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there is no significant change since <unk>. mildly enlarged heart size is accompanied by upper zone vascular redistribution but no evidence of pulmonary edema. mediastinal and hilar contours are unchanged from prior. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.
<unk> year old man with history of mi now with progressive sob.
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right pleural drainage catheter tip is very close to the chest wall. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. bilateral effusions and mild retrocardiac atelectasis are not significantly changed. no focal consolidation or pneumothorax. left pacemaker and leads appear stable.
<unk> year old woman with pleural effusions s/p drainage. // please eval for <unk> tube placement.
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ap and lateral views of the chest demonstrate bibasilar atelectasis and persistent prominence of the right pulmonary hilum, unchanged since the prior study with no evidence of overt pulmonary edema. the cardiomediastinal silhouette is stable in appearance. there is no pneumothorax. no focal consolidation is seen. persistent wedge compression deformity of a mid thoracic vertebral body and evidence of remote left clavicular fracture are seen.
nausea and cough.
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normal heart size, mediastinal and hilar contours. lung volumes are low. there is tortuosity of the thoracic aorta. bibasilar opacities worse on the left than the right may reflect atelectasis in the setting of low lung volumes although superimposed infection is possible. no pleural effusion or pneumothorax. no free intraperitoneal air.
history: <unk>f with epigastric pain // eval for pna, free air
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the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. calcified right upper lobe nodule has been unchanged since at least <unk> signifying benignity.
history: <unk>m with neck/jaw pain x<num> minutes, htn, hld // evaluate for acute process
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there is mild elevation of the left hemidiaphragm, which is stable since <unk>. 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.
<unk> year old woman with copd gold ii, with cough, wheeze, shortness of breath // any acute infiltrate
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newly placed right pigtail chest tube drain projects over the right upper hemithorax. large right pneumothorax has minimally decreased in size and there is no longer evidence of tension. the heart is top-normal in size. the mediastinum is not widened. no left pneumothorax. the aerated lungs are clear. no acute osseous abnormality.
<unk>-year-old man status post chest tube for new pneumothorax. evaluate placement of chest tube.
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there is no significant change compared to <unk> with re-demonstration of enlarged cardiac silhouette with tortuosity of the thoracic aorta. hilar contours are unremarkable. again identified are left greater than right bibasilar opacities with blunting of the diaphragmatic contour suggestive of bilateral pleural effusions with associated bibasilar consolidation. there is no pneumothorax.
altered mental status.
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left picc terminates in the low svc. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>m with lue picc // picc line placement
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cardiomediastinal silhouette is within normal limits. aside from minimal biapical scarring, lungs are clear. there is no pleural effusion or pneumothorax. bones and the upper abdomen are grossly unremarkable
history: <unk>f with flu-like illness, cough // eval for pneumonia
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a subtle opacity at the right lung base is concerning for pneumonia. the cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with htn, hld and episodes of l neck pain radiating to occiput concerning for seizure // please evaluate for pulmonary edema, interstitial infiltrates, consolidation
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ap portable upright view of the chest. a nasogastric tube initially terminates within the left main bronchus, however, subsequent radiographs demonstrate repositioning with termination within the stomach. the heart size is top normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
<unk> year old man with encephalopathy // placement of ng tube
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
right second finger infection. pre-op evaluation.
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there are right mid and lower lung infiltrates, minimally improved at right costophrenic angle. findings suggest pneumonitis. unilateral edema or other process less. no infiltrates in the left lung. small left pleural effusion, similar. tiny right pleural effusion, similar. increased heart size. shallow inspiration. sternotomy. there is cardiac pacemaker. advanced degenerative arthritis bilateral shoulders, with osseous intra-articular loose bodies, stable.
<unk> year old woman with chf, poor responsise lasix, worsening sys bp, concern pna vs pulm edema // r/o pna vs pulm edema, compare <unk> cxr
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the lungs are clear of focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormalities identified.
<unk>m with sob // eval for pneumothorax, pna
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bilateral, diffuse airspace opacities are suggestive of mild pulmonary edema. probable bibasilar atelectasis. the cardiomediastinal silhouette is upper limits of normal.
history: <unk>m with hypoxia // eval for pna
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ap portable upright view of the chest. low lung volumes. lungs are clear. cardio mediastinal silhouette grossly unremarkable. a diffusely mottled appearance of the bones raises potential concern for underlying disease.
<unk>f with abdominal pain and hypotension
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compared with the immediate prior study of <unk>, there has been removal of a right ij venous introduction sheath without pneumothorax, and reduction in bilateral atelectasis. the postoperative appearance of the mediastinum is resolving. there is a small to moderate right pleural effusion and small left pleural effusion. there is no focal consolidation or pulmonary edema.
<unk> year old man s/p avr/ cabg // eval for effusion
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lung volumes are low. the cardiac, mediastinal and hilar contours are normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is normal. no acute osseous abnormalities visualized.
history: <unk>m with abdominal pain, cyanosis // evaluate for fluid overload, acute process
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are hyperinflated with flattening of the hemidiaphragms and prominence of the retrosternal clear space, compatible with copd. the previous medial right lung base opacity is resolved. the upper abdomen is unremarkable in appearance. the visualized osseous structures are within normal limits with mild degenerative changes in the thoracic spine.
<unk> year old man with h/o pneumonia. being evaluated for hbo therapy. // pneumonia; r/o pulmonary disease
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endotracheal tube tip is approximately <num> cm above the carina. right ij central venous catheter is seen with its tip in the mid svc. esophageal enteric catheter is seen with its tip in the region of the gastric body. ovoid density projecting in the region of the gastric body likely represents enteric contrast from prior ct. there are low lung volumes bilaterally. there are bilateral pleural effusions, with obscuration of the hemidiaphragms bilaterally, likely reflecting bibasilar atelectasis/pneumonitis. no apical pneumothoraces are seen on this supine view. there is no evidence of pulmonary edema. cardiomediastinal silhouette is largely obscured by the low lung volumes.
<unk> year old man s/p cardiac arrest, hypoxemia // eval for hypoxemia
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left pleural effusion persists. no right pleural effusion is detected. cardiomegaly persists. cardiac hardware appears similarly positioned on this frontal view. no pneumothorax or focal consolidation is seen, however, evaluation of the left mid lung field is limited due to overlying hardware. no pulmonary edema is evident on this view.
<unk>-year-old female with lymphoma and congestive heart failure, now with shortness of breath.
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portable ap semi-upright view of the chest was reviewed and compared to the prior studies. persistent consolidation of the right mid-to-lower lung and a moderate right pleural effusion are slighlty increased. bilateral increased interstitial markings are consistent with increased moderate pulmonary edema. the cardiac and mediastinal silhouettes are relatively unchanged. a left pectoral pacer has leads ending in the right atrium and right ventricle.
evaluation for interval change in a patient with respiratory failure and history of congestive heart failure and lung cancer.
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re- demonstrated is severe thoracolumbar scoliosis. retrocardiac opacity may reflect a combination of a layering pleural effusion and atelectasis. minimal atelectasis at the right lung base. no pneumothorax identified. the appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old woman with afib rvr // r/o acute cardiopulm. changes
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the lungs are clear aside from linear scarring noted in the left lower lobe. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
history: <unk>f with cp // pna?
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ap portable upright view of the chest. there has been interval placement of a left ij central venous catheter with its tip in the region of the distal left brachiocephalic vein. otherwise, no change.
<unk>m with left ij cvl placement // assess line placement, ptx
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portable single frontal chest radiograph was performed with the patient in semi-upright position. an area of increased opacity is present in the right upper lobe. previous right mid lung lucencies are less prominent and less concerning for cavitary pneumonia. there are bilateral small pleural effusions with associated compressive atelectasis. moderate pulmonary edema primarily in the lung bases has improved. the heart size is normal.
patient with aspiration event during egd, now intubated, eval for interval change.
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focal consolidation is seen probably in the left lower lobe. multiple bilateral patchy opacities could also more generally represent superinfection in this patient with known bronchiectasis at the bases, left greater than right. no pneumothorax is seen. a trace left pleural effusion may be present. the heart size is normal.
fever and cough.
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compared with the prior radiograph, there is stable elevation of the right hemidiaphragm with a small to moderate unchanged layering right pleural effusion. mild cardiomegaly is stable, with unchanged elevation of pulmonary venous pressure. no new focal consolidation concerning for pneumonia. unchanged left midlung platelike atelectasis.
<unk> year old man with peristent r pleural effusion. evaluate for interval change.
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the lungs are hyperinflated and clear of focal consolidation, pleural effusion or pneumothorax. the heart size is top normal in size. the mediastinal contours are normal.
<unk>f with chest pain // r/o pneumothorax
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a right picc terminates at the caval atrial junction. lucency projecting over the left side of the mediastinum may be air within an incompletely collapsed left lower lobe instead, although it is difficult to exclude air within the mediastinum given the appearance. atelectasis is also seen at the right lower lobe. cardiac silhouette is unchanged. apical emphysema, right greater than left, is again noted. there is no pleural effusion or pneumothorax.
<unk> year old man with recurrent fevers, for pulmonary process
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lungs are clear. no pulmonary edema. descending aorta is tortuous or dilated. no cardiomegaly. no pleural effusion. no pneumothorax.
history: <unk>m with syncope // ?cpd
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there is a small area of consolidation in the left lower lobe concerning for pneumonia. scoliosis of thoracic spine. tortuous aorta. top normal heart size without evidence of pulmonary edema or pleural effusions. no pneumothorax. mediastinal borders and hilar structures are normal.
<unk> year old man with lymphoma s/p chemo and currently undergoing xrt. no with fever, sob, cough, concern for pneumonia // <unk> year old man with lymphoma s/p chemo and currently undergoing xrt. no with fever, sob, cough, concern for pneumonia
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. no fracture is seen.
right upper chest pain after fall. evaluate for fracture.
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cardiomediastinal silhouette is unchanged. small right effusion is increasing. right lower lobe atelectasis has increased. there is no pneumothorax. mild vascular congestion has improved. sternal wires are aligned.
<unk> year old woman with anemia and hypoxia // rule out volume overload
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portable semi-upright view of the chest demonstrates low lung volumes. right costophrenic angle is blunted, suggestive of small pleural effusion. there is no left pleural effusion. no pneumothorax. hilar and mediastinal silhouettes are unchanged. heart is moderately enlarged. pacemaker leads project over right atrium and right ventricle. a large destructive lesion involving the left shoulder is noted, which is slightly progressed since prior. left scapula is not visualized. a soft tissue density projecting the anterior right fifth rib is new since prior and concerning for a new lytic metastatic lesion. associated soft tissue mass is better seen on cta chest of the same date. there is mild pulmonary vascular congestion. lung volumes are low. prominent air-filled loop of large bowel is seen in the left upper abdomen.
shortness of breath and hypoxia.
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the heart is borderline in size, at the upper limits of normal. there is moderate unfolding of the descending aorta. the cardiac, mediastinal and hilar contours appear unchanged. there is asymmetric opacification of the right lung, compared to the left, particularly involving central regions and especially the right lower lobe. aside from streaky left basilar opacities, the left lung appears clear. the chest is hyperinflated. fissures are slightly thickened. a few kerley b lines can be seen at each lung base. there is no pleural effusion or pneumothorax. mild-to-moderate degenerative changes are similar along the mid thoracic spine.
shortness of breath and chest pain.
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an accessed right-sided infuse-a-port ends in the mid svc. bibasilar areas of linear atelectasis persist. there are no new consolidations or pleural effusions. there is no pneumothorax. heart size is within normal limits despite the projection. a partially imaged ivc filter projects over the medial right upper quadrant.
<unk> year old man with glioblastoma, presenting with worsening weakness, cough. please eval for pna.
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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. osseous structures are intact.
chest pain, evaluate for cardiomegaly or effusion.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with shortness of breath with chest tightness
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small areas of scarring or linear atelectasis persist in the lower lungs. however, the density overlying the right lower lung appears slightly increased in comparison to the prior studies and may be representative of a developing pneumonia in a proper clinical setting. otherwise, the cardiac silhouette appears unchanged and within normal limits. osseous structures are grossly unremarkable.
pleuritic chest pain with crackles in the right lung base.
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there are relatively low lung volumes. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.
status post renal transplant presenting with worsening shortness of breath.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with new onset of chest pain.
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vascular sheath is noted in the left internal jugular vein. endotracheal tube tip terminates approximately <num> cm from the carina. enteric tube is looped within the distal esophagus with the tip terminating in the mid esophagus. lung volumes are low. heart size is normal. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. mild atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>m with massive gi bleed, intubated
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frontal and lateral views of the chest. no prior. the lungs are hyperinflated but are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. no free air is seen below the diaphragm.
<unk>-year-old male with epigastric pain.
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pa and lateral views of the chest. no prior. the lungs are clear. there is no consolidation, effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. there is a small contour irregularity of the lateral left eighth rib which does not appear acute. no acute displaced fractures identified.
<unk>-year-old male status post mva and right chest wall and shoulder pain. question fracture.
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icd device has <num> leads terminating in what appears to be the right atrium and right ventricle. the left hemidiaphragm has been elevated since radiograph dated <unk> and is largely unchanged. there is no definite pleural effusion. there is no pneumothorax. the lung parenchyma is without consolidation, however a suspicious left mid lung nodule measures <num> mm as compared to <num> mm on prior examination (<unk>). there is moderate cardiomegaly.
<unk> year old man with new cough // 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. the bony structures are unremarkable.
shortness of breath and chest pain. question pneumonia.
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again is seen a left-sided port-a-cath with its tip in the mid svc. the heart size is within normal limits. the mediastinal contours are within normal limits. the hilar contours are prominent but likely within normal limits. the lungs are clear of consolidation or edema. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is present. mild degenerative changes are seen at the lower thoracic spine, primarily in the form of small anterior osteophytes.
<unk>-year-old male with shortness of breath as well as a history of pancreatic cancer.
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>m with left cp // eval infiltrate or ptx
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frontal and lateral views of the chest were performed. the lung volumes are low. the cardiac silhouette is mildly enlarged, with a very large aggregate of calcium in the mitral annulus, but unchanged. the mediastinum is not widened. there is no pleural effusion or pneumothorax. there is no focal airspace consolidation to suggest pneumonia. there is no evidence of pulmonary edema. a focus of scarring is again seen in the left lung base. the imaged upper abdomen is unremarkable.
history of coronary artery disease and pulmonary embolism presenting with chest pain. evaluate for pneumonia or a widened mediastinum.
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right chest wall port is seen unchanged in position. the lungs are clear without focal consolidation worrisome for pneumonia. linear right basilar opacity is most likely atelectasis. left lateral costophrenic angle is excluded from the field of view. the cardiomediastinal silhouette is within normal limits. stent projects over the right upper quadrant as on prior. no free intraperitoneal air.
<unk>m with abd pain, cough // eval for free air, structural process
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mild cardiomegaly is stable. aorta is tortuous. bibasilar atelectasis have improved. there is no pneumothorax or pleural effusion. right picc tip is in the cavoatrial junction
<unk>-year-old female with a pmhx of etoh cirrhosis presenting with episode of lethargy found to be profoundly anemic and coagulopathic with increasing biluribun and wbc. // eval for pna
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the right picc has been removed. spinal hardware is unchanged. there is no focal consolidation, pleural effusion or pneumothorax. the nodular opacity noted on the prior radiograph overlying the anterior right second rib is not clearly visualized, likely representing summation of shadows. the cardiomediastinal silhouette is stable with calcified tortuous aorta. note is made of pectus deformity. there multilevel degenerate changes in the thoracic spine with mild compression deformities in the midthoracic spine. imaged upper abdomen is unremarkable.
<unk> year old man with malaise, nausea, vomiting. question infectious process in lungs.
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there are <num> chest tubes on the right, which appear unchanged in comparison to the prior chest radiograph, without evidence of pneumothorax. the sternotomy wires appear intact and appropriately aligned. the patient is status post mitral valve and tricuspid valve replacement. the loculated right pleural effusion, with apical components, appears unchanged in comparison to the prior radiograph. there is a left retrocardiac consolidation, which is concerning for pneumonia. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. there are no acute osseous abnormalities.
<unk> year old man with ct // eval chest tube
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. lung volumes are low with persistent mild relative elevation of the right hemidiaphragm compared to the left. streaky opacities, but nearly confluent posteriorly, project over the right hemidiaphragm. there is no pleural effusion or pneumothorax.
post-operative cough and fever.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable other than the presence of atherosclerotic calcifications at the aortic knob. lungs are hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is present. pulmonary vasculature is normal. there are mild degenerative changes within the thoracic spine.
history: <unk>f with chest pain
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. deformity of the lower left posterior lateral ribs suggest old healed fractures.
evaluate for pneumonia in a patient with dizziness.
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ap portable semi upright view of the chest. lung volumes are low with overlying ekg leads present somewhat limiting underlying assessment. there is left lower lung streaky opacity as on prior which is most compatible with atelectasis. no large effusion or pneumothorax is seen. no convincing signs of edema. cardiomediastinal silhouette is stable. bony structures are intact. a tips stent projects over the right upper quadrant.
<unk>m with ams // eval for pna
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities demonstrated.
chest pain.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old female with substernal chest pain and numbness.
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the heart size is mildly enlarged. the hilar and mediastinal contours are normal. the lungs demonstrate mild bibasilar atelectasis, slightly increased compared to the prior exam. there may be small bilateral pleural effusions. there is no pneumothorax. the et tube terminates appropriately <num> cm above the carina. there is a right ij which terminates in the mid svc. the visualized osseous structures are unremarkable.
history of right ij line placement. please evaluate.
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a bedside ap radiograph of the chest demonstrates surgical sutures and volume loss in the right upper lobe, consistent with the patient's prior history of lobectomy. the lungs are hyperinflated, consistent with copd. the lungs, however, are clear. there is no pneumothorax or pleural effusion. the aorta is stably tortuous, and the heart size is normal. pulmonary vascularity is normal, and there is no pulmonary edema.
acute oxygen desaturation event in patient with history of copd, chf, adenocarcinoma status post right upper lobectomy, admitted for orif of right femoral neck fracture.
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a single portable ap upright chest radiograph was obtained. a new right internal jugular line terminates in the upper svc/svcbrachiocephalic junction. indistinctness of the hilar vasculature has minimally increased since <time> am. a thin line at the right apex may represent a small pneumothorax. there is no consolidation or effusion. cardiac and mediastinal contours are normal.
<unk>-year-old man with new right ij central line.
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cardiomediastinal contours are normal. small bilateral effusions are associated with adjacent atelectasis left greater than right. there is no pneumothorax.
<unk> year old man with cough and fever // ? pna
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the right ij central venous catheter is in satisfactory and unchanged position. diffuse interstitial opacities are unchanged. no new consolidation is appreciated but impossible to exclude due to the diffuse interstitial opacities. there is chronic unchanged cardiomegaly. the mediastinum is unchanged. no pleural effusion. no pneumothorax. no fractures.
<unk> year old woman with pneumonia // interval improvement
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the endotracheal tube tip sits <num> cm above the carina. the endogastric tube courses inferiorly out of the field of view. the heart size is within normal limits. the mediastinal contours demonstrate central vascular engorgement as well as a lobulated contour with areas of tracheal narrowing. the lungs demonstrate diffuse interstial abnormality that is improving. however, there is worsening of the right lower lung consolidation. there is no pleural effusion or pneumothorax.
<unk>-year-old male with a history of drug overdose, now with worsening hypoxia.
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the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal.
<unk>f with right chest wall pain // evaluate for pneumothorax
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compared to the radiograph obtained approximately <num> hours prior, lung volumes are lower. opacification of the left hemithorax has increased, possibly positional given exaggerated lordotic view. multiple bulla are now better appreciated, the largest of which located at the left lung apex. the right hemithorax opacities are essentially unchanged, likely a combination of atelectasis and pleural fluid. prior right rib fractures are again seen.
<unk> year old man with history of severe emphysema, volume overload // interval change volume
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pa and lateral views the chest provided. increased opacity projecting over the lower lungs on the frontal view likely reflects known breast implants. there is prominence of the mediastinum most notably along the right peritracheal stripe which is compatible with no lymphadenopathy. lungs are clear. no large effusion or pneumothorax. heart size is normal. bony structures are intact.
<unk>m with syncope // pneumonia? cardiomegaly?
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the heart is normal in size. the aortic arch is partly calcified. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the chest is hyperinflated. the lungs appear clear.
reproducible sternal pain.
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frontal and lateral views of the chest. there has been interval improvement in the appearance of the pulmonary edema seen on prior. there is residual bibasilar interstitial opacity which may be chronic in nature given its appearance on <unk>. additional right apical opacity persists since most recent and could represent resolving edema although infection is not excluded. cardiomediastinal silhouette is stable. left chest wall dual lead pacing device is again seen. vascular stent projects over the right subclavian region.
<unk>-year-old male with dyspnea, question volume overload.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // eval infiltrate or cardiomegaly
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there are low lung volumes. there is elevation of the right hemidiaphragm. the cardiac and mediastinal silhouettes are likely accentuated by a low lung volumes. there are perihilar opacities raising concern for mild pulmonary edema. patchy left basilar opacities most likely relate to edema, however, infectious process not excluded in the appropriate clinical setting. dedicated pa and lateral views or frontal view within improved inspiration would be helpful for further evaluation. no pleural effusion or pneumothorax is seen.
history: <unk>m with hypotension // infiltrate?
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pa and lateral views of the chest. the lungs remain clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. mild mid thoracic dextroscoliosis is noted. no acute osseous abnormality detected.
<unk>-year-old female with chest pain for <num> days with persistent mild cough, nonproductive. radiation to the back.
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compared with prior radiographs on <unk>, again seen is a retrocardiac opacity. no pleural effusion or pneumothorax is seen. there is no edema. the cardiac and mediastinal silhouettes are unchanged. again seen is widespread multifocal osteoblastic disease.
<unk> year old man with uc on pred and imuran p/w pna. // please perform pa and l to better characterize pna.
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interval removal of the swan-ganz catheter and placement of a right internal jugular central venous catheter, the tip extending to the right atrium. multiple left-sided chest tubes and mediastinal drains are present. the endotracheal and gastric tubes have been removed. the persisting retrocardiac opacity which likely reflects a combination of a pleural effusion and atelectasis. the right lung is clear. no pneumothorax identified.
<unk> year old man s/p cabg // eval left tlc line placement
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lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. no lobar consolidation seen, no pneumothorax or pleural effusion. visualized bony structures are grossly normal.
<unk> year old woman with positive ppd. // evaluate for evidence of tuberculosis.
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old man with right upper back pain, evaluate for pneumothorax
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low lung volumes cause crowding of the central bronchovascular structures and accentuation of the heart size. no focal consolidation, pleural effusion or pneumothorax is seen.
<unk>-year-old male with shortness of breath and wheezing. evaluate for pneumonia.
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heart size is normal with trace unfolding of the aorta. aortic knob calcifications are mild. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion pneumothorax.
dyspnea.
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stable post sternotomy changes. the mediastinal contour appears similar compared to the previous radiograph. linear atelectatic changes with volume loss involving the left lower lobe unchanged. mild elevation of the left hemidiaphragm. increase in the ap diameter of the chest suggest pulmonary overinflation. spondylotic changes of the thoracic spine. no pneumothorax.
<unk> year old woman s/p median sternotomy, thymectomy // please evaluate for interval change.
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pa and lateral views of the chest provided. left chest wall port-a-cath again seen with catheter tip extending to the region of the low svc near the cavoatrial junction. significant opacification of the right hemi thorax is again noted which likely represent a combination of airspace consolidation with a small to moderate pleural effusion. there is a small new left pleural effusion. crowding of bronchovascular tear in the left lower lung with mild atelectasis noted. heart size is difficult to assess. no large pneumothorax. bony structures are intact.
<unk>f with mets breast ca and h/o pleuralcentesis // cough and sob
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relatively low lung volumes are noted, in combination with overlying soft tissues, results in secondary prominence of the interstitial markings. there is no effusion or focal consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality identified.
<unk>m with vomiting, dementia // r/o pna
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there is mild bibasilar atelectasis; otherwise, 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 epigastric pain.
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as compared to chest radiograph dated <unk>, portable frontal chest radiograph demonstrates mildly improved bilateral lung aeration with no new focal consolidations. an endotracheal tube is seen terminating <num> cm above the level of the carina, in appropriate position. a left picc terminates at the mid to low superior vena cava. there is mild cardiomegaly, stable in appearance. no pneumothorax. no pulmonary edema.
<unk>-year-old female with retroesophageal abscess and then dependent respiratory insufficiency. evaluate interval change.
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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.
chest pain and subjective dyspnea.
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frontal and lateral views of the chest. a right internal jugular catheter ends in the mid superior vena cava. sternotomy wires and mediastinal clips are from prior cabg. compared to the prior radiograph of <unk>, lung expansion has increased. left lower lobe opacities, most likely atelectasis, have decreased. there are small bilateral pleural effusions. cardiomegaly persists.
status post cabg. evaluate for infiltrate and effusion.
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pa and lateral views of the chest were obtained. low lung volumes. the lung fields are clear bilaterally without focal consolidation or congestive heart failure. no pneumothorax or pleural effusion. the cardiomediastinal silhouette is normal. no bony abnormalities. no free air below the right hemidiaphragm.
chest pain and elevated white blood count.
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there is a right-sided ij which terminates in the low svc. overall, there appears to be slight interval increase in the opacity projecting over the left hemithorax with opacification of the left lung base and obscuration of the left hemidiaphragm. the right lung base opacity appears to have minimally improved in the interim. there is no evidence of a pneumothorax.
history of chf and afib with cap, please evaluate.
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heart size and cardiomediastinal contours are normal. multiple small pulmonary nodules, right base subpleural atelectasis, and central bronchial wall thickening seen on the same-day chest ct are not well appreciated on this radiograph. no focal consolidation, pleural effusion, or pneumothorax. congenital coalition of the right first and second ribs is incidentally noted.
history: <unk>f with dyspnea // pna?
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right ij tip is at the svc and brachiocephalic junction. sternotomy wires are in correct position. dual-chamber pacemaker is in the left pectoral region with lead tips in the right atrium and right ventricle. stable small right pleural effusion and moderate-to-large left-sided pleural effusion. mediastinal contours are normal and cardiac size is obscured by the pleural effusion. no focal consolidation, pulmonary edema, or pneumothorax.
female with left-sided pleural effusion.
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of note, the study is somewhat limited due to patient rotation. there is interval improvement of previously noted right moderate-to-large pneumothorax status post chest tube placement with small residual pneumothorax and partial re-expansion of the right lung. the right chest tube is seen projecting over the right lung apex. the left lung remains grossly clear. there is no focal consolidation in the left lung. the heart size is normal. s shaped scoliosis is unchanged. extensive subcutaneous emphysema is noted along the right chest wall.
history: <unk>f with s/p fall // eval for pneumothoar
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. known pectus excavatum obscures the right heart border. the heart size is normal. the mediastinal contours are stable. there is no free air beneath the diaphragm.
history: <unk>m with chest pressure and sob pls eval for ptx vs pna // history: <unk>m with chest pressure and sob pls eval for ptx vs pna
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frontal and lateral views of the chest were obtained. right upper lobe scarring and volume loss are unchanged. small bilateral pleural effusions are unchanged from <unk> with mild bibasilar atelectasis. there is no new opacity. cardiac and mediastinal silhouettes and hilar contours are stable. pacemaker leads end in the right atrium and right ventricle. fracture of the inferior-most median sternotomy wire is unchanged. no pneumothorax.
<unk>-year-old man with hydropneumothorax status post chest tube removal.
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there has been interval removal of a right internal jugular venous line. a tracheostomy tube is in place. a left cardiac pacing device has is leads projecting over the right atrium and ventricle. an abdominal aortic stent is noted in the upper abdomen. there has been interval worsening of bibasilar opacities, right greater the left, and in the right upper lobe concerning for aspiration or aspiration pneumonia. the heart is enlarged, and there is no pleural effusion or pneumothorax.
<unk>-year-old female with pneumonia. evaluate for pneumonia.
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the moderate-sized pneumothorax is again seen with an air-fluid level inferiorly consistent with hydropneumothorax, is approximately the same size as previous. the amount of subcutaneous emphysema is also similar.
recurrent pneumothorax status post chest tube pulled, placed on <num> l face mask, question interval change.
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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. mild degenerative changes are noted in the thoracic spine.
history: <unk>m with continued hypoglycemia
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in comparison with the study of <unk>, the patient has taken a better inspiration. dual-channel pacer device remains in place in this patient with substantial enlargement of the cardiac silhouette. some indistinctness of engorged pulmonary vessels is again consistent with mild elevation of pulmonary venous pressure. hazy opacification at the bases, especially on the right, is consistent with layering pleural effusions.
shortness of breath.
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pa and lateral views of the chest provided. no focal consolidation, large effusion or pneumothorax is seen. the heart is normal in size. there is an unfolded thoracic aorta. there is minimal pulmonary vascular congestion without frank edema. bony structures are intact.
<unk>f with cough, chest pain // ?pneumonia