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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>f w/tibial plateau fx, needs pre-op cxr // <unk>f w/tibial plateau fx, needs pre-op cxr
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. there is widening of the right acromioclavicular joint, better evaluated on dedicated shoulder films performed same day.
<unk>-year-old male with right shoulder pain status post dislocation and reduction.
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pa and lateral views of the chest provided. postsurgical changes related to a gastric pull-through surgery account for opacity at the right medial lung base. overall appearance is unchanged. there is mild blunting of the right cp angle likely representing mild pleural thickening. no focal consolidation, effusion or pneumothorax is seen. heart size appears normal. hilar and mediastinal configuration is stable. bony structures are intact.
history: <unk>m with gastric conduit // ?interval change
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the lungs are clear without focal consolidation, pleural effusions or pneumothorax. the heart size is top-normal. the cardiac and mediastinal silhouette is unchanged, and there is a stable moderate size hiatal hernia.
<unk>-year-old female with <num> days chest pain. evaluate for consolidation, rib fractures.
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feeding tube tip in the distal stomach. minimal left basilar atelectasis or infiltrate, new since prior exam. remainder normal
<unk> year old woman with stroke. // check ng placement.
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frontal and lateral chest radiographs were obtained. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. the mediastinal and hilar contours are normal. there is a small hiatal hernia, unchanged from prior study.
patient with sharp chest pain and shortness of breath and cough, rule out pathology.
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the cardiomediastinal silhouette is normal. the bilateral pulmonary vasculatures appears slightly more prominent. the previously noted left lower lobe opacity seen on pa view is unchanged. the rest of the lungs are normal. there minimal right pleural effusion. no pneumothorax. the visualized bones and soft tissues are normal. the left port-a-cath tip is located in the the mid to low lower svc.
<unk>-year-old male with history of myeloma presenting with persistent cough and right-sided rib pain. evaluate for pneumonia.
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the heart is of normal size with normal cardiomediastinal contours. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. new right ij central catheter terminates in the low svc. left glenoid and humerus screws are incompletely evaluated.
iv drug abuse, necrotic wounds, and sepsis.
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the heart is midly enlarged in size. the mediastinal contours are within normal limits. the lungs are clear without pleural effusion, focal consolidation or pneumothorax.
<unk> year old woman with ams // r/o pna
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assessment is limited due to the patient's kyphotic positioning, rotation, and low lung volumes. additionally, soft tissues of the neck obscure evaluation of the lung apices. given these limitations, the heart size appears grossly unchanged, and mildly enlarged. the aorta remains tortuous and diffusely calcified. known aneurysmal dilatation of the descending thoracic aorta is not well assessed on the current views. crowding of the bronchovascular structures is present, and there appears to be mild pulmonary vascular congestion. no pleural effusion or pneumothorax is clearly noted. patchy bibasilar airspace opacities could reflect atelectasis though infection or aspiration is not excluded. multilevel degenerative changes in the thoracic spine are re- demonstrated.
confusion.
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frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
cough, fevers, chest pain x.
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the lungs are well expanded. a dense retrocardiac opacity is present, which is confirmed with a prominent spine sign in the lateral view. otherwise, no other focal opacities are identified. there might be small bilateral pleural effusions. there is no pneumothorax. cardiomediastinal and hilar contours are unremarkable.
<unk>-year-old male with fever. evaluate for pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with severe vomiting, cough, shortness of breath
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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 cp // any cpd
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there is a small right apical pneumothorax similar in size compared to prior study from <unk>. no significant atelectasis. no signs of tension. lungs are clear. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the diaphragm.
<unk>m with a history of ptx presenting with left-sided chest pain and dyspnea, concern for ptx on ultrasound.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with sore throat, cough.
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eventration in the right hemidiaphragm is stable. the mild left lower lobe atelectasis reported on prior chest radiograph is no longer present. however, in the left lower lobe at the level of the cardiac apex, is an area of increased opacification. otherwise, the cardiomediastinal and hilar silhouettes are normal. no pneumothorax.
<unk> year old woman with breast cancer on chemotherapy // persistent cough, no fevers. r/o actue cardiopulmonary process. ?infection vs drug toxicity vs pe, or effusion?
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compared with prior radiographs on <unk>, there is slight increase in opacity at the right lung base, may represent scarring or atelectasis, however cannot exclude pneumonia in the appropriate clinical setting. chronic scarring at the left lung base is stable. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged. again seen are multiple lytic lesions seen in the proximal left humerus, and myelomatous changes of multiple right-sided ribs.
<unk> year old man with multiple myeloma and cough with new rise in wbc count // ? pna
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again noted is mild pulmonary vascular congestion, similar to that seen previously. mild interstitial abnormality is also again noted. moderate cardiomegaly remains stable. the lungs are without any new focal opacity. no acute fractures are identified. spinal changes consistent with renal osteodystrophy are again noted.
chest pain and shortness of breath.
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a linear opacity at the left base is most likely atelectasis and/or scarring. it is similar to the prior ct. subtle left midlung/perihilar opacity is also seen. there is no overt pulmonary edema. blunting of the left costophrenic angle is likely due to a small left pleural effusion. there is no large right pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is normal.
fever and hypotension. evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. hypertrophic changes seen in the spine without acute osseous abnormality.
<unk>-year-old male with intermittent chest pain.
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ap portable semi upright view of the chest. lung volumes are low limiting assessment. the patient's chin obscures the lung apices. allowing for limitations, the heart is enlarged with mild to moderate pulmonary edema noted. no large effusion. no gross bony abnormalities.
<unk>f with resp distress // ? pna
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heart size is normal. the aorta is mildly tortuous with mild atherosclerotic calcifications noted at the aortic knob. pulmonary vasculature is normal. hilar contours are unremarkable. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are seen in the thoracic spine.
history: <unk>m with altered mental status yesterday, possible confusion
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a small amount of aerated lung is seen in the left chest laterally. a few air bronchograms are visualize. otherwise, the left chest is opacified. there continues to be mediastinal shift to the left indicating that the left lung is at least partially collapsed. the more distal trachea and proximal left mainstem bronchus are now aerated, which is improved compared to the prior study however, the right mainstem bronchus is poorly visualized as are the more distal left-sided airways. there continues to be hazy opacity projecting over the right lung. is unclear how much of this is due to patient's soft tissue or if there is an effusion layering posteriorly or and alveolar infiltrate on the right.
<unk> year old woman with respiratory failure and left lung collapse, s/p bronch // eval for interval change
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax. there is no free intraperitoneal air.
<unk>f with chest pain
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the cardiomediastinal and hilar silhouettes are within normal limits. the lungs are well expanded and clear. there is no pleural effusion, pulmonary edema or pneumothorax. there is no subdiaphragmatic free air. the osseous structures are unremarkable.
<unk>-year-old with shortness of breath.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding similar study dated <unk>. the patient remains on the respirator, the ett in unchanged position. the same holds for the ng tube which reaches well into the stomach. unchanged position of previously described picc line, terminating overlying mid portion of svc. the lungs remain clear, and compared with the next preceding study, no interval change can be identified.
<unk>-year-old female patient with hypoxic respiratory failure, evaluate interval change.
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
assault to the chest.
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low lung volumes. no focal consolidation, pleural effusion, or pneumothorax. heart size and cardiomediastinal contours appear stable.
<unk>m with recent admission for sah, was intubated, now with fever // eval pna
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linear branching opacities projecting over the right mid and lower lung may be external to the patient. the lung volumes are persistently low, with bilateral fibrotic changes and parenchymal opacities, similar in appearance since the prior study. a right internal jugular approach swan ganz catheter is unchanged in position, with tip terminating in the left pulmonary artery. the heart size is stable. there is no pneumothorax or large pleural effusion. an aortic stent graft projecting over the mid abdomen is again noted.
<unk> year old man with h/o htn, pulmonary disease of unclear etiology, and aaa s/p endovcascular repair complicated by nstemi s/p cardiac cath demonstrating <num>vd with cath complicated by v fib arrest // hypoxia and interval change.
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frontal radiograph of the chest demonstrates normal heart size. the cardiomediastinal silhouette and hilar contours are normal. a large air-filled hiatal hernia with associated compressive atelectasis is increased in size. the lungs are otherwise clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. an air filled loop of bowel or stomach is partially visualized in the left upper quadrant.
cough, question acute process.
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pa and lateral views of the chest provided. there is a round mass projecting over the right lower lobe measuring approximately <num> x <num> x <num> cm, likely representing patient's known lung cancer. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm. bony structures are intact.
<unk>f with epigastric pain, lung cancer
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lung volumes are normal. lungs are clear with no focal areas of consolidation to suggest pneumonia. heart appears mildly enlarged compared to the prior study. there are calcifications within the arch of the aorta. cardiomediastinal contours are unremarkable. small bilateral pleural effusions are noted. there is a <num>-mm nodule projecting over the second anterior rib on the right. no pneumothorax.
<unk>-year-old woman with chills and dry cough, admission one month ago with chest x-ray findings of atelectasis, rule out pneumonia.
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minimal lateral left basilar linear atelectasis/ scarring is seen. no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema. no displaced fracture is seen.
history: <unk>m with left sided chest pain // ?cause for chest pain
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there is elevation of the right hemidiaphragm with obscuration of the right heart border, consistent with total collapse of the right middle and lower lobes which is unchanged from prior exam. there is diffuse interstitial edema, left hilar prominence and ncreased vascular markings with upper redistribution. an associated small pleural effusion is seen in the left. mild cardiomegaly is present and stable since <unk>. there is no evidence of pneumothorax.
<unk>-year-old female with hypoxia, right upper lobe rhonchi. evaluate for pneumonia versus failure.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. streaky bibasilar airspace opacities are likely reflective of atelectasis. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
chest pain and palpitations.
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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. the lungs appear clear. bony structures are unremarkable.
pre-syncope.
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the et tube is now <num> cm above the carina. left-sided chest its tube and left subclavian line and ng tube are unchanged. the lungs are clear. there is no pneumothorax. .
<unk> year old woman with gross aspiration and emesis s/p fall w/sah and ivh // interval change? aspiration?
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ap view of the chest. median sternotomy wires and mediastinal clips are stable. the left-sided pigtail catheter has been removed. two chest tubes have been placed in the left hemithorax. there is a persistent left basilar pneumothorax; however, it is decrease in size. adjacent left lower lobe opacity either representing atelectasis or pneumonia is unchanged. diffuse interstitial opacities are again seen, which could represent a combination of interstitial pulmonary edema or possibly atypical pneumonia. no right-sided pleural effusion or focal consolidation.
status post thoracoscopy, question pneumothorax.
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coarse interstitial opacities in the upper lobes bilaterally are indicative of underlying fibrotic changes secondary to chronic sarcoid. comparing to prior studies there is no new focal consolidation to suggest pneumonia. no pleural effusion or pneumothorax. no evidence of pulmonary edema. heart size and mediastinal contours are within normal limits.
history: <unk>f with copd and shortness of breath. evaluate for pneumonia.
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a dual-lead pacemaker/icd device appears unchanged, with leads again terminating in the right atrium and ventricle, respectively. the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. the chest is hyperinflated. fissures are perhaps slightly more thickened. there is no pleural effusion or pneumothorax. a mild interstitial abnormality appears increased, overall probably slight congestion.
dyspnea.
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single portable view of the chest. no prior. there is increased parenchymal opacity in the right lung which is most confluent in the perihilar region and at the base. there is also possible retrocardiac opacity, the left hemidiaphragm is not well seen, partially obscured by multiple overlying leads. cardiomediastinal silhouette is within normal limits for technique. atherosclerotic calcifications noted at the aortic arch. partially visualized lower cervical/upper thoracic posterior spinal fixation hardware is seen. degenerative changes of the acromioclavicular joint.
<unk>-year-old male with dyspnea.
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there has been no significant interval change to the appearance of the chest with mild pulmonary vascular congestion. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. severe degenerative changes are present at the bilateral shoulders, right greater than left.
<unk>-year-old man with weakness. rule out pneumonia.
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frontal and lateral views of the chest. the lungs are clear of consolidation, large effusion or pulmonary vascular congestion. the cardiac silhouette is enlarged but stable in configuration. no acute osseous abnormality identified.
<unk>-year-old male with a flutter and lower extremity swelling.
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a single portable supine chest radiograph was obtained. an endotracheal tube terminates <num> cm above the carina. an orogastric tube extends inferiorly into the stomach. the lungs are well expanded. the moderate right hilar opacity obscures the right hilar contour. otherwise the cardiac and mediastinal contours are normal. prominence of upper lobe vasculature indicates mild fluid overload.
altered mental status.
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subtle nodular opacities projecting over the bilateral upper lung, along the anterior right second rib and on the left between the anterior left second-third ribs spaces are nonspecific. no prior study available for comparison. there is also subtle nodular opacity at the left lung base which could relate to atelectasis. no discrete focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no radiographic evidence of hilar or mediastinal lymphadenopathy.
history: <unk>f with extended low grade fevers, lymphadenopathy. // pna, lymphadenopathy
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cardiac silhouette size is mildly enlarged. patient is status post transcatheter aortic valve replacement, in unchanged position. mediastinal and hilar contours are unremarkable. 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 cirrhosis confusion, dyspnea, cough
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there is re- demonstration of the known azygos fissure. increased pulmonary vascular markings is compatible with pulmonary vascular congestion. there are new left lower lobar opacities, which may represent superimposed infection in the correct clinical setting. no pleural effusions or pneumothorax detected. the cardiomediastinal silhouette is otherwise unremarkable.
history: <unk>m on dialysis with recent seizure-like activity, neuro w/u. evaluate volume status.
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progressive improvement in pulmonary edema since <unk> that has now resolved. moderate pulmonary vascular congestion remains. no focal opacities to suggest pneumonia. no pleural effusion or pneumothorax. stable right apical pleural scarring. the heart size appears less prominent compared to the prior exam, now only moderately enlarged. no pneumoperitoneum.
<unk>-year-old man with upstroke and fluid overload. evaluate for pneumonia.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
left-sided chest pain.
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pa and lateral views of the chest provided. cardiomegaly is mild to moderate. hilar congestion is noted. no overt signs of pulmonary edema. small bilateral pleural effusions are present. no definite signs of pneumonia. no pneumothorax. mediastinal contour appears grossly unremarkable. numerous old right rib deformities are seen.
<unk>m with sob with exertion // eval for chf, known r sided rib fx
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the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. lungs remain hyperinflated with mild emphysematous changes most pronounced in the apices. scattered linear opacities are noted within the lung bases likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. there are mild degenerative changes in the thoracic spine. remote bilateral rib fractures are noted.
chronic alcoholism, copd with recurrent pneumonia, increasing shortness of breath.
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the lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal. the left picc line is stable in terminates at the cavoatrial junction.
<unk> yo man with a history of multiple myeloma now sp auto transplant. picc line not drawing. please evaluate for placement. // <unk> yo man with a history of multiple myeloma now sp auto transplant. picc line not drawing. please evaluate for placement.
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bibasilar atelectasis along with probable interstitial nterstitial abnormalities at the right lung base are relatively stable. there is no evidence of focal consolidation concerning for pneumonia. there is no pleural effusion. cardiac size is top normal. no pulmonary edema. there is continued height loss in multiple vertebral bodies of the thoracic spine, relatively stable from the ct from <unk>, contributing to the severe kyphosis. the aorta is tortuous.
history: <unk>f with dyspnea // eval for volume overload
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clear lungs bilaterally without pleural effusion or pneumothorax. heart size, mediastinal contour and hila are normal. no bony abnormality.
<unk>-year-old male with end-stage renal disease and pre-renal transplant assessment.
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single portable upright frontal chest radiograph demonstrates increased, more confluent opacification of bilateral lower lobes, compatible with pneumonia. layering pleural effusions are also seen bilaterally. heart is normal in size, and cardiomediastinal contours are unremarkable. note is made of a port-a-cath with tip terminating in the low svc.
altered mental status, end-stage cancer, evaluate for pneumonia.
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the heart is top-normal. the cardiomediastinal and hilar contours are within normal limits. hazy bilateral opacities (right greater than left) are new from the prior exam done at <time>. there is no pleural effusion or pneumothorax identified.
<unk>f with syncope, r-rib pain // evaluate for acute process
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
dyspnea, congestion, chest pain.
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subtle opacity projects over the lateral right mid chest at approximately the level of the right lateral fifth and sixth ribs of unclear clinical significance. consider shallow oblique radiographs for further assessment. no pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. subacute appearing deformities of the left anterior lateral fifth, lateral sixth, and lateral seventh ribs may be due to prior injury/fractures.
history: <unk>m with tachy and fever // pna?
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the heart is mildly enlarged and there is mild pulmonary vascular redistribution. there is increased opacity at both bases likely due to volume loss although no early infiltrate can't be excluded. compared to the prior study the volume loss at the bases is increased
<unk> year old man with <unk> year old man with increasing wbc // please assess for effusion/infiltrate, evidence of pna
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pa and lateral views of the chest demonstrate normal lung volumes. moderate cardiomegaly is stable. there is no pleural effusion, pneumothorax or focal consolidation. pulmonary vascular congestion has slightly progressed since prior. hilar and mediastinal silhouettes are unchanged.
patient with dyspnea and weight gain.
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mild enlargement of the cardiac silhouette is unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. as seen previously, there is a chronic left anterior shoulder dislocation with remote fracture deformity of the proximal left humerus and surrounding heterotopic ossification. widening of the ac joints bilaterally persists. remote left-sided rib fractures are again noted. a right humeral head prosthesis is again noted.
history: <unk>f with fever, pain all over
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there is mild perihilar haziness suggesting volume overload. the heart is mildly enlarged. there is no pleural effusion. no pneumothorax or definite focal consolidation.
question chf versus pneumonia.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the patient has now been extubated and the previously identified ett is not seen anymore. also, a previous detectable ng tube has been withdrawn. left-sided local pleural thickening along the axillary and lateral chest wall remains rather unchanged. the same holds for the multiple left-sided rib fractures which, however, cannot be identified in detail. the subcutaneous chest wall emphysema has diminished, but remains visible in the left-sided lower neck area. no other new pulmonary abnormalities are seen. moderate cardiac enlargement similar as before.
<unk>-year-old male patient with left-sided pneumothorax, status post chest tube leak, evaluate.
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sternotomy wires and mediastinal clips and vascular stents are seen in the mediastinum. the cardiomediastinal hilar contours are normal. the lungs are grossly clear. there is no focal consolidation, pleural effusion or pneumothorax.
cough and fever.
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right-sided ij terminates in the right atrium. there has been slight interval improvement of the small bilateral pleural effusions, right greater than left. overall, there has been interval improvement of the mild bilateral diffuse pulmonary edema compared to the prior exam. mild cardiomegaly has been stable compared to exams dated back to <unk>. there is no evidence of pneumothorax.
history of copd, pneumonia. please evaluate for interval change.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is similar tenting of the right hemidiaphragm with slight blunting of the right costophrenic angle, but similar to more remote prior study and probably due to sequelae of prior pneumonia and chest tube placement as given in the history. there is also slight pleural thickening along the right apex that does not appear changed. there is no pleural effusion or pneumothorax. the bony structures are unremarkable.
none given.
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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.
<unk> year old woman with cough // ? lesion
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ap portable view of the chest. there is continued decrease in right lower lobe opacity. left basilar opacity is unchanged. mild pulmonary vascular congestion is unchanged. possible small left pleural effusion is unchanged. no new consolidations. no pneumothorax. endotracheal tube ends <num> cm from the carina. left picc ends in the mid svc. vp shunt is unchanged
resolving pneumonia, evaluate for interval change.
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lung volume is normal. there are no consolidation or lung nodules. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
<unk> years old woman with chronic left side chest pain. history of mild smoker with cough. please assess for lung abnormalities.
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cardiac silhouette size remains mildly enlarged. the aorta is diffusely calcified and mildly tortuous. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. minimal atelectasis is seen in the left lung base. no focal consolidation, pleural effusion or pneumothorax is present. the patient is status post vertebroplasty of the l<num> vertebral body with inferior vena cava filter seen in the upper abdomen.
history: <unk>m with altered mental status
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cardiac stents appear unchanged. the heart is at the upper limits of normal size. the aortic arch is calcified. background coarsening of lung markings at the each lung apex suggests minor unchanged subpleural scarring. patchy opacity in the right costophrenic angle suggests minor unchanged scarring. the lungs are hyperinflated. there is no pleural effusion or pneumothorax. bony structures are unremarkable.
chest pain.
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the newly placed dobbhoff tube terminates in the gastric fundus. the patient's chin and overlying soft tissues partially obscures the left apex. the right apex has been excluded from the field of view. the visualized portions of the lungs are clear. the heart and mediastinum are magnified by the projection. the upper abdomen is unremarkable.
<unk> year old man with history of developmental delay, seizure disorder, aspiration, now s/p dobhoff tube replacement. // please evaluate ngt
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cardiac size is top normal. small bilateral effusions, atelectasis and mild vascular congestion are new. osseous structures are unremarkable.
<unk> year old woman s/p fall presenting with hypoxemia, and hx possible copd. temp <unk>.<num> // r/o pna
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the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
history: <unk>m with hypoglycemia // eval for pna
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right chest wall port is seen with catheter tip at the lower svc. vague nodular opacities project over the right mid and lower lung not definitely changed from prior. focal nodular opacity at the retrocardiac region abutting the descending thoracic aorta again seen. other bilateral pulmonary nodules detected by ct are not clearly delineated by chest x-ray. slightly enlarged hilar contour compatible with adenopathy particularly on the right is unchanged from prior. there is no definite superimposed acute process. there is increased density over a lower thoracic vertebral body compatible with known metastatic disease.
<unk>m with h/o metastatic nsclc p/w fevers // ? pna
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lung volumes are low. right-sided port-a-cath tip terminates at the junction of the svc and right atrium. the heart size is borderline enlarged but unchanged. atherosclerotic calcifications of the aortic knob are noted. mediastinal and hilar contours are stable. mild bibasilar atelectasis is noted with a trace amount of fluid versus thickening demonstrated in the minor fissure. no large pleural effusion or pneumothorax is demonstrated. spinal fusion hardware is partially imaged within the mid and lower thoracic spine.
fever.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac stable with mild enlargement. mediastinal and hilar contours are also stable. .
history: <unk>f with cp // eval pna
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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.
<unk> year old woman with recurrent aspiration pneumonia. new aspiration event a few days ago, now with cough // assess for infiltrate
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a few calcified granulomas are again seen in the right lower lung. patchy right lower lobe opacity could be due to atelectasis, less likely pneumonia no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable unremarkable.
history: <unk>f with fever cough*** warning *** multiple patients with same last name! // eval for pna
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the lungs are essentially clear. there is no effusion or edema. the cardiomediastinal silhouette is within normal limits. prominent extrapleural fat seen laterally on both sides. no acute osseous abnormalities. old anterior right sixth and seventh rib fractures are noted.
<unk>m with presyncope // ?cpd
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spinal hardware is noted. unremarkable appearance of the cardiomediastinal silhouette. no cardiomegaly. no pleural effusion. no pneumothorax. minimal atelectasis or scarring at the lung bases. lung fields are otherwise clear.
history: <unk>f with abnormal stress echo referred for urgent cath now w/ sscp, dizziness // eval ? pulm edema, cardiomegaly
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pa and lateral views the chest provided. lungs are clear without focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. prominence of the left atrial appendage is noted and correlation with mitral disease is advised. mediastinal contour appears within normal limits. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with syncope // eval for acute process
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the intervally placed transvenous pacer wire projects over the right ventricle. an old transvenous pacing wire also projects over the right ventricle, as before. bilateral parenchymal opacities and a right pleural effusion are unchanged from prior radiographs from today. support lines and tubes are stable.
<unk> year old man with emergently placed transvenous pacemaker // placement of transvenous pacer.
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the left-sided picc terminates deep in the right atrium and could be retracted approximately <num> cm to lie in the distal svc. an et tube is appropriate position an enteric tube extends into the stomach. no pneumothorax identified. moderate cardiomegaly is stable. again seen is an opacity in the left lower lobe obscuring the left hemidiaphragm and left heart border consistent with left lower lung collapse. the opacity at the right base medially is more prominent and a pneumonia cannot be excluded in this location. again seen is the rounded density projecting over the lateral right midzone which when compared to the prior exam appears to lie outside of the lung.
<unk> year old man with new onset pvcs after picc line placmenet // assess picc line placement
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain, sob
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heart size is mildly enlarged, unchanged. the aorta is diffusely calcified and tortuous, as seen previously. otherwise the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. minimal patchy atelectasis is present within the lung bases. clips are noted in the right upper quadrant of the abdomen. there are mild multilevel degenerative changes seen in the thoracic spine.
history: <unk>f with altered mental status on immunosuppressive therapy. // ?pneumonia
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there is stable right basal pleural thickening with associated atelectasis. the lungs are clear and well expanded. mild cardiomegaly is unchanged. the mediastinal and hilar contours are unchanged.
<unk> year old man with cough, sob // chf vs pna
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are stable in appearance when compared to prior radiograph dated <unk>. there is no pulmonary edema. visualized osseous structures demonstrates no acute abnormality. no air under the right hemidiaphragm is observed.
<unk>-year-old male with chest pain.
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the inspiratory lung volumes are decreased from the most recent prior chest radiographs. the right hemidiaphragm is elevated, similar to prior ct. there is associated right basilar atelectasis. no significant pleural effusion or pneumothorax is detected. a right-sided port-a-cath is seen with the tip terminating in the proximal right atrium. the cardiomediastinal contours are exaggerated due to low lung volumes. within this limitation, there is no significant change from the prior study allowing for low lung volumes.
hypertension, here to evaluate for pneumonia.
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pa and lateral views of the chest provided. previously noted picc line has been removed. again noted is bibasilar atelectasis. no convincing signs of pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. hila appear congested. chronic right clavicular deformity with displacement again noted.
<unk>m with cough, hypoxia // r/o pna
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mild bibasilar atelectasis. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pulmonary edema. no pleural effusions. cardiomediastinal borders and hilar structures are normal.
<unk> year old woman with tachycardia/low o<num> sat // ? atelectasis
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ap chest radiograph is not significantly changed from <unk>. mild enlargement of the heart and pulmonary vascularity is unchanged. left retrocardiac opacity is not well seen due to projection. probable small bilateral effusions are noted. there is no pneumothorax.
pulmonary edema. left retrocardiac opacity suspicious for atelectasis/effusion/pneumonia.
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compared with <unk> just after midnight, the right ij catheter has been removed. no pneumothorax is detected. again seen is a left ij catheter with tip at the expected confluence of the brachiocephalic vein and svc. otherwise, i doubt significant interval change. again seen is cardiomegaly, pulmonary edema, bilateral effusions, and underlying collapse and/or consolidation. right midzone lateral calcified granuloma again noted.
<unk> year old woman s/p ij tunneled line removal // ?ptx after line removal
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single ap portable view of the chest is obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the cardiac silhouette is not frankly enlarged. mild degenerative changes of the right acromioclavicular joint are seen.
positive stress test.
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there has been no substantial interval change in the appearance of the chest compared to the previous radiograph performed earlier the same day. cardiac, mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. mild atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is identified.
history: <unk>m with hypoxia // eval for acute process
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the heart is of normal size with normal cardiomediastinal contours. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
<num> weeks of cough and occasional pleuritic chest pain.
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compared with the prior radiograph, no significant change. there is no new focal consolidation, pleural effusion, or pneumothorax. the aorta is tortuous, and the cardiomediastinal silhouette is within normal limits. multiple surgical clips again noted in the neck, likely from prior thyroidectomy.
<unk>-year-old woman with history of myasthenia <unk>, hypothyroidism, and sarcoidosis presents with weakness. evaluate for acute process.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. there has been no significant change.
cough and fever.
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a central venous catheter again terminates in the right atrium, passing through a left brachiocephalic stent, as before. the patient is also status post right shoulder replacement, as before. the cardiac, mediastinal and hilar contours appear unchanged including tortuosity and calcification along the aorta and a left ventricular configuration to the cardiac contour. the lung volumes are low, with streaky basilar opacities, which are more extensive in the left retrocardiac region than right and probably attributable to atelectasis. pleural effusions and pneumonia are not completely excluded, however. there is no evidence for pneumothorax.
hypotension.