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on the current study common the endotracheal tube appears to be within <num> cm of the carina however this may in part be due to positioning. lung volumes are unchanged. there is persistent severe cardiomegaly. bibasilar consolidation again noted. there is prominence of the pulmonary vasculature consistent with mild pulmonary edema.
<unk>m transferred from an osh with intracranial bleed, now with aspiration // to look for interval change
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the tube overlying the upper mediastinum raises the question of interval placement of a tracheostomy tube. linear density over the mediastinum in the midline likely represents an ng tube. on today's study, due to underpenetration, this is traced only to the level of the diaphragm. it may very well course beyond that, but be obscured by underpenetration. a left subclavian central line and right subclavian picc line are again noted. the tips are not well delineated in a partially obscured by the overlying right pleural drain, but both appear to lie in the region of the svc/ra junction. no pneumothorax is detected. again seen are low inspiratory volumes, stable prominence the cardiomediastinal silhouette, chf, moderate bilateral pleural effusions each with underlying collapse and/or consolidation, all similar to the prior study. again seen is tubing in the region the right hilum, apparently a right-sided drain.
<unk> year old man with effusion s/p chest tube // interval change?
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the heart size is normal. the mediastinal or hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
fever.
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frontal and lateral views of the chest were obtained. a large right pleural effusion is increased from <unk> with adjacent compressive atelectasis. a small left effusion is also larger. the upper lung zones are clear without opacity or pulmonary edema. evaluation of the cardiac silhouette is limited by adjacent effusions. left pleural plaque is again seen. old bilateral rib fractures are redemonstrated.
dyspnea.
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frontal and lateral radiographs of the chest demonstrate moderate cardiomegaly, which is unchanged. small right-sided pleural effusion has developed over the interval. there is a small left-sided pleural effusion as well, which is unchanged. there is an intrafissural component of the left-sided pleural effusion, seen on the lateral view. there has been interval removal of the right-sided internal jugular central venous line. no pneumothorax.
<unk>-year-old female status post cabg. evaluate for effusion or pneumothorax.
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a right picc line ends in the mid svc. no focal consolidation, pleural effusion or pneumothorax. normal heart size, mediastinal and hilar contours.
new right picc line.
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both lungs are symmetrically hyperinflated with flattening of the bilateral hemidiaphragms, compatible with copd. biapical opacities are likely related to scarring. no significant pleural effusion, focal consolidation, or pneumothorax is detected. no pulmonary edema is noted. the cardiac silhouette is normal in size. the mediastinal contours are within normal limits. the visualized upper abdomen is unremarkable.
<unk>-year-old male with shortness of breath, here to evaluate for acute cardiopulmonary process.
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pa and lateral views of the chest provided. an imbedded electronic device projects over the low back. there is no focal consolidation, effusion, or pneumothorax. heart size is normal. mediastinal contour is unremarkable aside from atherosclerotic calcifications at the aortic knob. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chf reports increased weight and dyspnea on exertion.
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compared to prior, left lower lobe opacity has near completely resolved. there remains minimal opacity at the costophrenic angle, likely atelectasis versus scarring. the lungs are hyperinflated. the right lung is clear. cardiomediastinal silhouette is unchanged. there is no pneumothorax or pleural effusion.
<unk> year old man with lll pneumonia now improved, followup from <unk>.
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endotracheal tube terminates <num> cm above the carina. enteric tube courses below the diaphragm, out of the field of view. there is a small to moderate right and trace left pleural effusion, with overlying atelectasis. the cardiac silhouette is mild to moderately enlarged. mediastinal contours unremarkable. no pneumothorax is seen. no overt pulmonary edema.
history: <unk>f with stroke. intubated and sedated // confirm ett and og tube
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a single portable frontal upright view of the chest was obtained. apparent enlargement of the cardiac silhouette and widening of the mediastinum is likely related to the portable technique and the patient's rotated position. redemonstrated are linear areas of scarring, most prominent at the base of the right lung. there is no focal consolidation. the lungs are symmetrically expanded bilaterally. blunting of the right costophrenic angle is relatively unchanged and may reflect a small chronic right pleural effusion or pleural thickening in this region. there is no pneumothorax.
<unk>-year-old man with chest pain, epigastric pain, cough, fevers. please evaluate for a widened mediastinum or pneumonia.
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mediastinal and pulmonary vascular congestion and mild cardiomegaly are signs of cardiac decompensation. the mediastinum and hila are normal. no pleural effusions are seen. there is no focal lung consolidation.
<unk>-year-old with leg swelling.
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decreased lung volumes leads to crowding of the bronchovascular structures. allowing for differences in technique and projection, mild cardiomegaly is unchanged. there is mild central pulmonary vascular congestion without frank interstitial pulmonary edema. no lobar consolidation, pleural effusion, or pneumothorax is identified.
history: <unk>m with anasarca, lung crackles // eval ? pulm edema
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pa and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is stable noting mild cardiac enlargement and calcifications of the aortic arch. median sternotomy wires are again noted. hypertrophic changes seen in the spine.
<unk>-year-old male with chest pain.
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as compared to <unk>, heart size has slightly decreased in size and is now upper limits of normal. pulmonary vascular congestion has resolved. linear bibasilar opacities persist in attributed to linear scarring. focal opacity overlying the left third anterior rib corresponds to a healed rib fracture in this region on prior chest ct at of <unk>. lungs are otherwise clear, and there is no pleural effusion. wedge deformities in the mid thoracic spine with associated kyphosis and degenerative change are similar to prior study.
<unk> year old man type <num> dm, ckd with sob and congestion. exam diffuse rhonchi beeper <unk> // pls assess for pna
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pa and lateral views of the chest provided. there is no focal consolidation. compared to prior study, there is less pulmonary edema. bilateral costophrenic angle opacities are similar to the chronic pulmonary changes previously seen on ct. pleural effusions are no longer seen. heart size is top-normal. mediastinal contour is normal. dual pacemaker leads, sternotomy wires, and sternal clips are again noted.
<unk> year old man with one week of cough, sputum
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heart size is normal. cardiomediastinal silhouette is unremarkable. hilar contours are unremarkable. endotracheal tube is in place, <num> cm cranial to the carina and should be withdrawn by <num>-<num> cm. a right-sided chest tube is in place but appears suboptimally positioned with excessive angulation at the side port. there are bibasilar right greater than left parenchymal opacities, likely representing atelectasis. there is no large effusion. there is a tiny right sided pneumothorax inferior to the chest tube entry site
intubated, evaluate endotracheal tube.
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at the left base, there is a patchy infiltrate including fluffy nodular elements. some of this opacity appears linear at the periphery. at the right base, there is a more subtle opacity. pulmonary vasculature is engorged, but there is no overt pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
altered mental status. evaluate for pneumonia.
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patient is status post median sternotomy and cabg. left-sided pacer device is stable in position. new since the prior study is moderate to severe pulmonary edema. there is also a new right mid to lower lung opacity suggesting large pleural effusion with overlying atelectasis, underlying consolidation not excluded. right perihilar mass with associated mediastinal lymphadenopathy was better assessed on prior ct/pet ct.
history: <unk>m with hypoxia and shortness of breath // eval for chf/pneumonia
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pa and lateral views of the chest provided. the lungs appear hyperinflated. there is mild prominence of the bronchovascular markings centrally which could reflect airways inflammation in the correct clinical context. please correlate clinically. no large effusion or pneumothorax. no lobar consolidation. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with fevers and chills // infiltrate
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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.
<unk>f with tachycardia. evaluate for pneumonia.
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain.
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well inflated lungs are clear. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is normal. there is prominent gaseous distention of the stomach. partially evaluated is an anterior cervical fusion.
<unk>-year-old female with cough. evaluate for atypical pneumonia. pa and lateral chest radiographs
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left lung nodule is present and better evaluated on prior ct. adjacent linear scarring is present ventriculoperitoneal shunt is seen to course through the right hemithorax and into the abdomen. atelectasis and scarring is seen at the bilateral bases as well as persistent elevation of the left hemidiaphragm. there is no pleural effusion or pneumothorax.
weakness, assess for acute process.
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the lungs are clear and hyperexpanded, with increased ap diameter. no consolidation is appreciated. the pleural surfaces are normal with no pleural effusions or pneumothoraces. cardiomediastinal contours and heart size are normal.
history of seizure disorder, heavy smoker, and peripheral vascular disease with episodic weakness and aphasia.
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lung volumes are normal. there is no focal consolidation, effusion or pneumothorax. there is no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are normal. heart size is normal.
history: <unk>f with ams // ?cpd
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. the well-aerated lungs are clear, demonstrating resolution of multifocal pneumonia. there is no pleural effusion or pneumothorax. lateral view shows protrusion of subdiaphragmatic fat through a very small bochdalek hernia.
multifocal community acquired pneumonia in <unk>. evaluate for resolution.
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a left aicd generator with leads in the expected position is unchanged. no focal consolidation, pleural effusion, or pneumothorax is present. the cardiomediastinal silhouette is normal. there is no evidence of pulmonary vascular congestion.
uri, elevated white blood cell count, question pneumonia.
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cardiac silhouette remains enlarged. mediastinal contours are stable. patient is rotated to the left. there is slight blunting of posterior costophrenic angles and trace pleural effusion difficult to exclude. mild pulmonary vascular congestion. no definite focal consolidation. no pneumothorax.
history: <unk>f with weakness // r/o pna
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cardiomediastinal and hilar contours are stable. there is worsening moderate right pleural effusion and associated basilar atelectasis. there is also a small left pleural effusion. the lungs are otherwise clear. there is a lytic lesion of the left second rib with additional bony destruction associated with the known left apical mass.
<unk>-year-old status post thoracentesis, now with crit drop.
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right internal jugular central venous catheter terminates in the low svc at the cavoatrial junction. left-sided chest tube and surgical sutures overlying the left upper lung are unchanged from <unk>. left upper mediastinal convex contour is persistent, slightly decreased in size from <unk>. moderate layering right pleural effusion is likely unchanged from <unk>. left basilar opacity is increased from <unk>.
<unk> year old woman with chest tube s/p vats // interval change
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single portable frontal ap chest radiograph demonstrates bilateral diffuse ground glass and reticular opacities. there is no pleural effusion or pneumothorax. heart is top normal in size. mediastinal and hilar contour is unremarkable. visualized osseous structures are without acute abnormalities.
<unk>-year-old female with female new oxygen requirement and recent discharge from outside hospital for pneumonia.
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frontal and lateral chest radiographs demonstrate a heart size which is slightly increased compared to chest radiograph from <num> week prior. the remainder of the exam is essentially unchanged, demonstrating bibasilar atelectasis. the lungs are otherwise clear and there is no pleural effusion or pneumothorax.
hcv/alcoholic cirrhosis, presenting with hemoptysis. evaluate for interval change.
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et tube has been removed. ng tube is seen coursing below the diaphragm in the stomach. lung volumes remain low. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable. right ij central line terminates in the lower svc.
<unk>-year-old man with perforated appendicitis status post ileocecectomy and ileostomy with ng tube in place. please assess placement of ng tube.
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there relatively low lung volumes and bibasilar atelectasis. left base opacity has improved since the prior study and most likely represents atelectasis although infectious process is not entirely excluded in the appropriate clinical setting. no large pleural effusion is seen. there is no pneumothorax. cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough, fever. recent procedure. // pneumonia?
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a right-sided central venous catheter projects along the right internal jugular vein and its tip is seen proximal to the cavoatrial junction. surgical clips are projecting along the heart and sternotomy wires are intact. as compared to prior chest radiograph from <unk>, there has been interval removal of a right-sided chest tube. there is scattered atelectasis and there are tiny bilateral pleural effusions. a residual right apical pneumothorax is identified. cardiomediastinal silhouette is stable.
<unk>-year-old male patient, status post redo sternotomy/cabg. study requested for evaluation of interval change.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain // ?ptx
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ap portable upright view of the chest. postsurgical changes are again seen in the left upper lung and left lung base appearing similar to the prior exam. copd is present with areas of scarring in the right upper lobe. no convincing signs of pneumonia, effusion or edema. no pneumothorax. overall cardiomediastinal silhouette is stable. no bony injury.
<unk>m with ams, pls eval for pna.
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a port-a-cath terminates in the superior vena cava. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. evaluation is difficult due to coinciding opacity associated with the port site, but there is patchy perihilar opacity in the same general vicinity, while elsewhere, the lungs remain clear.
dyspnea.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with shortness of breath x <num> month // eval for pleural effusion/edema
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there is stable mild cardiomegaly. the aorta is mildly tortuous, otherwise the hilar and mediastinal contours are stable. there has been interval improvement of the right lower right lung base heterogeneous opacities, which were likely from re-expansion edema. new left lung base opacities may be secondary to re-expansion edema. there are small bilateral pleural effusions and mild bibasilar atelectasis. no definite pneumothorax is seen. there is kyphosis of the spine. there is a wedge-compression deformity of the low-thoracic spine, which appears to be progressed from the ct of <unk>, but stable since the exam from <unk>.
<unk>-year-old female status post left thoracentesis who presents for interval evaluation. question of right lung process.
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there is interval development of marked mediastinal widening consistent with clinical history of hematoma. previously noted mediastinal gas is no longer seen. the cardiac silhouette remains normal in size. there is no large pleural effusion. bilateral infrahilar opacity is new and may reflect atelectasis, or aspiration. a right hilar mass is again noted. the pulmonary vasculature is normal.
<unk>-year-old male with reexplored patient for bleeding after mediastinoscopy, please evaluate for mediastinal hematoma.
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there may be minimal pulmonary vascular congestion. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta remains tortuous, with stable mild prominence of the ascending portion. the cardiac silhouette is top-normal.
chest pain.
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pa and lateral views of the chest are compared to previous plain film and ct from <unk>. there are diffusely increased interstitial markings seen in the lungs bilaterally compatible with chronic lung disease. increased lucency at the left lung apex and abutting the mediastinum is compatible with emphysematous changes identified on prior ct. there is no definite new region of consolidation. there is no pleural effusion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with productive cough and dyspnea. question pneumonia or chf.
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in comparison with the chest radiograph obtained <num> days prior, there has been interval placement of an et tube, which terminates <num> cm above the carina. a new enteric tube passes below the diaphragm, but terminates outside the field of view. mild pulmonary vascular enlargement has resolved and the cardiomediastinal silhouette has decreased in size, now top-normal. no pulmonary edema. pleural effusions small, if any. mild left basilar atelectasis.
<unk> year old man with seizure, intubated // evaluate ett
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lung volumes are low. evaluation of the right lung apex is obscured due to the patient's chin projecting over this region. the heart size remains moderate to severely enlarged. the aorta is tortuous and aneurysmally dilated, better seen on the prior ct. in the interval, there is worsening pulmonary edema which is now moderate to severe in extent, with increased size of bilateral pleural effusions which are small to moderate on the right and trace on the left. ill-defined airspace opacities within the lung bases could reflect atelectasis though aspiration or infection cannot be excluded. no large pneumothorax is detected, but again the right lung apex is obscured. mild compression deformity of a lower thoracic vertebral body is again noted as well as within an upper lumbar vertebral body.
chest pain.
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pa and lateral views of the chest are compared to previous exam from <unk>. lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with right wrist cellulitis and left arm abscess with fevers, chills. question pneumonia.
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the patient is rotated. the repositioned right ij approach swan-ganz catheter tip now ends in the right pulmonary artery with its tip projecting over the right most aspect of the mediastinal silhouette, and could be pulled back about <num> cm. the right dialysis catheter remains unchanged position with its tip ending in the right atrium. no pneumothorax. lung volumes remain low. slight increase dopacity in the left hemithorax may be in part secondary to rotation and redistribution of overall unchanged moderate-to-severe pulmonary edema. bilateral moderate pleural effusions persist. the heart remains moderately to severely enlarged. the pulmonary arteries are enlarged, suggesting chronic pulmonary hypertension.
<unk> year old man with heart failure and worsening hypotension // pa catheter pulled back. in appropriate position?
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interval advancement of the feeding tube, now extending into the gastric body. the tip of the endotracheal tube projects over the mid thoracic trachea. mild unchanged blunting of the left costophrenic angle. the right costophrenic angles not included on this radiograph. no new focal consolidation, left pleural effusion or pneumothorax identified.
<unk> year old man with tumor resection, intubated // ngt placement
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left internal jugular central venous catheter tip terminates in the upper svc. endotracheal tube tip is slightly low lying, terminating approximately <num> cm from the carina. enteric tube courses below the left hemidiaphragm, into the stomach, with tip off of the inferior borders of the film. lung volumes are low. heart size is normal. atherosclerotic calcifications are noted within the aortic knob and descending thoracic aorta. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. minimal patchy atelectasis is seen in both lung bases without focal consolidation. no pleural effusion or pneumothorax is identified. mild degenerative changes are demonstrated within the thoracic spine.
history: <unk>f with urosepsis, intubated // evaluate for central line placement
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the heart size is normal. the hilar and mediastinal contours are normal. there is mild bibasilar atelectasis. there is no large pleural effusion or pneumothorax. apparent leftward displacement of the trachea may be positional. the visualized osseous structures are unremarkable.
history of cough. please let for pneumonia.
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ap single view of the chest has been obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. the heart size is unchanged. the same holds for the previously described right-sided port-a-cath system terminating with the line in the low svc. no pneumothorax is identified. comparison of the frontal views does not demonstrate any new parenchymal infiltrate. the lateral pleural sinuses remain free.
<unk>-year-old male patient with acute myelocytic leukemia and neutropenic fever. evaluate for pneumonia.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> yom presenting with <num> months of palpitations now more frequent. evaluate for acute intra thoracic process.
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. hilar contours are normal. no pleural abnormality. no acute osseous abnormality.
history: <unk>f with chest pain. evaluate for pneumonia.
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as compared to <unk>, nasogastric tube terminates in the stomach. mild bibasilar atelectasis. no pulmonary edema. no acute pneumonia. no substantial pleural effusions or pneumothorax. moderate cardiomegaly.
<unk> year old man with hemorrhagic stroke // infection
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endotracheal tube and right ij central venous catheter appear in unchanged position. nasogastric tube tip and side hole off the lower border of the image. there is increased opacity at the right lung base in a pattern suggesting possible layering pleural effusion. dense opacification at the left lung base completely obscuring the hemidiaphragm persists. no pneumothorax is seen on this supine view
<unk> year old man with <unk>m found in his home, cold with a stab wound to the left posterior iliac crest found to be in dka with glucose > <num>, initial ph <num>.<unk> and lipase <unk> in shock <unk> pancreatitis, on vent // evaluate for interval change
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the lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia. no significant pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. there is no free air beneath the right hemidiaphragm. a metallic density projecting over the upper abdomen on the lateral view is likely external to the patient compatible with a cardiac monitor lead.
asthma exacerbation, here to evaluate for pneumonia.
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ap portable upright view of the chest. ng tube is malpositioned terminating at the midline at the level of the clavicular heads. this patient has history of prior esophagectomy with gastric pull-through. suture projects over the right lower chest. masslike opacity projecting to the right of the heart is compatible with distended gastric pull-through. lung bases are clear as seen on ct abdomen pelvis performed earlier today. no edema, effusion or pneumothorax. bony structures intact.
<unk>m with sbo s/p ngt placement // eval proper ngt placement.
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a right upper paramediastinal mass associated with a known goiter appears unchanged. the heart is normal in size. the mediastinal and hilar contours appear unchanged. there are streaky opacities in both lower lungs, which are most suggestive of atelectasis. there is no pleural effusion or pneumothorax. bony structures are unremarkable.
chest pain.
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pa and lateral views of the chest provided. left chest wall aicd is again noted with lead extending into the right ventricle region. hilar congestion is noted with small right pleural effusion and subtle retrocardiac opacity which could represent subtle pneumonia in the correct clinical setting. no pneumothorax. heart size is mildly enlarged. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with doe, sob in supine position // eval for pulmonary edema
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pa and lateral views of the chest provided. there is increased consolidation in the right lower lobe which could represent pneumonia. a small associated effusion is difficult to exclude. no pneumothorax. left lung is clear. heart size is top-normal. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cp, sob, history of pulmonary embolism.
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pa and lateral chest radiographs. there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal.
fever and chills.
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compared to the prior study, there is slightly more pronounced upper zone redistribution. in addition, there is new hazy opacity at the right lung base. this likely represents an element of atelectasis. the possibility of an element pleural fluid cannot be excluded. the right hemidiaphragm is partially obscured. aside from some subsegmental atelectasis, the left base and remainder of the left lung remains grossly clear. the cardiomediastinal silhouette is grossly unchanged. background osteopenia and degenerative changes of the spine are noted. there is left-sided wedging of a lower thoracic vertebral body, question t<num> or t<num>, which is similar the t-spine ct from <unk> (at which time it was designated t<num>).
<unk> year old woman with presumed r pna with lung collapse on portable // assess for interval change, infiltrate
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the patient is rotated. the tip of the left picc line extends to the mid to distal svc. there are diffuse patchy and confluent air space opacities as well as air bronchograms visualized in the medial left lower lung zone. no pleural effusion or pneumothorax identified. the size the cardiac silhouette is enlarged.
<unk> year old woman transferred from osh with protracted hypoxemia of unclear etiology, bibasilar crackles // pna, pulm edema, and picc placement
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there is a pacemaker overlying the left chest with pacemaker leads in the right atrium and coronary sinus, and a defibrillator lead in the right ventricle. the patient is status post median sternotomy, cabg, and mitral valve replacement, with sternotomy wires that appear intact and well aligned. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. there is a moderate left pleural effusion. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with s/p biv icd // lead placement and r/o pneumo
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the lung volumes are low. the heart is normal in size. within the limitations of technique, the cardiac, mediastinal and hilar contours are probably unchanged. tortuosity and calcification of the thoracic aorta appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear aside from streaky left basilar opacity suggesting minor atelectasis.
pancreatic cancer, presenting with fever and weakness.
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the lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged from prior examination.
history: <unk>f with cough and sob // r/o pna
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the cardiomediastinal and hilar contours are unchanged. there has been interval placement of a right-sided pigtail catheter. opacification of the right mid and right lower lung is consistent with a large loculated pleural effusion, and atelectasis as described on recent chest ct from <unk>. superimposed infection cannot be excluded. there is minimal atelectasis at the left base. no pleural effusion on the left side. no evidence of pneumothorax.
<unk> year old man with rml/rll pneumonia s/p chest tube placement. // please eval for persistent effusion and ?ptx.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
<unk>m with chest pain and sob, evaluate for infiltrates
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there has been interval removal of a dobbhoff tube, and the left hemidiaphragm is elevated. there are ill-defined bibasilar opacities, left greater than right and worse on the left from prior exam, possibly reflecting aspiration given the clinical history. the heart is mildly enlarged, and there is also mild central vascular congestion.
<unk>-year-old male with history of aspiration, upper gastrointestinal bleed now presenting with hypoxia. evaluate for presence of infiltrate or other acute process.
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a small-to-moderate right and small left pleural effusion are unchanged since <unk>. right-sided volume loss status post right upper and middle lobe resection is stable. no new consolidation or pneumothorax is present. low thoracic kyphoplasty and vertebral compression deformity are unchanged.
<unk>-year-old woman with pleural effusion.
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man with tracheal stenosis s/p tracheal dilitation now with respiratory distress // ? pulm edema, aspiration, worsened tracheal stenosis ? pulm edema, aspiration, worsened tracheal stenosis
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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, wheeze and dyspnea.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
positive ppd.
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pa and lateral views of the chest. the lungs remain clear. cardiomediastinal silhouette is normal. no acute osseous abnormality seen. surgical clips in the upper abdomen raise possibility of prior cholecystectomy. surgical clips also seen within the neck.
<unk>-year-old female with chest pain and shortness of breath.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size is unchanged and remains within normal limits. unremarkable size of thoracic aorta as before with a few calcium deposits in the wall at the level of the arch. no local contour abnormalities are identified. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in the apical area on frontal view. skeletal structures of the thorax grossly unremarkable.
<unk>-year-old male patient with cough and fever, evaluate for pneumonia.
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compared to the prior study there is no significant interval change.
<unk> year old man with end stage chf // interval change
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no focal consolidation, pneumothorax, pleural effusion, or pulmonary edema is identified. redemonstrated is a left apical calcified granuloma, previous characterized on chest ct examination, stable in appearance. the heart is borderline mildly enlarged. mediastinal contours are normal.
recent pneumonia status post antibiotics, evaluate for improvement.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. the pulmonary vascularity is normal. no acute osseous abnormalities are seen.
hyperglycemia.
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an endotracheal tube is in satisfactory position <num> cm from the carina. an enteric tube courses below the diaphragm with the tip out of the field of view. a right subclavian central venous catheter is unchanged with the tip near the cavoatrial junction. there is a persistent opacity at the right base, likely a combination of the known pneumonia and a small amount of pleural fluid. there is also likely a small left pleural effusion. no new opacity is identified. there is new mild pulmonary edema. there is no pneumothorax. the aorta is tortuous and calcified, unchanged from prior exams. the heart size is at the upper limits of normal. flowing osteophytes are noted in the thoracic spine. overall, there is little change from the prior exam.
respiratory failure. evaluate for cause.
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a right-sided picc line is unchanged in position, just entering the right atrium. aeration in the right upper lobe and at the left lung base has improved, suggesting improved atelectasis. there is no pneumothorax. the cardiomediastinal silhouette is stable.
pt triggered // ?infection
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the heart is again moderate-to-severely enlarged. there is mild widening of the vascular pedicle, suggesting fluid overload, somewhat increased. there is mildly prominent pulmonary vascularity suggesting mild congestion. otherwise, the lungs appear clear. there are no definite pleural effusions or pneumothorax. the lateral view, in particular, is limited by soft tissue attenuation but there are similar small osteophytes and minimal wedging among several lower thoracic vertebral bodies.
shortness of breath, chest pain, and history of congestive heart failure.
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single ap view of the chest provided. et tube and orogastric tube position are stable. the retrocardiac and left basilar opacities are significantly improved from <unk> and likely represent atelectasis. no pleural effusion or pneumothorax. hilar contours are normal. the heart, again appears mildly shift to the left, however this is likely projectional.
<unk> year old woman intubated // ? acute process
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old with shortness of breath.
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as compared to chest radiograph from <num> day prior, interval insertion of right-sided pigtail catheter. right-sided pneumothorax has decreased which is now small. lung volumes remain low with basilar atelectasis. mediastinal widening is stable when compared to scout from ct thorax dated <unk>. subcutaneous emphysema in the right chest wall. multiple displaced rib fractures on the right again seen.
<unk> yo m s/p mech fall down <num> stairs, r mod ptx, r <unk> rib fx, r distal clav fx // pneumothorax evaluation
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the lungs are hyperinflated compatible with copd. heart size is normal. enlargement of the hila bilaterally likely reflects pulmonary arterial hypertension. there is no pulmonary vascular engorgement. mediastinal contours are unremarkable. bullous changes with scarring is seen within the lung apices. linear opacities within the right mid lung field and left lung base also may reflect chronic changes. calcified granuloma in the right middle lobe is present. no focal consolidation, pleural effusion or pneumothorax is seen. there is diffuse demineralization the osseous structures.
dyspnea.
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chest, ap and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. there is a right picc terminating in the low svc. spinal hardware is incompletely imaged on the lower lateral film.
altered mental status. rule out pneumonia.
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heart size is borderline enlarged. mediastinal and hilar contours are within normal limits. lungs remain hyperinflated but are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with weakness and hypertension
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the left hemidiaphragm is chronically elevated, likely paralyzed. the cardiomediastinal contours are unchanged. there is bibasilar atelectasis, particularly on the left. no definite focal consolidation is identified.
history: <unk>f with lymphoma here w/ fever myalgias, mild cough // please eval for pneumonia
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frontal and lateral views of the chest. there has been interval development of significant right mid to lower lung opacity which is likely in part due to an effusion with possible underlying consolidation or atelectasis. patient's known mass is also at the right lung base. there is also a rounded mass in the left lung base compatible with known malignancy. cardiomediastinal silhouette cannot be adequately assessed. left chest wall port is seen with catheter tip in the region of the ra/svc junction there is a rounded opacity projecting over the left lung base compatible with known mass.
<unk>-year-old male with shortness of breath. history of lung cancer.
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pa and lateral views of the chest. lung volumes are low which crowd the vascular markings. there is likely some pulmonary vascular congestion. the mediastinum appears widened compared to prior studies, which could be in part due to low lung volumes and technique. no focal consolidations are seen. no pneumothorax or pleural effusions. the sternotomy wires are intact.
syncope and fall. left-sided chest wall pain.
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frontal and lateral views of the chest are compared to previous exam from <unk>. again low lung volumes are seen. there is blunting of the posterior costophrenic angles suggestive of small effusions. there is also bibasilar atelectasis. superiorly the lungs are clear without significant pulmonary vascular redistribution. cardiomediastinal silhouette is unchanged. median sternotomy wires and mediastinal clips again noted. surgical clips in the right upper quadrant suggest prior cholecystectomy. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with coronary artery disease, afib and chf with chest discomfort for four days. no relief with nitroglycerin.
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pa and lateral radiographs of the chest once again demonstrate clear lungs and normal hilar and cardiomediastinal contours. there has been interval resolution of mild pulmonary vascular congestion, most apparent in the right lower lung. there is no evidence of pneumonia. the heart size is normal. there is no pneumothorax or pleural effusion.
please define right lower lobe opacity seen on the ap radiograph. the patient is a <unk>-year-old man with new-onset atrial flutter, which has now resolved.
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slightly lower lung volumes seen on the current chest x-ray when compared to prior. opacities at the bilateral cardiophrenic angles are most compatible fat pads seen on interval ct scan. the lungs are clear without consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cough for several months // eval for infection
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the adjusting for changes in position, there appears to be a new right lower lung opacity. increasing left pleural effusions likely still present but is now layering on this portable film. no pneumothorax. cardiomediastinum is relatively unchanged adjusting for changes in position.
<unk> year old woman with pancytopenia, neutropenic with low grade fever. // new opacity new opacity
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single upright portable view of the chest is compared to previous exam from <unk>. lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no free air is seen below the diaphragm.
<unk>-year-old female status post laparoscopic pancreatectomy <unk>, now with severe upper abdominal pain.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
history: <unk>m with left back pain // r/o pna, pneumothorax
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frontal and lateral views of the chest demonstrate fully expanded and clear lungs. there is no pleural effusion or pneumothorax. the mediastinal and hilar contours are normal.
<unk> year old woman with cough and left-sided chest pain.
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the patient is rotated. a right ij central line is seen terminating in the mid svc. there is no focal consolidation, pleural effusion, or pneumothorax. cardiac silhouette is unremarkable.
<unk>-year-old woman with increased respiratory distress tachypnea, question infiltration.
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the heart appears mildly enlarged compared to the prior chest radiograph, however this may be projectional. 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>f with shortness of breath // please evaluate for acute process