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the lungs are clear. there is no consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with chest pain // ? acute cardiopulmonary process
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lungs are clear bilaterally without an opacity convincing for pneumonia. cardiomediastinal silhouette is stable relative to prior examination, the heart mildly enlarged. there is no evidence of pulmonary edema. there is no large pleural effusion or pneumothorax. there is no air under the right hemidiaphragm.
<unk>f with cough, sob. // pneumonia?
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no pneumothorax. right lower lung opacities are again seen. in the right mid lung, there is a new opacity which appears to be located in the superior segment of the right lower lobe, new compared to <unk> at <time>. the also a small increase in pleural fluid seen laterally in the mid lung. no left pleural effusion. the cardiomediastinal and hilar contours are stable.
status post removal of ct placed for pneumothorax. evaluate for change.
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study of <unk>. there is status post left-sided pulmonary surgery with multiple surgical clips in the left hilar region. general volume loss of the left hemithorax with elevation of the hilar structures, extensive pleural densities occupying the entire apical area. there is moderate elevation of the left-sided diaphragm, but the vascular structures of the left lower lobe do not demonstrate any additional abnormality. the right-sided hemithorax is unremarkable, similar as it was on the preceding examination.
<unk>-year-old male patient with history of questionable lung resection, evaluate for pulmonary infection.
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the patient is status post right thoracentesis. the cardio mediastinal and hilar contours are unchanged. there is a persistent moderate right pleural effusion, minimally decreased from the prior exam and adjacent right basal atelectasis. the left lung is clear. there is no evidence of pneumothorax.
<unk> year old woman with rcc and pleural effusion s/p thoracentesis // pleural effusion evaluation, ? ptx post procedure
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a right internal jugular catheter tip projects within the mid svc. a right basilar pleurx catheter is in stable position. since the prior examination, there is increased apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. there is improvement in bibasilar opacification, likely atelectases. in addition, there is improvement in pulmonary vascular engorgement. there is no evidence of pneumothorax. the cardiomediastinal and hilar contours are stable.
<unk>-year-old female with atrial fibrillation and with rapid ventricular response, status post transesophageal echocardiogram <num> hours prior, now mottled and diaphoretic. evaluate for pneumomediastinum.
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a right picc ends in the mid svc. the lung volumes are low. the known left pulmonary mass appears slightly larger with more indistinct borders which may be due to surrounding atelectasis or bleeding. a hazy retrocardiac opacity is most consistent with atelectasis, although may reflect a developing infection. a vague hazy opacity in the right upper lobe likely reflects a pneumonia. there is no definite pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is unchanged with mild cardiomegaly.
metastatic melanoma, dic, fevers, and altered mental status.
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aicd and pacer leads end in the right atrium and ventricle, as expected. moderate to severe cardiomegaly is unchanged. there is no focal lung consolidation. there is no pneumothorax. there are small bilateral pleural effusions there is prominence of the interstitial markings, likely reflecting mild interstitial edema.
<unk>-year-old man with icd fire for vtach, sscp, elevated troponin, evaluate for acute cardiopulmonary process
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ap and lateral views of the chest provided. lung volumes are low. the heart is mildly enlarged. at the right lung base, a subtle opacity is noted, new from prior exam, indeterminate. no large effusion or pneumothorax is seen. on the lateral view, there is subtle double density overlying the heart. consider ct to further assess. mediastinal contour is unremarkable. the bony structures are intact.
<unk> year old woman with cxr for hx copd , sob and wt gain, ? chf // cxr for hx copd , sob and wt gain, ? chf
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patient is status post median sternotomy and cabg. tortuous, unfolded aorta is similar in appearance compared the prior study. the cardiac silhouette is stable.no focal consolidation is seen. there is minor left base atelectasis. there is persistent blunting of the right costophrenic angle suggesting a trace right pleural effusion. no overt pulmonary edema.
history: <unk>m with recent admission for rll pna, here w episode of r hand numbness and r facial droop // eval for acute process, change in pna, stroke
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frontal and lateral views of the chest. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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frontal and lateral views of the chest were obtained. there is persistent flattening and scarring at the left lung base, with postsurgical changes seen status post thoracotomy. no focal consolidation, pleural effusion, evidence of a pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. surgical clips are noted projecting over the left upper quadrant.
<unk>-year-old female with left upper quadrant pain, lethargy
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frontal and lateral views of the chest demonstrate clear lungs. there has interval improvement in aeration of the left lung. the cardiomediastinal and hilar contours are stable. there is no pneumothorax or pleural effusion. pleural surfaces are unremarkable.
new onset shortness of breath and wheeze, assess for acute process.
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the lungs are clear. there is no edema, effusion, or consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cp // pna?
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bilateral pleural effusions with bibasilar atelectasis. bilateral hilar contours are prominent without nodularity. no pulmonary edema. no pneumothorax. heart size is normal. prior thoracolumbar posterior spinal surgery. prominent l small bowel oops in the left upper quadrant.
<unk>m w cad s/p stent (asa, plavix), pancreatitis, etoh abuse pw traumatic splenic rupture, liver lac, hypotensive with hct <unk> s/p embo sa and lha via l cfa approach. // please evaluate for interval change
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cardiac silhouette size is normal. the aorta remains mildly tortuous with atherosclerotic calcifications noted at the knob. mediastinal and hilar contours appear unchanged. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes noted the thoracic spine.
history: <unk>m with <unk> min episode dysarthria today // eval for acute process
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heart size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. there is unchanged mild left hemidiaphragmatic elevation with mild associated left lower lobe atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
history: <unk>m with generalized weakness // eval for acute process
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there is subtle right basilar opacity and lack of visualization of the right heart border. there is minimal increased density projecting over the cardiac sillouette on the lateral view. elsewhere, the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old female with nausea and vomiting and shortness of breath.
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the heart is normal in size. the aorta is mildly tortuous. the arch shows patchy calcification. there is no pleural effusion or pneumothorax, but fissures appear mildly thickened. there is upper zone redistribution of pulmonary vasculature. vessels also appear plump at each hilum and indistinct distally. there is no focal opacity convincing for pneumonia.
shortness of breath. question pneumonia.
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mild basilar atelectasis is seen without focal consolidation. mild thickening along the right inferolateral pleura is stable. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable. evidence of dish is seen along the thoracic spine.
history: <unk>m with l flank hematoma s/p fall // please evaluate for acute abnormality, fractures
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very shallow inspiration. endotracheal tube tip is <num> cm above carina. right ij central line tip in the upper right atrium. findings are new since prior exam. there is no pneumothorax. stable thoracic curve convex to the right. shallow inspiration accentuates heart size, pulmonary vascularity. bibasilar opacities have resolved.
<unk>f w/multiple attempts at single lung ventilation unsuccessfully, please eval for pneumomediastinum, ptx // <unk>f w/multiple attempts at single lung ventilation unsuccessfully, please eval for pneumomediastinum, ptx
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pa and lateral chest radiograph demonstrates no focal opacity convincing for pneumonia. cardiomediastinal and hilar contours are stable in appearance when compared to prior study dated <unk>. the leads of a right pectoral pacemaker are unchanged in course for at least a year. heavy mitral annulus calcification is chronic. when compared to most recent study dated <unk>, there has been interval removal of a right internal jugular central catheter. there is no pleural effusion. vascular clips denote prior upper abdominal surgery.
<unk>f with malaise, immunosupp, pls eval for pna
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the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. bibasilar atelectasis is better seen on the same-day ct. heart is normal size. the mediastinal and hilar structures are unremarkable.
abdominal pain and fever. evaluate for pneumonia.
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persistent largely unchanged left upper lobe, right upper lobe and left lower lobe peribronchial consolidation. there are stable low lung volumes. no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable within normal limits. the pleural surfaces are unremarkable.
<unk>-year-old male with persistent pneumonia status post gi surgery and cough, fever, shortness of breath.
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ap and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. the cardiac silhouette is enlarged but stable. atherosclerotic calcifications again noted at the arch. mitral annular calcifications are also noted. no acute osseous abnormalities detected.
<unk>-year-old female with chest pain and lightheadedness.
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right picc terminates in mid svc. there is no pulmonary edema, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal size and unchanged. round density in the right upper quadrant of the abdomen is likely a gallstone.
<unk> year old man with aspiration // pna?
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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 fever, cough, body aches
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no visualized apical pneumothorax on the current exam. trace left pleural fluid versus pleural thickening seen posteriorly. cardiac silhouette is enlarged but stable. median sternotomy wires and mediastinal clips again noted.
<unk>-year-old male with syncope and head strike, on coumadin. question chf.
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the support apparatus are unchanged in standard position. the t lung volumes remain low, with increasing subsegmental atelectasis in the lung bases. the right middle lobe opacity is also stable, this could represent pneumonia/ atelectasis. there is new free air under the right hemidiaphragm. in discussion with the trauma team <time> with dr. <unk>, <unk> patient had a recent peg tube insertion.
<unk> year old woman with tracheostomy after fall with fever // eval for interval change
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again, the patient has a background of bronchiectasis. however, there appears to be increase in opacity projecting over the right lung and right lung base as compared to <unk> and <unk> change. while findings could be due to worsening of chronic lung disease, underlying infectious process may be present. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough and fever. // r/o pneumonia
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single portable view of the chest. there are streaky left basilar opacities suggestive of atelectasis. elsewhere, the lungs are clear without consolidation, large effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. median sternotomy wires are noted with fracture through the inferiormost wire.
<unk>-year-old male with aaa, preop evaluation.
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pa and lateral chest radiographs were provided. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.
<unk>-year-old male with cough. evaluate for infection.
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a portable ap of the chest film <unk> at <time> is submitted.
<unk> year old woman colonic perforation s/p ex lap, r hemicolectomy s/p ex-lap and now s/p drain placement for large bilateral effusions // evaluate lungs and drain placement evaluate lungs and drain placement
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
patient with left-sided chest pain and shortness of breath. evaluate for evidence of pneumothorax.
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pa and lateral views of the chest. previously seen small-to-moderate left pleural effusion has decreased in size and now there is a small left pleural effusion. there is also a tiny right pleural effusion which is similar to prior study. no focal consolidation, or pneumothorax. the cardiomediastinal and hilar contours are normal.
effusion. evaluate.
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the cardiac silhouette is moderately to markedly enlarged. mediastinal contours are unremarkable. no focal consolidation is seen. there is no large pleural effusion or pneumothorax. possible minimal central pulmonary vascular engorgement without overt pulmonary edema. no pneumothorax is seen.
history: <unk>f with dyspnea // acute process
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ill-defined heterogeneous opacity in the right costophrenic angle may represent atelectasis or early pneumonia. moderate cardiomegaly and aortic arch calcifications are unchanged. there is no pleural effusion, pulmonary edema, or pneumothorax.
<unk>f with new hypoxia, new bradycardia, evaluate infiltrate, effusion.
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when compared to most recent exam, there has been no significant interval change besides the removal of left-sided chest tube seen on prior. left basilar opacity suggests small residual effusion. right perihilar opacity is unchanged as well as surgical chain sutures at right upper lung. cardiomediastinal silhouette is stable. no acute osseous abnormality is identified.
<unk>-year-old male with recent removal of chest tube status post vats procedure with dyspnea.
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mild enlargement of the cardiac silhouette is demonstrated. the mediastinal contour is unchanged. there is mild pulmonary vascular congestion. previously noted focal opacity within the left upper lobe has resolved. there is minimal left lower lobe atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m with chest pain/dyspnea
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the lungs are clear. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain x<num> day // ?pna
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interval placement of endotracheal tube terminates approximately <num> cm above the carina. the endotracheal tube balloon may be somewhat overinflated. enteric tube courses into the left upper quadrant into the expected location of the stomach. re- demonstrated are extensive bilateral opacities. these include bilateral diaphragmatic and pleural calcified plaque suggesting prior asbestos exposure. cardiac and mediastinal silhouettes are stable. the bones are diffusely osteopenic.
history: <unk>m with intubation // ?post intubation
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ap and lateral views of the chest. right-sided pacemaker with wires are seen in unchanged position. clips are seen in the left axilla region. there is no focal consolidation. no pleural effusion or pneumothorax. there is calcification of the aorta. heart size is moderate. compression deformities of multiple lower thoracic and lumbar vertebral bodies are unchanged.
shortness of breath and wheezing, abdominal pain and constipation.
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again seen is relatively pronounced cardiomegaly and prominence of the pulmonary hila, similar to the prior film. there is upper zone redistribution and mild vascular plethora, without other evidence of chf. platelike atelectasis again noted in the right mid zone, slightly more extensive. the right costophrenic angle is not well visualized and the possibility of a small right pleural effusion, new compared with the prior study, cannot be excluded. left costophrenic angle is excluded from the film. some increased retrocardiac opacity is again seen, with minimal atelectasis at the lateral left lung base. an ng/oro-gastric type tube is present, extending beneath the diaphragm, off the film. clips noted in the right supraclavicular region.
<unk> year old man with pneumonia // ? worsening pneumonia
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the lungs are clear bilaterally. the heart may be at the upper limit of normal, however there are low lung volumes and magnification artifact present (ap film). no pleural effusion or pneumothorax is seen. on the lateral, a thin-walled ring shadow unlikely be of significance is seen.
<unk> year old man with leukocytosis? pneumonia
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the heart size is normal. the mediastinal and hilar contours are unchanged, with mild unfolding of the thoracic aorta. calcified hilar lymph nodes are again compatible prior granulomatous disease. small hiatal hernia is again noted. the lungs are hyperinflated with flattening of the diaphragms. the pulmonary vascularity is not engorged. patchy ill-defined nodular opacification within the region of the lingula is suggestive of small airways infectious or inflammatory process. no pleural effusion or pneumothorax is identified. granuloma within the right lower lobe is stable. partially imaged is fusion hardware within the lumbar spine. there are no acute osseous abnormalities.
dysphagia and chest pain.
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removal of the right chest tube. there is no evidence of pneumothorax. there is no pleural effusion. minimal atelectasis in the right perihilar region and at the right lung base is present and unchanged since prior study. left mild platelike atelectasis in the left lower lung base is also stable. heart size, mediastinal and hilar contours are in unchanged appearance.
chest tube removal, to look for pneumothorax.
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severe dextroscoliosis of the thoracolumbar spine is present. large bilateral pleural effusions are relatively unchanged compared to the prior exam, with associated bibasilar atelectasis. assessment of the cardiac silhouette size is limited, as is evaluation of the mediastinal and hilar contours. mild pulmonary vascular congestion appears present. calcification of the thoracic aorta is noted. no pneumothorax is identified.
hypoxia and cough.
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there has been interval removal of the enteric catheter. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. there has been interval resolution of previously seen subcutaneous emphysema.
<unk>-year-old male with fever.
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the lungs are moderately well inflated with left greater than right subsegmental atelectasis. small bilateral layering pleural effusions are noted. there is no pulmonary edema. cardiomegaly is as before. no pneumothorax. there has been interval removal of the right-sided central venous catheter. sternotomy sutures are noted in place. diffuse demineralization is unchanged.
<unk> year old man with tiss avr // predischarge eval
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an ett has been placed which extends into the region of the carina and should be retracted for better positioning. cardiac size is enlarged even given the ap view. hazy area of opacity in the right upper hemi thorax and left lower lobe is compatible with pulmonary edema. no pleural effusion or pneumothorax.
<unk>f with cardiac arrest // ett placement
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sternotomy wires are intact and appropriately aligned. stable enlargement of the cardiomediastinal silhouette. there is left basilar and retrocardiac opacification and silhouetting of the diaphragm, which has increased compared to <unk> and is concerning for pneumonia. the right lung is essentially clear. there is a probable small left pleural effusion. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with confusion // eval for infiltrate
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there has been interval placement of a left internal jugular central venous catheter with tip in the upper svc. no pneumothorax is identified. moderate to severe cardiomegaly is unchanged. there is moderate pulmonary edema, not substantially changed in the interval. the mediastinal and hilar contours are similar. hazy opacification of the right hemi thorax towards the lung base likely reflects the presence of a layering pleural effusion. bibasilar atelectasis is likely present.
history: <unk>f with sepsis, status post left internal jugular central line placement
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there is mediastinal shift to the left consistent with volume loss from the patient's prior left lower lobectomy. blunting of the left costophrenic angle is chronic and likely due to thickening or scarring of the pleura. on the right, there is no pleural effusion or pneumothorax. known pulmonary nodular opacities at the right lower lobe are better appreciated on the ct from two days ago. bones are intact. vascular clips are seen within the left hemithorax. aortic valve is calcified.
<unk>-year-old man with end-stage renal disease, presenting from dialysis with fever and tachycardia, question infiltrate.
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an increasing lucency at the right lung base is thought to represent a growing subpulmonic pneumothorax. multiple right-sided rib fractures are again demonstrated as is subcutaneous emphysema of the right chest wall, which is stable. parenchymal opacities are consistent with contusion.
trauma status post chest tube placement, now to water seal
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a left picc ends in the proximal right atrium and can be pulled back approximately <num> cm for positioning at the superior cavoatrial junction. there is no pneumothorax. lung volumes have increased from prior with persistent prominence of the interstitial markings, representing interstitial edema. cardiomegaly is unchanged. there is tortuosity of the thoracic aorta. surgical clips are seen and at the left lung apex. there is a small right pleural effusion.
<unk> year old man with new left picc, evaluate for position.
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ap portable semi upright view of the chest. no free air is seen below the right hemidiaphragm. underpenetrated technique limits the evaluation. allowing for this, there is no definite sign of pneumonia or overt chf. no large effusion or pneumothorax is seen. heart size appears mildly enlarged. mediastinal contour is unremarkable. bony structures appear intact.
<unk>f with hypotension, abdominal pain // acute cardiopulm disease air under diaphram, ptx
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heart size is normal. the aorta is calcified and markedly tortuous. hilar contours are normal. no pulmonary edema is present, and there is no focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected. partially imaged is an inferior vena cava filter within the upper abdomen. there are degenerative changes in the thoracic spine.
possible endocarditis.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. left lung base opacities are noted. hilar and mediastinal silhouettes are unchanged. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. an ivc filter is in place.
chest tightness. assess for pneumonia.
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severe cardiomegaly and pulmonary vascular congestion are chronic. mild interstitial edema and small right pleural effusion are new since <unk>. median sternotomy wires, a prosthetic valve, and mediastinal clips project in unchanged location. there is no pneumothorax. small indentation on the left side of the trachea at the thoracic inlet is most commonly due to a large left thyroid lobe
<unk>f with cough <num> days, evaluate for pneumonia.
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heart size is normal. minimal atherosclerotic calcifications are demonstrated at the aortic knob. mediastinal and hilar contours are otherwise within normal limits. the pulmonary vasculature is normal. lungs are clear without focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormality is visualized.
history: <unk>m with pancreatitis // effusion?
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again visualized are bilateral chest tubes with interval improvement in bilateral pleural effusions. the pigtail of the left-sided chest tube is unfolded as compared to the prior radiograph. there is no pneumothorax. lungs are clear. there is cardiomegaly. extensive sclerotic bony metastases remain unchanged.
<unk> year old man with metastatic prostate ca s/p pigtails. // eval effusion s/p drainage.
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mild enlargement of cardiac silhouette with a left ventricular predominance is again noted. the aorta remains mildly tortuous. pulmonary vasculature is normal. lungs are hyperinflated. mildly increased interstitial markings diffusely remain, compatible with a mild chronic interstitial abnormality. no focal consolidation, pleural effusion or pneumothorax is seen. there are moderate multilevel degenerative changes noted in the thoracic spine.
history: <unk>f with syncope
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. median sternotomy wires and mediastinal clips are noted. mild compression of a lower thoracic vertebral body is unchanged.
<unk>f with hd pt who missed dialysis today and has been htn with mild hypoxia.
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pa and lateral views of the chest. there is no focal consolidation. there is no pleural effusion or pneumothorax. cardiomediastinal contours are normal.
leukocytosis, question infiltrate.
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the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities identified.
<unk>m with chest pain // r/o acute process
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal.
shortness of breath and palpitations.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. note is made of rib deformities from likely prior rib fractures affecting the left sixth and seventh ribs.
history of intermittent chest pain. please evaluate for pneumonia.
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prior right ij central venous catheter is no longer visualized. there is patchy opacity at the left lung base. elsewhere, the lungs are clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk> year old man with hiv and elevated wbc // eval for consolidation, evidence of pcp <unk>: single portable view of the chest.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded. there is no focal consolidation concerning for pneumonia. pulmonary vascularity is within normal limits.
<unk>f with hypoglycemia // eval for infiltrate
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cardiac, mediastinal and hilar contours are normal. the lungs are clear. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
right upper quadrant tenderness.
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ap portable upright view of the chest. the patient is post cabg. central vascular congestion and mild pulmonary edema have improved since the <unk> examination. a small left pleural effusion remains stable. a right pleural effusion appears resolved. the heart is mildly enlarged.
<unk> year old woman with dchf with hcap // worsening infiltrates
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a right subclavian approach port is noted with tip in the proximal right atrium. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable.
<unk>-year-old with chest pain. history of breast cancer.
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hyperinflated lungs are clear. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is normal.
<unk>-year-old male with tobacco history and weight loss. also with cough. evaluate for pulmonary process.
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the lungs are well expanded and clear. cardiac size is top normal. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. patient is status post cardiac surgery. sternotomy wires are intact. mediastinal clips are again identified. an icd generator is seen within the left thorax with three leads in unchanged position compared with prior exam.
<unk>-year-old male with chest pain. evaluate for acute process.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is a levoscoliosis centered at the mid thoracic spine. fusion hardware in the lower thoracic and upper lumbar spine is partially imaged. no obvious hardware complications are identified.
influenza-like symptoms. evaluate for pneumonia.
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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 remains normal. no configurational abnormalities seen. mild degree of general thoracic widening and elongation but stable in comparison with previous study. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. similar as on the preceding examination, there are multiple rib abnormalities with locally distended structures of the ribs, but no acute fractures are seen. these osseous changes in this patient with history of multiple myeloma appear stable and no significant interval change can be identified. the same holds for the appearance of the thoracic spine with at least two vertebral bodies that are reduced in height.
<unk>-year-old male patient three months status post autotransplant for multiple myeloma, now with fevers and productive cough, evaluate for pneumonia.
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a large right pleural effusion is without substantial interval change from the previous radiograph. there is been interval placement of a right basilar chest tube with tip projecting over the medial right base. there is persistent right basilar opacification likely reflective of atelectasis. no pneumothorax is present. streaky left basilar opacity is re- demonstrated. the cardiac and mediastinal contours are unchanged.
history: <unk>m with chest tube // eval for chest tube placement
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there is a persistent moderate left pleural effusion. there is no pneumothorax. radiation changes are present in the left greater than right hila. right lung is clear. there is no acute osseous abnormality.
<unk> year old woman s/p left thoracentesis, evaluate for pneumothorax
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right appear infrahilar opacity and left mid to lower lung opacities could relate to pulmonary edema versus multifocal infection. there is blunting of the left costophrenic angle which may be due to consolidation and atelectasis, but a small pleural effusion is not excluded. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with sputum // eval pna
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new extensive opacification of bilateral lung fields is most consistent with severe pulmonary edema. areas of nodularity in the left upper lung and right lung base may represent a superimposed infectious process or large pulmonary nodules, as seen on recent abdomen pelvis ct. repeat chest radiographs or chest ct following diuresis are recommended for further evaluation. numerous support devices include an enteric tube terminating within the stomach, a prostatic mitral valve, <num> intact median sternotomy wires, and multiple mediastinal clips.
<unk> year old woman with status post exploratory laparotomy lysis of adhesions, evaluate for pulmonary edema.
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heterogeneous airspace opacity of the right lower lobe is consistent with pneumonia.the remainder of the lungs are clear. no pleural effusion or pneumothorax. cardiomediastinal contour is normal.
history: <unk>f with cough and fevers // ? pneumonia
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heart is top-normal in size. there is no focal lung consolidation. there is no pleural effusion or pneumothorax. there is no acute osseous abnormality. surgical clips are noted in the right upper quadrant.
<unk>-year-old woman with bilateral flank and ruq/luq pain
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cardiac size is normal. there are low lung volumes. bibasilar opacities could be atelectasis or pneumonia in the appropriate clinical setting. there is no pneumo thorax
<unk> year old man with actute deast // acute desat
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the aorta is mildly tortuous. calcification is visible along the arch. the heart is normal in size. there is no pleural effusion or pneumothorax. in addition to vague increased asymmetry of interstitial markings in the left mid to lower lung, as depicted on the frontal view, there is focal opacity projecting along the lower lungs on the lateral view which also likely refers to the left, specifically the left lower lobe.
hyponatremia. question mass or infiltrate.
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there has been interval placement of an endotracheal tube, which terminates in appropriate position approximately <num> cm above the carina. additionally, an enteric tube has been place, which courses inferiorly and whose distal tip projects over the approximate location of the gastric body. otherwise, no change.
<unk>m with c/o sob s/p intubation verify tube placement // s/p intubation verify tube placement
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. surgical clips within the right aspect of the neck suggest prior right hemithyroidectomy. widening of the left acromioclavicular normal suggests interval resection of the distal portion of the left clavicle.
<unk>f with chest pain, evaluate for cause of chest pain
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. lung volumes are slightly low. crowding of the bronchovascular structures is present without overt pulmonary edema. patchy ill-defined opacities are noted within both lung bases and upper lobes, more pronounced within the right upper lobe and left lung base, concerning for diffuse infection or aspiration. no pleural effusion or pneumothorax is visualized.
history: <unk>m with altered mental status, question of opiate use
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when compared to prior, the degree of interstitial edema has decreased. there may be small persistent bilateral effusions, smaller than compared to prior. streaky left basilar opacity is identified. the cardiac silhouette is enlarged but unchanged. atherosclerotic calcifications again noted at the aortic arch. severe degenerative changes of the shoulders bilaterally.
<unk>f with sob, elevated bnp // eval for infiltrate, edema
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frontal and lateral views of the chest. previously seen right picc is no longer visualized. there is new small patchy opacity at the left lower lung laterally, not seen clearly on the previous exam. elsewhere, the lungs are grossly clear. there is no overt pulmonary edema. there is, however, enlargement of the cardiac silhouette, suggesting mild cardiomegaly. no acute osseous abnormality is identified.
<unk>-year-old man with new onset of afib and dyspnea.
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right-sided port-a-cath tip terminates in the svc. the heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear and the pulmonary vascularity is not engorged. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected. no free air is seen under the diaphragms.
epigastric abdominal pain and vomiting.
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heart size is normal. mediastinal and hilar contours are unchanged with atherosclerotic calcifications of the aortic knob noted. there is mild pulmonary vascular congestion. low lung volumes are noted. patchy opacities in the lung bases may be due to the atelectasis in the setting of low lung volumes though infection or aspiration cannot be completely excluded. small right pleural effusion is decreased in size compared to the previous study. no pneumothorax is identified.
<unk>m with sepsis
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the lungs are clear of consolidation, edema, or pneumothorax. small bilateral pleural effusions are seen with blunting of the posterior costophrenic angles. the cardiomediastinal silhouette is within normal limits. degenerative changes noted at the left shoulder and there is a mid thoracic dextroscoliosis. cervicothoracic posterior fixation hardware is partially visualized. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with pre op xray // pre op
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compared to the prior radiograph, there has been insertion of a left chest tube with reinflation of left lung. cardiomediastinal contour is normal and the lungs are clear.
history: <unk>m with pneumothorax now s/p l chest tube insertion. // assess tube placement
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an endotracheal tube terminates <num> cm above the carinal. a right internal jugular catheter is stable in position in the distal svc. and enteric tube descends below the field of view. lung volumes are markedly low, which may accentuate bronchovascular markings. given that, bilateral pulmonary opacities are increased (right much greater than left) from the prior examination most consistent with infection or moderate pulmonary edema. there is no evidence of pneumothorax. pleural effusions are presumed but are not large. cardiomediastinal and hilar contours are stable.
<unk> year old man with respiratory failure s/p intubation // ?edema
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there is no evidence of focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal hilar contours are normal.
immundeficiency, fevers. evaluate for pneumonia.
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the heart size is normal. the hilar and mediastinal contours are normal. there is an increased left lower lobe opacification concerning for pneumonia. the previously seen right lower lobe opacification has improved and could have been secondary to underlying pleural effusion. lateral views demonstrate a small pleural effusion. there is no pneumothorax.
<unk>-year-old female status post right ureteral stent placement for infected ureteral stone postop day <num>, who presents for evaluation of pneumonia.
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. minimally increased density lateral to the heart apex likely represents a pericardial fat pad. lungs are clear. no pleural effusion or pneumothorax evident.
chest pain, please evaluate for acute process.
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relatively low lung volumes are noted. the lungs are clear without focal consolidation, effusion or edema. the cardiomediastinal silhouette is within normal limits. median sternotomy wires, mediastinal clips, and coronary artery stents are noted. no acute osseous abnormalities.
<unk>m with unstable angina, severe cp x <num> hrs // eval ? edema,cardiomegaly
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the lungs are clear. there is no consolidation, effusion, or edema. mild cardiac enlargement is again noted. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with seizures, cough // please evaluate for acute process
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linear platelike atelectasis in the left lower lung with similar to exam earlier on the same date. opacity just medial to this is overall unchanged and does not have the typical appearance of pneumonia on the lateral view - maybe some atelectasis. the right lung is clear. no pneumothorax. small left pleural effusion. the heart is normal in size. the mediastinum is not widened. the hila are within normal limits.
<unk> year old woman with esophagitis and abdominal pain, now with increased leukocytosis, possible opacity since on portable xray. evaluate for possible pneumonia.