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normal chest radiograph without evidence of pneumonia.
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central pulmonary vascular engorgement without overt pulmonary edema.
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interval placement of nasogastric tube with tip coursing below the diaphragm and projecting over the stomach. endotracheal tube with tip approximately <num> cm above the carina. patchy opacities in the right upper and mid lung less apparent on the current study. interval appearance of patchy retrocardiac opacity which could reflect atelectasis or possibly pneumonia or aspiration. clinical correlation is advised. no evidence of pulmonary edema. overall cardiac and mediastinal contours are likely stable.
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compression of an upper thoracic vertebral body possibly t<num> ,this is of indeterminate age but new from. no evidence for a mass or other abnormality in the chest.
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circular calcified left upper quadrant abdominal lesion with differential including calcified splenic cyst, versus less likely a large pancreatic pseudocyst or calcified splenic artery aneurysm. recommend correlation with abdominal ultrasound.
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the ng tube has been minimally advanced but the side port is still near the gastroesophageal junction. further advancement by <num> cm would be advised. the endotracheal tube has its tip approximately <num> cm above the carina and pullback of <num> cm, which was previously recommended, is still advised. the previously seen pneumothorax is not well visualized on this study, but this could be related to supine technique. followup imaging in the upright position would be advised. a clip is seen within a nodular opacity at the right medial base, which was placed by a ct-guided interventional procedure on , in this patient with known lung malignancy. overall, the lung volumes are slightly lower and there is patchy opacity at the right base, likely reflecting atelectasis. no large effusions. no evidence of pulmonary edema. overall, cardiac and mediastinal contours are stable.
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new right heterogeneous opacification in lower lobe. this may represent early consolidation. for radiographic documentation to confirm pneumonia, repeat chest ct can be considered. stable persistent pleural abnormalities. these findings and recommendations were communicated to dr telephone by dr at on at the time findings were reviewed.
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no evidence of residual or recurrent pneumonia.
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there is opacity in the right lower lobe silhouetting posterior aspect of right hemidiaphragm on lateral view. this may be atelectasis, however pneumonia as possible in correct clinical setting.
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no evidence of acute intrathoracic process.
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comparison to. the patient has received a single left pectoral pacemaker, with lead projecting over the right ventricle. no pneumothorax or other complications. borderline size of the heart. a parenchymal opacity seen on a previous image on the right, at the lung basis, is no longer present.
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the diffuse interstitial and airspace process involving nearly all of the right lung and the left mid to lower lung is not significantly changed. overall cardiac and mediastinal contours are stable. a feeding tube is seen with its tip now projecting over the stomach. a right internal jugular central line is unchanged in position. no pneumothorax is seen.
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bilateral calcified pleural plaques limit assessment of the underlying lung parenchyma, but no new focal consolidation is seen. chronic mild interstitial abnormality could reflect asbestosis and is unchanged.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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interstitial pulmonary edema with small bilateral pleural effusions and mild cardiomegaly.
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no acute cardiopulmonary abnormality.
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no definite findings suggestive of pneumonia. small bilateral pleural effusions.
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essentially unchanged chest radiograph from prior imaging with no evidence of consolidation or acute pulmonary or cardiac process. these findings were communicated to dr at
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in comparison with the study of , the area of increased opacification at the left base is not appreciated. this is consistent with resolving pneumonia on. remainder the study is within normal limits.
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no acute cardiopulmonary process. somewhat linear opacity projecting over the right upper lung and the anterior right second rib. it is uncertain if it is within the lung or overlying osseous structures. apical lordotic views suggested to further localize.
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areas of scarring in the lower lungs. please note, given this appearance, a subtle nodule may be obscured. if there are elevated risk factors for lung cancer, non-emergent ct of the chest may be obtained. no definite signs of acute intrathoracic process.
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no evidence of pneumonia.
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findings concerning for developing pneumonia in the left lower lobe.
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the volume of bilateral pleural fluid is probably still substantial, left-greater-than-right, but not appreciably changed since. it is sufficient however to obscure most of the lower lungs ; there is the suggestion of a large left perihilar consolidation, in the superior segment of the left lower lobe that developed since and may extend to the basal segments, atypical distribution for aspiration pneumonia. heart is only mildly enlarged and mediastinal veins only mildly distended. definition of the right bronchial airway below the upper lobe takeoff is poor suggesting retained secretions. feeding tube passes into the stomach and out of view.
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nodular opacities within the right lung may reflect vessels on end although infectious etiology is difficult to exclude.
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feeding tube in stomach. left picc ends in the left brachiocephalic vein. resolution of the right pleural effusion. stable small left pleural effusion.
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interval decrease in size of bilateral pleural effusions.
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low lung volumes without overt cardiopulmonary process.
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copd, with extensive background parenchymal scarring, right apical pleural thickening, right apical scarring and calcification, and right hilar retraction, again seen. please note that small pulmonary nodules can be radiographically occult. perihilar and bibasilar reticular opacities, minimally more pronounced than on the prior study from raise the question of mild superimposed chf. atypical infection could also be considered in the appropriate clinical setting.
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right ij central venous catheter positioned appropriately.
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no acute cardiothoracic process seen.
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poorly defined opacities in the lower lungs which could represent pneumonia. limited exam.
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compared to chest radiographs since , most recently. borderline hyperinflation of the lungs is chronic. no focal pulmonary abnormality, specifically no atelectasis or evidence of pneumonia. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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no acute cardiopulmonary process. loss of height, low thoracic vertebral body increased since.
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as compared to the previous radiograph, the lung volumes have decreased, causing areas of atelectasis at both the right and the left lung bases. the atelectasis are more severe on the right and on the left. the left port-a-cath is unchanged. the previously placed feeding tube has been removed and replaced by a new catheter. the position of this catheter is to i. the tip projects over the gastroesophageal junction. for correct positioning in the stomach that tube requires to be advanced by <num> cm. no complications, notably no pneumothorax.
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increased interstitial markings within the lung bases which appear relatively similar when compared to the prior study, and may reflect chronic changes. subsegmental atelectasis in the right lower lobe.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection.
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mild interstitial pulmonary edema.
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mild interstitial edema with small bilateral effusions.
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no evidence of acute disease.
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in comparison with the study of from an outside hospital, there is continued enlargement of the cardiac silhouette with some indistinctness of engorged pulmonary vessels consistent with elevated pulmonary venous pressure. continued left pleural effusion with compressive atelectasis at the base. probable atelectatic changes are also seen on the right. continued irregular pleural opacifications about the border of the left hemithorax, consistent with the pleural myeloma circumferentially involving the left lung on the ct of.
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no acute cardiac or pulmonary process.
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no acute cardiopulmonary process. moderate cardiomegaly.
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no acute cardiopulmonary process.
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probable right lower lobe pneumonia, best appreciated on the lateral projection.
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a transesophageal tube terminates in the stomach.
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there are no prior chest radiographs available for review. mild to moderate cardiomegaly is exaggerated by an narrow sagittal thoracic diameter. lungs are clear, pulmonary and mediastinal vasculature unremarkable. no pleural effusion.
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no acute intrathoracic process.
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no previous images. mild hyperexpansion of the lungs, but no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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port-a-cath terminates in the distal svc. no evidence of pneumonia.
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no acute cardiopulmonary process.
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no interval change except removal of right chest tube. no pneumothorax.
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endotracheal tube and right-sided chest tube are unchanged position. heart size is enlarged but stable. there is atelectasis at the right base and right mid lung field, stable. there are no pneumothoraces.
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no acute findings, specifically no signs of pneumonia.
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no acute cardiothoracic process.
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massive cardiomegaly and mild pulmonary edema.
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patchy opacity within the lower lobe, likely on the left, concerning for pneumonia. follow up radiographs after treatment are recommended to ensure resolution of this finding.
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no acute cardiopulmonary process.
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area of worsening consolidation in the left lower lobe consistent with worsening infection.
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increased interstitial markings particularly in the left mid to upper lung with likely a chronic component given distortion of the left hilum. superimposed acute infection or underlying mass lesion is also possible. correlation with older films should they become available would be of use. otherwise additional imaging such as followup chest x-ray after treatment (if planned) or ct scan at this time is suggested.
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no acute cardiopulmonary process.
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nasogastric tube is curled in a largely intrathoracic stomach transmitted through a hiatus hernia. lungs are clear. cardiomediastinal silhouette is otherwise normal. no pleural abnormality.
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interval placement of two new left chest tubes status post recent thoracotomy with decrease in the opacification throughout the left lung and significantly improved aeration of most of the left lung. a left basilar chest tube remains in place. there is residual patchy opacity at the left base, which likely reflects residual atelectasis, although superimposed infection cannot be entirely excluded. residual small layering left effusion. the right lung remains grossly clear. no evidence of pulmonary edema. endotracheal tube remains approximately <num> cm above the carina. a right picc line remains in place with its tip in the distal svc. cardiac and mediastinal contours are likely stable. no evidence of a pneumothorax.
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moderate enlargement of the cardiac silhouette. no evidence of interstitial lung disease.
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pulmonary vascular congestion is new, exaggerated by supine positioning. moderate left pleural effusion layering posteriorly and left lower lobe atelectasis have increased. right lung is low in volume but essentially clear. displaced rib fractures on both sides of the chest have not changed appreciably. the t<num> level, but is not evaluated by this study. skin are still in place. right subclavian line ends in the low svc. no pneumothorax.
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left basal opacity, slightly improved from prior likely reflecting persistent small effusion and left basal consolidation which may represent atelectasis and/or pneumonia.
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normal chest radiograph.
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no pneumothorax and a small left effusion.
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et tube is seen within the right main stem bronchus or near its origin. recommendation is made for it to be withdrawn <num> cm. increasing pulmonary edema. increasing nodular confluent opacities consistent with early atelectasis or infiltrate. stable cardiomegaly with small unchanged bilateral effusions. these findings were reported to dr at via phone by.
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new bilateral lower lung opacities, suggest pneumonitis in the appropriate clinical setting.
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no acute cardiopulmonary process.
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no pneumothorax. unchanged left lung mass obscuring para-aortic line.
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no acute cardiopulmonary process.
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mild interstitial abnormality, could be acute edema, alternatively interstitial pneumonia, or chronic lung disease.
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no acute abnormality.
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the large right hydro pneumothorax is unchanged since. mild leftward shift of the lower mediastinum is stable. left lung is clear. right supraclavicular central venous infusion port ends in the right atrium, as before.
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no acute intrathoracic process.
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as compared the previous radiograph, the known left-sided pneumothorax might have minimally decreased in extent. the small opacity at the level of the left costophrenic sinus is unchanged. no evidence of tension. mild cardiomegaly persists. unchanged normal appearance of the right lung.
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stable position of picc line. no pneumonia or other acute intrathoracic process.
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no acute intrathoracic process. stable linear right lower lung opacifications, unchanged across multiple prior studies on background of chronic lung disease.
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in comparison with the study of , there is little overall change. postsurgical changes are again seen on the right, but there is no evidence of acute pneumonia. no new volume loss is appreciated.
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no acute cardiopulmonary process.
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with the study of , there is little change and no evidence of acute cardiopulmonary disease. there is mild enlargement of the cardiac silhouette with prominence of ascending and descending aorta, suggesting underlying hypertension. no evidence of pneumonia, vascular congestion, or pleural effusion.
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mild vascular congestion and mild cardiomegaly <num> cm nodular density projecting over the retrosternal space on the lateral view. recommend oblique radiographs to exclude a pulmonary nodule. dr communicated the above findings and recommendations to dr at am on by telephone.
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no acute cardiothoracic process.
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no evidence of new acute infiltrates.
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no acute cardiopulmonary process seen.
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no acute cardiopulmonary process.
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there has been no radiographic change since at. no pneumothorax or pleural effusion. small region of consolidation surrounding the <num> uppermost left bronchial drains has not increased, could be retained secretions or a small region of hemorrhage. severe emphysema.
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right picc tip in the mid svc. moderate cardiomegaly with mild pulmonary vascular congestion, improved from the previous study.
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no acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process.
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following recent porta catheter removal, there is no evidence of pneumothorax or definite retained catheter fragment. standard pa and lateral radiographs in the department would be more sensitive, however. exam is otherwise unchanged since recent study of.
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complete atelectasis of the left lung is present, with the et tube tip being <num> cm above the carinal. left internal jugular line tip is at the junction of the left brachycephalic vein and svc. mediastinal shift to the left is noted. ng tube tip is at the gastroesophageal junction and should be further advanced. right pleural effusion is noted.
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comparison. no relevant change. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pleural effusions. no pneumonia, no pulmonary edema.
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enteric tube tip in the mid stomach. improved pulmonary opacities.
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no acute cardiopulmonary process.
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left trans subclavian right atrioventricular pacer leads unchanged in course since. size of the cardiomediastinal silhouette unchanged since , but smaller today than on. lungs are clear. no pleural effusion or pneumothorax.
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normal heart, lungs, hila, mediastinum and pleural surfaces. no radiographic change since. no evidence of elevated central venous, pulmonary venous or pulmonary arterial pressure.