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interval removal of et tube and right ij tip is in mid svc. unchanged mild left lower lobe atelectasis and mild vascular engorgement. no pneumothorax or pleural effusion. mild improvement in right lower lobe heterogeneous opacity. heart is top normal in size with normal mediastinal contours and hila. no bony abnormality.
female in icu with pneumonia. assess pneumonia.
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a portable frontal chest radiograph demonstrates an endotracheal tube terminating in the upper thoracic trachea. a nasogastric tube terminates in the stomach, but the side port is proximal to the gastroesophageal junction. the cardiomediastinal silhouette is normal and the lungs are well-aerated and clear. there is no focal consolidation or pleural effusion. a small left apical pneumothorax appears increased. the visualized upper abdomen is unremarkable, other than incompletely imaged spinal hardware.
evaluate for interval change in a patient with a left pneumothorax after fall.
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exam is limited secondary to patient motion. the lungs are grossly clear without confluent consolidation, edema, or large pleural effusion. the cardiomediastinal silhouette is within normal limits. no acute displaced fractures visualized.
<unk>m with ams, cough ?aspiration // eval for aspiration pna, intracranial process
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frontal and lateral views of the chest demonstrate prominent cardiac silhouette, in keeping with high-output physiology related to chronic anemia. the mediastinal and hilar contours are unremarkable. prominent perihilar vascular markings are redemonstrated. there is no frank edema. the lungs are clear. no pneumothorax or pleural effusion. previously noted h-shaped vertebra is less conspicuous on current exam.
<unk>-year-old female with sickle cell disease with possible crisis. question pneumonia.
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the patient remains intubated, the ett terminates approximately <num> cm above the carina. a nasogastric tube is incompletely visualized however the tip lies below the diaphragm. a right-sided picc terminates in the distal svc. the trachea is central, lung volumes remain slightly low. the cardiomediastinal contour is unchanged compared to the prior study. there has been progression of the atelectasis at the left lung base with a more linear appearance on the current study. mild prominence of the pulmonary vascular likely reflects a degree of fluid overload. no pleural effusion seen. no pneumothorax seen.
<unk> year old man with graft infection // r/o inf, eff
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the lungs are hyperinflated, but there is no evidence of focal opacities. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion. a hyperlucent area in the right apex demonstrates vascular markings. also, the line that defines it likely represent summation of osseous structures.
<unk>-year-old female with chest pain. evaluate for acute cardiopulmonary process.
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a single portable upright chest radiograph was obtained. since the chest radiograph <num> days ago, moderate pulmonary edema has improved. opacity seen throughout the lungs, in particular in the right upper lobe were better assessed on ct in <unk> at which point the possibility of recurrent infection such as reactivation tuberculosis was considered. a retrocardiac opacity is similar to <unk>. cardiomegaly is unchanged.
<unk>-year-old woman with chest pain.
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cardiac silhouette size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
history: <unk>f with cough, fever x <num> weeks// ?pna
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a swan-ganz catheter and single lead pacemaker are in unchanged and appropriate positions. a right-sided picc line terminates at least <num> cm in the cavoatrial junction, although the tip is obscured. a sternotomy wires are well aligned and intact. there is little change in the mild pulmonary edema along with a left-sided pleural effusion and atelectasis.
<unk> year old man with chf, swan ganz // innterval change, line position //
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>-year-old male with cough and back pain.
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a battery overlies the medial mid left hemithorax. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there is persistent elevation of the left hemidiaphragm.
chest pain.
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small to moderate right pneumothorax persists, with apical and basilar components. improved left lower lobe atelectasis and decreased left pleural effusion. unchanged small right effusion. the left central line and right hemodialysis catheter are stable in position. the gastric tube continues to coil in the stomach. the cardiac and mediastinal contours are unchanged.
<unk>- year old woman status-post mitral valve replacement, evaluate right pneumothorax.
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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.
neutropenia and fever.
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again seen is diffuse interstitial abnormality with predominance in the upper lobes consistent with patient's known history of sarcoidosis. the previously seen opacity at the left base is no longer present and was likely due to artifact. there is no definite focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is unchanged. bony structures are intact.
<unk>-year-old female with shortness of breath, evaluate for pneumonia needlateral view.
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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. surgical anchors project over the right humerus. no subdiaphragmatic free air is identified.
history: <unk>m with epigastric pain
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are noted along the mid thoracic spine with small osteophytes and mildly narrowed interspaces.
fever and dry cough.
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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. mildly elevated left hemidiaphragm and minimal left lung base opacity, likely atelectasis, are again noted. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with stroke evaluate for pulmonary edema.
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portable ap upright view of the chest. there is mild cephalization of the vessels as well as mild pulmonary vascular engorgement but no overt pulmonary edema. heart size is top normal. no pleural effusions or pneumothorax. no focal opacities concerning for pneumonia.
dyspnea and evaluate for chf or pneumonia.
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there is a left chest tube, which appears unchanged in comparison to the prior chest radiograph. there is a small residual left apical pneumothorax, which is also unchanged. there is rounded opacity in the left mid lung likely atelectasis, and there is veil like opacity over the left lung which is likely layering left pleural effusion. the small right pleural effusion has increased and increasing opacity in the right lower lobe, likely worsening atelectasis. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is not significantly enlarged.
please obtain cxr <unk> at <num>am. <unk> year old woman with metastatic cervical cancer s/p l pleurx placement <unk> with l apical pneumothorax // ? l apical pneumothorax increasing in size
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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. the mediastinum is not widened. there is no pulmonary edema.
history: <unk>f with chest pain, severe, pls eval ptx vs edema vs widened mediastin // history: <unk>f with chest pain, severe, pls eval ptx vs edema vs widened mediastin
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there is mild vascular cephalization and interstitial edema but focal opacities concerning for pneumonia. a chronic moderate left-sided pleural effusion associated with left lower lobe collapse is unchanged. calcified right hilar lymph nodes are noted. the heart is mildly enlarged. atherosclerotic calcifications at the aortic knob are present. no pneumothorax.
<unk>-year-old male with shortness of breath while at rest. evaluate for acute cardiopulmonary process.
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portable ap supine view of the chest was reviewed. an endotracheal tube ends <num> cm above the carina. left-sided port-a-cath ends in the lower superior vena cava. an upper enteric tube passes into the stomach and off the radiograph. right upper lung and perihilar opacity representing intraparenchymal hemorrhage has improved. lung volumes have increased and right lower lobe atelectasis has decreased. a small right pleural effusion is relatively unchanged. the previously described moderate right apical pneumothorax is now miniscule. in the right lung apex, there is a redundant fragment of unidentified wire or lead that has been present on several prior studies. a left pectoral biventricular pacer and defibrillator has pacer leads ending in the right atrium and left ventricle and a defibrillator lead ends in the right ventricle. bilateral subcutaneous emphysema is unchanged. a left clavicular fracture is again noted.
evaluation for interval change in a patient status post high-speed motor vehicle crash with rib fractures, pneumothoraces, and parenchymal hemorrhage.
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there has been interval removal of a right internal jugular venous central line. the cardiac and mediastinal silhouettes are stable as well as the right upper lobe changes. moderate pulmonary vascular congestion is also stable.
<unk>-year-old with shortness of breath.
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there are low lung volumes, likely accentuating the cardiomediastinal silhouette. allowing for changes due to this, the cardiomediastinal silhouette is stable and within normal limits. the hila are unremarkable. hazy opacity near the right cardiophrenic angle likely represents crowding of normal bronchovascular structures and/or atelectasis in the setting of low lung volumes. otherwise, the lungs are clear without focal consolidation. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion. diffuse subjective osseous demineralization is noted.
<unk>m with chest pain.
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a new right upper lobe hazy opacity is consistent with pneumonia. the cardiomediastinal silhouette is normal. there is no effusion or pneumothorax.
complained of "feeling wheezy" although the lungs clear to auscultation anteriorly. fever to <num> with rigors. rule out acute process.
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a small right apical pneumothorax is slightly smaller than yesterday. the previously seen small amount of opacification over the right mid lung is improved, with only a residual opacity persisting. no focal consolidation. there is bibasilar atelectasis. no pleural effusion. the cardiomediastinal and hilar contours are normal.
increasing left-sided chest pain, dyspnea.
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heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with history of atrial fibrillation presents with lightheadedness
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the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. mild degenerate changes throughout the thoracic spine are stable since the <unk> examination.
cough and chest pain.
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in comparison to the recent priors, there is no evidence of pleural effusion or pneumothorax. in the right infrahilar region, there is increased opacity in comparison to the prior examinations, which may represent pneumonia. cardiomediastinal contours are stable.
<unk>f w/chest pain, please eval for occult pna // <unk>f w/chest pain, please eval for occult pna
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ap and lateral views of the chest. lungs are hyperinflated. there are streaky right basilar opacities. in addition, there is slightly more superior opacity in the right lung laterally, projecting over the anterior <unk> rib, potentially from prior fracture. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with altered mental status and hypoxia.
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frontal and lateral views of chest demonstrate normal cardiac and mediastinal silhouette. despite low lung volumes, the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with chest tightness.
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the lungs are well expanded and clear. there is no pleural abnormality. the heart size is normal. the mediastinal and hilar contours are normal. calcified granuloma is in the right lower lobe.
<unk> year old man with episode of wheezing, labored breathing yesterday x <num> // ? any abnormality
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frontal view of the chest was obtained. bilateral patchy mid and lower lung opacities are compatible with pulmonary edema, similar to prior. blunting of the costophrenic angles is compatible with moderate pleural effusions. the cardiomediastinal silhouette is stable. sternotomy wires are intact.
<unk>-year-old female with hypoxia. evaluate for interval change.
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atelectasis is noted at the lung bases. calcified granuloma seen in the left midlung laterally. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with s/p lumbar spinal surgery <num> days prior now p/w temp to <num> @ home; more suspicious of superficial site infx / cellulitis // eval ? atelectasis, pna
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left picc tip appears to terminate within the proximal right atrium. heart size is top normal with a left ventricular predominance. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. minimal atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormality. degenerative changes are noted in the thoracic spine.
history: <unk>m with new picc line today at rehab
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there are relatively low lung volumes, stable. no focal consolidation, pleural effusion or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
left upper back/scapular pain, worse with deep breathing, dry cough.
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again seen are opacities overlying the anterior heart, best seen on the lateral view, which are not significantly changed. this likely corresponds to the area of peribronchial infiltration seen in the right medial lobe in the frontal radiograph. the cardiomediastinal and hilar contours are within normal limits. no pleural effusion or pneumothorax.
<unk> year old woman with sle, osa with history of dry cough, recently producing sputum concerning pneumonia. // opacity seen in cxr on <unk>, suggesting pneumonia or bronchitis, re evaluate. opacity seen in cxr on <unk>, suggesting pneumonia or b
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a left port ends in the proximal right atrium. a moderate right pleural effusion appears increased since <num> days ago. a right pigtail catheter appears in appropriate position. the lung volumes have decreased and bilateral patchy parenchymal opacities are not significantly changed. the cardiac and mediastinal contours are stable. there is no pneumothorax.
<unk> year old woman with metastatic cancer and large pleural effusion and chest tube. evaluate effusion and chest tube.
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pa and lateral views of the chest were compared to previous exam from <unk>. previously identified right ij line is no longer seen. the lungs are clear of consolidation or effusion. blunting of the right lateral costophrenic angle is likely due to scarring. cardiomediastinal silhouette is within normal limits and notable for prior median sternotomy with mediastinal clips. chronic deformity is seen of multiple right-sided ribs and clavicle.
<unk>-year-old male with palpitations, history of cabg in the past.
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bibasilar atelectasis has slightly worsened. there is no definite evidence for pleural effusion. the cardiomediastinal silhouette is unremarkable. there is no pneumothorax. a rounded opacity adjacent to the right hemi diaphragm corresponds to a seemingly loculated pleural effusion on ct dated <unk>.
<unk> year old man with etoh cirrhosis with ruq abdominal now with increasing bilirubin // pna vs. pleural effusion.
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in comparison to prior same-day chest x-ray from <unk> at <time>, there has been interval enlargement of the left-sided pneumothorax, status post water seal of pigtail catheter. again visible are apical and superolateral components of the pneumothorax, similar, but slightly increased in size. there is has been re-appearance of a sizable anterior/retro-sternal component seen on lateral view -- this is similar in size and appearance to previous chest x-ray from <unk> at <time>, but increased compared with the film obtained earlier today. the hydro pneumo thorax component seen posteriorly on the lateral view is fairly similar to the most recent prior film. bilateral pleural effusions are unchanged. no shift of mediastinal structures. no additional significant interval changes. minimal atelectasis in the right cardiophrenic region again noted.
<unk> year old woman with ptx s/p port placement // please do exam at <unk> <unk>. question: status of ptx (put on water seal <unk> <unk>).
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single portable view of the chest. new right subclavian line is seen with catheter tip in the mid svc. there is no pneumothorax however please note that patient's chin overlies the superior most aspect of the lung apices. dense right lung base opacity is again noted. no other change.
<unk>-year-old female central line placement.
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the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear unchanged including tortuosity of the aorta and mild cardiomegaly. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes along the thoracic spine appear stable.
bilateral rib pain status post low-impact fall.
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frontal and lateral views of the chest were obtained. 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 male with right upper quadrant pain.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. no free air is seen under the diaphragms. the descending aorta is mildly tortuous.
<unk> year old man with etoh abuse, now with acute on chronic epigastric pain, evaluate for free air under the diaphragm; please obtain upright film.
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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. bony structures are unremarkable.
palpitations and elevated white blood cell count.
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chest, pa and lateral. there are linear opacities in the bilateral lower lobes extent similar to the prior radiograph. there are no convincing air bronchograms. the upper and mid lungs are clear. the there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. the hilar and cardiomediastinal contours are normal.
cough, dyspnea in a patient recently treated for pneumonia.
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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.
<unk>-year-old female with abdominal pain and presyncope.
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the lungs are hyperinflated. 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 // ?pneumonia
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since prior, there is no significant interval change. heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation. there is no pneumothorax or pleural effusion. chronic left rib fracture, again seen.
<unk>m with ongoing chest pain.
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a single portable frontal chest radiograph was obtained. a moderate left-sided pleural effusion has increased since <unk>. a small right-sided effusion may be slightly smaller. there is no new consolidation or pneumothorax. the aortic arch remains calcified. right internal jugular catheter remains at the cavoatrial junction. enteric catheter extends inferiorly out of the field of view. a left-sided subclavian stent is unchanged.
<unk>-year-old woman status post closure of right aka. rule out pulmonary effusion or pneumothorax.
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there has been interval placement of a right-sided chest tube is seen terminating in the right mid lung field. the right lung has almost completely reexpanded, and there is only a small residual apical right pneumothorax without evidence of tension physiology. subcutaneous emphysema is seen in the soft tissues along the lateral right thorax. several regions of patchy airspace opacities within the right middle and lower lobes may represent atelectasis versus post-reexpansion edema. there is no evidence of pleural effusion or pulmonary edema. the cardiomediastinal silhouette is stable. redemonstrated is an endotracheal tube terminating <num> cm above the carina. a nasogastric tube is seen coursing out of view of the radiograph.
recent tension pneumothorax, now status post chest tube.
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cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion without evidence of pulmonary edema. there are no focal areas of consolidation within the lungs, and no definite pleural effusion is evident.
<unk> year old man with ? cirrhosis. assess for pleural effusion. // <unk> year old man with ? cirrhosis. assess for pleural effusion.
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the heart is mildly enlarged with a left ventricular configuration. there is mild tortuosity of the thoracic aorta. the upper mediastinal border shows a smooth convex contour, most often seen with tortuosity of great vessels, although not entirely specific. patchy retrocardiac opacity is noted with elevation of the left hemidiaphragm, mild in degree, suggesting volume loss. there is also a patchy focal opacity projecting over the right lower lung with peribronchial cuffing. it is difficult to exclude a pleural effusion on the left. there is no pneumothorax.
hypotension and known carcinoma.
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the endotracheal tube terminates <num> cm above the carina. the lung volumes are low and there is bibasilar atelectasis. otherwise, the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with intubation. evaluate tube placement.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. multiple punctate radiopaque round densities are seen throughout the chest and primarily the back, compatible with buckshot fragments.
hiv, fever to <num>, dry cough, body aches.
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vague opacities again project over the mid lungs bilaterally which had been present on prior and are suggestive of overlying calcified pleural plaques. elsewhere, the lungs are clear. moderate cardiac enlargement as well as left chest wall dual lead pacing device and median sternotomy wires and mediastinal clips are again noted. no acute osseous abnormalities.
<unk>m with substernal chest pain, rad to jaw, similar to prior mi // eval for cardiomegaly
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hyperlucency of the left lung is secondary to technical error (off center anode placement). calcified granuloma projects over the left hilus with rounded homogeneous calcified opacity, best assessed on lateral may represent lymph node or nodule. no additional focal opacity, pneumothorax, pulmonary edema or pleural effusion. heart size, mediastinal contour and hila otherwise normal. no bony abnormality.
female with positive ppd in the past. assess for tuberculosis.
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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. clips are noted in the right upper quadrant.
<unk>f with hiv and fever, cough
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there has been interval removal of a left internal jugular line. a left subclavian catheter terminates at the origin of the svc. an endotracheal through the terminates <num> cm above the carina. finally, an esophageal tube terminates in the stomach and should be advanced <num> cm for appropriate position. there is minimal pulmonary vascular engorgement with no evidence of pulmonary edema. a right mediastinal asymmetry is again seen, and is unchanged. bibasilar opacities are minimally worse from the prior study but likely reflective of atelectasis. small pleural effusion on the left. no pneumothorax is identified.
<unk> year old woman with difficulty weaning from vent // ? pulm edema
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single portable view of the chest is compared to previous exam from earlier the same day at <time> p.m. performed at an outside institution and prior chest x-ray from <unk>. the lungs are clear. cardiomediastinal silhouette is within normal limits. multiple old healed right posterior rib fractures are noted. there is no acute displaced rib fracture visualized.
<unk>-year-old female with fall, subarachnoid hemorrhage. evaluate for pneumothorax or fracture.
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ap and lateral views of the chest were compared to previous exam from <unk>. given differences in positioning and technique, there has been no significant interval change. the lungs are essentially clear without pulmonary vascular congestion or consolidation. the cardiomediastinal silhouette is stable. extensive degenerative change is again seen at the glenohumeral joint. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with hypotension.
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lung volumes are relatively low with bibasilar atelectasis. superiorly, lungs are clear. there is no overt edema nor effusion. the cardiomediastinal silhouette is stable. prosthetic aortic valve and left chest wall dual lead pacing device are unchanged. there is a new dual lumen right-sided central venous catheter with distal tip in the right atrium. bilateral shoulder arthroplasties are noted as well as lumbar fixation hardware. .
<unk>m with dyspnea and leg swelling // r/o acute cardiopulmonary process
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no change in the following: no pneumothorax, large left pleural effusion, large left hilar mass with atelectasis. the right lung is clear.
<unk> year old woman with l. sided effusion s/p <unk> // please eval left sided effusion please eval left sided effusion
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ap portable upright view of the chest. a new endotracheal tube terminates at the carina. again seen are widespread pulmonary opacities bilaterally, unchanged since the <unk> examination, reflecting ards. small bilateral pleural effusions are stable. there is no pneumothorax. the patient is post cabg. the heart is mildly enlarged.
<unk> year old man with new ett // ?ett placement
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the lungs are clear without focal consolidation, pleural effusion or pulmonary edema. there is linear atelectasis at the left lung base. the heart size and mediastinal contours are normal.
<unk>-year-old male with ms flare, evaluate for pneumonia.
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portable ap chest film <unk> <time> is submitted.
<unk> year old man with cough, neutropenia // ?pneumonia ?pneumonia
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cephalization of the pulmonary vasculature is unchanged with mild interstitial opacification compatible with pulmonary vascular congestion and mild pulmonary edema, which is not significantly changed from <unk>. small bilateral pleural effusions are unchanged. no focal consolidation or pneumothorax is present. the cardiac silhouette remains enlarged but stable. the mediastinal and hilar contours are within normal limits and unchanged. compression fracture deformities in the lower thoracic spine are unchanged.
congestive heart failure with fluid overload, here to evaluate for interval change.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. mild increased interstitial markings are demonstrated within the lung bases, and likely reflect a mild chronic interstitial abnormality, as suggested on the prior ct abdomen. additionally, patchy opacity within the left lung base is concerning for an area of developing infection. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m with cirrhosis, aaa, presenting with cough.
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cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. lung volumes are low with crowding of the bronchovascular structures. no overt pulmonary edema is present. streaky opacities within the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities. clips in the upper abdomen are compatible with prior cholecystectomy.
history: <unk>f with chest pain
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pa and lateral chest views have been obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. heart size is at the upper limit of normal variation but unchanged when comparison is made with previous studies. no typical configurational abnormalities identified. the aorta is of ordinary <unk> and does not show any local contour abnormalities or walled calcifications. the pulmonary vasculature is not congested. there are no signs of acute or chronic pulmonary parenchymal densities. the pleural spaces are free. there is no fluid in lateral or posterior pleural sinuses. no pneumothorax is present in the apical area seen on the frontal view. skeletal structures of the thorax grossly unremarkable.
<unk>-year-old female patient with worsening cough, evaluate for pneumonia.
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frontal lateral views of the chest demonstrate moderate cardiomegaly. lung volumes are slightly decreased. however there is improved pulmonary edema and better overall aeration in the lungs. mild interstitial edema is persistent. a small right pleural effusion is present. subsegmental atelectasis is present in the lung bases.
<unk>-year-old female with history of cml and shortness of breath.
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support and monitoring equipment are unchanged in appearance when compared to the prior study. widening of the superior mediastinum is likely due to patient positioning. there is a new moderate right-sided pleural effusion with associated atelectasis, infection cannot be excluded. the tip of a right internal jugular catheter projects over the mid svc.
<unk> year old man with hypoxic resp failure, intubated, // interval change, ett
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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 s/p fall w ich from <unk> // preop
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lateral views are limited due to motion despite repeat image. relatively low lung volumes are seen with secondary crowding of the bronchovascular markings. there is superimposed interstitial edema. there is no large effusion or definite consolidation. linear atelectasis seen in the mid lungs bilaterally. the cardiac silhouette is enlarged but not significantly changed. right-sided central venous catheter tip seen within the right atrium. left subclavian vascular stent is noted.
<unk>m with chest pain // eval infiltrate
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are well inflated and appear clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with fever, cough
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the lung volumes are low. streaky posterior left basilar opacities suggest minor atelectasis. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax. although not optimally assessed, the cardiac, mediastinal, and hilar contours are probably within normal limits for technique.
chest pain.
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patient is slightly rotated. the lungs remain clear without consolidation, effusion, or edema. mild cardiac enlargement is unchanged. there are atherosclerotic calcifications in the aortic arch. hypertrophic changes noted in the spine.
<unk>f with delirium // eval for pna
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single portable view of the chest. no prior. the lungs are clear of consolidation, effusion, or pulmonary edema. cardiac silhouette is at upper limits of normal for technique. the aorta is tortuous, notable for atherosclerotic calcifications. osseous structures are unremarkable.
<unk>-year-old with copd, chf, presents with agitation.
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there is mild interstitial edema. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with prod cough // r/o acute process
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there is an area of increased opacification at the right base, which likely represents a small pleural effusion with adjacent atelectasis, but superimposed infection cannot be excluded. the left lung is clear. the cardiomediastinal and hilar contours are unchanged. a right-sided internal jugular central venous line ends at the cavoatrial junction. a left-sided internal jugular central venous line ends at the upper-to-mid svc. nasogastric tube courses into the stomach and out of field of view.
<unk>-year-old man with hep c cirrhosis, status post liver transplant. evaluate for pulmonary edema.
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linear opacities seen at the right lung base laterally likely atelectasis. the lungs are otherwise clear without consolidation, effusion or vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with chest pain // r/o pna
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single frontal view of the chest was obtained. endotracheal tube terminates <num> cm above the carina. orogastric tube terminates in the stomach. heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with endotracheal tube.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with shortness of breath, history of asthma
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lung volumes are low normal. there is no focal consolidation, effusion, or pneumothorax. there is mild unfolding of the thoracic aorta and mild calcification at the aortic knob. otherwise, mediastinal and hilar contours are normal. there is mild central vascular congestion without overt pulmonary edema. moderate cardiomegaly, of indeterminate chronicity. old left rib fractures are noted.
history: <unk>f with headache, dysarthria, since awakening this morning // ?ich
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ap portable upright view of the chest. interval intubation noted, with tip of the endotracheal tube positioned approximately <num> cm above the carina. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
ett placement
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as compared to the previous radiograph, the amount of pleural fluid on the right has increased. the overall degree of pleural air at the level of the basal right hemithorax is unchanged. also unchanged are the no new parenchymal opacities, combines to scarring, at the right lung apex. unchanged appearance of the heart and of the left lung.
<unk> year old man with right basilar pneumothorax // eval for interval change
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heart size remains mildly enlarged. aortic knob is calcified. mediastinal and hilar contours are unchanged. previously noted left upper lobe mass appears more vague with surrounding ill-defined opacity, possibly related to infection. there is a lingular opacity which is new compared to the prior study, and could reflect an area of infection. the right lung is grossly clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
altered mental status.
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a left pacer unit sits in the left upper chest wall with leads in the right atrium and right ventricle. the heart size is enlarged, possibly due to exaggerated effects of ap positioning. the mediastinal contours demonstrate calcified atherosclerotic disease of the aorta. the lungs show no consolidation, although vascular prominence and subtle diffuse hazy appearance of the lungs suggests some degree of pulmonary edema, increased since the prior study. there is no pleural effusion or pneumothorax. imaged lower thoracic vertebral body severe compression is unchanged compared to prior exam.
<unk>-year-old female with question of seizure, altered mental status, and on coumadin.
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<num> sternotomy wires are again identified. again noted is cardiomegaly along with prominence of the hila bilaterally and increased lung markings at the lung apices, in keeping with pulmonary revascularization and an element of pulmonary edema. however the degree of interstitial markings seen on the prior study has improved. no pleural effusions.
<unk>m w/l sfa angioplasty <unk> toe amp now w/ rle ulcers w/ recent admission for chf // please do on arrival to preop. pulmonary edema? surg: <unk> (angio)
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lung volumes are low. heart size is accentuated by the low lung volumes, and is likely mildly enlarged. the mediastinal contours are unremarkable. there is no pulmonary vascular congestion, and the hilar contours are unremarkable. minimal linear and streaky opacity in the left lung base likely reflects atelectasis. there is no focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are identified.
acute agitation, chest pain, off psychiatric medications.
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compared with prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged. there is chronic blunting of the right lateral costophrenic angle, likely due to scarring. median sternotomy wires are stable in appearance.
<unk> year old man with left sided pleurisy // left sided pleuritic pain
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right picc tip terminates in the low svc, with tip appearing somewhat withdrawn by approximately <num> cm since the previous chest radiograph. lung volumes remain low. the cardiac, mediastinal and hilar contours are unchanged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. cholecystectomy clips are again noted in the right upper quadrant of the abdomen.
history: <unk>f with pain at picc line
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right picc tip is seen to at least the level of the upper svc. the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen. there are mild degenerative changes noted in the thoracic spine.
right arm picc line, being readmitted. assess line placement.
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no focal consolidation, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are stable. there has been interval resolution of the previously seen pulmonary edema. a right subclavian hemodialysis catheter is seen with tip projecting over the expected location of the right atrium. there is a small right pleural effusion.
inr of <num>.
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pa and lateral views of the chest provided. a left chest wall pacer is seen with leads extending into the coronaries sinus and right ventricle. midline sternotomy wires and mediastinal clips are noted. the heart remains mildly enlarged. mild hilar congestion is suggested without frank edema. no effusion or pneumothorax. no signs of pneumonia. the mediastinal contour is stable. bony structures appear intact. degenerative changes of the bilateral ac joints is noted.
<unk>m with recent cold and ams // r/o pna
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bilateral predominantly perihilar heterogeneous opacities with subtle kerley b lines are consistent with mild-to-moderate interstitial pulmonary edema. mild cardiomegaly is not significantly changed allowing for differences in technique. the mediastinal contours are normal. there may be trace bilateral pleural effusions. there is no pneumothorax. the patient is status post midline sternotomy.
crackles at the bases, evaluate for chf.
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pa and lateral chest views obtained with patient in upright position. comparison is made with the next preceding ap single view chest examination of <unk>. the heart size is at the upper limit of normal variation. the heart configuration suggests a relative prominence of the left ventricular contour, a finding which in conjunction with the moderately widened and elongated thoracic aorta suggests the possibility of systemic hypertension. there is no acute pulmonary congestion. in the right hemithorax pleural thickenings are identified and seen to clear along the lateral chest wall. this coincides with the previously described local resection of the posterior aspect of the fourth rib related to previously performed tracheal reconstruction. these post-operative changes have not undergone any significant interval change. no pneumothorax is present. on the lateral view the posterior pleural sinuses are free from any free fluid, pleural effusion.
<unk>-year-old female patient status post tracheoplasty via right chest performed on <unk>, check for interval change.
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the patient is rotated to the left. right-sided large-bore central venous catheter likely terminates in the right atrium. the patient is status post median sternotomy. there is obscuration of the left hemidiaphragm and left base opacity seen which may be due to atelectasis however, underlying consolidation or small pleural effusion is difficult to entirely excluded. there is mild left mid lung atelectasis/scarring. no pneumothorax is seen. the cardiac silhouette is top-normal. no overt pulmonary edema.
chest pain.
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cardiac, mediastinal and hilar contours are within normal limits. lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is not engorged. moderate degenerative changes are noted in the lower thoracic spine.
history: <unk>m with cough