et tube and right internal jugular line are in standard placements. esophageal tube can be traced as far as the low esophagus but the tip is indistinct. , md
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large hiatal hernia without definite focal consolidation. however, evaluation of the retrocardiac region is partially obscured by the large hiatal hernia.
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known infection with mild bronchiectasis in the right middle lobe and lingula. no new acute abnormality.
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apparent interstitial opacities in the lung bases, possibly due to crowding of bronchovascular structures related to low lung volumes. however, if clinical concern for pneumonia persists, pa and lateral views with greater inspiration effort are recommended.
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support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there is persistent collapse of the right middle and lower lobes, unchanged. there is prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema, more confluent within the left mid lung field. there are no pneumothoraces.
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right internal jugular central line unchanged in position. stable postoperative cardiac and mediastinal contours status post median sternotomy for cabg. clips overlying the right axillary region consistent with prior surgery. small bilateral effusions, left greater than right. patchy bibasilar airspace disease likely reflects atelectasis. no pulmonary edema. no pneumothorax.
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no acute cardiopulmonary process.
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ap chest compared to : greater consolidation at the base of the left lung which developed between has not improved. leftward mediastinal shift suggests at least some of this is due to atelectasis, but concurrent pneumonia could be present as well. right infrahilar consolidation is also concerning for progressive pneumonia or developing atelectasis. upper enteric drainage tube ends in a non-distended stomach. moderate cardiomegaly unchanged. no pneumothorax.
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subtle increase in opacity at the left lateral lung base may be secondary to atelectasis; however, an acute infectious process cannot be excluded.
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no acute abnormalities.
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no acute cardiopulmonary abnormality. no subdiaphragmatic free air.
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findings consistent with emphysema, but no definite acute process.
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moderate right pleural effusion is smaller and previous mild pulmonary edema has improved. moderate cardiomegaly stable. displaced right rib fractures unchanged. no pneumothorax. right subclavian infusion catheter, transvenous right atrial and ventricular pacer leads, are in standard placements and an esophageal feeding tube passes into the stomach and out of view.
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there is mild improvement of the subcutaneous emphysema. heart size is upper limits of normal but stable. there is a left retrocardiac opacity, consistent with prior surgery. small bilateral effusions are seen. there is no overt pulmonary edema or pneumothoraces. small amount of free air underneath the right hemidiaphragm is seen.
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no evidence of pneumonia.
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no evidence of acute cardiopulmonary disease.
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compared to chest radiographs through. generalized interstitial pulmonary abnormality and the more heterogeneous peribronchial opacification in both lower lobes have both decreased. this could be real improvement or a reflection of increase positive pressure ventilator support. clinical correlation would answer that question. heart size normal. no pleural abnormality. indwelling cardiopulmonary support devices unchanged in standard placements.