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there is mild bilateral hilar fullness and a mild interstitial abnormality, although somewhat less striking than on the prior examination. this appearance may be due to mild vascular congestion. small suspected bilateral pleural effusions are supportive. patchy basilar opacities are likely due to atelectasis. the heart is mild to moderately enlarged.
shortness of breath.
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the heart size is normal. the aorta demonstrates mild tortuosity, but no aneurysmal dilatation. there is a moderate left pleural effusion which has grown in size compared to prior exam, with underlying atelectasis. the right lung is clear. there is no pneumothorax.
<unk>-year-old male with left pleural effusion, status post drainage.
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trapped right lung unchanged. right-sided pleural effusion shows mild interval progression compared to the previous <num> radiographs. chest drain projects over the medial aspect of the right hemithorax. leftward mediastinal shift appears slightly increased compared to prior imaging. increased vascular markings of the left lung of most likely physiological due to shunting. no left-sided airspace consolidation.
<unk> year old man with sob/backpain found to have r pleural effusion and mets. // trend r pleural effusion***please perform <unk> at <time> am***
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heart size is top normal. the aorta is moderately tortuous but unchanged. mediastinal and hilar contours are stable. lungs remain hyperinflated with mild increased interstitial markings at the lung bases compatible with chronic interstitial abnormality, as seen on the prior ct. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
hypoxia and tachypnea.
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the lungs are well expanded. there is small opacity in the left lung base consistent with atelectasis. the lungs are otherwise clear. there is a small left pleural effusion. there is no right pleural effusion. no pneumothorax is seen. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with fever, s/p r hip surgery last week // eval for consolidation
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a left pectoral pacemaker is noted with a single intact lead. the heart is mildly enlarged. mild central pulmonary vascular congestion is noted. bibasilar airspace opacities likely reflect atelectasis. there is no lobar consolidation, large pleural effusion, or pneumothorax.
history: <unk>m with sob and fever // pneumonia?
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cardiomediastinal silhouette and hilar contours are normal. there has been interval placement of a left pectorally implanted pacemaker with a single lead terminating in the right ventricle without evidence of pneumothorax. the previously appreciated nodular opacity along the left heart border is not clearly visualized on either views of today's study as the patient is turned and the nodule is obscured by the cardiac silhouette. lungs are otherwise clear. there is no pleural effusion.
heart block status post pacemaker insertion.
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in comparison with the earlier study of this date, the endotracheal tube lies approximately <num> cm above the carina. bibasilar opacities persist, more prominent on the left, and most likely representing atelectasis and small effusion. in the appropriate clinical setting, superimposed pneumonia would have to be considered. nasogastric tube extends to the distal stomach and central catheter tip is in the lower portion of the svc. stable cardiomegaly.
dyspnea, for tube placement.
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compared with the prior study of <unk>, the opacity at the right lung base appears to have increased in size and density.
<unk> year old man with fever, tachycardia // evaluate for pna
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there is no focal consolidation, effusion, or pneumothorax. asymmetric biapical opacities, right greater than left, are similar to prior, thought to be due to scarring. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>m with sob // eval for pna
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single portable ap chest radiograph demonstrates an enlarged heart. pulmonary vascular redistribution, left pleural effusion and interstitial edema, most compatible with congestive heart failure. no focal consolidation concerning for pneumonia is identified. there is no pneumothorax. visualized osseous structures demonstrate no acute abnormality. surgical <unk> are again demonstrated in the left axilla.
<unk>-year-old female with amyloid cardiomyopathy, systolic heart failure and increased weight gain and shortness of breath.
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. osseous structures are grossly normal.
pleuritic chest pain.
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the cardiomediastinal and hilar silhouettes and pleural surfaces are normal. lungs are clear without focal consolidation, effusion, or pneumothorax. small amount of mediastinal fat adjacent to the left heart border is unchanged.
<unk> year old man with <num> week hx cough, fever, clear lungs on physical exam. evaluate for pneumonia.
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as on the study from the prior day there is marked elevation of the right hemidiaphragm. however, on the study from <unk> the right hemidiaphragm was not elevated. the cause for this is unclear. contrast is seen in the colon that extends up to the right upper quadrant in the region of the elevated right hemidiaphragm. there is associated mild mediastinal shift to the left. the visualized portions of the lungs are clear although there is volume loss in the right lower lobe in association with is severely elevated right hemidiaphragm.
<unk> year old woman with hypoxia // assess for cause of hypoxia
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with trauma to left side of chest.
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pa and lateral views of the chest demonstrate relatively low lung volumes, with no evidence of pneumonia, pulmonary edema, or pneumothorax. bilateral pleural thickening is unchanged. median sternotomy wires and mediastinal clips are again seen, as well as a prosthetic aortic valve. the heart is enlarged, but unchanged since the prior study. aortic calcifications are noted.
<unk>-year-old male with chest pain.
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the calcified nodule in the right midlung is unchanged. there is right apical pleural thickening. there is silhouetting of the right heart border due to the nodular consolidation noted on the prior chest ct. the lungs are otherwise clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with rml mass, s/p transbronch bx of anterior rml // pneumothorax?
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ett tip ends approximately <num> cm from the carina, too high with the patient's chin flexed. left subclavian line ends in the mid svc. enteric tube crosses the midline and its tip is not seen. the stomach is nondistended. minimal decrease in the layering right pleural effusion. otherwise, no significant change. in the setting of a large right pleural effusion, the right lung cannot be fully assessed for consolidation. the heart size is normal. the left lung is clear without focal consolidation to suggest pneumonia. no pneumothorax or overt pulmonary edema.
<unk> year old man with ett, pneumonia // interval change?
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single frontal supine view of the chest was obtained. detailed evaluation is limited by overlying trauma board and numerous overlying external medical devices. an endotracheal tube terminates in the proximal left main stem bronchus. the right lung is atelectatic with an elevated right hemidiaphragm, likely related to et tube position. low lung volumes exaggerate the heart size. no focal consolidation, large pleural effusion, or pneumothorax. multiple likely acute bilateral rib fractures.
<unk>-year-old female with cardiac arrest. evaluate for pneumothorax.
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low lung volumes are seen with secondary crowding of the bronchovascular markings. there is no confluent consolidation or large effusion. there may be mild pulmonary vascular congestion. cardiac silhouette is difficult to assess given technique and lung volumes although it is unchanged from prior. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormality identified.
<unk>f with ams. awoke this am and was making nonsensicla statements, difficulty following instructions. incontintent o f urine //
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frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. there is no focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is blunting of the left costophrenic angle posteriorly, which may be due to a small pleural effusion and/or thickening. pacemaker leads project over right atrium and ventricle. sternotomy wires are in place and appear intact. multiple surgical clips project over cardiac silhouette. partially imaged upper abdomen is unremarkable.
leg swelling. assess for congestive heart failure.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. there are severe fibrotic changes, left greater than right. there is no evidence of lymphadenopathy or definite acute pneumonia. there is no pleural effusion or pneumothorax.
persistent cough, with a history of community acquired pneumonia and tuberculosis. evaluate 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. no free air below the right hemidiaphragm is seen.
<unk>m with presycope and chest pain
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heart size is moderately enlarged. the mediastinal contour is unchanged and moderate tortuosity of the thoracic aorta is again demonstrated. atherosclerotic calcifications are noted at the aortic knob. there is mild pulmonary edema, worse compared to the prior exam with small bilateral pleural effusions. no pneumothorax is identified. there is loss of height of an upper lumbar vertebral body which is new when compared to the prior radiograph. proximal left humerus demonstrates a deformity which appears to be chronic.
hypoxia.
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cardiomediastinal silhouette and hilar contours are normal. again appreciated is a <num> cm left apical nodule and better characterized on recent ct of the c-spine. there is bibasilar atelectasis and bilateral layering pleural effusions. there is no evidence of interstitial edema.
hypotension status post fluid resuscitation. evaluate for overload.
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bilateral interstitial opacities may be due to atypical infection or edema in the appropriate clinical context. moderate cardiomegaly despite the projection is unchanged. there is no pneumothorax. aortic arch calcifications are incidentally noted. the partially imaged upper abdomen unremarkable.
<unk> year old woman initially here for anemia, now with fever of <num>. // please evaluate for pna
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with confusion x <num> days, recent carotid procedure
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the lungs are mildly hyperinflated and clear. stable mild blunting of bilateral costophrenic angles are most consistent with scarring. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. visualized osseous structures are unremarkable without displaced rib fracture.
<unk>f with pain. assess for fracture.
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an enteric tube is in unchanged position extending below the diaphragm with tip out of view at the inferior aspect of the image. there are stable small bilateral pleural effusions. bibasilar atelectasis is now present. no focal consolidation or pneumothorax. stable heart size and mediastinal contours.
<unk>m s/p redo liver/kidney txp <unk> recently s/p kidney stent removal <unk> and ercp/biliary stent removal <unk>, here with fevers; new crackles on exam // please compare to <unk> film; new crackles right lower lung field
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pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old with bradycardia.
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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.
mid thoracic pain, worse with breathing.
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interval decrease in size of the left-sided pleural effusion. no left-sided pneumothorax. left lower lobe opacification unchanged. consolidation/scarring in the left upper lobe is unchanged. right-sided pleural effusion is increased in size. right lower lobe opacifications again noted. nasogastric tube in situ, coursing out of sight inferiorly.
<unk> year old woman with pleural effusion s/p thoracentesis on left side // r/o pneumothorax
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>f with chest pain and palpitations. // ? acute cardiopulmonary process
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frontal and lateral views of the chest. the lungs are clear of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable noting a tortuous aorta. no acute osseous abnormality detected.
<unk>-year-old male with chest pain and shortness of breath.
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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 tachycardia, chest pain // eval for structural process
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with new rash and fever
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the heart size is top normal. there is no pleural effusion or pneumothorax. the lungs are well expanded without focal consolidation concerning for pneumonia. known pulmonary nodules in the left lower lung are apparent but not well assessed on the current study. the upper abdomen is unremarkable.
<unk>-year-old male with history of pulmonary carcinoid, status post left lower lobe resection, now with cough for one week.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. known right apical pneumothorax is not clearly visualized. pneumomediastinum is better assessed on concurrent ct torso. there is no free air under the diaphragm.
<unk>-year-old man status post assault. evaluate for chest trauma.
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there is marked rightward rotation of the patient on the current radiograph, which severely limits assessment. median sternotomy wires are again seen. a tracheostomy tube appears in grossly appropriate location. a left ij central venous catheter has a similar orientation in comparison to prior radiograph, however due to rotation, position is unable to be accurately determined. there is stable enlargement of the cardiomediastinal silhouettes. diffuse interstitial prominence is similar in appearance to prior studies. blunting of the right lateral cp angle may represent a trace right pleural effusion. there is no obvious left pleural effusion. there is no pneumothorax.
<unk> year old woman with mrsa endocarditis and pelvic phlegmon going to or for washout.
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both lungs are well expanded and clear. there are no lung opacities of concern. heart size is normal. mediastinal and hilar contours are unremarkable. both pleural spaces are normal.
lung disease.
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portable ap chest radiograph. median sternotomy wires are intact. mild interstitial edema is unchanged, but there is now a moderate pleural effusion on the right. moderate left pleural effusion is stable. there is no pneumothorax. the heart remains moderately enlarged.
acute tachypnea in a patient who has had recent cabg.
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new from prior chest ct is near complete opacification of the left hemi thorax. this is likely due to a least some component of pleural effusion given rightward displacement of the mediastinal contours. right lung is grossly clear. surgical clips project over the right lung base. . left chest wall port seen with catheter tip in the mid to lower svc.
<unk>f with sob, met cancer // ?pna
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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>f with herniated disc // pre-op
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the lungs are clear, cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with dizziness.
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cardiomediastinal silhouette and hilar contours are normal. a subtle right lower lobe nodule is unchanged and was previously determined to be benign with serial ct examination. lungs are otherwise clear. there is no pleural effusion or pneumothorax.
cough and right lower lung bronchi.
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right picc line tip is in unchanged position, terminating in the mid-to-lower svc. there is mild chronic pulmonary edema. there is no pneumothorax. interval blunting of left costophrenic angle may represent a small pleural effusion. hiatal hernia is noted. mild cardiomegaly is unchanged.
<unk>-year-old female patient with picc line. study requested to check placement.
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the cardiac and mediastinal silhouettes are stable, with cardiomegaly again seen. hilar contours are stable. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
history: <unk>f with found down, hypoglycemic ?infxn // eval for pneumonia
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a right mediport is unchanged in configuration from <unk>. there is no evidence of catheter fracture, kinking or migration. the tip terminates in the low svc. the lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. mediastinal hilar structures are unremarkable. clips are again noted in the upper abdomen.
lymphoma with no blood return from mediport. assess placement.
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all lines and tubes are appropriate and unchanged in positioning. there are increasing airspace opacities bilaterally, which may represent multifocal pneumonia. mild interstitial pulmonary edema persists. there is stable enlargement of the cardiomediastinal silhouette. there are no large pleural effusions. there is no pneumothorax.
<unk> year old woman with possible organizing pneumonia, persistent hypoxia // interval change
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interval removal of the right ij central line. unchanged positioning of the mitral valve replacement. moderate pulmonary edema and moderate cardiomegaly are unchanged. left basilar opacification is likely due to atelectasis and associated effusion, unchanged. no pneumothorax.
<unk> year old man s/p mvr/maze/<unk>. postoperative baseline.
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the lungs are clear with no opacities, nodules, or focal consolidations. the cardiomediastinal hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
chest pain and cough.
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the lungs are clear without focal consolidation, effusion, or pulmonary edema. there is enlargement of the cardiac silhouette similar to prior. median sternotomy wires, mediastinal clips, and left chest wall single lead pacing device are noted. old healed right posterior sixth rib fracture is noted
<unk>m with weakness, // acute cardiopulm process
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the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present.
left upper quadrant pain and cough.
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compared with the prior film, vascular markings are slightly increased. inspiratory volumes are lower. again seen is platelike atelectasis at both lung bases, slightly more pronounced. interval increase in the degree of retrocardiac opacity could reflect low lung volumes/atelectasis. again noted is cardiomegaly, with prior sternotomy and tavr. compared with the prior study, there is a new single lead right-sided pacemaker with lead tip over the right ventricle. no pneumothorax detected.
<unk> year old woman s/p single chamber pm implantation // check for pnx and lead location
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the endotracheal tube terminates <num> cm above the carina. the ng tube is seen below the diaphragm and continues out of view. heart size is normal. lungs are low in volume, but clear without focal consolidation or effusion. no pneumothorax. intact median sternotomy wires and mediastinal clips are unchanged.
<unk> year old man with sdh intubated. compare to previous.
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the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax.
history of tachypnea. please evaluate.
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blunting of the left costophrenic angle appears similar as compared to ct from <unk> consistent with mediastinal fat and possibly subtle pleural thickening. the cardiac silhouette remains enlarged. mediastinal contours are stable. moderate pulmonary vascular congestion is seen. no pneumothorax is seen.
history: <unk>f with sob // eval chf
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pa and lateral views of the chest provided. midline sternotomy wires as well as a stent within a bypass graft again noted. cardiomediastinal silhouette is stable with atherosclerotic calcifications along the unfolded thoracic aorta. lungs are clear. no pleural effusion or pneumothorax. fixation hardware projects over the right humerus.
<unk>f with chest/epigastric pain // eval for acute process
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ap upright and lateral views of the chest provided. the lungs remain largely clear. please note, the subtle tree-in-<unk> opacity seen on ct performed earlier today, not clearly visualized. no large effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact.
<unk>m with fall // eval infiltrate
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a large right-sided pleural effusion has substantially decreased in size. there is no pneumothorax. the left lung remains clear. the right hila remains prominent.
<unk>-year-old man status post thoracentesis.
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support devices: none. the lungs are clear. the hilar and cardiomediastinal contours are normal. there has been interval normalization of the heart size. particularly, the left heart border was previously convex and now has regained its normal straight to concave morphology. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
<unk> year old man with ? beta blocker overdose, leukocytosis. evaluate for new focal opacity.
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the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pleural effusion or pneumothorax. osseous structures are unremarkable. tips stent is noted in the upper abdomen.
cough and fever.
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pa and lateral images of the chest. a pectus deformity of the chest cavity is noted. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. no acute fracture or dislocation is seen, although this study is not sensitive for chest cage trauma.
left-sided chest pain status post fall, concerning for rib fracture.
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the patient is rotated somewhat to the left. given this, no definite focal consolidation is seen. there is no large pleural effusion. no evidence of pneumothorax is seen. the cardiac silhouette is mildly enlarged with left ventricular configuration. the aortic knob may be slightly accentuated due to patient position. no pulmonary edema is seen.
history: <unk>f with right rib cage pain // pneumothorax, effusion
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there is stable cardiomegaly with prominence of the hila and pulmonary vasculature but no overt signs of failure. no pleural effusion is seen. there is no evidence of pneumothorax. lungs are otherwise clear and well expanded bilaterally with no focal consolidation, lesions or masses. the pleural surfaces are unremarkable.
<unk>-year-old female with history of hiv, diabetes, chronic renal failure, and hypertension presents with dyspnea and cough x<num> weeks.
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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. no signs of congestion or edema. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with new afib, chest pain // ? effusion, consolidation
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
left-sided chest pain.
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a frontal and lateral view of the chest demonstrates no recurrent pneumothorax. there remains a small right pleural effusion, decreased in size from <unk>. there is scarring and sutures noted at the right apex. there is mild hyperinflation of the lungs which are otherwise clear. the cardiomediastinal and hilar contours are unremarkable.
spontaneous pneumothorax x<num> with episodic sharp pain at the superior posterior port sites on the right, assess for recurrent pneumothorax.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and lungs which are somewhat low volume on the lateral view. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
status post fall. evaluate for pneumonia.
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lung volumes are low. bibasilar linear opacities likely represent atelectasis. there is mild pulmonary vascular prominence, which may be exaggerated by low lung volumes. likely calcified nodule seen in the left upper lung. heart and mediastinal contours are difficult to evaluate in the setting of low lung volumes. no pleural effusion or pneumothorax is detected.
<unk>-year-old female with agitation.
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heart size is normal. there are midline sternotomy wires from prior cabg. the aorta is calcified, indicating atherosclerosis. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. low lung volumes. bibasilar atelectasis. lungs are clear. no pleural effusion or pneumothorax is seen. there are cholecystectomy clips.
<unk>f with l neck pain and l shoulder pain. evaluate for pneumothorax.
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et tube tip lies above the level of the clavicular heads approximately <num> cm above the carina. ng tube tip lies in the region of the ge junction, not clearly beyond it. the cardiomediastinal silhouette is within normal limits. no chf, focal infiltrate, effusion, or pneumothorax is detected.
<unk> year old man s/p gsw to head s/p left craniectomy. // interim eval
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median sternotomy wires and mediastinal clips are noted. tracheostomy in stable position. mild cardiomegaly is unchanged. since prior, there has been no significant change in vascular congestion. there is increased left basilar opacity.
<unk>-year-old woman with pmhx of tbm, s/p trach p/w dyspnea and volume overload
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pa and lateral chest radiographs were obtained. there is likely mild bibasilar atelectasis secondary to low lung volumes. no focal opacity is identified. the cardiomediastinal silhouette, hila contours are stable given differences in inspiration. the previously noted lung nodules are not clearly seen and better assessed on cta chest from <unk>. a left-sided port-a-cath terminates at the caval atrial junction. there is no pleural effusion or pneumothorax.
dyspnea, altered mental status, evaluate for acute cardiopulmonary process.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the cardiomediastinal silhouette is stable.
sickle cell disease, evaluate for acute chest.
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a portable upright chest radiograph was obtained. again seen is a right chest aicd with a single lead in the region of the left ventricle and a tracheostomy tube in stable position. there is been interval placement of a picc with the tip at the level of the cavoatrial junction. there are emphysematous changes and scattered opacities representing scarring of the lungs, unchanged from prior exam. the left lower lobe consolidation is unchanged from radiograph on <unk>. no new focal consolidation is seen. there is no new pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal and hilar contours are unchanged. the bony structures are unremarkable.
shortness of breath. evaluate for pneumonia.
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lung volumes are slightly low and there is volume loss at both bases. there is mild pulmonary vascular redistribution with some patchy areas of alveolar infiltrate, likely due to pulmonary edema there opacities at both bases since unclear if this is due to volume loss or infiltrate. there is a moderate left effusion and a small right effusion
<unk> year old man with cad for cabg-result to dr. <unk>. -coming from holding area after <num>pm. // acute pulmonary process
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the right-sided internal jugular vein catheter is at the cavoatrial junction. the nasogastric tube needs to be advanced, with the first side port at the ge junction. the lungs are unchanged in appearance with multiple pulmonary nodules again demonstrated. the left retrocardiac opacity and likely small left pleural effusion are also stable. the patchy right basilar opacities are also stable. no pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk> year old man s/p ng tube placement // confirm position of ng tube
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portable upright view of the chest demonstrates right pic catheter tip coiled at the level of mid svc. it maybe positioned within the azygos vein. left pleural catheter has been removed. trace left pleural effusion cannot be excluded. mild-to-moderate right pleural effusion persists with adjacent areas of opacities, likely atelectasis. mild pulmonary edema is unchanged. hilar and mediastinal silhouettes are unchanged. heart is mildly enlarged. there is no pneumothorax.
patient with history of pericardial and pleural effusions, status post right pleural catheter removal. assess for pneumothorax.
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in comparison to the most recent prior study, there is improved aeration at the right lung base with improved definition of the right hemidiaphragm and right heart border suggesting decreased atelectasis and pleural fluid. the left lung remains clear without pleural effusion or focal consolidation. no pneumothorax is present. the right hemidiaphragm remains elevated compatible with prior right lung resection. there is decreased but persistent mild pulmonary vascular congestion. the cardiomediastinal silhouette remains prominently enlarged but stable. surgical clips project to the right of the trachea, compatible with prior lung resection.
history of copd and non-small cell lung cancer status post resection, here to evaluate for pneumonia.
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the lungs are clear without focal consolidation. no pneumothorax is seen. probable small pleural effusions bilaterally noted only on the lateral view. the cardiac and mediastinal silhouettes are unchanged. there is increased pulmonary vascularity bilateral but no evidence of pulmonary congestion or edema.
<unk> year old man with etoh abuse, sz disorder, cirrhosis with acute onset of fevers and r abd pain. now with worsening cough that "feels like previous pneumonia." // r/o pna
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lung volumes are somewhat low, with minimal atelectasis in the lung bases. there is no pleural effusion, pulmonary edema, or focal opacification concerning for pneumonia. there is a somewhat tortuous thoracic aorta. the cardiomediastinal silhouette is stable since the prior examination, with no evidence of cardiac enlargement. mild multilevel anterior wedge in the thoracic spine are unchanged. no acute osseous abnormalities are detected.
<unk>m with cough // r/o infiltrate
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left picc tip terminates in the mid svc. heart size is normal. the aorta remains tortuous with atherosclerotic calcifications noted at the arch. pulmonary vasculature is not engorged. the lungs remain hyperinflated suggestive of copd. minimal scarring with pleural thickening is demonstrated within the right costophrenic angle. slightly increased interstitial opacities in the lung bases as well as a vague opacity in the left lung base remain relatively unchanged, likely reflective of the sequela of chronic aspiration and bronchiectasis. there is no new focal consolidation, pleural effusion or pneumothorax. the osseous structures are diffusely demineralized.
history: <unk>f with picc and arm redness
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pa and lateral views of the chest are compared to previous exam from <unk>. new right picc line is identified. the exact tip is not clearly delineated and is seen to the level of the upper svc where it crosses over the single lead from left chest wall pacing device. previously identified swan-ganz catheter via right ij is no longer seen. the lungs are clear. there is no pleural effusion. cardiac silhouette is enlarged but stable. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with history of cardiomyopathy, chest pain.
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there is moderate cardiomegaly and mild pulmonary edema as well as bilateral small pleural effusions. the mediastinum and hila are normal. no focal consolidation.
<unk>-year-old with respiratory distress.
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pa and lateral views of the chest are compared to previous exam from <unk>. lungs remain clear. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is stable. gastric band again seen in the left upper quadrant. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with chest pain. question infiltrate or pneumonia.
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ap and lateral views of the chest. the left hemidiaphragm and left hilus are mildly elevated from prior lobectomy. there is no focal consolidation. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal.
<unk>-year-old man with leukocytosis and fatigue, history of non-small cell lung cancer, question 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. no free air below the right hemidiaphragm is seen.
<unk>f with sob, cough // pna?
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again seen is left lower lobe volume loss and effusion. compared to prior, the left effusion is slightly increased. the right-sided picc line with tip in the cavoatrial junction is again seen. lung volumes are low, but the right lung is relatively clear.
cough and shortness of breath.
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lung volumes are low, but no focal consolidation is seen. relative crowding of the bronchovascular structures is likely secondary to low volumes. the cardiomediastinal silhouette is normal. there is no evidence of pneumomediastinum. there is no evidence of intra-abdominal free air on this seated upright view. there is no pneumothorax or pleural effusion.
<unk>f with upper abd pain, evaluate for pneumomediastinum or free air..
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pa and lateral chest radiographs were provided. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
history of fevers headaches and cough. rule out pneumonia.
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single frontal image of the chest demonstrates low lung volumes, likely secondary to poor inspiration. bilateral pleural effusions are seen, as well as some bibasilar compressive atelectasis. there is some slight opacification at the right heart border which may be atelectasis, but in the appropriate clinical setting could also be concerning for pneumonia. cardiomediastinal silhouette is unchanged. sternotomy wires are again noted. visualized osseous structures are unremarkable.
<unk>-year-old female with thoracotomy and thymectomy, now with chest tube removal.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouettes within normal limits. no acute osseous abnormalities detected.
<unk>-year-old female with shortness of breath and cough.
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sternotomy wires are intact. a right-sided port-a-cath tip terminates in the mid svc. the heart size is within normal limits. the heart size and mediastinal contours are within normal limits. the lungs demonstrate bibasilar atelectasis, more prominent on the right than the left. a small pleural fluid is seen tracking up along the lateral aspect of the chest wall. there is a tiny right apical pneumothorax present without evidence of tension.
<unk>-year-old female status post radical thymectomy with neoadjuvant chemo and radiation, now status post thoracoabdominal approach for chest wall/diaphragm resection for right-sided thoracic mass; the chest tube was then removed at <num> a.m.
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frontal and lateral chest radiograph demonstrates hypoinflated lungs with crowding of vasculature and lower lobe atelectasis. trace left pleural effusion. no right pleural effusion.no pneumothorax. persistent mild cardiomegaly which is accentuated due to patient positioning and low lung volumes. atherosclerotic calcification of aortic arch are noted. mediastinal contour and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. visualized osseous structures are unremarkable without displaced rib fracture.
fall with rib pain.
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the cardiac, mediastinal, and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. spiral clips project over the right upper quadrant of the abdomen.
dyspnea and chest pain.
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no consolidation, pleural effusion, or pneumothorax is identified. cardiomediastinal and hilar contours are normal size.
history: <unk>m with cough and fevers // infiltrate
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right base atelectasis is seen without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with sickle cell, pain crisis of leg, reported hr in <num>s prior to arrival (?able) // evaluate for acute processs
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there is mild right pneumothorax, with more prominent basilar component, and stable apical component compared with prior. right basilar opacity is more prominent, likely atelectasis. right pleural catheter has been removed. similar right lower lateral chest wall emphysema. thoracolumbar curve. normal heart size, pulmonary vascularity. stable nodular opacity left mid chest.
<unk> year old woman with r ptx and talc pleurodesis // r/o ptx post ct removal, please do at <num>pm
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the lungs are well inflated with mild left lower lobe atelectasis. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>m with chest pain. assess for pneumonia.