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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. there is an old right sided rib fracture.
shortness of breath.
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frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. chain sutures are noted projecting over the right mid lung, unchanged compared to prior examination. otherwise, lungs are clear. no pleural effusion or pneumothorax.
flu-like symptoms, 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. the bony structures are unremarkable.
fever, cough, shortness of breath and fatigue.
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since <unk>, the dense left lower lobe consolidation is unchanged. new right lower lobe opacities may be atelectasis or developing pneumonia. severe cardiomegaly is unchanged without pulmonary vascular congestion or pulmonary edema. we an et tube terminates <num> cm above the carina. an og tube is seen passing through the stomach and outside the field of view.
<unk> year old woman with bradycardia, hyperk, hypotension for unclear reasons, now intubated // new og tube placement, interval change in lung fields (?pneumonia?)
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ap portable upright view of the chest. there is severe pulmonary edema, progressed from prior exam. the heart remains mildly enlarged. no large effusion or pneumothorax is seen. bony structures are intact.
<unk>f with tachypnea, low o<num> sats, dilaysis dependent, dka // r/o infiltrate, effusion
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patchy lingular opacity, best seen on the frontal view, pneumonia versus atelectasis. no pleural effusion or pneumothorax is seen. the cardiac right is top-normal. mediastinal contours are grossly unremarkable. no pulmonary edema is seen.
history: <unk>f with cough, fevers // ? acute process
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the cardiac, mediastinal and hilar contours appears unchanged. there is no pleural effusion or pneumothorax. parenchymal abnormalities appear unchanged and reflect emphysema with mild accompanying interstitial disease. subpleural scarring and a small hyperdense nodules at the right lung apex appear unchanged. scarring and bullous changes are also stable at the base of the left chest. the chest is hyperinflated. there has been no significant change.
lymphadenopathy. question scrofula.
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frontal and lateral chest radiographs demonstrate mild cardiomegaly and hyperinflated lungs with severe emphysematous changes again noted. no focal consolidation, pleural effusion, or pneumothorax. left apical radiation fibrosis is unchanged. there is no appreciable pulmonary edema. surgical clips are noted projecting over the left mid upper lung and axilla, as before, with evidence of prior left mastectomy.
history: <unk>f with acute shortness of breath, left shoulder pain.
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the et tube ends <num> cm above the carina. a right internal jugular catheter is unchanged in satisfactory position. ng tube is not well seen. interval placement of thoracic spinal hardware since yesterday. stably enlarged cardiomediastinal silhouette is chronic. moderate pulmonary edema is unchanged. the left costophrenic angle is excluded from this film. no large pleural effusion or pneumothorax.
acute renal failure, intubation.
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enteric tube is seen coursing below the diaphragm, distal aspect not included on the image. there are bibasilar and right middle lobe patchy opacities. patient has reported chronic lung disease. there is no pleural effusion or pneumothorax. the cardiac silhouette is not enlarged. mediastinal silhouette is unremarkable. calcified left hilar nodes are seen.
shortness of breath after line placement.
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there is a new right upper lobe opacity concerning for pneumonia. the heart continues to be enlarged. there is no overt pulmonary edema, pneumothorax or pleural effusion.
<unk>-year-old male with fever. evaluate for pneumonia.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. bilateral breast implants are unchanged.
history: <unk>f with episode of aphasia // eval cardiomegaly, infiltrate
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with ?pna // eval for pna
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the aorta is somewhat tortuous.
chest pain.
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all lines and tubes are unchanged in positioning. there is a persistent small left apical pneumothorax. the diffuse bilateral airspace opacities may have slightly improved. the bilateral pleural effusions are stable in size. the cardiomediastinal silhouette is stable. the stomach is moderately distended with air.
<unk> year old woman with infective tricuspid endocarditis, <num>cm veg with septic emboli to lungs bilaterally, s/p chest tube which was changed to water seal am of <unk> // r/o interval change; chest tube changed to water seal
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the aortic knob is calcified. the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. known pulmonary nodules are not visualized on this radiograph but better characterized on most recent chest ct from <unk>.
history: <unk>m with nausea, sob, chest pain // infiltrate? infiltrate?
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<num> lead left-sided pacemaker is stable in position, with leads extending to the expected positions of the right atrium and right ventricle. . there is persistent enlargement of the cardiac silhouette. mediastinal contours are stable. right base opacity is stable representing combination of pleural effusion and atelectasis, underlying consolidation not excluded. trace left pleural effusion may be present. mild interstitial edema noted on the prior study has improved in the interval.
<unk> year old man with new dual chamber ppm // lead placement
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>m with chest pain // eval heart and lungs
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frontal and lateral views of the chest. moderate cardiomegaly and mediastinal contours are stable. severe enlargement of the left atrium is unchanged. no focal consolidation, pleural effusion, or pneumothorax.
cough with low-grade fevers.
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cardiac and mediastinal silhouettes are stable. mild bibasilar atelectasis without definite focal consolidation is seen. there is subtle increased interstitial markings bilaterally which may be due to mild vascular congestion though atypical pneumonia not excluded. no pleural effusion or pneumothorax is seen.
history: <unk>f with dementia, fall, wbc <num>k, suspicous portable cxr // pneumonia?
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the tip of the endotracheal tube projects <num> cm in the carina. the gastric tube extends into the body of the stomach. the tip of the tube is not depicted on this film. new small left pleural effusion with subjacent atelectasis. mild central pulmonary vascular congestion. no pneumothorax identified. the size the cardiac silhouette is enlarged.
<unk> year old man with cirrhosis and ugib // placement of ett and new ogt
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the lungs are clear without focal consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with shortness of breath*** warning *** multiple patients with same last name! // r/o pneumonia
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within the interim, the previously seen enteric tube has been removed. a new enteric tube with a weighted tip projects over the stomach. a right central venous catheter is unchanged in position. a right ureteral stent is incompletely imaged. the remainder of the study is not optimized for assessment of the chest and abdomen.
<unk> year old woman with new dobhoff placed today for ng tube feeds // confirm ngt placement
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. no focal consolidation convincing for pneumonia is seen. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is seen. upper abdomen is unremarkable.
history: <unk>f with dyspnea // acute process
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the lungs are clear. cardiac silhouette is normal. no pleural effusion or pneumothorax.
woman with chronic cough.
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asymmetric opacification of the right lung base with respect to the left could be due to basilar pneumonia. no pleural effusion or pneumothorax is detected. the pulmonary vasculature is moderately engorged, but there is no overt pulmonary edema. the cardiac silhouette is moderately to severely enlarged with left atrial and ventricular enlargement particularly striking on the lateral view. the thoracic aorta is tortuous. the mediastinal and hilar contours are otherwise within normal limits.
altered mental status, here to evaluate for pneumonia.
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the lungs appear hyperinflated, with flattening of the diaphragms suggesting emphysematous lung disease. a linear radiopacity across the lower right lung represents discoid atelectasis. an ill-defined opacity in the periphery of the lower right lung is in the same location as in prior exam and is likely a summation of structures including the nipple. there are no other focal opacities bilaterally. cardiomediastinal and hilar contours are unremarkable. bilateral apical calcified pleural plaques are noted, but there is no pleural effusion or pneumothorax. fractured sternotomy wires are again seen and the patient is status post cabg surgery. there is a prior resection of the posterior left sixth rib.
<unk>-year-old male status post fall. please evaluate for evidence of acute trauma.
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there are low lung volumes and associated bronchovascular crowding. there is bibasilar atelectasis, similar to prior exam. the lungs are otherwise clear. there is a small left pleural effusion, unchanged from prior. the cardiomediastinal silhouette enlarged, stable from prior exam. median sternotomy wires and mediastinal clips are again noted. an old right rib resection is noted.
left thoracic pain, wheezing.
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pa and lateral views of the chest. no prior. there is patchy opacity identified within the right middle lobe. elsewhere, the lungs are clear. there is no effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with cough and fever.
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ap portable upright view of the chest. cardiomegaly is unchanged with significant enlargement of the main pulmonary artery, unchanged. there is increased opacity in the left lung base consistent with moderate pleural effusion and atelectasis, cannot exclude pneumonia. a small right pleural effusion is also present. upper lung lucency is suggestive of emphysema. a nodular opacity projects over the right upper lung which appear stable from multiple prior exams. no pneumothorax. a right proximal humeral hardware is partially imaged. widening of the left ac joint with elevated left distal clavicle is unchanged compatible with an old grade <num> ac joint separation.
<unk>f with dyspnea // eval chf/pna
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lung volumes are low. the heart size is accentuated due to the presence of low inspiratory lung volumes, appearing borderline enlarged. mediastinal and hilar contours are normal. no pulmonary edema is demonstrated. assessment of the lung bases is limited by low lung volumes. patchy opacities in both lower lobes may reflect atelectasis. no right pleural effusion is demonstrated, and no large left pleural effusion is seen, though a small left pleural effusion is not completely excluded. no pneumothorax is detected.
history: <unk>f with confusion
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there are relatively low lung volumes. mild central pulmonary vascular congestion is seen. no definite focal consolidation is seen. mild basilar atelectasis is noted. no pleural effusion or pneumothorax. single fractured sternotomy wire is re- demonstrated, stable in appearance. patient is status post cabg. cardiac and mediastinal silhouettes are stable.
history: <unk>f with confusion // eval for chf/pneumonia
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a nasogastric tube in terminates in the stomach. the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. there has been improvement in left perihilar opacification. there is no pleural effusion or pneumothorax.
intracranial hemorrhage. nasogastric tube placement.
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lungs are well-expanded and clear. the heart is not enlarged. the aorta is mildly tortuous. hila are within normal limits. no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cough, chest pain, epigastric burning // r/o acute process
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear besides scarring at the right lung base, unchanged from prior ct. no pleural effusion or pneumothorax is seen.
<unk>f with left sided pain // acute process?
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pa and lateral views of the chest. the right chest wall port is seen with catheter tip at the ra svc junction. the lungs are clear. nipple shadows project over the lung bases bilaterally. there is no effusion. cardiomediastinal silhouette is normal. no acute osseous abnormality detected.
<unk>-year-old female with fever.
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portable chest: there is minimal lower lobe atelectasis but the lungs are otherwise clear. the heart is top-normal in size and the aorta is unfolded. the hila are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
syncope and bradycardia.
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pa and lateral views of the chest were obtained. 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.
cough and shortness of breath.
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frontal and lateral views of the chest. no prior. on the frontal exam, the lungs are clear. however, on the lateral, there is increased opacity projecting over the spine. elsewhere, the lungs are clear and the costophrenic angles are sharp. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
chest pain this morning.
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a new dobbhoff tube terminates in the stomach. the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. in addition to a spread background fine reticular abnormality, greater on the left than right, which appears similar to somewhat increased, a newfocal consolidation is present in the right mid lung. there is no definite pleural effusion or pneumothorax.
liver failure. dobbhoff placement, assessment requested.
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left chest wall port-a-cath is seen with catheter tip in the upper svc. the lungs are hyperinflated but clear of consolidation. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>f with copd exacerbation // sob
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pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no configurational abnormality is present. thoracic aorta unremarkable. no mediastinal abnormalities are seen. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area on frontal view. skeletal structures of the thorax grossly unremarkable. our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with cough, evaluate for pneumonia.
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moderate cardiomegaly is unchanged. the pulmonary arteries are severely enlarged. there is no focal lung consolidation. there is no pleural effusion or pneumothorax. elevation of the right hemidiaphragm is unchanged. there is no focal consolidation. there is mild interstitial edema. left percutaneous pacer wires with overlying pacer device is again seen.
<unk>-year-old woman with weakness evaluate for pulmonary edema or pneumonia.
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minimal basilar atelectasis is seen. subtle patchy left base retrocardiac opacity most likely due represents atelectasis versus less likely consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
kidney transplant now with fever and reduced urine output.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with productive cough, sob // assess pna
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in comparison to radiograph from <unk>, the cardiomediastinal silhouettes are stable, within normal limits. the bilateral hila are within normal limits. there has been interval improvement in lung aeration and a decrease in pulmonary vascular engorgement. linear opacities within the bilateral lower lung zones likely represent platelike atelectasis. there is no focal lung consolidation. there has been improvement in the moderate left pleural effusion, now small, with likely adjacent compressive atelectasis best appreciated on lateral view. again seen is a small right pleural effusion. there is no pneumothorax.
an <unk>-year-old woman with hypotension, evaluate for infection.
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ap portable upright view of the chest. endotracheal tube is seen with its tip positioned <num> cm above the carinal. the ng tube courses into the left upper abdomen. the lungs appear clear. cardiomediastinal silhouette appears prominent though well-defined. bony structures appear intact. overlying ekg leads are present. imaged portion of the upper abdomen is unremarkable.
<unk>m found down // eval for injury
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interval development of a small-moderate right pleural effusion with adjacent atelectasis. there is no lobar consolidation, pneumothorax, or frank pulmonary edema identified. redemonstrated are postsurgical changes in including chain sutures along the upper right mediastinum. median sternotomy wires are noted, with an unchanged fracture through the superior most wire. elevation of the right hemidiaphragm and right basilar scarring is unchanged, likely also postsurgical. the cardiomediastinal silhouette is within normal limits. degenerative changes are seen within the bilateral acromioclavicular and glenohumeral joints.
<unk>f with weakness, ams // evaluate for acute process
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a single portable ap upright view of the chest was obtained. in comparison to the prior examination, there is increased moderate right pleural effusion with adjacent dense opacification, likely representing compressive atelectasis, consolidation not excluded. small left pleural effusion and adjacent mild atelectasis, increased. multiple scattered pulmonary nodules, largest in the left upper lung, are relatively unchanged. surgical clips in the left lower chest are again noted. a small well-rounded density projecting over the right scapula was not present on the prior study and could be external to the patient. no pneumothorax. cardiomediastinal contour is otherwise unremarkable.
<unk>-year-old woman with dyspnea, wheeze and history of breast cancer. evaluate for pneumonia or pleural effusion.
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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 left sided weakness // eval for pna
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et tube is present approximately <num> cm above the carina. an enteric tube is present with tip and side hole is in the stomach. the cardiomediastinal and hilar contours are normal aside from aortic valve calcifications. there is no pneumothorax or pleural effusion. the lungs are well expanded with interstitial changes, likely chronic. there is no finding concerning for pneumonia or pulmonary edema.
history: <unk>f with intubation // eval ett
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frontal and lateral views of the chest were obtained. there is mild bibasilar atelectasis. new since the prior study, best seen on the lateral view, there is undulating prominence of the pleura, probably on the left, which could be due to a loculated pleural effusion, however, pleural thickening due to other entities such as neoplasm is not excluded. the patient is status post median sternotomy and cabg. the cardiac silhouette is top normal-to-mildly enlarged. the aorta is calcified. no pneumothorax is seen.
cabg, presenting with four weeks of shortness of breath, pleuritic chest pain.
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the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. visualized osseous structures are notable for anterior cervical spinal hardware. visualized upper abdomen is within normal limits.
<unk>f with chest pain. assess for acute process.
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frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
history of hiv, cough, fever, severe right lower quadrant pain, evaluate for pneumonia.
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pa and lateral views of the chest. a heterogeneous opacity in the posterior left lower lobe is worrisome for pneumonia in the correct clinical setting. this less likely represents atelectasis. right hemidiaphragm elevation is stable. pacemaker leads end in the right atrium and right ventricle. sternotomy wires are in appropriate position. cardiomegaly is stable. there are no pleural effusions or pneumothorax. no pulmonary vascular congestion.
increased white blood cell count, no cough, known chf and avr, rule out pneumonia.
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the lungs are clear and mildly hyperinflated. the cardiomediastinal contours are unchanged. no interstitial pulmonary edema, pneumonia, pleural effusions or pneumothorax.
<unk> year old man with sob and wheezing since recent cardioversion // please evaluate for pna
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single frontal radiograph of the chest demonstrates a newly placed left pigtail catheter which crosses the left lung transversely. there has been interval improvement in the left-sided pneumothorax with residual apical pneumothorax still seen. there is partial reinflation of the left lower lobe compared to the prior radiograph. there is unchanged appearance of the right lung with still small extrapleural hematoma as well as mild right-sided pleural effusion.
left pneumothorax, now status post left pigtail placement. evaluate for resolution of pneumothorax.
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<num> ap chest x-ray shows excessive placement of a double off tube with the initial showing the tip at the gastroesophageal junction and the final x-ray showing the tip within the body of the stomach approximately <num> cm beyond the ge junction. the lungs are unchanged in appearance with mild right basilar atelectasis and possibly a small right pleural effusion. heart size and mediastinal contour are unchanged given the slightly lower lung volumes. right upper quadrant pigtail biliary catheters are incompletely visualized.
<unk> year old man with psc vs. cholangiocarcinoma, // <num> step dobhoff placement
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frontal and lateral radiographs of the chest demonstrate a lingular opacity, likely representing pneumonia. no other areas of focal consolidation are identified. the cardiac, mediastinal, and hilar contours are otherwise normal. no pleural abnormality is detected.
persistent cough with faint left basilar rales. evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is normal. there is no visualized pneumomediastinum. no acute osseous abnormalities identified. no free intraperitoneal air.
<unk>f with gastroparesis, htn, dm, now with acute onset bilious emesis, with streaks of blood. // is there pneumomediastinum?
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frontal and lateral chest radiographs demonstrate an unchanged cardiomediastinal silhouette, with the heart top normal in size. diffusely increased opacity of the lungs consistent with the patient's known interstitial disease is less apparent and there is no focal opacity, pleural effusion, or pneumothorax.
history of interstitial lung disease and latent tuberculosis, now with increasing cough, shortness of breath, and purulent sputum. evaluate for pneumonia.
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in comparison to <unk>, the left lower lobe atelectasis has improved. however there is only mild improvement in the bilateral pulmonary edema. no pleural effusions. no pneumothorax. the heart is mildly enlarged but unchanged. mediastinal contours are unchanged.
<unk> year old woman with esrd, diastolic chf, presenting with dyspnea felt to be chf exacerbation, but will persistent hypoxemia despite aggressive fluid removal // please assess for interval change in pulmonary edema, presence of effusion, or infiltrate
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low lung volumes are noted particularly on the frontal view. the lungs however are clear without consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with chest pain // eval for pna, chf
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enteric tube tip below diaphragm, not included on the radiograph, probably in the mid stomach. endotracheal tube tip in good position. right subclavian central line tip near cavoatrial junction. stable bibasilar atelectasis or infiltrates.
<unk> year old man with large epidural hematoma // placement of og tube
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the patient is status post sternotomy. a dual-lead pacemaker/ icd device appears unchanged. the heart is moderately enlarged. the aortic arch is calcified. there is perihilar haziness which is worse than on the prior study with probable pleural effusions, likely small or small-to-moderate in size. findings are consistent with pulmonary edema.
hypotension and cough on dialysis.
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pa and lateral views of the chest provided. the lungs are well-aerated and grossly clear. a moderate right pleural effusion is mildly increased in size. a stent and surgical clips in the right upper quadrant are noted. a prominent right hilus is concerning for a possible right hilar mass.
<unk> year old woman with worsening cough // eval for consolidation, suspected pneumonia
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single frontal view of the chest demonstrates a right subclavian approach central venous catheter with tip in the mid svc and an enteric tube with tip in the stomach. bilateral chest tubes are in place, with interval change of configuration of the right chest tube as well as increased subcutaneous emphysema, suggestive of interval replacement of the right tube with the tip now tilting cephalad towards the mediastinum. there is now a tiny right apical pneumothorax and a small right lateral basilar pneumothorax, presumably related to interval placement of new chest tube. triangular lucency overlying the left paraspinal line projecting over the heart is unchanged, consistent with a left medial pneumothorax. there is more pronounced right basilar atelectasis. retrocardiac atelectasis in the left base is persistent. prominent cardiac silhouette is unchanged. a mildly displaced right third rib fracture is noted, as are multilevel minimally displaced left posterolateral rib fractures. overall extent of injury is better delineated on prior ct dated <unk>.
<unk>-year-old male with bilateral chest tubes with ongoing leak on the right. question interval change.
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frontal and lateral views of the chest were obtained. heart size and cardiomediastinal contours are stable. linear opacity in the right lung is consistent with atelectasis. no substantial pleural effusion or pneumothorax. leads of a left chest wall generator pack terminate in the right atrium and right ventricle. a third cardiac lead is in unchanged position since <unk>.
<unk>-year-old female with <num> days of cough.
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the lungs are hyuperinflated and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>f with confusion, visual field cuts - ongoing medical w/u for confusion; no resp sxs at present
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pa and lateral views of the chest provided. lungs are hyperinflated. there is no focal consolidation, effusion, or pneumothorax. mild biapical pleural parenchymal scarring is noted. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with dizziness // eval for acute process
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cardiac silhouette size is normal. mediastinal contour is unremarkable. new right hilar prominence with right perihilar opacity along with ill-defined nodular opacities in the right upper lobe are concerning for infection. no additional focal consolidation is seen. there is no pleural effusion or pneumothorax. no acute osseous abnormality is detected.
history: <unk>m with back pain worse with inspiration or cough
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portable chest films are compared to previous x-ray from <unk>. extremely low lung volumes are seen on the current exam. linear right basilar opacity is seen. elsewhere, lungs are grossly clear noting extremely limited technique. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old female with shortness of breath.
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interval removal of a prior right ij cvl. the patient is status post median sternotomy. cardiomegaly is unchanged. probable trace bilateral pleural effusions. bibasilar atelectasis without lobar consolidation, pneumothorax, or overt pulmonary edema.
<unk>m with chest pain // eval pneumonia, other acute process
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single ap radiograph of the chest demonstrates interval placement of a left picc which terminates in the right atrium and could be retracted <num> cm for placement at the cavoatrial junction. there is no pneumothorax. persistent bilateral parenchymal consolidative opacities have increased since the prior study, with some areas that may represent cavitaion, concerning for septic emboli. no pleural effusion is identified. there is no pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk>-year-old man with new picc placement.
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lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. hazy opacities in the lung bases are compatible with atelectasis. small right pleural effusion is noted. no pneumothorax is identified. there are no acute osseous abnormalities. no subdiaphragmatic free air is present.
rebound tenderness after paracentesis.
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there is left apical scarring, better demonstrated on the prior cta chest dated <unk>. the lungs are otherwise free of focal consolidations, pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits.
<unk> year old woman with cough for <num> weeks, on ethanercept due to rheumatoid arthritis, prior +ltbi treated with inh for <num> months // r/o infiltrate
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the lungs are hyperinflated with an increased ap diameter, which is likely exaggerated by the thoracic spine kyphosis. heart size is moderately enlarged but stable. there is no focal consolidation, pulmonary edema or pneumothorax. blunting of the costophrenic angles bilaterally is likely a function of small pleural effusions, better characterized on the ct from the same day. a significantly calcified aortic knob is again noted.
history: <unk>f s/p fall with laceration to head // r/o acute process
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lung volumes remain low. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax. catheter projected over the left upper quadrant is partially imaged.
<unk> year old man with ms, <unk> paresis and pressure ulcerations with chronic pelvic osteomyelitis here for pelvic bone biopsy for culture. // pre-op cxr surg: <unk> (pelvic bone biopsy)
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the heart is moderately enlarged. there is increasing relative elevation of the right hemidiaphragm which apparently accompanies increasing posterior basilar volume loss and probably a pleural effusion. in addition to perihilar fullness and haziness, there is moderate interstitial abnormality suggesting pulmonary edema. there is no evidence for pleural effusion on the left or pneumothorax.
psychosis and pneumonia.
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mild medial right base atelectasis is seen. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain sudden onset. asx now. // ?chf ?intrapulmprocess
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patient is status post median sternotomy. again, it least the upper to sternotomy wires are fractured in several locations. retained percutaneous ventricular pacer lead fragments are unchanged. left-sided catheter appears to terminate in the left axilla ; if this is a picc, it is high in position, terminating in the region of the left axillary vein. subtle left mid to lower lung opacity is grossly stable. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable.
history: <unk>m with tachypnea // eval heart and lungs, l picc placement
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a single ap frontal radiograph of the chest was acquired. there has been interval repositioning of a right internal jugular central venous catheter, with its tip now within the mid-to-upper svc. the lungs remain clear. the heart size is normal. there are no pleural effusions. no pneumothorax is seen.
right internal jugular redirection. assess placement.
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lung volumes are low. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities identified.
history: <unk>m with acute chest pain, shortness of breath
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there is an et tube which terminates approximately <unk>-mm above the carina, with the cuff appearing to be overinflated again. enteric, mediastinal and left chest tubes appear to be in appropriate position. there is a normal post operative appearance of the cardiomediastinal contour, with stable mild cardiomegaly. no large pleural effusions are seen. the small right apical and minimal left basilar pneumothoraces are stable compared to the prior exam.
history of mitral valve repair with a small right apical pneumothorax, please evaluate.
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chest: no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. right ribs: the level of patient's pain is not denoted on these films. within this limitation, no acute rib fracture is detected on the right. clips in the right upper quadrant likely reflect prior cholecystectomy.
<unk>-year-old female status post fall with right lateral rib tenderness
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there is a small left apical pneumothorax which was not apparent previously. the left lung apex now lies approximately <num> mm below the inferior margin of the left first rib. there is minimal streaky density at the lung bases consistent with subsegmental atelectasis. the lungs appear otherwise clear mediastinal structures are stable. bilateral chest tubes, a mediastinal drain and a right internal jugular catheter remain in place.
please obtain <num>am cxr
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chest: lungs are clear. cardiac size is normal. no free air is seen below the right hemidiaphragm. no large pleural effusion. no pneumothorax. no pneumonia. abdomen: no secondary signs of free air. there appears to be a large amount of fecal loading. clips are noted in the pelvis. underlying bones are unremarkable.
<unk>f with severe abdominal pain.
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a small right pleural effusion is unchanged. there is no definite left pleural effusion. bibasilar atelectasis is appreciated. there is no pneumothorax or focal airspace consolidation. the cardiac silhouette remains mildly enlarged. the pulmonary vasculature is normal.
abdominal pain, somnolence and elevated carbon dioxide. evaluate for pneumonia or aspiration.
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as compared to the previous image, but the lung volumes remain low. the position of the right picc line is constant, at the level of the mid to lower svc. no complications, notably no pneumothorax. small right pleural effusion, moderate cardiomegaly. left retrocardiac atelectasis.
<unk> year old man with picc; nursing concerned that picc may have been dislodged during dressing change. // please assess picc placement. thanks.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. there is diffuse demineralization of osseous structures. mild multilevel thoracic spondylosis is present. mild degenerative changes are seen in the left shoulder.
<unk>-year-old female with chest pain. question consolidation.
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the heart is enlarged but stable. the mediastinal and hilar contours are within normal limits. there has been interval increase of the right-sided pleural effusion. the left lung is clear. there is no pneumothorax.
<unk>-year-old female patient status post right lobectomy with pleural effusion and status post thoracocentesis on <unk>. study requested for interval assessment.
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there is persistent predominately apical right sided pneumothorax, this is unchanged in size when compared to the prior study. a new opacity in the right mid lung likely relates to atelectasis due to this pneumothorax. small amount of pleural fluid on the right consistent with a hydro pneumothorax. the cardiomediastinal contour is unchanged. no left-sided pneumothorax seen. the lungs remain moderately hyperinflated.
<unk> year old man with r apical pneumothorax small, thoracics requests one additional cxr to be done <unk> am to ensure stability before patient discharge. h/o nsclc // assess presence and degree of r apical pneumothorax
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diffuse increase in interstitial markings bilaterally suggests mild to moderate interstitial edema versus less likely atypical infection. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mildly enlarged. mediastinal contours are stable.
history: <unk>f with cough // sob/doe
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compared to the film from earlier the same day and allowing for differences in technique, there is negligible interval change. again seen is mild vascular plethora, increased retrocardiac density, and minimal patchy opacity in the right cardiophrenic region.
<unk> year old woman with fever // ? pneumonia
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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. surgical clips project over the right axilla. bony structures appear normal.
right-sided numbness and tingling.
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right-sided central venous catheter terminates in the region of the low svc without evidence of pneumothorax. no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with pain at central line after fall // confirm cental line placement
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pa and lateral views of the chest demonstrate interval increased heart size since the prior study from <unk>, with no evidence of pleural effusion or pulmonary edema. the lungs are clear bilaterally.
<unk>-year-old female with increasing dyspnea on exertion. evaluation for pleural effusion.
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there is now a right ij central venous catheter with tip projecting over the lower svc. remainder of the exam is unchanged noting bilateral parenchymal opacities. there is no pneumothorax.
<unk>m with r ij // line palcement
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left anterior chest wall dual lead pacer is unchanged. coronary artery stent is unchanged. heart remains mildly enlarged. aortic knob calcifications are noted. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
chest pain and shortness of breath.
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low lung volumes cause bronchovascular crowding. bibasilar scarring or atelectasis is unchanged from multiple prior studies. the cardiomediastinal silhouette including mild cardiomegaly is unchanged. there is no focal consolidation pleural effusion, pulmonary edema, or pneumothorax. there is diffuse demineralization. compression deformities of midthoracic vertebrae are unchanged.
<unk>f with cough and sob, evaluate for pna vs chf exacerbation.