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there is a moderate right-sided pleural effusion with adjacent atelectasis, not significantly changed from prior examination. however, there appears to be more prominent opacification of the right lung base. small left pleural effusion is not significantly changed. there is no pneumothorax. heart size is within the upper limits of normal. calcification of the aortic arch is unchanged from prior. no acute osseous abnormalities.
<unk> year old man with hx recurrent pneumonia, aspiration // evaluate recent pneumonia resolution
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
dyspnea on exertion. assess for congestive heart failure.
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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 cough, congestion known ms on avonex, hx of pe <unk>, eval for pna .
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moderate enlargement of the cardiac silhouette is unchanged. the aorta remains tortuous. hilar contours are similar. there is crowding of bronchovascular structures due to low lung volumes with mild pulmonary vascular congestion. patchy opacities in the lung bases likely reflect atelectasis. trace bilateral pleural effusions are noted on the lateral view. no focal consolidation or pneumothorax is present. marked degenerative changes are noted involving the right glenohumeral joint with superior subluxation of the right humeral head, unchanged
<unk>m with nausea, vomiting, confusion, please eval for occult pneumonia
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portable supine chest radiograph <unk> at <time> is submitted.
<unk> year old man with s/p intubation // failed extubation, reintubated, assess the ett and ogt failed extubation, reintubated, assess the ett and ogt
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mild right base atelectasis is seen. there is no definite focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette size is top-normal. mediastinal contours are unremarkable.
<unk>f with cough, evaluate for pneumonia or acute process.
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ap portable upright view of the chest. calcified pleural plaque is noted bilaterally likely reflecting prior asbestos exposure as seen on prior ct chest. overall appearance is unchanged. no definite evidence for a superimposed pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette appears grossly unchanged with atherosclerotic calcification along the aortic knob. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with chest pain and bradycardia // eval for chf/pneumonia
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the lungs are grossly clear besides minimal streaky left basilar opacity which is likely atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with asthma presents with hacking cough // pna
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examination is limited secondary to motion. there is persistent but somewhat improved right basilar opacity medially, behind the heart. elsewhere, the lungs are grossly clear without confluent consolidation. the cardiomediastinal silhouette is grossly unchanged.
<unk>f with fever and dyspnea // eval for pneumonia
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the inspiratory lung volumes are appropriate. a roughly rectangular lung lesion projecting over the third left anterior interspace is longstanding, but a <num>mm round opacity over the third left anterior and smaller lesions over the right third anterior rib are new since <unk>. 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 and unchanged. partial calcification at the aortic knob is redemonstrated. a healed lower left rib fracture is noted.
pre-operative evaluation of the chest prior to left ankle orif.
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portable ap chest radiograph. lungs are low in volume with right apically directed chest tube redemonstrated. persistent basilar opacity likely relates to a combination of atelectasis, pleural effusion and surgical changes after pleural mass resection. aeration of the right lung nodule is unchanged with increasing left basal opacity suggesting atelectasis. no pleural effusion is identified. there is no pneumothorax. the heart and mediastinal contours are unchanged. no pulmonary edema seen.
right thoracotomy and mass resection, assess for change.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax is identified. the known right humeral fracture is not visualized on this exam. the osseous structures are otherwise unremarkable. no radiopaque foreign body.
<unk>-year-old female status post orif for pathological fracture.
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lung volumes are low leading to crowding of the bronchovascular structures. a subtle right middle lobe opacity is best seen on the lateral view, new from the prior examination. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged from the prior examination.
history: <unk>m with hiv c/o cough past <num> days // pneumonia
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cardiac silhouette is normal. there is tortuosity of the thoracic aorta. there is no focal lung consolidation. there is no overt pulmonary edema. there is no pleural effusion or pneumothorax.
<unk>-year-old man with shortness of breath evaluate for pneumonia.
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the heart size is normal. the hilar and mediastinal contours are unremarkable. lungs are clear without evidence of focal consolidations concerning for infection. there is no pneumothorax or pleural effusion. note is again made of mild rightward deviation of the trachea, likely secondary to patient's multinodular goiter.
history of hyponatremia, siadh. please evaluate for pulmonary process.
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pa and lateral views of the chest are compared to previous exam from <unk>. compared to prior, there is no significant interval change. again seen is elevation of the right hemidiaphragm. there is a small right-sided pleural effusion. increased interstitial opacities are seen, predominantly in the upper lungs bilaterally suggesting scarring. cardiac silhouette is enlarged but stable in configuration. osseous and soft tissue structures are unremarkable. surgical clips in the upper abdomen suggest prior cholecystectomy.
<unk>-year-old female with dyspnea.
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left chest pacemaker with leads projecting to the a right ventricle is unchanged. cardiomediastinal silhouettes are normal. lung volumes are lower causing bronchovascular crowding. no focal consolidation, pleural effusion, or pneumothorax.
<unk> year old man with apla syndrome with multiple h/o thromboembolic events, now with fever. evaluate for pneumonia.
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman presenting with palpitations and chest tightness.
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cardiac silhouette is mildly enlarged, unchanged from prior examination with mild tortuosity of the thoracic aorta. this study is somewhat limited due to patient habitus. hilar contours are unremarkable. there is stable elevation of the left hemidiaphragm with left lung base atelectasis. lungs are otherwise clear. pleural surfaces are clear without definite effusion or pneumothorax.
left-sided weakness and difficulty walking.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fever, chest pain // eval for pneumonia
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partial collapse of the right middle lobe and right lower lobe with air bronchograms may represent mild re-expansion alveolar edema versus right basilar pneumonia. small right pleural effusion may have slightly improved. opacification of the left lung has increased consistent with worsening left pleural effusion. the status of the underlying left lower lung is difficult to assess in the setting of an obscured cardiomediastinal silhouette as mediastinal shift is also difficult to assess. left sided picc terminates in the mid svc. the tip of the enteric tube is not clearly identified. spinal fusion hardware and median sternotomy wires are again noted.
<unk> y/o f with sdh, w/ tachypnea, labored breathing // interval change
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with fever, seizure // eval for pna
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heart size is normal. there is rightward tracheal deviation. there is mild vascular engorgement and perihilar opacities suggestive of mild pulmonary edema. there is a right middle and right lower lobe opacity which could be related to edema, aspiration or infection. there are small bilateral pleural effusions, right greater than left. no pneumothorax is seen. additionally, there is some tracheal deviation to the right, which may be due to thyroid enlargement/goiter.
<unk> year old woman s/p ercp. // assess for aspiration, fluid overload
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ap upright and lateral chest radiographs were obtained, but are limited due to poor penetration likely in part due to body habitus. the lungs are reasonably well expanded and clear with improved linear left midlung atelectasis. there is no pleural effusion or pneumothorax identified on these limited films. the cardiac silhouette remains mild to moderately enlarged with otherwise normal cardiomediastinal and hilar contours.
fever
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the lungs are hyperinflated but clear. there is mild cardiomegaly. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with hypertension. evaluate for acute cardiopulmonary process.
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chest pa and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. faint opacification with air bronchograms projecting over the right lower lobe with increased opacity also seen on the spine on the lateral view raises concern for early pneumonia. no pleural effusion or pneumothorax is evident.
cough, fever, right lower lobe crackles, <num> days postop axillary tissue dissection; please evaluate for pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk>f with tia vs stroke // neuro w/u
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stable to minimal improvement in previously noted small right pneumothorax with right pleural drainage catheters in unchanged position. lungs are otherwise clear. cardiomediastinal silhouette is unchanged. no pleural effusions or pneumonia.
<unk> year old man with r ptx // check cxr with ct on a pneumostat. please do around <num>:<unk>:<num>am
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there is a left-sided chest tube. there are no apparent complications from insertion, including no pneumothorax. the cardiomediastinal silhouettes are normal. the bilateral hila are normal. there are no focal lung consolidations. there is no evidence of pulmonary vascular congestion. there is a small left pleural effusion.
<unk> year old man with fevers and new left pleural effusion // s/p thoracentesis with chest tube placement
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the heart size is normal. the mediastinal and hilar contours are unremarkable. ill-defined multifocal opacities are noted throughout the right lung concerning for pneumonia. the left lung appears clear. minimal blunting of the right costophrenic sulcus suggests a small pleural effusion. no pneumothorax is identified. there are mild degenerative changes in the thoracic spine.
weakness.
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endotracheal tube terminates approximately <num> cm above the carina. enteric tube is in the stomach. left picc is at the cavoatrial junction. cardiomediastinal silhouette is within normal limits. increased bibasilar opacities likely represent atelectasis. there is no large effusion or pneumothorax.
<unk> year old woman with failed trial of extubation, reintubated // eval ett placement
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the lung volumes are stable. a right cardiophrenic opacity slightly obscures the medial right hemidiaphragm appears chronic in unchanged since <unk>. mild cardiomegaly is stable. the mediastinal and hilar contours are normal. interval development of a small left pleural effusion. the small right apical pneumothorax persistent. the right chest tube is intact and terminates in the right upper lung.
<unk> year old woman with rll nodule s/p vats wedge biopsy, ct x<num>. air leak on chest tube // interval change
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normal heart, lungs, mediastinum, hila and pleural surfaces.
myeloma, cough assess for abnormality.
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compared to the prior study there is no significant interval change in the location of the swan-ganz catheter. the et tube has been removed. mediastinal drains are still present. there is volume loss at both bases, left greater than right. but the aeration in the lower lobes is improved compared to the study from the prior day
<unk> year old man with hypoxia sp cardiac surgery // hypoxia
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left-sided port-a-cath in situ with the tip the mid svc. cardiomegaly and hilar fullness suggesting adenopathy unchanged. multifocal areas of airspace opacification which are unchanged. there has been marked interval improvement in the superimposed pulmonary edema and pleural effusions. small residual pleural effusions. spondylotic changes of the spine.
<unk> year old man with hx mds with worsening sob // infectious process
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endotracheal tube tip is in appropriate position <num> cm cranial to the carina. ng tube tip terminates at least within the mid gastric body, with tip outside of field-of-view. lung volumes are low accentuating the cardiac silhouette and hilar contours, though there appears to be a degree of central pulmonary vascular congestion with increased density in the infrahilar left lower lobe though subsequent radiograph demonstrates no pneumonia. heart size is normal. prominence of the central pulmonary vascular structures is likely secondary to low lung volumes. lungs are grossly clear. pleural surfaces are clear without effusion or pneumothorax.
gi bleed. evaluate for endotracheal tube position.
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single frontal ap portable view of the chest demonstrates pulmonary vascular congestion and small bilateral pleural effusions. heart size is large. the mediastinum and pleura are unremarkable. there is no pneumothorax.
chest pain, evaluate for pneumonia.
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ap view of the chest was obtained. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia.
chest pain.
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since <unk>, the previously seen opacity at the level of the left fifth anterior rib persists. furthermore, a second opacity is seen at the level of the left fourth anterior rib. multiple peripheral ill defined possible nodules are noted in the right lung, of unclear etiology. the lungs are again borderline hyperinflated. the heart size is normal. no pleural effusion, pneumothorax, or pulmonary edema.
<unk> year old woman with pna f/u // ? pna resolution
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the cardiomediastinal contours are within normal limits. there is a focal density in the right juxtahilar region, best seen on lateral radiograph overlying the heart, which likely represents a juxtahilar nodule. lungs are otherwise clear with no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old woman with history of positive ppd. rule out evidence of tb.
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there are persistent small bilateral effusions. the lungs are otherwise clear without confluent consolidation or pulmonary edema. the cardiomediastinal silhouette is stable. median sternotomy wires and mediastinal clips are again noted.
<unk>m with chest pain // acute cardiopulmonary disease
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cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax.
<unk> year old man with fever/dyspnea // fever/dyspnea
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there is blunting of bilateral costophrenic angles, right greater than left suggesting small effusions. there is increased opacity projecting over the left upper lung laterally, overlying the posterior left fifth rib and scapula. the lungs are hyperinflated and otherwise clear of focal consolidation. cardiomediastinal silhouette is within normal limits. old posterior right rib fracture is identified. two mid thoracic compression deformity deformities are seen, <num> of which was present on previous exam however <num> appears new since <unk>. deformity of the left proximal humerus is partially visualized.
<unk>f with palpitations // r/o cardiomegaly, effusions
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pa and lateral views of the chest provided. the lungs are clear. no convincing evidence for pneumonia. no pleural effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with cough, right sided low chest pain.
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frontal and lateral radiographs of the chest show stable scarring at the peripheral right lung. a possible new nodule projecting peripherally between the right posterior fifth and sixth ribs is not identified on the preceding radiograph. multiple bilateral opacities corresponding to known calcified pleural plaques are unchanged and consistent with asbestos exposure. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged. the aortic knob is partially calcified.
<unk>-year-old male with two-month history of productive cough, here to evaluate for pulmonary pathology.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and lung volumes which are slightly lower compared to prior exam. again seen is consolidation in the lingula with associated lucency. a right cardiophrenic angle opacity is not as well appreciated on this exam. a nodular opacity in the left mid lung is unchanged. there is no new focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for acute process in a patient with anxiety, tremor, nausea/vomiting.
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again seen is moderate cardiomegaly, overall stable compared to the prior exam. there is mild perihilar vascular engorgement, otherwise, the hilar and mediastinal contours are unremarkable. again noted are small bilateral pleural effusions, overall stable compared to the prior exam. mild bibasilar atelectasis appears stable compared to the prior exam. there are new focal consolidations at the mid to upper lung zones bilaterally. there is a right-sided pic line which terminates in the mid svc. there is no pneumothorax. the visualized osseous structures are unremarkable.
history of recent extubation. please evaluate for pulmonary edema.
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. a coronary arterial stent is noted. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
history: <unk>m with dizziness, prior stroke // eval for ich and infiltrate
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compared to prior radiograph, there is no large interval change. pacing wires unchanged in position ending in the right atrium and right ventricle. cardiomediastinal contours are unchanged. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. there is mild increased interstitial markings diffusely, which may represent mild interstitial edema.
<unk>f with delirium.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with pancreatitis, back pain // infiltrate or effusion
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examination is limited given cut off of lower lung fields. since the most recent examination, the appears to have been progressive development of right basilar opacity, which in the appropriate clinical context, may represent aspiration/pneumonia. the left base is unable to be assessed. no definite pneumothorax is identified.
history: <unk>m with fever, cough, hypoxia, s/p <num>l ivf // new cough and hypoxia
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compared to the prior study there is no significant interval change.
<unk> year old woman with cirrhosis, with new o<num> req // acute process, volume overload
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portable ap upright chest film dated <unk> at <time> is submitted.
<unk> year old man with nk deficiency and ebv-associated gamma-delta cytotoxic t cell lymphoma here s/p liver biopsy c/b subcapsular bleed requiring embolization now with fevers and tachycardic // r/o pna r/o pna
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two views were obtained of the chest. compared with the previous examination of <num> day prior, lung volumes are slightly lower with increased interstitial abnormality and fullness of the vasculature most consistent with mild pulmonary edema. no pleural effusion or pneumothorax is seen. the heart is mildly enlarged with tortuous aortic contour. degenerative disease is noted in the right greater than left glenoid humeral and acromioclavicular joints. compression fractures in the mid and lower thoracic spine are unchanged from <unk>.
hyponatremia and shortness of breath
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left ij central line tip is now in the svc. the appearance of the lungs is slightly improved. there continues to be pulmonary vascular redistribution and mild cardiomegaly, but there is less alveolar edema.
central line repositioning.
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right-sided port-a-cath tip terminates at the junction of the svc and right atrium, unchanged. heart size is normal. mediastinal and hilar contours are unchanged with rightward deviation of the mediastinal structures again demonstrated is a result of the right sided volume loss. patient is status post partial right lung resection which chain sutures noted. consolidative opacities with bronchiectasis are noted within the right upper perihilar region as well as within the right lung base, relatively unchanged compared to the prior exam. ill-defined nodular opacities within the left lung base are also relatively unchanged. no pneumothorax or pleural effusion is identified. there are no acute osseous abnormalities.
fever and cough.
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
history: <unk>m with ankle injury, likely going to the operating room. // any pneumonia or other intrathoracic process?
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pa and lateral views of the chest provided. lungs are clear. no focal consolidation, large effusion or pneumothorax. heart size is normal. mediastinal contour is stable. no acute osseous abnormality.
<unk>m with several wks increasing anasarca, peripheral edema, hx of chf
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the lungs are clear without focal airspace opacity or consolidation to suggest aspiration or pneumonia. no significant pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. a healed fracture of the mid to distal right clavicle is again noted.
hematemesis, here to evaluate for evidence of aspiration or pneumonia.
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ap upright and lateral chest radiograph demonstrate a retrocardiac opacity, best seen on the lateral image, for which an infectious process cannot be excluded. heart is borderline enlarged. no overt pulmonary edema is visualized. there is no pleural effusion or pneumothorax. aortic arch calcifications are noted, similar in appearance to prior study dated <unk>.
<unk>-year-old female with fall and dizziness.
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a few scattered calcified granulomas are seen at these right mid to lower lung. subtle patchy opacity at the medial right lung base may represent atelectasis, less likely pneumonia. no pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. cervical surgical hardware is noted.
history: <unk>m with ?pna // eval for acute process
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs are hyperinflated but remain clear of focal consolidation or effusion. the cardiac silhouette is enlarged but stable in configuration. the osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is normal. the aorta is either dilated or tortuous.
history: <unk>f with fever, neutropenia // pna
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left chest wall port is again seen with catheter tip at the ra/svc junction. the lungs are clear without focal consolidation, large effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. surgical clips project over the abdomen. no acute osseous abnormalities identified.
<unk>f with cough // acute process?
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small bilateral pleural effusions are noted. the one on the right is slightly larger than the one on the left, and stable from the prior ct. the one on the left might be very slightly increased from the prior ct. multiple nodules throughout both lungs are identified, and similar to the prior ct. there is no focal opacity to suggest pneumonia. there is no pulmonary edema. the cardiomediastinal silhouette is normal.
metastatic breast cancer with worsening shortness of breath. evaluate for change.
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compared to the prior study there is no significant interval change.
<unk> year old woman with pericardial effusion and new sob // rule out pulm edema
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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. bony hypertrophy the right ac joint noted. no free air below the right hemidiaphragm is seen.
<unk>m with dvt, right // evaluate for pe, cardiomegaly
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frontal and lateral views of the chest demonstrate low lung volumes. there is no focal consolidation. no pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. the heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
patient with history of tachycardia.
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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 left arm weakness fatigue cough
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the ett terminates approximately <num> cm above the carina. left pectoral pacemaker with appropriately positioned leads. multifocal alveolar opacities bilaterally likely reflect extensive alveolar pulmonary edema. stable enlargement of cardiomediastinal silhouette. probable small leftpleural effusion. no pneumothorax.
history: <unk>m with s/p intubation // ?tube placement
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frontal and lateral views of chest demonstrate well expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
fever. evaluate for pneumonia.
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a tracheostomy tube and left internal jugular central venous catheter are unchanged. since the prior exam, there has been increased pulmonary vascular congestion and new mild pulmonary edema. the bilateral opacities are grossly unchanged, and better characterized on the recent ct of the chest. small bilateral pleural effusions are stable. there is no pneumothorax. enlargement of the cardiomediastinal silhouette is unchanged.
history of recurrent pneumonia, presenting with fever and cough. evaluate for change.
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low lung volumes bilaterally. asymmetrical perihilar opacities are re-demonstrated, but is significantly worse on the left side compared to <unk>. no large pleural effusions or pneumothorax. the mediastinum and heart are within normal limits. the left picc line is unchanged in position, with the tip terminating in the low svc. no acute osseous abnormalities.
<unk> year old man pmh sig for cirrhosis, with dypsnea, right sided pleuritic chest pain // eval pnuemonia, effusion, pulm edema
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the aorta is slightly tortuous. no pulmonary edema is seen.
altered mental status.
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frontal and lateral views of the chest are obtained. tracheostomy stent is visualized. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the hilar contours are stable. cardiac and mediastinal silhouettes are stable. the chronic compression fracture of <num> of the mid to lower thoracic vertebral bodies is again seen, grossly unchanged from most recent comparison study.
history: <unk>f with s/p trach increase redness at the site // eval for pna
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the patient is status post coronary artery bypass graft surgery. a dialysis catheter again terminates in the upper atrium. the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. there are similar patchy linear opacities in the left mid lung as well as right lung opacities with a moderate pleural effusion in the right costophrenic angle that may be loculated to some degree. a posterior wedge-like opacity is nonspecific but suggests additional loculated fluid as a likely etiology or round atelectasis. this opacity seems to correspond to perhaps increased fluid associated with left lower lobe atelectasis or scarring seen on the prior ct. comparing the right-sided pleural effusion directly to the most recent prior study, there has been no definite change allowing for differences in technique.
fever and cough.
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the patient is significantly rotated. right lower lobe airspace opacities has worsened now with air bronchogram consistent with aspiration pneumonia. the left lower lobe consolidation has also worsened. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is grossly unchanged considering patient rotation.
<unk> year old woman with <unk>'s s/p l short tfn <unk> and ? aspiration // ? aspiration
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heart size is stable. mild vascular congestion is present. lung volumes are low, but there is no focal consolidation concerning for pneumonia. enteric tube is present, coiled with tip terminating in the upper esophagus.
history: <unk>m with new ngt // eval ngt placement
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette, including severe cardiomegaly and numerous sternotomy wires, is unchanged.
<unk>m with <unk> a fib, valve replacement, asthma, with sob and wheeze, evaluate for pulmonary edema.
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an endotracheal tube ends <num> cm from the carina. an enteric tube ends off the imaged portion of the screen. left-sided chest tube has been placed and subsequently advanced on subsequent images on this study. the left lower lobe opacity is again seen, which is more apparent compared to prior study and likely represents a component of aspiration or pneumonia. there may also be a small right pleural effusion. tiny left apical pneumothorax. there is some subcutaneous emphysema on the left.
left chest tube, evaluate for pneumothorax or hemothorax.
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the heart size and mediastinum are stable. a large hiatal hernia is redemonstrated. the lungs are well inflated. a well-defined opacity of the chest wall represents a loculated pleural effusion and it appears improved compared with prior exam. a mild stenosis of the trachea just above the aortic knob is redemonstrated and is not significantly changed compared with prior exams. no new focal opacity is noted. there is no evidence of pneumothorax.
<unk>-year-old female, status post redo tracheoplasty through a right-sided thoracotomy five days ago, now with wheezing. evaluate for interval change.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the lungs are relatively hyperinflated, with flattening of the diaphragms. the cardiac and mediastinal silhouettes are unremarkable. the hilar contours are unremarkable. there is no pulmonary edema.
dyspnea, chest pain
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cardiomegaly is again present. calcifications of the aortic knob are seen. there is mild vascular engorgement, overall improved from <unk>. there are no pleural effusions. no pneumothorax and no evidence of pneumonia.
chest pain.
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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. no displaced fracture is seen.
back pain.
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there is stable enlargement of the cardiac silhouette, compatible with mild cardiomegaly. the bilateral hila are normal. there is a suboptimal respiratory effort and low lung volumes. there is no evidence of pulmonary vascular congestion. the lungs are clear without evidence of focal consolidation. apparent increased opacity at the lateral margin of the left mid lung likely relates to overlying breast tissue. there is no evidence of pneumothorax or effusion.
a <unk>-year-old woman with altered mental status, report of respiratory distress, evaluate for acute process.
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ap upright and lateral views the chest provided. cardiomegaly again noted with hilar congestion without overt signs of edema. no large effusion or pneumothorax. no convincing signs of pneumonia. bony structures are intact. mediastinal contour stable.
<unk>-year-old man with a history of cognitive impairment, now with altered mental status. evaluate for evidence of pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with chest pain // eval for structural process
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frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal. note is made of right upper quadrant cholecystectomy clips.
<unk>-year-old female with severe wheezing, rule out pneumonia.
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lung volumes are persistently low. the heart size remains mildly enlarged but unchanged. mediastinal contour is similar. bilateral hilar enlargement compatible with lymphadenopathy is again noted. increased interstitial markings are noted diffusely, but more so within the upper lobes, and not substantially changed in the interval, likely reflective of patient's known sarcoidosis with fibrotic changes. no focal consolidation, pleural effusion or pneumothorax is clearly evident. there may be mild pulmonary vascular congestion. no acute osseous abnormality is seen.
history: <unk>f with cough and shortness of breath
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fall, head strike, c/o c and t spine ttp.*** warning *** multiple patients with same last name! // eval for fx
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the heart size is normal with mildly tortuous aorta. the hilar contours are unremarkable. there is mild bibasilar atelectasis. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the osseous structures are grossly unremarkable.
dizziness.
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pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no configurational abnormality is identified. thoracic aorta mildly widened and elongated with few calcium deposits at the level of the arch. no local contour abnormality is present. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in the apical area. skeletal structures demonstrate mildly demineralized vertebral bodies in the thoracic spine with mildly accentuated kyphotic curvature, but no evidence of vertebral body compression. there are no pulmonary abnormalities suggestive of secondary metastatic deposits. comparison is with a previous chest examination of <unk>.
<unk>-year-old female patient with history of uterine cancer, evaluate for metastatic disease.
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pa and lateral views of the chest provided. lungs are clear. pulmonary vasculature is normal. cardiomediastinal and hilar contours are normal. pleural surfaces are normal.
<unk> year old woman with cough
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a left-sided internal jugular port-a-cath terminates in the right atrium. lung volumes are within normal limits. no consolidation, pneumothorax or pleural effusion seen. visualized bony structures are unremarkable in appearance.
<unk> year old man with multiple myeloma with chest pain // eval port location
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ap and lateral views of the chest are compared to previous exam from <unk>. new from prior is consolidation within the right lower lobe. there is also nodular density projecting in the right mid lung laterally measuring approximately <num> cm. patchy left base opacity on the frontal exam has improved since prior. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with reported history of right-sided pneumonia, on tobramycin, presenting with hypotension and altered mental status.
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please note that the patient was unable to lift the arms; therefore, the lateral chest x-ray is uninterpretable. frontal radiograph demonstrates blunting of bilateral costophrenic angles, new since the prior study concerning for small effusions. there are no opacities concerning for infection. there is no pulmonary edema. cardiac silhouette is normal in size.
fevers, question pneumonia.
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pa and lateral views of the chest, with a repeat pa view for a total of three exposures were obtained. the lungs are well inflated and clear bilaterally, with no evidence of pleural effusion, pneumothorax, pulmonary edema, or focal consolidation. median sternotomy wires and mediastinal vascular clips are unchanged since the prior study. the cardiomediastinal contours are stable.
<unk>-year-old man with chest pain. evaluation for acute process.
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the cardiomediastinal and hilar contours are within normal limits. lungs are hyperexpanded, consistent with chronic lung disease. there is no focal consolidation, pleural effusion or pneumothorax. there are prominent costochondral calcifications bilaterally. there is thoracic spine dextroscoliosis and the bones are diffusely osteopenic.
shortness of breath. rule out effusions, pneumonia, chf.
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as compared to the previous examination, there is no relevant change. moderate to severe right pleural effusion with unchanged distribution, better appreciated on the lateral than on the frontal radiograph. minimal left pleural effusion. subsequent areas of atelectasis at the right lung base is that are unchanged in extent. unchanged moderate cardiomegaly, without current signs of overt pulmonary edema. the left lung appears unremarkable. there is no evidence of acute lung parenchymal disease such as pneumonia. the mediastinal contours are constant.
<unk>-year-old man with a chronic cirrhosis here for consideration, now with ambulatory desats. evaluation for infiltrate and edema.
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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 fever // ? infectious process