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streaky left basilar opacities, most suggestive of atelectasis. findings similar to a recent prior ct with regard to findings suggesting primary pulmonary malignancy and mediastinal lymphadenopathy.
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low lung volumes limits assessment of lung bases. if there is persistent clinical concern for pneumonia at the consider repeat lateral with better inspiration.
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limited due to low lung volumes with no definite signs of chf or pneumonia. if there is strong clinical concern for lower lung pathology, recommend a repeat study with more optimized inspiratory effort.
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persistent lower lung and perihilar opacities remain concerning for pneumonia with slight improvement from prior recent exam. small bilateral pleural effusions. recommend followup to resolution.
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hyperinflation without acute cardiopulmonary process.
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no evidence of acute disease.
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chf. compared to the prior study. the amount of alveolar edema has decreased. an underlying infectious infiltrate in the lower lobes cannot be excluded.
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no acute intrathoracic process.
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left-sided picc is not seen beyond the left brachiocephalic vein/proximal subclavian vein, and is high in position.
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cardiomegaly without acute cardiopulmonary process.
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moderate cardiomegaly and possible small right pleural effusion. no focal consolidation or edema.
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no right upper lobe nodule seen to correspond to findings on plain film left shoulder.
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small right pleural effusion with right basal atelectasis. mild hilar congestion.
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no acute findings. if there is strong clinical concern for rib fracture, dedicated rib series may be obtained to further assess.
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hyperinflation without focal consolidation. followup on future exams of the nodular opacity over the right mid lung suggested.
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<num>. new, widespread reticulonodular opacities since <unk> of uncertain chronicity. differential diagnosis includes lymphangitic spread of neoplasm versus more acute processes such as edema, drug toxicity and atypical pneumonia. consider hrct for more complete characterization if warranted clinically. <num>. persistent aorticopulmonary window mass. <num>. right basilar atelectasis adjacent to a chronically elevated right hemidiaphragm.
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on the lateral view, there appears to be slight increase in opacity projecting over the posterior lower lung, just superior to the level of the posterior left hemidiaphragm without clear correlate on the frontal view. findings may be due to atelectasis, however early/developing infectious process is not excluded
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no change.
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no acute intrathoracic process.
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cardiomegaly with no signs of failure.
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no acute cardiopulmonary process.
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hyperinflation suggests background copd. no acute pulmonary process identified. no focal consolidation. possible small left posterior pleural effusion is similar to <unk>. a density overlying the patient's chest port likely lies outside of the lungs, however oblique views are recommended for further evaluation.
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no acute cardiopulmonary process. if there is persistent concern, dedicated rib films may be helpful.
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no acute intrathoracic abnormality.
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unchanged positions of right atrial and right ventricular pacemaker leads
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no evidence of acute cardiopulmonary process.
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mild congestive heart failure.
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no change.
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the patient is rotated to the left. otherwise, no acute cardiopulmonary process.
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expansile right lateral seventh rib lesion is similar in appearance to prior radiographs. considering clinical suspicion for pathologic fracture, dedicated rib radiograph might be helpful to exclude a subtle fracture which may not be detectable on conventional chest radiographs.
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left basilar opacity, could represent atelectatic changes, however in view of clinical history, pneumonia should be considered. pa and lateral radiographs would provide better evaluation if able to obtain.
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no acute cardiopulmonary process
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right lower lobe pneumonia. the impression and recommendation above was entered by dr. <unk> on <unk> at <time> into the department of radiology critical communications system for direct communication to the referring provider.
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equivocal vague left perihilar opacity. if pulmonary symptoms are present or persist, short-term followup radiographs may be helpful to evaluate further, although allowing for differences in technique, there has been no definite change.
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cardiomegaly with central congestion.
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grossly unchanged appearance of the chest from the previous chest ct and chest radiograph with bilateral hilar enlargement and perihilar streaky opacities extending into the right upper lobe and left lower lobe compatible with areas of known malignancy and endobronchial spread of tumor. trace left pleural effusion.
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<num>. interval placement of an endotracheal tube with tip projecting <num> cm above the carinal, this is appropriately positioned as the patient's head is down. <num>. interval development of mild-to-moderate pulmonary edema and moderate left pleural effusion.
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small bilateral pleural effusions with slight interval increase in loculated pleural fluid about the right lung apex. patchy opacity within the right lung base may reflect asymmetric pulmonary edema though infection cannot be excluded.
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hyperinflated lungs consistent with copd. no focal consolidation, effusion or pneumothorax.
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no evidence of acute cardiopulmonary process. if there is persistent clinical concern for aortic dissection, a chest cta can be acquired.
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<num>. previously seen opacity along the right heart border is not seen on the current study. <num>. chronic elevation of the left hemidiaphragm.
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no acute cardiopulmonary abnormality.
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no evidence of an acute cardiopulmonary process.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormalities
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<num>. improved aeration of left upper lobe, with considerable residual atelectasis of the left lower and mid lung. <num>. stable right pleural effusion. moderate left pleural effusion.
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possible nodules in the right lower lung. consider nonemergent chest ct to assess further.
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improved postoperative changes of the right lung with residual right lower lobe atelectasis and scarring.
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no acute intrathoracic process.
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no radiographic evidence for acute cardiopulmonary process.
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persistent right middle lobe consolidation. given the lack of resolution, a bronchoscopy is recommended for further evaluation.
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no acute cardiopulmonary process.
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increased retrocardiac opacity, compatible with atelectasis. no pneumothorax or pneumomediastinum.
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left lower lung atelectasis persists.
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normal radiographic study of the chest.
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stable right lower lobe pneumonia. stable moderate cardiomegaly.
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no acute intrathoracic process identified.
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no acute cardiopulmonary process.
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no evidence of pulmonary edema.
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<num>. slight interval increase in size of small left pleural effusion and unchanged trace right pleural effusion. left basilar compressive atelectasis. <num>. relatively unchanged appearance of <num> nodular opacities in left upper lobe, likely inflammatory or infectious in etiology. <num>. previously noted right upper lobe pulmonary nodule seen on ct is not visualized on the current exam.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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interval placement of right apical and right base pleural drains with slight decrease in right hydropneumothorax. right chest wall subcutaneous gas is likely related to pleural tube placement.
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no acute cardiopulmonary abnormality.
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findings consistent with pneumonia. chronic-appearing but only partly visualized left shoulder deformity.
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no acute cardiopulmonary process. no acute bony abnormality on these non-dedicated views.
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mildly worsened opacities right lung. stable right pleural fluid.
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right lower lobe opacity suspicious for early pneumonia.
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bibasilar consolidation, right greater than left, is new since <unk> and is concerning for aspiration and/or pneumonia. increased heart size and mild interstitial edema is unchanged since <unk> and is consistent with mild congestive heart failure. comment: <unk> discussed with dr. <unk> at <time>pm, the time of discovery.
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no chest radiographic findings to account for thoracic spine pain. if warranted clinically, cross-sectional imaging of the spine may be considered.
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no acute cardiopulmonary process.
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hyperinflation, otherwise no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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central pulmonary vascular congestion with mild pulmonary edema.
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small bilateral pleural effusions with prominence of pulmonary vessels. no focal consolidation.
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no acute cardiac or pulmonary process.
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little change in comparison to prior study with evidence of chronic congestive heart failure, but no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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previous small bilateral pleural effusions have nearly resolved. there is no longer any consolidation. lungs are now clear. cardiomediastinal and hilar silhouettes are normal.
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no evidence of acute disease. moderate hiatal hernia. hyperinflation.
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<num>. background copd. <num>. upper zone redistribution. <num>. no focal infiltrate detect to suggest pneumonic infiltrate. no consolidation. <num>. right apical pulmonary nodule identified on cxr from <unk> is less apparent on the current study, but could be obscured due to overlying osseous structures. please see report from that study that suggested further evaluation with chest ct, if clinically indicated.
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<num>. status post right-sided chest tube placement with some improvement seen in right-sided pleural effusion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary disease including pneumonia.
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no evidence of intrathoracic metastatic disease.
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no focal consolidation concerning for pneumonia.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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mild pulmonary vascular congestion and mild left basilar atelectasis.
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no acute cardiopulmonary process. mild cardiomegaly is stable.
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probable trace bilateral pleural effusions. otherwise no acute cardiopulmonary abnormality.
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findings suggesting mild venous hypertension or congestion. focal patchy medial right lower lung opacity, for which atelectasis could be considered; however, particularly if clinical findings raise concern, a developing focus of pneumonia could be considered and short-term follow-up radiographs may be helpful.
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no acute cardiopulmonary process.
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no evidence of pneumonia.