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no pneumothorax. bibasilar atelectasis.
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compared to chest radiographs. repeat frontal, lateral, and supplementary oblique views show no consolidation or other acute abnormality. small lung nodules seen on the chest ct are noted, particularly in the lower lung zones.
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dobbhoff tube courses past the diaphragm and out of view.
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pa and lateral chest compared to most recent prior chest radiograph : prior chest radiographs really not comparable, and a torso ct including the chest on does not really clarify several abnormalities seen on today's chest radiographs: <num> mm wide elliptical nodule could be the right nipple, right fifth anterior interspace, and a small almost nodular region of possible retrosternal consolidation seen only on the lateral. combination of spinal osteophytes lends increased radiodensity to the lower thoracic spine a region where one usually looks for subtle pneumonia. given the paucity of these findings, i doubt that the patient has symptomatic pneumonia, but i would strongly recommend chest ct scanning to see if any of the abnormalities seen on the conventional chest radiographs is a clinically significant one, and a change since. there is no pleural effusion. heart size is normal. pulmonary vasculature is not enlarged. mediastinal contour in the region of the ap window is mildly lobulated and could adenopathy.
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no radiographic evidence for acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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complete interval resolution of pneumonia.
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no acute cardiopulmonary process. known left upper lobe lesion is better appreciated on recent ct.
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as compared to the previous radiograph, no relevant change is noted. the pre-existing parenchymal opacities, notably in the right than left. lower lobe as well as in the right upper lobe, constant in severity and extent. no new opacities are noted. severe overinflation and moderate cardiomegaly persists.
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no relevant change as compared to the previous image. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the cardiac silhouette.
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no pneumonia, edema or pleural effusion.
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residual opacity in the left anterior segment of the left upper lobe is compatible with improving pneumonia. new ill -defined opacification within the left lung apex may reflect a new site of infection. slight increase in size of the moderate sized left pleural effusion, and slight interval decrease in size of small right pleural effusion compared to the prior radiograph. there is associated bibasilar atelectasis.
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<num> mm spiculated nodular density is noted in the costophrenic angle which may simply represent overlying shadows. recommend the repeat lateral radiograph in order to assess if this persists. by the time of review of the study, the patient had left the ed therefore these results were emailed to the emergency department qa nurses.
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no acute cardiopulmonary process.
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possible minimal bibasilar atelectasis without acute cardiopulmonary process seen.
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cardiomediastinal contours are unchanged. multifocal right lung opacities have minimally increased. retrocardiac atelectasis is stable. small bilateral effusions are unchanged. tracheostomy tube is in standard position. there is no evident pneumothorax.
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copd without acute superimposed process.
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no evidence of acute cardiopulmonary process.
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moderate-to-large right basilar hydropneumothorax with fluid components increasing since the prior study. interval increase in right base opacity is seen, could be from atelectasis and effusion, but underlying infection not excluded. unchanged diffuse subcutaneous emphysema and apically oriented right-sided chest tube.
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no acute cardiopulmonary process.
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hyperinflated lungs without signs of pneumonia or chf. mild cardiomegaly.
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no evidence of acute cardiopulmonary process. unchanged mild to moderate cardiomegaly.
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right fifth and sixth lateral arch rib deformities, appear acute. please refer to subsequently performed ct chest for further details.
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no acute intrathoracic process.
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large, left multiloculated pleural effusion minimally improved from the prior study.
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bilateral basilar opacification with pleural effusions. in the appropriate clinical setting, this could be consistent with pneumonia.
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left lower lung opacity is thought to represent a post-obstructive infection in the setting of a known hilar mass.
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interval increase in size of moderate left pleural effusion with adjacent atelectasis and/or consolidation. air-fluid level at the left thoracoabdominal junction may be in the stomach or could reflect a pancreatic pseudocyst adjacent to the stomach given history of this entity. consider ct for further evaluation.
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no acute cardiopulmonary process.
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increased mild interstitial pulmonary edema/vascular congestion with stable small right pleural effusion are suggestive of fluid overload.
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heart size increased indicating augmented circulating blood volume, but no evidence of pulmonary edema or pleural effusion. observe comments made regarding previously placed picc line.
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increased opacity at the left lung base consistent with small effusion underlying collapse and/or consolidation. the differential includes a pneumonic infiltrate. previously identified rib fracture in this area and not well seen on today's study. is a picc line present? -- if so, concern regarding its location. please see comment above.
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ap chest compared to : et tube is in standard placement, nasogastric tube ends in the mid stomach. severe cardiomegaly persists. low lung volumes responsible for vascular crowding, and the large scale consolidation in the left lower lobe is probably atelectasis. pleural effusions are small if any. no pneumothorax. right subclavian or pic line ends in the mid svc. no pneumothorax.
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no acute cardiopulmonary process.
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unchanged mild cardiomegaly. no pneumonia.
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normal chest.
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increase in the bibasilar airspace opacities concerning for infection versus pulmonary edema.
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no signs of pneumonia. equivocal signs of mild pulmonary congestion and mild cardiomegaly.
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left lung clear despite chronic, elevated hemidiaphragm, function indeterminate.
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congestive heart failure on a background of chronic abnormality. given all the abnormalities, acute pneumonia could be easily missed. telephone notification to dr by dr at.
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persistent interstitial edema with severe cardiomegaly without pleural effusions.
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tiny left pleural effusion with expected post-surgical appearance to the left lung.
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moderate to large left pleural effusion with adjacent compressive atelectasis. this could obscure an underlying pneumonia. stable location of right-sided pleural catheter and right chest wall port.
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no acute cardiopulmonary abnormality.
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subject to technical limitations in imaging a patient this size, ng tube can be traced only as far as the gastroesophageal junction. moderate cardiomegaly and mediastinal vascular engorgement have increased. soft tissue obscures the lower lungs. there could be a small right pleural effusion.
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no acute intrathoracic process
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no pneumonia.
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pneumoperitoneum. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no focal infiltrate or consolidation detected. mild upper zone redistribution is unchanged.
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pulmonary edema with bilateral effusions, right greater than left. asymmetric opacities in the left mid lung and right lower lobe may represent pneumonia. followup to resolution. stable mild cardiomegaly.
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ap chest compared to most recent prior chest radiograph, : nasogastric tube ends in the upper stomach, should be advanced <num> cm to move all the side ports well beyond the gastroesophageal junction. lungs are clear. heart size is normal, and there is no pleural abnormality.
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no previous images. no pneumonia, vascular congestion, or pleural effusion. no definite rib fracture or pneumothorax.
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in comparison to radiograph, a nonspecific opacity in the left retrocardiac region has worsened and could reflect atelectasis or developing infectious pneumonia. this is difficult to assess on a portable radiograph due to the presence of a known hiatal hernia contributing to this appearance. interstitial edema and small pleural effusions persist.
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no acute cardiopulmonary process, no effusion.
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in comparison with the study of , the patient has taken a better inspiration. the right apical pneumothorax is essentially unchanged. no definite left pneumothorax. the endotracheal tube nasogastric tube and swan-ganz catheter have been removed. continued enlargement of the cardiac silhouette with basilar atelectasis, especially on the right. no definite acute focal consolidation.
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no acute intrathoracic process identified.
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no definite acute cardiopulmonary process.
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unchanged small right apical pneumothorax without evidence of tension. stable bibasilar atelectasis. no evidence of new consolidation or pulmonary edema.
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multiple areas of increased opacity, unchanged from prior study, concerning for multifocal pneumonia. small bilateral pleural effusions.
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low lung volumes with blunting of the left costophrenic angle suggestive of a small effusion.
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no acute cardiopulmonary process.
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normal heart, lungs, hila, mediastinum and pleural surfaces. no evidence of pneumonia or atelectasis.
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no acute intrathoracic process. opacity in the right upper lobe adjacent to the right paratracheal stripe is most likely an artifact. recommend pa and lateral views for further evaluation. recommendation(s): pa and lateral views to assess opacity in the right upper lobe.
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<num>-mm nodular opacity at the right lung base may represent superimposition of structures; however, non-emergent oblique views are recommended to ascertain if this finding is a true pulmonary nodule. no pulmonary edema.
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in comparison to radiograph, cardiomegaly is now accompanied by pulmonary vascular congestion and interstitial edema. more confluent opacities in the lower lobes, right greater than left, may reflect asymmetrical distribution of pulmonary edema or a secondary process such as aspiration or evolving infectious pneumonia. small pleural effusions are also evident.
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ap chest compared to through , et tube in standard placement. upper enteric drainage tube passes to the distal portion of a non-distended stomach. mild cardiomegaly is chronic. upper mediastinal distention is probably a function of vascular engorgement in the supine position. i see no explanation for respiratory insufficiency. this examination neither suggests nor excludes the diagnosis of acute pulmonary embolism. no pneumothorax or pleural effusion. no pulmonary edema.
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no acute cardiopulmonary process.
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faint opacification in the retrocardiac region may represent pneumonia in correct clinical setting.
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no acute cardiopulmonary process.
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interval collapse of the entire right lung, with rightward shift of the mediastinum.
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no acute cardiopulmonary pathology.
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no acute cardiopulmonary abnormality.
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bibasilar atelectasis. no free air under the diaphragms.
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no acute intrathoracic process.
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slightly increased prominence of opacities in the right lower lung base can be concerning for pneumonia in the right clinical setting. right moderate bibasilar pleural effusion and adjacent atelectasis is again noted. left basilar opacity is not well seen on this exam, likely atelectasis.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process, no findings to explain patient's symptoms.
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no acute pulmonary process or displaced rib fracture detected.
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no interval change from. no pulmonary edema or vascular congestion.
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no focal consolidation to suggest pneumonia.
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increasing right basilar opacification including a pleural effusion.
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no acute cardiopulmonary process. loss of height, low thoracic vertebral body increased since.
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low lung volumes bilaterally. no pneumonia.
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no evidence of acute cardiopulmonary disease.
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as compared to the previous radiograph, the chest tube is now on waterseal. a <num> cm apicolateral right pneumothorax has developed. no evidence of tension. no focal parenchymal opacities.
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no acute cardiopulmonary abnormality.
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no previous images. the cardiac silhouette is mildly enlarged with left ventricular prominence. however, no vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute cardiac or pulmonary process.
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no significant change compared with the prior film. no orogastric-type tube identified.
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there is moderate cardiomegaly in. the aorta is tortuous. there is no evident pneumothorax. opacities in the right base are likely a combination of the small effusion and adjacent atelectasis.
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comparison to. monitoring and support devices are stable. signs of pulmonary edema have decreased. there currently is no pulmonary edema. borderline size of the heart. mild left and right basal areas of atelectasis. no pleural effusions. no pneumothorax.
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normal chest radiograph.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no pneumonia.
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as compared to the previous examination no relevant change is seen. the patient is now intubated. the tip of the endotracheal tube projects <num> cm above the carinal. minimal increase in vascularity at the lung bases. a nasogastric tube is in unchanged position. unchanged position of the swan-ganz catheter. moderate cardiomegaly persists. no pneumothorax.
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no acute intrathoracic process.
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comparison to. moderate cardiomegaly persists. elongation of the descending aorta. widening of the diameter of the pulmonary arteries. chronic pulmonary edema is mild to moderate in severity but less severe than on.
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bilateral predominantly basilar opacities right greater than left, differentials include multifocal pneumonia or pulmonary edema.