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<num>. unchanged very low lung volumes with minimal bilateral lower lobe atelectasis. <num>. appropriately positioned endotracheal tube. enteric catheter visualized only as far as the level of the diaphragm, being obscured over its abdominal course.
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no evidence of pneumonia.
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small right pleural effusion.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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mild pulmonary edema and moderate cardiomegaly.
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mild left basal atelectasis, otherwise unremarkable exam.
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no significant interval change when compared to the prior study.
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<num>. possible right upper lobe lesion. lordotic view recommended. <unk> <unk>, md and <unk> discussed these findings by telephone, <time>pm <unk>. <num>. stable cardiomegaly and hiatal hernia.
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persistent small amount of pleural effusion in the presence of a drainage tube. no major pneumothorax. no new infiltrates.
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mild cardiomegaly without acute cardiopulmonary process.
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the ng tube side-hole does not reach the proximal stomach and advancement <unk>.<num> to <unk>.<num> cm and reimaging is recommended. otherwise, no significant changes from prior radiograph on the same date.
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<num>. no definite acute cardiopulmonary process to account for presentation. <num>. marked right convex lower thoracic scoliosis. <num>. a small rounded density overlying the right lower lung could represent a nipple shadow versus a discrete lesion. recommend repeat pa radiograph with nipple markers. findings reported to dr. <unk> by phone at <time> p.m. on <unk>.
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mediastinal abnormalities described above may reflect a developmental mediastinal anomaly or, alternatively, lymphadenopathy. correlation with prior chest imaging may be helpful, if available. recommendation(s): recommend correlation with prior chest imaging if available.
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mild bibasilar atelectasis. the cardiac silhouette is not enlarged.
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increased right upper lung nodular opacities, consistent with worsening pneumonia. findings were communicated via phone call by <unk> to <unk> on <unk> at <unk> pm.
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no acute intrathoracic process.
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no change.
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persistent enlargement of the cardiac silhouette without overt pulmonary edema.
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no evidence of acute disease.
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stent positioned within the gastroesophageal junction and extending into the upper stomach.
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no acute cardiopulmonary process.
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<num>. ng tube tip over gastric fundus/proximal stomach. the side port lies in the region of the ge junction, but does not definitely extend beyond the ge junction. <num>. patchy opacity at left lung base, new compared with <unk> chest x-ray hand apparently new compared with abdominal ct from <unk>. question atelectasis. in appropriate clinical setting, the differential diagnosis could include an pneumonic infiltrate or changes due to aspiration. <num>. unusual curvilinear lucency immediately below the right hemidiaphragm. the appearance is not typical for intraperitoneal air. question unusual artifact due to overlying bowel or superimposed diaphragmatic shadows. however, the possibility of free intra-abdominal air cannot be entirely excluded. if clinically indicated, a lateral view could help for further assessment.
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no signs of pneumonia or other acute intrathoracic process.
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no evidence of acute disease. mild cardiomegaly.
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slight increase in retrocardiac opacity on the lateral view most likely relates to vascular structures, but underlying consolidation is difficult to exclude in the appropriate clinical setting. no diffuse opacity is seen to suggest pcp, <unk>, chest ct is more sensitive in evaluating for pcp.
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no acute cardiopulmonary process.
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evidence of known mediastinal lymphadenopathy. no acute process. no pneumothorax. bibasilar atelectasis.
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moderate cardiac enlargement without superimposed acute cardiopulmonary process.
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small right pleural effusion with mild interstitial edema.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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persistent cardiomegaly. blunting of the left costophrenic angle may be due to trace pleural effusion and/or pleural thickening.
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no acute cardiopulmonary abnormality. lung hyperinflation compatible with history of copd.
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multifocal regions of consolidation worrisome for pneumonia. followup will be necessary to document resolution.
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no acute intrathoracic abnormality is identified.
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no evidence of acute disease.
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possible right lower lobe consolidation, small bilateral pleural effusions. these findings were discussed with dr. <unk> by dr. <unk> by telephone at <time> on <unk>.
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findings consistent with moderate interstitial pulmonary edema.
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previous ground-glass opacities seen on prior ct were better evaluated on ct. subtle focal bilateral suprahilar patchy opacities may represent ground-glass opacity if ct obtained, were not clearly seen on chest ct scout images from <unk> or <unk>, and may be new, possibly representing new sites of infection. no lobar consolidation.
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no acute cardiopulmonary process.
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<num>. low lung volumes with bibasilar atelectasis. <num>. left lower lobe and retrocardiac opacities most consistent with atelectasis however cannot exclude superimposed pneumonia. clinical correlation is recommended. <num>. support lines and tubes as described above. although no fracture or other bone abnormality is seen, conventional chest radiographs are not appropriate for detection or characterization of chest cage lesions. any focal findings should be clearly marked and imaged with either bone detail views or ct scanning.
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minimal change in bilateral small pleural effusions.
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no evidence for acute cardiopulmonary process.
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no evidence of pneumonia.
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no acute intrathoracic process.
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no substantial change in the right apical pneumothorax, however the pleural line it is extremely difficult to visualize on the current radiograph.
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pulmonary vascular congestion without definite superimposed acute consolidation or large effusion.
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marked decrease in right-sided pleural effusion. no evidence of pneumothorax. resolution of pulmonary congestion.
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enlarged bilateral hilar lymph nodes. narrowing of the left bronchus may be due to mass effect. as recommended on the same-day abdominal ct, chest ct may be obtained for further evaluation.
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sizeable right-sided pleural effusion. for further evaluation, a chest ct is recommended.
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hazy right lower lobe opacity may represent pneumonia or atelectasis.
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<num>. large pleural effusion in the right middle and lower lobe of unknown etiology. <num>. left <unk> to <num>th rib fractures. recommendation(s): ct of the chest can further evaluate the etiology of right-sided pleural effusion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no signs of pneumonia or other acute intrathoracic process.
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no significant interval change in widened mediastinal contours, please refer to the ct report performed <num> day prior.
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mild pulmonary edema.
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<num>. ng tube appears to terminate in mid esophagus, although the study is limited by overlying soft tissue. for better evaluation, consider obtaining radiograph of lower chest and upper abdomen using abdominal technique. <num>. pulmonary vessel congestion is slightly improved.
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no significant interval change.
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patchy new retrocardiac opacity although more likely to represent atelectasis than pneumonia. probable small effusion on the left. new elevation of the right hemidiaphragm, not specific; among other possible causes a subpulmonic effusion could yield this appearance. mediastinal lymphadenopathy. standard pa and lateral radiographs may be useful to reassess if needed clinically.
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moderate pulmonary edema, moderate left pleural effusion.
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<num>. left mid lung pneumonia. <num>. right lateral pleural thickening versus a trace right pleural effusion.
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patchy opacities projecting over the left lung base and right lung apex could be due to multifocal pneumonia or metastatic disease. elevated right hemidiaphragm.
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cardiomegaly and likely chronic changes in the lungs. mid to lower thoracic vertebral body height loss is age indeterminate.
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no acute cardiopulmonary process.
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widespread metastatic disease, not substantially changed from the recent ct exam. small left pleural effusion. no focal consolidation concerning for pneumonia.
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<num>. since <unk>, right pleural effusion is increased, left pleural effusion is decreased, and pulmonary edema is improved.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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there has been interval decrease in pulmonary edema. mild increase in left-sided atelectasis.
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no evidence of acute disease.
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appropriately placed et tube. moderate pulmonary edema. these findings were reported to dr. <unk> at <time> p.m. via phone by <unk>.
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mild pulmonary edema is unchanged.
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right basilar opacity, potentially atelectasis given lower lung volumes although infection is certainly possible.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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lingular or segmental left upper lobe collapse/atelectasis. consider mucous plugging or other cause of airway obstruction. consider repeat imaging after vigorous coughing or suctioning depending on the patient's clinical circumstance to see if this resolves.
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normal chest x-ray.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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subtle increased opacity overlying the right lower lobe is likely representative of atelectasis. however, an early developing pneumonia may be present in the proper clinical setting.
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no acute intrathoracic process with intraperitoneal air likely due to recent surgery.
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no acute cardiopulmonary process.
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<num>. no significant interval change. <num>. extrapleural proximal port of the upper chest, unchanged from prior.
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lead intended for the right atrium is directed unusually posteriorly. while this lead is likely in the right atrium, correlation with electrophysiology measurements would be helpful. these findings were discussed with dr. <unk> by dr. <unk> at <time> am on <unk> by telephone <unk> minutes after discovery.
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mild pulmonary vascular congestion, increased compared to the prior exam. no focal consolidation to suggest pneumonia.
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new left lower lobe opacity with morphology more suggestive of atelectasis than pneumonia although infection of lower airways or bronchopneumonia is not excluded.
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the nasogastric tube now courses below the diaphragm with both the tip and side port projecting over the proximal stomach. cardiac and mediastinal contours are stable. lungs are well inflated without evidence of focal airspace consolidation. no pulmonary edema. no pneumothorax. the patient's mandible obscures the left apex.
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no acute cardiopulmonary process.
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replaced tracheostomy tube is appropriately positioned. otherwise, no significant interval change.
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unchanged chest radiograph, with right chest findings due to complex complications of a known right lung malignancy. no pulmonary edema. this examination neither suggests nor excludes the diagnosis of acute pulmonary embolism.
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likely right middle lobe atelectasis without definite focal consolidation.
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<num>. no definitive radiographic evidence for pneumonia. <num>. diffuse, multifocal rounded opacities are consistent with the patient's known metastatic disease.
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no acute cardiac or pulmonary findings.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.