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lung volumes are low. the lungs are clear without consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. moderate to large hiatal hernia is again noted. mid to lower thoracic compression deformities are similar compared to <unk>.
<unk>m on plavix s/p fall // <unk> y/o male on plavix fell and hit shoulder please eval for brain bleed and fracture
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assessment of the cardiac silhouette size and mediastinal contours is difficult given the presence of a large left pleural effusion which causes mild rightward mediastinal shift. there is associated left basilar atelectasis. apart from streaky right basilar atelectasis, the right lung is clear. no pulmonary edema or pneumothorax is present. there are multilevel mild degenerative changes seen in the thoracic spine.
history: <unk>f with shortness of breath
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lung volumes are relatively low. there bibasilar opacities. there is no pneumothorax or effusion. cardiomediastinal silhouette is within normal limits. no displaced fractures. surgical clip projects over left upper quadrant.
<unk>m with stab wound to chest // ?pneumothorax
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cardiac silhouette size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>f with cough
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heart size is at the upper limits of normal, similar to <unk>. no chf, focal infiltrate, effusion or pneumothorax detected. no rib fracture identified on these lung technique films. no free air seen beneath the diaphragm. mild right convex curvature of the thoracic spine is suggested, similar to the <unk> radiograph.
<unk> year old man with l sided pleuritic chest pain // ?pleural effusion, other findings
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the cardiomediastinal and hilar contours are within normal limits. lungs are hyperinflated. there is no focal consolidation, pleural effusion or large pneumothorax.
pain for <num> the past week appear to rule out pneumothorax.
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endotracheal tube tip is <num> cm above carina. right picc low-lying tip is in the mid to low svc, overlie spine and is difficult to see. postoperative changes in the spine. there are bilateral pleural effusions, similar. improved lung aeration since prior. improved pulmonary vascularity. heart is mildly enlarged. left basilar opacity, mildly worsened, in part from atelectasis given volume loss, consider pneumonia or aspiration if clinically appropriate. improved right basilar opacity. no pneumothorax.
<unk>f found down ( <num> days) p/w l unilateral jumped facet at c<num>-c<unk> s/p fixation // s/p intubation, eval et tube position
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mild cardiomegaly and enlargement of central pulmonary vessels is similar to <unk>. previously present interstitial edema has resolved. lungs are hyper expanded and grossly clear. no pleural effusion or acute skeletal findings.
<unk> year old woman with hx smoking ongoing cough productive for two weeks weak fatigue // pls eval pna copd exac
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interval worsening of moderate cardiomegaly. new hilar fullness bilaterally with engorgement of the pulmonary vasculature, consistent with mild pulmonary edema. widening of the superior mediastinum may be due to low lung volumes and supine ap technique. retrocardiac opacity may reflect atelectasis. no large pleural effusion is seen. there is no pneumothorax. marked degenerative changes of both glenohumeral joints are noted.
<unk>-year-old man with possible sepsis. evaluate for an acute cardiopulmonary process.
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there has been no significant interval change. the lungs remain clear without focal consolidation. there is no effusion or overt pulmonary edema. cardiomediastinal silhouette is stable. degenerative changes are noted in the spine.
<unk>f with suspected pneumonia, negative prior x-ray when dry // reevaluate for pneumonia s/p hydration
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normal heart size, mediastinum, hila, and pleural surfaces. lungs are clear without focal consolidation or effusion.
<unk> year old female; non-smoker; uri illness x <num> weeks; peristent cough and hoarseness. r/o consolidation, apical disease, nodules, hilar lymphadenopathy.
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compared with prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is normal. the aorta is tortuous.
<unk> year old male with history of chronic pancreatitis, peripheral neuropathy, malnutrition, severe depression, complicated by etoh abuse who presented to <unk> ed for failure to thrive, at the request of his outpatient primary care physician. will pursue medical optimization prior to transfer to dual-diagnosis psychiatric facility. pt reporting dry cough, with associated pain with coughing, r/o interval change/infiltrative process // pt reporting dry cough, with associated pain with coughing, r/o interval change/infiltrative process
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with hyperglycemia.
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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.
<unk> year old woman with desaturations, ph by echo // pre vq scan
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single portable view of the chest. left chest wall triple-lead pacing device is seen as on prior. there are bilateral hazy parenchymal opacities and mild-to-moderate bilateral pleural effusions. the cardiac silhouette is unchanged from prior. atherosclerotic calcifications are again noted at the arch. no acute osseous abnormality is identified.
<unk>-year-old male with shortness of breath.
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no change in the position of the right-sided port-a-cath, which terminates near the cavoatrial junction. the left-sided pleural effusion is smaller. central vessels are more pronounced, consistent with recent volume resuscitation. no focal consolidation or pneumothorax.
<unk>m with h/o hodgkin's lymphoma and pancytopenia who p/w fever. evaluate for pna.
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extensive confluent interstitial fibrotic changes are again noted, in a similar distribution compared to prior exams, with peripheral basilar predominance. no new opacification is identified. the cardiomediastinal silhouette is unchanged compared to the prior radiograph, with stable moderate cardiomegaly and calcifications in the aortic arch. there is no pleural effusion or pneumothorax. surgical clips are noted in the upper abdomen.
<unk>f with cough // r/o infiltrate
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in comparison to the chest radiograph obtained <num> day prior, no significant changes are appreciated. a loculated left hydro pneumothorax is essentially unchanged. a residual chest tube tract separates a medial, loculated co right apical pleural effusion. the dependent left pleural effusion is essentially unchanged. there is minimally increased pulmonary edema. a right upper lobe consolidation is essentially unchanged since at least <unk>. cardiomegaly is unchanged.
<unk> year old woman s/p l sup seg w/ reexpl for hematoma // r/o chf, r/o pna
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cough // eval for pna
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single frontal view of the chest. multiple wires external to the patient limits evaluation of the left lung base. heart size and mediastinal contours are stable. lung volumes remain very low. bibasilar opacities have slightly increased since the prior exam and are very symmetric with sharply distinct margins, entirely consistent with atelectasis. no large pleural effusion or pneumothorax.
agitated with crackles at the bases.
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there is a left sided pacemaker, with lead tips over right atrium and right ventricle. the cardiomediastinal silhouette is enlarged, but unchanged. there is probable background copd. there is a small to moderate right effusion with underlying collapse and/or consolidation and minimal atelectasis at the left base. the hila are both prominent, which may reflect pulmonary hypertension, but probably unchanged. there is probable mild vascular plethora, though the appearance is likely accentuated by underpenetration. .
history: <unk>m with hx of cad, sss, s/p fall // ?intra cranial bleed ? left hip pain
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ap portable upright view of the chest. no free air is seen below the right hemidiaphragm. there is no focal consolidation, effusion, or pneumothorax. the heart size appears top-normal. mediastinal contour is unremarkable. imaged osseous structures are intact.
<unk> year old man with abdominal pain, eval for free air under diaphragm.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is stable with top-normal heart size. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with recent pna, here with left sided chest pain
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the lungs are clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality. no pleural abnormality. the stomach is moderately distended with ingested contents.
<unk>-year-old man presenting with cough. evaluate for pneumonia.
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small bilateral pleural effusions have decreased in the interval with trace remaining. no focal consolidation is seen. there is no pneumothorax. the cardiac mediastinal silhouettes are stable.
history of pericarditis with effusion presenting with chest pain, underlying left pectoralis.
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endotracheal tube in situ with the tip <num> mm proximal to the carina. right-sided ijv cvp in situ with the tip in the mid svc. enteric tube in situ with its tip projecting over the fundus of the stomach. lung volumes are low the. cardiomegaly. mild interval improvement in the pulmonary pulmonary edema, and associated bibasal airspace opacity. persistent small left-sided pleural effusion.
<unk> year old man with nstemi now with hypoxic respiratory failure // interval change, s/p intubation
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a right-sided port-a-cath terminates at the cavoatrial junction. the lungs are well expanded and clear without evidence of lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with history of cervical cancer s/p cancer radx presenting with presyncope today after radx // cardiopulmonary process
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a single semi-upright portable radiograph of the chest is obtained. the lungs are well-areated and clear. there is mild cardiomegaly. the hilar contours are unremarkable. there is no pneumothorax.
unresponsive with fever. evaluate for pneumonia.
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pa and lateral views of the chest provided. dual lead left-sided pacer device is seen with leads extending to the expected positions of the right atrium and right ventricle. there is no focal consolidation, large pleural effusion, or pneumothorax. cardiac silhouette size is top-normal to mildly enlarged. no overt pulmonary edema is seen.
history: <unk>f with recent admission for urosepsis now with sob. // pneumonia?
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patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are stable. left base opacity is similar, likely representing combination of pleural effusion and atelectasis underlying consolidation difficult to exclude. again seen slight interstitial prominence in the mid to lower lung fields bilaterally, left greater than right, may be chronic or due to mild edema or aspiration or infection.
history: <unk>m with fever, cough // pna
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cardiomediastinal contours are within normal limits. on the lateral view, there is increased retrocardiac opacification that is new compared to the prior study and could represent pneumonia in the appropriate clinical context. no pleural effusion or pneumothorax. prominent anterior osteophytes are noted in the mid to lower thoracic spine.
history: <unk>m with cough // r/o pna
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right picc tip terminates in the mid svc. heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities identified.
history: <unk>f with fever, rash, cough // acute process in chest
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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. gaseous distention of colon is noted in the upper abdomen.
<unk>m with cough // ?infection
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the lungs are clear. there is no effusion, pneumothorax, or consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. orthopedic hardware seen in the proximal right humerus as well as hypertrophic changes in the thoracic spine.
<unk>m with cp // ?pna
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biapical pleural thickening, pleural calcification, stable. no adjacent rib destruction. suggestion of left pulmonary nodule at the lung base. chest pa and lateral with nipple marker recommended in further evaluation. lungs otherwise clear. normal heart size, pulmonary vascularity.
<unk> year old man with chest pain // <unk> year old man with chest pain
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the lungs are clear of focal consolidation. left basilar calcified granuloma is again seen. the cardiomediastinal silhouettes within normal limits. no acute osseous abnormalities identified.
<unk>m with chest pain // presence of ptx, infiltrate
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. no overt pulmonary edema is seen. the aorta is tortuous.
history: <unk>f with chest pain // cardipul process?
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frontal and lateral chest radiographs were obtained. a left chest port-a-cath has its tip terminating in the upper svc. there is no evidence of catheter fracture. the apparent difference in position of the port seen in prior radiograph is likely due to projectional differences, as the port position is comparable to intra-procedural fluoro image obtained on the same day. a small granuloma is seen in the anterior left lower lobe, confirmed by ct scan on <unk>. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the cardiomediastinal silhouette and hilar contours are normal.
left port-a-cath without blood return, eval port placement.
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with pmhx of pe with substernal chest pain // evaluate for pneumonia, pe, acs
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heart size is mild to moderately enlarged. mitral annular calcifications are re- demonstrated. diffuse aortic calcifications are present. lung volumes are low with mild bibasilar atelectasis noted. no focal consolidation, pleural effusion or pneumothorax is identified. there may be mild pulmonary vascular congestion but no overt pulmonary edema is present. multilevel degenerative changes in the thoracic spine are noted within slight loss of height of a mid thoracic vertebral body anteriorly.
pre syncope, weakness.
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation, effusion, or pneumothorax. relatively low lung volumes are again noted. the cardiomediastinal silhouette is stable. no acute osseous abnormality identified.
<unk>-year-old female with left-sided chest pain. question fracture.
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mild cardiomegaly and a calcified aorta are again seen. hilar contours are grossly stable. the lungs remain hyperinflated. there is a new consolidation in the right lower lobe. no pulmonary edema are or pleural effusion is seen. bilateral diaphragmatic eventration is again noted. dextroconvex thoracic scoliosis is again seen. the bones overall demineralized.
<unk>f with non productive cough, fever and hypoxia. evaluate for possible infiltrate in setting of cough and fever.
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pa and lateral views of the chest were provided. there is a patchy infiltrate in the right lower lobe concerning for pneumonia. there is no pleural effusion or pneumothorax. the lungs are well aerated. the cardiomediastinal silhouette is unremarkable. osseous structures are unremarkable.
<unk>-year-old man with fever and chest pain, evaluate for pneumonia.
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there has been interval placement of right-sided pigtail catheter. pigtail seen in at the right lung apex with some kinking along the course of the catheter. the right-sided pneumothorax has decreased in size but still persists at the apex. chronic parenchymal changes in the lungs are again noted in fully described on prior report. thoracic dextroscoliosis is again noted.
<unk>m with ptx, s/p chest tube // ? chest tube placement, decrease of ptx
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ap and lateral views of the chest <unk> at <time> are submitted
<unk> year old man with picc line placement // evaluation for tip evaluation for tip
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heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. minimal atelectasis is demonstrated in the lung bases, without focal consolidation. there is no pleural effusion or pneumothorax. no acute osseous abnormality is seen. there are mild degenerative changes in the thoracic spine.
stroke, tpa treatment.
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the lungs are relatively well inflated and clear. there is mild elevation of the right hemidiaphragm compared to the left. heart size is normal and the descending thoracic aorta is mildly tortuous. mediastinal contours are otherwise normal. no evidence pneumonia or heart failure. no pleural effusion or pneumothorax. osseous structures are intact.
history: <unk>f with weakness. evaluate for pneumonia.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest pain // r/o pneumothorax, pna
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new extensive subcutaneous emphysema across the left chest wall extent superiorly into the neck and into the face. improved left pleural effusion. small left apical pneumothorax difficult to differentiate from overlying emphysema. right lung is clear. cardiac size is normal. left chest tube in place.
<unk> year old woman with left effusion // interval improvement
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with sob x<num> days // eval for ptx
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the lung volumes are low with secondary widening of the cardiomediastinal silhouette and vascular congestion. there is no pleural effusion and no pneumothorax. there is mild cardiomegaly and mild pulmonary edema.
<unk>-year-old woman with cough. please assess for pneumonia.
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the lungs are clear. there is no consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with dm, htn p/w <num> days chest pain // ? consolidation, effusion
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lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.
history: <unk>m with fevers, ongoing, recent travel // r/o pna
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frontal upright portable chest radiograph demonstrates unchanged appearance of a right dual-lumen dialysis catheter, the tip of which projects over the right atrium. there is no pneumothorax. lung volumes remain low, with bibasilar atelectasis. the cardiac silhouette and mediastinal contours remain widened. pulmonary vasculature is normal, there is no pulmonary edema. bilateral pleural effusions are small, if any.
<unk>-year-old male with attempted ij placement, question pneumothorax.
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right ij central venous line ends in the low svc. et tube ends <num> cm from the carina in appropriate position. an enteric tube ends in the stomach. previously seen at least moderate pulmonary edema has decreased. no large pleural effusions. no pneumothorax. cardiomediastinal and hilar contours are stable.
kidney and pancreas transplant. evaluate for infiltrate.
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the cardiomediastinal and hilar contours are stable. there is no pneumothorax or large pleural effusion. there lung volumes are slightly low with mild bibasilar atelectasis, but there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. left subclavian and ng tubes are in standard positions. ett appears slightly low, but the chin is down.
<unk> year old woman s/p intracranial bleed, intubated // interval change
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the lungs are clear without focal opacity, pleural effusion or pneumothorax. there is cephalization of the pulmonary vasculature. the mediastinal contours are normal. the cardiac silhouette is mild enlarged.
<unk>-year-old woman with chest pain. evaluate for pneumonia.
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there is a moderate right-sided pleural effusion that is slightly increased compared to the study from the prior day. there is volume loss at both bases. there is improved aeration of the right upper lung compared to prior.
<unk> year old woman s/p tracheobronchoplasty // interval change, please evaluate
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. a calcification projecting over the lateral right mid lung may be due to a bone island in the adjacent seventh rib or a parenchymal granuloma but in any case appears as a benign finding and unchanged. otherwise the lung fields appear clear.
shortness of breath.
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there has been interval removal of right-sided ij line. median sternotomy wires and mediastinal surgical clips are noted. again seen is severe cardiomegaly, unchanged from prior. there is evidence of pulmonary vascular congestion without overt pulmonary edema, possibly minimally improved in comparison to prior exam. the may be a persistent trace right pleural effusion. there is no left pleural effusion. there is no focal lung consolidation. an abnormal appearance of the right lower lung is similar to priors, at least in part due to right pleural thickening. there is no pneumothorax.
<unk>-year-old woman with chest pain, evaluate for pneumonia.
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enteric tube traverses the diaphragm, tip not visualized. left picc terminates at the cavoatrial junction. ekg leads overlie the chest. well inflated lungs with no focal consolidation. unchanged hilar and lower lobe vascular congestion with prominence of aortic knuckle. no cardiomegaly. no pleural effusion or pneumothorax. no interval change in bony thorax.
<unk>m with a history of mechanical avr, marfan's, and multiple vascular lesions on asa and coumadin presenting s/p an unwitnessed fall. // interval changes?
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heart size is moderately enlarged. aorta is tortuous. there is pulmonary vascular redistribution with some hazy ill-defined vasculature. there is volume loss at the bases. there is no definite infiltrate.
<unk> year old woman with hypoxia, sob, new onset af // eval for fluid overload, pna
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mild improvement of low lung volumes with bilateral platelike atelectasis, right greater than left. interval increase of small right pleural effusion. no pulmonary edema or pneumothorax. heart size, mediastinal contour and hila appear normal. no bony abnormality.
male with metastatic myxoid liposarcoma status post right lower anterior rib resection. assess for hemothorax.
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a left picc terminates in the mid svc. there is a large right pleural effusion with adjacent volume loss. a left retrocardiac opacity reflects associated effusion and atelectasis. the heart is obscured secondary to the adjacent volume loss and pleural effusions. there is no overt pulmonary edema.
<unk> year old woman with non-hodgkin's lymphoma and recent washout from spinal surgical site infection. evaluate for pulmonary edema.
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since the prior exam, there is no significant change. again, the lungs are mildly hyperinflated with flattening of the hemidiaphragms. there is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain.
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since the prior radiograph, there is a new right middle lobe opacity, obscuring the right heart border, concerning for pneumonia in the correct clinical setting. there are bilateral pleural effusions without pneumothorax. unchanged moderate cardiomegaly, left-sided pacemaker, and intact median sternotomy wires. old healed right rib fractures are also unchanged.
<unk> year old man on immunosuppressants w recent consecutive pna rml, rul still w cough. r/o infiltrate.
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position in the right picc line and the tip now lies approximately at lower svc. previously moderately severe pulmonary edema has near completely resolved. top normal heart size is unchanged. mediastinal and vascular congestion has completely resolved. there is no pleural effusion.
<unk>-year-old man with picc line pulled out. to evaluate for the position.
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the lungs are clear without consolidation or edema. the mediastinum is unremarkable with a midline trachea and a well-defined descending thoracic aorta. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the visualized osseous structures are unremarkable.
left chest wall pain following motor vehicle collision.
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. nipple shadows are visible bilaterally. opacity projecting over posterior lower lungs on the lateral view is probably due to stable atelectasis in the medial right lower lobe, as seen previously. there is no pleural effusion or pneumothorax.
metastatic renal cell carcinoma, presenting with fever. question pneumonia.
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single portable semi upright ap image of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged from prior exam with prominence of the right pulmonary artery again noted. the apparent enlargement of the aorta is due to adjacent atelectasis, as seen on recent ct.
fever and confusion.
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the heart is moderately enlarged as before. the bilateral hila are also enlarged, but similar in configuration to the prior examination consistent with known sarcoidosis. there is a subtle opacity adjacent to the upper pole of the right hilus. there is no large pleural effusion or pneumothorax.
<unk> year old woman with h/o sarcoid, copd, pulm htn with worsening doe // eval ? worsening sarcoid, interstitial disease
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pleural effusions layering along the lateral chest wall are unchanged from the prior study. pulmonary vascular congestion has increased slightly from the prior study. the cardiomediastinal silhouette is unchanged. there is no focal consolidation or pneumothorax.
<unk>m with shortness of breath, evaluate for acute process.
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port-a-cath terminates in the right atrium, as before. the cardiac, mediastinal and hilar contours appear stable. there is elevation of the right hemidiaphragm, as before, with increased pleural effusion. small pleural effusion on the left is similar to decreased, however. similar patchy retrocardiac opacities probably due to atelectasis.
hypoxia. colonic distention.
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an et tube is present terminating in appropriate position at the inferior aspect of the clavicular heads. an enteric tube is also present with tip in the stomach and distal sideport at the ge junction. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded with no without focal consolidation.
<unk>f with r/o epidural abscess s/p intubation.
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cardiomediastinal contours are normal. the lungs are clear. there tiny bilateral pleural effusions that are only visible on the lateral film.
<unk> year old man with sudden onset chest pain. hx esrd renal tx, now with rejection. // <unk> m with sudden onset pleuritic chest pain.
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ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed with the next preceding similar study obtained nine hours earlier during the same day. position of tracheostomy cannula and previously described right-sided picc line completely unchanged. heart size remains normal and unremarkable appearance of thoracic aorta. no increased widening of superior mediastinal structures. no evidence of apical pneumothorax or local hematoma formation. lungs remain well aerated bilaterally. previously described mostly linear bibasilar opacities appear stable and do not show any significant interval change.
<unk>-year-old woman with tracheostomy and now status post attempted right subclavian puncture with air expectorated concerning for pneumothorax.
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there is tiny right pleural effusion, not definitely seen on comparison radiograph. right pleural catheter is in place. there is tiny right pleural effusion, similar. new stable right basilar opacity, likely atelectasis. stable right lower lateral chest wall emphysema. stable mild left retrocardiac opacity. normal heart size, pulmonary vascularity. thoracolumbar curve.
<unk> year old woman with r ptx, s/p pigtail, s/p pleurodesis now with inc o<num> req and desats, ?aspiration // please eval for change
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there is severe hyperinflation of the lungs with flattened hemidiaphragms indicative of copd. there is no focal consolidation. the cardiomediastinal and hilar contours are stable. there is no pulmonary edema, pleural effusion or pneumothorax.
<unk>-year-old male with weight loss and cough.
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cardiomediastinal and hilar contours are normal. both lungs are clear with no focal consolidation, pleural effusion or pneumothorax.
patient with persistent cough rule out pneumonia.
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an endotracheal tube terminates approximately <num> cm above the carina. a enteric tube terminates below the level of the diaphragm. overall lung volumes are low. bibasilar opacities may represent atelectasis or aspiration. there is no pneumothorax or pleural effusion. heart size is normal.
history: <unk>f with s/p intubation // eval for ett
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lung volumes are low. there is no consolidation or pulmonary edema. pleural effusion is minimal, if any. cardiac silhouette is within normal size limits. the ng tube has been removed.
<unk> year old woman with recent colectomy // evaluate for pleural effusions/pulm edema
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the heart is mildly enlarged. mediastinal and hilar contours are unchanged. mild pulmonary edema appears relatively unchanged compared to the prior study. there is likely a small right pleural effusion. no pneumothorax or new areas of focal consolidation is present. no acute osseous abnormalities are detected. degenerative changes of both acromioclavicular joints are noted.
chest pain.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with chest pain
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with dizziness // eval for pneumonia
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ap portable upright view of the chest. mediastinal clips are noted. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. there is a subtle defect along the medial and inferior aspect of the right humeral head raising potential concern for a reverse hill-<unk> deformity in the setting of chronic posterior shoulder dislocation. please correlate clinically. mildly elevated right hemidiaphragm is unchanged.
<unk> year old woman with a history of dm, eczema with excoriated mrsa + skin lesions, dementia, syncope, epilepsy, presenting with <num> seizures today (one witnessed in the ed).
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there has been interval removal a right-sided picc line. there is an unchanged pacemaker, intact sternotomy wires, and multiple surgical clips over the upper abdomen. tracheostomy tube is unchanged in position. compared with the most recent radiograph, there is an increased opacity in the left lower lung, concerning for pneumonia. no pleural effusion or pneumothorax is identified.
<unk> year old man with fever/leukocytosis, altered ms, ? source of infx . ? acute pulmonary process.
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the patient's chin overlies the medial lung apices on <num> of the frontal images is mild blunting the lateral costophrenic angle suggesting small pleural effusions. prominence of the pulmonary arteries is consistent with pulmonary hypertension. there is also mild to moderate pulmonary edema. chain suture material is again noted over the medial right upper lung. the cardiac silhouette remains mildly enlarged. the aorta is calcified and tortuous. no pneumothorax is seen.
history: <unk>f multiple falls. +head strike. pain lower ribs bil. // injury
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the patient is status post median sternotomy. moderate cardiomegaly is unchanged. there has been no significant interval change in bilateral interstitial and airspace opacities. there is no pneumothorax. right shoulder degenerative changes have progressed since <unk>.
<unk>-year-old male with chf, shortness of breath and hemoptysis; evaluate for pneumonia.
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there is stable mammilation of the right hemidiaphragm. bibasilar areas of linear atelectasis are new. there is no pneumothorax. heart size is at the upper limits of normal. mediastinal contours are stable. multiple right upper quadrant surgical clips, as well as to radiopaque stents project over the right upper quadrant. there are no new lytic or sclerotic bone lesions suspicious for metastasis.
<unk> year old woman with cholangiocarcinoma, r/o rib met. cholangiocarcinoma, r/o rib metastases.
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study is slightly limited due to patient rotation. lungs are hyperinflated with flattening of the diaphragms and emphysematous changes most pronounced in the apices. heart size remains mildly enlarged with a left ventricular predominance. the aorta remains tortuous and diffusely calcified. no pulmonary vascular congestion is identified. patchy bibasilar airspace opacities are relatively unchanged compared to the prior study, and likely reflect atelectasis. blunting of the left costophrenic angle appears unchanged, and is most likely due to chronic pleural thickening. no acute osseous abnormalities are detected.
chest pain.
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again seen, are increased interstitial markings, most pronounced in the subpleural region, not significantly changed from the prior study. there is no focal consolidation. cardiomediastinal silhouette is stable. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with history of scleroderma w/ <num> hrs exacerbation of vasculitic symptoms, evaluate for infection
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ap and lateral radiographs of the chest were acquired. the lung volumes are slightly low, causing accentuation of the pulmonary vasculature. ill-defined opacities thought to be in the lingula, but best seen on the lateral projection, are likely atelectasis, although an infectious process cannot be excluded. otherwise, the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. multilevel degenerative changes of the thoracolumbar spine are noted.
syncope, evaluate for acute process.
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the lungs are clear. there is no effusion, consolidation, or edema. mild cardiomegaly is noted. atherosclerotic calcifications are seen at the aortic arch. there is no visualized acute displaced fracture. deformity of the left anterior ribs appears chronic. no definite acute displaced fracture identified.
<unk>m with cough, r sided rib pain // r rib fractures? pna?
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since the chest radiograph obtained <num> days prior, no significant changes are appreciated. mild cardiomegaly and moderate pulmonary edema are unchanged. new, small, right pleural effusion. lungs are otherwise fully expanded without focal consolidation.
<unk> year old man with eval for cause of abd pain // eval for cause of abd pain
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the cardiomediastinal and hilar contours are stable from <unk>. there is a persistent opacity involving the right lower lobe, improved from the prior examination which may represent a area of infection. the right hilus is prominent suggestive of adenopathy, but not changed from the prior. there is no large pleural effusion or pneumothorax.
<unk> year old woman with hx of sarcoid, on hd for renal failure, and about to go on tx list // assess for status of sarcoid and fluid/chf
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
warm feeling in the <unk> the chest, no radiation, not worse with food, began during housework. evaluate for pneumonia or pneumothorax. also assess for congestive heart failure.
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the patient is status post coronary artery bypass graft surgery. posterior basilar opacity in the left lower lobe has largely, but not entirely, resolved. new patchy opacities are noted in the lingula. band-like new opacity in the right lower lobe is probably due to minor atelectasis. there is a small pleural effusion on the left, probably decreased somewhat. no definite pleural effusion is visualized on the right side.
shortness of breath after cabg.
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lung volumes are slightly low. there is no focal consolidation, pleural effusion or pneumothorax. there is no significant pulmonary edema. cardiomediastinal silhouette is unchanged and notable for a tortuous calcified aorta. fracture of the first and second median sternotomy wires are noted and unchanged from prior. the wires are not separated.
history of chest pain. evaluate for cardiopulmonary process.
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there is moderate-to-severe cardiomegaly and widened mediastinum. there are diffuse opacifications in the right middle lobe and right lower lung as well as diffuse mild vascular congestion. there are sternotomy wires and cabg <unk> as well as a single-lead pacer with tip not well seen, but likely terminating in the left ventricle.
<unk>-year-old with afib on coumadin, who presents with intraparenchymal hemorrhage.
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minimal elevation of the left hemidiaphragm. left greater than right bibasilar atelectasis. no additional focal opacities are identified. heart size is top-normal. cardiomediastinal and hilar silhouettes are normal. no pleural abnormalities.
<unk> year old man with question of aspiration pna // infiltrate?