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left-sided port-a-cath tip terminates within the proximal right atrium, unchanged. the cardiac, mediastinal and hilar contours are stable with the heart size within normal limits. mild calcification of the aortic arch is present. the pulmonary vascularity is not engorged. streaky opacities in the lung bases are compatible with atelectasis. no pleural effusion, focal consolidation or pneumothorax is visualized. no acute osseous abnormalities are seen.
gastric cancer and dyspnea on exertion.
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interval removal of the right pigtail catheter. otherwise, no overall change since the previous exam. the loculated right pleural effusion, which demonstrates some tracking in the minor fissure is grossly stable. mild right lateral pleural thickening. small left pleural effusion. no pneumothorax or pulmonary edema. stable cardiomegaly and cardiomediastinal contours. no changes in the position of the <num> lead cardiac device.
<unk>-year-old woman with recurrent r pleural effusion s/p talc pleurodesis <unk>; assess for interval change in r pleural effusion.
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there is the small left pleural effusion, which has decreased in size since the prior cxr. right pleural effusion has resolved. the lungs are otherwise free of focal consolidations or pneumothorax. no pulmonary edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. a metallic density is seen in the left upper quadrant, likely representing a surgical clip. anterior abdominal wall surgical <unk> have since been removed.
<unk> year old man with esophageal perf s/p transhiatal esophagectomy // check interval change
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the cardiac silhouette is at the upper limits of normal. no chf, focal infiltrate, pleural effusion, or pneumothorax is identified. no mediastinal widening or apical capping is detected. no rib fractures are identified on these lung-technique films. the shoulders are not evaluated on these films.
shoulder pain status post motor vehicle accident. question rib fracture or pneumothorax.
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frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. there is no pleural effusion or pneumothorax. subtle lung base opacities are noted. remoted left sided rib fractures are redemonstrated.
right-sided chest pain.
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the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is present. there is no pulmonary vascular congestion. no acute osseous abnormalities are seen.
likely asthma exacerbation, unclear precipitating factor. cough but no fever.
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there is moderate cardiomegaly, unchanged. left pleural effusion is decreased in size, and linear opacities in the left lower lung are indicative of atelectasis, likely chronic. the right lung demonstrates mild atelectasis at the base. sternal wires are intact.
history: <unk>m with with a cough. evaluate for infectious process.
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images demonstrate a dobbhoff tube being placed, eventually reaching the stomach. there is a large right pleural effusion with associated atelectasis, as seen on prior ct. these stripe of air density projecting over the right aspect of the vertebral bodies is results of the large loculated effusion and patent lung parenchyma directly adjacent to the spine on the right. there is no left pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk> y/o m with pmhx significant for cirrhosis <unk> etoh s/p liver tranplant <unk> years <num> months ago now drinking again and with ascities and concern for recurrent cirrhosis. // please assess placement of dobhoff. thanks!
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there is mild right infrahilar opacity which appears new since the prior study and likely reflects atelectasis although infection cannot be completely excluded. the remaining lung fields are clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
cough, evaluate for pneumonia.
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a frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and well-aerated lungs which are clear. interstitial edema seen on <unk> has resolved. there is no pleural effusion or pneumothorax. surgical clips in the left abdomen and a right shoulder prosthetic are also noted.
tachycardia. evaluate for infection.
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there has been slight interval withdrawal of the right-sided picc as compared to prior examination with the tip now terminating <num> cm cranial to the carina at the level of the proximal-to-mid svc. a left-sided icd with a single right ventricular lead is unchanged in position compared to prior examination. severe cardiomegaly is unchanged. mediastinal and hilar contours are stable. lungs are clear without focal consolidation. there are likely small bilateral pleural effusions. there is no pneumothorax.
recent picc placement with concern for displacement.
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the lungs are hyperinflated and the diaphragms are flattened consistent with emphysema. there are no focal opacities concerning for pneumonia. there is no pleural effusion, pneumonia or pneumothorax. cardiac size is normal. calcifications of the aortic knob are again present. there is no free air, but the left colon is dilated up to <num> cm.
chest pain, question pneumonia.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. a small hiatal hernia is noted. no acute fractures are identified. no free air is noted under the hemidiaphragms.
left upper abdominal pain.
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pa and lateral views of the chest. the previously seen right middle lobe collapse has resolved. no focal consolidation is seen. there is no pleural effusion or pneumothorax. emphysematous changes are noted.
shortness of breath, question infiltrate.
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single portable view of the chest. no prior. the lungs are clear of focal consolidation noting linear atelectasis at the lung bases bilaterally. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female status post seizure.
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prior right ij central venous catheter is no longer visualized. degree of cardiomegaly is similar given differences in projection and technique. bibasilar opacities persist but do not appear progressed since prior, potentially due to atelectasis. no pulmonary edema. no acute osseous abnormalities.
<unk>m with fever, tachypnea // eval for pneumonia
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a right-sided dialysis catheter enters the right atrium. a left pectoral aicd remains in place with lead placement reflecting variant anatomy, including a persistent left svc. the layering left pleural effusion has decreased, and is now small. small right pleural effusion is unchanged. there is no pneumothorax. unchanged retrocardiac opacification is due to unchanged left lower lobe collapse. the right lung remains clear.
<unk>-year-old male status post left thoracentesis.
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new numerous monitoring leads are seen projecting over the patient. there appears to be some iv tubing over the right lung apex. notable is vascular calcifications of the aortic arch. the cardiac silhouette remains enlarged, probably accentuated by the portable technique. several surgical clips are seen projecting over the right chest wall and lung base likely breast clips. there has been interval placement of at least <num> and possibly <unk> fiducial markers seen projecting over the left side of the heart, an adjacent <num> numerous suture chains. there is no evidence of left-sided pneumothorax. there is some right-sided convex scoliosis of the thoracic spine, although likely accentuated by patient positioning. increased sclerosis seen at the left humeral head is consistent with degenerative change.
status post fiducial placement. evaluate for pneumothorax.
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ap and lateral views of the chest were provided. the lateral view is suboptimal as the patient's arm partially obscures the view. there is no focal consolidation, pneumothorax or pleural effusions. there is mild prominence of the pulmonary vasculature, unchanged from prior study. cardiomediastinal silhouette is within normal in size with aortic knob calcifications. there is mild dextroconcave scoliosis of the thoracic spine.
<unk>-year-old man status post right basal ganglia strokes with hemorrhagic conversion, question acute intrathoracic process.
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a right chest port terminates in the mid svc. the cardiomediastinal silhouette is unchanged. intrathoracic lymphadenopathy involving the aortic o pulmonary window and left hilum is seen to better detail on recent pet-ct of <unk>. the lung fields are clear. there is no pneumothorax. no pleural effusion.
history: <unk>m with fevers, hx of cll // evaluate for infiltrate
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pa and lateral views of the chest. the moderate-to-large left pleural effusion has increased. the small right pleural effusion is either unchanged or increased. there is mild pulmonary vascular congestion. moderate cardiomegaly is likely unchanged. the mediastinal and hilar contours are stable. underlying left lower lobe or right lower lobe opacity representing pneumonia cannot be ruled out.
shortness of breath and weight gain, evaluate for acute process.
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relatively low lung volumes are noted. increased interstitial markings are seen throughout the lungs without focal consolidation or effusion. moderate cardiac enlargement is noted as well as atherosclerotic calcifications at the aortic arch. left chest wall dual lead pacing device seen with lead tips projecting over left atrium and right ventricle. no acute osseous abnormalities.
<unk>m with hypoglycemia // evaluate for pneumonia, acute process
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there is consolidation in the retrocardiac region corresponding to the left lower lobe on the lateral radiograph with air bronchograms, which may represent atelectasis or pneumonia. there is a trace left pleural effusion on the lateral view. no focal consolidation concerning for pneumonia is seen. the right lung is grossly clear. there is no pneumothorax. no pulmonary vascular congestion or edema is seen. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected. degenerative changes at the acromioclavicular joints, greater on the right than the left are noted.
confusion, here to evaluate for pneumonia.
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mild cardiomegaly is re- demonstrated. the aorta is diffusely calcified and mildly tortuous. the mediastinal and hilar contours are otherwise unremarkable without evidence of pulmonary vascular congestion. <num> mm nodular opacity is seen projecting over the right upper lobe not clearly seen on the previous exam. lung volumes are low with mild bibasilar atelectasis, but no focal consolidation. no pleural effusion or pneumothorax is clearly evident. dextroscoliosis of the thoracolumbar spine with associated degenerative changes are noted. spiral tacks are seen in the left abdomen.
history: <unk>f with shortness of breath
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the cardiac silhouette size is top normal, unchanged. mediastinal and hilar contours are similar with leftward shift of mediastinal structures again demonstrated. chronic volume loss is again seen in the left lung with scarring re- demonstrated in both upper lobes and pleural thickening noted over the left apex, unchanged. traction bronchiectasis is also demonstrated in the left upper lobe with bronchial wall thickening. new hazy opacification is seen within the left lung, findings could which could reflect pulmonary vascular congestion which is asymmetric. streaky opacity in the right lung base is unchanged. no pneumothorax or pleural effusion is demonstrated. no acute osseous abnormalities demonstrated. chronic deformity of a left-sided rib is again noted.
history: <unk>f with cough, bibasilar crackles
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cardiac size is normal. the aorta is tortuous. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old man pre-op right cea // pre-op
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single portable chest radiograph was provided. a new aortic stent graft for an aneurysm is present. curvilinear calcifications to the left of the graft represent the known aneurysm. a right internal jugular central line terminates in the mid svc. an epidural catheter is noted. lung volumes are low. bibasilar atelectasis is present. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk>-year-old man, evaluate et tube and lines.
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ap upright and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip in the region of the lower svc. a tracheostomy tube projects over the superior mediastinum. bibasal opacities are significantly improved compared with prior exam though there is mild persistent opacity, right greater than left. no pneumothorax is seen. no large effusion. cardiomediastinal silhouette appears normal. bony structures are intact.
<unk>m with esophageal cancer, p/w copious secretions from trach, leukocytosis
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there is no focal consolidation, pleural effusion, pneumothorax, or evidence of intrathoracic metastatic disease. deviation of the trachea to the left is from known thyroid nodule. the cardiomediastinal silhouette is normal. there are no acute skeletal abnormalities.
<unk>-year-old woman with recurrent urothelial cancer status post nephrectomy, now dyspnea, check for lung masses for staging.
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no significant interval change. the ett in standard position. the feeding tube traverses the midline and its tip ends in the stomach projecting over the mid abdomen. the lungs are well-expanded and clear. no focal consolidation, edema, pleural effusion, pneumothorax. the heart size is normal. the mediastinum is not widened. the hila are within normal limits. a tube projecting over the left lower hemithorax is external to the patient.
<unk> year old woman with myasthenia <unk> and <unk> ?pna // interval change
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there has been interval removal of the endotracheal tube. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal and hilar contours are stable.
oropharyngeal bleed, bacteremia.
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compared to the prior study there is no significant interval change.
<unk> year old woman with hypercarbia // pulmonary process
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when compared to previous exam, there has been no significant interval change. tracheostomy tube is again seen. bibasilar opacities are suggestive of bilateral effusions, larger on the left than on the right. prior left picc is no longer visualized. cardiomediastinal silhouette is difficult to assess given bibasilar opacities. dense atherosclerotic calcification noted in the tortuous thoracic aorta. peg tube identified over the upper abdomen.
<unk>m with weakness // eval infiltrate
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ap upright 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>m with epigastric pain // eval for ptx
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in comparison with chest radiographs from <unk>, there has been interval development of central vascular congestion with moderate interstitial pulmonary edema. mild bibasilar opacities likely reflect atelectasis. left-sided cardiac pacing device with dual leads following their expected courses to the right atrium and right ventricle. no pleural effusion. no pneumothorax. mild-to-moderate cardiomegaly is stable. median sternotomy wires are intact.
<unk> year old woman with concern for pna based on osh xr report // please eval for e/o of pna
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pa and lateral views of the chest provided. there is no focal consolidation. there is no pulmonary edema. trace pleural effusion seen bilaterally. heart size is stably enlarged.
<unk> year old woman with worsening sob, cough, wheezing, evaluate for pneumonia
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the lungs are hyperexpanded but clear. mild cardiomegaly is chronic. there is no pneumothorax. there is a small right pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman with constipation. evaluate for pneumonia.
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right picc terminates in lower svc. tracheostomy tube is in unchanged position. lung volume is low. left lung base opacity and leftward mediastinal shift are persistent. right lung base atelectasis is improved. there is probable left pleural effusion. cardiomediastinal silhouette is stable
<unk> year old man with tracheostomy, vent dependence // interval change, ett position
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the endotracheal tube has been pulled back, now <num> cm above the carina. the lungs are well expanded and clear. no pneumothorax or pleural effusion. enteric tube courses below the diaphragm and out of view.
<unk> year old woman with polytrauma after fall intubated // evaluate cardiopulmonary status please
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a right picc tip terminates at the cavoatrial junction. there has been interval placement of a dobbhoff tube that coils within the stomach, but the tip traverses back up the esophagus and sits in the mid-to-upper esophagus. there is no pneumothorax or pneumomediastinum. pulmonary vascular engorgement is unchanged. the heart size is at the upper limits of normal.
<unk>-year-old female with dobbhoff tube placed.
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frontal and lateral views of the chest. the lungs are clear of consolidation, effusion or pneumothorax. cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old male with increasing seizure frequency.
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
fatigue, weakness.
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a right picc terminates at the caval atrial junction. the heart size is normal. the hilar and mediastinal contours are within normal limits. a subtle new right upper zone opacity is concerning for consolidation.
neutropenic fever.
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portable upright chest radiograph demonstrates low lung volumes with moderate bilateral pleural effusions. a left chest tube has been placed in the interim, with resultant decrease in size of left pleural effusion. airspace opacity in the left lower lobe likely reflects reexpansion pulmonary edema. the cardiac silhouette and mediastinal contours are notable for a known anterior mediastinal mass. there is no pneumothorax.
<unk>-year-old male with left vats biopsy, evaluation for effusion and lung expansion.
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no focal consolidation is identified. there is mild prominence of interstitial markings, unchanged since prior studies. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. there is scarring at the right lung apex. a percutaneous catheter projects over the right upper quadrant. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
altered mental status, evaluate for pneumonia.
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an endotracheal tube is appropriately positioned. nasoenteric tube courses into the stomach with the tip not visualized. there is moderate to severe pulmonary edema, worse when compared to same-day chest radiograph. left lower lobe collapse is new. heart size is enlarged. there are bilateral layering effusions, right greater than left.
<unk>-year-old man with sepsis and pulmonary edema
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is not engorged. lung volumes are low, without focal consolidation. no pleural effusion or pneumothorax is seen. elevation of the right hemidiaphragm is unchanged. no acute osseous abnormalities detected.
history: <unk>f with chest pain, dyspnea, factor v leiden, concern for pulmonary embolism
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single portable view of the chest. endotracheal tube is seen with tip approximately <num> cm from the carina. enteric tube passes off the inferior field-of-view with side port in the region of the gastric body. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
<unk>-year-old female intubated.
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left basilar opacity which silhouette the hemidiaphragm is compatible with previously seen loculated effusion with adjacent atelectasis/ scar. there is slightly increased opacity in the retrocardiac region when compared to prior which could represent progressive atelectasis/ scarring. the right lung cardiomediastinal silhouette is unchanged. median sternotomy wires and atherosclerotic calcifications noted at the aortic arch. compression deformity in an upper lumbar vertebral body is unchanged.
<unk>f with h/o cad s/p mi, cabg c/b cardiomyopathy, afib on warfarin, dm, presenting s/p fall // please eval for rib fx
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cardiac silhouette size remains mildly enlarged. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated. clips are noted within the right upper quadrant of the abdomen.
history: <unk>f with confusion // eval for infiltrate
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low lung volumes bilaterally. the enteric tube tip is coiled within fundus of stomach. there are dilated loops of bowel, most likely small bowel given history of hemicolectomy. cardiac silhouette is unchanged. no focal consolidation or opacities noted. there is no pneumothorax or pleural effusion.
<unk> year old woman with cecal volvulus s/p exlap, right hemicolectomy and primary anastomosis c/b postop ileus // evaluation of ngt placement
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exam is limited by the patient body habitus. lung volumes are low. increased interstitial markings reflects mild-to-moderate moderate moderate pulmonary edema. no definite focal consolidations suggest a large pneumonia in background of edema and limited exam. no effusion or pneumothorax. minimal larger heart is also overall unchanged.
<unk> year old man with fevers // eval for pna
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
history: <unk>f with chest pain // chest pain
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there has been interval removal of a left-sided chest tube. left picc terminates at the cavoatrial junction. ekg leads overlie the anterior chest wall. the lung volumes remain low with interval improvement in bibasilar patchy opacities. persistent but improving left-sided subcutaneous emphysema. no large pneumothorax present. likely small left pleural effusion. bony thorax is unchanged.
<unk> year old woman with hypoxia, s/p l lung vats biopsy on <unk>. // please eval for interval change.
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the cardiac silhouette and pulmonary vasculature are unchanged since the prior examination and unremarkable. median sternotomy wires are intact and well aligned. in the right base, there is a new vague opacity, which in the appropriate clinical context, may represent pneumonia. there is no pleural effusion or pneumothorax.
history: <unk>f with chills // r/o infiltrate
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as compared to prior chest radiograph from <unk>, there has been resolution of multifocal parenchymal opacities. no new focal consolidations are identified. there are no pleural effusions. there is no pneumothorax. the cardiomediastinal and hilar contours are within normal limits. sternotomy wires are intact.
<unk>-year-old man with recent pneumonia. study requested as followup to pneumonia.
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the cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is within normal limits. hyperinflation of lungs is noted. pleural parenchymal scarring within the lung apices appears relatively unchanged compared to the prior study. the pulmonary vascularity is not engorged. no focal consolidation, pleural effusion or pneumothorax is visualized. a focal left diaphragmatic hernia is unchanged, better assessed on the prior ct. there are no acute osseous abnormalities.
shortness of breath.
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comparison is made to previous study from <unk>. heart size is stable and within normal limits. lungs are grossly clear. there are no focal consolidations or pleural effusions. there is minimal wedging of several mid thoracic vertebral bodies, stable. no pneumothoraces are seen.
<unk>-year-old woman with copd and shortness of breath.
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well expanded lungs. inferior to the right hilum an opacity is identified. no pleural effusion pneumothorax. no pneumopericardium. heart size, mediastinal contour, and hila are unremarkable. visualized upper abdomen is within normal limits. no displaced rib fracture.
<unk>m with r" lung pain" pls eval for rib fx, effusion or ptx
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the cardiomediastinal silhouettes are stable, reflective of mild cardiomegaly. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion.
<unk>m with chest pain, evaluate for acute process.
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portable ap upright chest from <unk> at <time> is submitted.
<unk> year old man with new slight sob // eval for effusions/pnm/congestion eval for effusions/pnm/congestion
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median sternotomy and cabg clips are re- demonstrated. lung volumes remain low. heart size remains mild to moderately enlarged. mediastinal and hilar contours are grossly unremarkable and unchanged. there is crowding of bronchovascular structures with possible mild pulmonary vascular congestion, but no overt pulmonary edema. patchy airspace opacities the lung bases likely reflect areas of atelectasis in the setting of low lung volumes, however infection cannot be completely excluded. no pleural effusion or iron pneumothorax. there are moderate multilevel degenerative changes in the thoracic spine.
history: <unk>f with cough
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right port tip is in low svc. clear lungs bilaterally without pleural effusion or pneumothorax. heart size, mediastinal contours and hila are normal. stable multiple anterior compression fractures.
female with myeloma and nonfunctioning port. assess placement.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear. there are no focal consolidations, pleural effusions, pneumothorax or pulmonary edema.
<unk>-year-old female patient status post ureteroscopy and intubation, now desaturating. study requested for evaluation of cause.
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right basilar opacity could represent atelectasis or pneumonia. there is no effusion or pneumothorax. the pulmonary arteries and azygos vein are enlarged. cardiomegaly is similar to <unk>. there is irregularity of the superior endplate of a lower thoracic vertebral body, seen on lateral view. no free air below the right hemidiaphragm is seen.
history: <unk>m with chest pain // eval for structural process
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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>m with chest pain // eval heart and lungs
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old with cirrhosis.
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single ap portable chest radiograph demonstrates an enlarged heart. low lung volumes result in bronchovascular crowding. no large pleural effusion or pneumothorax is seen. there is no overt pulmonary edema. no acute osseous abnormality is seen.
<unk>f with pulseless leg
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there has been interval resolution of diffuse bilateral opacities seen on the most recent prior film. currently, the lungs are well expanded and clear. there is mild cardiomegaly, and the mediastinal and hilar contours are stable. there is no pulmonary edema or pulmonary vascular congestion.
<unk>-year-old with increased shortness of breath.
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an et tube is present, tip approximately knee <num> cm above the carina. an ng tube is present, tip and side-port overlying the stomach. a right ij central line is present, tip overlying the right atrium. no pneumothorax is detected. left-sided rib and scapular fractures seen on the ct from <unk> are not well depicted radiographically. heart size is at the upper limits of normal or minimally enlarged. there is slight elevation of the left hemidiaphragm. there is mild upper zone redistribution, without other evidence of chf. there is minimal patchy retrocardiac opacity, grossly unchanged, and minimal atelectasis in the right cardiophrenic region, that is slightly more pronounced. no definite consolidation. no gross effusion. no free air seen beneath the diaphragms.
<unk> year old woman intubated // interval change
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
cough and presyncope.
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portable supine chest film of <unk> at <time> is submitted.
<unk> year old man with fever <num> // r/o pna r/o pna
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portable semi-upright radiograph of the chest demonstrates increased opacification at the bilateral bases, which may represent atelectasis, aspiration, or pneumonia in the appropriate clinical setting. the heart remains enlarged. probable small left pleural effusion. no pneumothorax. endotracheal tube ends <num> cm from the carina.
history: <unk>f with intubation // ?tube placement
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there are bilateral pleural effusions, left greater than right with slight interval enlargement on the left compared to prior. there is adjacent atelectasis particularly at the left lung base. superiorly, lungs are clear. cardiomediastinal silhouette is stable. left chest wall dual lead pacing device is again noted. no acute osseous abnormalities.
<unk>f with pna earlier now w/ worsening sob // eval for worsening pna
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single portable frontal view of the chest. there is mild pulmonary edema. no pleural effusion or pneumothorax. heart size is mildly enlarged. the mediastinum is unremarkable.
shortness of breath. evaluate for fluid overload or pneumonia.
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the heart is normal in size. prominence of the left main pulmonary artery is noted which may be accounted for by patient positioning. a small calcification may be present in the left hilum. the mediastinal and hilar contours are otherwise unremarkable. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation concerning for pneumonia. degenerative changes are present throughout the thoracic spine. the upper abdomen is unremarkable.
<unk>f with weakness, chronic cough, leukocytosis // pneumonia?
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there is eventration of the right hemidiaphragm with bowel loops on the undersurface of the diaphragm, and a large hiatal hernia which projects over the heart. the lungs are clear with no focal consolidation or pleural effusion. there is mild chronic lingular atelectasis abutting the hiatal hernia. osseous structures are demineralized. no evidence of compression deformity the imaged thoracic spine.
<unk>f with shortness of breath, hypoxia. evaluate for acute process.
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cardiomediastinal contours are normal. lungs and pleural surfaces are clear.
<unk> year old woman with cough // r/o pna
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a right central venous line terminates at the lower svc, and the heart is mildly enlarged with mild pulmonary edema. there is also a basilar pneumonia. there is no pleural effusion.
<unk>-year-old female with central venous line.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
fever and cough. assess for pneumonia.
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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. prominent mid thoracic anterior spurs are present. no free air below the right hemidiaphragm is seen.
<unk>f with sob on exertion pls eval effusion vs edema
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compared to the prior study there is increase in bilateral pleural effusions which are now moderate in size. the heart continues to be moderately enlarged. there is pulmonary vascular redistribution with hazy alveolar infiltrates left greater than right. there is a right central line with tip in the right atrium.
<unk> year old woman with cirrhosis, renal failure, hepatopulmonary syndrome, subjective fevers/chills, general malaise // pneumonia?
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overall, there is no significant interval change in large left-sided airspace opacification consistent with pneumonia. a relative lucency in the left base likely represents a small amount of aerated lung adjacent to the consolidation. no definite pneumothorax is seen. there may be a small left pleural effusion. the heart size appears within normal limits. an endotracheal tube is in standard position. a right internal jugular central venous catheter tip reaches the upper svc. an esophageal catheter is in place with tip in the stomach, however, side port likely within the distal esophagus or just at the gastroesophageal junction.
history of copd. intubated status post cardiac arrest.
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there is dense consolidation involving both the left upper lobe and the superior segment of the left lower lobe. right lung is clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, compression deformity of a lower thoracic vertebral body is unchanged.
<unk>m with productive cough, copd. please evaluate for signs of pneumonia //
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frontal and lateral radiographs of the chest were acquired. hyperinflation of both lungs is not significantly changed. the lungs are clear. tortuosity of the thoracic aorta is not significantly changed. the heart size is mildly enlarged. there are no pleural effusions. no pneumothorax is seen.
chest pain.
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>m with cough, evaluate for pneumonia.
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again noted is the retrocardiac opacity without significant change since <unk>. cardiac size is enlarged an unchanged. mild vascular congestion in bilateral bases. aortic tortuosity again seen. there is no pneumothorax or pleural effusion.
<unk> year old woman with consolidation on previous cxr // interval change
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pa and lateral views of the chest. low lung volumes. the cardiac, mediastinal, and hilar contours are normal. the lungs are clear. there is no evidence of pneumonia. the pleural surfaces are normal. no pneumothorax.
fever, evaluate for pneumonia.
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portable ap semi-upright view of the chest was reviewed and compared to the prior study. a new upper enteric tube ends in the stomach. the endotracheal tube is in unchanged position within <num> cm of the carina and if pullbacked back <num> cm would be in proper position. low lung volumes and bilateral parenchymal opacities are unchanged and likely represent mild pulmonary edema and severe bibasilar atelectasis. there is no pneumothorax. the cardiac and mediastinal contours are unchanged.
evaluation of nasogastric tube placement.
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a left apical chest tube is essentially unchanged in position. there has been interval removal of the left subclavian central venous catheter. there is a new small left apical pneumothorax. increased retrocardiac opacification is likely due to atelectasis. mild blunting of the left costophrenic angle may be due to a new small left pleural effusion. the right lung is hypoinflated, somewhat limiting evaluation. however, indistinctness of the vessels at the medial right lung base may be due to developing airspace disease.
<unk>-year-old male stabbed in the left flank. assessed for interval change.
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the lungs are well expanded and clear. pleural surfaces are normal without pleural effusion or pneumothorax. heart size is mildly enlarged. mediastinal contour and hila are normal.
dyspnea. assess for pneumonia or pleural effusion.
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severe bilateral, right greater than left, emphysema with large bulla causing lucency of the right hemithorax. no definite pneumothorax is identified. linear opacities in left lung base are most consistent with atelectasis and/or scarring. no focal consolidation or pleural effusion. heart size and cardiomediastinal contours are normal.
history: <unk>f with cough, hypotension // presence of iniltrate
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ap upright and lateral views of the chest provided. lungs appear somewhat lucent and hyperinflated which is likely due to underlying emphysema. subtle opacity at the left lung apex is noted which is indeterminate. there is also apparent shift of the trachea to the right which could in part reflect mild rotation. given presence of emphysema, a nonemergent ct is recommended to further assess for underlying lesion. no convincing evidence for pneumonia is seen. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact.
<unk>m with cough // ?pneumonia
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moderate cardiomegaly is unchanged. a right-sided pacer is unchanged. there is mild prominence of the central vasculature without frank interstitial edema. linear opacities within the left lung base are re- demonstrated and appears similar in morphology likely representing scarring. there is no large pleural effusion or pneumothorax.
<unk>f with dchf, presenting with cough, weakness // please assess edema, pna
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interval removal of et tube, ng tube, chest tube and mediastinal drains, and right ij catheter. median sternotomy wires intact. right ij sheath still ends in the upper svc. normal unchanged postoperative appearance of cardiomediastinal silhouette with resolution of pneumopericardium. decreased retrocardiac atelectasis. no pneumothorax or large pleural effusions. tortuous aorta.
<unk> year old man with s/p avr, cts d/c'd // evaluate for pneumothorax
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there is no pneumoperitoneum. mild pulmonary edema is similar to prior. right jugular line terminates in mid svc. there is small right pleural effusion. an et tube terminates <num> cm above the carina. ng tube courses below the diaphragm and out of view. cardiomegaly is stable.
<unk> year old woman with as, copd, hypoxemic and hypercarbic respiratory failure with question of free air under diaphragm cxr <unk> am // evidence of free air under diaphragm?
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there is considerable consolidation in the right upper lobe compatible with pneumonia. the remainder of the lungs are clear. no evidence for pleural effusion or pneumothorax. cardiomediastinal contour is normal.
history: <unk>m with ams // eval pna
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the size of the heart is difficult to assess owing to low lung volumes and overlapping soft tissue contours. the aorta is moderately tortuous with calcification along the arch. there is suggestion of mild central congestion but no focal opacification. there is no pleural effusion or pneumothorax.
hypoxia.
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a nasogastric tube courses to the expected location of the stomach and appears properly position. there is a right-sided picc line with tip at the cavoatrial junction. the cardiomediastinal silhouette is normal. the lungs are clear. there is no focal consolidation, pneumothorax, or effusion. air-filled loops of bowel are partially visualized.
<unk> year old woman w/slow transit constipation now s/p laparoscopic subtotal colectomy // please evaluate for appropriate placement of ngt
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sternotomy wires are intact and aligned. lung volumes are low, but right mid to lower lung airspace opacities may be due to infection or atelectasis. a left basilar retrocardiac airspace opacity may also be due to atelectasis or infection. the patient's chin and overlying soft tissues partially obscure the lung apices. but there is no obvious pneumothorax. cardiomegaly despite the projection is unchanged.
<unk> year old man s/p renal tx with positive flu now in respiratory distress // please evaluate for any new consolidations, edema, or pneumothorax