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mild to moderate cardiomegaly with mild pulmonary vascular congestion. no displaced fractures are evident. if there is continued concern for rib fracture, consider a dedicated rib series.
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nondisplaced left seventh rib fracture. no evidence of pneumothorax.
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trace bilateral pleural effusions and mild pulmonary edema. no evidence of pneumonia.
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no acute intrathoracic process
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no acute cardiopulmonary abnormalities
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mild interstitial pulmonary edema has improved as well as aeration within the right lower lobe likely reflective of atelectasis. decreased size of small right pleural effusion and relatively unchanged small left pleural effusion.
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no signs of pneumonia.
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<num>. mild cardiomegaly. <num>. no evidence of pneumonia.
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bibasilar atelectasis without definite focal consolidation. old right-sided rib fractures. no definite new rib fracture seen, although if clinical concern is high, ct is more sensitive.
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no acute cardiopulmonary process.
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<num>. endotracheal tube is in appropriate position. <num>. right basilar opacity is increased from <unk>, likely representing increased layering pleural effusion and atelectasis.
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no acute cardiopulmonary process.
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large hiatal hernia, interval increase in distension of the stomach, raising concern for possible obstruction. please correlate with clinical findings for the signs of obstruction.
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bibasilar atelectasis. no convincing evidence for pneumonia.
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basilar opacities potentially due to atelectasis given lower lung volumes; however, given history, infection is not completely excluded. clinical correlation suggested.
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no acute cardiopulmonary process.
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stable mild cardiomegaly. no acute cardiopulmonary process.
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no focal consolidations concerning for pneumonia identified. stable chronic interstitial lung disease bilaterally.
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normal chest radiographs.
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<num>. left hilar opacity, consistent with contusion, lymphadenopathy, or mass. short interval imaging or chest ct should be obtained for further evaluation. <num>. no displaced rib or sternal fracture. findings were communicated via phone call by dr. <unk> to dr. <unk> <unk> on <unk> at <unk> am.
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no acute intrathoracic process.
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no focal consolidation concerning for pneumonia. low lung volumes.
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no acute cardiopulmonary process.
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improved right lower lobe pneumonia or aspiration. stable small right pleural effusion.
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<num>. small-to-moderate right apical pneumothorax. <num>. grossly unchanged bilateral pulmonary masses, the largest in the right perihilar region. these are better characterized on the recent ct. results were discussed with dr. <unk> at <num> p.m. on <unk> via telephone by dr. <unk> at the time the findings were discovered.
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no acute cardiopulmonary process.
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substantial decrease in left pleural effusion and bilateral pulmonary edema.
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slight decrease in size of right apical pneumothorax and no appreciable change in right pleural effusion.
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known large right upper lung mass and <num> large left pulmonary nodules. new diffuse ground glass opacities in the right middle and lower lobes may represent post-obstructive pneumonia or metastatic progression.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. chronic interstitial abnormality at the lung bases, similar to the prior ct, which was possibly attributable to chronic aspiration or uip at that time.
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low lung volumes, which accentuate the bronchovascular markings. subtle basilar opacities likely relate to atelectasis in the setting of low lung volumes.
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no acute cardiopulmonary abnormality.
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panlobular emphysema and evidence of pulmonary arterial hypertension. no focal consolidation to suggest pneumonia.
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<num>. low lung volumes. there may be mild central pulmonary vascular congestion. <num>. no pneumoperitoneum.
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no evidence of intrathoracic malignancy.
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no acute cardiopulmonary abnormality.
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bibasilar opacities, potentially due to atelectasis given low lung volumes, noting that infection or aspiration cannot be entirely excluded.
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mild vascular congestion
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complete opacification of the left hemithorax without remote prior to assess for interval change. ct scan suggested for further characterization.
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no findings to suggest free air beneath the diaphragms.
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mild upper zone redistribution without overt chf. minimal bibasilar atelectasis, improved compared with <unk>. no new infiltrate and no effusion identified.
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vague opacity in in the posterior segment of the right upper lobe which could represent pneumonia in the proper clinical setting. in absence of appropriate history, ct scan is suggested. otherwise, repeat after treatment is suggested to document resolution.
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reaccumulation of a large right pleural effusion.
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low lung volumes. no pneumomediastinum.
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enlarged cardiac silhouette. bibasilar atelectasis. no definite focal consolidation or displaced fracture is seen. rounded calcifications in the right upper quadrant, at the inferior aspect of the images, most likely represent gallstones versus fecal material.
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interval increase in moderate to severe pulmonary edema.
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no acute cardiopulmonary process.
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hyperexpanded lungs in keeping with copd. no evidence of active pulmonary infection.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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probable copd without superimposed acute process.
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<num>. at least <num> contiguous foreign bodies at the level of the ge junction, seen best in the lateral view and consistent with provided history of ingested quarters. please refer to separate abdominal radiographs for additional findings. <num>. no acute cardiopulmonary process.
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no pneumonia. no significant interval change.
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no acute intrathoracic process.
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no acute findings in the chest.
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no new infiltrates. suggestion of mild edema.
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slight interval decrease in size of small left pleural effusion since <unk>.
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emphysema with mild interstitial pulmonary edema.
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no acute cardiopulmonary process.
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unable to localize nasogastric tube with respect to postop anatomy of the distal esophagus. pneumoperitoneum, presumably postoperative.
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unchanged left lower lobe atelectasis and left pleural mass/consolidation better characterized on the prior chest ct.
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no acute cardiopulmonary process.
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mild cardiomegaly with possible left lower lobe atelectasis. no overt signs of pneumonia or edema.
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mild cardiomegaly with mild pulmonary edema.
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new large amount of pneumoperitoneum since the prior radiograph from <unk>, concerning for leak. bibasilar atelectasis. these findings were discussed with dr. <unk> by dr. <unk> at <time> a.m. via telephone.
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no acute findings.
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improvement in right pleural effusion.
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moderate left greater than right pleural effusions and associated atelectasis. there is no definite evidence of pneumonia but presence of infection cannot be excluded.
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chest findings within normal limits. no evidence of acute infiltrates or chf.
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no acute cardiopulmonary abnormality.
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increased patchy bibasilar opacities, more apparent on the right. this may reflect worsening atelectasis in the setting of lower lung volumes, but aspiration or infection cannot be excluded.
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there is no radiographic evidence for the patient's cough and mild hypoxia.
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cardiac silhouette is top-normal to mildly enlarged, of note in a patient of this age. no pulmonary edema. the mediastinum is not widened.
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<num>. low lung volumes. <num>. bibasilar airspace opacities likely represent atelectasis, less likely pneumonia, depending upon the clinical circumstances <num>. minimal vascular congestion <num>. small lung nodules are better seen on prior ct consistent with metastasis
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subtle increased density in the right middle lobe with questionable lateral correlate suspicious for infection.
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no acute intrathoracic process.
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clear lungs. the tip of the picc line extends to the superior cavoatrial junction.
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no acute cardiopulmonary abnormalities
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no acute intrathoracic process.
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picc line positioned appropriately.
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mild mid thoracic wedge compression deformity, indeterminate as to age and not fully characterized, although possible due to an older injury. further investigation could be considered with ct, however, if focal findings suggest that it may potentially represent an acute process; correlation with physical findings and any history of prior trauma is recommended.
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no acute cardiopulmonary process.
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nodular opacities at the right lung base may be due to a combination of atelectasis and overlying rib shadows, but metastasis or even pneumonia are also possible. a dedicated chest ct is recommended for further evaluation. mild cardiomegaly.
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as above.
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no acute intrathoracic process. stable left lower lung nodule compared with multiple prior exams.
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no acute intrathoracic process.
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bibasilar opacities most likely atelectasis although infection would be difficult to exclude in the proper clinical setting. cardiomegaly.
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no acute cardiopulmonary abnormality. no displaced fracture identified. if there is continued concern for a rib fracture, consider a dedicated rib series.
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no significant interval change besides interval placement of an enteric tube which is in appropriate position. bilateral parenchymal opacities which may be seen in the setting of bilateral infection, edema or ards.
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no pneumonia.
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status post right chest tube placement and reexpansion of the right lung. small residual apical right pneumothorax without evidence of tension.
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no radiographic evidence for acute cardiopulmonary process or esophageal perforation. discussed with dr. <unk> by dr. <unk> by phone at <time> a.m. on <unk>.
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<num>. no pneumothorax. <num>. postsurgical changes in the right hemi thorax likely reflect prior resection with a moderate loculated right pleural effusion. please correlate with prior imaging studies and clinical history. <num>. cardiomegaly.
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hiatal hernia, small right pleural effusion. no overt edema or pneumonia.
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mild pulmonary interstitial edema with small bilateral pleural effusions. no focal consolidation.
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<num>. moderate, right large pleural effusion and mild pulmonary edema stable since <unk>. <num>. possible right lower lobe pneumonia or worsening right basal atelectasis. <num>. bibasilar atelectasis due in part to elevation of the diaphragm by ascites.