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rapid improvement in heterogeneous lung opacities, which may have represented acute pulmonary edema superimposed upon chronic lung disease. improving left retrocardiac opacity, possibly due to atelectasis, but continued followup is suggested to document complete resolution and to exclude a lung nodule or mass in this area.
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unchanged left pleural effusion with new right pleural effusion and biasilar atelectasis. correlate clinically for infection.
left-sided chest pain.
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persistently low lung volumes, with increased atelectasis in the right lower lung. improved mild edema.
evaluate for interval change in a patient with hypoxia.
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no active disease.
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bilateral pleural effusion with bibasilar atelectasis. infectious process cannot be excluded.
<unk>-year-old man with shortness of breath, bilateral lower lobe infiltrates on radiographs at nursing facility. evaluate.
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new moderate left pleural effusion with adjacent compressive atelectasis.
history of pleural effusion. please evaluate.
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no acute cardiopulmonary process.
history: <unk>f with neutropenia // infiltrate?
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no acute cardiopulmonary process.
dyspnea.
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no acute cardiopulmonary process.
nonproductive cough and positive influenza test now with fever and worsening hypoxia. concern for pneumonia.
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small to moderate left pleural effusion with overlying atelectasis. left mid lung and right mid to lower lung patchy opacities are seen which could be due to multifocal infection or aspiration. correlate with history of malignancy.
hypoxia.
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pulmonary vascular congestion.
history: <unk>m with fb sensation in her chest // acute process?
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endotracheal tube has its tip <num> cm above the carina. the left subclavian picc line terminates in the proximal to mid svc. left internal jugular central line has its tip in the proximal svc near the junction with the brachiocephalic vein. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. there is increasing bibasilar consolidation and layering effusions, right greater than left. findings are suggestive of atelectasis. a superimposed infection cannot be entirely excluded. no pulmonary edema. no obvious pneumothorax. cardiac and mediastinal contours are likely unchanged.
<unk> year old woman with abdominal surgery and intubated // interval changes interval changes
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normal radiograph of the chest.
leukocytosis.
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no acute cardiopulmonary process.
cough.
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no evidence of acute disease.
acute mental status change. question pneumonia.
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persistent small right pleural effusion and bibasilar atelectasis without definite acute cardiopulmonary process.
<unk>-year-old male with fever.
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mild interstitial edema. small left pleural effusion. no focal consolidation concerning for pneumonia.
history: <unk>f with multiple syncopal episodes // eval acute process
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no acute cardiopulmonary process.
<unk>-year-old female with cough. evaluate for infiltrate.
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ng tube passes below the diaphragm and likely loops within the stomach, with tip overlying the upper most gastric fundus. the previously seen enteric tube has been removed. otherwise, i doubt significant interval change.
<unk>m with h/o htn, esrd s/p lurt renal tx in <unk> on tacro/mmf, initially admitted for dka, acute pancreatitis <unk> triglycerides, <unk> on ckd, c/b partial smv thrombosis near occlusion of splenic vein, hemorraghic ascites with anticoagulation, and enterococcal bacteremia, admitted to micu for hypoxemic respiratory failure <unk> aspiration event, and hypotension concerning for septic shock on levophed. // interval assessment and for ngt placement
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normal chest radiograph.
chest pain, rule out acute process
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mild prominence of the central pulmonary vasculature, left main pulmonary artery. clear lungs.
history: <unk>m with chest pain // acute process
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no acute cardiopulmonary process.
<unk>-year-old male with chest pain.
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rapid improvement in heterogeneous lung opacities, which may have represented acute pulmonary edema superimposed upon chronic lung disease. improving left retrocardiac opacity, possibly due to atelectasis, but continued followup is suggested to document complete resolution and to exclude a lung nodule or mass in this area.
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increased opacity in the region of the lingula which is likely atelectasis.
fever post-colonoscopy.
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as above.
<unk> year old man with decompensated alcoholic cirrhosis, ams, episode of asystole // interval change
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large hiatal hernia. no acute cardiopulmonary process.
<unk>f with fevers and recent procedure // r/o pna
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resolution of focal left lower lobe pneumonia.
<unk> year old man with h/o pneumonia <unk> // f/u of pneumonia <unk> ?resolution of infiltrate
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no evidence of cardiopulmonary process.
<unk> year old woman with kidney transplant and night sweats x <num> months // evidence of pulmonary infection, ptld?
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slightly reduced opacification in the right upper lobe in patient with pneumonia. the right base atelectasis is stable. there is bilateral pleural effusion. heart size is normal, but there is mild vascular congestion.
interval change, line placement.
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<num>. no pulmonary edema. <num>. mild cardiomegaly with prominence of hilar vessels. <num>. lines and tubes as above.
<unk>m with h/o afib on warfarin, cad, htn, and copd with recent history of fall who presented to osh after episode of diaphoresis and was found to have small sdh. nstemi on <unk> and found to have <num>v disease on cath, being evaluated for cabg. patient developed worsening hypoxemia and hypotension with concern for impending cardiogenic shock so was transferred to the ccu for further management. // eval for interval change
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normal chest radiograph.
chest pain, rule out acute process
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unremarkable appearance of the chest.
<unk> year old man receiving abvd for hodgkin lymphoma, with minor chest tightness // eval for any abnormalities - interstitial pneumonitis, opacities, any evidence of bleomycin toxicity
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endotracheal tube, feeding tube, right subclavian picc line and right internal jugular central line are unchanged. persistent low lung volumes with layering bilateral effusions and bibasilar airspace opacities consistent with partial lower lobe atelectasis, although pneumonia or aspiration could also have this appearance. overall, there is no significant interval change. no pulmonary edema or obvious pneumothorax. cardiac and mediastinal contours are likely stable given differences in positioning and inspiration.
<unk> year old man with s/p intubation <unk> to aspiration pna // eval for interval change eval for interval change
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normal chest.
<unk>f with sle c/b nephritis who presents with palpitations, anemia, doe, evaluate for interval change.
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possible minimal bibasilar atelectasis without acute cardiopulmonary process seen.
wheezing.
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small bilateral pleural effusions.
history: <unk>f with weakness // eval pna
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<num>. right picc with the tip in the mid svc. <num>. no acute cardiopulmonary process. results were discussed with dr. <unk> at <time> p.m. on <unk> via telephone by dr. <unk> at the time the findings were discovered.
evaluate port placement prior to chemo. the port was placed in the outside hospital.
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<num>. increasing atelectasis in the right lower lobe. stable small left pleural effusion with adjacent atelectasis. <num>. no evidence of pulmonary edema.
hypoxia crackles. evaluate for pulmonary edema.
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no acute cardiopulmonary process.
<unk>-year-old male status post assault with abdominal pain.
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<num>. reticular opacity projecting over the right superior paramediastinal region, possibly an infectious focus. recommend further evaluation with an ap lordotic radiograph. this finding and recommendation was discussed with dr. <unk> by dr. <unk> at <time> p.m. via telephone on the day of the study. <num>. interval near-complete resolution of bibasilar opacities seen on the prior radiograph from <unk>. <num>. decreased small left pleural effusion.
cough. assess for pneumonia.
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limited study with low lung volumes. no overt evidence of pneumonia or chf. if there is strong clinical concern for acute pathology, a repeat is recommended with more optimized technique.
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low lung volumes with bibasilar opacities, difficult to exclude infection in the correct clinical circumstance. pulmonary vascular congestion without frank interstitial edema.
chills
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subtle right lower lobe opacities which may reflect pneumonia in the correct clinical setting, alternatively atelectasis.
shortness of breath, question pneumonia.
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new, mild pulmonary edema superimposed on chronic interstitial lung disease.
<unk> year old man with nash cirrhosis, pulmonary fibrosis p/w gi bleed now with new <unk> requirement // evaluate for pulmonary edema
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no acute cardiopulmonary process.
<unk>m with abdominal pain, dka, pancreeatitis. r/o free air or infiltrate. please do upright.
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no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
history: <unk>f with altered mental status
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<num>. free intraperitoneal air. <num>. complete right middle lobe collapse. partial right lower lobe atelectasis.
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no evidence of pneumonia.
<unk>-year-old man with persistent nightly bone aching, ct chest earlier in month w/ bronchiolitis, ? benign nodules, w/ night sweats x last night, evaluate for pneumonia
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mild central congestion without frank pulmonary edema.
<unk>f with svt, evaluate for acute intrathoracic process.
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no acute cardiopulmonary abnormality.
history: <unk>m with pancreatitis // effusion?
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no acute cardiopulmonary abnormality.
history: <unk>m with chest pressure // ? pneumonia, cardiomegaly
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no acute findings in the chest. please refer to subsequent cta chest for further details.
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no acute cardiopulmonary process.
history: <unk>f with fever body aches // eval for pna
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surgical changes in the left breast/axilla. no evidence of pneumonia.
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slight interval improvement in the left basal opacity likely reflecting combination of pleural fluid and consolidation.
<unk> year old woman with chest pain // source of chest pain
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worsening diffuse bilateral interstitial and nodular opacities may represent worsening metastatic disease however superimposed atypical infection or mild interstitial pulmonary edema cannot be excluded. small right-sided pleural effusion is slightly increased.
metastatic adenocystic carcinoma with known metastasis to the lung, shortness of breath. productive cough, question of pneumonia.
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mild pulmonary edema
history: <unk>m with sob + new murmur. // pulmonary edema?
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satisfactory positioning of dual-chamber pacemaker with leads in the right atrium and right ventricle with no pneumothorax.
confirm lead placement for dual-chamber pacemaker.
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chronic, diffuse increase in interstitial markings. slight increase in opacity at the right lung base is felt to more likely be due to atelectasis rather than consolidation.
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new large left-sided pleural effusion and mild pulmonary edema. infection cannot be excluded in this context. there is prominent cardiomegaly, though the cardiac contours are partially obscured by the effusion.
shortness of breath. evaluate for pneumonia.
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no radiographic evidence of pneumonia.
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mild pulmonary edema.
<unk>-year-old female with weakness.
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near resolution of left pleural effusion following thoracentesis, with no evidence of pneumothorax. posterior left pleural thickening consistent with malignant pleural disease.
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no acute cardiopulmonary process.
shortness of breath, evaluate for pneumonia or hilar lymphadenopathy.
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no acute intrathoracic process.
<unk>m with hypoxia // pe
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no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
history: <unk>f with cough x<num> week // evidence of pneumonia
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pulmonary vascular congestion, suggesting volume overload or early cardiac decompensation.
history: <unk>m with b/l rales, hx of chf, recent fall // ?pleural effusion, pna
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no acute cardiopulmonary process.
history: <unk>f with pkd pd fevers //
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bibasilar patchy opacities may reflect patchy atelectasis or aspiration. followup radiographs may be helpful to exclude the possibility of an early focus of pneumonia.
<unk> year old man s/p lumbar fusion now with leukocytosis // eval for pna vs. atelectasis
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low lung volumes with bibasilar opacities, difficult to exclude infection in the correct clinical circumstance. pulmonary vascular congestion without frank interstitial edema.
chills
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no acute findings in the chest.
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no acute cardiopulmonary process.
chest pain.
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diffuse increased airspace opacities in the background of fibrotic lung disease, findings could be secondary to vascular congestion, atypical infection, or acute exacerbation of interstitial lung disease.
<unk>-year-old man with bibasilar crackles, evaluate for pneumonia or chf.
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no acute intrathoracic process.
<unk>f with productive cough // pneumonia?
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no acute cardiopulmonary process.
chest pain, rule out infectious process.
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no acute findings in the chest.
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dobbhoff tube courses past the diaphragm and out of view.
<unk> year old man with dobhoff // dobhoff placement
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no acute cardiopulmonary abnormality.
history: <unk>f with chest pain
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organoaxial gastric volvulus. no consolidations concerning for pneumonia identified.
history: <unk>m with sob // eval for pna
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<num>. possible small left pleural effusion. <num>. anterior deviation of the trachea at the thoracic inlet, which could be due to thyroid enlargement. thyroid ultrasound is suggested on a non-emergent basis.
<unk>-year-old female with cough and dyspnea.
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stable appearance of left chest wall port with catheter terminating at the cavoatrial junction. these findings were relayed to dr. <unk> at <time> a.m.
metastatic breast cancer with a port with no blood return. confirm port placement.
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no acute cardiopulmonary process. radiopaque densities project over the anterior abdominal wall.
<unk>m with bullet wounds // eval for bullet s
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no acute cardiopulmonary process.
<unk>f with cp and recent pe // r/o acute process
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chronic, diffuse increase in interstitial markings. slight increase in opacity at the right lung base is felt to more likely be due to atelectasis rather than consolidation.
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cardiomegaly and interstitial edema.
<unk>f with sob and cp // chf?
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no acute cardiopulmonary process.
history: <unk>f with fever body aches // eval for pna
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faint patchy right upper lung field opacity which could reflect an area of developing infection.
history: <unk>f with fever and productive cough // ?pneumonia
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findings concerning for progressive pneumonia at bilateral lung bases compared to <unk>
<unk> year old man with neutropenia and pna
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bilateral pleural effusions with overlying atelectasis grossly similar to possibly minimally increased as compared to the prior study.
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no pneumonia.
<unk> year old woman with <num> days of severe cough, upper back pain. // eval for pna
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as above.
mr. <unk> is a <unk> year old man with newly diagnosed metastatic urothelial cancer and innumerable pulmonary metastases on imaging who was admitted with dyspnea and hemoptysis stabilized in<unk> transferred to omed for further management, underwent bronch yesterday spiked fever <num> this am // ?acute interval changes ?pna
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<num>. appropriate positioning of support lines and devices. <num>. cardiomegaly.
<unk>-year-old male with endotracheal tube status post intubation. please evaluate endotracheal tube placement.
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pulmonary edema with pleural effusions which shows a waxing and waning course, but has progressed compared to prior image <unk>.
<unk> year old man with tachypnea // pleural effusions?
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no pneumonia or any other acute intrathoracic process.
history of cough, cardiopulmonary process.
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no pneumothorax.
pleuritic chest pain. evaluate for a pneumothorax.
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<num>. new enteric tube terminates outside of the field of view within the stomach. <num>. interval decrease in bilateral pleural effusions, now moderate. <num>. interval improvement in persistent extensive parenchymal opacities.
<unk>f status post ngt placement, confirm ngt placement.
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mild left basal atelectasis. otherwise unremarkable.
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small left and possibly trace right pleural effusion.
cough and abdominal distention.
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no acute intrathoracic process. findings were discussed with dr. <unk> by dr. <unk> at <unk> on <unk>.
persistent cough