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the cardiomediastinal and hilar contours are within normal limits. there is obscuration of the right heart border raising concern for a opacity within the right middle lobe although this could possibly be due to patient positioning. there is no pleural effusion or pneumothorax. note is made of multiple small biopsy clips overlying the right breast.
history: <unk>f with palpitations with cp, chills yesterday. // pneumonia/acute process?
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lung volumes are low leading to crowding of the bronchovascular structures. allowing for differences in technique and inspiration, mild cardiomegaly is grossly stable. moderate central vascular congestion and interstitial pulmonary edema is noted. left retrocardiac atelectasis is noted, and there is a probable left pleural effusion. the cardiomediastinal silhouette is grossly unchanged from the prior examination.
history: <unk>m with chf // eval for pulmonary edema
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the heart is normal in size. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain.
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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 episodic shortness of breath and palpitations
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lungs are mildly hyperinflated. there is no focal consolidation, effusion, or pneumothorax. no pulmonary vascular congestion. hilar and mediastinal contours are normal. heart size is normal.
<unk> year old man with persistent cough, ? fever // ? infiltrate
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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 left sided numbness
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there has been interval development of a small right apical pneumothorax. interstitial opacities, small left and small to moderate right pleural effusions. opacity in the left lung base has increased in the interim. the cardiac silhouette remains normal in size, calcified mediastinal and bilateral hilar lymph nodes are unchanged. chain suture material within the right lung is unchanged.
<unk>-year-old male with history of sarcoid, who presents with weight loss and malaise.
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the heart is normal in size. the hilar and mediastinal contours are normal. there are small bilateral pleural effusions. there is persistent bibasilar atelectasis, a more rounded component on the left is consistent with known round atelectasis. no focal consolidation concerning for pneumonia is identified. visualized osseous structures are intact.
<unk>-year-old male patient with waldenstrom, status post first cycle of chemotherapy, presenting with fevers. study requested for assessment of pneumonia.
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain and shortness of breath.
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. <num> mm right lower lobe pulmonary nodule is demonstrated. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
history: <unk>f with confusion status post seizure
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heart size is mildly enlarged. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are hyperinflated but clear. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormality is present.
history: <unk>f with shortness of breath and chest pain
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lung volumes are low. heart size is top normal and cardiomediastinal contours are stable. there is bibasilar atelectasis but the lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
<unk> year old man with dyspnea // stat chest xray for dyspnea
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pa and lateral radiographs of the chest demonstrate intact median sternotomy wires. cardiac size is top normal. the lungs are clear with no vascular congestion or focal consolidation. no pleural abnormality is seen. no pleural effusions are seen. hilar and mediastinal contours are within normal limits.
aortic valve replacement presenting with shortness of breath.
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portable ap supine view of the chest was reviewed and compared to the prior studies. the endotracheal tube ends <num>-<num>-cm above the carina. the upper enteric tube enters the stomach and ends off of the radiograph. left internal jugular line ends in the mid superior vena cava, and a left subclavian line ends in the lower superior vena cava. moderate-to-large left and moderate right pleural effusions relatively unchanged. there is no pneumothorax. mediastinal and cardiac contours are stable.
assessment for pneumothorax in a patient with increasing pressor requirement, bilateral pleural effusions and a history of cll.
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assessment of the lung apices is limited by the patient's neck and chin obscuring these regions. heart size is unchanged, appearing mildly enlarged. mediastinal and hilar contours are unremarkable. there is mild pulmonary vascular engorgement. linear opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or large pneumothorax is identified. fusion hardware within the lower cervical and upper thoracic spine is not completely assessed on this study. mild compression deformity of an upper/ mid thoracic vertebral body appears unchanged.
history: <unk>f with weakness, concern infectious source
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pa and lateral views of the chest provided. the lungs are hyperexpanded, but grossly clear. bibasilar atelectasis is unchanged. no pleural effusion or pneumothorax. hilar contours are normal. the aorta is tortuous.
<unk> year old man with afib, on amiodorone // on amiodorone
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the lungs are clear without consolidation or edema. there is a small left pleural effusion, increased in size since <unk>. associated retrocardiac atelectasis is present. there is no pneumothorax. the mediastinal contours are normal. the aorta is tortuous and calcified. the heart size is mildly enlarged, and increased since the prior exam in <unk>.
chest pain with troponin leak at an outside hospital.
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portable upright radiograph of the chest demonstrates interval increase in right pleural effusion, tracking along the fissures. underlying right lower lobe atelectasis is also present, and super-imposed infection cannot be completely excluded. multifocal consolidations in the left lung are also concerning for infection. the right heart border is obscured and there is slight deviation of the mediastinal structures to the left. multiple surgical clips are present in the left upper quadrant.
<unk>-year-old male with recurrent pleural effusions.
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lungs are clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal silhouette.
smoker with cough, assess for pneumonia.
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pa and lateral views of the chest provided. lung volumes are low. linear opacities at the bilateral lung bases are likely atelectasis. there is no pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m with isolated nausea and vomiting. evaluate for consolidation
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pa and lateral views of the chest provided. there is stable elevation of the left hemidiaphragm. suture material is noted in the right upper lung likely related to a prior resection. the overall pattern of the lungs appears stable likely reflecting fibrosis/ emphysema. no new consolidation, effusion or pneumothorax is seen. old left rib cage deformities are again noted. cardiomediastinal silhouette is stable.
<unk>m with copd and sob pls eval pna
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size is mildly enlarged but remains unchanged in comparison with the next preceding study. the same holds for the thoracic aorta, which is of normal <unk> but shows some calcium deposits in the wall at the level of the arch. the pulmonary vasculature is not congested. presence of surgical fiducial marks are again recognized and located to the left hemithorax in suprahilar as well as peripheral left lower lobe position. their positions are unchanged. pulmonary vasculature shows irregular peripheral distribution, which in conjunction with the relatively low positioned and flattened diaphragms, is indicative of copd. there exists a left-sided infrahilar density, which apparently represents patient's known pulmonary malignancy. its size has not undergone any significant alteration since <unk>. careful comparison of the chest findings does not demonstrate evidence of increased pulmonary vascular congestion or manifestations of pleural effusions. no pneumothorax exists in the apical area.
<unk>-year-old female patient with history of cyberknife surgery, now with increasing shortness of breath. decreased breath sounds on left side. evaluate for effusion.
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overall appearance is similar to the prior examination with pleural thickening in the left lower lung field along with increased density and reticulation in the left lung base as well as similar moderate size left pleural effusion. heart size is difficult to evaluate due to obscuration from surrounding consolidation. the left hilar contour is again prominent. the right lung remains essentially clear except for linear scarring in the base. there is no pneumothorax.
right-sided weakness metastatic adenocarcinoma. evaluate for pneumonia.
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heart size is normal with mild tortuosity of the thoracic aorta. mediastinal silhouette and hilar contours are unchanged. subtle heterogeneous consolidation at the right posterior lung base is suspicious for pneumonia. the remainder of the lung fields are clear. there is no pleural effusion or pneumothorax. mild compression deformity of the t<num> vertebral body is unchanged from <unk>.
confusion, fever and cough.
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the cardiomediastinal and hilar contours are stable. a right chest tube terminates at the right lung base. a moderate right pleural effusion is noted, slightly larger. there is no pneumothorax. extensive bilateral parenchymal opacities appear grossly similar, consistent with lymphangitic spread of disease. there is no new opacity.
<unk>m with shortness of breath.
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compared to immediate prior study, there has been improvement of global nodular opacities now mostly present in the bilateral lower lung regions. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette and hilar contours are stable.
history of aspiration events with tachycardia.
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semi-upright portable radiograph of the chest demonstrates interval placement of a prosthetic aortic valve, in appropriate position. a right internal jugular approach central venous catheter terminates in the upper svc. there is no evidence of pneumothorax, pulmonary edema, pleural effusion or focal consolidation concerning for pneumonia. residual contrast material within the bilateral kidneys remains from prior ct.
<unk>-year-old female with aortic stenosis, status post aortic valve repair. evaluation for acute process.
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there is pulmonary vascular congestion without overt edema. small bilateral pleural effusions are new since prior exam. there is moderate cardiomegaly. as seen on prior, there is radiopaque density over the region of the mitral valve compatible with patient's known <unk> clip. coronary artery calcifications are again noted.
<unk>m with acute on chronic sdh // pre op
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lung volumes are low, resulting in bronchovascular crowding. again seen is a large right pleural effusion with adjacent compressive atelectasis, which appears similar to to prior. right upper lung and left lung are grossly clear. the heart is top-normal in size. there is no pneumothorax. the left upper extremity picc has been removed over the interval.
history: <unk>f with dyspnea // acute process
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a moderate left pleural effusion is stable in size since <unk>. linear opacities in left lower lobe represent partial left lower lobe collapse. there is mild pulmonary vascular congestion which is new since <unk>. the cardiac and mediastinal contours are stable. no pneumothorax identified.
a <unk>-year-old man with dizziness and bilateral rales. evaluate for volume overload and pneumonia.
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with b/l <unk> swelling, mild "pulling by l upper chest // effusion?
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as compared to chest x-ray from earlier same day, there is improved aeration of the left upper lobe. there is persistent left lower lobe collapse with associated effusion. endotracheal tube and nasogastric tube in similar position. minimal subsegmental atelectasis in the right lower lobe.
<unk> year old man with obstructing msb, s/p bronch adn tumor reduction // ? obstruction / improvemetn in aeration
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. chronic left rib fracture is stable.
history: <unk>m with cough // eval for pna
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allowing for changes in positioning and lung volumes, the small right pleural effusion and adjacent compressive atelectasis is probably unchanged compared with <unk>. the right-sided pigtail catheter is in unchanged position. the left chest wall atrial and biventricular pacemaker leads are in standard position. there is moderate stable cardiomegaly.
<unk>f with chf with biv pacemaker, recent diagnosis of ovarian/cervical cancer, presenting with fever/ams, r pleural effusion s/p chest tube, gnr bacteremia. // please assess interval change in right pleural effusion
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chronic left lower lobe atelectasis and left pleural effusion persist, unchanged compared to prior studies. the left upper lobe and right lung are clear. nipple shadow projects over the right lung base. the cardiomediastinal silhouette is unchanged. aortic arch calcifications are again noted. there is no pneumothorax or pulmonary edema. resorption of the distal clavicles bilaterally is unchanged compared to prior.
history: <unk>f with weakness // evidence of pneumonia
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upright ap and lateral radiographs of the chest show perihilar fullness and prominent indistinct vascularity most suggestive of mild to moderate pulmonary edema. no focal consolidation is identified convincing for pneumonia. there is no pleural effusion or pneumothorax. the cardiac, mediastinal and hilar contours appear stable.
<unk>-year-old female postop day #<num> from appendicitis, now with fevers.
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appliances are in good position. there is no pneumothorax. linear atelectasis left lung base, similar. probable small left pleural effusion, similar. significant gastric distention, new since prior exam. increased heart size
<unk> year old man with as above // s/p tevar w/hypoxia r/o ptx
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the heart is at the upper limits of normal size. the mediastinal and hilar contours are otherwise unremarkable. there are streaky right infrahilar opacities in the right lower lobe, but more suggestive of atelectasis than pneumonia. likewise, there is also suspected minor atelectasis in the right middle lobe. the lungs appear otherwise clear without suspicious findings. there is no pleural effusion or pneumothorax. the lungs appear mildly hyperinflated. bony structures are unremarkable.
heavy smoking, cough and weight loss.
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the cardiac, mediastinal and hilar contours are normal, with the heart size within limits. the pulmonary vasculature is normal. lungs are hyperinflated. apart from subsegmental atelectasis in the right middle lobe, the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. degenerative changes are noted in the thoracic spine. remote right-sided rib fracture is again noted.
chest pain and shortness of breath.
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stable, top-normal sized heart. mediastinal and hilar contours are normal. there is chronic, unchanged, mild pleural and parenchymal scarring at the left base with a left juxtaphrenic peak. pulmonary vasculature is normal. there is no pneumothorax. there is no pneumonia.
<unk>-year-old woman with cough, shortness of breath, and sputum. evaluate for pneumonia.
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as compared to chest radiograph dated <unk>, there has been no significant changes with persistently low lung volumes. there are no new focal consolidations or pulmonary edema. there are no larger pleural effusions. a nasogastric tube is seen descending in an uncomplicated course with the tip of the tube projecting over the post pyloric position. bilateral chest tubes are unchanged in position.
<unk>-year-old male status post cabg. evaluate for pleural effusions.
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endotracheal and nasogastric tubes are stable and in appropriate position. there has been significant improvement in engorgement of the pulmonary vascular pedicle, pulmonary edema, and layering right pleural effusion. lung volumes are low with bibasilar atelectasis. opacity at the left lung base is persistent. no pneumothorax. surgical clips overlying the left upper chest are unchanged.
<unk> year old man with s/p proximal extension evar, reintubated for hypercarbic resp failure // interval cxr, pulmonary edema
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ap portable upright view of the chest. patient has been intervally intubated with tip of the endotracheal tube positioned <num> cm above the carina. an ng tube courses into the left upper abdomen with distal side port distal to the ge junction. cardiomegaly again noted. airspace consolidation in the right lower lung remains concerning for pneumonia.
<unk>f with ett s/p intubation
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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>m with cough and fever // eval for pna
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ill-defined opacities in the right middle lobe and lingula are new. bronchial wall thickening in the right upper lobe has increased. no lobar consolidation. no pleural effusion or pneumothorax. heart size is normal.
<unk> year old woman with bronchiectasis and a cough with sputum production for the past month // rule out pna
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there is a large left-sided pneumothorax. there is no tension. the right lung is clear. the hilar and mediastinal contours are unremarkable. the heart is normal in size. there are no pleural effusions.
<unk>-year-old male status post left lung biopsy, who presents for evaluation of pneumothorax.
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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 unchanged. heart size is normal. there is no pulmonary edema. compression deformity of mid thoracic vertebral body is stable.
elevated lactate level. assess for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain // acute process?
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compared to chest radiographs from <unk>, there is a new left pectoral cardiac pacing device with single lead following its expected course to the right ventricle. no pneumothorax. mild pulmonary edema has slightly improved. mild bibasilar opacities have decreased with less obscuration of the left heart border, most consistent with atelectasis. no appreciable pleural effusions. mild cardiomegaly. left lateral rib fractures are noted.
<unk> year old man s/p single chamber ppm implant // check for lead location and pnx
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left-sided picc is seen, distal aspect not well seen on the frontal view, appears to overlie the distal svc/ cavoatrial junction. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac mediastinal silhouettes are unremarkable. partially imaged catheter is noted projecting over the right upper quadrant.
history: <unk>f with picc line // eval for picc
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. previously noted left lower lobe pulmonary nodule seen on ct is not clearly assessed on the current radiograph. no pleural effusion, focal consolidation, or pneumothorax is present. diffuse degenerative changes are seen throughout the thoracic spine with anterior bridging osteophytes compatible with dish.
history: <unk>m with several weeks of dry cough
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et and oro gastric tubes and left-sided pacemaker again noted, similar to the prior study. allowing for differences in positioning and lower inspiratory volumes, the cardiomediastinal silhouette is grossly unchanged. prominence of the right hilum again noted, similar to prior. again seen is vascular plethora and blurring, consistent with chf grossly similar to prior. also again seen is increased retrocardiac density consistent with left lower lobe collapse and/or consolidation. small bilateral effusions again noted. as before, there is a band of somewhat more confluent opacity the junction of the right mid and lower zones.
<unk> year old man with iph // interval changes
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portable upright chest radiograph demonstrates interval removal of the endotracheal tube and enteric tube. the right internal jugular central venous catheter is unchanged. the heart size appears unchanged and the pleural effusions are redistributed due to patient positioning. the lung parenchyma is clear and there is no pneumothorax.
pericardial effusion with tamponade physiology. evaluate for interval change.
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normal heart, lungs, pleural and mediastinal surfaces.
<unk>-year-old woman with chest pain. evaluate for congestive heart failure.
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. the aortic arch is again partly calcified. the lungs appear hyperinflated. streaky right basilar opacity appears unchanged and suggests atelectasis or scarring. there is small oval calcification projecting immediately to the right side along the right cardiac border, unchanged but potentially a granuloma or overlying bony structure of doubtful significance. there is no definite pleural effusion. no pneumothorax is demonstrated. mild degenerative changes are similar throughout the thoracic spine.
shortness of breath. question pneumonia.
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the lungs are symmetrically expanded without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. biapical pleural thickening is noted. the pulmonary vasculature is congested. there is no overt pulmonary edema. the cardiac silhouette is moderately enlarged but stable. prominence of the left main pulmonary artery is unchanged. the thoracic aorta is tortuous and dilated, similar in appearance to the prior study. wedge compression deformity of a lower thoracic vertebral body is unchanged. an opacity projecting over the right posterior <num>th rib may represent a sclerotic rib lesion or, less likely, intraparenchymal lesion.
history of congestive heart failure, now with chest pain, here to evaluate for acute cardiopulmonary process.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old man with chf, copd, worsening dyspnea // eval for pna, pulm edema eval for pna, pulm edema
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an endotracheal tube terminates <num> cm above the carina. the heart is normal in size. the aorta is tortuous. the cardiomediastinal and hilar contours are within normal limits. the lungs appear mildly hyperinflated. small streaky opacity at the base the left lung is most consistent with atelectasis, although infection is a possibility. there is no evidence of pneumothorax or pleural effusion. no large focal consolidation is identified.
<unk>f with intubated // ett placement
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. bilateral healed rib fractures are noted. there are no new rib fractures. there are degenerative changes in the thoracic spine.
history: <unk>m with right sided rib pain // ? rib fractures
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with ches tpain, syncope // ? acute cardiopulm process
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pa and lateral chest radiographs. right internal jugular dialysis catheter terminates in the right atrium, unchanged. there are small bilateral pleural effusions. mild interstitial edema and redistribution suggest mild fluid overload. the cardiomediastinal silhouette is normal.
fever and cough. evaluation for pneumonia.
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patient is status post median sternotomy and cardiac valve replacement. the inferior-most wire appears to be fractured on the lateral view, as was also the case on the prior study. the cardiac mediastinal silhouettes are stable. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
history: <unk>m with new onset r sided pleuritic cp // r sided pleuritic cp
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the patient is status post right vats, postop day <num>. a right-sided chest tube is seen in adequate position, similar to prior exam. there is new opacity likely atelectasis in the right lung base. the previously seen opacity in the right upper lung has improved in the interval. there is increased right pleural fluid, which is seen in the right lung base as well as along the lateral and superior aspects of the lung. a small persistent pneumothorax is seen on the right. the cardiomediastinal silhouette is unremarkable. there has been improvement in the previously seen subcutaneous emphysema in the right neck.
<unk> year old woman s/p vats rul wedge resection with downtrending hematocrit // ?hemothorax
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the dobbhoff tube is looped in the lower esophagus and should be repositioned. lung volumes are low with interval improvement of bilateral opacification due to reduced pulmonary edema. persistent reticular opacity due to pulmonary fibrosis. there is no pleural effusion or pneumothorax. heart size is mildly enlarged.
<unk> years old man postoperative day <unk> status post cabg, high diuresis day <num> with increased pulmonary secretion, possible pneumonia and urosepsis. please confirm dobbhoff placement.
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips seen in the upper abdomen.
<unk>f w/sob and chest pain, please eval for occult pna
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subtle patchy opacity along the left heart border on the frontal view, not substantiated on the lateral view, may be due to atelectasis/ scarring or epicardial fat pad, less likely consolidation. no focal consolidation seen elsewhere. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable. hilar contours are stable. no overt pulmonary edema is seen. chronic changes at the right acromioclavicular joint are not well assessed.
history: <unk>m with dyspnea with exertion // ? acute cardiopulm process
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there is minimal elevation and tenting of the left hemidiaphragm, consistent with atelectasis. this is new from the prior radiograph on <unk>. there is no opacity to suggest pneumonia. no pulmonary edema, pleural effusion, or pneumothorax is identified. the cardiomediastinal silhouette is normal. the sternal wires are intact and unchanged from the prior exam. no fracture is identified.
acute chest pain after a cardiac catheterization. evaluate for source of chest pain.
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the patient is status post cabg with intact and appropriately aligned sternotomy wires. the postoperative appearance of cardiomediastinal silhouette is stable. the lungs are clear. there are small bilateral pleural effusions, decreased compared to prior. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with s/p cabg // eval postop changes
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heart size is normal. the aorta is tortuous. the pulmonary vasculature is normal. lungs are clear except for mild scarring at the left lung base. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with intermittent sob, wheezing, eval for fluid overload or other abnormalities, hx of probable emphysema in distant past // <unk> year old man with intermittent sob, wheezing, eval for fluid overload or other abnormalities, hx of probable emphysema in distant past
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the lungs are clear and the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no obvious rib fracture. clavicles are intact.
history: <unk>m with crushing force on torso after being stuck between bucket truck and light pole.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion pneumothorax. the lungs are well-expanded clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable. multiple wedge deformities in mid thoracic spine are again seen.
<unk>f with fever and nausea // eval pna
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the right lung is hyper expanded and clear. increased opacification in the left lung base is slightly improved. small left apical pneumothorax is stable. there is no significant pleural effusion. left chest tube, displaced left rib fractures, and subcutaneous emphysema in the left chest wall are unchanged.
<unk> year old woman with rib fx and with left chest tube, recently put to waterseal // pls r/o ptx
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dual-lumen right central venous catheter tip projects over the low svc, unchanged. left single lead acid is unchanged in position. the patient is status post median sternotomy. numerous mediastinal clips and epicardial pacing wires are unchanged. lung volumes remain low. interval increase in left lower lobe opacity likely reflects a combination of atelectasis and mild edema. bilateral pleural effusions are small, perhaps slightly increased from the prior exam. the heart moderately enlarged.
history: <unk>m with fall, altered mental status ; acute process
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the left first posterior rib fracture is not seen on this study; however, there is no bony displacement. the left hemidiaphragm is elevated. there is bibasilar atelectasis. the aorta is tortuous. the lungs are well expanded and clear, and their appearance correlates with patient's known emphysema. heart size is normal. mediastinal and hilar contours are normal.
<unk>-year-old with first rib fracture, please evaluate.
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there is minimal linear atelectasis or scar in the left costophrenic angle laterally but the lungs are otherwise clear and the heart and mediastinal contours and bony structures are unremarkable.
history: <unk>f with sob, cough // r/o pneumonia
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severe cardiomegaly is re- demonstrated. the patient is status post median sternotomy and cabg. mediastinal and hilar contours are unchanged. there is mild pulmonary vascular congestion which is likely chronic. no overt pulmonary edema, focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormalities are detected.
history: <unk>m with dyspnea and wheezing
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interval removal of the right chest tube. the patient is status post right upper lobe wedge resection. no pneumothorax identified. no focal consolidation or pleural effusion. the size the cardiomediastinal silhouette is mildly enlarged but unchanged. subcutaneous emphysema over the right lateral chest wall.
<unk> year old man s/p right ct d/c // please eval for interval change, ptx ct d/c at <time>am, please perform cxr around <time>
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a single ap radiograph of the chest was acquired. mild-to-moderate interstitial pulmonary edema has slightly improved compared to the prior study from <unk>. there is minimal bilateral lower lobe atelectasis. there is no focal consolidation. no definite pleural effusion is seen. there is no pneumothorax. mild enlargement of the cardiac silhouette is similar in appearance. the descending thoracic aorta is tortuous, as before. chronic deformity along the superolateral aspect of the bony right hemithorax is noted.
chest pain and shortness of breath. assess for edema and/or pneumonia.
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pa and lateral views of the chest provided. no free air is seen below the right hemidiaphragm. lungs are clear bilaterally with no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with ruq/epigastric abdominal pain
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no consolidation or edema is evident. median sternotomy and cabg again noted. there is aortic tortuosity similar to prior exams. the cardiac silhouette remains borderline enlarged. no effusion or pneumothorax is noted. the osseous structures are otherwise grossly unremarkable. long segment and multiple coronary stents are evident as on prior studies.
significant coronary history with productive cough and lower extremity edema.
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the patient is status post median sternotomy and cabg. left-sided pacemaker device with leads terminating in the right atrium and right ventricle is unchanged. the cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. there is no pulmonary edema. there is are likely small bilateral pleural effusions posteriorly. no focal consolidation or pneumothorax is present. the lungs are hyperinflated. there are no acute osseous abnormalities.
coronary artery disease status post cabg and dyspnea on exertion.
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the lungs are hyperinflated and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. old left rib fractures are noted.
<unk>f with left shoulder pain // r/o pneumothorax
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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 chest pain // chest pain
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ap portable supine view of the chest. endotracheal tube is seen with its tip residing approximately <num> cm above the carina. the og tube courses into the left upper quadrant with the distal side port seen just beyond the gastroesophageal junction. lungs appear essentially clear on this supine portable radiograph.
<unk> year old woman with bloody ouput from ngt // assess position of ogt
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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>m with fever/cough // r/o pna
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the lungs are hyperinflated but clear. nipple shadows project over the lung bases bilaterally. the cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
<unk>m with lethargy // eval for pna, chf
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suture material projecting vertically over the right lung on the frontal view is compatible with the patient's esophageal conduit. an air-fluid level in the right lung apex is also related to the conduit. there is no definitive evidence of pneumothorax. complete opacification of the right lung base suggests right lower lobe collapse. mild left basilar atelectasis is new from the prior exam. a small-to-moderate right pleural effusion is probably not changed from <unk>. a left pleural effusion is small, if any. the pulmonary vasculature is not engorged, and there is no overt pulmonary edema. the cardiomediastinal contours are within normal limits. the right hilus is obscured by opacification in the right chest. the left hilar contours are within normal limits.
history of esophageal conduit, now with dyspnea, here to evaluate for acute cardiopulmonary process.
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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 tortuous ascending and descending thoracic aortic contours.
cough and wheeze, assess for acute process.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough, hx of asthma // eval for pna
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cardiomegaly and mediastinal silhouette are unchanged. there is minimal pulmonary vascular re-distribution improved compared to prior. the right lower lobe opacity has partially cleared. right middle lobe opacity is also partially cleared. the old rib fractures and compression deformities are again visualized.
hypotension.
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old healed left-sided rib fractures. there is crowding of the bronchovascular structures at the lung bases relatively increased lucency at the apices consistent with the patient's known emphysema. bibasilar atelectasis has improved compared to the prior study. no focal consolidation seen. no pneumothorax seen. probable small left pleural effusion.
<unk>m w/copd, aspiration pna, asthma w/worsening hypoxia // interval changes
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semi-erect portable chest radiograph demonstrates low lung volumes with bibasilar streaky opacities consistent with atelectasis. no focal consolidations identified convincing for pneumonia. cardiomediastinal silhouette is stable in appearance. there is no over pulmonary edema. there is no large pleural effusion. air distended loop of bowel projects over the left upper quadrant as well as right hemi abdomen laterally. no air under the right hemidiaphragm is present. a right picc terminates within the low superior vena cava.
<unk>-year-old female with abdominal pain.
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small bilateral pleural effusions are new. the heart is top-normal in size, unchanged. mild pulmonary vascular congestion since improved. no focal consolidation, overt pulmonary edema, or pneumothorax. slight elevation of the right hemidiaphragm is unchanged.
<unk>m with history of as (mean gradient <unk>mmhg), tia, carotid stenosis, suspected mds <unk> deferred), chronic left leg swelling, and chronic back pain presents with fatigue and malaise, found to have signs of volume overload. // assess for interval changes with pulmonary congestion
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a right-sided picc line terminates shortly above the cavoatrial junction. lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged. there are small pleural effusions with patchy retrocardiac opacity, most likely due to atelectasis. streaky opacities in the right upper lung with mild crowding suggest chronic unchanged minor scarring.
clinical concern for partial small bowel obstruction in patient with prior proctocolectomy. study performed to evaluate picc line.
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the cardiac silhouette size is normal. mediastinal and hilar contours are within normal limits. the pulmonary vascularity is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. percutaneous gastrostomy catheter is noted with tip terminating in the region of the distal stomach/proximal duodenum. gaseous distention of bowel loops within the upper abdomen is noted. spinal catheters are re- demonstrated. there is no acute osseous abnormality.
multiple medical complaints.
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there is a slightly decreased, but moderate-size pneumothorax. small amounts of subcutaneous emphysema persist but have not increased. a right-sided pleural effusion has decreased. however, there is increased perihilar consolidation and widespread opacity within the right lower lung, most likely in the right lower lobe. minimal left basilar atelectasis is noted. there is a calcified nodule consistent with a granuloma in the left mid lobe as well as a few other suspected tiny calcified granulomas. a suture line projects along the right suprahilar region associated with prior right upper lobectomy.
status post right upper lobectomy, presenting with shortness of breath.
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single portable upright chest radiograph. relative lucency of the bilateral upper lungs suggests background emphysematous changes. bibasilar opacifications identified, left greater than right. right-sided opacification may merely represent crowding and atelectasis; however, more dense opacification on the left may reflect atelectasis, combined with small effusion versus developing pneumonia. please note, the lung apices are excluded from view by the patient's overlying chin.
bilateral lower extremity swelling. evaluate for left heart failure.
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the lungs are clear. there is no focal consolidation, effusion, or edema. significant enlargement of the cardiac silhouette is stable compared to prior. no acute osseous abnormalities.
<unk>m with weakness // pna?
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the lungs are well expanded. a vague opacity lateral to the right heart border triangulates to the superior segment of the right lower lobe on the lateral view. no other focal opacities are identified. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. rightward deviation of the trachea with focal narrowing is compatible with known goiter.
<unk>-year-old female with productive cough and chest pain. evaluate for evidence of pneumonia.
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heart size is normal. mediastinal and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality seen.
elevated white count.