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the lung volumes are stable. minimal improvement of pulmonary vascular congestion, if any. the cardiomediastinal and hilar contours are normal. the left pleural effusion appears less prominent but this may be due to the erect position of today's radiograph. interval removal of et tube and ng tube. the right ij terminates in the cavoatrial junction.
<unk> year old woman with tachypnea, ? pulmonary edema // pulmonary edema
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there has been interval placement of a left anterior chest wall pacer with dual-chamber leads leading to the expected location of the right atrium and right ventricle. the cardiomediastinal silhouette and hilar contours are stable. there is no pneumothorax. lungs are clear. there is no pleural effusion.
sick sinus syndrome, status post dual-chamber pacer placement.
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again seen is prominence of the right hilum, similar to the prior exam consistent with patient's known pulmonary hypertension. otherwise there is no new focal consolidation, pleural effusion or pneumothorax. the heart remains mildly enlarged. the imaged upper abdomen is unremarkable.
history of cough and dyspnea. evaluate for pneumonia.
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since <unk>, mild pulmonary edema is improved. lung volumes remain low with mild left retrocardiac atelectasis. unchanged moderate cardiomegaly. no evidence of focal consolidation. right picc line terminates in the mid svc. no pneumothorax or pleural effusions.
<unk> year old woman with fevers, cough // evaluate for pneumonia, acute process
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pa and lateral chest radiographs demonstrate bibasilar atelectasis and mild cardiomegaly, unchanged from <unk>. there is no focal consolidation, pleural effusion, or pneumothorax. leftward deviation of the trachea is likely due to known right thyroid nodule. the heart size is normal.
bibasilar crackles.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous structures demonstrate no acute abnormality.
<unk>-year-old female with pleuritic chest pain.
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little change in the volume loss, opacification, and marked pleural thickening in the left upper hemi thorax. pleural thickening and scarring at the right upper lung are also similar to prior exam. heart size is upper limits of normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with cough and malaise, right mid lung field crackles and bronchial breath sounds // r/o pneumonia
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cardiomediastinal contours are normal. there is minimal biapical pleural thickening greater in the right side. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine. there is s-shaped scoliosis. compression deformities of a mid and lower thoracic vertebral bodies are unchanged
<unk> year old woman with ongoing cough. please assess for infiltrate. // chronic cough - evidence of pneumonia/infiltrate?
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frontal and lateral chest radiographs demonstrate low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. mild pulmonary edema is improved. opacity at the left lung base this likely unchanged, and likely represents atelectasis, although superimposed infection cannot be excluded.
shortness of breath.
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cardiomediastinal contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable.
<unk>f with sob // pneumonia, other acute
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pa and lateral chest radiographs were provided. there is a wedge-shaped opacity best seen superior to the minor fissure on the lateral view and inferior to the right hilus on the frontal view compatible with a right upper lobe pneumonia. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the bones are intact.
<unk>-year-old woman with right-sided pleuritic chest pain for two days and cough for less than one day. evaluate for pneumonia.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. there is minimal scarring in the lung apices. no acute osseous abnormalities seen.
hemoptysis, abdominal pain and a history of esophageal varices.
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the lungs are relatively hyperexpanded. biapical scarring is noted. coarse interstitial marking seen throughout the lungs is likely to reflect chronic process. relative elevation of the left hemidiaphragm is noted. there is no effusion. cardiac silhouette is top normal in size. no acute osseous abnormality is identified.
<unk>-year-old male with weakness.
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema.
<unk>m with chills // acute process?
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lung volumes are low. there is perihilar haziness with moderate pulmonary edema, new compared to the prior study. small right pleural effusion is present. the heart size is mildly enlarged. mediastinal contours are unchanged. no pneumothorax is seen.
chest pain.
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moderate enlargement of the cardiac silhouette is demonstrated. aortic knob calcifications are noted. there is perihilar haziness with vascular indistinctness and increased interstitial markings compatible with mild interstitial pulmonary edema. small bilateral pleural effusions are likely parotid present. there is no focal consolidation. lungs appear hyperinflated with flattening of the diaphragms suggestive of underlying copd. no pneumothorax is present. the osseous structures are diffusely demineralized without acute abnormality noted.
history: <unk>f with dyspnea on exertion and rest, history atrial fibrillation
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lung volumes are similar when compared to the prior study. the cardiomediastinal contour is within normal limits allowing for the projection. the heart is not enlarged. mild prominence of the pulmonary interstitial markings may reflect a mild degree of pulmonary edema. no consolidation, pneumothorax or pleural effusion seen.
<unk> year old woman with severe asthma/copd in micu for respiratory failure // eval for interval change
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cardiac size is top normal. mild vascular congestion is new. small right effusion is a stable. right lower lobe atelectasis have minimally improved. . there is no pneumothorax.
<unk> year old woman with cirrhosis, chf, with worsening sob despite good diuresis // evaluate for worsening or improved edema, pna
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pa and lateral radiographs of the chest demonstrate clear lungs. there is no pneumothorax or pleural effusion. minimal cardiomegaly is chronic. pulmonary vascularity is normal. on the lateral view only, an anterior wedge compression fracture of a mid-to-lower thoracic vertebral body becomes apparent. no prior lateral radiographs or cts are available to determine the age of this compression fracture.
confusion and agitation and patient requiring medical clearance for psychiatric admission.
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pa and lateral chest radiograph were obtained. cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear with no focal consolidation. there is no pleural effusions. osseous structures are without acute abnormality.
<unk>-year-old female with cough.
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pa and lateral views of the chest provided. a right ij access double lumen catheter terminates at the expected location of the svc. there is a small right pleural effusion and mild right basilar atelectasis, as seen on same date ct a/p. the left lung is clear. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. chronic left <num> & <num>th rib deformities again noted. no free air below the right hemidiaphragm is seen.
<unk>m with vomiting and osh imaging
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there is mild bibasilar atelectasis without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. patient is status post median sternotomy.
history: <unk>m with weakness and episode of low blood pressure. // eval for infectious process
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lung volumes are low, particularly on the frontal view. otherwise, the lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. no pulmonary edema. mediastinal and hilar contours are unremarkable. incidental note is made of carotid artery calcifications.
chest pain. evaluate for a cardiopulmonary process.
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the inspiratory lung volumes are low. this accentuates the appearance of the cardiomediastinal silhouette. the cardiac silhouette is mildly enlarged. the patient is status post median sternotomy with intact wires. the mediastinal and hilar contours are within normal limits with a slightly unfolded thoracic aorta. the trachea is midline. the lungs are relatively clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged. the visualized upper abdomen is unremarkable.
nausea and malaise, here to evaluate for pneumonia.
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since the most recent comparison radiograph, the lungs are better inflated, and there is worsened airspace opacification in the left mid lung.left hilus is asymmetrically enlarged compared to the right, possibly due to lymphadenopathy.there is no pleural effusion or pneumothorax.
<unk>f with chest pain, hiv, productive cough. evaluate for pneumonia
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the cardiac silhouette size is within normal limits. the mediastinal and hilar contours are unchanged and within normal limits. there is minimal patchy opacity within the right lung base which could reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. diffuse sclerosis of the osseous structures is unchanged.
dyspnea.
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a left-sided pacemaker is in unchanged position with leads terminating in the right atrium and right ventricle. median sternotomy wires appear intact. a nasogastric tube terminates in the stomach. the cardiomediastinal contours are normal. a new opacity at the left base with obscuration of the left hemidiaphragm likely reflects a small pleural effusion with underlying consolidation concerning for aspiration. the hilar contours are normal. there is no pulmonary vascular congestion. there is no pneumothorax. unchanged opacity projecting over the right apex likely reflects stable pleural scarring.
<unk>-year-old woman with a subdural hematoma, now with wheezing. evaluate for aspiration.
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frontal and lateral views of the chest. the lungs are clear. there is no pleural effusion, pneumothorax, or focal consolidation. the cardiomediastinal and hilar contours are unremarkable.
nausea, vomiting.
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as compared to the previous radiograph, the monitoring and support devices are unchanged and in good position. no complications, no pneumothorax, slight worsening of bilateral basal opacities and a few strands. mild pulmonary vascular congestion persists.
<unk>m with h/o htn and esrd s/p lurt in <unk> on tacro <num>.<unk>/mmf initially admitted for dka, acute pancreatitis <unk> triglycerides now with resp failure and pneumonia // et placement, interval change
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portable ap semi-upright cxr. previously noted picc removed. there is a new picc line entering the left arm - tip in the upper svc. 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 sp picc placement // proper picc line placement
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the patient is status post left upper lobe lobectomy. there is a left-sided chest tube which terminates in the medial left hemithorax. there is a small left pneumothorax. subdiaphragmatic free air. the lungs appear fairly well expanded; however, mild pulmonary vascular congestion and interstitial edema is unchanged. the heart size is top normal. the hilar and mediastinal contours are otherwise unremarkable. there is subcutaneous free air.
history of left upper lobectomy. please evaluate.
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the lung volumes are low. no focal consolidation is seen. the cardiac silhouette is stably enlarged. mild pulmonary vascular congestion is minimally worse mediastinal contours unchanged. there is no pleural effusion or pneumothorax. there are median sternotomy wires and transvenous pacing leads ending in the right atrium and right ventricle
<unk>m with seizures, evaluate for pneumonia.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female with tachycardia and recent fall.
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bibasilar opacities likely represent atelectasis or aspiration in the appropriate clinical setting. otherwise no focal consolidation, pleural effusion or pneumothorax. heart size is top-normal. no acute osseous abnormalities identified.
<unk>-year-old female presenting for evaluation after a fall
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ap portable upright view of the chest. lung volumes are low. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk> year old man with esrd on hd, schf (ef <unk>%), and copd with dyspnea and wheezing. // pulmonary edema
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the heart size is enlarged, similar to prior exam. the mediastinal contours are within normal limits. the lungs are clear of consolidation, although there is vascular engorgement and bibasilar haziness compatible with pulmonary edema. there is no large pleural effusion or pneumothorax.
<unk>-year-old female with leg swelling and dyspnea.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is minimal atelectasis in the right middle lobe, as before. otherwise, the lungs appear clear. a central venous catheter has been removed.
fever and tachycardia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with productive cough, dyspnea on exertion, right sided rales // evaluate for pneumonia
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upright radiograph of the chest demonstrates interval placement of a nasogastric tube with tip terminating in the fundus of the stomach and sidehole at or just below the gastroesophageal junction. the tube could be advanced several centimeters to ensure sidehole placement below the ge junction. a right internal jugular approach central venous catheter is unchanged in position. the lungs are unchanged since the prior study. the heart size is normal.
<unk>-year-old female with ng tube placement.
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the right picc is malpositioned with the tip heading upwards, likely within the internal jugular vein. low lung volumes with bibasilar opacities, likely reflecting atelectasis. no focal consolidations. stable appearance of the cardiomediastinal silhouette. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. cervical fixation hardware is partially visualized.
history: <unk>m with rue picc // picc line placement
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. apart from minimal streaky opacity in the right lung base suggestive of atelectasis, the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with bradycardia, gi bleed // acute process
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in comparison with the study of <unk>, there has been the development of a large right hilar and suprahilar mass measuring approximately <num> cm in diameter with fibrotic stranding extending to a region of pleural thickening in the lateral chest wall. this most likely represents a malignancy. hyperexpansion of the lungs is consistent with the clinical diagnosis of copd. there is a right pleural effusion with suggestion of some apical thickening on the side. no evidence of vascular congestion or acute focal pneumonia.
<unk> year old woman with copd, increase sob, phlegm, cough // r/o pneumonia r/o pneumonia
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frontal and lateral chest radiograph demonstrates mildly hyperinflated lungs. bibasilar atelectasis is noted. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is unremarkable.
<unk>-year-old male with abdominal pain and nausea/vomiting with low saturations. assess for pneumonia.
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heart size is top normal with mild tortuosity of the thoracic aorta. hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. visualized osseous structures are grossly unremarkable.
chest pain.
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cardiomediastinal and hilar contours remain stable. there is no pleural effusion or pneumothorax. lungs are well expanded and clear. pulmonary vasculature is within normal limits.
shortness of breath.
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pa and lateral views of the chest. comparison made to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old man with reported hypoxia.
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the lung volumes are low. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
cough. evaluate for pneumonia.
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pa and lateral views of the chest. no prior. the lungs are clear. the cardiomediastinal silhouette is normal. the osseous and soft tissue structures are unremarkable. no free air is seen below the diaphragm.
<unk>-year-old female with two weeks of burning epigastric right upper quadrant pain. vomiting after meals.
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old woman with post-viral syndrome, large pleural effusions with ongoing o<num> requirement after extbation/chest tube removal // eval for interval change eval for interval change
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
evaluation of patient with status post assault.
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a new left chest wall transvenous pacer is in place with leads projecting in the region of the right atrium and right ventricle. there is no pneumothorax. the appearance of the chest is otherwise unchanged. re demonstrated median sternotomy wires. the heart is top-normal in size. the mediastinal contour is normal. there is prominence of the right hilum dating back to <unk>. linear atelectasis versus scarring is again seen in the mid left lung with elevation of the left hemidiaphragm. there is no pulmonary edema. tortuosity of the thoracic aorta is also unchanged.
<unk> year old woman with atrophic relation, sick sinus syndrome, with new dual-chamber pacer placement via the left cephalic vein, evaluate for lead placement and pneumothorax.
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degree of lung inflation has improved in the interval. cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>m with question of congestion on previous x-ray with poor inspiration
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platelike bibasilar atelectasis is seen. there is no definite 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 dyspnea, leg swelling // eval for evidence of pna, pulm edema
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. lung volumes are low, exaggerating heart and mediastinal contours. the aorta is tortuous. clips project over the right upper quadrant.
<unk>-year-old male with dizziness and fatigue.
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severe cardiomegaly is again noted. left chest wall dual lead pacing device is again noted. the lungs are clear without pulmonary edema or effusion. there is no focal consolidation. atherosclerotic calcifications are noted throughout the thoracic aorta. no acute osseous abnormalities.
<unk>f with chf, ams // eval for infiltrate
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ap upright and lateral views of the chest <unk> at <time> are submitted.
<unk> m s/p hip replacement with postop fever // ? pneumonia ? pneumonia
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the endotracheal tube tip terminates <num> cm above the carina. a nasogastric tube projects in the left upper quadrant in the region of the stomach. patient is post cabg, denoted by intact median sternotomy wires and mediastinal surgical clips. there is persistent atelectasis in the left lower lobe with a probable small pleural effusion. right lower lobe opacification has progressed since the prior study, likely due to developing pleural effusion. no new focal consolidation, or pneumothorax.
<unk> year old man with l chronic sdh with mls. preoperative evaluation prior to subdural hematoma evacuation.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear. there is no evidence of pneumothorax. no focal consolidation or pleural effusion. visualized osseous structures are grossly intact.
<unk>-year-old man with recent left spontaneous pneumothorax. check interval change.
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the cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique, including a calcified aortopulmonary window lymph node. there is no pneumothorax or definite pleural effusion. there is mild perihilar congestion, but otherwise the lungs appear clear. surgical clips project over the upper abdomen.
bilateral edema in the legs.
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low lung volumes which accentuate the cardiomediastinal and hilar contours. there is no focal consolidation, pleural effusion or pneumothorax. there is no overt pulmonary edema.
rapid af. evaluate for pneumonia and/or congestion.
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frontal radiograph of the chest demonstrates the lungs are well expanded and clear, with no focal pneumonia, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unremarkable. there is no subdiaphragmatic free air.
<unk>-year-old female with upper gi bleed due to anastomotic ulcer. evaluation for free air.
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low lung volumes persists, and left hemidiaphragm elevation and mild pleural effusion are associated with left lower lobe atelectasis. no consolidation is seen. cardiac silhouette is mildly enlarged with unchanged mild pulmonary edema. right picc line has been repositioned with the tip ending in the lower svc. median sternotomy wires are intact.
<unk>-year-old man with multiple medical comorbidities and with systolic congestive heart failure, ventricular ectopy. evaluate for bronchitis or pneumonia.
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compared with earlier the same day, chf findings may be very slightly improved. otherwise, no significant change is detected. no pneumothorax identified.
<unk> year old m s/p bronch // ? improvement
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ap single view of the chest was obtained with patient in sitting semi-upright position. relatively high positioned diaphragms indicate poor inspirational effort or may be related to abdominal distention. the pulmonary vasculature appears crowded and there is a moderate degree of perivascular haze mostly in the lung bases, suggestive of some congestion. acute discrete pulmonary parenchymal infiltrates cannot be identified and the lateral pleural sinuses are free from any major pleural effusion. the heart appears to be enlarged, but is difficult to identify detail. prominent calcium deposits; however, are seen in the mitral ring area. our records do not include a previous chest examination available for comparison.
<unk>-year-old female patient with leukocytosis and hypotension, evaluate for pneumonia.
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cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen.
history: <unk>m with cough
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ap portable upright view of the chest. lungs appear clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with cp, sob // eval for pna
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there are relatively low lung volumes. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are grossly stable.
<unk>f w/chest pain, please eval for mediastinal widening, occult pna, ptx // <unk>f w/chest pain, please eval for mediastinal widening, occult pna, ptx
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a small left apical pneumothorax is stable to minimally increased in size from <unk> <num>. unilateral left-sided pleural thickening and left-sided rib cage deformity is unchanged from the recent prior. bandlike opacity in left perihilar region is not fully evaluated by chest radiography but appears unchanged. cardiomediastinal contours are unchanged.
history: <unk>m with ptx // ? ptx progression
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
malaise.
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single frontal view of the chest demonstrates a left pectoral dual-channel pacemaker with leads terminating in the right atrium and right ventricle. new since preceding exam is a large right-sided pleural effusion with dense consolidation in the right lower lobe and likely also right middle lobe. this could represent a component of atelectasis, but concurrent infection cannot be excluded. there are several more linear areas of subsegmental atelectasis in the right upper lung. the left lung is relatively well aerated. there is no large left pleural effusion. the heart is likely enlarged but suboptimally assessed. the thoracic aorta is mildly unfolded, with arch calcifications. multilevel lumbar spondylosis is present.
<unk>-year-old male with dyspnea. question pneumonia.
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right-sided chest drain in situ. small right apical pneumothorax measuring <num> mm in diameter. the right lung aeration is similar compared to prior. rest of the findings unchanged to minimally improved.
<unk> year old man s/p rul blebectomy, clamp trial w/ chest tube **please do at <num>pm** // clamp trial
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the right pneumonectomy space remains completely opacified. extensive left basilar consolidation has worsened since <unk>. there is minimal aerated left upper lobe. the cardiac contours are obscured. endotracheal tube is in stable position. a dobbhoff tube tip is in the stomach.
<unk>-year-old man with hypertension, right pneumonectomy, dropping o<num> sats.
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there are hazy bibasilar opacities which could be in part due to technique and overlying soft tissues although there is more dense opacity in the retrocardiac region. superiorly, the lungs are clear of consolidation. cardiomediastinal silhouette is within normal limits given positioning and technique. no acute osseous abnormalities identified.
<unk>f with dypsnea, // acute cardiopulm disease
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the cardiac, mediastinal and hilar contours appear stable. vascular calcifications are extensive along the aorta. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones are probably demineralized.
chest pain.
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an endotracheal tube ends approximately <num> cm from the carina. mild pulmonary edema is unchanged from the prior study. small stable bilateral pleural effusions are likely present. there is no consolidation or pneumothorax. the cardiac silhouette is moderately enlarged but unchanged from the prior exam. a pacemaker and its leads are in standard position.
history of kidney and liver failure with multidrug resistant uti. new intubation.
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ap view of the chest provided. again seen is right lung base pneumonia, not significantly changed since prior study. the left retrocardiac opacity is more clear. however, the left hilus is not less distinct and there is more interstitial prominence, concerning for mild volume overload. endotracheal tube is in appropriate position. nasogastric tube is seen coursing into the stomach and out of review. multiple right sided rib fracture and substantial scoliosis are again noted.
<unk> year old woman with pneumonia, intubated. // evaluate for interval change.
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pa and lateral views of the chest provided. lung volumes are low which somewhat limit the evaluation. allowing for this, there is no focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. heart and mediastinal contours are normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with dyspnea and palpitations
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the lungs demonstrate streaky bibasilar opacities, likely atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no free air seen below the diaphragm.
<unk>m with <num>d hx of epigastric and luq pain // perf?
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lungs are well inflated and clear. the cardiac silhouette is mildly enlarged. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. median sternotomy wires and surgical clips project over the mediastinum. surgical clips are also seen in the upper abdomen. calcifications of the aortic arch is noted.
fever, evaluate for acute process
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pa and lateral views of the chest provided. lung volumes are low. mild left basal atelectasis noted. no convincing signs of pneumonia or edema. no large effusion or pneumothorax. bony structures appear intact. no free air below the right hemidiaphragm.
<unk>f with chest pain and dizziness
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lungs: the lungs are well inflated. there is no consolidation. pleura: no pleural effusion is seen. heart: the heart is not enlarged. mediastinum and hila: there is no mediastinal mass. osseous structures: the osseous structures are normal for age. other findings: none
history: <unk>f with back pain // chest and back pain? mediastinal pathology
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right picc line tip is now in the medial right brachiocephalic vein, approximately <num> cm from cavoatrial junction. no pneumothorax. exam otherwise unchanged.
<unk> year old man with picc placed <unk>, out <num>cm on day of insertion. after dressing change today out <unk>.<num>cm, ?no longer central. needs access for medication administration. // ? picc no longer central
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in comparison to the recent chest x-ray on <unk>, the ng tube has been removed. again noted is left greater than right lung base atelectasis. there is also a small left pleural effusion, which appears to be new. no evidence of pneumothorax. stable mild cardiomegaly.
<unk> year old man <num> day s/p nissen fundoplication, c/o sob and chest pain // rule out pneumothorax or acute cardiopulmonary changes
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain, ha, htn // r/o acute process
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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. there is minimal right apical pleural thickening. no pulmonary edema is seen. no displaced fracture.
chest pressure.
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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 pain under the right breast // r/o occult infiltrate/rib fx
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enteric tube in right-sided picc line are similar in position. there are persistent bibasilar opacities without significant interval change since the prior study.
<unk> year old man with aspiration pneumonia // please assess for interval change
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with productive cough. // pna?
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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 right sided chest pain, r shoulder pain // ? acute cardiopulm process
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there is no focal consolidation, pleural effusion, or pneumothorax. there is no evidence of pulmonary congestion. cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>-year-old man with intermittent shortness of breath and leg edema, rule out chf.
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the tip of the intra-aortic balloon pump lies <num> cm below the top of the aortic arch. a right transjugular swan-ganz catheter tip is unchanged, projecting over the right pulmonary artery. the size of the cardiac silhouette is enlarged but unchanged. no focal consolidation, pleural effusion or pneumothorax identified.
<unk> year old man with new iabp, need to check position. // <unk> year old man with new iabp, need to check position.
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pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath.
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evaluation is somewhat limited due to kyphotic positioning and patient rotation. endotracheal tube tip terminates approximately <num> cm from the carina. a nasogastric tube tip is seen below the diaphragm, though the side port appears to be above the gastroesophageal junction, and this tube should be advanced. the cardiac silhouette size appears mildly enlarged. there are low lung volumes, which accentuates the width of the mediastinum. streaky opacities in the lung bases may reflect atelectasis. small left pleural effusion is noted. there is crowding of the bronchovascular structures but no overt pulmonary edema. no pneumothorax.
altered mental status and hypoxia.
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chest, portable semi-upright. again, lung volumes are low. there is a dense opacity obscuring the left hemidiaphragm. on the right, there is lower lobe atelectasis and chronic pleural thickening. there is no pneumothorax. the heart is enlarged but the extent is unknown secondary to the opacity.
<unk>-year-old man with history of pneumonia two weeks ago, now presenting with diffuse weakness. evaluate for recurrent pneumonia.
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portable chest film dated <unk> at <num> <num> is submitted.
<unk> year old woman with new central ij // pneumothorax? position pneumothorax? position
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pa and lateral views of the chest. the lungs are hyperinflated. left-sided pacemaker is seen in appropriate position. there is no pleural effusion or pneumothorax. there is no focal consolidation. the heart size is top normal. the cardiomediastinal and hilar contours are normal.
nausea and headache.
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again seen increased interstitial markings diffusely bilaterally, consistent with underlying chronic interstitial lung disease. there may be a component of mild superimposed vascular congestion. . no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable.
history: <unk>m with dyspnea // eval for pneumonia
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs with mild bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with malaise.
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a venous catheter terminates in the superior vena cava. the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. multifocal streaky opacities appear unchanged in the left lung, indicating scarring. new linear opacities in the right mid to lower lung suggest minor atelectasis or scarring. there is no pleural effusion or pneumothorax. no free air is identified. mild loss among mid-to-lower thoracic vertebral body heights appears unchanged.
abdominal pain and multiple myeloma.
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the et tube, ng tube, and right subclavian central venous catheter are unchanged in position. the patient has had prior right lung wedge resection with stable right-sided volume loss. right apical pleural thickening and/or fluid is unchanged. right perihilar airspace opacities are unchanged, but a left suprahilar airspace opacity is slightly more prominent.
<unk> year old man with hypoxic respiratory failure // progression of pneumonia?