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ap upright and lateral views of the chest provided. lung volumes are low. allowing for this, there is no focal consolidation, effusion, or pneumothorax. no overt edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cough, sputum, dyspnea // eval for pneumonia
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there is a been interval placement of a right internal jugular approach hemodialysis catheter, with tip terminating in the right atrium. the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. lung volumes are slightly low with atelectasis at the right base. the upper abdomen is unremarkable.
<unk>m with left sided chest pain // ?ptx, pna
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as compared to <unk>, moderate left-sided effusion has not substantially changed. small right-sided effusion slight increase and adjacent opacification. pulmonary vascular congestion has also slightly increased. moderate cardiomegaly. no pneumothorax.
<unk> year old man perisistent cough and rising wbc count, poss pna on prior cxr // eval for pna
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pa and lateral views of the chest provided. areas of basal scarring are unchanged from recent prior ct. otherwise lungs are clear. the heart is top-normal in size. mediastinal contours unremarkable. bony structures are intact.
<unk>m with dyspnea // evaluate for acute process
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pa and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. heart size, mediastinal contour, and hila are unremarkable. bony structures intact.
<unk>f with cough, wheezing, and sob x <num> weeks. assess for pneumonia
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
left-sided chest pain and shortness of breath.
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frontal and lateral views of the chest. there is increased pulmonary edema when compared to prior. blunting of the posterior costophrenic angle is compatible with small effusions. there is no confluent consolidation. moderate cardiomegaly again noted. single-lead pacing device is identified. median sternotomy wires are identified as well as coronary stents. no acute osseous abnormalities.
<unk>-year-old male with shortness of breath.
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opacity in the medial right lower hemithorax likely reflects volume loss in the right middle lobe seen on prior ct although pneumonia cannot be excluded. no edema, effusion, or pneumothorax. heart size is normal. mediastinal contours are unchanged. a hiatal hernia is small. rib fractures on the right are similar in appearance. incompletely imaged right humerus fixation hardware.
<unk> year old woman with fever and hypoxia. evaluate for acute process.
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compared to <unk>, there is been interval removal of a right picc. lungs are well expanded. mild pulmonary edema is similar with persistent prominence of the azygos vein and vascular pedicle. no focal consolidation. no pleural abnormality. mild cardiomegaly is unchanged. cardiomediastinal and hilar silhouettes are unremarkable.
<unk> year old man with copd and known to require <num>l supplemental oxygen requiring <num>l for <unk>% // assess for acute process
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since the most recent cxr at <time>am today, the dobbhoff tube has been advanced post-pyloric, now terminating in the <unk> portion of the duodenum. there are no other relevant interval changes. other support lines and devices are stable in position. minimal right lung base atelectasis. no other significant pulmonary abnormalities.
<unk> year old man with s/p cabg // low film to eval dht
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<num> left chest tubes have been placed. stable mild left pleural effusion, partially loculated. mildly improved left perihilar opacity. stable left basilar opacity. right lung is clear. probable tiny right pleural effusion. heart size, pulmonary vascularity are normal. no pneumothorax.
<unk> year old man s/p left decortication // evaluate tube position
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frontal and lateral views of the chest. high position of the ivc filter is similar to prior. heart size and cardiomediastinal contours are stable. aortic knob calcification is unchanged. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
weakness.
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<num> portable views of the chest. there is a new right-sided ij central venous catheter with tip at the ra/svc junction or within the upper right atrium. mild bibasilar opacities are seen although somewhat less conspicuous at the right lung base when compared to earlier chest x-ray. there is no pneumothorax. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits.
<unk>-year-old female status post central line placement.
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frontal and lateral views of the chest demonstrate no consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. hilar and mediastinal silhouettes are unremarkable. heart size is normal.
chest pain and shortness of breath.
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compared to the prior study there is interval increase in the cardiomegaly and pulmonary vascular redistribution. there are patchy areas of alveolar infiltrate bilaterally compatible with fluid overload. the et tube is <num> cm above the carinal. large bore catheter tip is in the right atrium. ng tube is unchanged. no pneumothorax
<unk> year old woman with esrd on hd here with respiratory failure s/p multiple attempts at lij and left subclavian // ? pneumothorax
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right-sided port-a-cath tip terminates at the junction of the svc and right atrium. patient is status post median sternotomy and cabg. left-sided aicd device is again noted with leads terminating in the region of the right ventricle, unchanged. moderate enlargement of cardiac silhouette is unchanged, and there is mild pulmonary edema perhaps minimally improved in the interval. streaky opacities in the lung bases most likely reflect areas of atelectasis, without new focal consolidation present. no large pleural effusion or pneumothorax is again seen. a pleural base mass within the left apex with osseous involvement and pathologic fracture of the left third rib laterally is re- demonstrated.
history: <unk>m with recurrent ventricular tachycardia
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compared to the most recent prior study, multifocal pneumonia of the right lung is clearing with residual opacities present in the right upper lobe and right middle lobe. again seen are calcified pleural plaques and peripheral interstitial opacities compatible with history of asbestosis. pulmonary edema has improved. the cardiomediastinal silhouette is mildly enlarged as seen previously. there is no pneumothorax or pleural effusions. median sternotomy wires are intact.
<unk>-year-old man status post avr. evaluate for interval change.
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the lungs are moderately well expanded. extensive calcified and noncalcified pleural plaques are unchanged from prior exam and are suggestive of prior asbestos exposure. there is an unchanged opacity in the right lung base, which may represent scarring related to the pleural plaques or possibly interstitial disease. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk> year old man with multifocal "pneumonia" at osh, rxd with abx and steroids // assess for improvement c/w <unk> osh cxr to be uploaded to pacs.
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again seen is a pacemaker type device, overlying the left upper chest, with <num> leads noted. it the inferior approach catheter seen on the prior film, presumably a swan-ganz catheter, has been removed. if again seen is a left-sided chest tube. no well-defined pneumothorax is identified, though subtle pneumothorax might not be apparent on this exam. on today's exam, a thin linear lucency projects over the cardiac silhouette, of uncertain etiology or significance. there has been some interval clearing of the left lower lobe collapse and/or consolidation, with partial visualization of the left hemidiaphragm on today's exam. vascular engorgement left upper zone is again noted, similar to the prior study. possibility of a small left effusion would be difficult to exclude. subcutaneous emphysema along the lower left chest wall again noted. the right lung is unchanged, with atelectasis in the infrahilar region. no chf or right pleural effusion identified. note is made that the right cardiac border is well defined. small calcified granuloma in the right upper lung is again noted.
<unk> year old man with vt s/p sympathectomy and ablation // eval interval change in l hemothorax
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there low lung volumes resulting and bronchovascular crowding. indistinctness of the hila bilaterally as well as cephalization of vessels is consistent with pulmonary vascular congestion. the heart remains enlarged. there is no pleural effusion, pneumothorax, or consolidation. the patient is status post median sternotomy, cabg, mitral valve replacement, and placement of left-sided dual-lead pacemaker which is in standard position. the anchor in the right humerus is in unchanged position.
history: <unk>f with dizzy and concern for tia // ich?
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there is a mild right peribronchial opacity which could be an early pneumonia. no pleural effusion or pneumothorax is seen. cardiac, hilar, and mediastinal contours are normal. the right picc ends in the cavoatrial junction.
<unk> year old woman with intravascular b-cell lymphoma. has decreased lung sounds and asymmetrical chest expansion. // r/o pleural effusion
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged, stable. mild prominence of the central pulmonary vasculature is stable and may be due to mild pulmonary vascular engorgement. no pulmonary edema is seen..
history: <unk>f with cough x<num> month, dyspnea on exertion x<num> day // eval heart and lungs
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very shallow inspiration accentuates heart size, pulmonary vascularity. there is new left chest tube in place. no pneumothorax. bibasilar opacity, likely atelectasis. there is small volume subcutaneous emphysema.
<unk> year old man s/p vats and left upper lobe wedge resection // eval for post-op changes
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the known opacification of the left lung shows mild interval improvement compared to previous imaging. difficult to comment on the heart size. right-sided ijv cvp in situ with the tip at the cavoatrial junction. the right lung is clear. no sinister bony lesion.
<unk> year old woman with pna and worsening sob // interval change
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single portable supine chest radiograph was provided. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. there is a stable calcified density in the left hilum. the cardiomediastinal silhouette is normal. the bones are intact. a clip is present in the superior mediastinum. the imaged upper abdomen is unremarkable.
<unk>-year-old male with liver transplant in <unk> presents with general malaise for <num> week. question pneumonia.
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as on prior, low lung volumes are seen. there has, however, been interval clearance of the retrocardiac opacity seen on the previous lateral view. cardiomediastinal silhouette is unchanged and likely within normal limits given positioning and low lung volumes. no acute osseous abnormality is identified.
<unk>-year-old male with fevers for one day.
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there is an opacity in the right lower lobe, which also has a correlate on the lateral view. the heart size is normal. the hilar and mediastinal contours are normal. there may be a small right pleural effusion. there is no evidence of pneumothorax. the visualized osseous structures are unremarkable.
history of pneumonia for <unk> days.
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the lung volumes are low. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the cardiac size is at the upper limits of normal.
cough and chest pain.
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heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with hypoxia, fever
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the patient is status post median sternotomy and cabg. low lung volumes are present which accentuates mediastinal widening and the size of the heart. the cardiac silhouette size is at least mildly enlarged. the aorta is tortuous. there is crowding of the bronchovascular structures without overt pulmonary edema. patchy bibasilar airspace opacities may reflect atelectasis but infection cannot be excluded. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is seen.
history: <unk>m with right sided chest pain and fever
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax.
crohn's disease, presenting with nausea and vomiting. evaluate for aspiration or prior tuberculosis exposure.
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the heart appears to be borderline enlarged. the mediastinal contours are unremarkable. there are low lung volumes which causes crowding of the bronchovascular structures, but no overt pulmonary edema is demonstrated. elevation of right hemidiaphragm is age indeterminate. atelectasis is demonstrated in both lung bases. no left-sided pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
tachypnea.
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mild enlargement of the cardiac silhouette is stable. the mediastinal and hilar contours are unchanged. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.
cocaine and alcohol abuse with chest pain.
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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. anterior osteophytes are noted within the mid thoracic spine.
fevers, weakness
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there is a left ij central venous catheter which terminates at the cavoatrial junction. lung volumes are low. prominence of the cardiomediastinal silhouettes likely relates to low lung volumes and ap technique. the hila are unremarkable. mild prominence of the interstitium diffusely likely relates to crowding of normal bronchovascular structures. there is bibasilar atelectasis. there is no focal lung consolidation. there is no evidence of pulmonary vascular congestion. it is difficult to exclude trace bilateral pleural effusions. there is no pneumothorax.
<unk>-year-old woman with left ij central venous line placement.
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frontal and lateral radiographs of the chest were acquired. there are new patchy opacities in the right lower lobe, streaky in nature and probably due to minor atelectasis, although not completely specific. the lungs are otherwise clear. the heart size is top normal. the mediastinal contours are normal. there are no pleural effusions. minimal biapical pleural thickening is noted, unchanged. there is no pneumothorax.
chest pain. evaluate for fluid overload or mediastinal widening.
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hyperexpansion and elevation of the left hemidiaphragm are unchanged from prior studies. a left pectoral pacemaker and its leads project in unchanged location. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is stable. multiple with thoracic compression fractures are noted with radiodensity in the upper lumbar spine consistent with prior vertebroplasty.
<unk>f with mild crackles at bilateral lung bases, evaluate for pneumonia or pleural effusion.
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a port-a-cath terminates at the cavoatrial junction. the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. there is similar moderate relative elevation of the right hemidiaphragm with streaky right basilar opacity suggesting minor atelectasis or scarring. however, otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax. small anterior osteophytes are present throughout the thoracic spine with similar mild loss among mid thoracic vertebral body heights.
chest pain, cough. question pneumonia.
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linear streaky opacity in the left lower lobe is similar to ct chest <unk>, and consistent with linear atelectasis. 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 sob, wheezing // eval for pna
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single frontal view of the chest. new right chest wall port is seen with catheter tip in the right atrium. based on the single view, the lungs are grossly clear. cardiomediastinal silhouette is unchanged, and a tortuous aorta noted. no acute osseous abnormality is identified. post-surgical hardware seen at the right humeral head.
<unk>-year-old female with altered mental status and abdominal pain. possible fall with head strike.
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a new right hemodialysis catheter ends in the right atrium just beyond the atriocaval junction. a right internal jugular catheter ends at the atriocaval junction. bilateral moderate pleural effusions are unchanged. the bilateral heterogeneous hazy opacities have slightly worsened from the prior radiograph, suggesting worsening pulmonary edema. there is no pneumothorax. moderate enlargement of the cardiac silhouette is unchanged.
history of ards from pneumonia. evaluate for interval change.
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there are small pleural effusions with bibasilar atelectasis. vascular congestion bilaterally has improved overall.no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> y/o s/p ct removal with fluid coming from ct site // eval for pleural effusion
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the heart is normal in size. the aortic arch is calcified. otherwise, the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. crowding of posterior lung volumes suggests minor volume loss in dependent areas, but otherwise the lungs appear clear.
syncope.
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there is no focal consolidation, pleural effusion or pneumothorax. there is mild pulmonary vascular congestion. the heart remains enlarged, similar to the prior exam. the imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>m with shortness of breath // eval for pna or ptx
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the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with productive cough.
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there is no focal consolidation. note is made of mild interstitial pulmonary edema. no pleural effusion or pneumothorax. mild cardiomegaly. no subdiaphragmatic free air.
history: <unk>f with cough, malaise // evaluate for infiltrates or effusion
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heart size remains mild to moderately enlarged. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is detected. no acute osseous abnormality is visualized. degenerative changes at the thoracolumbar junction are noted.
history: <unk>m with hemoptysis
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a right internal jugular catheter is in-situ, the tip is in the mid svc. the patient is intubated, the endotracheal tube terminates <num> cm above the carina. a nasogastric tube is in-situ, the tip is out of view but below the diaphragm. left basal opacity is unchanged, likely reflecting atelectasis but superimposed infection cannot be excluded. the right lung base appears clear, there is elevation of the right hemidiaphragm.
<unk>f w/ cd h/o l hemicolectomy, most recent s/p completion colectomy; now w anastomotic leak s/p diverting illestomy with open abdomen // interval change
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. overall appearance is very similar to radiographs from <num> months prior.
<unk>m with cough, evaluate for pneumonia.
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lung volumes are normal. lungs are clear without focal consolidation, effusion, or pneumothorax. mediastinum, hila and pleural surfaces are unremarkable. the cardiomediastinal silhouette is normal.
<unk> year old woman with history of reactive airway disease and persistent, worsening cough. // please evaluate lungs for hyperinflation given worsening cough.
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with positive quantiferon tb test // positive ppd and positive quantiferon tb test
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pa and lateral views of the chest are compared to previous exam from <unk>. linear opacities in the retrocardiac region and at the bilateral bases are most suggestive of atelectasis. superiorly, the lungs are clear. there is no pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. the osseous structures are notable for two vertebroplasties in the mid thoracic spine. surgical clips are identified in the left upper quadrant.
<unk>-year-old female with sepsis. question pneumonia.
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frontal and lateral views of the chest. relatively low lung volumes are noted. there is blunting of the lateral costophrenic angles on the frontal view which may be in part due to overlying soft tissues. although, there is minimal blunting of one of the posterior costophrenic angles on the lateral view, likely on the right with the other not visualized due to spinal hardware. there is no confluent consolidation or large effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. posterior spinal fixation hardware is seen spanning the mid to lower thoracic spine.
<unk>-year-old female with chest pain.
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the lungs are clear without consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with chest pain, cough // acute cardiopulmonary disease
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there are low lung volumes, resulting in bronchovascular crowding and exaggeration of the cardiomediastinal silhouette. there is pulmonary vascular engorgement, without frank edema. increased bibasilar opacities are likely consistent with atelectasis, however pneumonia or aspiration could be considered in the appropriate clinical setting. the heart remains enlarged. no pneumothorax.
history: <unk>m with chest pain // assess for ptx, infiltrate
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the heart size is top normal, slightly increased in size compared to the exam from <unk>. the hilar and mediastinal contours are unchanged including moderate tortuosity of the descending aorta. there are patchy opacities in each mid to lower lung, including an opacity projecting posteriorly on the lateral view, probably in the superior segment of the left lower lobe, suggesting pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of one week of cough. please evaluate for pneumonia.
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diffuse interstitial abnormalities and multifocal airspace opacities are longstanding and variable in severity, accompanied by chronic bilateral hilar enlargement. findings are minimally improved as compared to the prior examination dated <unk>, and are compatible with known interstitial lung disease. there may be new consolidation in the left lower lobe, and growth of an irregularly shaped <num>cm focal lesion in the right upper lobe. there is no pleural effusion and probably no pulmonary edema. mild cardiomegaly is stable from the prior exam. the descending aorta is partially calcified and tortuous.
history: <unk>f with copd and chf, now sob pls eval // history: <unk>f with copd and chf, now sob pls eval
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frontal and lateral views of the chest. there is linear opacity in the left mid lung, which appears dense and likely calcified. there are also associated likely calcified left hilar lymph nodes. this is suggestive of previous granulomatous disease. linear opacity at the right lung base is also identified. elsewhere, the lungs are clear. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormality is identified.
<unk>-year-old female with dyspnea and wheezing.
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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 new headache, left sided ptosis. // please evaluate for intrathoracic cause for horner's syndrome
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increased interstitial markings consistent with edema are slightly more pronounced. there is additional streaky density bilaterally consistent with subsegmental atelectasis or scarring. the heart appears large as on the earlier study. mediastinal structures are stable. there are no concerning bone findings.
evaluate for any source of infection
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ap portable supine view of the chest. <num> discrete round metallic densities project over the heart, likely external. the endotracheal tube is seen with its tip positioned <num> cm above the carina. the ng tube passes into the left upper abdomen. there is a linear density in the left lower lung which may represent atelectasis. adjacent vague opacity is also noted, possibly representing aspiration or pneumonia. the right lung is clear. no supine evidence for effusion or pneumothorax. the cardiomediastinal silhouette appears grossly unremarkable. no acute bony injuries.
<unk>m with s/p intubation // tube placement
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interval resolution of pleural effusions since <unk> chest radiograph. decreased size of cardiac silhouette and resolution of pulmonary vascular congestion. lungs are currently clear except for a small focus of atelectasis at the right base. hyperinflation of the lungs is consistent with history of copd.
<unk> year old man with dchf, severe copd, with pleural effusion on right during <unk> cxr // eval for interval change for effusion
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frontal and lateral radiographs of the chest show clear lungs without pleural effusion, focal consolidation, or pneumothorax. there is no appreciable pulmonary nodule. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the aortic knob is partially calcified.
<unk>-year-old female with history of breast cancer, now with bloody phlegm, here to evaluate for pulmonary mass or pneumonia.
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the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
<unk>f with chest pain s/p mvc // ?ptx
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with <num> days intermittent chest pain // eval for acute process
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ap upright and lateral views of the chest provided. left ij access dialysis catheter again noted with its tip in the cavoatrial junction. cardiomegaly is unchanged. there is a moderate right pleural effusion with associated compressive lower lobe atelectasis. hilar congestion and early interstitial edema is likely present. no left effusion. no pneumothorax. bony structures are intact. degenerative changes at the shoulders again noted, left greater than right.
<unk>f with cough // eval for pneumonia
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heart size is normal. mediastinal contour is unremarkable. pulmonary vasculature is not engorged. ill-defined consolidative opacities are noted within both lung bases as well as within the left upper lobe compatible with multifocal pneumonia. small bilateral pleural effusions may be present as thecostophrenic angles on the lateral view appear obscured. no pneumothorax is present. no acute osseous abnormality is detected.
<unk> year old man with systolic congestive heart failure, cad, and multiple admissions for pneumonia presents with shortness of breath
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there has been interval removal of the et tube and gastric tube. the lungs are well expanded. there is a small asymmetry at the right lung base which raises the possibility of pneumonia, but cannot be confirmed on the lateral view. there are no other focal opacities. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pleural effusion or pneumothorax is present. there is calcific tendinosis of the right rotator cuff.
fall downstairs, now with fever. rule out pneumonia.
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cardiomediastinal contours are normal. the upper lungs are clear. there are bibasilar atelectases there is no pneumothorax or pleural effusion. there are bilateral shoulder arthroplasty
<unk>/m with rising wbc of <num> // ? pneumonia
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pa and lateral views of the chest provided. there is persistent multifocal parenchymal opacities, similar in appearance and distribution compared to prior study. within the limitations of the patient's complex baseline abnormalities, there are no new focal opacities. heart size is normal. there are no pleural effusions.
<unk> year old woman with history of aplastic anemia, cryptogenic organizing pneumonia, nocardia s/p allo on immunosuppression with <num> week of cough.
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in comparison to the prior radiograph of <unk>, the intraperitoneal free air appears to have largely resolved although there may still be minimal pneumoperitoneum. within the lungs, there is no evidence of pneumonia, substantial pleural effusions or pneumothorax. no pulmonary edema. mild bibasilar atelectasis. cardiomediastinal silhouette is within normal limits. median sternotomy wires are intact. the enteric tube extends to the stomach, but the distal tip is not visualized. left picc line is unchanged in position and terminates at the mid svc.
<unk> year old woman with significant cardiac history, postop from bowel surgery, now w new onset chest and back pain // pls eval for acute process causing new onset chest and upper back pain
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. heart size is top normal. mediastinal and hilar contours are normal. there are aortic knob calcifications.
cough and red bright sputum and chest pain and shortness of breath.
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the lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with chest pain // cardiopulm process?
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old man with shortness of breath, cough, evaluate for pneumonia.
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port-a-cath terminates in the uppermost atrium. lung volumes are low, obscuring cardiac borders, but there is no clear change in cardiac, mediastinal or hilar borders. there is new opacification at the left lung base suggesting a pleural effusion. there is a small, persistent left-sided pneumothorax, but decreased. on the right, although pleural effusion has decreased, there is new focal opacity at the right lung base in addition to diffuse increased opacification of each lung.
fever, right lower quadrant pain, and vomiting. status post appendectomy. metastatic pancreatic carcinoma.
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pa and lateral views of the chest. the lungs are clear of consolidation. density at the left cardiophrenic angle compatible with a fat pad. there is no effusion, pneumothorax or pulmonary vascular congestion. the cardiomediastinal silhouette is normal and unchanged. there is no acute osseous abnormality detected. surgical clips seen in the right upper quadrant.
<unk>-year-old female with shortness of breath and chest pain.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. the cardiac silhouette is top-normal in size. no pulmonary edema is seen.
history: <unk>f with cp // eval for cardiomegaly
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pa and lateral images through the chest demonstrate clear lungs bilaterally. heart size is top normal. mediastinal and hilar contour is otherwise unremarkable. there is no pleural effusion. there is no pneumothorax. visualized osseous structures demonstrate no acute abnormality. right sided port-a-cath is identified terminating within the right atrium.
<unk>-year-old female with dyspnea on exertion x<num> week.
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the lungs are well-expanded and clear. no focal consolidation to suggest focal pneumonia. no edema, effusion, or pneumothorax. the heart is normal in size. atherosclerotic calcifications are noted in the aortic knob. the mediastinum is not widened. the hila are unremarkable. mild by a apical pleural thickening or scarring is similar to prior ct. multi-level degenerative changes of the thoracic spine are mild. lateral view is concerning for compression fracture of low thoracic vertebral body.
history: <unk>f with hyponatremia and ams. 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 left side chest pain
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single upright ap image of the chest. lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. no free air is seen in the upper abdomen.
severe epigastric pain and vomiting.
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moderate right pneumothorax is similar to <unk>. there is increased subpulmonic component of the pneumothorax. moderate left pleural effusion and lung base atelectasis is similar to prior. slight left mediastinal shift is stable. <num> right and <num> left chest tubes are in unchanged position. tracheostomy tube is unchanged in position. transesophageal tube courses below the diaphragm and out of view. multiple bullet fragments are in unchanged position.
<unk>m w/ gsw x <num> to chest; intubated, s/p bl ct w/ initial output approx <num> l w/ t<num> paraplegia // assess for interval changes
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since <unk>, substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis. lung volumes remain low. cardiomegaly is difficult to evaluate but also appears worse. no pneumothorax.
<unk> year old woman with chf, diastolic failure ? worsening pulm edema // r/o pulm edema compared to <unk>
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a tracheostomy is <num> cm above the carina. a right upper extremity picc has been retracted and now terminates in the brachiocephalic vein, near the junction with the superior vena cava. the percutaneous gastrojejunostomy tube is coiled within the stomach and directed retrograde. there are moderate bilateral pleural effusions. retrocardiac consolidation with air bronchograms is unchanged may be overlying atelectasis, however, pneumonia is not excluded. an additional focal opacification is seen in the right upper lobe. aspirated barium is seen in the right lower lobe. there is no pneumothorax. there is no evidence of pulmonary edema.
sepsis. evaluate right upper extremity picc and evaluate for pneumonia.
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right internal jugular hemodialysis catheter tip projects over the right atrium. no pneumothorax identified. persisting bilateral layering pleural effusions with adjacent atelectasis and pulmonary edema. the size of the cardiac silhouette is enlarged but unchanged.
<unk> yo m with history of systolic chf (ef <unk>%) and ckd who presents with hf exacerbation and has become increasingly hypoxic and refractory to diuresis. now on lasix gtt + diuril with plans for tunneled hd line <unk> and conversion to tunneled hd line with ir <unk>. renal following and will perform uf <unk>l. // ?skin fold vs ptx
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a focal nodular opacity in the right midlung is new from prior studies. the appearance is most suggestive of a healing rib fracture, however there is no history of interval trauma. rounded retrocardiac opacity without definite correlate on the lateral view is atypical for a hiatal hernia, chest ct is recommended for further characterization. contour irregularity of the lateral left eighth rib likely represents remote prior rib fracture. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is stable. the osseous structures and upper abdomen are unremarkable.
<unk>f with hypoglycemia, evaluate for pneumonia.
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lung volumes are unchanged compared to the prior study. there is persistent moderate cardiomegaly. the right upper lobe airspace opacity now appears more confluent with air bronchograms. this could reflect asymmetric pulmonary edema but infection cannot be excluded. no pneumothorax or pleural effusion seen. the visualized bony structures are unremarkable in appearance.
<unk> year old woman with meningioma s/p resection who has rising wbc, increased o<num> req. // interval change
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pa and lateral views of the chest. no prior. lungs are clear without consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal as are the osseous and soft tissue structures.
<unk>-year-old female with chest pain.
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ap and lateral views of the chest provided. lung volumes are low. 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 yesterday.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with sob/doe // sob
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heart size and mediastinal contours are normal. no focal consolidation, pleural effusion or pneumothorax. the stomach is distended with air.
<unk> year old woman with marked hypoxia with ambulation // evaluate for pneumonia, pcp <unk>: chest pa and lateral
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again seen is patchy opacity at the right base and blunting of the right costophrenic angle, similar to the prior film. the opacity is slightly more confluent than on the prior film. otherwise, i doubt significant interval change. no new focal infiltrate is identified. minimal atelectasis again noted at the left base. oral contrast noted in the bowel.
<unk> year old man s/p esophagectomy w/ g tube, chronic stricture/dysphagia. witness aspiration <unk> w/ desat. // eval of ?aspiration pna
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the right picc line ends at the level of the mid svc, unchanged. persistent left posterior consolidation, but otherwise overall interval improvement in the multi-focal consolidations. there is no pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal. the old, well-healed left lateral rib fracture is unchanged.
<unk>-year-old man with schizophrenia presenting with mrsa pneumonia within interrupt course. evaluate for evolving empyema or worsening lung disease.
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lung is still not well ventilated. the consolidation at the right base has increased with increased pleural effusion. the left base atelectasis is unchanged. the mild pulmonary edema is stable. the mild cardiomegaly is stable. tracheostomy chest tube is in standard placement. left ij catheter has been removed. there is no pneumothorax. right subclavian catheter is unchanged with tip ending in upper svc. ng tube is unchanged in standard position.
<unk>-year-old man with pulmonary edema.
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. old healed left lateral fifth rib fracture is noted.
<unk>m with recent cap admission, presenting for ftt // any acute process
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the lungs are well expanded. there is mild pulmonary vascular congestion without overt ischemia. there is no focal consolidation or pneumothorax. moderate cardiomegaly stable. median sternotomy wires are intact.
cough for a month, rales at the right base, assess for pneumonia.
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the endotracheal tube is in satisfactory position, <num> cm above the carina. there is new moderate pulmonary edema with small bilateral pleural effusions. fluid is seen within the minor fissure. the cardiac silhouette is moderately enlarged. enlargement of the mediastinum is unchanged from <unk>. there is no pneumothorax.
gi bleed status post intubation, evaluate for et tube position.
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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 similar mild-to-moderate relative elevation of the left hemidiaphragm. on the frontal view only, there are streaky right basilar opacities, probably due to atelectasis; an infectious cause seems less likely. small osteophytes are noted along the thoracic spine.
chest pain and hyperglycemia.
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chest, pa and lateral radiographs demonstrate unremarkable mediastinal, hilar and cardiac contours. minimal bibasilar atelectasis is evident. otherwise, lungs are clear. no new pleural effusion or pneumothorax identified.
dyspnea, chest pain and fevers. please evaluate for pneumonia or pneumothorax.
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cardiac silhouette size is normal. the aorta remains mildly tortuous with atherosclerotic calcifications noted at the knob. mediastinal and hilar contours are otherwise unremarkable, and the pulmonary vasculature is normal. there is minimal streaky atelectasis in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. moderate degenerative changes are again seen in the thoracic spine.
history: <unk>m with hypertension presenting with palpitations