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pa and lateral views of the chest provided. lung volumes are low. there is a patchy opacity with several air bronchograms in the medial left lower lobe concerning for early pneumonia. streakiness at the right base likely represents subsegmental atelectasis in the right middle lobe. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm is seen.
<unk>m with headache and fevers and chest pain // eval 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.
history: <unk>f with chest pain
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ap and lateral views of the chest <unk> at <time> are submitted.
<unk> year old man with l<num>-l<num> osteomyelitis on cefepime who has leukocytosis and fever. // concern for pneumonia. concern for pneumonia.
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there are increased bilateral intersitial markings. but the lungs are without a focal consolidation, effusion, or pneumothorax. the heart is moderately enlarged endotracheal tube is appropriately positioned within the mid trachea. no acute fractures are identified but the ribs appear enlarged with a salt and pepper appearance. surgical <unk> are noted throughout the upper neck.
seizure with new intubation.
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pa and lateral views of the chest provided. lungs appear relatively clear without focal consolidation, large effusion or pneumothorax. there may be minimal atelectasis the left lung base. no signs of congestion or edema. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with cough, fever // infiltrate
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the et and enteric tubes have been removed. sternotomy wires are intact and aligned. swan-ganz catheter terminates in the main pulmonary artery. small layering right pleural effusion has increased. left basilar retrocardiac airspace opacification most likely due to atelectasis is slightly decreased. there is no pneumothorax.
<unk> year old man with s/p avr- cts d/c'd // evaluate for pneumothorax
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assessment is limited by lordotic positioning. cardiac silhouette remains moderately enlarged. mediastinal contour appears is similar. there is no overt pulmonary edema. new opacification of the right lower lobe is concerning for collapse. patchy left basilar opacity is worrisome for pneumonia or aspiration. no large pleural effusion or pneumothorax is demonstrated. multiple clips are noted within the left upper quadrant of the abdomen. pronounced s-shaped scoliosis of the thoracolumbar spine is present. no acute osseous abnormalities seen.
history: <unk>m with renal transplant and prune belly presents with cough and malaise.
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there is a rounded region of consolidation in the left upper lobe. elsewhere, the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>f with fever, cough, wheezing on exam and hx of immunosuppression. // pna?
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there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is unremarkable. osseous structures are intact.
chest pain, unable to tolerate foods orally.
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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 x<num>mo sob, cough // r/o infiltrates
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a tracheostomy is in place. bullet fracture fragments are again noted bilaterally. bilateral chest tubes are unchanged in positions. a right-sided pneumothorax has increased and is now small to moderate in size. there is no definite pleural effusion on the left. vague retrocardiac opacity is similar and suggests atelectasis, but improved substantially.
history of recent gunshot wounds with bilateral chest tubes. tachypneic with desaturation.
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portable single frontal chest radiograph was obtained. a left chest tube has been removed. there is no appreciable pneumothorax. a right ij terminates in the low svc. there are persistent low lung volumes with bibasilar atelectasis, more pronounced on the left side. persistent mild pulmonary edema is unchanged. cardiomegaly and postoperative mediastinal widening are stable.
patient status post cabg and chest tube removal, assess for pneumothorax.
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the cardiac silhouette is top-normal in size. otherwise, the mediastinal contours are within normal limits. there is elevated right hemidiaphragm with likely adjacent right basilar relaxation atelectasis. otherwise, there is no focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. an accessory azygos lobe is incidentally noted. no evidence of a displaced rib fracture.
<unk>m with right upper rib cage tenderness after a fall, evaluate for fracture or pneumothorax.
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there is a three-lead pacemaker/icd device with leads again terminating in the right atrium, right ventricle and coronary sinus, respectively. the cardiac, mediastinal and hilar contours appear stable. there is similar to somewhat less striking, mild vascular congestion. streaky opacity at the left base suggests minor atelectasis associated with low lung volumes.
shortness of breath. history of congestive heart failure.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded. subtle right lower lobe opacity is concerning for pneumonia. the upper abdomen is unremarkable.
<unk>m with fever cough.
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the lungs are hyperinflated. slight increased right basilar opacity is seen on the frontal but not definitively corroborated on the lateral. the cardiac silhouette is enlarged but not likely changed since prior given slightly lower lung volumes on the current exam. surgical clips project over the mid upper abdomen. chronic changes seen in the left posterior eighth rib.
<unk>m with weakness // acute process?
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again seen is marked tortuosity of the thoracic aorta and large right and left pulmonary arteries, which exaggerates the mediastinum size. heart size is at the upper limits of normal no chf, focal infiltrate, or effusion is detected. there is no pneumothorax. <num> mm nodular density seen in the right midzone, between rhe <unk> and <unk> anteiror ribs, likely represents artifact due to a nipple shadow, as there is no correlate on the <unk> chest ct. surgical clips noted in the upper abdomen. no free air identified beneath the diaphragms.
right upper quadrant pain and tenderness. question pneumonia.
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there are low lung volumes with bibasilar atelectasis, obscuring assessment of the heart and mediastinal structures. an ovoid structure in the upper portion of the right mediastinum likely represents a vascular structure. additionally, the remaining visualized portion of the lungs demonstrates crowding of the bronchovascular structures and interstitial prominence, likely reflecting some degree of pulmonary edema. lateral view demonstrates no appreciable pleural effusion. patchy opacities in the lung bases are noted, likely atelectasis though infection cannot be excluded. no pneumothorax seen in this upright radiograph. severe degenerative changes are present at the right glenohumeral and acromioclavicular joints with a probable chronic rotator cuff injury.
<unk>-year-old male with history of diabetes, now with severe hypoglycemia and prior hospitalization with pneumonia.
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cardiomediastinal contours are stable. right lower lobe opacity is persistent most likely represent a large area of atelectases. increasing opacities in the left mid hemi thorax are likely atelectasis. retrocardiac opacities have minimally increase could represent atelectasis or pneumonia. . there is no pneumothorax or pleural effusion. degenerative changes in the thoracic spine and wedge-shaped deformities in the lower thoracic vertebral bodies are again noted.
<unk> year old man with <unk>m w hx recurrent vte, stage iiib rectal adenoca s/p neoadjuvant chemoxrt now s/p laparoscopic lar w diverting loop ileostomy // please eval for pneumonia, looking for source of wbc
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a right port catheter tip terminates at the distal svc. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no evidence of reactivation tb.
history of breast cancer and latent tb with low-grade fever and cough. question pneumonia or reactivation tb.
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an endotracheal tube terminates <num> cm above the carina. enteric tube descends below the left hemidiaphragm and below the field of view. there is pulmonary vascular congestion and mild pulmonary edema. lung volumes are low. no pleural effusion or pneumothorax is seen.
<unk>m w/unresponsiveness, emesis, s/p intubation // <unk>m w/unresponsiveness, emesis, s/p intubation, eval tube placement
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lung volumes are low. this accentuates the size of the cardiac silhouette which is likely normal. the mediastinal and hilar contours are also unremarkable. crowding of the bronchovascular structures is present. no overt pulmonary edema is seen. bibasilar patchy airspace opacities most likely reflect atelectasis. no pleural effusion or pneumothorax is identified. no displaced fractures are seen. thoracic fusion hardware is incompletely assessed.
subdural hematoma after fall.
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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 and shortness of breath // eval for infiltrate
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lung volumes are low with some bronchovascular crowding. no focal consolidation, edema, effusion, or pneumothorax. the heart is top-normal in size. the mediastinum is not widened.
history: <unk>m with ongoing sscp, doe, and <unk> edema // r/o acute process
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compared with earlier the same day, a right-sided pigtail catheter is now seen at the base of the right lung. no gross right-sided effusion is identified -- the previously suspected effusion is significantly decreased in size. no obvious right pneumothorax is detected. minimal linear atelectasis at the right base is now visible, without other evidence of right base consolidation. on the left, the small effusion with underlying collapse and/or consolidation remains present. some platelike atelectasis at the junction of the left middle lower zones is new. no pneumothorax is detected. there is upper zone redistribution, without overt chf. the cardiomediastinal silhouette is either stable or slightly decreased in size, allowing for significant differences in degree of the patient rotation.
<unk> year old woman s/p chest tube placement // r/o r ptc
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an ng tube is present --<unk> tip overlies the lower esophagus at the approximate level of the t<num> vertebral body. it does not extend as far as the ge junction nor does it across the ge junction into the stomach. the heart is not enlarged. no chf, focal infiltrate or effusion is detected. minimal atelectasis is noted at the left lung base. clips are noted in the mid abdomen.
<unk> year old man with ngt placed pre ct abdomen // ngt placement
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bilateral interstitial opacities, predominantly at the bases, as indicative of pulmonary edema. the heart is enlarged and the pulmonary vasculature is congested. no pleural effusion is seen.
history: <unk>m with sob // pleural edema
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no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits. there is evidence for underlying copd. aortic calcification is again noted. right port-a-cath appears in similar position. right staghorn renal calculus is again noted.
<unk>-year-old female with dizziness.
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lung volumes are low. there are bilateral pleural effusions with overlying atelectasis. prominence of the hila may be due to low volume overload. bibasilar opacities may relate to combination of pleural effusion and atelectasis although underlying consolidation due to infection cannot be excluded on this study. the cardiac silhouette appears at least mildly enlarged. the aortic knob is calcified. no pneumothorax is seen.
history: <unk>m with o<num> requirement and sob pls eval for pna // history: <unk>m with o<num> requirement and sob pls eval for pna
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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. no acute osseous abnormality is detected.
history: <unk>m with hypoxia and acute hepatitis // r/o edema, effusion
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the lungs are clear without consolidation, effusion, or edema. calcified granuloma projects over the right lung apex. . the cardiomediastinal silhouette is within normal limits. prior right-sided central venous catheter is no longer visualized. no acute osseous abnormalities.
<unk>m with fever, recently pna // pna?
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there is again seen a left-sided picc line with distal tip projecting over the mid svc. there has been interval removal of ng tube. there is an unchanged tortuous thoracic aorta. the cardiomediastinal silhouettes are stable. there is no evidence of pulmonary vascular congestion. there has been interval development of right basilar opacity which obscures the right hemidiaphragm, which probably represents a new right lower lobe pneumonia given clinical context. there are no effusions. there is no left pneumothorax. there is no right pneumothorax seen, however this cannot be evaluated fully as the right lung apex is not seen.
<unk> year old woman with hypoxia // pna, effusion
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there is no focal consolidation, effusion, or pneumothorax. there may be chronic interstitial abnormality, similar to prior. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with tachycardia, weakness // evaluate for pneumonia
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lung volumes are within normal limits. the trachea is central. even allowing for the projection there is moderate cardiomegaly. mild pulmonary vascular congestion but no overt pulmonary edema seen. no lobar consolidation, pleural effusion or pneumothorax seen.
<unk> year old woman with cad, dilated cardiomyopathy presenting with chest pain and dyspnea on exertion. // r/o pulmonary edema
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frontal and lateral views of the chest. no prior. exam is somewhat limited due to low inspiratory volumes, motion and body habitus. there is no evidence of confluent consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with shortness of breath and productive cough.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. there is no free air.
vomiting. history of aspiration pneumonia.
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there has been interval placement of endotracheal tube with tip approximately <num> cm from the carina. enteric tube seen with tip in the gastric fundus. left lung base opacity persists. streaky right midlung opacity is likely atelectasis given lower lung volumes. cardiomediastinal silhouette is within normal limits. cervical and lumbar fixation hardware is partially visualized.
<unk>f with s/p intubation // s/p ett
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portable upright radiograph of the chest. the lungs are hyperinflated but clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
palpitations, tachycardia, hypotension.
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heart size is normal. mediastinal and hilar contours are unremarkable with atherosclerotic calcifications noted diffusely within the aorta. pulmonary vasculature is normal. small right pleural effusion is noted with adjacent streaky opacity, possibly reflective of atelectasis though infection is not excluded. left lung is clear. multilevel degenerative changes are seen within the thoracic spine.
history: <unk>f with altered mental status
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ap single view of the chest was obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the previously existing small right-sided apical pneumothorax cannot be identified anymore. previously described bilateral disseminated nodular densities unchanged. right-sided pleural density appears stable. unchanged position of previously described right-sided basal small caliber pigtail catheter for pleural drainage. no new pulmonary or cardiovascular abnormalities, no mediastinal shift.
<unk>-year-old male patient with right apical pneumothorax, chest tube to waterseal, evaluate for interval change in pneumothorax.
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pa and lateral views of the chest were reviewed. compared to the most recent prior study of <unk>, the moderate left pleural effusion has significantly decreased and only a small residual pleural effusion in the posterior costophrenic sulcus remains. the previously noted left lower lobe atelectasis has completely resolved. the lungs are clear, and the cardiac and mediastinal contours are normal.
interval evaluation of a pleural effusion.
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et tube terminates <num> cm from the carina. enteric tube courses below the left hemidiaphragm and beyond the field of view. right internal jugular central venous catheter is in stable position in the right atrium. lung volumes are very low. mild pulmonary edema is unchanged. there is worsening opacity at the left apex and multiple other small bilateral opacities possibly reflecting multifocal pneumonia. appearance of the cardiomediastinal silhouette is unchanged. there may be a small right pleural effusion but there is no evidence of pneumothorax.
<unk> year old man with resp failure // ett placmeent
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the right internal jugular catheter terminates in the distal svc. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are low but the lungs are clear. no pleural effusion or pneumothorax is seen.
<unk>f with rij placement // evaluate for cvl placement
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stable moderate enlargement of the cardiac silhouette. normal mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax
history: <unk>m with ches tpain // eval for infiltrate or ptx
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increased, mild to moderate cardiomegaly. aortic tortuosity. normal hilar contours and pleural surfaces. fully expanded, clear lungs. no acute pneumonia.
<unk>-year-old woman with cough and fever. evaluate for pneumonia.
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the heart appears mildly enlarged. widened right mediastinal contour is associated with thyroid nodules that have been previously characterized. a nodular focus projects over the lingula measuring about <num> mm. gastrostomy tube projects over the left upper quadrant.
shortness of breath.
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
fever. evaluate for pneumonia.
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new bilateral lower lobe opacities suggest atelectasis vs. pneumonia in the appropriate clinical setting. otherwise, no significant interval change. stable top-normal heart size. stable mediastinal and hila appearance. unchanged position of the dual lead pacemaker device. no pneumothorax, pleural effusion, or pulmonary edema.
<unk>-year-old man with syncope and cough; evaluate for pneumonia.
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there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>-year-old female with spiking temps to <num>, question pneumonia.
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the heart is enlarged. a left icd device is in position with lead terminating in the right ventricle. there is mild pulmonary congestion and bibasilar atelectasis. there are no pleural effusions. there is no pneumothorax.
<unk>-year-old male patient with new icd. study requested for evaluation of placement.
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the cardiac, mediastinal and hilar contours are within normal limits. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen.
new onset chest pain.
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the lung volumes are low. the heart is probably normal in size. the mediastinal and hilar contours are unremarkable. there is no definite pleural effusion or pneumothorax. basilar opacities are slight and probably related to minor atelectasis. there is no evidence for free air.
abdominal pain. question free air.
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there is little interval change in comparison prior study from <unk>. again noted is mild pulmonary vascular congestion. moderate cardiomegaly is stable. mild right basilar opacities are again noted and appear relatively improved in comparison to the prior study. otherwise, the lungs are without a new focal consolidation, effusion, or pneumothorax. atherosclerotic calcifications are again noted at the aortic arch.
shortness of breath.
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pa and lateral views of the chest <unk> at <unk> are submitted
<unk> year old man with lymphoma, immunosuppression with new conjunctivitis and mild cough // r/o pna r/o pna
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et tube terminates approximately <num> cm above the carina. right-sided central line terminates in the mid svc. a right-sided pic line terminates in the mid svc. there is an enteric tube which extends below the diaphragm with the tip in the body of stomach. overall, there has been slight interval increase in small-to-moderate bilateral pleural effusions with adjacent compressive atelectasis compared to the prior exam. there has been an interval decrease in the heart size, with interval placement of a pericardial drain. there is no evidence of a pneumothorax. the visualized osseous structures are unremarkable.
history of protein-losing enteropathy, tachypnea and wheezing with history of thoracic surgery. please evaluate for interval change and for et tube placement.
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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.
<unk>m with pressure in epigastrium. // cardiopulmonary process?
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the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces appear normal. there is no pneumothorax or pleural effusion. the visualized bony structures are unremarkable.
chest pain. evaluate for pneumothorax or infection.
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there is mild to moderate cardiomegaly with evidence of a prior cabg and intact sternotomy wires. a left sided icd device is seen with the leads in appropriate position. there is mild pulmonary vascular congestion with asymmetric increased opacity at the right lower lung base. a superimposed pneumonia is difficult to exclude. the hilar and mediastinal contours are otherwise unremarkable. there are trace bilateral pleural effusions. there is no pneumothorax.
history of dyspnea. please evaluate for acute process.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. sclerosis is noted along the right distal clavicle of uncertain significance but perhaps reflecting prior injury. small osteophytes are noted along the thoracic spine.
malaise and jaundice.
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lung volumes are very low, resulting in bronchovascular crowding. cardiac silhouette is not enlarged. hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with s/p fall, syncope, head injury c/f underlying infectious process // eval ? infiltrate
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the heart size is large but stable. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. moderate degenerative changes are seen in thoracic spine.
<unk>-year-old female with new-onset vertigo.
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the lungs are normally expanded and clear. heart size is top normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. cervical fusion hardware is partially imaged.
history: <unk>m with cp // r/o acute process
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enteric tube terminates in the proximal stomach, side port in the distal esophagus, recommend advancement so that it is well within the stomach. streaky bibasilar opacities are seen which could be due to atelectasis or aspiration. no large pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sbo with ng tube, now with blood present. <num> weeks pregnant // ngt placement?
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enteric tube terminates in the region of the proximal stomach. right central venous catheter terminates at the cavoatrial junction. 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.
<unk> year old woman with alcoholic cirrhosis with elevated leukocytosis. // please evaluate for pulmonary process/pneumonia.
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again noted are emphysematous changes in both lungs. a large hiatal hernia is present. small left pleural effusion with adjacent atelectasis. the right lung is clear. no pneumothorax identified. the size appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old woman with previous hypoxia and concern for pneumonia now with ams // new infiltrate?
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lung volumes are low. heart size is mildly enlarged, as seen on the previous study. the mediastinal contour is grossly unremarkable. crowding of bronchovascular structures is demonstrated without overt pulmonary edema. patchy opacities in the lung bases may reflect atelectasis in the setting of low lung volumes. no definite focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with hiv presents with hypotension, diarrhea and somnolence
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pa and lateral views of the chest demonstrate clear lungs at this time. the upper lobe opacity has resolved. cardiac size is normal. aorta is slightly tortuous but otherwise unremarkable. there is no pleural effusion or pneumothorax. apical scarring/pleural thickening is noted bilaterally.
<unk>-year-old woman who is a smoker with a recent pneumonia. question clearance of pneumonia.
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the lungs are well inflated with no evidence of focal airspace consolidation, pleural effusion, pneumothorax, or pulmonary edema. allowing for patient rotation, the cardiomediastinal silhouette is unchanged.
history: <unk>f with decreased po intake, fever, dementia // eval for pna
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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>f with chest pain cough // eval for pna
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lung volumes are slightly low. this results in vascular crowding at the lung bases. the cardiac silhouette is unremarkable given technique. a vague right basilar opacity is noted, which, in the appropriate clinical context, may represent pneumonia. there is no pleural effusion or pneumothorax.
history: <unk>f with chest pain // pna
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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>f with chest pain
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the lungs are hypoinflated and exaggerate the pulmonary vascular markings. mild cardiomegaly remains stable. there is mild bibasilar atelectasis with no focal consolidations or pneumothoraces noted. no acute fractures are identified.
evaluation of patient with chest discomfort.
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lower lung volumes seen on the current exam. linear right basilar opacity is likely scarring. there is no effusion or confluent consolidation. cardiomediastinal silhouette is enlarged similar to prior. azygos fissure is again noted. no acute osseous abnormalities detected.
<unk>f with hx of osteoporosis, dm, htn p/w w <num> weeks r arm/shoulder/neck pain // evidence of pancoast tumor or other apical mass?
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a right-sided picc line terminates in the upper svc. the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with malaise // ? pneumonia ? pneumonia
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as compared to the radiograph from earlier today, similar position of the left bronchial stent. increasing lingular opacities suggestive of worsening atelectasis or possible pneumonia/hemorrhage. no pneumothorax. the right lung is unchanged.
<unk> year old man s/p rigid bronch, increased work of breathing, diminished breath sounds on left // ?pneumo
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. two metallic clips projecting over the upper chest are noted to be external to the patient on the lateral view.
<unk>f with fever, productive cough // ? pneumonia
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a single portable ap upright view of the chest was obtained. in comparison to the prior radiograph, there is increased pulmonary vascular engorgement and bibasilar atelectasis. moderate right and small left pleural effusions have increased in size. there is no focal consolidation. tip of right basilar drainage catheter now extends more superiorly and ends at the right hilum. there is no pneumothorax.
<unk>-year-old woman with chest tube and arm pain, evaluate for presence of an effusion.
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there has been interval removal of an endotracheal tube and enteric tube. a right internal jugular sheath terminates in the upper svc. the heart is markedly enlarged, but largely stable from the prior examination. there is a small to moderate right effusion and increased opacity throughout the right lung which may reflect atelectasis or mild edema. there is marked elevation of the left hemidiaphragm with left basal pulmonary opacity, likely compressive atelectasis. no pneumothorax is seen.
<unk> year old woman with s/p avr, cts d/c'd // evaluate for pneumothorax
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the lungs are well-expanded and clear. the cardiomediastinal hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
<unk>f with shortness of breath // ?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 is identified. there may be trace left basal atelectasis. no pneumothorax is identified. multiple left-sided rib fractures are identified involving ribs <num> through <num> on the left appear acute to subacute. a healing fracture of the left clavicle is noted.
history: <unk>m with multiple rib fx at urgent care xray, now c/f pneumothorax // r/o ptx
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frontal and lateral views of the chest. right chest port-a-cath again seen with catheter tip unchanged in position. lung volumes are relatively low; however, the lungs appear clear without consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. there is no pneumothorax. no acute osseous abnormality is detected. surgical clips seen in the right upper quadrant.
<unk>-year-old female with chest pain.
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there has been interval improvement of a right-sided pleural effusion and the right basilar opacification. however, there is still opacification of the right lower and upper lungs as well as the left upper lung. there is no pneumothorax. the cardiomediastinal and hilar contours are stable.
<unk>-year-old woman with severe as and pulmonary opacifications.
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there is no significant change as compared to <unk> with persistent dense consolidation of the right upper lobe, outlining the minor fissure as well as unchanged scattered opacities in the right lower lung and the left mid and left lower lung. persistent right-sided pleural effusion and pulmonary edema are unchanged. a right internal jugular central venous catheter remains in place at the cavoatrial junction. an endotracheal tube is appropriately placed with the tip projecting <num> cm cranial to the carina. there is no pneumothorax.
end-stage renal disease, on hemodialysis, diastolic chf with pneumonia and septic shock.
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since prior, there has been removal of a left chest tube. there is no pneumothorax. bibasilar atelectasis is unchanged. vascular congestion and a small left pleural effusion have improved. heart and mediastinal contours are unchanged.
<unk> year old woman s/p ct removal, assess for pneumothorax.
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pa and lateral views of the chest. comparison is made to previous exam from <unk>. lungs remain clear. cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>-year-old male with tachycardia and chest pain. cough.
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the cardiac and mediastinal silhouettes are stable with the aorta tortuous and significantly dilated. dextroscoliosis of the thoracic spine is again seen. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
history: <unk>f with ams. hx of dissection // eval for pna, eval for dissection
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single frontal view of the chest demonstrates multiple ekg leads projecting over the thorax. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. the cardiomediastinal silhouette is normal.
<unk>-year-old male with positive stress test and recent pneumonia. question acute process.
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the tip of the endotracheal tube is approximately <num> cm from the carina. the enteric tube courses beyond the diaphragm, terminating in the left upper quadrant, likely in the region of the stomach. the lungs are relatively well inflated with obscuration of the costophrenic angles bilaterally, likely a combination of pleural fluid and atelectasis. heart size is within normal limits and the cardiomediastinal contour is normal. exuberant costochondral calcifications are noted bilaterally.
history: <unk>f with inbtubated transfer. evaluate endotracheal tube.
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the right pleural effusion with pleural thickening is mildly improved. there has been interval removal of a right pleural catheter.no pneumothorax is seen. mild cardiomegaly is stable. there is <num> mm rounded opacity overlying the right anterior sixth rib not well visualized on prior chest x-ray or seen on most recent chest ct. a follow-up chest x-ray is recommended at <num> months. if the lesion persists, then chest ct is recommended to further characterize.
<unk> yo man with lymphoma, with h/o pleural effusions s/p pleurodesis, need re-eval of pleural effusion // <unk> yo man with lymphoma, with h/o pleural effusions s/p pleurodesis, need re-eval of pleural effusion. compare to prior
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pa and lateral views of the chest. a single-lead pacemaker wire ends in the right ventricle. the lungs are clear with no focal consolidation. no pleural effusion or pneumothorax. the remodeling of the right ac joint is unchanged and likely posttraumatic. there are degenerative changes of the spine. surgical clips are seen in the upper abdomen. the cardiac, mediastinal and hilar contours are normal.
previous pneumonia, question of resolution.
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a right apical pigtail pleural catheter is unchanged in position. a tiny anterobasal right-sided pneumothorax is decreased from <unk> with improved aeration in the right lower lobe. a persistent right paratracheal opacity is likely postoperative in etiology and unchanged from multiple prior studies. evidence of volume loss in the right hemithorax is consistent with right upper lobectomy. a small right-sided pleural effusion is noted on the lateral radiograph. no focal consolidation is present. the pulmonary vasculature is not engorged. there is decreased pneumomediastinum. the cardiac silhouette is enlarged but stable. the mediastinal and hilar contours are unchanged.
<unk>-year-old male status post right upper lobectomy with resolving pneumothorax, here to reevaluate for interval changes.
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portable ap chest radiograph. the left lung base is chronically opacified, likely due to combination of a pericardial fat pad and scarring as shown on prior ct. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable. there is a chronic fracture of the right lateral sixth rib.
elevated white count.
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<num> left-sided pacemaker is again seen with leads extending the expected positions of the right atrium and right ventricle. the cardiac silhouette remains enlarged. the aortic knob is calcified. there are relatively low lung volumes. some patient motion is seen to the lower right hemi thorax. blunting of the left costophrenic angle may be due to overlying soft tissues, but a trace pleural effusion is not excluded. no pneumothorax is seen.
history: <unk>f with sob // ? pna
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. re-demonstration of dextroscoliosis of the thoracic spine.
<unk>-year-old woman with productive cough and wheeze. evaluate for pneumonia.
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tracheostomy tube remains in unchanged position. heart size remains mildly enlarged. mediastinal and hilar contours are stable, with calcification of the aortic knob re- demonstrated. there is no pulmonary vascular congestion. patchy opacity is noted within the right upper lung field, which appears new compared to the previous exams. retrocardiac opacity could reflect atelectasis. no large pleural effusion is seen though a small left pleural effusion cannot be completely excluded. there is no pneumothorax. no acute osseous abnormalities are present.
fall, head strike and shoulder pain.
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heart size is top normal. the mediastinal and hilar contours are unchanged. there is bibasilar atelectasis, left worse than right. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. enteric tube is seen below the diaphragm, terminating in the mid stomach with the side port approximately <num> cm from the expected location of the ge junction.
<unk> year old man with ng tube for bowel prep // ng tube placement
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compared to <unk>, there is no relevant change. there is no evidence of edema, pneumonia, pleural effusion, or pneumothorax. heart size is top-normal. osseous structures are intact.
<unk>m with weakness // pna
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indistinct pulmonary vascular markings are seen throughout the lungs. there is no focal consolidation. blunting of the posterior costophrenic angles raising possibility of small effusions. the cardiac silhouette is enlarged. no acute osseous abnormalities identified.
<unk>f with seizure // evidence of infection
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two views were obtained of the chest. increased interstitial abnormality with <unk> b-lines and trace pleural effusions is consistent with mild to moderate pulmonary edema. there is no pneumothorax. the heart is normal in size with normal cardiomediastinal contours. mediastinal surgical clips, valvular prosthesis and median sternotomy wires are noted.
worsening dyspnea on exertion. syncopal episode, assess for acute process.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. midline sternotomy wires are well aligned and intact. there is no pleural effusion or pneumothorax. no definite rib fracture is identified.
history: <unk>f with chest wall pain // evidence of rib fracture