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right port tip is in the right atrium. stable minimal bilateral atelectasis. no additional focal opacity, pneumothorax, pleural effusion or pulmonary edema. small hiatal hernia with a tortuous nonenlarged aorta. heart size, mediastinal contour, and hila are normal. no bony abnormality.
male with recent port placement and port not allowing blood draws. assess position.
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pa and lateral chest radiographs are provided. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unremarkable. the visualized osseous structures are unremarkable. there is no free air under the right hemidiaphragm.
<unk>-year-old woman with chest pain, question pneumonia.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made to the next preceding similar study of <unk>. high positioned diaphragms indicate poor inspirational effort and result in crowded appearance of basal pulmonary vasculature bilaterally. there is no evidence of new acute pulmonary parenchymal infiltrates and the lateral pleural sinuses remain free. heart size cannot be assessed as major portions of the heart are obliterated by high positioned diaphragms. there is no evidence of pneumothorax in the apical area and the previously described right-sided picc line terminates in unchanged position.
<unk>-year-old male patient with fungemia, status post transesophageal echocardiogram, now hypoxic to high <num>s. evaluate for possible aspiration pneumonia or pulmonary edema.
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small bilateral pleural effusions appear slightly improved since <unk>. the heart size remains top normal. a tortuous aorta is again demonstrated. there is no pneumothorax. bibasilar atelectasis appears slightly improved. mild degenerative changes throughout the thoracic spine appear stable.
followup pleural effusions.
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the cardiac, mediastinal and hilar contours appear unchanged, including mild unfolding of the descending thoracic aorta. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. there has been no definite change.
chest pain.
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pa and lateral views of the chest. there are low lung volumes. there is streaky bibasilar atelectasis. the right central venous line has been removed. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are stable.
fever, evaluate for pneumonia.
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there is a feeding tube which extends below the level the diaphragms but is looped over the mid abdomen. there is increased elevation of the right hemidiaphragm. minimal bibasilar atelectasis is present. no pneumothorax or pleural effusion. the size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with new dobhoff placement, has roux-en-y, this was placed endoscopically so not a two stage film. please assess placement. // assess dobhoff placement
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single portable ap chest radiograph was obtained. low lung volumes accentuate interstitial markings and the pulmonary vasculature. despite these limitations, the lungs are clear. no nodule, consolidation, effusion, or pneumothorax is present. the heart and mediastinal contours are normal.
cough, fever.
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lungs are hyperinflated with flattening of the diaphragms. the heart size is normal. diffuse atherosclerotic calcifications of the thoracic aorta are present. the pulmonary vasculature is normal. mediastinal and hilar contours are unremarkable. lungs are clear, without focal consolidation. no pleural effusion or pneumothorax is present. there are mild degenerative changes in the thoracic spine.
atrial fibrillation.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. subsegmental atelectasis is noted in the right lower lobe. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with dyspnea, cough
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. there is mild bibasilar atelectasis. no focal consolidation, pleural effusion, or pneumothorax.
found down.
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ap portable semi upright view of the chest. limited exam due to rightward rotation and exclusion of the lung apices. endotracheal tube is partially visualized with its tip residing approximately <num> cm above the carinal. an ng tube extends into the upper abdomen. the right hemidiaphragm is slightly elevated with extensive consolidation noted in the right lung concerning for pneumonia. the left lung is clear. a pigtail catheter projecting over the upper abdomen likely represents recently placed peg tube. left upper extremity picc line is partially visualized though the tip is not visualized. left lung is clear. small right effusion is likely present.
<unk>m with ett, ogt, cvl // eval line placement, ett
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are clear. there are no pleural effusions or pneumothorax. hyperinflation is present. the bony structures are unremarkable.
shortness of breath and cough. question pneumonia.
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frontal and lateral views of the chest. no pleural effusion, pneumothorax, or focal airspace consolidation. normal heart size, mediastinum, and hilar structures.
cough, rule out infection.
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the right basilar chest tube remains in place, though the side ports no longer lie in the posterior costophrenic angle. the small right pleural effusion has decreased in size. there is no left-sided pleural effusion. the previously seen right lung base patchy opacification has resolved. multiple scattered ill-defined nodular opacities are compatible with known metastatic disease, which has progressed compared with <unk>. there is no focal consolidation, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old man with pleural effusion // eval eval
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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. bilateral vagal stimulators are again noted bilaterally. degenerative changes are seen along the spine.
<unk> year old man with <unk>'s disease s/p fall // please eval for pneumonia
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there is complete collapse of the right upper lobe with rightward shift of the trachea. consolidation is seen in the right lower lung concerning for aspiration/infection. the et tube appears appropriately positioned with the tip terminating <num> cm above the carina. the left lung is grossly clear. an esophageal stent is again noted. mediastinal clips and sternotomy wires are present. a left chest pacemaker and leads are in satisfactory position. an enteric tube terminates at the proximal gastric body. there is a small right pleural effusion.
<unk>m with history of esophageal ca and trachoesophageal fistula p/w hemotysis, s/p intubation. evaluate for et tube position.
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there is no consolidation, pleural effusion or pneumothorax. there is focal pleural thickening at left posterior lung base. cardiomediastinal and hilar silhouette are normal size.
<unk> year old woman with ongoing pneumonia and parapneumonic effusion // interval change
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there is no free air beneath the right hemidiaphragm. there is a subtle opacity projecting over the right upper lung, partially overlapping with the right clavicle, measuring approximately <num>cm. bibasilar opacities most likely represent atelectasis. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
<unk>f with recent eus/fna of gb mass, now w severe abd pain // presence of free air
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low lung volumes accentuate the central pulmonary vasculature. the enteric catheter has been inserted into the stomach. there is no consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
severe acute pancreatitis.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain, cough // ptx?
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
history: <unk>f with chest pain // r/o pneumothorax
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frontal and lateral chest radiographs demonstrate clear, well expanded lungs. the cardiac and mediastinal contours are normal. pleural surfaces are normal. a piercing is noted along the anterior aspect of the manubrium.
<unk>-year-old female with dyspnea, diabetes and fatigue, evaluate for pneumonia.
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ap upright and lateral views of the chest provided. there is pulmonary vascular congestion with interstitial pulmonary edema. no large effusion is seen. there is no pneumothorax. no convincing evidence for low lobar consolidation. cardiomediastinal silhouette is unchanged. bony structures are intact.
<unk>f with ams // infiltrate?
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with iddm presenting with sudden onset chest pain since <unk>:<num> pm. now chest pain free // acute cardiopulmonary process
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right picc terminates in the mid to lower svc. a prosthetic mitral valve is again noted. there is no pneumothorax. there is persistent right upper lobe collapse with hyperinflation of the right middle lobe. moderate right pleural effusion has increased in size. small to moderate left pleural effusion is stable. the left mid lung zone consolidation is unchanged. no pneumothorax.
<unk> year old woman with pulmonary edema // interval change
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a ventriculoperitoneal shunt courses across the right side of the chest. the cardiac, mediastinal and hilar contours appear stable including borderline cardiomegaly. there is a small unchanged focus of lingular scarring. otherwise the lungs appear clear.
shortness of breath.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there are no pleural effusions or pneumothorax. there is mild central peribronchial cuffing, particularly in the suprahilar regions, as well as a streaky perihilar opacity in the right upper lung, but no definite focal consolidation. the bony structures are unremarkable.
cough.
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the heart is top normal in size. there is tortuosity of the aorta. the mediastinal and hilar contours are within normal limits. there is atelectasis of the lung bases bilaterally. lungs are otherwise clear. there are no pleural effusions, focal consolidations, or pneumothorax.
<unk>-year-old male patient with stroke. study requested as baseline and to evaluate fluid status.
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mild decrease in subcutaneous emphysema along the right lateral chest wall, right breast and right lateral neck. again seen is a <num> cm rounded opacity partially projecting over the right lower hemi thorax consistent with a small hematoma likely related to chest tubes. mild right lower lobe atelectasis is stable. left lung is clear. no significant change in small right pneumothorax. no left pneumothorax. trace right pleural effusion. no left pleural effusion. heart size and mediastinal contour are otherwise unremarkable. chain sutures are again seen within the left upper lobe and right lower lobe. a right ij cvl tip is in the low svc. an enteric feeding tube courses midline with tip out of field of view and side port not visualized. <num> right-sided chest tubes are in appropriate position, unchanged since prior examination. endotracheal tube is in appropriate position at the level of thoracic inlet.
<unk> year old woman pod <unk> s/p rul resection. assess for ett position
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lung volumes are low leading to crowding of the bronchovascular structures. left lower lobe and retrocardiac opacity likely reflects atelectasis. there is now definitive lobar consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
*** code cord *** history: <unk>f with h/o bronchitis coming in with back pain // assess for consolidation
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left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. heart size is normal. atherosclerotic calcifications are seen within the aortic knob. pulmonary vasculature is normal. lungs are clear. eventration of the right hemidiaphragm is again noted. no pleural effusion or pneumothorax is present. scarring within the lung apices is again noted. there are no acute osseous abnormalities.
history: <unk>f with cough and altered mental status
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. a replaced mitral valve is seen.
<unk>-year-old with hiv and fever.
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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. fat pads (as seen on prior ct abdomen pelvis) abut the heart border likely accounting for subtle opacity seen. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cough // eval for infiltrate
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heart size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. tiny calcified granuloma is noted projecting over the right upper lung field. no acute osseous abnormalities detected.
history: <unk>f with new onset right-sided facial paralysis.
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chest, pa and lateral. the lungs are clear. moderate cardiomegaly and aortic tortuosity is unchanged. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
dyspnea.
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moderate cardiomegaly has been stable compared to exams dated back to <unk>. there is pulmonary vascular congestion otherwise the hilar and mediastinal contours are unremarkable. mild-to-moderate pulmonary edema has increased compared to the prior exam from <unk>. there are small bilateral pleural effusions. there is no evidence of pneumothorax.
history of shortness of breath. please evaluate for pulmonary edema.
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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 pulmonary edema is seen.
palpitations and shortness of breath.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. appearance of heart shadow and mediastinal structures is unchanged. thus no marked cardiac enlargement is present. the thoracic aorta is moderately elongated and shows rather advanced calcium deposits in the wall at the level of the arch. similar as on several preceding chest examinations, there is an irregular pulmonary vascular distribution coinciding with increased interstitial markings on the lung bases. one also observes extensive calcifications within the diaphragms as well as multiple partially calcified pleural plaques bilaterally. new acute pulmonary parenchymal infiltrates cannot be identified and there is no pneumothorax in the apical area. evidence of a moderately wedge-compressed vertebral body in the lower thoracic spine as seen before. multiple surgical clips in right upper quadrant of abdomen unchanged.
<unk>-year-old male patient with abnormal chest examination, followup abnormalities diagnosed in <unk>.
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et tube is <num> cm from the carina. enteric tube courses into the stomach and beyond the healed. there are bilateral subpleural reticulations which could reflect a background of fibrosis. mild pulmonary edema is improving. there is increased opacity at the right base which could reflect aspiration or pneumonia. there is no large pleural effusion or pneumothorax. heart size is normal. the mediastinal and hilar contours are normal. the aortic arch is calcified.
<unk> year old woman with ? aspiration event // interval change
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ap upright and lateral views of the chest were obtained. lungs are symmetrically expanded and clear. there are streaky opacities along both bases likely reflecting atelectasis. moderate cardiomegaly and pulmonary vascular engorgement again noted. cardiomediastinal contour is stable. there is no pneumothorax. the patient is status post right total shoulder arthroplasty. cervical fusion hardware also noted.
<unk>-year-old female with right-sided numbness concerning for stroke. please evaluate for acute intrathoracic process.
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear without cavitary nodules or focal consolidations. there is no pleural effusion or pneumothorax.
<unk> year old woman with a history of wegener's granulomatosis // lung involvement of gpa
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frontal and lateral radiographs of the chest demonstrate clear, hyperinflated lungs. a tortuous descending aorta is noted in the mediastinum. otherwise, the cardiac and mediastinal contours are normal. no pulmonary vascular congestion or increase in interstitial markings is noted. no pleural effusion or pneumothorax.
flail mitral valve with increasing dyspnea. evaluate for congestive heart failure.
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single ap portable radiograph of the chest demonstrates a tortuous aorta, similar to the prior studies. cardiac size is top normal. the lung fields demonstrate linear opacities in the lower lobes, likely atelectasis. chain sutures in the right lower lobe is consistent with priot right lower lobe wedge resection.. no pleural effusion or pneumothorax.
shortness of breath.
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
hypoxia. evaluate for acute intrathoracic process.
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et tube terminates <num> cm above the carina. left subclavian venous line terminates at mid svc. transesophageal tube courses below the diaphragm and out of view. there is new mild interstitial pulmonary edema. right lung base consolidation is increased compared to <unk>, which could be due to progression of pneumonia or increased pulmonary edema. there is small bilateral pleural effusion and mild left lung base atelectasis, increased from prior. cardiomediastinal silhouette is normal size.
<unk> year old man with pna // evaluate lung fields
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the cardiomediastinal and hilar contours are normal. subtle increase in opacities in the right lung base, overlying the right lower lobe in the lateral view, are worrisome for pneumonia. no edema, pleural effusion or pneumothorax is seen.
<unk>-year-old woman with fever and cough.
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ap portable upright view of the chest. left ij central venous catheter is seen with its tip terminating in the mid svc region. no pneumothorax. lungs are clear. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with fevers, sob // pna?
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there is no focal consolidation, pleural effusion, or pneumothorax. hemidiaphragms are flattened, suggesting hyperinflation. cardiomediastinal silhouette is normal. there are no acute skeletal abnormalities.
<unk>-year-old woman with eating disorder, rule out infection.
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moderate cardiomegaly is stable. aortic stent is unchanged. small to moderate right effusion is associated with adjacent atelectasis. there is mild vascular congestion. there is no pneumothorax. left retrocardiac atelectasis are minimal
<unk> year old man with chf s/p tavr now admitted with acute cholecystitis with signs of heart failure on physical exam. // please evaluate for chf
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upright pa and lateral radiographs of the chest. there is chronic pleural thickening at the left costophrenic sulcus unchanged since at least <unk>. no new focal airspace opacity is detected. the cardiomediastinal silhouette and hilar contours are stable. the aorta is calcified and tortuous. there is no frank pulmonary edema.
chest pain and shortness of breath. evaluate for pulmonary edema.
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pa and lateral views of the chest provided. midline sternotomy wires are again noted. pulmonary edema persists without significant overall change. no large effusion or pneumothorax. no convincing evidence for pneumonia though subtle pneumonia would be difficult to exclude. the cardiomediastinal silhouette appears stable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with gave with nonspecific fatigue, r/o occult infection of the thorax
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lung volumes are slightly low. no focal consolidation, pleural effusion, or pneumothorax is detected on this single frontal view. heart and mediastinal contours are within normal limits.
<unk>-year-old female with question of widened mediastinum on outside hospital chest radiograph.
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lines and tubes: there is a left-sided picc terminating in the distal left subclavian and could be advanced by approximately <num> cm. ekg leads overlie the chest wall. lungs: the lung volumes are low. interval improvement in the right visual effusion with a persistent small residual left digital effusion. dense left retrocardiac opacity likely atelectasis and/ or pneumonia. pleura: bilateral small pleural effusions left greater than right. mediastinum: there is cardiomegaly as before. aortic knob calcification persists. bony thorax: no interval change
<unk> year old woman with afib (on warfarin), cop/ild, cad s/p pci, recent ugib, now p/w c. diff infection, afib s/p tee/dccv, dchf, uti. new delirium and leukocytosis. // assess for pneumonia
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pa and lateral views of the chest provided. lung volumes are low limiting assessment. there is no convincing sign of pneumonia or edema. there is mild basal atelectasis. heart is top-normal in size. there may be mild hilar congestion without frank edema. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with w/ chest pain // ? effusion, ptx, consolidation
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there are bibasilar opacities. these could be in part due to atelectasis in the setting of low lung volumes. superiorly the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with hypoxia // eval for hypoxia
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compared to the prior radiograph, lung aeration has improved. right middle lobe atelectasis is present, and the right hilus is indistinct. further details were gleaned on the ct chest from <unk>. the left lung is clear without pleural effusions.
<unk> year old man with h/o recurrent pna, most likely post-obstructive in setting of large rml mass c/b pleural effusion, now in follow-up for endobronchial biospy. patient to obtain cxr on day of ip appointment. please evaluate rml mass, right-sided pleural effusion.
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ap portable supine view of the chest. lungs appear clear. no large consolidation, supine evidence for effusion or pneumothorax. the heart size is normal. mediastinal contour is unremarkable. no acute bony injuries seen.
<unk>f with r femur fracture. pre-op cxr
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia.
<unk>m with chest pain.
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cardiac silhouette size is mildly enlarged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. multiple clips are noted in the right axilla with evidence of prior left mastectomy and breast implant.
<unk>f, orthostatic, with question of right lower lobe rhonchi.
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the cardiomediastinal silhouette and cardiac shadow silhouette are within normal limits. pulmonary vasculature is normal in caliber. there is no pleural effusion. there is no pneumothorax. there is no area of consolidation. there is no evidence of pneumothorax. there are atherosclerotic calcifications of the aortic arch. there are healed fracture deformities of the left sixth through ninth ribs. opacities a left apex are secondary to sternoclavicular joint as seen on recent cta neck <unk>.
<unk> year old woman with unresponsiveness episode // assess infiltrate, fluid assess infiltrate, fluid
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are hyperinflated but clear without focal consolidation concerning for pneumonia. a right chest port is present with tip terminating in the upper svc. the patient is status post posterior spinal surgery. with several inter disc spacers in the midthoracic spine. the upper abdomen is unremarkable in appearance.
<unk> year old woman with multiple myeloma. // continued cough. reevaluate for pneumonia.
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ap and lateral views of the chest provided. a right picc line terminates at the cavoatrial junction. surgical clips in the right axilla are unchanged. a right pleural drainage catheter has been removed. a moderate right pleural effusion is worsened and a small left pleural effusion is unchanged. moderate compressive atelectasis is unchanged on the right. no pneumothorax. hilar and cardiomediastinal contours are normal. mild dextroscoliosis is unchanged.
<unk> year old woman with recurrent exudative right pleural effusion s/p repeat thoracentesis. // assess for re-accumulation of fluid
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pa and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax or pleural effusion. no evidence of pulmonary edema.
history: <unk>f with cough and sputum // ?pna
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the cardiac, mediastinal and hilar contours appear unchanged. the patient is status post coronary artery bypass graft surgery and a and o of vascular treatment of the aortic valve. a two-lead pacemaker/icd device appears unchanged. on this study pulmonary edema seems mildly improved but with persistent fissural thickening and perhaps slight decrease in the predominantly central interstitial abnormality.
worsening shortness of breath and hypoxia. recent tavr.
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single frontal view of the chest was obtained. the heart is of normal size. an endotracheal tube terminates in the proximal right main stem bronchus. the left lower lobe is collapsed, likely related to endotracheal tube position. there is small atelectasis of the right lower lobe. bilateral pleural effusions are seen. no pneumothorax. ng tube terminates below the diaphragm. calcified densities overlying the left upper quadrant may represent staghorn calculi. irregularity of the left chest wall osseous structures may represent prior trauma or surgery.
<unk>-year-old female with subdural hematoma status post fall. assess for acute injury.
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frontal lateral chest radiographs demonstrate low lung volumes with bronchovascular crowding and prominence of the cardiac silhouette. even allowing for this, the heart is probably top normal in size or mildly enlarged. no focal consolidation, pleural effusion, or pneumothorax is seen. no rib fracture is seen.
left rib pain. evaluate for pneumonia or rib fracture.
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moderate enlargement of the cardiac silhouette is re- demonstrated. the aorta remains tortuous. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. there is likely minimal atelectasis within both lung bases. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
dizziness.
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ng tube terminates in the distal esophagus. there is bibasilar atelectasis and probably small pleural effusions. cardiomediastinal silhouette is normal size. there is air-filled borderline dilated small bowel loops. midline surgical skin <unk> are noted. epidural catheter is noted overlying the lower thoracic spine.
<unk> year old woman with post-op ileus. also with new wheezing // eval ng tube placement
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there is obscuration of the right heart border with opacity confirmed on the lateral view compatible with a right middle lobe pneumonia. elsewhere, the lungs are clear. the cardiomediastinal silhouette is otherwise unremarkable. bilateral nipple rings are identified. no acute osseous abnormalities.
<unk>f with <unk> wks fever, cough // r/o pna
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heart is normal size and cardiomediastinal contour is unremarkable. lungs are well expanded and clear. there is no pleural effusion or pneumothorax.
history: <unk>f with poor po intake, hx of bipolar // evaluate for acute process
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pa and lateral chest radiographs: moderate bilateral pleural effusions and bibasilar linear opacities have increased slightly since the <unk> chest radiograph. there is no pneumothorax. the cardiac and mediastinal contours are unchanged.
<unk> year old woman with metastatic breast cancer (bone, abdomen) and known pleural effusions with intermittent mild hypoxia // please eval pleural effusions
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the right chest wall port catheter tip ends at the low svc. mediastinal fat is interposed between the cardiac apex on the base of the left lung. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old man with lymphoma // increasing cough. assess for abnormalities.
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there is focal opacity at the right cardiophrenic angle localizing to the lower lobe. elsewhere, the lungs are otherwise clear without focal consolidation, effusion, or pneumothorax. there is a laterally convex margin the right mediastinal contour suggesting dilation of the ascending thoracic aorta. cardiomediastinal silhouette is although waist unremarkable. no acute osseous abnormalities.
<unk>m with smoke inhalation today w/ cp and sob // ? acute cpd
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heart size is mildly enlarged, unchanged. mediastinal and hilar contours are similar. mild pulmonary vascular congestion is re- demonstrated. lungs remain hyperinflated. there is no focal consolidation, pleural effusion or pneumothorax noted. no acute osseous abnormalities detected.
history: <unk>m with cough and fever
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since earlier same day chest radiograph, bilateral pleural catheters are changed in positioning. previously noted small right apical pneumothorax is no longer seen. mild to moderate pulmonary vascular congestion and interstitial edema is increased since <unk> but unchanged since earlier same day chest radiograph. cardiomediastinal contours are stable.
<unk> year old woman with pna, pleural effusions // please time for around noon, thank you. assess for pneumothorax after pigtail removal at <time>.
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a frontal and lateral chest radiographs demonstrate unchanged mild cardiomegaly. a retrocardiac opacity is improved, but right lower lobe consolidation has progressed. bilateral pleural effusions are minimal if any. there is no pneumothorax.
status post exploratory laparotomy, now with leukocytosis. evaluate for pneumonia.
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single portable frontal chest radiograph demonstrates intact median sternotomy wires, two right chest tubes in appropriate positions with tips at the right apex and right cardiophrenic angles. persistent low lung volumes with bibasilar atelectasis and stable heterogeneous right lower lobe opacity. stable small right pleural effusion. no left pleural effusion. pleural opacities are stable. no pneumothorax. no subpulmonic pneumothorax. heart size is limited in evaluation due to overlying parenchymal and pleural abnormality. limited assessment of the upper abdomen is within normal limits.
right-sided empyema, parapneumonic effusion status post vats decortication. assess for interval change.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
cough and fever.
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the lungs are well expanded and clear. cardiac size is top normal but otherwise the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk> y/<num>of with shortness of breath.
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the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette, mediastinal and hilar contours are within normal limits. the trachea is midline. no acute osseous abnormality is detected. there is no free air beneath the right hemidiaphragm.
leukocytosis, here to evaluate for pneumonia.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old woman s/p laminectomy and placement of ngt // eval placement eval placement
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sternotomy wire is are intact. there is no focal consolidation, pleural effusion or pneumothorax. heart size is top-normal. the cardiomediastinal and hilar contours are normal.
history: <unk>m with chest pressure <num> hours ago, similar to past mi // eval cardiopulm
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ap portable upright view of the chest. since the prior pet-ct exam, the right pleural effusion has increased in size, with known right lower lobe mass obscured. the there is a small left pleural effusion seen. the mild ground-glass opacity in the left lower lung is potentially concerning for pneumonia versus atelectasis. no pneumothorax. heart size difficult to assess. bony structures appear grossly intact.
<unk>m with sob, non small cell lung carcinoma // ?pna
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diffuse opacities through both lungs are noted, but may be accentuated by supine positionoing and low lung volumes, as there is no correposnding opacity in the upper portion of the lungs seen on the conteporaneous c-spine ct. low inspiratory volumes may also account for slight prominence of the cardiomediastinal silhouette. the heart is not enlarged. no supine film evidence of pneumothorax identified and no gross effusion. no apical capping is identified. no rib fracture detected on this lung-technique film.
head trauma.
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an enteric tube extends below the diaphragm with the tip out of view of this film. the heart size is normal. the hilar and mediastinal contours are normal. evaluation of the left lung is limited due to technique, however the right lung is unremarkable. the visualized subdiaphragmatic bowel appears to be distended, consistent with patient's known small bowel obstruction.
<unk>m with ngt placed. please evaluate.
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the lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
<unk> year old woman with history of malignant melanoma // please evaluate disease status
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pa and lateral views of the chest were obtained. lung volumes are low. heart is top normal in size, and cardiomediastinal contour is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. vascular graft partially seen in the upper abdomen.
<unk>-year-old man with subjective fevers, fall one week ago.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal and the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is minimal scarring within the lung apices. no acute osseous abnormalities demonstrated.
acute worsening of the baseline cognitive decline.
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a portable semi upright frontal chest radiograph again demonstrates low lung volumes and cardiomegaly with prominence of the superior left heart border, unchanged compared to the <unk>. there is central pulmonary vascular congestion with mild edema. no definite focal consolidation is identified. there are bilateral pleural effusions. no pneumothorax is seen.
shortness of breath.
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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.
chest pain. evaluate for pneumonia.
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compared to the prior exam there is no significant interval change.
shortness of breath.
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a dual-lead pacemaker/icd appears unchanged with leads terminating in the right atrium and ventricle, respectively. the heart is normal in size. there is increase in right infrahilar opacity probably correlating with focal right lower lobe opacity. this is superimposed on a probably more chronic interstitial abnormality at the lung bases, which is greater on the right than left. there is no definite pleural effusion or pneumothorax.
hemoptysis.
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the cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest pain // acut eprocess
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there is no pneumothorax. if any there is a small left effusion. bilateral opacities are better seen in prior ct from <unk>. there are no new lung abnormalities. post surgical changes are seen in the right upper lobe. cardiomediastinal contours are within normal limits
<unk> year old woman with asthma and tree-in-<unk> opacities s/p r vats wedge x <num> pod#<num> // confirm no ptx <num> hrs post ct pull (<time>).
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the heart size is normal. the hilar and mediastinal contours are unchanged since <unk>. there is new central pulmonary vascular congestion, with minimal edema. there is no focal consolidation, pleural effusion, or pneumothorax.
shortness of breath.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old man with b/l pigtails // please r/o ptx please r/o ptx
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previously seen in fluid in the right minor fissure has resolved in the interval. there is persistent blunting of the right costophrenic angle with re- demonstrated right pleural thickening. re- demonstrated bilateral pleural plaques, again suggestive of history of prior asbestos exposure. bibasilar atelectasis is seen. patient is status post median sternotomy and cabg. cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>m with sepsis, prior hx cad, cabg, recent admission for sepsis of unclear source // eval ? edema, infiltrate
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ap upright view of the chest. there is no intra-abdominal free air. low lung volumes contribute to bibasilar atelectasis. no pneumonia. no pleural effusion. no pulmonary edema. left ij ends in the upper svc.
belly pain. question free air.
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esophageal stent is noted in unchanged position. platelike opacity at left lower lobe is likely atelectasis or parenchymal scarring. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal size.
history: <unk>f with chest pain s/p esophageal stent // ? location of stent, ? abnormality