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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 productive cough x<num> days, hx of non-hodgkins lymphoma // r/o pneumonia, mass
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heart is top-normal in size but stable. the aorta is tortuous as before. there is no focal consolidation, pleural effusion or pneumothorax. hardware projects over the cervical spine.
<unk> year old woman with spinal stenosis, now with chest pain. // <unk> year old woman with spinal stenosis, now with chest pain.
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there is a focal opacity in the right upper lobe. there is background mild to moderate pulmonary edema, but improved since prior study, especially in the perihilar region. there are bilateral small to moderate pleural effusions, right greater than left. the cardiac silhouette remains moderately enlarged. a tracheostomy tube is in unchanged position terminating <num> cm above the carina. there is no pneumothorax.
<unk>-year-old man with abdominal distention, prior iv drug use now with dyspnea. evaluate for pneumonia.
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endotracheal tube is seen with tip between the clavicular heads, <num> cm from the carina. enteric tube seen with tip in the gastric body however the side port is likely proximal to the ge junction. confluent bilateral parenchymal opacities are grossly unchanged.
<unk>m with ng tube palcement // ng tube placemet
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endotracheal tube terminates <num> cm above the carina. nasogastric tube courses into the stomach. a lucency over the left hemithorax suggests pneumothorax and correlation with soon-to-be obtained chest ct is recommended. opacification of the right lung could reflect a combination of atelectasis and/or aspiration given the patient's history. extensive thoracic spine scoliosis with rod fixation is noted but incompletely assessed. cardiac size and cardiomediastinal contours are grossly normal.
intubation cardiac arrest is tube position.
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ap and lateral views of the chest were reviewed. the heart size is top normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. mild prominence of the pulmonary vasculature is consistent with mild pulmonary edema.
seizure.
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lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour is unchanged. there is mild prominence of the bilateral hila with prominence of the pulmonary vasculature and haziness consistent with pulmonary vascular congestion. no overt pulmonary edema seen. no lobar consolidation, pneumothorax or pleural effusion seen.
<unk> year old man with new dyspnea, pulm edema at osh in the setting of htn // ?volume overload
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diffuse increase in interstitial markings as well as pulmonary vessel engorgement are suggestive of moderate to severe pulmonary edema. cardiac silhouette is moderately enlarged. there is no pleural effusion or pneumothorax.
history: <unk>m with dyspnea, pedal edema, esrd on hd // eval for acute process, attn to chf
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with fever cough // r/o pna
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right chest wall port terminates at the lower svc/cavoatrial junction. there are no pleural effusions. there are no pneumothoraces. the lungs without consolidation. the cardiomediastinal silhouettes are unremarkable. the posterior aspects of the right third and fourth ribs have been broken in the past correlated with ct chest done <unk>.
<unk> year old man with pancreatic adenocarcinoma s/p port placement // rule out pneumothorax
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left-sided pacer device is noted with leads again terminating in the right atrium right ventricle, unchanged. low lung volumes persist with moderate enlargement of the cardiac silhouette appearing unchanged. extensive atherosclerotic calcification the aortic knob. mediastinal and hilar contours are similar. there is mild pulmonary vascular congestion, as seen previously. small bilateral pleural effusions are without significant interval change. patchy opacities are again seen in the lung bases. no new focal consolidation is evident.
history: <unk>m with history of cad, chf, ckd with dyspnea and hypoxia
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comparison to <unk>. moderate right pleural effusion is unchanged. persistent moderate cardiomegaly. small left pleural effusion with retrocardiac atelectasis is stable. the endotracheal tube is standard in position. the enteric tube extends into the stomach with tip beyond view. a right internal jugular central line line terminates in the lower ij. a left ij central line terminates in the distal subclavian vein.
<unk> year old man intubated // please eval et tube, effusions, consolidations
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the heart is normal in size. mild unfolding of the thoracic aorta and calcification. the mediastinal and hilar contours appear otherwise within normal limits. there is no pleural effusion or pneumothorax. mild degenerative changes are noted along the thoracic spine, and the bones appear demineralized.
weight gain and edema.
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the study is limited by exceedingly low lung volumes. there are opacities seen in the left lobe lower lobe. there is no pleural effusion or pneumothorax. cardiac and mediastinal contours are unchanged. cholecystectomy clips and cervical fusion hardware are noted.
coronary artery disease and asthma presenting with tachypnea.
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation or effusion. cardiac silhouette is stable. osseous and soft tissue structures are unremarkable. surgical clips in the right upper quadrant suggest prior cholecystectomy. no free air is seen below the diaphragm.
<unk>-year-old female with right upper quadrant pain. question infiltrate.
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lung volumes are slightly low. moderate enlargement of the cardiac silhouette is unchanged. the aorta is mildly tortuous and demonstrates atherosclerotic calcifications at the aortic arch. mild pulmonary vascular congestion is present without pleural effusion. no pneumothorax is identified. minimal atelectasis is seen in the lung bases. compression deformity of a vertebral body at the thoracolumbar junction is new when compared to the previous radiograph from <unk>.
history: <unk>f with dyspnea
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is stable. redemonstrated are several chronic, left, lateral rib fractures, originally identified in <unk> via ct examination, and better evaluated on the dedicated rib series performed on <unk>. additionally, there are wedge-shaped compression deformities of at least <num> thoracic vertebral bodies, one of which is new since the prior chest radiograph dated <unk>.
cough and left-sided chest pain.
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the cardiac silhouette is enlarged, and interstitial pulmonary edema is moderate, though somewhat asymmetric. bibasilar airspace opacities are noted, more significant on the right. bilateral pleural effusions are small, best appreciated on the lateral view. the descending thoracic aorta is calcified and otherwise unremarkable. biapical pleural thickening is noted.
history: <unk>m with chf, cad, myelodysplastic syndrome shortness of breath. left lower lung fields with crackles // r/o chf, pneumonia
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as compared to prior chest radiograph from <unk>, there is a persistent moderate right pneumothorax. the apical component has slightly improved. the basilar portion of the pneumothorax is now occupied by a new fluid component; it does not however demonstrate the classic air fluid level required for a hydropneumothorax. right chest tubes are in unchanged position. there is an increased opacity at the right lung base which may be related to reexpansion edema, atelectasis or an early infectious process. small amount of subcutaneous air is seen in the lateral chest wall on the right. the left lung remains clear and the cardiomediastinal contours are normal.
<unk>-year-old woman status post rll lobectomy. please evaluate for interval change.
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lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications seen at the aortic arch. hypertrophic changes noted in the spine. no acute osseous abnormalities.
<unk>f from osh with s/p fall, confusion, rhabdomyolysis // eval ? interval worsening edema, infiltrate
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there are low lung volumes. cardiac size is top-normal. the lungs are clear. there is no pneumothorax or pleural effusion. the stomach is very distended
<unk> year old woman with multiple myeloma, compression fracture, with hypoxia to <unk>% and sob. // please assess for acute pulmonary process (pulm edema, pna, etc.)
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. surgical clips project over the rib left upper quadrant and there is a surgical staple line as well. the chest is hyperinflated. there has been no significant change.
generalized weakness and cough.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. the bony structures are unremarkable.
chest pain.
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right-sided central venous catheter tip terminates in the lower svc. the heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. streaky opacity within the left lung base likely reflects atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. "rugger <unk>" spine is compatible with renal osteodystrophy.
fever after dialysis.
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single frontal view of the chest. indistinct appearance of the pulmonary vasculature is compatible with mild pulmonary edema. there is bibasilar atelectasis. no substantial pleural effusion. no pneumothorax or focal consolidation. the heart size and cardiomediastinal contours are normal.
<unk>-year-old female with shortness of breath. evaluate for effusion or pneumonia.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable, and unchanged. again seen are bibasilar opacities, mildly improved on the right since the most recent examination, concerning for aspiration. there are persistent pleural effusions. no pneumothorax identified. there is compression fracture of the mid thoracic spine.
<unk> y/o f with tacheobronchomalacia s/p tacheobrochplasty on <unk> who presents with acute on chronic dysphagia to solids and liquids with regurgitation with new wbc and productive cough // assess for pneumonia/ acute process.
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old man with neutropenic fever // pneumonia pneumonia
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pa and lateral views of the chest were provided. the cardiomediastinal and hilar contours are unchanged. again noted is stable elevation of the left hemidiaphragm with surgical clips seen in the left hemithorax. there is no pleural effusion or pneumothorax. left apical scarring is again noted. there is no focal consolidation concerning for pneumonia. a prominent air fluid level is noted within the stomach.
shortness of breath.
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there has been interval placement of a right-sided pigtail catheter pleural drain, with subsequent decrease in size of right apical pneumothorax, which is now small. the previously nondisplaced fracture of the posterior right seventh rib is now moderately displaced. there is no focal consolidation, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old man with rib fx and rt ptx s/p pigtail placement // interval changes?
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ap view of the chest. there is no free air. the lateral part of the right hemithorax and right upper abdomen is not imaged. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. the esophagus is dilated consistent with known achalasia.
epigastric pain, evaluate for free air.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no evidence of pneumomediastinum. no acute osseous abnormalities are identified.
history: <unk>f with severe dysphagia x <num> days, // pneumomediastinum? esophageal pathology?
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the lungs are hypoinflated. there is a small left and probable small right pleural effusion. a focal consolidation in the lower lung bases are difficult to exclude due to overlying soft tissue structures of the chest wall and low lung volumes. the heart size is obscured due to adjacent pleural effusions. there is no pneumothorax.
history: <unk>m with hyperkalemia, hypotension // eval for pna, acute process
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heart appears top-normal in size. mediastinal contour is normal. streaky perihilar opacity, left greater than right may reflect central airways inflammation. no lobar consolidation is seen. no large effusion or pneumothorax. no congestion or edema. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with shortness of breath // eval for chf
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the intra-aortic balloon pump is visualized at <num> cm below the transverse area at the level of the left mainstem bronchus. location is stable when compared to study performed at <time>am. ett position is stable and appropriately placed. ng tube is visualized within the stomach; however, the stomach appears distended. bilateral hemidiaphragms are visualized ; no subdiaphragmatic masses nor free air appreciated. the trachea is midline and carina is visualized. cardiac silhouette is mildly enlarged but stable compared to prior study. pulmonary vascular congestion and pulmonary edema is also noted but appear mildly improved compared to prior study. bony structures appear normal without fractures nor acute abnormality.
<unk> year old man with vf arrest // iabp and ett placement
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
fall with rib pain on the left.
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the lungs are clear without focal consolidation, effusion, or pulmonary edema. cardiac silhouette is within normal limits. prominence of the upper mediastinum is confirmed as prominent mediastinal fat as demonstrated on prior mri. lower cervical anterior fixation hardware is partially visualized.
<unk>m postop from spine surg w/ t<num> // eval ? infiltrate
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the lungs are clear without focal consolidation or nodule. the bilateral hemidiaphragms, cardiac borders, and mediastinal silhouettes are normal without pneumothorax or pleural effusion. scoliosis is prominent in the thoracic spine.
<unk> year old woman with h/o ulcerative colitis with indeterminate quant gold // r/o active tb
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ap and lateral views of the chest show no consolidation, pleural effusion, or pneumothorax. increased interstitial prominence is most consistent with mild pulmonary edema. the heart remains enlarged. the mediastinal contours are normal. atherosclerotic calcifications are noted in the aortic arch. a left sided pacer device is present with the single lead terminating in the right ventricle.
right foot and leg swelling. history of fall.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female with history of metastatic leiomyosarcoma on chemotherapy, now with fever.
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pa and lateral radiographs of the chest demonstrate mild pulmonary vascular congestion as well as a more dense opacities in the lung bases which may represent infection or aspiration. there is no pneumothorax or substantial pleural effusion. heart size is normal.
cough and shortness of breath in a patient with advanced rheumatic heart disease and congestive heart failure.
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lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pressure // evaluate for pneumonia
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ap single view of the chest was obtained with patient in supine position. comparison is made with the next preceding portable chest examination of <unk>. on the present image, the patient is intubated with the ett terminating in the trachea <num> cm above the level of the carina. no pneumothorax has developed. overlying cables and electrodes appear to be external. identified is a catheter approached from below passing the right atrium and the right ventricular outflow tract so to terminate in the proximal portion of the left pulmonary artery. a second external device consists of an intra-aortic balloon pump device that terminates appropriately in the upper portion of the descending aorta. its termination point is just below the expected lower contour of the aortic arch. chest findings have changed dramatically since the preceding chest examination of <unk> when the patient was in acute advanced pulmonary edema with additional evidence of bilateral pleural effusions. pleural effusions have disappeared as at least on the supine image the lateral pleural sinuses are completely free. lungs demonstrate still a typical pulmonary edema pattern with subtle haze bilaterally in the central lung regions. these findings, however, have improved markedly and there is no evidence of any remaining peripheral pulmonary parenchymal infiltrate. no pneumothorax is present in the apical area. the overall heart size is presently not significantly enlarged as can be identified on a single portable chest view. an ng tube is also seen to reach well below the diaphragm including its side port.
<unk>-year-old female patient with new anterior st elevation myocardial infarction and cardiogenic shock, now status post intra-aortic balloon pump placement and intubation evaluation for pulmonary edema and ett 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 <unk> week history of cough and sob and hx of asthma
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right-sided ijv cvp in situ with the tip in the mid svc. nasogastric tube in situ with the tip seen in the mid stomach. cardiomediastinal shadow is unchanged. no new airspace opacification. no pneumothorax.
<unk> year old man with ngt // ngt placement
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new opacification on the left lower lung, without air bronchograms, consistent with atelectasis and/or effusion. the right lung is clear. no focal consolidation to suggest pneumonia. bilateral pulmonary vascular engorgement without pulmonary edema. no pneumothorax. the heart is top-normal in size, unchanged. stable mediastinal and hilar contours. the upper thoracic and lower cervical spine fixation devices appear intact and unchanged in position. the left picc terminates in the region of the cavoatrial junction, as before.
<unk>-year-old woman with increased respiratory secretions; evaluate for pneumonia or pulmonary edema.
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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 woman with sinonasal malignancy // h/o head neck cancer, now with cough congestion
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unchanged large hiatus hernia with air-fluid level since <unk>. linear opacities at left base represent atelectasis. stable mild enlargement of the cardiomediastinal silhouette exaggerated by low lung volumes. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.
<unk> year old woman with intermittent high-grade av block, found to have coughing/?microaspiration episodes. // aspiration pna vs pneumonitis
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there are relatively low lung volumes. mild bibasilar opacities may be due to atelectasis although underlying infection is not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever // pna?
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the cardiac silhouette is not enlarged. the aorta is tortuous. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia.evidence of dish is seen along the thoracic spine.
<unk>m with weakness.
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the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no focal consolidations are seen. no pneumothorax, pulmonary edema, or pleural effusion.
<unk> year old woman with hx of aml s/p allo transplant with cough and night sweats. // ? infection
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frontal and lateral chest radiographs again demonstrate a left chest port. the cardiomediastinal silhouette is normal and the lungs are well aerated and clear. there is no pleural effusion or pneumothorax.
metastatic rectal cancer with fevers and chills. evaluate for pneumonia.
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the patient is rotated to the left, somewhat limiting evaluation, however no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. the heart size is normal. there are calcifications of the aortic arch. the patient is status post median sternotomy and cabg. degenerative changes of the thoracic spine are present including bridging osteophyte formation.
cough and fever.
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cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged. there is subtle increased interstitial markings bilaterally, with basal predominance, suggesting chronic interstitial lung disease, mild underlying interstitial edema not excluded. no large pleural effusion or pneumothorax is seen. slight increase in opacity at the right lung base may relate to chronic lung disease, however, underlying aspiration is not excluded.
history: <unk>m with c/f stroke // eval for acute process
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small right pleural effusion. the lung volumes are normal. normal size of cardiac silhouette. no focal parenchymal opacity suggesting pneumonia. no pulmonary edema. no pneumothorax. normal hilar and mediastinal contours. mild thoracolumbar scoliosis.
<unk> year old woman with pleural effusion // eval
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lower lung volumes result in crowding of bronchovascular structures and slight accentuation of the cardiac silhouette compared to the baseline study of <unk>. with this factor in mind, 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 woman with crohn's disese, cmv viremia and new leukocytosis // r/o infection
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frontal and lateral radiographs of the chest demonstrate normal heart size. a right sided port-a-cath terminates in the lower svc. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified.
fever and history of lymphoma. evaluate for pneumonia
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in comparison to study of <unk> there it is interval improvement in bilateral interstitial opacities. persistent low lung volumes with bibasilar atelectasis is unchanged in appearance. colonic interposition is noted on the right. a linear opacity in the right lower lobe is seen. heart size, mediastinal contour and hila are within normal limits. limited assessment of osseous structures demonstrates healed right rib fractures.
<unk>m with cough, dyspnea. assess for pneumonia.
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the cardiomediastinal and hilar contours are within normal limits. the heart is normal in size. the patient is slightly rotated. there is no focal consolidation, pneumothorax or pleural effusion identified. no radiopaque foreign bodies are identified along the aerodigestive tract. cervical spinal fixation hardware is noted and is stable from the prior examination.
<unk>m with suspected ingested foreign body // ?chicken bone foreign body
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degree of inspiration is small with results in crowding of bronchovascular markings at the bases, however even taking this into account, there is probably some streaky left retrocardiac subsegmental atelectasis. no parenchymal or hilar mass is seen and no pleural fluid is present. no central pulmonary vascular congestion or edema is present and cardiac size is within normal limits. thoracic vertebral bodies appear demineralized from maintained in height alignment.
<unk> year old woman with esrd secondary to polycystic kidney disease here for initiation of hd. // screening cxr prior to initiation of hd
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endotracheal tube tip is <num> cm above the carina and right internal jugular line tip is in the mid svc. over the last approximately <num> hours, consolidation in the right lower lung and mild to moderately severe pulmonary edema have improved. small right and presumed minimal left pleural effusions are unchanged. heart size is top normal and stable. there is no mediastinal widening or hilar prominence. orogastric tube courses below the diaphragm into the stomach; however, its distal end is off radiographic view.
<unk>-year-old man with respiratory failure, intraparenchymal hemorrhage and pneumonia. please evaluate for progression.
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underpenetration of the lower chest, particularly on the left, is felt to be due to overlying soft tissue. no focal consolidation is seen on the lateral view. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable with persistent enlargement of the cardiac silhouette.
history: <unk>f with altered mental status // r/o ich, pna
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ap and lateral views of the chest. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality identified.
<unk>-year-old female with leukocytosis, unclear infectious source.
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there is markedly improved aeration of the right lower lung with persistent right mid lung consolidation, consistent with pneumonia, as seen on ct. large right basilar pneumothorax is present. mild left lower lung consolidation is slightly improved. new density tracking along the right apex likely represents pleural fluid or blood. a right chest tube coursing to the apex is again seen. there has been interval placement of <num> additional right-sided chest tubes. right port-a-cath appears similarly positioned. no left pleural effusion is seen. right hilar clips likely reflect prior surgery.
<unk>-year-old female status post right lower lobectomy now status post pleural washout and chest tube placement.
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the right lung is well expanded and clear. opacification of the left hemithorax with silhouetting of the left heart border and left hemidiaphragm and leftward mediastinal shift suggests complete collapse of the lingula and left lower lobe. unchanged intact sternotomy wires, mitral valve replacement, and peripherally calcified dilated left atrium.
<unk> year old woman admitted with pneumonia s/p <num> day course of antibiotics. // worsening pna?
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there is no focal consolidation, pleural effusion or pneumothorax. heart size is mildly enlarged. coronary artery stents are redemonstrated. aorta is tortuous. median sternotomy wires are intact. no acute osseous abnormalities identified.
history: <unk>f with chf, orthopnea, worsening // pulmonary edema?
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the lungs are clear without consolidation, effusion, or edema. there is a nodule projecting over the lower thoracic spine on the lateral view only. this is unchanged dating back to <unk> therefore of doubtful clinical significance. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities.
<unk>m with weakness // eval infection
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there is no suspicious mass, focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old man with hx stage iii melanoma, hx of cll and newly diagnosed prostate cancer // rule out metastatic disease
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with sudden onset right sided weakness // eval pulmonary process, please perform while in the ed
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is no overt pulmonary edema. the cardiac and mediastinal silhouettes are unremarkable. the hilar contours are stable. multiple old left-sided rib fractures are again seen. partially imaged is degenerative change at the left shoulder joint. degenerative changes seen at the right acromioclavicular joint.
chest pain.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no evidence of pneumomediastinum.
<unk>f with abdominal pain s/p endoscopy. evaluate for mediastinal air.
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ap upright and lateral radiographs were provided. there is no focal consolidation or pneumothorax. there are small bilateral pleural effusions, unchanged from the prior radiograph. cardiomediastinal silhouette is unchanged and notable for a tortuous aorta. a left chest wall pacemaker with leads in the right atrium and right ventricle are present. the osseous structures are intact.
<unk>-year-old woman with fuo. please evaluate for infiltrate or intrathoracic process.
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there is a picc line terminating immediately below the cavoatrial junction in the uppermost part of the right atrium. 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. surgical clips again project over the right upper quadrant of the abdomen.
picc line placement.
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the known right lower lobe pneumonia is resolving, although still persistent. the left lung remains clear. cardiac size is normal. coronary artery stent is noted.picc has been removed.
<unk> year old woman with kidney transplant, on treatment for pulm crytptococcus. // evaluation of known pulm cryptococcus
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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 fever, cough
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as compared to <unk>, increasing bibasal opacities and small bilateral pleural effusions are new. previously documented left upper lobe and left lower lobe masses appear smaller, although this could be due to differences in radiographic positioning. no pneumothorax. the heart size is normal.
<unk> year old woman with h/o mgus, htn, hypothyroidism presenting with metastatic lung disease and hypotension in the setting of poor po intake. // new hypoxia, ?aspiration
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
<unk> year old man with significant weight loss, intermittent abdominal pain and peristent diarrhea. // evaluate for malignancy, abnormality.
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multiple median sternotomy wires and mediastinal surgical clips are again identified. allowing for changes due to technique and patient rotation, the cardiomediastinal silhouettes are stable, consistent with mild cardiomegaly. the bilateral hila are unremarkable. diffuse interstitial prominence bilaterally is consistent with mild pulmonary edema. there are small bilateral pleural effusions. a right basilar parenchymal opacity is consistent with compressive atelectasis. there is no evidence of pneumothorax.
a <unk>-year-old man with history of aortic stenosis status post repair, here with dyspnea orthopnea and hemoptysis, evaluate for chf or pneumonia.
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pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the heart size is top normal. the cardiac, hilar, and mediastinal contours are normal.
persistent cough.
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in comparison to the chest radiographs obtained <unk>, there are <num> rounded nodules projecting over the lateral left lung, not identified on recent radiographs or ct chest dated <unk>. there has been interval increase in the size of the moderate left pleural effusion with associated increased left basilar atelectasis. left perihilar radiation fibrosis appears unchanged. the right lung is fully expanded and clear without focal consolidations or suspicious pulmonary nodules.
<unk> year old woman with pleural effusion // eval
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there has been interval placement of a right ij central venous catheter with its tip in the mid svc region. endotracheal tube and nasogastric tubes are again noted. previously noted nodule projecting over the right upper lung is less conspicuous compared with prior exam. there is mild hilar congestion and equivocal mild interstitial pulmonary edema. no large pleural effusion or pneumothorax is seen on this supine radiograph. heart size is unchanged.
<unk>m with cardiogenic shock // eval tube placement
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since the prior examination, bilateral pleural effusions have resolved. the cardiac silhouette is borderline enlarged. the mediastinal silhouette is unremarkable and unchanged since the prior examination. no focal consolidation is identified. there is no evidence of pulmonary edema.
<unk> year old man with asthmatic bronchitis and cardiomyopathy // r/o infiltrate or chf
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there are diffuse bilateral interstitial reticular opacities, more pronounced in both lung bases, slightly improved from <unk> but worse from baseline at <unk>. there is a small left-sided pleural effusion, better seen in the lateral view. mild-to-moderate cardiomegaly is unchanged from prior. there is a tortuous aorta. no pneumothorax is identified.
<unk>-year-old female with shortness of breath, history of chf. evaluate for pulmonary edema.
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pa and lateral views of the chest provided. clips noted in the right upper quadrant. the heart is mildly enlarged. there is mild left basal atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax. no edema or congestion. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with renal transplant with fever // pna?
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ap upright and lateral chest radiographs demonstrate symmetric well-expanded lungs. mild enlargement of the cardiac silhouette is in part related to the ap technique. cardiomediastinal silhouette is otherwise unchanged compared to the prior examination. sternotomy wires are noted. there is mild interstitial prominence without focal consolidation. no pleural effusion or pneumothorax.
chest pain, evaluate for infiltrate.
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since the prior day, there is new moderate pulmonary edema evidenced by engorgement of the pulmonary vasculature and cephalization, with fluid tracking in the right minor fissure. lung volumes are lower, and mild to moderate cardiomegaly is unchanged. no pneumothorax. no change in the left-sided pacemaker with leads projecting to the right atrium and right ventricle.
<unk> year old man with afib with rvr with acute hypoxia. evaluate for acute process.
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ap chest radiograph. the ett terminates <num> cm above the carina. ng tube tip appears to be in the distal esophagus near the ge junction. cervical and lumbar spinal fusion hardware are noted. there is no focal consolidation, pleural effusion, or pneumothorax. the right heart border is irregular and probably reflects atelectasis. cardiomediastinal silhouette is normal.
respiratory distress. post-intubation radiograph.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable.
history: <unk>f with stroke // eval for acute process
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pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. no free air is seen below the diaphragm. high-density material is seen within the colon suggestive of ingested oral contrast from recent ct scan.
<unk>-year-old female with abdominal pain, rule out perforation.
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portable supine chest radiograph <unk> at <time> is submitted.
<unk> year old man with leukocytosis, stroke // ?pna ?pna
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right-sided port-a-cath tip terminates in the proximal right atrium, unchanged. the patient is status post median sternotomy and aortic valve replacement. low lung volumes are present. mild to moderate enlargement of the cardiac silhouette is re- demonstrated. mediastinal and hilar contours are unchanged. there is crowding of the bronchovascular structures without overt pulmonary edema. minimal atelectasis is noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
history: <unk>m with fall, on coumadin now with altered mental status
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a right-sided picc is in place with tip in upper svc in unchanged position. visualization of the dobbhoff tube is difficult due to limited beam penetration, however, the tube is visualized to course below the diaphragm with tip terminating in the expected location of the gastric body. lung volumes are decreased in comparison with the previous examination with increase in bibasilar atelectasis. a small right-sided pleural effusion is unchanged. no pneumothorax. osseous structures unchanged. trace left pleural effusion is unchanged.
pancreatitis, question dobbhoff placement.
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the patient is slightly rotated. low bilateral lung volumes with interval improvement in the bilateral hazy and confluent opacities. no pleural effusion or pneumothorax identified. mild left basilar atelectasis. the appearance of the cardiac silhouette is unchanged.
<unk> year old woman with flash pulmonary edema s/p lasix bolus. // pulmonary edema improvement?
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lung volumes are decreased. there are small bilateral pleural effusions, right worse than left. the cardiac silhouette is enlarged when compared to prior examination from <unk> and there are increased markings of the pulmonary vasculature. more focal consolidation of the right lung base could represent a superimposed infection. there is no pneumothorax.
hypoglycemia, altered mental status. evaluate for acute process.
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pa and lateral chest radiograph demonstrates top-normal heart size. hilar contours are stable when compared to prior radiograph dated <unk>. there is no pleural effusion or pneumothorax.punctate density projecting over the sixth right rib anteriorly most likely represents a calcified granuloma as seen on ct dated <unk>. asymmetry of the apical pleura corresponds to right apical pleural thickening additionally seen on ct. history x-rays demonstrates no acute abnormality. no air is seen under the right hemidiaphragm.
<unk>-year-old male with chest pain.
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median sternotomy wires intact and aligned. right port-a-cath ends at the cavoatrial junction. interval extubation. new opacity at the right base may reflect aspiration pneumonia or asymmetric pulmonary edema. left lung is clear. possible mediastinal widening may reflect venous distension and volume overload. stable, mild cardiomegaly.
<unk>-year-old man now postoperative day <num> status post right hepatectomy.
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the heart is at the upper limits of normal size with a left ventricular configuration. there is mild unfolding of the descending thoracic aorta. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain.
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lung volumes are slightly low. no pleural effusion, pneumothorax, edema, or focal consolidation. the heart is normal in size. the mediastinum is not widened.
<unk>-year-old man with pancreatitis. evaluate for pleural effusion.
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compared with the prior study, bilateral basal parenchymal opacities are unchanged. there has been interval worsening of the bilateral pleural effusions, now multiloculated in the bilateral lungs. moderate cardiomegaly is stable. constant positioning of the tracheostomy tube and left picc line.
<unk> year old woman with respiratory failure. evaluate for interval change.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cough // eval for pneumonia
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
chest pain.