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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. right internal jugular line tip is at the lower svc. cardiomediastinal silhouette is unchanged. there is interval development of moderate to severe pulmonary edema associated with large bilateral pleural effusions.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no prior chest radiographs available for review. lungs fully expanded and grossly clear. heart size top-normal. no pulmonary edema. normal mediastinal and hilar contours. no pleural abnormality.
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increased interstitial markings potentially from chronic lung disease. component of interstial edema is also possible.
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probable small right lower lobe pneumonia improved over <num> days. chronic moderate cardiomegaly and pulmonary vascular congestion similar to , worsened since.
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low lung volumes, without acute intrathoracic process.
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slight decrease in extent of right-sided pleural opacity, presumably representing loculated pleural fluid, although a component of chronic pleural thickening is also possible clearing of right upper lobe opacity, but persistent opacities in the right lower lobe. findings could potentially be due to an aspiration pneumonia given clinical suspicion for pneumonia.
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near resolution of pneumonia with minimal residual lingular opacities remaining. additional followup chest x-ray in <num> weeks is suggested to document complete resolution.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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partial silhouetting of the left hemidiaphragm on the frontal view only. although possibly due to focal scarring, an early pneumonia should be considered given the clinical suspicion for infection.
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cardiomediastinal slightly improved. there is no pleural effusion appreciated. left basal atelectasis has improved as well. silhouette is stable. there is no left apical pneumothorax demonstrated. right upper lobe linear atelectasis is re- demonstrated,
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hyperinflated lungs and basilar atelectasis without definite focal consolidation.
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no evidence of pneumonia.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion. specifically, no plain radiographic evidence of free intraperitoneal gas. there is some dilatation of the stomach.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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catheter with tip projecting over the confluence of the brachiocephalic veins. retrocardiac opacity may reflect atelectasis, aspiration or pneumonia.
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expected normal position of permanent pacer electrodes. stable chest radiograph, no pneumothorax.
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no evidence of acute pulmonary infection.
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mildly hyperinflated lungs, suggestive of copd. chronic mild cardiomegaly. no focal consolidation.
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today's radiograph shows the known right pleural effusion minimally increased, as compared to the previous image, there is no left pleural effusion. there is no convincing evidence for the presence of a left rib lesion or other abnormality explaining the clinical complaints of the patient. moderate cardiomegaly persists. extensive right lung atelectasis, following the right pleural effusion. the monitoring and support devices are in constant position.
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in comparison with the study of , allowing for the degree of patient obliquity, there is little overall change. blunting of the costophrenic angles suggests possible pleural effusions or thickening. no evidence of acute focal pneumonia.
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no acute intrathoracic abnormality.
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no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.
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in comparison, there is little change and no evidence of acute cardiopulmonary disease. specifically, no evidence of parenchymal or skeletal metastasis. study of
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comparison to. minimal interval decrease of the pre-existing left pleural effusion that continues to be moderate in size. minimal left pleural effusion is seen on the lateral radiograph only. the heart is borderline in size. the sternal wires are in stable position. no pneumothorax. no pneumonia.
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no acute cardiopulmonary process.
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in comparison with the earlier study of this day, the dobbhoff tube is now in the mid to lower portion of the svc. otherwise little change.
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no acute cardiopulmonary process. mild atelectasis at the left lung base. if clinical concern for an infectious process at this site, short interval follow-up can be considered. by , d. on the telephone on at <num>: pm, <num> minutes after discovery of the findings.
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in comparison with the study of , there has been a a left pneumonectomy with expected postsurgical changes and left chest tube in place. on the right, there is little change and the port-a-cath remains in place.
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pulmonary edema has resolved. multiple loculated effusions are unchanged.
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right lower lobe pneumonia. recommendation(s): recommend follow-up chest radiograph in weeks after treatment to ensure resolution.
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compared to chest radiographs through. combination of moderate pleural effusions and bibasilar atelectasis, at least moderate to severe, has not changed over several days. upper lung and mediastinal vasculature showed greater engorgement, on the verge of mild edema. heart size normal unchanged. cardiopulmonary support devices in standard placements. no pneumothorax.
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no acute cardiac or pulmonary process.
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no evidence of pneumonia.
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as compared to the previous radiograph, the lung volumes have decreased. as a consequence, the bilateral pleural effusions, that are overall unchanged, appears slightly larger than on the previous image. unchanged extent of the bilateral parenchymal atelectasis. no new parenchymal opacities. normal size of the cardiac silhouette. normal alignment of the sternal wires.
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no acute cardiopulmonary abnormality.
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no evidence of pneumothorax. minimally increased perihilar and bilateral parenchymal opacities are consistent with minimally worsened pulmonary edema. left basal atelectasis. no other significant change.
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as compared to the previous radiograph, the right internal jugular vein catheter is in unchanged normal position and the alignment of the sternal wires is normal. the patient shows bilateral small pleural effusions, combines to small areas of atelectasis. there is no evidence of a pneumothorax. borderline size of the cardiac silhouette. no pulmonary edema. the hilar and mediastinal structures are unremarkable.
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no acute findings in the chest.
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right internal jugular line tip is at the level of lower svc. cardiomediastinal silhouette is stable. sternal wires appear unremarkable. no appreciable pleural effusion or pneumothorax seen.
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no radiographic evidence for acute cardiopulmonary process.
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in comparison with the study , there is little interval change. again there is huge enlargement of the cardiac silhouette concerning for cardiomyopathy. no evidence of acute pneumonia or vascular congestion.
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hyperinflation indicates copd, probably emphysema. asymmetry of chest wall soft tissue is probably due to prior right mastectomy. patient has had median sternotomy and mitral valve replacement. only <num> upper sternal wires are present suggesting previous sternal wound complications. small hiatus hernia is chronic. the lungs are clear of any focal abnormality, pneumonia or edema, and there is no pleural effusion.
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left costrphrenic atelectasis or scarring. no acute cardiopulmonary process.
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small right pneumothorax without evidence of tension.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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improved right lower lobe aeration with mildly decreased right pleural effusion.
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pa and lateral chest reviewed in the absence of prior chest radiographs: heterogeneous opacification in the left lower lung, including lower lobe and lingula, is considerably more extensive than small regions of peribronchial consolidation with a nearly nodular appearance in the right mid lung. overall findings suggest bilateral pneumonia. there is no evidence of central adenopathy and no pleural effusion. heart size is normal. findings were discussed by telephone with at when the findings were recognized. determination of a pathogen is not possible radiographically but because of the bilateral nature of disease, mycoplasma infection needs to be added to the list of other likely candidates.
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progression of left lower lobe mass into periphery and now having contact with pleural space with moderate amount of pleural effusion.
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no acute intrathoracic process
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mild enlargement of the cardiac silhouette is unchanged since. there is no pulmonary or mediastinal vascular engorgement to suggest whether this is due to mild cardiac enlargement or pericardial effusion. lungs are clear and there is no pleural effusion.
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pa and lateral chest compared to : transvenous right atrial pacer and right ventricular pacer defibrillator leads follow their expected courses, unchanged, continuous from the left axillary pacemaker. heart is mildly enlarged, exaggerated by severe pectus deformity. lungs are clear, and there is no pleural abnormality, specifically no pleural effusion or pneumothorax. i see no displaced rib fracture. areas of focal tenderness should be marked for rib detailed views.
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mild pulmonary edema. patchy bibasilar airspace opacities may reflect atelectasis though aspiration or infection are not excluded. small right pleural effusion, and possible trace left pleural effusion.
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no acute pneumonia. increasing mild pulmonary edema with small bilateral pleural effusions.
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no radiographic evidence for pneumonia or pulmonary edema. copd.
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compared to prior chest radiographs since , most recently postoperative radiographs through , earlier in the day. tiny volumes of left pleural air and small pleural effusions are unchanged since earlier in the day. left pleural drain still in place. right lung clear. postoperative changes in the left lower lobe are stable.
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persistent enlargement of the pulmonary vessels suggests ongoing pulmonary edema.
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there are small layering bilateral effusions with associated bibasilar airspace opacities likely reflecting compressive atelectasis, although pneumonia cannot be excluded. no evidence of pulmonary edema. no pneumothorax. overall cardiac and mediastinal contours are likely stable given differences in positioning.
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nasogastric tube now seen terminating approximately <num> cm above the level of the carina. findings were conveyed by dr to dr telephone at on , min after discovery.
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cardiomediastinal contours are normal. et tube is in standard position. ng tube tip is in the stomach. left subclavian catheter tip is in the upper svc. there is mild vascular congestion. left lower lobe opacities are mild and unchanged. there are no new lung abnormalities. there is no pneumothorax or pleural effusion.
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moderate left and small right pleural effusion. mild interval improvement of pulmonary edema.
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bilateral pleural effusions, greater on the left than right, with increased left basilar opacity, not specific, although most frequently attributable to atelectasis. no evidence for parenchymal edema.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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normal chest radiograph. no evidence of pneumoperitoneum.
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support and monitoring devices are similar in position, and cardiomediastinal contours are stable. pulmonary vascular congestion is accompanied by perihilar edema, worse on the right than the left. additionally, there is new right mid and lower lung atelectasis accompanied by a small to moderate layering right pleural effusion. interval improved aeration in left lower lobe.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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endotracheal tube ends at the carina. recommend repositioning. no acute cardiopulmonary process. elevation of the left hemidiaphragm, which may be a result of mass effect from beneath the diaphragm, possibly an enlarged spleen. correlate clinically. the findings regarding the et tube were discussed with , m. d. at on by telephone. the findings regarding the elevated left hemidiaphragm were discussed with dr at on by telephone.
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asymmetric interstitial abnormality which may be due to pulmonary edema, possibly infection or other interstitial process. recommend close follow up to exclude a mass at the lower pole of either hilum.
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mild congestive heart failure with mild pulmonary edema and trace bilateral pleural effusions.
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bibasilar streaky opacities likely reflecting areas of atelectasis. small right pleural effusion.
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ett <num> cm above the carina. stable layering bilateral pleural effusions, with left retrocardiac atelectasis.
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worsening rounded opacity in the left lower lobe. differential diagnosis is broad and includes malignancy. should be evaluated with ct.
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no acute cardiopulmonary disease.
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no previous images. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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streaky basilar opacity, best seen on the lateral view, most likely represents atelectasis and vascular structures rather than focal consolidation.
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no acute cardiopulmonary process.
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as compared to chest radiograph, cardiomediastinal contours are normal, and lungs and pleural surfaces are clear.
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right picc line has been discontinued. cardiomegaly is mild, unchanged. mediastinum is stable. lungs are essentially clear with no focal consolidations to suggest interval development of infectious process.
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no acute cardiopulmonary abnormalities
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no acute cardiopulmonary abnormality.
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in comparison with the study of , there is little overall change. cardiac silhouette remains at the upper limits of normal in size with mild pulmonary edema. retrocardiac opacification again is consistent with volume loss in the left lower lobe and pleural he fusion. mild atelectatic changes are seen at the right base with small effusion.
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no signs of pneumonia.
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markedly limited exam, lung volumes and basal atelectasis. pneumonia in the lower lungs cannot be excluded.
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low lung volumes but no acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process. findings were conveyed by dr to dr telephone at on , at the time of discovery.
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compared to chest radiographs through. severe infiltrative pulmonary abnormality has not improved. diaphragmatic and mediastinal contours are now entirely obscured. moderate right pleural effusion is likely. left pleural fluid volume and heart size are indeterminate. no pneumothorax. right supraclavicular central venous catheter and a left pic line both end in the upper right atrium.
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no acute cardiopulmonary process.
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very small left-sided effusion. otherwise no acute interval change.
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no acute intrathoracic abnormality.
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interval worsening of pulmonary edema. no pneumothorax. the iabp is malpositioned.
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ap chest compared to : moderately severe pulmonary edema has recurred, since earlier improvement between. it is more pronounced today than on. moderate cardiomegaly is longstanding. heavy asbestos-related pleural calcification obscures large areas of the lower lungs. small-to-moderate right pleural effusion has increased. tracheostomy tube in standard placement. right pic line ends in the low svc. no pneumothorax.
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no evident new opacities to suggest pneumonia. right lower lobe mass, osseous metastases and lymphadenopathy are better evaluated on prior ct
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severe cardiomegaly is likely partially due to a component of pericardial effusion as seen on prior ct. although accurate comparison is difficult due to differences in modality, the pericardial effusion may have enlarged since. recommendation(s): echocardiogram is recommended.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , there is little change. cardiac silhouette is at the upper limits of normal in size. no evidence of acute pneumonia, vascular congestion, or pleural effusion.