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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with sob/fevers // acute process
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frontal view of the chest was obtained. endotracheal tube terminates <num> cm above the carina. og tube terminates below the diaphragm. heart size and cardiomediastinal contours are stable. lung volumes are low and small bibasilar atelectasis is present. faint opacity overlying the left upper lobe is new and may represent infection. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with multiple myeloma, and neutropenic fever. worsening tachypnea.
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tiny bilateral pleural effusions are seen. the heart is within normal limits of size. there may be trace interstitial edema. no signs of pneumonia. mediastinal contour appears normal. no pneumothorax. bony structures are intact.
<unk>-year-old female with history of congestive heart failure with several day history of increased orthopnea and penal edema.
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an endotracheal tube is in-situ, the tip terminates <num> cm above the level of the carina. a nasoenteric tube is seen, the tip is not visualized lies below the level of the stomach. lung volumes are somewhat low. no liver air collapse appreciated. no consolidation, pneumothorax or pleural effusion.
<unk>f s/p single vehicle mvc rollover, intubated at scene for combativeness, no injuries on trauma survey, failed extubation x<num>. // interval change
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no configurational abnormalities are identified. thoracic aorta unremarkable. no mediastinal abnormalities are seen. the pulmonary vasculature is normal. no signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area on the frontal view. skeletal structures of the thorax grossly within normal limits and only mild degree of degenerative changes are seen in the thoracic spine with some prominent osteophytes at the vertebral body's anterior edges in the lower thoracic spine. our records include a previous chest examination dated <unk>. no significant interval change can be identified.
<unk>-year-old male patient with recent pneumonia, evaluate for resolution.
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frontal radiograph of the chest shows the newly placed dobbhoff tube coiled in the midesophagus with no opaque portion seen. otherwise, compared to the prior radiograph, there is little change with clear lungs and normal cardiac and mediastinal contours.
seizures and dysphagia with new dobbhoff placement.
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lung volumes are slightly low, with minimal bibasilar atelectasis, greater on the left. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. no subdiaphragmatic free air is noted.
history: <unk>m with melena. // r/o perforation
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moderate to severe enlargement of the cardiac silhouette is present. the aorta is slightly tortuous. there is mild pulmonary edema with small bilateral pleural effusions. more focal opacities seen within the lung bases could reflect areas of atelectasis. no pneumothorax is identified. there are mild degenerative changes seen in the thoracic spine.
dyspnea, new onset atrial fibrillation
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frontal and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. degenerative changes are noted in the spine.
<unk>-year-old female with weakness.
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tip of ng tube projects over the proximal stomach barely at the ge junction. suggest to proceed a few cm. no other interval change.
<unk> year old man with new ngt placement s/p abdominal surgery // checking for ngt placement
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there is an unchanged position of a dual lead pacemaker with leads extending to the region the right atrium and right ventricle and pacer pack projecting over the left chest wall. right pleural effusion has increased in size with interval progression in collapse of the right middle and lower lobes. lung volumes are low. mild edema is likely present. no large pneumothorax. nodular hyperdensity projecting over the left upper lung corresponds to a bone island on a prior ct. mild hilar congestion is likely present. heart size cannot be assessed.
<unk>f with episode of speech difficulty.
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small left apical pneumothorax persists. no evidence of tension. overall stable small left pleural effusion, which may be loculated. severe left atelectasis with presumed pleural restriction is overall unchanged with associated leftward shift of the mediastinum. appearance of the right lung is unchanged and clear. cardiomediastinal silhouette is also unchanged.
<unk> year old man pod<unk> s/p l diaphragmatic hernia ex-lap, l ct pulled <unk> // interval change from post-pull cxr on <unk>- please obtain film at <time>
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. small right pleural effusion is demonstrated, and was present on the previous chest ct from <unk>. linear atelectasis is demonstrated in the right middle lobe and right lower lobe. left lung is clear. no pneumothorax is identified. no focal consolidation is visualized. there are no acute osseous abnormalities.
history: <unk>m with altered mental status
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lung volumes are low. the heart size is mildly enlarged but unchanged. mediastinal and hilar contours are stable, with unfolding of the thoracic aorta again noted. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. mild atelectatic changes are noted within the left lung base. cervical spinal fusion hardware and right shoulder arthroplasty are incompletely assessed on this exam. previously noted right picc has been removed.
leukocytosis, hypotension.
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. prominent costochondral calcification projects over the right lung base.
<unk>f with hypoxia, ams // pna?
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heart size is normal. mild calcification of the aortic knob is present. the pulmonary vascularity is not engorged. hilar contours are unremarkable. relative lucency within the right lung base likely reflects bullous emphysematous changes. linear opacities within the left lung base may reflect scarring or subsegmental atelectasis. the patient's forearm obscures visualization of the left costophrenic angle. no large pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
shortness of breath.
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pa and lateral views of the chest provided. bibasilar opacities are most compatible with atelectasis though difficult to exclude an early pneumonia. no large effusion or pneumothorax. no congestion or edema. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with doe
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the lungs are clear. widening of the upper mediastinum and the right hilum is consistent with the patient's known lymphadenopathy and lipomatosis is unchanged from prior study. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with a history of lung cancer presenting with weakness. evaluate for pneumonia.
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a pigtail catheter now overlies the left pleural space. there has been interval reexpansion of the left lung with a now small left pneumothorax, significantly decreased from comparison study. right basilar opacity may be due to atelectasis. superiorly the lungs are clear. hilar structures and cardiomediastinal silhouette is normal.
<unk>m with replaced chest tube // eval chest tube placement
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the small to moderate left pleural effusion is substantially smaller since earlier in the day and mediastinum has returned to the midline. there is no pneumothorax. a coarse interstitial abnormality, as seen on <unk> preceded the development of this large pleural effusion, and is therefore not re-expansion edema, instead most likely disseminated carcinomatosis. multiple lung nodules, particularly in the right middle lobe, the have been growing since <unk>. right supraclavicular central venous infusion port scans in the upper right atrium. transvenous pacer defibrillator lead is continuous from the left axillary pacemaker to the floor of the right ventricle.
<unk>-year-old with a large left pleural effusion after thoracentesis of <num> l. question pneumothorax.
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there has been interval intubation with the endotracheal tube tip terminating approximately <num> cm from the carina. the heart size remains moderately enlarged. mediastinal contours are unchanged with the aorta appearing tortuous and likely dilated. widening of the superior mediastinal contour also may in part be due to the presence of lymphadenopathy. hazy opacifications of both lungs likely indicate the presence of moderate-sized layering bilateral pleural effusions. bibasilar airspace opacities could reflect atelectasis, but infection is difficult to exclude. peripheral wedge-shaped opacity in the left upper lung field is re- demonstrated. there appears to be mild pulmonary edema. assessment for pneumothorax is limited on this supine exam though no large pneumothorax is detected.
history: <unk>m with endotrachial intubation
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compared to the prior study, no definite change is detected. again seen are sternotomy wires and the sternotomy closure construct. the cardiomediastinal silhouette is unchanged. no overt chf. bibasilar atelectasis. minimal blunting at the right costophrenic angle, without gross effusion. the torso ct from <unk> describes nondisplaced fractures of the right <unk>-<num>th ribs. these are not readily visible on the current radiograph. allowing for lordotic positioning, no pneumothorax is detected. there is only trace right base atelectasis .
<unk> year old woman with rib fractures, hypotension // eval for ptx
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there is a moderate pleural effusion on the left. it is difficult to compare regarding any change in size because of differences in orientation since the prior examination. patchy nodular and reticular abnormalities suggest metastatic disease. in addition there is a confluent new opacity in the lingula, possibly superimposed pneumonia versus patchy but substantial atelectasis. in attempting to compare with the scout view from the recent prior ct there is also apparently increased patchy right lower lung opacification with a similar differential diagnosis.
shortness of breath. history of pleural effusions.
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single frontal portable view of the chest was obtained. the heart size is exaggerated by low lung volumes. cardiomediastinal contours are unremarkable. calcifications seen at the aortic knob. there has been interval placement of an endotracheal tube and a ng tube. the endotracheal tube terminates <num> cm above the carina. the ng tube terminates below the diaphragm with the sidehole not seen. wires of a right chest wall dual-lead pacer terminate in the right atrium and right ventricle. the lungs are clear and there is no large pulmonary consolidation or pneumothorax. osseous structures are unremarkable.
<unk>-year-old female with intracranial hemorrhage and intubated. evaluate for endotracheal tube placement.
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right-sided port-a-cath tip terminates at the junction of the svc and right atrium. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. subsegmental atelectasis is seen in the right middle lobe. lungs are otherwise clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>m with episodic slurred speech and disorientation
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with right sided weakness and fall today c/w prior seizures. // ?intracranial process
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frontal radiograph of the chest. compared to the prior study, the patient has been extubated. there is no change in the right internal jugular central venous catheter. enteric tube has been removed. marked cardiomegaly is unchanged with pericardial effusion noted on recent ct. widened mediastinum is unchanged. degree of bilateral pulmonary vascular congestion and increased interstitial markings indicative of pulmonary edema is unchanged. left lower lobe ateleftasis or pneumonia, opacity.
respiratory failure, intubated.
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ap upright and lateral views of the chest provided. left chest wall aicd is unchanged with leads extending to the region of the right atrium and right ventricle. a right upper extremity picc line is also unchanged from prior with its tip in the region of the low svc. there is stable cardiomegaly with interval development of mild pulmonary vascular congestion. there are small bilateral pleural effusions which appears mildly increased from the prior exam. no convincing signs of pneumonia. no pneumothorax. imaged bony structures appear intact.
<unk>m with hx schf, renal failure, aspiration pneumonia.
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ap portable upright view of the chest. there is a right ij central venous catheter with its tip in the region of the cavoatrial junction. the lungs are clear without focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with s/p central line access // ?cvl in correct position
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two ap frontal views of the chest were obtained. increased lucency at the bilateral apices is likely due to emphysema. previously noted bibasilar airspace opacities have resolved. there is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal, and unchanged.
worsening shortness of breath and hypertension.
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lung volumes are low. no focal consolidation is seen. patchy bibasilar opacities likely represent atelectasis. the heart is mildly enlarged. mediastinal contour is normal. there is no pleural effusion or pneumothorax.
<unk>f with right upper back pain, cough, evaluate for pneumonia.
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<num> views of the chest demonstrate clear lungs. the cardiac, hilar, and mediastinal contours are normal. no pleural abnormality is seen.
<unk> months of cough.
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compared to the prior study there is no significant interval change.
<unk> year old man with strep bovis endocarditis // interval changes, ?worsening pulm edema
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there is a persistent moderate right pneumothorax, with air collecting at the base and along the anterolateral chest wall relatively stable compared to the prior two studies. curvilinear opacities in the mid right lung are unchanged and probably represent areas of atelectasis. surgical chain sutures at the right apex are noted. there is no focal consolidation or pleural effusion. cardiomediastinal silhouette is stable
<unk> year old woman with recurrence of pneumothorax // expansion of recurring pneumothorax
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. bilateral acromioclavicular degenerative changes are noted. prominent multilevel thoracic spondylosis is present. multiple clips are seen overlying the left paraspinal region consistent with prior nephrectomy.
<unk>-year-old female with chest pain. question acute process.
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enlarged cardiac silhouette is due to a known pericardial effusion and is overall unchanged compared to the prior exam. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of fever, hematuria. please evaluate for intrathoracic abnormalities.
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the lungs are well inflated and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with fever, cough, and chills. evaluate for evidence of infectious process.
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a portable frontal chest radiograph demonstrates a post pyloric nasoenteric tube with the tip almost to the ligament of treitz. the cardiomediastinal silhouette is normal. there is a new retrocardiac opacity, concerning for pneumonia in the left lower lung. the right lung is clear. there is no pleural effusion or pneumothorax. no free air is seen below the diaphragm.
new fever following nasoenteric tube placement and enteroscopy with cough and abdominal pain. evaluate for pneumonia.
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there are multiple airspace opacities predominantly affecting the upper peripheral lung fields bilaterally, consistent with multifocal pneumonia, which has worsened compared to the prior ct and chest x-ray. there has been resolution of the previously visualized pulmonary edema. the cardiomediastinal silhouette is enlarged but stable. no pleural effusion or pneumothorax is seen.
<unk> year old woman with cad, chf, pneumonia with <num>lb weight gain // pulmonary edema, pleural effusion, pna.
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. hilar contours are unremarkable. no acute osseous abnormalities.
<unk>m with several wks fatigue, muscle soreness, ++ck elevation, concern for indolent infection, atypical pna, autoimmune process // eval ? atypical infiltrate, mediastinal abnormalities
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heart size, cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax.
<num> month of chronic cough.
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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 chest pain, arm pain.
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pa and lateral views of the chest provided. lung volumes somewhat low. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. specifically, no displaced rib fracture is seen. no free air below the right hemidiaphragm is seen.
<unk>m s/p bicycle accident with left sided posterior rib pain.
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shallow inspiration accentuates heart size, pulmonary vascularity, which are mildly improved compared with prior exam. there is no pleural effusion. strand of atelectasis or fibrosis at the lung base. minimal bibasilar opacities, may represent atelectasis in the setting of shallow inspiration, infection cannot be excluded. mild pectus excavatum.
<unk> year old woman admitted with dka, having fevers, rise in wbc count, no clear focal symptoms, cx negative, assess for pneumonia // ? pneumonia
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frontal and lateral radiographs of the chest show appropriate inspiratory lung volumes. multiple ill-defined opacities corresponding to known pleural plaques are not appreciably changed from <unk> with predominance in the right hemithorax and diaphragm consistent with asbestos pleural disease. the lungs are clear without pleural effusions, pneumothorax, or focal consolidation. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. mediastinal and hilar contours are within normal limits and unchanged from the preceding radiograph. mild degenerative changes are noted in the thoracic spine.
<unk>-year-old male with history of asbestos exposure and known pleural plaques, here to assess for interval changes.
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frontal and lateral views of the chest. low lung volumes seen on the current exam, particularly on the frontal view with secondary crowding of the bronchovascular markings. there is no definite consolidation or effusion. there is no pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with palpitations and chest pain.
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compared to prior, there has been improvement of previously seen bilateral opacities. the lungs are mildly hyperinflated. there are residual linear opacities in the right mid lung, may represent impacted bronchi or atelectasis. there is no significant pleural effusion. the heart size is unchanged. the mediastinal and hilar contours are unchanged. a small sclerotic focus in the left humerus and diffuse sclerotic rib lesions likely represent metastatic foci.
<unk> year old man with severe persistent asthma with acute exacerbation // any change in previously noted opacities?
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the lung volumes are slightly low. increased retrocardiac density likely represents atelectasis. the heart is mildly enlarged. there is no pleural effusion or pneumothorax. no focal consolidation or overt pulmonary edema is present. median sternotomy wires, mitral valve replacement, and pacemaker device are unchanged in position. there has been interval progression of a mid thoracic vertebral body compression fracture since the prior study.
history: <unk>f with chest pain and shortness of breath // eval for infiltrate versus edema
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the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear. there is no definite pleural effusion or pneumothorax. no focal consolidations are identified. visualized ossesous structures are grossly unremarkable.
<unk>-year-old man with shortness of breath. rule out an acute process.
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the port can be followed at least as far as the cavoatrial junction although more distally the exact termination point is not clear due to underpenetration. a right-sided picc line terminates in the right brachiocephalic vein. lung volumes are low. cardiac, mediastinal and hilar contours appear within normal limits. there is a small to moderate pleural effusion on the right. it is difficult to exclude a small pleural effusion on the left. otherwise, aside from suspected coinciding atelectasis at the right lung base, the lungs appear clear within limitations of technique.
picc line and port placement.
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the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected. multiple old right-sided rib fractures are re- demonstrated.
chest pain.
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no pleural effusion, pneumothorax or pulmonary edema. there is a subtle opacity in the right suprahilar region which may be better evaluated with apical lordotic radiographs. the heart is normal in size.
<unk>-year-old male with shortness of breath. evaluate for pneumonia.
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heterogeneous opacities in the left mid to lower lung as well as the right lower lung are similar to the prior study from <unk> allowing for differences in patient positioning, concerning for multifocal pneumonia. there are no definite pleural effusions. no pneumothorax. the cardiac and mediastinal contours are not significantly changed, allowing for difference in patient rotation.
<unk>'s disease, presenting with hypoxia and altered mental status. evaluate for pneumonia.
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there is minimal bibasilar atelectasis and calcified nodules in the left midlung as on prior. the lungs are otherwise 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 history of gbm, status post chemo radiation and resection. possible seizure with left arm twitching, with bradycardia and hypotension following chemotherapy.
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aside from the previously visualized and stable linear opacities in the right perihilar lower lobe consistent with scarring, the lungs are clear. the lungs continue to appear hyperinflated consistent with emphysema. there is no evidence of consolidation, effusion or pneumothorax. the cardiomediastinal silhouette remains normal. mild apical pleural thickening consistent with scarring remains unchanged. post-surgical changes with a neo-esophagus are noted and normal.
evaluation of patient with history of esophageal cancer status post mie.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear without pneumothorax, vascular congestion, or pleural effusion. minimal basilar atelectasis may be present on the left.
<unk>-year-old male with fever. question acute process.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion or pneumothorax. cardiac and mediastinal contours are normal.
chest pain.
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the patient is status post median sternotomy and cabg. moderate cardiomegaly is unchanged compared to the previous study. atherosclerotic calcifications are noted within the aorta which is mildly tortuous, unchanged. mild interstitial pulmonary edema is worse compared to the previous study without large pleural effusion, focal consolidation or pneumothorax. no acute osseous abnormalities detected.
history: <unk>f with shortness of breath
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. diffuse cystic lung disease is better assessed on recent ct. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. s shaped scoliosis of the thoracolumbar spine is re- demonstrated.
history: <unk>f with ap and lateral chest tenderness, right wrist lesion <unk> <unk> etiology, possible retained needle. // please evaluate for fracture, foreign body
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. aside from a solitary band of linear scarring or atelectasis in the left midlung, the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with left arm numbness and leukocytosis.
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the lungs are clear without a consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal, and unchanged from the prior exam. the bones are diffusely demineralized. no acute fracture is identified.
hypoxia. evaluate for pneumonia.
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since the prior radiograph performed several hours earlier, there has been interval placement of an endotracheal tube which terminates <num> cm above the carina. the enteric tube terminates in the body of the stomach. a left subclavian line has also been placed and its tip is within the upper superior vena cava. there are small bilateral pleural effusions with adjacent atelectasis. no pneumothorax. no evidence of pulmonary edema. cardiomediastinal silhouette is within normal limits. known intraperitoneal free air is not well visualized on the current study likely due to supine positioning. epigastric drain and surgical <unk> are present.
<unk> year old man with perforated du // check line placement - ng
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. a vague right infrahilar opacity is noted, not definitively seen on prior exams. there is no pleural effusion or pneumothorax.
<unk>m with chest pain // evidence of pneumonia
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with rib and chest pain // fracture?
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube tip is within the stomach. cardiac, mediastinal and hilar contours are normal. there are low lung volumes which cause crowding of bronchovascular structures. no pulmonary edema, focal consolidation or pneumothorax is identified. mild atelectasis is seen in the lung bases. there are no acutely displaced fractures.
history: <unk>m with intubation
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an enteric catheter passes below the level of the diaphragm, seen to end within the stomach on accompanying radiographs from <unk>. there is minimal linear left lower lung atelectasis. lung volumes are slightly low. the heart size is normal. mediastinal contours are normal. blunting of the bilateral posterior costophrenic angles could indicate trace pleural effusions. there is no pneumothorax. no free air is seen under the diaphragm.
recent abdominal surgery with nausea, vomiting, and abdominal pain. assess for free air.
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pa and lateral views of the chest provided. airspace consolidation is noted within the right lower lobe, compatible with pneumonia. otherwise lungs are clear. no large 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 cough x<num> days, evidence of pneumonia
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left picc line ends in the mid svc. there is a focal consolidation in the right lower lobe concerning for pneumonia vs aspiration pneumonitis. moderate right effusion and small to moderate left effusion is unchanged from <unk>. mild cardiomegaly is unchanged from <unk>, <time>. mediastinal borders and hilar structures are normal. there is no pneumothorax.
<unk>m concern for aspiration, o<num> sat dropped to the <num>s acutely following aspiration event, now improving with oxygen supplementation .
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portable upright view of the chest demonstrates right pic catheter tip projecting over mid svc. swan-ganz catheter is positioned at the pulmonary outflow tract. the heart remains markedly enlarged. perihilar vascular congestion. costophrenic angles are minimally blunted, suggestive of possible trace pleural effusions. no pneumothorax.
assess for line placement.
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supine portable ap view the chest provided. an endotracheal tube is seen with its tip located approximately <num> cm above the carina. an ng tube is seen coursing inferiorly with its tip at the ge junction. midline sternotomy wires are noted. there is a left chest wall pacer device with leads in the region of the right atrium and right ventricle. there is bilateral hilar/perihilar opacity which is somewhat unusual in overall appearance and raises potential concern for adenopathy. there is a small left pleural effusion with left basal opacity likely atelectasis. the heart is mildly enlarged. bony structures are intact.
<unk>m with intubation
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when compared to the chest radiograph from <num> day prior to the left pneumothorax has increased in size, particularly the basilar component. no definite signs of tension. innumerable pulmonary nodules are again seen likely metastatic. heart size is top-normal with prior cabg and median sternotomy. left-sided pacer with the leads in the ra and rv.
<unk> <unk>-speaking man with cad s/p cabg in <unk>, longstanding av nodal disease/ivcd, pvd s/p lsfa stent, and bph, admitted for ppm placement <unk> symptomatic bradycardia (complete av block) // eval pneumothorax; please perform x-ray at <num> am.
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low lung volumes are again noted. there is persistent blunting of the left costophrenic angle suggesting an effusion. increased interstitial markings throughout the lungs are similar compared to prior, likely due to combination of atelectasis in the setting of low lung volumes and superimposed edema. the cardiomediastinal silhouette is stable. dense atherosclerotic calcifications noted at the aortic arch. median sternotomy wires are intact. linear radiopaque density projecting over the right upper extremity.
<unk>f with new picc line // picc placement
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the lungs are well expanded and clear, without focal lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is normal in appearance.
history: <unk>f with hx asthma, now with cough and fever // r/o acute process
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain.
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the lungs are hyperinflated with reduced lung markings and flattening of the hemidiaphragms consistent with severe copd. focal pleural thickening at the periphery of the right upper lung was not seen on prior chest ct or chest radiograph and is concerning for infection versus malignancy. no pleural effusion or pneumothorax is seen. the cardiac, hilar and mediastinal silhouettes are unremarkable.
<unk> year old woman with severe copd, new cough for the past month // eval for infiltrate
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the cardiac silhouette size is top normal. mediastinal and hilar contours are unchanged and within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
dizziness, shortness of breath.
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cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion. a right chest tube remains in place with persistent small apical pneumothorax. a right subclavian approach central venous catheter is in place with the tip projecting over the cavoatrial junction. a trach tube is in place in standard position.
new trach.
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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. s-shaped thoracolumbar scoliosis is noted.
<unk>f with chest pain midsternal since last night. // <unk>f with chest pain midsternal since last night.
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frontal and lateral views of the chest. no prior. relatively low lung volumes are seen. the lungs, however, are clear of focal consolidation, effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. there is a mid-to-lower thoracic dextroscoliosis. there is relative height loss at the left lateral aspect of the t<num> vertebral body which is age indeterminant. osseous structures are otherwise unremarkable.
<unk>-year-old male status post high-speed mvc <num> hours ago, car flipped and positive seatbelt sign note airbag.
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compared to the prior study there is no significant interval change.
<unk> year old man s/p whipple now w/ leak and worsening respiratory status // eval for pulmonary edema, consolidation
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there is a new dobbhoff with tip in the stomach. right picc line remains in good position with the tip in the mid svc. there is a stable right pleural effusion. there is stable moderate cardiomegaly with stable mediastinal and hilar contours. left pleural effusion and atelectasis is stable.
<unk>-year-old with new dobbhoff.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. there is no evidence of free intraperitoneal air. no acute bony abnormality is detected.
chest pain for <num> days.
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portable upright view of the chest demonstrates hyperexpanded lungs and flattening of hemidiaphragms, compatible with underlying emphysema. there are prominent interstitial markings. superimposed, there are airspace opacities in the right upper and bilateral lower lung zones, which appear new since prior exam. there is no pleural effusion. no pneumothorax. hilar and mediastinal silhouettes are unchanged. again noted are prominent pulmonary arteries, which may reflect underlying pulmonary hypertension. heart size is top normal. mild dextroscoliosis of the thoracic spine is noted.
fever, cough and hypoxia. assess for pneumonia.
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enteric tube is seen to pass below the diaphragm although tip is not clearly delineated. the lungs are clear without focal consolidation, effusion, or edema. eventration of the right hemidiaphragm is noted. cardiac silhouette is top-normal in size. hypertrophic changes are seen in the spine. there is no free intraperitoneal air.
<unk>f with ventral hernia and sbo // evaluate for pneumonia, cardiomegaly
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pa and lateral views of the chest were compared to previous exam from <unk>. the lungs are hyperinflated but clear of confluent consolidation or effusion. the cardiomediastinal silhouette is within normal limits.
<unk>-year-old female with worsening dementia. question pneumonia.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. there is a <num> mm rounded density in the right lower lung zone which is most likely the nipple, although an underlying nodule cannot be excluded. the cardiomediastinal silhouette is normal.
chest pain.
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as seen on prior, there is a focal opacity projecting over the spine inferiorly on the lateral view. on the current exam, it is difficult to localize to the left or the right on the frontal view. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits.
<unk>f with several days fever fatigue malaise, outdoor exposure <num> wks prior, transient rash // eval ? interval changes in previously dx pna
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the heart size is normal. the mediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities seen.
right upper quadrant pain and elevated liver function tests.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are hyperinflated but clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with confusion // acute process?
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pa and lateral views of the chest. diffuse interstitial opacities have not significantly changed from prior. posterior costophrenic angles are sharp. thickening along <num> of the major fissures may represent fluid or pleural thickening. cardiac silhouette is enlarged but stable in configuration. right chest wall dual lead pacing device is again seen. there is a new right chest wall tunneled dual lumen catheter with distal tip in the right atrium. there is no new confluent consolidation. no acute osseous abnormality detected.
<unk>-year-old female with cough and fevers. question pneumonia.
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moderate to large right, and small to moderate left, pleural effusions are re- demonstrated with a left basilar pleural catheter again noted. fluid continues to be a loculated within the fissures, but slightly decreased compared to the prior study. there are persistent bibasilar airspace opacities likely reflective of compressive atelectasis. left-sided port-a-cath tip terminates at the junction of the svc and right atrium. the cardiac, mediastinal and hilar contours are unchanged. no pneumothorax is seen. there is no pulmonary vascular congestion. several clips are demonstrated within the right upper quadrant of the abdomen with a biliary stent.
dyspnea, known malignant pleural effusions.
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there is some improved aeration in the right lower lobe with continued dense consolidation in the retrocardiac region. . there is no change in the et tube or left-sided picc line
<unk> year old male with gi and intubated // confirm et tube placement
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frontal and lateral views of the chest were compared to previous exams from <unk>, including x-ray and ct from that day. the lungs are clear of focal consolidation or effusion. focal nodular opacity projecting over the left lung base is compatible with bone island in the anterior left sixth rib. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with dyspnea on exertion for one week. evaluate for fluid overload or pneumonia.
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low lung volumes bilaterally. compared with <unk> there is improvement in the right interstitial edema and the left lung base pulmonary edema. moderate left pleural effusion and small right pleural effusion seen. no pneumothorax. cardiac size is enlarged but unchanged. left pectoral generator with leads in the region of the tricuspid valve and the left ventricle. right subclavian picc with tip in upper svc. median sternotomy wires and mediastinal clips again noted.
<unk>m with severe as s/p bpavr, also af + sss s/p pacer placement and av ablation, chronic anemia <unk> myelofibrosis, initially in ccu for diuresis. transferred to floor for mgmt. of severe as and tavr workup, c/b gib s/p multiple transfusions, s/p push enteroscopy with hemostasis of actively bleeding avm in the duodenum. has returned to the floor post enteroscopy and stabilization of h/h. // worsening sob today
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interval removal of <num> right chest tubes. left picc line is in unchanged position. interval improvement of pulmonary edema. bilateral lower lobe atelectasis has improved slightly. no new consolidation. right pleural effusion, including the perihilar fluid collection in the fissure likely loculated, has improved slightly. no pneumothorax. cardiomediastinal silhouette is unchanged.
<unk> year old woman with empyema s/p vats, now with chest tubes discontinued // assess effusion
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given slightly low lung volumes, the lungs are essentially in clear with only subsegmental atelectasis in the left lung base. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. right-sided port tip terminates at the svc/right atrial junction.
<unk> year old man with cancer treated with chemotherapy now with fever <num>
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small left apical pneumothorax is overall unchanged compared to the prior examination. pigtail pleural catheter and port-a-cath are unchanged in position. cardiomediastinal silhouette is stable. a small linear opacity along the periphery of the left mid/lower lung likely represents atelectasis. a small left pleural effusion is unchanged.
<unk> f s/p left portacath placement <unk> c/b iatrogenic ptx, s/p <unk> fr pigtail placement // assess interval change
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the heart is not enlarged. aorta is slightly unfolded. no chf, focal infiltrate, effusion, or pneumothorax is detected. no focal opacity identified to suggest aspiration pneumonitis. at the edge of these films, fixation hardware is noted in the extreme superomedial edge of the left humeral head.
<unk> year old man with ?vagal episode // infiltrate, pericardial effusion
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frontal and lateral views of the chest were compared to previous exam from <unk>. when compared to prior, there is more prominent central pulmonary vascular engorgement and indistinct pulmonary vasculature suggestive of pulmonary edema. there is no large effusion. cardiac silhouette is enlarged but stable in configuration. triple-lead pacing device is seen in stable position. median sternotomy wires and mediastinal clips again noted. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chf, presents with decreased urine output.
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the right pneumothorax has slightly decreased in size. there is no evidence of tension. residual small right pleural effusion is unchanged. there is unchanged appearance of the right paramediastinal mass and right lower lung opacity. the left lung is clear.
status post thoracentesis with pneumothorax. evaluate interval progression of pneumothorax.