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the lungs are relatively well expanded. linear platelike atelectasis is present in the right lower lung. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. the cardiomediastinal silhouette is unremarkable.
<unk>f with abdominal pain, jaundice // pneumonia?
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portable chest film dated <unk> <time> is submitted.
<unk> year old man with chest tube effusion // eval for interval change t plaement eval for interval change t plaement
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heart size remains mildly enlarged. the mediastinal contours are unchanged, with a descending thoracic aortic stent graft re- demonstrated. the aorta is diffusely calcified and dilated, but similar in appearance compared to the previous exam. rightward deviation of the upper trachea is due to the presence of a thyroid goiter. there is no pulmonary vascular congestion. right upper lobe paramediastinal opacity compatible with radiation changes is unchanged. moderate size right pleural effusion is re- demonstrated. mild atelectatic changes are noted in the lung bases. there is no pneumothorax. no acute osseous abnormalities demonstrated.
shortness of breath and cough.
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compared to <unk>, there is mild improvement of the nodular component of pre-existing bilateral parenchymal opacities. heart size is mildly enlarged. mediastinal silhouette is within normal limits. left pectoral port-a-cath terminates in the upper to mid svc. there is persistent small pleural effusion on the right.
<unk> year old woman with afib with rvr.
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apparent widening of the mediastinum is continuous with thickened left apical pleural margin, obscuring the aortic knob. this may represent either widened mediastinum due to bleeding or extravasation or pleural fluid tracking superiorly in the supine patient. of note a large vascular introducer has been removed from the left neck and upper mediastinum since <unk>:<num> and could be a source of bleeding. . there is increased interstitial opacities and fullness of the pulmonary vasculature. new right ground-glass perihilar opacity could be edema or aspiration. there is left lower lobe collapse with leftward mediastinal shift and large left pleural effusion. small pleural effusion on the right is also likely. the nasogastric tube is coiled in the hypopharynx and terminates in the upper stomach. right-sided introducer, ett and left-sided picc appear unchanged in position.
<unk>f hx of pes, peritoneal carcinomatosis s/p multiple abdominal explorations c/b leak and now with intra-abdominal bleeding presents in septic and hemorrhagic shock s/p massive transfusion and now s/p ir.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain // eval for acute process
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there is a dense opacity representing left lower lobe consolidation seen on ap and lateral radiographs concerning for pneumonia. remainder of the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable and within normal limits. the pleural surfaces are unremarkable.
<unk>-year-old male with cough x<num> days.
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please note that the history says placement of et tube, however an oxygen mask is seen on the images and no ett is seen. the heart is mildly enlarged. there is mild vascular plethora. there is some increased opacity in both lower lungs. is unclear if this is due to volume loss versus early infiltrate
<unk> year old woman with respiratory failure secondary to asthma exacerbation // placement of ett, interval change
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ap portable upright view of the chest. aicd is unchanged in position. elevation of the right hemidiaphragm is again noted. the heart remains mildly enlarged. there is subtle increased opacity in the right mid to lower lung which in the right clinical setting could represent an early pneumonia. left lung appears clear. no large pleural effusion or pneumothorax.
<unk>m with recent flu, here with fevers, rigors.
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cardiomediastinal silhouette and hilar contours are unremarkable. multiple nodular opacities in the right lung are better evaluated on prior ct examination. patient is status post transbronchial biopsy and then there is a small right apical pneumothorax present. there is no large pleural effusion. the left lung is essentially clear.
status post transbronchial biopsy. evaluate for pneumothorax.
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there is a retrocardiac opacity silhouetting the medial hemidiaphragm which may be due to atelectasis. the lungs are otherwise clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. cardiomegaly is mild. the aorta is tortuous. mid thoracic vertebral body height loss is noted, age indeterminate.
assays <unk>-year-old woman with dyspnea on exertion.
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the heart is moderately enlarged, and there is no overt pulmonary edema. no definite focal consolidation, and the lungs are hyperinflated. small effusions or pleural thickening is seen.
<unk>-year-old female with fever.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever // pna?
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the left lower lobe opacity consistent with a pneumonia is unchanged. calcified granulomas are noted in the right upper lobe. again seen is an enlarged left hilum for which follow-up imaging is recommended after treatment of the pneumonia.no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with aspiration event post colonoscopy with hypoxemia // eval for interval change
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. projecting over the right upper lung is a small nodular focus measuring approximately <num> mm in diameter and relatively hypodense, but potentially calcified. however, a soft tissue lung nodule could be considered. the osseous structures are unremarkable.
chest pain.
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body. degenerative changes of the thoracic spine and the right acromioclavicular joint are unchanged.
<unk>-year-old female with chills and occasional cough.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with right rib pain // s/p fall right rib pain
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minimal left basilar atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. unchanged defect in the left posterior sixth rib. a surgical clips project along the left mediastinal border. the size and appearance of the cardiac silhouette is unchanged.
<unk> with pmh of chronic pancreatitis c/b insulin dependent diabetes who presents with abdominal pain and myalgias admitted to the ficu for hyperglycemia and dka. // r/o consolidation, infection/ acute process
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the lungs are clear without focal opacity or overt pulmonary edema. there is mild pulmonary vascular congestion. the pleural surfaces are normal. the heart is mildly enlarged, unchanged since <unk>. the mediastinal contours are normal.
history: <unk>f with shortness of breath // edema? acute process?
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interval increase in diffuse, predominantly perihilar, opacities are likely due to mild pulmonary edema. however, in the right clinical setting, concurrent pneumonia cannot be excluded. the heart size is mildly enlarged. mild basilar atelectasis is stable on the right and increased on the left. small bilateral pleural effusions are likely. no pneumothorax. a left pectoral pacemaker is noted with transvenous leads in the right atrium and right ventricle.
<unk> year old woman with <unk>, urosepsis. // eval for effusion, pna
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lung volumes are low. the cardiac silhouette is mildly enlarged. a right-sided pleural drain remains in unchanged position. no pneumothorax is identified. right-sided pleural effusion appears to have resolved. no focal consolidation is seen.
<unk> year old man s/p fall with r hemothorax, now s/p chest tube placement. // assess for interval change
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pa and lateral views of the chest provided. low lung volumes. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with mildly enlarged heart and unfolded thoracic aorta. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. both humeral heads appear high riding at the shoulders, suggesting chronic rotator cuff disease. clips in the right upper quadrant noted. tiny clips in the right neck likely reflect prior thyroid surgery.
<unk>f with c/o cp and weakness // ? pna
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lung volumes are decreased. there is moderate cardiomegaly. there is atelectasis at the lung bases bilaterally. no definite focal consolidation concerning for pneumonia identified. there is no large pleural effusion. there is no pneumothorax. there is mild pulmonary vascular congestion.
epigastric pain. question acute cardiopulmonary disease.
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there is minor basilar atelectasis. no definite focal consolidation is seen. there is no large pleural effusion or evidence of pneumothorax. the cardiac silhouette is not enlarged. mediastinal contours are sharp. again, there is right paratracheal opacity without mass effect on the aorta, likely representing prominent vasculature. degenerative changes are seen at the shoulder joints but not optimally evaluated on this study.
fevers.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with syncope, elevated wbc count // infiltrate?
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a nasogastric tube is seen, coursing below the level of the diaphragm, extending to the expected location of the stomach. there are air distended loops of bowel not well evaluated on this study. the lungs are clear without focal consolidation. no large pleural effusion or evidence of pneumothorax is seen. a tortuous aorta is again seen, similar in appearance to the chest radiograph from <unk>. slight prominence of the ascending aorta may be technical and due to tortuosity, although mild dilatation of the ascending aorta is not excluded.
the gastric tube placement.
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ap portable upright view of the chest. <num> metallic foreign objects are seen within the left upper abdomen. these measure approximately <num> cm in length and resemble metallic nails. there is no free air below the right hemidiaphragm. port-a-cath resides over the left chest wall with catheter tip in the region of the mid svc. there is mild bibasilar atelectasis. cardiomediastinal silhouette appears grossly unremarkable.
<unk>m with s/p swallowed nails // free air?
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again noted is mild hyperinflation of both lungs suggestive of underlying emphysema or small airways obstruction. mild streaky opacification in the right middle lobe decreased on today's examination compared to the prior study. this may represent minimal residual atelectasis, similar to prior studies dating back to <unk>. the lungs are otherwise relatively clear without focal consolidation concerning for pneumonia, significant pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged from the prior study. the visualized upper abdomen demonstrates overlying metallic density compatible with a belt buckle. radiopaque densities projecting in the left upper abdomen are partially excluded from view on the frontal radiograph and of uncertain clinical significance.
history of pneumonia, now with low oxygen saturation, here to evaluate for pneumonia.
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ap and lateral views of the chest. no prior. low lung volumes seen on the current exam. indistinct pulmonary vascular markings are seen throughout both lungs without confluent consolidation. there is no pleural effusion. cardiac silhouette appears enlarged. osseous and soft tissue structures are grossly unremarkable. atherosclerotic calcifications are noted at the arch.
<unk>-year-old female with tachycardia.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
cough and fever.
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pa and lateral views of the chest provided. lungs are hyperinflated though appear clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain // eval for cardiopulmonary process
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assessment of the lung apices is slightly obscured by the patient's chin and neck projecting over these areas. left-sided pacer device is noted with leads in unchanged positions in the right atrium and right ventricle. severe cardiomegaly persists. the mediastinal and hilar contours are unchanged. previously noted mild pulmonary edema has improved. small left pleural effusion appears similar in size. retrocardiac opacification and patchy right basilar opacities may reflect atelectasis though infection is not excluded. no definite pneumothorax is identified.
history: <unk>m with right sided chest pain, shortness of breath// eval for pneumothorax
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the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax. posterior to the xiphoid process of the sternum, there may be a possible area of soft tissue swelling on the lateral view.
history: <unk>m with chest pain/shoulder pain // evidence of rib or shoulder fracture
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there is a new <num> cm rounded opacity projecting just to the left of the aortic arch which was not present on prior. silhouette of the aortic arch and proximal descending aorta is preserved as is the left pulmonary artery. linear left basilar consolidation is noted with new elevation of the left hemidiaphragm. there is also moderate hiatal hernia. the right lung is grossly clear. the cardiomediastinal silhouette is within normal limits.
<unk>f with hypotension, <unk> edema // eval ? fluid overload, infection
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upright ap and lateral views of the chest provided. midline sternotomy wires again noted. there is again noted to be a moderate right pleural effusion and a small left pleural effusion. the left effusion appears slightly increased. coarsened lung markings suggest a component of fibrotic lung disease. there is likely mild pulmonary edema. the heart size appears overall stable and mildly enlarged. the mediastinal contour is grossly within normal limits. the imaged bony structures are intact. in the upper abdomen, metallic biliary stents are in place.
<unk>m with dyspnea, fever // eval for infiltrate
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac, mediastinal, and hilar silhouettes are unremarkable.
<unk> year old woman with chronic cough // r/o mass or infiltrate
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left chest wall triple lead pacing device is again noted. there are bibasilar opacities which may be due to atelectasis although infection/ aspiration are not excluded. superiorly the lungs are clear. there is no overt pulmonary edema. cardiomediastinal silhouette is stable.
<unk>m with chf with hypotension // eval pulm edema
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there has been interval placement of an enteric tube which terminates in the proximal stomach. the lung apices are not fully included on the image. given this, the lungs remain clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. residual contrast is seen in the bilateral renal collecting systems from recent preceding contrast enhanced ct. a stent is noted in the right upper quadrant a overlying surgical <unk>.
history: <unk>m with ngt placed // ngt placement?
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ap single view of the chest has been obtained with patient in supine position. comparison is made with the next preceding similar study obtained five hours earlier during the same day. the ett terminates in the trachea some <num> cm above the level of the carina. apparently, it has been adjusted. unchanged position of previously described right internal jugular approach central venous line. no pneumothorax can be identified in the apical areas. marked cardiac enlargement including prominence of left atrial contours persist. pulmonary congestive pattern as before with perivascular haze. supine position with layering pleural effusion posterior compartments of pleural space may account for increasing diffuse haze in the lung fields. no evidence of new discrete local parenchymal infiltrates are seen.
<unk>-year-old male patient with hypoxic respiratory failure, re-evaluate ett after adjustment.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // eval for structural process
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear normal.
status post recent assault with right posterior rib pain.
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pa and lateral chest radiographs. low lung volumes accentuate the pulmonary vasculature, but it is still engorged. the heart size is also borderline. there is no pleural effusion or pneumothorax.
chest pressure.
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cardiac silhouette size is normal. the aorta is tortuous. the mediastinal and hilar contours are otherwise unremarkable. lungs are clear and the pulmonary vasculature is normal. eventration of the right hemidiaphragm is demonstrated. no pleural effusion, focal consolidation or pneumothorax is demonstrated. there are moderate degenerative changes noted in the mid thoracic spine.
history: <unk>m with palpitations
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an orogastric tube is present. the radiopaque tip overlies the stomach. the lung volumes are low. allowing for this, there is evidence of chf, with interstitial edema. probable platelike atelectasis in the right mid zone versus small amount of fluid in the fissure. small leftand possible small right effusions. at the left base, there is collapse and/or consolidation with obscuration of left hemidiaphragm. minimal atelectasis at the right base
<unk> year old woman with cough and congestion on tube feeds // ? pna
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. degenerative changes of the right ac joint along with an osseous fragment fragment adjacent to the tip of the right clavicle are chronic. no radiopaque foreign body is demonstrated.
history: <unk>m with food impaction // eval for foreign body
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heart size is normal. the aorta remains mildly tortuous with atherosclerotic calcifications noted at the knob. mediastinal and hilar contours appear unchanged. lungs are hyperinflated. pulmonary vasculature is not engorged. scarring within the lung apices is similar. mild bronchiectasis is again noted within the lung bases, better appreciated on the previous ct. new bibasilar patchy opacities are demonstrated along with increased small bilateral pleural effusions. no pneumothorax is seen. mild to moderate degenerative changes are noted in the thoracic spine.
history: <unk>f with generalized weakness // infiltrate, edema
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portable frontal view of the chest. a right subclavian picc ends in the low svc. the aortic knob is calcified. the heart size is normal. the lungs are clear without focal opacity, pleural effusion or pneumothorax. there is no free air beneath the hemidiaphragms.
<unk>f with picc line.
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lung volumes remain low. heart size is mildly enlarged. mediastinal and hilar contours appear unchanged. crowding of the bronchovascular structures is re- demonstrated without overt pulmonary edema. patchy opacities are re- demonstrated in the lung bases, not substantially changed in the interval. no large pleural effusion or pneumothorax is detected.
history: <unk>m with weakness
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pa and lateral views of the chest provided. lungs are hyperinflated though appear clear. no focal consolidation, large effusion or pneumothorax is seen. the cardiomediastinal silhouette appears normal. no bony abnormalities.
<unk>f with crush injury bilateral legs // eval for acute processeval for fractures
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the lungs remain hyperinflated. bibasilar atelectasis is seen. no definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
<unk>m with two episodes of severe total body pain and upper back pain // <unk>m with two episodes of severe total body pain and upper back pain
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lung volumes are probably slightly lower even when accounting for differences in technique. bilateral increased interstitial markings may reflect edema; however, infectious etiology cannot be completely excluded in the appropriate clinical situation. increased opacity in the left infrahilar region and could reflect aspiration in the appropriate clinical situation. no large pleural effusion or pneumothorax. cardiomediastinal silhouette is overall unchanged.
<unk> year old man with new oxygen requirement. please evaluate for volume overload versus aspiration event.
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no tracheostomy tube is seen. dextroscoliosis of the mid thoracic spine slightly limits evaluation of the cardiac silhouette. the cardiomediastinal contours appear within normal limits. there is no pulmonary vascular congestion or edema. a left picc is unchanged with the tip terminating in the low svc. the lungs are slightly hyperinflated with persistent but improved severe left lower lobe atelectasis. no large pleural effusion or pneumothorax is appreciated.
dyspnea.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. right port-a-cath is stable in position, terminating in the low svc.
history: <unk>f with sle on immunosuppresion // please evaluate for infectious process
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the heart size is top normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>f with back pain following mva // please assess for fracture
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ap and lateral views of the chest are compared to previous exam from <unk>. there are slightly increased interstitial markings without evidence of frank edema or consolidation. there is no effusion. cardiac silhouette is enlarged but unchanged. aortic valve replacement is noted as well as postoperative changes of median sternotomy. osseous and soft tissue structures are notable for hypertrophic changes in the spine.
<unk>-year-old male with chest pain.
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there is a left pacemaker with appropriately positioned right atrial and right ventricular leads. the heart is moderately enlarged, increased in size compared to <unk>. there is pulmonary venous congestion with cephalization and predominantly perihilar heterogeneous opacities, consistent with mild interstitial pulmonary edema. no pleural effusions or pneumothorax. possible slight loss of height of a upper mid thoracic vertebral body would be unchanged compared to <unk>.
increased leg edema, evaluate for acute cardiac or pulmonary process.
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cardiomegaly is stable widening of the mediastinum is grossly unchanged from prior study improved from <unk>. vascular congestion has continue to improved. small bilateral effusions are probably unchanged allowing the difference in positioning of the patient. there is no evident pneumothorax. bibasilar atelectasis have increased. sternal wires are aligned
<unk> year old woman s/p chest tube removal // @<unk> on <unk> effusion? ptx?
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pa and lateral views of the chest provided. lungs are clear and well inflated. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with tachycardia
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mild opacities at the left lower lung base are likely atelectasis. no substantial pleural effusion. no pneumothorax. no focal consolidations or opacities concerning for an infectious process. cardiomediastinal silhouette and hilar contours are normal.
<unk>-year-old man with right great toe ulcer. evaluate for atelectasis, consolidation, or effusion.
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et tube, ng tube, left chest tube, and mediastinal drains have been removed. the right ij line tip in the right atrium is again seen. lung volumes are low with volume loss at the bases. there continues to be dense retrocardiac opacity compatible with a combination of volume loss/infiltrate/effusion. the upper lungs are clear
<unk> year old man pod<num> cabg ct removal // evaluate for ptx
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lungs are severely hyperinflated with flattened diaphragm, is due to emphysema or small airway obstruction. nodular opacities and rounded lucency, right worse than left, are due to severe bronchiectasis and mucoid impaction, which was demonstrated on chest ct from <unk>. consolidation in the lingula has either recurred or incompletely cleared. upon further evaluation of prior ct from <unk>, there is a nodular right paraspinal opacity which may be resolving previously seen masslike consolidation of the right lower lobe or a small mass obscured nodule by the since resolved consolidation. evaluation of this right paraspinal nodularity on current radiograph is not possible. heart size is top-normal. trachea displaced at the thoracic inlet, by a thyroid nodule that was previously seen on ct. there is no evidence for pneumothorax, pleural effusion or pulmonary edema. opacity in the mid thoracic vertebra is likely a bone island, unchanged from prior radiograph.
<unk> year old woman with right chest pain only associated with coughing, positive history of bronchiectasis.
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cardiac silhouette size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vasculature is not engorged. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with weakness and numbness concern for guillain-<unk>
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen. minimal degenerative changes are seen along the spine.
failed stress test.
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overall there is stable appearance of the chest with normal heart size and stable thoracic aortic tortuosity. no focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with h/o renal cell ca // r/o any changes from previous cxr and ct
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frontal and lateral chest radiographs demonstrate linear opacities at the bilateral bases, likely reflecting scar. lung volumes are slightly decreased compared with <unk> years prior. there is no significant effusion, or pneumothorax. the cardiac silhouette remains normal in size, the mediastinal contours are notable only for tortuosity of the aorta. pulmonary vasculature is normal.
<unk>-year-old female with cough and wheezing, evaluate for pneumonia.
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there is stable moderate cardiomegaly. the bilateral hila are normal. there is no evidence of pulmonary vascular congestion. relative prominence of the central bronchovascular markings is seen, which in the correct clinical setting may reflect large airways inflammation/bronchitis. otherwise, there is no evidence of focal airspace abnormality. there is no pleural effusion. there is no pneumothorax.
an <unk>-year-old with recent admission for influenza now with worsening shortness breath and cough, fever, evaluate for pneumonia.
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an endotracheal tube is in place with the tip terminating just at the level of the thoracic inlet <num> cm above the carina. an orogastric tube is seen coursing below the diaphragm and out of view on this image. there is a focal airspace consolidation in the right lung base on this single frontal view, which is unchanged from <unk> at which time the patient was also intubated but new from the pre intubation study of <unk>. mild pulmonary vascular congestion and edema is improved from <unk>. no significant pleural effusion or pneumothorax is detected. the cardiac silhouette is enlarged but stable. the mediastinal contours are within normal limits. the trachea is midline.
intubated for dyspnea at <unk> hospital, here to evaluate for pulmonary edema and ett position.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
syncope.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. the bony structures are unremarkable.
shortness of breath.
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endotracheal tube is in appropriate position. a nasoenteric tube is present with its side port at the ge junction. if the desired location of a side port is within the stomach, it can be advanced approximately <num> cm. the mediastinal contour remains widened with a new left juxtahilar opacity, likely representing atelectasis. there is no large pneumothorax. relative opacity of the left lung likely represents dense layering pleural fluid.
<unk> year old woman with stemi presenting after mva. // interval change; pulmonary edema vs consolidation .
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the right hemidiaphragm is elevated. there is no consolidation, edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. in the bilateral acromioclavicular joints, there is joint space narrowing and osteophyte formation, likely degenerative.
fever. evaluate for pneumonia.
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the heart is borderline in size. there is mild unfolding of the thoracic aorta. the lungs appear clear. there no pleural effusions or pneumothorax. mild degenerative changes affect the mid through lower thoracic spine, and there is a minimal wedge compression deformity of a mid thoracic vertebral body that is likely chronic.
shortness of breath. question pneumonia.
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there is a small left apical pneumothorax. there is no right pneumothorax. heterogeneous opacities bilaterally, particularly along the left heart border may represent atelectasis or sequela of contusion or potentially edema. minimally displaced left fifth, sixth, and seventh rib fractures are noted. right posterior seventh rib fracture is also mildly displaced. heart size and mediastinal contours are within normal limits. planning of the left ac joint may be chronic.
<unk>f with known l ptx and l rib fractures // size of l pneumothorax
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heart size is normal. atherosclerotic calcifications are noted at the aortic knob. the mediastinal contours are unremarkable. perihilar haziness with increased interstitial markings bilaterally including <unk> b-lines are compatible with moderate interstitial pulmonary edema. there are likely trace bilateral pleural effusions. no pneumothorax is identified. degenerative changes are noted involving the right glenohumeral joints.
history: <unk>m with hypoxia and tachycardia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal.
history: <unk>m with <num> day hx of intermittent r sided cp, no sob // eval for cardiomegaly
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marked cardiomegaly is accompanied by pulmonary vascular congestion and diffuse interstitial edema. more confluent areas of opacification overlie the lower spine on the lateral view and or also present to a lesser extent in the right upper lobe. small pleural effusions are present, left greater than right. hyper expansion of the lungs is in keeping with history of copd.
<unk> year old man with chf, copd, lung and laryngeal masses presenting with shortness of breath and cough. // please evaluate for aspiration pneumonia and pulmonary edema
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pa and lateral views of the chest. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath.
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the lungs are well inflated and clear. the cardiomediastinal silhouette is stable. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable.
dyspnea, evaluate for acute cardiopulmonary disease.
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portable upright view of the chest demonstrates left internal jugular central venous catheter projecting over left brachiocephalic vein. dialysis catheter tip projects over mid svc. low lung volumes. moderate-to-severe pulmonary edema. right costophrenic angle is not fully imaged. left costophrenic angle is obscured, suggestive of pleural effusion. left retrocardiac consolidation is noted. hilar and mediastinal silhouettes are unremarkable. heart size is difficult to assess due to adjacent opacities. right hemidiaphragm is elevated.
patient with sepsis and pulmonary edema.
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the dobbhoff tube tip is in the distal stomach. . the appearance of the lungs are unchanged
<unk> year old woman with s/p dophoff tube replacement. please evaluate placement // evaluate placement of dophoff tube. please scan below level of diaphragm
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old woman with shortness of breath at rest and exacerbation of asthma, evaluate for pneumonia
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the lungs are hyperinflated. a <num> cm ovoid opacity in the left midlung field is compatible with the patient's known lung mass. there is no pneumothorax or pleural effusion. the cardiac and hilar contours are within normal limits.
<unk>f with left facial droop evaluate for acute abnormality.
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ap upright and lateral views of the chest provided. lung volumes are low. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with sob // eval chf vs pneumonia
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain.
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frontal and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>-year-old male with chest pain.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain since <unk>. left side radiates to back.
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diffusely increased reticulonodular interstitial densities likely represent chronic interstitial lung disease. diffusely increased densities could hide a small pulmonary metastases. chest ct is recommended for further characterization of interstitial lung disease and evaluation for possible metastases. the right chest wall port ends in the mid svc. there is no appreciable pleural effusion or focal consolidation. heart size is normal and pulmonary vessels are not congested.
<unk> year old man with pancreatic cancer and mets // baseline chest xray. lungs sound consolidated
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there are no significant interval changes compared to the prior radiograph of <unk>. there are bilateral reticular opacities predominantly in the perihilar regions, corresponding to extensive bronchiectasis which is better demonstrated by ct on <unk>. no new focal consolidations or pleural effusions. no pneumothorax. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted in the aortic arch
<unk> year old woman coughing with blood. // r/o tb reactivation.
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the lungs are clear of consolidation, effusion, or pulmonary edema. the cardiac silhouette is enlarged but stable. left chest wall triple lead pacing device is again seen. degenerative changes seen at the right shoulder.
<unk>m with h/o uri sx, productive cough // eval for cardiopulmonary process, pna
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the cardiac silhouette and pulmonary vasculature are unremarkable. in the right infrahilar region, abutting the right cardiac border, there is a new opacity, which in the appropriate clinical context, may represent pneumonia. no pleural effusion or pneumothorax is present.
history: <unk>m with fever // evaluate for pneumonia
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the lungs are moderately well expanded. an opacity in the left lung base is probably pneumonia. the lungs are otherwise clear. pleural thickening is noted on the right. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. old rib fractures are seen on the right in various stages of healing.
history: <unk>m with shortness of breath // eval pna
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lung volumes are low. the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
<unk>f with persistent cough fevers and chills despite antibiodics // r/o infectious process
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the tip of the intra-aortic balloon pump projects approximately <num> cm below the aortic knob apex. the right ij swan-ganz projects over the descending right pulmonary artery and should be withdrawn <num>-<num> cm. stable mild cardiomegaly without evidence of pulmonary edema. no new focal consolidation concerning for pneumonia or pneumothorax. unchanged intact median sternotomy wires, mediastinal clips, and a left pacemaker.
<unk> year old man with chf, iabp in place. iabp position? interval change?
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right picc tip terminates in the mid svc. lung volumes remain low. the heart size is normal. the aorta remains tortuous. pulmonary vasculature is not engorged. patchy opacities are noted in the lung bases, slightly improved compared to the previous examination, and may reflect atelectasis however recurrent aspiration or infection cannot be completely excluded. no pneumothorax is detected. there is blunting of the right costophrenic angle which may be due to pleural thickening or a trace right pleural effusion. a balloon projects over the left upper quadrant of the abdomen, possibly from a percutaneous gastrostomy catheter. spinal fusion hardware in the lumbar spine is incompletely assessed.
history: <unk>m with fever, cough
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. no evidence of pneumothorax.
history: <unk>m with chest pain. evaluate for pneumothorax.
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the patient is intubated. the endotracheal ends <num> cm above the carina. an orogastric tube follows its expected course although the tip is not visualized. a right port-a-cath and left internal jugular catheter end in the mid svc. small bilateral pleural effusions are unchanged on the left and slightly increased on the right with adjacent atelectasis. retrocardiac opacity is likely atelectasis, but infection cannot be excluded. mild cardiomegaly persists. soft tissue density adjacent to the lateral aspect of the aortic knob is newly appeared, unlikely to be caused by known prevascular lymph nodes. this in conjunction with the left pleural effusion are concerning for dissection.
intubated. evaluate position of endotracheal tube.
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in comparison to the most recent prior study, there is overall little change. surgical chain sutures in the left mid lung with associated scarring are unchanged. cardiomediastinal silhouette is stable. there is no focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with malaise, on chemo w/ ? infection // ? pneumonia
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the heart is normal in size. there is a moderate hiatal hernia. the mediastinal and hilar contours are otherwise unremarkable. there is no pleural effusion or pneumothorax. irregularity of the right clavicle suggests prior fracture.
chest pain.
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old man with pulmonary edema // assess pulmonary edema, r/o pneumonia assess pulmonary edema, r/o pneumonia
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single portable ap radiograph demonstrate interval removal of a a left internal jugular central line. the heart is enlarged though similar in appearance to prior study dated <unk>. there is mild to moderate pulmonary edema, increased since prior study.. no focal opacity convincing for pneumonia is identified. there is no large pleural effusion. .
<unk>-year-old male with renal failure and cough., now with fever.