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there is mild central pulmonary vascular congestion. patchy opacity is again seen in the right mid lung, possibly in the superior segment of the right lower lobe, similar in distribution compared to prior studies, possibly slightly more conspicuous, and an acute component is not entirely excluded. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are grossly stable compared to prior studies.
history: <unk>m with esrd on dialysis pw sob after procedure // ? effusions, consolidation
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is an inferolateral consolidation in the right upper lobe consistent with pneumonia. elsewhere the lungs appear clear. there are no pleural effusions or pneumothorax. the osseous structures are unremarkable.
productive cough. question pneumonia.
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compared to the prior study there is no significant interval change.
<unk> year old man with increased secretions // eval for interval change
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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 pleural effusion or pneumothorax.
<unk>-year-old female with immunoglobulin deficiency and multiple prior pneumonias. evaluate for pneumonia.
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<num> portable supine abdominal radiographs are limited by the presence of underlying trauma board. the lungs are well expanded and clear. there is a small left apical pneumothorax. no displaced rib fracture is visualized. cardiac and mediastinal contours are normal.
<unk>
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et tube and ng tube have been removed since <unk>. right internal jugular catheter unchanged ending in the mid svc. bilateral pleural effusions with associated atelectasis unchanged from yesterday. mild pulmonary edema is not significantly changed from yesterday; however, the azygos vein is less distended than yesterday indicating some improvement in central vascular congestion. normal heart size. no pneumothorax.
status post ex lap, evaluate effusions, pneumonia, atelectasis, pulmonary edema.
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overlying trauma board slightly limits assessment. a right mainstem bronchial intubation is present with the tip of the endotracheal tube at the proximal right mainstem bronchus. enteric tube tip terminates within the stomach. lung volumes are low. heart size is mildly enlarged. widening of the mediastinum may reflect low lung volumes and supine positioning. crowding of the bronchovascular markings is noted, likely due to low lung volumes. there appears to be hazy ill-defined opacities within both lungs, more so on the left. no large pleural effusion or pneumothorax is present. no displaced fractures are visualized.
trauma
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single portable view of the chest. left picc is seen with tip in the upper svc. right ij line tip is likely within the right atrium and should be withdrawn for optimal positioning. low lung volumes again seen. streaky bibasilar opacities may be due to atelectasis, although infection is entirely possible. the left basilar opacity on prior has improved.
<unk>-year-old with fevers and hypotension.
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the lungs are clear. nipple shadows project over the lung bases. there is no consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. there is no visualized right rib fracture.
<unk>f with fall down one flight of stairs. // r/o rib fx ; <unk> year old woman with right flank pain after a fall on the stairs // eval for rib fracture
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. high density material noted within the bowel likely from previously administered enteric contrast.
<unk>f with abnormal cbc, ? new ca // ? acute cardipulm process
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there has been interval extubation. heterogeneous opacities in the right lower lung are not significantly changed, seen to represent pneumonia on prior ct from <unk>. a new nodular opacity in the right mid-to-upper lung could reflect a new focus of infection. there is subsegmental left retrocardiac atelectasis, as before. no definite pleural effusions are seen on these radiographs, although small bilateral pleural effusion, right greater than left, are present on prior ct from <unk>. the heart size is normal. the mediastinal contours are normal. there is no pneumothorax. previously seen left lower lung, band-like atelectasis has resolved.
increased white blood cell count and seizure. assess for pneumonia.
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left lung mass corresponding to the biopsied site is still present. no pneumothorax is identified. cardiac size is again large, but stable.
<unk>-year-old woman status post lung biopsy. question pneumothorax.
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in comparison to <unk>, there is increased opacification of the left lung base consistent with combination of substantial volume loss in the left lower lobe and left pleural effusion. otherwise little change. left upper lobe lucency is projectional due to patient positioning rather than pneumothorax. heart is partially obscured due to parenchymal abnormality. mediastinal contour and hila are unremarkable. enteric feeding tube courses midline with tip out of field of view. a right ij cvl tip is in the low svc. an endotracheal tube is in appropriate position.
<unk> year old woman with shock cardiogenic vs septic, acute respiratory failure s/p intubation. assess for interval line check or pleural effusion.
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lungs are well expanded. subtle reticular interstitial markings at the bases have significantly improved. no new focal opacity. no pleural abnormality. heart size is normal. cardiomediastinal and hilar silhouettes are unremarkable.
<unk> year old woman with scleroderma, ild presenting with cough and sob // r/o pna
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cardiomediastinal and hilar contours are stable with mild cardiomegaly and hilar fullness. there is no pleural effusion or pneumothorax. at least one right apical pulmonary nodule is seen, but multiple nodules are better assessed on the recent chest ct. there is no new focal consolidation concerning for pneumonia.
shortness of breath, evaluate for cardiopulmonary process.
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an endotracheal tube is in satisfactory position, <num> cm from the carina. a right internal jugular central venous catheter is unchanged with the tip at the atriocaval junction. an enteric tube courses below the diaphragm with the tip out of field of view. it is likely a post-pyloric position. there is improved aeration at the right base, though there are persistent bibasilar opacities, likely representing residual pneumonia. the apices of the lungs are clear. there is no pulmonary edema. there is no pleural effusion or pneumothorax. again, subcutaneous air is noted overlying the neck. the cardiomediastinal silhouette is normal.
pneumonia, status post intubation. evaluate for change.
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the endotracheal tube terminates in the proximal right mainstem bronchus. the right internal jugular catheter is unchanged in position and the tip is in the mid svc. there is no pneumothorax. otherwise, there are no significant changes compared to the prior radiograph performed earlier this morning. again noted are diffuse bilateral patchy opacities similar in appearance compared to the prior radiograph performed earlier this morning, likely due to underlying legionella infection.
<unk> year old man with intubated s/p et dislodgement and re-intubation // confirm et tube placement
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low lung volumes are present. innumerable nodules are seen within both lungs compatible with diffuse pulmonary metastases, as seen on the prior ct torso. heart size is mildly enlarged with a left ventricular prominence. the aorta remains tortuous. the pulmonary vascularity is not engorged, though there is crowding of the bronchovascular structures. a right-sided port-a-cath tip terminates within the svc. no pleural effusion, focal consolidation or pneumothorax is definitively seen.
weakness.
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et tube is <num> cm from the carina. there is a dobbhoff tube positioned within the stomach. since prior radiograph, there is increase in retrocardiac and left lower lung opacification, likely atelectasis and pleural effusion; however, a focal consolidation cannot be excluded. lung volumes are low. there is no other definite focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is enlarged but unchanged.
<unk>-year-old man status post i&d of jaw abscess. please assess for interval change.
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there has been interval removal of the right chest tube with no appreciable pneumothorax. lung volumes are persistently low with bibasilar atelectasis and small right effusion. a substantial abnormal opacification is present in the lower lung posteriorly on lateral view without a clear frontal correlate which may represent a hematoma.
status post right vats right lower lobe wedge resection with recent removal of chest tube.
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since the prior radiograph, the previously seen opacity at the right base has returned, suggesting possible aspiration, although infectious process cannot be excluded. bibasilar atelectasis is unchanged. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is stable. again noted is tortuosity of the aorta. severe degenerative changes of the shoulder are stable.
dementia and gastroenteritis. evaluate for interval change.
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two 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 normal cardiomediastinal contours. surgical clips are again seen in the left upper quadrant.
wheezing and cough.
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portable upright chest film <unk> at <time> is submitted.
<unk> year old woman with pneumonia currently intubated // interval change interval change
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pa and lateral views of the chest provided. lungs are hyperinflated and clear. the heart is mildly enlarged. no effusion or pneumothorax. mediastinal and hilar configuration is unremarkable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with c/f acs // acute process
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pa and lateral views of the chest provided. there is a new focal confluent opacity in the right lower lobe and an approximately <num> cm poorly defined nodular opacity in the left mid lung the fourth anterior rib level. linear opacities in the right lower lobe likely represent scarring. there is a small right pleural effusion versus pleural thickening. there is no pneumothorax. cardiomegaly is unchanged compared to scout images from cta chest <unk>. enlarged pulmonary arteries are suggestive of pulmonary arterial hypertension. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>m with cp // eval for ptx/pna
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lung volumes are low and the heart is moderately enlarged. there bilateral small to moderate pleural effusions with volume loss at both bases. there is hazy increased lung markings in the upper lobes but no definite infiltrate
<unk> year old man with h/o metastatic pancreatic cancer, p/w n/v, found to have pleural effusion ?pna at right lung base on ct abdomen/pelvis // does he have pneumonia vs pneumonitis? please pay special attention to upper lung fields
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pa and lateral views of the chest provided. subtle opacity seen projecting over the right lung base which could represent a small area of atelectasis or in the right clinical setting early pneumonia. otherwise the lungs are clear. no 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 asthma exacerbation and syncope // r/o acute infectious process
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linear opacities present in the left lower lobe representing atelecatsis are grossly unchanged from the <unk> exam. otherwise, the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the patient is status post right hemi-arthroplasty of the shoulder.
<unk>-year-old male with left lower lobe infiltrate. question complete resolution.
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there is a band-like opacity in the right lower lobe (best seen on the lateral view) which is not characteristic for pneumonia and likely represents atelectasis. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
cough.
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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 seizure
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with tachy, abd pain, n/v. // eval for choley, eval for pna
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ap upright and lateral views of the chest provided. there is a small right pleural effusion again seen with associated right basal compressive atelectasis. mild hilar congestion is also noted. cardiomediastinal silhouette is grossly unremarkable. patient is slightly rotated to the left. bony structures are intact.
<unk>f with ascites, increasing sob. // eval for pleural effusions
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with ruq abdominal pain and chest pain. evaluate for pneumonia.
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endotracheal tube terminates <num> cm above the carina. og tube terminates below the diaphragm. heart size and cardiomediastinal contours are unremarkable. increased left base opacity is compatible with atelectasis. bilateral upper lobe atelectasis is unchanged. no pleural effusion or pneumothorax.
<unk>-year-old male with sputum. evaluate for pneumonia.
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the cardiomediastinal silhouette is normal. the hila and pleura are unremarkable. the lungs are hyperinflated with prominence of interstitial markings and widespread calcified and noncalcified miliary opacities. such findings could represent previous history of varicella, metabolic disorder, disseminated fungal disease, or thyroid cancer, however miliary tuberculosis must be excluded. hardware is seen overlying the left clavicle compatible with previous orif and is unchanged compared to <unk> study.
<unk> year old woman with cough and shortness of breath // ?abnormality
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the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>f with chest pain. assess for acute process.
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lungs are well-expanded and clear. the heart is not enlarged. the hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with cirrhosis p/w abdominal distention and melena // eval for effusion
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there is mild cardiomegaly which stable. mediastinal silhouette is normal. the lungs are clear without focal opacifications, pleural effusions, or pneumothorax. the hila are normal. there is moderate right scoliosis again seen which is unchanged.
<unk> yo f c h/o pna, <unk> follow-up x-ray did not show complete resolution // ? cap resolution
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portable ap upright chest radiograph was provided. an overlying the external pacer wire is seen. a nodular density in the right lower lung likely represents a nipple shadow. the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette appears normal. bony structures appear intact. no free air is seen below the right hemidiaphragm.
<unk>-year-old man with bradycardia, shortness of breath, question pneumothorax.
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pa and lateral views of the chest provided. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. subtle prominence of the right fifth anterior rib may be due to costochondral calcification. no free air below the right hemidiaphragm is seen.
<unk>m with acute on chronic renal failure
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the bones are intact.
left arm pain after fall from bicycle. evaluate for pneumothorax.
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there are persistent bibasilar opacities, left greater than right suggesting possible effusions with adjacent atelectasis. superiorly, the lungs are clear. cardiac enlargement is similar compared to recent exam.
<unk> year old man with tachypnea, wheezing, desaturation // eval for infiltrate
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the heart size is at the upper limits of normal os slightly enlarged, increase in size compared to prior exam. the mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob, similar to prior exam. perihilar opacities are present as well as an engorged appearance of the pulmonary vasculature and interstitial edema. no definite large pleural effusion is present, and there is no pneumothorax.
<unk>-year-old male with shortness of breath after recent stent placement.
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a newly placed endotracheal tube terminates at the level of the clavicles. a new og tube coils in the larynx but enters a large hiatal hernia. a right ij central venous catheter terminates in the low svc. lung volumes are low. left basilar airspace opacities are most likely due to atelectasis adjacent to the hiatal hernia. the followup radiograph performed shortly thereafter shows further advancement of the og tube into the intrathoracic stomach.
prostate ca s/p robotic prostatectomy now s/p repeat laparatomy for bleeding, still intubated and on neosynephrine for hypotension // ?acute change, et placement ; prostate ca s/p robotic prostatectomy now s/p repeat laparatomy for bleeding, still intubated now with og tube replacement // ogt placement
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there is a new focal opacity at the left lung base confirmed with a spine sign on the lateral view worrisome for infection. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. vascular stents noted at the thoracic inlet on the right as well as a tracheostomy tube which is in stable position. surgical clips project over the right chest wall. no acute osseous abnormalities identified.
<unk>m with fever, weakness // eval for pna
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
new onset atrial flutter.
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the ng tube not well visualized, but may pass into the abdomen. diffuse bilateral pulmonary opacifications are again seen, unchanged from prior exam. et tube and right ij central line are in stable position from prior exam.
<unk> year old man with s/p small bowel resection // placement of gastric tube
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cardiomediastinal contours are normal with cardiac size top normal. bibasilar opacities larger on the right are likely atelectasis, superimposed infection cannot be excluded. bilateral effusions are small. there is no pneumothorax . the osseous structures are unremarkable
<unk> year old man with chest pain, likely pericarditis // r/o pna
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there are small bilateral pleural effusions. the cardiac silhouette remains mildly enlarged. mediastinal contours are stable. left basilar retrocardiac patchy opacity may be due to atelectasis however, consolidation due to infection or aspiration is not entirely excluded. there is no pneumothorax. there has been interval decrease in right basilar opacity and pulmonary edema since the prior study.
hypoxia.
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a right port-a-cath, ng tube and epidural catheter are in unchanged position. bibasilar opacities are new from <unk>, worse on the left and could represent atelectasis or pneumonia in the correct clinical setting. heart size is unchanged and the mediastinal contours are normal. small bilateral pleural effusions are unchanged. free air with air-fluid levels below the right hemidiaphragm consistent with recent abdominal surgery.
new postop fever, atelectasis versus pneumonia.
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low lung volumes are present. heart size remains moderately enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. increased interstitial opacities within the lung bases and periphery of both lungs are not substantially changed in the interval, previously thought reflect uip. no new focal consolidation, pleural effusion or pneumothorax is definitively noted. multiple clips are seen in the left upper quadrant of the abdomen. no acute osseous abnormalities detected.
history: <unk>f with asthma, shortness of breath and chest tightness x <num> week
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frontal and lateral views of the chest demonstrate low lung volumes. dual-lumen dialysis catheter projects over right atrium. right lung base consolidation obscures right cardiac border. moderate right pleural effusion is unchanged. small left pleural effusion is present. moderate cardiomegaly persists. hilar and mediastinal silhouettes are unchanged. pulmonary vascular congestion is noted. no pneumothorax.
patient with shortness of breath and productive cough.
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since the prior cxr, there has been interval resolution of right-sided pulmonary edema. the right lung is otherwise free of focal consolidations, large pleural effusions or pneumothorax. within the left lung, there is extensive atelectasis at the lung base. the two chest tubes are unchanged in position. the moderate/large left loculated pleural effusion is not significantly changed compared to <unk>. tiny hydropneumothoraces noticed in the left lung apex. no acute osseous abnormalities.
<unk> year old man with pneumonia s/p vats decortication // f/u
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a left chest wall dual lead aicd is present. status post median sternotomy. hazy bibasilar opacities as well as left greater than right pleural effusions are present. the size and appearance of the cardiac silhouette is unchanged.
<unk> year old man with hf, now w/ worsening dyspnea // r/o any abnl
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the patient is status post median sternotomy. fracture iodine inferior most sternal wire is again seen. the cardiomediastinal silhouette is stable. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is no pulmonary edema.
shoulder pain and high inr.
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there has been no appreciable change in the known moderate right pleural effusion. the right heart border is obscured. the aorta is tortuous. the right upper lung and left lung remain clear. the heart size is unchanged and is within normal limits. no large left pleural effusion is seen. there is no pneumothorax. there is an old healed rib fracture of the posterior right <num>th rib.
history of pleural effusion, please evaluate for interval change.
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cardiac silhouette size is mildly enlarged but unchanged. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. anterior osteophytes are seen in the lower thoracic spine.
history: <unk>m with cough
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. the heart remains markedly enlarged. there is mild pulmonary edema noted, new from prior. patient is slightly rotated to the left. mediastinal contour stable. no pneumothorax. no large effusion. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old man with increase sob // r/o pna exacerbation of chf
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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 l sided chest pain // eval for pneumo
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portable chest radiograph <unk> at <time> is submitted.
<unk> year old man with ards vs. pneumonia, please assess evolution. also spiked temp. // please assess pna, fluid overload, ards. please assess pna, fluid overload, ards.
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a right-sided picc is in-situ, terminating in the mid to distal svc. endotracheal tube is in-situ, this terminates <num> cm above the level of the carina. a nasogastric tube is seen, the tip is not visualized but lies below the diaphragm in the left upper quadrant. there is persistent left lower lobe atelectasis. there is mild cardiomegaly with enlargement and haziness of the pulmonary vascular consistent with pulmonary vascular congestion. no focal consolidation seen.
<unk> year old man with pulm edema ett // interval change
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frontal and lateral chest radiograph demonstrates an opacification of the right middle lobe concerning for pneumonia. the left lung is clear with no focal consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar silhouettes are within normal limits. a left sided port-a-cath extends to the lower superior vena cava.
<unk>-year-old female with history of recurrent lymphoma with cough and congestion.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the chest is hyperinflated. streaky opacities at the lung bases are most consistent with minor atelectasis. otherwise, the lungs appear clear. no fracture is identified.
status post fall.
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ap portable upright view of the chest. left ij cv catheter tip terminates in the low svc. there has been interval extubation and removal of the nasogastric tube. diffuse pulmonary opacities are slightly improved and likely represent edema though a superimposed pneumonia would be difficult to exclude. pleural effusions are likely small. cardiomediastinal silhouette is stable. no pneumothorax. bony structures are intact. skin <unk> project over the mid abdomen.
<unk> year old woman with resolving pulmonary edema s/p kidney transplant // residual pulmonary edema?
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there is a moderate size left pleural effusion with underlying atelectasis. no pneumothorax is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old male with increasing fatigue for several weeks and fever.
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the exam is limited by technique. within the limitations, the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. degenerative changes are noted in the right shoulder.
fever.
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the lungs are normally expanded and clear. opacity at the left base seen <unk> is resolved. the heart size is normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air seen. surgical clips project over the right upper quadrant.
history: <unk>m with hx inguinal hernia, chronic pancreatitis presenting with epigastric pain, rlq pain, nausea and vomiting // r/o perforation, chf, pneumonia
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endotracheal tube terminates at the thoracic inlet, approximately <num> cm above the level of the chronic, and should be advanced. a nasogastric tube courses inferior to the diaphragm and terminates within the left upper quadrant. mediastinal clips are noted. the lung themselves are well expanded and grossly clear without focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unremarkable in appearance.
history: <unk>f with intubated head bleed // eval for tube placemetn
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the lungs are clear. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is a dextroconvex scoliosis of the thoracic spine. there is a severe compression deformity of a lower thoracic vertebral body, age indeterminate.
<unk> year old woman with pneumonia in <unk>, follow up to resolution.
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round opacity is seen in the right cardiophrenic angle and in the lower posterior lung on lateral view. no focal consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
<unk>-year-old man with pain in the right lower rib area, increased with coughing and deep breathing. evaluate for etiology.
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the cardiac and mediastinal silhouettes appear within normal limits. prominent/ectasia of the ascending aorta is similar to the prior studies. there are no focal pulmonary opacities, pleural effusions, or evidence of pneumothorax. osseous structures appear unremarkable.
cough. evaluate for pneumonia.
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ap upright and lateral views of the chest provided. a linear focus of scarring is again noted in the left lower lobe. the lungs are clear without focal consolidation, large effusion or pneumothorax. the cardiomediastinal silhouette appears normal. the bony structures are intact. contrast within bowel loops in the upper abdomen likely related to recent barium exam.
<unk>f with weakness, poor historian.
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moderate to severe enlargement of cardiac silhouette is re- demonstrated. the mediastinal contours are stable, with atherosclerotic calcification of the thoracic aorta noted. the hilar contours remain enlarged, with perihilar haziness and vascular indistinctness compatible with mild pulmonary edema, findings which appear slightly progressed when compared to the radiograph obtained earlier the same day. more focal opacity within the peripheral aspect of the left lung base appears more pronounced compared to the prior exam, and infection or aspiration is not excluded. no large pleural effusion or pneumothorax is identified. there is no free subdiaphragmatic air. multiple clips are seen along the left lateral chest wall.
chest pain, dyspnea, vomiting with upper gi bleeding.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with cirrhosis, epigastric pain, acute kidney injury
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there has been interval placement of a right chest wall port with catheter tip at the ra svc junction. low lung volumes are again noted, the lungs remain posterior clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with recent fall // evaluate for cardiomegaly
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ap upright and lateral views of the chest provided. lung volumes are low. heart size is difficult to assess given low lung volumes though appears grossly unchanged. the aorta appears unfolded as on prior. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. no overt signs for edema. hilar congestion difficult to exclude in the correct clinical setting. bony structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with cough, fevers // ? pneumonia
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severe bilateral diffuse parenchymal opacities are noted and appear similar to that seen previously in <unk>. cardiomediastinal silhouette remains stable. no acute fractures are identified.
evaluation of patient with dyspnea with history of multifocal pneumonia.
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stable mild right sided tracheal deviation from left lobe thyroid enlargement as seen on ct chest. lungs clear bilaterally without pleural effusion or pneumothorax. mild stable chronic left hemidiaphragm elevation. heart size, mediastinal contour and hila are otherwise normal.
female with altered mental status. assess for pneumonia.
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lungs are well-expanded. cardiomediastinal hilar contours are unremarkable. the aorta is tortuous. there is no pneumothorax, pleural effusion, or consolidation. no acute displaced rib fractures are identified. sternal fracture and pulmonary nodules are better assessed on subsequent ct of the torso.
history: <unk>f with chest pain/sob s/p fall down <num> stairs, chest pain, cspine pain, l hip and flank pain // r/o fx, traumatic injury
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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 l<num> s<num> disc bulge who will be going for discectomy- preop chest
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. bibasilar atelectasis otherwise lungs are clear. no pleural effusion, no pneumothorax evident.
cough, sore throat, now with increased dyspnea on exertion, please evaluate for pneumonia.
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ap upright 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 agitation/ams // pneumonia?
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cardiomediastinal silhouette is unchanged. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. changes of dish are seen in the thoracic spine.
<unk>-year-old man with history of seizures, p/w new seizure today.
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lungs are hyperinflated. the heart size is normal. the thoracic aorta is diffusely calcified but not dilated. new ill-defined opacity within the left upper lung field is concerning for pneumonia. minimal linear and patchy opacity in the right lung base may reflect scarring. there is no pulmonary vascular congestion or pleural effusion. no pneumothorax is seen. there are multilevel degenerative changes in the thoracic spine with s-shaped scoliosis of the thoracolumbar spine. partially imaged is cervical spinal fusion hardware.
chest pain.
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pa and lateral views of the chest provided. cardiomegaly is again noted, mild to moderate. there is mild hilar congestion without frank edema. no large effusion or pneumothorax. no focal consolidation concerning for pneumonia. the mediastinal contour is normal. bony structures are intact.
<unk>m with dyspnea // eval for pna
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assessment is slightly limited due to patient rotation. mild enlargement of the heart is present. mediastinal and hilar contours are unremarkable. small left pleural effusion is noted with associated left basilar opacity likely reflecting compressive atelectasis. no pneumothorax or right-sided pleural effusion is present. degenerative changes are seen in the imaged thoracic spine. deformity of the right third rib likely reflects an old healed fracture.
history: <unk>m with fever and upper back pain // infection
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heart size is normal with mildly tortuous thoracic aorta. hilar contours are unremarkable. there is a subtle increased density in the posterior lower lung fields on lateral view only without frontal correlate which could represent atelectasis or a subtle pneumonia. there is no pleural effusion or pneumothorax.
cough and cold with green sputum.
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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. no displaced fracture is seen.
chest pain and syncope.
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with chest pain // eval for structural process
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ap portable upright view of the chest. overlying ekg leads are present. lung volumes are low. there are small bilateral pleural effusions. mild cardiomegaly is unchanged. hilar congestion is noted with probable mild pulmonary edema. chronic right rib deformity noted. no acute fracture is seen. calcification noted along the costochondral junction.
<unk>f with chest pain, l arm pain s/p fall /
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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 decr bs on right, ili sx // r/o pna, ptx
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heart size is normal. the cardiomediastinal and hilar contours are normal. there is increase in size of pulmonary arteries which may represent pulmonary hypertension. no focal consolidations. multiple endobronchial coils are again seen. possible vague opacity in the left lower lobe.
severe copd status post endobronchial lung reduction with coils. copd exacerbation.
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lung volumes are lower compared to the previous study. this accentuates the size of the cardiac silhouette which appears moderately enlarged. superior mediastinal widening is likely attributable to lower lung volumes. the aortic knob remains distinct. hilar contours are normal. pulmonary vasculature is normal. minimal atelectasis is seen in the retrocardiac region. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes noted within the thoracic spine.
history: <unk>m with <num> weeks of left scapular pain radiating to left arm with central chest discomfort and dynamic ekg changes
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the patient is status post pacemaker placement.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac, hilar and mediastinal silhouettes are unremarkable.
<unk> year old woman with igg <unk> deficiency c/b recurrent pna presents w/pna sx. // is there a pna?
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in comparison with chest radiograph from <unk>, inspiratory volumes may be minimally improved. left pleural effusion has mildly decreased. no large effusion on the right. new, ill-defined opacity at the right lung base is consistent with atelectasis, possibly with a small effusion. retrocardiac opacity is consistent with left lower lobe collapse and/or consolidation and is grossly unchanged. there is no new focal consolidation. no pneumothorax detected. left chest tube again noted, slightly different in configuration. otherwise, moderate and support devices remain in unchanged position.
<unk> year old man s/p cabg // please check at <num>am on <unk>-with ctube clamped, eval for pneumothorax
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there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiac size is top-normal, as seen on the prior examination. dense calcifications are noted at the aortic arch and throughout the descending thoracic aorta. there is no evidence of displaced rib fracture or pneumoperitoneum. small bilateral cervical ribs are incidentally noted.
<unk>f with intermittent chest pain // ? pneumonia, effusions
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ap and lateral views of the chest. again seen is mild cardiomegaly. the mediastinal contours are normal. there are low lung volumes which crowd the pulmonary vasculature. persistent elevation of the right hemidiaphragm is again seen. no focal consolidation, pleural effusion or pneumothorax. no evidence of pulmonary edema.
bilateral swelling, new left bundle-branch block, question of pneumonia or chf.
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the heart size is normal. the aorta remains tortuous with mild aortic knob calcifications demonstrated. mediastinal and hilar contours are otherwise unchanged. left-sided port-a-cath tip terminates in the lower svc, unchanged. the pulmonary vascularity is not engorged. known scattered right lung nodules compatible with metastases are better seen on the prior chest ct, with the largest nodule noted laterally in the right lower lobe measuring <num> mm. other pleural based metastatic lesions of the right hemithorax are better assessed on the recent ct. no focal consolidation, left-sided pleural effusion or pneumothorax is identified. trace right pleural effusion appears to be present. destruction of the right <num>th rib laterally is re- demonstrated.
weakness and history of renal cell carcinoma.
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.
history: <unk>f with chest pain radiating to back
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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 similar study dated <unk>. the heart size remains normal. no configurational abnormality is present. unremarkable size of thoracic aorta with few semi-linear calcium deposits in the wall at the level of the arch. the pulmonary vasculature is not congested and there is no evidence of acute or chronic parenchymal infiltrates. as observed on the previous examination, there are relatively low positioned diaphragms that are somewhat flattened, coincide with slightly hypertranslucent lung bases. this finding is suggestive of copd.
<unk>-year-old male patient with history of lymphoma, shortness of breath. evaluate.