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persistent flattening of both hemidiaphragms is compatible with chronic obstructive pulmonary disease. bibasilar scarring is unchanged, with atelectasis at the right lung base. lungs are otherwise clear without focal consolidation. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax.
<unk>f with copd w/ <num> days ili, spo<num> <unk>%, doe, rule out pneumonia.
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ap portable upright view of the chest. a right ij central venous catheter is seen with its tip extending into the left brachiocephalic vein which contains a vascular stent. no large consolidation, effusion or pneumothorax. no convincing signs of edema. cardiomediastinal silhouette is normal. no acute bony abnormalities.
<unk>m with right ij placement // eval right ij placement and eval pneumonia
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previously described right infrahilar subtle opacity has improved. no new focal consolidation or pleural effusion. streaky opacity in the left lung base is likely atelectasis. no pneumothorax. cardiomediastinal silhouette is unchanged. atherosclerotic calcifications of the aortic arch are again seen.
<unk>f with recent pneumonia, shortness of breath. evaluate for pneumonia, acute process.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with chest pain w/ radiation to back, pleuritic, crackles on exam // eval ? edema, effusion
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again is seen a pacer unit in the right chest with leads terminating in the right atrium and right ventricle. midline sternotomy wires are unchanged. a left-sided central venous catheter tip terminates in the lower svc. the heart size is enlarged but stable. the mediastinal and hilar contours are unchanged. the lung volumes are low and bibasilar atelectasis is present, but improved. small bilateral pleural effusions persist, larger on the right than left, but the right-sided pleural effusion has decreased. there is no pneumothorax.
<unk>-year-old male with shortness of breath and cough.
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overlying trauma board slightly limits assessment. endotracheal tube tip terminates approximately <num> cm from the carina. an orogastric tube tip courses into the stomach, below the diaphragm, and off the inferior borders of the film. new lucency is demonstrated within the medial aspect of the right lung base, with a deep sulcus sign on the right indicative of a right-sided pneumothorax. a right-sided chest tube is demonstrated, with tip terminating in the region of the medial right lung base. small amount subcutaneous emphysema within the right lateral chest wall is also new. heart size appears to be moderately enlarged. superior mediastinal widening may be due to supine positioning and poor inspiratory lung volumes. diffuse bilateral airspace opacities are present may reflect severe pulmonary edema, but areas of hemorrhage, infection, or aspiration cannot be excluded. the left costophrenic angle is not included in the field of view. no mediastinal shift is clearly evident on this study. there are no acute osseous abnormalities.
status post arrest.
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pa and lateral views of the chest provided. the linear density in the right infrahilar region could represent atelectasis or effusion in the right major fissure. minimal, if any, pleural effusions. no pulmonary edema. no pneumothorax. heart size is top-normal. asbestos-related calcified pleural plaques are seen.
<unk> year old man s/p r vats middle lobectomy and l lingular wedge resection <unk> // r/o interval change
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a portable supine frontal chest radiograph demonstrates interval placement of an endotracheal tube, with the tip terminating <num> cm above the carina. apparent change in tracheal caliber at the thoracic inlet is seen on multiple prior images. a dual lead left-sided pacer is unchanged in position, with the leads overlying the right atrium and ventricle. a right-sided picc is retracted compared to prior exam, with the tip now terminating in the mid svc. diffuse airspace opacities are redemonstrated, with increased opacity in the right upper lung and a new opacity in the left upper lateral lung. this could represent multifocal pneumonia, or an infectious process superimposed on asymmetric pulmonary edema. in the appropriate clinical setting, the differential could include other causes of alveolar opacities. there are again probable bilateral layering pleural effusions. no pneumothorax is identified.
status post intubation. evaluate endotracheal tube placement.
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the cardiac, mediastinal and hilar contours are unremarkable. slight blunting of the right posterior lateral costophrenic sulcus may be due to scarring, but a tiny pleural effusion could be considered. there is no evidence for pleural effusion on the left or pneumothorax. the lung volumes are low. there are streaky opacities at the lung bases, more so on the left than right, suggestive of minor atelectasis. otherwise, the lungs appear clear. mild degenerative changes are noted along the thoracic spine.
shortness of breath.
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single frontal view of the chest was obtained. mild-to-moderate cardiomegaly is similar to prior with stable cardiomediastinal contours. lungs remain clear albeit with lower lung volumes on this exam. no pleural effusion or pneumothorax. no radiopaque foreign body. old right inferior, lateral rib fracture seen.
<unk>-year-old male with possible cva. evaluate for infiltrate.
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old female with cough and fever for <num> days. evaluate for pneumonia.
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there has been interval placement of an endotracheal tube, terminating <num> cm above the level of the carina. enteric tube courses below the level the diaphragm, inferior aspect courses off the inferior edge of the image. the lungs are clear without focal consolidation. no large pleural effusion is seen although a trace right pleural effusion is difficult to exclude. there is no pneumothorax. cardiac and mediastinal silhouettes are stable.
history: <unk>m with tube placement // tube placement
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as compared to prior chest radiograph from <unk>, there is redemonstration of a small left pleural effusion with atelectasis of the left lung base. there is increased opacity at the right lung base, which may reflect a combination of atelectasis and pleural fluid. however an early infectious process cannot be excluded. the cardiomediastinal and hilar contours are stable. there is no pneumothorax. surgical clips are noted at the right upper quadrant and a vascular stent projects over the left brachiocephalic vein. a right-sided internal jugular central venous catheter terminates in the mid svc.
status post kidney transplant pod <num> with shortness of breath. rule out pulmonary edema.
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cardiomediastinal contours are unchanged. the left hemidiaphragm continues to be elevated with volume loss/ infiltrate in the left lower lobe. the remainder of the lungs are clear
<unk> year old man with cough and stroke // pneumonia?
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ng tube ends in the upper esophagus. the cardiomediastinal silhouette is normal. left basilar opacity likely represents a combination of atelectasis and effusion. the lungs are otherwise clear. no right effusion or pneumothorax is present. surgical <unk> are noted over the left abdomen. a curvilinear lucency in the mid abdomen potentially represents a component of intraperitoneal air which is not unexpected in the early postoperative phase.
large pseudocyst status post cystgastostomy with internal drainage, roux-en-y pancreatic cyst jejunostomy with ng tube, now with emesis. question position of ng tube.
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frontal and lateral upright chest radiographs demonstrate multiple right-sided rib fractures with extensive pleural calcification which is unchanged since <unk>. no change in right hemithorax volume loss. limited evaluation of the right lung for focal opacities given the pleural calcifications. left lung is well expanded and clear. no pleural effusion or pneumothorax. the mediastinal contour and hila are unchanged. heart size is slightly enlarged. no superimposed process.
dyspnea, chest pain. assess for acute cardiopulmonary disease.
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frontal and lateral views of the chest. compared to prior, the bilateral pleural effusions have decreased in size. indistinct pulmonary vascular markings without consolidation. cardiac silhouette is enlarged as on prior. atherosclerotic calcifications noted at the aortic arch. left chest wall dual-lead pacing device is seen. degenerative changes again noted at the left shoulder.
<unk>-year-old female with coronary artery disease with bilateral lower extremity swelling.
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contour. lungs are clear. no pleural effusion or pneumothorax.
recent seizures, please evaluate for infection.
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compared with the prior radiographs, the pulmonary vasculature markings are more indistinct, with mild cardiomegaly and <unk> b-lines. a right basilar opacification is likely due to asymmetric pulmonary edema and atelectasis, but a concurrent right lower lobe pneumonia is not excluded. there is no pneumothorax. median sternotomy wires are intact, and multiple mediastinal surgical clips are unchanged in position.
<unk>m with chest pain. evaluate for cardiomegaly.
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the heart is mildly enlarged. the hilar and mediastinal contours are unremarkable. no focal consolidations concerning for pneumonia are identified. note is made of mild bibasilar atelectasis. there is no pleural effusion or pneumothorax. compression deformities of the mid thoracic spine are of indeterminate chronicity.
history leukocytosis. please evaluate.
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the lung volumes are very low with associated bronchovascular crowding. right port-a-cath terminates in the right atrium. bibasilar opacities likely reflect atelectasis. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. moderate thoracic kyphosis and a significantly deformed sternum are noted. diffuse sclerotic osseous metastatic disease is seen. a left humerus fracture is poorly visualized. sternal fracture/deformity is again noted.
shortness of breath, history of cancer.
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no evidence of displaced sternal or rib fractures. the heart size is top normal. the mediastinal and hilar contours are unremarkable. lungs are grossly clear without focal consolidation concerning for pneumonia or evidence of pneumothorax.
<unk>f s/p mvc with sternal tenderness. evaluate for fracture or pneumothorax.
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there is a left port-a-cath with the tip in the mid svc. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with prostate cancer // please check placement of left side port
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. there is slight eventration of the right hemidiaphragm. the cardiomediastinal silhouette is unchanged. a dual-lead left-sided pacemaker and median sternotomy wires appear unchanged.
shortness of breath.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old man with hcv/etoh cirrhosis, enterococcus empyema, and volume overload, rising o<num> requirement. // eval for interval change eval for interval change
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pa and lateral views of the chest provided. lungs are clear. heart size is normal. mediastinal and hilar contours are normal. there is no pleural effusion.
<unk> year old man with cough, x <num> wks , increased fatigue , sob, rales left base // r/o pna
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frontal and lateral radiographs of the chest demonstrate well expanded lungs. a streaky opacity on the lateral view is not definitely seen on the frontal view, and likely represents atelectasis. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
<unk> year old woman with alc hep, ruling out infxn to start pred. hazy opacity on last cxr // eval progression of rll opacity
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities.
<unk>f with burning epigastric pain and chest pain radiating to left shoulder with vomiting and diarrhea // acute cardiopulmonary abnormality
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the previously seen left lower lung opacity seen on comparison is no longer visualized. no pleural effusion, pulmonary consolidation, or pneumothorax is seen. the heart size is at the upper limit of normal.
<unk> year old woman with mds // pre bmt eval
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lung volumes are low. in comparison to the prior examination, there is mild central pulmonary vascular congestion, which may be exaggerated due to relative low lung volumes. no definite focal consolidation is identified. no subdiaphragmatic free air is identified.
history: <unk>f with h/o perf ulcer, with abd pain and new hypotension // assess for pneumoperitoneum
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portable ap chest radiograph. compared to most recent radiograph, there is no significant interval change. again seen is mild cardiomegaly, bilateral pleural effusions, and pulmonary vascular engorgement. healed posterior left rib fracture is noted. the previously noted left <num>th rib fracture on is barely seen. there is no pneumothorax.
hypoxemia. evaluate for change in pulmonary edema.
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there has been interval placement of a swan-ganz catheter. the tip is in a lobe were branch of the right pulmonary artery, either the right middle or right lower lobe. this could be withdrawn for better positioning within the right main pulmonary artery. the lung volumes are essentially unchanged. minimal left basilar atelectasis. no consolidation or pneumothorax seen. no pleural effusion seen.
<unk> year old man with chf s/p swan // confirm pa placement
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pa and lateral views of the chest provided. tiny clips are noted in the right and left chest wall. 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 doe, sob
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since <unk>, bilateral pleural effusions, moderate on the left and small to moderate on the right, are unchanged, mild pulmonary edema is increased, and moderate bibasilar atelectasis is unchanged. concurrent pneumonia cannot be excluded in the right clinical setting. severe cardiomegaly is stable. median sternotomy wires are intact and well aligned. tracheostomy tube is unchanged. no pneumothorax.
<unk> year old woman with tracheomalacia s/p trach, <unk>, being diuresed // evidence of worsening pulmonary edema?
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. an accessory azygos lobe/ fissure is noted, a normal anatomic variant. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old woman with fever and cough, evaluate for infiltrate.
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ap portable semi upright view of the chest. underpenetration limits assessment. there is suggestion of mild pulmonary edema. low lung volumes limits assessment. evaluation for small pleural effusions is limited given absence of lateral projection. no large effusion or pneumothorax is appreciated. heart size appears grossly stable as does the mediastinal contour. no acute bony injuries seen.
<unk>f with increased sob, hx of copd // eval for pna
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. the lungs are clear. pleural surfaces are clear without effusion or pneumothorax. no definite fracture is identified.
back pain, with right-sided thoracic pain for one month.
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lungs are clear of any focal opacities concerning for infectious process; however, there is an increasing opacity in the left suprahilar region, presumably the site of the patient's prior cancer. this is concerning for recurrence of disease. surgical sutures are seen in this area as well. otherwise, no pleural effusion or opacities concerning for an infectious process are present. scarring at the right and left lung bases is stable. cardiomediastinal silhouette is normal in size.
<unk>-year-old female with dyspnea, rule out pneumonia.
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new og tube enters the stomach and out of field of view. et tube tip is <num> cm from the carina and should be withdrawn <num> cm for more optimal placement. right ij catheter ends in the low svc. bilateral pleural effusions, right greater than left, are increased. pulmonary edema is essentially the same. lung volumes and cardiomediastinal silhouette are stable. there is no pneumothorax.
<unk>-year-old female with pneumonia and replaced og tube.
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in comparison chest radiograph obtained <num> day prior, pulmonary edema has increased. cardiac silhouette has also increased in size. right basilar atelectasis is improved. small, left pleural effusion and left basilar atelectasis are unchanged. tracheostomy tube and pleural drains are unchanged and appear appropriately positioned. subcutaneous emphysema in the left chest has decreased.
<unk> year old man with pna in ticu // ? change in cardiopulm status
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moderately severe pulmonary edema is accompanied by a small right pleural effusion. there is no consolidation, large pleural effusion or pneumothorax. cardiomegaly is severe. sternal wire disruption and displacement are consistent with known sternal dehiscence,unchanged since <unk>. there is a large air-fluid level in the stomach.
<unk>-year-old male with dyspnea and lower extremity edema. evaluate for pneumonia and pleural effusions.
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heterogeneous left basilar opacities do not have a correlate on the lateral radiograph and are likely minimal atelectasis. the lungs are otherwise clear. mild pulmonary vascular congestion is not accompanied interstitial edema or pleural abnormality. mild to moderate cardiomegaly is chronic. the thoracic aorta is generally enlarged, very tortuous and moderately calcified but neither focally aneurysmal nor changed since at least <unk>. the patient has had midline sternotomy and cabg. a right cervical rib is seen. multilevel degenerative changes of the thoracic spine include unchanged wedging of a lower thoracic vertebral body.
recent pneumonia, worse per patient report. evaluate for acute intrathoracic process.
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no acute pneumonia appearing no over pulmonary edema. pulmonary vascular enlargement related to known pulmonary hypertension. moderate cardiomegaly also unchanged. no pleural effusion or pneumothorax.
<unk> year old man with pulmonary hypertension, low o<num> sats, diminished breath sounds at bases // lower o<num> sats, ?pulm edema or other pathology
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frontal and lateral views of the chest. the lung volumes are low. no focal opacity, pleural effusion or pneumothorax is seen. the cardiac contours are unchanged. the aortic contour is heavily calcified. a pacer with leads in the right atrium and right ventricle is unchanged.
<unk> female with nausea.
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heart size is normal. a small hiatal hernia is noted. the mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. no subdiaphragmatic free air is visualized.
history: <unk>f with epigastric pain
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unchanged with marked tortuosity of the thoracic aorta. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
<unk> year old man with esrd for pre kidney transplant eval // r/o cardiopulmonary abnormalities
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as compared to the prior examination, there has been no significant interval change. redemonstrated is a left pectoral pacemaker with leads seen intact and terminating in their expected positions. the patient is also status post cabg with median sternotomy wires seen well aligned. there is no evidence of pneumothorax, focal consolidation, pleural effusion, or pulmonary edema. stable, mild to moderate cardiomegaly is noted. mediastinal contours are normal. no bony abnormality is detected.
icd placement, evaluate lead position.
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with sob // acute process
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lateral views are limited due to soft tissue attenuation. the heart is mild-to-moderately enlarged with a left ventricular configuration. chin flexion obscures the upper portion of the mediastinum. there is no definite pleural effusion or pneumothorax, although visualization of the left lung base is limited due to soft tissue attenuation. within the limitations of technique, there is no definite abnormality.
fever and cough.
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the right mainstem bronchus has been intubated. this finding was immediately called to the icu at the time of dictating this report by dr. <unk> on <unk> at <time> at the time of initial dictation of this study. . the nurse caring for the patient had already known of this finding and the et tube had been pulled back earlier in the morning. the lungs are clear without infiltrate. the ng tube is off the film, at least in the stomach.
on ventilator with the et tube
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with cough // cough
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top normal. the mediastinal and hilar contours are stable. no overt pulmonary edema is seen.
chest pain status post stent evaluate for infiltrate.
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compared to <unk>, there is suggestion of cavitation in lesions in the left mid lung measuring up to <num> x <num> cm. bilateral parenchymal opacities, right worse than left is unchanged. moderate right pleural effusion is likely. left retrocardiac atelectasis is unchanged. left upper lung is mostly clear. there is no evidence for pulmonary edema. moderate cardiomegaly is unchanged. monitoring and support lines are unchanged. sternal wires are aligned and intact. no pneumothorax is seen.
<unk> year old man with heart transplant, on immunosupression, aspergillus/adenovirus pneumonia // interval change, tubes/lines placement
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pa and lateral views of the chest were provided. the lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is stable. a dextroscoliosis of the thoracic spine is again noted. there is no free air below the right hemidiaphragm.
<unk>-year-old female with chest tightness, cough, assess for pneumonia.
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a right picc is unchanged with the tip terminating in the mid svc. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits.
history of cml now with concern for acute leukemic crisis. picc line placed during previous admission, here to evaluate picc position. evaluate for acute cardiopulmonary process.
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lung volumes are low. the heart is probably mildly enlarged. the mediastinum is not widened. retrocardiac opacity may reflect some atelectasis, difficult to fully assess as there leads projecting over the left mid hemi thorax. there is mild pulmonary vascular congestion. no overt edema. no pleural effusion. no pneumothorax. no acute osseous abnormality.
<unk>-year-old man with stemi. evaluate the aorta.
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single portable view of the chest is compared to previous exam from <unk>. surgical chain sutures seen along the right thorax laterally. there is elevation of the left hemidiaphragm. left lung base is partially obscured due to overlying chest wall pacing device. linear opacity in the left mid lung suggestive of atelectasis versus scarring. elsewhere, the lungs are clear. cardiomediastinal silhouette is within normal limits and unchanged. osseous structures are unremarkable.
<unk>-year-old male with dry cough and dehydration. question infiltrate.
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lung volumes are relatively low with secondary bronchovascular crowding. there is left basilar streaky opacity which is likely atelectasis. blunting of posterior costophrenic angle suggests small effusions. linear calcific density best seen on the lateral likely calcification of the pericardium. cardiac silhouette is stable. median sternotomy wires and mediastinal clips are again noted.
<unk>m w/cough, please eval for pna vs. chf // <unk>m w/cough, please eval for pna vs. chf
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there are relatively low lung volumes. subtle increase in opacity over the right mid to lower lung more likely relates to overlying soft tissue rather than infection. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.
history: <unk>f with ekg changes, fatigue // acute cardiopulmonary 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. no displaced fracture is seen.
chest pressure.
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minimal left base atelectasis/scarring is seen. no definite focal consolidation is seen. . no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk>m with weakness eval for cardiopulm change // <unk>m with weakness eval for cardiopulm change
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heart size is mildly enlarged. cardiomediastinal silhouette and hilar contours are otherwise unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
cough and fever.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. there are reticular interstitial markings with nodular opacities in the left upper lobe, which could represent viral/atypical infection. the left pulmonary artery appears enlarged. the visualized upper abdomen is unremarkable.
evaluate for acute cardiopulmonary process in a patient with dyspnea.
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since the prior exam, there is a new chest tube entering the left chest wall with associated subcutaneous air. the tip is at the left base. new surgical chain sutures are noted in the right mid and lower lung zones. there is a tiny right apical pneumothorax. widespread interstitial abnormalities are unchanged. there is new mild asymmetric left-sided pulmonary edema, likely a consequence of the surgical technique and positioning. there is no pleural effusion. the cardiomediastinal silhouette is normal.
status post vats wedge biopsy. evaluate chest tube placement.
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chest: the heart is normal in size. the cardiomediastinal silhouette is within normal limits. the left hilar contour is normal. there is no area of focal consolidation. there is no large pleural effusion or pneumothorax seen. grade lateral inferior rib fractures are identified. known bilateral first rib and thoracic spine fractures are better seen on recent ct scan from <unk> single ap view of the right hip shows no fracture or dislocation. there is mild to moderate degenerative change seen at the femoral acetabular joint. no suspicious lytic or sclerotic lesions are seen. there is excreted contrast seen in the bladder. there is moderate soft tissue swelling seen along the lateral right leg.
trauma
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a dialysis catheter terminates in the mid svc. new linear opacity projecting over the right mid lung likely corresponds to a fluid in the minor fissure. lung volumes are low. new partial obscuration of the left hemidiaphragm may be due to subsegmental atelectasis, but infection or aspiration would be difficult to exclude in the appropriate clinical setting. there is no pneumothorax.
<unk> year old man with sepsis // interval change
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the radiographic appearance of the diaphragms is grossly similar.no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest pain pls eval effusion and edema // history: <unk>m with chest pain pls eval effusion and edema
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pain status post median sternotomy and cabg. several fractured wires are again seen. the cardiac silhouette remains top-normal to mildly enlarged. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen.
history: <unk>f with ams // ? pna
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compared to the prior examination, pulmonary edema has resolved. lungs are fully expanded and clear. no pleural abnormalities. mild cardiomegaly. heavy calcification of the mitral annulus is noted. prominence of the central pulmonary arteries is noted. . cardiomediastinal and hilar silhouettes are otherwise normal.
<unk> year old woman with stroke // elevated white count, ?infection
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frontal and lateral views of the chest. extremely low lung volumes are again seen, although somewhat improved since prior. the lungs are clear of consolidation or effusion. there is no pulmonary vascular congestion. the cardiomediastinal silhouette is unchanged, noting limitation of evaluation given rotation to the right. no acute osseous abnormality is detected. surgical clips seen in the upper abdomen.
<unk>-year-old female with shortness of breath.
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lung volumes are very low, and there is asymmetrical elevation of the right hemidiaphragm due to bowel in the right upper quadrant. no evidence of consolidation, pneumothorax, or pleural effusion. heart is somewhat enlarged. status post median sternotomy, with fracture of the inferior most sternotomy wire. rightward deviation of the trachea is consistent with thyroid nodule seen on ct of the torso.
history: <unk>m with chest pain // eval for chf/pneumonia
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the cardiomediastinal and hilar contours are normal. lungs are well expanded and clear. there is no consolidation, pleural effusion or pneumothorax. mild vertebral body abnormalities again noted.
<unk>-year-old with shortness of breath.
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
cough.
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. there is <num> cm density overlying the posterior aspect of a mid thoracic vertebral body, possibly related to the osseous structures.
productive cough for the past two to three days, now with new onset seizure. assess for pneumonia.
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mild cardiac enlargement is unchanged. there is no pleural effusion or pneumothorax. retrocardiac opacity seen on <unk> has improved. there are bilateral patchy opacities, overall also improved compared to prior. no new focal consolidations seen. a left chest wall port-a-cath terminates at the cavoatrial junction.
<unk>m with sickle cell disease, here w/ cough and fever, evaluate for acute chest, pneumonia.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the heart is somewhat smaller in size compared to <unk>, though still mildly enlarged. moderate left pleural effusion is larger. small right effusion has improved. lung volumes remain low. there is a homogeneous area of opacification within the left lower lobe, likely atelectasis. no pneumothorax or pulmonary edema.
<unk> year old man with pleural effusion // eval
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cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. bibasilar linear opacities are consistent with atelectasis or fibrosis. there is no focal consolidation concerning for pneumonia. note is made of a small hiatal hernia. a severe kyphotic angulation of the mid thoracic spine is noted with hardware fixation and vertebroplasty changes in the lower thoracic spine. right lateral rib deformities are again noted.
syncope and fall.
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ap portable upright view of the chest. a left chest wall port-a-cath is seen with catheter tip in the region of the mid svc. clips in the right axilla noted with absent right breast shadow in this patient with known breast cancer. there is interval development of a large right pleural effusion. in this patient with known breast cancer, a malignant effusion is of concern. difficult to exclude underlying infection. heart size is difficult to assess though appears grossly unchanged though silhouetting of the right heart border limits assessment. bony structures are intact.
history: <unk>f with sob, breast ca // pna?, pe
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lung volumes are low, accounting for some bronchovascular crowding. no focal opacities are identified. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with vomiting and throat pain. evaluate for evidence of pneumothorax or pneumomediastinum.
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cardiac size is normal. there is increased opacity at the right lung base. there is no pneumothorax or pleural effusion.
<unk> year old woman with fevers, chest pain, hypotension. // please eval for pneumonia
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lung volumes are slightly low. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
increased weakness over the past four days. assess for pneumonia.
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heart size remains enlarged. hilar contours are unchanged. endotracheal tube, upper enteric tube and left picc remain in unchanged position. widespread multifocal parenchymal opacities remain unchanged from immediate prior study. subtle lobulated lucencies in the right mid lung are suggestive of pneumatoceles. left-sided pleural effusion is improved. there is no pneumothorax.
respiratory failure.
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right-sided prepectoral port-a-cath in situ with the tip at the cavoatrial junction. no airspace consolidation. bilateral upper lobe emphysematous changes are stable no pulmonary edema. the cardiomediastinal shadow is unchanged.
<unk> year old man with occluded port. needs assessment. // please assess port
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rotated positioning. allowing for this, there is probable background copd. chain sutures noted in the right upper zone. there is mild to moderate cardiomegaly, similar to the prior film. aorta is unfolded. right paratracheal soft tissues likely represent vascular structures in someone of this age. there is upper zone redistribution and diffuse vascular blurring. there is hazy opacity at both lung bases, likely representing small layering effusions, with underlying collapse and/or consolidation. note is made of a slightly irregular contour of the trachea.
<unk> year old woman with multiple medical comorbidities p/w cecal volvulus, s/p r hemicolectomy // patient desatted, assess for copd
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there is mild cardiomegaly. the aorta is mildly tortuous. lung volumes are low, however there is no focal consolidation concerning for pneumonia. there is no evidence of a pneumothorax. the visualized osseous structures are unremarkable.
history of shortness of breath, fever on chemotherapy. please evaluate for pneumonia.
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ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain.
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ap upright and lateral chest radiographs were obtained. bilateral calcified pleural plaques and basilar reticular opacities, consistent with known fibrotic changes related to asbestosis, are re- demonstrated without new opacity to suggest pneumonia. there is no pleural effusion or pneumothorax. the heart is stably enlarged with tortuous and calcified intrathoracic aorta.
seizure-like activity assess for pneumonia.
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pa and lateral views of the chest provided. slightly improved aeration at the right lung base compared with prior. mild residual left basal atelectasis noted. no convincing evidence for pneumonia, edema, large effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old man with cirrhosis, fatigue
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heart size is mildly enlarged. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. there is minimal blunting of the left costophrenic sulcus suggestive of a trace left pleural effusion. no right-sided pleural effusion is present. there is no pneumothorax. no acute osseous abnormalities detected.
history: <unk>f with weakness
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dual lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. the lungs are relatively hyperinflated with mild bibasilar atelectasis. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable. there are compression deformity seen at at least <num> levels of the lower thoracic spine not well evaluated on this study but grossly stable as compared to prior.
melena for <num> hours and weakness, shortness of breath.
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there is mild prominence of the pulmonary vasculature and mild pulmonary edema. heart size is within normal limits. there is no pneumothorax. degenerative changes at the left shoulder joint are unchanged.
history: <unk>f with malaise, weakness, chronic cough // eval for pneumonia
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previously visualized faint opacity at the right lower lobe has increased significantly, raises suspicion for an infectious process at the right lower lobe, possibly due to aspiration. cardiomediastinal silhouette remains stable. the lungs remain hyperinflated consistent with the patient's known history of emphysema. there is no evidence of pneumothorax. no acute fractures are identified. deformity of the posterolateral right <num>th rib is unchanged compared with <unk> and likely represents an old healed fracture.
evaluation of the patient found down.
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the lung volumes are low with left greater than right atelectasis in the lung bases. small to moderate left pleural effusion. low lung volumes cause crowding of the bronchovascular markings. mild cardiomegaly. no pneumothorax.
<unk> year old man with presumed mrsa endocarditis // pna
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax
history: <unk>f with hx of breast lump complaining of chest pain // eval for pneumonia, mass
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the heart size is normal. the mediastinal contours are unremarkable. the hila are within normal limits, and there is no pulmonary vascular congestion. patchy opacities are demonstrated within the right perihilar region as well as within the left lung base. no pleural effusion or pneumothorax is seen.
cough and fever.
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since earlier same day chest radiograph, moderate predominantly perihilar opacities are unchanged. lung volumes are low. the tip of an endotracheal tube is seen <num> cm above the carina. a right picc line terminates in the lower svc. heart size is unchanged. no pneumothorax.
<unk> year old man with worsening hypoxemia // <unk> year old man with worsening hypoxemia, eval for ptx
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there is again bilateral hilar enlargement, compatible with lymphadenopathy, which has worsened since the prior radiograph, more so in the right. increasing micronodular opacities in the right upper and lower lung may represent worsening sarcoid, less likely superimposed pneumonia. elevation of the right hemidiaphragm is unchanged. no large pleural effusion or pneumothorax. heart size is normal.
history: <unk>f with dyspnea. evaluate for acute process.
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a right-sided picc terminates in the mid svc, a right internal jugular catheter has been removed. median sternotomy noted. there is persistent free air under the diaphragm, similar in volume when compared to the prior study. no pneumothorax seen. no consolidation or pleural effusion seen. the heart remains enlarged. no frank pulmonary edema. mild pulmonary vascular congestion.
<unk> year old man s/p avr/mvr and prev free air under the diaphragm // interval change in free air
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there is a small reaccumulation of pleural fluid at the left lung base. minimal fluid is also seen in the the left major fissure.no focal focal consolidations are seen in the lungs. no pneumothorax is seen. the heart is top-normal in size.
<unk> year old man with pleural effusion // eval
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frontal and lateral views of chest are compared to previous exam from <unk>. the lungs are clear of consolidation or effusion. left-sided convex contour of the upper mediastinum is unchanged from previous exam compatible with enlarged thyroid. cardiac silhouette is enlarged but stable in configuration. osseous and soft tissue structures are unchanged.
<unk>-year-old female with shortness of breath.