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pa and lateral views of the chest provided. the cardiomediastinal silhouette remains prominent though unchanged in overall appearance. there is no convincing evidence of pneumonia. no large effusion or pneumothorax. blunting of the right cp angles unchanged likely reflecting pleural thickening. chronic right rib deformities are again seen. there is also a chronic right clavicular midshaft deformity. the hila appear slightly congested though there is no frank edema. no free air below the right hemidiaphragm.
<unk> year old man with recent lll pneumonia s/p treatment
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stable right upper lobe opacification likely representing a combination of tumor infiltration and collapse. new opacifications of the bilateral lung bases, right greater than left, possibly representing lymphangitic spread of tumor versus superimposed infectious process. left border of the cardiomediastinal and hilar structures is unremarkable. right border is not well assessed due to opacification.
fever, while on chemotherapy, assess for pneumonia.
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portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. bibasilar opacities may reflect aspiration, however pneumonia could be considered in the appropriate clinical setting. small left pleural effusion. mild cardiomegaly. endotracheal tube ends <num> cm from the carina. nasogastric tube is coiled in the esophagus.
history: <unk>f with intubated, ? pneumonia // pneumonia, tube placement
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right-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. heart size remains at least moderately enlarged, although the inferior aspect of the heart is not completely imaged on the frontal view. the aortic knob remains calcified. mediastinal and hilar contours are relatively unchanged with calcified lymph nodes again likely reflective of prior granulomatous disease. lung volumes are low. there is crowding of the bronchovascular structures, with probable mild pulmonary vascular congestion. trace bilateral pleural effusions are noted. linear opacities within both lung bases likely reflect atelectasis. no pneumothorax is identified. no acute osseous abnormalities are detected.
shortness of breath.
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lung volumes are slightly low. no focal consolidation, edema, effusion, or pneumothorax. mild elevation of left hemidiaphragm is similar the prior exam. the heart is normal size. aortic knob calcifications are mild. no acute osseous abnormality. there is nonspecific gaseous distension of bowel loops in the partially imaged upper abdomen.
<unk>-year-old man with chest pain. evaluate for acute process.
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compared with prior chest radiographs, there is interval improvement in bilateral hilar prominence and bilateral interstitial markings. the right lung shows some discoid atelectasis in the mid and lower lung fields as well as a small pleural effusion. a moderate pleural effusion is redemonstrated in the left lung with associated moderate lower lobe atelectasis. mediastinal contour is unremarkable. there is no evidence of pneumothorax. a left-sided picc line ends in the mid subclavian region in unchanged position compared with prior exam. degenerative changes of the right glenohumeral joint are again noted.
<unk>-year-old female with pancreatic adenocarcinoma and complicated with pulmonary edema. evaluate for interval change since diuresis.
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. bilateral low lung volumes causing vascular crowding. otherwise, lungs are clear. no pleural effusion or pneumothorax evident.
encephalopathy. please evaluate for infectious process.
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pa and lateral radiographs of the chest demonstrate a focal consolidation in the right upper lobe. heart size and mediastinal contours are normal. no pleural effusion or pneumothorax.
fever and asthma.
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<num> views were obtained of the chest. left upper lobe opacification with accompanying volume loss and resultant leftward shift of the mediastinum is noted and suggestive of lingular or segmental left upper lobe collapse. the right lung is comparable a well-aerated. there is no pleural effusion or pneumothorax. the heart size appears normal though obscured by this opacity.
shortness of breath and chest pain assess for pneumonia.
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severe lung hyperinflation is again noted, consistent with known emphysema. indistinct opacities in the lateral segment of the right middle lobe are new. no pleural effusion or pneumothorax. heart size is normal. cardiomediastinal hilar silhouettes are unremarkable. mild thoracic scoliosis unchanged.
<unk> year old man with prod cough, sob x weeks. no fever. smoker // r/o pna
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there is a new right internal jugular central venous line which terminates at the superior cavoatrial junction. since the prior radiograph, the endotracheal tube and enteric tubes are unchanged in position. lung volumes are low and there is persistent partial collapse of the left lower lobe. no pneumothorax. heart size is normal.
history: <unk>f with hypovolemic // central line placement
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with epilepsy, transferred from osh due to several tonic-clonic seizures // consolidation
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as compared to prior chest radiograph from <unk>, there has been interval worsening of the opacifications at the lower lung bases bilaterally, compatible with pleural effusions. there is pulmonary vascular congestion and edema which remains unchanged. there is no pneumothorax. cardiomediastinal silhouette is enlarged but unchanged. an endotracheal tube is in place with tip terminating <num> cm above the carina. nasogastric tube is again seen coursing below the diaphragm and out of view of this image.
<unk>-year-old male patient, status post mvc with pulmonary contusions and intubated. study requested for evaluation of interval change.
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ap and lateral chest radiographs were obtained. lung volumes are mildly decreased. blunting of the right costophrenic angle is stable. there is a <num> x <num> cm lobulated opacity projecting over the lower thoracic spine on the lateral view. this appears to correlate with a left paraspinal contour on the frontal view. this was definitely not present in <unk>, the last time that a true lateral radiograph was obtained. further imaging evaluation with ct should be considered. no pulmonary edema or pneumothorax.
chest pain
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frontal and lateral views of the chest are compared to previous exam from <unk>. there are increased interstitial markings on the frontal view which may be due to relatively lower lung volumes compared to prior as the lateral exam demonstrates grossly clear lungs. there is no pleural effusion. cardiac silhouette is slightly enlarged but stable. atherosclerotic calcifications again noted at the aortic arch. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with stroke-like symptoms, question infection.
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superior mediastinum and right apex are somewhat obscured by the patient's chin projecting over this region. cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. the pulmonary vasculature is not engorged. apart from minimal atelectasis in the lung bases, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. posterior spinal fusion hardware is noted at the cervicothoracic junction.
history: <unk>f with failure to thrive, subacute profound fatigue and ams
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a left picc terminates in the mid svc. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>f with new picc placement.
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a dual-lead pacemaker/icd device, with leads terminating in the right atrium and ventricle, appears unchanged. the heart is mild to moderately enlarged. the mediastinal and hilar contours appear stable. the chest is hyperinflated. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. surgical clips project over the right upper quadrant. there has been no definite change.
cough, weakness, and fatigue.
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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>m with left clavicular pain status post motor vehicle collision
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the ett ends approximately <num> cm from the carina. a right internal jugular venous catheter tip ends in the region of the cavoatrial junction, unchanged. enteric tube traverses the diaphragm and its tip is not seen. opacification of the right lung has markedly improved compared to the most recent exam. moderate right pleural effusion persists. moderate atelectasis and edema are improved in the right lung. thyroid shift of the mediastinum compatible volume loss its chronic and present since at least <unk>. small left pleural effusion is overall unchanged. moderate edema in the left lung is minimally decreased. the heart is moderately enlarged, probably unchanged. no pneumothorax.
<unk> year old man with pna // eval for interval change in pna and pulm edema
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the heart is at the upper limits of normal size. the mediastinal and hilar contours are unremarkable. the lungs appear clear. there are no pleural effusions or pneumothorax. the patient is status post posterior fusion of the cervical spine, as well as lumbar fusion, but incompletely characterized.
dyspnea and hypoxia.
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frontal and lateral views of the chest. the lungs are clear without consolidation or pulmonary vascular congestion. mild biapical scarring is again noted. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old male with shortness of breath and worsening ascites.
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post placement of a left chest wall pacemaker with leads terminating in the right ventricle and right atrium. mediastinal contours and hila are stable. no pleural effusion or pneumothorax. right upper lobe linear opacity adjacent to a fiducial marker is consistent with post radiation change. moderate cardiomegaly, saccular descending thoracic aortic aneurysm, and thoracic levoscoliosis are stable.
<unk> year old woman s/p ppm // eval for post procedure complications
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ap and lateral views of the chest are compared to previous exam from <unk>. lower lung volumes seen on the current exam. linear opacities at the left greater than right lung bases are most suggestive of atelectasis. however, given more confluent opacity in the lateral view underlying consolidation is also possible. cardiomediastinal silhouette is stable given lower inspiratory effort. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with new onset of dizziness and altered mental status. question pneumonia.
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worsening opacification in the left lower lobe consistent with pneumonia. there is associated small left pleural effusion. there is no pneumothorax. stable scarring is again noted in the right upper lobe. the cardiomediastinal and hilar contours are normal.
<unk>-year-old with fever.
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the heart size is mildly enlarged. the mediastinal and hilar contours are stable including markedly enlarged pulmonary arteries and have the calcification of the aortic knob. there is no pneumothorax. the lungs are well expanded with left basilar atelectasis and possible small left pleural effusion. there is no overt pulmonary edema.
<unk>f with esrd p/w nvd chest pain.
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no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
<unk>-year-old woman chest pain, shortness breath on exertion. evaluate heart size.
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pa and lateral radiographs of the chest demonstrate multiple bilateral pulmonary masses, consistent with the patient's history of metastatic disease. there has been markedly rapid growth of these masses between <unk> and the current study. there is no evidence of underlying lung consolidation or pulmonary edema. there is no pneumothorax, and a small left pleural effusion appears unchanged. the hilar and mediastinal contours are unchanged.
evaluate for cause of worsening hypoxia in patient with metastatic lung cancer.
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frontal and lateral views of the chest. there is no pleural effusion, pneumothorax or focal airspace consolidation. the hilar and mediastinal contours are normal. the heart size is normal.
desaturations and chest pain.
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pa frontal and lateral chest radiograph demonstrates persistent stable appearing no new left lower lung pulmonary nodule consistent with patient's known history of rheumatoid arthritis nodule. the right lung is grossly clear with no focal consolidation. there is no pleural effusion. no pneumothorax. cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old female with rheumatoid arthritis and history of rheumatoid arthritis lung nodule. evaluate for progression.
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the lungs are fully expanded. compared to most recent chest radiograph, there has been rapid development of moderate to severe pulmonary edema. an underlying focal consolidation cannot be excluded. the cardiomediastinal contour is are slightly enlarged compared to prior. the pleural surfaces are normal.
<unk> year old man with sob, dyspnea // eval for pulm edema
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minimal streaky bibasilar airspace opacities may reflect atelectasis, though infection is not fully excluded. no focal consolidation, pleural effusion or pneumothorax is noted. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.
productive cough, chills and shortness of breath, here to evaluate for pneumonia.
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compared with the prior radiograph, there has been little change in the overall appearance. a large right and smaller left pleural effusion are identified, both of underlying atelectasis or consolidation. the right picc line tip projects over the mid svc. no pneumothorax detected. a catheter or other tubing overlying the upper abdomen is partially imaged; it is unclear if this is internal or external to the patient.
history: <unk>f with recent cholangiocardinoma, b/l pleural effusions, here with elevated wbc <unk> and hypoxia. eval pleural effusions, pna.
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the feeding tube has been advanced with the tip in the body of the stomach. right ij catheter has been removed. retrocardiac opacities have substantially improved likely resolving atelectasis. small left effusion or pleural thickening is suspected. the lungs are otherwise clear. the heart size is normal. no pneumothorax.
<unk> year old woman with submassive pe and l vocal cord, concern for aspiration // r/o aspiration
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the lungs are moderately well inflated. density seen in the right base which is not changed from the previous examination likely represents scarring. no definite pneumonia is identified. the heart is borderline. electronic device overlies the left chest as before the osseous structures are normal for age.
<unk> year old man with epilepsy // eval for underlying infection
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lungs are are clear of consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no subdiaphragmatic free air. no acute osseous abnormalities identified.
<unk>-year-old male presenting for evaluation of asthma exacerbation
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a tracheostomy tube is in stable position. an ivc filter is partially imaged in the upper abdomen. the lungs are well expanded without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the heart remains top normal in size and the mediastinal contours are within normal limits with slight unfolding of the thoracic aorta. no acute osseous abnormality is detected.
<unk>-year-old male with recent occipital avm, here for jaundice and recent fever, here to evaluate for pneumonia.
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compared to the prior chest radiograph of <unk>, there has been slight interval improvement in mild pulmonary edema. tiny left and small right pleural effusions have decreased in size since <unk>. no pneumothorax. there is mild bibasilar atelectasis, without focal consolidation. moderate cardiomegaly is stable. compression deformities in the thoracic spine are unchanged. multiple old left rib fractures are re- demonstrated. right humeral hardware is partially imaged. left picc has been removed.
history: <unk>f with hypoxia, weakness
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cardiac size is normal. multifocal opacities in the right lung have worsened. there is mild vascular congestion. widened mediastinum could be positional. there is no pneumothorax or pleural effusion.
<unk> year old woman with hypoxemia and ? tca overdose. // ? pulmonary edema
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a right-sided port-a-cath is seen, terminating in the distal svc. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.
fever.
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the heart is mildly enlarged. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. small osteophytes are present along the mid-to-lower thoracic spine.
chest pain.
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lung volumes are low. streaky opacity at the right lung base is most likely atelectasis. left lung is clear. no sizable pleural effusion or pneumothorax. heart size is likely normal, accounting for portable technique.
<unk>-year-old male presenting from the nursing home with altered mental status. per discussion with the clinician, the patient has leukocytosis and cough.
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motion limits detailed evaluation. there is faint left basilar opacity potentially atelectasis. elsewhere the lungs are grossly clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>m with fall // acute cardiopulm disease precluding surgical intervention
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. punctate calcified granulomas in the right mid lung field and left lung base appear unchanged. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with food impaction sensation
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with cardiomediastinal contours. no displaced rib fractures are identified.
left flank and back pain. assess for pleural effusion.
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the lungs are well expanded and clear. the heart is moderately enlarged, with a prominent right atrium, suggesting high pulmonary pressure. the aorta is tortuous. there is no pleural effusion or pneumothorax. a prominent right epicardial fat is noted. no fractures are seen.
<unk>-year-old female with left rib pain after fall, worse with inspiration. evaluate for evidence of fracture.
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. the right hemidiaphragm is elevated, unchanged since <unk>. two overlapping stents project over the right upper quadrant. there is no free air, pneumatosis or portal venous gas identified. the bowel gas pattern is non-obstructive.
history: <unk>m with fever s/p ercp // evaluate for free, air, stent migration, pneumonia
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is mildly enlarged. no evidence of traumatic injury in the chest.
history: <unk>f who fell yesterday and was on the floor for ><num> hours. <unk> left knee pain, diffuse tenderness // fracture?
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heart size is normal. dense mitral annular calcifications are noted. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities seen.
history: <unk>f with seizure
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pa and lateral views of the chest. the lungs are clear. there is no effusion, pneumothorax, or consolidation. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
<unk>-year-old male with <num> recent episodes of chest pain and shortness of breath.
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there is left lower lobe consolidation. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. chronic deformity of the posterior left eighth rib is noted.
<unk>f with cough, bodyaches, ili // ?pna
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when compared to yesterday's exam, there is improved aeration at the right upper lung with some relatively mild persistent opacity suggesting some residual atelectasis. left chest tube remains in place. subcutaneous gas projects over left chest wall. cardiac silhouette is stable. thoracotomy changes seen along the left chest wall laterally.
<unk> year old woman with thoracotomy left lung lobectomy // eval for post-op changes, please obtain cxr at <num>am
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there has been interval improvement of the previously noted pulmonary edema. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of chest pain. please evaluate.
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there is vague opacity in the retrocardiac region on the frontal view without correlate of opacity on the lateral view. there is no effusion or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with <num> days of cough, fevers, chest tightness, h/o asthma, concern for possible pneumonia // evidence of pneumonia
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dialysis catheter terminates in the right atrium but has been perhaps retracted slightly. the cardiac, mediastinal and hilar contours appear stable including moderate cardiomegaly. there is no trace pleural effusions are suspected. streaky retrocardiac opacity suggests atelectasis. the lungs appear otherwise clear.
pulled at dialysis line.
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one portable ap view of the chest. right internal jugular line ends at the mid-to-upper svc. ng tube is seen past the pylorus; however, the tip is out of view on this image. right lobe collapse is unchanged. decrease in pulmonary edema compared to prior study. left lower lobe atelectasis has improved. no consolidation. no pleural effusion or pneumothorax.
mvc, status post v-fib arrest and pancreatitis, question infiltration or edema.
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the cardiomediastinal and hilar contours stable. there is no pneumothorax. there may be a small left pleural effusion, but there is no right pleural effusion. the lungs are well-expanded without focal consolidation concerning for pneumonia. mild interstitial edema similar to the prior study.
history: <unk>f with doe and leg swelling. // pulmonary edema?
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since the last radiograph performed earlier this morning there has been interval placement of a dobbhoff tube that terminates in the body of the stomach. the other support devices including in a pulmonary artery catheter, endotracheal tube, right sided chest tube, and left internal jugular approach hemodialysis catheter are unchanged in position. no other significant changes compared to the prior examination. there is mild bilateral pulmonary edema, right greater than left. layering right-sided pleural effusion is unchanged. stable cardiomediastinal silhouette.
<unk> year old man s/p liver transplant now s/p dobhoff feeding tube placement. eval for location, eventually needs to be post-pyloric. // eval dobhoff tube placement
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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.
chest pain.
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pa and lateral views of the chest. the lungs are clear. the cardiac, mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old female with hemoptysis and dyspnea on exertion, question of pneumonia.
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low lung volumes are noted. the cardiomediastinal/hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal parenchymal consolidation. the imaged bones also unremarkable.
<unk>m with cp bowel question pneumonia.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax.
altered mental status.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with cough, doe, hx ppd/tst +, current bibasilar rhonchi, distant hx brief tobacco (<unk> yrs) // any worrisome lesion?
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single portable view of the chest is compared to previous exam from <unk>. there is a right-sided picc line which terminates in the mid svc, which is new from prior. as on prior, low inspiratory effort is seen. areas of bibasilar atelectasis are seen. there is no definite large confluent consolidation. cardiac silhouette is stable given differences in positioning and technique. osseous structures are unchanged.
<unk>-year-old male with fever.
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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>f with cough and fever // eval pna
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there is hazy left basilar opacity which has been seen on multiple previous examinations. elsewhere the lungs are clear of consolidation. enlargement of the cardiac silhouette is similar compared to prior and likely exaggerated by portable technique and prominent mediastinal fat. atherosclerotic calcifications noted throughout the aorta.
<unk>f with ckd, dchf, htn with chest pain and cough // pna?
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. sternotomy wires and mediastinal clips are noted.
<unk>m for preoperative evaluation.
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the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs demonstrate linear opacities at the left base likely representing subsegmental atelectasis or scarring. there are new patchy opacities over the left mid to lower lung, as well as the lateral left upper lung and left lung base, concerning for infection. there is no evidence of pleural effusions or pneumothoraces. the hilar and mediastinal contours are unremarkable.
history of cough, fever, evaluate for pneumonia.
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lung volumes are low. blunting of the lateral costophrenic angles and streaky bibasilar opacities could be due to atelectasis. the lungs are otherwise grossly clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with delirium // eval pna
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compared to chest radiographs from <unk>, heart is increased in size and there is new moderate upper mediastinal widening, likely secondary to patient positioning and ap technique. there is prominence of the azygos vein, which does suggest increased central pressure, without pulmonary edema and mild right basilar atelectasis persists. trace left pleural effusion or thickening is unchanged. no appreciable effusion on the right. no focal consolidation. no pneumothoraces.
<unk> year old woman with desat to <num>s, in preop about to go to or // ? pulm edema, pneumonia, in preop now, waiting to roll back , please come stat
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the patient is status post esophagectomy and gastric pull-through with multiple clips re- demonstrated in the mediastinum. left-sided port-a-cath tip terminates within the svc. the cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. streaky opacity in the left lower lobe appears slightly worse when compared to the previous radiograph, and could reflect an area of atelectasis but infection or aspiration cannot be excluded. right lung is clear. there is a trace right pleural effusion. no pulmonary vascular congestion is demonstrated. no pneumothorax is present. old right-sided rib deformities are again noted.
fever.
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single semierect frontal view of the chest demonstrates top normal heart size, likely accentuated by ap technique. apparent mild widening of the mediastinum may be related to semi-supine positioning. minimal vascular congestion is present. the lungs are relatively well aerated allowing for underpenetration. no pneumothorax or large effusion.
<unk>-year-old male with stroke. question acute process.
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there is no appreciable change from the study of <unk>. lungs are hyperexpanded but clear. there is no pleural effusion or pneumothorax. heart size is normal. the mediastinal and hilar contours are normal. the aorta is unfolded.
history: <unk>m with intermittent episodes of l sided chest pain, lasting for <num> minutes, independent of exertion // eval for consolidation
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frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. minimal bibasilar opacifications are evident likely reflecting atelectasis. a <num>-cm density projects over the right mid lung, stable compared to <unk> study. of note, on both studies, lesion projects over the anterior right fourth rib and may reflect osseous abnormality, though cannot exclude parenchymal nodule. no opacification concerning for pneumonia identified. no pleural effusion or pneumothorax present. multilevel degenerative changes identified within the thoracic spine.
supraventricular tachycardia, shortness of breath. please evaluate for cardiopulmonary process.
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since <unk>, a focal opacity in the left mid lung may represent pneumonia. however, a mass lesion cannot be excluded. hyperinflated lungs with flattening of the diaphragm. unchanged bilateral coarse interstitial markings again suggest chronic pulmonary disease. heart size is normal. no pneumothorax or pleural effusion.
<unk> year old woman with cough and wheezing // cough for <num> months, wheezing on exam r/o infiltrate .
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with hx of <num> renal transplants presenting with fever to <num> and bladder fullness, <unk> out infection // infectious work up in transplant pt r/o pulm process infectious work up in transplant pt r/o pulm process
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portable supine image of the chest is submitted. the lung bases and costophrenic angles are not entirely included on the study.
<unk> year old man with mi. // comparison to previous comparison to previous
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chest, pa and lateral. there are small bilateral pleural effusions and bibasilar atelectasis, a component of which is chronic based on prior imaging. the lungs are otherwise clear. minimal cardiomegaly is chronic. the mediastinal contours are unremarkable. there is no pneumothorax. pulmonary vascularity is normal. there are atherosclerotic calcifications of the aortic arch. the left chest wall port-a-cath terminates in the upper right atrium.
<unk>-year-old woman with bradycardia. evaluate for pneumonia.
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heart size is moderately enlarged with a large hiatal hernia noted, increased in size compared to the previous study. the mediastinal and hilar contours are otherwise unchanged. there is mild pulmonary vascular congestion. atelectasis is seen in the left lung base. no pleural effusion, focal consolidation or pneumothorax is present. multiple compression deformities are seen within the lower thoracic spine, new from the previous examinations, but likely chronic in age. remote left-sided rib fractures are also present.
<unk>f altered mental status
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portable frontal chest radiograph demonstrates persistent atelectasis at the left base with mildly increased pleural effusion. the right lower lobe is largely unchanged. there are no new focal consolidations. the endotracheal tube is positioned <num> cm from the level of the carina. the endotracheal tube should be pulled <num>-<num> cm for better positioning. there is no pneumothorax.
<unk>-year-old female with respiratory failure following surgery. evaluate interval change or acute process.
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frontal and lateral chest radiographs demonstrate well expanded clear lungs. mild cardiomegaly is redemonstrated. there is no pleural effusion or pneumothorax.
wheezing, tightness, and cough. evaluate for asthma exacerbation versus pneumonia.
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pa and lateral radiographs of the chest demonstrate interval resolution of pulmonary edema as well as the possible right lower lobe consolidation. mild cardiomegaly is chronic. the upper mediastinum is now less widened, consistent with resolution of central vascular engorgement. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. the atrial, biventricular icd are unchanged.
followup evaluation of chf exacerbation and possible right lower lobe consolidation seen on chest radiograph from <unk>.
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the cardiac and mediastinal silhouettes are stable. the cardiac silhouette is mild to moderately enlarged. no focal consolidation is seen. minimal left costophrenic angle linear atelectasis/scarring is seen. there is no large pleural effusion or pneumothorax. left apical pleural thickening is re- demonstrated.
history: <unk>f with dyspnea // acute process,
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right picc line tip near cavoatrial junction. shallow inspiration. right pleural effusion is stable. elevated right hemidiaphragm, component of subpulmonic effusion is possible, stable. increased right perihilar, basilar opacity, likely atelectasis given shallow inspiration, consider pneumonitis if clinically appropriate. stable left retrocardiac opacity, likely atelectasis, with adjacent small effusion. postoperative changes spine. normal heart size, pulmonary vascularity. no pneumothorax. tubing projected over right abdomen. degenerative changes spine, with thoracolumbar curve.
<unk> year old woman with rue picc with c/f sliding with dressing change. // ? picc placement
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one portable ap view of the chest. there is new pneumoperitoneum. the tracheostomy tube is in place. the left picc line ends in the mid-to-low svc. there is decrease in lung volumes. the left lower lobe atelectasis has decreased and right lower lobe atelectasis is unchanged. there is no evidence of pneumonia or pneumothorax.
status post tracheostomy with purulent secretions, evaluate for pneumonia or pleural effusion.
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cardiac, mediastinal, and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. the lower ribs are not fully included on the images. the included ribs are not well penetrated, as expected on chest radiography. no obvious displaced rib fracture is detected.
history: <unk>m with fall <unk> and residual bilateral anterior chest pain. evaluate for rib fracture.
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left-sided consolidation involving the left upper lobes and possibly portions of the lingula and left lower lobe is seen. there is a trace left pleural effusion. subtle opacity at the right lung base of is more likely due to atelectasis bone additional site of infection is not excluded. prominence of the right hilum is stable. the cardiac and mediastinal silhouettes are stable. no pneumothorax is seen.
history: <unk>m with cough // acute process?
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. subtly increased posterior basal opacity without definite frontal correlate as compared to prior examination is suspicious for infection. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.
fever, chills, cough and pleuritic chest pain.
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frontal and lateral views of the chest. there is increased opacity in the right lower lobe. the left lung is clear. there is no pleural effusion or pneumothorax. the heart size is top normal. the mediastinal and hilar contours are normal. there is no free air beneath the right hemidiaphragm or acute osseous abnormality.
<unk>m with cp & dyspnea s/p pna.
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heart size is normal. the aorta remains tortuous. mediastinal and hilar contours are otherwise unchanged. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are moderate multilevel degenerative changes seen in the thoracic spine. clips are noted within the left neck compatible prior left hemithyroidectomy. multiple loose bodies are seen within the region of the right glenohumeral joint, potentially reflective of synovial osteochondromatosis.
history: <unk>f with hypoxia, chest pain
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portable single frontal chest radiograph was obtained with the patient in semi-upright position. there has been interval increase in the opacity projecting over the left hemithorax. there is complete opacification of the left lung base with air bronchograms and obscuration of the left hemidiaphragm. there has also been interval increase in the right base opacity. there is no pneumothorax. the heart size is difficult to assess given parenchymal abnormalities.
<unk>-year-old man with afib on coumadin, presents with malaise and weakness, eval interval change.
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a tracheostomy and sternotomy wires are in place. a pleural pigtail catheter projects over the right costophrenic angle. a left picc tip terminates at the upper-to-mid svc. a thin tubular structure terminating in the right axilla may represent an additional peripherally placed iv line. trace apical pneumothorax may be present, but there is no large pneumothorax, mediastinal shift, or diaphragmatic flattening. crescentic lucency along the lateral aspect of the right chest represents air within a skinfold. the heart size is at the upper limits of normal. retrocardiac opacity persists, and blunting of the left costophrenic angle may represent a moderate pleural effusion there. minimal right basal atelectasis is present, but no large pleural effusion exists on the right.
<unk>-year old female with recent chest tube placement; she is post-operative day <unk> from an ascending aortic repair.
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the lungs are well-expanded and clear. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette, hila, and pleura are normal. the stent projects over the area of the stomach below the diaphragm, but migration cannot be assessed as it was not present on the most recent exam. interval removal of the right ij catheter, and interval placement of a right port-a-cath, with the tip ending in the approximate cavoatrial junction. stable position of the median sternotomy wires.
<unk> year old man with recurrent esophageal cancer, now with worsening cough and ? aspiration/dysphagia. s/p recent esophageal stent placement. // please evaluate for stent migration, infiltrates
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patient is mildly rotated. compared to <unk>, there is worsening of right perihilar parenchymal opacities. left lung atelectasis is still present. bilateral pleural effusions are likely unchanged. sternotomy wires and surgical clips are well aligned and unchanged from prior. ett terminates less than <num> cm from the carina, however this may be due to chin-tuck position of the patient. otherwise, support lines appear unchanged from prior.
<unk> year old man s/p heart transplant with pna and disseminated adenovirus and respiratory failure.
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linear left basilar and right apical opacities are likely due to scarring given stability since <unk>. there has been interval decrease in size of the right pleural effusion since most recent exam. superiorly, the lungs are clear. cardiac silhouette is enlarged, stable in configuration. there is no consolidation or edema. the mean sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities.
<unk>m with htn // eval for edema
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pa and lateral views of the chest demonstrates the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation. the bony structures appear intact.
<unk>-year-old male falls and question of right lower rib fracture.
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the patient is rotated somewhat to the left. there is no large pleural effusion or pneumothorax. right apical opacity is nonspecific, could be due to pleural thickening/scarring however, no priors for comparison to assess chronicity. no definite pneumonia is seen. cardiac silhouette is top-normal to mildly enlarged. the aorta is calcified.
history: <unk>f with l sided deficits // acute process
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midline sternotomy wires and mediastinal clips are unchanged. the heart size continues to be mildly enlarged. the lungs show increasing opacity with worsening pulmonary vasculature engorgement as well as right lower lung consolidation with air bronchograms, all compatible with worsening pulmonary edema. neither costophrenic sulcus is distinctly sharp, suggesting small pleural effusions.
<unk>-year-old male status post stemi, now with new oxygen desaturations.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are mildly hyperinflated with flattening of the bilateral hemidiaphragms, similar to the prior examination. note is made of multiple small calcified granulomas, unchanged in size or appearance from the prior examination. no pleural effusion or pneumothorax is seen.
<unk>m with cp // assess for infiltrate, edema
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the patient is status post median sternotomy. a dialysis line through the subclavian approach terminates in the right atrium. the heart size is again mildly enlarged. previous pulmonary edema from <unk> has improved. a left-sided pleural effusion as well as a probable right-sided pleural effusion is present on today's exam. the aortic knob is calcified.
shortness of breath, question edema or pneumonia.