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airspace opacity in the right lung base may represent an early developing pneumonia.
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new bibasilar opacities may represent peribronchial pneumonia. right upper lobe nodule is probably a metastasis and may have become cavitary since pet-ct on.
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no acute intrathoracic process.
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no acute cardiopulmonary process. no pneumothorax.
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pacemaker leads in appropriate position. trace bilateral pleural effusions.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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new patchy left retrocardiac opacity, which could reflect atelectasis, aspiration, or an early focus of infectious pneumonia.
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et tube tip is <num> cm above the carina. right central venous line tip is at the cavoatrial junction. right chest tube is in place. interval additional improvement in the right lung variation is demonstrated. subcutaneous air is noted, not substantially changed since the prior study. minimal amount of pneumothorax is still present.
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increase in right pleural effusion and adjacent atelectasis. no evident pneumothorax copd
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faintly persistent right lower lobe peripheral pneumonia without interval development of new disease.
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no acute cardiopulmonary process. chronic enlargement of the right pulmonary artery compatible with pulmonary arterial hypertension. chronic left basal lateral pleural thickening.
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no evidence of acute disease.
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bibasilar atelectasis and small pleural effusions.
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moderate-to-severe cardiomegaly with mild pulmonary vascular congestion. no focal consolidation.
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no focal consolidation to suggest pneumonia.
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no pneumonia.
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limited exam with interstitial pulmonary edema, small pleural effusions and pleural based opacity at the right apex. lower lung atelectasis.
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stable chest findings, no significant interval change in comparison with next previous study one day earlier.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the effusion on the right has minimally decreased. as a consequence, the resulting atelectasis is also slightly improved as compared to the previous examination. there is no evidence of pneumonia or new parenchymal opacity <num> occurred since the previous radiograph. normal size of the cardiac silhouette. unremarkable left hemithorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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lower inspiratory volumes, with interval increase in atelectasis at both bases. continuing right pleural effusion with underlying collapse and/or consolidation. the possibility of an associated pneumonic infiltrate cannot be entirely excluded. however, the mid and upper zones of both lungs remain clear of focal opacities. upper zone redistribution, without overt chf, probably similar to prior. question mask accounting for faint opacity at the right lung apex medially.
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in comparison to previous radiograph of , there has been little change in the appearance of the chest except for slight increase in size of bilateral pleural effusions, left greater than right.
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enlarged left hilum; per patient's ed notes, the patient had an outpatient ct revealing a left lung mass. reference to that ct recommended.
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large hiatal hernia, slightly larger than on. background copd. no focal infiltrate, effusion, or chf. mildly dilated loop of small bowel beneath the right hemidiaphragm.
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as compared to the previous radiograph, no relevant change is seen. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions, no pneumonia, no pulmonary edema.
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increase in the bilateral diffuse reticular interstitial pattern, which represents underlying chronic interstitial lung disease with superimposed pulmonary edema.
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comparison. the patient has undergone left thoracocentesis. there is no evidence of pneumothorax. the extent of the left pleural effusion has substantially decreased. the right effusion is constant. currently normal size of the cardiac silhouette.
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no acute cardiopulmonary process.
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pa and lateral chest compared to through. the large right pleural effusion, and large mass-like region of consolidation in the right upper lobe have worsened over the past two weeks. central portion of the right perihilar lesion could be mass. more peripherally, because of the interval change, it is most likely infectious. the left lung is clear and the heart size is normal. overall, findings suggest central bronchogenic carcinoma until proved otherwise. this could also be due to progressive infection, bronchoscopy is strongly recommended.
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left-sided picc line in unchanged position, distal tip projecting over lower svc. no kinks are seen in course of catheter. no evidence of other acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease. small nodular opacity projecting over the left mid lung. this potentially represents a nipple shadow. an additional pa view with nipple markers may be helpful to confirm or refute the possibility. if the finding does not prove to represent a nipple shadow then ct imaging is suggested.
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no evidence of acute cardiopulmonary process.
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no definite acute cardiopulmonary process within limitation of patient positioning. blunting of bilateral costophrenic angles may represent small pleural effusions versus pleural thickening.
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no acute cardiopulmonary process.
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findings consistent with known pulmonary hypertension. no acute pulmonary process identified.
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moderate left pneumothorax following removal of left chest tube.
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diffuse opacities in the right lung concerning for multifocal pneumonia. recommend followup radiograph after treatment to ensure resolution. probable small pleural effusions.
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no acute cardiopulmonary process.
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right apparent infrahilar opacities as well as left base opacity may be due to multifocal pneumonia with possible superimposed pulmonary edema.
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appropriately positioned central venous catheter.
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again seen pulmonary vascular congestion and cardiomegaly.
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interval placement of right subclavian central venous catheter, the tip of which is directed cephalad. this finding was discussed with dr the care service at by phone. bilateral pleural effusions with bibasilar opacities which could reflect atelectasis or pneumonia. mild pulmonary edema, unchanged.
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no acute cardiopulmonary process.
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in the interval, the patient has received a nasogastric tube. the course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. no complications, notably no pneumothorax.
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as compared to the previous radiograph, no relevant change is seen. the lung volumes have decreased. borderline size of the cardiac silhouette. no pulmonary edema. no pneumonia, no pleural effusions.
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interval widening of the superior mediastinum posterior to the trachea, suggesting recurrence of edema seen on admission, which raises concern for possible infection. clearing of pulmonary edema, most notable at the bilateral apices. interval increase in consolidation in the right lower lobe.
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no re accumulation of the patient's right-sided pneumothorax.
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no acute cardiopulmonary process. radiopaque densities in the region of the mid to distal esophagus and stomach which may correlate with patient's ph probe placement.
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normal chest radiograph.
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new small bilateral pleural effusions and mild pulmonary edema.
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moderate cardiomegaly, bibasilar atelectasis, no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process. calcific changes and scarring in the left apex is consistent with prior granulomatous disease and underlying fibrosis, and is unchanged since.
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mild cardiomegaly.
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normal chest. no significant change compared to prior study.
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since , unchanged right port-a-cath and left-sided pacemaker. no acute cardiopulmonary process.
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for moderate right pleural effusion has recurred since following removal of the right pleural drain. the pleural fluid partially obscures the right lung base and exaggerates the severity of basal atelectasis or consolidation. moderate enlargement of the cardiac silhouette has developed since and in addition to severe emphysema and chronic interstitial lung disease, there is probably a component of mild pulmonary edema, accompanied by pulmonary vascular congestion in the upper lobe, particularly visible on the right.
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no acute cardiopulmonary process. unchanged right middle lobe atelectasis and bilateral scarring. again, a non-emergent ct of the chest is recommended for further characterization given persistent middle lobe atelectasis.
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right lower lobe infiltrate and small effusion.
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no acute intrathoracic process.
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no acute cardiopulmonary disease including pneumonia.
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right chest tube in expected position. interval resolution of prior right pneumothorax. low lung volumes with persistent basilar atelectasis and small effusions, similar to prior.
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improvement in bilateral airspace opacity since the prior radiograph, with a small amount of residual airspace disease. copd enlarged main pulmonary artery, possibly indicative of pulmonary arterial hypertension. unchanged thoracic spine compression fractures.
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no acute cardiac or pulmonary process. <num> cm density overlying the posterior aspect of a mid thoracic vertebral body on the lateral view, possibly related to the osseous structures. recommend follow-up radiographs in <num> months.
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as compared to , no relevant change is seen. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions. the left and right central access line is constant in position.
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no definite change compared <num> day earlier. no findings to confirm the presence of an aspiration pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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progression of left-sided lung masses, decreased aeration in left hemithorax, on the right side advanced evidence of secondary metastasis in lung, no pneumothorax, no massive pleural effusions that would deserve additional drainage. a left-sided basal small caliber drainage tube is noted to be unchanged but poorly visible because of overlying pleural and parenchymal abnormalities.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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allowing for differences in technique and positioning, there has been little change in the appearance of the chest since recent radiograph of <num> day earlier except for worsening left lower lobe opacity which may be due to atelectasis or developing pneumonia.
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no interstitial edema. improved lung volumes and aeration of the lung bases.
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right mid-to-lower lung areas of linear atelectasis/scarring without definite focal consolidation. persistent enlargement of the cardiac silhouette.
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endotracheal tube within the mid trachea. no obvious traumatic injury. mild cardiomegaly.
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no evidence of acute cardiopulmonary abnormality.
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no acute cardiac or pulmonary process.
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cardiomediastinal silhouette is mildly enlarged. post sternotomy wires are unremarkable. bilateral pleural effusions and bibasal consolidations are unchanged. vascular enlargement is noted, moderate, progressed since the prior study. recommendation(s): reassessment of the patient after diuresis is recommended.
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persistent though decreased cardiomegaly. mildly enlarged right pulmonary artery. clear lungs.
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no significant interval change. no acute cardiopulmonary process seen.
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as compared to chest radiograph, a nasogastric tube has been removed. no other relevant change in the appearance of the chest since the recent study.
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mild cardiomegaly. hyperinflated lungs suggestive of copd.
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comparison of. the venous introduction sheet on the right has been removed. moderate cardiomegaly with signs of mild pulmonary edema as well as bilateral areas of atelectasis persist. no new opacities suggesting pneumonia. no pneumothorax.
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mild interstitial pulmonary edema.
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in comparison with the study of , there is little change. hyperexpansion of the lungs is consistent with the history of smoking. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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no focal consolidations concerning for pneumonia are identified. mild interstitial abnormality may be suggestive of a mild pulmonary edema.
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no radiographic evidence of pneumonia.
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no significant interval change. cardiomegaly with pulmonary edema.
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compared to chest radiographs since , most recently. yet still
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no acute cardiopulmonary abnormality.
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comparison to. new bilateral basal parenchymal opacities with air bronchograms, overall ill-defined. the findings are consistent with recent aspiration. no other relevant changes.
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no acute intrathoracic process.
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the nasogastric tube has been readjusted and the tip and side port are within the fundus of the stomach. cardiomediastinal silhouette is within normal limits. there is some atelectasis at the lung bases. there are no pneumothoraces.
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no significant change in appearance of the infiltrates.
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no pneumonia, edema, or effusion. gaseous distention of bowel in the upper abdomen.
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no acute cardiopulmonary process.
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unchanged appearance of the monitoring and support devices, the lung parenchyma and the cardiac silhouette. normal lung volumes. small retrocardiac atelectasis. scarring in both upper lobes, right more than left. no evidence of active infection. no pulmonary edema.
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no acute cardiopulmonary process.