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known left scapular and lower left rib fractures, better evaluated on the outside hospital chest ct. there is bibasilar atelectasis. a more opacity confluent opacity at the left lung base, may be secondary to aspiration in the setting of trauma. there is no pneumothorax. surgical clips are noted in the right upper quadrant. rounded opacity adjacent to right hemidiaphragm contour may correspond to diaphragmatic eventration, and correlation with ct findings is suggested.
<unk>m with hypoxia s/p fall with scapula fx, eval for pna, pleural effusions, ptx, rib fractures .
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ap and lateral views of the chest. upper lobe predominant fibrotic changes are seen in the right greater than left similar when compared to prior. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities detected.
<unk>-year-old female with dizziness and severe hypertension.
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. there is no free intraperitoneal air.
<unk>m with n/v, hypergycemia // eval for infiltrate
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interval development of diffuse interstitial opacities and increased pulmonary vascular congestion most suggestive of acute pulmonary edema. probable small pleural effusions. heart size is normal. no pneumothorax.
<unk> year old man with sepsis and hairy cell leukemia w/ persistent high grade fevers now tachy and hypoxic // evaluate for acute cardiopulm process
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ap and lateral views of the chest. given differences in positioning and technique, there has been no significant interval change. findings again suggestive of pulmonary vascular congestion. severe cardiomegaly is grossly unchanged. hypertrophic changes are seen in the spine.
<unk>-year-old female with chf, presenting with cough and fatigue since <unk>. <unk>-pound weight gain.
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there is a large right pleural effusion may be minimally decreased in comparison to prior study. right basilar atelectasis is again noted. additionally, there is a new subtle opacity in the left lower lobe. otherwise, cardiomediastinal silhouette is stable. right picc appears stable with the tip at the lower svc.
evaluation of patient with history of mds and neutropenia with weakness.
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ap upright and lateral views of the chest provided. a nodular structure projecting over the left upper lung may represent a calcified granuloma versus bony abnormality. otherwise lungs are clear. no focal consolidation, large effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old woman with cough // eval for pneumonia
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there is rotated positioning and the lower left chest wall is excluded from the film. a left-sided pacemaker is present, with lead tips over the right atrium and right ventricle. of note, the battery pack itself is excluded from these films and the contiguity with the pacemaker wires cannot be confirmed on this examination. no additional pacing device is appreciated on this view, but correlation with specifics of the clinical scenario is requested. the carina is not well visualized, but the et tube appears to lie approximately <num> cm above the carina. there appears to be an ng tube present, but it cannot be traced below the level of the diaphragm. interruption of the uppermost sternal wire again noted. there is increased retrocardiac density, probably similar to the prior film, consistent with left lower lobe collapse and/or consolidation. the presence of a left effusion is difficult to assess due to positioning. hazy density in the right lung suggests the presence of mild vascular plethora. no definite right effusion. minimal atelectasis at the right base is similar to prior.
<unk> year old man s/p cardiac arrest. now with ppm placed // cxr to eval ppm placement
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pa and lateral views of the chest <unk> at <time> is submitted.
<unk> year old woman with hepatic segmentectomy with dyspnea // interval change interval change
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<num> views of the chest show that the lungs are well expanded and show mild interstitial opacities. the cardiac silhouette is enlarged, unchanged. the mediastinal silhouette and hilar contours are normal. no pneumothorax is present. there may be a small left pleural effusion.
intermittent chest pain and shortness of breath.
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lung volume is low. cardiomediastinal and hilar silhouettes are normal size. there is a small area of opacity lateral to the left heart border with otherwise clear lungs.
history: <unk>m with fever // eval infiltrate
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frontal inspiratory and expiratory and lateral chest radiographs demonstrate interval removal of a left pigtail catheter. the left apical pneumothorax is persistent and similar in size. the remainder of the exam is unchanged.
multiple rib fractures and left pneumothorax, status post chest tube removal.
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a right chest wall power injectable port is present with the tip projecting over the right atrium. a biliary drain is partially visualized over the right upper quadrant. there is a persisting right cardiophrenic angle mass consistent with the patient's known hcc. no pleural effusion, focal consolidation or pneumothorax identified. the size of the cardiac silhouette is mildly enlarged but unchanged.
<unk> year old woman with metastatic fibrolamellar hcc admitted with increasing sob and abdominal distension. // eval increased sob. ? pulm edema, ? pleural effusion
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the lateral radiograph is essentially nondiagnostic due to underpenetration likely due to patient body habitus. on frontal radiograph, lung volumes are low with bibasilar atelectasis. evaluation is somewhat limited due to patient body habitus. the cardiac silhouette is enlarged. double-lumen central venous catheter appears similarly positioned. mild interstitial edema persists. no pneumothorax is seen.
<unk>-year-old male with positive blood culture.
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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.
<unk> year old woman with cough and wheezing // cough for <unk> day r/o infiltrate
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pa and lateral views of the chest provided. there is chronic elevation of left hemidiaphragm with chronic atelectasis in the left lower lobe. there is slight rightward patient rotation with shift of the cardiomediastinal silhouette slightly to the right. the right lung appears essentially clear. no large effusion or pneumothorax is seen. the mediastinal contour appears grossly stable. no acute bony abnormalities.
<unk>m with back pain // evidence of pneumo or pneumonia
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heart size is normal. the aorta remains tortuous. the mediastinal and hilar contours are similar. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f who presents with cough, nausea, and vomiting // etiology of cough
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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 r post chest pain // evidence of pneumothorax
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left basilar opacity has improved since the prior study, with similar appearance of bilateral interstitial opacities. medial right lung base opacity is likely atelectasis. the cardiomediastinal silhouette is unchanged. there is no pneumothorax or large pleural effusion.
<unk> year old man with fevers // eval for pna
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frontal and lateral views of the chest were obtained. the heart is mildly enlarged with otherwise normal mediastinal contours. lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old female with history of sickle cell disease, and chest pain.
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left-sided dual lumen central venous catheter tip terminates in the lower svc. the heart remains mild to moderately enlarged. mediastinal and hilar contours are unremarkable with multiple unchanged calcified mediastinal and hilar lymph nodes. there is no pulmonary edema. lung volumes are slightly low. no focal consolidation, pleural effusion or pneumothorax is seen. calcified granuloma in the right lower lobe is noted.
dyspnea.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. again noted is a stable prominent posterior osteophytes along the lower thoracic spine.
alcohol abuse. nausea, vomiting, and tachycardia. evaluate for infiltrate.
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pa and lateral views of the chest provided. cardiomegaly is noted. underpenetration in the setting of large body habitus limits assessment. no convincing evidence for pneumonia. no overt chf no large effusion or pneumothorax. difficult to exclude mild congestion/edema. mediastinal contour appears grossly within normal limits. bony structures are intact.
<unk>f with ?rll on pcxr, called by rads and rec'ed to do rpt pa/lat to eval
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compared to exam taken approximately <num> hours ago, there is no significant change in the retrocardiac opacity. mild cardiomegaly is stable. the mediastinal and hilar contours are unchanged. no pleural effusion or definite pneumothorax is seen.
<unk>m s/p left nephrectomy. // s/p chest tube removal. eval for interval change and r/u pneumothorax.
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compared with the immediate prior radiograph, the left lung base opacity is improved. a layering right pleural effusion with associated atelectasis is new. a moderate left pleural effusion is unchanged. there is no pulmonary edema or pneumothorax. the cardiomediastinal silhouette is largely obscured by effusions and atelectasis at the lung bases. radiopacity projecting at the level of the right hilar structures may represent the aspirated tooth within the right lower lobe superior segment bronchus.
<unk> year old woman s/p valvuloplasty, now extubated, concern for aspiration pna, patient also now with missing tooth evaluate for interval change in l sided consolidation? presence of tooth in lung?
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portable semi-erect radiograph <unk> at <time> is submitted.
<unk> year old woman with tachycardia, hypoxemia and anxiety // pe, infiltrate pe, infiltrate
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since prior radiograph, the right picc line has been repositioned and now the tip ends approximately <num>-<num> cm below the carina in the lower svc/cavoatrial junction. tiny left pleural effusion is unchanged. heart size is normal. mediastinal and hilar contours are unchanged. no pleural abnormality on the right side. there are no other interval changes in the lung.
<unk>-year-old woman with pneumonia, rhonchi; please evaluate for interval changes.
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compared to the prior exam there is no significant interval change in the right effusion with pigtail catheter and a small air collection within the effusion. there is also small left pleural effusion
<unk> year old woman with rt pleural effusion. test stability after clamping night before. // rt effusion
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there is moderate cardiomegaly. the patient is status post cardiac surgery. there is left retrocardiac atelectasis as well as a possible small left pleural effusion vs skin fold. no focal airspace opacity is seen otherwise. mild pulmonary vascular engorgement is present. no frank pulmonary edema. there is no pneumothorax.
<unk>-year-old man with hypotension. evaluate for pneumonia or effusion.
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pa and lateral radiographs of the chest were reviewed, and compared to the prior study. the patient is status post cabg and aortic valve replacement. median sternotomy wires, clips along the left mediastinum, abandomned epicardial pacer leads and a prosthetic aortic valve are new compared to the prior study. there is a moderate-sized left pleural effusion and left lower lung atelectasis. no vascular congestion or pneumothorax. unchanged cardiomegaly.
decreased breath sounds over the left lung base.
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the lungs are symmetrically well expanded and well aerated. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. 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. no acute osseous abnormality is detected.
chest pain radiating to the back, here to evaluate for acute cardiopulmonary process.
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the lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. there is a prominent aortic contour on the lateral view. hypertrophic changes at the thoracic spine are noted. no acute osseous abnormality is detected.
fever and diarrhea, here to evaluate for pneumonia.
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the heart continues to be enlarged with interval improvement in the pulmonary edema. there are no focal consolidations or pleural effusions.
<unk> year old man with cough, wheezing, shortness of breath, no fever and recent stated skilled nursing facility.
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the lungs are clear. there is no consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with history of asthma who presents with <num> weeks of cough and chest tightness. // rule out pneumonia
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there is mild elevation of the left hemidiaphragm with gaseous distention of stomach and possibly bowel beneath. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with afib rvr, chest pain*** warning *** multiple patients with same last name! // edema?
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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 recent fall, subjective fevers, cough // ? pneumonia ? rib fractures
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moderate enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. apart from mild bibasilar atelectasis, the lungs are clear without focal consolidation. there may be trace bilateral pleural effusions noted posteriorly on the lateral view. no pneumothorax is identified. moderate degenerative changes of the thoracic spine are re- demonstrated.
history: <unk>f with schf presents with with recent fall // please evaluate for infiltrate vs. edema
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pa and lateral views of the chest provided. interval removal of a right chest tube. a second chest tube at the right lung base may have been pulled back. the side-hole is likely within the right hemithorax, however it projects over the right chest wall. right-sided pleural and airspace opacities representing empyema, atelectasis and postsurgical changes are unchanged. small, bilateral pleural effusions are unchanged. hilar and cardiomediastinal contours are normal.
<unk> year old man with empyema s/p decortication. // eval post-pull cxr at <unk> today.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, vascular congestion, effusion, or pneumothorax. a nodular opacity in the right lower lung likely represents a calcified granuloma.
chest pain. evaluate for edema, effusion, or cardiomegaly.
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cardiac silhouette size is normal. mediastinal and hilar contours are unchanged, and the pulmonary vasculature is not engorged. moderate to severe emphysema is again demonstrated within upper lobe predominance. calcified left hilar lymph nodes and scattered calcified granulomas are again present compatible with prior granulomatous disease. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. amorphous calcification projecting over the left medial upper hemithorax is unchanged.
history: <unk>f with copd, asthma, tracheomalacia, sle, presenting with dyspnea, diffuse pleuritic chest pain
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examination is limited secondary to portable technique and likely motion. right chest wall port is no longer visualized. right picc is seen though the tip cannot be delineated past the level of the right brachiocephalic. lungs are grossly clear. left humeral head anchor is noted.
<unk>m with r side picc concern for line being pulled out slightly // eval for picc line placement
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heart size is normal. the aorta remains tortuous. pulmonary vasculature is not engorged. hilar contours remain prominent and may reflect underlying lymphadenopathy. increased opacities are seen in the left mid lung field, right perihilar region, and left lung base. previously noted nodules seen on prior ct are not well assessed on current radiograph. increased interstitial opacities in the right lung base with associated punctate calcifications may be due to sequela of previous aspiration. no pleural effusion or pneumothorax is identified. percutaneous gastrostomy catheter is noted within the left upper quadrant of the abdomen.
history: <unk>m with hypoxia
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right pectoral aicd leads terminate in the right atrium and right ventricle, as expected. streaky bibasilar opacities likely represent atelectasis. there is no focal consolidation. no sizable pleural effusion or pneumothorax. heart appears top-normal in size. there is prominence at the right hilum, which can be seen with mass or adenopathy. no acute osseous abnormalities are identified.
<unk>m with sob, please eval for occult pna // <unk>m with sob, please eval for occult pna
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
<unk>f with r sided cp // ptx?
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. the osseous structures are unremarkable. no radiopaque foreign body.
<unk>-year-old female with foreign body sensation. evaluate for foreign body.
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frontal and lateral radiographs of the chest demonstrate moderate right-sided pleural effusion with adjacent atelectasis, and a small left-sided pleural effusion with adjacent atelectasis. there is stable moderate cardiomegaly. there is no pneumothorax.
<unk>-year-old man with shortness of breath status post mitral valve repair. evaluate for pleural effusion or pneumonia.
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pa and lateral views of the chest provided. an azygos fissure is seen. calcification of the aortic knob again noted. 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 weakness // evidence of pneumonia
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lungs are clear without consolidation, effusion, or edema. there may be an azygos fissure. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with syncope // cardiomegaly?
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the lungs are free of focal consolidations, pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. median sternotomy wires are intact.
<unk> year old man with fever and cough. no infiltrate on prior cxr. now that he is fluid resuscitated, please eval for blossoming pna. // infiltrate?
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the patient is rotated with respect to the film. lung volumes are low and the left hemidiaphragm is markedly elevated, similar to prior. cardiomediastinal contours appear stable. indistinct appearance of the pulmonary vascular markings is compatible with mild interstitial edema. no focal consolidation, substantial pleural effusion, or pneumothorax. no radiopaque foreign body.
fever, tachypnea, hypoxia.
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pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with asthma, presents with wheezing and shortness of breath.
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compared with <unk> at <time>, the radiopaque tip of the aortic balloon pump appears lies slightly higher, now projecting in the region of the aortic knob. allowing for technical differences, the parenchymal findings are similar, possibly slightly worse. no effusions are identified. et tube and ng tube are similar. the cardiomediastinal silhouette is probably unchanged.
<unk> year old man with stemi with pa cath, iabp now with blood in ett // evaluate for pa catheter placement, hemorrhage
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pa and lateral views of the chest provided. retrocardiac airspace consolidation containing air bronchograms is concerning for left lower lobe pneumonia. the right lung is clear. no pleural effusion or pneumothorax. cardiomediastinal silhouette appears normal. no acute osseous abnormalities. no free air below the right hemidiaphragm is seen.
<unk>m with fever cough // eval for pna
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right-sided dual lumen central venous catheter tip terminates in the proximal right atrium, unchanged. heart remains mildly enlarged. mediastinal and hilar contours are unchanged with unfolding of the thoracic aorta again noted. there are mild atherosclerotic calcifications of the aortic knob. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
fevers, fatigue.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. no pulmonary edema is seen.
history: <unk>f with cough, chest pain, fever // eval for pneumonia
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pa and lateral chest radiographs are provided. there is a hazy opacity at the right lung base which may be normal, however, early infection cannot be excluded. there is no pleural effusion or pneumothorax. the heart is enlarged. imaged upper abdomen is unremarkable. again seen is compression deformity of a lower thoracic vertebral body as seen on the chest ct.
<unk>-year-old female with midsternal chest pain x <num> weeks. rule out pneumonia.
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the cardiac, mediastinal and hilar contours appear stable. there is similar mild relative elevation of the left hemidiaphragm. streaky left basilar opacities suggest unchanged minor atelectasis or scarring. the lungs appear otherwise clear. there is no pleural effusion or pneumothorax.
reproducible chest pain.
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as compared to <unk>, moderate right-sided effusion has not substantially changed into the adjacent opacity, given for differences in technique. no pulmonary edema. the right lung is clear. no pneumothorax. right-sided port-a-cath with the tip in the low svc.
<unk> year old woman with mds with recent respiratory failure and known lll pna // interval change
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the heart size is within normal limits given ap technique. the mediastinal and hilar contours are normal. the lung volumes are low but show no evidence of lobar consolidation. there is no large pleural effusion or pneumothorax. along the left lateral ribcage are multiple healing/old rib fractures.
<unk>-year-old female with altered mental status.
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pa and lateral views of the chest provided. a port-a-cath resides over the right chest wall with catheter tip extending to the mid svc region unchanged. extensive bilateral calcified pleural plaque is again noted right greater than left. a calcified granuloma projects over the left lower lung. no convincing evidence for pneumonia though evaluation of the right lung is limited. heart remains mildly enlarged. the patient's kyphotic positioning somewhat limits assessment of the mediastinum. bony structures appear intact though demineralized.
<unk>f with altered mental status.
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sternotomy wires and mediastinal clips are unchanged as is the prosthetic aortic valve. the heart size is within normal limits. the mediastinal contours appear unremarkable. there continues to be opacity projecting over the heart on the frontal view with air bronchograms which correlates with increased opacity in the retrocardiac space. there is no pneumothorax.
<unk>-year-old male with clinical concern for left pneumonia.
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lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. there is a slight irregularity to the right hemidiaphragm, likely from a small diaphragmatic eventration. the size of the cardiac silhouette is at the upper limits of normal. the mediastinal silhouette is normal.
metastatic prostate cancer, on chemotherapy with weakness. complains of difficulty eating.
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re demonstrated are massive bilateral parenchymal opacities, demonstrating overall interval worsening in the mid and lower left lung and slight interval improvement in the right lung base. there may be a small left pleural effusion. there is no evidence of a pneumothorax. mild cardiomegaly, has been stable compared to prior exams dated back tumor <unk>. the hilar and mediastinal contours, are otherwise unremarkable.
<unk>m with cough // eval infiltrate
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severe cardiomegaly persists. compared to the prior examination, there is increased opacity projecting over the middle and lower lobe with silhouetting of the right heart border. there is a moderate right pleural effusion, similar to the prior examination. multiple thoracic vertebral compression fractures are better delineated on the cta chest of <unk>.
<unk>-year-old woman with shortness of breath and recent cough and sputum.
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the patient is rotated to the right. a loculated right hydro pneumothorax appears stable. there is continued evidence of volume loss/consolidation in the underlying right lung. the right chest tube remains in place. there is no significant change.
improvement in effusion? lung re-expanding? chest tube in correct position?
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old woman with left chest tube // please eval interval change please eval interval change
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portable semi-upright radiograph of the chest demonstrates moderate improvement in degree of pulmonary vascular indistinctness, consistent with improving edema. lung volumes continue to be low. no focal consolidation is definitively identified. there is a possible left pleural effusion. no large pneumothorax is identified.
history: <unk>m with dyspnea // eval for interval change in pulmonary edema
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a nasogastric tube is seen coursing below the left diaphragm, off the inferior borders of the film. lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. linear opacities within the left lung base compatible atelectasis. pulmonary vasculature is normal. no pleural effusion, focal consolidation or pneumothorax is identified. no acute osseous abnormalities are seen.
hypotension.
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curvilinear opacity in the left upper lobe is mild atelectasis, terminating in the thickened upper pole of the left hilus where adenopathy was shown on recent chest ct. right lung is clear. pleural surfaces are normal. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with met lung cancer, new cough // ?post-obstructive pneumonia
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pulmonary edema has improved since the prior exam. there is mild persistent vascular congestion. bibasilar opacities, greater on the right, have improved and may represent atelectasis or residual pneumonia. no new focal consolidation or pleural effusion. heart size and cardiomediastinal contours are stable. left picc terminates at the cavoatrial junction. sternotomy wires are intact.
history: <unk>m with weakness // pna?
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lung volumes are low. the cardiac silhouette is borderline enlarged, similar to the prior examination. again noted is indistinct pulmonary vasculature with patchy bilateral opacity, improved since the most recent examinations. no focal consolidation is definitively identified, though cannot entirely be excluded. there is no pleural effusion or pneumothorax. left picc tip projects over the mid svc. multiple surgical clips noted in the right upper quadrant.
<unk>f with cough and left chest crackles // pna?
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there is re- demonstration of a hiatal hernia. there is adjacent associated left basilar atelectasis. no pleural effusion is identified. median sternotomy wires and cardiomegaly are unchanged. the right lung is grossly clear. there is no pulmonary edema or pneumothorax.
<unk> year old woman with high degree av block, diminished lll breath sounds. // r/o pna or effusion
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pa and lateral chest radiographs. again seen are hyperexpanded and hyperlucent lungs with prominent interstitial markings compatible with known history of emphysema. there is a right apical pleural cap which likely represents scarring and/or pleural fluid after recent pleurodesis. there is no focal consolidation or pneumothorax. the cardiac silhouette is long and tubular. the bones are intact.
<unk>-year-old man status post right lobectomy with mechanical and chemical pleurodesis. check interval change.
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pa and lateral views of the chest were obtained. the heart is top normal in size. mediastinal contour is stable. lungs are clear. a nodular density projecting superior to the left posterior fourth rib was present on the prior examination and is grossly unchanged. there is no pleural effusion or pneumothorax. old right-sided rib fractures are again noted.
<unk>-year-old man with ataxia.
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bibasilar bronchocentric opacities are essentially unchanged. apparent mediastinal widening and cardiac enlargement is due to mediastinal lipomatosis. cardiomediastinal and hilar silhouettes are unchanged. there is new, mild pulmonary vascular congestion. no pleural effusion.
<unk> year old man with ?pneumonia admitted for altered mental status // interval change
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single portable supine chest radiograph was provided. the endotracheal tube is present in the upper trachea, approximately <num> cm above the carina. a nasogastric tube courses below the diaphragm into stomach. lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. there is borderline pulmonary edema. dense calcification of the aortic knob is noted. the cardiomediastinal silhouette is unchanged. imaged upper abdomen is unremarkable.
history of cord compression, intubated for mri. question endotracheal tube placement.
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compared to <unk>, there is substantial increased right pleural effusion, loculated posteriorly in the lower right hemithorax. in addition, there is homogeneous opacity in the right upper lobe bordering the major fissure posteriorly, likely from loculated fluid with adjacent atelectasis and/or consolidation. right hydro pneumothorax is unchanged. small left pleural effusion is seen. hyperexpanded appearance of the lungs with severe emphysematous changes are unchanged. focal left upper lobe opacity projecting over posterior <num> and fifth rib appears grossly unchanged from <unk> and better assessed on prior ct from <unk>. cardiomediastinal contour is unchanged. pigtail catheter is in anterior right chest and unchanged in position.
<unk> year old man with ptx s/p talc pleurodesis. reassess r pneumothorax s/p <num> wk post pleurodesis.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>f with cough // pna?
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frontal chest radiograph. there now are again diffuse confluent pulmonary opacities. given prior episodes, this is most consistent with severe pulmonary edema. the heart size cannot be well assessed, and no pleural effusion or pneumothorax is seen.
shortness of breath and hypoxia. history of renal cell carcinoma.
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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. the bony structures are unremarkable.
fever. question pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there no pleural effusions or pneumothorax. projecting over the lateral left mid lung is a small nodular focus of high density consistent with a calcification, measuring about <num> mm in diameter, consistent with either a parenchymal granuloma or perhaps a bone island within the anterior left fifth rib. otherwise the lung fields appear clear.
cough.
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lung volumes are low. low consolidation, pneumothorax, or large pleural effusion is identified. cardiac silhouette is sternotomy wires are intact. vascular congestion is mild.
history: <unk>m with chest pain // evaluate for acute process
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lungs are well expanded and clear. mediastinal contours, hila, cardiac silhouette are normal. there is no pleural effusion or pneumothorax. no osseous abnormality within the limits plain radiography.
<unk>m with left chest wall injury, left lower rib pain // eval for acute process
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there has been complete resolution of the previously seen right-sided mid lung opacities. lungs are clear and well expanded bilaterally with no pleural effusions, areas of focal consolidation, or evidence of pneumothorax. the cardiomediastinal silhouette is within normal limits for his age. the pleural surfaces are unremarkable.
patient is a <unk>-year-old female with cough, shortness breath.
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pa and lateral views of the chest demonstrate unchanged position of pacemaker leads, terminating in the right atrium and the right ventricle. within the right lung, multiple nodular and branching opacities are identified, which could represent a component of bronchiectasis, although not present previously, and also could be multifocal pneumonia in the appropriate clinical setting. additionally, there is mild prominence of the right hilar structures, possibly representing lymphadenopathy or vascular structures. there is no pleural effusion or pneumothorax.
<unk>-year-old male with hepatic and renal failure.
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the lungs are hyperinflated but clear of focal consolidation. the cardiac silhouette is mildly enlarged no acute osseous abnormalities identified.
<unk>f with syncope, ekg changes in setting of volume depletion // ? heart size
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there is little change in comparison to prior study. mild bibasilar atelectatic changes are visualized but the lungs are without a focal consolidation. evidence of prior surgical procedure is again noted with right posterior rib resection, left proximal clavicle resection, and multiple mediastinal clips associated with the patient's colonic interposition graft. elevation of the left hemidiaphragm persists. the cardiomediastinal silhouette remains stable.
evaluation of patient with wheezing and shortness of breath.
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low lung volumes are present. new moderate-to-large left pleural effusion is noted which obscures the cardiac silhouette thereby making assessment of the heart size difficult. additionally, there is left basilar opacification which may reflect compressive atelectasis though infection or aspiration cannot be completely excluded. there is likely mild pulmonary vascular engorgement. no pneumothorax or right-sided pleural effusion is identified. there are no acute osseous abnormalities.
cirrhosis, worsening pain, confusion, weakness.
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heart size is mildly enlarged. widening of the superior mediastinum may be due to the presence of mediastinal lipomatosis and low lung volumes. the aortic knob is calcified. hilar contours are normal, and the pulmonary vasculature is unremarkable. no focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormalities seen.
history: <unk>m with hypoxia
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again, there are patchy infiltrates at the bilateral bases and the right middle and upper lung zones. these appear to be in a similar distribution to the prior radiograph from <unk>. no definite new opacities are identified and the opacities seen have not worsened. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
recent pneumonia. returning with cough and shortness of breath. evaluate for pneumonia.
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pa and lateral views of the chest. dual chamber right chest wall port is seen with the catheter tip at the ra svc junction. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. no free intraperitoneal air.
<unk>-year-old female with history of fap, <unk>'s, status post <num> cycles of adriamycin for intra-abdominal desmoid presents with fever and abdominal pain.
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the tip of the endotracheal tube projects above the level of the clavicles, approximately <num> cm from the carina. for more optimal positioning, could be advanced by <num> cm. bilateral alveolar opacities and broncho-vascular congestion likely indicates pulmonary edema. there is a small to moderate right pleural effusion and a left pleural effusion is likely. stable cardiomegaly compared to the prior study from <unk>. prominence of the mediastinum is likely due to unfolding of the thoracic aorta.
intubated, with copd and chf. evaluate intubation.
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as before, there are low lung volumes accentuating the pulmonary vasculature and cardiac contour, however there is no evidence of pneumonia. there is a new small left pleural effusion. no pneumothorax. cardiomediastinal contours are normal.
<unk> year old man with s/p trauma, ex lap, bladder rupture/repair now with fever // eval pna
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interval improvement since <unk> of the focal increased opacity with air bronchograms and associated elevation of the right hemidiaphragm in the right lung base, favoring atelectasis over a developing infection. otherwise, no significant interval change. stable prominent cardiomegaly and widened mediastinum. stable bilateral low lung volumes. no pleural effusion or pneumothorax. the trach appears appropriately positioned and is seen on-end. the position of the left picc line appears unchanged. the left-sided vp shunt is only clearly seen down to the level of the mid and lower thorax, but a sulcal likely unchanged.
<unk>-year-old man with an intracranial hemorrahgic stroke c/b vp shunt placement, trach and peg placement. // trach replacement
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pa and lateral views of the chest were obtained. the heart is normal in size, and cardiomediastinal contour is unremarkable. lungs are symmetrically expanded and clear. there is no pleural effusion and no pneumothorax. on the lateral view, multiple clips project over the heart, but are not visualized on the frontal view.
<unk>-year-old female with shortness of breath, evaluate for pneumonia or chf.
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the heart is moderate-to-severely enlarged with globular configuration. this could relate to cardiomyopathy, but pericardial effusion could yield this appearance as well. there is upper zone redistribution of enlarged indistinct pulmonary vessels, suggesting mild to moderate edema. the retrocardiac space in the left lower lobe is under-penetrated and accordingly difficult to assess, although not necessarily abnormal. there is no definite pleural effusion on the right; it is difficult to assess for one on the left. there is no free air.
abdominal pain. question perforation.
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there is mild pulmonary vascular congestion with mild associated interstitial edema. layering pleural fluid is seen on the lateral view, likely bilateral. airspace opacities in the lower lungs bilaterally likely represent atelectasis, however a superimposed infectious process is not excluded. there is no pneumothorax. a left pectoral dual-chamber pacemaker and its leads project in unchanged location. moderate cardiomegaly is unchanged.
<unk>f with chf exacerbation, evaluate for pulmonary edema.
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as compared to prior chest radiograph from <unk>, a small right apical pneumothorax is essentially unchanged in size. right-sided chest tubes remain in unchanged position. increased opacity at the right lung base is likely related to a small pleural effusion. there is redemonstration of a stable right upper lung opacity. the left lung is clear. a right picc line terminates in the distal svc.
<unk>-year-old woman with pneumothorax, drains in place. evaluate drains, pneumothorax.
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pa and lateral views of the chest were viewed. the heart size is normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. subtle reticulonodular opacity of the lingula is noted and stable compared to the prior study.
tachycardia.
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compared to the prior study there is no significant interval change. the <num> lead pacemaker is again visualized with the pacer wires projecting over the expected locations of the heart
<unk> year old woman with pacer // please eval for location of pacer wires