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no change.
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top normal heart size with mild interstitial pulmonary edema.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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status post placement of dual lead pacer as detailed above, with no visible pneumothorax.
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no acute cardiopulmonary process.
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trace pleural effusions.
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atelectasis at the left lung base. no focal consolidation.
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copd. no focal consolidation to suggest pneumonia.
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cardiomegaly, not significantly changed since prior exams. no focal consolidation.
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no acute cardiopulmonary abnormality.
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bibasilar confluent opacities, slightly improved on the right and slightly worse on the left. considering recent history of altered mental status, aspiration pneumonia should be considered in the appropriate clinical setting.
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clear lungs with no radiographic evidence of pneumonia or aspiration. stable moderate cardiomegaly.
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cardiomegaly without evidence for congestive heart failure. mild bibasilar atelectasis. right-sided aortic arch.
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no airspace consolidation to suggest pneumonia
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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normal chest.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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<num>. recurrent coarse reticular opacities in the left lower lung, similar to <unk> and new from <unk> represent recurrent infection in the clinical setting of fevers. alternatively, disseminated lymphangitic metastasis responsive to chemotherapy or localized edema due to pulmonary venous thrombosis. <num>. small left pleural effusion new from <unk>.
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no pneumonia.
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no definite acute cardiopulmonary process.
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interval improvement of interstitial edema. mild persistent bibasilar atelectasis.
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<num>. small bilateral posterior effusions, slightly larger than <unk>. <num>. bibasilar opacities are unchanged compared with <unk>, but new compared with <unk>. in the appropriate clinical setting, the differential diagnosis could include bibasilar infiltrate, though stability over time is more suggestive of atelectasis.
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findings suggesting interstitial lung disease and areas of atelectasis or scarring at the lung bases. superimposed infection is not excluded but might not be the case noting that there was an overall fairly similar extent of basilar opacities on prior examinations. chest ct may be helpful to evaluate further if clinically indicated in addition to correlation with interval history.
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increased opacity at the right lung base is nonspecific, appears more prominent as compared to the prior study and could be due to atelectasis, although underlying infection is not excluded in the appropriate clinical setting. pa and lateral views may be helpful for further and better evaluation.
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no acute cardiopulmonary abnormality. focal contour abnormality of the posterior aspect of the left hemidiaphragm possibly be suggestive of a small diaphragmatic hernia or eventration. this could be further assessed with chest ct on a nonurgent basis, and to exclude an underlying mass.
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left lower lobe pneumonia, more apparent than on <unk>.
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no evidence for active cardiopulmonary disease.
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normalization of post-interventional infiltrate with residual density identical preoperative local rounded lesion in left lower lobe posterior segment. no new pulmonary abnormalities are present, no pleural effusion and no pneumothorax.
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mildly enlarged heart size.
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no pneumothorax or pneumomediastinum status post esophageal dilation. discussed with dr <unk> <unk> phone at <unk> <unk>.
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left picc terminates in the mid-to-proximal forearm, not in appropriate position. pulmonary edema/congestion. cardiomegaly. patchy left base retrocardiac opacity may be due to atelectasis, but consolidation due to aspiration or infection is not excluded. findings regarding left-sided picc in inappropriate position discussed with dr. <unk> at <time> p.m. on <unk> via telephone.
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no acute intrathoracic abnormality.
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mild-to-moderate interstitial abnormality suggestive of pulmonary edema.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no pneumothorax seen. chronic appearing right lateral rib deformities.
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no evidence of injury.
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normal chest radiograph.
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endotracheal tube was in the region of the right mainstem bronchus retraction by <num> cm was recommended for optimal positioning. however, the followup radiograph at <time> am demonstrates proper positioning of the endotracheal tube and thus no adjustment is needed at this time. these findings were discussed by dr. <unk> with dr. <unk> at the time of discovery at <time> am on <unk>.
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slight increase in interstitial markings which could be due to minimal interstitial edema vs less likely atyical infection.
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increasing opacification near a fiducial marker in the left lower lobe; differential considerations include radiation pneumonitis or post-obstructive infection in the appropriate clinical setting, superimposed on known malignancy.
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bibasilar atelectasis without definite pneumonia.
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no change in the left port-a-cath position, which terminates in the mid to lower svc.
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no evidence of acute cardiopulmonary process.
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no acute process
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<num>. bilateral diffuse opacities are new from <unk>. the differential diagnosis is broad and includes infection or pulmonary edema. in the setting of trauma, contusion or aspiration cannot be excluded. <num>. no evidence of fracture.
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no acute cardiopulmonary abnormality.
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large hiatal hernia. otherwise, no acute cardiopulmonary abnormality.
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<num>. chest tube in appropriate positioning with possible small apical pneumothorax. <num>. small right pleural effusion new since <unk>.
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new focal consolidation at the right lung base which may represent asymmetric edema, although it appears out of proportion to mild central vascular congestion and lack of interstitial edema favoring a diagnosis of pneumonia. results were discussed over the telephone with dr. <unk> by dr. <unk> at <time>am on <unk> at time of initial review.
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no interval change in the appearance of the chest.
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stable appearance of the chest with left greater than right bibasilar opacities.
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no acute cardiopulmonary process. findings associated with copd are unchanged.
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opacity projecting over the posterior lung base on the lateral view, not well seen on the frontal view, but could be due to consolidation from infection or aspiration, less likely pleural effusion. persistent enlargement of the cardiac silhouette.
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decreased right upper lobe atelectasis and improved lung volumes.
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top normal heart size. otherwise, normal.
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stable cardiomegaly and mild worsened pulmonary edema compared to prior of <unk>.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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<num>. improved aeration of the left lung with persistent heterogeneous opacities, possibly representing contusion in the setting of trauma. <num>. endotracheal tube is too high and should be advanced by no more than <num> cm.
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apparent interval increase in the right-sided apical pneumothorax and displacement of the posterior right fifth rib fracture compared to the prior exam, could be accounted for by differences in technique. these findings were discussed with dr. <unk> by dr. <unk> by telephone at <time> a.m. on the day of the exam.
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there is improved inspiration with increasing aeration at the left base but residual bibasilar atelectasis, less likely aspiration or pneumonia. the right hemidiaphragm remains elevated of uncertain etiology. fractures involving the left ninth and tenth posterolateral ribs can now be visualized. there is a layering left effusion. no pneumothorax is seen. overall cardiac and mediastinal contours are likely stable given patient rotation on the current study. clips in the right upper quadrant are consistent with prior cholecystectomy. severe degenerative change of the left glenohumeral joint which is incompletely visualized. remote fracture of the right humeral head with remodeling and associated degenerative change.
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stable chest findings. no evidence of pulmonary congestion or new acute parenchymal infiltrate in this patient with history of cough following upper respiratory infection.
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<num>. stable post-pneumonectomy changes in the left lung. <num>. right lower lung consolidation, suggestive of new infection.
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small bilateral pleural effusions with mild pulmonary edema.
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no acute intrathoracic abnormalities identified.
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<num>. opacity at left costophrenic angle likely reflects atelectasis vs. pleural fluid. <num>. pulmonary edema.
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low lung volumes and stable, mild cardiomegaly.
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no evidence of acute disease. hiatal hernia.
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no definite acute cardiopulmonary process. please note that ct is more sensitive for subtle pulmonary opacities.
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small left pleural effusion with adjacent left basilar opacity, possibly reflecting compressive atelectasis though infection is not excluded.
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no evidence of acute intrathoracic process.
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bilateral interstitial abnormality has increased since <unk> especially in the left lung which may be due to increased pulmonary fibrosis or pulmonary edema from heart failure. ct is recommended to clarify the etiology of the increased interstital abnormality; however, diuresis and a repeat chest x-ray are recommended if failure is suspected. findings were placed on the critical results dashboard by dr. <unk> at <time>pm.
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interval increase in pulmonary edema with right greater than left pleural effusions.
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interval improvement in aeration of the left lung base with residual patchy bibasilar opacities, possibly atelectasis but infection or aspiration cannot be excluded.
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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.
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<num>. no radiographic evidence for acute cardiopulmonary process. <num>. left lower lobe postsurgical changes and adjacent atelectasis.
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loculated right pleural effusion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no pneumothorax.
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interval improvement in the right perihilar and right lung base airspace opacification.
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minimal opacities in the left lower lobe could be atelectasis or pneumonia in the appropriate clinical setting
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left basilar linear and patchy opacities likely reflect atelectasis though infection cannot be completely excluded.
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no acute cardiopulmonary process, no evidence for pneumonia.
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interval increase in perihilar opacities, right greater than left compared to the prior exam from <unk>. this is likely secondary to pulmonary edema and/or valvular dysfunction.
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no acute cardiopulmonary abnormality.
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<num>. interval progression of patient's known widespread intrathoracic metastases compared to the prior chest radiograph from <unk> and likely progressed from the prior chest ct from <unk>. an underlying infectious process cannot be excluded by this study. <num>. left lower lobe atelectasis.
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interval placement of a single lead left-sided pacer with the lead terminating over the expected location of the right ventricle. status post median sternotomy with stable postoperative cardiac and mediastinal contours. lungs appear well inflated without evidence of focal airspace consolidation, pleural effusions, pulmonary edema or pneumothorax.
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normal chest radiograph. no evidence of intrathoracic metastatic disease.
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no acute findings the chest.
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left basal atelectasis, difficult to exclude a superimposed pneumonia.
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no acute cardiopulmonary abnormality.
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no significant change from the prior study. multiple bilateral rounded nodulew/masses again seen. the appearance of the lungs is similar to prior, radiographically, however, ct is more sensitive in detecting small nodules. no pleural effusion or new focal consolidation seen.
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essentially unchanged chest radiograph from previous imaging. right pleural effusion.