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tip of the endotracheal tube projects over the mid thoracic trachea, approximately <num> cm from the carina. enteric tube terminates beyond the diaphragm, in the left upper quadrant. lungs are clear and cardiomediastinal silhouette is normal.
history: <unk>f with intubation for ich // position of et tube
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. no definite focal consolidation is identified. there is no pleural effusion or pneumothorax.
history: <unk>m with cough and chest pain x months // eval pneumonia
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is at the upper limits of normal. no acute fractures are identified.
evaluation of patient with bright red blood per rectum.
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clips are again noted projecting over the left chest. chronic left pleural effusion and left basilar atelectasis are unchanged. right lung is clear. no right pleural effusion. no pneumothorax. no pulmonary vascular congestion. the cardiac, mediastinal and hilar contours are normal.
cough and white blood cell count elevated. question of infiltrate at the right base.
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bibasilar linear atelectasis is similar to prior. trace bilateral pleural effusion is noted. right pectoral pacemaker leads are in unchanged position. tavr device is noted. there is no pneumothorax. cardiomediastinal silhouette is mildly enlarged.
<unk> year old man with post pacemaker placement evaluate for pneumothorax // evaluate for lead placement
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the heart size is normal. the mediastinal and hilar contours are unchanged. there are increased interstitial markings with hyperinflation and emphysematous changes. small bilateral pleural effusions are noted, greater on the left, with adjacent left basilar opacity likely reflective of atelectasis. infection cannot be completely excluded. there is no overt pulmonary edema or pneumothorax. multilevel degenerative changes are noted in the thoracic spine. remote left-sided rib fractures are noted.
fever.
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the ett ends <num> cm above the carina. the ng tube extends below the diaphragm and out of view. lung volumes are low. retrocardiac opacity likely reflects atelectasis.
history: <unk>f with ett // ett
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bilateral chest tubes appear in unchanged positions. there is also a peritoneal drain projecting over the right upper quadrant of the abdomen as well as multiple surgical clips. a small-to-moderate right-sided pneumothorax appears probably increased slightly. near the entry site of the chest tube on the right, a small quantity of emphysema is probably unchanged in extent. opacification of the right lower and right middle lobes is probably due to substantial atelectasis which has not improved. streaky left mid-to-lower lung opacities are also unchanged, suggesting a lesser degree of atelectasis. there is no definite pleural effusion on the left or persistent pneumothorax on that side.
trauma with liver laceration and diaphragmatic rupture status post repair and right rib fractures.
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lung volumes are low-normal. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.
history: <unk>m with abdominal pain, hematemesis // abdominal pain, hematemesis
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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.
stroke symptoms.
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there is no consolidation, pneumothorax, or large pleural effusion. mild cardiomegaly without pulmonary edema.
history: <unk>m s/p mvc*** warning *** multiple patients with same last name! // please eval for acute injury
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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 displaced rib fracture is seen. no free air below the right hemidiaphragm is seen.
history: <unk>f with r ib pain after a fall // r/ r rib fx
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again seen is the lvad. swan-ganz catheter terminates in the right main pulmonary artery. left ij line terminates in the mid svc. feeding tube is exchanged for the ng tube and terminates either at or distal to the gastroduodenal junction. interval removal of the et tube. stable cardiomegaly. cardiomediastinal silhouette is unchanged. no pleural effusions. no pneumothorax. improving right upper lobe opacification compared to ct chest <unk>. given rapid development and improvement of the right upper lobe opacification, atelectasis or aspiration is more likely than pneumonia.
<unk> year old man s/p lvad // eval for effusion/ pna
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized. a clip projects over the left axilla.
altered mental status and rhonchi.
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there is a moderate to large right pleural effusion, re- demonstrated, with overlying atelectasis. mild left base atelectasis is also seen. there is pulmonary vascular congestion. no pneumothorax is seen. the cardiac silhouette is is mildly enlarged. mediastinal contours are stable.
history: <unk>m with dyspnea, fluid overload on exam // ? pulm edema
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for acute process in a patient with sudden onset shortness of breath and left-sided chest pain, not improving.
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compared to the prior study there is no significant interval change.
intubated with increased respiratory rate.
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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> year old woman with cough, wheezing. low peak flow // r/o cap vs asthma flare v other
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lungs are well inflated. no new focal consolidation, pleural effusions, or pneumothorax detected. previously described left lung opacities have improved, but an opacity adjacent to the left heart border is likely residual from the earlier process.
<unk>f with chest pain. evaluate for pneumothorax.
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atelectasis reflected in lower lung volumes compared to <unk> explain new right infrahilar opacity but given clinical history, pneumonia needs to be considered. mild vascular congestion, has worsened but there is no overt pulmonary edema. there is no pleural effusion or pneumothorax. mild cardiomegaly is exaggerated by ap orientation.
altered mental status. assess for pneumonia.
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a tracheostomy tube has been inserted. the patient is rotated. the patient has had prior right lung wedge resection with stable volume loss. there is no pneumothorax. mild cardiomegaly is unchanged. the left-sided picc line has been removed. a small left layering pleural effusion has slightly increased. a right upper lobe airspace opacity is unchanged. airspace opacification at the left base has increased.
<unk> year old woman s/p trach replacement // assess for interval change
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the appearance in the right lung has worsened with increased right lower lobe infiltrate and increased nodular opacities. some of these may be true nodules, or infection or neoplasm. there is also increased effusion on the right .the left lung is relatively clear. the heart is slightly enlarged. there is ill definition of the mediastinum suggesting vascular engorgement although given history lymphadenopathy could also be contributing to this appearance.
lymphoma and increased hypoxia.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute fractures are identified.
evaluation of patient with back pain.
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no significant interval change. again cardiomegaly, right retrocardiac opacity right effusion and pulmonary vascular congestion is seen. there has been no change to the location of the various tube with the right internal jugular line in the mid svc. et tube above the carina. an enteric tube in the stomach.
<unk> year old man w/perf'd ulcer, <unk>'s gangrene; prolonged intubation. // eval for changes
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the lungs are clear. there is no effusion, consolidation, or pneumothorax. the cardiomediastinal silhouette is normal. there is no pneumomediastinum. no acute osseous abnormalities
<unk>f with pleuritic chest pain // evaluate for pneumonia, pleural effusion
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. descending thoracic aorta is tortuous. no acute osseous abnormalities identified. stents identified in the right upper quadrant.
<unk>f with fevers and cough // eval for pneumonia
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is mild bronchiectasis at the lung bases. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of palpitations. please evaluate for acute process.
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there is minimal biapical scarring, right worse than left with superior retraction of the hila. the lungs are otherwise hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is no pulmonary edema.
<unk>m with back pain and left leg weakness. need operation. cardiopulmonary changes.
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in comparison to the chest radiograph obtained <num> day prior, bilateral lung volumes are substantially lower with substantial right middle and lower lobe atelectasis and rightward mediastinal shift. opacities at the left lung base appear unchanged and may be consistent with atelectasis or pneumonia. there probably small, right greater than left pleural effusions. heart size is mildly enlarged with new, mild pulmonary edema. support devices and lines are unchanged and appropriately positioned.
<unk> year old man with <unk> yo male with pmh of tbi and significant hx of etoh abuse presents with right mca and aca stroke, unable to wean off vent, increased peep overnight // please evaluate for interval change
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the lung volumes are low, accentuating heart size and vascular markings. there is blunting at the right costophrenic sulcus, with prominent interstitial markings. the aorta is tortuous, with calcifications noted in the aortic arch and descending thoracic aorta. there is no evidence of pneumothorax. calcific density projects to the right of the trachea at the thoracic inlet, potentially calcified node or from the thyroid.
<unk>m with c/o urinary retention and elevated wbc to <unk> // r/o infection
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multiple images were obtained. the initial radiograph demonstrates the newly placed dobbhoff tube entering into this right mainstem bronchus and into the right lower lung parenchyma. this was subsequently removed, and an ng tube was placed. subsequent images demonstrate the newly placed ng tube traversing the diaphragm with its tip ending in the expected location of the stomach in the left upper quadrant, although it is unclear if the position of the side port is past the ge junction. no pneumoperitoneum or pneumothorax. from the most recently obtained repeat films, a new small-to-moderate left pleural effusion with adjacent atelectasis has developed since <unk>. otherwise, no significant change since <unk>. stable bilateral small lung volumes. mild pulmonary vascular congestion. stable moderate cardiomegaly. increased retrocardiac opacity with air bronchograms and partial obscuration of the lateral aspect of the descending aorta, suggestive of atelectasis although a developing pneumonia cannot be excluded. the dual-lead cardiac pacemaker device appears unchanged in position, with one tip in the right atrium and the other in the right ventricle. stable significant bilateral degenerative changes in the glenohumeral joints.
<unk> year old woman with obtundation, s/p dobhoff placement; evaluate for placement of tube in stomach.
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there is an enteric tube which extends below the diaphragm. the et tube terminates approximately <num> cm above the carina. there is a right-sided ij which terminates in the upper svc. small bilateral pleural effusions are persistent. there is mild perihilar vascular congestion; otherwise, the cardiomediastinal contours are stable. there is no evidence of a pneumothorax. the visualized osseous structures are unremarkable.
history of aorto-enteric fistula, intubated. please evaluate ng tube position.
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lung volumes are relatively low with secondary crowding of the bronchovascular markings. streaky right basilar opacity is likely secondary to atelectasis. the cardiomediastinal silhouette is within normal limits. no visualized acute osseous abnormality.
<unk>m with fall. intoxicated // trauma?
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the lungs are symmetrically well-expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size but stable. the mediastinal and hilar contours are within normal limits.
history of end-stage renal disease and type <num> diabetes now with weakness, here to evaluate for pneumonia.
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portable ap upright chest radiograph provided. endotracheal tube is seen with its tip located <num> cm above the carina. the orogastric tube descends into the mid gastric body. single lead pacer extends into the right heart. the patient is rotated to the right. airspace consolidation is seen within the right lung, likely lower lobe, with associated right pleural effusion. the left lung is clear. heart size cannot be assessed. mediastinal contour appears grossly unremarkable. the bony structures appear intact.
<unk>-year-old man with fever and hypoxia.
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port-a-cath catheter tip is at the level of lower svc. heart size and mediastinum are unchanged including cardiomegaly. peripheral interstitial opacities have increased slightly on the right. the left peripheral interstitial opacities are stable. the lung volumes are stable and mildly reduced. the patient appears to be after transcatheter aortic valve replacement. no pleural effusions or pneumothorax.
<unk> year old woman with ongoing cough // ? pna
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a single ap view of the chest demonstrates symmetrically well expanded and aerated lungs. no focal consolidation concerning for pneumonia or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the mediastinal contours are within normal limits. the trachea is midline. there is no evidence of free air beneath the right hemidiaphragm.
<unk>-year-old female with hypertrophic obstructive cardiomyopathy and atrial fibrillation, now with dyspnea and tachycardia, here to evaluate for pulmonary edema.
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study is somewhat limited by patient's body habitus. heart size is top normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
seizure and low o<num> sats.
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the heart is normal in size. small right hilar calcifications suggest prior granulamtous exposure. the mediastinal and hilar contours appear otherwise unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. nondisplaced fractures involving the posterior right fifth through seventh rib fractures appear probably old.
intermittent substernal chest pain.
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ap portable upright view of the chest. surgical spinal hardware is noted in the lower thoracic spine. cardiomegaly is moderate. lungs are clear without focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. mild aortic calcification noted. mediastinal and hilar contours appear normal. bony structures are intact.
<unk>f with chest discomfort // eval for pulm edema
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endotracheal tube terminates <num> cm above the carina. ng tube terminates below the diaphragm. small bibasilar opacities may represent atelectasis but aspiration is not excluded. no focal consolidation, pleural effusion, or pneumothorax. heart size and cardiomediastinal contours are normal.
history: <unk>m with sah, intubated // ? ett and og placement
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. minimal patchy opacities in the lung bases are most likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
shortness of breath, ascites.
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pa and lateral views of the chest. the lungs are clear. there is no pneumothorax or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
<unk>-year-old female with chest pain.
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lung volumes remain low. a right-sided port-a-cath tip terminates at the junction of the svc and right atrium. mild cardiomegaly persists with a left ventricular predominance. the mediastinal contour is slightly unfolded. hilar contours are unchanged. crowding of bronchovascular structures is present without overt pulmonary edema. myelomatous osseous lesions involving the ribs bilaterally as well as the thoracic spine appear grossly unchanged from the recent radiograph, and better assessed on the previous ct. no new focal consolidation, pleural effusion or pneumothorax is present. cervical thoracic spinal fusion hardware is incompletely assessed.
history: <unk>f with cough and tachycardia with low grade fever // ?pneumonia
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as compared to chest radiograph from <num> day prior, the iabp has been removed. the remaining support devices are unchanged. interval improvement in the pulmonary vascular congestion. moderate cardiomegaly with interval decrease in the pneumopericardium. retrocardiac opacity is unchanged. no pneumothorax.
<unk> year old woman with lvad // interval change
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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. there has been no significant change.
sudden onset of chest pain.
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ap portable supine view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m with mvc, cw and lspine tenderss, intox so req ct head and c-spine.
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frontal and lateral views of the chest demonstrate low lung volumes. there are small bilateral pleural effusions. there is moderate cardiomegaly. there is widened mediastinum, which is likely due to tortuous intrathoracic aorta. bibasilar atelectasis is noted. there is no pulmonary edema.
epigastric pain.
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postoperative appearance of cardiomediastinal contours is stable in this patient status post recent median sternotomy and aortic surgery. moderate to large left pleural effusion and small right pleural effusion are apparently slightly increased in size in the interval although positional differences limit comparison.
<unk> year old woman with asc aorta, avr, tvr // post-op basline
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frontal and lateral views of the chest demonstrate port-a-cath tip projecting over mid svc. no pneumothorax. normal lung volumes without pleural effusion or focal consolidation. there is no pulmonary edema. hilar and mediastinal silhouettes are unremarkable. heart size is normal. multiple surgical clips project over left breast.
patient with possible port-a-cath infection. assess for pneumonia or pneumothorax.
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frontal and lateral views of the chest were obtained. the patient is status post cabg with sternotomy wires and mediastinal clips that are intact and in similar position to <unk>. right ij central line terminates in the low svc. new left uppe zone ill-defined opacity may represent atelectasis, but infection or aspiration cannot be excluded in the appropriate clinical stetting. bilateral pleural effusions, left greater than right are similar to prior. cardiomediastinal silhouette is stable.
<unk>-year-old male status post cabg. evaluate for pleural effusions.
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities seen.
altered mental status.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable and unchanged. pulmonary vasculature is normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with chest pain
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since prior exam, there is a new right-sided pleural effusion with some associated right basilar consolidation, which is likely atelectasis. some linear left basilar opacity is also present. the apices of the lungs are clear. there is no pulmonary edema or pneumothorax. the cardiomediastinal silhouette is normal. a small amount of free intraperitoneal air is present, and expected post-operatively.
status post recent liver surgery. presenting with fevers. evaluate for pneumonia.
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the heart appears borderline at the upper limits or normal size. there is slight unfolding of the thoracic aorta. the mediastinal, hilar and cardiac contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax.
atrial fibrillation.
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as compared to chest radiograph from earlier in the day, there is mild improved aeration of the left upper lobe since bronchoscopy. widespread opacities throughout the right lung have increased most notably in the right upper lobe. endotracheal tube is <num> cm from the carina. remaining support devices are in good position. no pneumothorax.
<unk> year old woman with resp failure and left side opacification s/p bronchoscopy // <unk> year old woman with resp failure and left side opacification s/p bronchoscopy
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compared with <unk>, the effusion at the right base is larger and underlying collapse and/or consolidation is increased. otherwise, allowing for technical differences, i doubt significant interval change. again seen is somewhat confluent opacity at the right lung apex and patchy opacity at the left lung base, similar to the prior study. no gross left effusion. doubt chf. cardiomediastinal silhouette unchanged.
<unk> year old man with osa, lung mass, dchf with worsening hypoxia // evaluation of worsening hypoxia
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the cardiomediastinal silhouettes are stable, within normal limits. the thoracic aorta is mildly tortuous, with aortic arch calcifications again seen in an unchanged configuration. the bilateral hila are within normal limits. minimal opacity at the right heart border likely represents crowding of normal bronchovascular structures. there is mild pulmonary vascular congestion. there is no focal lung consolidation. again seen is a right mid lung calcified granuloma. there are likely trace bilateral pleural effusions. there is no pneumothorax.
<unk>-year-old woman with chest pain.
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the lungs are clear. there is no pleural effusion, pneumothorax focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable. symmetic apical thickening is present. there is mild wedging of the upper lumbar spine which is better seen on the prior ct.
abdominal pain, evaluate for acute process.
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there is a subtle opacity overlying the mid left lung field, which appears new compared to the prior exam. right central venous stent is again seen in place. both lungs demonstrate relatively extensive perihilar areas of atelectasis. there is no large pleural effusion or pneumothorax. the heart size is normal.
history shortness of breath, anemia. please evaluate for pneumonia.
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the heart is normal in size. patchy increased left basilar opacity could be seen with atelectasis, or potential pneumonia. a nodular component may reflect a left lower lobe nodule seen on the prior ct. there is probably a small new left-sided pleural effusion. the right lung remains clear. there is no pneumothorax. small osteophytes are noted along the lower thoracic spine.
lung cancer and coronary disease, presenting with dyspnea and acute right-sided chest pain.
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lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
history: <unk>m with chest pain/dyspnea // evaluate for acute process
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nodular opacity in the left mid lung is perhaps slightly smaller compared to the prior study although the opacities were substantially better compared to the <unk> chest radiograph which could reflect areas of prior hemorrhage into the nodules or superimposed infection which is now improving. lung volumes are slightly improved with persistent elevation of the right hemidiaphragm. right basilar atelectasis is more dense than prior. left basilar atelectasis is improved. mild cardiomegaly is stable. no pleural effusion or pneumothorax.
<unk> year old man with h/o advanced cholangiocarcinoma w/ squamous cell carcinoma of lung who p/w resp destress <unk>, found to have peritonitis, now w/ productive cough and low grade fever despite zosyn/vanc. // is there evidence of pna?
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there has been interval placement of a right-sided ij with the tip terminating in the mid svc. there is an et tube which is in appropriate position above the carina. there is an enteric tube which terminates appropriately below the diaphragm. patchy bilateral airspace opacities, left greater than right, appear similar-to-slightly improved compared to the prior exam. there is no large pleural effusion or pneumothorax; however, please note that the right costophrenic angle is not visualized on this exam. the aortic knob is calcified. the heart size is normal. the visualized osseous structures are unremarkable.
history of central line placement. please evaluate.
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study is limited by patient rotation an endotracheal tube tip projects over the upper thoracic trachea, <num> cm above the carina. enteric tube courses below the level of the diaphragm. there is moderate dextroscoliosis of the thoracic spine. there is multilevel severe loss of vertebral body height in the mid thoracic spine. the right lung base is not imaged. there is no pneumothorax.
history: <unk>f intubated*** warning *** multiple patients with same last name! // confirm ett
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there is a vague opacity in the left lower lung region, which obscures the left heart border and appears more conspicuous compared to prior study from outside institution performed <num> hours ago. associated mild volume loss is present with anterior displacement of left major fissure. there is also vascular engorgement and mild interstitial edema which appears new from <unk>. small left-sided pleural effusion is also present. there is no right-sided pleural effusion. no pneumothorax is identified.
<unk>-year-old female with chest pain and fever. evaluate for pneumonia.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with chest pain // ? pna
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there is a new area of irregular peribronchial opacification at the right base consistent with aspiration. the left lung is essentially clear. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. dobbhoff tube is seen initially in the mid to distal esophagus, but it subsequently advanced into the stomach.
<unk>-year-old man with left aneurysm clipping. evaluate for dobbhoff placement.
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the heart is moderately enlarged and probably increased somewhat since prior examination. pulmonary vessels are indistinct and the central interstitium is mildly prominent in the mid to lower lungs. the overall impression is of probable mild vascular congestion. there is no pleural effusion or pneumothorax. a healed fracture of the left sixth rib is again present.
cough, wheezing, and shortness of breath.
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the lungs are well expanded and clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. no displaced rib fractures identified. no evidence of pneumoperitoneum.
history: <unk>m s/p rugby injury with tenderness medial r clavicle // r/o fx
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no focal consolidation, pleural effusion, or pneumothorax is detected. heart and mediastinal contours are within normal limits. no fracture is identified, although rib series is more sensitive for rib fractures.
<unk>-year-old male status post fall.
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the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema. surgical clips project over the right anterior chest. there is an incompletely healed right rib fracture.
fevers and malaise. evaluate for pneumonia.
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the lung volumes are low. the heart is normal in size. the aorta is mildly tortuous and calcified. otherwise, the cardiac, mediastinal and hilar contours appear within normal limits. streaky left basilar opacity suggests minor atelectasis. elsewhere, the lungs appear clear. there are no pleural effusions or pneumothorax. moderate-to-severe narrowing is noted along a lower thoracic interspace with subchondral sclerosis.
dyspnea.
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heart size and mediastinum are stable. right pigtail catheter is in place. interval decrease in right basal pneumothorax and subcutaneous emphysema of the right chest wall. however, persistence of small right pneumothorax. right lower lobe atelectasis. unchanged atelectasis of the left lung. small right pleural effusion. stable degenerative disc disease and cervical spinal fusion hardware.
<unk> year old woman with r ptx // check interval change
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when compared to prior, there has been no significant interval change. the lungs are hyperinflated but clear of focal consolidation. the cardiomediastinal silhouette is within normal limits. mild mid thoracic vertebral body height loss is unchanged. no acute osseous abnormalities identified.
<unk>f with multiple myeloma, copd, p/w increasing shortness of breath // ?copd exacerbation vs. infiltrate
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the heart is at the upper limits of normal size most likely. the mediastinal and hilar contours appear within normal limits. there is a consolidation of the left lower lung with mild volume loss and possibly an associated pleural effusion. the appearance is most suggestive of lobar pneumonia. elsewhere, the lungs remain clear and unchanged. there is no pneumothorax. mild rightward convex curvature is noted along the lower thoracic spine.
fever and chest pain.
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the cardiac silhouette is borderline enlarged. the pulmonary vasculature is unremarkable. there is no pleural effusion or pneumothorax. no definite consolidation is identified.
history: <unk>m with exertional chest pain, generalized symptoms of fever chills // evidence of acute cardiopulmonary process
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lung volumes are lower than on prior exam and there are uniformly distributed bilateral reticular opacities, suggestive of possible pulmonary fibrotic changes although cannot exclude a superimposed interstitial pulmonary edema. bibasilar opacities are seen, which may represent atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. there is a new left retrocardiac opacity. small bilateral pleural effusions are noted. there is no pneumothorax. the cardiomediastinal silhouette is mildly enlarged.
history: <unk>f with sob, likely stemi // eval for acute changes
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the lungs remain relatively hyperinflated. mild biapical pleural thickening is again seen. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. overall, there has been no significant interval change.
left foot numbness.
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the lungs are well inflated and clear. there is stable elevation of the right hemidiaphragm. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. a right chest port-a-cath terminates at the distal svc, as before. a metallic cbd stent is again noted projecting over the right upper quadrant.
<unk>-year-old woman with fever, evaluate for pneumonia.
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the cardiomediastinal contours normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>f with congestion. parents sick, evaluate for pneumonia.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
chest pressure. evaluate cpd/infiltrate.
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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. mild thoracic scoliosis is again noted.
history: <unk>f with chest pain // eval for cardiopulmonary process
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heart size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are otherwise unremarkable. 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 // eval for widened mediastinum
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right-sided port-a-cath tip terminates in the proximal right atrium, newly placed in the interval. the heart remains moderately enlarged. low lung volumes are present which cause crowding of the bronchovascular structures. there may be mild pulmonary vascular congestion but no overt pulmonary edema is identified. mediastinal contour is unchanged. assessment of the lung apices is obscured due to the patient's neck soft tissues projecting over these regions. again demonstrated, however, is opacification within the left apex corresponding to the known mass in this location. the known right lower lobe pulmonary nodule is not as well assessed on the current exam. streaky atelectasis is demonstrated in the left lung base. no pleural effusion or large pneumothorax is identified. pneumoperitoneum is new in the interval.
history: <unk>f with lethargy // eval for infectious process, volume overload
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the cardiac, mediastinal and hilar contours appear stable including mild cardiomegaly with a left ventricular configuration to the heart shape. the lungs appear clear. there are no pleural effusions or pneumothorax. mild degenerative changes affect the lower thoracic spine, as before.
chest pain.
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pa and lateral chest radiograph demonstrates subtle increased opacity at the right lung base. cardiomediastinal and hilar contours appear stable. heart is within the upper limits of normal in size. there is no overt pulmonary edema. there is no pleural effusion or pneumothorax. a left chest dual lead pacer is identified, its leads in stable position. osseous structures demonstrates no acute abnormality.
<unk>-year-old male with history of chf. presents with shortness of breath.
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a postoperative appearance of the mediastinum and neoesophagus following esophagectomy are seen with distention that is not as profound of the most recent study but is significant compared to the postoperative chest x-ray. no focal consolidations, pleural effusions, or pneumothorax is seen.
<unk> yo m s/p mie // check interval change
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ap portable upright view of the chest. please no, lung bases are excluded. patient has been intubated with the tip of the endotracheal tube residing <num> cm above the carinal. an ng tube is seen coursing inferiorly along the thoracic midline though the tip is not included within the imaged field. extensive right lung consolidations again noted concerning for pneumonia.
<unk>m with s/p intubation // ett placement
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there is a persistent linear consolidation in the left lung, most consistent with atelectasis. the lungs are otherwise clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. since the prior exam, the left picc has been removed.
status post renal transplant with malaise, chills, and sweats.
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frontal and lateral views of the chest were performed. the lung volumes are low, which does result in vascular crowding. there is no pleural effusion, pneumothorax or focal airspace consolidation. the heart is top normal in size. the mediastinal contours are unremarkable. the pleura is normal. the imaged upper abdomen is normal. there are no osseous abnormalities appreciated.
weakness for <num> days, evaluate for pneumonia.
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there is stable moderate enlargement of the cardiac silhouette. no focal consolidation, pulmonary edema, pleural effusion or pneumothorax. cervical spine fixation hardware is partially visualized, unchanged.
history: <unk>m with dyspnea // eval for pulm edema
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the lungs are hypoinflated, accounting for vascular crowding but no evidence of focal opacities. cardiomediastinal and hilar contours are unremarkable. the cardiac size is top normal. there is no pleural effusion or pneumothorax. a right subclavian stent is noted and unchanged from prior examination.
<unk>-year-old female with pain in her chest. evaluate for evidence of pneumonia or chf.
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frontal and lateral radiographs of the chest demonstrate small right pleural effusion with adjacent atelectasis. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, left pleural effusion, or consolidation.
<unk>f with hx of bilateral pleural effusions and dyspnea on exertion // ?pleural effusions, ?bowel obstruction
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stable, moderate cardiomegaly. mild distention of the azygos vein suggests mild volume overload. unchanged, mild pulmonary vascular congestion without evidence of pulmonary edema. linear densities at the left base reflect subsegmental atelectasis. small region of nodular opacification at the right base is unchanged and may reflect the bronchiolar nodularity seen on the recent abdominal and pelvic ct from <unk> and possibly a component of the remotely aspirated barium seen on both the abdominal and pelvic ct from <unk> and prior ct chest from <unk>. no evidence of free intraperitoneal air, but evaluation is severely limited by semi erect positioning. recommend repeat upright or left lateral decubitus radiographs for more adequate assessment.
<unk>-year-old man with c. difficile colitis. evaluate for free intra-abdominal air.
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ap portable upright view of the chest. a new right ij central venous catheter is seen with tip projecting over the region of the mid svc. severe emphysema is re- demonstrated with dense consolidation in the left lower lobe compatible with pneumonia. no pneumothorax.
<unk>m with r ij cvl pls check placement.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits.
increased weakness, here to evaluate for pneumonia.
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lungs are hyperexpanded. there is been interval placement of a pigtail catheter within the right pleural space. previously present moderate right pneumothorax is no longer visualized. lungs are clear. cardiomediastinal and hilar contours are normal. there is no right pleural effusion. the left costophrenic angle is incompletely imaged. no air under the right hemidiaphragm.
history: <unk>m with r ptx // eval pigtail chest tube placemnet
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there is flattening of the hemidiaphragms, which is consistent with chronic pulmonary disease. the mediastinal and cardiac silhouettes remain stable. there is no pleural effusion or pneumothorax. there is no new parenchymal opacification. again noted is mild dextroscoliosis.
<unk>-year-old with increased shortness of breath and history of lung cancer.
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there are focal opacities seen posteriorly on the lateral projection. in review of multiple prior ct torsos, these may correspond to opacity seen in right lower lobe and scarring in the left lower lobe, however infectious process cannot be ruled out. in addition, the opacity seen on ct torso from <unk>, has progressed since <unk> and is concerning for malignancy such as bac. the cardiomediastinal contour is normal. there is a right port-a-cath terminating in the mid svc. osseous structures are notable for marked dextroscoliosis of the spine.
<unk>-year-old female with increased confusion, fever, and abdominal pain. question infiltrate.