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the et tube and right ij line are unchanged. there has been interval decrease in the left pleural effusion which is still moderate; however, aerated lung cannot be seen in the left upper lung. there continues to be dense retrocardiac opacity and areas of alveolar infiltrate in the left mid lung and right lower lung. there is pulmonary vascular redistribution compatible with fluid overload. the heart size is moderately enlarged.
pleural effusion.
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minor basilar atelectasis is seen without focal consolidation. there is no pleural effusion or pneumothorax the cardiac and mediastinal silhouettes are stable. cervical surgical hardware is re- demonstrated.
history: <unk>f with cough // please eval pnuemonia
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lung volumes are relatively low with left greater than right bibasilar opacities which are likely secondary to atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. there is a comminuted proximal left humerus fracture with suggestion of callus formation.
<unk>f with shortness of breath // ?pneumonia
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there is a new subtle opacity in the right infrahilar region, which is best appreciated on the frontal projection, and is concerning for early pneumonia. no other focal consolidations are identified. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are seen at the aortic arch. no acute osseous abnormalities are identified. there is no free air under the right hemidiaphragm.
<unk>-year-old female presenting with cough. evaluate for pneumonia.
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there is an oblong approximately <num> cm radiopaque device overlying the left heart, of uncertain significance, possibly extracorporeal. the cardiomediastinal silhouette is stable and within normal limits. mild aortic arch calcifications are noted. aside from calcified left hilar lymph nodes, the hila are unremarkable. the lungs are clear without focal consolidation. there is no pulmonary edema. there is no pneumothorax. minimal blunting of the bilateral lateral cp angles may represent trace pleural effusions.
<unk>m with weakness, evaluate for pneumonia.
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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. no displaced fracture is identified.
diabetes, hypertension, hyperlipidemia presenting with chest pain that occurred at rest.
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a single portable frontal chest radiograph was obtained. the endotracheal tube tip terminates at the superior margin of the clavicles. a nasogastric tube has been advanced with the tip in the stomach. the side hole is at or around the gastroesophageal junction. right-sided port-a-cath tip is in the superior right atrium. bibasilar left greater than right atelectasis is again seen. no new focal consolidation or pneumothorax is present. pneumoperitoneum has resolved.
<unk>-year-old woman status post splenectomy, status post nasogastric tube adjustment.
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endotracheal tube terminates <num> cm above the carina and should be pulled back. a nasogastric tube is coiled with the tip projecting over the superior mediastinum. lung volumes are low. severe cardiomegaly is noted. left lower lobe consolidation is present. the right lung and left upper lung are grossly clear. no pneumothorax.
<unk>f with intubated transfer // eval ett
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portable ap chest radiograph <unk> at <time> is submitted.
<unk> year old man with s/p hiatal hernia repair, c/o sob // eval for consolidation eval for consolidation
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ap portable semi upright view of the chest. overlying ekg leads are noted. areas of perihilar reticular opacity again noted compatible with scarring. the overall extent appears somewhat improved from prior studies. no convincing signs of pneumonia or edema. no large effusion or pneumothorax is seen. cardiomediastinal silhouette appears stable. no acute bony abnormality is seen.
<unk>m with hypotension //
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. there is an opacity in the right lower lobe, best appreciated on lateral view, which may represent bronchial wall thickening, and/or possibly a focal consolidation. lungs are otherwise clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old man with cough, wheeze, evaluate for pneumonia.
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right chest wall port is again seen. lungs remain clear. the cardiomediastinal silhouette is stable. catheters projecting over the upper abdomen are again noted with additional catheters now seen.
<unk>m with chest pain // chest pain
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frontal and lateral radiographs of the chest interval reaccumulation of large right pleural effusion with associated atelectasis and no significant mediastinal shift from <unk>. no pneumothorax is detected. retrocardiac opacification and obscuring of the left hemithorax is most likely due to atelectasis in this postoperative patient. the cardiomediastinal silhouette is difficult to appreciate given obscuration of the borders but overall appears stable. a left-sided dual central venous catheter is unchanged in position. a tracheostomy tube is in stable position with a dobbhoff feeding tube extending into the abdomen. a right-sided picc line is seen with the tip terminating in the mid svc at the level of the carina. multiple dilated loops of large and possibly small bowel are suggestive of postoperative ileus or possible early obstruction. skin <unk> and surgical clips are again seen in the upper abdomen.
<unk>-year-old female status post liver transplant with right pleural effusion and chest tube removal on <unk>, here to reevaluate right pleural effusion.
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there is no significant change compared with the most recent prior radiograph. the lungs are clear. no effusion or pneumothorax is present. there is no evidence of pulmonary vascular congestion. the cardiomediastinal silhouette is normal. the aortic knob is calcified. there is unchanged appearance of s-shaped thoracolumbar scoliosis and upper thoracic vertebral body compression fracture.
cough and decreased breath sounds - please evaluate for fevers, rule out lesion.
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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.
<unk> year old man with esrd , active on the kidney waiting list // lung status
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the heart is of normal size with normal cardiomediastinal contours. lung volumes are low. right hilar ill-defined opacity is stable, compatible with known lymphadenopathy. left pleural effusion and adjacent atelectasis is similar to prior. no pneumothorax. catheter of a right chest wall port terminates in the low svc.
<unk>-year-old female with remote breast cancer and adriamycin cardiomyopathy. shortness of breath.
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the left lower lobe consolidation seen in <unk> has resolved. there is no new focal consolidation, pleural effusion, or pneumothorax. hyperexpansion of the lungs suggests copd. the cardiomediastinal silhouette is normal. there is mild scarring in the right upper lobe, unchanged.
copd and productive cough. concern for pneumonia.
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pa & lateral views of the chest. no priors. the lungs are clear. costophrenic angles are sharp. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk> y/o female with <num> days of cough and subjective fevers.
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there is hyperinflation, compatible with copd. there is moderate to moderately severe cardiomegaly. the aorta is tortuous and dilated, but similar in configuration. the pulmonary artery is are probably enlarged. there is bibasilar atelectasis, including lower lobe atelectasis seen on the lateral view. there is minimal blunting of the right and left costophrenic angles. no frank consolidation. there is upper zone redistribution, but doubt overt chf. no pneumothorax detected. compared with <unk>, the picc line has been removed in the bilateral effusions are probably smaller. otherwise, i doubt significant interval change.
<unk> year old man with new o<num> requirement // evidence of pulm edema
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lung volumes are low. the cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
history: <unk>m <unk> p/w shortness of breath and cough after exposure to plant exposure // eval for pulmonary edema
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frontal and lateral views of the chest show a mass in the right low lung, centered about a fiducial marker. there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. the cardiac and mediastinal contours are normal. calcifications are seen throughout the aorta.
history of lung cancer presenting with hypoglycemia. evaluate for pneumonia.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal consolidation. there is no evidence of free air.
<unk>f with ruq and epigastric pain, evaluate for free air.
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two pa and one lateral view of the chest demonstrate normal heart size and mediastinal contours. there is no pleural effusion or pneumothorax. there are mild to moderate chronic interstitial markings which are stable compared to the prior study. there is no focal consolidation concerning for pneumonia.
cough, dyspnea
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portable ap chest radiograph is technically limited due to the patient's inability to remain still per technologist's note. pulmonary vascular congestion, perihilar opacities, and bilateral pleural effusions are consistent with moderate pulmonary edema. the heart size is not significantly changed compared to <unk>. there is no pneumothorax.
hypoxia.
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<num> portable views of the chest. moderate right-sided pleural effusion is unchanged. there may also be a small left -sided pleural effusion. there is underlying mild pulmonary edema, more conspicuous on the right. cardiac silhouette appears enlarged but difficult to assess accurately given right-sided effusion.
<unk>-year-old male with end-stage renal disease and chf with worsening shortness of breath.
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pa and lateral views of the chest. the lungs are clear of consolidation. there is a nodular opacity at the right lung base. there is no effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old female with hypoxia.
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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 unsteadiness x <num> episodes
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frontal and lateral views of the chest demonstrate mild pectus excavatum deformity of the chest, which silhouettes the right heart border. the lungs are clear and well expanded. the pleural surfaces and mediastinal contours are normal. the cardiac silhouette is normal in size.
<unk>-year-old female with shortness of breath, cough, and fever.
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cardiomediastinal silhouette and hilar contours are normal. again appreciated are innumerable bilateral nodular densities, better appreciated and evaluated on recent chest cta. there is no evidence of vascular congestion and interstitial edema. there is no large pleural effusion or pneumothorax.
likely metastatic renal cell carcinoma with new oxygen requirement.
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moderate cardiomegaly is stable. calcifications of the aortic arch are unchanged. there is mild dextroscoliosis of the thoracic spine. the lung fields are clear.
history: <unk>f with ams // eval for pna
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cardiac silhouette size is normal. coronary artery stent is noted. the aorta is mildly tortuous. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>m with cough, right rib pain
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pa and lateral chest radiographs provided. lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
fevers, myalgias and shortness of breath, question pneumonia.
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the tip of the nasogastric tube projects over the mid upper abdomen likely within the body of the stomach. lungs are clear. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. diffuse gaseous distension of loops of small bowel is unchanged.
<unk> year old woman with ngt placement, evaluate for ng tube placement.
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left-sided aicd device is noted with lead terminating in the right ventricle, unchanged, with numerous epicardial leads again demonstrated as well as an abandoned pacer lead to the right atrium. patient appears to be status post cabg. severe cardiomegaly is re- demonstrated. mediastinal contours are similar with tortuosity of thoracic aorta again noted and diffuse atherosclerotic calcifications. the hila are enlarged bilaterally suggestive of pulmonary arterial enlargement with mild pulmonary edema. small bilateral pleural effusions are also demonstrated. no pneumothorax or focal consolidation is present. moderate multilevel degenerative changes are seen throughout the thoracic spine.
history: <unk>m with icd device, congestive heart failure, <num>lb weight gain recently.
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there has been interval development of bilateral effusions, as well as patchy opacities emanating from the hila. there is fluid in the minor fissure. this constellation of findings most likely represents pulmonary edema. concomitant infection is not excluded. no pneumothorax is identified. cardiomediastinal silhouette is unchanged in size. osseous structures and soft tissues are unchanged. there has been interval removal of an endotracheal tube and enteric tube.
<unk> year old man with ?flu vs pna, troubles oxygenating // eval for changes
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within the left lower lobe peripherally there is a new small nodular opacity. this could represent lung focal consolidation/atelectasis in the appropriate clinical setting. there is coarse reticular interstitial opacities in the lung bases likely representing chronic scarring. the cardiomediastinal silhouette is unchanged in appearance with coarse calcifications of the mitral annulus. no pneumothorax. severe degenerative changes of the right glenohumeral joint are seen.
<unk> year old woman with new crackles left lower lobe, cough, fever. hyponatremia // ? pneumonia
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the left picc line is in the right atrium and retraction by <num> cm is recommended for proper positioning. retrocardiac opacity has increased in comparison to prior study and likely represents substantial volume loss of left lower lobe. there is continued pulmonary venous engorgement. no pneumothorax is identified but there is a small left pleural effusion. cardiomediastinal and hilar contours are otherwise unremarkable. there are however lucent foci under the right hemidiaphragm which raise suspicion for free air under the hemidiaphragm in the proper clinical setting. there continues to be dilatation of the small bowel with air as noted previously.
mantle cell lymphoma with hypotension.
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there are diffuse bilateral interstitial markings, overall unchanged since <unk>. this is consistent with chronic lung disease. no new areas of focal consolidation or pleural effusions. no pneumothorax. heart size is top normal, stable from prior. atherosclerotic calcifications are seen in the coronary arteries, better appreciated on the lateral view.
history: <unk>m with chest pain // eval cardiomegaly, chf, pna
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough*** warning *** multiple patients with same last name! // cough, assess for infiltrate
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the lungs are hyperinflated and clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. no fracture is seen.
status post fall, hypoxia.
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the lung volumes are low. there are bilateral pleural effusions left larger than right. multiple pulmonary nodules, faintly visualized in bilateral upper lobes, right more than left are better visualized on the recent ct dated <unk>. stable cardiomegaly. prominent right hilar vasculature. aortic knob calcification is again noted. diffuse osteopenia, sternotomy wires remain unchanged.
<unk> year old man with hf, sarcoma with mets to lung presenting with dyspnea. // etiology of dyspnea
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the cardiac silhouette is not enlarged. the lungs are clear without evidence of effusion. soft tissues and osseous structures are normal. there is mild dextroscoliosis of the thoracic spine.
right upper quadrant pain. evaluate for right lower lobe infiltrate.
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pa and lateral views of the chest provided. lungs remain hyperinflated with linear densities in the lower lungs likely representing atelectasis or scarring. no focal consolidation to suggest pneumonia. no edema or congestion. no pleural effusion or pneumothorax. cardiomediastinal silhouette is stable and normal. bony structures are intact.
<unk>m with shortness of breath // acute process?
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single portable view of the chest. increased lucency at the lung apices is compatible with emphysematous changes. streaky left basilar opacities are seen similar to prior and are likely chronic. there is no new consolidation. the cardiomediastinal silhouette is unchanged. tortuous descending thoracic aorta is again seen. cardiomediastinal silhouette is stable. no acute osseous abnormality is detected.
<unk>-year-old male with weakness.
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transverse cardiomegaly. widened superior mediastinum unchanged. subsegmental atelectatic changes in left lung mid zone as well as bibasal areas. no pneumothorax or pneumomediastinum. no large effusions. right-sided ijv cvp in situ with the tip at the cavoatrial junction/ in the proximal right atrium. the sternal wires demonstrate a slight scoliotic alignment with a widened interval between the superior <num> and inferior <num> sternal wires, but this appears stable compared to prior imaging. no new central lucency projecting over the mediastinum. degenerative changes of the shoulder girdles.
<unk> year old man with as above // s/p cabg w/sternal drainage please evaluated sternal wire alignment
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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.
<unk>f w/cough and fevers // <unk>f w/cough and fevers
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interval insertion of a dh t with the tip in the body of the stomach. the nasogastric tip is also in the fundus with the first side port at the gastroesophageal junction. interval removal of the swan-ganz catheter with a jugular sheath remaining on the right. increasing veil like opacity in the right lower lobe likely layering effusion. persistent mild to moderate left effusion and retrocardiac opacity.
<unk> year old woman s/p line change and dht placement // eval dht/ line position
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the lungs are hyperinflated, which can be seen with chronic obstructive pulmonary disease. there appears to be blunting of the left costophrenic angle on the lateral view which could be due to pleural thickening or trace pleural effusion. no focal consolidation is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with l sided chest pain // pna?
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
chest pain.
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et tube present, tip <num> cm above the carina. right ij central line tip is at svc/ra junction, unchanged. enteric tube tip extends beneath diaphragm, off film. no pneumothorax is detected allowing for overlying iatrogenic devices. allowing for differences in positioning, the cardiomediastinal silhouette is probably unchanged. diffuse vascular plethora, probably with some associated interstitial and alveolar opacities, again seen. the appearance is slightly improved at the lung bases, compared to <num> day earlier. minimal blunting the right costophrenic angle, but no gross effusion.
<unk> year old man with cirrhosis and c/f trali now desatting on the vent c/f fluid overload // please assess for pulmonary edema and interval change
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ap view of the chest provided. compared to prior study from <num> days ago, there is significant improvement in the extent of pulmonary edema. pulmonary arteries are dilated. atelectatic changes in the right lower lung is noted. there is no large pleural effusion. severe cardiomegaly appears stable. calcified aortic knob is again seen.
<unk> year old woman here with heart failure exacerbation and being diuresed now with mental status change. // eval for infection
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ap and lateral radiographs of the chest demonstrate clear lungs with severe emphysematous changes in the upper lobes, unchanged from the prior examination. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. no displaced fracture is seen.
fall. rule out fracture.
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there is no pleural effusion, pneumothorax or focal airspace consolidation. scarring/atelectasis is seen at the left lung base. the cardiac and mediastinal contours are normal. hilar structures are unremarkable.
left upper quadrant pain. evaluate for etiology of pleuritic pain.
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the inspiratory lung volumes are appropriate. opacification of the left lower lobe most pronounced on the lateral view is improved from <unk>. there is no pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits with mild tortuosity of the thoracic aorta and minimal calcification of the aortic knob. no acute osseous abnormality is detected. hypertrophic changes of the spine are noted.
<unk> year old man with lll pna in <unk> // pls eval for resolution
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there is an opacity at the base of the left lung that is consistent with a left lower lobe pneumonia. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are clear without effusion or pneumothorax.
increased sputum, fever and cough. evaluation for pneumonia.
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the heart size is normal. the mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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.
<unk> year old woman with cough for three months // r/o malignancy
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sternotomy wires are intact and aligned. the lungs are clear. mild cardiomegaly with prominent epicardial fat is unchanged. there is no pneumothorax. bony spurring at the inferior aspect of the left glenohumeral joint has increased. old healed left rib fractures are unchanged.
ms. <unk> is a <unk> y/o female with pmh notable for cad s/p pci and cabg (<unk>, lima to lad, svg to om), hx. of chb, chronic systolic hf (<unk> lvef <unk>%), htn, hld, dm who presents from osh with black discoloration of toes consistent with necrotic skin lesions likely <unk> peripheral arterial disease. // please assess for pulmonary edema, evidence of a pacemaker.
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there is no focal consolidation, pleural effusion, or pneumothorax. there is no evidence of pulmonary edema. the heart is mildly enlarged with a left ventricular configuration. atelectasis at the right base has improved. osseous structures are unremarkable.
<unk>-year-old man with recent chest x-ray showing bilateral fluid.
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there is no new focal consolidation or pneumothorax, and there is bibasilar atelectasis. retrocardiac opacity likely reflects atelectasis. mediastinal widening with multiple <unk> is compatible with aortic repair. a swan-ganz catheter and other support devices are in stable position.
<unk>m status post bental with freestyle aortic valve replacement/ hemiarch with tube graft for type a aortic dissection // worsening hypoxia
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips again noted. 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 productive cough // r/o infiltrate
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right upper lobe volume loss is responsible for marked elevation of the right hilus. this could well be scarring, but should be evaluated by comparison to prior chest radiographs to see if there is any need to investigate possible bronchial obstruction. lungs are otherwise clear. cardiomediastinal and left hilar silhouettes are normal. there is no pleural effusion.
<unk>f with ams // eval for acute process
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ap semi upright view of the chest provided. there is no focal consolidation or pneumothorax. right pleural effusion is similar to prior. there is a new moderate to large left pleural effusion. cardiomegaly is similar to prior. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with dyspnea, chest pain // eval for volume status
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single frontal view of the chest was obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no displaced rib fracture.
<unk>-year-old female with fall.
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lung volumes are slightly low. there is slightly decreased mild-to-moderate left retrocardiac atelectasis. minimal right mid to lower lung atelectasis is unchanged. mild cardiomegaly is unchanged. the mediastinal contours are unchanged. there has been interval extubation and removal of the previously seen enteric catheter. there may be a small left pleural effusion, decreased. resolution of right pleural effusion. mild interstitial pulmonary edema has improved. calcified left axillary lymph nodes were also seen on the remote chest ct from <unk>.
persistent fevers. assess for pulmonary edema or pneumonia.
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heart size is normal with mild tortuosity of thoracic aorta. on frontal view there are two nodular densities projecting over the right lower lung field measuring <num> and <num> cm with additional large rounded density projecting over the posterior lung field inferiorly measuring <num> cm which overlap with ribs and vertebral bodies. the hilar contours are mildly full which may represent lymphadenopathy. numerous subcentimeter nodular densities projecting over the left lung field. there is no evidence of edema. there is no pleural effusion or pneumothorax.
confusion, history of copd.
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portable view of the chest demonstrates low lung volumes. there is increased opacification in the left base with obscuration of the hemidiaphragm medially, which most likely represents atelectasis. there is no pneumothorax or definite pleural effusion. pleural surfaces are normal.
status post laparoscopic cholecystectomy with new oxygen requirement, assess for pneumonia.
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frontal and lateral views of the chest. lung volumes are low, exaggerating heart size and bronchovascular markings. there is mild bibasilar atelectasis. no focal consolidation, pleural effusion, or pneumothorax. no acute osseous injury is appreciated.
mild chest pain after mvc.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
cough. evaluate for focal infiltrate.
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ap semi upright and lateral views of the chest provided. there is a left chest wall aicd again noted with lead extending into the region of the right ventricle. the heart remains mildly enlarged. the hila are congested and there is mild to moderate pulmonary edema. overall extent of edema appears slightly less than that seen on prior radiograph. no large effusion or pneumothorax. bony structures are intact. small pleural effusions are present.
<unk>m with rf leg pain worsening chf?
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chest, portable. there are heterogeneous opacities, particularly in the right upper lobe and right middle lobe suggestive of airspace consolidation, on a background of mild pulmonary edema. the heart size is minimally enlarged. there is a left picc terminating in the low svc. there is no pneumothorax or pleural effusion.
<unk>-year-old man with hypoxia and fever.
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streaky atelectasis is noted at the left lung base. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is no free subdiaphragmatic air identified.
history: <unk>f with epigastric pain // eval for ptx
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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 ams. //
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the lung volumes are low which causes accentuation of the cardiomediastinal silhouette which is at least borderline enlarged. there is again crowding of the bronchovascular structures without definite evidence of pulmonary edema. assessment of the lung bases is limited due to presence of low lung volumes but there is at least bibasilar atelectasis. a band-like linear density overlying the right lower lung is likely secondary to atelectasis. there is no evidence of pneumothorax. osseous fragmentation of the distal right clavicle is compatible with remote trauma.
history of worsening fevers. please evaluate for pneumonia.
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there is no focal consolidation, pleural effusions or pneumothorax. opacity at the left lung base is most likely due to a prominent pericardial fat pad with mild adjacent atelectasis. heart size is within upper limits of normal. no acute osseous abnormalities identified.
<unk> year old woman with cough x <num> days. ? crackles at right base // evaluate for pneumonia/infiltrate
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
<unk> year old woman with crohn flare, nausea, vomiting diarrhea, slight chets discomfort // r/o pna
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as compared to previous chest x-ray from <unk>, a consolidation still involves the posterior segment of the right lower lung and is unchanged. the left lung and right mild and anterior segments are clear. the cardiomediastinal and hilar contours are stable. there is no pneumothorax. no bony abnormalities detected.
<unk>-year-old female with recent pneumonia, follow up chest x-ray
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comparison is made to prior study from <unk>. there has been worsening of the pulmonary edema since the previous study, there is a cardiomegaly and increased size of the vascular pedicle. there are more confluent opacities within the lung bases that is likely due to pulmonary edema; however, underlying infiltrate is not entirely excluded. no pneumothoraces are seen.
<unk>-year-old woman with shortness of breath and fluid overload. evaluate for interval changes.
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interval increase in left lower lobe opacity which trace right pleural effusion. the lungs are moderately well inflated with bibasilar atelectasis. no left pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. the aorta is tortuous. visualized osseous structures are notable for an old right clavicular fracture.
<unk>m with crushing chest pain and altered mental status with recent admission. assess for acute cardiopulmonary process? and question of intracranial hemorrhage
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with anorexia. // baseline cxr, per eating disorders protocol. eval for pulmonary edema, congestion
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median sternotomy wires appear intact. a right-sided picc is again seen and likely terminates in the svc but the tip is relatively obscured. a right-sided chest tube is again seen. an esophageal drain is in unchanged position. there is stable, moderate cardiomegaly. the lung volumes are low bilaterally. decreased left retrocardiac opacity likely reflects improving left basilar atelectasis. obscuration of the left hemidiaphragm likely reflects a small, stable left pleural effusion. obscuration of the right hemidiaphragm likely reflects an increasing small right pleural effusion. there is new fluid in the right minor fissure. interval increase in opacity at the right base is consistent with postoperative changes.
<unk>-year-old man status post esophagectomy complicated by leak. evaluate for pulmonary edema, atelectasis, pneumonia, and effusion.
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single frontal portable view of the chest was obtained. the heart size is moderately enlarged, new since <unk>, exaggerated by low lung volumes and portable technique. the lungs are clear without focal or diffuse abnormality. bronchovascular structures are crowded, though no overt pulmonary edema is present. no pleural effusion is seen, although the right costophrenic angle is excluded. no pneumothorax. no radiopaque foreign body. osseous structures are unremarkable.
altered mental status and hypotension.
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a swan-ganz catheter was pulled back approximately <num> cm since the prior study and the tip terminates in the right main pulmonary artery. there is mild pulmonary edema. the heart is moderately enlarged. there is no pneumothorax or pleural effusion. otherwise, no significant changes compared to prior study.
<unk> year old woman with systolic chf and severe cardiogenic shock // f/u swan ganz catheter positioning
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left-sided pacemaker device is re- demonstrated with leads terminate in the right atrium right ventricle. heart size is enlarged, but difficult to precisely determined given the presence of a moderate size right and small left bilateral pleural effusions. the right pleural effusion appears increased in size compared to the prior study. there is mild pulmonary edema, perhaps worse in the interval, with bibasilar opacities, likely compressive atelectasis. no pneumothorax is present. no acute osseous abnormality is seen. there are moderate degenerative changes noted in the thoracic spine.
history: <unk>m with fall, anticoagulated, shortness of breath
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there is new left lower lobe atelectasis and elevation of the left hemidiaphragm. no pleural effusion. et tube is above the carina. ng tube in the stomach.
<unk> year old man with sah // interval changes
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the patient is suboptimally positioned. lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
history: <unk>f with ankle fracture // preop chest xray
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compared to <unk>, the right upper lobe pneumonia has improved. the right lower lung opacity, obscuring the hilum, is unchanged and likely due to infection. a heterogeneous left upper lobe opacification and left pleural effusion and worsened left lung aeration are new. the small left pleural effusion is unchanged.
<unk> year old woman with some dyspnea, crackles on left side. please eval for pna vs edema.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the heart and mediastinal contours are normal. there is no free air underneath the diaphragm.
abdominal pain status post surgery, evaluate with upright film for free air.
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the right chest tube remains in place. there is minimal , if any, residual pneumothorax. otherwise, i doubt significant interval change. bibasilar, left-greater-than-right, collapse and/or consolidation is again noted. skin <unk> again noted over abdomen.
<unk> year old man sp stab wound to chest, has chest tube to sxn. please do <unk> am // routine eval for ptx and chest tube
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single frontal radiograph of the chest demonstrates an enteric tube coiled within the region of the stomach. a left pectoral pacer/aicd has multiple leads in probably the right atrium, right ventricle, and left ventricle. the cardiac silhouette is prominent. the thoracic aorta including the ascending aorta is tortuous. the lungs are low in volume but clear. there is no evidence of pneumoperitoneum. prominent air-filled bowel loops are seen in the left hemi-abdomen.
<unk>-year-old male with small bowel obstruction. question free air.
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the lungs are clear. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette, hila, and pleura are unremarkable. no acute osseous abnormality.
<unk>-year-old woman with asthma complaining of back pain; evaluate for pneumonia or pneumothorax.
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heart size is normal. enlargement of the left hilum is concerning for a neoplasm with widening of the superior mediastinum suggestive of mediastinal lymphadenopathy. additional ill-defined opacity measuring approximately <num> cm within the left lung base may reflect a satellite lesion. there is no pulmonary edema, pleural effusion or pneumothorax. patchy opacities within the right upper lobe are nonspecific, though infection is not excluded. no acute osseous abnormalities seen.
history: <unk>m with r lung mass, liver masses, increasing sob // acute cardiopulmonary process, evaluate reported r lung mass
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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 ? demyelinating sxs on lle, lue, l vision blurriness, mild dyspnea on lying recumbent, ? neck fullness // evaluate ? cardiothoracic disease
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a low large right pleural effusion extends to the level of the right hilum and is only slightly smaller than on the prior radiographic study of <unk>. there remains adjacent atelectasis of the the right middle and right lower lobes as well as a portion of the anterior segment of the right upper lobe. the configuration of the effusions suggests a loculated component anteriorly, similar to the prior radiograph. cardiomediastinal contours are stable allowing for of duration of the right heart border. the left lung is clear except for linear atelectasis at the left base. there is no significant left pleural effusion. although a large effusion was present on <unk> radiographs, only a small pleural effusion was evident on interval ct abdomen of <unk>
<unk> year old man with alcoholic cirrhosis with shortness of breath and reduced breath sounds through most of right lung // assess for effusion, lung collapse, pulmonary pathology
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
dyspnea, cough. rule out pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. coronary artery stent is noted. no acute osseous abnormalities identified.
<unk>f with dyspnea, fatigue, h/o mi // ? acute cardiopulm process
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there is mild cardiomegaly, stable. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded. prominent interstitial markings are again noted, similar to prior, and suggestive of moderate pulmonary edema. underlying chronic interstitial changes are also possible, especially given the persistence of this finding. there is no focal consolidation concerning for pneumonia.
<unk>m with chest pain, cough // eval for cardiopulmonary process
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frontal and lateral views of the chest. the lungs are unchanged in appearance with linear opacity at the right lung base best seen on lateral view and somewhat improved from prior. the lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality identified.
<unk>-year-old male with shortness of breath, productive cough.
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pa and lateral views of the chest provided. left chest wall pacer device is again seen with leads extending into the region the right atrium and right ventricle. midline sternotomy wires and mediastinal clips are again noted. there is also a prosthetic cardiac valve. cardiomegaly is unchanged with an unfolded calcified thoracic aorta again noted. there are small bilateral pleural effusions causing blunting at the cp angles bilaterally. no signs of edema or pneumonia. no pneumothorax. mediastinal contour stable. bony structures are intact.
<unk>f with shortness of breath // eval for pna
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tip of the endotracheal tube is in good position. the remaining support devices are in good position. the moderate right-sided effusion and adjacent atelectasis has slightly improved there is improved aeration medially of the right lower lobe. the right lung remains clear. no pneumothorax.
<unk> year old man with necrotizing pancreatitis c/b hemorrahgic ascites and vre bacteremia, respiratory failure <unk> fluid overload and b/l pleural effusions; recently self-extubated in resp distress requiring re-intubation // assess for et tube palcement