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tracheostomy tube is midline. enteric tube has been removed in the interim. left lower lobe collapse has resolved. right basilar atelectasis is slightly more pronounced compared to the prior study. no focal pulmonary consolidation. pulmonary vascular congestion is mild. pleural surfaces are smooth, without sizable effusion or pneumothorax. heart is top-normal in size.
<unk> year old woman with trach and chronic aspiration, being treated for aspiration pneumonia // ?worsening pneumonia
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there is a patchy right basilar opacity. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough and leukocytosis evaluate for pneumonia
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patchy opacification of the right middle lobe and lingula with silhouetting of the right and left heart borders suggestive of right middle lobe and lingular pneumonia. no pleural effusion, pneumothorax, or pulmonary edema. heart size and mediastinal contours are normal. no bony abnormality is detected.
male with cough and fever. assess for pneumonia.
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right internal jugular central venous catheter has been repositioned, the tip now terminating in the proximal right atrium. no pneumothorax is identified. the cardiac, mediastinal and hilar contours are normal. lungs are clear. there is no pleural effusion.
replaced right internal jugular central venous catheter.
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there is an irregular nodular opacity in the right upper lobe measuring <num> x <num> cm, which may represent the previously biopsied right upper lobe lesion. there is increased opacification of the right paratracheal stripe, unchanged from the prior chest radiograph. there is no focal consolidation concerning for pneumonia. no significant pleural effusion or definitive pneumothorax is detected. there is hyperexpansion of the lungs and evidence of right upper lobe predominant emphysema as seen on the prior chest ct. the thoracic aorta remains tortuous with stable cardiomediastinal and hilar contours on the most recent prior chest radiograph. the pulmonary vasculature is within normal limits.
cough and shortness of breath, here to evaluate for pneumonia.
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the cardiomediastinal silhouette is stable with mild cardiomegaly. there is stable opacity at the left lower lobe which could represent unchanged left lower lobe atelectasis or a left lower lobe pneumonia in the right clinical setting. previously seen right lower lobe atelectasis improved when compared to <unk> study. no pleural effusions or pneumothorax are seen.
<unk> year old man with history of cervical spine injury and dysphasia/dysarthria // please evaluate for lung patency surg: <unk> (laminectomy)
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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, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain, history of lupus, itp, pe and dvt.
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a left pectoral single-lead cardiac device is unchanged. severe cardiomegaly is re- demonstrated. the aortic knob is calcified. mediastinal and hilar contours are similar. mild pulmonary edema is present. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormality is visualized.
<unk>-year-old woman presenting with shortness of breath. evaluate for pneumonia.
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old woman with cirrhosis with recurrent fevers // evaluation for pna, atelectasis, effusion evaluation for pna, atelectasis, effusion
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with productive cough
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ap upright and lateral views of the chest provided. the lateral view is limited due to obliquity. previously noted right picc line is been removed. the heart appears mildly enlarged. there is no focal consolidation, large effusion or pneumothorax. no convincing signs of congestion or edema. mediastinal contour is stable. bony structures are intact.
<unk>f with weakness // please eval for pna
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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>m with seizure in setting of tumor in <unk>, first breakthrough in ><unk> yrs // eval ? infection
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compared to chest radiograph from the same day, right-sided picc has been pulled back and the tip now at the an low svc. implantable defibrillator, and swan-ganz unchanged in position. pulmonary vascular congestion has improved. moderate cardiomegaly persists. no pneumothorax or pleural effusion.
<unk> year old man with cardiogenic shock // picc positioning
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single frontal view of the chest demonstrates a new enteric tube traversing below the diaphragm, out of view, in good location. the cardiac silhouette is prominent. the mediastinal and hilar contours are within normal limits. there is interval increased vascular congestion and development of mild pulmonary edema. there are bilateral pleural effusions, increased on the left, with new subsegmental atelectasis in the lingula.
<unk>-year-old male with cryptogenic cirrhosis and chronic effusions due to malt lymphoma. question ng tube placement.
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old woman who is intubated // ?interval change in exam ?interval change in exam
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since the remote examination there has been complete resolution of multifocal opacification. hyperinflated lungs are clear. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is normal.
<unk>-year-old male with fever and cough. evaluate for pneumonia. with new left pleuritic chest pain.
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the newly placed left pacemaker defibrillator has <num> tip in the right atrium the other in the expected region of right ventricle. a right ij catheter tip projects over the expected region of the proximal right atrium, unchanged. lung volumes remain low. a large right pleural effusion with compressive atelectasis has slightly increased in the interim. left pleural effusion with compressive atelectasis appears to increased in the interim. there may be a tiny right apical pneumothorax. no evidence of tension. cardiomegaly, unchanged.
<unk> year old man s/p dual chamber icd. // assess lead placement and r/o ptx.
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new, right-sided port-a-cath terminates in the right atrium. interval removal of a right-sided picc. interval removal of a right-sided chest tube. heart is normal in size and there is stable, mild left mediastinal shift. hilar contours are normal. increased right lung volume with improvement in right lung consolidation. stable, small right pleural effusion. stable, moderate left pleural effusion with adjacent atelectasis. no pneumothorax. status post right mastectomy.
<unk>-year-old woman with metastatic breast cancer on chemotherapy, now with shortness of breath and chest tightness.
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interval removal of left chest tube. there is tiny left apical pneumothorax. stable nodular opacity in the left lung apex is seen. mild bibasilar opacities are stable. small bilateral pleural effusions, better seen or new. . shallow inspiration accentuates heart size. normal pulmonary vascularity.
<unk> year old woman pod#<num> lul wedge resection s/p ct removal at <unk> hours // ?lung status, post pull ptx?exam should be done around <unk> hours thank you
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the lungs are symmetrically well expanded and well aerated without focal airspace opacity, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. note is again made of dense calcifications at the aortic knob. there are multiple healed right-sided rib fractures and an old right distal clavicular fracture deformity.
<unk>-year-old man with history of melanoma, here to evaluate for intrapulmonary metastasis.
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moderate cardiomegaly is unchanged. the aorta demonstrates diffuse calcifications. mediastinal and hilar contours are within normal limits. the pulmonary vascularity is not engorged. calcified pulmonary nodules in both lungs are unchanged, reflective of granulomas. no focal consolidation, pleural effusion or pneumothorax is present. the lungs are hyperinflated with flattening of the diaphragms suggestive of underlying copd. old right-sided rib fractures are re- demonstrated.
end-stage renal disease, nausea, vomiting, diaphoresis and vomiting.
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the heart is normal in size. the lung volumes are low. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs are clear. posterolateral fractures involving the left fourth, fifth, and sixth ribs appear old and healed.
cough and hypoxia.
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ap portable upright view of the chest. lungs are clear and hyperinflated. patient is slightly rotated to her right which somewhat limits the assessment. no focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact. no free air is seen below the right hemidiaphragm.
<unk>f with asthma and sob // eval for pneumonia
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the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. cardiac and mediastinal contours are normal. the hilar structures are unremarkable. the pulmonary vasculature is normal.
cough with the immunodeficiency. evaluate for pneumonia.
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there are low lung volumes. bibasilar opacities could be due to atelectasis and/ or pneumonia.no large pleural effusion is seen although a trace pleural effusion is difficult to exclude. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>f with cirrhosis, ?ugi, dehydration // ?cpd or fluid overload
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a large left pleural effusion is again seen obscuring the lung from the level of the third intercostal space to the diaphragm, some of which is free pleural fluid seen shifting into the left apex on the lateral decubitus view. however, the pleural effusion has an unusual configuration with preservation of the left heart border which raises the possibility of a partially loculated effusion. the left lung apex is well aerated. the right lung is clear. no pneumothorax is present. the cardiac and mediastinal silhouettes are unchanged. degenerative changes are again noted in the thoracic spine. underlying left lower lobe consolidation cannot be excluded.
<unk>-year-old male with recurrent left pleural effusion and concern for pneumonia, here to evaluate for underlying consolidation with lateral decubitus view.
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single supine chest radiograph is provided. lung volumes are low. an et tube terminates approximately <num> cm from the carina. ng tube courses below the diaphragm. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is unremarkable. osseous structures are intact.
intubation, evaluate placement post-intubation.
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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 chest pain and hemetemesis // r/o chf/pneumonia/free subdiaphragmatic air
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since the prior study, there has been little interval change in appearance of the left hemi thorax, with continued loculated pleural fluid, although the posterior basal component has reduced since the prior study, best seen on the lateral view. patchy consolidation in the left upper and lower lobes are similar. an indwelling right picc terminates in the mid svc. the right lung is grossly clear, with minimal atelectasis in the right lung base.
history: <unk>m with prior hemothorax/empyema s/p decortication vats surgery now with slightly increased sob // eval for change
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et tube and enteric tube remain in standard position. right internal jugular line is present with tip in the mid svc. cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. bilateral ground-glass opacities are unchanged since the most recent prior study. the patient is status post cabg.
subfulminant liver failure and hypoxic respiratory failure, now on lasix drip.
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portable ap upright chest radiograph provided. overlying ekg leads are present. heart size is normal. hila appear prominent bilaterally and may be somewhat congested. there are symmetric lower lung opacities which could represent atelectasis versus an atypical pattern of pulmonary edema. pneumonia is felt less likely. no large effusion or pneumothorax. mediastinal contour is normal. bony structures intact.
<unk>m with <num> wk worsening dyspnea, ++ smoking, hypoxia, and diffuse wheezing // eval ? pna, effusion
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a large aortic pseudoaneurysm arising from the arch is re- demonstrated, similar in configuration compared to the prior study. moderate cardiomegaly is also unchanged and there is re- demonstration of a a moderate size hiatal hernia. streaky opacity in the right lung base may reflect an area of atelectasis though infection is not excluded. there is no pulmonary edema or pneumothorax. left lung is grossly clear. marked atherosclerotic calcifications are seen involving the aorta. several ring like densities within the left upper quadrant of the abdomen may reflect diverticula with residual contrast.
altered mental status.
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endotracheal tube tip is <num> cm from the carina. the lungs are grossly clear where not obscured by overlying leads and probable right rib hardware. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m intubated // eval ett placement
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right internal jugular central venous catheter tip terminates at the junction of the svc and right atrium. mild to moderate cardiomegaly is re- demonstrated. the aorta remains mildly tortuous. mild pulmonary vascular congestion is present. the pulmonary arteries remain mildly prominent lymph bilaterally. there are small bilateral pleural effusions with bibasilar patchy opacities, potentially atelectasis though aspiration is not excluded. the lung apices are not well seen, obscured by the patient's neck and chin. no large pneumothorax is present. multiple acutely displaced right-sided rib fractures are seen.
history: <unk>f with gi bleed
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. median sternotomy wires appear intact. the descending thoracic aorta is tortuous with moderate atherosclerotic calcifications at the arch. the heart is not enlarged. the mediastinum is not widened. multilevel degenerative changes of the thoracic spine are moderate with diffuse idiopathic skeletal hyperostosis.
history: <unk>m with chest pain shortness of breath resolved, headache sudden in onset // eval for pna.
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there is patchy bibasilar opacity, greater on the left than on the right. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with likely sepsis/infection // ? pneumonia
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image quality is suboptimal due to radiation scatter. there is no pneumothorax. there is mild pulmonary vascular congestion. enlargement of the cardiac silhouette is slightly worse compared to prior. hazy right basilar opacities may be due to mediastinal fat and atelectasis. no free air below the right hemidiaphragm is seen. the right hilum is a bit more prominent compared to prior.
history: <unk>m with cp and sob // ?cpd
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the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, pneumothorax. the visualized osseous structures are unremarkable.right upper quadrant surgical clips are noted.
history of motor vehicle accident, chest pain. please evaluate.
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the lungs are clear. there is no focal consolidation, effusion or pneumothorax. cardiomediastinal silhouette is stable noting tortuosity of the thoracic aorta. there is no pneumomediastinum. osseous structures are unremarkable.
<unk>m with acute shortness of breath after choking on food, now back to baseline // eval for foreign body
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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 report of cough // evaluate for pneumonia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal are unremarkable. no pulmonary edema is seen.
history: <unk>f with palpitations, family history of cardiomyopathy
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. subsegmental atelectasis is seen in the left lung base. right lung is clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated. widening of the left acromioclavicular joint may be posttraumatic or postsurgical.
history: <unk>f with cough, asthma
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with history fo dlbcl presents after syncopal event today, outpatient oncologist concerned <unk> recent initiation of chemotherapy // concern for pna vs chf vs other cardiopulmonary process
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the lungs are clear and without a focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. stable eventration of the right hemidiaphragm is again identified. no acute fractures are noted.
evaluation of patient with chest pain.
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frontal radiograph of the chest demonstrates appropriately positioned tracheostomy tube. the right subclavian central venous line is <num>cm below the carina and should be retracted by <num>mm for more appropriate positioning. compared to the prior radiograph, there is worsening pulmonary edema with an enlarged cardiac silhouette. pericardial effusion is also a possibility to explain the increase in cardiac size. worsening opacities in the perihilar and basilar regions, worse on the right, may also be explained by concurrent pneumonia. no pneumothorax or pleural effusion is seen.
respiratory failure, on vent. evaluate for pneumonia, effusion, and pneumothorax.
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compared with prior radiographs of <unk>, there is no significant change. low lung volumes, with left lower lobe atelectasis are unchanged. there is no pneumothorax. there is no new focal consolidation or pleural effusion. there is stable mediastinal widening due to a combination of fat and moderate cardiomegaly. a left picc line terminates in the upper right atrium. an ng tube is below the level of the diaphragm.
<unk> year old man with all and gvhd with uptrending thrombocytosis // ?pna
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right picc line tip at the mid to lower svc. postoperative changes right upper quadrant. there is large partially loculated right pleural effusion. right basilar, suprahilar pulmonary opacity, likely atelectasis given shift of the trachea to the right indicating volume loss, component of pneumonitis cannot be excluded in the appropriate clinical setting. there is tiny left pleural effusion or thickening, stable. left lung is clear. normal pulmonary vascularity.
<unk> f hx intrahepatic cholangiocarcinoma y <unk> therapy and multiple falls presenting for diagnostic laparoscopy; recent outpatient diagnosis of pneumonia // eval for pulmonary process
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cardiac silhouette size is borderline enlarged. mediastinal and hilar contours conal limits. the pulmonary vasculature is not engorged. minimal patchy opacity in the right lung base likely reflects an area of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities seen. h-shaped vertebra is compatible with a history of sickle cell disease.
history: <unk>m with sickle cell disease with acute chest
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bibasilar atelectasis is similar to appearance in <unk> when patient presented with a pulmonary embolism. no effusion or pneumothorax is present. the heart and mediastinal contour are normal. moderate multilevel degenerative disease is seen in the thoracic spine. goiter deviates trachea to right in the neck.
<unk>-year-old woman with diabetes mellitus presenting with vomiting, diarrhea, elevated lactate. rule out pneumonia.
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the lungs remain hyperinflated consistent with copd but clear of any focal opacities concerning for an infectious process. surgical clips are noted in the mediastinum at the site of the patient's prior mediastinal mass. hilar and paratracheal adenopathy is again present, although improved. a calcified mitral annulus is present. there is no pleural effusion and no pneumothorax.
<unk>-year-old woman with pulmonary tb, followup.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are hyperinflated without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>f with headache, chest pain in setting of elevated blood pressures.
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skin <unk> project over the thoracic inlet. bibasilar airspace opacities are present, greater on the right, with silhouetting of the right hemidiaphragm may reflect atelectasis and/or consolidation. a small layering right pleural effusion is also suspected. no pneumothorax identified. the size the cardiac silhouette is within normal limits.
<unk> year old man with rhonchi and intermittently low oxygen sats. // evaluate for pna/process
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background diffuse nodular opacities representing metastases are stable. slight worsening in the bibasal atelectasis with low lung volumes. the heart size is normal. the hilar and mediastinal contours are normal. no pneumothorax. a small right-sided pleural effusion is seen.
<unk> year old woman with metastatic mucinous pancreatic adenocarcinoma with worsening metastatic disease // ?perforation, patient is having acute left upper abdominal/chest pain
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chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with a remote history of cardiomyopathy, presenting with chest pain, noted to have st elevations in the anterior leads up on ems arrival.
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a new right chest tube is present. there is no pneumothorax or pleural effusion. lung volumes are low causing crowding of the bronchovascular structures and apparent increase in heart size, although they are likely unchanged and normal. there is no consolidation or pulmonary edema.
status post lung biopsy.
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the patient is status post coronary artery bypass graft surgery. there is a moderate-sized hiatal hernia, as before. the cardiac, mediastinal and hilar contours appear stable. calcified pleural plaques are discernible at the base of the right chest, as before. the lungs appear clear. no fracture is identified.
fall, headache, right flank pain and tenderness at the mid clavicular line along the lower right leads.
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the ng tube tip is in the stomach. the appearance of the lungs are unchanged
<unk> year old man s/p ngt placement // ngt position
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right picc is re-identified with tip projecting over the mid svc, unchanged. ekg leads over the chest. sequential radiographs demonstrate repositioning of a newly inserted right ij swan-ganz/pa catheter. final image demonstrates the tip projecting over the expected location of the right lower lobar pulmonary artery. the cardiomediastinal silhouette is stable and within normal limits. the hila are unremarkable. there is central prominence of the pulmonary vasculature suggesting elevated pulmonary vascular pressures, with unchanged pulmonary interstitial edema. there is no focal lung consolidation. there is no pneumothorax or pleural effusion.
<unk> year old man with pulmonary hypertension, evaluate new line placement.
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the cardiomediastinal silhouettes are stable. the hila are unremarkable, although the right hilum is suboptimally assessed. the right suprahilar mass is grossly stable in appearance. right lung volume loss is unchanged. left lower lung airspace opacity is only appreciated on frontal projection, and appears new since prior exams. no correlate is identified on lateral view. there is no pneumothorax or pleural effusion.
<unk>m with seizure, rule out infiltrate.
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ap upright and lateral views of the chest provided. lung volumes are quite low limiting assessment. vague opacities throughout both lungs may represent areas of scattered atelectasis. difficult to exclude an atypical pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette likely normal allowing for suboptimal technique. bony structures are intact.
<unk>f with ams, facial weakness // evaluate for acute process
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the lungs are clear. there is no focal consolidation, effusion, or edema. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with asthma, doe // assess for ptx
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heart size is normal. marked elevation of the left hemidiaphragm is stable. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. subtle opacity at the base of the left lung is likely related to bronchovascular crowding as demonstrated on the prior chest ct. no focal consolidation is identified no pleural effusion or pneumothorax is seen.
<unk> year old man with hx met melanoma on nivolumab and ipilimumab therapy with increased cough, mild increase in doe // rule out infection or pneumonitis
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heart is normal size and cardiomediastinal contour is within normal limits. lungs are clear. there is mild pulmonary venous engorgement without pulmonary edema. there is no pleural effusion or pneumothorax. bones and the upper abdomen are grossly unremarkable.
history: <unk>m with weakness // pna? edema?
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focal <num> mm density at the left second rib is again seen, unchanged since <unk>. the lungs are clear. cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with fever. please assess for pneumonia.
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ap and lateral views of the chest were obtained. the heart is top normal size and cardiomediastinal silhouette is stable. lungs are symmetrically expanded and clear. a retrocardiac nodular density to the left of the descending thoracic aorta is unchanged. there is no pleural effusion or pneumothorax.
<unk>-year-old man with cough, evaluate for pneumonia.
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a single ap radiograph of the chest demonstrates a right subclavian dialysis catheter. a peg tube and tracheostomy are in place. there are bibasilar opacities, likely representing atelectasis. no free air is visualized below the right hemidiaphragm.
feeding tube in place, now with upper gi bleed. evaluate for free air.
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on the lateral view is increased opacity at the posterior costophrenic angle, not clearly localized to the left of the right based on the frontal view. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality.
<unk>f with cough // ? pneumonia
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in comparison to the most recent prior study, there is a new left basilar opacity obscuring the left heart border and left hemidiaphragm. lucency in the bilateral lung apices is consistent with emphysematous change. no significant pleural effusion or pneumothorax is detected. the cardiac silhouette is top normal in size but unchanged. mediastinal and hilar contours are within normal limits.
hypoxia and altered mental status, here to evaluate for acute cardiopulmonary process.
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increased airspace opacity of the lung base bilaterally may reflect atelectasis, however infection in the appropriate clinical setting is a reasonable alternative.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. foreshortened left distal clavicle, from prior resection.
history: <unk>m with shortness of breath. evaluate for pneumonia.
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pa and lateral views of the chest. the lungs remain clear without consolidation, effusion or edema. mid thoracic dextroscoliosis again noted. cardiomediastinal silhouette is unchanged.
<unk>-year-old female with hemoptysis.
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the heart size overall is top normal, but there is left ventricular enlargement. the mediastinal and hilar contours are unremarkable. there is no pneumothorax. small bilateral pleural effusions are noted, larger on the left, with bibasilar atelectasis. there is no focal consolidation concerning for pneumonia. no displaced rib fractures are noted.
history: <unk>f s/p fall several days ago now with worsening r sided pleuritic cp // eval for rib fx, pna, ptx
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since <unk> there has been marked improvement in a known large left loculated effusion though there is a persistent small-to-moderate loculated effusion demonstrated along the lateral aspect of the left hemithorax. two apical left-sided chest tubes and a left basilar chest tube remain in unchanged position. there is no evidence of large pneumothorax with minimal lucency demonstrated along the left basilar chest tube. there is persistent left retrocardiac opacification and improvement in right basilar atelectasis. there are no new focally occurring opacities concerning for pneumonia. the cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly. pulmonary vascularity is not increased.
<unk>-year-old male status post left vats decortication for empyema. evaluate for interval change.
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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>m with bicycle accident struck chest, r/o fracture
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the patient is status post mitral valve replacement. the heart is mildly enlarged. a focal opacity projects over the right lower lung, worrisome for pneumonia, with more vague multifocal opacities seen in the right upper and left lower lungs, worrisome for multifocal pneumonia. these focal opacities are visualized within a background of indistinct upper zone prominence of pulmonary vessels suggesting pulmonary vascular congestion.
dyspnea.
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pa and lateral views of the chest provided. right upper extremity picc line is seen with its tip in the region of the mid svc, unchanged from prior. left chest wall aicd is noted with the low single lead extending into the region the right ventricle. the heart remains mildly enlarged. the lungs are clear without focal consolidation, effusion or pneumothorax. no congestion or edema. bony structures are intact.
<unk>m with ?picc line malpositioning // eval for picc line location
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heart size is mildly enlarged. mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted within the aortic knob and descending thoracic aorta. the pulmonary vasculature is normal. minimal linear opacities in the lung bases may reflect scarring or subsegmental atelectasis. lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. there are no acute osseous abnormalities.
history: <unk>f with diabetes, presents with weeks of productive cough
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ap single view of the chest has been obtained with patient in semi upright position. comparison is made with the next preceding similar study dated <unk>. high positioned diaphragms indicate poor inspirational effort. its size cannot be assessed with certainty as contours are obscured. no significant interval change has occurred in comparison with the next preceding study. the pulmonary vasculature again shows a moderate degree of perivascular haze consistent with the impression of congestion. the image does not cover entirely the lateral pleural sinuses but there is no suggestion of any increased pleural effusion in comparison with the previous study. no new infiltrates are seen.
<unk>-year-old female patient with acute desaturation. evaluate for acute process - pneumonia, effusion, etc.
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portable semi-upright radiograph of the chest demonstrate well expanded lungs. mild bibasilar atelectasis and mild pulmonary vascular engorgement are present. cardiomediastinal and hilar contours are unchanged. no pneumothorax or overt pulmonary edema. right-sided picc line ends in the cavoatrial junction.
<unk> year old man with esrd on hd, recent hcap now on abx, now more tachypneic // r/o pulm edema, r/o new effusion, assess for interval change
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the cardiac silhouette is normal in size. mediastinal and hilar contours are normal. pulmonary vascularity is normal. hyperinflation of the lungs with emphysematous changes are again noted. small left pleural effusion appears unchanged from the prior exam. there is minimal left basilar atelectasis. no focal consolidation or pneumothorax is detected. degenerative changes are noted in both glenohumeral and acromioclavicular joints, as well as at multiple levels within the thoracic spine. a catheter is incompletely imaged within the right upper quadrant of the abdomen.
leukocytosis, history of gastric cancer on chemotherapy.
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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 chest examination of <unk>. the heart size is unchanged and remains within normal limits. unremarkable appearance of the thoracic aorta. the pulmonary vasculature is not congested. there exists now a parenchymal infiltrate in the lateral superior segment of the left upper lobe. it projects in dorsal direction on the lateral view. no other acute parenchymal infiltrates are seen and the pleural spaces are free. on the previous examination of <unk>, the patient had a left basal linear atelectasis which now has resolved. the now present infiltrate in the left upper lobe lateral segment was not present.
<unk>-year-old female patient with fever, chills, and cough, history of pneumonia last year. evaluate for pneumonia.
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heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is normal. patchy opacity within the left lower lobe is concerning for pneumonia. right lung is clear. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>m with cough // acute process?
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pa and lateral views of the chest are compared to previous exam from <unk> and ct abdomen from <unk>. the lungs are clear of consolidation. rounded density at the right cardiophrenic angle is compatible with probable pericardial cyst identified on ct. cardiomediastinal silhouette is otherwise unremarkable. osseous and soft tissue structures appear normal.
<unk>-year-old female with intermittent clumsiness. question pneumonia.
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there is decreased opacification at the right upper lobe from <unk> with persistent coarse reticular opacities in the right upper and middle lobes, which may represent lymphangitic spread of tumor versus resolving post-obstructive pneumonia. there is no significant pleural effusion or pneumothorax. the left cardiomediastinal and hilar contours are within normal limits. a left port-a-cath is unchanged with the tip terminating at the cavoatrial junction. the trachea is midline.
history of squamous cell carcinoma of the lungs on chemotherapy, now with fever, here to evaluate for pneumonia.
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there is prominence of the central pulmonary vasculature consistent with mild pulmonary edema. bibasilar opacities likely represent atelectasis. the heart appears mildly enlarged. there is no focal consolidation pleural effusion or pneumothorax.
history of shortness of breath, on cpap. question pulmonary edema.
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compared with <unk>, there has been partial clearing of the previously seen opacity at the right lung base. patchy opacity at the left lung base is similar to the prior study. small right-greater-than-left pleural effusions are essentially unchanged. background hyperinflation/ copd again noted. the cardiomediastinal silhouette is similar. it appears slightly shifted to the left, unchanged. biapical pleural thickening, right-greater-than-left, again noted. dual lumen right-sided catheter again seen overlying the upper right atrium, similar to prior. no chf, pneumothorax, or new focal opacity identified.
<unk> year old man with prior pleural effusion noted on <unk> now with worsening nonproductive cough // <unk> m w/ prior pleural effusion with worsening cough concerning for worsening pleural effusion vs. pneumonia review of prior studies refer is <num> preop film from <unk> for prostate carcinoma.
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since the radiograph obtained <unk>, there has been interval improvement in a right pleural effusion, which is now small if any. there has also been interval resolution of right lower lung atelectasis. there is persistent, benign pleural thickening at the lateral right lower lung. lungs are otherwise fully expanded and clear without consolidations. mild cardiomegaly is unchanged without pulmonary vascular congestion, pulmonary edema, or pleural effusions. the descending aorta is tortuous. cardiomediastinal and hilar silhouettes are otherwise normal. a left-sided subclavian central venous catheter terminates within the lower svc.
<unk> year old woman with lymphoma and history of effusions // assess for abnormalities.
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ap and lateral views of the chest are compared to previous exam from <unk> and chest ct from <unk>. as on prior, there is elevation of the right hemidiaphragm. bilateral calcified pleural plaques are again seen. there is no new confluent consolidation or effusion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with chest pain.
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study is essentially unchanged from prior. the lungs are well inflated and clear bilaterally with no masses or lesions identified. there is no pleural effusion or pneumothorax. the aorta is slightly tortuous. otherwise, the cardiomediastinal silhouette is within normal limits. hilar contour is normal. pleural surfaces are unremarkable. stable mild degenerative changes of the thoracic spine are seen.
<unk>-year-old male with cough and fever.
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a right subclavian chest wall infusion port is unchanged. the patient is status post median sternotomy and cabg. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with influenza a infection, history of chf, and lymphoma now with persistent dyspnea for <num> week. evaluate for pulmonary edema, infiltrate, effusion.
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lungs are fully expanded and clear. there is no focal consolidation, effusion, or pneumothorax. specifically, there is no evidence of mediastinal or hilar lymphadenopathy or parenchymal abnormalities. mediastinal and hilar contours are normal. heart size is normal.
<unk> year old man with prostate bx showing signs of sarcoidosis // evidence of sarcoidosis
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ap and <num> lateral chest radiographs were obtained. lung volumes are low. moderate cardiomegaly is unchanged. there is no new consolidation, effusion or pneumothorax.
chest pain.
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lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with abd pain // ? acute cholecxr- rll pna?
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moderate cardiomegaly is stable. lungs are hypoventilated. heterogeneous right infrahilar opacity could represent developing infection in the appropriate clinical setting. no pleural effusion or pneumothorax.
<unk> year old man with weakness. evaluate for acute process.
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lungs are well-expanded and clear. cardiac size is normal. tortuous thoracic aorta. hilar and pleural contours are unremarkable. no pneumothorax.
history: <unk>f with ili and cough // r/o pneumonia
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the lungs are fully expanded and clear. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
<unk> year old woman with breast cancer ongoing neoadjuvant chemo-febrile with non-productive cough. evaluate for pneumonia.
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lungs are clear without consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with racing heart // ? infectious process
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fever, tachycardia // eval for pna
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
hiv and <num> weeks of cough. evaluate for pneumonia.
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mild right lower lobe atelectasis. pulmonary edema has resolved. small right pleural effusions is unchanged. the ascending aorta and aortic arch are calcified. an ivc filter is intact. residual contrast from prior studies is located in the large bowel. stable moderate to severe cardiomegaly without pulmonary venous dilation.
<unk> year old man w/ h/o hfpef, copd, ckd s/p transplant on immunosuppression and partially visualized r pleural effusion this admission, c/o sputum production chest discomfort this am. // characterization of r pleural effusion. evidence of pulmonary edema?
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the dobhoff tube has been retracted and ends in the upper esophagus. the left picc has been retracted and now projects over the left axilla. pulmonary interstitial edema and a retrocardiac opacity are unchanged. there is possibly a small left pleural effusion. no pneumothorax. the cardiac and mediastinal contours are stable.
<unk> year old woman with delirium, concern for dislodgement of dobhoff. dobhoff placement evaluation.