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compared with <unk> at <time>, the moderate-size right-sided effusion has increased. there is likely underlying collapse and/or consolidation. there is possible increased retrocardiac otic opacity, and obscuration of left costophrenic angle is new, though this appearance is likely accentuated by overlying soft tissues on the frontal view. there is increased vascular plethora.
<unk> year old man with non-small cell lung cancer // assessment of r pleural effusion
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions. no evidence of fractures within the thorax.
<unk> year old woman with pain in the chest since trauma yesterday. very tender to exam. // ? rib or chest injury
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there is a new right ij line with tip in the right atrium just below the cavoatrial junction. there is volume loss, pulmonary vascular re-distribution and patchy areas of alveolar infiltrate. the heart size is upper limits normal.
right ij line.
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compared to the most recent prior radiograph, the lung volumes are slightly increased. the small right pleural effusion has resolved. no significant pleural effusion, pneumothorax or focal consolidation concerning for pneumonia is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size but unchanged. the mediastinal contours are within normal limits. the trachea is midline. an ovoid radiopaque density with a lucent center is noted in the left upper paratracheal region measuring approximately <num> x <num> cm, which may represent a calcified thyroid nodule but is of uncertain etiology without prior cross-sectional studies for comparison and unchanged from recent prior. there is no evidence of free air beneath the right hemidiaphragm.
<unk>-year-old female with postoperative wound drainage and fevers, here to evaluate for pneumonia.
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the endotracheal tube is now positioned <num> cm above the level the carina. lung volumes are unchanged. persistent left lower lobe atelectasis. probable small left pleural effusion. no pneumothorax seen.
<unk> year old man with ett <num> cm above carina // ?advance ett
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extensive patchy bilateral opacities are predominantly found on the right side. there are no pleural effusions or pneumothorax. et tube terminates <num> cm above the carina. ng tube is seen coursing into the stomach and off the view of the film.
<unk>-year-old male, intubated with pulmonary edema.
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ap and lateral upright chest radiograph demonstrates clear lungs bilaterally with no focal consolidation concerning for pneumonia. there is no pleural effusion. prominence of the left hilum thought to reflect a tortuous descending aorta. the right heart border is obscured on the frontal view, which does not correlate to an abnormality on lateral view. this is thought to reflect atelectasis. diffuse mild interstitial markings is identified with mild bronchial wall thickening within the lower lungs. no acute osseous abnormality is identified.
<unk>-year-old male with history of subdural with altered mental status.
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the lungs are clear. cardiac silhouette is normal in size. hilar and mediastinal contours are normal. no pleural effusion. no evidence of pneumothorax.
productive cough
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minimal basilar atelectasis is seen without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable and stable.
history: <unk>f with acute on chronic psychosis // r/o pneumonia or incracranial process
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a left chest wall port catheter tip terminates in the mid svc. there is no pneumothorax. the lungs are clear without focal consolidation or pleural effusion. the cardiomediastinal silhouette is normal. spinal hardware in the lumbar spine is partially visualized. the bones are intact.
<unk>-year-old woman with metastatic renal cell cancer, confirm port placement.
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the lungs are well inflated and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation.
<unk> year old woman with stroke // infection
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the heart size is normal. the mediastinal contours are unremarkable. diffuse hazy ill-defined opacities are noted within both lungs. small bilateral pleural effusions are also noted. no pneumothorax is identified. there are no acute osseous abnormalities.
cough. hemoptysis.
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there is prominence of the pulmonary vasculature with mild cephalization. additionally, there are bilateral increased interstitial markings. these findings are suggestive of mild pulmonary edema. cardiomediastinal silhouette is normal. no acute fractures are identified.
evaluation of patient with shortness of breath.
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compared with prior radiographs on <unk>, the mid trachea just below stent is not well evaluated. there is no change in positioning of the tracheal stent. there is no mediastinal widening or pneumothorax. heart size is normal. there is no focal consolidation, pleural abnormality or edema.
<unk> year old woman with tbm s/p bronch/stent placement, c/o wheezing // eval for interval change
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ap portable upright view of the chest. aicd is unchanged in position with leads extending to the region the right atrium and right ventricle. the lungs appear clear. please note, recent chest ct findings of bilateral diffuse ground-glass pulmonary opacities are not reliably seen and were also radiographically occult on radiograph dated <unk>. difficult to assess for interval change/resolution. no large effusion or pneumothorax. there is prominence of the main pulmonary artery outline which corresponds to a dilated main pulmonary artery on recent ct. heart size is normal. bony structures are intact. chronic left sixth rib deformity is again noted. no free air below the right hemidiaphragm.
<unk>m with likely influenza, hypoxic // ? pna
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
fall from standing onto right side with thoracic pain.
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few strands of left basilar scarring as stable. normal heart size, pulmonary vascularity. no consolidations. no pleural fluid.
<unk> year old woman with syncope found to have sinus arrest on monitor here for ppm placement // pre-procedure for ppm placement
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compared to the most recent prior radiograph, there has been improvement in pulmonary edema. the moderate bilateral pleural effusions are unchanged. the cardiomediastinal silhouette is stable. no focal consolidation or pneumothorax is present.
non-hodgkin's lymphoma with malignant pleural effusions, short of breath. evaluate for progression of effusions.
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ap and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. biventricular pacing leads are unchanged. cardiac and mediastinal contours are normal.
altered mental status.
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the heart is of normal size with stable cardiomediastinal contours. interstitial changes of paramediastinal upper lung zones are similar to prior and compatible with fibrosis from prior radiation for lymphoma. the lungs are otherwise clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
cough and fever.
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lung volumes are low. assessment of the apices is somewhat obscured by the patient's chin and soft tissues of the neck projecting over and obscuring this region. the heart size appears unchanged, which is within normal limits. there does appear to be a left ventricular predominance. the mediastinal and hilar contours are unchanged. there is crowding of the bronchovascular structures as a result of low lung volumes. streaky opacities in the lung bases likely reflect atelectasis, and appear improved compared to the previous radiograph. no pleural effusion or focal consolidation is seen. there is no pneumothorax. numerous clips are demonstrated in the left upper quadrant of the abdomen. diffuse demineralization of the osseous structures is redemonstrated.
lethargy.
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pa and lateral chest radiographs obtained demonstrate clear lungs bilaterally. no focal consolidation is identified. the cardiomediastinal and hilar contours are within normal limits. no evidence of pulmonary edema. there is no pleural effusion. visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old male with pre syncope.
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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 <num> days of chest pain, exertional // eval for cardiomegaly
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no pleural effusion or pneumothorax is seen. perihilar opacities may be due to pulmonary vascular congestion although underlying infectious process is difficult to exclude in the appropriate clinical setting. the cardiac silhouette is mildly enlarged. the aorta is tortuous.
history: <unk>m with confusion // eval for infection
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heart size is mildly enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
mid sternal chest pain.
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chest the lungs are clear without focal opacities, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is no free air beneath the right hemidiaphragm.
history: <unk>f with chest pain, cough // ?pna, ?ptx
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ap upright and lateral views of the chest provided. airspace consolidation is noted in the left upper lobe anterior segment concerning for pneumonia. aside from this the lungs appear clear. no effusion or pneumothorax is seen. the heart is mildly enlarged. the mediastinal contour is grossly unremarkable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with nausea, vomiting, rhales, rhonchi, ?? acute intrathoracic process.
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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 doe, chest pain // eval for acute process
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. there is no evidence of pneumomediastinum. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.
chest pain after repeated vomiting, here to evaluate for evidence of pneumomediastinum or pneumothorax.
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frontal and lateral radiographs of the chest demonstrate an area of focal opacification in the right lung base concerning for aspiration or pneumonia. persistent blunting of both costophrenic angles is consistent with small bilateral pleural effusions. again seen is prominence of interstitial markings, suggestive of chronic lung disease or elevation of pulmonary vascular pressure. the cardiomediastinal and hilar contours are unchanged. incidental note is made of a gaseous dilation of the esophagus and a large hiatial hernia. there is no pneumothorax.
<unk>-year-old female with bacteremia of unclear source. evaluate for pneumonia.
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there are bilateral calcified pleural plaques as seen on prior. underlying interstitial abnormality is also suspected and as previously described. there is no definite new focal consolidation nor effusion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>m with ? pna // ? pneumonia
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elevation the right hemidiaphragm is chronic. the lung volumes are low which causes crowding of bronchovascular structures. there is no focal opacity concerning for pneumonia. no pulmonary vascular congestion, pleural effusion or pneumothorax. the cardiac and mediastinal contours are unchanged.
<unk> year old woman with rising wbc. evaluate for pneumonia.
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tracheostomy tube is again noted. left picc tip is in the upper svc. when compared to prior, there has been interval progression of the right-sided pleural effusion. increased interstitial markings are seen within the right lung raising possibility of superimposed infection. of note, the there is suggestion of right-sided volume loss suggesting underlying atelectasis. known right lower lobe mass is not clearly depicted. there is however increased opacification in the right perihilar region. there is a probable small left effusion. no acute osseous abnormalities
<unk>m vent dependent with "abnormal cxr" sent here for evaluation // eval for pna, pulm edema
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right lung volume remains low but there is no focal lung abnormality on either side. mediastinal fat is interposed between the cardiac apex and base of the left lung. right subclavian infusion port terminates in the low svc. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of lymphoma on chemotherapy with fever. please evaluate for pneumonia.
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there has been interval removal of the right-sided picc. no pneumothorax. lung volumes are low and the lungs are clear. mediastinal contours, hila, cardiac silhouette are normal. no pleural effusion.
<unk>m with picc placed last week, concerned for displacement. // picc line placement
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low lung volumes. tortuous thoracic aorta. no focal consolidation or pneumothorax. mild left base atelectasis.
<unk> year old woman with cad // baseline
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as compared to prior chest radiograph from earlier today, the cardiac silhouette remains enlarged. diffuse bilateral opacities could represent pulmonary edema, however underlying pneumonia cannot be excluded. there is no large pleural effusion. there is no pneumothorax. surgical clips are seen overlying the cardiac silhouette and note is made of sternotomy wires. widening of the ac joint on the right likely represents a chronic finding.
chf. rule out pneumonia.
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>m with cough // pna?
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the right upper lobe mass-like opacity and right basilar consolidation are not appreciably changed. the right pleural effusion is also unchanged. the left lung is clear. the heart and mediastinum cannot be accurately assessed. there is no pneumothorax.
<unk> year old man with reported right lung mass concerning for malignancy. // please eval for reported right-sided mass and effusion seen at osh
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midline sternotomy wires are unchanged. the pacers/defibrillating improved projecting over the left chest with leads in the right ventricle. the heart size is enlarged, similar to prior studies. the lungs demonstrate no consolidation, but mild interstitial edema. there is no large pleural effusion or pneumothorax.
<unk>-year-old male with dyspnea despite diuresis and good oxygen saturations.
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the cardiac, mediastinal and hilar contours appear unchanged. there is a patchy linear opacity projecting along the lingula, as before, suggesting persistent minor atelectasis or scarring. streaky right upper lobe opacities suggest scarring with post-operative suture material that is unchanged. there is no pleural effusion or pneumothorax. the patient is status post partly visualized posterior upper lumbar fusion. volume loss and sclerosis along thoracolumbar vertebral bodies at the site of fusion and immediately above appear probably unchanged. the patient is also status post anterior neck fusion.
worsening dyspnea on exertion. history of copd.
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lung volumes are low. streaky bibasilar opacities, more conspicuous on the right are likely secondary to atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with hypoxia, acute perforated cholecystitis // ards?
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal in size. the aorta appears somewhat tortuous.
history: <unk>f with chest pain // eval for chf/pneumonia
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with sob, doe
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left-sided port-a-cath terminates in the low svc. lung volumes are normal. there is no consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities identified. no subdiaphragmatic free air. surgical clips are noted in the upper mid abdomen.
<unk>-year-old man with a history of pancreatic cancer, now presenting with dyspnea and fatigue
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
shortness of breath. history of asthma.
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pa and lateral radiographs of the chest demonstrate clear lungs, which are underinflated. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. no displaced rib fracture is seen.
<unk>-year-old man with pain around the fifth or sixth rib area anteriorly after fall. evaluate for rib fracture.
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endotracheal tube tip is <num> cm from the carina. enteric tube tip in the stomach with side port at the ge junction. there are bibasilar opacities which could be due to atelectasis although aspiration or infection are not excluded. elsewhere, lungs are clear. cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
<unk>m with endotracheal intubation // evaluate intubation
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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 chest pain on the right side
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the inspiratory lung volumes are slightly decreased with resultant bronchovascular crowding. prominent interstitial lung markings as seen on <unk>, may be related to mild interstitial pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is appreciated on this single frontal view. the cardiomediastinal and hilar contours are within normal limits.
hypotension, here to evaluate for pneumonia.
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right-sided pacemaker device is noted with lead terminating in the right ventricle. heart size remains moderately enlarged. the mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. pulmonary vasculature is not engorged. scarring within the right lung base is re- demonstrated with a right juxtaphrenic peak noted indicative of mild volume loss. previously demonstrated ground-glass opacities within the left lung, most pronounced in the left upper lobe, as well as multiple pulmonary nodules are better assessed on the prior ct. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with fever/chills
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portable semi-upright radiograph of the chest demonstrates decreased lung volumes. the cardiac silhouette is enlarged. pulmonary vasculature congestion has resolved since prior. no definite focal consolidation is identified. no large pleural effusion or pneumothorax is noted.
history: <unk>f with ams // eval for pna
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female status post syncope.
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<unk> severe cardiomegaly is again seen. hila are enlarged bilaterally compatible with pulmonary hypertension. right lung base opacity is likely atelectasis and when compared to multiple priors is unchanged. there is no new consolidation or pulmonary edema. no acute osseous abnormalities.
<unk>m with dyspnea // dyspnea
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the heart is normal in size. there is again a right-sided aortic arch, and the aorta is moderately tortuous. the mediastinal and hilar contours appear unchanged, however. since prior radiograph, there is a new retrocardiac opacity as well as increased mid lung opacity, probably in the lingula, worrisome for pneumonia in the appropriate setting. streaky right lower lung opacity is also noted. a calcified granuloma projects of the left upper lobe. bilaterally, nipple shadows are visualized. the chest appears hyperinflated. there is no pleural effusion or pneumothorax.
worsening productive cough.
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation or pleural effusion, or pneumothorax.
alcohol intoxication.
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are stable allowing for patient position. no acute osseous abnormality is identified. there is no free air under the diaphragm.
<unk>-year-old woman with chest pain and dyspnea.
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wedge-shaped right peripheral subpleural opacity is unchanged and compatible with known carcinoma. no acute consolidation is identified. bulky right hilus secondary to lymphadenopathy is better evaluated on prior chest ct. left chest aicd and leads are in stable positions. there is no pleural effusion or pneumothorax. background emphysema and fibrosis are unchanged.
<unk> year old man with new dx scc, dry cough, slight confusion on admission, electrolytes abnormalities. rule out pneumonia.
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ap upright and lateral chest radiographs were obtained. comparison is made to prior study dated <unk>. lungs appear symmetrically inflated. cardiomediastinal and hilar contours are stable in appearance. increased periobronchial right lower lung zone density may reflect early pneumonia or alternatively aspiration. again identified is a left port-a-cath, its tip within the mid superior vena cava in unchanged position.
<unk>-year-old male with tachycardia.
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. patient is intubated with endotracheal tube terminating <num> cm above the carina. nasogastric tube is coiled within the fundus. bilateral low lung volumes identified with increased opacification within the right lung base compared to next preceding study, may represent atelectasis, though given unresponsive state, aspiration is a consideration. no pleural effusion or pneumothorax evident.
unresponsive episode, intubated.
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patchy opacity is seen in the right middle lobe, worrisome for pneumonia. no definite focal consolidation is seen in the left lung. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
influenza like illness symptoms since last night
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multiple known pulmonary metastases are better evaluated on prior ct. cardiomediastinal silhouette is unchanged. there is no focal lung consolidation. pleural effusion is small, if any.
<unk> year old man with aspiration, delirium, evaluate for interval change.
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lung volumes remain low. the cardiac silhouette size remains unchanged and normal. mediastinal and hilar contours are similar. no pulmonary edema is overtly demonstrated. diffuse interstitial abnormality is compatible with known chronic interstitial lung disease which is more pronounced in the lung bases. minimal patchy opacity within the left lung base may reflect superimposed atelectasis. no pleural effusion or pneumothorax is identified. no displaced fractures are present.
history: <unk>f with motor vehicle collision, on coumadin, right chest wall tenderness.
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the heart size, mediastinal, and hilar contours are normal. lung volumes are somewhat low, but there is no evidence of focal consolidation, pleural effusion, or pneumothorax. mild bibasilar atelectasis is identified.
<unk>f with acute appendicitis. preoperative chest radiograph.
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the right lung is clear. left lung postsurgical changes including stable left-sided volume loss, a left apical suture line, and tenting of the left hemidiaphragm indicate prior left upper lobectomy. the cardiomediastinal silhouette is stable. there is no pneumothorax. a small right and small to moderate left pleural effusion are unchanged.
<unk> year old man with gvhd of lungs, b/l pleural effusion, small pericardial effusion with worsening dyspnea // eval for interval change since <unk>
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compared to the previous chest radiograph dated <unk> at <time>, patient is extubated. the previously seen left lower lobe opacity is unchanged. the worsening right lower lobe opacity, based on the timeline, is worrisome for aspiration pneumonia. the pulmonary venous congestion has improved. the heart size is unchanged. there is bilateral pleural effusion. no pneumothorax. no fractures.
<unk> year old woman with cirrhosis and left sided pleural effusion, decreased bs on l base, now extubated but still hypoxic. // interval change in l pleural effusion, opacities, and/or pulm edema?
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there is improved expansion of the lungs. pulmonary edema in the upper lung zones has improved. compared to the prior exam, there is new opacity at the bases which may represent atelectasis or dependent residual edema; however, aspiration or aspiration pneumonia cannot be excluded. the heart remains significantly enlarged. linear opacities in the left mid lung zone is compatible with atelectasis. there is no pneumothorax. there are small effusions.
history of coronary artery disease, diabetes and recent altered mental status with hypoxia, status post diuresis. evaluate for improvement in pulmonary edema.
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frontal and lateral views of the chest. there are small persistent bilateral effusions. previously seen left basilar opacity is no longer visualized. the cardiac silhouette is enlarged but similar compared to prior. lungs are clear of confluent consolidation. old healed right-sided rib fractures are identified.
<unk>-year-old female with afib with rapid ventricular rate.
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ng tube projects over the esophagus with the tip seen at the level of the gastroesophageal junction and advancement of the ng tube via <num> cm is advised. low lung volumes. opacification seen in the inferior aspect of the right upper lobe as well as in the right lower lung zone. prominent pulmonary vessel seen in the left hilar area which is most likely secondary to the low lung volumes. mild atelectatic changes in the medial aspect of the left lung base.
<unk> year old man with cirrhosis, appendicitis now with increasing crackles // aspiration, pulm edema?
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severe cardiomegaly and mild pulmonary vascular congestion is essentially unchanged from prior examination, without frank pulmonary edema or pleural effusion. no lobar consolidation or pneumothorax.
<unk>m with weight gain and new onset atrial fibrillation // eval for chf, pneumonia
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the lungs are well expanded. there is a somewhat linear opacity in the retrocardiac region, along the left margin of the heart, which appears to correlate with an opacity in the retrocardiac region in the lateral view. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with shortness of breath and chest pain.
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dual-lead pacer is seen with leads in the right atrium and ventricle as before. there is no pneumothorax or pleural effusion. hyperinflation is again seen compatible with preexisting chronic pulmonary disease. right middle and lower lobe opacities are redemonstrated without new lesions. there is a slight change in morphology with increased lucency of one of the more medial opacities. they are overall unchanged in distribution and as a whole slightly decreased in size. cardiomediastinal silhouette and hilar contours are unchanged.
probable amiodarone-induced lung toxicity, now off the drug since <unk>, assess for improvement since the prior study.
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left picc line is seen ending at approximately the lower left-sided svc probably at the junction with the coronary sinus. no complications including pneumothorax are seen. cardiac and mediastinal contours are normal. bibasilar atelectasis continues to be seen with small left pleural effusion.
<unk>-year-old male with new picc line. please evaluate placement.
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a coarsely calcified left lower lobe granuloma is again noted. the lungs are otherwise clear. there is no pneumothorax. the heart and mediastinum are within normal limits. metallic surgical clips presumably from prior cholecystectomy project over the right upper quadrant.
<unk> year old woman h/o asthma with cough and dyspnea. evaluate for infiltrate.
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the hilar and cardiomediastinal silhouettes are unremarkable. the lungs are clear. no pleural effusion or pneumothorax present. no osseous abnormalities identified.
chest pain substernal with dry cough, please evaluate for pneumonia.
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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.
chest pain.
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no typical configurational abnormality is seen. thoracic aorta mildly widened but without local contour abnormalities. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present. lateral and posterior pleural sinuses are free. there is some mild degree of degenerative changes mostly involving the mid portion of the thoracic spine in the form of osteophytic prominences at the vertebral body edges but no vertebral body destruction is seen. with regard to the patient's right shoulder pain, the skeletal structures of clavicle and scapula are rather unremarkable. no local rib abnormalities are identified and there is no suspicion for any pulmonary or pleural abnormality in this region. should patient's symptoms persist, evaluation of shoulder area with either dedicated skeletal exposures or mri is recommended. our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with right shoulder pain, smoker, rule out pancoast tumor.
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there continues to be a pigtail catheter entering the right lower chest wall, with the pigtail in the right apical pleural space. a tiny pneumothorax persists along the right apex and along the right lateral chest wall. there is no evidence of diaphragmatic flattening or mediastinal shift. otherwise, the cardiomediastinal contours and lungs are within normal limits. there is a small amount of right sided pleural fluid.
<unk>-year-old male status post right decortication with a new right pneumothorax, status post talc pleurodesis.
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cardiomediastinal contours are normal. new blunting of the left lateral cp angle could be atelectasis or small area of infection, the upper lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
<unk> year old woman with asthma that had recent cold, decreased at lll base // ? pneumonia
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linear opacities at the lung bases bilaterally likely reflect atelectasis. no focal consolidation. no pleural effusion or pneumothorax. heart size and mediastinal contours are normal. there is evidence of prior cervical spine fusion.
<unk>m with coarse breath sounds on the right. evaluate for pneumonia.
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ap supine view of the chest provided. there is been interval placement of a right ij central venous catheter that terminates in the low svc. there is no pneumothorax. ett and ngt in unchanged position. there is a small right pleural effusion. the heart is top normal in size. there are bilateral lower lung opacities which are likely secondary to atelectasis. early pneumonia or aspiration cannot be ruled out. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with rij // ?line placement
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right infrahilar and lower lobe streaky opacities with air bronchograms are most likely atelectasis, with associated slight elevation of the right hemidiaphragm, as also noted on the prior chest radiograph and ct. streaky opacities at the left lung base are less prominent but also likely represent atelectasis, also noted previously. large retrocardiac opacity with scattered focal areas of rounded lucencies are most consistent with the known large hiatal hernia containing loops of bowel and mesenteric fat, best appreciated on recent ct, and perhaps slightly increased from the prior exam. no definite focal consolidation to suggest a focal pneumonia. no edema. the heart size is difficult to accurately assess on this ap view, also in the setting of large hiatal hernia. aortic knob calcifications are moderate, overall unchanged. no pneumothorax. no evidence of acute osseous abnormality on these non-dedicated images. degenerative changes in both shoulders are noted.
<unk>-year-old man presenting with shortness of breath and hypoxia. evaluate for pneumonia or edema.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unchanged. there heart size is top normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
assess for pneumonia or pulmonary edema, patient with crackles.
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pa and lateral views the chest provided. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. no signs of congestion or edema. the cardiac and mediastinal silhouettes are unremarkable. no displaced rib fracture seen. bony structures appear intact.
<unk>m with chest pain, s/p fall
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even allowing for the projection, the cardiac silhouette is enlarged. there is persistent airspace opacity in the right upper lobe which may reflect asymmetric pulmonary edema versus infection. there is new partial silhouetting of the left hemidiaphragm which may be due to left lower lobe atelectasis or a layering pleural effusion. mild pulmonary vascular congestion is similar in degree when compared to the prior study.
<unk> year old woman with cns bleed, new pneumonia, receiving blood transfusion, and now tachypnic, wheezing // ? pulmonary edema
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. the well-aerated lungs are clear and there is no pleural effusion or pneumothorax.
shortness of breath after mastectomy. evaluated for infiltrate or effusion.
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cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are clear. pulmonary vasculature is within normal limits.
chronic cough and tobacco use.
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the initial radiograph of <time> shows that the feeding tube has been repositioned, however it now coils in the mid esophagus. a moderate right layering pleural effusion with severe right basilar atelectasis are unchanged. left lung areas of linear atelectasis are unchanged. there is no pneumothorax. the followup radiograph of <time> shows that the feeding tube has been advanced further into the distal esophagus, but likely does not clear the ge junction. there are no other significant changes.
<unk> year old man with repositioned ngt // eval ngt placement <unk> year old man with re-repositioned ngt // ngt replacement
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lung volumes are low. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>m with sob // eval for ptx
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heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. clips are noted within the left chest wall anterolaterally. calcified granuloma in the right lung base is unchanged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m with severe abdominal pain out of proportion to exam, history of previous arterial occlusion
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pa and lateral views of the chest were provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged bony structures are intact. no free air is seen below the right hemidiaphragm.
<unk>-year-old female with palpitations and chest pain.
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there is an et tube that terminates approximately <num> cm from the carina. ng tube courses below the diaphragm, and is coiled in the stomach on the first film, but then repositioned on the subsequent film where the tip is in the region of the pylorus. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. the osseous structures are intact.
intubated, question tube placement.
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pa and lateral views of the chest. there are clips in the left hilar region from prior surgery. the lungs are clear. no evidence of pneumonia. the heart size is top normal. no pleural effusion or pneumothorax. no pulmonary vascular congestion or pulmonary edema.
non-hodgkin's lymphoma, shortness of breath.
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with shortness of breath, wheezing // shortness of breath, wheezing
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frontal and lateral radiographs of the chest show stable blunting of the right costophrenic angle, also seen on prior chest radiograph and ct, consistent with focal pleural scarring. the lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged.
<unk>-year-old female with dyspnea and fatigue, comes here to evaluate for pneumonia or evidence of heart failure.
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ap upright and lateral views of the chest provided. lung volumes are low. there is stable mild cardiomegaly. the mediastinal contour is unchanged. there is mild hilar congestion without frank edema. no convincing evidence for pneumonia, effusion or pneumothorax. imaged bony structures appear intact.
<unk>m with dementia presenting with worsening confusion // consolidation
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heart size is top normal with mildly tortuous thoracic aorta. hilar contours are unremarkable. there has been interval clearing of previously seen right lower lobe consolidation. the lungs are now clear. chronic elevation of the left hemidiaphragm is less pronounced compared to prior study. there is no pleural effusion or pneumothorax.
pneumonia in <unk>. assess for interval change.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding chest examination of <unk>. the heart size remains within normal limits. no configurational abnormality is identified. thoracic aorta is mildly widened and elongated but does not show any local contour abnormalities. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. mild degree of degenerative changes in the thoracic spine but no evidence of vertebral body compression fracture. in comparison with the next preceding chest examinations, no new pulmonary abnormalities are seen, but a previously existing right-sided picc line has been removed.
<unk>-year-old male patient who received allograft bone marrow transplant for mds this past <unk> with thrush, failure to thrive, recent rhinorrhea, wanting to rule out infection as source of failure to thrive.
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the lungs are reasonably well expanded, with only trace atelectasis in the left lung base. there is no pleural effusion, pulmonary edema, pneumothorax, or consolidation concerning for pneumonia. the cardiomediastinal silhouette is unremarkable. there is mild bronchial wall thickening, which appears to wax and wane on prior studies.
history: <unk>m with chest pain // eval for pneumonia
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cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. streaky opacities at the lung bases indicate minor, unchanged sites of scarring. otherwise, the lungs appear clear. a nasogastric tube courses into the stomach and terminates to the right of midline. there is no free air.
cough and leukocytosis.