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chest x-ray; 'Support Devices' | Tracheostomy is in place. NG tube tip is in the stomach. Heart size and mediastinum are stable. There is no pulmonary edema 0 vascular congestion noted. |
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chest x-ray; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | There is no longer any appreciable pleural effusion. Heart size top-normal. Upper lungs clear. Pulmonary vasculature mildly engorged. No pulmonary edema. New right PIC line ends in the mid SVC alongside the indwelling left subclavian central venous infusion port catheter. |
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chest x-ray; 'Edema'; 'Fracture' | Single frontal view of the chest was obtained. Heterogeneous opacification of the left lung is consistent with a combination of pleural fluid and consolidation/atelectasis, presumably related to multiple fractures left middle ribs laterally. The pulmonary vasculature is diffusely indistinct, consistent with mild pulmonary edema. No pneumothorax. The heart is moderately enlarged and the vascular pedicle is widened necessitating CT evaluation. A few left rib fractures are minimally displaced. Sternotomy wires are intact. |
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chest x-ray; 'Edema'; 'Lung Opacity'; 'Support Devices' | The feeding tube is off the film, at least in the stomach. The ET tube tip is 4.4 cm above the carina. Bilateral central lines are unchanged. There continues to be bilateral alveolar infiltrates, lower lobe greater than upper lobe central greater than peripheral likely representing a combination of edema and volume loss, however, infection cannot be totally excluded. Compared to the prior film from earlier the same day, the appearance of the lungs is similar. |
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chest x-ray; 'No Finding' | As compared to ___ chest radiograph, cardiomediastinal contours are within normal limits and without change. Lungs are clear except for linear left basilar atelectasis. |
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chest x-ray; 'Atelectasis'; 'Edema'; 'Pleural Effusion'; 'Support Devices' | As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects approximately 6 cm above the carinal. The patient has also received the nasogastric tube, the tip is not included on the image, the course is unremarkable, the other monitoring and support devices are unchanged. In the interval, the patient has lower lung volumes and has developed a small bilateral pleural effusion. Subsequent atelectasis of the left lower lobe, with air bronchograms. Mild pulmonary edema persists in unchanged manner. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | In comparison with the study of ___, there are somewhat lower lung volumes. Left chest tube remains in place without pneumothorax. The right base is more sharply seen, suggesting some improved atelectasis and effusion. However, the left base is less well seen on the current study, raising the possibility of developing atelectasis and effusion on this side. There is continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. |
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chest x-ray; 'No Finding'; 'Support Devices' | Endotracheal tube tip is 1 cm from the carina. Enteric tube seen with tip at the inferior field of view side port likely at the GE junction. Low lung volumes are noted with secondary crowding of the bronchovascular markings. There is probable superimposed atelectasis. Cardiomediastinal silhouette is slightly enlarged but likely accentuated by technique. No acute osseous abnormalities. |
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chest x-ray; 'No Finding'; 'Support Devices' | AP portable upright view of the chest. There has been interval intubation with the tip of the endotracheal tube residing 2 cm above the carina. An OG tube extends into the left upper quadrant. Lung volumes are low though lungs remain clear. Cardiomediastinal silhouette is unchanged. Bony structures appear grossly intact. |
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chest x-ray; 'Lung Opacity' | In comparison with the earlier study of this date, following the procedure, there is some improved aeration at the left base with no longer any displacement of the mediastinal contents to the left. Residual opacification at the left base is consistent with some atelectasis and possible effusion. The right lung remains clear. |
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chest x-ray; 'Support Devices' | Unchanged scoliosis with left what rotation of the patient. Unchanged position of the Dobbhoff catheter. Unchanged minimal increase in radiodensity around the right hilus, likely rotational in origin. However, developing pneumonia cannot be excluded. No pleural effusions. At the time of dictation and observation, 09:15, on the ___, the referring physician ___. ___ was paged for notification. Findings were discussed ___ min later over the telephone. |
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chest x-ray; 'Lung Opacity'; 'Pleural Effusion' | As compared to the previous radiograph, the opacity on the left as well as the small left pleural effusion have decreased. However, at decreasing lung volumes, the reticular opacities on the right have substantially increased. No larger pleural effusions. A small pleural effusion on the left is unchanged. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion' | As compared to the previous radiograph, no change is seen with respect to the cardiac silhouette and the bilateral pleural effusions, right more than left. The atelectatic changes on the right, that pre existed, have minimally increased, but there is no evidence for pulmonary edema or pneumonia. Unchanged position of the left pectoral Port-A-Cath. |
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chest x-ray; 'Cardiomegaly'; 'Pleural Effusion'; 'Pneumothorax'; 'Support Devices' | As compared to the previous radiograph, the extent of the known left pneumothorax has not substantially changed. The left chest tube remains in constant position. However, the left pleural effusion has slightly decreased in extent. The right lung appears constant. Constant appearance of the cardiac silhouette. Unchanged distention of the visualized intestinal components. |
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chest x-ray; 'Cardiomegaly'; 'Support Devices' | No new parenchymal opacities on the current radiograph. Borderline size of the cardiac silhouette. Relatively low lung volumes. Mild tortuosity of the thoracic aorta. No pulmonary edema. Unchanged left pectoral pacemaker. |
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chest x-ray; 'Cardiomegaly'; 'Lung Opacity'; 'Support Devices' | As compared to the previous radiograph, the lung volumes have slightly increased, notably on the left, potentially suggesting improved left lung ventilation. The overall extent of the opacities, however, persists. Unchanged monitoring and support devices. Unchanged size of the cardiac silhouette. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Support Devices' | Previous moderate to severe pulmonary edema has improved substantially since ___:33. There is substantial volume of pleural effusion remains, but has also improved. Heart size is mildly enlarged, unchanged. Mediastinal venous engorgement has improved. Nasogastric drainage tube is coiled in the upper portion of the nondistended stomach, but there is mildly dilated gut in the imaged portion of the upper abdomen. ET tube in standard placement. No pneumothorax. |
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chest x-ray; 'Pleural Effusion'; 'Support Devices' | AP chest compared to ___ through ___: The transient worsening of pulmonary and mediastinal venous engorgement on ___ has reversed. Findings are comparable to ___ and ___. Pleural effusions are small if any. Heart moderately enlarged. No pneumothorax. Right jugular line ends low in the SVC and an upper enteric drainage tube ends in the stomach. No pneumothorax. |
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chest x-ray; 'Atelectasis'; 'Edema'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices' | Lung volumes are lower and bibasilar opacification is increased, probably a combination of edema and atelectasis. Small right and moderate left pleural effusion are stable or slightly larger. Heart severely enlarged. No pneumothorax. ET tube in standard placement. Nasogastric tube ends in the upper portion of a nondistended stomach. |
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chest x-ray; 'Lung Opacity'; 'Pneumothorax'; 'Support Devices' | ET tube tip is 5 cm above the carinal. NG tube tip is in the stomach. Left chest tube and left pigtail catheter are in place. There is interval decrease in the left hemi thorax opacification. Right lung is unchanged in appearance. Left pneumothorax is re- demonstrated. |
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chest x-ray; 'No Finding'; 'Support Devices' | In comparison with the study of ___, there is little change in the appearance of the nasogastric tube, which is coiled in the upper stomach. No evidence of acute pneumonia, vascular congestion, or pleural effusion. Dilatation of loops of bowel in the abdomen are again seen. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Support Devices' | As compared to the previous radiograph, there is no relevant change. Unchanged appearance of the lung parenchyma with mild fluid overload and areas of bilateral atelectasis. The patient has been extubated and the nasogastric tube has been left in situ. The right internal jugular vein catheter has also been removed. Unchanged size of the cardiac silhouette. |
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chest x-ray; 'No Finding' | No previous images in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.. The heart is normal |
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chest x-ray; 'Consolidation'; 'Pleural Effusion'; 'Support Devices' | Previous mild pulmonary edema has almost cleared, previous moderate bilateral pleural effusions are smaller. Heart size is normal. Mediastinal veins are still distended. Residual consolidation in both lower lungs, particular the left raises concern for concurrent pneumonia in should be followed closely. No pneumothorax. ET tube and right subclavian central venous line are in standard placements. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Support Devices' | As compared to the previous radiograph, the 2 left-sided chest tubes are in unchanged position. Unchanged bilateral areas of atelectasis that have, however, improved on the right. . No new parenchymal opacities. Unchanged appearance of the cardiac silhouette. |
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chest x-ray; 'Cardiomegaly'; 'Support Devices' | In comparison with the study of ___, there is little change. Again there is enlargement of the cardiac silhouette with mild vascular congestion. The right IJ temporary pacer is been removed and replaced with a right subclavian pacer that extends to the right atrium. Otherwise little change. |
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chest x-ray; 'Cardiomegaly'; 'Pneumonia'; 'Support Devices' | Compared to chest radiographs since ___, most recently ___ through ___. Pulmonary edema has cleared from the right lung. Left upper lobe pneumonia is stable since ___ but improved since ___. Severe cardiomegaly is chronic. No appreciable pleural effusion. No pneumothorax. ET tube in standard placement. Right jugular line ends in the right atrium. Transvenous right atrial and biventricular pacer leads unchanged in their respective positions, continuous from the left axillary generator. |
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chest x-ray; 'Atelectasis'; 'Pleural Effusion' | As compared to ___ chest radiograph, bilateral pleural effusions and adjacent basilar atelectasis have slightly worsened. The right pleural effusion is now moderate, in the left is small to moderate. No other relevant changes. . |
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chest x-ray; 'No Finding' | The lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Support Devices' | Pulmonary vasculature is more engorged, and small right pleural effusion is new since ___. High-density pulmonary edema. Moderate cardiomegaly is stable. Right atrial and two ventricular transvenous pacemaker leads are unchanged in their respective positions since ___ but cannot be localized on this frontal view. No pneumothorax. |
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chest x-ray; 'Cardiomegaly'; 'Pneumothorax'; 'Support Devices' | As compared to the previous radiograph, the right basal chest tube is still visible. There is a right basal pneumothorax of unchanged ___. No evidence of tension. Unchanged size of the cardiac silhouette. Unchanged appearance of the lung parenchyma with signs of mild fluid overload. |
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chest x-ray; 'Lung Opacity'; 'Support Devices' | There has been interval placement of an endotracheal tube that extends up to the carina. An orogastric tube courses across the left hemidiaphragm into the stomach, its distal course not visualized. The lung volumes are low. There is no definite pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours appear unchanged. A patchy right infrahilar opacity appears unchanged and may be due to minor atelectasis. However, in the left mid to lower lung, there is a vague but new suggested opacity. |
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chest x-ray; 'Edema'; 'Pleural Effusion' | There has been overall interval worsening, with bilateral pleural effusions have increased. The interstitial pulmonary edema has also increased. The visualized cardiomediastinal silhouette appears enlarged. No pneumothorax. |
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chest x-ray; 'Support Devices' | Endotracheal tube tip terminates approximately 4.5 cm from the carina. An enteric tube courses below the left diaphragm, with tip off the inferior borders of the film. The patient is status post median sternotomy, CABG, and prostatic valve replacement. Heart size is mildly enlarged. The aorta is tortuous. Lung volumes are low with crowding of the bronchovascular structures and probable mild pulmonary vascular engorgement. Patchy opacities in the lung bases may reflect areas of atelectasis. No large pleural effusion or pneumothorax is present. There is elevation of the right hemidiaphragm of unknown chronicity. |
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chest x-ray; 'Lung Opacity'; 'Pneumonia' | Heart size is normal. Mediastinal and hilar contours are unchanged. Patchy opacities in the lung bases are re- demonstrated along with a more consolidative opacity within the right upper lobe, findings worrisome for multifocal pneumonia. Previously demonstrated suspicious nodule within the left mid lung field is better assessed on the previous CT. No pleural effusion, pneumothorax, or pulmonary vascular congestion is demonstrated. There are no acute osseous abnormalities. |
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chest x-ray; 'Pneumothorax' | If there is any right pneumothorax it is tiny. Relative elevation of the right hemidiaphragm could be due to moderate bibasilar atelectasis, right greater than left, or fluid collected either inferior to the lung or in the right upper abdominal quadrant. Heart is normal size. Mediastinal widening, particularly in the right lower paratracheal station is unchanged since at least ___. Left upper lobe is clear. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | Right PICC tip is in themid SVC. Mild to moderate cardiomegaly is a stable. HD catheter is in standard position. There is no pneumothorax. Moderate to large left and small right pleural effusions have increased with increasing adjacent atelectasis. Mild vascular congestion is stable. |
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chest x-ray; 'Pneumonia' | The ETT terminates approximately 3 cm above the carina. There is increasing consolidation within the right middle, right lower, and left lower lobe, consistent with multifocal pneumonia. The pulmonary vasculature is normal. The cardiomediastinal silhouette stable. There is no large pleural effusion. There is no pneumothorax. |
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chest x-ray; 'Support Devices' | As compared to the prior radiograph of 1 day earlier, a Swan-Ganz catheter has been repositioned, now terminating more proximally in the right interlobar pulmonary artery at the central hilar region. Exam is otherwise remarkable for improved pulmonary vascular congestion. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | As compared to the previous radiograph, there is no relevant change. Bilateral pleural effusions, left more than right with subsequent areas of atelectasis. Unchanged size of the cardiac silhouette. Unchanged mild fluid overload. The course of the nasogastric tube is unremarkable, the tip of the tube is not included on the image. Unchanged course and position of the right-sided subclavian line. |
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chest x-ray; 'Cardiomegaly'; 'Support Devices' | Previous device in the right internal jugular vein has been removed. Previous moderate cardiomegaly is improved now mild. There is no new focal airspace opacity. Mild bibasilar atelectasis is not significantly changed. There is no pneumothorax or large pleural effusion. The mediastinal and hilar contours are normal. Lobulated soft tissue obscuring the contour of the descending thoracic aorta and paraspinal line is likely a hiatal hernia. |
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chest x-ray; 'Edema'; 'Lung Opacity'; 'Support Devices' | Since prior exam, new right-sided chest tube is present with the tip in the medial mid lung zone. Some subcutaneous air is noted in the right chest wall. The lung volumes are lower with patchy interstitial opacities, likely from mild edema. A more focal opacity in the left mid lung zone is present. There is no definite pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged and unchanged. |
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chest x-ray; 'No Finding' | Right chest wall Port-A-Cath is again seen. Calcified pleural plaques again seen on the right is well as bilateral calcified granulomas. Appearance of lungs has not significantly changed noting that the right is obscured due pleural calcifications. The left lung is clear. The cardiac silhouette is enlarged but stable. No acute osseous abnormalities. |
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chest x-ray; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | There are no prior chest radiographs available for review. Transesophageal tube ends in the stomach. Cardiomegaly is moderate. Right pleural effusion is small. No left pleural effusion. No pneumothorax. No pulmonary edema or pneumonia. |
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chest x-ray; | Patient is status post median sternotomy, CABG, and aortic valve replacement. Moderate to severe cardiac enlargement is unchanged. The aorta is unfolded. Pulmonary vascular congestion is present, new in the interval, without overt pulmonary edema. Subsegmental atelectasis is noted in the right mid lung field. No focal consolidation, pleural effusion or pneumothorax is detected. There are mild degenerative changes noted in the thoracic spine as well as within the right acromioclavicular joint. |
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chest x-ray; 'Cardiomegaly'; 'Support Devices' | In comparison with the study of ___, the monitoring and support devices are essentially unchanged with the endotracheal tube approximately 2.5 cm above the carina. . Continued enlargement of the cardiac silhouette in a patient with pacer device in place. There is still pulmonary vascular congestion, but this has improved since the previous study. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Pleural Effusion' | In comparison with the study of ___, there is little overall change. Bibasilar atelectasis and small left effusion are again seen. In the appropriate clinical setting, the retrocardiac opacification could represent a developing pneumonia. |
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chest x-ray; 'No Finding'; 'Support Devices' | A right internal jugular central venous catheter intrudes minimally into the right atrium. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. |
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chest x-ray; 'Edema'; 'Lung Opacity' | Mild pulmonary edema has slightly worsened since last exam. There is also increased density at the right lung base which could represent asymmetric pulmonary edema, atelectasis or even early pneumonia. There is no pneumothorax. Mediastinal and cardiac contours are normal. Right-sided PICC line ends in lower SVC. NG tube has been removed. |
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chest x-ray; 'Lung Opacity' | The lungs are hypoinflated and exaggerated pulmonary vascular markings. There are new increased left basilar opacities which may represent atelectasis or aspiration in this clinical setting. The lungs are otherwise clear. The cardiac and mediastinal contours are normal. There is no pleural effusion or pneumothorax. No acute fractures are identified. |
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chest x-ray; 'Cardiomegaly'; 'Pleural Effusion' | Small right and small to moderate left pleural effusion have increased since ___. Pulmonary arterial distention is still significant, while mediastinal venous engorgement has improved minimally. Peripheral pulmonary vascular engorgement has improved. Mild to moderate cardiomegaly unchanged. Upper lungs clear. |
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chest x-ray; 'Pleural Effusion'; 'Support Devices' | Severe infiltrative pulmonary abnormality unchanged for several days, accompanied by substantial bilateral pleural effusions. Heart is top-normal size. No pneumothorax. ET tube, left internal jugular line, right jugular introducer, and nasogastric drainage tube are unchanged in their respective standard positions. |
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chest x-ray; 'Support Devices' | AP single view of the chest has been obtained with patient in supine position. Comparison is made with the next preceding PA and lateral chest examination of ___. The chest appearance on the frontal views can be compared. They demonstrate unchanged appearance of previously described pacer and ICD device. A new right-sided internal jugular approach catheter has been advanced and reaches the central portion of the right pulmonary artery. The patient is now intubated, the ETT is seen in the trachea to terminate some 4 cm above the level of the carina. Pulmonary vasculature is more engorged but no pulmonary central edema pattern or pleural effusion can be seen on this portable examination. Manipulating the density dial, it is possible to identify a grid pattern of a CoreValve device overlying expected left ventricular outflow tract, in the aortic valve and proximal ascending aorta area. The presence of several circular metallic wires indicates that new fixation of sternum was also performed. Further detail cannot be extracted from this single portable chest view, short of stating that there is no evidence of pneumothorax remaining. |
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chest x-ray; 'No Finding' | As compared to the previous radiograph, the alignment of the sternal wires is constant. A previously placed right internal jugular vein catheter has been removed. The left lung basis is substantially better ventilated than on the previous image. The bony changes in the left humeral head are constant. |
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chest x-ray; 'Lung Opacity'; 'Support Devices' | The OG tube terminates in the stomach. The ET tube is in appropriate position approximately 4 cm from the carina. Lung volumes remain low. Bilateral multifocal opacities which were seen on CT torso yesterday are not appreciably changed. The heart is top normal in the mediastinal silhouette is unchanged. The aorta is tortuous and calcified. There is no apical pneumothorax or large pleural effusion. |
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chest x-ray; 'Lung Opacity'; 'Pleural Effusion' | Comparison is made to previous study from ___. Heart size is within normal limits. There has been worsening of multifocal opacities throughout both lung fields which is suspicious for pneumonia. There are no pneumothoraces. There are small bilateral pleural effusions. |
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chest x-ray; 'Cardiomegaly'; 'Lung Opacity' | Comparison is made to previous study from ___. There is cardiomegaly, which is stable. There is sclerosis of the thoracic aorta. There are again seen airspace opacities most prominent within the lung bases, left greater than right. Underlying infiltrates in those locations cannot be entirely excluded. The opacification at the lung bases more confluent. There is also prominence of pulmonary interstitial markings, may represent an element of fluid overload. |
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chest x-ray; | There is mild enlargement of cardiac silhouette which is unchanged. There is mild perihilar haziness and cephalization of the pulmonary vascular markings suggestive of mild pulmonary vascular congestion, similar compared to the previous exam. Patchy retrocardiac opacity most likely reflects atelectasis. There is no pleural effusion or pneumothorax. No acute osseous abnormalities seen. |
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chest x-ray; 'Atelectasis'; 'Support Devices' | Swan-Ganz catheter tip has moved, now the tip is in the proximal main pulmonary artery. No other interval change from prior study including collapse of the left lower lobe. |
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chest x-ray; 'Lung Opacity'; 'Pleural Effusion' | As compared to ___ chest radiograph, bilateral lower lobe opacities have slightly improved, and they remain more severe in the left lower lobe than the right. Left pleural effusion is persistent and small right pleural effusion has nearly resolved. No other relevant changes. |
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chest x-ray; 'Lung Opacity'; 'Pneumonia' | In comparison with the study of ___, decreased opacification at the bases. Findings are consistent with residual pneumonia, especially at the right base, possibly with some improvement in pulmonary vascular status. Obscuration of the left hemidiaphragm is consistent with volume loss in the left lower lobe. Probable bilateral pleural effusions. |
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chest x-ray; 'Cardiomegaly' | As compared to the previous radiograph. , there is no relevant change. No evidence of pneumonia, pulmonary edema or pleural effusions. The lung volumes remain low, with resulting crowding of vascular and bronchial structures at the lung bases. Borderline size of the cardiac silhouette. |
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chest x-ray; 'No Finding'; 'Support Devices' | As compared to the previous radiograph, the position of the bilateral chest tubes is unchanged. Unchanged appearance of the lung parenchyma. The right internal jugular vein catheter has been removed. There currently is no evidence of pneumothorax. Air collection in the left lateral soft tissues better visualized than on the previous image. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Support Devices' | As compared to the previous radiograph, no relevant change is seen. Constant appearance of the moderately enlarged cardiac silhouette and the lung parenchyma. Unchanged retrocardiac atelectasis and mild fluid overload but no overt pulmonary edema. No new focal parenchymal opacities. Unchanged alignment of the sternal wires. Monitoring and support devices are constant. |
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chest x-ray; 'No Finding' | AP portable upright view of the chest. Lungs appear clear though hyperinflated. No focal consolidation, effusion or pneumothorax. No overt edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. |
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chest x-ray; 'Atelectasis'; 'Enlarged Cardiomediastinum'; 'Pneumonia' | 1. Retraction of minor fissure suggests atelectasis in the right upper zone, of uncertain etiology. 2. Probable atelectasis both lung bases, with low lung volumes. Early infectious infiltrate or aspiration pneumonitis is considered less likely, but remains in the differential. 3. Prominence of the cardiomediastinal silhouette and vascular markings, likely accentuated by low inspiratory volumes. 4. Recommend repeat assessment after resolution of acute symptom with chest x-ray obtained with good inspiration, to better assess the cardiomediastinal silhouette and lung bases and to assess for any persistence of the right upper zone atelectasis. |
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chest x-ray; 'Pneumothorax'; 'Support Devices' | In comparison with the study of ___, there is an placement of a dual-channel pacer with leads extending to the right atrium and apex of the right ventricle. No evidence of post -procedure pneumothorax. Otherwise, little overall change. |
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chest x-ray; 'Edema'; 'Pleural Effusion'; 'Pneumothorax'; 'Support Devices' | Surgical clips at the left hilum are unchanged in position. The heart size is top-normal. The hilar and mediastinal contours are unchanged. A Left thoracostomy tube is unchanged at the left base. Again seen is a moderate left pneumothorax, stable over the past prior 2 radiographs. A small left pleural effusion is also unchanged. Mild right pulmonary edema is stable. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Lung Opacity'; 'Support Devices' | Comparison is made with prior study performed a day earlier. There are persistent low lung volumes. Cardiomegaly is stable. Right IJ catheter tip is in the right atrium, should be withdrawn approximately 3 cm for more standard position. There is no pneumothorax. Diffuse bilateral lung opacities are unchanged. The opacities seen in the lungs are consistent with pulmonary edema and acute chest syndrome. |
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chest x-ray; 'Atelectasis'; 'Pleural Effusion' | AP chest compared to ___ through ___: Left lower lobe atelectasis is moderate to severe, worsened since ___ when there might have been pneumonia in the same location. Small left pleural effusion is often the case with left lower lobe atelectasis. Heart is top normal size. Mitral annulus is heavily calcified, but there is no evidence of mitral regurgitation. Lungs are essentially otherwise clear. No pulmonary edema. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | As compared to the previous radiograph, the patient remains intubated, the nasogastric tube appears to be coiled in the pharynx. The endotracheal tube could be advanced by approximately 2-3 cm, it is projecting currently 7 cm above the carina. Unchanged low lung volumes and minimal bilateral pleural effusions with areas of atelectasis at the lung bases. Mild fluid overload but the typical appearance of ARDS is currently not visible. Moderate cardiomegaly. No pneumothorax. At the time of observation and dictation, 11:19 a.m., on ___, the referring physician, ___. ___, was paged for notification. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity' | Again seen is an right sided indwelling catheter with tip at SVC/RA junction an NG tube, with tip and side-port curled in the expected location of the gastric fundus. There are low inspiratory volumes, similar to 1 day earlier. Triangular opacity at the left base medially, with new obscuration of the medial left hemidiaphragm, could reflect some superimposed atelectasis. Otherwise, I doubt significant interval change. Again seen is vascular plethora, likely accentuated by low lung volumes and patchy atelectasis at the right lung base. The cardiomediastinal silhouette is not well delineated due to low inspiratory volumes. Prominence of the right hilar region probably reflects part of the cardiomediastinal silhouette, accentuated by low lung volumes and differences in rotation. No pneumothorax detected. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Pneumonia'; 'Support Devices' | Interval removal of the endotracheal tube with placement of a tracheostomy which has its tip at the thoracic inlet, approximately 3 cm above the carina. A left internal jugular central line and a right PICC line are in unchanged position. A nasogastric tube is seen coursing below the diaphragm with the tip projecting over the expected location of the stomach. The heart remains enlarged, which may reflect cardiomegaly, although pericardial effusion cannot be excluded. Lung volumes are markedly diminished and there are likely layering bilateral effusions and diffuse airspace process which more likely represents moderate-to-severe pulmonary edema, although diffuse pneumonia should also be in the differential. No evidence of pneumothorax. |
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chest x-ray; 'Lung Opacity'; 'Pleural Effusion' | IN COMPARISON WITH THE STUDY OF ___, THE ENDOTRACHEAL TUBE HAS BEEN REMOVED. THERE IS EVEN FURTHER DIFFUSE OPACIFICATION BILATERALLY, CONSISTENT WITH LARGE PLEURAL EFFUSIONS, BILATERAL VOLUME LOSS, AND PROBABLE UNDERLYING PULMONARY EDEMA. |
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chest x-ray; 'No Finding'; 'Support Devices' | Tip of right PICC terminates within the mid-to-lower superior vena cava. Heart size is normal, and lungs are clear except for minimal linear scar or atelectasis at the right base. |
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chest x-ray; 'Cardiomegaly'; 'Consolidation' | There is stable consolidation in the right lung base. There may be small bilateral pleural effusions. There is stable cardiomegaly. There is no pneumothorax or CHF. There is no significant interval change. |
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chest x-ray; 'Lung Opacity'; 'Support Devices' | Portable AP radiograph of the chest was reviewed in comparison to ___. Tubes and lines are in unchanged position. The right chest tube is in place. Left retrocardiac opacity is slightly more pronounced than on the prior study. Left infrahilar opacity has minimally improved. No pneumothorax is seen. No interval development of pulmonary edema is demonstrated. |
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chest x-ray; 'Atelectasis'; 'Support Devices' | AP chest compared to ___ through ___: Previous pulmonary edema and vascular congestion have nearly resolved. Heart size top normal. Right perihilar atelectasis still present. No pneumothorax or appreciable pleural effusion. Right jugular line ends in the mid SVC. An enteric drainage tube passes into the stomach and out of view. |
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chest x-ray; 'Edema' | The tip of the left PICC line projects over the junction of the left jugular and brachiocephalic veins. New bilateral hilar enlargement with prominent reticular markings throughout both lung fields suggestive of pulmonary interstitial edema. Retrocardiac opacity, likely reflecting atelectasis. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged. Small amount of pneumoperitoneum identified under the right hemidiaphragm as seen on recent CT. |
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chest x-ray; 'Atelectasis'; 'Enlarged Cardiomediastinum'; 'Pleural Effusion'; 'Support Devices' | The patient is status post median sternotomy and aortic valvular surgery. Indwelling support and monitoring devices remain in standard position. Persistent widening of right mediastinal contour, similar in appearance to previous postoperative radiographs. Improving aeration in the right upper lobe with residual mild atelectasis remaining. Small pleural effusions and basilar atelectasis are unchanged. Linear lucency along right mediastinal border could reflect a medial pneumothorax, and less likely pneumomediastinum. This is unchanged since previous postoperative radiographs, with a right chest tube in place. |
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chest x-ray; 'No Finding'; 'Support Devices' | Swan-Ganz catheter is in the right main pulmonary artery. This should not be advanced any further. Left PICC line terminates in the mid SVC. Intra-aortic balloon pump terminates 3.5 cm from the superior aspect of the aortic arch and may be advanced 1-2 cm. There is no pneumothorax. Lung volumes remain low. |
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chest x-ray; 'No Finding' | Allowing for differences in technique and lung volumes, there has not been a relevant change in the appearance of the chest since recent study of 1 day earlier. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices' | Tip of endotracheal tube terminates about 2 cm above the carina. Cardiomediastinal contours are stable in appearance allowing for slight differences in degree of patient rotation. Worsening opacity at the right lung base may reflect layering pleural effusion on this semi-upright radiograph, but co-existing atelectasis or consolidation is possible. Worsening left retrocardiac atelectasis and persistent small left pleural effusion. |
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chest x-ray; 'No Finding'; 'Support Devices' | NG tube tip isin the stomach. Intra-aortic balloon pump is in standard position. No other interval change from prior study. |
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chest x-ray; 'Pneumothorax' | Comparison to ___. Interval removal of the left chest tube. The millimetric left pneumothorax is unchanged. No evidence of tension. Unchanged appearance of the right lung. |
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chest x-ray; 'Cardiomegaly'; 'Support Devices' | AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of ___. Comparison of the two examinations with less than 24 hours interval demonstrate that the Dobbhoff line has been advanced by a few centimeters. The tip of the line is now well away from the site of the hiatus and the position now in the fundus of the stomach. Chest findings are unaltered, indicating status post sternotomy, aortic and mitral valve replacement with prostheses, significant cardiac enlargement and moderate degree of chronic pulmonary congestive pattern. No new pulmonary parenchymal infiltrates are identified. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Enlarged Cardiomediastinum'; 'Pleural Effusion'; 'Pneumothorax'; 'Support Devices' | The right chest tube has been pulled back. The right hemithorax shows a massive tension pneumothorax with displacement of the mediastinum and depression of the hemidiaphragm. Immediate action is required. At the time of dictation and observation, 10:39 a.m., on ___, the referring physician, ___. ___ was paged for notification and the findings were communicated by telephone to the ICU. In the interval, the patient has been intubated. The tip of the endotracheal tube projects 4.5 cm above the carina. Unchanged appearance of the heart. Unchanged extent of the pleural effusion on the left which distributes in a slightly different manner. Unchanged left PICC line. Unchanged retrocardiac atelectasis. |
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chest x-ray; 'No Finding'; 'Support Devices' | An NG tube is present, tip extending beneath diaphragm, off film. On the current film, there is again suggestion of looping of the tube in the hypopharynx. Left-sided PICC line is present, tip likely over the mid SVC. Compared with ___ and allowing for technical differences, spine doubt significant interval change. Background hyperinflation suggests bCOPD. The cardiomediastinal silhouette is prominent, similar to the prior study. Again seen are left greater right pleural effusions with underlying collapse and/or consolidation, with more extensive hazy opacity in the right mid/lower zones. There is upper zone redistribution with mild vascular plethora, but I doubt overt CHF. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Edema'; 'Lung Opacity'; 'Support Devices' | Cardiomegaly is substantial. Mediastinal silhouette is stable. Pulmonary edema appears to be minimally improved. There is right upper lobe new opacity most likely representing atelectasis. Pacemaker leads are in expected position. |
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chest x-ray; 'Pneumothorax'; 'Support Devices' | As compared to the previous radiograph, the nasogastric tube has been replaced. The course of the tube is unremarkable, the tip of the tube is not included in the image. No evidence of complications, notably no pneumothorax. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma. Overinflation of colon at the level of the left upper quadrant. |
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chest x-ray; 'No Finding' | The heart is mildly enlarged. The aortic arch is calcified. The descending aorta also shows patchy calcification. The cardiac, mediastinal and hilar contours appear unchanged. Streaky right basilar opacities are associated with a moderate persistent relative elevation of the right hemidiaphragm, not significantly changed and suggesting minor associated atelectasis. Streaky left basilar opacification obscuring the left costophrenic sulcus also suggests minor atelectasis, likewise unchanged. There is no definite pleural effusion or pneumothorax. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Consolidation'; 'Edema'; 'Lung Opacity'; 'Pleural Effusion' | The heart remains markedly enlarged. There has been interval removal of the endotracheal tube and nasogastric tube. Mediastinal contours are stable. There has been interval appearance of mild to moderate pulmonary and interstitial edema. Increasing retrocardiac consolidation may reflect a component of compressive lower lobe atelectasis in the setting of a layering effusion or merely be related to the edema. Linear opacity in the left mid lung likely reflects subsegmental atelectasis. No pneumothorax. |
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chest x-ray; 'Edema'; 'Lung Opacity'; 'Pleural Effusion' | Mild to moderate pulmonary edema appears minimally increased from the prior examination on ___. Small bilateral pleural effusions are also minimally increased. Retrocardiac opacity may represent compressive atelectasis or infection in the appropriate clinical setting. No pneumothorax. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Lung Opacity'; 'Pleural Effusion' | As compared to the previous radiograph, the right pleural effusion has increased in extent and severity. Also increased is a subsequent opacity at the right lung bases. Unchanged moderate cardiomegaly and moderate pulmonary edema. No change in appearance of the left lung. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity' | Right PICC terminates in low SVC. Small opacity at the left lung base near the costophrenic angle likely reflect atelectasis. Cardiomediastinal silhouette is normal size. There is no pneumothorax or large pleural effusion. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Pleural Effusion'; 'Pneumonia'; 'Support Devices' | In comparison with study of ___, there has been placement of a nasogastric tube that extends well into the body of the stomach, then coils back on itself to lie in the mid body. The central catheter is essentially unchanged. There are somewhat lower lung volumes. Hazy opacification at the bases suggests some pleural fluid with compressive atelectasis. In the appropriate clinical setting, supervening pneumonia would have to be considered. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion' | As compared to the previous radiograph, the severity of the bilateral pleural effusions is unchanged. Mild pulmonary edema persists. Moderate cardiomegaly with retrocardiac and right basilar atelectasis is constant. Several skin folds project over the chest. No evidence of pneumonia in the well ventilated lung areas. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Edema'; 'Support Devices' | Comparison to ___. The endotracheal tube has been slightly pulled back and the tip of the tube now projects 3 cm above the carina. Mild pulmonary edema. Elevation of the right hemidiaphragm with subsequent right basilar atelectasis. Moderate cardiomegaly persists. |
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chest x-ray; 'Edema'; 'Enlarged Cardiomediastinum'; 'Pleural Effusion'; 'Support Devices' | Mild to moderate pulmonary edema improved. Moderate enlargement of the postoperative cardiomediastinal silhouette also improved. Pleural effusions are presumed, but not large. No pneumothorax. Cardiopulmonary support devices in standard placements. |
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chest x-ray; 'No Finding' | Portable upright chest radiograph demonstrates a hemodialysis catheter, the tip of which projects over the right atrium. A left upper extremity PICC tip projects over the lower SVC. A Dobbhoff tube has been placed, which does pass below the level of the diaphragm and curls cephalad with its tip projecting over the expected position of the stomach body. The lungs are clear. Aortic endograft is unchanged in position. |
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