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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal contours are unremarkable. there is no pleural effusion or pneumothorax. osseous structures demonstrate no acute abnormality.
<unk>-year-old female with chest pain.
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left apical pleural cap and multiple chain sutures are noted, unchanged from the prior examination. bibasilar airspace opacities are stable and likely represent scarring versus fibrotic changes. no new airspace opacities are identified. there is no pneumothorax or overt pulmonary edema. the cardiomediastinal silhouette is stable.
history: <unk>m with nslc undergoing phototherapy c/b recurrent airway obstruction from necrotic tissue now s/p obstructing event. // consolidation, pna, mucuous plugging
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pa and lateral views of the chest provided. port-a-cath remains implanted in the right chest wall with catheter extending to the region of the mid svc. nipple shadows are noted bilaterally. the lungs are clear without evidence of pneumonia or chf. hyperinflation of the lungs suggests underlying copd. the heart and mediastinal contours are stable. the bony structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cough x <num> days, evaluate for pneumonia.
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patient is status post esophagectomy with gastric pull through and sutures are seen in the right perihilar region. the right lung is well expanded and clear. a homogeneous opacity in the left hemithorax is seen obscuring the left diaphragmatic surface and heart and is consistent with a large left pleural effusion with left lower lobe atelectasis, which is unchanged since <unk>. mild prominence of the right hilum is likely related to patient rotation. limited assessment of the upper abdomen demonstrates multiple fluid-filled loops of small bowel with air-fluid levels. the gastric pull-through also appears fluid filled. an enchondroma vs. infarct is noted in the left humeral neck. no interval change in the anterior wedge compression fracture in the lower thoracic spine.
generalized weakness and acute renal failure. assess for pneumonia or pulmonary edema.
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there is a right ij which terminates at the mid svc. the dobbhoff tube appears to extend below the diaphragm with the tip in the body of the stomach. there has been an interval increase in the large right pleural effusion. there is a stable small left effusion. no new focal concerning consolidations are identified. there is no evidence of a pneumothorax. the abdomen demonstrates a non-obstructive bowel gas pattern.
history of postop day <num> status post liver transplant. please evaluate for dobbhoff placement.
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mild left pleural effusion has decreased since prior exam. decreased left basilar opacity. small right pleural effusion is similar. decreased right basilar opacity. increased heart size. normal pulmonary vascularity. sternotomy. chronic fracture left clavicle.
<unk> year old man with left pleural effusion on previous cxr // persistent effusion?
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. right lung base opacities, most likely represent atelectasis. cardiomediastinal silhouettes are unremarkable. heart size is normal. partially imaged upper abdomen is unremarkable. mild deformities of the posterior right ribs, likely relate to remote injuries.
chest pain after fall. assess for injury.
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lateral view is limited secondary to patient's arm being down by his side. the lungs are clear without focal consolidation, effusion, or edema. mild cardiomegaly is noted. there is tortuosity of the descending thoracic aorta. there is no visualized acute osseous abnormality. median sternotomy wires are new since prior.
<unk>m with rue shoulder pain s/p fall // eval for fx
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the heart is not enlarged. aorta is slightly tortuous. the lungs are well-expanded and grossly clear. no chf, focal infiltrate, effusion, or pneumothorax is detected. the right-greater-than-left hila are slightly prominent, but are unchanged compared with <unk>. incidental note is made of an old healed left midclavicular fracture.
history: <unk>m with nstemi // eval ? edema, cardiomegaly, effusion
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since the prior studies, there has been significant interval increase in diffuse bilateral pulmonary opacities, right greater than left, with differential diagnosis including severe multifocal infection, aspiration, significant progression of pulmonary metastatic disease, lymphangitic carcinomatosis. superimposed pulmonary edema is not excluded. the right costophrenic angle is not fully included on the image, but no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are unremarkable and stable.
history: <unk>m with cancer on immunotherapy with sob. // pneumonia?
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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 coffee ground emesis
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cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. persistent patchy interstitial opacities are noted at the lung bases, not substantially changed in the interval. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is identified.
history: <unk>m with known pneumonia treated with levo, now with fevers, chills, hypotension. // monitor for worsening pneumonia
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the heart size remains mildly enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected.
cough, fever, on chemotherapy.
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frontal and lateral views of the chest. the cardiac and mediastinal silhouettes are stable. prominence of the interstitial markings as well as bilateral patchy airspace opacities consistent with pulmonary edema which is new since <unk>. moderate, left greater than right, pleural effusions are unchanged. no pneumothorax is identified. there are surgical clips in the left upper abdomen. there is eventration of the right hemidiaphragm.
<unk>f with sob.
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ap upright and lateral views of the chest provided. there is mild basilar atelectasis. patient is slightly rotated to his left. allowing for limitations, the lungs appear clear. no large effusion or pneumothorax is seen. the heart size appears stable. the mediastinal contour is normal. no acute bony injuries.
<unk>m with multiple falls. poor historian. // pneumonia?
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increased left basilar retrocardiac opacification is likely due to atelectasis. the known left upper lobe mass is better demonstrated on the prior ct scan. paramediastinal scarring and fibrosis is unchanged. the lungs are otherwise clear. there is no pneumothorax.
<unk> year old man with l nodule s/p bronch // r/o ptx
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ap upright and lateral chest radiographs demonstrate low lung volumes. subtle nodular opacities at the left upper lobe are present as demonstrated on prior radiograph. the right lung is clear. bibasilar atelectasis is present. there is no large pleural effusion or overt pulmonary edema. the heart is stably enlarged. a right sided dialysis catheter is in stable position.
<unk>-year-old male with dyspnea.
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ap portable view of the chest demonstrates pacemaker device with leads terminating in the right atrium and right ventricle, unchanged. there is no pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is top normal. there is no pulmonary edema.
patient status post dual-chamber pacemaker placement on <unk>, assess for pneumothorax and lead position.
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linear opacity at the left lung base is likely atelectasis. there is a <num> cm nodule projecting over the left lung apex. lungs are otherwise clear. there is no pneumothorax. cardiomediastinal silhouette is within normal limits. lateral left clavicular fracture is partially visualized, better seen on concurrent shoulder films.
<unk>f with mechanical fall down stairs, endorses hitting head and landing on l chest. tenderness to palpation along l ribs <num>,<num>,<num> //
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heart size and cardiomediastinal contours are stable with minimal tortuosity of the aortic contour. biapical pulmonary scarring is similar to prior. prominence of the right peritracheal soft tissues is similar to prior films from <unk> and <unk> and may relate to the patient's known multinodular goiter. no chf, focal consolidation, pleural effusion, or pneumothorax is detected. slight anterior wedging of a mid thoracic vertebral body, ? t<num>, is unchanged compared with <unk>.
<unk>f with cp // evidence of pneumothorax or pneumonia
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a linear area of scarring in the right upper lobe is unchanged, likely from prior infection. previously described left midlung opacity is not seen on today's exam, compatible with resolving pneumonia. the cardiomediastinal silhouette is unremarkable. the lungs are otherwise well inflated, and the pleural and hilar surfaces are normal.
<unk> year old woman with ?pneumonia on ed cxr, asthma, ?other inflammatory process (css) // eval for infiltrate
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portable chest radiograph demonstrates a new enteric tube descending and uncomplicated course, its terminal end within the expected location of the stomach. the side port appears to be at the gastroesophageal junction. recommend advancing <num> cm for standard position. a right picc is seen terminating at the mid svc. the cardiomediastinal contour is stable. the lungs appear unchanged with no new focal consolidations. no pneumothorax.
<unk>-year-old female with dobbhoff tube placement.
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moderate enlargement of the cardiac silhouette is present. the aorta is slightly unfolded. hilar contours are normal. there is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormality is present. right glenohumeral mild to moderate degenerative changes are noted.
history: <unk>f with hypoxia, wheeze // evaluate for pneumonia
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lung volumes are low. the cardiomediastinal silhouette is within normal limits. osseous structures are unremarkable.
history: <unk>m with fevers // eval for pna
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the osseous structures are unremarkable.
back pain and cough. evaluate for pneumonia.
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there is a small right and possible small left pleural effusion. superimposed bibasilar opacities may be secondary to atelectasis, infection not excluded. indistinct pulmonary vascular markings with mild edema is also noted. cardiac silhouette is difficult to assess given silhouetting bilaterally.
<unk>m with sob, hx chf // ? effusions, cnosolidation
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. there is no free air.
fever, palpitations, nausea, and vomiting.
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mild cardiomegaly is present with a left ventricular predominance. mediastinal and hilar contours are unchanged with mild atherosclerotic calcifications seen in the aortic arch and descending thoracic aorta. the pulmonary vasculature is not engorged. increased interstitial opacities are noted diffusely with reticulation and honeycombing at the lung bases, findings compatible with a chronic fibrosing interstitial lung disease, not substantially changed in the interval. no new focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m with dizziness, fall
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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 displaced fracture is seen.
history: <unk>m with r rib pain after fall // rr/o r rib fx
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normal heart, lungs, pleura and mediastinal surfaces.
<unk>-year-old woman with fever. evaluate for pneumonia.
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the heart size is normal. the hilar and mediastinal contours are normal. no pleural effusions are identified. there is no evidence of pneumothorax. no focal consolidations concerning for infection are identified.
history of chest pain, please evaluate for pneumonia.
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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.
history: <unk>m with myopericarditis, increased chest pain and cough
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in comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette, however, the bilateral pulmonary opacifications have decreased, consistent with resolving pulmonary edema. probable small bilateral pleural effusions persist. tip of the right ij catheter is in the mid-to-lower portion of the svc.
sickle cell with acute chest symptoms.
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ap upright and lateral views of the chest provided. retrocardiac opacity on the frontal view corresponds with a left pleural effusion. there is also likely compressive left lower lobe atelectasis. the right lung is clear. no pneumothorax though skin folds project over the lung apices simulating pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact.
<unk>f with altered mental status // eval ? infection
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low lung volumes with bilateral pleural effusion left greater than right. there is also dense left retrocardiac opacity can be left lower lobe collapse or consolidation.
<unk> year old woman with endometritis and e coli sepsis on zosyn now with new onset cough. // rule out pna
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lung volumes are low which limits assessment. a left-sided tunneled dialysis catheter is in-situ, unchanged in appearance when compared to the prior study. a tracheostomy in-situ. a right-sided picc terminates in the ls. pain in cell drain is in-situ small is unchanged in appearance when compared to the prior study there may be a small adjacent pneumothorax. this area is difficult to evaluate. there is persistent prominence of the pulmonary vasculature consistent with pulmonary vascular congestion. increased opacity is right noted in the right lower lung likely reflect a combination of both pleural effusion and atelectasis.
<unk> year old man w/ chronic hypoxic respiratory failure, hcap, s/p left pigtail for pleural effusion, now on hd // interval change
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a single portable ap chest radiograph was obtained. prominance of the upper lobe vasculature has progressed since <unk>. moderate-to-severe cardiomegaly is unchanged. there are no new abnormal cardiac or mediastinal contours.
weakness.
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since the intraoperative fluoroscopic image obtained on <unk>, the swan-ganz catheter has been slightly retracted and now terminates in the proximal right pulmonary artery. endotracheal tube terminates <num> cm above the carina. enteric tube extends to the body of the stomach. there are <num> chest tubes on the left. status post lvad and left atrial appendage ligation. since <unk>, lung volumes are much lower. dense left retrocardiac opacity likely represents atelectasis. pulmonary vascular congestion is mild. no sizable pleural effusion or pneumothorax. heart size is mildly enlarged, with minimal pneumopericardium. widened mediastinum is consistent with postoperative change.
<unk> year old man s/p lvad placement, <unk> ligation. // fast track extubation cardiac surgery, ?line placement, ?ptx/effusion
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of nausea, vomiting, and chest pain. please evaluate.
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right ij central line tip in the right atrium, similar. sternotomy, with mvr. there are bilateral pleural effusions, mildly worsened on the right. increased right basilar opacity, likely atelectasis. increased heart size, pulmonary vascularity. minimal retrosternal pneumomediastinum, in keeping with recent surgery. stable left basilar atelectasis.
<unk> year old woman pod <unk> mvr // effusion/atelectasis
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there has been interval removal of a left apical chest tube. there is no pneumothorax. et tube is again seen in stable position. enteric tube is present with tip in the stomach. a left internal jugular catheter is seen again with tip in the left brachiocephalic vein near the junction with the svc. cardiomediastinal and hilar contours are stable. there is a new small to moderate right pleural effusion, and the small left pleural effusion has increased in size. there is no focal opacity concerning for pneumonia. again seen are multiple displaced left posterior rib fractures.
<unk> rollover, chest tube removal.
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frontal and lateral views of the chest. lower lung volume seen on the current exam. the lungs, however, remain clear without effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected.
<unk>-year-old female with right-sided chest pain.
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low lung volumes accentuate bronchovascular markings. similar to the prior examination in <unk>, increased opacification involving the lateral right chest likely a combination of soft tissue and pleural thickening associated with chronic rib fractures. the lungs are clear. no pulmonary edema. no effusion or pneumothorax.
history: <unk>m with chf, dyspnea on exertion // pulmonary edema, infiltrate, effusion
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the endotracheal tube is still low, ending <num> cm above the carina and should be retracted to avoid bronchial intubation. the new orogastric tube again is malpositioned in the the left main stem bronchus extending into the left lower lobe. bilateral lung opacities are unchanged. a gastrostomy tube projects over the left upper quadrant.
evaluate orogastric tube placement.
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cardiomediastinal contours are unchanged. aside from minimal left lower lobe atelectasis, the lungs are clear. there is no pneumothorax or pleural effusion. there are minimal degenerative changes in the thoracic spine. port a- cath tip is in the cavoatrial junction.
<unk> year old woman with fever and neutropenia // evaluate for pneumonia, effusion
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frontal and lateral chest radiographs demonstrate stable cardiomegaly. mediastinal and hilar contours are unremarkable. the lungs are clear. no pleural effusion or pneumothorax identified. sternotomy sutures are in place. prosthetic aortic valve is visualized. no osseous abnormality evident.
worsening dyspnea on exertion for six weeks despite increasing lasix, evaluate for acute process.
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portable supine chest film <unk> at <time> is submitted.
<unk> year old woman with fever, intubated and concern for aspiration // r/o consolidation r/o consolidation
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distal end of ng tube is in proximal stomach. stable moderately enlarged cardiac silhouette with dilated azygos vein and vascular engorgement. no pleural effusions or pneumothorax. partial clearing of right lower lobe opacity. hila are normal. no bony abnormality.
alcoholic hepatitis with ng tube placement.
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the lungs are well-expanded. no focal airspace consolidation concerning for pneumonia is identified. there is no pneumothorax or pleural effusion. the cardio mediastinal silhouette is stable.
history: <unk>m with <unk> edema and dyspnea // evidence of fluid overload
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patient is status post median sternotomy and mitral valve repair. right-sided port-a-cath tip terminates at the junction of the svc and right atrium. left-sided dual-chamber pacemaker device is re- demonstrated with leads in the right atrium and right ventricle. heart size is normal. aortic knob calcifications are re- demonstrated. mediastinal and hilar contours are unchanged. small right pleural effusion which is partially loculated laterally and medially appears relatively unchanged as is a small left pleural effusion. lungs remain hyperinflated with streaky opacities in the lung bases, potentially atelectasis though infection cannot be excluded. no pneumothorax is identified, and no pulmonary vascular congestion is present. the patient is status post left mastectomy and breast implant. cholecystectomy clips are noted in the right upper quadrant of the abdomen. there are no acute osseous abnormalities.
history: <unk>f with altered mental status
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ap portable upright view of the chest. there has been interval placement of a right ij central venous catheter with its tip in the lower svc. in the interval, there has been development of bilateral mid to lower lung opacities concerning for aspiration given rapid development and history seizure. cardiomediastinal silhouette is unchanged. no definite bony injury.
<unk>m with seizures
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<num> views were obtained of the chest. moderate-sized left pleural effusion may be loculated and is located anteriorly with accompanying opacification of the left lung base which may reflect compressive atelectasis though a component of infectious pathology cannot be excluded. left apical pleural thickening and surrounding interstitial abnormality is of uncertain acuity given absence of prior studies though in the setting of prior breast cancer, this could reflect post radiation changes. mild right basilar opacity is also of uncertain significance and could reflect atelectasis or infectious process. the heart and mediastinum are unremarkable though slightly shifted to the right. no pneumothorax.
breast cancer and radiation with nonproductive cough.
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the patient is status post drainage of a moderate right pleural effusion with a new small right basilar loculated pneumothorax. the right lower lobe is partially atelectatic. the left lung is clear. the heart and mediastinum are magnified by the projection.
<unk> year old man with recurrent pleural effusion // post medical thoracoscopy, pleural bx and pleurx
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again seen is a large heterogeneous mass in the region of the right upper lobe and the left perihilar region, consistent with known metastatic disease. a stent is positioned within the left main bronchus and right bronchus intermedius. there is no evidence of pneumothorax. in comparison to the prior study, there is moderate reduction of the left lung volume, with a new small-to-moderate left pleural effusion.
metastatic rcc. stent in the bronchus intermedius, with a new stent in the left main bronchus, to check the position of the stent and evaluate for pneumothorax.
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. old healed posterior right ninth rib fracture is noted.
<unk>m with cxr // fx?
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frontal and lateral views of the chest. linear left base and right perihilar opacities may be due to atelectasis given lower lung volumes. elsewhere, the lungs are clear. there is no effusion or pulmonary vascular congestion. surgical clips project over the right lung apex as on prior. the cardiomediastinal silhouette is within normal limits. posterior fixation hardware is seen at the lower thoracic, upper lumbar region as on prior. no acute osseous abnormality is detected.
<unk>-year-old male with neck and arm pain.
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interval placement of a left picc line, probably terminating within the lower svc. evaluation is partially limited by extensive spinal fusion hardware placement. the lung volumes are noted to be low, with resultant crowding of the bronchovascular structures. there is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema identified. the heart size is top-normal. the mediastinal contours are stable.
picc line evaluation.
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frontal and lateral views of the chest. the heart size and cardiomediastinal contours are normal without pneumomediastinum. biapical scarring is unchanged. the lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with pain with swallowing status post thyroidectomy. evaluate for pneumonia and pneumomediastinum.
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there is new near complete opacification of the left hemithorax compatible with a large left effusion layering posteriorly. there is associated volume loss given that the heart is shifted to the left side of the chest. the right lung demonstrates pulmonary vascular redistribution and hazy alveolar infiltrates most marked in the mid and lower lung. right-sided picc line with tip in svc is unchanged. the et tube and ng tube are unchanged.
et tube and volume overload.
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an et tube is present, in satisfactory position approximately <num> cm above the carina. a left ij central line is present, tip over mid svc. an ng tube is present, tip extending beneath the diaphragm off the film. no pneumothorax is detected. compared to the prior film, again seen are focal relatively confluent opacities in the left lung laterally and in the right perihilar region, though no clear cut air bronchograms are identified. there is also upper zone redistribution and diffuse vascular blurring, consistent with chf. there is increased left lower lobe collapse and/or consolidation, now with obscuration of the left hemidiaphragm and a small left effusion. probable atelectasis at the right lung base. minimal opacity in the right costophrenic angle could represent either atelectasis or small amount of fluid. spinal hardware noted.
<unk> year old woman with multifocal pna now s/p intubation. // s/p intubation, confirm ett and ogt placement
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rotated positioning, which considerably distorts in limits assessment of the cardiomediastinal silhouette. allowing for this, there are sternotomy wires and a prosthetic valve, mid probable prominence of the cardiomediastinal silhouette. possible prominence of the left pulmonary artery. possible background copd. there is mild vascular plethora. there is patchy opacity at the left lung base, consistent with collapse and/or consolidation. a small effusion would be difficult to exclude. possible minimal blunting at the right costophrenic angle. atelectasis at the right base cannot be excluded.
<unk> year old woman with bradycardia and complete heart block // evaluation
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no significant change from the prior study including bibasilar atelectasis and blunting of the right costophrenic angle/ mild right pleural thickening. right hilum is similar in appearance. cardiac and mediastinal silhouettes are grossly stable. no pneumothorax is seen.
history: <unk>f with chest pain, known stage <num> lung ca // chest pain, known stage <num> lung ca
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the lungs are clear. cardiac silhouette is normal. no pleural effusion or pneumothorax or rib fracture.
right upper quadrant pain.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. prior right picc is no longer seen. no acute osseous abnormalities.
<unk>m with chest pain // eval for pna
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pa and lateral views of the chest <unk> at <num> are submitted
<unk> year old woman with pleural effusions // evaluate pleural effusions evaluate pleural effusions
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the heart is borderline in size with a left ventricular configuration. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear.
dizziness.
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patient is status post median sternotomy and cabg. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.
history: <unk>m with l arm numbness and weakness // eval for infectious process
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et tube tip <num> cm above the carina. local increase in caliber about the distal et tube immediately above the level of the medial clavicular heads raises the question of slight distension of the et tube balloon/cuff. the appearance is improved compared with <unk>, but remains slightly prominent. the ng tube tip and side-port extend beneath diaphragm, with the ng tube tip extending off the film. . right ij central line tip overlying the upper/mid right atrium, unchanged. no pneumothorax is detected. mild cardiomegaly is unchanged. minimal upper zone redistribution and slight is also unchanged. patchy bibasilar opacities are probably similar. however, on the current study, there is partial obscuration left hemidiaphragm. no right pleural effusion. small left effusion would be difficult to exclude. known left-sided rib and scapular fractures are noted, but not well depicted radiographically.
<unk> year old woman intubated // interval change
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
cough, fever and lymphadenopathy.
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pa and lateral views of chest demonstrate the patient is status post right wedge resection with chain sutures in the right midlung with associated volume loss and vague opacity in the midlung is unchanged, likely post-surgical. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema or focal consolidation. no pneumothorax is identified.
right-sided chest pain. evaluation for pneumonia.
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there is a dual-lead pacemaker/icd device with leads in similar positions, terminating in the right atrium and ventricle, respectively. the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. small osteophytes are noted along the mid-to-lower thoracic spine.
neurological symptoms. question pneumonia. infection workup in progress.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia or chf in a patient with chest pain.
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new small left pleural effusion since <unk>. focal pulmonary abnormality with increased opacification left lung base, which could be secondary to infection or infarct post operatively. right lung atelectasis. no pulmonary edema or pneumothorax. cardiomediastinal contours and hila are stable. the right picc line appears intact and unchanged in position. bilateral tiny crescentic lucencies under the diaphragm, consistent with pneumoperitoneum postoperatively. surgical coils in the right upper quadrant appear intact and unchanged in position a portion of the drain in the right upper quadrant also appears intact and unchanged.
<unk>-year-old woman with locally advanced cholangiocarcinoma, status-post exploratory laparotomy, gastric antral biopsy, bile duct excision and gastrojejunostomy for unresectable disease who now presents with a post-operative fever. evaluate for pneumonia.
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pa and lateral views of the chest demonstrate a nodular opacity in the right midlung and a hazy opacity in the left lung base posteriorly, both possibly reflecting an infectious etiology in the appropriate clinical setting. otherwise, the lungs are well expanded and demonstrate no pleural effusion, pneumothorax or overt pulmonary edema. the cardiomediastinal silhouette is unremarkable. multiple mild toracic vertebral body compression deformities are present and are of indeterminate age, correlation with prior imaging is recommended when available.
evaluation for pneumonia. transplant patient on tacrolimus.
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ap supine view the chest provided. midline sternotomy wires and mediastinal clips again noted. cardiomediastinal silhouette is stable. lungs remain clear. bony structures are unchanged. no definite fracture is seen. degenerative changes at both shoulders noted.
<unk>m with multiple falls // evidence of fracture
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lines and tubes: enteric tube, right picc, pacemaker and pacer wires are unchanged in position. lvad device, partially visualized. lungs: low lung volumes with unchanged dense retrocardiac opacity. interval improvement in pulmonary edema. pleura: likely small left pleural effusion. no pneumothorax. mediastinum: there is unchanged cardiomegaly and enlargement of hilar vessels. bony thorax: no interval change.
<unk> year old man with as above // s/p vad insertion w/hypoxia and tachynpnea r/o effusion/ptx
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pa and lateral views of the chest. the lungs are clear. there is no effusion, pulmonary vascular congestion nor pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
<unk>-year-old male with chest pain.
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pa and lateral views of the chest provided. left chest wall pacer device is seen with leads extending into the right heart. midline sternotomy wires are also noted. the lungs are 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>f with pacer and hs perocardial effus pls eval for edema
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pa and lateral views of the chest. there is left lower lobe patchy opacity. the lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old female with fever and cough.
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pa and lateral views of the chest demonstrates the lungs are well expanded and clear. there is a dual lead pacemaker device with leads terminating in the right atrium and right ventricle, as before. additionally, a port-a-cath is in place projecting over the right chest, terminating in the mid to lower svc, as before. there is no evidence of pneumothorax. left apical pleural thickening is again seen, previously described is postradiation fibrosis. the breast shadows are asymmetrical, in keeping with left breast prosthesis. the cardiomediastinal silhouette is unremarkable and no focal pneumonia is present. there is no pleural effusion.
shortness of breath on exertion.
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the cardiomediastinal silhouette is normal. there is no focal consolidation. there is no pleural effusion or pneumothorax. there is no acute osseous abnormality. a hiatal hernia is present and has increased in size from <unk>.
<unk>f with vision change, evaluate for pneumonia..
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enteric tube ends in the stomach. left picc ends at the origin of the svc. there is stable elevation of the right hemidiaphragm with adjacent atelectasis. left lower lobe atelectasis is unchanged. there is possibly a small left pleural effusion. no pneumothorax. no focal consolidation.
altered mental status and cough.
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there is marked cardiomegaly; given the morphology, a pericardial effusion could also be considered. retrocardiac opacification is not specific, but probably includes a pleural effusion. vague opacity in the right lower lung is not entirely specific but suggestive of fluid along the major fissure. the visualized osseous structures are unremarkable.
history of altered mental status. please evaluate for pneumonia.
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the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous. there is moderate pulmonary vascular congestion with mild pulmonary edema. blunting of the bilateral posterior costophrenic angles suggests trace pleural effusions. there is a large hiatal hernia with adjacent atelectasis. compression of at least <num> lower thoracic vertebral bodies is seen, of indeterminate age given lack of priors for comparison. no pneumothorax is seen
history: <unk>f with crackles in chest // eval for pulm edema
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. no free air below the diaphragm.
<unk>m with intractible paroxysmal hiccups x<num>d // diaphragmatic lower lobe related process? intractible paroxysmal hiccups x<num>d
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portable supine chest radiograph <unk> at <time> is submitted. please note that as the patient was imaged in the supine position, the sensitivity to detect pneumothorax is diminished.
<unk> year old woman with recent tension ptx s/p ct now with hr <num>p // eval for ptx eval for ptx
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia.
<unk>m with syncope.
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pa and lateral views of the chest. again seen is a prominent epicardial fat pad. there are no focal consolidations. there is no pleural effusion or pneumothorax. again seen is kyphosis of the thoracic spine. the cardiomediastinal silhouette is stable. calcified granuloma in right lower lobe is unchanged.
<unk>-year-old female with chest pain, question pneumonia.
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frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or focal consolidation.
history: <unk>m with cough, weakness // evidence of pneumonia
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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.
<unk>m with fever // ?pna
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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. multiple left-sided rib fractures are re- demonstrated. old mid left clavicular fracture is also a re- demonstrated.
history: <unk>m with chest pain s/p major trauma with multiple rib fx // ? pna
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the patient has been extubated. generalized increased ground-glass type opacities throughout the lung parenchyma are seen, mildly improved. poor inspiratory effort. no good evidence of pneumothorax.
<unk>f w/ ild s/p vats s/p chest tube extraction // evaluate for ptx
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the cardiac silhouette is top-normal to mildly enlarged. there is pulmonary vascular congestion. no large pleural effusion is seen. minimal left mid to lower lung lingular atelectasis/scarring is seen. there is no focal consolidation. no evidence of pneumothorax. mediastinal contours are unremarkable.
history: <unk>f with chest pain, stemi // eval cardiomegaly
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the cardiomediastinal and hilar contours are normal. there is no pneumothorax. the appearance of the right lung is overall similar with opacification at the right apex and the base. slightly increased interstitial markings in the left lung may indicate some mild vascular congestion, but this is difficult to determine without a baseline chest radiograph examination. there is no new consolidation concerning for pneumonia.
<unk>m with hcc, weakness and unsteady gait, sob with crackles, cr for effusion.
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frontal chest radiograph demonstrates a normal cardiomediastinal silhouette. lungs are well aerated. there is no clear consolidation, pleural effusion, or pneumothorax, but there is a very slight increase in radiodensity of the right lower lung just above the diaphragm compared to the left. it would be very useful to obtain conventional radiographs, particularly the lateral view to re-evaluate this area. . the visualized upper abdomen is unremarkable.
shortness of breath. evaluate for pneumothorax or pneumonia.
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the right-sided central line is unchanged. cardiac and mediastinal silhouettes are similar. there continues to be elevation right hemidiaphragm. there is a new region of volume loss/ atelectasis in the right lower lung.
<unk> year old man with fever // r/o pna
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pa and lateral chest radiographs were provided. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the bones are intact.
<unk>-year-old with fever and tachycardia, evaluate for pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. small right apical pneumothorax has improved. mild right lung atelectasis and pleural effusion are slightly improved. subcutaneous emphysema over the right lateral chest wall is slightly improved. minimal atelectasis at the left base appears similar to prior. no focal consolidation. right lung surgical clips are stable from prior.
<unk> year old man with rll and rul mass, nsclc now s/p vats rul lobectomy // post op follow up/ compare with previous imaging
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there is bibasilar atelectasis as well as mild interstitial abnormality and pulmonary vascular engorgement. moderate cardiomegaly is unchanged. there is no pneumothorax. there is no pleural effusion.
<unk>-year-old man with shortness of breath.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. obscuration of the left heart border by left upper lobe atelectasis is chronic. lateral view shows a small region of atelectasis or pneumonia in the right middle lobe. no pleural effusion or pneumothorax is seen.
<unk>m with shortness of breath and cough // r/o chf/pneumonia