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the previously seen consolidation within the right lower lobe has since resolved. minimal residual bronchiectasis is appreciated in this area. linear scarring at the right lung base is unchanged. there is no pleural effusion or pneumothorax. a calcified and tortuous aorta is again seen. the cardiac silhouette is unchanged. an old left displaced clavicular fracture is again noted.
right lower lobe pneumonia. evaluate for resolution.
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right chest wall power injectable port-a-cath is present as well as a left picc line, both tips, projecting over the right atrium. a right pleural catheter projects over the right mid/lower hemithorax. there is no significant interval change in the moderate right pleural effusion with adjacent atelectasis. no pneumothorax identified. the left lung is clear. this size appearance of the cardiac silhouette is unchanged.
<unk> year old woman with pleural effusion s/p chest tube insertion // assess chest tube location
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cardiac size is top normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old man with <num>-week history of confusion and behavioral changes. // pna?
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the lung volumes remain low. there is interval improved aeration at the bilateral lung bases from the most recent prior study. small bilateral pleural effusions and evidence of elevated central venous pressure persist. no pneumothorax is present. there is persistent mild bibasilar atelectasis. the cardiomediastinal silhouette is prominent, related in part to low lung volumes and technique, but stable. a nasogastric tube is seen coursing below the diaphragm and out of view on this image. subcutaneous emphysema is redemonstrated over the right supraclavicular region. degenerative changes at the bilateral acromioclavicular joints are also noted.
status post partial nephrectomy three days ago, now with increasing oxygen requirement and chest pain.
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there is no evidence of pneumothorax. mild interstitial pulmonary edema is present. heart size is top normal. mediastinal and hilar contours are unremarkable. minimal free air under the right hemidiaphragm is consistent with post-rf ablation and these changes are better appreciated on recent ct interventional study dated <unk>. minimal bibasilar opacities reflect consolidation and/or atelectasis.
<unk>-year-old man with cirrhosis and hcc status post rfa.
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pa and lateral views of the chest. the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
<unk>-year-old male with chest pain.
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pa and lateral views of the chest were obtained. heart is normal in size and cardiomediastinal contour is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain.
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despite the history of extubation, an endotracheal tube is present and terminates <num> cm above the carina. an enteric tube ends in the esophagus and would need to be advanced at least <num>cm to move all the sideports into the stomach. a left subclavian catheter tip terminates in the mid superior vena cava. orthopedic hardware and a vascular abdominal stent are noted. the lung volumes are low which results in crowding of the bronchovascular structures. there is prominence of the central vasculature without overt evidence for pulmonary edema. a rounded opacity is seen at the right lung base and is new. there is no pleural effusion or pneumothorax. the cardiac size in normal. apparent widening of the mediastinum is unchanged. dilated air-filled loops of large bowel below the diaphragm. no free air seen on this supine only view.
respiratory distress after extubation.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures appear within normal limits.
palpitations.
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a right-sided central line terminates in the superior cavoatrial junction. the lungs are well expanded. there is a mass in the right upper lobe, partially imaged on recent mr and similar to recent prior radiographs but new since radiographs from <unk>. there are small bilateral pleural effusions. no definite focal consolidation is seen, however cannot exclude a small opacity in the posterior lungs, which could be obscured by the pleural effusions. there is no pneumothorax. the cardiomediastinal silhouette is unremarkable. a compression deformity is noted in an upper thoracic vertebra.
<unk> year old man with copd with cough and poor secretion mobilization // ?aspiration
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the cardiac and mediastinal silhouettes are within normal limits. there no focal pulmonary opacities, pleural effusions, or evidence of pneumothorax. osseous structures appear unremarkable.
cough and fever. evaluate for pneumonia.
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chest, pa and lateral. findings the lungs are clear. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. median sternotomy cerclage wires intact.
<unk>-year-old man with chest pain.
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ap portable chest radiograph demonstrates an endotracheal tube terminating <num>cm from the level of the carinal. an enteric tube descends in an uncomplicated course. bilateral perihilar patchy opacities are noted, a nonspecific finding. there is no pleural effusion or pneumothorax.
<unk>m intubated
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left chest wall port is again noted. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is normal. right upper quadrant catheter and coils are again noted.
<unk>f with elevated wbc // please eval pna
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there are new predominantly perihilar confluent opacities in both lungs, greater on the right. there is no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is unchanged however there is widening of the vascular pedicle which may be seen in the setting of cardiogenic pulmonary edema.
<unk> year old woman with recent cranioplasty now fevers and leukopenia // rule out pna due to leukopenia and fevers.
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right internal jugular central venous catheter tip terminates in the lower svc. no pneumothorax is demonstrated. there is new mild interstitial pulmonary edema. there may be small bilateral pleural effusions. heart size remains unchanged. posterior spinal fusion hardware within the thoracic spine is re- demonstrated.
hypotension, post central line placement.
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
history: <unk>m with cp // evidence of pneumo
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no significant interval change. the right picc line is overall unchanged in position, terminating in the right atrium. the lungs are clear. no pulmonary edema or pleural effusion. right lung sutures are again noted. no change in slight elevation of the right hemidiaphragm. the heart size is normal. slight tortuosity of the descending aorta is unchanged. the mediastinum and hila are within normal limits. wire projecting over the upper airway is unchanged and appears intact. incompletely visualized compression deformity of the lower thoracic/lumbar spine is again noted.
<unk> year old woman with sob // e/o vol overload
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the heart is normal in size. the cardiomediastinal and hilar contours are within normal limits. the amount of pleural fluid on the right has increased and there is a small amount of pleural air at the right apex. scarring at the right lung apex is not significantly changed. the left lung is clear.
<unk> year old man s/p right vats wedge resection for lung with nodules of fibrosis, parenchymal collapse and granlomatous inflammation <unk>, c/b persistent right basilar pneumothorax // eval for interval change
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elevation of the right hemidiaphragm remains unchanged. the heart size remains mildly enlarged. the aorta is tortuous, and mediastinal contours are similar. hilar contours are normal. pulmonary vasculature is normal. re- demonstration of a nodule within the right upper lobe is again noted measuring up to <num> mm. minimal atelectasis is seen in the lung bases without focal consolidation. no pleural effusion or pneumothorax is detected. there are no acute osseous abnormalities. deformity of the left sixth lateral rib is compatible with a remote fracture.
history: <unk>f with fall, assess for rib fracture
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one portable erect ap view of the chest. small bilateral pleural effusions layer posteriorly. left picc now ends in the upper svc. no pleural effusion. no mediastinal widening. lung volumes are low. bibasilar atelectasis. no evidence of pneumonia. ng tube ends in the stomach.
picc line placement. picc was pulled out slightly.
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pa and lateral views of the chest are submitted dated <unk> at <time>
<unk> year old man with rcc and sob // please assess for pulmonary edema, worsening pna, or pleural effusion. please assess for pulmonary edema, worsening pna, or pleural
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette allowing for ap projection and low lung volumes. patient is slightly lordotic in position and right convex thoracic scoliosis and multiple rib deformities on the right are redemonstrated. there is no pneumothorax or large pleural effusion. linear opacities in the left greater than right base are consistent with atelectasis although aspiration could have a similar appearance. there is no confluent consolidation to suggest pneumonia.
<unk>-year-old male with alcohol intoxication with low oxygen saturation. question infiltrate.
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cardiac support devices projecting pneumothorax now have been removed. ett in standard position. right internal jugular venous catheter ends in the lower svc. pulmonary edema is moderate-to-severe and is overall unchanged when accounting for redistribution. the heart size is now normal. no pneumothorax. no definite pleural effusion.
<unk> year old man with cardiogenic shock // interval change?
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lung volumes are decreased compared to the prior study. heart size is mild to moderately enlarged but relatively unchanged. the aorta is diffusely calcified. there is crowding of the bronchovascular structures but no overt pulmonary edema is demonstrated. minimal streaky bibasilar airspace opacities likely reflect atelectasis. no definite pleural effusion or pneumothorax is seen. there is minimal scarring within the lung apices. no acute osseous abnormalities are detected.
dyspnea.
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pa and lateral chest radiographs demonstrate a left chest port, a catheter tip which projects at or just below the anticipated location of the cavoatrial junction. relative to prior radiograph, opacification of the right upper lung zone is unchanged. hilar contours are stable. patient is status post tumor treatment at the right hilus, better demonstrated on recent ct performed <unk>. elevation of the right hemidiaphragm is stable. obscuration of the left costophrenic angle may reflect a small pleural effusion. linear opacity at the left lung base is likely sequela of atelectasis. no focal opacity convincing for pneumonia is identified. cardiomediastinal and hilar contours are unchanged. osseous structures and imaged upper abdomen or without an acute abnormality.
<unk>-year-old female with shortness of breath. evaluate for pneumonia.
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heart size is within normal limits. the aorta is tortuous. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>m with chest pain // acute process
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one portable ap upright view of the chest. there is a left upper lobe and left lower lobe opacities concerning for pneumonia. the right lung is clear. low lung volumes. the right central venous catheter ends at the cavoatrial junction. no pneumothorax. no pleural effusion. mild cardiomegaly.
<unk>-year-old woman with fever, shortness of breath and hypertension, evaluate for pneumonia.
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previously described small right pneumothorax has resolved. right chest tube is unchanged in positioning. small amount of subcutaneous air overlying the right hemi thorax is unchanged. postsurgical changes in the left hilar, left apical, and left upper mediastinum are unchanged. there is unchanged hyper inflation of the left apex. accounting for low inspiratory volumes, heart is borderline enlarged. pulmonary right hemithorax pulmonary vasculature is enlarged. the left mid and lower lung patchy opacities may be secondary to atelectasis from low inspiratory.
<unk> year old man s/p r vats wedge resection // interval change interval change
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pa and lateral views of the chest demonstrate persistent linear atelectasis at the lung bases. otherwise, no focal consolidation, pneumothorax or pulmonary edema is present, however on the lateral radiograph there is possible opacity projecting over the posterior mid-thoracic spine which could reflect super-imposed shadows. the cardiomediastinal silhouette is stable in appearance. the patient is status post median sternotomy. no pleural effusion is identified.
chest pain. evaluation for pneumothorax.
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. moderate cardiomegaly is stable. there is mild right basilar atelectasis. median sternotomy wires are noted.
<unk> year old man with fever and cough // ? pneumonia
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. heart size is top normal. there is no pleural effusion, evidence to suggest pulmonary edema, or pneumothorax. visualized osseous structures are unremarkable. no air is identified under the right hemidiaphragm.
<unk>f with ruq abd pain
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portable semi upright radiograph of the chest demonstrates low lung volumes with resulting in bronchovascular crowding. there small bilateral pleural effusions. there is no pneumothorax ot consolidation. the endotracheal tube ends <num> cm from the carina. the nasogastric tube ends in the stomach with the last side port at the ge junction.
evaluate for endotracheal tube placement.
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with new onset af
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the heart size is normal. the aortic knob is calcified. mediastinal and hilar contours are unremarkable. within the left upper lobe there is a <num> x <num> cm rounded opacity concerning for malignancy. small left pleural effusion is noted. no pulmonary vascular congestion is identified. there is no pneumothorax. the right lung is clear. mild degenerative changes are noted in the acromioclavicular joints as well as within the thoracic spine.
hemoptysis.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. there is stable mild prominence of the main pulmonary artery. no pulmonary edema is seen.
history: <unk>f with chest pain, tachycardia // r/o infection
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the lungs are well-expanded. prominence of the pulmonary vasculature is noted, without frank edema. the heart is enlarged. an aicd device is present, with leads ending in the right atrium and right ventricle, unchanged. no pleural effusion, consolidation, or pneumothorax.
history: <unk>m with recent admission for chf, returns with sob. // eval for pulmonary edema
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cardiomediastinal silhouette is unchanged. the heart is not enlarged. chronic elevation of the left hemidiaphragm is again noted. there is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. right shoulder arthroplasty is again noted. severe kyphosis with a chronic compression deformity lower thoracic spine again noted and not significantly changed compared to prior study from <unk>. postsurgical clips are again noted in the right upper abdomen possibly secondary to cholecystectomy.
<unk> year old woman with shadow on right lung as seen on xray dated <unk> // evaluate prominent shadow on the right lung along the right heart border as seen on xray from <unk>
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ap view of the chest. endotracheal tube ends <num> cm from the carina in appropriate position. right internal jugular central venous catheter ends in the right brachiocephalic vein. left ij central venous catheter ends at the confluence of brachiocephalic veins. the intra-aortic balloon pump has been removed. there are low lung volumes and continues to be minimal pulmonary edema and moderate cardiomegaly without substantial change. no pleural effusion or pneumothorax.
hypertension, hyperlipidemia, diabetes, inferior stemi. evaluate for change status post removal of intra-aortic balloon pump .
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
chest pain.
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interval advancement of nasogastric tube with tip in the fundus of stomach. side port is well beyond ge junction. otherwise, unchanged exam.
please evaluate for ng tube placement.
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as before the patient is status post median sternotomy and cabg. the heart is mildly enlarged as before. the aorta is tortuous and mildly calcified. there is no pulmonary edema. streaky opacities at the base of the left lung likely reflect atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. no nondisplaced rib fractures are identified. degenerative change throughout the thoracic spine is unchanged.
<unk>f s/p fall c/o l sided rib pain // rib fx
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compared to <num> hours prior, interval placement of an enteric tube which is extensively coiled in the hypopharynx. increased opacification over the left hemithorax may be due to a layering pleural effusion. otherwise, lines, tubes, and supportive devices are unchanged in position. severe cardiomegaly and mild pulmonary vascular congestion are unchanged.
<unk> year old woman with new ngt // ngt placement
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compared with prior radiographs on <unk>, there is a persistent right lower lobe opacity. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with cough and r basilar crackles // evaluate for interval change from <unk> ew visit
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the heart size is within normal limits. the mediastinal and hilar contours are normal. the previously described opacity projecting over the right middle lobe best seen on lateral view is not as apparent on the current exam. there is worsening opacity projecting over the spine on the lateral view along with a small pleural effusion that has slightly increased compared to prior exam on the left. there is no pneumothorax.
<unk>-year-old male with nephrotic syndrome and worsening cough.
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the endotracheal tube terminates <num> cm above the carina. the enteric tube is seen terminating below left hemidiaphragm. lung volumes are markedly low with atelectasis in the lower lungs. the heart appears enlarged though poorly assessed. the upper lungs appear well aerated. there is dextroscoliosis of thoracic spine, otherwise bones soft tissue structures are unremarkable. the trachea is midline.
<unk>f presenting intubated from osgh, would like to eval tube placement. et tube placement
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portable chest radiograph demonstrates enlarged cardiac silhouette and engorged bilateral hila. bibasilar opacification are likely combination of atelectasis and bilateral pleural effusions, right greater than left though cannot exclude infectious process. unchanged moderate-to-severe pulmonary edema.
apparent left pneumonia with worsening status, please evaluate for mucus plugging.
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a left-sided picc is unchanged in position. cardiac and mediastinal contours are unchanged from the prior exam. there is no evidence of pulmonary edema. no effusions are identified. there is no pneumothorax. surgical chain sutures are again seen in the right upper lobe consistent with prior surgery. again, fullness to the right suprahilar region likely corresponds to a consolidative fibrotic area seen on recent chest ct dated <unk>.
<unk> year old man with shortness of breath. // please eval for pulmonary edema, pneumonia
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the lateral left base is underpenetrated due to overlying soft tissue, patient body habitus. given this, no definite focal consolidation is seen. no large pleural effusion is seen. there are no findings suggest pneumothorax. the cardiac and mediastinal silhouettes are stable. evidence of a hiatal hernia is again seen.
history: <unk>f with sob // sob
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pa and lateral views of the chest provided. lungs are clear. heart size is top-normal. mediastinal and hilar contours are normal. there are no pleural effusions.
<unk> year old woman with chest pain
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bilateral upper lobe opacities are concerning for pneumonia, new compared to <unk>. the previously seen right upper lobe pulmonary nodule is less conspicuous on today's exam. there is mild cardiomegaly and mild vascular congestion, but no pulmonary edema. there is mild vascular congestion and a small left pleural effusion. there is no pneumothorax.
<unk>-year-old woman with chest pain. please evaluate for pneumonia.
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heart size is mild to moderately enlarged. the aorta is unfolded. widening of the superior mediastinum is likely due to supine positioning, ap technique, and low lung volumes. crowding of the bronchovascular structures is present without overt pulmonary edema. patchy opacities are noted in the lung bases, likely reflective of atelectasis. no large pleural effusion or pneumothorax is identified. there are no acutely displaced fractures. degenerative changes are seen involving both acromioclavicular joints and within the thoracic spine.
history: <unk>m with altered mental status and hypoxia
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there is a tortuous thoracic aorta. the cardiac silhouette is within normal limits. the bilateral hila are unremarkable. there is no focal lung consolidation. there is no pulmonary vascular congestion. there is no pleural effusion or pneumothorax. there is mild levoscoliosis of the thoracic spine.
an <unk>-year-old man with a fall, now confused in hypotensive, evaluate for pneumonia.
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the cardiomediastinal shadow is normal. no pleuropulmonary disease. no sinister bony lesions. mild asymmetry of the breast shadows.
<unk> year old woman with history of renal cell carcinoma s/p partial nephrectomy in <unk> // pls evaluate for mets or other abnormalities
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable, with the cardiac silhouette is top-normal to mildly enlarged. .
<unk> year old woman with chronic cough recent diagnosis of cardiomyopathy // eval for pna or other cause
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left-sided dual chamber pacemaker device is re- demonstrated with leads in unchanged positions in the right atrium right ventricle. cardiomegaly is similar. the aorta remains tortuous with atherosclerotic calcifications noted at the aortic arch. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. there are mild to moderate multilevel degenerative changes seen in the thoracic spine. clips from prior cholecystectomy are demonstrated in the right upper quadrant of the abdomen. remote fractures are re- demonstrated on the right.
history: <unk>f with atrial fibrillation with rapid ventricular rate
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single portable chest radiograph was provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is a right proximal humeral fracture. imaged upper abdomen is unremarkable.
history of proximal humerus fracture. preoperative clearance.
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pa and lateral views of the chest provided. the lungs are well-inflated and grossly clear. there is no pleural effusion, or pneumothorax. the hilar and cardiomediastinal contours are normal.
<unk> year old woman with hx of mds, neutropenic now with cough and low grade temp. please r/o pna. // <unk> year old woman with hx of mds, neutropenic now with cough and low grade temp. please r/o pna.
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in comparison to prior radiograph and ct, there is no relevant change. the lungs are clear but hyperinflated. cardiomediastinal silhouette and hilar contours are unremarkable. multiple wedge-shaped compression deformities of the thoracic spine are unchanged.
<unk>-year-old woman with fever and increased sputum production, question pneumonia.
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heart size is top normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is present. asymmetric opacity within the medial aspect of the right lung is noted, and it is unclear if this reflects overlapping shadows versus a true pulmonary lesion. no acute osseous abnormalities detected.
fall, leg pain.
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lower lung volumes seen on the current exam. the lungs however remain clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with acute onset chest pain with radiation down left arm, multiple previous evals for similar pain // compare with prior
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the cardiac, mediastinal and hilar contours appear unchanged. blunting of the left costophrenic sulcus suggests a small new effusion, with none identifiable on the right side. streaky basilar opacity seen posteriorly are suggestive of minor atelectasis. otherwise, lungs appear clear. there is no pneumothorax.
chest pain and cough.
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possible micro nodules are most prominent in the left lower <unk>. right lower <unk> opacity most likely represent atelectasis. no pleural effusion or pneumothorax is present. the cardiac and mediastinal contours are stable. evidence of prior vertebroplasty is again noted.
fever and chills. evaluate for pneumonia.
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frontal and lateral views of the chest. again seen is elevation the right hemidiaphragm. the lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is within normal limits. dense mitral annular calcifications are noted. atherosclerotic calcifications seen at the aortic arch. s shaped lower thoracic and upper lumbar scoliosis are seen. there is no free air is seen below the diaphragm.
<unk>-year-old female with right lower quadrant and epigastric pain.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. mild degenerative changes are noted in the thoracic spine.
chest pain. evaluate for an acute process.
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portable supine chest radiograph demonstrates low lung volumes, likely related to technique. there is retrocardiac opacity. the pulmonary vasculature is engorged. the cardiac silhouette is normal in size. the hila appear prominent, but unchanged. the mediastinal contours are otherwise grossly unremarkable.
<unk>-year-old male with alzheimer's, question pneumonia.
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there is a <num> cm subtle rounded opacity overlying the right sixth rib. continued calcifications in the hila, right greater than left, are similar to <unk>. there is cephalization of the pulmonary vasculature, increased from <unk>, possibly indicating increased pulmonary vascular congestion. there is no focal consolidation, pleural effusion or pneumothorax appreciated. the heart and mediastinal contours are unchanged with continued calcification of the thoracic aorta.
patient with altered mental status, evaluate for pneumonia.
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frontal and lateral chest radiographs were obtained. there is moderate cardiomegaly with left ventricular configuration. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the mediastinal contours are within normal limits. no bony abnormality is detected.
new onset afib, e eval intrathoracic process or congestion.
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heart size is mildly enlarged. there is stable calcification of the aortic knob. the mediastinal and hilar contours are normal. the pulmonary vasculature is engorged which is unchanged since <unk>. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with cough // ? cardiopulmonary disease
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compared with prior radiographs on <unk>, there is no significant change in a large left layering pleural effusion. a left pleural drain is stable in position. the right lung is clear. there is no new focal consolidation or pneumothorax. a left apical mass is better evaluated on chest cta <unk>. cardiomediastinal silhouette is unchanged
<unk> year old man with left lung mass with associated left pleural effusion s/p chest tube placement. // evaluate interval lung expansion and effusion improvement
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lungs are well inflated bilaterally with distorted pulmonary architecture and flattened diaphragms consistent with copd/emphysema. there is a <num> mm nodular opacity projecting over the lateral eighth left rib. stable bullae are seen in the upper lung zones bilaterally. there are no areas of focal consolidation concerning for infection. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with smoking history presents with right lower lung wheezing.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
history of smoking, presenting with hyponatremia.
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frontal and lateral radiographs of the chest were acquired. there is a right-sided pacemaker with a single right ventricular lead, as before. a small left pleural effusion is minimally increased. left lower lung consolidative opacities could be atelectasis, although infection in this region is certainly possible, not significantly changed compared to the prior study from <unk>. there is a minimal right lower lobe atelectasis. there is a small right pleural effusion. the heart size is normal. the mediastinal contours are normal. there is no pneumothorax.
cough and fever.
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patient is status post median sternotomy and cabg. there are low lung volumes and elevation of the right hemidiaphragm. there is patchy right mid lung opacity may represent atelectasis, but pneumonia is not excluded in the appropriate clinical setting. left base opacity may be due to combination of the large hiatal hernia with adjacent atelectasis. overall, there appears to be mild pulmonary vascular congestion. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are stable.
history: <unk>m with new onset afib, dyspnea on exertion // assess for infiltrates, effusion, or evidence of pulmonary congestion
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interval increase in moderate-sized right pleural effusion with mild right lower lobe atelectasis and no interval change in small left pleural effusion. rounded homogeneous opacity only seen on lateral projects projects over the anterior heart. there is no corresponding finding on the frontal view, so it is not necessarily a real finding. no additional focal opacity, pneumothorax, pulmonary edema, or left pleural effusion. heart size is partially obscured by pleural parenchymal process and mediastinal contour and hila are otherwise normal. no bony abnormality.
male with pleural effusion.
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the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
<unk>-year-old female with rheumatoid arthritis, on methotrexate, with one month of cough, congestion and hypoxemia.
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the cardiac silhouette is minimally enlarged and stable since the prior examinations. indistinctness of the pulmonary vasculature remains. again noted are right-sided mid and lower lung opacities less conspicuous on the current examination than on priors. again noted is stable retrocardiac and left midlung opacity, not significantly changed. a small left pleural effusion is persistent. again noted is a transesophageal tube, with the tip terminating in the proximal stomach.
<unk> year old man with dementia and recent stroke, now w/ fever // evaluate for infectious process
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there is a large region of consolidation involving the left lung, involving the upper lobes, lingula, and possibly the left lower lobe, significantly increased since the prior study. patchy right basilar opacity may represent atelectasis or additional site of consolidation. additional subtle opacity projecting over the right upper lobe, in the region of the posterior right <unk> rib, may be additional site of consolidation. no pleural effusion or pneumothorax is seen. there are relatively low lung volumes. the cardiac and mediastinal silhouettes are stable.
hemoptysis, recently had pneumonia
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. again appreciated is a left-sided subclavian approach single-lumen port with the tip terminating at the upper-to-mid svc. the port catheter is without sharp kinks or breaks. lungs are clear. there is no pleural effusion or pneumothorax.
poor blood return on left-sided port.
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the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
history of fever, rule out infectious process.
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lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with cp // ? infiltrate
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single ap radiograph of the chest demonstrates an intact median sternotomy wires. mediastinal clips are seen overlying the left heart border. the lungs are clear with no focal opacity. scarring at the left lung base. cardiac, hilar, and mediastinal contours are normal. no pleural abnormality.
sudden onset weakness.
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there is a new dense right lower lobe infiltrate. and a more hazy left lower lobe infiltrate. there is pulmonary vascular redistribution. there small bilateral effusions. the heart size is moderately enlarged. again seen are multiple calcified lymph nodes in the mediastinum and supraclavicular region on the left
<unk> year old man with ild and increased sputum production // r/o pna
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the trachea is deviated rightward, likely secondary to an anterior mediastinal/lower cervical mass, which is most commonly an enlarged thyroid. given the rapid enlargement, would further evaluate with thyroid ultrasound. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
smoker with chest pain. evaluate for lung mass.
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the lungs are clear of confluent consolidation. linear opacities seen in the right mid lung could be related to scar versus atelectasis and possible thickening of the major fissure. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever, low white blood cell, question pneumonia.
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a single portable chest radiograph was obtained. a dobbhoff tube projects over the stomach. the tip is folded back on itself and points towards the body of the stomach. lung volumes are low. retrocardiac atelectasis has increased slightly. no effusion, consolidation, or pneumothorax is present.
<unk>-year-old woman, status post dobbhoff placement.
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the small left apical pneumothorax and left chest tube are unchanged. postoperative mediastinal contours and cardiac borders are normal. small right pleural effusion and atelectasis are stable. possible mild pulmonary edema in the left lung is new since <unk>. a right-sided port-a-cath terminates in the low svc, unchanged. multiple rib and left clavicular fractures were previously noted.
<unk> year old man with left pneumothorax s/p left ct // eval for pneumothorax, interval change
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the lungs are well expanded. there is bilateral diffuse increase in interstitial thickening, with indistinctness of both hila and a small right-sided pleural effusion in the setting of moderate cardiomegaly. no focal opacities are identified. there is no pneumothorax.
<unk>-year-old female with new stroke. evaluate for acute cardiopulmonary process.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with chest pain, pleuritic
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compared to prior exam lung fields are less inflated. there increased opacity at the base of the right lung that represent linear atelectasis of the right lower lobe. there is a layering of pleural fluid on the left lung, and a left perihilar atelectasis. on the same side has been positioned a chest tube with tip ending anteriorly and superiorly. subcutaneous emphysema is seen on the left heart size and vessel silhouette are unchanged. there is no pneumothorax
<unk>-year-old man with testicular cancer with possible metastatic disease.
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unchanged. the heart remains enlarged. no pneumothorax, pleural effusion, or consolidation. a compression deformity of the lower thoracic vertebral body is age indeterminate, but new from <unk>. multilevel degenerative changes in the thoracic spine.
history: <unk>f with sob // r/o acute process
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the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>f with dizziness. assess for acute intrathoracic process
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median sternotomy wires are intact and well aligned. the patient has undergone prior aortic valve replacement. there has been interval removal of a right central venous catheter. the cardiac silhouette is borderline enlarged. the pulmonary vasculature is unremarkable. a right pleural effusion remains. no pneumothorax is present.
<unk>m with valve replacement <num> months prior now w/ worsening cp radiating to scapula x <num>d
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tracheostomy tube is approximately <num> cm above the level of the carina and is in appropriate position. right ij tip is in low svc. ng tube extends into proximal stomach and is out of view. mild interval increase in bilateral pleural effusions, left greater than right. increased mild pulmonary edema with mediastinal vein dilatation and mildly enlarged heart which is slightly accentuated by low lung volumes. linear rounded opacity in the right lower lobe is likely from atelectasis. no pneumothorax. severe degenerative change at the right humeral head is again noted.
<unk>-year-old male with bilateral pleural effusions, status post catheter removal.
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a port-a-cath again terminates in the mid superior vena cava. allowing for differences in technique, the cardiac, mediastinal and hilar contours appear unchanged. an opacity in the left lower lobe has increased in extent and density. there is also patchy right lower and left mid lung opacification, all findings worrisome for multifocal pneumonia. there is no definite pleural effusion or pneumothorax.
neutropenia and productive cough. question pneumonia.
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pa and lateral views of the chest provided. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with moderate cardiomegaly re- demonstrated. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with confusion, agitation // pneumonia
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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.
<unk>m with chest pains and pancreatitis. evaluate for effusions.
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pa and lateral views of the chest. no prior. lungs are clear. cardiomediastinal silhouette is within normal limits.
<unk>-year-old female with left chest pressure. question cardiomegaly.
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the lungs are well expanded and clear. the cardiomediastinal silhouette and hilar contours are normal. no pleural effusion or pneumothorax is present.
<unk>-pound weight loss.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no evidence of subdiaphragmatic free air. a spinal stimulator is noted at the level of the lower thoracic spine.
<unk>-year-old male with hiatal hernia, now with right upper quadrant pain. evaluate for subdiaphragmatic air.