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chest x-ray; 'No Finding' | A left thoracostomy tube and mediastinal drain are unchanged in position. Multiple intact sternal wires are again demonstrated. There is no pneumothorax, focal consolidation, or pleural effusion. The heart size is normal. The hilar and mediastinal contours remain within normal limits. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Support Devices' | AP chest compared to ___: Severe cardiomegaly is chronic, more pronounced today than a year ago. Mild interstitial pulmonary edema is slightly worse. Mediastinal and pulmonary vascular engorgement stable or slightly increased. Transvenous pacer defibrillator lead unchanged in position. No pneumothorax. Pleural effusions small if any. |
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chest x-ray; 'No Finding'; 'Support Devices' | As compared to the previous radiograph, there is no relevant change. Low lung volumes. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No pneumonia, but areas of atelectasis at the left lung base. No pneumothorax. The monitoring and support devices are constant. |
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chest x-ray; 'Cardiomegaly'; 'Consolidation'; 'Pleural Effusion'; 'Pneumonia'; 'Support Devices' | Substantial progression of large right lower lobe consolidation consistent with worsening pneumonia. Moderate cardiomegaly improved and pulmonary vascular engorgement resolved. No pulmonary edema. Pleural effusion small on the right if any. No pneumothorax. ET tube in standard placement. Left PIC line ends close to the superior cavoatrial junction. Nasogastric tube would need to be advanced 5 cm to move all the side ports into the stomach. Ventriculoperitoneal shunt traverses the right neck chest and upper abdomen, passing out of view. |
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chest x-ray; 'Lung Opacity'; 'Pneumothorax'; 'Support Devices' | Right PICC line tip is at the level of mid to lower SVC. Heart size and mediastinum are unchanged. Left upper lobe opacity is unchanged. A right basal opacity appears to be slightly more conspicuous but overall similar to previous examination. No increase in pleural effusion or development of pneumothorax. |
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chest x-ray; 'Atelectasis' | As compared to the previous radiograph, the lung volumes have increased. The pre-existing signs of mild fluid overload have resolved. Mild atelectasis at the left lung bases. No larger pleural effusions. No pneumonia. |
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chest x-ray; 'No Finding' | Lung volumes are low. Heart size is exaggerated by low lung volumes and likely within normal limits. Previous pulmonary edema has cleared. There is no evidence of pneumonia. There is no pleural effusion or pneumothorax. The aortic arch is calcified. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Support Devices' | Moderately severe, dependent, pulmonary edema, stable in the right lung, increased on the left. Although this could be pneumonia, the appearance Re could page alerts a pattern present on ___ that subsequently improved, and can therefore be attributed to edema. The moderate cardiomegaly moderate bilateral pleural effusions unchanged. No pneumothorax. Transvenous right atrial ventricular pacer leads in standard placements. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Support Devices' | Endotracheal tube terminates 2.5 cm above the carina. Enteric catheter courses below the left hemidiaphragm loops in the stomach and travels out of view. Cardiomediastinal and hilar contours are unremarkable. Streaky opacification in the retrocardiac space likely represents atelectasis, though infection/aspiration is not excluded in the clinical setting. No pleural effusion or pneumothorax. |
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chest x-ray; 'Consolidation'; 'Lung Opacity'; 'Pleural Effusion'; 'Pneumonia'; 'Support Devices' | Portable AP radiograph was provided. Since the most recent radiograph from ___, there is now increased opacity involving the right mid and lower lung, concerning for infectious process as seen previously on ___. New opacity at the left base may be infectious in etiology or atelectasis. There is mild blunting of the right costophrenic angle due to small pleural effusion. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact. Clips are seen along the left heart border. There is no pneumothorax. Right PICC catheter terminates in the upper-to-mid SVC. |
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chest x-ray; 'No Finding' | Lungs clear. Heart size normal. Mediastinal and hilar silhouettes and pleural surfaces unremarkable. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices' | Comparison is made with prior study, ___. NG tube is coiled in the esophagus. The tip is going back to the proximal esophagus. It should be repositioned. Cardiac size is top normal. The aorta is tortuous. Right subclavian catheter tip is in the lower SVC. Multiple surgical clips project in the left lung. Increasing opacity in the left lower lobe is likely a combination of atelectasis and effusion. Mild vascular congestion is stable. There is no pneumothorax. There is no evidence of pneumothorax. Radiolucency projecting in the right upper quadrant/under the diaphragm is new. I doubt that this corresponds to a pneumoperitoneum. It is likely projection of the right hemidiaphragm. Please repeat radiograph, PA and lateral or decubitus lateral to exclude pneumoperitoneum. These findings were discussed with the clinical team by Dr. ___ in the afternoon of ___. |
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chest x-ray; 'No Finding'; 'Support Devices' | New right-sided central venous catheter seen with tip projecting over the lower SVC. There is no other change. There is no pneumothorax. Left pleural effusion is again noted with adjacent atelectasis. |
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chest x-ray; 'No Finding' | Slight improvement, endotracheal tube removed. |
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chest x-ray; 'No Finding'; 'Support Devices' | Since ___, a right PICC has been replaced, with tip terminating in the mid superior vena cava. No other relevant changes. |
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chest x-ray; 'Atelectasis'; 'Edema'; 'Pleural Effusion'; 'Support Devices' | Portable AP radiograph of the chest was reviewed in comparison to ___. The ET tube tip is 5 cm above the carina. The Swan-Ganz catheter tip is at the level of main pulmonary artery. Cardiomediastinal silhouette is unchanged. Bilateral pleural effusions and bibasilar atelectasis as well as pulmonary edema appear to be unchanged except for maybe potential progression (worsening) of pulmonary edema. |
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chest x-ray; 'Atelectasis'; 'Support Devices' | As compared to the previous radiograph, there is no relevant change. The tracheostomy tube in the left PICC line is in situ. Unchanged low lung volumes with bilateral basal areas of atelectasis. No larger pleural effusions. No pulmonary edema. No interval appearance of new parenchymal opacities. |
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chest x-ray; 'Support Devices' | In comparison with the study of ___, there is little overall change. Continued elevation of the left hemidiaphragm with left chest tube in place terminating in the apical region. No evidence of pneumothorax. The right lung is essentially clear. |
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chest x-ray; 'Lung Opacity' | Single frontal image of the chest. Retrocardiac opacity, possibly representing atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. The left costophrenic angle not well visualized, likely representing a small pleural effusion. The lungs are otherwise hyperexpanded but clear. There is no right pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable. |
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chest x-ray; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | Small right pleural effusion not appreciably changed since ___, pleural drainage catheter still in place. Mild enlargement of cardiac silhouette, improved. Lungs grossly clear. No pneumothorax. |
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chest x-ray; 'Cardiomegaly'; 'Lung Opacity'; 'Pneumonia'; 'Support Devices' | As compared to the previous radiograph, there is an increase in bilateral parenchymal opacities with air bronchogram, predominating in the lung bases but also seen in the right lung apex and in the left perihilar areas. The changes and the time course of the changes is highly suggestive of pneumonia. No pleural effusions. No pulmonary edema. The malpositioned PICC line has been withdrawn and is now projecting over the axillary regions on the right. Unchanged cardiac silhouette. At the time of dictation and observation, 7:42 a.m., on ___, the referring physician ___. ___, covered by Dr. ___, was paged for notification. Findings were discussed ___ minutes later over the telephone. |
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chest x-ray; 'Cardiomegaly' | A portable upright AP radiograph of the chest demonstrates clear lungs. The calcified granuloma in the right lower lobe is stable, along with calcified hilar lymph nodes. Moderate cardiomegaly has been unchanged as far back as ___. There is no pneumothorax or pleural effusion and pulmonary vascularity is normal. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | As compared to the previous radiograph, there is no relevant change. Unchanged monitoring and support devices, unchanged extensive bilateral pleural effusions with subsequent areas of atelectasis. Moderate cardiomegaly, no pneumothorax. |
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chest x-ray; 'Cardiomegaly'; 'Edema' | The right subclavian access dialysis catheter tip is unchanged in position, ending in the mid to low SVC. The nasogastric tube side port ends in the stomach. The left PICC line ends in the mid SVC, unchanged. A chest tube projects over the right hemithorax, unchanged in orientation. Bilateral small pleural effusions, greater on the left, are overall unchanged. Bilateral platelike atelectasis is slightly increased. Moderate cardiomegaly persists and is perhaps slightly increased from the prior exam. Pulmonary vascular congestion and mild edema is minimally increased. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Edema'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices' | Comparison is made with prior study ___. Cardiomegaly is stable. Widened mediastinum is unchanged. Lines and tubes are in standard positions. Left lower opacities, a combination of pleural effusion and atelectasis have improved. Mild pulmonary edema has minimally improved. Moderate right pleural effusion with adjacent atelectasis is unchanged. |
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chest x-ray; 'Atelectasis'; 'Edema'; 'Support Devices' | There is a right chest tube with the distal lead tip in the apex. There is a central venous catheter with distal lead tip in the distal SVC. Endotracheal tube tip is at the level of the clavicles, 7 cm above the carina. There is a feeding tube whose tip is below the GE junction. The heart size is grossly normal. There is some atelectasis at the lung bases. There are no pneumothoraces or signs for overt pulmonary edema. |
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chest x-ray; 'Lung Opacity' | Lung volumes are low. However there is clear increased alveolar opacity involving the left lower lobe. The right lung is relatively clear. The heart size is unchanged in continues to be mildly enlarged |
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chest x-ray; 'Atelectasis'; 'Edema'; 'Lung Opacity'; 'Support Devices' | As compared to the previous radiograph, the pre-existing parenchymal opacities, predominantly reflecting moderate pulmonary edema, have not substantially changed. No interstitial component has developed but a small retrocardiac atelectasis has newly occurred. No larger pleural effusions. The patient has received a new left-sided hemodialysis catheter. The tip projects over the upper SVC. There is no evidence of complications, notably no pneumothorax. |
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chest x-ray; 'Atelectasis'; 'Pleural Effusion'; 'Support Devices' | Portable supine radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. The heart is markedly enlarged, which is exacerbated by supine positioning. Small right pleural effusion with adjacent atelectasis appears have increased slightly over the interval, which also may be in part due to positioning. Left basilar atelectasis is slightly improved. A left-sided pleural drainage catheter is present. A left-sided subclavian central venous line ends in the mid SVC. The nasogastric tube courses into the stomach and out of the field of view. The endotracheal tube ends 4.2 cm from the carina. No pneumothorax. Multiple left-sided rib fractures are again seen. |
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chest x-ray; 'No Finding'; 'Support Devices' | Left IJ catheter tip is in theupper SVC. In unchanged position. There are no other interval changes |
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chest x-ray; 'Lung Lesion' | In comparison with the study of ___, there is little change in the appearance of the juxta hilar and more peripheral lung mass is on the left. No evidence of acute pneumonia or vascular congestion. |
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chest x-ray; 'Cardiomegaly' | Mild cardiomegaly is chronic. Lungs are grossly clear. The previously questioned left upper lobe lung nodule is not evident on this study, probably caused by superimposition of normal structures, particularly left suprahilar vessels on the previous examination. Thoracic aorta is tortuous in heavily calcified. No pleural abnormality. |
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chest x-ray; 'Lung Opacity'; 'Support Devices' | Interval insertion of a nasogastric tube with the tip in the body of the stomach, with persistent distention of the stomach. The tracheostomy, right internal jugular line are in standard position. Median sternotomy wires are stable and in good alignment. The multifocal airspace opacities throughout the lungs bilaterally are stable in appearance. Mild central venous congestion. Small bilateral effusions. No pneumothorax. |
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chest x-ray; 'Atelectasis' | No previous images. The cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Mild atelectatic changes at the left base. |
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chest x-ray; 'No Finding' | Single portable view of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No definite free air is seen below the diaphragm. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Consolidation'; 'Pleural Effusion' | Left lower lobe is still collapsed accompanied by any indeterminate volume of left pleural fluid, stable since ___, but probably decreased since ___. Lateral view would be very helpful in making that determination. Small amount of right pleural effusion is present, layering posteriorly the extent of right lower lobe consolidation is also concurrent lateral and frontal radiographs. Moderate to severe cardiomegaly and mammoth pulmonary arteries are chronic. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Support Devices' | Portable AP radiograph of the chest was reviewed in comparison to ___. Cardiomegaly is moderate, unchanged. Mediastinum is stable. NG tube tip passes below the diaphragm terminating in the stomach. Bibasal atelectasis, left more than right is unchanged. There is no evidence of pulmonary edema. |
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chest x-ray; 'No Finding' | Allowing for differences in technique, there has not been a relevant change in the appearance of the chest since the recent study of 1 day earlier. |
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chest x-ray; 'Atelectasis'; 'Edema'; 'Pneumothorax'; 'Support Devices' | The radiograph from 20:32 hours shows no change in the position of pre-existing bilateral chest tubes, right subclavian central venous catheter, and metallic fragments from the known gunshot wounds. The left lung remains almost completely atelectatic with increased leftward deviation of the heart and mediastinum, indicating worsening atelectasis. A pneumothorax is still present. The right lung remains clear, and the tiny right apical pneumothorax is stable. The followup radiograph from 21:46 hours shows worsening near complete left lung atelectasis and an increased left pneumothorax. The patient has also been intubated, and the endotracheal tube tip is just distal to the clavicles. The tiny right apical pneumothorax has resolved. The most recent radiograph from ___ hours shows marked re-expansion of the left lung with substantial decrease in the left pneumothorax, which has essentially resolved. There is now a combination of left midlung subsegmental atelectasis and re-expansion pulmonary edema. The right lung remains clear. |
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chest x-ray; 'No Finding' | Compared to the prior study there is no significant interval change. |
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chest x-ray; 'Fracture'; 'Support Devices' | Left-sided chest tube. Possible tiny left apical pneumothorax. left lower rib fractures noted. |
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chest x-ray; 'Cardiomegaly'; 'Lung Opacity' | Comparison to ___. Moderate cardiomegaly. No pulmonary edema. Mild elongation of the descending aorta. The pre-existing opacities in the lung parenchyma, documented on several previous CT examinations, are not well seen on today's radiograph. No pleural effusions. |
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chest x-ray; 'Cardiomegaly'; 'Lung Lesion'; 'Support Devices' | Tracheostomy tube has a very short tracheal excursion. Suggest clinical examination make sure that it is properly positioned and supported. Right PIC line ends in the low SVC. Mild cardiomegaly an upper mediastinal widening are long-standing. There is no appreciable pleural abnormality. Left lower lobe mass grossly unchanged since ___. |
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chest x-ray; 'No Finding'; 'Support Devices' | Lung volumes are somewhat low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. An endotracheal tube terminates approximately 4 cm above the carina. A transesophageal tube is seen coursing out of the field of view, but the side port overlying the region of the stomach. No definite focal consolidation is identified. There is mild left basilar atelectasis. There is no pleural effusion or pneumothorax. |
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chest x-ray; 'Support Devices' | The tracheostomy tube is in place, the left-sided hemodialysis catheter terminates in the cavoatrial junction. The left-sided PIC line terminates in the mid SVC. The side ports of the NG tube are at the gastroesophageal junction. No pleural effusions or pneumothoraces are identified. There is a slight increase in density at the left apex compared to the prior exam. The heart size is stable. The hilar and mediastinal contours are normal. |
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chest x-ray; 'Lung Opacity' | Lung volumes are lower, but this does not account for focus of greater opacification at the right lung base, either atelectasis or aspiration. Right upper lung and left lung are clear. Normal cardiomediastinal and hilar silhouettes and pleural surfaces. Although no acute fracture or other chest wall lesion is seen, conventional chest radiographs are not sufficient for detection or characterization of such abnormalities. If the demonstration of such a chest cage abnormality is clinically warranted, the location of any referrable focal findings should be clearly marked and imaged with either bone detail views or CT scanning. |
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chest x-ray; 'Atelectasis'; 'Support Devices' | Endotracheal tube terminates in the mid thoracic trachea. The enteric tube is been retracted and now terminates in the mid esophagus. Lung volumes are low and there is bibasilar opacification, left greater than right, which likely reflects atelectasis. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Support Devices' | ET tube tip is 1 cm above the carina should be withdrawn for more standard position. Cardiac size is top-normal accentuated by the projection. NG tube tip is out of view below the diaphragm. Bibasilar atelectasis are larger on the left. There is no evident pneumothorax or pleural effusion. Mild vascular congestion is new |
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chest x-ray; 'No Finding' | Portable AP chest radiograph. The ETT terminates just above the carina. The NG tube courses below the diaphragm and terminates outside the field of view. Median sternotomy wires are intact. Lung volumes are low and the cardiac silhouette appears enlarged, likely due to projection. |
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chest x-ray; 'Lung Opacity'; 'Pleural Effusion'; 'Pneumonia' | In comparison with the study of ___ there is little overall change. Bibasilar opacifications, especially on the left, are consistent with volume loss in the lower lungs and pleural effusion. However, in view of the clinical symptoms, the possibility of aspiration pneumonia would have to be seriously considered. The cardiac silhouette is within normal limits. Indistinctness of pulmonary vessels suggests possible elevation in pulmonary venous pressure. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Pneumothorax'; 'Support Devices' | Interval extubation and removal of the nasogastric tube. A left-sided pacer remains in place. Mediastinal drains and chest tubes remain in place. A right internal jugular Swan-Ganz catheter is removed but the introducer remains in place. The patient is status post median sternotomy with an aortic valve replacement. The heart remains enlarged. Mediastinal contours are stable. There is interval appearance of moderate pulmonary edema. There are likely small layering effusions. There is a subtle lucency at left apex which is felt to most likely represent a small left apical pneumothorax. This can be assessed on followup imaging. No pneumothorax is seen on the right side. The patient's nurse, ___, was notified by phone on ___ at 1:55pm p.m. at the time of discovery. |
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chest x-ray; 'Lung Opacity'; 'Pleural Effusion' | Cardiac silhouette is at least mildly enlarged. A left pectoral pacer is in place with leads in the right atrium and right ventricle. An endotracheal tube is in appropriate position with the tip terminating 3.5 cm cranial to the carina. Left greater than right bibasilar opacities are relatively unchanged, as are a moderate right pleural effusion and moderate-to-large left pleural effusion. There is mild vascular congestion . A left internal jugular central venous catheter terminates at the brachiocephalic confluence. There is no pneumothorax. |
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chest x-ray; 'Cardiomegaly'; 'Support Devices' | Comparison to ___. The patient has been extubated and the nasogastric tube was removed. Moderate cardiomegaly persists. The pacemaker is in stable position. Also stable is the left-sided Swan-Ganz catheter. No pulmonary edema, minimal atelectasis at the right lung basis is stable. |
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chest x-ray; 'No Finding' | Frontal view of the chest was obtained. The heart is of normal size with stable cardiomediastinal contours. Lungs are clear. No substantial pleural effusion or pneumothorax. Dobbhoff is coiled in the stomach. Median sternotomy wires are intact. Metallic clips overlie the left hemidiaphragm. |
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chest x-ray; 'Atelectasis'; 'Edema'; 'Support Devices' | As compared to the previous radiograph, the patient continues to carry a tracheostomy tube and a nasogastric tube. Lung volumes continue to be low and signs of mild pulmonary edema are present. Atelectasis at the right lung bases, but no acute pulmonary changes as compared to the previous examination. |
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chest x-ray; 'Lung Opacity'; 'Support Devices' | As compared to the previous radiograph, there is an unchanged evidence of a minimal opacity at the right lung base that could reflect aspiration or atelectasis. No new parenchymal opacities. No pleural effusions. No pneumothorax. Normal size of the cardiac silhouette. Unchanged endotracheal tube and left PICC line. |
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chest x-ray; 'Cardiomegaly'; 'Support Devices' | The bilateral diffuse airspace process does not appear to be significantly changed and relatively spares the left lower lung. Findings would be consistent with severe pulmonary edema or hemorrhage. Clinical correlation is advised. Right subclavian PICC line unchanged in position. Status post median sternotomy with stably enlarged heart. Stable probable small pleural effusions. No pneumothorax appreciated. |
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chest x-ray; 'Pneumothorax' | In comparison to the chest radiograph obtained 1 day prior, there are increasing bibasilar opacities concerning for either atelectasis or developing pneumonia. Small, left pleural effusion is minimally increased. Small, right apical pneumothorax is unchanged. No left pneumothorax. Right and left-sided chest tubes are unchanged and appropriately positioned. Numerous bony fractures are grossly unchanged and better evaluated on CT chest dated ___. Subcutaneous emphysema appears unchanged to minimally improved. An ET tube terminates approximately 5 cm superior to the carina and an enteric tube terminates in the stomach. |
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chest x-ray; 'No Finding'; 'Support Devices' | In comparison with the study of ___, the right IJ catheter is been removed. The left PICC line remains in place with the tip in the region of the cavoatrial junction. The tip of the enteric tube again appears to be in the distal esophagus. No evidence of acute pneumonia or vascular congestion. |
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chest x-ray; 'Cardiomegaly'; 'Enlarged Cardiomediastinum' | Evaluation of the heart and lungs is limited due to patient rotation to the right. Within this limitation, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette is slighlty enlarged, likely accentuated by technique. The mediastinum is prominent, partly related to patient rotation. The visualized upper abdomen is unremarkable. No acute cardiopulmonary process on this technically limited examination. |
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chest x-ray; 'No Finding' | The lungs are moderately well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. There is a right IJ CVL tip in the lower SVC. Limited evaluation of the osseous structures are unremarkable. Spinal stimulator is noted overlying T8 -T12. Clips are seen in the right upper quadrant. |
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chest x-ray; 'No Finding' | AP supine portable chest radiograph obtained demonstrating clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. |
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chest x-ray; 'Atelectasis'; 'Support Devices' | Right-sided tunneled subclavian line with the tip in the right atrium. No pneumothorax. Left upper lobe collapse has slightly improved. There is persistent retrocardiac and basal opacity with mediastinal shift in keeping with volume loss. Endotracheal tube is 4 cm of the carina and the nasogastric tube is in good position. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices' | New large right lower lobe opacity is consistent with large, almost complete collapse of the right lower lobe. Cardiac size is normal. Mediastinal and hilar lymphadenopathy are better seen in prior CT. . ET tube is in standard position. NG tube tip is out of view below the diaphragm. There is no pneumothorax. If any there is a small right effusion. |
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chest x-ray; 'Pleural Effusion'; 'Support Devices' | In comparison with the study of earlier in this date, there has been placement of a left chest tube with drainage of a substantial amount of the left pleural fluid collection. There may be a small apical pneumothorax. Lower lung volumes with the right lung remaining essentially clear. Again there is prominent enlargement of the gas-filled upper esophagus |
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chest x-ray; 'Support Devices' | Right upper lung and left lung essentially clear aside from mild linear scarring or atelectasis at the base. The unusual calcific right pleural parenchymal abnormality is chronic. Normal cardiomediastinal silhouette. No evidence of pleural effusion. No pneumothorax. ET tube, right internal jugular line and transesophageal drainage tube in standard placements respectively. |
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chest x-ray; 'Atelectasis'; 'Support Devices' | Unchanged appearance of the monitoring and support devices. Unchanged areas of bilateral platelike atelectasis. |
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chest x-ray; 'Pneumothorax' | There has been interval removal of a right thoracostomy tube. A new small right apical pneumothorax is demonstrated, measuring up to 1.6 cm in thickness. There is no shift of the mediastinum. The left lung remains clear. A trace left pleural effusion is present. The mediastinal contour is unchanged. |
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chest x-ray; 'Cardiomegaly' | New left trans subclavian right atrial right ventricular leads follow their expected courses, continuous from the new left pectoral generator. THERE IS NO PNEUMOTHORAX, PLEURAL EFFUSION, OR MEDIASTINAL WIDENING. Moderate to severe cardiomegaly is stable. |
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chest x-ray; 'Atelectasis'; 'Fracture'; 'Pneumothorax' | Compared to chest radiographs ___ through ___. There has been no change in the volume of the small left apical pneumothorax and basal pleural loculation since ___ at 05:24 following removal of the left pleural drain. Orientation of mildly displaced fractures lateral aspects, left middle and lower ribs have changed slightly indicating the fractures are unstable. Severe left lower lobe atelectasis is unchanged. Right lung is clear, hyperinflated due to emphysema. Heart size normal. |
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chest x-ray; 'Lung Opacity'; 'Support Devices' | In comparison with the study of ___, obliquity of the patient somewhat obscures detail. There again are low lung volumes with diffuse interstitial lung disease. Monitoring and support devices remain in place. |
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chest x-ray; 'No Finding'; 'Support Devices' | Endotracheal tube terminates 5.6 cm above the carina. An orogastric tube courses below the diaphragm, tip is not included in this examination. An SVC stent is again seen. The heart is mildly enlarged. No focal consolidation or large pleural effusion identified. |
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chest x-ray; 'Atelectasis'; 'Pleural Effusion'; 'Support Devices' | As compared to the previous radiograph, the pre-existing right pleural effusion is almost completely resolved. The left pleural effusion is unchanged. Moderate retrocardiac atelectasis and right basal atelectasis. No new parenchymal opacities. Unchanged monitoring and support devices. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Lung Opacity'; 'Support Devices' | As compared to the previous radiograph, the lung volumes have decreased. There is increased bilateral perihilar and basal opacities and and slightly increasing retrocardiac atelectasis. Moderate cardiomegaly. No larger pleural effusions. No pneumothorax. The tracheostomy tube is in unchanged position. |
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chest x-ray; 'No Finding' | Lung volumes are very low, resulting in bronchovascular crowding. Cardiac silhouette is not enlarged. Hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation. |
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chest x-ray; 'Edema' | Left-sided pacer device is noted with leads terminating in the right atrium and right ventricle, unchanged. Moderate to severe cardiomegaly is relatively similar compared to the previous study. There is mild pulmonary edema, slightly worse in the interval, without pleural effusion or pneumothorax identified. Patchy opacities in the lung bases likely reflect areas of atelectasis. There is no acute osseous abnormality grossly detected. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Lung Opacity'; 'Support Devices' | As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. The opacity of atelectatic nature at the lung bases has minimally decreased. There is unchanged mild fluid overload and moderate cardiomegaly. No newly appeared parenchymal changes. |
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chest x-ray; 'Atelectasis'; 'Edema' | Frontal radiograph of the chest demonstrates the patient is rotated to the right. There are increased interstitial markings and central pulmonary vascular congestion, consistent with pulmonary edema. A right-sided Port-A-Cath is seen in standard position, terminating in the low SVC. There is some bibasilar atelectasis with possible small bilateral pleural effusions. There is no pneumothorax or area of focal consolidation. Heart size is difficult to assess given the patient is rotated to the right and AP projection of this portable radiograph, however, it is likely top normal in size. A nipple shadow is seen projecting just above the left hemidiaphragm. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | Moderate right pleural effusion unchanged since ___, responsible for right lower lobe atelectasis, has increased since ___. Moderate enlargement of the cardiac silhouette has increased since ___, accompanied by mild increase in pulmonary vascular caliber but no pulmonary edema, at least in the left lung or right upper lobe. Feeding tube passes below the diaphragm and out of view. No other lines or tubes an of the chest. No pneumothorax. . |
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chest x-ray; 'Fracture'; 'Lung Opacity'; 'Support Devices' | Tracheostomy tube is present with tip in a midline position terminating 2.1 cm above the carina. Cardiomediastinal contours are normal. Left retrocardiac opacity is associated with volume loss favoring atelectasis although coexisting aspiration and or contusion are possible in the setting of recent trauma. Multiple left rib fractures appear to be subacute or chronic, but additional dedicated rib films may be helpful if the patient has localizing symptoms and recent trauma history. |
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chest x-ray; 'Lung Opacity'; 'Pleural Effusion' | Overall appearance of the chest is relatively similar to the recent study except for worsening left retrocardiac opacity which probably represents a combination of small-to-moderate left pleural effusion and adjacent left lower lobe atelectasis and/or consolidation; additionally, patchy and linear opacities at the right lung base have also slightly worsened. Remainder of lungs are clear, and cardiomediastinal contours are stable. |
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chest x-ray; 'Pleural Effusion'; 'Support Devices' | Interval placement of pigtail pleural catheter in the lower left hemithorax, but no significant reduction in size of a large partially loculated left pleural fluid collection. |
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chest x-ray; 'Atelectasis'; 'Edema'; 'Pleural Effusion'; 'Support Devices' | Large right and small left pleural effusions with adjacent atelectasis Are stable. Asymmetric right greater and left pulmonary edema, mild to moderate is stable. There is no evident pneumothorax. Cardiomediastinal contours are stable. Right PICC tip is in the mid SVC |
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chest x-ray; 'Lung Opacity'; 'Support Devices' | Rotated positioning. Tracheostomy tube is in place, tip approximately 5.1 cm above the carina. A right-sided PICC line is present, tip overlying distal most SVC. There are slightly low inspiratory volumes. The heart is not enlarged. There is upper zone re-distribution, without other evidence of CHF. There is minimal patchy opacity in the right cardiophrenic and retrocardiac regions, similar to one day earlier, but slightly worse in the cardiophrenic region. No effusion is identified. |
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chest x-ray; 'Atelectasis'; 'Consolidation'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices' | Right basal catheter is not kinked. There is increase in opacity in the right lower lobe consistent with increasing pleural effusion and adjacent consolidation. Left lower lobe opacities have increased consistent with increasing atelectasis. There are no other interval changes. |
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chest x-ray; 'No Finding' | Compared to the prior study there is no significant interval change. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | ET tube and right subclavian line are in standard placements. Moderate cardiomegaly unchanged. Pleural effusions small on the left if any. Mild left basal atelectasis. New left suprahilar atelectasis. No pulmonary edema. No pneumothorax. |
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chest x-ray; 'Lung Opacity' | Heart size and mediastinum are unchanged, overall unremarkable. Elevated right hemidiaphragm is unchanged. Right basal opacity although might potentially represent atelectasis may also represent a combination of atelectasis and infection (right lower lobe pneumonia). No other consolidations or masses seen. No pleural effusion or pneumothorax is seen. |
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chest x-ray; 'Lung Opacity' | In comparison with the study of ___, the nasogastric tube has been removed. There appears to be some improvement in the degree of opacification in the right hemithorax, especially in the perihilar region. An the left lung is unchanged. |
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chest x-ray; 'Consolidation' | AP portable upright view of the chest. ET and NG tubes again noted. Extensive consolidation in the right lung again noted concerning for pneumonia. Left lung remains clear though the lung bases are excluded. |
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chest x-ray; 'Edema'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices' | In comparison with study of ___, the monitoring and support devices are unchanged. Diffuse bilateral pulmonary opacifications may be slightly less prominent than on the previous study. This would be consistent with some improvement in the pulmonary edema and layering effusions. |
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chest x-ray; 'Cardiomegaly'; 'Pneumothorax'; 'Support Devices' | As compared to the previous radiograph, the right chest tube was removed. There currently is no evidence for the presence of a right pneumothorax. Unchanged appearance of the cardiac silhouette. Unchanged alignment of the sternal wires. Of the extubation and removal of the nasogastric tube, the lung volumes are slightly lower than previously. Unchanged position of the right internal jugular vein catheter. |
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chest x-ray; 'Atelectasis'; 'Pneumonia'; 'Pneumothorax'; 'Support Devices' | Chest radiographs small left apical pneumothorax is decreased since earlier in the day. Extensive bilateral pneumonia has not changed during the day, but has probably improved since ___. Right lower lobe still collapsed. No appreciable pleural effusion. Heart size normal. Right subclavian line ends in the low SVC. Left thoracostomy tube still crosses the left upper chest, unchanged. Tracheostomy tube midline. |
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chest x-ray; 'Fracture' | As compared to ___, left-sided chest tube in similar position. No pneumothorax. Small left pleural effusion tracking to the apex is stable. Left retrocardiac opacity is slightly improved. The numerous displaced left rib fractures are stable. Subcutaneous emphysema has slightly improved. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Fracture'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices' | In comparison with study of ___, there is little overall change. Again there is substantial enlargement of the cardiac silhouette with bilateral effusions and compressive atelectasis at the base. Possible areas of post-traumatic contusion could be responsible for some of the ill-defined basilar opacities. Monitoring and support devices remain in place and there is no definite pneumothorax. The multiple bilateral rib fractures are better seen on previous CT. Subcutaneous gas persists outlining pectoral muscle bundles and along the right lateral chest wall. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Support Devices' | Compared to chest radiographs ___ through ___. Mild to moderate pulmonary edema has worsened since ___, and severe enlargement of cardiac silhouette is mild more pronounced now than at any time since ___. Whether this is all cardiomegaly or a component of pericardial effusion is radiographically indeterminate. Pleural effusions are presumed, but not large. There is no pneumothorax. Dual channel left trans jugular central venous catheter ends in the low SVC and upper right atrium. Tracheostomy tube in standard |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | Moderate cardiomegaly is stable. Pacer leads are in standard position. Right PICC tip is in the upper SVC. There is no pneumothorax. New small bilateral effusions are unchanged. . Bibasilar atelectasis have minimally increased. There is no evidence of pulmonary edema. |
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chest x-ray; 'Consolidation'; 'Edema' | Heart size and mediastinum are stable. Bibasal consolidations appear to be unchanged but there is overall improvement in pulmonary edema. No pneumothorax is seen. |
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chest x-ray; 'Atelectasis' | In comparison with study of ___, the endotracheal tube and nasogastric tubes have been removed. Cardiac silhouette is within normal limits and there is no evidence of acute pneumonia. Mild atelectatic changes are seen at the left base medially. The area of increased opacity seen in the left apex on the prior study is somewhat obscured by overlying bony structures at this time. |
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chest x-ray; 'Lung Opacity' | As compared to ___, cardiomediastinal contours are stable. Lung volumes remain low, with improving peribronchiolar basilar opacities, which may be due to recurrent aspiration or infection. |
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