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improvement of pulmonary vascular congestion.
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improving left lower lobe pneumonia and decreasing small pleural effusions.
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no acute cardiopulmonary process.
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resolution of right upper lobe opacity, which may have represented a structure external to the patient on the prior radiograph.
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<num>. the dual lead pacemaker in situ is in the correct position with tips located in right atrium and right ventricle. <num>. no acute cardiopulmonary process.
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mild pulmonary vascular congestion.
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pulmonary vascular congestion with possible minimal interstitial edema, superimposed infectious process is difficult to exclude at left lung base. no displaced rib fracture is seen, although if clinical concern for rib fracture persists, suggest dedicated rib series, which is more sensitive.
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overall improvement in the degree of atelectasis following apparent revision of chest tube. trace pneumothorax.
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bibasilar atelectasis, left worse than right. however, pneumonia in the left lower lobe cannot be excluded.
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small focal opacity in the right lower lobe is new since the prior study and may represent pneumonia or aspiration in the correct clinical setting.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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normal radiographic examination of the chest.
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normal chest radiograph.
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no definite signs of acute intrathoracic process.
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<num>. stable small right pleural effusion with medial right lower lung opacity, consistent with either infection or atelectasis. <num>. right pleural drain is in different position compared to the prior exam. please correlate with drain function.
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no radiographic evidence of pneumonia.
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<num>. no acute pulmonary process identified. <num>. nonvisualization of the left clavicular companion shadow. clinical correlation to assess for any left supraclavicular lymphadenopathy is detected. recommendation(s): nonvisualization of the left clavicular companion shadow. clinical correlation to assess for any left supraclavicular lymphadenopathy is detected.
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no significant interval change. persistent left base opacity could represent a combination of atelectasis and pleural effusion, however, consolidation due to aspiration or infection cannot be excluded. possible trace right pleural effusion.
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mild interstitial edema. no focal consolidation.
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no evidence of acute cardiopulmonary process.
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moderate pulmonary edema.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary disease or injury.
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streaky bibasilar opacities most likely atelectasis. <unk>, md
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no acute intrathoracic abnormalities identified.
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no pneumothorax following removal of right-sided chest tubes.
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mild elevation of the right hemidiaphragm/eventration. mild left base atelectasis which is less likely trace left pleural effusion.
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no acute cardiopulmonary process.
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no evidence of edema. stable cardiomegaly. no significant change from <unk>.
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small left pleural effusion. no displaced rib fractures are noted. if there is continued clinical concern for a rib fracture, then a dedicated rib series is recommended.
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low lung volumes accentuate the bronchovascular markings and the cardiomediastinal silhouette; however, the cardiac silhouette appears top normal to mildly enlarged. no definite focal consolidation.
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no acute cardiopulmonary abnormality.
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slightly low lung volumes, but otherwise, no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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consolidation in the left lower lobe with at least some component of volume loss again suggestive of probable infection and component of atelectasis. repeat after treatment to document resolution and return to normal volume. as previously suggested, ct scan is suggested to exclude an obstructing lesion if persistent atelectasis.
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mild pulmonary edema and small bilateral effusions. deviation of the trachea to the right at the thoracic inlet could be due to underlying right-sided thyroid enlargement for which nonurgent thyroid ultrasound can be performed.
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no acute cardiopulmonary process.
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hiatal hernia. slight blunting of the right costophrenic angle may relate to the eventration, though very trace right pleural effusion is not excluded. otherwise, no acute cardiopulmonary process seen.
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no radiopaque foreign body present.
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no acute intrathoracic process.
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retrocardiac opacity obscuring medial left hemidiaphragm potentially atelectasis however infectious process cannot be excluded. consider pa and lateral chest radiograph if patient amenable. recommendation(s): consider pa and lateral chest radiograph if patient amenable.
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<num>. opacity suggesting right lower lobe pneumonia in the appropriate setting; atelectasis could also be considered. <num>. unchanged moderate cardiomegaly. the above findings were discussed with dr. <unk> by dr. <unk> at <time> a.m. via telephone on <unk>.
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<num>. multifocal pneumonia. <num>. left fourth anterior rib deformity may represent a chronic fracture although ct chest is recommended to exclude osseous malignancy. recommendation(s): noncontrast ct of the chest is recommended for further evaluation.
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no acute cardiopulmonary abnormality.
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no change.
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bilateral lower lobe nodular opacities are again demonstrated representing enlarged peripheral pulmonary arteries.
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<num>. bilateral pleural effusions which have decreased in size from the prior radiograph. <num>. no evidence of pneumonia.
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new mild pulmonary vascular congestion and probable trace bilateral pleural effusions. worsening right basilar patchy opacity, potentially atelectasis. infection, however, is not excluded in the correct clinical setting.
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no acute cardiopulmonary abnormality.
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cardiac silhouette top normal but no evidence of pulmonary edema or pneumonia.
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right mid lung opacity is likely atelectasis, however early pneumonia cannot be excluded in appropriate clinical setting.
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no acute cardiopulmonary abnormality. no free air under the diaphragms.
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minimal bibasilar opacities, possibly due to resolving pneumonia given history of recently treated pneumonia.
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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>. right internal jugular approach transvenous pacemaker coiled in the right atrium but the tip likely at the junction of the right atrium and ivc. <num>. satisfactory position of the endotracheal tube and nasogastric tube. <num>. mild pulmonary edema, slightly improved. <num>. possible small right pleural effusion. results were discussed with dr. <unk> at <time> p.m. on <unk> via telephone by dr. <unk> at the time the findings were discussed.
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no significant interval change in appearance of the chest since the prior study obtained less than <num> hr ago.
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mild-to-moderate pulmonary edema, increased. picc line terminating at the cavoatrial junction.
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no radiographic evidence for pneumonia.
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the extensive subcutaneous emphysema, pneumomediastinum, and small right apical pneumothorax do not appear to be significantly changed. status post median sternotomy with stable cardiac and mediastinal contours. persistent low lung volumes with stable parenchymal opacities in both lungs. right internal jugular port-a-cath unchanged in position. no pulmonary edema.
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mild basilar atelectasis without focal consolidation.
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patchy bilateral opacities may be due to some combination of multifocal pneumonia and/or rib stress fractures. unchanged, small, bilateral pleural effusions. recommendation(s): if treated for pneumonia, recommend follow-up pa and lateral chest radiographs in <unk> weeks.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic abnormality identified.
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lung volumes are slightly diminished with streaky linear opacities the left base likely reflecting atelectasis. a <num> mm nodular opacity overlying the left seventh anterior rib is felt to correspond to a nipple shadow. no pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are stable. mild degenerative changes in the thoracic spine.
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basilar opacities which have a chronic appearance on the left and possibly acute process on the right. if the patient has acute symptoms, recommend treatment and repeat radiographs to check for resolution. if these are chronic symptoms, would consider ct chest to evaluate for interstitial lung disease. these findings were entered into the critical results dashboard by dr. <unk> at <time>am.
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<num>. dobhoff feeding tube terminates in lower esophagus. <num>. vague right lower lobe opacity present since <unk>. recommendation(s): <num>. advancement of the feeding tube by at least <num> cm. <num>. noncontrast ct of the chest to evaluate the vague opacity in the right lower lobe.
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no acute cardiopulmonary abnormality.
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faint reticular nodular opacifications within the left lung may represent an atypical infection, possibly viral. no large focal opacifications evident.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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the left pleural effusion has increased slightly.
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no evidence of acute cardiopulmonary process.
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linear opacity projecting over the lower lobes on the lateral view not clearly delineated on the frontal. this may be due to focal atelectasis although infection cannot be excluded in the proper clinical setting.
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<num>. no acute findings. <num>. small right pleural effusion stable from recent pet-ct. <num>. pulmonary nodules better assessed on recent pet-ct.
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stable cardiomegaly with minimal bibasilar atelectasis.
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no acute cardiopulmonary abnormality. stable, calcified densities in the anterior mediastinum most likely represent calcified lymph nodes related to prior granulomatous exposure.
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<num>. no focal consolidation. linear opacity involving left lung base is slightly less conspicuous from <unk> exam, and likely represents atelectasis. <num>. right-sided aortic arch.
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no evidence of acute cardiopulmonary disease.
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right-ward displacement of proximal trachea with apparent subglottic narrowing. in the setting of left superior mediastinal widening, this is concerning for extrinsic compression the from enlarged left lobe of thyroid gland. by report, the patient has a history of goiter. recommendation(s): further evaluation with cross-sectional imaging.
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mild pulmonary vascular congestion.
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bibasilar opacity is most likely atelectasis noting that infection is not entirely excluded.
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left base opacity laterally, potentially atelectasis; however, clinical correlation regarding possibility of infection is suggested.
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right upper lobe pneumonia.
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mild pulmonary vascular congestion with bibasilar atelectasis.
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cardiomegaly without definite acute cardiopulmonary process.
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non-specific left upper and right lower lung consolidation. consider repeat with improved inspiratory effort.
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no acute cardiopulmonary abnormalities. evaluation of right lower low nodule is limited with this radiograph. is below the resolution of chest x-ray
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stable exam without definite signs of pneumonia or chf. lower lung opacities are stable over time and likely represents scarring or chronic atelectasis.
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normal chest radiograph. no pneumonia.
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no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
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no evidence of acute cardiopulmonary process.
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normal chest.
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no acute cardiopulmonary process. focal indentation on the right side of the trachea at the thoracic inlet. this could be due to underlying thyroid enlargement and dedicated nonurgent thyroid ultrasound suggested.
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no radiographic evidence for acute cardiopulmonary process. dedicated rib films may be helpful with focal tenderness and high suspicion for rib fracture.
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right lower lobe patchy opacity concerning for pneumonia.