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in comparison with the study of , the mole monitoring and support devices are unchanged. again there is extremely severe interstitial pulmonary disease with prominent bronchiectasis and possible concurrent pulmonary edema throughout both lungs. external gastric tube is in place.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no evidence of acute disease.
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right picc line tip is at the level of lower svc. heart size and mediastinum are stable. left pleural effusion is small. vascular congestion is minimal if at all, definitely improved since the prior study.
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stable appearance of pulmonary metastases, multifocal pneumonia, pulmonary edema, and right upper lobe collapse.
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ap chest compared to through : previous large left pleural effusion has almost entirely resolved, with a possible fissural residual. a new left pleural drain projects over the diaphragmatic region, but cannot be properly localized on this single frontal view. mild atelectasis persists at the base of the left lung. right lung is essentially clear. heart size is top normal. transvenous right atrial and right ventricular pacer leads are continuous from the left axillary pacemaker. small left apical pneumothorax is new. multiple post-traumatic rib deformities are noted along the right lateral chest wall. dr was paged.
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right-sided port with tip at the cavoatrial junction. no evidence of acute pulmonary process.
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no evidence of pneumonia.
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compared to chest radiographs progressive consolidation, right lower lung could be dependent pulmonary edema, in the setting of severe cardiomegaly hilar and mediastinal vascular engorgement or, alternatively, pneumonia. left lower lobe consolidation which developed on is probably collapse. no pneumothorax. et tube in standard placement. esophageal drainage tube passes into the stomach and out of view.
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confluent opacity in the right lower lobe could be compatible with pneumonia in the appropriate clinical setting. <num> cm poorly defined nodular opacity in left mid lung could potentially be infectious or neoplastic and is without correlate on prior cta. follow-up chest radiographs are recommended in weeks after completion of antibiotic therapy to ensure resolution. small right pleural effusion vs pleural thickening and adjacent linear scar.
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in comparison with the study of , the monitoring and support devices are stable. continued bilateral pleural effusions with compressive basilar atelectasis, more prominent on the left. remainder the study is unchanged.
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normal chest x-ray.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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interval appearance of the left lower lobe consolidation and left pleural effusion concerning for pneumonia.
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endotracheal tube in appropriate position. ng tube terminates in the stomach with side port at the expected location the gastroesophageal junction.
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no definite acute cardiopulmonary process.
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ap and lateral view of the chest shows new left base opacity due to consolidation and pleural effusion suspicious for pneumonia. new linear opacity at the right lung base is also due to atelectasis. heart size is mildly enlarged. there is no sign of pulmonary edema. no pneumothorax. findings were reported to dr at pm by dr
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ap chest compared to. lung volumes remain low, and there is still a fair amount of consolidation in the right lower lobe. right upper lobe shows greater vascular congestion, on the verge of mild edema, although heart size is normal and mediastinal veins are not particularly dilated. very small left apical pneumothorax is newly apparent. apical pleural tube in place. left pleural effusion minimal if any. subclavian line ends in the svc. dr was paged as soon as the findings the findings were recognized.
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ap chest compared to : feeding tube with a wire stylet in place passes into the distal stomach and out of view. right supraclavicular dual-channel central venous catheter set ends in the right atrium. lungs are low in volume but clear. no pneumothorax or pleural effusion.
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no acute cardiopulmonary process.
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interval sternotomy with left basal opacity, likely atelectasis, thought cannot exclude an early pneumonia. tiny left pleural effusion also present.
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no acute intrathoracic abnormality.
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heart size is normal. mediastinum is normal. left retrocardiac consolidation is demonstrated, relatively extensive, associated with left pleural effusion. there is most likely present right pleural effusion. there is no evidence of pneumothorax. there is exited medial and of the right clavicle appears to be unremarkable.
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persistent, unchanged pulmonary edema.
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no relevant change as compared to the previous image. moderate scoliosis with subsequent asymmetry of the ribcage. no evidence of overinflation. no pulmonary edema, no pneumonia, normal size of the cardiac silhouette.
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in comparison with the study , there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. hazy opacification of the bases with silhouetting the hemidiaphragms is consistent with layering effusion and atelectatic changes. no vascular congestion is appreciated.
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no evidence of acute disease. status post endotracheal intubation. orogastric tube terminating in the distal esophagus; if gastric placement is desired, advancing the tube by at least <num> cm is suggested.
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as compared to the previous radiograph, the lung volumes remain low and the moderate cardiomegaly with tortuosity of the thoracic aorta persists. status post cabg and valvular replacement, left pectoral pacemaker. however, the transparency of the lung parenchyma has increased, likely reflecting improved ventilation. no pulmonary edema. no pneumonia p minimal blunting of the left costophrenic sinus, seen on the frontal radiograph only, might reflect a minimal left pleural effusion.
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as compared to the previous radiograph, the lung volumes have slightly decreased. borderline size of the cardiac silhouette without pulmonary edema. no pleural effusions. no pneumonia, no pneumothorax. the right port-a-cath is in unchanged normal position.
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mild interstitial edema has developed since. right juxtahilar and smaller lung lesions noted. heart size normal. no appreciable pleural effusion. right internal jugular line ends in the upper right atrium. no pneumothorax.
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as compared to the previous radiograph, no relevant change is seen. relatively wide right mediastinum without evidence of abnormal contours. moderate cardiomegaly. mild elongation of the descending aorta. no pleural effusions. no pneumonia, no pulmonary edema.
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comparison to. the nasogastric tube has been advanced. the tip now projects over the gastroesophageal junction. the device could be advanced by another <num> cm to be securely positioned in the stomach. no pneumothorax.
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new acute cardiopulmonary process.
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right perihilar opacity with fibrotic changes and loss of volume in the right lung in this patient status post lobectomy. comparison with prior chest radiographs suggested for interval change. no focal consolidation or evidence of pneumothorax.
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as compared to the previous radiograph, no relevant change is seen. low lung volumes. borderline size of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema.
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compared to chest radiographs :<num>. right pic line ends in the low svc. heart size top-normal, exaggerated by low lung volumes. lungs clear. no pleural abnormality.
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combination of mild pulmonary edema and moderate right pleural effusion has improved. dense consolidation in the left lower lobe has been present since could be pneumonia. there is still a moderate volume of bilateral pleural effusion. chest ct would be very helpful in defining the persistent intrathoracic abnormalities. heart is top-normal size. tracheostomy tube midline. no pneumothorax. recommendation(s): consider chest ct to discriminate atelectasis from pneumonia, and to assess the volume of pleural effusions.
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increased soft tissue density in the right suprahilar and right paramediastinal region for which clinical correlation is suggested (post-treatment changes such as radiation?) noting that underlying parenchymal changes or adjacent adenopathy in the setting of malignancy is possible.
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stable mediastinal widening at operative site. new left hydropneumothorax following chest tube removal.
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bullous emphysema is extremely severe. comparing today's study to there is an increase in peribronchial opacification in the right lung apex medially and a small region at the right lung base, both of which could be pneumonia. there are no other focal abnormalities heart size is normal. there is no pleural effusion.
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stable chest findings. no evidence of cardiac enlargement, pulmonary congestion, or acute infiltrates.
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no acute intrathoracic process.
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et tube tip now <num> cm above the carina. no evidence of pneumomediastinum. improving pulmonary vascular congestion.
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no acute cardiopulmonary process. little change from prior.
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somewhat low lung volumes, otherwise, no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. of note conventional radiographs do not provided complete evaluation of the tracheobronchial tree.
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no acute cardiopulmonary process.
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left lower lobe pneumonia. recommend followup to resolution.
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increased opacity in the left lower lobe and mid lung is consistent with aspiration pneumonia.
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no evidence of heart failure or fluid overload.
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mild pulmonary edema superimposed on a background of mild chronic interstitial abnormality.
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normal chest radiograph.
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no acute cardiopulmonary process.
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findings suggestive of slight vascular congestion or fluid overload; otherwise unremarkable.
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moderate left-sided pleural effusion. no evidence of free intraperitoneal air below the diaphragm.
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no acute cardiopulmonary abnormalities
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overall stable appearance of the chest relative to prior study dated with large left pleural effusion. no focal opacity convincing for pneumonia is identified although fluid somewhat limits evaluation.
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mild pulmonary edema with small bilateral pleural effusions consistent with congestive heart failure. more dense heterogeneous opacification of the left lower lobe may represent superimposed pneumonia in the appropriate clinical setting.
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ap chest compared to , : post-operative widening of the cardiomediastinal silhouette is stable. if there is mediastinal hematoma, there is no evidence of interval accumulation of more blood beyond any tube drainage. two midline and one left pleural drain are in place. there has been an increase in small bilateral pleural effusions. lungs low in volume but essentially clear. no pneumothorax. right jugular line ends in the right atrium.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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left posterior tenth rib fracture of indeterminate age, probably healed. several sclerotic vertebral bodies within the thoracic spine concerning for malignancy. hyperinflated lunges and flattening of bilateral hemidiaphragms compatible with emphysema.
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no acute intrathoracic abnormalities identified.
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chronic basilar predominant interstitial fibrosis without convincing evidence of a superimposed acute infectious pneumonia. however, given limitations of the current lateral view, a repeat lateral view with improved technique may be helpful to exclude a subtle basilar pneumonia if clinical suspicion for infection persists.
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platelike atelectasis of left lung base small left pleural effusion.
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overall cardiac and mediastinal contours are within normal limits given portable technique. there is calcification of the aortic knob consistent with atherosclerosis. in addition, there are some unusual calcifications projecting over two of the mid thoracic vertebrae which could reflect ascending aortic calcifications, calcified mediastinal lymph nodes, or possibly sclerotic vertebrae. correlation with a lateral film would be helpful. a <num>-mm calcified nodule is seen in the left costophrenic angle, likely representing a calcified granuloma. lung volumes are relatively low without evidence of pulmonary edema, focal airspace consolidation, pleural effusions, or pneumothorax. clips are seen overlying the right axilla, suggesting prior lymph node dissection.
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interval placement of a right internal jugular catheter with its tip in the mid-to-low svc. no evidence of pneumothorax. otherwise, no interval change.
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compared to the prior chest radiograph of the lung volumes have improved and the pulmonary edema has resolved. no focal opacity concerning for pneumonia.
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no evidence of active pulmonary tuberculosis.
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mild cardiomegaly without signs of pneumonia or edema.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no evidence of active or latent tb.
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no acute cardiopulmonary process.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. again there may be mild kinking of the right subclavian line between the clavicle and first rib, with the tip again extending to the upper svc.
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the postoperative left lung is now largely collapsed, reflected in severe leftward mediastinal shift and elevation of the left hemidiaphragm. also moderate left pleural effusion has increased and there is any indeterminate volume of left pneumothorax. left pleural drain is still in place. right lung is clear. change in size of the large heart is indeterminate.
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bilateral pleural effusions, right greater than left. increased focal opacity at the left lung base concerning for aspiration pneumonia. difficult to exclude an underlying infectious process in the right lung base.
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no acute cardiopulmonary process.
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low lung volumes. status post left upper lobectomy with decreased aeration of the left lung as compared to prior.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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clearing of right lung. probable left lower lobe pneumonia.
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unchanged very small right apicolateral pneumothorax following chest tube removal.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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no evidence of acute intrathoracic process.
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stable hyperexpanded lungs with biapical pleural thickening/scarring. no evidence of pneumonia.
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right ij central line terminates in the superior cavoatrial junction. interval mild increased cephalization of the pulmonary vessels, which may be partly or wholly due to supine positioning, making it difficult to evaluate for pulmonary edema.
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low lung volumes with accentuate the bronchovascular markings, but no definite evidence of focal consolidation to suggest pneumonia.
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no acute cardiopulmonary process. two new compression deformities in the mid to lower thoracic spine, new since but age indeterminate. clinical correlation will be necessary.
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bilateral small pleural effusions. moderate cardiomegaly without focal consolidation.
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no evidence of acute cardiopulmonary process.
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orogastric tube terminating in the stomach. improved aeration of both lower lungs.
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there is a right-sided chest tube which is unchanged in position. there has been reappearance of a small right apical pneumothorax whose pleural line projects over the third posterior rib. there is atelectasis versus early infiltrate at the lung bases, stable. heart size is normal. there is no overt pulmonary edema. there is again seen subcutaneous emphysema throughout the chest wall. a stent is seen along the right lower neck.
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no acute cardiopulmonary process. partially imaged, air distended colon.