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no intrathoracic metastases seen. refer to the rib x-ray report for more detailed rib evaluation.
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interval worsening of dense right middle and bilateral lower lobe consolidation which could represent hemorrhage, ards or multifocal infection. bilateral, right greater than left, pleural effusions. the endotracheal tube is in stable position <num> cm above the carina. the nasogastric tube loops at the gastroesophageal junction and could be advanced.
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normal examination
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no radiographic evidence of pneumonia.
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continued improvement in bilateral vascular congestion. bibasilar atelectasis similar in appearance. if further evaluation is needed, consider ct chest.
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no acute cardiopulmonary process.
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no acute cardiopulmonary radiographic abnormality.
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no acute cardiopulmonary process.
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bilateral lower lung opacities, concerning for bilateral pneumonia. slight interval improvement in appearance of right lower lung opacity.
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no acute cardiopulmonary abnormality.
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a new right internal jugular line ends in the mid superior vena cava. no pneumothorax.
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no pneumothorax.
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no acute cardiopulmonary process.
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limited exam with low lung volumes without definite superimposed acute cardiopulmonary process.
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dense retrocardiac opacity represents pleural effusion and atelectasis, however superimposed infection could be considered in the appropriate clinical setting.
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no pneumonia.
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no acute cardiopulmonary process
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minimal interval decrease in pleural effusions.
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<num>. no evidence of acute cardiopulmonary process. <num>. stable appearance of right lower lobe pulmonary nodule, which can be further assessed with ct.
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continued evidence of mild pulmonary vascular congestion and small pleural effusions. there is a suggestion of increased density in the retrocardiac area. this region could be better assessed by a lateral view if clinically indicated. a double-lumen right internal jugular catheter is in central position.
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no acute cardiopulmonary abnormality.
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bilateral pleural effusions and atelectasis better appreciated on ct dated <unk>. no new focal consolidations.
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<num>. new small right pleural effusion since one day prior. <num>. stable left lower lobe collapse. <num>. similar right basilar atelectasis since yesterday but increased since two days prior.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. increased left infrahihlar consolidation is probably atelectasis, however pneumonia cannot be ruled out. if feasible, a chest radiograph with pa and lateral views would be helpful for better evaluation of left lung base. <num>. mild pulmonary edema. recommendation(s): if feasible, a chest radiograph with pa and lateral views would be helpful for better evaluation of left lung base.
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stable small bilateral pleural effusions. interval removal of right basal chest tube.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no pneumothorax.
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no acute cardiopulmonary process.
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ill-defined opacity in the right lung which is concerning for middle lobe pneumonia.
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<num>. no focal consolidation. resolution of previous pulmonary venous congestion. <num>. small bilateral pleural effusions.
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no evidence of acute cardiopulmonary process.
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no focal consolidations concerning for pneumonia identified.
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<num>. hazy ill-defined opacity in the left mid lateral lung field. this may reflect pneumonia, and followup radiographs after treatment are recommended to ensure resolution of this finding. <num>. small bilateral pleural effusions. <num>. right basilar atelectasis.
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as previously demonstrated on prior chest radiograph, relative <unk> lung bases is likely secondary to overlying soft tissue. markedly enlarged cardiac silhouette stable relative to prior study with mild pulmonary edema, perhaps slightly improved. bibasilar atelectasis, though pneumonia is difficult to exclude.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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normal radiographs of the chest. there is been extensive imaging workup of this patient's chest pain, all of which has been normal dating back to <unk>.
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no pneumothorax seen.
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bibasilar plate-like atelectasis.
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normal radiographic examination of the chest
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<num>. small right-sided pneumothorax status post right chest tube placement. the chest tube extends to what appears to be inferior to the diaphragm on the right, not well assessed. this finding was discussed with dr. <unk> at <time> p.m. on <unk> via telephone, <num> minutes after discovery. <num>. appropriate position of endotracheal and nasogastric tubes. <num>. interval severe worsening of diffuse bilateral pulmonary opacities likely representing combination of marked aspiration and possibly pulmonary edema. <num>. partially imaged dilated bowel. ct pending.
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substantial dilatation of the neoesophagus, little change compared to prior study.
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<num>. apparent widening of the mediastinum is likely secondary to patient positioning. <num>. low lung volumes, mild bibasilar atelectasis with no focal consolidation identified.
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no acute cardiopulmonary process.
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new dobbhoff tube ends at the esophagogastric junction and should be advanced.
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pneumomediastinum. no pneumothorax. a hazy opacity at the right lung base may represent early pneumonia.
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no definite acute cardiopulmonary process.
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continued heterogeneous opacity of the right middle lobe may represent continued sequela of aspiration. interval improvement in lung volumes. small right pleural effusion.
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no acute intrathoracic process. consider nonemergent chest ct to assess full extent of metastasis in the chest given findings on todays ct abdomen/pelvis.
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no acute intrathoracic abnormality.
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no evidence of acute cardiopulmonary process.
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no pneumonia.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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patchy bilateral airspace opacification, with some improvement of right-sided opacification.
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no evidence of acute disease.
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new left lower lobe pneumonia and possible new subtle right lower lobe pneumonia.
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suboptimal lateral view as above. given this, low lung volumes. mild interstitial edema.
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moderate cardiomegaly without pulmonary edema. patchy bibasilar opacities, likely atelectasis.
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substantially worsened pulmonary edema. these findings were communicated to dr. <unk> by telephone at <time> on <unk> at the time of discovery by dr. <unk>
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patchy right lower lobe opacity with bronchiectasis, similar to the prior ct, which may reflect post radiation change or inflammation. no new focal consolidation. similar appearance of right eleventh rib lytic metastasis.
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no significant interval change when compared to the prior study.
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low lung volumes. new bibasilar atelectasis, infection or aspiration. . possible tiny right effusion. mild pulmonary edema is difficult to exclude given very low lung volumes.
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similar radiographic appearance of left-sided port-a catheter, terminating in the superior vena cava.
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no acute cardiopulmonary radiographic abnormality.
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no acute cardiopulmonary process. specifically no pneumonia.
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stable interstitial edema increased in size in right pleural effusion and adjacent atelectasis
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increased, moderate pulmonary edema. new, small, left pleural effusion.
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no acute intrathoracic process.
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stable appearance of esophageal stent, bilateral pleural effusions, right greater than left, and bibasilar opacities, possibly reflecting atelectasis.
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no acute cardiopulmonary process.
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no pulmonary lesion or other acute abnormality.
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stable and correct support device placement as above. continued pulmonary edema.
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<num>. moderately limited study due to patient rotation. <num>. possible airspace abnormality in the right upper lung may be artifactual or an early consolidation. suggest repeat frontal view, carefully positioned. <num>. possible small left pleural effusion with associated atelectasis. recommendation(s): repeat frontal chest radiograph if there is persistent clinical concern for right upper lobe pneumonia.
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previously noted small right apical pneumothorax is not clearly seen on the current exam and likely has resolved. patchy right basilar opacity corresponding to the known right lower lobe lesion is better assessed on the previous ct.
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little change in comparison to prior study from <unk> with stable elevation of the left hemidiaphragm and no acute cardiopulmonary process.
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interval placement of a left central venous catheter, the tip extending to the cavoatrial junction. no pneumothorax. hazy bibasilar opacities, greater on the right likely reflect layering pleural effusions with subjacent atelectasis/ consolidation. enlarged cardiac silhouette.
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no acute intrathoracic process. if there is strong concern for rib fractures a dedicated rib series may be performed.
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no acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process.
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no evidence of pneumonia or pneumothorax.
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status post placement of the pigtail catheter which projects over the left lung, and decreased size of left pneumothorax, now small.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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the heart remains enlarged which may reflect cardiomegaly, although pericardial effusion should also be considered. mediastinal contours are stable. lungs appear well inflated without evidence of focal airspace consolidation to suggest pneumonia. streaky bibasilar opacities likely reflect scarring or atelectasis. no pneumothorax. no pulmonary edema. degenerative changes in the spine.
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no evidence of acute disease. pulmonary nodules, similar but perhaps increased. chest ct is recommended in short-term follow-up, when clinically appropriate, to reassess nodules.
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no focal consolidation to suggest pneumonia. slight blunting of the bilateral costophrenic angles, similar to prior, may be due to overlying soft tissue vs trace pleural effusion not excluded.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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unchanged appearance of the chest. no new consolidations. <unk>, md <unk>=<unk>
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linear opacities overlying the left mid lung likely represents subsegmental atelectasis/scarring.
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improved vascular congestion. no evidence of pneumonia
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hyperinflation, but no acute cardiopulmonary process.
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<num>. moderate cardiomegaly. <num>. no acute intrathoracic process.
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no acute cardiopulmonary process.
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new endotracheal tube. stable cardiopulmonary findings.