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<num>. left lower lobe consolidation with associated small left pleural effusion, improved since the prior examination. <num>. mild, rounded atelectasis seen in the right lower lobe.
recurrent pneumonia with trace the ostomy in place, now with new shortness of breath.
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no acute cardiopulmonary abnormality.
fever and cough.
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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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lingular opacity demonstrated on the prior study is not as well seen on the current study and may have been due to atelectasis. no definite focal consolidation is seen
history: <unk>m with left sided chest pain, leukocytosis // pls eval for pna, pt was asked to give better inspiratory effort
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no evidence of pneumonia. distended azygos veins without overt pulmonary edema.
<unk> year old woman with sle who is immunosuppressed with worsening cough and focal left sided findings on exams. // ? pna, ?pulmonary edema
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no definite acute cardiopulmonary process.
<unk>m with new tachypnea, tachycardia // ? aspiration, pna
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<num>. right lower lobe pneumonia. <num>. bilateral prominence of the hila suggesting hilar adenopathy. recommendation(s): recommend follow-up chest x-ray in <unk> weeks, following pneumonia treatment, and if bilateral hilar prominence persists would recommend follow-up contrast enhanced ct chest to confirm and further characterize hilar lymphadenopathy which can be seen in infectious, inflammatory (sarcoid) and malignant (lymphoma, metastatic disease) conditions.
<unk> year old man with cough and fever // cough and fever
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no acute findings in the chest.
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no pulmonary edema.
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stable radiographic appearance of the chest with no evidence of pneumonia.
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no definite acute cardiopulmonary process bsed on this limited, rotated exam.
<unk>-year-old female with progressive confusion.
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no acute cardiopulmonary process.
history: <unk>f with chest pain // eval for pna
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mild left basal atelectasis with tiny left pleural effusion, as seen on recent ct. no convincing signs of pneumonia.
<unk>m with lymphom and fever during active chemotherapy // eval for pna
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cardiomegaly. no evidence of acute cardiopulmonary disease. no significant change.
worsening shortness of breath and left-sided chest pain. history of coronary disease, congestive heart failure and liver transplant.
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no evidence of pneumonia.
history: <unk>m with sob // eval for pna
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small left and possibly trace right pleural effusion.
cough and abdominal distention.
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no focal consolidation concerning for pneumonia.
fever and cough.
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no acute cardiopulmonary process.
history: <unk>m with mid back pain // eval pneumothorax
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s
history: <unk>m with asthma p/w fever x <num> days and dry cough. +sick contacts. ?crackles left base // consolidation
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no acute intrathoracic process.
<unk>f with fever, cough // r/o pna
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the latest four portable chest examinations clearly indicate cardiac enlargement, pulmonary congestion and pleural effusions located mostly in the posterior compartments related to patient's semi-erect position. questions raised in the requisition to comment on presence of infiltrates versus edema cannot be answered in such detail on these four recent portable single view chest examinations. consider consultation with cardiology department with regard to patient's obvious advanced chf condition.
<unk>-year-old male patient with worsening oxygenation and abdominal distention following ercp. comment on presence of ree (?) air and also on lung fields, specifically infiltrates or edema.
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low lung volumes with mild bibasilar atelectasis. no acute traumatic injury identified.
alcohol intoxication with recent trauma.
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as above.
<unk> year old man with ? pna // interval change in edema vs consolidation
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no evidence of acute cardiopulmonary process.
history: <unk>f with fever, chest tightness // please eval for pna
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no acute intrathoracic process.
history of pneumonia presenting with productive cough and wheezing.
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interval worsening of moderate pulmonary edema. small left pleural effusion.
<unk> year old woman with metastatic breast cancer complicated by cirrhosis with crackles on exam. // evaluate for effusion, any consolidation?
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patchy opacities in the lung bases, more so on the right, concerning for pneumonia or aspiration.
history: <unk>m with cough status post renal transplant
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no acute cardiopulmonary process.
altered mental status.
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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>. interval improvement in pulmonary edema. <num>. bilateral diffuse pneumonitis. differential includes infectious such as viral, chronic eosinophilic pneumonia, cryptogenic organizing pneumonia, or churg-<unk>. <num>. stable asbestosis with calcified pleural plaques and diaphragmatic calcification in a patient with known exposure. results conveyed via email by dr.<unk> on <unk>.
male with dyspnea and abnormal chest ct. status post diuresis. assess for interval change.
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multifocal pneumonia. increased underlying interstitial abnormality is likely secondary to underlying viral process. findings were discussed with <unk> by <unk> by telephone at <time> on <unk> at the time of discovery of these findings.
<unk>-year-old female with flu-like symptoms, persistent fever, and abnormal lung exam.
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<num>. free intraperitoneal air. <num>. complete right middle lobe collapse. partial right lower lobe atelectasis.
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unremarkable position of newly placed icd device.
<unk>-year-old female patient with dilated cardiomyopathy, status post icd yesterday. check lead placement and rule out pneumothorax.
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findings concerning for a posterior mediastinal mass with convex opacity overlapping with the mid-to-lower t-spine, new from prior exam. correlation with ct advised.
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<num>. no significant interval change.
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<num>. new right upper and middle lobe pneumonia. <num>. improved mild pulmonary edema.
respiratory distress requiring bipap.
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no acute intrathoracic abnormality.
<unk>m with left sided chest pain // eval for pna or ptx
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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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no acute cardiopulmonary process.
history: <unk>f with etopic atrial tachycardia, etopic atrial tachy // presyncope
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basal plate atelectasis on followup examination. no evidence of new acute infiltrates or pneumothorax.
<unk>-year-old male patient status post bypass surgery. history of smoking with chronic cough. presented with increased cough, evaluate for effusions, pneumothorax and consolidation.
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small bilateral effusions new over five days. lungs are clear.
<unk> year old woman with metastatic breast ca and new cough // ?pneumonia vs pulm edema
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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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<num>. malpositioned left picc as above. <num>. otherwise unchanged appearance of the heart and lungs.
evaluate position of new left picc.
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findings suggest mild fluid overload.
alcohol intoxication presenting with cough after recent fall.
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no acute findings.
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no acute cardiopulmonary process.
history: <unk>f with etopic atrial tachycardia, etopic atrial tachy // presyncope
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normal chest.
<unk>f with fever // eval heart and lungs
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no acute cardiopulmonary process.
<unk> year old man with chest pain // r/o infection
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increased opacity in the region of the lingula which is likely atelectasis.
fever post-colonoscopy.
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patchy bibasilar opacities, likely atelectasis, without focal consolidation. mild pulmonary vascular congestion.
history: <unk>m with fevers, chills, reported pneumonia, embolic strokes
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<num>. multifocal pneumonia. <num>. small left pleural effusion.
history: <unk>f with cough // r/o pneumonia/infiltrate
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essentially unremarkable chest x-ray given low lung volumes.
<unk>-year-old female with new desaturations, fever and diaphoresis.
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redemonstration of multifocal pneumonia, worse in the left lower lobe and lingula. these findings were discussed via telephone by dr. <unk> with dr. <unk> at <unk> on <unk>, upon discovery. as per this discussion, the patient was informed that he would likely be sent to the emergency department and admitted for treatment.
history of recurrent pneumonia and t<num> paraplegia, recently admitted for multifocal pneumonia in <unk> status post antibiotic treatment, now with increased sputum, low-grade fever, and shortness of breath x <num> week. evaluate for pneumonia.
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no pulmonary mass detected within the limits of a radiographic examination.
vertigo, here to evaluate for pulmonary mass.
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findings consistent with chf. patchy at the opacity in the right cardiophrenic region could due to chf, but the possibility of an early pneumonic infiltrate cannot be entirely excluded. attention to this area on followup films is requested.
<unk> year old man with ?aml and worsening <unk> // eval sob, ?fluid overload
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no acute cardiopulmonary process.
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focal opacity at level of right costochondral junction, likely due to asymmetrical degenerative changes at this level, but an apical lordotic chest radiograph is recommended to exclude the possibility of a lung nodule, as communicated by phone to dr. <unk> at <time> a.m. on <unk> at the time of discovery.
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status post removal of tracheobronchial stent. no pneumothorax.
<unk> year old woman with tbm s/p stent removal // s/p stent removal
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slight improvement in opacity right base. otherwise, doubt significant interval change.
<unk> year old man with <unk>m hx of etoh cirrhosis c/b hepatic encephalopathy and varices admitted one week ago with abdominal pain and fevers treated for staph epidermis bacteremia with <num> days of<unk> hospital stay c/b <unk> now s/p dd liver transplant c/b intra-op st changes and apical wall motion abnormalities post reperfusion // interval change - am rounds
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nasogastric tube now seen terminating approximately <num> cm above the level of the carina. findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time> on <unk>, <unk> min after discovery.
evaluate ng tube position.
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mild cardiomegaly. no acute cardiopulmonary process.
<unk>m with cough, sob // eval for pna
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normal chest radiograph.
blurry vision, weakness evaluate for infiltrate
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unchanged chest findings in comparison with previous study of <unk>. thus, no cardiac enlargement or acute pulmonary infiltrates. thus, it can be concluded that the episode of pulmonary emboli did not result in major infarctions or pleural effusions.
<unk>-year-old female patient with cough and left lung rhonchi. recent pulmonary embolism, evaluate for pneumonia.
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no acute cardiopulmonary abnormality.
<unk>-year-old man with exertional dyspnea.
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probable left lower lobe pneumonia. recommend follow-up chest radiograph in <unk> weeks following antibiotic therapy to assess for resolution. recommendation(s): follow-up chest radiograph in <unk> weeks.
<unk> year old man with flu <num> days ago, now with sob, crackles in lll, low-grade fever // ? lll pna
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no evidence of acute cardiopulmonary process.
<unk>-year-old male with epigastric and substernal pain. evaluate for evidence of free air or pneumothorax.
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no definite acute cardiopulmonary process.
<unk>-year-old female with altered mental status and weakness.
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no evidence of acute disease.
question aspiration.
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no evidence for acute cardiopulmonary abnormalities.
<unk>-year-old woman with left chest pain and left shoulder pain. evaluate for infiltrate.
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<num>. multifocal pneumonia. <num>. small left pleural effusion.
history: <unk>f with cough // r/o pneumonia/infiltrate
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<num>. findings concerning for small bowel obstruction. <num>. small bilateral pleural effusions.
<unk>-year-old male with abdominal pain status post appendectomy on <unk>, evaluate for obstruction or free air.
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no radiographic evidence of acute cardiopulmonary disease. hyperexpanded lungs with severe underlying emphysema.
<unk> year old woman with copd exacerbation // evaluate lung sizes, look for pna
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no acute cardiopulmonary abnormality.
history: <unk>m with <num> week history of chest discomfort radiating down arm, neck, back, associated with headache.
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extensive pulmonary opacities accounted for by known metastatic disease and fibrotic changes with more confluent left lower lobar opacities which could reflect aspiration or an infectious process in the appropriate clinical setting, or relate to the underlying metastatic disease.
metastatic pancreatic cancer with acute respiratory distress, assess for pneumonia.
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stable left moderate pleural effusion and left lower lobe atelectasis, without further evidence of right pleural effusion and associated right lower lobe atelectasis.
<unk> year old man with sob // please eval for pleural effusion
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no acute intrathoracic process.
chest pain.
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mild pulmonary edema
history: <unk>m with sob + new murmur. // pulmonary edema?
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mild central congestion without frank pulmonary edema.
<unk>f with svt, evaluate for acute intrathoracic process.
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<num>. malposition of the intra-aortic balloon pump. <num>. otherwise, no significant change from prior exam. recommendation(s): repositioning of intra-aortic balloon pump.
<unk> year old man with subdural hematoma and stemi, evaluated for cabg // eval for interval change
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interval worsening of moderate pulmonary edema. small left pleural effusion.
<unk> year old woman with metastatic breast cancer complicated by cirrhosis with crackles on exam. // evaluate for effusion, any consolidation?
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no consolidations concerning for infection identified.
history of chf, who presents with cough, please rule out acute cardiopulmonary process.
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mild-to-moderate pulmonary edema. small bilateral pleural effusions.
history of shortness of breath. please evaluate.
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redemonstration of multifocal pneumonia, worse in the left lower lobe and lingula. these findings were discussed via telephone by dr. <unk> with dr. <unk> at <unk> on <unk>, upon discovery. as per this discussion, the patient was informed that he would likely be sent to the emergency department and admitted for treatment.
history of recurrent pneumonia and t<num> paraplegia, recently admitted for multifocal pneumonia in <unk> status post antibiotic treatment, now with increased sputum, low-grade fever, and shortness of breath x <num> week. evaluate for pneumonia.
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findings most consistent with pulmonary edema. follow-up radiographs may be helpful, however, to reassess.
dyspnea.
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no acute cardiopulmonary abnormality.
history: <unk>f with shortness of breath
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no acute cardiopulmonary abnormalities
patient with the history of transplant and pacemaker leads
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mild enlargement of the cardiac silhouette without acute cardiopulmonary process.
<unk>m with right femur fracture // pre-op
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left lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
history: <unk>m with cough, chills
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improved ventilation of the right upper lobe mainly for reduced pleural effusion. persistent bibasilar atelectasis with pleural effusion and right mid lung opacities.
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persistent small left pleural effusion. no superimposed acute cardiopulmonary process.
<unk>m with cirrhosis presents with volume overload and ascites // pulmonary edema
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ng tube courses beyond the diaphragm, into the stomach, and inferiorly out of view.
<unk> year old man with alcoholic cirrhosis and new mental status changes, now s/p intubation with new ogt placement. // eval ett and ogt placement
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no acute cardiopulmonary process.
cough.
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right lower lobe pneumonia cleared since <unk>. no new consolidations.
question resolution of pneumonia.
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streaky lower lung opacities likely sequelae of chronic aspiration.
<unk>m with <unk> weakness, prior parietal hemorrhage, cxr for metabolic workup // eval for infiltrate
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<num>. et tube tip <num> cm above the carina. <num>. ng tube tip over gastric fundus. <num>. left lower lobe collapse and/or consolidation, with apparent leftward shift of the mediastinum. <num>. patchy opacity right base, likely atelectasis. however, it is there clinical concern for aspiration?
<unk> year old man with epilepsy, intubated // confirm ett placement. assess for aspiration
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no acute cardiopulmonary process. no displaced rib fracture.
<unk>f with chest pain s/p mvc, hx of heart transplant <unk> years ago. aware she had one done this am, need another as it was prior to the mvc, evaluate for acute process.
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increased right infrahilar opacity in comparison to prior examinations suspicious for pneumonia. recommendation(s): follow-up chest radiographs in <num> weeks after completion of antibiotic therapy to document resolution.
<unk>f w/chest pain, please eval for occult pna // <unk>f w/chest pain, please eval for occult pna
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<num>. equivocal nodule in the middle right lung, which requires ct for further investigation. <num>. no evidence of pneumonia. these findings were entered into the critical results dashboard by dr. <unk> <unk> at <time> on <unk>.
cough and shortness-of-breath.
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<num>. no significant interval change.
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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.