#version: 0.2 - Trained by `huggingface/tokenizers` t h o n Ġ a i n Ġ p r e a l a r Ġ c t e Ġ th l e i s Ġth e Ġ o Ġ s t i a s e n e d r a e s Ġ l Ġ in Ġo f e r Ġ is Ġ e u l Ġ b r i o r d i o m Ġ t a n Ġ w s i ti on _ _ m on g h Ġ m i l u n Ġa n a c h e r al gh t Ġ n N o Ġan d in g r o l y i c Ġ re Ġw i Ġ ri Ġ T m al Ġ f ar y Ġt o ar di Ġ d Ġ le o u u m Ġwi th ul mon f f ulmon ary Ġri ght f t n e en t Ġp ne si on i d a te c t ff u u ral ĠT he le ural Ġ v ffu sion Ġe ffusion Ġp leural Ġc on Ġn o Ġl o Ġle ft Ġc h Ġa re un g Ġc ardi __ _ Ġ ___ e m Ġ Ċ om p u b te r an g c e Ġ h Ġs t o l Ġ No a tion Ġl ung i t p h o ra c h p p c u v e Ġb e le ct th ora Ġp ulmonary Ġc omp Ġp ro p ac cu te Ġa cute i a es t te lect em a Ġpne um o g Ġa telect Ġo pac as is o p o thora Ġt ub Ġpneum othora es s Ġatelect asis b le d e Ġpneumothora x Ġa t a re Ġtub e as t s t i m ou s Ġ ed u mon Ġed ema or mal ang ed Ġpne umon Ġd e Ġp re Ġlo w Ġpneumon ia Ġ un Ġ ra Ġp o ĠThe re Ġch est Ġo r ch anged Ġs e Ġe v Ġra di it y en ce u d Ġ S ra te og ra ogra ph Ġradi ograph Ġe x te n ate ral Ġs i il d c ess Ġ C ul ar Ġa pp Ġpro cess e ar Ġ on Ġb as v er op ulmonary Ġcardi opulmonary Ġev id Ġh as v i e w a t Ġ en a ble Ġ M Ġa s Ġevid ence Ġs u Ġ P c re are d il ar Ġun changed cre as mal l ed i i ght Ġlow er Ġm o o w Ġcon s Ġopac i Ġthe re de rate e t ud y I n Ġst udy ast in edi astin om e Ġch ang is on ar ison Ġa b z e Ġlo b ti al Ġeffusion s Ġsi ze Ġin ter a in Ġ L Ġlob e ar g Ġcomp ared Ġ ti c ular a ti re s il ateral Ġ im vi ous Ġ he Ġ A ti es or t o ul oul d ate d Ġ___ . ol um si tion in e ic al Ġv olum Ġf or Ġti p em ent al y a y g es ri or Ġ u Ġs mall h ou il hou ilhou et Ġs ilhouet Ġpre vious Ġv as Ġse en Ġd is o c Ġsilhouet te g aly ome galy e c Ġpo sition ten t ol id Ġ R u t v ed Ġcomp arison Ġ___ , Ġchang e Ġcons olid Ġm ild Ġb ilateral pp er s e f ic Ġconsolid ation a th creas ed Ġopaci ties Ġo ver Ġvas cular v al ediastin al Ġopac ity Ġcardi ac th er p ro a g Ġp rior Ġn ormal Ġcardi omegaly Ġu pper t ra Ġp er d ing c l in i Ġ di Ġs ub Ġapp ear Ġin f an t Ġvolum es Ġa l r om Ġ 2 k e Ġre m s is Ġcon ges l ac Ġb ut s s Ġ H Ġim pro i ke ri c oc al n ormal te d i b Ġconges tion Ġ N Ġst able Ġm id ike ly Ġ g d ed e ter Ġbe en Ġl ine Ġno t Ġl ikely Ġc le Ġab normal Ġbas e ati ent Ġmo derate r on A s o derate Ġ Ġ a d Ġ j Ġ E Ġcle ar ch y ath eter Ġp lac Ġc atheter u e Ġen d t ing fic ation Ġp atient Ġw e in ce Ġ O Ġc ould l l c he Ġw h Ġ D Ġcon t e ft u s ear t ou r Ġre p ra tion ĠR ight Ġf ocal ib as Ġ I l arg Ġc l Ġm ay in ding Ġn ew a m l ight u re Ġ B ardi ac Ġh a Ġb y an ce c ic Ġs ince ac h ini mal le v Ġc m Ġin creased p er Ġabnormal ity Ġen larg Ġs h are n l ow Ġth is ve l ĠM ild Ġf rom Ġl ateral Ġpre s Ġsu g Ġinter val om ach ibas ilar Ġappear ance inding s C omp i r Ġst omach ar t ĠH eart Ġha ve d er Ġhe m g m V C Ġinf ec u r ĠS VC g n Ġre f e ct ĠC T Ġimpro ved ic h Ġwh ich ag e Ġm ediastinal in ical ĠL eft Ġre c Ġlung s Ġs light re n Ġopaci fication Ġ U Ġa d Ġapp ro tial ly s ti ĠM oderate p i ti ve Ġl arg Ġex cl sti tial Ġpo s I C ar d ra gm b ly en ing al l v ic ph ragm a phragm ediastin um ast ric Ġcl inical Ġrem ain g ain Ġa p aren chy Ġv i Ġinter stitial Ġcons is Ġp arenchy Ġvi ew Ġconsis tent Ġref lect c tion as e che al o ve Ġhe art Ġd ue ĠP IC Ġab ove p ri Ġradiograph s Ġhem i our s n o Ġo b Ġ In Ġw or Ġmo re c ardiac ar k Ġw as er n creas e pi ration ro cardiac Ġrep res Ġin tra Ġrepres ent n changed ou gh st an Ġre s Ġc ar Ġth an tra cheal o tracheal og astric ou t l u i f Ġper sis o ph on e Ġslight ly Ġc an ter m Ġa ir Ġpres ent o s Ġa gain Ġchang es Ġv en ĠS mall o st g est Ġcar in Ġf indings ve re Ġde vic e ase as ogastric Ġdis ease Ġj u Ġbas es Ġe ar Ġsi gn Ġex am Ġsug gest t al ĠU nchanged Ġre t Ġm inimal i ed in ation l i Ġparenchy mal Ġde f ud ed Ġpos si n al ĠL ung Ġmo st t le ti f Ġinfec tion Ġpro j an d u al om m Ġm ediastinum T he thora cic Ġend s e x Ġb ibasilar Ġintra thoracic no t Ġsub stan term in Ġwith in si ded s o Comp 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Ġh ilar ĠLung s Ġs c ati c monst rate Ġno ted Ġbas al Ġrec ent ter val l ine Ġsh ould c ul ific ant Ġin crease Ġare as ron ch Ġc or Ġmon itoring th ough u tion si de ort a Ġw ould Ġ te Ġno w ti c Ġp ar l ated Ġma de t s Ġdefini te vi ew Ġa orta Ġinter nal Ġl ittle Ġat ri Ġp romin ra in Ġimprov ement M ild Ġsign ificant Ġle ad a p Ġc ol Ġre view Ġe lev Ġse vere h ilar Ġ___ : Ġd rain Ġde monstrate Ġconcern ing Ġsubstan tial Ġrec ommen Ġprob ably Ġch ronic Ġexam ination Ġbo th Ġremo ved Ġ if Ġf ollow Ġp ac p os i ated ĠO ther at chy Ġbet ter cl a y s l ation ow n or der ren t Ġper i Ġlim its es oph ate ly Ġad v id en Ġex tent Ġac c st ant Ġv is e ra al u Ġev alu Ġun der re m r u Ġs ti Ġthora cic Ġreview ed Ġv er o un pos ed ĠOther wise Ġal though im posed Ġca v Ġsti ll Ġm ark t y c es Ġ it Comp ared ĠS table Ġcor re ark able Ġappear s Ġs id t ain ĠC on ĠTh is Ġapprec ia n own en ed Ġ iden x im Ġh y e l tif ied Ġrecommen ded ur ther Ġe m Ġb ronch Ġass ess vi an cla vian Ġappro xim Ġsub clavian or g Ġapproxim ately z ed ate s is t g org im ilar r ing Ġatri um l o Ġiden tified re e Ġsuper imposed Ġen gorg ro ss ri b on g ĠN G Ġ 4 Ġsug ges Ġd ay pac e Ġa r ro u Ġcon stant Ġcon side Ġ k ati ve ri al Ġf urther rem arkable Ġdemonstrate d at ing rou gh si ty ate r i ties ĠCardi omediastinal inu ed Ġdi aphragm Ġ W ffu se ti ous Ġsid e d om l ap is ting Ġm ul e ous ph ys phys ema Ġdis tal e ed Ġpersis ts Ġlo ss Ġs imilar Ġth rough Ġlarg er Ġinfec tious ĠM inimal Ġbe low u le P A ex isting R ight creas ing or m u p i g te rior Ġv e Ġwi d Ġan y Ġve in Ġcol lap Ġim age order line Ġnod ule Ġsu r Ġtermin ates ĠB ilateral ul t Ġc al Ġv ent en tially Ġob tain d s era tive j ac jac ent Ġob s Ġperi hilar Ġwors ening Ġapprecia ble Ġun remarkable Ġ ess Ġinf il Ġover all t ail Ġare a Ġunder lying i ven Ġess entially Ġproject ing Ġin cl Ġc om Ġobtain ed re ater Ġtub es Ġl in Ġover t Ġpersis tent Ġse ver u de g res Ġo ut le d Ġadv an Ġh owever i or or y Ġm ass f ter Ġg ross c en ort u Ġad 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k h o H E k er Ġcomb ination e ren L eft Ġatelect atic ema ker Ġsh ow Ġw all Ġposition ing ĠO verall Ġteleph one Ġth ick Ġp ortion Ġmild ly Ġpromin ent op erative p le Ġsc ar Ġp igtail or tic Ġa m Ġsuggest ing pri ght Ġobs cu Ġ its Ġpre ss Ġlo c ĠF indings at ure ay er Ġsuper ior eed ing Ġg iven O N f orm Ġcomp lete o re Ġthick ening qu ent Ġdi ffuse ymmet ric Ġpossi bility Ġpress ure ayer ing Ġtermin ating nd otracheal Ġsign s Ġconsolidation s ac k Ġresol ved Ġa e thora x Ġexten ds ĠB orderline i fication oun t e vere Ġhemi thorax Ġsubstan tially b ho Ġm edi ob bho obbho ff ic ated d ay Ġstruct ures N ormal Ġan g Ġper form ' s ĠP ulmonary Ġl ayering Ġwi res v ing Ġvis ual ĠIn terval Ġpneumothora ces Ġesoph ag Ġp h Ġexten sive age al Ġ G Ġprevious ly Ġperform ed di tion pec ted Ġdiff eren Ġhy per Ġevalu ation ative ly Ġin creasing Ġpromin ence Ġp ass Ġincl ud L ow Ġang le f ac ath y Ġd ate i p Ġle ast Ġap ex op athy arg e Ġvas cul ĠL ow p ine Ġcon f Ġ z ti ple Ġremo val ti cular 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ĠRecommen d Ġe ither in y Ġb lunting ac t Ġabdom en es pread ĠC O T I Ġal ong ĠE ndotracheal ĠL arge Ġex ce f ore Ġs pine Ġf i p ic Ġster notomy ĠS t Ġmet ast i ted Ġh ia Ġsur g E R te ro Ġex pected et rocardiac Ġcomplete ly p ect Ġpar tially i que Ġm u u sion ist ory Ġde g Ġtechn ique Ġde te Ġvent ricular Ġh istory Ġt iss Ġpul led a ges ĠM ul Ġper icardial i gh Ġmedi al Ġdeg ree inf lation inf lated Ġrecent ly ibas al Ġim ages le r h at Ġprogres sion ĠA s Ġf ail l ate di es Ġen teric Ġster nal Ġwh en ĠM ediastinal Ġp ect mal ler Ġse c Ġal l pan ded Ġon ly Ġfail ure Ġplacement s olog y Ġsec ond in ed re ak Ġdis t or al Ġd edicated er v Ġfollow ing A B Ġins piration ro w Ġm al Ġdifferen ces Ġrepresent s Ġcalc ification ĠA gain Ġloc ation Ġven ti Ġn e p ical Ġl ong Ġro t Ġp aged ent al Ġcomplic ations om ew o se Ġ . omew hat Ġwor se pan sion s us ĠIn creased Ġpect oral ĠO pac t ory Ġthe se Ġcalc ified Ġan terior Ġcont our Ġver sus Ġassess ment Ġs maller ĠI t ing le Ġobscu red Ġmid line Ġen ti tero gen Ġtortu ous E N ce i ĠA t c ted p l Ġin v Ġlin es ĠĠĠĠĠĠĠĠ ĠĠĠĠĠĠĠĠ Ġdes cending ĠC omp c omp O R terogen eous i ft Ġm ain ib ro Ġhia tal Ġevalu ated Ġso ft n ess ĠTra cheostomy it one ĠR etrocardiac Ġtra ce Ġin t Ġmoderate ly P D Ġs omewhat ag ing ent u Ġsh ift Ġpersis t ten tion Ġacc entu ĠC h ĠD i a vic Ġenti re Cardi omegaly Ġparticular ly Ġra is Ġopacification s si der Ġrep eat A S Ġab s Ġf inding Ġf ibro Ġnew ly Ġdisp laced ĠS light Ġim aging ĠF ollow p on Ġful ly Ġst u Ġsc an Ġstu dies Ġre cei Ġh igh ĠM ediastinum Ġassess ed ro b Ġtra che Ġ 8 Ġevid ent Ġdevic e Ġn ec Ġcl avic Ġph one Ġtra cheostomy Ġexce pt r h Ġc ours ĠP ossible or rh Ġmul tiple Ġv al Ġrecei ved ĠI mpro dom in Ġpre domin Ġnot ably Ġ x E D Ġinv ol Ġprob able Ġ1 0 ak en ur g c rib Ġbe fore ra w Ġhem orrh d raw ter nal ph al crib ed Ġno te Ġas pect ad enopathy Ġw he in us Ġn ear ors ening Ġcarin al Ġreflect s Ġthora x Ġhemorrh age Ġf iss Ġon e Ġfi el Ġlymph adenopathy ten sive Ġwith draw cur rent Ġju st om ediastinum is ed L ung in ct am eter Ġnec k B ibasilar Ġa v Ġg en w o ra hilar cu s Ġdi ameter Ġtrache a esoph ageal y si ĠCO PD Ġex panded rob able te b Ġph ysi Ġs inus Ġcol le i led Ġposition ed ĠP le Ġsugges ted ĠR es re at Ġo p P ersistent osition ed . , ven ous rate d Ġrepresent ing ag no v ascular om a Ġt iny Ġe l Ġv ia Ġdis co Ġcle ared Ġn eed Ġp ron ver y Ġdi agno c i ĠC l ronch ial Ġca us oun ced Ġc omm Ġp ortable Ġd o Ġimprov ing Ġsever al Ġdisco very Ġpron ounced Ġadv ised dist inct Ġdi ct Ġabs ence ar ac S T Ġal ign ĠCl inical Ġh ours Ġex tubated r is pec if pecif ically ĠR e ail able ĠE n Ġmal ign Ġentire ly Ġconf lu qu i we en Ġs er Ġatri al o sis Ġch arac Ġwid espread Ġb order d u Ġex pl Ġver teb Ġdes cribed Ġbet ween Ġcolle ction ti mal an cy Ġav ailable Ġsurg ery Ġt aken Ġ 7 Ġs ingle ĠI N ĠP atient Ġengorg ed aly sis In creased Ġmedi an Ġref er Ġcurrent ly ter n E ndotracheal F indings y per Ġplac ed ra y reat ment Ġinfiltrate s Ġmu ch ĠMul tiple Ġs tent ro und Ġm m z ation S I p ere pere x ĠP atchy l d K nown Ġde p oc um ast ro le ar Ġg as Ġcl ip phal ic Ġb ra Ġd ocum Ġprogres sed Ġcomm un Ġwithdraw n ce phalic dist ribution Ġpresum ed Ġmalign ancy lac ement I N Ġval ve Ġventi lation Ġhil a Ġsu ch l ike Ġpneum omediastinum Ġg astro ĠI S Ġt reatment en s Ġsus pic ci an Ġcharac teri Ġ 9 Ġphysi cian ĠA telect Ġwor ris Ġworris ome l at ĠAl though le t Ġdis tended Ġc row Ġdiagno sis ĠEx tensive op er reak y Ġ tension Ġaddition al Ġperi ph gm ental Ġdict ation ĠG E . : Ġ1 1 ran s Ġpredomin ant Ġbra ch S ub io cephalic Ġin tubated Ġo ri Ġb orderline Ġ es Ġsub tle ĠD e Ġl ing Ġbrach iocephalic Ġde comp ven tion Ġverteb ral c ing Ġpart s Ġob li S light a v Ġin distinct Ġclip s ĠPle ase ial ly Ġm arg Ġinvol ving Ġclear ly B ilateral m ost y pical tub ation urg ical ĠT rans k s ĠP robable Ġg o Ġu p Ġcrow ding AB G e ared o vascular u es Ġad enopathy ol ar Ġdecomp ens ul ts ĠL in Ġlo op Ġm in l a Ġinf rahilar A T ĠC ABG pec ially Ġmarg in Ġp ath Ġlim ited ĠDi ffuse S t v id Ġdi lated vention al Ġ Known Ġhyper inflated ol io Ġpre ced Ġse e Ġco iled U nchanged Ġ 0 ĠO F Ġapp eared Ġtiss ue Ġes pecially Ġregion s i ous ĠOpac ification Ġgastro esophageal Ġwe e Ġsecond ary Ġint act on itoring olio sis Ġhyper tension ve olar c er ran ul Ġhil us Ġlong er Ġpreced ing cen cy ced ure Ġrot ation Ġexpl ain Ġconges tive Ġvein s Ġel ong Ġcommun icated ne um ĠM onitoring te red Ġt wo ex t Ġex ag Ġconflu ent Ġdecompens ation Ġal low Ġmetast atic Ġins er ĠSt atus Ġb ibasal Ġg ranul Ġp le Ġfibro sis Ġsu p ĠFollow up Ġclavic le Ġop timal n ing Ġal veolar Ġn ext Ġre distribution ĠG iven perex pansion Ġm an I mpro pi ra st ru Ġremain ing Ġfiss ure Ġs pace te s pira tory Ġhe terogeneous oper itone Ġrais es de termin ib ronchial Ġrecommen d od en ĠS pecifically Ġd ual Ġsignificant ly gen erative Ġh ad Ġdete cted te sis Ġrefer ring U L en si S ince Ġal most Ġdist ribution x ill erv ation ĠTrans venous Ġbronch us Ġexten ding ĠA d N D Ġl ies Ġa xill ul a Ġhy d Ġfiel d Ġbronch ial determin ate L arge de f Ġobs ervation M inimal w ay Ġwee ks Ġo c Ġsu pine Ġthora c Ġlim it Ġden se Ġmarked ly def ined Ġdemonstrate s pec ific TI ON Ġdo es Ġbronch i ran t ĠP ost Ġev en operitone um Ġhyd ro Ġno ti ir m othora x Ġdef orm rib u c tive Ġpar tial te m T H ĠS ome G H g in ym pt ympt om Ġ y Ġelong ation Ġat ypical qu es Ġconf irm on y is tended Ġim aged Ġg astric Ġar ch Ġcl ose Ġbronch ovascular Ġsubse gmental ĠImpro ved i th Ġs it ne l Ġdefini tive u cency Ġs ymptom ĠS u Ġallow ing Ġser ies Ġsc oliosis al ed Ġ1 2 Ġo ld Ġin determinate ĠW id al ly owe l Ġapprecia bly Ġper ibronchial Ġesoph ageal Ġcor res Ġs ensi Ġpo or ĠA pp Ġnoti fication an nel Ġqu ad ĠW orsening I NG Ġquad rant Ġm inu U M stan tial Ġair way Ġab out Ġcon v Ġday s ĠAtelect asis Ġ ( Ġf o Ġinf er Ġconv in Ġpredominant ly Ġcalcification s Ġconvin cing ĠH e as sive Ġha zy Ġsh ort Ġalign ment on es Ġb owel Ġpro cedure Ġgen eral ogra m ĠC or im ited Ġthrough out Ġcompres sion Ġori gin ro id ĠT ip Ġcon current pec tive Ġpresum ably Ġtiss ues ĠF eeding v ening Ġproj ection y ond Ġinfer ior x t Ġbe yond ĠN O Ġabdom inal h ed Ġposition s at or ĠP romin y roid Ġsymptom s Ġres pective P atchy I GH Ġhy perexpansion 3 0 en d Ġevalu ate ĠCon sider Cardi omediastinal erv ical ĠP ac re ct Ġcaus ed Ġindistinct ness Ġfo cus IGH T s oph Ġin let Ġde tail Ġcon ventional Ġth yroid Ġwid ened ĠB ibasal Ġdocum ent Ġperiph eral ĠV ascular Ġdis tention un ded soph ageal ĠL ittle Ġcours es Ġpro vid Ġlateral ly Ġmin or ll ing Ġcon sider zy g E S Ġven a HE ST Ġsus pected Ġexag ge we lling p y ect asis Ġcav a EN T h ap Ġincl uded P ulmonary U R os c Ġre qui Ġob stru Ġcollap sed Ġra ther se vere Ġsuper vening em i Ġdrain s r y Ġhemidiaphragm s Ġpneum operitoneum Ġap ic Ġro unded Ġins piratory Ġac tive monstrate d Ġresol ving i zation ar p Ġgo od g astric Ġtra um es tion er cul Ġw ar Ġsi te Ġqu estion Lung s d welling ĠW ith ĠE sophageal b ol ib er Ġappropriate ly Ġangle s ĠCh ronic Ġp late Ġbronchi ectasis Ġrib s Ġbronch ogram Ġs emi ver se at is Ġar teri Ġaccentu ate Ġtub ercul Ġc ervical Ġm ere Ġrep ositioned atis fac u se ark ed Ġwhe re Sub tle Ġmere ly de monstrated Ġrep lacement Ġarteri es Ġcours ing Ġb en Ġrel ate Ġwhe ther en ted Ġclear ing Ġsit u Ġobli que atisfac tory ĠCon stant S evere ou b I L Ġthe ir Ġs he ro gastric s urgical Ġloc ated I S Ġb i Ġem bol Ġe ti ĠA ND ĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠ ĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠ s pecific or ted ĠO f Ġwar ran c id Ġinf usion end ent Ġcal iber Ġtrans verse Ġz ones ĠCh est ĠS ternal ĠC entral ĠIn creasing Ġp at Ġo s Ġsh arp Ġbronchogram s oub t v ement ĠH yper Ġpath ology Ġminu tes Ġa zyg a que P ossible Ġ ill cla vic Ġprovid ed Ġf und it is Ġshould er Ġde generative ĠCT A ĠComp arison Ġsup ra ĠB lunting ĠM ore ĠPrevious ly Ġe ff ĠRe p Ġpat tern Ġfund us L Y it ral Ġpo in Ġloc al clavic ular s olid u ration Ġh ard ĠS ince ĠU n L imited O M ow ing ul ation D I Ġmass es Ġling ula i te as es Ġout side Ġinfil tra SI ON Ġsugges tion neum othorax ĠSub stantial Ġdep endent o on ll owing ri ll ct omy ib rill ĠComp ared ĠCor re ĠR IGHT am m Ġposterior ly itone al ĠLin es w are e ver all oon ribu ted Ġl ucency Ġref le Ġmetast ases Ġrot ated Ġpro per Ġac cess Ġdifferen tial ibrill ator C ardiac s ure ig uration Ġb alloon Ġradiograph ically ti m pp le E M Ġindic ated ĠAl so g round es ter ĠEn larg Ġen sure ester day e as Ġrep ort c ement Ġhe aled Ġdef ibrillator Ġrep laced Ġsuspic ious le ss Ġsurg ical Ġcorres pon p ositioned Ġto ward Ġh um ad ow Ġhil um ĠT O Ġf our res sion Ġscan ning Ġben e M AL um p Ġcorre late cur red Ġc ross Ġin j Ġse p ymmet ry Ġsubsequent ly Ġsupra clavicular al c Ġsh adow Ġmedial ly l amm Ġdete ct t rem ĠP LE Ġs p Ġf at Ġnear ly St atus Ġlesion s C h era t Ġtermin ate i pple ĠE lev Ġaccentu ated UR AL Ġconf iguration osition ing hap s m physema Ġm assive Ġcatheter s per itoneal ĠSub cutaneous C T P revious Ġn ond ol ution r ast ĠL E ĠPLE URAL Ġloop s le ro T ra Ġmark er om at Ġob vious D S Ġm itral Ġover inflation solid ation Ġp ump Ġlarge ly Ġy esterday Ġp ast ul ated Ġprogres sive ĠEn teric Ġapic es ch annel ex pansion or d c um Ġazyg os W orsening Ġwi re Ġdis c Ġesophag ogastric N E Ġintra peritoneal i le Ġrais ing F F Ġhe ad Ġwarran ted Ġhyper inflation p id ĠS h Ġasymmetric al Impro ved c lear Ġwh ose Ġrep orted ĠA re Ġaxill ary Ġn ipple ur ys Ġst reaky M ul l ung ag ue ne umon F T ro priate Ġleft ward Ġb ony te rial ĠTh ora Ġcav it H yper e urys ro du stan ding Ġhydro p Ġdeform ity Ġun clear Ġint rodu E W ir d ĠMul tifocal Ġsensi tive Ġeti ology Ġex trem ĠC alc ur y ĠA R diaphragm atic ĠRes ults C H k ing Ġst a ĠSub se Ġapparent ly Ġgen erat Ġinj ury Ġno de cen tesis Ġsuspic ion Ġc en Ġper haps NE UM Ġp la Ġb asis Ġre tra pi te Ġtra cheal cid ental Ġgenerat or U SION Ġse gm Ġas cending ĠP NEUM Ġtraum a Ġex tubation Ġdefini tion b ar Ġshe ath ra cheal S u Ġindic ative Ġrespective ly ĠEx am ĠW I 0 0 ter stitial Ġback ground Ġhydrop neumothorax o le Ġthe n ĠHe terogeneous Ġsharp ly il y ures is Ġfilm s Ġrequi red Ġas ymmetry Ġconside ration Ġbene ath Ġinclud es Ġexagge rated Ġinf lamm ĠL ateral th e Ġthora centesis ĠWid espread ĠAR DS Ġsegm ent 4 5 Ġsi x ur ing ĠAd dition u ff og en Ġradi oden Ġdi m Ġcon ve Ġdi lat Ġinf lated Ġar tif Ġqu ite Ġful l Ġclavic ular R es Ġth ird Ġco il a di ĠS T at racheal Ġres ults Ġdilat ation ĠE FF Ġsevere ly 1 5 Ġre ad low er Ġ1 5 Ġdiaphragm atic Ġtubercul osis ĠThora cic ĠEFF USION o th Ġin tubation Ġdifferen ce Ġres ection Ġpar atracheal e ly Ġfiel ds C HEST O U Ġan eurys u ous ĠET T ĠW h Ġ - Ġvascular ity Ġobscu res Ġdi uresis Ġobscu ration AB LE neumon ia v ent y ing ĠC ON Ġmid lung ĠLE FT T E Ġch in o di Ġpneumon ic Ġhem at ĠR el T ip ĠL O Ġinser tion Ġunder g Ġhard ware a ortic in is Ġb ul Ġex ternal teri m Ġcharacteri zed odi alysis ĠP er Ġinser ted Ġartif act Ġre ac Ġsub diaphragmatic Ġin terim Ġcomplic ation Ġgeneral ly Ġnond istended Ġt or Ġre demonstrated Ġo rogastric Ġadvan cement Ġtoward s Ġd oubt Ġbe ing Ġalign ed Ġre ticular Ġres pon Ġstruct ure u pright Ġcont rast ĠSub tle F rontal Ġat tention osc op f luid ulmon ic Ġradi ation op aque Ġcons pic Ġsub p ĠWI TH n k Ġfra nk Ġne cess A TION Ġae rated Ġfibro tic D obbhoff a zy Ġnon specific ĠAre as Ġtor so ir st Ġcharacteri zation ĠPromin ence a b on ary Ġc uff Ġfollow ed g ent id ual Ġunderg one ema in comp lete U NG Ġf av ĠR emain Ġhemat oma s ection Ġin i ron g Ġma j in ue Ġf irst OR T tern atively ĠS ign 1 0 ĠV I Ġling ular Ġst rong at tered Ġneed s ĠElev ation ĠPac emaker Su pport Ġrem arkable A C si ties Ġde vi ain t Ġs atisfactory Ġm or Ġeff ort ĠSubse quent 2 0 Ġcont inue Ġre du Ġen ding ĠIn f Ġclavicle s Ġn ur se ous Ġre current Ġden sities ĠDi ff ĠVI EW R O Ġf ar no b Ġk nob vent ricular N asogastric Ġst reak de qu Ġpoten tial lat ten Ġlobe ctomy ĠT iny Ġcont usion larg e p tion Ġobstru ction Ġdes pite co id Ġbe c ĠR E ĠL UNG Ġdi alysis V E Ġb est ĠSlight ly re gular Ġim p Ġre st Ġconspic uous og n ĠTHE RE ĠA RE I D Ġradioden sity ĠE D Ġpla ques v ocal qui vocal ĠLin ear ĠSu per s y Ġrec ogn tic al inis hed u c Ġw ed D i cer tain C on Ġdi rect ĠA side Ġover li A NG B E Ġp ain Ġcomb ined it us ĠRes idual Ġacc ount Ġhem odialysis A N a use Ġin cidental Ġindic ation Ġdocum ented Ġos seous Ġde creasing Ġar terial Ġobscu ring Ġgranul oma Ġdim inished e rent s ing Ġf latten Ġrel ative ed ing Ġradi opaque Ġhemidiaphragm atic Ġcor onary o tic ĠNo te ect omy Ġrespon sible E n k in ĠM arked ĠE mphysema Ġa dequ Ġdiff erent Ġmaj or Ġrep ositioning Ġsinus es Ġinfiltra tive Ġplate like ĠRemain der c ar Di ffuse Ġb one Ġdiaphragm s Ġdisp lacement A pp l ass n er e p Ġsilhouet ting g ing Ġd ated ia pical Ġpar am en tesis Ġb re Ġf ore Ġlimit ations ĠCorre lation ĠB oth op sy Ġun certain si zed iden ed Ġport s Ġfore ign Ġ ru op l oc entesis 5 0 Ġoc curred Ġh ole In creasing Ġdevi ation o in as h ĠOpac ity Ġdis tension omy opathy Ġman if Ġairway s omat ous E x Ġcardi omyopathy Ġple u Ġtra ct ĠRep eat ĠSh ort Ġini tial ti v at ory Ġh r ĠF ocal ĠCon solidation ĠApp arent Tra cheostomy o ther Ġa ge ĠS urgical Ġmo ve ogen ic Ġse cu Ġman ner 4 0 Ġb le Ġan other Ġd u Ġsid ed Ġhum eral oscop y Ġp l ĠD ual AR Y Ch ronic C E Ġa side ual ly ĠHyper inflation Ġc ur ĠModerate ly Ġcol on ĠRel atively le ment Ġat t Ġfiss ural en se Ġdist ributed d ular Ġdef ined ĠW idened Ġg round Ġextrem ely D e Ġs ar dom inal ĠSuper imposed Ġenlarg ing ĠLow er AR DI M ON Ġof f Ġincl ude Ġtrans p Ġnecess ary othora cic ĠH azy Ġperiph ery Ġdu oden Ġc e Ġe lement ol ving Ġappro ach al low Ġright ward Ġventi lated UL MON the less T ER Ġd own Ġra pid ĠTra ce Ġne o Ġcontinu ous O L Ġv ar Ġg ra ĠCO M Ġexce ption y ed Ġbi opsy ULMON ARY g o Ġm eas Ġf ol Ġindic ate ĠPost operative Ġsar coid j unction ĠImpro ving g lass Ġcon junction Ġwh at Ġaxill a tim eter Ġaneurys m le x Ġthorac ocentesis O G P atient Ġthe ra ques ted Ġconve yed Ġre quested ĠWith in Ġduoden um Ġthe y Ġthera py C lear Ġs pecifically he re ĠC urrent Ġposition al Ġco existing ĠUn der Ġs ymmetric Ġinf ar ĠIn terstitial ĠF urther Ġnod es Ġpath olog Ġple thora tiv ity ĠS ING eren tial ord otic ĠSING LE is m Ġf ew Ġse ven ĠO R Ġremain der Ġlob ar Mul tifocal O TH Ġcon dition ab dominal Ġthere fore Ġgranul omatous x ation Ġthorac ostomy Ġdetail s Ġsubp ulmonic Ġbec ause Ġwed ge Ġoverli es Ġmanif est O pac Ġp us Ġpneumon itis val u ĠPac er ĠAddition al Ġdis cre Ġexplain ed ĠPromin ent Ġcorrespon ding U n s tem in ear Ġl um Ġnot ing Ġexamination s lero tic Ġc er Ġj oin Ġju xt Ġdefinite ly Ġmain stem Ġadequ ate ĠP ORT car ring b o er gent Ġconsolid ated Ġcan cer Ġth ree Ġcardi ophrenic ĠO ld Ġs kin ĠAtelect atic ĠUnder lying S ingle Ġde monst OR A bo ard le ad Ġn or ĠA llowing Ġal read ĠB E ĠEnlarg ement Ġparam ediastinal Ġble eding Ġalread y Ġc age ash board Ġpus hed A llowing p e Ġs ul ro s Ġindic ating Ġdeform ities Ġfull ness ) . ĠT ub ĠP o Ġu pon is p ĠT H Ġde term ĠP ULMONARY Ġjuxt a ORA X Ġ ir Ġc ir Ġchronic ity Ġmu st Ġcardi othoracic ĠIn crease opl as Ġmarker s Ġdiscre te in d Ġmal positioned Ġsup rahilar ĠWid ening l ateral ri m ate rial Ġrefle ctive Ġflatten ing te xt Ġm aterial ĠT ortu Ġcon text Ġfor ward Ġconsolid ative ur n ĠCalc ified Ġshow ed Ġpoor ly P robable f low Ġconside ra Ġsix th Ġcaus ing ĠDiff erential M arked Ġ Q Ġf unction ĠC ARDI Ġim m ific ance Ġhigh ly Ġir regular I T s ew Hyper inflated sew here Ġb and Ġhe av ron ically RE S Ġlong standing St reaky Ġcross es Ġnur se ĠB ony ĠPNEUM OTH ar row ĠR A ĠI C Ġout flow Ġportion s ĠT B em ergent Ġsign ificance Ġobstru ctive ĠPORT ABLE ĠO b ĠPNEUMOTH ORAX b est Ġre ach Ġcen timeter Ġf usion ary n Ġst ably Ġacc um TI N y let __ __ Ġst ylet Ġbas ed Ġinf orm Ġtrans venous Ġdete ction Ġbre ast ro gres ĠT o ĠA ll ĠV ery Ġaccompan ying Ġtransp aren l ing t us if th Ġreg ard Ġembol ism Ġsp inal ĠCOM PA Ġmanifest ation Ġtransparen cy Ġsensi tivity i red p ort Ġp rim Ġan n ĠNo dular Ġradiograph y ĠB as ĠM O Ġcoil s Ġp y Ġl ordotic Ġf ifth ess ment Ġsc attered Ġtechn ical Ġconflu ence Ġser ious Slight ly EM A a iled p m ti l ĠH y qu ence ĠWh en Ġrecogn ized O verall Ġin complete ors ened Ġra ise Ġres ult Ġca use Ġd ashboard ĠMinimal ly OR MAL c in ĠT wo Ġcer tain Ġf lex Ġde c Ġev ent Ġval v Ġconfirm ed Ġbi ventricular aryn x d istended Ġhy p Ġcorrespon ds Ġcom mon Ġdes ired ĠAs ymmetric ED I Ġinflamm ation Ġsul cus e ration s es Ġw ill Ġwi de ain ed Ġal one ĠĠ ĠĊ ĠMild ly ar ily ĠC lear Ġbronch oscopy UL AR i ze in es ĠS U RE D Ġfour th le tal ke letal oun d Un remarkable ĠD ense lo b ho le ĠDe generative R etrocardiac Ġl ast Ġl ater Ġn arrow Ġte am Ġhia tus op timal Ġacc oun Ġpoin ting Ġcentimeter s k es Ġlo o ĠS I Ġma kes ĠSu g ĠSign s Ġd uring Ġas best AP H ĠOpac ities Ġsep ar ĠInf ection App ropriate ĠT U ag us Ġsh if Ġbo dies ĠSt reaky ĠApp ropriate Ġsarcoid osis Ġshif ted 5 5 Ġper m rib ut Ġretra ction Ġsecu re ar ding Ġt ri Ġf eas Ġexam s Ġmetast asis ĠEnlarg ed Ġpl ain Ġfeas ible N CH Ġch ronically ĠLO W Ġstreak s isp laced Ġl i Ġel sewhere p en olum e Ġembol i F ollow Ġp m ĠM D Ġreg arding pos sible Ġan ti ol ved Ġcons e id uc ĠA ss Ġal ternatively Ġfi xation vid ence Ġseven th iduc ial Ġinter p Ġtra ced Ġv ague Ġch annel Ġsi ted Ġdis section Ġoc cu oc ulated esoph agus Ġrefle cted Res olution T op ĠP ar c ent n ant rec ted Ġin dwelling Ġm e ĠC HEST all ic Ġco ar Ġcomponent s ĠImpro vement ĠCurrent ly Ġdeterm ine ĠTU BE Follow ing . ___ 0 5 f il in ess er ved Ġim possible Ġsh allow ove red Ġindic ates AS TIN ĠDe creased AT E Ġintrodu cer EDI ASTIN U D ter notomy ĠN ever Ġexpl an ĠDe crease Ġloop ed Ġos te Ġcavit ary Ġimp ression Ġincomplete ly ĠNever theless p inal ĠPle ur Ġgeneral ized m p z iness tion s Ġtip s us ual Ġne oplas ANG ED E AR ĠA ir Ġfor m lero sis cum ulation Ġconse quence fil led 3 5 P ER p s Ġde line ĠS imilar Ġshadow s R I Ġl ate ĠP neumonia ĠA C ĠA T Ġhum er Ex tensive ĠIC D Ġexplan ation Ġp lu ul us un t ub itus Ġexten d Ġlocal ized ĠRA DI Ġasbest os ĠP neum oc ardi ther osc ĠHyper inflated ĠCorre late ĠPo or Ġplu g as on Ġpre c Ġse ating ĠD E Ġsh ap ĠIn dwelling Ġpoin t Hyper inflation ĠPer i l ikely Ġsu t Ġsc ap Ġinfiltra tion A n F eeding M P b er p ond Ġto o Ġple ase 2 5 ĠS c Ġex pos io tic Ġquestion able Ġsta bil NCH ANGED Ġhumer us Ġf el ĠP ET ĠL ikely ĠN on ĠU NCHANGED ys tem era ting LE CT Ġinflamm atory OU S Ġfel t s carring al ing Ġs ystem qu ity ĠAt tention urg ent R APH l or on ed Ġc ough Ġm y Ġre ason OG RAPH Ġann ulus lor us b iotic i ter Ġha ziness Ġmor ning Ġce phal Ġpy lorus Ġanti biotic ĠRADI OGRAPH Ġprec ise I A Ġex tra ec ted ase ous Ġsur ro icardi um Ġexpos ure R A Ġcomp ar Ġradi olog Ġgo iter n um Ġf act Ġwh ile Ġk in um or ĠS MAL Ġstrong ly o id Ġc all Ġt r ĠT op Ġdec ubitus Ġb iapical Ġse cre g erating Ġe rect Ġb lo om as ic i Ġpre operative Ġconges ted Ġret urn Ġexag gerating Ġsep tic Ġcen tered ĠSI Z Ġf aint Ġst ri valu ation Ġinform ation Ġradi ology Ġrem nant Ġcar cin ER AL ĠRes olution ĠPNEUM ON Ġpleu ra In dwelling ĠSIZ E Ġa go ĠL ess perex panded ues tion Ġcorres pond Ġsta bility Ġretra cted Ġ ten ĠD is Ġthora co Ġcaus es ĠAd jacent Ġintrodu ction C I Ġun likely Ġjoin t Ġimm edi om b Ġt umor Ġre curred Ġpro s olum bar Ġcuff ing Ġinterp re Ġstabil ization d is j u ĠR adi ĠG reater ĠCalc ification Ġcir cum Ġblo od ĠPNEUMON IA Ġev olving Ġredu ction Ġgra ft Ġsecre tions ill im Ġneed ed R e a ir n t p osition Ġs keletal sti c Ġres ul Ġsi zed Ġsh unt Ġexagge rate Ġvalv ular d es ent ation Ġcorre lated y st al es im in ĠP O ĠH AS En teric 1 2 c m l f p leural p ass te st ra ting Ġun usual Ġ1 6 Ġinvol vement Ġgranul omas Ġlum bar ĠSMAL L E G X R ed ic Ġor der ĠC XR Ġby pass Ġmon th Ġf iducial Ġasymmetric ally Ġabs cess ĠWh ile Ġneo esophagus y ph Ġside hole Ġ- - Ġresul ting pp ing et ric se lf ĠO PA Ġit self Ġaccum ulation Ġsurro un C OM Ġpneumon ectomy ĠP os ĠA pical Ġcont ain ced ural que la Ġmet allic TI AL Ġup ward Ġmor ph illim etric l um Ġa ble ch ocardi ĠĠĠĠ ĠĠĠĊ Ġtubercul ous ĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠ ĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠ ĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠĠ ĠĠĠĠĠĠĠĊ R IS is h ĠR est Ġhem othorax Ġma ke ob ronchial ĠST UD Ġpatholog ic lum en ĠSTUD Y Ġ , Ġt ypical Ġ___ - oc i ĠD edicated Ġless er Ġco ales ĠED EMA D ER t r Ġl ike ĠM id ĠN ORMAL Ġcont ribu Ġmost ly Impro ving ĠLOW ER RIS ON S ign t ous z ing Ġb l Ġw ater Ġto tal Ġed ge Ġdi rected Mild ly Ġlocul ation tero lateral ever al Ġcavit ation De creased C O G E c on Ġ term ĠC o ĠA TE oun ded Ġshap e ĠATE LECT P ost W orsened v is y n Ġs pecific ĠP res Ġg row Ġteleph oned ĠAn alysis Tra ce Ġinfar ction m id ĠS E ĠA eration Ġg lob Ġcompar able omb ination Ġw ind Ġd ating Ġun f Ġse quela at ter ĠP re ĠO G Ġret ros Ġop aque Ġcharacteri ze Ġredu ced Ġsurroun ding CO PD E mphysema Ġ ke ti cul ĠC li Ġen ter Ġhe ight Ġsub optimal Ġsh own Ġobli quity omat osis l imin Ġn um ĠE vidence Ġk yph Sign ificant limin ary F ocal Ġde t ĠA M Ġremo te Ġpost surgical ĠAl ternatively Ġfi ve AS IS Ġvar i ĠCOMPA RISON ri tical Ġm ist ĠA S ĠE X Ġthorac olumbar Ch est Ġnarrow ing yn am Ġwind ow Ġmist aken x ic Ġc are ri es ac u ĠH ilar ĠNew ly ĠSt andard Impro vement ĠCli ps I P L inear Ġn ature ol ateral Ġra n Ġen tered ĠM EDIASTIN ĠIn distinct Ġbo re Ġsuperior ly AS C Ġconsidera ble a ding e quivocal t ation Ġa round Ġa therosc Ġun equivocal Ġret ained Ġcav ity Ġmul ti Ġventi lat Sub stantial Ġm ig ten ce ear ance Ġ1 3 Ġadvan cing ĠV olume oper icardium Ġe p ou ble ĠA ortic Ġtra ver ĠF or Ġmon it Ġaspect s Ġdep osition Ġdet ailed a pp te ctomy ac er ĠI MP ĠCon ventional lo ric ob stru ĠIN TER ĠATELECT ASIS ĠS everal ĠM edi Ġappear ing Ġpac ing Ġtraum atic Ġdisc overed ĠTortu ous Ġimmedi ately L L ul l Ġm illimetric Ġto xic ĠS us Low er ĠAddition ally Ġjuxta hilar Ġcertain ly Ġtr ue A gain Ġre ass Ġd one ang i Ġsu ff pro cedure Ġpresent ation AT ERAL Ġhead s ĠSug gest Ġe chocardi ren ce ĠV ASC od ular cur rence Ġne ither Ġdeline ated test inal obstru ctive Ġth us Ġw et Ġh our ast y Ġcommun ic Ġdisc on En larg Ġheav ily k ed section al Ġserious ly C RE IC D Ġtrans esophageal ĠHe aled Ġflex ed ici ent Ġmorph ology Ġran ge ia tal ay ed Ġlevel s Ġpul l Mul tiple Ġsut ures Ġke ep Ġcl ar ur ring Ġwithdraw al Ġtoxic ity V ague Ġcomp le are ly ĠA b Ġsurfac e Ġconfirm ation Ġcur v Ġatt ributed Ġunf ol m it he ther Ġf oci it al Ġat ten ograph y Ġex is ĠM assive era ble Ġstent s EM ENT Ġcoil ing Opac ity Ġunequivocal ly Ġs low Ġb arely em in ĠW hether Ġconsideration s CRE AS Ġkeep ing W id c av o t al e Ġs im Ġpro du arenchy mal Ġte mp Ġplug ging i tion m m ti g Ġab ut ĠCon t IL D ĠOb s Ġcontribu te ĠVASC ULAR S imilar Ġc ritical as ound er ous Ġan tr Ġresid ent Ġobscu re Ġdiffuse ly angi tic Ġantr um Ġh and ĠP M Ġproj ected Ġso on ĠSign ificant Ġatt ribut c age Ġbase line ĠE V ĠD il igh th Ġmeas uring Ġsuff icient Ġattribut able u ish v an Ġe ighth cess ful Ġrib cage Ġcollection s adi ly Ġperm its le no Ġv s Ġsu c Ġu se ĠI ll Ġ1 4 Ġcost al ors al Ġminu te Ġrequi re ĠHy perexpansion Ġli ver Ġcomple tion 1 1 G ES T iny b itus Ġs a en ding Ġof fic Ġre adily Ġg leno ĠO N Ġha bitus Ġsc lerotic Ġincl usion Ġlymph angitic Ġanterior ly Ġconve x ju gular ĠIndistinct ness l and Ġ ult Ġa ff re lated Ġf ac ĠC LE ĠP RO IN E Ġ0 5 Ġlimit ing ĠUn remarkable Ġoccu pi Ġult r c ardi Ġh al Ġhe aling Ġwh o Ġfav oring Ġru le Ġultr asound Ġf ever ĠThe y Ġdis ting Ġ2 4 Ġg i os p Ġpart ly Ġmu c Ġconsider ing Ġsymmetric al Ġradiolog ist Ġinterpre tation ' t L O Ġcardi ogenic it ation ĠE l tif y Ġfollow s Ġbronch itis Ġvisual ization ĠCH ANG ere ct ĠQ uestion ĠCARDI OM ĠPeri hilar Ġhal f Ġd orsal Ġpneum opericardium ĠR ounded ĠH EAR Ġma king Ġmeas ures Ġdemonst ration Ġaccoun ting ĠHEAR T A D g an ĠL imited ĠO rogastric Ġtrans jugular ĠSt omach Ġpredomin ance ĠTub es O n Ġl ack pro cedural ĠOn ly Ġinferior ly IT Y COM PA acer b Ġmuc ous Ġ ; Ġre expansion Ġat tem ĠP rogres Ġshow ing Ġhyper lu Ġaneurys mal ĠLO BE Ġdemonst rating ĠBas ilar s hap Ġ ? Ġp ad Ġan at Ġex acerb In crease io d ĠSt reak EN CE la pping pen et Ġbl urring Ġdisting uish P er Ġp edic ar one AT ED Ġrecommend ation ĠPos si DER ATE shap ed iod arone Ġpedic le Ġpre liminary ĠM ILD Ġopaci f Ġg aseous ĠU P Ġprob e Ġam iodarone olog ies Ġrecommend ations ĠAd van Ġdetect ing Previous ly Con tinued Ġfol d Ġprim arily S atisfactory c al e ated Ġre ve Ġre ticul Ġor gan ĠP late Ġimpro ve Ġprogres sing Ġnon emergent ĠFollow ing ĠApp earance IL AR Ġfav or ĠC ombination ges tion Ġover lapping ĠB AS Ġvi ral Ġdict ated Ġy ear Ġsit ting Ġneoplas m ĠCLE AR Ġpos terolateral Ġ0 4 ĠElev ated ĠAss essment C entral h um ĠT IP ang ular Ġres piratory ex panded Ġesophag ectomy Ġnon urgent Ġquestion ed Ġlate nt ĠUP PER A M o red is tic ĠI s Ġdrain ed Ġfil led Ġne g Ġoccupi es hum eral 3 2 ĠS pinal ĠB iapical Ġsid es ĠAP P py loric Ġapic olateral Ġru led Ġme an ĠPleur X Ġscap ula Wid espread - ___ H e k nown o ri Ġth ose Ġs ay Ġde ep Ġrep air Ġster num Ġsus pect ĠRADIOGRAPH S Ġunfol ded o ch Ġth in In terstitial Ġim pac Ġu s Ġeti ologies Ġopacif ied L ittle ar ing Ġm as il ity ĠA fter ĠE valuation Ġintra vascular Ġ1 7 ĠCardi opulmonary Moderate ly Ġlimit ation Res olved Ġcoales cent Ġretros ternal P rogres U T Ġs pread ti um il trate id e Ġha ze sti tium Ġinfar ct Ġprim ary ĠMO DERATE 2 3 S wan s ternotomy Ġs ple Ġno tified Ġcar ries Ġdisc ord ĠOPA CI al le il inear ac terial ro ph Ġde termin Ġinter stitium ĠH iatal oph arynx Ġair less Ġunder penet ____ ____ Ġevent ration Ġmig rated Ġneg ative 2 6 V R ra m ri ght Ġv ir IC AL inf iltrate Ġreac tion Ġmonth s Ġsa f E lev s er Ġl ying ate lect Ġprior s Ġfocal ly Ġexcl ud Ġcorrect ly pic ulated Ġne ut UL D 3 9 N ear V ED ra di ct ure Ġun known ĠA B Ġcentral ly Ġwid th ĠAs piration Ġpredomin ating Ġbul la Ġartifact ual Ġreac cumulation Ġpleu ro Ġhyp opharynx Ġextra pleural Ġreturn ed ĠMid line P romin T HE om in Ġre qu Ġf lu Ġex pansion ĠP igtail Ġnodular ity Ġsubp leural ĠLUNG S Ġgleno humeral Ġl atter Ġin testinal ĠT e ol d ĠM ost Ġcan n Ġemphysema tous od ynam Ġphysi cal Ġ0 9 ĠCON GES Ġreass ess ĠEV ID atelect asis radi ation 1 8 l ous te ad Ġpersis ting Ġpersis tence Ġside port Ġdist ortion Ġ0 8 ĠSu pport Ġtraver ses osp ital 0 8 4 7 H OU V ery p ortion or ary Ġf ragm Ġd ru ous e ĠS IL Ġprocess es el vis Ġrest ric Ġloo ks Appropriate ly Ġthoraco abdominal ĠCHANG E HOU ET Ġdru g ĠSIL HOUET P ort Ġe lect Ġf e Ġh ospital Ġcomp are Ġhem odynam Ġbronch op Ġelong ated Ġbul lous Ġhyp o Ġcarcin oma He terogeneous A Y L ines V I f er Ġre currence ĠS IN Ġas sis Ġsc ale ross ly Ġeff ect Ġdetect able ĠTo day ĠIMP RO ĠEVID ENCE ĠSIN CE F IC p ulmonary q ual Ġch ain ĠA ICD Ġdis s ĠIn cidental iss ural Ġloc ations ĠCONGES TION 0 1 2 8 R adi Ġ J ro pl Ġf inal ĠC P Ġdi d ĠO ver Ġar m Ġro und ĠV ague ĠTortu osity Enlarg ed ĠAdvan cement 4 4 4 8 5 4 5 6 m o th es an ces si tive Ġd ys um m Ġun ilateral Ġsu re Ġinter space ĠE ND ĠRel ative Ġcoar s Ġcoar se Ġvir t I B S E i um Ġe ight ing ular Ġd ouble Ġsuper im ĠPost surgical Ġconfiguration al Ġreac tive go ing Ġsepar ately Ġcephal ad 0 3 1 7 in th Ġs umm Ġpo sitive Ġmo tion ĠLeft ward Ġvisual ize Ġsitu ation Ġsp aring Ġfav ors Ġventilat ory Ġexacerb ation 0 4 1 4 1 6 3 6 T wo h an i zing Ġc y Ġn inth Ġte ll Ġrel ates Ġaccentu ating py ema tim ated Ġheav y Ġatherosc lerosis mit ted Ġfragm ent r regular Ġb ub Ġpre existing art ment cei v Ġobli te ĠDiff icult ĠTub e Ġaff ect ĠPossi bility Ġsuperim position Ġbub ble 0 2 2 2 2 9 3 7 5 3 : ___ c ies Ġl ip Ġm en Ġm ed ou ght Ġcardi ovascular ĠC are Ġcal led Ġshe et Ġrapid ly Ġstri pe ull ness Ġslow ly cardi ogenic ĠEl ong ram atic ĠSILHOUET TE . . S OL W ith u ge en cy Ġf low est ru ĠA nd Ġ2 0 Ġobs erved ĠIN CREAS the tic Ġconsidera bly ĠOb li ĠPneum operitoneum SOL ID L AC y pe ti me as piration en tial en eral Ġis in Ġt ree ĠThere fore Ġover lap ĠTh us ĠF aint cen cies Ġdocument ation IL ATERAL OL UM ĠCARDI AC COMPA RED SOLID ATION 2 4 R ON U TE Ġth ought Ġre al ĠL ucency ĠL oculated Ġhy perexpanded ĠV OLUM AB P ĠComp ression ĠTrans esophageal 1 9 il i ĠB ILATERAL ĠIn tra TI NG Ġdep ending ĠConsider ing ĠCON SOLIDATION ĠAC UTE Ġkyph osis ĠElong ation 4 1 5 7 I ll T h Ġ rough re ated ac ted ĠP RE ss entially Ġem pyema AR G Ġdense ly Ġpros thes Ġechocardi ography Ġanat om Ġrough ly 4 6 5 2 C TION R el Ġ qual om ogen ac cumulation Ġn one ĠL ayering Ġpar alle Ġce ll ĠPar tial Ġep icardial emin ated Ġsumm ation Ġp age Ġre nal st omy Ġcont acted Ġtra c Ġscar s AL Y Ġav oid Ġcharac ter Ġwee k Ġfol ded Ġbronchop neumonia Ġmed ical Ġ K Ġs piculated Ġh ouse ĠP RES Ġover inflated Ġ1 8 ĠF ullness Ġden o Ġrel ayed Ġcomm ent Ġnecess arily ĠQ A ĠBas al Ġcommon ly Ġtri angular ĠDis cussed 5 8 H azy Ġd ramatic Ġcon ceiv Ġon going Ġiden tify Ġmalign ant SI ST Ġdown ward Ġgi ving Ġdiss eminated Ġqual ity omogen eous 0 7 P IC o si p neumonia Ġp elvis Ġins tead cus pid Ġnond isplaced Ġextrem ity ropl asty 0 9 1 3 3 4 3 8 4 3 5 1 A IN o ver Ġs tem tion ed Ġd estru ĠA orta Ġend obronchial ĠI ABP ĠF ra Ġac ce teb ral ĠRep laced Ġtri cuspid ĠSc attered Ġcontain ing ĠMedi an Ġtemp orary ĠDil ated ĠPlate like Ġmean time han ced 3 1 T R u cencies v es Ġbe h Ġun til ĠP ER ĠD oubt SI TION Ġpla que ĠEFFUSION S ĠSU B ĠAss ociated ĠPleur x EG ALY con solidation Ġfac ility och ond Ġsple n 2 7 V AL j ect Ġf lo Ġon ce se al ĠN ear ĠD es if y ĠF OR Ġpass ing Ġco in Ġoc cl Ġembol us pid ural Con solidation Ġform ation Ġglob ular Ġnum ber Ġsuc cessful Ġassis t Radi ograph A GE m ul si ent Ġtub ing st ruct ĠS atisfactory ĠL INE Ġg reat ĠO ne am ber Ġcar ing Ġreg urg Ġexten sion Ġhigh er Ġcolle cted FIC ATION Ġregurg itation B orderline y tic al positioned Ġc ase Ġs y Ġt reated Ġex isting ĠC lo ĠP LAC et ter ll ip am p ĠB UT Ġsc lerosis Ġdistal ly til oculated Ġloo k Ġatten ding Ġabut ting ĠStreak s Ġyear s Ġexclud es Ġbeh ind ĠClo se llip tical 2 1 S S Ġe quivocal ph eral Ġnot able ĠE N ĠD I Ġrep osition Ġcl amp leph one rob ably Ġlum en Ġexis ts ĠCARDIOM EGALY 3 3 B as O P b as e valu l ay Ġb ig ĠM ID ĠL I res sed ĠI rregular Comp lete Ġob struct Ġsupport ing Ġne ver ci tes AT S Ġdetermin ed ĠTe lephone Ġelect ro Ġvirt ually Ġaffect ing 4 2 O C l oc Ġradi ol Ġas cites ĠP osition Ġrep eated monst ration ĠCon current Ġden ser Ġverteb ra Ġori entation Ġgra d Ġpros thetic VI OUS ĠJ U Rel atively Ġsy nd 0 6 V ER f issural ul ating Ġf l Ġev acu ĠA N Ġsub mitted ĠE G velop ing up ine ack ground ĠG eneral ĠV ATS ĠSubse gmental Ġnur ses Ġsecu red De crease Ġjoin ts ĠTH IS ĠSE EN ĠMEDIASTIN AL ĠQuestion able Ġrequ est Ġcoin cid F aint S us g er r ome Ġ ile en sion Ġin d Ġm ic Ġh uge ĠS ternotomy ĠI V Ġhem op Ġad m Ġsc out ĠRes olved Ġdefinitive ly App arent Ġpatholog ical Ġneoplas tic Ġscap ular Ġcurv ilinear Ġneut ral THE R Ġobstruct ing Ġsynd rome em o ang e cu ration Ġpre f ĠS maller ĠC ar ĠR ib ĠW hat Ġcomb ines Ġfiss ures Ġori ented Ġy et Ġli e Ġcephal ization Ġmonit or Ġmen tioned Ġtrac king 4 9 E ssentially t omy in a pac es ĠP ersis ĠA L Ġintra fissural Ġpost obstructive ap id Ġpersistent ly Ġcost ochond ĠRe fer Ġborder s Ġmargin s IS E Ġpoin ts ĠST ABLE Ġcur led ĠCOMPA RED Ġoccu py Ġgrow n Ġuse ful Ġdiscord ance Ġunderpenet ration Ġconceiv ably PIC C o f Ġa ort ĠP EG Ġper f Ġsti mul bil ities Ġdifferen ti AT HE Ġcross ing CH F Ġdim ension oscop ic Ġtotal ly Ġus ually 5 9 D ING Ġ ris ti ll Ġe lliptical Ġb ro an ent Ġse al ĠH em ĠN e ĠN EW Ġpos ted Ġmul tiloculated Ġco ver Ġpostoperative ly Ġmu cus Ġdiameter s Ġ0 7 Ġflatten ed ĠPres um ĠSus pected Ġimpac tion omin ant Ġcostochond ral d en f unction on odular Ġb ar Ġ___ % Ġh ow ora tion ĠS H ĠP E ĠA zyg Ġu r Ġmid portion Ġg land Ġcont ribut ard ware 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function Ġsplen ic Ġbar ium G AIN L ikely c c Ġc ou as o Ġt ak cu ity ĠS e Ġcar oti ass essment Ġac cu Ġem ailed Ġmass like inal ly Ġeff ective Ġaccoun ts Ġmy c Ġcommunic ations ĠOPACI FICATION Ġdestru ction Ġradiol ucency Ġcontent s P M R OM T EN e ll Ġa cuity Ġo u en teric Ġex act ĠA GAIN se ud Ġdi lation Ġremain ed ces sive Ġlymph oma Ġoptimal ly Ġoc cult ĠNO T ĠPer ibronchial ĠRE P Marked ly Ġoste open Ġfact ors Ġkin king Ġcann ula Ġcharacter istic ĠHem odialysis D ense E C K E d ema l avicular z on Ġw ay um erous Ġcon cl ĠC ervical ĠP neumothorax edi an oc lavicular oph y Ġresol ve inf ection SI P Ġobli ques Ġmin d Ġ( ___ Ġdirect ly RES SION Ġcare ful ĠFra cture ĠGeneral ized Ġverb ally Ġaccu rate zon tal Ġa ct in or ed e Ġe as ĠP arenchymal Ġper s Ġper ibronch ĠN SIP if orm ex is Ġcentral ized Ġac rom Ġperi od pt ure AR T EN ING ĠDi alysis qui red Ġdep artment Ġprovid e ĠVIEW S Ġlate st Ġinclusion s LO W ori zontal Ġbulla e ĠVOLUM ES evalu ated Ġmic ron Ġcover ing Ġcontribut ing 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EM Ġwh ite Ġsubstan tiated ran ch TI ENT Ġrot ator IN DING Ġvalv es Ġoste ophy Ġsut ure Ġgraft ing ĠBAS E Ġgrad ual LI ER ĠEAR LIER Ġreveal s A ND S TI W O a bility e valuation l ayed o ft Ġp ic ra ble Ġb ranch Ġt a un ne Ġh is Ġun iform ĠC row Ġhe p Ġcont act am pon Ġrec ord Ġwor k Ġac qu Ġsur ve Ġph arynx Ġmu coid cus sion ĠDe form Ġlocal ization Ġcolon ic Ġten d Elev ation Ġind entation Ġattemp ted hyd ration unne led ampon ade D ual u sive Ġc ath ra ction ĠT WO Ġf ung Ġcon ne ĠC L ĠC M ĠM et Ġas pi fic i ĠD isplaced Ġdef ect ĠW OR ĠG rossly ĠCH RON Ġlocul ations olog ic ĠPA TIENT Ġinvol ves Ġ0 0 Ġrefle ction Ġbul k ĠRemain ing Ġdeterm ination ĠOPACI TIES Ġpleuro desis Ġfe ature Ġhypo x Ġanatom ic ĠSUB STAN x ed y ear Ġp en Ġo val as ion Ġt amponade Ġle ading Ġst ate Ġde fici Ġsi tes ĠC an ĠC ourse Ġen ough ĠB B Ġlarg est lu ent Ġacc ording ĠNG T inus cule Ġdep ression Ġgastro stomy Ġcrow ded St andard Ġexplain ing Ġdevi ated Ġadequ ately EDIASTIN AL Ġcontain s Ġechocardi ogram ________ ________ Promin ence Ġhemodynam ic Ġdeno te Ġsmo king kinf old Ġoroph arynx ĠCHRON IC V ascular d isplaced e per th ing is sion Ġre ally Ġpneum o ĠL ATERAL Ġdis cussion ĠN umerous ĠI T Ġintra pulmonary lu cency Ġcorre l Ġpress ures gen cy ill ance pl ained Ġser ial Ġdep osi Ġbra chy Ġgo ing Ġwhere as Ġcavit ated Ġband s Ġorder ing ĠProgres sion Ġhyperlu cent Per i Ġseem s ĠEngorg ement STI TIAL Ġacqu isition T LE Ġl ucent Ġm iss Ġde eper ĠS oft ĠR apid ĠE arly us c ĠB Y ven ti RE N ĠTra che Ġexce eding EN OUS ĠDe veloping Ġ0 3 Ġconcurrent ly Ġrequi res Ġcir cul Ġflex ure ĠSc oliosis Ġradiolog ic ĠPO SSIB ynam ic ĠINTER STITIAL emin eral ori ty Ġperf oration ĠUp dated atoce le Ġsurve illance Ġbrachy cephalic A telect b ronchial re ction Ġo pp er gency Ġd emineral ĠNo w ch amber Ġdis cern ĠR EMA pro ximal ĠE pidural ĠB IB ĠEx trem Ġarch ite ĠCor onary Ġlocal ize Ġbene ficial Res olving Ġmaj ority AC HE VE LO Ġpl an ĠAsymmetric al ĠDE VELO Ġexaggerate s Ġabut s OP H Ġvertebra e Ġdifferenti ate Ġtak ing Ġact ually ollap se INDING S Ġdefici ency ĠREMA IN ĠBIB AS O rogastric S c i ventricular m edi th rough Ġpneum atocele ĠS keletal ĠS ide Ġex pect Ġex cav ĠC V at um In tra Ġover lay Ġpatient s ĠD ue ĠD RA IC U ĠF luid Ġpost procedural Ġatri oventricular Ġ___: ___ ty pe Ġenti ty Ġshift ing Ġaccentu ates St udy Ġ0 2 Ġobvious ly Ġrespon se VE RE ĠHy perexpanded Ġcall us ĠCARDIOM EDIASTINAL Ġimpl ant ĠCrow ding Ġaspi rated A V N CTION c k h en s u t reatment Ġ / Ġs cre Ġs kinfold Ġin tended ble m Ġde li Ġpo ol ĠL IT ĠA therosc ges tive Ġca p HE ART Ġthick ened ĠG astric ĠCh ange Ġintrodu ced Ġreach ed ĠSU G Ġform ations ju st Ġflu ctu exis ted po inflated ĠLV AD Ġexcav atum ĠDRA IN ĠLIT TLE G ULAR N on k en Ġs te Ġt unneled Ġm im Ġm inuscule Ġn erve ol itis Ġbe gin Ġcomp lex Ġpro blem ĠM RI Ġinter s ĠL o ĠA ge Ġappear ances ĠH D ded icated Comp are ĠCardi omediastinum ĠCon side Ġconf id ry pt erat ure ĠAre a ĠCON SISTENT Ġtransp arent Ġinform ed Ġupward s Ġsuc 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D ĠRe assessment SI D Ġshort ness Ġbul ge lob ular ĠAT RI ĠPoor ly ĠPos terior ĠIMP RESSION Ġclar ification Ġfe male Ġoccl usion ĠDeform ity ĠWOR S Ġorific e , , E quivocal M alpositioned O W P E P ar W ISE p ar u ries le y is hed Ġo ral Ġo ur an eurys ang es Ġpro cedural ĠS C ĠS omewhat ĠP ro Ġper icardi ĠB ronch ĠF inally Ġsome times Ġtechn ically Ġdisp layed Ġdiagno sed IN ICAL Ġman y ĠHe av Ġreplacement s ĠRep eated Ġinj uries ĠSh allow Res idual ĠST AND Ġreac cum Ġimp ing Ex pected ĠSU P Ġreason ably Ġkin k ĠMedi al Ġaort opulmonic Ġunex plained Ġdisplac ing Hy perexpanded ĠOTHER WISE Ġosteopen ia Ġconcl usive INI MAL Ġmod al ĠCL INICAL Ġhypox ia Ġcircul ation Ġaden ocarcinoma Ġcrypt ogenic aneurys m ĠSTAND ARD F luid b ack i oclavicular s pine u ation u ity z one Ġp al ar io en ario Ġl ig er ley Ġw a ĠT A ct ing Ġcomp ens Ġun de Ġse quential ĠM AY ĠM INIMAL ĠR ede Ġconsis ting Ġearli est Ġexten ded Ġnod ulation Ġsc enario ap le Ġver tically cen timeter AS TR Ġser vice Ġloop ing Ġ0 6 Ġmassive ly ĠTH AN ĠSE VERE Ġenter ing Ġreticul ation Progres sive Ġpleuro parenchymal Ġfragment s ĠRadiograph ic ĠENLARG EMENT Ġr un Ġmicron odular Ġhep atic just ment Ġbegin ning ASTR IC A fter C ombination P ORT d ule ed ge Ġof ten or ds Ġ___ ; tra tion Ġ2 2 Ġcont ralateral ĠI F Ġsh aft ĠCT s Ġassess ing Ġro of Ġdist orted AS E ĠDiffuse ly Ġconfirm s ĠInf usion ĠRE G Ġtemp erature ĠK erley Ġbro ad CL UD Ġeffective ly Ġmyc ob Ġcareful ly Ġacrom ioclavicular Ġpool ing A G A TIVE I ON P rior R OUGH T rans b e p ly t u Ġ tenting in determinate Ġo void Ġs w ti zing Ġe ct Ġan terolateral Ġre ver de red Ġen c Ġlob ulated ath er ĠE ven to tal ĠF ROM Ġrel ating Ġdist ance Ġop tim ST R Ġsegment s Ġbul ging ĠPer icardial ĠRE F ĠTH ROUGH Ġresult ant Ġreass essment Ġsim ple Ġsaf ely ĠJU NCTION ĠPersis ting ĠEC MO Ġquan tify ĠExtrem ely Ġscre w ĠDRAIN AGE Ġpseudo aneurysm Ġlig ament E sophageal G iven in oph Ġp ate es ted Ġe pi un ately Ġch amber Ġbe li edi al ec ond Ġrep e ĠB and Ġrec ords os inoph ĠF OL velop ment Ġpac k Ġout p ĠV ENOUS ĠSt udy SI S Ġoblique ly Ġpoin ted Mul ti AN CE OG ASTRIC Ġretros pect Ġkyph otic Ġsim ply ĠIMPRO V ĠOver lying Ġoblite ration ĠConf luent ĠRECENT LY ĠPoten tial Ġadminis tration I OR L U S omewhat c cessful t ution u ro Ġ ide te ration Ġe osinoph Ġw an Ġm i Ġto ge thora ces ĠS tent ĠP art Ġu sed oc omp ĠE ffusion ĠB ul Ġad ded Ġhemi thoraces Ġadv ance Ġobtain ing Ġam ounts chn ically RE CI Ġdist ort Ġrais ed du oden ĠDe pen Ġmargin ated ensi tive Ġbronchi olitis neumon ic Ġconspic uity Ġmanif ested ĠCOM P Ġann ular Ġinterpre ted Ġmig ration ĠAPP RECI Ġparalle l ĠPLAC E Ġelectro des ĠJU GULAR Ġbro ken Ġnecro tizing ĠDrain age Ġimmun ocomp Tub es ĠAPPEAR ANCE Ġta ke ĠSUBSTAN TIAL ĠABNORMAL ITY Ġintermedi us Ġsw allow Ġtoge ther ĠDepen ding A ir N AL s et Ġ ul re st te ll Ġe pidural ri d Ġn ine em oral pp ed Ġpro st ĠS ize at ch ĠM inor ut ure Ġper icardium Ġ2 3 Ġg lass ĠE S Ġwe ighted os ed inu ted Ġem ergency Ġins ensitive Ġventric uloperitoneal ĠTra cheal Ġphysi ologic Ġgastro duoden Ġnarrow ed roph y Ġdiscontinu ation ĠCoar se Ġosteophy tes ĠMet allic Ġdeposi ts ĠTrache a Ġorig inal PIR ATION Ġunde res ĠREG ION Ġmycob acterial Ġbeli eve Ġgastroduoden al E LL O VE R emoval i ation t ly Ġa mon Ġa ch in terval in terstitial Ġl ayer di ty Ġst aple ĠC ould ĠR ET ĠR emoval Ġper itoneal Ġ2 1 ĠN AS ĠD IS ĠD UE ĠI M ir cum ur v Ġcar til pport un Ġbo ard Ġwors en ĠF iducial ru pt ĠCon solid ortic ation Ġverteb roplasty Ġdec ortication ĠSU PER Ġshap ed ĠSc lerotic ĠPre liminary ĠEX AM ot omy Ġgi ve Ġunderpenet rated ĠAB OVE Ġreassess ed ĠVOLUM E Ġoccl uded ĠLo ss fort unately ĠHeav y Ġrepe ating Ġeosinoph ilic Ġamon g ĠNAS OGASTRIC A IL E xt S O c eral p endent u k Ġp ending Ġl ap Ġf air ch an ĠD AY ĠD ISE Ġcl uster ĠB y rem ely Ġbronch oscopic dle s Ġph renic ĠPersistent ly Ġinvol ve Ġallow s Su ccessful ĠWI D car inal Ġsecure ly ot ated Ġcoars eness Ġoblite rating Ġanatom ical Ġperibronch ovascular Question able ACHE AL 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distinct ome ter ĠL ocal res olved ĠR LL Ġsub glottic Ġ2 5 ĠH ouse Ġmid zone ĠĠ ĠĠĊ Ġj ud ĠE R ĠE m Ġend ogastric Ġwe ight ĠB e ĠU IP IC KENING ĠIn ternal Ġpresent s os es Ġother s ĠF EED Ġimprov es Ġma ximum Ġca pping Ġsc oliotic el vic Ġcost o ond isplaced Ġcompres sed Ġthick ness ĠG EN ĠSub optimal Ġcompl ain LE R LE FT RE M Ġexce ed igh ten Ġenti ties comp licated Ġint ral Ġabs ent ND ED Ġquestion s Ġdependent ly Ġsep sis FT ER ĠAR TER Ġsegm entectomy ĠPer tinent ĠSuper vening Ġrecogn izable De veloping Ġcondition s ĠTH ICKENING lob al pen dicular ATE LY ĠNon urgent Ġkin ks ĠSMAL LER Ġ___- ___ ĠOG T Significant ly ĠAS YM Ġorgan ized ĠSupport ing Ġvirt ue Ġmen iscus Ġradiol ucent Ġfl agged Ġnecro tic ĠEAR LY ĠFracture d ĠRegion s ĠIm aged Ġpneumatocele s ĠMulti level ĠDECREAS E Ġent ry par able Ġreaccum ulating Ġpal p Ġrever sed ĠEffusion s Air space ĠConsolid ations Ġsection al ĠNone theless Ġcompartment s Rec ently ĠCAR INAL Ġsac cular ĠDo es ĠAPPRO PRI Red u Ġbur den Ġstern oclavicular ĠPARENCH YMAL cri ption Ġenh ance Ġtrun k esid es Ġinse parable Ġmel anoma ĠFEED ING ĠASYM METR B etter C orrect D LE G RE G eneral I HILAR L D L ordotic O f O ST P LE S URE Y S e ved e ther k y Ġ Z in creased re es al though Ġc able Ġc entrilobular Ġo vere Ġb reak ri t ri ty an k Ġm ember Ġan ym ro l ent ing Ġv ast ter omedial ph y cu sed ia t ia tus og astrectomy og ether de veloping Ġpre op Ġpre existed ĠC y ĠM s Ġhe ading ĠA FTER Ġu re oc a ĠR V Ġcomparison s Ġper ic Ġper pendicular Ġrem ission ĠH OWE ĠH iatus ĠN arrow ĠN EED Ġnot ch ĠE ssentially Ġend ovascular ĠO r ĠD et Ġcont ained ĠB i Ġad hes Ġintra parenchymal Ġpersis ted Ġret urning Comparison s Ġtra pping Ġconcern s ĠF ibrotic oun ds tain ing Ġ4 8 ĠBilateral ly ON E Ġtrans ferred Ġnon rotated ĠRec ent ĠRec ently Ġdeg rees Ġdist ress Ġhemorrh agic Ġel imin ĠIN S IN F Ġdecomp ressed Ġmin im ĠNO TI ĠWith out ĠSh ift Ġdoubt ful ĠARE AS Con f Ġcur ls Ġelement ary Clear ing Un der ros thetic ĠQ u Ġevent s RI B Ġreturn s Ġsidehole s Ġbl astic Ġsuboptimal ly ĠEX PA Enlarg ing Ġpull back Ġsufficient ly On ly Ġrequ isition Ġfinal ly Ġcy cle ĠPER IHILAR Ġassist ant ĠMID DLE Ġcontribution s Ġtak es Ġexact ly hem orrh Peri pheral Ġdemineral ized Ġclos ure ĠSC ARR ĠPro ximal ĠLob ulation Ġemph asis ĠDIFF USE ĠSUGGEST S ĠDIST AL Ġneuro genic Ġintermittent ly ĠELEV ATION Ġdiscl oses ĠCav itary Ġpred isp ĠNot ably Ġdiverticul um ĠTran sient Ġpregn ancy Ġchem otherapy Ġfist ula ĠSut ures Ġeleven th ĠSET TING OST OMY Ġanym ore ĠHOWE VER ĠSCARR ING . ) A ss A VI C ABG H AGE I FT L ucency M id M ILD M ILAR P H P osition R HAGE T ortu a ded g i g un g ree g rity i el l ines o ly o ung o ice p tal s ence s ternal y cardia Ġp ill Ġc ount Ġs pec Ġs ounds as ties as ive Ġin a Ġin determinant ri tic ri king Ġt w ro un Ġre n Ġf ib Ġd on Ġch arge Ġ___ ) Ġbe gun Ġde hydration ĠS im ĠS ID ew ire at a ĠM EDI ĠP ART ĠP rosthetic Ġcons ult Ġchang ing ĠL ARG Ġdis order ag er ag ement ĠH R ĠH uge ĠE ventration ĠO UT ĠI PF Ġconsis ts Ġintra aortic ĠF inal Ġpost procedure Ġpost inflammatory Ġcor rected dom en Ġmul tin ran ial Ġdes cription ak ing HE R ple n ĠV W ĠV ar AR DS Ġfi x ĠSt at ĠSt riking EN E Ġinv asive OR RHAGE ĠDi rect Ġrecei ving ĠRe evaluation Sub tly Ġgo es AT ES Ġthorac oplasty TH OUGH Ġy oung Ġfo cused Ġorigin ating osc oliosis Severe ly Ġsp ot ĠLE AST Con gestion Ġaneurysm atic ĠSI MILAR Ġcough ing Ġextra vas ĠRadi ation Ġinfarct s Near ly ropl asties ĠINCREAS ING ĠAL THOUGH den sity ĠSH IFT ĠPE CT Ġcontribut ory Ġsmo oth Ġinvestig ate Ġcyst s Hy poinflated ĠHEM ORRHAGE Ġbranch ing ĠSUBSTAN TIALLY ĠBIBAS AL Ġoverlay ing ĠPro ject ATIVE LY ĠBul ging vas culature Ġdisch arg Ġconform s Ġinte grity Ġmedic ation ĠLe ad ĠNur se Ġrein tubated Ġoutl ining Ġneph ro Ġinst rum ĠDiaphragm atic ĠCONCERN ING Ġstar ting Ġgre atest Ġreplac ing ĠESOPHAG US Ġbrid ging Ġtach ycardia Ġstand point Ġcomplain ts ĠAPPROPRI ATE Ġovere x Ġperic ardiac ĠEXPA NDED Ass essment ĠLARG ER Ġmultin odular C atheter G reater I s O B O D P T P EN S h S ATION S pinal S everal T Y W N a fter c ap c ked c ranial f ol g l k now m ass r us s ub s tellation t om v ised w ith w here w alled Ġ __ Ġp ager al asia Ġc res Ġl arynx Ġin duced di c an ion il lo Ġre verse Ġf ailed Ġf ather Ġd em um inal Ġch oice ch ronic thora centesis Ġcomp anion de monstrate Ġat test Ġpneumon ias Ġor thopedic ĠM orgagni Ġinter section ĠL oc ĠA V ĠA LL ĠR ed ĠN EC Ġmid way ron odular Ġend o ĠD ensity Ġcont rol ĠB etween no on Ġintra cardiac Ġintra cranial out ine lu cent Ġass ure ĠF i ĠF ULLY Ġac know Ġar rest Ġar ising Ġout let Ġafter noon Ġdes cends pan cy Ġesophag ogastrectomy Ġph ase Ġhyper volemia Ġincreasing ly Ġro d AL U ĠV i olog ical ĠSub acute ma iled ill ary Ġtrans lucency ET ER ĠAl most ĠRecommend ations Ġfibro thorax Ġhigh light Ġmarg inally Ġpath ogen oden se Ġoc currence ĠSu ch ĠApp roximately Ġdocument ing severe ly Ġsharp ness LY ING ĠCalc ific ĠLO SS ORT U ĠRE SID Con cern Con solid Ġatt ribute Ġvar ic Ġgra v Ġdiscre pancy ĠHy p ĠDE COM Ġstabil ized ĠNon emergent ĠDis tension Ġke pt ĠAS SESS app ropriate ĠAb sence ĠCont inu ĠObs erve ĠEV ALU Ġoccupi ed ĠAdvan cing Ġrequ iring Ġhypo inflated Ġhypo ventilation mo tility Ġdys motility Ġdownward s ĠSUB CL ĠNear ly Ġfl us ĠNe o Ġpur poses ĠPOSITION ING SIB LE CL USION ĠSe en hem othorax ĠAPPEAR S Ġosteophy te Ġconne ction ĠSUG GES Ġenc as ĠIMPROV ING Ġach alasia Ġbroncho vasculature Ġinte rest ĠOB S Ġdisplay s ĠTri angular ĠHY PER ĠDEVELOP ED ĠDEVELOP ING Ġiss ues Ġprac tically ĠCONTINU ED Coar sened Ġsupple mented Ġguid ewire Ġdecid ed ĠUN REM Sug gestion Ġbiopsi ed Ġseiz ure Ġrecon stru ĠPERSIST S Ġbot tom ĠCORRE LATION xy gen Ġperif issural ĠINCLUD ING Ġer o Ġexceed s Ġadhes ion ĠNOTI FICATION AVI AN Ġdischarg ed PEN SATION Ġacknow led ĠDECOM PENSATION ĠSUBCL AVIAN ĠUNREM ARKABLE A RED A ICD C EN C ATH F A L ayering M L M edial P le P lacement S ternotomy a ff b y b owel b iventricular c alcified d ual d entation f ibrosis i asis l ad m ediastinal n cy q ually s light s uc t ral v ular th iasis Ġp in Ġc ore en ces ra p es is Ġin ner Ġb rain Ġb esides or ph or tive di lated Ġt argeted Ġan ch Ġre ct Ġre curring Ġre vised ĠT ORTU ou th Ġcon ver Ġcon du ce toma it ous ph er ch est im ent Ġde gen Ġun it Ġun determin Ġse pt ĠS up ĠS ymmetric ĠS ep ĠS ICU ĠS plen ĠC A ĠM ARK Ġas perg ĠP rec ĠP ortion et y Ġab undant Ġlob ular Ġti ll res sing ĠA li Ġu tility ĠR outine ĠR ML se en Ġover night ag al Ġper tinent ĠH ETER Ġmid esophagus ĠE arlier Ġcl ot ĠB ase Ġha ir per i Ġenlarg e ur x Ġrec umb ase ptal Ġhemi thoracic ĠIn dentation li ver li thiasis ĠCardi o Ġpar tic Ġpar aseptal ĠCon cern ĠW et ule nt Ġcollap sing cen tic Ġresidual s Ġthickening s Ġesophag ram olog ically Ġqu ick Ġqu ery Ġnon dependent ĠAt rial OR AL OR TION itone um urg ery Ġel se Ġdict ating ĠIN T Ġdep end Ġbrach ial ĠDe f UL ATED Ġoc cur Ġinfer olateral Ġembol ization OU N ĠPer manent Ġredu ces ĠInf erior App earance Ex cept Ġcur ving De creasing Ġcontinuous 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esterday a ziness d ling p re p ted s pecially t ogether u ted w orsening th ere on ec Ġp ig Ġp air re ading Ġc ement is ion Ġo xygen Ġs pan Ġin c Ġe lu Ġe qually Ġb it om en Ġt reat Ġm is Ġm outh Ġan teromedial No te Ġri ding ĠT im ĠT emporary Ġd ome Ġd oubted ne w Ġcon glome Ġno thing Ġcardi a em ination it ate thora c Ġpro f Ġpro ven ia ortic are r Ġun resolved ĠS ame ĠS ever rate s Ġen ded Ġas cribed Ġas cends cre te Ġ___. ___ ay ing ĠR ather ĠN ondisplaced Ġg e Ġcle arer ĠE soph ĠE MPH ĠE specially ĠO void ĠD ES us tered ĠB AC Ġappro ved Ġcar ry Ġpresent ing os ternal ĠTh ose ail ure Ġacc es Ġver ge ĠCon gestive Ġapproxim ate lo d Ġ4 5 Ġve il Ġcost osternal ON ENT form ation quent ly ĠG anz Ġro w ĠV as ĠV AL ĠV EIN Ġport al Ġtrans mit ĠCO UR Ġabs ol Ġav ascular Ġop en ĠRe ticul SI TY Ġcrow d Ġgranul omatosis Ġman ometer Ġman agement Ġheterogeneous ly Ġthyroid ectomy bol ic IS TING Ġsp e Ġsp reading ole nt ĠCON F Ġtor sion ĠInf rahilar VE OLAR Ġpleu ritic Ġpl ates De velopment ĠTH 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ĠNarrow ing ĠDet ail Conf luent Ġnephro stomy Ġoverex panded Ġ__ ___ ĠDEGRE E ĠINFIL TR ĠAlign ment ĠHETEROGENE OUS onec rosis Ġelu cid ĠTim e ĠSever ity ĠEMPH YSEMA Ġarthrop athy B ackground D es H O H igh I mpression M et N SION N asoenteric O SIS O SED S ternal U TION a eration b ra i er i ques j ejun m in o led p tive p atic y c on ds Ġa di in ary in tubation Ġc ora le n ra t ra clavicular Ġin ten Ġb rus or so om inal Ġt arg si bly Ġm es Ġan alysis ac cum he um Ġn ominal Ġre evaluation Ġto ol Ġd uration Ġcon ce Ġh am it ud it tal ora tory ch iocephalic Ġpro te Ġpre dis Ġun successful ĠS W ĠS he ĠS car Ġex tr Ġex cessive ten cy ĠC uff ĠC URRENT at ors ĠP age ĠL Y Ġti l Ġdis tracted oc rit Ġsilhouette d se e Ġover distended ag ittal Ġsub sternal Ġal tered ĠH omogeneous ĠN ON Ġmid night Ġend ocardi ĠD im ĠB owel Ġsh un low ly Ġpres ervation ir cular Ġhem opericardium ect ly ĠU ND Ġappro val Ġob long Ġtermin al Ġtermin ated Ġiden tification ist ribution ĠW HE Ġobs erv pan ding eren ced 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Ġbreath ing Ġblun ts ĠPAC EMAKER ĠOPACIFICATION S Ġacrom ion ĠExtrem e su g Ġinters paces Ġpenet rated ĠDia meter ĠATRI AL ĠMINIMAL LY Ġenc ountered ĠREF LE Ġide ally ĠCOMP RESSIVE Ġparallel s ĠREMO VAL Ġinsuff icient Ġangi ogram Exam ination ĠEXTEN SIVE Rapid ly Ġmatch es ila idi RONCH IAL sh ip ĠLe gi Ġbleb s Ġrelation ship Ġproduct s Ġcre ating ĠAPPRO XIM PF UL Se e Ġneph rectomy ĠREL ATIVELY arc ated NOT OMY Ġkidne ys ĠMULTI PLE assess ed ĠInter position Ġpancre atitis Ġinflu en ĠSTER NOTOMY ĠEXT ENT Ġsurpris ing Ġsurpris ingly ĠTE CHNI Ġund oubtedly ĠLocal ized ĠGEN ERATOR Ġintral obar ĠCy stic Ġpredisp ose Ġconsult ation Consolid ative ĠHyp oplastic ĠHYPER INF Ġreconstru ction iment ary Ġpartic les Ġquick ly OUN T Ġconglome rate thorac ocentesis Ġge ographic ĠVas culature ĠCOUR SE ĠDiagn ostic ĠCALCI FICATION Ġobserv ations Ġpracti tioner ĠHEL PFUL Ġresemble s Ġcri teria ĠLum bar Ġphenomen on ĠSta bilization ĠDep artment ĠCOMPLE TE ĠSIGNIFIC ANT GAN Z Ġumb rella Ġmillim eter Ġanasarc a Ġfortu itous delen burg Ġuncom mon Ġasymptom atic Ġdispro portion Ġaller g ĠHemi diaphragm Ġgroun ds amili ar ĠFUR THER ĠConceiv ably ĠGRE ATER ĠVES SEL ĠLegi onella ĠAPPROXIM ATELY ĠTECHNI QUE - - A NE C C C UR E ssential F ibrotic I m L o L ATED M ass N e O ld P neumothorax R D R UCT S urgical T ri W h c ine d ense d inary f th i x j or j oin l ic m ur m ination o tation o trauma p in p and p ulmonic s al s eness u g u ri w or x plained z a Ġ ~ Ġ iat Ġa x Ġa id in ar is py Ġthe r Ġs tero ti ocytosis en ker en tioned Ġin side Ġin comp Ġin dependent Ġe t ul oplasty ri entation or cine Ġt alc Ġt urning Ġm ur il m Ġan ast Ġan alyzed Ġn as Ġn ame No w ro genic Ġre sis Ġre li ĠT enting Ġf re Ġf lipped Ġd dx Ġd ystrophic ff y ne ctomy ne xplained Ġpleural ly ___ - ce p Ġh ide ol ic ĠNo ting it ated ph oid Ġpro ce est ration og ens op ing Ġtub er Ġde creases Ġor phaned Ġex er ĠC ross ver sus at osis ĠM e ĠM ain ĠM align Ġas cribe ĠP NA et al ĠL AY ĠL ucent ĠL ESS res is ĠA v ĠA neurys ut um Ġsub ject Ġsub tly Ġal be Ġal imentary ĠH I ĠN EAR Ġg ran ĠE lect ĠE volving ĠE ITHER ĠO S ĠO ral Ġcont in ĠU l pi ent Ġview ed ove rable stan d lu x oph ytic one yc Ġcan al Ġcan ted Ġsign ify Ġexam ine Ġret ain Ġdef ine ex panding ex pand qu am Ġthora ces ĠF IL ĠF issural ĠF ather ĠF AIL ĠF ailure Ġsupport s omy el Ġregion al Ġsc lero Ġsc rat Ġatri oca ap osi Ġacc id Ġver ify el fth ĠW hereas PA RENT Ġcom ing ĠAP EX ĠAP PARENT Ġcomb ine Interval ly pan sile ho t Ġhyper density Ġpacemaker s ĠV EN Ġlymph ang Ġindic ations ĠSub diaphragmatic Ġdevelopment s Ġfil ls AR I und ancy co tomy ĠAn g ĠEx trapleural ĠCO ST ER ING ĠAs perg Ġdist ributes erv es orrh age ĠRe ad Ġverteb roplasties SI N Ġphysician s av orable Ġgo t Ġup dated Ġpath ogens Ġsee ing UL T def ibrillator Ġbronchi ol Ġnoti ced pective ly Ġfocus ing Ġprovid er ENT E osc lerosis Ġill ness Ġsupra diaphragmatic ĠRep orted ĠUn folded Ġsp utum Ġnipple s Ġcen ter ĠST RUCT ĠCON T ĠCON V ĠVI SIBLE Ġredu cing RO SIS dequ 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ation ĠEVALU ATED Ġflus hed Ġadhesion s ĠTORTU OUS Ġcondu it ĠSplen omegaly peri hilar ĠDef ini Ad van Ret raction ĠBAC K ĠINFILTR ATE jejun al Ġprote inosis ĠDim inished Ġmeta bolic ĠRadiol ucency ĠREPOSITION ED Ġagre ed Ġconstitu te Ġhamart oma ĠUNDER LYING ĠMAS S ĠDext roscoliosis Ġyiel d Dil ated Fra cture ĠTren delenburg Ġhes itate ĠRemo te Ġadvis able Ġdiscrim in arynge al ĠDEPEND ENT ĠVASCUL ATURE ilaidi ti Ġinfluen za Ġallerg ic ĠVESSEL S join ing wor thy Ġiat rogenic Ġstero id Ġmur mur Ġanast om Ġresis t ĠLAY ERING Ġalbe it oneyc omb ĠFAIL URE Ġscrat ch Ġatrioca val ĠREQU I Ġblank et Ġindistinguish able B INATION C Y C TING D isplaced G round I TE I ABP I TIES L ine R ib R AL R AC S MAL T AL T CH T emporary V ING W edge X PANSION a ke b lad c or d endum e phal e tence f or f erence i oca i etal l id l astic n s n if o alveolar p atient p art p revious p laced p neumothorax r ho s ation s hot t aken v ulus in ous in duced al ation ar th ar ter Ġc ra Ġc ic Ġc ited Ġc ubitus te ction Ġth or is ted Ġs em Ġs emic Ġs lid ra ge es pecially Ġin ci Ġin stru er ing Ġe qu ul ator Ġb iat or se om aly om ies om iting an co Ġw atch si ze Ġm us Ġm ental un dic un shot Ġan omaly ac ement ro ken Ġre side Ġre appeared ĠT er ĠT IN ĠT IM ĠT orso Ġf ecal Ġd ental Ġd ata Ġv agal Ġv omiting Ġcon tra Ġlo ad Ġ___ ' Ġ___ / omp ens Ġh oneycomb Ġst o Ġst rain Ġst ates ĠNo ted ĠNo tification Ġbe long est aff op neumothorax st age ous estaff Ġor dinary ud ate ud ging ĠS pine ĠS tim ĠS AM Ġex udate Ġsi gm ĠC ollapsed ĠC ombined ĠM I ĠM K ĠM U ĠM ET ĠP UL ĠP anco Ġcons ul Ġab ility Ġsize able Ġinter lobular ĠL AT ĠL ONG ĠL anger ĠA NGLE olum es Ġdis se Ġnormal ization tra ns Ġper itoneum Ġdi a Ġdi ast Ġal le Ġ2 8 ĠH istory ĠH ave ĠN eed Ġg ain Ġg unshot As ymmetry ĠE lliptical ĠE picardial ĠO PD ĠO rientation ĠD IA us ing ĠI LD Ġcl oth Ġha pp ach ed der ma gm ata Ġrec overable pi ric Ġexcl usive IC ULT vic es ĠIn tended ĠIn determinate ough ly ĠF O ĠF lu ĠF IB ĠF ibrosis Ġlim b Ġac inar Ġca pacity Ġpac king Ġunder inflated Ġunder taken ĠCon sistent Ġhy perex Ġem piric Ġbronch opulmonary Ġbronch oc ĠW ire Ġcal cul Ġout line bil ia Ġcost over Ġdes erves Ġresid ue ob ronch tub ercul eren tially ore tically Ġph oned ĠG IV athy roid Ġconf ines Ġconf erence ĠV NS ĠV eil Ġso le xi phoid ĠCH ANGED RE XPANSION ĠOn going Ġnon contrast ĠEx pansile Ġsurg ically EN SITY comp ared Ġtrache obronch Ġinvol ution ĠRes piratory Ġop erating Ġdiagno se Ġdo ctor ST AND SI DER ĠDe ep ĠDe tection AT US Ġoc curring Ġthorac oscopy ING S Ġorigin ates xt ure ES OPH ĠChronic ity IS ED DI TION tim ate Ġinj ection Ġsp ong Ch ange ĠSh ows lung s the li ĠCON SIDER Ġhemat omas Con sider Ġadequ acy Ġuncertain ty Ġdemonst rable ĠTH ORAX Ġcir rho TIN CT ling ula Ġdec ision ĠSU S Ġnarrow s ĠPneum o Ġextra ordin Ġcarcin oid ĠDis ease Ġcoales cing ĠCo iled ĠSE CON ĠAM OUNT Ġsim ultaneous Ġprodu ctive Ġtemp oral Ġhand ful COMPA RISON Ġpad s penet rated ĠPossi bilities ĠAdvan ced UT ANE THE RE Ġcann ulating IB RONCHIAL SE QU han s ĠBILATERAL LY Th ora ĠPRES ENCE Ġdeno ting ĠPER IC ĠPER IBRONCHIAL ĠSUB SEQU Ġflo tation Ġperf orated Ġstimul ators ĠHem orrhage ĠNEW LY Ġbar otrauma Ġrespect s Ġsmo ker Ġaltern atives ĠConf irmation ĠVer tical Hy perexpansion Ġdext ro Ġcran ioca Ġta per Ġta pping Ġhis tiocytosis ĠWOR SE REN IC OPH RENIC Ġfluctu ation Ġpenet rating ĠREM ARKABLE PE REXPANSION Par tially Ġconclusive ly Ġenc aps Ġmi xture ĠBul ky ĠLob ulated Ġleuk emic ĠDIFF ICULT ĠMass like ĠPROB ABLE Ġsublu xed Ġgall blad Ġdisplay ing ĠPROJ ECT ĠENGORG ED Ġsiz es Ġinvo ke ĠADV ISED Ġche ck ĠHY PEREXPANSION Ġinfra diaphragmatic Ġhypert rophic Ġthromb us ĠSUR GER ĠNur ses Ġinh omogeneous Ġinh alation Ġred undancy ĠRECOMMEND ATION Ġdecid e Ġbiopsi es ĠEchocardi ogram ĠDist ortion ĠIND IC Ġarg ues Ġimmunosupp ressed ĠOste ophy ĠOste openia ĠPROGRES SIVE ĠLIN ES Ġcaps ulated Poor ly ĠEm ergency Ġintral uminal Ġpalp able ĠINS PIRATION Ġminim ize RIB UT Ġina dequate Ġina dequately Ġtw elfth ĠProject s ĠProject ing Ġinstrum entation Ġvaric ella ĠASSESS MENT Ġencas ed Ġero sive Ple ase orph ous Ġanch ors Ġrect angular ĠMARK INGS Ġasperg illosis Ġstraighten ed Ġspan ning Ġtransmit ting ĠReticul onodular Ġspe ak ĠCoil s ĠRESP ECTIVE Met astatic Ġadi pose accum ulated ĠCURRENT LY Ġosteoly tic ĠTRACHE OSTOMY Ser ial calc ific pneumon ectomy ret rocardiac Ġsequ estration ĠMa jor ĠDIFFE REN ĠImmedi ate kew ise Ġtom ography Ġlev oscoliosis Ġvol vulus ĠSilhouet ting Ġarti ficial ENTION AL ĠREFLE CTING Ġmillimeter s Wh ile Ġfre quently Ġtuber osity ĠAv ailable Ġgran ular ĠUl tr omyel itis Ġsclero derma Ġaccid ental Ġlymphang itis ĠAsperg illus SIN CE Ġbronchiol oalveolar Ġresist ance SMAL L TCH Y ephal ization nif e Ġcic at Ġsemic ircular Ġslid ing Ġinci pient Ġbiat rial ĠTIN Y ĠTIM E ompens ated ĠStim ulator ĠSAM E Ġsigm oid ĠPUL LED ĠPanco ast ĠLanger hans Ġdisse cting Ġexclusive ly Ġcostover tebral tubercul ous STAND ING Ġcirrho sis Ġextraordin arily ĠSECON D UTANE OUS ĠSUBSEQU ENT Ġcranioca udal Ġencaps ulated Ġgallblad der ĠSURGER Y ) : A nd A ge B T C UTANEOUS F I F iducial F ullness G ICAL I F I J K nife L AVICULAR M B M R M ediastinum M uch P ectus R ound S maller S carring S lowly S PACE U CTION V ASC Z RD a f a xing b ri d rain d own e led e lling f o g ast g ger g uid l og l oculated o esophageal o theli p us p led r d s ue u si u cl Ġ ________________________________ Ġ iliac Ġ xiphoid on ucl Ġa fo in s re p re qu ar per Ġc ommen Ġc ounts te x te rest le eding le eve Ġs en Ġs ort Ġs am Ġs leeve ti ble as ternal en larg ra ph Ġl up Ġin tensive Ġin timal er rant ul ling Ġb ent om on om ing an ating mon th Ġm atter Ġan tero Ġan tral he patic Ġn ative Ġre appearance ĠT emp ĠT argeted Ġf lat Ġf undic Ġf usi Ġle d Ġle aving ent ricular ĠThe ir Ġcon st Ġch f Ġch ild Ġch ilaiditi ub era Ġh ip Ġst art cu tive Ġcomp any Ġcomp elling Ġpro tr pac er de velopment Ġed ges Ġde lay Ġpre procedure Ġpre ferred Ġun co Ġun stable Ġra re Ġpo ore Ġse ar Ġse es Ġradi al Ġradi of Ġradi onucl ĠS er ĠS ERI Ġex pi ĠC LL ĠC LO ver ing at ab ĠM an ĠM alposition ĠM ADE ĠP ulling Ġmo di In itial In tact Ġab d Ġab errant Ġinter ruption ĠL ack ĠL ING ĠL AD res h ĠA dequate ĠA xillary Ġu pt ĠR otation Ġover dose Ġover distension ag raph tra ction Ġal ve Ġrem ove ss oming ĠH ema Ġcongestion s ĠN E Ġg u Ġg one ĠE ff ĠE lement Ġclear s ll ate ll ow ĠD ensities ĠD OBBHOFF ĠD estructive ĠI I ĠB I ĠB one ĠB RA ĠB lunted ĠB roken ĠB leeding per icardi Ġsh or Ġsh arper gm ent Ġref lux ĠU pon ĠU nexplained Ġad joining ĠIn terest Ġintra tracheal os al li ance tle d Ġsubstan ces ommen d ĠF rom ĠF our ĠF AR ĠF IS ĠF irst Ġac tivity Ġdevelop s Ġcor d Ġcor pus pos ing rem entioned ru pted Ġsti gmata Ġver ified ĠCon gestion ĠCon clusion Ġem anating inf rahilar me ability ond roid Ġ5 5 Ġthick er Ġscar red Ġam orphous ON D ĠG lobular Ġhyper dense ip ment Ġconf using ĠV ARI ĠV olumes ĠV entricular gen er NG T Ġco existent Ġindi vid ĠSub centimeter ĠSub pulmonic teri zation Ġfollowup s LE T Ġtran sition ĠTHE IR Ġcomplic ating Ġtrans mitted Ġtrans formation Ġnon visualization ĠAl tern ĠAl together ĠEx act ĠPA TCHY ĠCO L ĠLarge ly EN SION pl ing teb roplasty ĠRe accumulation ĠRe active Ġes cap Ġobli qued AT ATION Ġmargin ates ĠAd dendum ES TION IL L IS TINCT clavic le ĠRep ort ĠUn iform ĠUn usually ibrill ation Ġaccess ed Ġsp o Ġsp are Ch ronically ĠThora cotomy ĠWI RES ĠST ENT ĠLEFT WARD ĠPer cutaneous Ġreac tions ab er Ġstreak ing ĠRE AS ĠRE VI ĠSuper infection Di ff Ġce phalic Ġapproach es ĠCOM BINATION Un complicated oplas m IT ONE Ġfusion s ____ __ ling ular ĠNodular ity .___ . An terior ber Knife Ġblo ssoming ĠLess er Re currence Ġresul ted EG MENT Ġran ging Ġmulti channel Ġmulti level ull ary Ġsuff ers ĠAb rupt ĠCont inue LO AD ĠMODERATE LY Ġdiscord ant ________ ______ ser ies Ġflu ffy ĠTe chnique Ġfe llow Radi opaque SE VERE Ġsumm ary ĠSUB CUTANEOUS Ġflo rid Ġoccl uding mul tifocal OP S Apparent ly Ġpref erentially ĠPersis ts ĠAL MO ĠSH ORT Ġpur sue ĠRet ained Ġsten ted Ġdiscontinu ities Ġinterfac es Ġcou pled hem at ANT ED ĠEngorg ed SSIB LE Ġintervention s ĠOVER T ĠOVER LOAD Ġhep at Ġste llate Ġconfid ent ĠABNORMAL ITIES iz es Ġintermedi ate ĠLARGE LY par tial ĠSC AN ĠBronch oscopy ĠHeav ily ĠSUP RAC Ġwa xed Ġrever sal Ġepi gast ĠBand s ĠBand like Ġwan ed Ġmi x ĠStent s ĠIM AG ircum ferential CARDI OM ĠOB LI Ġretro grade Ġbifur c Pos sibly Rec ent sh adow Ġdisten ding ĠLOC ATION ĠCONTINU OUS rop neumothorax Ġrein serted Ġguid ance UB ATED Ġinst ability ĠWe gener Ġundergo ing ĠConvex ity Ġlab oratory Ġlab eled Ġstar ted Ġgre w Ġtendin osis Ġresor bed ĠIND ISTINCT Ġdeteri orated ĠBRONCH I Ġarg ue ________________________________ ______________ Ġinflu ence Ġcaps ule ĠSHOW S Ġresem b Ġaugm entation CU RED ĠChole cystectomy Ġjud ged Ġure ter Ġpredisp osition Mid line Ġren dered ĠMEDI AN Ġdem arcated ĠNeo esophagus ĠSUGGES TING ĠOBS CURED tral uminal ĠSep tal ĠBase line Ġhair pin ĠINT RA Ġprof ile ĠEsoph agus ĠDES CENDING ĠDetail s Ġinten se Ġmes otheli Ġshun ting Ġossi fication ĠQU ESTION Ġpromp tly Ġabsolute ly ĠEXAGGER ATED Ġintest ines Ġdislod ged ĠDIL ATATION Ġcorrob orated ĠCa val ĠAER ATION Ġdisconne cted ĠHemidiaphragm s Lo ss Tri angular uri ous Ġther mal cep tible Ġproce ed Ġexer tion ĠOS H Ġcontin ually ĠAng ulation ĠSTRUCT URES ĠCONV ENTIONAL ĠCoales cent ĠREQUI RED Ġcra ck Ġthor ough Ġequ ipment Ġhoneycomb ing Ġsto ol Ġconsul ted Ġdia physis Ġbronchoc entric ĠGIV EN athyroid ism ESOPH AGEAL Ġspong e ĠPERIC ARDIAL ĠPROJECT S ĠUltr asound Ġcicat ric FI ED VASC ULAR bri le guid ed Ġ________________________________ ______________________________________________ Ġafo rementioned requ ency Ġsam pling Ġlup us Ġfusi form Ġchild hood ubera nt Ġpoore r Ġradiof requency Ġradionucl ide Ġexpi red atab ase Ġupt ake ĠInterest ingly ĠREVI EW ĠALMO ST ĠSUPRAC LAVICULAR Ġepigast rium Ġmesotheli oma . " A ortic A pical C omm C LE C ES D ramatic E dema F inal F ORM G lobal M al N ESS O K P res P ULMONARY P arenchymal P redominantly P ITE R AN S tent T AINED V P W ispy Y OND Z Y Z ED a ucity b ilateral b orderline e ph f ied f ibrotic g kin l ied m ing m ediastinum m its m ulation o ric o pacity r ary r udes s tent s urgery t ary u ished v c y lo Ġ > Ġ \ th is th oric Ġa ler in k in cluding Ġp ulmon Ġp ap Ġp aging Ġp orcine re l re x al ition ar r ar ies ar coid Ġc op Ġc oc Ġth y le cted Ġs al Ġs we Ġs quam Ġs aber Ġl ist Ġis che Ġb b Ġb ac Ġb end or n di ent Ġt able gh orn Ġm arrow Ġm isplaced il ing Ġan emia ac quired he resis No dule ro de ic ity Ġre ce Ġwi ring ĠT unneled ĠT aking mal ign Ġf ora Ġf ibrillation Ġd ro Ġd raw Ġd ump Ġd rop Ġd atabase ou ch um a um ed id ent id ep Ġch y ___ : em ed em pyema em bolization omp l ub clavian ce ll Ġh im Ġh ist Ġh ousestaff Ġst at ol ation Ġbe ar op s de ling de vices Ġde emed Ġun sure Ġev ery Ġradi ating ĠS P ĠS HE ĠS olitary ĠS PECI Ġex traluminal ĠC D ĠC ase ĠC ER Ġbas o vi ated at tern at tem ĠM in ĠM ic ĠM uc ĠM ARG ĠM AIN ĠP ron ĠP attern edi ally Ġmo vement Ġthere by In determinate ĠL UL Ġti ght ĠA r ĠA pic hou r Ġdis rob oc on ĠR O ĠR oughly Ġover ly pro gression Ġper meability Ġal together Ġ2 6 ss a ss ubclavian ĠH od ĠH AD ĠN ec Ġg lad ron eph ad justed Ġplac es Ġwe ak ĠO val ĠO cc ĠO LD ĠO MR che a ĠD orsal ĠD ominant Ġcont rary ĠI R ĠI tem ĠI den ĠB AL per itoneum Ġsh rapnel Ġrec rudes ĠU ZRD Ġconsis t Ġconsis ted ĠIn g ĠIn ves Ġwor th Ġintra pleural ost osis ex am Ġtra ch Ġremo deling Ġsuper olateral Ġ3 5 ĠTh an ĠF ine ĠF AT ĠF INDING ĠF INAL Ġfluid opneumothorax Ġpost treatment Ġset up ail y rec iable velop ed Ġsome time Ġcor tex Ġpar ameter Ġpar ietal Ġpar asternal Ġatri o Ġacc ompl Ġunder side Ġunder stand rem ia Ġsti mulation Ġem p Ġem bed Ġapproxim atively org an lo aded Ġ4 0 Ġar ran ĠW E ĠW as ĠW ET ĠW ARR Ġsur ge cen d inf erior Ġins ult Ġloc ate Ġmedi us Normal ization ĠG O ĠG ross ĠG AST Ġhyper par Ġpass age AL LOW Ġco ope Ġco alition Ġlymph omatous ĠSub tly chn ical RE AK ĠTHE SE Ġtrans mits Ġful min co sis Ġpresum ption Ġnon resolving Ġnon dilated Ġnon hemorrhagic ĠSt aple ER IOR tero stomy ĠMul tiloculated Ġdist ant EN TING pl icity ĠRes ident ST ENDED Ġser ve Ġborder ing Ġcommun ity IN TER Ġcharacteri zing Ġmarg ination AT R Ġhyd roneph Large ly Ġfo ssa ĠHe terogeneity Ġcompression s Ġorigin ate Ġembol ic Ġpat ten solid ations ĠUn clear DI STENDED Ġinfiltra ting ump tion Ġsp ur Ġsp illo Ch anging Ġsta ghorn ĠPNEUM OPER ĠWI RE Ġdim inishing ĠST ATUS Ġread y OU BT Ġhemat ogenous Ġbul lectomy oscop e Ġini ti Ġeffort s RO W RO ESOPHAGEAL oin testinal TER N OL I Ġgra dient ĠOR IG Un usual Ġjuxt amediastinal ĠBE YOND emergent ly Ġinform ative ĠTo tal Ġann uloplasty ĠMO VE Ġevent ually Ġloo ked ĠSI TE cent ric Ġme th Ġoste omyelitis ĠAir way Ġform s ĠAC CENT Ġhumer i Ġsecre tary con solidations Ġinfarction s ĠSE VER Ġunf amiliar ĠPre existing ĠAS PECT ĠEX PL Ġmulti plicity ĠSus picious Ġcomple ted tig ation ĠCont act Ġconvex ed Ġfac es Ġfac il cardi omegaly Ġdisting uished AD ENOPATHY penet ration Per ibronch He aling ĠAB PA Ġpleuro pulmonary omin ating Ġfe brile Ġhypo volemia ĠJ udging thes is ĠObli teration Ġoverlap s RON TAL Ġpage able Ġcomment s ĠPER FORM ĠEN TER Ġfl ank ĠGeneral ly ĠDrain ing ĠRet ra ĠVer tebroplasty ĠTR ACHEAL Asymmetric ally Ġcharacteristic s Ġconcl uded Ġeas y Ġeas ier Ġimportant ly ĠOVER INF ĠOVER LYING ĠIm age ĠCoar seness ctu ating ĠCrow ded Ġfung us asion ally Ġhemodynamic s ĠIT S Ġcorrel ative Ġdeposi ted Ġcircul ating ĠPOSSIB LY Ġplan es Ġ___:___ . Ġimplant ation Ġadminis tered ilic one Ġtim ing PIR ATOR Ġwa ist Ġrever ses LU ENT Ġlen ticular Current ly Ġleuk emia Ġjus tification Ġidentif ies gra v ĠDEVIC E visual ized ĠREFLECT ED Ġexp and Ġabrupt ly Ġneuro log Ġmatch ing ĠTRANS JU ĠRESOL UTION Ġcre ation Ġcre ates ĠFlatten ed Ġcut off ĠCav itation ĠTHORAC OSTOMY Ġsurp r Ġoutl ines Rep laced Ġinh aled ĠLymph ovenous Ġmanub rial ĠSuperior ly Ġthym oma Ġreplac es PO SSIBLE minimal ly Ġpe ak Ġreoc curred Ġseiz ures Ġdegra ded Ġmeasure d ĠNODULE S ĠVen ti ĠDEFINI TIVE To day Ġsudden ly ĠABDOM INAL Ġjud ge ĠEm bolization ĠGEN ERAL Ġpalp ation ĠASYMMETR IC Ġbreak s ĠCy berKnife Under lying RIB UTION hemorrh age PH AL roun ding Ġren der ĠMEDI AL ĠPART ICULAR Ġsmooth ly Sh ort Ġattest s ĠAV M ĠRed u ĠRed istribution Ġhighlight s Ġhighlight ing Ġvaric es ĠContinu ing Ġconnection s Ġconver sation ĠPortion s Ġinc orrect Ġmis alignment ĠEsoph ag ĠVEIN S ĠCONF LUENT Region s Ġelucid ate Ġcora coid Ġconce al Ġpredis poses Ġpredis posing Ġexcessive ly Ġtil ted ĠNON DISTENDED ĠGra dual Ġmanip ulation Ġstrip es Ġaccele ration Ġaccele rated lig emia ĠLYMPH ADENOPATHY Ġincon sistent Ġconc ave ĠSur rounding ĠLi kewise Ġcandid ate ĠAttem pt Super ior Ġincomp etence ĠMalign ancy ĠAneurys mal ĠCOST OPHRENIC Ġcenter ing part um Ġinstru cted ĠMET AST Ġcloth ing ĠFIB ROSIS Ġsole ly Consider ing Ġtaper ing ĠOsteophy tes RIBUT ED Ġcommen ted enlarg ed omon as ĠTemp erature Ġprotr uding Ġsear ch ĠCLO SE Ġalve olitis pericardi otomy Ġindivid ual ITONE UM hemat oma ĠOBLI QUE Ġbifurc ations Ġresemb ling Ġcicatric ial Comm inuted Ġpap illary Ġsquam ous malign ancy idep ort ĠMARG IN ĠPron ounced ĠApic es ĠHod gkin Ġglad ly ĠOcc asionally ĠInves tigation Ġembed ded ĠWARR ANTED Ġsurge on ĠGAST ROESOPHAGEAL Ġhyperpar athyroidism Ġcoope rate Ġfulmin ant Ġhydroneph rosis Ġspillo ver ĠPNEUMOPER ITONEUM ĠACCENT U ĠSEVER ITY ĠPERFORM ED PIRATOR Y ĠTRANSJU GULAR : . ? ) A r A VR B ER B US B ullous C A C o C row C URRENT D ue D istended D ensity E ffusion E AT E volving E arlier F ICALLY G ING G lobular G OS H as H AP I O L e L ess L ob M arg M EDI N ING N TING N ondisplaced O s O RE O ES O SITY P ON R ILL S ymmetric S UB U NCTION V ICAL W ELL W axing Y P Y RO Y LET a ired b ibasilar c ology c oclavicular c illary d ropneumothorax e f e ventration e terization f ill f lex g or g iven i tic i rable j ective l im l am m ic m ph m atic m arked m inuscule n ula o v o ds o cus p ath r omegaly s or s able s car t op t use t ually u ra u ated u clear z en Ġ ] Ġ il Ġ um Ġa ut in odular Ġp ouch re si ar i ar se ar ction Ġc c Ġc t Ġc ere Ġc ris Ġc ases Ġc reated Ġc urious te chnique le sion le ts is ible Ġthe oretically Ġo v Ġo mitted Ġo wing Ġo ligemia Ġs ate Ġs omew Ġs end Ġs yn Ġs atisfactorily Ġs vc ti le ti li Ġl am Ġl isted Ġin ability er ied Ġe ase Ġe lective Ġb al Ġb un om an om edially Ġt um Ġt ribut Ġw ent Ġw alled gh ted Ġm L Ġm all Ġm and un ion un cture Ġan cillary he art he terogeneous ro g ro ke ro ach ic it ic us Ġre gular Ġre new ĠT RE ĠT ype Ġf ast Ġd w Ġd ates Ġd up Ġd ors ou x ne ck ct s ct omies Ġv ac Ġv alu Ġcon tem Ġcon cent ___ , em ergency ub rial ce ration Ġh ar Ġh op Ġh ollow Ġst asis Ġst roke it able it ude pp ortive cu py Ġpro t ia bility Ġpneum atosis op leural de veloped st ood Ġde al Ġpre tracheal Ġun rec Ġun identified Ġse lected Ġev oc ĠS O ĠS LE ĠS tern ĠS mo ĠS kinfold ĠS tenting ĠS urgery ĠS lowly ĠS ideport ĠC VC ĠC all ĠC oin ĠC ephalization ĠC ROW Ġon to ver sion vi ron at ypical at ori Ġen viron ĠM M ĠM y ĠM IN ĠP T ĠP ain ĠP red ĠP aucity cre ted Ġlower most Ġmo t Ġthere of Ġinter n Ġinter rog ĠL ON res pond ĠA p ĠA SIDE ĠA ZY Ġu tili Ġdis traction Ġdis organ oc cupy ĠR ATHE ĠR PO ĠR IJ ĠR oux Ġbilateral ity Ġover shadow pro b Ġper cei Ġper cent Ġper ceptible Ġ2 7 ĠH ern ĠH IGH ric al ric tive ĠN or ĠN ext ĠN IP Ġmid clavicle As cending ĠE L ĠE MB ĠE BUS Ġwe b ll ular ll ite ĠD ens ĠD uct ĠD OES ĠI D ĠB LU per icardial Ġsh iel Ġpres ternal Ġinterval s ir tually ur red ur bed ĠCT PA ĠU S Ġad mitted all oping Ġvi gor Ġhemi arth Ġob tuse Ġwor king Ġrepresent ation out side lu st term ost os te li es li ghted Ġdef lection so ft Ġtra vel qu arter Ġ3 3 Ġass umption ĠTh ick ĠF L ĠF ole ĠF ilm ĠF arr Ġfluid s ment al Ġsc alloping Ġbasal ly Ġelev ates pos terior pos sibly Ġperi ods Ġunder stood ĠCon genital Ġiden tity Right ward Ġsur round Ġout ward Ġafter wards Ġdes crib Ġdes ire Ġdes aturation Ġins pected ĠIJ V Ġcompres sing Ġinfiltrate d Ġ5 8 HE D Left ward Ġscar ing ON ES ON SIBLE form ity ĠG RAN Ġhyper ostosis Ġback wards ĠV alve ĠV irtually ĠCH AR Ġport ably Ġfree ly ĠSub total eral ization ma ges LE CTION Ġtran si Ġqu eried Ġtrans thoracic Ġtrans lucent we e Ġ6 0 Ġpresum ing Ġnon calcified ĠAl veolar ĠEx cept ĠPA ST TI S TI LATION pect omy ĠAt ten pl asia OR Y Ġhigh lighted Ġinvol ute Ġinvol uted Ġnote worthy Ġop ening Ġop ened ST ORY ĠClinical ly ĠRe f ĠRe currence Ġser oma Ġexpl oratory ĠIN V Ġdep th IN ED Sub pleural Ġup loaded AT OM St ably St ability Ġconfluent ing Ġple thoric UL A UL OM ĠAd enopathy TH ORA TH ORAX Ġconfirm atory ĠHe patic Ġorigin ated ĠNO TE ĠPac ing UR TH cid ing Ġpat ch ĠHyper lucent Ġsupra aortic Ġeff acement ĠUn able Ġaccess ory Ġdifferential s Ġcorrespon ded ĠPLE THORA Ġsp oon Ġsp arse Ġfat ty NE L ĠSh rapnel ĠThora centesis Ġradioden sities ĠST REAK ĠST YLET Ġinsertion s Ġrespon ding oscop ically ĠSign ificance ĠDiff eren ĠDiff erent RO TIC ĠRE CUR Con tinu Con stellation AN NEL En gorg Ġru gger Ġpl ating TER M Ġfol ding Ġpus h Ġlum inal Ġlum ens ĠPORT S ĠTH YRO Ġaccum ulate Ġevent ual ĠSU CH ĠDense ly Ġsepar ating Ġconse quent ĠPar atracheal Ġme et .___ , Ġexplan ations Ġoste ochond ĠRADI OD Ġexpos ures ĠDis c CI ATED ĠRadi odensity ĠPO OR Ġ-- ? Sign s Ġbl urred ĠCo vering Ġglob ally Ġretros pectively Ġkyph oscoliosis Ġdet ached ĠAS SO ĠAS CENDING IP HER app arent angi itis Ġclar ifying ĠAb andoned Ġatten uated ot umor ĠDil ation Ġsa w Ġoffic ial Ġgi ves AD OW On going ĠProgres sing Ġdistinguish able Ġorgan ization ĠIs olated Ġneg lig Ġmean ing Ġmean dering Ġmas king Progres sing Ġsple nectomy ĠCONGES TIVE Ġsideport s Ġbronchop neumonic Ġhypo xic ĠOver inflated IB ER IB RILL han cement Ġoblite rans ĠIntra aortic Th ickening ĠPER HAP ĠPER IPHER ĠDI URE ĠMID LUNG loc ation ĠJU ST Ġevacu ate ĠAN ATOM ĠAL TERN Ġdifferenti ating Ġris ing ĠHem othorax ĠSH ALLOW ĠSH ADOW Ġdisloc ations ĠAbnormal ities ĠINF RAHILAR ĠPOSITION S Ġpara aortic Ġsten otic ĠTR AC Subse quent Ġsupp ression Asymmetric al Ġarth roplasties Ġquan tification Ġring s ĠAD DITION ĠSe quential TEN SION Ġou termost Ġ(___ ). 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A cc B O B LE B AR B ecause B etween C l C or C an C li C UL C aliber C ostophrenic C ollapsed D ec D IS D RO D OBBHOFF E P E ven F ULLY F ilm F ORE G NO G GING H omogeneous J P L IC M edian M ICU P re P TI P LAC P neumonic R ather S URAL S ize S piculated S oft S ICU S econd T ED V er W hat W ID a x a tial b re b ous b ow b acterial c ome c cessive c ope c tile d ulation d ged e u e lect e ases e volving f ra h ib h owever h istory i e i ro i res i tially i ectatic j ection k le l ative l ating l ind m iss m esis n a n es n am n iotic o x o ic p osity p aring p seud p elvic r gent s c u ros y th y ne Ġ & Ġ tent Ġ rou Ġ ____ th og in king in determinant in sertion Ġp H Ġp heresis re ating re late re expansion re hen ar cation Ġc ove te remia Ġth irds Ġth resh le man is es Ġs on Ġs pite Ġs yst Ġs kinf Ġs ilicone ti re ti ties as ix en ter en cing ed ical ed ging ed ullary es ion es thes Ġl ay Ġl ord Ġin car Ġin gestion Ġin active Ġin versus Ġb il Ġb ring Ġb uc di m Ġt ag Ġt ren Ġt ry Ġt app an terior an while Ġw ing Ġw art Ġw rong si bility un ar un der ac ath ac teri ac tivation Ġn uclear ly mph Ġre demonstrates Ġre expand ĠT ypical ĠT ogether mal positioned Ġf le Ġf as Ġf ron Ġto uch Ġd ub Ġd ose Ġd aily Ġd ominating Ġle ave ff ective ent leman ate mesis ct ated Ġv ocal Ġv ide Ġno se Ġlo t Ġlo os Ġlo ading Ġlo dged Ġch art Ġch ondroid Ġcardi ology Ġh ome Ġh oar Ġst ay Ġst one Ġst ations Ġst oma Ġst udent ĠNo cardia it ating it uation ph ysi ora ting ch ase ch ite cu red cu itous ve ci Ġcomp u Ġcomp act Ġcomp ounded Ġcomp osite Ġcomp uted Ġcomp rehen Ġpro tracted op or op ening op ros op elvic de creased im aged Ġde cl Ġun in Ġun sh Ġun diagno Ġor thog Ġse lf Ġse ats ĠS en ĠS tra ĠS ensitivity ĠS EGMENT ograph ically Ġex terior Ġex peri Ġex uberant ten tially Ġsi zing ĠC er ĠC ENTE ĠC ircumferential Ġapp lied ear s Ġen hancement ĠM E ĠM ult ĠM AN ĠM RA ĠM orph ĠM AK Ġas pira Ġsu itable ĠP ath ĠP la ĠP seud ĠP LU ĠP redominant ĠP JP Ġmo ving In complete In sertion In itially Ġab du ĠL S ĠL en ĠL esion Ġti b ati te ati bility res ection res pon vious ly Ġhe aded ĠA ce ĠA ort ĠA FF ĠA erated Ġdis appearance Ġdis rupted Ġdis eases Ġdis miss oc ol ĠR ect ĠR AP ĠR CC Ġ___, , ag inous cl uded cl ip Ġdi vision rom atosis ke let ĠH ere ĠH UM ĠH ERN ĠN J Ġmid level Ġg yne Ġg entleman ad der ad owing ad justment Ġj iro ĠE ve Ġend opros ĠO PTI Ġwh om Ġwh ole ĠD eter ĠD EN ĠD UAL us cular ĠI P ĠI mages Ġcl as ĠB ar ĠB alloon per sistent Ġhem atemesis ren al ĠU nd ĠU rgent Ġpos tero Ġpos teromedial ction s Ġob jective ĠIn tubation ĠIn formation ĠIn sertion Ġwas hou Ġintra gastric Ġsign ifying Ġret ri Ġdef lated nal tered tif act ex piration ex tensive Ġsuper position Ġreg ressing ĠDr ug ĠTh ird ĠF EW ĠF ull ĠF emoral ĠF RONTAL ĠF UNCTION Ġpost partum Ġprob ability Ġappropriate ness Ġac id ĠNormal ly Ġca ud Ġsc ope Ġsc aff cul itis Ġcor ds Ġcor dis Ġinternal ly Ġatri a rain ed ap atite Ġcol itis Ġelev ate Ġperi diaphragmatic Ġunder inflation oun ting Ġcav o Ġcorre ction ĠCon tiguous Ġapproxim ates lo od ĠW ATER ĠW orse ĠW ires ĠW edging Ġsimilar ity Ġlin ing ĠAP IC ran gement Ġster nectomy Ġoverlo o Ġdes cend Ġdes irable ob li Ġ5 2 Ġ5 00 Ġrel oc iss ue Ġcombination s ple uro ortic al form ed Ġperform ing ĠG e ĠG AS Ġhyper trans fac e Ġvascul itic ĠV agal Ġmultifocal ity Ġpacer s Ġlymph angi Ġport acath Ġindic ator ĠSub mitted ĠSub ject od y ful ly Ġdevelopment al Ġfil ament Ġcompl aint LE PH RE E RE LY RE CT ĠTHE N ill s ill oma Ġmet s Ġtrans aortic Ġful fill Ġnon active Ġnon union ĠEx pansion dy nam ĠCO EXISTING tero top Ġfail ing row ing Ġrot ary Ġ. . 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Ġsit us ĠSu ccessive ĠApp rec ĠApp ears Ġquad rants UM A Ġ( ~ Ġ( >___%) Ġfo ot ĠCor onal Ġfocus es ES SIVE Ġapic oposterior Ġapic olordotic Ġtraum atized ercul osis Ġben ding Ġsitu ations Ġbi te Ġcaliber s Ġpat ulous ĠHyper density ĠHyper trophic Ġfund opl Ġeff ac ĠRep lac Ġpattern s ĠUn certain OM EDIASTIN OM ATOSIS DI FF ĠCorre lated Ġrefle x tim ates ĠEnlarg e Ġinj ectable Ġdetect ably Ġsp ring Ġsp asm Ġsp oradic Ġconfiguration s CT OMY Tra umatic Tra cheobronchial Ġdisc ount Ġdisc itis ĠSh in Mul tiloculated Hyper lucency Hyper lucent Ġintrodu ce Ġintrodu ctory ĠAR TIFA CH ANNEL ĠPNEUM OMEDIASTIN Su ccessive Ġdilat ations ĠST AFF ĠST UDIES Ġread vanced ĠWh ich Ġhemat ology ĠLO BAR Ġexternal ly ĠPer iaortic ĠPer formance Ġsubdiaphragmatic ally Ġfav orable ĠSign ed Ġmor bid ĠInf lamm ĠInf arction ĠRE AC ĠRE VE Ġimp ly Ġimp lying Ġimp erative Ġimp osition Ġimp ressing Ġimp aired ĠTHERE FORE ID OSIS ĠSuper imposition Con ventional Ġdirect ory App roximately Ġru ptures Increasing ly Ex 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infectious Ġextra vascular Ġextra renal Ġcompar ably Ġkin cked Ġcall ing Ġcall ous Ġstri dor ĠPNEUMON ECT Ġten able ĠDis coid ĠDis con ĠDis cussion ĠDis location Ġpros pective ĠRadi ography ĠRadi opacity Re ference Ġbypass ing Ġfiducial s RIS OME ĠRest rictive Ġcoales ce ĠMid thoracic Ġbl oc Ġbl and CO IDOSIS con sistent ĠCo existent Post radiation mid dle ĠSE E ĠSE CRE ĠSE ATED ĠSE CURE Ġunf used Ġunf ortunately ĠPre ceding Ġke y Focal ly Ġremote ly Ġcare gi acu ation Linear ly Ġmulti locular ĠIMP RESS obstru ction obstru cted ĠINTER SPACE ĠINTER MEDI ĠMedi us Ġreass uring Ġsuff ered Ġsuff ice Ġsuff ering ĠSuggest ing Ġwet ness CRE TE ĠAb undant Ġslow ed cav itated ot rophic Ġprodu ction Ġtemp orarily ĠCont ours ĠObs cured ĠEV ENT ĠEV OLVING Ġsuc cession Ġsa ve Ġsa phenous Ġaff ective Ġaff ords ĠPRO BE cardi ophrenic Ġhal o Ġrule s Ġgi ant gan izing Ġlack s Ġaneurysmal ly ĠLOBE CTOMY Ġexacerb ations Ġpedicle s ĠUP RIGHT Ġreticul o ĠAPP EARED -___ ), He aled ser t Ġcann ulated odynam 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Ġblun t Ġdepic ts Ġseem ed Ġseem ingly Ġinterfac ing Ġquan tities Ġquan tit ĠSe lective Ġaccu racy Dense ly EC MO Ġconcl ude Ġ(___ ), Ġeas iest Ġdepartment s Ġjejun al Ġperson ally hem odialysis hem odynamically ĠUp ward hyd ropneumothorax effusion s ĠPRIOR S ANT LY po ff Ġpseud arth ĠAcc ounting ĠAcc entuated Question ed ctu ated ĠHEM OTHORAX Ġacqu iring Ġconne ctive Ġconne ctor ĠCL AVICULAR ĠMet al ĠWOR RISOME Ġbulk ier Ġdetermination s Ġfeature less Ġpen umothorax Ġstate ment Ġdepression s ĠBY PASS Ġdiscern ing Ġplan ning OPH Y medi al Ġoverlay s Ġscre ened Non diagnostic Ġste adily Ġste poff Ġproblem atic Ġadminis ter Ġi j Ġexpan ders ĠRES PIRATORY Ġaden oma Ġassum ingly Ġstrad dle Ġcrypt ococ ĠY et Ġent ailed Ġent rap ĠREM NANT Ġtransfusion s ĠATRI OV par amediastinal ĠSC AP ĠSC ATTE Ġlig ation Ġwa ve Ġunde rex ĠSEVERE LY Ġmicronodular ity CLUD ING Ġect opy Ġenc ases Ġenc roach Ġligament um Ġbeli eved Multi lobar Ġide a Ġeosinoph ilia ĠCOMP RESSION Air way Ġul na tell ations Ġprost atic ĠES RD Ġunderes timates ĠRET URN ĠDIS SECTION ĠDIS CRETE uk emic chan ical ĠDAY S ĠWID E ĠWID ENED Ob long ĠCurv ature ĠHigh ly ĠIns piration ĠIns pection Ġinsti tuted Ġbif id Ġleuk ostasis Ġjus tifies ĠWH AT Ġmechan ics ĠPOST SUR ĠSUGGEST ED Ġsection s ĠMass es Ġlymphatic s ĠAtri um ĠAtri obiventricular ĠDIST ENTION Ġretro lis Ġinstitution s Ġpermit ted ĠREFLECT S ress ant Ġcollect s Ġknow ledge Ġneuro path Ġneuro fib Ġcolumn s ĠThou ght Ġdistin ctive sh ould Ġspl itting ĠLe vel ĠLe ukemic Ġdisten d ĠRIB CAGE ĠHY POPH TINU ED Ġpan creas Ġpan lobular Ġsac rum Ġdesign ated ĠLOC ALIZED ĠDistal ly Ġprac tical Ġcomprom ises Ġdiscl osed Ġdirection s ĠDo ppler ĠLIMIT ATIONS At rial Red undant Red istributed Ġdev astating ĠCav ity Ġrein tubation Ġguid ed ĠEnd ograft ĠEnd plate ĠEnd oscope ĠREL ATE ĠREL ATIVE ĠACCOMPA NY ĠRemnant s QU ES UB ATION arc ate Ġinh ib Ġinst allation ĠLong er ĠLong term Ġdiver sion ĠHE ALED Ġbronchosp astic ĠRECOMMEND ATIONS ĠPAR AM Ġmyocardi um IMP RO UP PER Ġpe aking Ġmamm ography ĠDist orted assess ing ĠGranul oma ĠShould er Ġdiverticul osis Po tential Ġdeteri orates Ġrecon sider Ġrecon stitution ĠInter stitium Ġimmunosupp ressant ĠCAL L Ġenh ances Ġconsti tuting Ġparac entral ĠVER SUS ĠVER TICALLY ĠEXT UBATION ĠSHOW ING Ġemphas ize Ġemphas izes ĠCORRE L Ġclinician s Dis lod Ġchem ical Ġtap ing Ġfist ul ĠSut ural Ġfunctional ity CON SOLIDATION CON TINUED Irregular ity Rede velopment Ġer rant Ġtach ypnoea ĠTE E ĠTE VAR Ġjud ging ĠEm bol ĠBe low ĠBe yond ĠGEN U Ġ___-___ - Ġpalp itations ĠAPPROPRI ATELY ĠZ ONE Ġmember s phy seal Ġperpendicular ly ĠNarrow ed ĠNEED ED ĠOr phaned ĠOr dering ĠOr ganizing Ġadhes ive Ġelimin ating ĠNOTI FIED Under inflated Under penetration ĠQu ite Ġpill ar Ġspec ies Ġtw isted Ġtw enti ĠSim plest ĠOUT SIDE plen ic ĠVar iations Ġfix ating Ġfix ators ĠSIMILAR LY ĠSHIFT ED ĠPECT US Catheter s Ġ__ ___. Ġdem arcate Ġattest ing ĠRed undant Ġendo esophageal Concern ing Ġgrav ity ĠHyp otrophic Ġencas ement Ġero ded Ple urX Ġrect um Ġconver sion Ġdegen erated Ġsept ae ĠSup rahilar ĠSymmetric ally ĠCA VAL ĠMARK ED Ġasperg illus Ġclot ting Ġrecumb ency ĠINT UBATED ĠDef ibrillator ĠDef lection Ġinferolateral ly ĠInferior ly Ġosteoarth ritic Ret racted pre table pre operative Ġpair s Ġmis labeled Ġconglome ration Ġcarry ing ĠVAL V ĠReticul ated ĠDiagn osis ĠCOMPONENT S ĠCALCI FIED Ġelucid ation Ġinten si Ġmes h Ġtil t ĠWHE RE Ġobserv es ĠGra de ĠGra dually Ġmeta physis ĠQU ITE ĠRadiol ucent Ġpracti ce ĠHEL P ĠEXAGGER ATE ĠEXAGGER ATES Ġequal ization Ġrecess es Ġfit ting Ġsequ entially ĠDec ompression ĠDET ECTED Ġintram uscular Ġcorrob orating Ġcorrob orate Ġyiel ded Bronch itis Ġpassive ly Ġincon sequential Ġtom orrow impro ving Ġpoly chamber ĠSilhouet te Ġarti ficially Ġmalfunction ing Ġoperation al Ġbile aflet Ġinterpret ability Read justed Ġdisconne ction ĠDIAPHRAGM ATIC ĠREFLE CTION Ġinsufficient ly Ġreconstruction s ĠCALCIFICATION S -- ? Im portant Ne o Ne ither Tri ple ug al Ġther mometer Ġnas opharynx Ġreli eving Ġproce eding ĠMe chanical ĠAneurys m Ġcontin ual ĠFIL TER ĠAng ulated ĠRead justment ĠSTRUCT URE ĠCONT AINS ĠCONV INCING ĠCoales cence ĠKyph oplasty Ġsupplement al Ġsupplement ing Ġsupplement ary ĠDefini te ĠDefini tive Fracture d ĠREQUI RE Ġinstru ctions Ġcontra dicts ĠNotification s ĠMI E ĠMI ld ĠANGLE S Ġdiast ole ĠNeed le Ġcloth es Ġhapp ened ĠFlu ffy ĠFIB ROTIC Ġdecision s Ġsmoker s ĠINDIC ATION ĠINDIC ATING ĠOsteophy te ĠDIFFEREN TIAL Ġsigmoid al rep lete rep lacement rep orted Ġsen sible Ġconst riction Ġconst raints Ġunco iled ĠSer ial ĠSer vice Ġinterruption s ĠHema tology ĠNE O Ġgu ess Ġgu aran ĠII I ĠBRA F Ġshor tened ĠAltern atives ĠReport ing ĠREAS ON ĠQUESTION ED Ġproceed s Ġexertion al Dramatic ally Ġaler t rel atively Ġbac teria Nodule s Ġrece ption Ġchy lous ĠMin eralization ĠMin nesota ĠMic ronodular ĠMuc osal Ġtight ness ĠAr chitectural ĠIden tified Ġaccompl ish Ġunderstand ably Ġemp loyed Ġarran ged ĠGO ITER ĠEXPL AINED ĠRetra cted Ġneurolog ic Ġsurpr ise Ġrender s Ġconceal s ĠACCENTU ATING Ar ison Ar chitectural Co iled Co iling Less ened Os te Ġaut omatic resi dual Ġelective ly Ġbal anced Ġtribut aries ĠTRE ATED Ġdors olateral Ġvalu able ĠMy el ĠPT LD ĠPred ominating Ġdisorgan ized ĠHern ia Ġweb site Ġshiel ding Ġshiel ded oste al oste omyelitis Ġdescrib ing ĠAtten tively ĠRef lects ĠINV OL ĠINV OLVING ĠSTREAK S ĠRECUR RED Engorg ed Ġosteochond romatosis Ġmeaning ful ĠPERIPHER Y ĠPERIPHER AL ĠANATOM ICAL ĠSHADOW S ĠTRAC K ĠTRAC ED ĠSCLE ROTIC Ġencou rage Ġconstitution al ĠINSER TED Ġprofound ly ĠCOLLECTION S Ġcontemp oraneous ĠGRANULOM AS ĠCHARACTERI ZATION ** * Cl inical Ver tical Ver tebral WID ENING WID ESPREAD pseud otumor pseud oaneurysm Ġtent atively Ġlay ered Ġbil obed Ġbuc ky Ġbuc kle dim er dim ensional Ġtag s lymph adenopathy lymph angitic Ġfle xible Ġcompu ter Ġcompu terized Ġdecl are Ġunin volved ĠSen ile ĠCer tain ĠME RELY ĠMAN NER ĠMorph ology ĠMAK ING ĠMAK ES ĠPla que Ġabdu cted ĠLen ticular ĠLen tiform Ġtib ial respon ding ĠAort osclerosis ĠAort oiliac ĠAFF ECTING ĠHUM ERAL ĠHUM ERUS ĠDeter mination ĠDeter mining ĠUnd ulating Ġobjective ly ĠAPIC ES ĠAPIC OLATERAL Ġoverloo k Ġoverloo ked Ġreloc ate Ġreloc ated Ġhypertrans lucency Ġhypertrans lucent Ġlymphangi ographic Ġfilament ous Ġarterios um Ġarterios us ĠLOOK S Cont rast Cont inue Ġirri tation Ġosteopor osis Ġosteopor otic Reticul ation Reticul onodular ĠSEPT IC ĠSEPT AL ĠENTI RELY ĠCAVIT ATION ĠPROCED URAL ĠPROCED URE ĠQuan tification ĠMARKER S ĠJuxt a ĠJuxt amediastinal ĠEXPLAIN ING Ġcontraindic ated LIN ES Min nesota Var ious docum ents follow ing mark s minu tes opac ities she ath spic uity sarcoid osis inc ter Ġcul prit Ġspi ral Ġland marks Ġincre ment Ġmat rix Ġanesthes ia acrom ial Ġnaso jejunal Ġrew iring Ġredist ribute Ġdra g ceeding ly ĠNoti ced Ġunre achable ĠSER IAL Ġexhib it ĠChe ck ĠCROSS ES Ġeng age ĠMal alignment ĠPneumon itis Ġuro sepsis Ġdie resis Ġsubm uscular Ġsubs capular Ġga uge Ġgar ments ĠEvalu ating ĠOSTE OPHY ĠDramatic ally ĠBen ign ĠBEN IGN Ġreform atted ĠInv olvement ĠInterm ittent Ġtraject ory Ġcau ght Ġscr ub Ġaccommod ates Ġdens est ĠGRA FT Ġcoexis tence ĠAnch or Ġneuros urgery Ġneces sity Ġoblig atory Ġplex opathy ĠAdv ance ĠRepe ating ĠPLEUR X Ġdiminis h ĠCONVE YED ĠInfil trative ĠHyperex tended ĠHypo ventilation ĠSUCC ESSIVE ĠACC OUNT ĠPROSTHE TIC Ġsyno vial ĠANN UAL ĠSHARP LY Ġsupposed ly ĠSCAL E ĠDISPLAC ED ĠPhysi cian ĠDEFORM ITY Ġthrombocy topenia ĠHEAV Y ĠOsteoly tic ĠOBSCUR ING ĠSepar ate ĠCONFIRM ED ĠCONFIGUR ATION ĠTermin ates ĠFluor oscopic ĠSUSPIC ION Thorac ostomy ĠEffort s Ġcocci dioid Ġharb ors ĠFLATTEN ING ĠDiscord ance Ġencoura ging Ġfasc ia ĠSTRONG LY Ġstaphylococ cus ĠEXTREME LY AORT IC Curv ilinear CRIB ED Elect ronic Fe b Flatten ing HR CT IEN CY LV AD Pred ominately Portion s Qu ery Ter mination Vi ews Vis ual WORS ENING axill a elev ation fund us gastro esophageal opportun istic pneum opericardium uci us ydi a Ġral es Ġter tiary Ġ+/ - Ġamal gam Ġave rage Ġaure us Ġpun ctuated Ġpop ulation Ġparen ts Ġcass ette Ġcoun terclock Ġcreat in tect able Ġosti a Ġoment um Ġsph incter Ġsqu are Ġsym path enet ration Ġlax ity Ġbor dered diment ary Ġtrim ester anat omic Ġmach ine Ġnat ural Ġrepro duc Ġreinf orces Ġredraw n Ġreab sor Ġreori ented Ġrebre ather ĠTIS S ĠTRA UMA ĠTandem Heart Ġfid ucius Ġfati gue Ġfla ir Ġtobac co Ġlegi timate Ġletharg y Ġconcav ity Ġnotic ing Ġchori ocarcinoma Ġchlam ydia Ġcardiop ulmonar Ġcardiover sion optim ized decomp ensation Ġdetra cts Ġdeple ted Ġdeci pher Ġprecur sor Ġuninter pretable Ġunrespon sive Ġunspec ified ĠSick le ĠSAR COIDOSIS ĠSumm ary ĠCut aneous ĠCours es ĠCost ochondral ĠCRE ST ĠCrypt ogenic Ġencomp assing Ġensu ing ĠMOR NING ĠMIT RAL ĠMedic ine ĠMAJ OR ĠPect oral ĠPUM P ĠPHY SIOLOG ĠPREDOMIN ANTLY Infil trate ĠLarg est ĠLike lihood ĠLUCEN CY Ġheterogen eities ĠANG ULATION ĠREN AL ĠROU NDED Ġovercir cul progres sing Ġsubma ximal ĠHope fully Ġmidhem i Ġgir dle ĠEvery thing ĠEvid ent ĠESTI MATED Ġendole ak Ġendarte rectomy ĠORO GASTRIC ĠDown ward ĠDUR ING Ġclock wise ĠBrid ging ĠBOWE L ĠUMB RELL Ġhemithyroid ectomy ĠIntest ines Ġintrathorac ically Ġreserv oir Ġpossibl ity Ġtrape zius Ġregrow th Ġbound aries ĠFail ing ĠFLE X ĠFLO OR ĠFRAGM ENT ĠFIF TH recommend ation Ġparane oplastic Ġparadox ically Ġcolore ctal Ġcollim ated ĠConsult ation Ġempy emas Ġarticul ation Ġkilov oltage Ġinspiss ated ĠGLO BAL Ġhypervole mic Ġhyperkyph osis Ġrope y ĠVIS UALIZED Ġcoagul opathy Ġlymphoprol iferative Ġlymphadenopath ies ĠTHERAP Y ĠExacerb ation ĠPANAC INAR ĠCOALES CENT Ġgastropare sis Ġfundopl ication DIFF USE Ġsporadic ally ĠARTIFA CT ĠPNEUMOMEDIASTIN UM ĠREVE AL ĠTHIR D Ġirrever sible ĠDEVI ATION ĠDEFIC IENCY ĠPNEUMONECT OMY ĠSECRE TIONS Ġcaregi ver ĠIMPRESS ion Ġcysticer cosis ĠKleb siella Ġileoce cal ĠINFORM ATION Ġpseudarth rosis Ġentrap ment ĠATRIOV ENTRICULAR ĠSCATTE RED Ġunderex posed ĠPOSTSUR GICAL Ġretrolis thesis Ġneuropath ic Ġneurofib romatosis ĠHYPOPH ARYNX ĠACCOMPANY ING Ġtwenti eth Ġguaran tee Ġcoccidioid omycosis Ġcounterclock wise ĠUMBRELL A