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left-sided pacemaker type device again seen with single lead overlying the right ventricle. no obvious pneumothorax is identified. compared with the prior film, opacity at both bases is increased. this appears to reflect the presence of small bilateral effusions, with associated collapse and/or consolidation. some of the lateral left mid zone patchy opacity appears improved. otherwise, the overall appearance is similar prior. there is background hyperinflation, consistent with copd. upper zone redistribution noted. as before, there are background interstitial opacities in both lungs, which could be due to chronic lung disease or asymmetric pulmonary edema. however, a possible infectious etiology cannot be excluded.
<unk> year old man with history of copd and chf with worsening hypoxia. // evaluate for worsening consolidation, pulmonary edema
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a portable frontal chest radiograph again demonstrates left mediastinal clips. heart size is again mildly enlarged, not substantially changed. pulmonary edema is increased compared to the prior exam from earlier the same day, now moderate to severe. again seen are bilateral small pleural effusions, left greater than right. probable bibasilar atelectasis is present. there is no pneumothorax.
history: <unk>f with anemia // assess for pulmonary edema
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lung volumes are low which results in crowding of the bronchovascular structures. there is no focal consolidation, pleural effusion or pneumothorax. a calcified granuloma seen in the right upper lung is unchanged in size from <unk>. the heart is top normal. there is no evidence of pulmonary edema.
<unk>m with etoh abuse, hep c, cirrhosis, worsening <unk> swelling // eval for pulm edema, cardiomegaly
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the cardiac, mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures appear within normal limits.
anterior chest pain.
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there are bilateral lower lobe infiltrates and increased lung markings throughout the lungs. there tiny bilateral effusions. there is volume loss in the lower lobes. the heart size is upper limits of normal.
<unk> year old woman with fevers and leukopenia. // please eval 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 stable.
<unk> year old woman with ohss with pleural effusions s/p chest tube removal // evaluate pleural effusion
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are hyperinflated. interstitial lung markings are increased at the lung bases. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with chest pain.
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single frontal view of the chest demonstrates massive cardiomegaly and pulmonary vascular congestion, consistent with congestive failure. there is, however, also right infrahilar opacity and right upper lobe perifissural opacity, raising question of concurrent infection. within the left base is a lentiform opacity, which could be in part related to prominent pericardial fat pad in this location, although concurrent effusion or loculation cannot be excluded. there is no pneumothorax.
<unk>-year-old male with shortness of breath.
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portable upright chest radiograph demonstrates chronic elevation of the left hemidiaphragm, which now appears more indistinct as a result of small pleural effusions. changes of cabg, and mediastinal surgical clips are again noted. the pulmonary vasculature appears mildly engorged.
<unk>-year-old male with diminished breath sounds to the left base, question effusion.
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there are diffuse severe opacities in both lungs, especially in the periphery, which are worsening; these are more prominent in the right upper lobe and the left lower lobe. there are also small bilateral pleural effusions. widened mediastinum is stable. heart size cannot be assessed on this study. right picc is present whose tip cannot be clearly seen but likely resides in the upper svc. catheter projecting over the upper abdomen also seen.
<unk>-year-old with acute hypoxia to <num>s, assess for acute change.
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left chest wall single lead pacing device is again noted, with multiple mediastinal surgical clips and epicardial pacing wires. heart size is enlarged but stable. blunting of the left costophrenic angle is likely secondary to pleural thickening. no interstitial edema or evidence of pneumonia.
history: <unk>m with chf, increase leg swelling. evaluate for edema.
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a right pleural pigtail catheter is again present. there are persisting small bilateral pleural effusions with subjacent atelectasis/ consolidation. the appearance of both mid to lower lung zones are unchanged. there is a small right basilar pneumothorax. the appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old man with small ptx s/p chest tube drainage <num>l effusion (likely malignant) // please at <num>pm. ip following up ptx and effusion at <num>pm
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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. hilar contours are stable.
history: <unk>m with weakness // ? infectious process
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since the prior radiograph performed <num> hours earlier, the left pigtail catheter has been removed. there are no other significant changes. small to moderate bilateral pleural effusions with adjacent atelectasis have remained stable. there is no pneumothorax. mild pulmonary vascular congestion. stable moderate cardiomegaly. median sternotomy wires prostatic aortic valve are intact. right picc line is unchanged in position and terminates in the superior svc. remnants of oral contrast are seen in the left upper quadrant.
<unk> year old woman s/p redo hernia repair // r/o ptx post left pigtail removal
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no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. hilar contours are stable.
history: <unk>f with left chest pain and sob // eval for infiltrates vs small pneumo
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frontal and lateral radiographs of the chest show a left-sided picc line unchanged in position. no definite pneumothorax is visualized, although this study is limited. probable small bilateral pleural effusions are unchanged. no pulmonary edema or vascular congestion is present. expected postoperative enlargement of the cardiomediastinal silhouette is unchanged. the patient is status post median sternotomy and cabg with wires intact.
<unk>-year-old female, here to reevaluate for pneumothorax.
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there is a new small left lower lobe infiltrate in the cp angle. patchy areas of increased opacity also are felt to represent areas of volume loss. the appearance of the heart and mediastinum are unchanged.
hypoxia, status post fall.
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frontal and lateral chest radiographs demonstrate significant interval increase in a right pneumothorax despite a right pigtail catheter. there is no cardiomediastinal shift. the heart is normal in size. the lungs are clear and there is no pleural effusion.
spontaneous pneumothorax, status post placement of a pigtail.
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
cough, nausea, vomiting, diarrhea, and hiv positive.
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pa and lateral radiographs elevation of the right hemidiaphragm. the cardiomediastinal silhouette is enlarged. there is no evidence of pleural effusion or pneumothorax.
confusion.
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ap and lateral views of the chest provided. patient is status post median sternotomy with wires intact and properly aligned. surgical clips projecting over the right scapula are unchanged. a right ij line ends in the right atrium. bilateral, small pleural effusions and mild associated bibasilar atelectasis are worsened. linear atelectasis in the right midlung is unchanged. there is probably a tiny right apical pneumothorax. hilar and cardiomediastinal contours are normal.
<unk> year old woman with s/p asc aorta replacement // eval for ptx or effusion
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a single portable frontal chest radiograph was obtained. lung volumes have slightly increased since yesterday morning. diffuse pulmonary opacities are again seen throughout both lungs. there is no effusion or pneumothorax. mild cardiomegaly is unchanged. the tip of a right picc line terminates in the low svc.
hypoxic respiratory failure.
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single ap view of the chest provided. the intra-aortic balloon pump is high and should be pulled back <num> cm. a swan-ganz catheter is unchanged. lungs are well inflated and grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
<unk> year old man with nstemi, heart failure with iabp placed. // iabp placement, pulm edema, infiltrates
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right picc line tip is <num> cm from cavoatrial junction. few strands of basilar atelectasis. tiny left pleural effusion or thickening, stable. there is mild indentation along the right margin of the trachea, may represent tortuous vessel or thyroid nodule, clinical exam recommended. no pneumothorax. normal heart size, pulmonary vascularity. thoracic kyphosis
<unk> year old woman with chronic picc, portable cxr could not trace past thoracic inlet, conventional cxr recommended // eval picc placement
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pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no configurational abnormality is seen. thoracic aorta unremarkable. no mediastinal abnormalities. the pulmonary vasculature is normal. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in apical area. skeletal structures of the thorax grossly unremarkable. our records include two previous chest examinations, the latest dated <unk>. images are not available for direct inspection, but the corresponding report described normal findings.
<unk>-year-old female patient with cough for one week. evaluate for possible left lower lobe pneumonia.
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the lungs are slightly hyperinflated, but otherwise clear. there is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation concerning for pneumonia. the cardiomediastinal silhouette is stable.
<unk>f with hx of stroke with concern for ? tia. needs infectious workup // eval for pneumonia
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frontal and lateral views of the chest. the lungs remain clear. there is no effusion or pulmonary vascular congestion. cardiac silhouette is stable. median sternotomy wires again seen. no acute osseous abnormality detected. surgical clips seen in the right upper quadrant.
<unk>-year-old female with chest pain. question pneumonia.
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at the upper edge of these images, cervical fixation device is noted overlying the lower cervical spine, through the level of t<num>. heart size is at the upper limits of normal or slightly enlarged. there is minimal fluid and/or thickening at the left lung apex, of indeterminate acuity, but unchanged compare with c-spine ct from <unk>. equivocal slight prominence of the left paratracheal soft tissues. the cardiomediastinal silhouette is otherwise within normal limits. no chf, focal infiltrate, frank consolidation, pleural effusion, or pneumothorax is detected. no findings suggestive of pneumonia.
history: <unk>f with hypoxia s/p surgery // eval for pna, atelectasis
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the lungs are clear without focal consolidation, effusion, or edema. patient is rotated the left. within this limitation the cardiomediastinal silhouette is stable. tortuosity of the descending thoracic aorta is noted. mid thoracic dextroscoliosis is unchanged. no acute osseous abnormalities.
<unk>f with shortness of breath // eval for pulmonary edema
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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 epigastric pain/ ruq
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the patient has been intubated. an endotracheal tube terminates approximately <num> cm above the carina. the lung volumes are low. the cardiac, mediastinal and hilar contours appear not significantly changed. opacification at the right lung base is non-specific but could reflect atelectasis or pneumonia, and streaky opacification is also noted in the retrocardiac region that is not well assessed. there is no pneumothorax or definite pleural effusion.
status post endotracheal intubation.
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left base opacity, partially representing combination of atelectasis and pleural effusion is similar in extent the possibly is minimally increased. underlying consolidation is difficult to exclude. there may also be a very trace right pleural effusion. the cardiac silhouette is markedly enlarged. mediastinal contours are unremarkable. right-sided pacer wires are re- demonstrated.
history: <unk>f with cough shortness of breath // eval for pna
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the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. mild rightward deviation of the trachea in the neck could be due to an enlarged thyroid
upper abdominal pain, evaluate for pneumonia.
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the lungs are hyperinflated, consistent with copd. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. there is mild rightward deviation of the trachea, which could be due to a thyroid lesion. the cardiomediastinal silhouette is normal. no free air is identified below the hemidiaphragms. contrast material is seen outlining loops of bowel in the imaged upper abdomen. mild loss of vertebral body height is noted in the mid thoracic vertebral bodies.
abdominal pain and known sigmoid perforation. evaluate preoperatively.
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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.
history: <unk>f with worsening of chronic neuro symptoms. // eval for infection
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there is a subtle patchy opacity at the left lung base on frontal view, possibly projecting over the spine on lateral view. this may represent pneumonia in the right clinical setting. there is no pleural effusion. borderline cardiomegaly is unchanged. cervical spine fixation device is unchanged.
<unk> year old woman with resp sxs, chest pain, poor air mvmt on pe. // any sign of pna
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pa and lateral chest radiographs are provided. previously noted right lower lobe pneumonia has resolved. there is no focal consolidation, pleural effusion or pneumothorax. retrocardiac atelectasis is noted. cardiomegaly is stable.
esophageal cancer status post surgery with ongoing cough, crackles at the right base, question infectious process.
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large hiatal hernia is identified, significantly increased in size from ct abdomen and pelvis on <unk>, with adjacent bibasilar atelectasis. otherwise, the remainder of the lungs are clear. cardiac and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with fever and cough and sputum production. evaluate for evidence of infiltrate.
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patient is status post esophagogastrectomy. lung volumes are low. diffuse bilateral opacities are likely due to a combination of mild pulmonary congestion, small bilateral pleural effusions, and compressive bibasilar atelectasis. widening of the mediastinum is expected in the postoperative setting. there is interval placement of new pleural drain catheters. a small right apical pneumothorax is appreciated. heart size is unchanged. a feeding tube can be followed as far as the gastric pull-through.
<unk> year old man with esophageal cancer // ptx effusion
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an endotracheal tube terminates <num> cm above the carina. an enteric tube courses below the diaphragm, its tip terminates in the gastric fundus. as compared to prior chest radiograph, there is a an area of hyperlucency at the right lung base which likely represents a pneumothorax. the heart remains enlarged with tortuosity of the aorta. there are bibasilar opacities which likely reflect a combination of pleural fluid and volume loss, not significantly changed from prior examination. multiple rib fractures are noted on the right and there is an area of soft tissue swelling overlying the lateral chest wall on the right.
<unk>-year-old woman status post cardiac arrest. evaluate et tube placement.
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the lungs are well expanded and clear. the heart remains moderately enlarged. the pulmonary vasculature is engorged, more so than on <unk>, without frank edema. there is no effusion. the mediastinal contours are normal.
<unk>-year-old female with confusion, question pneumonia.
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lung volumes remain low, though the lungs are clear with the exception of subsegmental atelectasis. there is no pneumothorax. the cardiac silhouette and mediastinal contours are normal. the patient is intubated with the tip of the endotracheal tube no less than <num> cm from the level of the carina. a right ij line is in place, the tip is positioned within the lower svc. an ng tube is in place with its tip and sidehole projecting over the expected location of the stomach.
<unk>-year-old intoxicated female status post right ij line placement.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding portable chest examination of <unk>. the patient is now extubated. multiple surgical circular wire sutures in midline indicative of redo sternotomy recently. cardiac enlargement more than pre-operatively indicating post-operative changes. the pulmonary vasculature, however, is presently not congested indicates a significant improvement from the preceding portable chest examination two days ago. although the extensive bilateral pleural densities have now been reduced and now with the patient in upright position, mild blunting of the lateral pleural sinuses. lateral view confirms small amounts of pleural effusion to extend into the posterior pleural sinuses bilaterally. the amount of pleural effusion has now to be considered a small. there is no evidence of pneumothorax in the apical area and no new parenchymal infiltrates can be seen. previously identified right-sided picc line again seen to terminate in mid portion of svc.
<unk>-year-old male patient, post-operative day <unk>, redo sternotomy, now history of volume overload. evaluate for effusion.
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ap and lateral views of the chest. low lung volumes are seen with secondary crowding of the bronchovascular markings. streaky bibasilar opacities are most likely due to atelectasis. lateral view is limited secondary to motion but there is no evidence of effusion. cardiac silhouette is enlarged and is accentuated by low lung volumes. atherosclerotic calcifications seen at the aortic arch.
<unk>-year-old female with fever.
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ap and lateral views of the chest. on the current exam, the lungs are clear. cardiomediastinal silhouette is mildly enlarged, similar to prior. no acute osseous abnormality is identified.
<unk>-year-old male with fever and recent surgery. question pneumonia.
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there are streaky bibasilar opacities which could be due to combination of atelectasis, infection or potentially aspiration. small bilateral pleural effusions are possible. superiorly, the lungs are clear. cardiac silhouette appears enlarged but likely accentuated by ap portable technique. no acute osseous abnormalities.
<unk>f with dyspnea and cpr for cardiac arrest. // assess for pna, ptx, rib fx
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the lungs are mildly hyperexpanded but clear. the heart is not enlarged. there is no mediastinal widening. aortic contour is grossly normal. there is no pneumothorax or large pleural effusion. within the limitations of routine chest radiography the included osseous structures are grossly intact.
history: <unk>f with dementia, cad presenting with sob, lightheadedness after rollover mvc // r/o ich, aortic trauma
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in comparison to the ct, the patient's bilateral pleural effusions have decreased in size. the heart and mediastinum remain stable. there is no evidence of pneumothorax. there is no evidence of pulmonary edema or infection.
fever and recent thoracentesis.
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. no focal lung consolidation is seen. views of the upper abdomen are unremarkable.
<unk>m with cough and myalgias, evaluate for pneumonia.
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increased opacification of the left base is again seen, similar to ct dated <unk>. again, these findings are concerning for infectious process. bilateral upper lobe volume loss and scarring is similar. cardiomediastinal contours are unchanged. note is made of a fracture through the right scapula. no definite acute displaced rib fractures are identified.
history: <unk>f with scapular fracture, s/p fall, pain // acute process, rib fractures
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degenerative changes are seen throughout the thoracic spine. there is no loss of vertebral body height. no evidence of subluxation. linear opacities at the right lung base likely reflect atelectasis. no focal consolidations worrisome for infection. stable appearance of the cardiomediastinal silhouette with calcifications of the aortic knob. coronary artery stent is noted. no pulmonary edema. no pleural effusion. no pneumothorax.
<unk>m with l back tenderness // ?fracture
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there is deformity of the right the scapula, as mentioned before suggestive of fracture. there are mild degenerative changes in the thoracic spine
<unk> year old woman with cough x <num> days // evaluate for pneumonia
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the moderate left pleural effusion and left lower lobe collapse are not appreciably changed. there is no pneumothorax. the heart and mediastinum are within normal limits.
<unk>f w/achalasia, hh s/p lap hh repair, <unk> myotomy, toupet fund <unk> c/b early hh recurrence s/p reduction, gastropexy <unk> p/w chest pain, vomiting, paraesophageal collection // interval assesment
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the lungs are well-expanded and clear. no focal consolidations. no pulmonary edema. normal appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax.
history: <unk>f with chest pain, abd pain // any cpd
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frontal and lateral views of the chest. there is increased opacity at the left lung base on the frontal view with sublte increased opacity over the lower spine on the lateral view. there is no large effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with fall. question pneumonia.
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low lung volumes contributes to bibasilar atelectasis, however despite this there is still increased opacities in lower lobes which are concerning for a pneumonia. there is no pleural effusion or pneumothorax. cardiac silhouette is normal in size.
history: <unk>m with asthma, respiratory distress // asthma, pneumo
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a right-sided pigtail catheter is unchanged in position. small right apical pneumothorax is unchanged in size. there is a right-sided pleural effusion with a volume loss in the right lower lobe, and also probably the right middle lobe. heart and mediastinum are also unchanged. bibasilar consolidations are similar in appearance.
<unk> year old woman with nsclc, s/p chest tube placement residual pneumothorax/trapped lung. evaluate for worsening ptx.
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when compared to scout view of recent chest ct, there is apparent interval increase in the right perihilar and infrahilar opacity. pleural based opacity at the left lung base laterally is compatible with lipoma as seen on prior. additional streaky opacity at the left costophrenic angle is compatible scar. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with fever, cough, on chemotherapy // evaluate for pneumonia
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lung volumes are low. a subtle opacity is present localizing to the right middle lobe such that a pneumonia cannot be excluded. no pulmonary edema, pneumothorax or significant pleural effusion is seen. the heart size is accentuated by low lung volumes.
chest pain.
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the right-sided chest tube is again visualized. the right pneumothorax is slightly increased and is now seen both in the apex and inferiorly. there is a small right pleural effusion that is of similar size compared to prior .there is no infiltrate
<unk> year old man s/p r vats blebectomy w/ mechanical/chemical pleurodesis // interval change, please do at <unk>
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the lungs are slightly hyperinflated. there are no focal opacities concerning for pneumonia. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. left-sided bicameral pacemaker is present, with leads and in an appropriate position.
<unk>-year-old male with palpitations and chest pain.
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a right-sided port-a-cath is seen terminating in the low svc. there is no evidence of pneumothorax. no pleural effusion is seen. there are relatively low lung volumes. right perihilar infrahilar opacity is seen, infectious process is not excluded. there may be minimal interstitial edema. the cardiac and mediastinal silhouettes are unremarkable.
fever.
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ap and lateral views of the chest are compared to previous exam from <unk>. linear opacity in the right mid lung and at the left lung base are most suggestive of atelectasis versus scarring. the lungs are otherwise clear. there is no effusion. cardiomediastinal silhouette is within normal limits. lower thoracic vertebral body cage and lateral screws are unchanged in position. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with altered mental status and weakness.
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left-sided picc terminates in the low svc without evidence of pneumothorax.no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
<unk> year old man history of metastatic pancreatic cancer presenting with neutropenic fever // pna?
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there is slightly improved pulmonary edema. small-to-moderate left greater than right pulmonary effusions are stable. retrocardiac opacity is stable. there is no new focal consolidation or pneumothorax. there is stable cardiomegaly.
<unk>-year-old woman with diastolic chf. please evaluate for interval change.
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
leukocytosis and altered mental status. evaluate for acute process.
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cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected demonstrated. mild degenerative changes in the thoracic spine are visualized.
chest pain.
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a left-sided chest drain is in-situ, this terminates at the apex. a right-sided chest drain is in-situ, this appears her withdrawn slightly compared to the prior study and there is a side holes that appears to be outside of the pleura. tiny apical right pneumothorax is unchanged compared to the prior study. left basilar atelectasis is also unchanged. multiple bilateral rib fractures and a right clavicle fracture again noted.
<unk> year old man s/p mcc // serial eval
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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 interstitium is mildly prominent, which is most often due to airway inflammation, which would not necessarily be an acute process. no focal opacification is seen.
gas gangrene in the left foot.
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right-sided port-a-cath terminates within the svc, unchanged. heart size is normal. mass adjacent to the aortic arch as well as bilateral pulmonary nodules are again demonstrated, and relatively unchanged, better assessed on the prior ct. small left pleural effusion persists. streaky opacity in the left lung base likely reflects atelectasis. chain sutures are noted within the right lower lobe. patchy opacity within the right lung base also appears relatively unchanged compared to the prior studies. no pneumothorax or right-sided pleural effusion is identified. there is no pulmonary vascular congestion. no acute osseous abnormalities are visualized. no free air is seen under the diaphragms.
nausea and vomiting.
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there is a partially calcified rounded density projecting over the mediastinum near the ap window compatible with calcified lymph nodes. several scattered punctate parenchymal densities, may be granulomas, sequela of prior granulomatous infection such as histoplasmosis versus vessels on end. lungs are otherwise fully expanded and clear. no pleural effusion or pneumothorax. heart size is normal. cardiomediastinal and hilar silhouettes are normal.
<unk>f with luq pain
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. streaky posterior basilar opacities may localize to the left lower lobe and suggest minor atelectasis.
altered mental status.
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heart size is top normal. mediastinal and hilar contours are unremarkable. right lateral chest is excluded from the field of view. allowing for this, the lungs are clear without large pleural effusion or large pneumothorax. no pulmonary edema is present. no acute osseous abnormality is identified.
history: <unk>m motor vehicle collision vs skateboard
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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. right chest port tip terminates in the cavoatrial junction. left mid lung opacities reflect previous healed left rib fractures better seen on recent ct.
<unk> year old man with hx of myeloma. cough. ? pna. // <unk> year old man with hx of myeloma. cough. ? pna.
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there is a diffuse opacity in the right lower lobe obscuring the right hemidiaphragm with reticulation. additionally, there is an opacity in the left base, which is poorly characterized. this may be due to a superimposed pneumonia upon chronic lung fibrosis. finally, there is a somewhat round asymmetric right apical opacity, which could be pleural thickening and scarring, though a mass or a cavity lesion is somewhat difficult to exclude. there is no pulmonary edema. there is no definite pleural effusion, though small ones would be difficult to visualize on this limited ap exam. there is no evidence of pneumothorax. multiple calcified upper lobe nodules are likely from prior granulomatous disease. the mediastinal contours are normal. the heart is moderately enlarged. a pacemaker/icd overlies the mid left chest with the leads in satisfactory position.
dyspnea and hypoxia. evaluate for acute process.
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the cardiac and mediastinal silhouettes are stable. there is minor left basilar atelectasis. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. no evidence of free air is seen beneath the diaphragms.
epigastric pain.
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since <unk>, a small left apical pneumothorax is unchanged with left chest tube in place. mild pulmonary edema and hilar enlargement are improved. lung volumes remain low. mild cardiac enlargement persists. small bilateral pleural effusions are presumed.
<unk> year old man with lung nodule sp superior segmentectomy on lt // ptx, effusion
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are seen at the aortic arch. no acute osseous abnormalities.
<unk>f with pres-syncope and episode of sob // ?pneumonia
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>m with cough // eval for consolidation
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there is a new left basilar patchy opacity. left lower lobe atelectasis and collapse largely unchanged, left-sided volume loss with mild left hilar shift. no pneumothorax is seen.
<unk> year old man with sputum increased o<num> demand // pna? pna?
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. there is a new opacity in the right lower lobe concerning for pneumonia, superimposed on preexisting patchy medial right middle lobe opacification that appears more chronic, also comparing to <unk>, although the lungs had been clear on earlier radiographs from <unk>.
chest pain and wheezing.
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
thoracic pain, productive cough.
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lung volumes are low but improved since the previous examination. there is elevation of the right hemidiaphragm. there is likely is a small amount of right pleural disease. the heart is enlarged to the left.. scoliosis of the thoracolumbar spine convex right noted. pigtail catheters are seen superimposed upon the region of the liver. a right-sided picc line is present.
<unk> year old woman with recent procedure and <num> biliary drains placed. // is there interval development of a pneumonia?
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ap upright and lateral chest radiographs demonstrate well expanded lungs. cardiomegaly is unchanged. the cardiomediastinal contours are otherwise unremarkable. diffusely increased reticular interstitial markings are consistent with known interstitial lung disease (ild). no consolidations, pleural effusions or pneumothorax is appreciated. right humeral head fracture with increased subacromial space is better assessed on dedicated radiograph of the right shoulder from the outside hospital.
hypoxia,? pneumonia
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a left subclavian central venous catheter projects over the superior svc. lung volumes remain low, and lungs remain clear except for persistent right basilar atelectasis adjacent to an elevated hemidiaphragm. the heart and mediastinum are magnified by the projection. coarse right upper quadrant hepatic calcifications are unchanged. there is also a new trace right pleural effusion.
<unk> year old man with delirium // ? pna
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portable ap chest radiograph demonstrates a tiny right apical pneumothorax with surrounding subcutaneous emphysema, consistent with recent vats procedure. diffuse interstitial opacities are grossly unchanged from <unk>. the right chest tube appears to be coiled back on itself. the cardiomediastinal silhouette is within normal limits.
recent vats with wedge resection.
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the lung volumes are low. the patient is status post sternotomy. the cardiac, mediastinal and hilar contours are probably unchanged, although cardiac contours are not well delineated due to low lung volumes. there are patchy basilar opacities, greater on the left than right, which obscure the left hemidiaphragm. there is also mild perihilar fullness and opacification.
hypotension and cough; severe congestive heart failure.
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no focal consolidation, pleural effusion, pneumothorax, or overt pulmonary edema is seen. redemonstrated is unchanged, chronic blunting of the right costophrenic angle. the heart size is normal. mediastinal contours are normal.
cough x<num> weeks.
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minimal left basilar linear atelectasis is noted. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with n/v esophageal pain // evidence of cardiomegaly or effusion
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there is improved aeration of the left upper lobe from <unk>. increased retrocardiac opacification and hazy opacification at the left costophrenic angle likely reflects a pleural effusion with worsening left lower lobe atelectasis. a small right pleural effusion is also seen. there is no definitive evidence of pneumothorax on this semi-erect radiograph. the tip of the endotracheal tube abuts the tracheal wall. an enteric tube and right internal jugular catheter are unchanged. the cardiomediastinal silhouette is prominent in part related to low lung volumes and ap technique.
polytrauma, status post mvc requiring intubation.
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frontal and lateral radiographs of the chest demonstrate mildly enlarged cardiac silhouette. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified.
dizziness and syncope. evaluate for pneumonia
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as compared to prior examination, there has been no significant interval change other than decreased lung volumes. diffuse, irregular, noncavitating, bilateral lung nodules are again seen. there is no pneumothorax, pleural effusion, or frank pulmonary edema. the heart size is normal. mediastinal contours are normal.
<unk>-year-old female with known lower extremity squamous cell carcinoma, now with pulmonary infiltrates. rule out pneumothorax.
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moderate to severe cardiomegaly is present. there is mild asymmetric pulmonary edema which is more pronounced on the right. mediastinal contours are within normal limits. there is no pleural effusion or pneumothorax. no acute osseous abnormalities are seen. mild degenerative changes are noted in the thoracic spine.
atrial fibrillation with rapid ventricular rate.
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ap and lateral views of the chest are compared to previous exam from <unk>. increased interstitial markings are seen throughout the lungs which have progressed since <unk>. there is no confluent consolidation or large effusion. cardiomediastinal silhouette is unchanged, noting atherosclerotic calcifications at the arch. thoracic dextroscoliosis is again seen.
<unk>-year-old female status post fall with left-sided hip and knee tenderness. question rib fracture.
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pa and lateral views of the chest provided. the heart remains moderately enlarged with a left ventricular configuration. subtle scarring in the right upper lobe appears stable. no new consolidation, effusion, or pneumothorax is seen. no signs of pulmonary edema/ congestion. mediastinal contour stable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old woman with asthma exacerbation, infection?
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there are low lung volumes. allowing for changes due to this, the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. moderate thoracic spine degenerative change is stable in appearance. old bilateral rib fractures are again noted. two relatively linear metallic structures posterior to the heart on the lateral view or unchanged from prior.
<unk>-year-old man with a fall, evaluate for acute injury.
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compared to the prior radiograph performed <num> hours prior the moderate to large right pleural effusion is relatively unchanged in size allowing for differences in technique. a trace left pleural effusion is again identified. no pneumothorax is seen. there is moderate pulmonary vascular congestion, but no overt pulmonary edema. the mediastinal and cardiac contours are stable. a left pacer, median sternotomy wires and mediastinal clips are unchanged.
history: <unk>m s/p fall with right rib fractures <unk> // eval for hemo/pneumothorax. please perform as upright as possible
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frontal and lateral views of the chest demonstrate low lung volumes. blunting of the left costophrenic angle is largely unchanged since prior exam, suggestive of small pleural effusion and/or pleural thickening. there is no right pleural effusion. no focal consolidation is seen. subtle linear opacities in the left mid lung <unk>, <unk> represent areas of scarring. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. no pneumothorax is seen. partially imaged upper abdomen is unremarkable. areas of pleural calcifications are best seen on the lateral view, suggestive of prior asbestos exposure.
patient with chest pain, gi bleed. assess for pneumonia and chf.
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lung volumes are low, similar to prior. linear opacity in the left base is unchanged and consistent with atelectasis or scarring. no focal consolidation, pleural effusion, or pneumothorax. heart size and cardiomediastinal contours are normal.
history: <unk>m with near syncope, dm // ? pna
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pa and lateral views of the chest provided. lung volumes are low. retrocardiac consolidation is unchanged. otherwise, lungs are grossly clear. no pleural effusion or pneumothorax. hilar contours are normal. mild cardiomegaly is unchanged.
<unk> year old woman with worsening leukocytosis, persistent o<num> requirement // ?consolidation, pna