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there is mild pulmonary edema. small patchy opacity in the right base is probably atelectasis, however pneumonia as possible in correct clinical setting. cardiomediastinal silhouette is mildly enlarged, increased from prior. there are probably small bilateral pleural effusions.
<unk> year old woman with nstemi c/b nsvt with worsening leukocytosis // please evaluate for evidence of pneumonia
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cardiac silhouette size remains mildly enlarged. a large hiatal hernia is demonstrated, as seen previously. hilar contours are normal. pulmonary vasculature is unremarkable. streaky atelectasis is seen in the lung bases associated with the hiatal hernia, but there is no focal consolidation, pleural effusion or pneumothorax. the osseous structures are diffusely demineralized. no acute osseous abnormality is detected.
history: <unk>f with intermittent chest pain
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lung volumes are slightly low. relatively linear opacities at the left lung base with obscuration of the left costophrenic angle, potentially atelectasis. elsewhere, lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities.
<unk>m with fevers, abd discomfort, s/p whipple surgery <num> days ago // please evaluate for pna
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the lungs are clear, there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. mid thoracic dextroscoliosis noted.
cough.
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frontal and lateral views of the chest. left chest wall port is seen with catheter tip at the ra svc junction. linear opacity at the right lung base only on the frontal exam is more conspicuous than on prior and is thought to be due to atelectasis. there is no large confluent consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old male with sickle cell crisis and chest pain.
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right-sided port-a-cath tip terminates in the proximal right atrium, unchanged. the patient is status post median sternotomy and cabg. heart size is normal. curvilinear calcification is again seen corresponding to known left ventricular apical infarct. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is visualized. sclerotic focus along the right seventh lateral rib is again noted.
history: <unk>m with dizziness
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the cardiac silhouette size is borderline enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no fractures are identified.
cough, left-sided chest pain for several days.
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a ventriculoperitoneal shunt courses along the medial right hemithorax. the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
shortness of breath and right chest pain.
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pa and lateral chest radiographs were obtained. there are no prior exams for comparison. the lungs are well inflated and clear. no consolidation, effusion, or pneumothorax is present. the cardiac and mediastinal contours are normal. no displaced rib fracture is apparent.
<unk>-year-old woman with assault four days ago, question fracture. no further localizing information is provided.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. minimal scarring is noted in the lung apices. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with chest pain // eval for pneumothorax
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lung volumes are decreased, accentuating the pulmonary vasculature and cardiac contour. there is moderate cardiomegaly, which is stable. complete retrocardiac opacification is indicative of lobar collapse, however superimposed infection is not excluded. heterogeneous opacities in the right infrahilar region are concerning for infection. small left pleural effusion is likely.
history: <unk>m with w/ ams, fall with headstrike // bleed? fx? pna?
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. the mediastinal contours are stable. the hilar contours are stable. no displaced fracture is seen.
intermittent left upper back pain radiating to chest and down left arm for past week.
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pa and lateral chest radiographs demonstrate mildly increased central pulmonary vascular prominence and a small left pleural effusion. there is no pneumothorax. the heart size is mildly enlarged.
fever. evaluation for pneumonia.
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minimal left basilar subsegmental atelectasis is grossly similar to the prior study. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. moderate to severe degenerative changes of the right acromioclavicular joint are stable. hyperexpansion of the lungs is unchanged.
<unk>m with coronary artery disease, smoker who presents with atypical chest pain and cough, evaluate for interval change.
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no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. hyperinflated lungs are again seen. et tube ends in appropriate position.
<unk>-year-old woman with past medical history of laryngeal cancer, status post radiation therapy, resection, intubation. assess for pneumonia.
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mild cardiomegaly is unchanged. slight eventration of the right hemidiaphragm is more apparent on the current study but was present retrospectively. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>f with hyperglycemia, cough evaluate for pneumonia.
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compared to the prior study there is no significant interval change.
<unk> year old man, intubated, pna, // interval change
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right-sided dual lumen central venous catheter tip terminates in the proximal right atrium. there are low lung volumes, which accentuates the size of the cardiac silhouette which is borderline enlarged. mediastinal and hilar contours are normal. there is mild crowding of the bronchovascular structures. no pulmonary edema is detected. streaky and patchy left basilar opacities may reflect atelectasis but infection or aspiration cannot be excluded. there is no pleural effusion or pneumothorax. no acute osseous abnormalities visualized.
altered mental status.
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pa and lateral chest radiographs were obtained. bilateral pleural effusions are small. there is no consolidation, pneumothorax or consolidation. the cardiac and mediastinal contours are normal. mild apical fibrotic changes are stable.
dyspnea status post surgery.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bilateral breast implants are present.
angioedema.
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lungs are well-expanded and clear, with minimal atelectasis in the right lung base. there is mild cardiomegaly. the mediastinal hilar contours are unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with cough, ili // pneumonia?
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increased interstitial markings are seen in the mid to lower lung fields bilaterally may be due to chronic interstitial pulmonary disease although an acute component is not excluded in the absence of priors for comparison. no pleural effusion or pneumothorax is seen. the patient is status post median sternotomy. the aorta is calcified and tortuous. the cardiac silhouette is top-normal. degenerative changes are not well evaluated along the spine.
history: <unk>m with chest pain // eval for pneumothorax
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pa and lateral views of the chest. pacemaker is seen with leads in appropriate position. there are sternotomy wires seen. there is cardiomegaly with increased interstitial opacities consistent with mild pulmonary edema. no pleural effusions are seen. no pneumothorax.
<unk>-year-old woman with dyspnea, evaluate for acute process.
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the heart is mild to moderately enlarged. very small bladder bilateral pleural effusions are suspected. there is a moderate interstitial abnormality with indistinct pulmonary vessels and thickening of the fissures which is most consistent with pulmonary edema.
altered mental status and diffuse abdominal pain.
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there has been interval placement of a right chest tube, with resolution of the right pneumothorax and re-expansion of the right lung. overall, lung volumes are lower, with increasing atelectasis. moderate cardiomegaly is stable with stable preexisting left parenchymal opacities.
<unk> year old woman with meningitis; intubated. s/p chest tube for pneumothorax.
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the dobhoff tube terminates in the mid esophgaus and has turned, pointing in cephalad direction. lungs are otherwise clear.
<unk> year old woman with etoh cirrhosis needing enteral feeding.
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<num> views were obtained of the chest. the lungs are well expanded and appear clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal mediastinal and hilar contours.
dyspnea, assess for chf.
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heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
chest pain.
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lung volumes are normal and the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. the mediastinal and hilar contours are unremarkable. there is no free air seen underneath either diaphragm.
recent colonoscopy now with back pain. evaluate for air under the diaphragm or pneumatosis.
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frontal and lateral views of the chest were obtained. the heart size is top normal. mediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with syncope.
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portable ap chest radiographs were obtained. the central pulmonary vasculature is slightly more pronounced compared with the prior exam in <unk>. linear opacities at the right base are most compatible with atelectasis. mild cardiomegaly is unchanged. there is no new consolidation, effusion or pneumothorax. a rim calcified lesion in the right upper quadrant is compatible with previously seen calcified liver cyst.
hypotension.
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the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion.
syncope and left ventricular hypertrophy on ekg.
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a nasogastric tube is seen curled within the stomach. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with sbo // eval for ngt placement
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compared with prior radiographs on <unk>, there has been resolution of a left apical pneumothorax and pneumomediastinum. the cardiac shadow has decreased in size. the left heart border is vague, likely secondary to a previously seen prevascular or anterior pleural fluid collection. compared with prior radiograph, air has been resorbed from the fluid collection, and the overall volume of the fluid collection is probably smaller. there is no new consolidation or pleural effusion.
<unk> year old woman s/p l vats mediastinal ln bx // check interval change
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the lungs are mildly hyperinflated. there is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. the mediastinal contours are normal. the heart is mildly enlarged. again, there are extensive calcifications of the costochondral junctions. there is mild loss of height in several of the mid thoracic vertebral bodies, which is likely chronic. comparison is difficult, as there is no lateral view in the prior exam. no acute fracture is identified.
status post fall, with a missing tooth. evaluate for traumatic injury or foreign body.
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the lungs are clear. there is mild pulmonary edema. there is moderate enlargement of the cardiomediastinal silhouette, without priors for comparison. there are no pleural effusions. there is no pneumothorax.
<unk> year old woman with inferior stemi s/p pci // please evaluate for pulmonary edema or consolidation
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the heart is mildly enlarged. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is normal and the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. multilevel degenerative changes are noted in the thoracic spine.
lower gi bleed, cough.
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the tip of the right picc line projects over the mid svc. a left ventricular assist device is present. the tip of the feeding tube extends below the level of the diaphragms but beyond the field of view of this radiograph. there is severe enlargement of the cardiac silhouette, unchanged. a dense retrocardiac opacity likely represents a combination of atelectasis and a pleural effusion. there is increased right perihilar airspace opacities as well as fluid within the fissure. the combination of findings likely reflects moderate pulmonary edema.
<unk> year old man with picc out <num>cm // ?placement
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the cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are clear without focal consolidation. blunting of the left costophrenic sulcus posteriorly may suggest a trace left pleural effusion. there is no pneumothorax. no acute osseous abnormalities identified. mild loss of height of a mid thoracic vertebral body is re- demonstrated as is diffuse osteopenia.
chest pain, scapular pain.
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. mild loss in a lower thoracic vertebral body height with slight anterior wedging is similar to the prior study.
pre-syncope.
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cardiomediastinal silhouette normal. there is no pleural effusion or pneumothorax. hilar contours are unremarkable. there is no focal lung consolidation.
<unk>f with chest pain and left arm numbness/weakness, evaluate for ptx, pna, mass .
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compared with the prior radiograph, mild cardiomegaly is unchanged. unfolded aorta is unchanged. there is new pulmonary vascular congestion with mild pulmonary edema. the previously described nodular opacity projecting in the left mid to lower lung is obscured by the edema. no pneumothorax.
<unk>m with chest pain and dyspnea this afternoon, evidence of volume overload on exam. assess for volume overload, infiltrate, effusion.
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a single portable view of the chest. indistinctness of the pulmonary vascular markings is seen. there is no definite confluent consolidation. blunting of the costophrenic angles may be due to small effusions, more apparent on the left. cardiac silhouette is enlarged but given lower lung volumes and portable technique has not significantly changed. no acute osseous abnormality detected.
<unk>-year-old female with dyspnea.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
history: <unk>m with altered mental status// eval for pneumonia
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pa and lateral chest radiographs were obtained. a left lower lobe retrocardiac opacity is seen on both the frontal and lateral projections. no effusion or pneumothorax is present. the cardiomediastinal contours are normal. surgical clips project over the neck.
three days of fever and chills.
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patient is status post median sternotomy, mitral valve replacement, and left-sided pacer device with leads terminating in the right atrium and right ventricle. epicardial leads are also noted projecting over the left ventricular border. mild cardiomegaly is re- demonstrated. the aorta remains tortuous. hilar contours are unremarkable. pulmonary vasculature is not engorged. elevation the right hemidiaphragm is chronic. subsegmental atelectasis is noted in the lower lobes bilaterally. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are seen within the thoracic spine.
history: <unk>m with stroke. // pneumonia?
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the heart remains moderately enlarged, unchanged compared to the prior exam. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present. there are mild degenerative changes in the thoracic spine.
cough and shortness of breath.
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the lungs are clear without focal consolidation, effusion, or edema. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cp // eval pneumonia
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portable semi-upright chest radiograph demonstrates adequate lung volumes with bibasilar opacities, right greater than left. the cardiac and mediastinal contours are unchanged, somewhat shifted to the right. the pulmonary vasculature is normal. there is no pneumothorax.
<unk>-year-old male with hypoxia and probable volume overload. evaluate for edema.
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pa and lateral views of the chest provided. the heart remains at the upper limits of normal. no focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax. no convincing signs of edema. there is noted aortic calcification. bony structures are intact. no free air below the right hemidiaphragm. elevated right hemidiaphragm is unchanged.
<unk>m w/ wbc <unk>. immunosuppressed. ?pna
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there is stable moderate enlargement of the cardiac silhouette either likely secondary to cardiomegaly or pericardial effusion, which is accompanied by pulmonary vascular congestion. there is overall stable bilateral moderate pulmonary edema. pulmonary edema appears asymmetrical involving the right lung to a greater degree than left. there has been interval improvement in the left basilar atelectasis with a stable small left effusion. there may be a small right apical pneumothorax, however this is not well seen on this exam.
history of alcoholic cirrhosis complicated by diuretic refractory ascites with a question of a pneumothorax, please reevaluate.
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there is bibasilar atelectasis, which is not significantly changed from the prior study. the heart is not enlarged. the mediastinum remains stably widened. a nasogastric tube is seen with the tip ending in the stomach and the last side port above the ge junction. there is no pneumothorax.
<unk>-year-old man with subarachnoid hemorrhage. evaluate nasogastric tube placement.
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a tracheostomy tube and left-sided port-a-cath are unchanged in position. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
history: <unk>f with trach c/o greenish sputum // r/o pna
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the lungs are mildly hyperexpanded with flattened hemidiaphragms, but clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema. there are foci of calcification in the hila bilaterally, likely calcified lymph nodes.
<unk> year old woman with fever, dyspnea, mental status changes x <num> days. decreased bibasilar breath sounds // evaluate for abnormalities
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the cardiomediastinal silhouette and pulmonary vasculature are normal. there is no pleural effusion or pneumothorax. the lungs are clear.
history: <unk>f with cough and chest pain for <num> weeks // pneumonia?
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there has been interval removal of support and monitoring devices, including a left sided chest tube, and resolution of a small left apical pneumothorax since prior radiographs on <unk>. there is increased atelectasis at the left lung base. a right ij catheter is stable in position. there is stable mediastinal widening. median sternotomy wires are present.
<unk> year old man with s/p cabg and ct removal // r/o ptx
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frontal and lateral chest radiographs demonstrate normal lung volume although many prior studies have shown hyperinflation, presumably due to transient bronchospasm. mild right hilar enlargement is chronic, due to either stable adenopathy or unilateral pulmonary artery enlargement. there is no pleural abnormality. cardiomediastinal silhouette is normal. surgical clips are noted in the left upper quadrant.
<unk>-year-old male with question asthma flare or pneumonia.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
history of asthma and shortness of breath.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal. a linear density projecting over the peripheral right upper lung and simulating a pneumothorax is likely external to the patient as normal lung markings cross this border.
<unk>m with hypoxia, tachycardia, recent pe, evaluate for pneumonia, pneumothorax, or effusion.
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intact midline sternotomy wires and mediastinal clips. the lungs are mildly hypoinflated with vascular crowding. no pleural effusions or pneumothorax. stable top-normal heart size. mediastinal contour and hila are otherwise unremarkable. tortuous aorta noted. mild kyphosis as well as chronic right rib cage deformity is seen. visualized upper abdomen is within normal limits.
<unk>m with concern for pneumonia. assess for pneumonia.
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overall progression of findings compared to the prior exam. increase in size of the known right pleural effusion, now large-to-moderate. new increased opacity in the left lingula and lower lung with a small left pleural effusion. it is unclear if right-sided lower lung opacities are also present given the concurrent right pleural effusion. increased bilateral pulmonary vascular congestion and interstitial pulmonary edema. the right pleur-ex catheter lies within the right hemithorax, although the precise location of tip cannot be ascertained. no pneumothorax. probable cardiomegaly, although the heart borders are obscured by the overlying pleural effusions. the port-a-cath appears unchanged in position and intact.
<unk>-year-old woman with metastatic breast cancer and pleurex catheter on the right. evaluate lung fields bilat and compare to recent prior imaging.
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dual lumen central venous catheter is seen entering from the inferior aspect of the image, presumed coursing in the ivc from a femoral approach, terminating in the cavoatrial junction and distal svc. no pneumothorax is seen. mild left base atelectasis is seen. there is no focal consolidation, pleural effusion, or pneumothorax. cardiac size is normal. mediastinal contours are grossly unremarkable. no pulmonary edema is seen.
history: <unk>m with sob, fever // chf? pna?
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two frontal images of the chest demonstrate some interval improvement in the right lower lobe opacity. the right upper lobe collection of loculated pleural fluid appears to have increased in size since the previous imaging. again seen is cardiomegaly. there is no pneumothorax or pleural effusion. multiple surgical clips are noted in the left axillary region.
<unk>-year-old female with dyspnea and loculated pleural effusion.
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there has been interval decrease in interstitial pulmonary edema which is now minimal to mild. no large pleural effusion is seen. there is no pneumothorax. biapical pleural thickening is re- demonstrated. cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous.
<unk> year old woman with low oxygen saturation please eval. // concerns of low oxygen saturation
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there is no evidence for fracture, dislocation or bone destruction. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. a calcified granuloma appears unchanged in the right lower lobe. otherwise, the lungs appear clear.
dysphasia, myalgias, and sternal pain.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain. evaluate for acute cardiopulmonary process.
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mild cardiomegaly is unchanged. mediastinal contour is normal. there is no pleural effusion or pneumothorax. streaky retrocardiac opacity has slightly increased from <unk> and likely represents atelectasis. there is stable pleural and parenchymal scarring at the right lung base. partially visualized spinal fusion hardware is present.
<unk>m with acute onset left chest pain, history of cardiomyopathy, parenchymal changes, cardiac size.
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frontal and lateral radiographs of the chest when compared to the prior study demonstrates increased lung volumes with hyperinflation, flattening of the diaphragms, and increased ap diameter, consistent with emphysematous change. moderate left pleural effusion is relatively unchanged. the cardiac and mediastinal contours are normal. surgical clips are again noted in the left axilla, likely from breast surgery. left apicolateral lung fibrosis is seen, likely post-radiation changes. calcified aortic knob is again seen.
breast cancer and left pleural effusion status post chest tube. evaluate for interval change.
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lower lung volumes seen on the current exam. increased interstitial markings are likely secondary to chronic underlying interstitial process superimposed on atelectasis. there is no consolidation worrisome for pneumonia, overt edema nor large effusion. the cardiomediastinal silhouette is within normal limits. aortic core valve device is noted. no acute osseous abnormalities.
<unk>f with l hip fracture // pre op
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the heart is enlarged. the pulmonary vasculature is within normal limits. no consolidation. no signs of chf. dual lead pacemaker again seen with the leads ending in the ra and rv.
<unk> year old woman with chf and cad with fall onto chest yesterday now with worsening pleuritic chest pain. // please assess for pulmonary edema, pneumonia, fracture, ptx
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there has been interval removal of the left picc line. the lungs are well expanded. opacity in the mid left mid lung is similar to or slightly improved from prior exam, likely representing pneumonia. no new areas of opacity are seen. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with picc removal today // eval for retained picc
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there are bibasilar opacities. associated linear opacities may be due to associated atelectasis versus scarring. superiorly the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fever, sob, cough // evaluate for pneumonia
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there are new small bilateral pleural effusions. new multifocal patchy opacities in bilateral lungs, most notably in right juxta hilar and bilateral mid and lower lungs, with combined peripheral and peribronchovascular distribution. these findings are superimposed on pre-existing lung parenchymal abnormality is in the left mid and lower lung. cardiac silhouette is upper limits of normal size limits.
<unk> year old woman with esrd for pre kidney transplant eval // r/o cardiopulmonary abnormalities
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with chest pain
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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 pa and lateral chest examination of <unk>. the heart size remains unchanged and is within normal limits. mild widening and elongation of the thoracic aorta is unaltered. no mediastinal masses are seen. bilaterally, the lungs demonstrate a rather irregular pulmonary vascular distribution coinciding with multiple areas of increased translucency most marked in the lung bases where they coincide with low positioned and flattened diaphragms. these findings are again indicative of rather advanced copd/emphysema. comparison with the previous examination demonstrates increased local markings on the left lung base can be identified on comparison of the lateral views to involve mostly the anterior basal regions, thus representing infiltrates in the periphery of the upper lobe lingula. no new pleural effusion can be identified as the lateral and posterior pleural sinuses are free and there is no evidence of pneumothorax in the apical area.
<unk>-year-old female patient with severe copd, now with rales on examination. evaluate for any chf.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. left apical nodule is unchanged.
<unk> year old man with immunosuppression, here with wheezing and rales, worse in the upper right lung field. recent x-ray was normal but high concern given immunocompromise and focal finding on exam // ?infiltrate
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pa and lateral views of the chest provided. the previously seen lucency is caused by platelike atelectasis immediately superior to the diaphragm. otherwise, the lungs are grossly clear. no pleural effusion or pneumothorax. no pneumoperitoneum. hilar contours are normal. the aorta is tortuous.
<unk> year old man with recent sdh in setting of supratherapeutic inr now with new leukocytosis. prior portable cxr showed ?free air, no pna. // ?free air
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
prior cva and worsening confusion.
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single portable upright frontal image of the chest. median sternotomy wires are noted, unchanged from prior exam. the lung volumes are low with associated bronchovascular crowding. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is midly to moderately enlarged, similar to prior exam.
fever and cough.
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the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. there is similar mild rightward convex curvature along the lower thoracic spine.
leukocytosis and hyponatremia.
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sequential portable chest radiographs were obtained. the first shows the nasogastric tube curled within the thoracic esophagus with tip extending to the superior portion of the image. the second displays an appropriately positioned nasogastric tube with tip beyond the inferior edge of the image and sidehole within the stomach. both show moderate bilateral unchanged pleural effusions and left greater than right basal opacities, most compatible with atelectasis. left-sided picc terminates in the upper svc. cardiac size is unchanged.
<unk>-year-old man with new ng tube, assess placement.
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normal cardiomediastinal and hilar contours. normal pleural surfaces. fully expanded, clear lungs. no evidence of active or latent tb.
<unk>-year-old man with an indeterminate quantiferon test. evaluate for tb.
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doubt significant interval change in the et tube, ng tube, or right subclavian picc line. left lower lobe collapse and/or consolidation remains present. there is no more hazy density extending the laterally at the left base with interval obscuration a left hemidiaphragm, possibly reflecting a small left effusion. doubt significant chf. otherwise, no significant interval change detected in the appearance of the lungs and chest.
<unk> year old woman with intubation // interval change
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new right central venous catheter terminates in the region of the upper svc, however takes a more lateralized course than usual, with air surrounding the tip of the catheter. there appears to be a new large right pneumothorax with increased atelectasis of the right lung and paucity of lung markings beyond the border of the atelectatic lung. the left lung has a stable appearance. there is no shift of the mediastinal structures to suggest the presence of tension. heart size and cardiomediastinal contours are stable.
<unk>f with cvl // eval cvl placement
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patient has had prior median sternotomy and cabg. there is asymmetric opacity in the right lung diffusely. there is also left basal opacity and a small left effusion. the heart and hila are enlarged. no pneumothorax.
<unk>f, pmh dementia, htn, cad, s/p unwitnessed fall <unk> ? loc with sah // dyspnea
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as compared to chest radiograph from earlier today, persistent veil like opacity of the left hemithorax has not substantially changed. support devices remain in standard position. right lung remains clear. cardiomediastinal contours are unremarkable. increasing retrocardiac opacity likely atelectasis. increasing subcutaneous air in the left chest wall.
<unk> year old man s/p cabg // eval for effusion/bleeding
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. mild peaking of the left hemidiaphragm is noted, nonspecific however may be seen in the setting of left upper lobe volume loss. there is no focal lung consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old woman with multiple episodes of verigo, evaluate for pneumonia.
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peribronchial opacities, best appreciated on the lateral view, are likely in the left lower lobe. no pleural effusion or pneumothorax. heart is normal size. there is no pulmonary edema. mediastinal and hilar contours are unremarkable. sternotomy wires and clips are constant.
cough. evaluate for pneumonia.
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there is a <num> new right subclavian line with tip in the right atrium. the et tube is unchanged. the lungs are clear without infiltrate or effusion.
<unk>m mcc multiple fractures including r femur and r tibia intraop consult for loss of rle pulses s/p r pop to bk pt bypass with v // eval for line position right subclvain
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ap and lateral radiographs of the chest demonstrate clear lungs. the cardiac, hilar, and mediastinal contours are normal. no pleural abnormality is seen.
chest pain shortness of breath.
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
bilateral lower extremity swelling.
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there has been interval placement of a left-sided pacemaker device with single lead terminating in the right ventricle. heart size remains moderate to severely enlarged. aortic knob is calcified. mild interstitial pulmonary edema is present. small right pleural effusion is increased compared to the prior exam with worsening patchy opacity in the right lung base. no left-sided pleural effusion is demonstrated. no pneumothorax is identified.
chest pain.
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there is no focal consolidation concerning for pneumonia. subtle increase in perihilar opacity could reflect mild central airways inflammation. no pleural effusion or pneumothorax. the cardiac, hilar and mediastinal contours are normal. imaged osseous structures appear intact.
<unk> year old woman with <num> week history of cough, yellow sputum, sore throat. evaluate for infection.
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pa and lateral views of the chest. right chest wall port is again seen with tip in the distal svc. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
<unk>-year-old female with malaise.
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there is a large left pleural effusion as well as subtly increased opacity throughout the right lung consistent with mild pulmonary edema. the cardiac silhouette is mildly displaced to the right however this finding may also reflect mild cardiac enlargement, possibly from a pericardial effusion. no pneumothorax. no right pleural effusion.
history: <unk>m with recurrent pleural effusion, cholangio ca, <unk> days of exertional doe and non-productive cough // evaluate for pneumonia, evaluate size of pleural effusion
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the lungs are hyperinflated, flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. there may be slight upper retraction of the hila likely due to chronic changes at the right greater than left lung apices. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is mild to moderately enlarged. the aorta is tortuous. surgical clips are noted overlying the right lateral lower hemithorax. multiple left-sided chronic appearing rib deformities are seen which suggest prior fractures.
history: <unk>f s/p fall now with syncopal episode and dens fracture. // eval for chf versus pna
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cardiac silhouette size is mildly enlarged. a moderate size hiatal hernia is re- demonstrated. mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is normal. atelectasis is demonstrated both lower lobes. no focal consolidation, pleural effusion or pneumothorax is identified. levoscoliosis of the thoracic spine with mild multilevel degenerative changes is re- demonstrated.
history: <unk>f with dyspnea, tachycardia
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the heart is borderline enlarged, in the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are not hyperinflated, and there is no focal consolidation concerning for pneumonia. a right chest port is present with tip terminating near the cavoatrial junction. the upper abdomen is unremarkable in appearance.
<unk> year old man with ?copd and fever // r/o consolidation
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compared with the prior radiograph, there is persistent mild pulmonary vascular congestion. moderate cardiomegaly is unchanged. opacity in the left lower lobe may reflect pneumonia in the correct clinical setting. median sternotomy wires are intact, and there is no change in the left-sided pacemaker lead positions. anchors overlying the right humeral head are unchanged.
<unk>m with fever. eval for acute process.
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the heart is mild-to-moderately enlarged. the mediastinal and hilar contours appear stable. there is a small-to-moderate pleural effusion on the left side with patchy parenchymal opacification. the latter may be due to atelectasis although coinciding infection is possible. on the right, there are similar but much less striking findings suggesting a suspected small effusion with patchy opacity in the adjacent right lower lobe. there is a mild diffuse interstitial abnormality which is more striking along mid-to-lower lungs than before. fissures are newly thickened. the bones are probably demineralized to some extent. small anterior osteophytes are present throughout most of the thoracic spine.
fall and presyncope.