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comparison to. no relevant change. the monitoring and support devices are stable. moderate cardiomegaly persists. no overt pulmonary edema. no pleural effusions. no pneumonia.
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no acute findings in the chest.
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compared to prior chest radiographs ,. tiny right apical pneumothorax unchanged, right pleural drainage catheter unchanged in position. lungs clear. heart size normal. no pleural effusion.
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in comparison with the earlier study of this date, the chest tube has been removed and there is no evidence of appreciable pneumothorax. no pneumonia or vascular congestion.
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substantial deviation of the trachea to the right is related to known multinodular goiter. current examination demonstrate severe e narrowed trachea in the coronal plane up to <num> mm with no substantial change as compared to. heart size and mediastinum are stable. bilateral pleural effusions are moderate, unchanged associated with bibasal atelectasis. there is interval improvement of vascular congestion.
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left basilar subsegmental atelectasis.
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no acute cardiopulmonary abnormality.
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ap chest compared to : a new nasogastric tube ends in the mid stomach. severe bibasilar atelectasis and small bilateral pleural effusions have worsened since. the heart size is exaggerated by low lung volumes, probably normal. upper lungs clear. no pneumothorax.
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ng tube in appropriate position in the stomach.
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endotracheal tube tip ends <num> cm from the carina, and should be advanced for more secure seating.
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<num> images shift showed repositioning of the left pic line from the azygos vein to the mid to low svc. moderate biapical pulmonary edema substantially improved from , unchanged since earlier on. heart size normal, decreased since pleural effusions are presumed, but quite small. no pneumothorax.
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possible early right lower lobe consolidation.
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no acute cardiopulmonary process.
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as compared to the previous image, no relevant change is seen. the lung volumes are normal. bilateral apical thickening. borderline size of the cardiac silhouette with mild tortuosity of the thoracic aorta. left pectoral pacemaker in unchanged position. there is no evidence of pulmonary metastasis, pleural effusions, or pulmonary edema. a retrocardiac of hyperlucency seen on the lateral radiograph only could represent small hiatal hernia.
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heart size and mediastinum are stable in appearance. the patient is after replacement of the aortic valve. mild vascular congestion is present but no overt pulmonary edema is seen. no appreciable pleural effusion identified
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no acute cardiopulmonary process.
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lung volumes are lower, interstitial abnormality more pronounced, and small left pleural effusion has recurred. overall findings suggest a component of cardiac decompensation in addition to extensive pulmonary fibrosis. i cannot be sure that the left pleural drainage catheter is still internal.
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<num>) mild unchanged pulmonary edema. <num>) no displaced rib fracture detected. opacity adjacent to right inferior chest wall. if this corresponds to a site of focal tenderness, it could indicate an acute fracture, but it also corresponds to a prior site of rib fracture and hematoma and may very well be an old injury. <num>) change in configuration of fractured superior sternal wires. please see comment above.
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picc tip projecting over the expected location of the distal svc.
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left chest tube is in place. no definitive pneumothorax is seen. subcutaneous air has decreased. stomach distension has decreased. overall the mediastinal silhouette is unchanged including the anterior mediastinal mass appearance
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large but somewhat decreased right hydropneumothorax following recent right pneumonectomy.
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in comparison with the study of , the right pigtail catheter remains in place, though the position is somewhat change from the previous study. the degree of aeration and opacification in the right hemithorax is stable with no evidence of pneumothorax. there is indistinctness of engorged vessels in the left hemithorax, consistent with elevated pulmonary venous pressure that is more prominent than on the previous study.
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dobhoff tube terminates in the stomach
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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low lung volumes without acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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right-sided picc line and left-sided pacemaker are unchanged in position. the feeding tube has been advanced and its tip is in the body of the stomach. there is unchanged cardiomegaly. there is markedly low lung volumes which limits evaluation of the lung parenchyma. there are likely bilateral effusions and there is a left retrocardiac opacity, unchanged.
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hyperinflated lungs may be due to chronic obstructive pulmonary disease. no acute cardiopulmonary process. no evidence of free air beneath the diaphragm.
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in comparison to chest radiograph, a patchy opacity in the right infrahilar region is new. in the setting of pulmonary vascular congestion and interstitial edema, it is uncertain whether this represents an asymmetrical focus of edema or secondary process such as aspiration or developing infectious pneumonia. short-term followup radiographs may be helpful in this regard.
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normal chest x-ray.
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relatively unchanged right upper lobe pneumonia. new or increased left pleural effusion.
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mildly elevated right hemidiaphragm. no focal consolidation.
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right picc line tip is at the level of mid to lower svc. right internal jugular line tip is at the level of mid svc. ng tube tip is in the stomach. there is substantial interval improvement in pulmonary edema. no substantial pleural effusion or pneumothorax is seen. liver calcifications are projecting over the right upper abdomen.
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no acute cardiopulmonary process.
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ap chest compared to : even accounting for differences in radiographic technique, moderate cardiomegaly probably increased since , and although there is still pulmonary vascular engorgement, there is no pulmonary edema or focal pulmonary abnormality to explain new hypoxia. no pneumothorax or appreciable pleural effusion is present.
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as compared to , the tip of the endotracheal tube has been advanced to within <num> cm of the carina with the patient's neck apparently in a flexed position. this could be withdrawn a few cm for standard positioning. exam is otherwise remarkable for improving bibasilar opacities and persistent small right pleural effusion.
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mild pulmonary vascular congestion.
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mild pulmonary vascular congestion is new since. moderate left pleural effusion and left lower lobe volume loss are stable since.
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no acute intrathoracic process.
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median sternotomy wires are seen. there is an aortic valve replacement. bibasilar opacities are again seen and may be due to aspiration or infection, unchanged. there are also small bilateral pleural effusions, right slightly greater than left. there is mild pulmonary vascular edema. heart size is mildly enlarged but stable. calcifications are again seen of the thoracic aorta.
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no acute findings. tracheostomy in place.
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top normal heart size and tiny right pleural effusion.
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no acute cardiopulmonary process. no displaced fracture. please note that if clinical concern for rib fracture is high, rib series is more sensitive.
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bibasilar opacities, worse on the left, with possible new left effusion. limited assessment of superior mediastinum due to lordotic positioning. probable right humeral diaphysis enchondroma. when the patient is stable, recommend clinical correlation to exclude any right humeral atypical pain and baseline right humerus radiographs to include the entire lesion.
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in comparison with the study , the retrocardiac consolidation has essentially cleared. substantial enlargement of the cardiac silhouette is again seen without vascular congestion, concerning for cardiomyopathy or even pericardial effusion. costophrenic angles are now sharply seen on the lateral view.
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small left pleural effusion and adjacent left basilar atelectasis. no new focal consolidation.
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no acute cardiopulmonary process.
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normal chest radiograph.
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in comparison with the study of , the monitoring and support devices are unchanged. no evidence of acute pneumonia or vascular congestion. the abdomen has been excluded from the image, so that the degree of bowel dilatation cannot be assessed on this study.
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as compared to the previous radiograph, no relevant change is seen. low lung volumes. endotracheal tube and right central venous catheter the are in correct position. minimal left pleural effusion and small left retrocardiac atelectasis. moderate cardiomegaly without pulmonary edema.
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persistent opacity in the right lung could represent pneumonia. right hilar prominence in the setting of treated pneumonia is concerning for underlying malignancy and ct is advised.
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<num> cm nodular opacity projecting at the left lung base just superior to the diaphragm. finding could represent nipple shadow given location, however, underlying pulmonary nodule is not excluded. recommend repeat with nipple markers.
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bibasilar atelectasis. small left pleural effusion.
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stable mild cardiomegaly with decrease in pulmonary edema with minimal remaining.
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mild cardiomegaly. no acute fracture seen.
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right internal jugular venous catheter terminates at mid svc.
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cardiomegaly with vascular congestion and moderate asymmetric pulmonary edema, right greater than left. retrocardiac opacity likely represents atelectasis and possible pleural effusion, however in the appropriate clinical setting, pneumonia cannot be excluded.
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no acute cardiopulmonary process.
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there is a left-sided picc line with the distal lead tip now pointing inferiorly and in the mid svc. endotracheal tube and nasogastric tube are again seen. the nasogastric tube is coiled upon itself and its distal tip is now pointing cranially at the level the ge junction. this could be readjusted. there is unchanged cardiomegaly. there are bilateral pleural effusions and a left retrocardiac opacity. there are no pneumothoraces.
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suspect increased density in the right lower lobe.
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limited study with no overt signs of pneumonia or chf.
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small bilateral effusions and adjacent atelectasis left greater than right.
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resolved pulmonary edema following iabp removal.
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low lung volumes with retrocardiac opacity concerning for an early pneumonia. please correlate clinically.
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heart size and mediastinum are stable. fiducial marker has been placed in the left upper lobe. extensive ground-glass opacity might represent postprocedure hemorrhage. there is minimal amount of left pleural effusion, new. there is small apical left pneumothorax. right lung is clear.
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unchanged chest radiograph without radiographic evidence of sarcoidosis.
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normal radiographs of the chest.
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no acute cardiopulmonary abnormality.
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as compared to the prior radiograph of , there has not been appreciable change in the appearance of the chest when consideration is made for differences in technique and projection.
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no acute cardiopulmonary process.
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as compared to the previous examination, the patient has made a stroma inspiratory have ports and the lung volumes have increased. the pre-existing reticulonodular opacities have substantially decreased and up barely visible on today's image. notably, on the lateral radiograph, the region of the posterior sinuses are unremarkable, which would be very unusual for the presence of an interstitial lung disease. however, the cardiac silhouette continues to be slightly enlarged and the descending aorta is elongated. although no pleural effusions are visualized, the could be mild chronic heart failure. no pneumothorax. known degenerative bilateral shoulder disease.
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no evidence of acute cardiopulmonary process.
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no acute intrathoracic abnormalities identified.
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no acute cardiopulmonary abnormality. nasogastric tube tip within the stomach.
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as compared to the previous radiograph, no relevant change is seen. status post lead placement. no pneumothorax. minimal pleural effusions are visualized on the lateral radiograph only and a restricted to the posterior aspect of the costophrenic sinuses. no pulmonary edema. moderate cardiomegaly with retrocardiac atelectasis.
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no acute cardiopulmonary process.
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in comparison with the earlier study of this date, the patient has taken a better inspiration. chronic interstitial lung disease is again seen, more prominent on the right. area of increased opacification in the right mid zone could merely represent asymmetry of interstitial fibrosis, though in the appropriate clinical setting it would be difficult to exclude a superimposed pneumonia.
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no acute intrathoracic process.
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no significant interval change since the prior study in the extensive left upper lobe consolidation and hilar mass. no large pleural effusions.
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unchanged bilateral pleural effusions and associated atelectasis.
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mild left lower lobe atelectasis
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no acute cardiopulmonary process.
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<num>) mild pulmonary vascular plethora may be slightly worse. doubt overt chf. <num>) new patchy opacity right base, question atelectasis. however, early pneumonic opacity or aspiration cannot be excluded.
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no evidence of acute cardiopulmonary abnormality.
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interval placement of a right-sided dual lead pacemaker with the leads terminating over the expected location of the right atrium and right ventricle, respectively. a left-sided port-a-cath is unchanged in position. there are severe degenerative changes of the right glenohumeral joint which are incompletely visualized. overall cardiac and mediastinal contours are stably enlarged. an aortic valve replacement is again seen. lung volumes remain low and there is worsening perihilar and interstitial edema. small bilateral effusions. no pneumothorax.
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no acute cardiopulmonary abnormality.
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new moderate-to-severe pulmonary edema with increasing bilateral pleural effusions.
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no acute intrathoracic process.
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compared with the radiograph of <num> day earlier, no significant change the bilateral pulmonary consolidations concerning for pneumonia, given the patient's clinical history. large amount of subcutaneous emphysema is also grossly unchanged.
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rounded right lower lobe opacity appears slightly smaller in size compared to the prior study and slightly less well-defined. correlate with history of workup of this finding to assess need for further imaging evaluation at this time. no new focal consolidation seen.
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compared to prior chest radiograph,. new heterogeneous peribronchial opacification in the left lower lobe could be mild edema or early pneumonia. conventional radiographs are recommended for better assessment of this subtle abnormality. heart size top-normal. in no definite pleural effusion.
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interval decrease in the previously large, multiloculated left pleural effusion is primarily basal component ; lateral loculation remains and the volumes of any and posterior components are indeterminate without a lateral view. the esophageal conduit is severely distended with fluid, a chronic finding. consolidation in the left upper lobe has progressed since common pneumonia into approved otherwise. a cluster of irregular opacities in the right midlung developed between and. this could be either bronchiectasis or pneumonia. small right pleural effusion is stable. heart size is indeterminate, but probably not enlarged.
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interval increase in opacities within the right middle, right lower, and left lower lobes. findings can be compatible with mucous impaction and pneumonia in the setting of severe underlying bronchiectasis.
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no acute cardiopulmonary process. increased size of known right lower lobe pulmonary nodule. interval increase in lower paratrachal adenopathy in the mediastinum.
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mild edema.
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no definite acute cardiopulmonary process.
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no definite acute cardiopulmonary process.
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enlarged heart size but stable. advanced chronic interstitial pulmonary changes including airway distortions of ectatic-type, superimposed lateral parenchymal infiltrates that have not changed significantly during the latest examination interval. there is no radiographic evidence for acute pulmonary edema. no pleural effusion was seen, and no pneumothorax is present. comparison chest examination of , indicates that the patient has undergone a long-lasting episode of superimposed infectious processes.
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no acute cardiopulmonary process.