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pa and lateral chest radiographs were provided. there is no focal consolidation, pneumothorax, or pleural effusion. cardiomediastinal silhouette is unremarkable.
<unk>-year-old man with syncope, cardiomegaly. question mass.
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the lungs are clear. there is no focal consolidation,, effusion, or pneumothorax. the trachea is deviated to the left just above the thoracic inlet. there is left paraspinal density inferiorly on the frontal view in the retrocardiac region compatible with lateral osteophytes from the spine confirmed on prior ct. no acute osseous abnormalities.
<unk>m with dyspnea // r/o acute process
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pa and lateral views of the chest provided. overlying ekg leads are noted. again seen are bilateral pulmonary ground-glass opacities which raise concern for pneumonia. a component of edema is difficult to exclude. overall appearance is mildly progressed from the prior exam. there is small right pleural effusion. cardiomediastinal silhouette appears grossly stable. bony structures are intact.
<unk>m with ? pna on portable // pna?
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bilaterally, the lungs are mildly hyperexpanded. there are no lung opacities concerning for infectious process. cardiomediastinal silhouette and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough with multiple recurrences requiring increase in steroids. question any recurrence in pneumonia.
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the heart is at the upper limits of normal 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.
cough and pain.
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. there is no free air under the diaphragm. no osseous abnormality is identified.
chest pain.
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there is persistent opacity at the right lung base, similar to <unk>. bibasilar bronchiectatic changes and left hemidiaphragm elevation are similar to <unk>. cardiomediastinal silhouette is within normal size. left picc terminates in mid svc.
<unk> year old woman with immunosuppression s/p renal transplant, seizures, aspiration risk, now with bilateral rhonchi at bases // query pneumonia, aspiration, other process
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moderate cardiomegaly is persistent compared to exams dated back to <unk>. there is a right-sided pic line which terminates in the mid svc. sternal wires appear to be intact without evidence of fracture. small bilateral effusions are persistent. there is mild bibasilar atelectasis. there is no evidence of a pneumothorax.
history of mitral valve replacement. please evaluate.
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there are relatively low lung volumes. there is a small right pleural effusion with overlying atelectasis. there is also trace left pleural effusion. no focal consolidation is seen. no evidence of pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema.
<unk> year old man with new onset ascites and bilateral lower extremity edema presenting with shortness of breath. // please evaluate for volume overload.
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normal heart size, mediastinal and hilar contours. lung volumes are low. no focal consolidation, pleural effusion or pneumothorax. multiple surgical tacks are seen in the left shoulder.
history: <unk>f with chest pain // eval for acute process
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in comparison to the prior radiograph common there may be increasing interstitial pulmonary edema, particularly on the right. the cardiomediastinal silhouette remains stable. no large pleural effusion. no convincing evidence of pneumonia.
<unk> year old man with worsening delirium, ronchi on exam // signs of pneumonia //
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ap view of the chest provided. there is no focal consolidation, pleural effusion, or pneumothorax. lungs are hyperinflated. cardiomediastinal silhouette is unremarkable. there is no free air under the right hemidiaphragm.
<unk>-year-old man with hypotension, abdominal pain, question free air.
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the lungs are well-expanded. the cardiac silhouette is enlarged, unchanged. the aorta is tortuous. there is mild interstitial edema and engorgement of pulmonary vasculature. no pneumothorax, consolidation or pleural effusion.
history: <unk>m with chest pain // assess for cp process
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frontal upright and lateral chest radiographs demonstrate well-expanded lungs. heart is normal in size and cardiomediastinal contours are within normal limits. lungs are clear, without focal areas of consolidation. there is no pleural effusion and no pneumothorax. metallic objects projecting over the nipples bilaterally likely represent piercings.
chronic pancreatitis, presenting with acute pancreatitis flare, evaluate for pleural effusions.
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portable semi-upright chest radiograph. the lungs are well expanded with unchanged to slightly improved moderate right greater than left bilateral pleural effusions and accompanying atelectasis. pulmonary edema has virtually resolved. right internal jugular central venous catheter is unchanged with interval extubation and removal of ng tube. aortic endovascular stent is unchanged.
acute desaturation, assess for acute process.
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the lungs are clear. cardiac silhouette is enlarged but stable compared to prior. hypertrophic changes are noted in the spine. atherosclerotic calcifications are noted in the aorta.
<unk>f with distress // please evaluate for acute cp process
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lung volumes are normal, without consolidation. pleural surfaces are smooth, without pleural effusion or pneumothorax. cardiomediastinal contours are normal. imaged osseous structures are grossly intact.
history: <unk>f with chest pain radiating to back, neck, l arm // s/p assault, chest pain radiating ot back and neck and l-arm x<num>d
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interval decrease in right-sided pleural effusion, now small. persistent though decreased opacifications in the right mid and lower lungs likely reflecting re-expansion. left lung is clear. no left-sided pleural effusion. no pneumothorax present. right-sided port-a-cath appears intact and terminates in the right atrium.
pleural effusion, status post thoracentesis, assess for pneumothorax.
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frontal and lateral chest radiographs. unremarkable cardiomediastinal and hilar contours. stable right apical pleural thickening. mild bronchovascular crowding in the lung bases due to low lung volumes. otherwise, lungs are clear. no pleural effusion or pneumothorax evident. no osseous abnormality identified.
gi bleed. evaluate for acute process.
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again, subtle streaky left base retrocardiac opacity could be due to atelectasis/scarring or pneumonia or aspiration. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
<unk>m w/cough // <unk>m w/cough
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected.
diabetic ketoacidosis.
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the cardiomediastinal silhouette and hilar contour is stable and unremarkable. the lungs are clear without focal consolidation, effusion or pneumothorax. no acute bony abnormality is identified.
right upper quadrant pain vomiting and fever.
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ap upright and lateral views of the chest provided. the patient's chin obscures the apices and superior mediastinum somewhat. allowing for this, the lungs appear clear. no large effusion or pneumothorax. the cardiomediastinal silhouette appears grossly within normal limits. no free air below the right hemidiaphragm. bony structures are intact.
<unk>m with confusion, general weakness, liver pt
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as compared to prior chest radiograph from <unk>, there has been no significant change. right lung volume remains low and there is a similar configuration to the entrapped/loculated fluid within the right lung. the left lung is clear. no new focal consolidations are noted and there is no pneumothorax. cardiomegaly is unchanged. the mediastinal and hilar contours are normal. port-a-catheter tip is seen in the upper svc. sternotomy wires are intact.
<unk>-year-old male patient with recent vats. study requested for assessment of interval change.
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old man with fevers, shortness of breath // please evaluate for evidence of developing pna, volume overload please evaluate for evidence of developing pna, volume overload
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frontal lateral radiographs of the chest demonstrate normal heart size and mediastinal contours. no focal consolidation, pleural effusion or pneumothorax. multiple old healed right rib fractures, but no acute displaced rib fracture. mild anterior wedging of a mid thoracic vertebral body.
status post fall with raccoon eyes bilaterally evaluate for fracture.
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pa and lateral views of the chest provided. there has been interval removal of the patient's left picc line. a port-a-cath overlying the right chest wall and terminating in the mid-svc is noted. there is no evidence of pneumothorax, hemothorax or enlargement of the mediastinum. low lung volumes are stable. imaged osseous structures are intact.
<unk> year old man s/p port placement // evaluate port placement
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there is a retrocardiac opacity seen on the lateral view, which is not identified on the frontal view, representing a basilar pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. a right picc terminates in the mid svc.
<unk> year old woman with cough and severe hyponatremia // ? pneumonia
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patient is status post cabg and mitral and tricuspid valve replacement, with intact median sternotomy wires. there is atelectasis at the right lung base.there is mild interstitial edema, similar to prior. no pleural effusion or pneumothorax is seen. cardiomegaly is not significantly changed.
<unk>m with asthma, recent cardiac surgery. // cause of patient's shortness of breath?
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overall lung volumes are low, with linear densities in the right lower lung likely representing atelectasis. there is no convincing sign of pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is levoscoliosis of the thoracolumbar spine. lumbar spine hardware is partially visualized.
<unk>f with syncope. infectious workup
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there has been interval removal of the left chest tube. all other lines and tubes are unchanged. there is no pneumothorax. there is persistent left lower lobe collapse, and right basilar atelectasis. cardiomediastinal silhouette is stable. the pulmonary vasculature is normal.
<unk> year old man s/p thoracic aneurysm repair // eval for pneumothorax s/p ct removal
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two portable views of the chest. left chest wall dual-lead pacing device is again seen. median sternotomy wires are noted. aortic valve replacement is also visualized. large hiatal hernia is seen. the lungs elsewhere are essentially clear. there is mild blunting of the right costophrenic angle, potentially due to atelectasis given lower lung volumes. cardiac silhouette is stable in configuration. multiple old healed right rib fractures are identified.
<unk>-year-old male with dyspnea and stridor.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain.
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patient is rotated slight to the right. no focal consolidation is seen. no large pleural effusion is seen although trace pleural effusion to be difficult to exclude. there is no evidence of pneumothorax. cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>m with hypotension pls eval for pna vs edema // history: <unk>m with hypotension pls eval for pna vs edema
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pa and lateral chest radiographs. the lung volumes are very low with bibasilar atelectasis. this makes underlying consolidation difficult to exclude. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
tachycardia and chest pain.
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the cardiomediastinal and hilar silhouettes remain stable. there are bilateral upper lung reticular and nodular opacities with associated volume loss, stable compared to the prior study. the lungs are otherwise clear with no focal consolidation. there is no pleural effusion, pulmonary edema, or pneumothorax. the osseous structures are unremarkable.
<unk>-year-old with sarcoid and worsening cough.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal opacity, pneumothorax and effusion. cardiac silhouette is mildly enlarged, similar in configuration compared to prior. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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again seen are cavitary changes in the right upper lung. mildly improved surrounding consolidation. changes of pulmonary fibrosis bilateral lungs, similar. shallow inspiration accentuates heart size.
<unk> year old woman with chf, worsening o<num> desat and orthopnea, known hcap // volume overload? worsening pna?
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ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study obtained <num> hours earlier during the same day. during the examination interval, all the left-sided chest tube has been removed. no evidence of pneumothorax in the left apical area and the lung fields are clear. the patient remains intubated with the ett in unchanged position. also, the ng tube remains. the same holds for the right-sided chest tube terminating close to the superior mediastinum in the right apical area. no new pulmonary parenchymal infiltrates are seen and the lateral pleural sinuses remain free.
<unk>-year-old male patient status post left-sided chest tube removal, evaluate for interval development of pneumothorax.
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as compared to <unk> chest radiograph, cardiomediastinal contours are stable with tortuosity of the thoracic aorta. persistent moderate elevation of left hemidiaphragm with adjacent linearly oriented opacity suggestive of atelectasis, decreased in extent compared to <unk>.
<unk>m with nash cirrhosis, recent cholangitis failed cholecystectomy, s/p sphincterotomy <unk>, with worsening ascites, sbp, now with fever // evaluate for infiltrates
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion pneumothorax.
intermittent left-sided chest pain.
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cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. multiple clips and chain sutures are seen within the right mid lung field, left perihilar region, and both lung bases, compatible with prior lung resections, with associated scarring in these regions, not substantially changed in the interval. remote bilateral rib fractures with associated pleural thickening and partial resection of the right <num>th rib are unchanged. no new focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is not engorged. there are no acute osseous abnormalities.
history: <unk>m with shortness of breath, wheezing
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the cardiac silhouette is borderline enlarged. the mediastinal and hilar contours are stable and unremarkable. there is no pleural effusion or pneumothorax. the lungs are clear besides left lower lung atelectasis. no subdiaphragmatic free air is noted.
<unk>m with ab pain, concern for sbo and perforation
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
dyspnea, tachycardia and fever.
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ap portable supine view of the chest. overlying ekg leads are present. the lungs appear clear. no supine evidence for effusion or pneumothorax. heart size is normal. the hila appear somewhat prominent and ill-defined likely due to technique. prominence of the mediastinum likely due to portable supine technique. no definite fracture is identified.
<unk>m ped struck // please eval acute injury
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the heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. minimal streaky opacities in the lung bases are compatible with atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
hiv and altered mental status.
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the lung volumes are normal. normal size of cardiac silhouette. no pleural effusions. no focal parenchymal opacity suggesting pneumonia. no pulmonary edema. no pneumothorax. normal hilar and mediastinal contours. the osseous structures are stable.
<unk> year old woman with asthma p/w cough, subjective fever // ? pneumonia
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the cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
chest pain.
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a right chest wall power injectable port-a-cath is present, the tip extending to the mid svc. there is an unchanged rounded opacity projecting over the anterior left third rib. no new iliac consolidation, pleural effusion or pneumothorax. the size of the cardiac silhouette is mildly enlarged but unchanged.
<unk> year old woman with aml // + rigors, neutropenic, please evaluate for pna
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elevation of the right hemidiaphragm is unchanged. the heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. mild atelectasis is noted in the lung bases. there are no acute osseous abnormalities.
history: <unk>m with shortness of breath// pulmonary edema?
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no focal consolidation, pleural effusion or pneumothorax. the size of the cardiac silhouette is within normal limits. unchanged tortuosity of the thoracic aorta. status post prior median sternotomy.
<unk> year old man with leukocytosis, r/o pna // evidence of pna
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heart size is normal. the <num> dominant left mediastinal masses appear similar compared to the previous examinations. heart size is normal. hilar contours are unchanged. <num> cm nodule in the left lower lobe is compatible with known metastasis and is also unchanged. minimal atelectasis is noted in the right lung base. no focal consolidation, pleural effusion or pneumothorax is seen. the pulmonary vasculature is normal. no acute osseous abnormalities present.
history: <unk>m with neuroendocrine tumor, limbic encephalitis here with altered mental status
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the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of pneumothorax, pulmonary edema, pleural effusion or focal pneumonia.
<unk>-year-old female with symptomatic anemia and shortness of breath. evaluation for infiltrate.
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the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion, pulmonary vascular congestion or pneumothorax is present. there are no acute osseous abnormalities.
shortness of breath and chest pain.
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frontal and lateral chest radiographs were obtained. a right hickman line terminates in the right atrium. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. a small left pleural effusion is present. there is no pneumothorax.
patient with fever, rule out pneumonia.
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the lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance.
history: <unk>m with fever, tachycardia. // eval for pna
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cardiac silhouette size is mildly enlarged. aorta is tortuous and diffusely calcified. aortic core valve device is re- demonstrated. mediastinal and hilar contours are otherwise stable, and no pulmonary vascular congestion is demonstrated. linear opacities in the left lung base are compatible with subsegmental atelectasis. remote right-sided rib fractures are again noted. the right humeral head appears to be anteriorly dislocated relative to the glenoid fossa. the left humeral head demonstrates bone multiple surgical anchors. no pleural effusion or pneumothorax is identified.
history: <unk>f status post fall just prior to arrival, struck front of head on toilet bowl, also with bief episode of chest pain earlier today that resolved with <num> nitroglycerin
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the lungs are well expanded and clear. the hila and pulmonary vascular are normal. no pleural abnormalities or pneumothorax. the cardiomediastinal silhouette is normal. no fractures.
<unk> year old man with uri x <num> days, history significant asthma, on remicade for crohn's // rule out pneumonia
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lung volumes are slightly low. heart size is top normal. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is present. the pulmonary vascularity is normal. there are no acute osseous abnormalities.
shortness of breath, missed hemodialysis today.
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focal consolidation in the left lower lung. the lungs are otherwise clear. no pleural effusion, pulmonary edema, or pneumothorax. normal cardiomediastinal silhouette, hila, and pleura. no acute osseous abnormality.
<unk>-year-old man with a history of asthma and pneumonia, presenting with<num> days of productive cough and sweats, found on exam to have basilar rhonchi. evaluate for pneumonia.
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again, there is a large right hydropneumothorax. overall, the size appears slightly decreased from prior exam with an associated mild increase in expansion of the right lung. the right-sided chest tube is unchanged. the left lung is clear. the cardiomediastinal silhouette is normal.
evaluate pneumothorax.
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postoperative changes are again seen within the right hemithorax. there has been further consolidation at the right lung base which contains locules of air. a small-moderate right pneumothorax is unchanged. there has been improvement in the airspace opacities within the lower lobes. cardiac and mediastinal contours are unchanged.
postop day <num> from a right thoracotomy and decortication. evaluate for interval change.
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heart size is at the upper limits of normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the upper lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. there are multiple remote left posterior rib fractures.
history: <unk>m with ugib, hypoxia // eval for acute process
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cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. rounded opacity within the right lower lobe measuring <num> x <num> cm is compatible with a saccular bronchial aneurysm, better assessed on the previous ct, and slightly decreased in size compared to the previous radiograph when it measured <num> x <num> cm. previously noted small right pleural effusion has almost completely resolved. aeration of the right lung base is also improved with minimal streaky opacity likely reflective of improving pneumonia. no new focal consolidation or pneumothorax is present. no acute osseous abnormalities demonstrated.
history: <unk>f with recent respiratory failure, bronchopleural fistula, recurrent chest pain
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the lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. left picc and left central venous catheter are no longer seen. no acute osseous abnormality is detected.
hyperglycemia, here to evaluate for pneumonia.
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there is apparent elevation of the right hemidiaphragm associated right basilar atelectasis. the lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. no free intraperitoneal air.
<unk>f w/ hx of etoh abuse presents with abd distention, pain, and jaundice // eval for pna
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there is diminished lung volume bilaterally however lungs appear clear with no focal consolidation, pleural effusion or evidence of pneumothorax. there has been removal of a previously seen hickman catheter. a large hiatal hernia is again noted. cardiomediastinal silhouette and pleural surfaces are unremarkable.
<unk>-year-old female with cough and wheezing.
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lung volumes are low on the right where there is platelike atelectasis, superimposed infection cannot be excluded. linear atelectasis at the left base. the trachea is central. the cardiomediastinal contour is unchanged compared to the prior study. no pleural effusion seen. no pneumothorax seen. a calcified liver lesion is seen in the right upper quadrant. the visualized bony structures are unremarkable in appearance.
<unk> year old man with hepatitis, rhabdo, now with wheezing and low-grade temp // eval for effusions/edema, infiltrate
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cardiac silhouette size is normal. the aorta is tortuous, as seen previously. mediastinal and hilar contours are unchanged. pulmonary vasculature is engorged. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is present. mild multilevel degenerative changes are demonstrated in the thoracic spine.
history: <unk>f with cough, hemoptysis
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the bones are intact. the imaged upper abdomen is unremarkable.
<unk>-year-old male with chest pain. question pneumothorax.
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there is thickening of the parahilar bronchial walls, possibly due to bronchitis. otherwise, the lungs are well expanded and clear. the heart is top-normal in size. the mediastinal and hilar contours are unremarkable. no pleural abnormality is seen.
<unk> year old woman with rt base rales, cough, wheezing, recent n/v - eval for pneumonia, other pathology.
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frontal and lateral views of the chest demonstrate low lung volumes. there are ill-defined heterogeneous opacities in the right lung base and right mid to upper lung zone. similar opacities are present in the left lung base. there is a small-to-moderate right pleural effusion. no left pleural effusion is seen. hilar and mediastinal silhouettes are prominent. heart size is normal. there is no pulmonary edema.
patient with recent diagnosis of the right lung pneumonia.
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left-sided picc terminates in the mid to lower svc without evidence of pneumothorax. single lead left-sided aicd is stable in position. there is persistent enlargement of the cardiac silhouette. mediastinal contours are stable. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. no overt pulmonary edema is seen.
history: <unk>m with severe chf, picc originating from left arm here with edematous legs and chest pain. // ?picc placement, pneumonia, pulmonary edema
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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.
history: <unk>m with ams // ?pna
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the cardiomediastinal and hilar contours are stable. the patient is status post cabg. there is no pleural effusion or pneumothorax. the extensive bilateral parenchymal opacities are stable, again likely reflecting interstitial lung edema.
hypoxemia, ef <unk>%.
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there is persistent scarring at the left upper lung in the periphery as well as the left perihilar region, related to post radiation effects. no focal consolidation is identified. the cardiomediastinal silhouette is within normal limits. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with history of lung cancer now with dyspnea. evaluate for cause of dyspnea
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linear opacity in the right midlung is most suggestive of atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fever <num>, sob and rle cellultiis, pls eval cxr for pna and leni for dvt
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pulmonary edema has resolved since <unk>. mild cardiomegaly has improved. the lungs are clear. no pleural effusions or pneumothorax. normal mediastinum and hila.
rapid afib, left-sided weakness. evaluate for acute pulmonary process.
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the lungs are clear without infiltrate or effusion. the heart is upper limits normal in size. there are mild degenerative changes of the spine.
cirrhosis new onset h e. question pneumonia.
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frontal and lateral radiographs of the chest demonstrate normal heart size. the mediastinal and hilar contours are normal. lymph node calcifications are again noted inferior to the bronchus intermedius. calcification in the right upper lobe is unchanged. no pleural effusion or pneumothorax.
neutropenic fever, question infiltrate.
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persistent leftward shift of the cardiac silhouette with dense left retrocardiac opacity indicates volume loss in the left lower lobe. there is likely a small left pleural effusion. there is no pneumothorax or right pleural effusion. the mediastinal and hilar contours remain stable. pulmonary edema has improved. enteric tube is present in standard position. additionally, a left internal jugular line is present with tip in the left brachiocephalic vein. an enteric tube is presentin the stomach with distal tip off the film. an additional catheter is seen overlying the midline overlying the trachea with a dense distal tip, which may correlate to an esophageal temperature probe.
query change in pulmonary edema.
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again seen is moderate cardiomegaly, volume loss in the left lower lobe and left pleural effusion. there is increased opacity in the left lower lung compared to the prior study, compatible with an alveolar infiltrate. there is mild pulmonary vascular redistribution. the extreme right cp angle is off the film.
pleural effusion and possible pneumonia.
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in comparison with chest radiograph obtained <num> day prior, bilateral lung opacities are improved. persistent right perihilar opacities may be due to asymmetric pulmonary edema, possibly mitral regurgitation. moderate cardiomegaly is unchanged. no pleural effusions or pneumothorax. the intra-aortic balloon pump has been withdrawn approximately <num> cm and is appropriately positioned. the patient has been intubated and the et tube terminates approximately <num> cm above the carina. other support devices and lines are unchanged and appropriately positioned.
<unk> year old man with stemi and cardiogenic shock // placement of endotracheal tube, any effusion?
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heart size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. subsegmental atelectasis is noted in the left lung base. no focal consolidation, pleural effusion or pneumothorax is identified. known pulmonary nodules are better assessed on the previous ct. no acute osseous abnormalities detected. sclerotic metastases are also visualized better on the prior ct.
history: <unk>m immunosuppressed on chemotherapy for malignant melanoma presenting with confusion and fever. // pneumonia?
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the previously seen basilar opacities have resolved. bibasilar scarring noted. no consolidation. the cardio mediastinal silhouette is within normal limits. no acute osseous abnormality.
<unk> year old woman with type dm and anorexia // baseline evaluation in eating disorder protocol
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a nasogastric tube courses through the esophagus, and although it is very difficult to clearly visualize, it appears to terminate below the level of the diaphragm. the distal side hole port cannot be identified. the visualized lungs are clear. the cardiomediastinal silhouette is stable.
history: <unk>m with sbo, ngt // eval ngt position
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left retrocardiac opacity may represent atelectasis, although infection or aspiration could be considered in the appropriate clinical setting. no other consolidation. no pleural effusion or pneumothorax. cardiomediastinal contours are normal. no subdiaphragmatic free air. no acute osseous abnormalities identified.
history: <unk>f with seizure // please evaluate for acute cp process
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there is no focal consolidation, pleural effusion, or pneumothorax. heart size is top normal. the osseous structures are intact.
chest pain, rule out infectious process.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding pa and lateral chest examination of <unk>. on the present single view chest examination, extensive bilateral densities are seen in both lungs. as the densities have a tendency to be more marked centrally, it is most likely that it represents acute pulmonary edema. the progression since the next preceding chest examination is striking. no pneumothorax has developed.
<unk>-year-old female patient with cough, fever and new shortness of breath. evaluate for pneumonia.
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extensive bilateral fibrosis previously seen has improved. no new consolidation, pleural effusion or pneumothorax is seen, and the cardiac silhouette is unchanged. continued right trachea deviation secondary to right apical lung volume loss is stable.
<unk>-year-old man with sarcoidosis on prednisone with dyspnea, evaluate for infection.
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single frontal view of the chest demonstrates interval retraction of a right internal jugular approach central venous catheter, now with tip at the cavoatrial junction. the cardiomediastinal silhouette is within normal limits allowing for low lung volumes. there is no pneumothorax or pleural effusion. previously seen perihilar vascular congestion has improved in the interim. there may be trace retrocardiac subsegmental atelectasis.
<unk>-year-old male with central venous catheter placement. question line placement.
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single portable view of the chest. no prior. linear opacities at the lung bases, right greater than left are most suggestive of atelectasis. superiorly, the lungs are clear. cardiomediastinal silhouette is within normal limits. hypertrophic changes seen in the spine, osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with chest pain, shortness of breath.
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with shortness of breath // eval for acute process
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.
<unk>f with cp // eval for ptx
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there has been interval placement of a right pleural pigtail catheter with interval re-expansion of the atelectatic right lung and decreased size of the right pneumothorax with a small residual pneumothorax remaining. it is approximately <num> mm in width. previously noted signs of tension have resolved, as the mediastinum now is in normal position and no longer pushed leftward. the cardiac size is normal. there is a small amount of linear atelectasis at the right base. there is no evidence of consolidation or re-expansion edema. no large pleural effusion is noted.
evaluate pneumothorax after pigtail catheter placement.
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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 bibasilar atelectasis. note is made of an old healed left clavicular fracture. there is no pneumothorax or pleural effusion.
history of fever.
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cardiomediastinal silhouette is unremarkable. patient is post median sternotomy, with mediastinal surgical clips and intact median sternotomy wires. no focal consolidation, pleural effusion, or pneumothorax. cervical fusion hardware is noted in the neck.
<unk>-year-old male with chest pain. evaluate for acute process.
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lung volumes are low causing accentuation of the bronchovascular structures and cardiac silhouette. no focal consolidation, pleural effusion or pneumothorax seen. there is no overt pulmonary edema.
<unk>-year-old female with seizure. evaluate for infectious process.
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pa and lateral radiographs of the chest demonstrates clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. again noted is unchanged s-shaped scoliosis of the thoracic spine.
shortness of breath.
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the patient is status post sternotomy. the heart is borderline in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. lungs appear clear.
syncope and fall.