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frontal and lateral views of the chest. the lungs are clear without focal opacity, pulmonary edema, pleural effusion, or pneumothorax. the aorta is tortuous and ectatic. the heart size is normal.
back pain waking her from sleep.
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the lungs are clear. mild to moderate cardiomegaly is chronic. the mediastinal contours are otherwise normal. there are no pleural effusions. no pneumothorax is seen. the bony thorax is grossly intact.
chest pain along the left aspect of the chest as well as within the left shoulder. evaluate for any acute process.
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there are persistent bilateral pleural effusions, decreased somewhat in size compared to the prior study. persistent bibasilar atelectasis. reticular opacities throughout the lungs likely reflect interstitial edema with alveolar edema evident at the lung bases. no pneumothorax seen. the visualized bony structures demonstrate increased sclerosis consistent with metastatic disease. no free air under the diaphragm.
<unk> year old man with s/p bilateral thoacentesis. pain in left hemithorax // r/o ptx left
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frontal and lateral views of the chest. bibasilar opacities are more conspicuous on the current exam. superiorly, the lungs are clear. probable small bilateral effusions, noting that the posterior costophrenic angles are not clearly delineated. the cardiomediastinal silhouette is within normal limits. degenerative changes seen at the shoulders bilaterally.
<unk>-year-old female with generalized weakness, cough.
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the heart size is normal. mild tortuosity of the aorta is unchanged.
history: <unk>f with cough // r/o acute infectious process
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low lung volumes with worsening pulmonary edema compared to the prior radiograph. bibasilar linear atelectasis is also more prominent on today's radiograph. mild cardiomegaly as before. no pleural effusions. interval removal of the et tube. ekg leads overlie the chest wall.
<unk> year old man with new o<num> requirement // pulmonary edema
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. no displaced rib fractures are identified.
history: <unk>f with hx gastric tumor resection now with luq/rib pain. // left rib fx, pna?
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the initial radiograph from <unk> shows interval placement of an endotracheal tube whose tip terminates above the clavicles. advancement by <num>-<num> cm would provide more effective ventilation. there is also new right upper lobe atelectasis with associated volume loss. the left lung is clear. the heart and mediastinum are magnified by the projection. a nasogastric tube coils in the stomach, distal tip not visualized. the follow-up radiograph from <unk> shows slight advancement of the endotracheal tube. the right upper lobe has re-expanded, but lung volumes remain low. there are new bilateral airspace opacities which are most likely due to pulmonary edema. small bilateral pleural effusions are also new. increased retrocardiac opacification is most likely due to atelectasis. heart size has increased.
<unk> year old woman with asthma s/p intubation during egd. // please eval for et tube placement and pulmonary process. <unk> year old woman with asthma s/p bronch and et tube reposition. // please eval for rul change and et tube placement.
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there is a small area of increased opacity in the left lower lobe. this is new compared to prior an could represent some scarring this occurred in the interval or small early infiltrate. otherwise the lungs are clear
<unk> year old woman with possible pe // use for comparison for vq scan
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a pa and lateral chest radiographs demonstrate streaky opacity at the bases bilaterally almost certainly atelectasis. there is no opacity convincing for pneumonia. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. there is no air under the right hemidiaphragm.
<unk>f with l shoulder pain, sob on exertion // pna?
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portable chest radiograph demonstrates a mildly improved lung volumes with redemonstration of diffuse bilateral opacifications most consistent with pulmonary edema and could well represent an element of multifocal pneumona. when compared to most recent radiograph, there has not been a substantial change in severeity of those bilateral opacifications or pulmonary edema. there is no pneumothorax. heart size is stable.
<unk>-year-old male with end-stage renal disease on hemodialysis and new altered mental status. concern for worsening pneumonia.
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the cardiac, mediastinal and hilar contours are unchanged and unremarkable. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
shortness of breath, fall with head strike and pain.
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ill-defined hazy opacity in the superior segment of the left lower lobe is likely pneumonia. right lower lobe atelectasis and pleural effusion are unchanged. the lungs are otherwise clear. no pneumothorax. cardiomediastinal silhouette is unchanged.
<unk> year old man with metastatic lung adeno on nivolumab, presenting with shortness of breath and cough // ? pna
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frontal and lateral views of the chest were obtained. the heart is of normal size with stable cardiomediastinal contours. right perihilar and right perifissural opacities are consistent with the patient's known lung cancer and similar to <unk>. left apical opacity is also stable and compatible with known apical neoplasm. blunting of the right costophrenic angle is compatible with a moderate-sized pleural effusion, similar to <unk>. no radiopaque foreign body. osseous structures are unremarkable.
<unk>-year-old female with history of lung cancer presenting with dyspnea on exertion and cough. rule out acute process.
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heart size is mildly enlarged. there is no focal lung consolidation. there are small bilateral pleural effusions. there is mild interstitial edema. there is no pneumothorax. known rib fractures are better evaluated on prior ct.
<unk> year old woman <num> l positive for fluid status, evaluate for pulmonary edema.
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the patient is status post sternotomy and aortic valve replacement. there is also a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. the cardiac, mediastinal and hilar contours appear unchanged, including a large hiatal hernia. aside from streaky atelectasis associated with hernia, the lungs appear clear. there is no pleural effusion or pneumothorax.
shortness of breath.
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as compared to the prior radiograph from several hours earlier, bibasilar linear opacities are again demonstrated suggestive of atelectasis. there are no confluent areas of consolidation to suggest the presence of pneumonia. compression deformities at t<num> and l<num> have been more fully evaluated by a recent chest ct
<unk> year old woman with atelectasis vs pna // r/o pna vs atelectasis
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the initial radiograph from <unk> hr shows acute worsening of extensive bilateral airspace opacities. the left subclavian central venous catheter terminates at the superior cavoatrial junction. there is no pneumothorax. mild cardiac enlargement is unchanged. the followup radiograph from <unk> hr shows improved airspace opacities following intubation. the new et tube is slightly high-riding. advancement by <num>-<num> cm is suggested for more optimal ventilation. in addition, a new nasogastric tube enters the stomach, but its side port is at the ge junction. advancement by <num> cm is advised.
<unk> year old man with bilateral pulmonary infiltrates now re-intubated // placement of ett? ; <unk> year old man with od, rhabdo, respiratory failure now extubated. // interval changes.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. interstitial opacification is mildly prominent including peribronchial cuffing. mild degenerative changes are similar along the lower lumbar spine.
left chest pain radiating to the left arm with recent stress test.
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basilar atelectasis without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.
history: <unk>m with sob // sob
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the heart size is not enlarged. within limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. no chf, focal infiltrate or consolidation, pleural effusion, or pneumothorax detected.radiographic appearance of the chest has not substantially changed since <unk>.
<unk>-year-old man with cough and sweats. evaluate for pneumonia.
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patient is status post median sternotomy. heart size is mildly enlarged, slightly decreased compared to the prior exam. mediastinal contours are unchanged. there is mild pulmonary vascular congestion without overt pulmonary edema. streaky atelectasis is noted in the lung bases. no pleural effusion, focal consolidation or pneumothorax is present. no acute osseous abnormalities seen.
history: <unk>f with fever unknown origin // evaluate for evidence of pneumonia
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chest x-ray from <unk> at <time> and targeted review of chest ct from <unk>. again seen are multiple left-sided rib fractures and a pigtail catheter at the left lung base. there is a small left effusion with minimal atelectasis at the left base. there is a small to moderate size pneumothorax seen at the left lung base against the lower left chest wall and, on lateral view, seen anteriorly. minimal lucency along the left mediastinum could also be due to the pneumothorax. the mediastinum remains midline, unchanged in configuration. on the right, there is a small effusion, with minimal right basilar atelectasis. there is relative lucency along the right chest laterally. unless there is reason to suspect a right-sided pneumothorax, there is most likely represents artifact due to overlying soft tissue contours. upper zone redistribution, but no overt chf. there is background hyperinflation, consistent with copd. of note, there is a <num> mm nodule in the right mid/lower zone laterally, which corresponds to the nodule described on the <unk> ct scan for which repeat chest ct in <unk> months is recommended.
<unk> year old woman with chest tube // interval change
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the lungs appear well expanded and clear. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or focal consolidation. note is made of calcification of the aortic knob.there is angulation of the anterior cortex of a mid-to-low thoracic body, which is worse since <unk>.
history: <unk>f with weakness // eval for infiltrate
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the heart is at the upper limits of normal size with a left ventricular configuration. there is mild unfolding of the thoracic aorta. otherwise, the mediastinal and hilar contours are unremarkable. there is a mild generalized interstitial process. differential considerations include mild pulmonary vascular congestion versus atypical pneumonia in the appropriate clinical setting. there is no pleural effusion or pneumothorax.
cough. question pneumonia.
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lung volumes are somewhat low, as before. there is streaky density at the lung bases most consistent with subsegmental atelectasis. mediastinal structures are unchanged. an endotracheal tube remains in place. a nasogastric tube is been inserted and terminates in the region of the stomach. nasogastric tube in place. no other change.
interval evaluation
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the lungs are clear. a left pectoral pacemaker is seen with transvenous leads in the right atrium, right ventricle, and left coronary vein. the heart size is unchanged. no pneumothorax.
eval biv icd lead position // eval biv icd lead position
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pa and lateral views of the chest. linear opacity at the left lung base suggestive of atelectasis versus scarring. there is biapical scarring. however it has significantly progressed on the right when compared to prior. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
<unk>-year-old female with pleuritic chest pain.
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the patient is status post median sternotomy and right lower lobe wedge resection. heart size is borderline enlarged. the mediastinal and hilar contours are unchanged. apart from linear atelectasis within the right mid lung field and left lung base, no focal consolidation is identified. blunting of the right costophrenic angle is chronic and may reflect chronic pleural thickening or effusion. no pneumothorax or large pleural effusion is demonstrated. there are no acute osseous abnormalities.
chest and back pain. history of vsd.
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the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour are, and hila are unremarkable. limited assessment of the upper abdomen is unremarkable. aortic arch calcifications noted.
<unk>f with abd pain, ?ulcer. assess for cardiopulmonary process or free intraperitoneal air.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with dizziness.
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heart size is mildly enlarged. the aortic knob is calcified. hilar contours are normal. there is no pulmonary vascular congestion. moderate to large right pleural effusion is present, perhaps slightly increased in size compared to the previous study. there is adjacent right basilar atelectasis. left lung is clear. no pneumothorax is identified. mild loss of height of <num> adjacent vertebral bodies in the lower thoracic spine are age indeterminate.
history: <unk>f with cough
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. there is a patchy new posterior left lower lobe opacity obscuring the posterior margin of the left hemidiaphragm but also visible faintly on the frontal view as a retrocardiac opacity. elsewhere, the lungs appear clear.
fever.
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compared to the prior study there is no significant interval change.
<unk> year old man <unk> s/p radical cystectomy now w/ tachypnea // pulmonary infiltrate?
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there is a new moderate size right pneumothorax with atelectasis of the right lung. there is no contralateral shift of mediastinal structures to suggest tension. the left lung is clear. heart size is normal. tortuosity of the thoracic aorta is again noted. there is no pulmonary vascular congestion. no pleural effusion is identified. no enteric tube is identified.
history: <unk>f with attempt at placement of a dobhoff tube, now with tachycardia
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pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip extending into the right atrium. there is increased opacity in the left lower lung which is concerning for pneumonia. right basal opacity is more compatible with atelectasis. no large effusion or pneumothorax. the cardiomediastinal silhouette is unchanged. clips project over the upper abdomen.
<unk>m s/p pneumonia two weeks ago with cough, bilateral crackles, productive cough
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heart size is top-normal with mildly tortuous aorta with atherosclerotic calcifications. hilar contours are normal. small bilateral pleural effusions are unchanged with stable bibasilar opacities. there is no pneumothorax.
pleuritic chest pain.
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evaluation is limited by a kyphotic positioning and the patient's chin and neck obscuring assessment of the medial aspect of the lung apices. heart size is mildly enlarged. the aorta is diffusely calcified. hilar contours are grossly unremarkable. the pulmonary vasculature is not engorged. calcified scarring is noted within the lung apices. no focal consolidation, large pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized with age indeterminate multiple compression deformities noted in the imaged thoracic spine including a moderate to severe mid thoracic vertebral body compression fracture.
history: <unk>f with confusion
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected.
<unk>-year-old female with substernal chest pain.
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even allowing for differences in imaging technique, there is increased airspace opacity in the left mid lung concerning for continuing are progressive pneumonia. multiple additional pulmonary nodules are better evaluated on the prior ct chest. the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. no pleural effusion seen. metallic densities seen within the right lobe of the liver appear to be embolization coils.
<unk> year old man with ebv associated t-cell lymphoma and recently hospitalized for pna (presumed aspergillus +/- bacterial) now febrile again. // known pna, ?interval change
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the right lower lobe remains atelectatic as is seen by depression of the fissure. there may be a small right pleural effusion. there is no pneumothorax or significant pulmonary edema. there is stable postoperative widening of the cardiomediastinal silhouette. median sternotomy wires are present.
recent cabg, shortness of breath, evaluate acute process.
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large loculated left pleural effusion is seen with associated volume loss in the left lung. small right pleural effusion. there is mild pulmonary edema. right chest wall deformity with area of associated pleural opacity corresponds to pleural parenchymal scarring on ct. the bones are diffusely demineralized. severe t<num> wedge compression deformity was better evaluated on the ct.
history: <unk>f with hypoxia // worsening pneumonia?
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. the osseous structures unremarkable. multiple air-fluid levels are seen within nondilated loops of bowel in the upper abdomen, concerning for obstruction better characterized on same day ct of the abdomen and pelvis.
<unk>-year-old female with dyspnea, evaluate for pneumonia.
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the exam is slightly limited due to patient rotation. the heart size is normal. the aorta is mildly tortuous with aortic arch calcifications noted. the pulmonary vascularity and hila are normal. the lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is detected. no displaced fractures are seen.
fever and fall.
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the left hemidiaphragm continues to be obsucrued suggesting lung collapse. bilateral basal opacities are unchanged. the cardiac and mediastinal contours are normal. the et tube is in appropriate position, and the left picc line ends in the lower svc. the dobhoff tube curls in the stomach and curls back towards the ge junction.
<unk>-year-old male with alcohol withdrawal, seizure, found down with nasal and maxillary sinus fracture. evaluate for resolving pneumonia.
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pa and lateral views of the chest demonstrate a ring-shaped opacity right upper lobe, previously seen on pet-ct from <unk>, and described as a cavitary nodule. additional pulmonary nodules identified on recent pet-ct are not as well evaluated on this study, as ct is more sensitive. the heart size is stable and the aortic contour is tortuous, but unchanged since the prior study. there is no evidence of pulmonary edema or pleural effusion. no pneumothorax is present.
chest pain with radiation down the left arm. evaluation of the aortic contour.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>-year-old female with increasing tachycardia. normal wbc, afebrile.
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the heart is moderately enlarged but unchanged. the mediastinal contours are stable. enlargement of the main pulmonary artery is again demonstrated compatible with pulmonary arterial hypertension. there is mild perihilar haziness and vascular indistinctness suggesting mild pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
cough.
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there is a new large left pleural effusion with minimal aeration of the left upper lung. the right lung is grossly clear. cardiac silhouette is difficult to assess.
<unk>m with new onset sob, diffuse abdominal pain / distension //
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
<unk>f with exertional back pain // r/o chf/pneumonia
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frontal views of the chest. endotracheal tube position is obscured by spinal fixation hardware. nasogastric tube projects over the stomach. retrocardiac opacity consistent with left lower lobe collpase is stable and small left pleural effusion appears minimally enlarged despite the presence of a left pleural tube. no pneumothorax. heart size and mediastinal contours are stable.
extensive spinal fusions.
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the patient is severely rotated, limiting evaluation. the left costophrenic angle not fully included on the image. given this, the cardiac and mediastinal silhouettes are grossly stable. difficult to exclude small right pleural effusion. left base opacity could be due to atelectasis, but infectious process is not excluded in the appropriate clinical setting.
history: <unk>m with dementia, failure to thrive // evaluate for evidence of pneumonia
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pa and lateral views of the chest were reviewed and compared to the prior study. the lungs are clear without focal consolidation pulmonary edema, pleural effusion or pneumothorax. minimal residual left costo-phrenic angle pleural thickening is likely due to prior left pleural effusion. the cardiac and mediastinal contours are normal. there are no concerning osseous or soft tissue lesion.
chest pain and ekg changes.
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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 intermittent palpitations, chest tightness
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frontal and lateral chest radiographs demonstrate low lung volumes with exaggeration of the cardiac silhouette. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient status post fall.
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small left pleural effusion. lungs are otherwise fully expanded and clear. heart size is normal. cardiomediastinal and hilar silhouettes and pleural surfaces are otherwise normal.
<unk> year old man with etoh cirrhosis, initiating transplant workup. // xray for liver transplant workup.
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two frontal images of the chest demonstrate low lung volumes, likely due to poor inspiration. there has been interval extubation and removal of an ng tube. the left subclavian line is unchanged. there is gaseous distention of the bowel in the abdominal left upper quadrant which is causing elevation of the left hemidiaphragm. there is increased retrocardiac atelectasis since prior imaging. the heart size is borderline for cardiomegaly. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.
<unk>-year-old woman status post whipple procedure, post-op day <num>, now with fever.
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pa and lateral chest views are obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. heart size remains normal. unchanged appearance of thoracic aorta. no mediastinal abnormalities. the pulmonary vasculature is not congested. no signs of active new pulmonary parenchymal infiltrates and no signs of pleural effusion. previously described minimal peripheral pleural scar formation and bilateral apical pleural thickenings and linear densities are completely unchanged.
<unk>-year-old female patient with cough and immunosuppression, evaluate for evidence of infection.
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heart size remains mild to moderately enlarged. the aorta is tortuous. mild interstitial pulmonary edema is present. linear opacities within the right lung base likely reflect areas of subsegmental atelectasis. no large pleural effusion or pneumothorax is present. there is diffuse demineralization of the osseous structures with unchanged multiple compression deformities throughout the thoracic spine.
history: <unk>f with chest pain
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the mediastinal contours are normal. the heart is mildly enlarged. there is no free air beneath the right hemidiaphragm.
history: <unk>f with possible tia // eval for pneumonia
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the lungs are hyperinflated with linear opacities at the lung bases indicative of atelectasis. heart size is mildly enlarged. no pleural effusion or pneumothorax. no evidence of pneumonia.
history: <unk>m with dyspnea. evaluate for pneumonia.
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ap portable view of the chest. the endotracheal tube ends <num> cm from the carina. an enteric tube ends in the distal esophagus. there is a right lower lung opacity which may represent pneumonia. there are low lung volumes. there is mild pulmonary edema. heart size is difficult to evaluate. no definite pleural effusion or pneumothorax.
seizure, question pneumonia, endotracheal tube placement.
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right internal jugular central venous catheter is in the upper svc. enteric tube courses into the stomach. the et tube is <num> cm from the carina. right picc line is in the upper right atrium. there is persistent collapse of the left lower lobe. opacities in the left mid and upper lung are slightly improved, however there are worsening opacities at the right base likely reflecting worsening mild pulmonary edema. moderate cardiomegaly is unchanged. there is no pneumothorax. small bilateral pleural effusions are likely unchanged. there is no pneumothorax.
<unk> year old man with left lung collapse s/p bronch x<num>. assess for pulm re-expansion
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // cause of chest pain, pneumothorax
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pa and lateral views of the chest demonstrate well expanded and clear lungs. heart is normal in size and cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old man with right rib pain, rule out fracture.
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pa and lateral views of the chest provided. cardiomegaly is mild to moderate. the aorta is unfolded and mildly calcified. lung volumes are low though there is no evidence of pneumonia or edema. no large effusion or pneumothorax is seen. diffuse bony demineralization is noted with high riding right humeral head suggesting chronic rotator cuff disease.
<unk>m with cough // acute process?
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. there is a mild background interstitial abnormality, but no evidence for acute change or focal consolidation. the lungs are hyperinflated. there are no pleural effusions or pneumothorax. mild degenerative changes are present along each acromioclavicular joint. mild osteophyte formation is noted along the lower thoracic spine with slight anterior wedging that appears unchanged among several lower thoracic vertebral bodies.
fever and weakness.
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the patient is status post cabg with median sternotomy wires. the heart size is top normal. heavy calcification of the aortic knob is noted with tortuosity of the descending aorta. there is no pneumothorax or pleural effusion. lung volumes are low, and increased interstitial markings indicate mild interstitial edema. there is no focal consolidation concerning for pneumonia.
<unk>m with syncope, fall // r/o fracture
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there is minimal scarring and/or atelectasis at the left base. the lungs are otherwise clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
history of asthma with diffuse wheezing. evaluate for pneumonia.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with l sided cp, l elbow/arm pain // ? acute process
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single frontal chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. assymetric right apical thickening present. otherwise, lungs are clear, though there is a relative hyperlucency of the bilateral upper lungs suggesting emphysema. no pleural effusion or pneumothorax evident.
chest pain, assess for infiltrate.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well expanded and clear without focal consolidation concerning for pneumonia.
<unk>-year-old male with acute cholecystitis, preop examination.
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in the interval, a nasogastric tube and a left chest tube have been removed. the port-a-cath ends in the distal svc. there is no pneumothorax. small left and minimal right effusions, the left effusion slightly increased compared to the prior exam. cardiomediastinal silhouette and hila are normal.
<unk>-year-old after esophagectomy, now with removal of chest tube. evaluate for pneumothorax or significant effusions.
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there is new focal consolidation in the right suprahilar region projecting over the anterior right first and second ribs. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with malaise // pna?
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or left pleural effusion. there is a small right pleural effusion. the osseous structures are unremarkable
<unk> year old man with sob and cough concerning for pna // please assess for infiltrates
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ap and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain.
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pa and lateral views of the chest were reviewed and compared to the prior studies. a right upper lobe opacity has increased since <unk>. opacification in the right middle lobe and lingula is new since <unk> and concerning for multifocal infection. there is no pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. a left upper lung nodular opacity was characterized as a granuloma on the prior ct chest.
further evaluation of a lung opacity.
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top-normal heart size is unchanged compared to prior exams dating back to <unk>. there is mild perihilar fullness, slightly improved compared to the prior exam. small bilateral pleural effusions, right greater than left are persistent. coronary calcifications or stent are identified. scarring projecting over the mid left lung is persistent. mild bibasilar atelectasis is unchanged. right-sided picc line appears to terminate in the mid svc. there is no evidence of a pneumothorax.
<unk> year old man with sob, recent thoracentesis, now with recurrent effusions // eval pleural effusions, pna.
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a single portable supine chest radiograph was obtained. the lungs are well inflated and clear. no focal consolidation, effusion or pneumothorax is present. cardiac and mediastinal contours are normal.
<unk>-year-old woman with alcoholism and hypotension.
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in comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. no pleural abnormalities. heart size is top normal. cardiomediastinal and hilar silhouettes are normal. cervical fusion hardware is incompletely evaluated on this study.
<unk> year diabetic old man with cough, fever, sweats. rales right base // r/o infiltrate
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
fever.
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the tracheostomy tube is in position. there is again substantial volume of pleural fluid in the right hemithorax at the base and the apex. the remaining right lung appears slightly more aerated compared to the exam from the prior day. the left-sided pulmonary edema is stable. the moderate left lower lobe atelectasis and small left pleural effusion are unchanged. there is no pneumothorax. there is moderate cardiomegaly, stable compared to the prior exam; however, slightly more pronounced compared to the exam from <unk>.
<unk>-year-old female status post right upper lobectomy and subsequent vats who presents for interval evaluation.
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the lungs are well expanded. the right lung is clear. linear opacity across the left lower lung field likely represents scarring vs atelectasis. there is moderate cardiomegaly and equivocal bulky hila, but the cardiomediastinal and hilar contours are unchanged from prior. there is no pleural effusion or pneumothorax. sternotomy wires are noted in the midline and there are no other fractures.
a <unk>-year-old male with shortness of breath on exertion and a history of cabg. evaluate for evidence of pneumonia or chf.
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a right pigtail catheter is in stable position along the right lung base. there is a no appreciable right pneumothorax. hyperinflation of the lungs and relative hyperlucency of the upper lobes is compatible with copd. no new focal consolidation, pleural effusion or overt pulmonary team is seen. the heart is normal in size.
<unk> year old man with copd and right pneumothorax. please check right pneumothorax following the pigtail being placed to water seal.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is stable. tortuosity of the descending thoracic aorta with atherosclerotic calcifications at the arch are again noted. no acute osseous abnormalities identified.
<unk>f with productive cough // r/o infiltrate
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with syncope and weakness and headache // infectious process/malignancy?
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portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with hypoxia // eval for pna
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portable upright chest radiograph <unk> <time> is submitted.
<unk> year old man with chronic trach who p/w hemoptysis and ?pneumonia vs pulm hemorrhage on cta. // interval change? interval change?
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pa and lateral radiographs of the chest demonstrates clear but hyperinflated lungs consistent with emphysema. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. enlargement of the aortic root and calcification of the aortic arch are present. the concerning spiculated mass in the left upper lobe seen on the prior pet-ct is not well seen and there are surgical changes indicating that it has been excised.
bradycardia.
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there is mild left basilar atelectasis; otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. atherosclerotic calcifications are noted at the aortic arch. no acute fractures are identified.
evaluation of patient with fever.
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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.
history: <unk>m with ams, weakness // eval for pneumonia
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. fusion hardware is partially imaged in the lumbar spine. there is mild but stable elevation of the right hemidiaphragm.
<unk> year old woman with worsened cough/wheeze/sob during ivig infusion. evaluate infiltrate/pulmonary edema // <unk> year old woman with worsened cough/wheeze/sob during ivig infusion. evaluate infiltrate/pulmonary edema
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pa and lateral views of the chest provided. picc line is been removed. there is no focal consolidation, effusion, or pneumothorax. minimal prominence of the pulmonary hila with some minimal perihilar streaky opacity could reflect central airways inflammation in the correct clinical setting. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with fever, immunosuppressed // any e/o pna?
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the lungs are well expanded. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is remarkable for left ventricular configuration of the heart and a tortuous thoracic aorta.
history: <unk>m with cough // cough
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stable, extensive bilateral opacities representing calcified pleural plaques and calcified diaphragmatic pleura suggest previously identified asbestos-related disease. normal cardiomediastinal and hilar contours. no pneumothorax, pleural effusion, or acute pneumonia. no definite osseous or soft tissue abnormalities.
<unk>-year-old man with a history of asbestos-related disease, now with fever and tachycardia. evaluate for pneumonia.
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the cardiomediastinal and hilar contours are stable. there is no pneumothorax. small bilateral pleural effusions are new. the lungs are well-expanded. right suprahilar, poorly defined round opacity has rapidly progressed since the recent cxr. slight increased interstitial markings compared to the recent chest radiograph is also noted.
<unk>m with generalized weakness // r/o chf, pneumonia
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and a dual lead pacemaker with the leads overlying the right atrium and ventricle. the lungs are well-aerated and clear. there is no pleural effusion or pneumothorax.
left-sided chest pain near the pacemaker site, exacerbated by breathing and movement.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with sob, cough, wheezing // r/o acute process
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pa and lateral chest radiographs demonstrate bilateral interstitial and alveolar opacities, worst at the lung bases and left worse than right along with mild cardiomegaly. there is no large pleural effusion or pneumothorax.
shortness of breath in post-partum female. rales on exam and concern for pulmonary edema.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with three week history of productive chest cough; decreased breath sounds at r base // rule out pneumonia