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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. heart size is normal. no pulmonary edema.
fever, chills, and productive cough.
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portable upright chest radiograph <unk> at <time> is submitted.
mr. <unk> is a <unk>m with pancreatic cancer s/p whipple and recurrent gi bleeds who presented for dark stools found to have gi bleed to hb <num> (from baseline <num>) s/p <num>u prbc now with bilateral crackles. // please assess pulm edema and pleural effusion please assess pulm edema and pleural effusion
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the lungs are well inflated and clear. no nodule, consolidation, effusion, or pneumothorax is present. the heart and mediastinal contours are normal.
<unk>-year-old woman with shortness breath, question pneumonia.
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compared to <num> day prior, no significant change. minimal bibasilar atelectasis. no new focal opacity. no pleural abnormality. heart size is normal. cardiomediastinal hilar silhouettes are unremarkable. multiple clips project over the upper mediastinum. a right ij central venous catheter terminates in the mid svc. a tracheostomy tube terminates approximately <num> cm above the carina.
<unk> year old woman w/ prolonged icu course s/p trach // eval trach
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the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized. no subdiaphragmatic free air is seen.
history: <unk>f with abdominal pain and right sided back pain
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et tube is in satisfactory position <num> cm from carina. right internal jugular central venous catheter is again in the right atrium. enteric tube has been removed resulting in mild overinflation of the stomach. there is bibasilar atelectasis. bilateral hazy opacities with basilar predominance have progressed particularly at the left base. heart size is top-normal. the mediastinal and hilar contours are normal. there is no large pneumothorax.
stemi, status postextubation with respiratory failure, now re- intubated with severe hypertension. evaluate for pulmonary edema.
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there is streaky density at the lung bases consistent with subsegmental atelectasis. a small area of focal consolidation cannot definitely be excluded. the lungs appear otherwise clear except for a small left pleural effusion which is unchanged. the heart and mediastinal structures are stable. an endotracheal tube nasogastric tube and transvenous pacemaker remain in place. there is no longer evidence of pulmonary vascular congestion.
interval change
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ap upright and lateral views the chest were provided. lung volumes are somewhat low. minimal increased opacity abutting the left heart border could represent a very early pneumonia. otherwise, lungs appear clear. no congestion or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with fever to <num>
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heart size is top normal. mediastinal and hilar contours are unchanged with mediastinal lipomatosis accounting for the mild widening of the superior mediastinum. pulmonary vasculature is not engorged. lungs are clear. elevation of the right hemidiaphragm is chronic. no pleural effusion, focal consolidation or pneumothorax is present. moderate multilevel degenerative changes are seen within the thoracic spine.
history: <unk>m with cholangitis, hypotension, large crystalloid volume
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there has been little interval change compared to the prior exam. marked rotary scoliosis of the thoracic spine is re- demonstrated. bilateral pleural effusions, moderate on the left and small on the right are similar when compared to the prior exam. bibasilar airspace opacities likely reflect atelectasis. pleural-based opacity within the left lateral hemithorax likely reflects fluid within the fissure. no pneumothorax is present. there is mild pulmonary vascular congestion. cardiac silhouette size is difficult to assess given the presence of the pleural effusions and scoliosis. marked aortic knob calcifications are present.
lower extremity edema and shortness of breath.
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>m with ring enhancing lesions on brain mri // infectious w/u
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in et tube terminates approximately <num> cm above the carina, in grossly appropriate location. an enteric tube coils in the distal esophagus and loops back on itself with tip not visualized, above the upper limit of the film. there are low lung volumes. the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>m with l wrist lacerations, hd unstable, s/p intubation, evaluate et tube placement.
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pa and lateral images of the chest. the lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
chest heaviness.
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the large loculated right pleural effusion has slightly decreased following pigtail catheter drainage. associated opacities in the right lung are unchanged. left basilar subsegmental atelectasis is mild. there is no pneumothorax. the heart and mediastinum are magnified by the projection.
<unk> year old man with dm, htn, with malignant pleural effusion <unk> met rcc, s/p thoracoscopy and talc pleuradesis <unk>, ct x<num>, <num> tubes pulled <unk>. now with <num> pleurex. // please take cxr prior to <num>am. change from prior, tube placement, r/o ptx.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain. evaluate for pneumothorax.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are remarkable only for a mildly tortuous thoracic aorta.
<unk> year old woman with persistent cough x <num>ms. ex smoker. quit smoking <unk> years ago. nml lung pe. // r/o abnormality
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as before, the patient is status post midline sternotomy and cabg. hyperexpansion of the lungs is longstanding. there is minimal bilateral lower lung scarring/atelectasis. the lungs are otherwise clear. the heart size is normal. the mediastinal contours are normal. aortic calcifications are noted. blunting of the posterior costophrenic angles could be due to trace bilateral pleural effusions, not significantly changed. there is no pneumothorax.
chest pain. evaluate for mediastinal widening.
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compared with prior, there has been no significant interval change. right chest wall port and left chest wall dual lead pacing device are again seen. partially loculated right-sided pleural effusion persists. probable small left effusion is partially loculated laterally. right basilar opacities medially may be due to atelectasis, similar to prior. the cardiomediastinal silhouette is unchanged, mitral valve prosthesis again noted. surgical clips seen in the right upper quadrant. no acute osseous abnormalities.
<unk>f with dyspnea // eval for pneumonia
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lung volumes are low. the heart size is moderately enlarged. the mediastinal and hilar contours are unchanged, and there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. mild blunting of the costophrenic angles posteriorly is likely due to pleural thickening. degenerative changes of the right glenohumeral joint are present.
asthma with shortness of breath and wheezing.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with mild cardiomegaly again noted. . imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain // pna? h/o cardiomyopathy
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frontal lateral views of the chest were performed. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the imaged upper abdomen is unremarkable. there are no osseous abnormalities appreciated.
cough, evaluate for infiltrate.
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a right subclavian central venous catheter terminates in the proximal right atrium. the tip of the chest tube is situated at the apex. there is post residual subcutaneous emphysema. the endotracheal tube is appropriately positioned at <num> cm above the carina. known large right pneumothorax is difficult to appreciate on this exam. the left chest is clear although the left lung apex is not included in the field of view. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion. included upper abdomen is notable for excreted contrast in the kidneys.
right pneumothorax status post chest tube and line placement. evaluation for line and tube positioning.
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ap and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits for technique. descending thoracic aorta is tortuous. no acute osseous abnormality is identified. chronic deformity of the proximal left humerus is identified.
<unk>-year-old female with new atrial fibrillation and weakness.
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lingular pulmonary nodule is again seen, previously characterized as a hamartoma, may be slightly increased in size as compared to the prior study. the aorta is calcified and tortuous. the cardiac silhouette is top-normal. no pleural effusion or pneumothorax is seen.
history: <unk>m with hyperglycemia // eval for acute process
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compared to chest radiographs from <unk>, there is no significant change. lungs are fully expanded and clear. there is no focal consolidation, effusion or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.
<unk> year old man with cough > <num> mo ago, hx pos ppd // r/o active tb
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as compared to prior chest radiograph from <unk>, there has been interval placement of a right pigtail catheter which is seen in entering the lateral aspect of the right lower lung. there has been interval reexpansion of the right lung. support and monitoring devices are unchanged in position. left picc line tip terminates at upper svc.
<unk>-year-old male patient with gib, pneumothorax, with new chest tube placement.
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lung volumes remain low. patient is rotated to the right. the lungs are grossly clear without confluent consolidation or large effusion. the cardiomediastinal silhouette is grossly within normal limits within the limitations above.
<unk>f with ams, fever. murmu // eval for pna
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a portable frontal chest radiograph demonstrates an unchanged cardiomediastinal silhouette, with the heart top-normal in size. lung volumes are improved from the day prior. bilateral opacities are improved compared to <unk>, consistent with resolution of pulmonary edema. persistent lingular opacity could represent overlying costochondral cartilage versus a consolidation consistent with pneumonia. there is trace, if any, pleural fluid bilaterally.
evaluate for pneumonia or volume overload, in a patient with hypoxemia and fever.
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compared to the prior study there is increased opacity at the right base with obscuration of the right hemidiaphragm. it is unclear how much of this is due to volume loss in how much of that is due to a e right lower lobe infiltrate. there is also dense retrocardiac opacity with obscuration of the left hemidiaphragm. this is increased slightly compared to the prior exam. there is mild pulmonary vascular redistribution. the left ij line and left-sided picc line tips are unchanged. .
<unk> year old woman with trach // please eval interval change
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cardiac silhouette size is normal. aortic knob calcification is re- demonstrated. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is not engorged. no pleural effusion, focal consolidation or pneumothorax is present. marked degenerative changes are noted involving both glenohumeral joints.
history: <unk>f with shortness of breath
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. streaky lingular opacity suggests minor atelectasis. otherwise, the lungs remain clear.
chest pain.
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pa and lateral views of the chest. no prior. the lungs are clear. costophrenic angles are sharp. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath. evaluate for pulmonary effusion.
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frontal and lateral chest radiograph demonstrates hypoinflated lungs with crowding of vasculature and right lower lobe atelectasis or contusion. no pleural effusion or left pneumothorax. stable moderate right apical and basilar pneumothorax. a right chest tube courses inferioromedially, with apparent) abdominal course on lateral radiograph heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. minimally displaced rib fracture through posterior sixth right rib.
status post chest tube placement for pneumothorax. assess chest tube.
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the entire right lung is collapsed and there is a large tension pneumothorax with depression of the right hemidiaphragm and shift of the trachea and mediastinal contents towards the left. an endotracheal tube is seen terminating approximately <num> cm above the carina. a nasogastric tube is noted to terminate in the stomach.
recent intubation, evaluate ett.
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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. no pulmonary edema is seen.
history: <unk>f with h/o asthma p/w chest pressure and sob in the absence of fevers or cough // eval heart size, lung fields
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the patient is status post coronary artery bypass graft surgery. the heart appears borderline enlarged. there is volume loss in the left lung with smooth thickening of the left apical pleura suggesting scarring and potentially post-surgical change. there is no definite pleural effusion or pneumothorax. the pulmonary interstitium is mildly prominent, suggesting mild vascular congestion, including perihilar fullness. the frontal view also suggests a medial retrocardiac opacity. the bones appear markedly demineralized. a lower thoracic vertebral body shows a vertebra plana deformity which is of uncertain chronicity, although not necessarily acute. in addition, a second vertebral body, probably relating to the upper lumbar spine, shows a poorly visualized suspected compression deformity.
unwitnessed fall with fever.
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single frontal view of the chest. right picc is in stable position, terminating in the mid svc. heart size and mediastinal contours, including tortuosity of the aorta, are stable. lung hyperinflation and bilateral calcified granulomas are similar to prior. the lungs otherwise appear clear without focal consolidation, pleural effusion, or pneumothorax. mucous plugging and left upper lobe consolidation seen on <unk> chest ct are not apparent on the current chest radiograph.
cll and failure to thrive concerning for aspiration pneumonia.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. multilevel degenerative changes are seen along the spine.
history: <unk>f with doe // sob
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pa and lateral views the chest were provided. lung volumes are low and there is elevation of the right hemidiaphragm. there is a vague ground-glass opacity in the right lung apex which is indeterminate, possibly representing scarring though in the absence of prior imaging, a nonemergent ct of the chest may be obtained to further assess. there is mild perihilar reticulation in the left lung. no large effusion or pneumothorax. the cardiomediastinal silhouette appears upper limits of normal. bony structures are intact.
<unk>m with months of cough // ?pna
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again, there is slight obscuration of the right hemidiaphragm, which appears as streaky opacities on the lateral view, likely reflecting early infection. no pleural effusion. heart is normal size. mediastinal and hilar contours are unremarkable.
possible pneumonia.
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study is slightly limited by patient rotation. cardiac silhouette size is mildly enlarged. while the mediastinal and hilar contours appear grossly unremarkable, the previous chest ct did demonstrate prevascular lymphadenopathy. pulmonary vasculature is not engorged. patchy opacity is seen within the right lung base corresponding to the area of infarction seen on the prior ct. linear atelectasis seen within the left lung base. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is visualized.
history: <unk>f with chest pain, hemoptysis
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ap portable upright view of the chest. an ng tube is seen coursing below the left hemidiaphragm. left cp angle is excluded though otherwise the lungs appear clear. cardiomediastinal silhouette appears normal. bony structures are intact. no free air seen below the right hemidiaphragm.
<unk>f with sbo // eval for ngt placement
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ap portable upright view of the chest. left chest wall pacer is unchanged. midline sternotomy wires are again noted. the heart remains moderately enlarged. there is mild congestion without frank pulmonary edema. no large effusion or pneumothorax. no convincing signs of pneumonia. chronic right rib cage deformity is noted.
<unk>m with cough // acute process?
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the lungs are clear besides right basilar atelectasis. the cardiomediastinal silhouette is stable. thoracic dextroscoliosis and multiple vertebroplasty changes are again noted.
<unk>f with <num> days of cough // eval pneumonia
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the cardiac and mediastinal silhouettes are stable. again, the aorta is tortuous with possible mild dilatation of the ascending aorta. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
history: <unk>f with bipolar disorder and h/o ?copd who presents with chest pressure and htn // please evaluate for any acute process
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cardiomediastinal silhouette is normal. right central venous catheter ends in the right atrium, unchanged. again seen, is prominence of the pulmonary vascular markings and minimal bibasilar opacities, similar in appearance to <unk>. there is no pleural effusion or pneumothorax.
<unk>-year-old man with lung crackles, evaluate for congestive heart failure.
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again seen is elevation of the right hemidiaphragm. there is interposition of bowel loops above the liver as well. mediastinum is secondarily shifted to the left, similar in configuration compared to prior. streaky right basilar opacities are likely atelectasis. lungs are otherwise clear, there is no effusion or edema. no acute osseous abnormalities.
<unk>m with hyperglycemia, fall, urinary incontinence // any fx/bleed/enlarged ventricles
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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 <unk> <unk>. similar as to the previous examination, there is evidence of a subclavian approach central venous line terminating in the lower svc. it most likely represents a port-a-cath system. heart size remains normal and there is no evidence of pulmonary vascular congestion. the thoracic aorta is mildly widened and elongated but does not demonstrate any new local contour abnormalities. the pulmonary vasculature is not congested but somewhat irregular in the periphery, a finding which in conjunction with the low positioned and flattened diaphragm is suggestive of copd. acute new infiltrates cannot be identified. there is no evidence of pneumothorax in the apical area where there exist bilateral apical local pleural thickening which are smoothly delineated. skeletal structures of the thorax demonstrate some mild degree of degenerative changes in the thoracic spine as identified on the lateral view, but no evidence of any significant vertebral body compression fracture.
<unk>-year-old female patient with fever and cough, evaluate for infiltrates.
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patient is status post median sternotomy. heart size is borderline enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are mild to moderate multilevel degenerative changes demonstrate in the thoracic spine.
history: <unk>m with syncope
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cardiac silhouette size is mildly enlarged, unchanged. mediastinal and hilar contours are similar. mild pulmonary vascular congestion appears relatively unchanged from prior. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>m with post-op infection, chf history
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the cardiomediastinal silhouette silhouette is enlarged, unchanged compared with <unk>. upper zone redistribution and diffuse increased interstitial markings are also similar. there is thickening of the minor fissure. the inspiratory volumes are slightly low, with elevated diaphragms. there is opacity at both bases peripherally, suggestive of small bilateral pleural effusions. there is bibasilar atelectasis. again seen is increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation.
<unk> year old woman with hypoxemia, pulm edema, atelctasis // any improvement in lung volumes, edema
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heart size is mildly enlarged with a left ventricular predominance. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities are visualized.
history: <unk>m with mechanical fall this am
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lung volumes are low which accentuates bronchovascular markings. there is no pleural effusion. there is no pneumothorax. cardiomegaly is unchanged. . nasoenteric tube has been removed. there are severe left glenohumeral degenerative changes.
<unk>-year-old man with confusion evaluate for pneumonia.
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no pulmonary edema. bilateral pleural effusions moderate on the left small on the right with adjacent likely atelectasis. mild to moderate cardiomegaly. no pneumothorax.
<unk> year old woman with bronchiectasis, increasing confusion // evaluate for abnormalities
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single frontal view of the chest demonstrates low lung volumes accentuating mildly prominent cardiac silhouette and bronchovascular markings. the thoracic aorta is mildly tortuous. despite low lung volumes, there is increased hilar vascular congestion and pulmonary edema. a trace left pleural effusion may be present. a rounded opacity in the right lung base is compatible with known mass in the right lower lobe, better seen on prior ct dated <unk>.
<unk>-year-old male status post mediastinoscopy with lymph node biopsy. question acute process.
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there is been interval resolution of elevation of the right hemidiaphragm. there is stable enlargement of the cardiomediastinal silhouette. there is no focal consolidation. there is no pneumothorax or pleural effusion.
right hemidiaphragm palsy from supraclavicular nerve block. assess for interval change in right hemidiaphragm.
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two views the chest provided. lung volumes are low limiting assessment. cardiomegaly is again noted. there is mild hilar congestion without frank pulmonary edema. retrocardiac opacity likely represents atelectasis. no pneumothorax or effusion. mediastinal contour is stable with atherosclerotic calcifications at the aortic knob. bony structures are intact.
<unk>-year-old man with fever and cough, evaluate for pneumonia.
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the cardiomediastinal and hilar contours are within normal limits with calcification of the aortic knob. there is no pneumothorax or pleural effusion. the lungs are well-expanded. the left upper lobe lesion appears smaller than on the prior studies, and the prior peripheral left upper lobe pneumonia is resolved. mild platelike atelectasis at the left lung base is noted. the upper abdomen is unremarkable in appearance.
<unk> year old woman with r lung lesion now s/p tbbx on r // ptx
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the left retrocardiac opacity has been cleared up since prior chest x-ray. new vague patchy opacities in the mid right lung are new since prior examination, might be initial consolidation. follow-up chest x-ray is suggested. lung is otherwise clear. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is unchanged with mild cardiomegaly.
<unk> years old woman with seizure disorder and cerebral palsy admitted with fever. assess for pneumonia.
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improved inspiratory effort in lung volumes. previously seen opacification of the right middle lobe has resolved and can be treated pneumonia. no new or consolidation. no pulmonary edema. heart size is normal. no pleural effusion.
<unk> year old woman with recent pneumonia, treated and improved // follow up of abnormal cxr <unk> when she had pneumonia
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there is dense retrocardiac opacity with volume loss/infiltrate/effusion in the left lower lung. the left upper lung and right lung are clear. the large-bore central venous catheter has its tip in the right atrium.
status post cabg.
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the heart size remains moderately enlarged with a left ventricular predominance. the aorta is tortuous and diffusely calcified. mediastinal contours are otherwise unchanged. there is worsening pulmonary edema, now moderate in extent. small bilateral pleural effusions are likely present. there is no pneumothorax. compression deformity at the thoracolumbar junction is unchanged. there are multilevel degenerative changes within the thoracic spine.
chest pain.
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frontal and lateral chest radiographs again demonstrate sternal wires and calcification of the aortic knob. the cardiomediastinal silhouette is normal and the lungs are without focal consolidation, pleural effusion, or pneumothorax. there is mild vascular congestion. old right rib fractures are noted. the visualized upper abdomen is unremarkable.
chest pain. evaluate for pneumothorax or 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.
history: <unk>m with chest pain, dyspnea // eval heart and lungs
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frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs. small right-sided pleural effusion with adjacent atelectasis is unchanged. scattered hazy opacification of the left lung is stable, and likely reflects aspiration or pneumonia. cardiomediastinal and hilar contours are unchanged. no pneumothorax.
<unk> year old woman s/p thoracotomy and right upper lobectomy // ? interval change or pnx
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. however, the lungs are hyperinflated. the cardiomediastinal silhouette is normal.
chronic cough.
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the right-sided chest tube has been removed. no pneumothoraces are seen. subsegmental atelectasis at the lung bases is seen and there is persistent prominence of the interstitial markings. heart size is within normal limits.
<unk> year old woman pod<unk> s/p r wedge resection. chest tube pulled at <num> am. please get cxr at noon. // ptx?
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portable ap chest radiograph is obtained with patient in the upright position. cardiomediastinal contours are stable. on the left, there are unchanged areas of basal atelectasis and a moderate left pleural effusion that is unchanged. there is improvement in the pulmonary edema with persistence of mid right lung hazy opacification laterally, possibly suggesting consolidation in this region.
<unk>-year-old woman with pulmonary edema, ? evolution of edema, ? pneumonia.
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the postoperative appearance of the lung following left lower lobectomy is stable. the left-sided chest tube has been removed. elevation of the left hemidiaphragm with associated left basilar subsegmental atelectasis is unchanged. left chest wall subcutaneous emphysema has slightly improved. heart size is normal. there is no appreciable pneumothorax.
<unk>f smoker w/ <num>cm fdg avid (suv <unk>.<num>) lll nodule s/p vats lll lobectomy // eval post chest tube
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there is asymmetric linear opacity localized to the right upper lung, concerning for pneumonia, given symptoms. no pleural abnormalities are seen. heart size is mildly enlarged. the mediastinum and hilar contours are unremarkable. there is an area of increased opacity overlying the posterior left eighth rib, possibly from bony sclerosis.
<unk> year old woman with cough, right lower lung rales. evaluate for pneumonia.
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the lungs are relatively hyperinflated. no focal consolidation is seen. there may be minor right basilar atelectasis. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. breast implants incidentally noted.
chest pain, cough.
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the lung volumes remain low with unchanged bilateral diffuse lung opacities. there is unchanged cardiomegaly and bilateral pleural effusions right greater than left. no pneumothorax. no interval change in bony thorax.
<unk>m h/o dementia, dm<num>, dchf, ckd presents with weakness and <unk> swelling; getting diuresis for volume overload <unk> renal failure with sob // evidence of pulm edema
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or focal consolidation. note is made of chronic compression deformities of <unk> mid-to-low thoracic vertebral bodies, unchanged from <unk>.
history: <unk>f with cough // pna
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frontal chest radiographdemonstrates mildly hyperinflated clear lungs with flattening of the diaphragms. pleural surfaces are normal. stable mild cardiomegaly is again noted. mediastinal contour and hila are unremarkable. dextroscoliosis of the thoracic spine is again noted.
difficulty breathing. assess for pneumonia.
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portable semi-upright radiograph of the chest demonstrates well expanded lungs with mild vascular engorgement. the cardio mediastinal hilar contours are unchanged. there is no pneumothorax, pleural effusion, or pulmonary edema. right-sided picc line ends at the mid svc.
<unk>-year-old male with aml status post bone marrow transplant now with altered mental status. evaluate for pneumonia.
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pa and lateral views of the chest were compared to multiple prior plain films dating back to <unk> with most recent from <unk> in addition to chest ct from <unk>. when compared to most recent exam from <unk>, there has been interval progression of the airspace disease identified at the left lung base. in addition, there is a new air-fluid level identified in the retrocardiac region. this could potentially represent cavitary pneumonia; however, may also represent fluid within severely dilated bronchi, noting that this degree of bronvchiectasis was not tin the loated on remote ct scan. consolidation with multiple air-fluid levels are identified within the right lung base as well, likely fluid within dilated bronchi as well. superiorly, the lungs are clear. the cardiomediastinal silhouette is stable.
<unk>-year-old male with fever and cough.
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pa and lateral views of the chest provided. overlying ekg leads are present. the heart appears mildly enlarged. mild hilar congestion is suspected. no large effusion or pneumothorax. no consolidation concerning for pneumonia. the mediastinal contour is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with b/l <unk> edema x weeks // eval edema
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the right heart border is obscured with opacification of the lower half of the right hemithorax. this most likely reflects pleural effusion and substantial volume loss of the right lower lung. in the appropriate clinical setting, superimposed pneumonia is considered. in addition, there are streaks of atelectasis at the left lung base. osseous structures are unremarkable.
<unk> year old m admitted to <unk> with fevers, fatigue, and sore throat as well as worsening pleuritic chest pain found to have pna at osh. evaluate for pneumonia.
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portable semi-upright radiograph of the chest demonstrates well expanded clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation.
<unk> year old woman with functional decline // infectious workup
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lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with right arm and chest pain. evaluate for acute intrathoracic process.
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the cardiomediastinal and hilar contours are within normal limits. the heart is top normal in size. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with shortness of breath // ?pneumonia
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the right apical pleural pigtail catheter is unchanged in position. there is tiny right apical pneumothorax visualized on the current study. the lung volumes are slightly improved from one hour earlier with minimally improved aeration. no large pleural effusion is seen. the cardiomediastinal and hilar contours are within normal limits.
chest tube placed on waterseal, here to evaluate for pneumothorax.
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the inspiratory lung volumes are decreased from the most recent prior study. the pulmonary vasculature is indistinct with new patchy opacification, predominantly in the bilateral lung bases, which likely reflect a combination of subsegmental atelectasis and mild to moderate pulmonary edema. there is increased retrocardiac opacification. small pleural effusions cannot be excluded. no pneumothorax is detected. the cardiac silhouette is moderately enlarged but unchanged. the mediastinal contours are within normal limits. note is again made of calcification at the aortic knob. an ovoid metallic object again projects at the right lung base along the right cardiac border, unchanged from the prior study. a metallic coil is noted in the periphery of the right lung base, which is also stable.
lethargy, fatigue, and altered mental status, here to evaluate for pneumonia.
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there has been interval removal of the left anterior chest tube. the left pleural effusion correlating to a hemothorax on recent ct and left lower lobe collapse are largely unchanged in the interval. platelike atelectasis of the right lung base is stable. no new pleural effusions pneumothoraces. the cardiomediastinal and hilar contours are stable. left chest tube terminates in left apex.
<unk>m s/p motorcycle crash <unk> now presenting as transfer from osh with l hemothorax s/p vats washout and chest tube placementx<num> // ?interval change s/p anterior chest-tube dcd, please do at <unk>
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the endotracheal tube terminates <num> cm above the carina. an enteric tube is present and coiled within the stomach, directed retrograde. orthopedic hardware is seen in the left shoulder. bilateral perihilar edema and pulmonary vascular engorgement are improving. small region of opacity at the right lung base medially could represent aspiration, possibly early pneumonia. followup advised. no pleural effusion or pneumothorax. heart is normal size. no pulmonary edema. mediastinal and hilar contours are unremarkable.
evaluate endotracheal tube placement.
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as compared to <unk>, pulmonary vascular congestion has improved. asymmetric opacities in the right lung have also improved. linear subsegmental atelectasis in the right lower lobe. no new consolidation, pleural effusion or pneumothorax. mild cardiomegaly.
<unk> year old woman with new fevers // ?pneumonia
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single upright portable view of the chest. there are hazy bibasilar opacities, right greater than left. blunting of the lateral costophrenic angles is also seen, potentially due to small effusions. the lungs superiorly are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. degenerative changes seen at the shoulders.
<unk>-year-old female with history of small cell lung cancer with acute onset of shortness of breath.
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fever, cough // ? inflitrate
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frontal and lateral views of the chest. previously seen pulmonary edema has resolved. the lungs are clear. there is no effusion or consolidation. cardiomediastinal silhouette is top normal. median sternotomy wires and mediastinal clips are again noted. chronic right lateral rib fractures are identified.
<unk>-year-old male with chronic appendicitis status post cabg, preop chest x-ray.
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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>f with chest pain and shortness of breath
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old woman with fever and myalgias evaluate for pneumonia
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heart size is within normal limits.mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.however, central airways are not optimally evaluated by conventional radiographs.
<unk> year old man with history of tobacco abuse presents with possible hemoptysis.
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heart size is top normal. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected.
history: <unk>m with chest pain
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the heart size is normal. mediastinal and hilar contours are unchanged. median sternotomy hardware is unchanged. lungs are clear. pulmonary vascularity is normal. minimal blunting of the left costophrenic angle posteriorly on the lateral view is suggestive of a trace pleural effusion. no pneumothorax is identified. no acute osseous abnormalities seen.
pleuritic chest pain.
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pa and lateral views of the chest provided. left chest tube is been removed. there is subcutaneous emphysema the left chest wall. there is a tiny left apical pneumothorax. mild left basal atelectasis. otherwise no change.
<unk>f s/p vats for lung cancer, chest tube pulled by thoracic team // eval s/p chest tube removal
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the heart size is top normal. the aorta is unfolded. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected. no subdiaphragmatic free air is visualized.
history: <unk>m with abdominal pain
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the right apical dominant mass seen on prior pet-ct is not well appreciated on the chest radiograph. volume loss in the right upper lobe and scarring is noted as well as perihilar opacities that correspond to interlobular septal thickening ground-glass opacities and the pet-ct. there is a moderate right pleural effusion, layering as compared to the prior pet-ct, although difficult to compare across modalities. the left lung is clear and there is no left pleural effusion. heart size is normal. no pneumothorax.
<unk> year old woman with pleural effusion. // eval
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there is moderate interstitial pulmonary edema with small bilateral pleural effusions, right greater than left. lung volumes are low. heart size is mildly enlarged. aortic calcifications are seen. a right internal jugular catheter terminates in the region of the cavoatrial junction. multiple nodular opacities, largest projecting over the right lung field, may represent metastases and should be further evaluated with ct.
<unk>-year-old female with shortness of breath and altered mental status.
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the tip of the right picc line projects over the superior cavoatrial junction. there is increased aeration involving the right mid to lower lung zone with a persisting more confluent opacity located peripherally. diffusely increased interstitial markings and patchy opacities still persist throughout both lungs. no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is unchanged.
<unk> year old man with copd, aspiration pna requiring hfnc now at <num>% // interval change in rml/rll pneumonia?
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<num> views of the chest. mild dextroscoliosis with apex in the t<num> level is unchanged from <unk>. the lungs are well expanded and clear without pleural effusion or pneumothorax. heart and mediastinal contours are unremarkable. no displaced rib fracture identified.
posterior right chest pain, non pleuritic with associated fatigue and mild cough. recent diagnosis of mild hydronephrosis.