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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. clips in the right upper quadrant of the abdomen indicate prior cholecystectomy.
history: <unk>f with syncope
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. initial image demonstrates a post pyloric nasogastric tube. subsequently this tube is removed, and a new nasogastric feeding tube is positioned with its tip in the region of the stomach.
<unk>m w/dobhoff replacement, please eval placement // <unk>m w/dobhoff replacement, please eval placement
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable. there is persistent slight prominence/subtle increase in right hilar density, similar to the prior study. the prior study recommended further evaluation with chest ct with iv contrast, and this recommendation remains. .
history: <unk>f with asthma exacerbation and productive cough // pneumonia?
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there is a moderate loculated left pleural effusion and left basilar atelectasis. left pleural thickening is better assessed on pet-ct performed earlier on same day. a right upper lobe of consolidation is better evaluated on ct. there is no frank pulmonary edema. there is no pneumothorax. no chest tube is visualized.
<unk>f with chest tube, recent effusion // eval for pulm edema
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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.
history: <unk>f with <num>xwks sharp chest pain, measured fevers, ivdu, n/v/d // r/o pna, pleural effusion
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airspace consolidation is patchy throughout the left lung concerning for pneumonia. opacification of the left mid to lower lung is likely secondary to a moderate pleural effusion and associated atelectasis in the right lower lung. the right apex remains well aerated. heart size cannot be assessed. bony structures are intact though there is severe degenerative disease at both shoulders partially imaged.
<unk>f with sob, fluid overload // evaluate for pulmonary edema.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours are unremarkable. there are no pleural effusions or pneumothorax. the osseous structures are unremarkable.
hepatic encephalopathy. question pneumonia.
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the heart is upper limits normal in size but there is pulmonary vascular redistribution. an ill-defined vasculature. there small bilateral pleural effusions. the alveolar infiltrate in the left mid lung is again seen. however there patchy areas of alveolar infiltrate on the right. the pacemaker is unchanged
<unk> year old man with l pneumonia, new crackles right lung base // interval change, consolidation, effusion, vol overload
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again seen is significant retrocardiac opacity with air bronchograms. compared to <unk>, the there has been partial obscuration of the left hemidiaphragm suggesting slight interval progression of left lower lobe collapse and/or consolidation the right lung base is grossly clear. no gross right effusion. small left effusion would be difficult to exclude. the cardiomediastinal silhouette is unchanged with a left ventricular configuration. a right-sided pacemaker type device, with <num> leads, his unchanged. note is made of several swirling of wires near their origin from the battery pack. there maybe there is equivocal slight upper zone redistribution, but no overt chf. the dobbhoff tube is present, tip overlying the gastric body. incidental made note is made of finding is consistent with a right shoulder chronic rotator cuff tear. mild deformity of a left upper chest rib is compatible with an old fracture, also seen in <unk>. the previously described right lateral mid zone presumed granuloma is obscured by pacemaker leads on the current study.
<unk> year old woman with acute on chronic sdh now with significant delirium on tfs now with worsening cough and rhonchi // eval for infiltrate
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increased interstitial markings in both lower lung fields are consistent with known bibasilar bronchiectasis. however, a new ill-defined focal opacity is noted in the right lower lung region, which is seen projecting over the heart shadow in the lateral view. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. old right rib fractures are noted.
<unk>-year-old female with shortness of breath and productive cough. evaluate for evidence of acute cardiopulmonary process.
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pa and lateral views of the chest were reviewed. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lungs are well expanded with no focal consolidation concerning for pneumonia.
weakness.
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pa and lateral views of the chest. multiple rib fractures are again seen. there is a decrease in amount of subcutaneous emphysema. there may be a miniscule pneumothorax in the left apex. there is increased layering pleural effusion on the right as well as a new right-sided loculated pleural or extrapleural effusion. the mild pulmonary edema seen previously has resolved. the heart is normal. the left lower lobe atelectasis is stable.
status post mvc with multiple rib fractures, question of consolidation.
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compared to <unk>, there is no large interval change in the appearance of the chest. a dialysis catheter ends in the right atrium. mild cardiomegaly is unchanged. there are increased interstitial markings diffusely. there is are small bilateral pleural effusions. there is no focal lung consolidation.
<unk>-year-old man with recent pna, now with stroke symptoms.
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there is no evidence of a pneumothorax. since the prior radiograph, there has been mild decrease in the pulmonary vascular congestion and interstitial edema. at the right base, is a small hazy opacity, either atelectasis or a developing pneumonia. the cardiomediastinal silhouette is normal. there is no cardiomegaly.
evaluate for pneumothorax.
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lungs are clear. cardiac silhouette is within normal limits for technique. no acute osseous abnormalities.
<unk>m with <num> wk exertional chest pressure, concerning ekg changes // eval ? edema, cardiomegaly
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the patient is slightly rotated during this study. there is no focal consolidation, pleural effusion or pneumothorax. heart remains enlarged. there is no subdiaphragmatic free air. no acute osseous abnormalities are identified.
history: <unk>f with slurred speech // ? infectious proces
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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 woman with hx of melanoma // please evaluate disease status
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compared with <unk>, there has been considerable interval increase in chf, with upper zone redistribution diffuse vascular blurring, left lower lobe collapse and/or consolidation, and small bilateral effusions. the rounded nodular opacity at the left lung base with <unk> fiducials versus surgical clips is again noted, similar to the prior study. there are low inspiratory volumes, slightly worse than on the prior study. persistent right hemidiaphragm elevation again noted.
<unk> year old woman with pna and hypercarbic respiratory failure // interval change
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. previously seen bibasilar opacities have significantly improved from the prior study, however there is a subtle opacity in the right middle lobe. the upper lung zones are clear. there is no pneumothorax or pleural effusion seen. there are no acute osseous abnormalities. previously seen at hilar adenopathy is less apparent on this study.
<unk> year old woman with met rcca, s/p bilateral pna // re-evaluation for pna <num> weeks ago
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study of <unk>. the heart size is probably within normal limits as can be identified on this portable ap single view examination. no configurational abnormality is present. unremarkable appearance of thoracic aorta. pulmonary vasculature is not congested, and there is no evidence of pleural effusion blunting the lateral pleural sinuses. no pneumothorax in the apical area. in comparison with the next preceding examination one day ago, no significant interval change can be identified. comparison is extended to the pa and lateral chest examination dated <unk>. the pa and lateral chest examination demonstrated much better inspirational effort with clear lungs. the heart size was within normal limits and no configurational abnormality was identified.
<unk>-year-old female patient with worsening hypotension. evaluate for cardiopulmonary pathology.
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heart size is normal. the aorta is unfolded. the mediastinal and hilar contours are otherwise unremarkable. the pulmonary vascularity is normal. there is eventration of the right hemidiaphragm. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
chest pain.
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the heart size is top-normal. mild prominence of the pulmonary arteries is unchanged compared to the prior exam. no focal consolidations concerning for pneumonia are identified. there is mild bibasilar atelectasis. there may be a small right pleural effusion. there is no evidence of a pneumothorax.
history: <unk>f with r sided pain pls <unk> <unk> <unk> edema, pna or rib inj.
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right basilar chest tube remains projecting over the right basilar hemi thorax. extensive subcutaneous gas appear slightly increased from the prior study, located within the right lateral chest wall, the neck bilaterally, as well as tracking along the pectoralis muscles bilaterally. no pneumothorax is visualized. lungs are hyperinflated with marked emphysematous changes again seen in the upper lobes. patchy opacities in the lung bases may reflect atelectasis. cardiac, mediastinal and hilar contours are similar. remote fracture of the right mid clavicle is re- demonstrated.
history: <unk>m with chest tube placed with persistent air leak // reassess chest tube
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with history of eating disorder presents c/o chronic abdominal pain, n/v, and syncope
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the patient is status post median sternotomy. the heart is normal in size. the cardiomediastinal and hilar contours are within normal limits. the pulmonary vasculature is normal. the lungs are clear. there is no pleural effusion or pneumothorax identified.
<unk> year old man former smoker (minimal amount) with chronic cough. most likely from ace inhibitor but want to rule out underlying causes. // eval for cause of chronic cough
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portable ap chest radiograph. the lungs are clear. there is no pleural effusion or pneumothorax. the heart size is borderline.
left heart catheterization performed. now having right upper chest pleuritic pain.
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frontal and lateral radiographs of the chest demonstrate an interval increase in the size of the right-sided pleural effusion with adjacent atelectasis, as well as minimal left-sided pleural effusion. there are stable post-radiation changes seen in the right hilum. the patient is status post right lower lobectomy. there has been increase in the number and size of the numerous small nodules in the bilateral lung apices. the mediastinal and hilar contours are unchanged. there is no pneumothorax.
<unk>-year-old man with lung mass status post right-sided thoracentesis. evaluate for pneumothorax.
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opacity in left lung base most likely represent atelectasis. otherwise, the lungs are clear without pulmonary edema, pleural effusion or pneumothorax. there are multiple calcified pleural plaques. the cardiac contours are normal. the aorta is calcified. asymmetry of the breast tissues is stable since <unk>. there is spinal hardware.
<unk> year old woman with h/o paf, prior amiodorone rx; pulmonary hypertension seen seen on recent echo // evaluate for new doe
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the heart is top-normal in size. the mediastinal contours are normal, and the lungs are clear of focal consolidation, pulmonary edema or pleural effusions.
<unk>-year-old male with rapid atrial fibrillation, evaluate for congestive heart failure.
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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. there is no free air. there has been no significant change.
epigastric pain.
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. compared to the prior chest radiograph of <unk> the lung expansion has improved.
history: <unk>f with cough, fever // ?pna
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the left lung is clear and unchanged. right-sided loculated hydropneumothorax has increased. persistent right-sided volume loss is stable. small nodular density consistent with the lesion seen on recent ct. the cardiomediastinal silhouette is unchanged.
<unk> year old man with hx of malignant pleural effusion // assess for pleural effusion
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a left port-a-cath is seen terminating in the upper to mid svc. there is no evidence of pneumothorax. the lungs are well-expanded and clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion. there are no acute osseous abnormalities.
<unk> year old man with rectal cancer // eval portacath position
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pa and lateral views of the chest. there are new diffuse increased interstitial opacities which can be seen in atypical pneumonia. no evidence of edema, pleural effusion, or focal consolidation. mild cardiomegaly is stable.
multiple myeloma, now with cough, congestion, and elevated white count, evaluate for infection.
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low lung vollumes seen with crowding of the bronchovascular markings. there are no focal pulmonary opacities or edema. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is identified.
<unk>-year-old male with right flank pain. evaluate for chf.
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the patient is status post sternotomy and probably coronary artery bypass graft surgery. the heart appears mildly enlarged. pulmonary vascularity is mildly prominent, suggesting mild vascular congestion. there is a small-to-moderate pleural effusion on the right, but decreased. subpulmonic opacification of the left lung base is not well delineated but may indicate a small effusion and atelectasis. the bones appear demineralized. the right acromiohumeral interval is effaced.
recent upper endoscopy for a gastrojejunal stricture, presenting with hemoptysis.
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heart size is top normal with mild tortuosity of the thoracic aorta. hilar contours are normal. previously appreciated retrocardiac opacity is increased with a lateral correlate in the posterior left lower lobe concerning for pneumonia. the left lung apex and right lung are clear. there is no pleural effusion or pneumothorax.
fevers, cough and hypoxia.
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a left infusion port catheter tip terminates in the mid svc. lungs are fully expanded and clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
<unk> year old man with port // check port placement
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with tia // rule out pna
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pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no typical configurational abnormality is seen. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is not congested. on the right lung base, there is a parenchymal density occupying the cardiophrenic angle on the frontal view and projecting into the medial lower segment of the right middle lobe. an additional local parenchymal infiltrate is seen on the left base partially in retrocardiac position and located in the posterior segment of the left lower lobe on the lateral view. pleural spaces are free and thus no evidence of pleural effusion. no pneumothorax in the apical area. when comparison is made with the next preceding chest examination of <unk>, the patient had, at that time, small peripheral parenchymal infiltrates on the left base. the now diagnosed pneumonic infiltrate in the right middle lobe did not exist and the parenchymal densities on the left base are larger than they were at that time.
<unk>-year-old female patient with myeloma, persistent cough, assess for abnormalities.
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pa and lateral chest radiograph demonstrates a heart top normal in size. over pulmonary edema. hilar and mediastinal contours are unremarkable. there is no pleural effusion or pneumothorax. osseous structures are without an acute abnormality.
<unk>-year-old male with chest pain.
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no significant interval change. no focal consolidation, edema, effusion, or pneumothorax. bibasilar atelectasis persists. slight elevation the right hemidiaphragm is unchanged. the heart is normal in size. the mediastinum is not widened. surgical clips in the mid upper abdomen are compatible with prior history of subtotal gastrectomy and fundduplication, unchanged. a round radiopaque foreign body in the left chest wall is unchanged.
<unk>-year-old man presenting after a fall earlier today. evaluate for consolidation.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. there is no displaced rib fracture.
<unk>-year-old pushed into wall with scapular tenderness post trauma evaluate for pneumothorax
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cardiac size is top normal. the aorta is tortuous. there is probably a small hiatal hernia. aside from minimal opacities in the right base better seen in the lateral view, the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
<unk> year old woman with rll rales and fever // r/o infiltrate
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compared with prior radiographs on <unk>, there has been interval removal of a temporary pacing wire, and placement of a right-sided dual chamber pacemaker through a right subclavian approach, with leads terminating in the right atrium and right ventricle.there is perihilar vascular congestion, similar to prior. there is no pleural effusion, peribronchial cuffing or pulmonary edema. cardiomegaly is stable. there is no focal consolidation or pneumothorax.
<unk> year old woman with heart block s/p ppm // lead placement
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there has been no significant interval change since the prior study. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
<unk> year old man with bigeminy // r/o chf
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there is stable appearance of right port-a-cath with distal tip projecting over the lower svc. the cardiomediastinal silhouettes are grossly unchanged from prior study. there is minimal interval worsening of pulmonary edema. the appearance of asymmetry in the pulmonary edema is likely due to rotation of the patient. there is no pneumothorax or pleural effusion.
<unk> year old woman with pulm edema, new bradycardia // assess for interval resolution of edema
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there is new complete opacification of the left hemithorax with slight rightward shift of the trachea and mediastinum. this is most consistent with a new large left pleural effusion. a left pleurx catheter tip appears in unchanged position overlying the left lower lung zone. the catheter itself appears intact. there is a small right pleural effusion, which is unchanged. the right lung is clear without a consolidation or pulmonary edema. the cardiomediastinal silhouette is not well evaluated due to the left hemithorax opacification.
history of metastatic anaplastic thyroid cancer with a left pleurx catheter. presenting with decreased drainage.
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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. mild to moderate degenerative changes are noted in the thoracic spine.
history: <unk>m struck by car with comminuted tibial plateau fracture, preop cxr
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the right-sided picc line and right subclavian dialysis catheter are unchanged in position. the patient has had prior median sternotomy. a feeding tube terminates in the stomach. there is no pneumothorax. moderate cardiomegaly is unchanged. the lungs are clear.
<unk> year old man with fever, mixed shock // eval for pna
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portable semi-upright radiograph of the chest demonstrates low lung volumes with bronchovascular crowding. there is an unchanged appearance of the cardiac silhouette. there is persistent massive subcutaneous emphysema, which is stable to slightly decreased from the prior study. no pneumothorax is present.
<unk>-year-old female with recent tracheal dilatation. evaluate for interval change.
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patient is status post median sternotomy and prosthetic cardiac valve replacement with mild cardiomegaly noted. the aorta is mildly tortuous with atherosclerotic calcifications seen at the aortic knob. hilar contours are unremarkable. there is mild upper zone vascular redistribution, likely due to supine positioning, without overt pulmonary edema. no focal consolidation, large pleural effusion or pneumothorax is detected on this supine exam. there are no acute osseous abnormalities.
history: <unk>m with fever, altered mental status
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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> year old woman with cough, rales right base. evaluate for consolidation.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. a density overlying the right mid lung is likely within the soft tissue. a left lower lobe hyperdensity was previously evaluated with ct chest in <unk> and corresponds with a clinical history of retained/dislodged metal forceps tip. the lungs are well-aerated and clear without pulmonary edema or focal consolidation. there is no pleural effusion or pneumothorax.
history of breast cancer with dyspnea on exertion.
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normal chest, lungs, pleural and mediastinal surfaces.
<unk> year old man with hepatic encephalopathy and a<num> anti-trypsin disease // ?pna
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as compared to prior examination, there has been minimal interval change. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. the mediastinal and hilar contours are normal.
chest tightness for <num> days.
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lungs are well expanded. cardiac silhouette appears to be mildly enlarged; however, this could be due to the ap technique. cardiomediastinal contours are unremarkable. lungs are clear. no pleural effusions and no pneumothorax. bony structures are intact.
<unk>-year-old lady with seizures, right frontal brain mass, evaluate for cardiopulmonary process.
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there is a metallic forceps projecting along the base of the neck. in discussion with the referring physician by telephone, dr. <unk>, <unk> can be accounted for as an external towel clamp and does not have the same appearance as the missing clamp, an image of which is also provided. the patient is intubated. a transesophageal echo device projects over the central mediastinum. there are bilateral chest tubes and two centrally placed mediastinal drains. a band-like opacity in the right mid lung suggests atelectasis. patchy left basilar atelectasis is also noted. mediastinal widening is anticipated following cardiac surgery. there is no evidence for pleural effusion or pneumothorax.
missing instrument count in the operating room.
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massive cardiomegaly is unchanged. single pacemaker lead terminates in the right ventricle. the mediastinal and hilar contours are normal. the aortic arch is again calcified. opacities at the lung base on the lateral radiograph have worsened. a small pleural effusion is seen in the posterior costophrenic sulcus, however the laterality is unclear.
history: <unk>m with dyspnea // acute process?
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there is elevation of the posterior left hemidiaphragm/posterior left diaphragmatic hernia with bowel seen in the lower left hemi thorax. the right lung is hyperinflated suggesting chronic obstructive pulmonary disease. subtle patchy nodular opacity at the right lung base is seen and could represent small focus of infection or pulmonary nodule. further evaluation with chest ct is recommended. the aortic knob is prominent and underlying aneurysmal dilatation may be present, which can also be further assessed on ct. aortic calcifications are seen. the cardiac silhouette is not enlarged. no pneumothorax seen. evidence of dish is seen along the spine. .
history: <unk>m with chest pain // r/o pna
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the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. mildly exaggerated kyphosis is similar along the mid thoracic spine.
hypertension, status post radiation for lymphoma.
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. there is trace left base atelectasis. lungs are otherwise clear. there is no pleural effusion or pneumothorax.
epigastric pain. question effusion.
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endotracheal tube is <num> cm the carina. left-sided picc the cavoatrial junction. the nasogastric tube remains in good position. persistent left lower lobe atelectasis. no pneumonia, pulmonary edema or effusions. no pneumothorax.
<unk> year old woman with new desaturation and decreased breath sounds on l. // ett placement
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded with incidental note made of an azygos lobe. increased interstitial markings at the lung periphery bilaterally correlate to subpleural interstitial changes seen on prior ct. the upper abdomen is unremarkable in appearance.
<unk> year old woman with h/o stage iicovarian carcinoma now with sob and crackles on inspiration left lung greater than right lung // please evaluate for worrisome features
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since radiographs obtained <unk>, no significant changes are appreciated. there is persistent, minimal elevation of the left hemidiaphragm and tortuosity of the aorta. the lungs are fully expanded and clear without focal consolidation or evidence of pulmonary nodules or masses. cardiomediastinal and hilar silhouettes are normal. the pleural surfaces are normal.
<unk> year old woman with recent <unk> lb weight loss. // please evaluate.
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portable upright view of the chest demonstrates nasogastric tube coiled within the esophagus. lung volumes are low. confluent consolidations in the lower lobes bilaterally are new since <unk> exam. no pleural effusion is seen. there is no pneumothorax. hilar and mediastinal silhouettes are unremarkable. ascending aorta is mildly tortuous. heart size is normal. there is no pulmonary edema.
patient with small bowel obstruction. assess for ng tube placement.
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ap upright view of the chest provided. surgical clips are seen in the right upper quadrant the abdomen, consistent with cholecystectomy. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. scoliosis again noted. no free air below the right hemidiaphragm is seen.
<unk>f with hypoglycemia, cough.
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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 right rib pain s/p fall // r/o acute process
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pa and lateral views of the chest provided. there has been interval clearance of left lower lung opacity. currently, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. tiny clips project over the right upper quadrant with a metallic biliary stent in place.
<unk>f with cholangiocarcinoma p/w temp to <unk>.<num> and nausea/vomiting.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. on the lateral view, there is a prominent focal infrahilar opacity that has a somewhat oval nodular appearance. it may coincide with patchy streaky left lower lobe opacities and a lingular opacity suggesting minor atelectasis or scarring, but perhaps more likely correlates with streaky right infrahilar opacification. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax.
nausea and vomiting.
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as compared to prior chest radiograph from <unk>, there has been interval removal of a right chest tube. remaining support and monitoring devices are in unchanged position. there is a persistent moderate right basilar pneumothorax, manifested by hyperlucency in the peridiaphragmatic region. there is improved aeration at lung bases bilaterally. otherwise, no other changes demonstrated.
<unk>-year-old female patient with two chest tubes for pneumothorax, one pulled this a.m. study requested for evaluation of interval change.
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suture material in the left upper lobe is consistent with history of blebectomy. small post surgical fluid collection is noted surrounding left upper lung. there is no pneumothorax or consolidation. cardiomediastinal silhouette is normal size and unchanged. left chest tube is in unchanged position.
<unk> year old man with l ptx post blebectomy // check interval change, ct remains clamped
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compared to radiographs from <unk>, there has been interval placement of the right-sided chest tube with mild interval improvement of a loculated right effusion. no pneumothorax. small left pleural effusion has decreased, now trace. lung volumes have improved, though remain low overall. there is no focal airspace consolidation. no central vascular congestion or overt pulmonary edema. right picc line tip terminates at the cavoatrial junction/right atrium. nasogastric tube extends below diaphragm and terminates in the distal stomach.
<unk> year old woman with empyema s/p chest tube placement. // please evaluate for pneumothorax.
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since <unk>, mild pulmonary edema is new, more pronounced on the right than left.. right basilar opacity likely representing right subsegmental atelectasis is unchanged. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia no pleural effusions. left picc line terminates near the superior cavoatrial junction.
<unk> year old man with acute hypoxic resp failure <unk> volume overload // pulm edema vs. pna
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the 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 upper quadrant pain and bronchial breath sounds. evaluate for evidence of pneumonia.
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there is no focal consolidation, pleural effusion or pneumothorax. bibasilar opacities are unchanged from the prior study and likely represent chronic atelectasis. the cardiomediastinal slight is unchanged. the imaged abdomen is unremarkable.
history: <unk>f with dyspnea // eval for pna
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mild cardiomegaly and tortuosity of the thoracic aorta is unchanged from prior study. hilar contours are unremarkable. previously identified retrocardiac density is improved compared to prior study. there is trace linear atelectasis at the right lung base. there is re- demonstration of a roughly <num> cm nodule in the right upper lobe unchanged from the prior examination. there are no definite traumatic findings or focal bony lesions though this is greatly limited by diffuse osteopenia.
multiple myeloma status post fall with back pain and right lung base crackles on exam.
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nasogastric tube courses into the very proximal stomach with tip just beyond the ge junction can be advanced <num>-<num> cm for optimal positioning. stomach demonstrates marked gaseous distention. ventriculoperitoneal shunt is seen to course to the left hemithorax and into the upper abdomen. right picc line terminates in the lower svc. the heart is top normal in size. normal cardiomediastinal silhouette. the lungs are clear with minimal bibasilar atelectasis. there is no effusion or pneumothorax.
ng tube, assess confirm placement.
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ap and lateral views of the chest. left chest wall port is seen with catheter tip coiled within the svc, similar to prior exams. pleural based opacity over the right lower lung laterally is compatible with previously characterized lipoma. the lungs are otherwise clear. there is no effusion or edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. hypertrophic changes seen in the spine. surgical clips seen in the upper abdomen.
<unk>-year-old male with dyspnea on exertion.
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again seen are extensive fibrotic changes, predominant following the bilateral mid to lower lung this patient with reported history of sarcoidosis. the cardiac and mediastinal silhouettes are stable. hilar contours are stable. no pleural effusion or pneumothorax is seen.
history: <unk>f with sarcoid, p/w cough and sob // eval for consolidation
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lungs are clear. no focal consolidation, effusion, pneumothorax, or edema. the heart is normal in size. the mediastinum is not widened. aortic knob calcifications are unchanged.
history: <unk>f with dyspnea // ? chf vs. pna
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no previous images. the heart is normal in size and the lungs are clear without vascular congestion or pleural effusion.
chest pain.
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ap view of the chest demonstrates interval increase in opacification of the right lung, which likely represents combination of pleural fluid and patient's known right lung mass. small portion of the right lung remains aerated in the lower lung zone, with increased opacification, likely due to overlying fluid. the left lung is essentially clear. ill-defined opacity in the left upper lung likely corresponds to fdg-avid nodule seen on <unk> pet-ct exam. there is no left pleural effusion. no pneumothorax. hilar and mediastinal silhouettes are unchanged. there is no mediastinal shift. heart size is normal.
patient with history of non-small lung carcinoma with mets to the brain, now with worsening respiratory status and altered mental status. assess for pneumonia.
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pa and lateral views of the chest provided. the lungs appear hyperinflated without focal consolidation, effusion or pneumothorax. there is linear density abutting the left heart border as well as at the right lung base, likely scarring. no definite signs of edema or congestion. the heart appears mildly enlarged. the mediastinal contour is normal. bony structures are intact though there is an old right upper rib rib deformity which is chronic.
<unk>m with esrd on dialysis, depression, missed hd today, r basilar crackles
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when compared to prior, the previously seen right upper lobe region of consolidation is smaller and more nodular. vague left upper lung opacity has near completely resolved. there is however new parenchymal opacity in the right lower lobe. there is no effusion or pneumothorax. cardiac silhouette is mildly enlarged. no acute osseous abnormalities.
<unk>f with uterine carcinosarcoma on chemo (<unk>/taxol) presents w/ acute onset sob and chest discomfort // r/o pneumonia, r/o effusion - decreased breath sounds on r.
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the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. there is tortuosity of the thoracic aorta. left chest wall dual lead pacing device seen with right atrial right ventricular leads. hypertrophic changes noted in the spine. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with icd firing // eval for intrathoracic process
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again seen is cardiomegaly and evidence of background copd. there is upper zone redistribution, vascular plethora and mild vascular blurring, consistent with chf. more focal opacities are seen at both lung bases and could represent either atelectasis or infectious/inflammatory opacities. allowing for technical differences, these are similar to the prior film. blunting of the costophrenic angles raises the possibility of small left-greater-than-right pleural effusions versus pleural thickening. rectangular density superimposed over the lower thoracic spine likely reflects methylmethacrylate (segment) related to prior kyphoplasty or vertebroplasty. curvilinear density superimposed over mid thoracic vertebral body may also represent methylmethacrylate. curvilinear vascular calcification is considered less likely. carotid artery calcification also noted.
<unk> year old woman with copd p/w stroke and copd exacerbation // interval change
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frontal and lateral views of the chest. the lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is within normal limits. hypertrophic changes are seen in the spine.
<unk>-year-old female with shortness of breath.
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frontal and lateral views of the chest. increased interstitial markings are seen throughout the lungs, which may represent interstitial edema. there is no large effusion. retrocardiac opacity is compatible with previoulsy seen hiatal hernia. median sternotomy wires and mediastinal clips are again noted.
<unk>-year-old female with history of chf and coronary artery disease, presents with wheezing.
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the lungs are hyperinflated, with flattening of the diaphragms and conspicuity of the reticular architecture, consistent with emphysematous disease. otherwise, there are no focal opacities. cardiomediastinal and hilar contours are unremarkable. the aorta is mildly tortuous and there are atherosclerotic calcifications at the level of the aortic knob. no pleural effusion or pneumothorax is present. bilateral round opacities in the lower lung fields represent the nipples and were seen in prior exam.
<unk>-year-old female with shortness of breath. evaluate for evidence of acute cardiopulmonary process.
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man with right hepatic hydrothorax, diuresing. // evaluate for interval change in right pleural effusion. evaluate for interval change in right pleural effusion.
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ap and lateral views of the chest provided. a left port-a-cath ends at the mid svc. lung volumes are low. diffuse, ground-glass and reticular opacities predominantly in the left hemithorax, corresponding to ground-glass and reticular opacities from ct <unk> no pleural effusion. a small, linear opacity projects of the right lung apex. hilar and cardiomediastinal contours are normal.
<unk> year old man with severe dyspnea, treating for pcp // interval change
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a small right apical pneumothorax is noted. left basilar opacification is improved since prior exam in <unk>. diffuse reticular interstitial markings and lung hyperinflation is compatible with chronic lung disease. the heart size is normal. no pulmonary edema or pleural effusions.
<unk> year old woman with recurrent right pleural effusion s/p chest tube // ? ptx
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heart size is difficult to determine given the presence of a moderate size right pleural effusion, which appears relatively unchanged compared to the prior exam. there is mild pulmonary edema, slightly improved compared to the previous exam. streaky left basilar opacity may reflect atelectasis, with a right basilar opacity also likely reflective of compressive atelectasis. a small left pleural effusion appears to be present. there is no pneumothorax. assessment of the lung apices is somewhat obscured due to the patient's chin projecting over this region. no acute osseous abnormalities are present.
weakness.
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frontal and lateral views of the chest were obtained. mild bibasilar atelectasis is similar to the prior study. there is no focal consolidation, pleural effusion, or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. again seen are multiple left-sided rib fractures.
chest pain.
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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with pleural effusion s/p <unk> // ? ptx ? ptx
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ap and lateral views of the chest were obtained. again seen is mild to moderate cardiomegaly with increased width of the mediastinum, likely reflecting a dilated distal azygos vein. note is again made of an increased right-sided pleural effusion. pleural thickening at the right lung base again noted. there is no pneumothorax. there is mild to moderate pulmonary edema but no focal infiltrate concerning for pneumonia. the visualized osseous structures are unremarkable.
shortness of breath.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. heart size is top normal with tortuous aortic contour.
chest pain and shortness of breath. assess pneumonia.
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lung volumes remain low with bronchovascular congestion. no focal consolidation, effusion, edema, or pneumothorax. moderate cardiomegaly is unchanged. tortuosity of the descending thoracic aorta is also unchanged. appearance of the mediastinum is unchanged. eventration of the right hemidiaphragm is unchanged. mild degenerate changes in the thoracic spine.
history: <unk>m with chest pain // pna?
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compared to the prior study there is no significant interval change.
<unk> year old man s/p ped struck with difficult extubation and pneumonia, // interval x-ray