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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax.
history: <unk>f with ruq pain // acute process
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compared to the prior radiograph, there has been interval removal of the right ij central venous catheter. patchy bilateral airspace opacities in the right lower lobe have progressed. there are persistent similar opacities in the right upper and mid and left lower lungs. no evidence of pneumothorax or pleural effusion. cardiomediastinal silhouette is slightly enlarged, but unchanged.
<unk> year old woman with pneumonia and proximal descending aortic thrombus s/p b/l groin cutdowns and thromboembolectomy with new higher o<num> requirements. evaluate for pneumonia.
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the lungs are clear of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. better seen on the lateral view there is a rounded density which is most likely secondary to hypertrophic changes of the costovertebral junction projecting over the lower thoracic spine, given continuity with the associated rib.
<unk>m with ams // pneumonia?
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an apparent new epidural catheter is present. cardiomediastinal silhouette is probably unchanged allowing for differences in positioning. no chf. the opacity previously seen at the right base has essentially resolved. there is new platelike atelectasis in the right infrahilar region. no right effusion. again seen is opacity at the left base, with retrocardiac opacity. small left effusion is new. a left pigtail catheter remains in place. no pneumothorax is detected on either side. on the right, there is a catheter or other tubing overlying the right upper quadrant of the abdomen versus right lung base. trace subcutaneous air is now seen between the right hemidiaphragm, new compared with the prior film.
<unk> year old woman with metastatic ovarian ca with recurrent pleural effusion s/p right pleuroscopy and tunneled pleural catheter and left chest tube placement // please eval for interval change in pleural effusion
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since the prior radiograph performed several hours earlier, there has been interval development of a diffuse scattered opacities in both lungs. these are much more prominent at the lung bases, particularly the right side. no changes in the position of the support tubes/devices.
<unk>m w hcv/alcohol cirrhosis hcc s/p liver txp s/p multiple ex-laps and graft dysfunction now s/p re-do liver txp s/p takeback for proximal smv-donor pv anatomosis for thrombus // s/p bronch with mucous plugging - assess for interval change
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kerley b lines and interstitial opacities indicate progressive pulmonary edema since septmember. thick linear opacities at the left lower lobe may be secondary to aspiration. review of prior radiographs demonstrates an underlying pattern of copd. the heart and mediastinal contour are normal.
<unk>-year-old man with altered mental status, alcoholism, hypoxia, in low <num>s.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidations, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. cervical hardware is partially imaged.
right parasternal chest pain. assess for pneumonia.
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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 fevers, lethargy // please evaluate for infectious process
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in comparison with most recent study there has been interval increase in the left pleural effusion which obscures the left heart border. the right-sided pleural effusion has decreased in size. there is stable pulmonary vascular congestion.
<unk> year old woman with pleural effusion // interval increase in pleural effusion
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. stable bibasilar opacities are present, likely secondary to atelectasis or aspiration. small left-sided pleural effusion is stable. cardiomediastinal and hilar contours are unchanged. endotracheal tube ends <num> cm from the carina. nasogastric tube courses into the stomach with the last side port below the ge junction. pneumoperitoneum resolved. right-sided internal jugular central venous line ends at the mid svc. no pneumothorax.
<unk> year old woman with hypoxia post op // presece of infiltrate, ptx
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compared to the prior study there is no significant interval change.
<unk> year old woman with end stage cancer, recurrent pericardial effusion s/p drain placement, now with acute worsening shortness of breath and desaturation to <unk>% // ?acute effusion, pneumothorax, mucous plugging, aspiration
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right-sided port-a-cath tip terminates in the mid svc. heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are clear. no pleural effusion or pneumothorax is detected. there are no acute osseous abnormalities.
history: <unk>f with follicular lymphoma, now with reported fevers/chills/runny nose/sore throat
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heart size is mildly enlarged with unfolding of the thoracic aorta. cardiomediastinal silhouette and hilar contours are otherwise unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
shortness of breath, asthma exacerbation.
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the lateral view is slightly limited by the upper extremities. overall, no significant change from the prior exam. low lung volumes are again demonstrated and overall unchanged. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is stable. slightly tortuous or ectatic descending aorta appears unchanged. costal chondral degenerative changes are again seen at the level of the sternomanubrial joint bilaterally.
<unk>-year-old man with vascular disease, likely needing or; evaluate preoperative.
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there are small bilateral pleural effusions with blunting of the posterior costophrenic angles. there is mild pulmonary edema without confluent consolidation. moderate cardiac enlargement is grossly unchanged. no acute osseous abnormalities.
<unk>f with chest pain, shortness of breath
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the ng tube appears to be coiled in the oropharynx/upper esophagus. since the prior radiograph, no other significant change. right central venous catheter is unchanged in position. lung volumes are low with a small left pleural effusion and left retrocardiac atelectasis. no new focal consolidation concerning for pneumonia.
<unk>f s/p ngt. evaluate ngt placement.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> year old man with cp x <unk> weeks, hx htn, sleep apnea, asthma and allergies // any worrisome lesion?
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heart size is mildly enlarged but unchanged. mediastinal and hilar contours are unremarkable. lungs are hyperinflated as seen previously with flattening of the diaphragms, but clear without focal consolidation. no pleural effusion or pneumothorax is visualized. there are mild degenerative changes noted in the mid thoracic spine. .
history: <unk>m with copd, dyspnea on exertion for <num> days
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endotracheal tube tip is <num> cm above the carina and a feeding tube ends into the stomach, appropriately positioned. over the last <num> hours, left lower lung and retrocardiac opacity reflecting left lower lung volume loss has improved. pleural effusion if any is small and presumed on the left side. there is no pulmonary edema. mildly enlarged heart size, mediastinal and hilar contours have mostly stable appearance.
jaw abscess, status post incision and drainage. chest x-ray to look for new pulmonary findings or interval changes.
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lung volumes are relatively low with secondary vascular crowding. there is no evidence of overt edema, consolidation or effusion. cardiac silhouette is accentuated by low lung volumes and likely top-normal. atherosclerotic calcifications seen at the aortic arch. compression deformity of a lower thoracic vertebra is unchanged. chronic changes also seen at the shoulders bilaterally.
<unk>f with increased leg swelling, history of chf but no orthopnea, pnd or sob/doe // eval for pulm edema
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes. s shaped scoliosis is unchanged.
<unk> year old woman with anca positive vasculitis on immunosuppression with cough for one week // any acute infiltrates
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pa and lateral chest radiograph demonstrates a triangular opacity on the lateral view which corresponds to an opacity projecting within the medial left lower lung zone. this appears more conspicuous relative to prior chest radiograph dated <unk>. this likely corresponds to region of bronchiectasis, mucoid impaction, and peribronchiolar nodules as described on ct dated <unk>. nodular opacities are additionally present projecting over the right upper lobe additionally worrisome for airspace disease. disease at the right cardiophrenic angle is also more conspicuous. cardiomediastinal and hilar contours are within normal limits. blunting of the left costophrenic angle may reflect a trace pleural effusion.
<unk>f with fever and cough // pneumonia?
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there is a right pectoral port-a-cath with its tip terminating at the cavoatrial junction. bilateral surgical clips reflect prior breast surgery. lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart is normal in size. there is no pulmonary edema.
<unk>-year-old female with dyspnea. evaluate for infiltrate.
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. lungs are clear. no pleural effusion or pneumothorax evident.
coarse breath sounds, syncope. please evaluate for acute process.
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moderate cardiomegaly is unchanged. atherosclerotic calcifications of the aortic knob are again demonstrated. hilar contours are similar. pulmonary vasculature is not engorged. airspace opacities within the left upper lobe appear progressed compared to the previous radiograph, with continued ill-defined opacities in both lung bases, more pronounced on the left, and not substantially changed in the interval. new ill-defined opacification is also seen within the perihilar region in the right upper lobe. small left pleural effusion is present. no pneumothorax is present. there are mild degenerative changes noted in the thoracic spine.
history: <unk>f with abdominal pain, hematemesis
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pa and lateral images of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
lightheadedness.
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comparison is made to radiograph performed <num> hr prior. there is been little interval change in overall appearance of the thorax. two right chest tubes are noted. a right pneumothorax persists, unchanged. pneumatosis within the right chest wall is less conspicuous. cardiomediastinal and hilar contours are stable. blunting of the left costophrenic angle is suggestive of a small pleural effusion.
<unk>-year-old male status post right thoracotomy.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. aside from rightward convex curvature centered along the lower cervical spine, which appears unchanged, the osseous structures are unremarkable. a left basilar opacity has cleared since <unk>. there is no evidence for free air.
bilateral flank and abdominal pain. question free air.
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portable ap semi-erect view of the chest was reviewed and compared to the prior studies. an endotracheal tube ends <num> cm above the carina. a dobbhoff tube ends in the stomach. a right internal jugular line ends in the upper to mid superior vena cava and a large bore tunneled right internal jugular central venous catheter ends in the low superior vena cava. lung volumes have improved and left lower lung parenchymal opacities have decreased. the right lung is clear. normal heart, pleural and mediastinal surfaces.
evaluation for interval change in a patient with respiratory failure.
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there is minimal left base atelectasis. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
chest pain.
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the heart is normal in size. there is mild unfolding of the thoracic aorta. the mediastinal and hilar contours appear unchanged. the lungs appear clear. a nipple shadow is visualized on the left. a deformity of the left proximal humerus appears similar allowing for differences in technique. there is mild leftward convex curvature centered along the lower thoracic spine.
fever and immunosuppression.
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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.
<unk>f with fever, dyspnea // ? pneumonia
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no focal consolidation is seen. small pulmonary nodules reported on prior chest ct from <unk> were better assessed on that more sensitive study and follow-up recommendation per that study remains. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with c/o cough with back pain/thoracic pain // ? pna
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the lungs are clear without consolidation, effusion, or vascular congestion. the heart is borderline enlarged as on prior. no acute osseous abnormalities identified.
<unk>f with tearing epigastric pain, bp <unk>s // r/o dissection
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the lungs are clear but hyperinflated. cardiac silhouette is normal. no pleural effusion or pneumothorax. no mediastinal air.
question perforation after food impaction.
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart and mediastinal contours are unremarkable.
increasing confusion and dizziness with increase in seizures. assess for pneumonia.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the osseous structures are intact.
<num>-day fever, cough, question evidence of pneumonia.
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the cardiomediastinal silhouette is stable. the lungs are clear. there is no pleural effusion or pneumothorax. no pulmonary edema. no displaced fracture is identified. degenerative changes are again noted in the thoracic spine.
history: <unk>f with s/p fall // rule out acute injury
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding similar study of <unk>. on the preceding study of <unk>, a very small pneumothorax remained after pigtail catheter removal measured less than <num> cm in width. on this present followup examination of <unk>, this tiny pneumothorax cannot be identified anymore. no new pulmonary abnormalities are seen.
<unk>-year-old male patient with hemothorax status post chest tube drainage, small apical pneumothorax residual?
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the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. cardiac silhouette is slightly enlarged, new since remote prior. degenerative changes are noted at the acromioclavicular joints bilaterally.
<unk>f with shortness of breath // eval for pna
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since <unk>, previous mild pulmonary edema has resolved. no new focal consolidation. there is blunting of the left and right costophrenic angles representing small bilateral pleural effusions. allowing for differences in projection, mild to moderate cardiomegaly is unchanged. . there is no evidence of pneumothorax. left-sided <num> lead pacer read demonstrated with leads terminating in the right atrium and right ventricle. aortic valve prosthesis is unchanged.
<unk>f with fever, right upper quadrant pain, evaluate for pneumonia.
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ap semi-upright view of the chest demonstrates low lung volumes. linear opacity in the right lung base likely represents atelectasis. small left pleural effusion is unchanged. there is no right pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is normal. right-sided chest tube is in unchanged position. partially imaged upper abdomen is unremarkable.
patient with recent mediastinal cyst resection. chest tube on waterseal.
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there has been interval removal of a right-sided chest tube since prior radiographs on <unk>. there is no change in a small right apical pneumothorax. there is mild right pleural fluid and thickening, unchanged. there is subcutaneous emphysema seen on the lateral view. a left-sided port-a-cath is unchanged in position.
<unk>f c stage iiia rul nsclc rul s/p induction chemoradiotherapy, now s/p open rul lobectomy // please obtain at <time> am, eval for interval change s/p chest tube removal
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there are bilateral low lung volumes with prominent pulmonary vasculature and interstitial markings most likely representing worsening pulmonary edema; however, atypical pneumonia cannot be excluded but is much less likely. no areas of focal consolidation concerning for infection. there is a small right pleural effusion. no pneumothorax is identified. pleural surfaces are unremarkable. the heart is stably enlarged with the proximal electrode of a left-sided pacer device extending from the svc into the low right atrium, unchanged in longstanding position. the lead terminates at the apex of the right ventricle. median sternotomy wires are again noted in alignment and with no evidence of failure.
<unk>-year-old man with systolic heart failure, ejection fraction of <num>%, and history of coronary artery disease. presents with shortness of breath.
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multiple calcified nodules seen on prior chest radiographs and better characterized on prior chest ct represent pleural calcifications. calcification of the aorta and aortic valve noted. no pleural effusion or pneumothorax is seen. heart size is top-normal. hilar and mediastinal silhouettes are unremarkable.
<unk> year old woman with crackles b/l bases, hx bronchiectasis, absestosis // r/o pna
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the heart is not enlarged. aorta is minimally unfolded. there is no chf. minimal hazy retrocardiac opacity likely relates to left base atelectasis. no frank consolidation is identified. elsewhere, no focal opacity is seen. small focus of subsegmental atelectasis noted at the right lung base. . no pleural effusion. no pneumothorax detected.
history: <unk>m with altered mental status hypotension, hx aspiration // evidence of pna, aspiration
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the right-sided chest drain has been removed. no pneumothorax. the rest of the findings is unchanged and please refer to report of earlier today.
<unk> year old man s/p blebectomy <unk> // assess for ptx or effusion
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the right-sided chest tube is again visualized. there is new opacity at the right base compatible with a new right lower lobe infiltrate. the heart is mildly enlarged. there is mild pulmonary vascular redistribution.
<unk> year old man s/p blebectomy and mechanical pleurodesis // interval change, please do at <unk>
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pa and lateral views of the chest provided. patient is status post median sternotomy. in comparison to the prior chest radiograph from the same date, there is interval placement of a right pleural catheter. right pleural effusion appears similar in extent. there is persistent right lung base atelectasis. the left costophrenic angle is not able included in the study.
history: <unk>m with cirrhosis, chf, recent pna and known r pleural effusion, s/p chest tube // eval for post-ct placement
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frontal and lateral views of the chest. the lungs are hyperinflated. biapical scarring is again noted. there is no consolidation or effusion. the cardiomediastinal silhouette is within normal limits. mid thoracic dextroscoliosis is again noted. no free air is seen below the diaphragm. surgical clips project over the right breast.
<unk>-year-old female with epigastric pain.
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pa and lateral chest radiograph demonstrate symmetrically inflated lungs. there is no opacity convincing for pneumonia. cardiomediastinal and hilar contours are within normal limits. aorta appears tortuous. there is no pneumothorax or pleural effusion. no air under the right hemidiaphragm is seen.
history: <unk>m with epigastric abd pain with diaphoresis and ausea // acute cardiopulmonary process
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the lung volumes are low. linear opacities at both lung bases is presumably atelectasis and is unchanged. more patchy opacity projecting along the right heart boarder may reflect infection in the appropriate clinical setting. there may also be a small amount of bronchial wall thickening as well. there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. heart is normal size. the mediastinal and hilar structures are unremarkable.
respiratory distress with a questionable left lower lobe infiltration an outside hospital. evaluate for pneumonia.
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pa and lateral chest radiographs. small left pleural effusion is new. the heart remains mildly enlarged, but there is no evidence of pulmonary edema. there is no pneumothorax.
<unk> year old woman with alzheimers, former smoker, chronic cough slightly worse.
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pa and lateral chest radiographs were provided. lung volumes are low. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. an old rib fracture is noted on the right. multiple thoracic vertebral body compression fractures are stable.
right flank pain. rule out pneumothorax.
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the exam is limited secondary to body habitus, especially the lateral view where there is increased density projecting over the spine likely due to superimposed soft tissues. the lungs are grossly clear, the better assessed on the frontal view. cardiomegaly is unchanged.
<unk>f with dyspnea // eval for pna/cardiopulmonary process
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pa and lateral chest radiograph demonstrates numerous bilateral rib fractures with bony expansion in previously described on chest ct dated <unk>. lungs appear grossly clear although overlying opacities involving the ribs is somewhat limiting. increased opacity in the right paratracheal region is due to known posterior right rib fractures with expansion. there is no opacity convincing for pneumonia. atelectasis at the left base is noted. severe compression deformity of t<num> vertebral body which is sclerotic in appearance has been previously demonstrated. remaining vertebral body heights appear preserved. overlying bowel obscures lumbar vertebral bodies. heart size is upper limits of normal. there is no evidence of pulmonary edema. there is no pneumothorax. there is no large pleural effusion.
<unk>f with r t<num> pain, hx of multpke myeloma and presumed renal cell carcinoma // ?mass, pneumonia
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frontal, upright portable radiograph of the chest was obtained. mild enlargement of the cardiac silhouette is not significantly changed from the prior study. there is increased convexity of the right mediastinal border which is more prominent than on prior study, but is similar in appearance to chest radiograph dated <unk> at which time it was evaluated with chest ct, which demonstrated a prominent svc accounting for the widened mediastinum. no pleural effusion, focal consolidation or pneumothorax is present. there is mild pulmonary vascular congestion with no evidence of pulmonary edema.
new onset orthopnea, rule out pulmonary edema.
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mild cardiomegaly is a stable. the aorta is tortuous. mild interstitial edema has improved. the lungs are hyperinflated. there is no pneumothorax or pleural effusion. there are degenerative changes in the thoracic spine
<unk> year old man with cough, recent ivf // opacity, volume overload
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
<unk>f with intermittent chest pain associated with shortness of breath. // evaluate for pulmonary edema, any consolidation.
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ap portable supine view of the chest. right upper extremity picc line is new from prior exam with its tip in the mid svc region. vague opacity in the left lower lung could represent a very early pneumonia. otherwise the lungs are clear. no large effusion or pneumothorax is seen on this supine radiograph. cardiomediastinal silhouette is normal. bony structures appear intact. a clip is seen in the left upper quadrant.
<unk>f with fever, seizures // please eval for pneumonia
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pa and lateral views of the chest provided. the heart remains mildly prominent. there is mild hilar congestion without frank pulmonary edema. there is a small right pleural effusion which is unchanged. no convincing evidence for pneumonia. no pneumothorax. mediastinal contour is normal. bony structures are intact.
<unk>m with dyspnea on exertion/orthopnea // ? pulmonary edema
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lung volumes are low. this accentuates the size of the cardiac silhouette which is likely borderline enlarged. there is crowding of the bronchovascular structures but no overt pulmonary edema is noted. mediastinal contours are otherwise unremarkable. there is no focal consolidation. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities seen.
tachycardia.
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right picc tip is difficult to see on multiple views due to the overlying pacemaker leads, which terminate in standard positions. it most likely lies in the mid-svc . left basilar atelectasis is noted. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
evaluation of picc placement.
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no consolidation, pleural effusion or pulmonary edema is seen, and the cardiomediastinal and hilar contours are normal.
<unk>-year-old female with history of iv drug use with elevated white blood count. evaluate for pneumonia.
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interval intubation with endotracheal tube tip terminating just proximal to the carina. interval placement of enteric catheter with tip likely positioned in body of stomach. right-sided venous catheter terminates in the proximal superior vena cava. cardiomediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax identified. no osseous abnormality present.
post intubation radiograph.
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a right internal jugular pulmonary arterial catheter terminates in the descending right pulmonary artery. a intra-aortic balloon pump has advanced from yesterday, now terminating <num> cm above the left mainstem bronchus. the heart remains moderately enlarged. there is increased ground-glass opacity throughout the lungs, consistent with worsening mild pulmonary edema. there is no definite pleural effusion. there is no pneumothorax.
pulmonary artery catheter and intra-aortic balloon pump. evaluate lines.
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lungs are hyperinflated consistent with severe emphysema. no focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette is unchanged in within normal limits. bony structures appear grossly intact.
<unk>f with codp and <num> day of chest pain
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dual-chamber pacemaker, enteric tube, and endotracheal tube are in satisfactory position. mild cardiomegaly is stable. there is new retrocardiac opacification and blunting of the left costophrenic angle likely representing a pleural effusion and left lower lobe collapse.
<unk> year old man with shock. evaluate interval change.
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the cardiomediastinal silhouette is unchanged. the hila are prominent, with prominent patchy opacities surrounding the left hilum and atelectasis at left-greater-than-right bases. small faint opacities may also be present on the right lung laterally . there is minimal atelectasis at the right base, with possible minimal blunting of the right costophrenic angle. no gross effusion. the left costophrenic angle is clear. doubt chf.
<unk> year old man with pcp <unk> // assess for improvement vs worsening?
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion pneumothorax. the lungs are well-expanded and clear without focal consolidation. the upper abdomen is unremarkable.
<unk>f with shortness of breath.
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the cardiac silhouette is within normal limits. calcifications are noted about the aortic knob. lungs are hyperinflated suggestive of copd. there is bibasilar linear atelectasis. no focal consolidation concerning for pneumonia is detected. there is no evidence of overt pulmonary edema.
shortness of breath and cough. question pneumonia, edema.
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ap portable upright view of the chest. a left thoracostomy tube is unchanged in position. since the <unk> examination there has been a slight increase in opacity throughout the left hemithorax, possibly representing slightly worsened effusion or worsening atelectasis. the right lung remains clear. a right ij central venous catheter, left-sided pacemaker, and multiple intact sternal wires are unchanged in position. there is no right pneumothorax or right pleural effusion.
<unk> year old man s/p lead placement with left effusion // eval for left effusion
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upper lobe predominant ground-glass and nodular opacities and heterogeneous consolidation have increased when compared to the prior examination. in the cardiac silhouette also remains enlarged with a abnormal left ventricular contour. no pleural effusions or pneumothorax.
<unk> year old man with recent multifocal pneumonia and <num> sub centimeter rounded opacities in the lml // please evaluate for resolution or evolution of the opacities.
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cardiomediastinal contours are stable. cardiac size is top-normal. patient has had multiple bilaterally lungs resections. small volume of the right lung is stable with elevation of the right hemidiaphragm. there is no pneumothorax or pleural effusion. nodular opacities projecting in the left upper lobe are again noted. there is no pneumothorax or pleural effusion.
<unk> year old man s/p liver transplant <unk>, treating for pneumonia/aspiration pneumonitis, now has worsening resp status and worsened breath sounds diffusely // evolution of pna, any changes
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ap upright and lateral views of the chest provided. cervical spinal hardware partially visualized. lungs are clear. 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 neck and thoracic spine ttp, s/p mvc. hx c<num>-<num> fusion.
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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 tachycardia, sob, recent influenza diagnosis
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the ng tube tip is in the stomach. otherwise there is no significant interval change.
<unk> year old man with recent diagnosis of hcv and brbpr with ng tube in place // please eval location of ng tube
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with chest pain // pneumonia? other etiology?
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persisting bibasilar opacities, greater on the right which may reflect pneumonia and/or atelectasis. no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged. calcification of the aortic arch is again noted.
<unk> year old woman with tachypnea, fever eval for pna // eval for pna
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the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged, and there is no overt pulmonary edema. the cardiac silhouette is mildly enlarged. the mediastinal and hilar contours are within normal limits. the trachea is midline. no acute osseous abnormality is detected.
chest pain and arm numbness for the past three hours.
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pa and lateral views of the chest provided. there is no significant interval change. scarring at the right lung base is unchanged. 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 <num> day of l shoulder pain with movement // eval for dislocation.
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new elevation of the right hemidiaphragm. small bilateral pleural effusions are suspected with overlying atelectasis. there is mild pulmonary vascular congestion. no pneumothorax identified. the size the cardiac silhouette is enlarged but unchanged. a left chest wall biventricular aicd is present.
<unk> year old man with r tma <unk>, seen in clinic <num> days ago, <num> areas slow healing with more aggressive pt, cipro yest, today levo/doxy at wound center, admitted for iv abx // fluid overload?
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no focal consolidation and no evidence pneumonia. no pulmonary edema. no pleural effusions or pneumothorax. bilateral vascular congestion noted. stable moderate cardiomegaly. no evidence of free air under the diaphragm.
<unk>f pod<num> from open cholecystectomy now w/ increased abd pain, distension, and confusion. // ?pneumonia or air under diaphragm
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the lungs remain hyperinflated with flattening of the diaphragms and an increase in ap diameter, consistent with chronic lung disease. heart remains moderately enlarged. there is prominence of the central vasculature with a mild increase in the pulmonary interstitial vasculature, compatible with mild pulmonary edema. there is no pneumothorax or focal airspace consolidation worrisome for pneumonia. pleural effusions are minimal, if any. rounded opacity projecting over the mid thoracic spine, in the right upper lobe, is probably unchanged from <unk>. prominence of the pulmonary arteries is compatible with pulmonary arterial hypertension. the overall morphology of the hilar and mediastinal structures is unchanged. a right humeral fixation rod is incompletely evaluated.
dyspnea, rule out acute process.
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frontal and lateral views of the chest. the lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is within normal limits. compression deformities in the lower thoracic spine similar to prior ct and old right rib fractures are noted. no acute osseous abnormality detected.
<unk>-year-old female with cough and right upper quadrant pain.
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. there is no pneumothorax. trachea again is deviated to the right at the thoracic inlet compatible with substernal thyroid. cardiomediastinal silhouette is otherwise stable and notable for mitral annular calcifications. degenerative change is noted at the right shoulder. there is no displaced rib fracture identified.
<unk>-year-old female with fall and left-sided rib pain. question fracture.
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re-identified are multiple median sternotomy wires and mediastinal surgical clips. a tortuous thoracic aorta is re-identified. the cardiomediastinal silhouettes are stable, and otherwise within normal limits. the bilateral hila are unremarkable. there may be minimal pulmonary vascular congestion without frank pulmonary edema. equivocal opacity at the right lung base may represent pneumonia in the appropriate clinical setting. otherwise, no evidence of focal consolidation elsewhere. aortic valve replacement is noted. there is no pleural effusion or pneumothorax.
<unk>m with fever to <unk>f, evaluate for acute cardiopulmonary process.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there are no pleural effusions or pneumothorax. the lungs appear clear. bony structures are unremarkable.
seizure versus syncope.
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pa and lateral views of the chest provided. clips are noted in the upper abdomen. 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 dizziness
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax. lung volumes are low with mild bibasilar atelectasis. the cardiomediastinal silhouette is normal.
chest pain and shortness of breath.
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there has been interval reaccumulation of the right pleural effusion now small with small left pleural effusion. minimal bibasilar atelectasis persists. stable top-normal heart size with normal mediastinal and hilar contours. no pneumothorax.
<unk> year old man with pleural effusions, s/p drainage. some reaccumulation by exam // pleural effusions
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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.
<unk> year old man with cough // rule out infiltrate
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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 status post fall <unk>, with left side pain
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there is hyperexpansion. there are few small stable granuloma present. the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the descending thoracic aorta is slightly tortuous, similar to the prior exam. there mild atherosclerotic calcifications along the descending thoracic aorta. mild levoconvex curvature of the thoracic spine may be related to scoliosis or position.
<unk>-year-old man with altered mental status. evaluate for pneumonia.
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portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. there is a probable small left pleural effusion with adjacent atelectasis. pneumonia cannot be excluded. the cardiac silhouette remains unchanged. the aorta is tortuous. no pneumothorax.
<unk> year old woman with cirrhosis, fever // ?pneumonia
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platelike right base atelectasis/ scarring is seen. a few scattered areas of linear atelectasis/ scarring are seen in the mid to lower lungs bilaterally. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable and stable.
history: <unk>m with s/p whipple on <unk> wbc <unk> on routine lab // opacity
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lines and tubes: left sided pacemaker with a single pacer wires remains unchanged. right picc terminates at the cavoatrial junction. lungs: persistent low lung volumes and bibasilar opacities, with mild interval worsening compared to the prior radiograph. pleura: there is no pleural effusion or pneumothorax mediastinum: stable appearance of mild to moderate cardiomegaly and tortuosity of the thoracic aorta. bony thorax: no interval change.
<unk> year old man with pulmonary edema and pna // interval change in volume overload and pna?
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. fractures of the right fifth through eighth lateral ribs are re-demonstrated, but better assessed on the previous rib series radiographs. there is minimal right lateral pleural thickening adjacent to the site of the rib fractures. vague opacity within the right lateral lung base may reflect an area of contusion. no pneumothorax, focal consolidation or pleural effusion is clearly evident.
history: <unk>m with four right lower rib fractures
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the hila and pleura are unremarkable. no evidence of a fracture.
<unk>-year-old fever presenting with chest pain in the left upper chest and fevers. evaluate for acute cardiopulmonary process.
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two views were obtained of the chest. the lungs are low in volume but clear. there is no pleural effusion or pneumothorax. the heart is top normal in size with tortuous aortic contour.
palpitations.