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an ng tube extends to the stomach, however its tip projects beyond the lower edge of the film. the et tube is in stable position <num> cm above the carina. lung volumes remain low. the cardiomediastinal silhouette is unchanged. there is no pulmonary edema. obscuration of the left hemidiaphragm with increased opacity in the left lower lung is concerning for pneumonia. chronic right lower lobe opacity with elevation of the right base is unchanged.
prior cva, afib on coumadin, type <num> diabetes, presents from outside hospital after having been intubated for respiratory failure and altered mental status. please evaluate for interval change.
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a portable view of the chest demonstrates near resolution of a right pleural effusion. there is a moderate left pleural effusion. there is a probable basilar right loculated hydropneumothorax. the cardiomediastinal silhouette is stable. the lungs are otherwise clear.
status post right thoracentesis.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with cough, left upper quadrant abdominal pain. evaluate for infectious process.
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ap and lateral chest radiographs were obtained.
mrsa bacteremia, evaluate for pneumonia.
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pa and lateral views of the chest are compared to previous exam from <unk>. right-sided picc is no longer seen. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. dual-lead pacing device is again noted. osseous and soft tissue structures are unchanged.
<unk>-year-old male with malaise. question pneumonia.
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right picc line terminates in the proximal right atrium. lung volumes are low. there is no focal consolidation or effusion. no pneumothorax or pneumomediastinum. mediastinal and hilar contours are stable. heart size is normal. anterior compression fracture of l<num> vertebral body is unchanged.
<unk> year old woman with hx of aml, neutropenic with vague chest pain. please further evaluate. // <unk> year old woman with hx of aml, neutropenic with vague chest pain. please further evaluate.
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a single portable ap upright view of the chest was provided demonstrating increased opacity at the left lung base concerning for aspiration versus pneumonia. given the associated volume loss in the left lower lung atelectasis also likely present. there may be an associated small pleural effusion. the right lung is clear. the cardiomediastinal silhouette is stable. no pneumothorax is seen. there are no acute bony abnormalities.
<unk>-year-old man found down. evaluate for aspiration pneumonia.
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left picc terminates in the low svc. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouette are normal size.
l picc repo attempt, powerflushed <unk> year old woman with l picc malpositioned // l picc repo attempt, powerflushed
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the right hilum appears mildly enlarged, possibly due to enlarged vasculature or adenopathy. lung volumes are low. there is no pulmonary edema or pneumothorax. mild bibasilar atelectasis is noted. small bilateral pleural effusions are possible. the heart size is top-normal. no focal consolidations are seen.
<unk> year old man with gnr bacteremia // eval for pathology, crackles at bases bilaterally not clearing with cough
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. degenerative changes noted at the right shoulder.
<unk>f with ams, c/f tox/metabolic encephalopathy // eval ? infection
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ap portable upright view of the chest. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. heart appears top-normal in size. mediastinal contour is normal. . imaged osseous structures are intact.
<unk>f with tahcycardia // eval for acute process
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pa and lateral chest radiographs again demonstrate hyperinflated lungs. however, there is no focal consolidation, pleural effusion, or pneumothorax. minimal peribronchial cuffing is not significantly changed from priors. the cardiomediastinal silhouette is normal.
history of a mycobacterium abscessus, on bronchoscopy many years ago. patient has also been on enbrel for rheumatoid arthritis. evaluation for evidence of interstitial lung disease or bronchiectasis.
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pa and lateral views of the chest provided. right ij access dialysis catheter unchanged in position terminating in the cavoatrial junction or right atrium. midline sternotomy wires and mediastinal clips again noted. bilateral lower lobe and probable right middle lobe consolidation is concerning for multifocal pneumonia. no large effusion or pneumothorax. no signs of edema or congestion. bony structures are intact. cardiomediastinal silhouette is unchanged.
<unk>f with low grade temp, cough // pna
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overall lung volumes are low.there is an opacity at the right lung base. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. right humeral hardware is present.
history: <unk>m with fever, leukocytosis // eval for pna or acute process
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with fevers, cough, body aches // eval for pneumonia
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heart size is normal. the aorta remains tortuous. the lungs are hyperinflated with flattening of the diaphragms and increased retrosternal sternal clear space compatible with emphysema. blebs are noted at the right lung apex. there is no pulmonary vascular congestion. coarse interstitial opacities with bronchial wall thickening and ill-defined nodular opacities are demonstrated diffusely within the lungs, but appear slightly more progressed particularly in the right lung base. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. multiple clips are seen within the right upper quadrant of the abdomen.
found down on the ground, right eye swelling and coarse breath sounds.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. intact median sternal wires. considerable calcification of the descending thoracic aorta.
history: <unk>m with left arm and right leg numbness // r/o chf, pneumonia
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the lungs are clear, and the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. no pneumoperitoneum.
<unk>-year-old with abdominal pain.
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pa and lateral views of the chest provided. the heart appears mildly enlarged. the mediastinal contour is normal. the lungs appear relatively clear without convincing evidence for pneumonia or edema. no large effusion or pneumothorax. there is severe degenerative disease in the thoracic spine with mild kyphotic angulation at the thoracolumbar junction. degenerative changes also notable at the right shoulder.
<unk>f with h/o hld presents with doe found to have new af and rbbb
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ap and lateral views of the chest demonstrate clear lungs. cardiac silhouette is stable. no pleural effusion or pneumothorax.
<unk>-year-old female with altered mental status, report of fighting at nursing home earlier today.
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pa and lateral views of the chest. there is no evidence of pneumonia. a left port-a-cath ends in the low svc. there is elevation of the left diaphragm and residual postoperative fluid in the left pleural space and mild scarring in the left lateral lung consistent with prior left lingular-sparing left upper lobectomy. the residual postoperative pleural fluid has not increased since <unk>. right lung is clear, and there is no right pleural effusion.
fever and chills.
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there is minimal bibasilar atelectais. otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified.
cough and hemoptysis.
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right-sided pic line terminates in the mid svc. the et tube terminates approximately <num> cm above the carina. enteric tube extends below the diaphragm with the tip out of view of this film. overall, widespread interstitial pulmonary opacities are not significantly changed compared to the most recent prior exam from <unk>. there is no pleural effusion or pneumothorax.
history of respiratory failure, currently intubated. please evaluate for interval change.
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the heart size is moderately enlarged. the aorta is tortuous. mediastinal and hilar contours otherwise are unremarkable. there is no pulmonary vascular congestion, focal consolidation, pleural effusion or pneumothorax. multiple old bilateral rib fractures are noted, more extensive on the left. multilevel degenerative changes are seen within the thoracic spine. no acute displaced fractures are clearly visualized.
weakness, fall from ground height. complaints of left rib pain.
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. the bony thorax is grossly intact.
status post fall. assess for rib fracture.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal aside from a slightly prominent aortic knob, which may be a normal variant.no pleural abnormality is seen. no rib fractures are seen.
<unk> year old woman with sharp stabbing chest pain. evaluate for pneumonia or rib fracture.
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single portable view of the chest. bibasilar opacities with blunting of the costophrenic angles which could be due to effusions. there are indistinct pulmonary vascular markings. relatively lentiform-shaped opacity over the right mid lung is suggestive of fluid within the fissure. the cardiac silhouette is enlarged, similar to prior. atherosclerotic calcifications are noted.
<unk>-year-old female with shortness of breath.
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an endotracheal tube is in unchanged position with the tip <num> cm from the carina. a right internal jugular catheter is in unchanged position with the tip in the low svc. a right-sided pigtail chest tube is unchanged. again, there is moderate subcutaneous emphysema, unchanged from the prior exam. there is a small right apical pneumothorax, also unchanged from the prior exam. there is no left pneumothorax. opacification at the right base is stable. small bilateral pleural effusions are stable. there is no new opacity. the cardiomediastinal silhouette is normal.
increased crepitus and decreased return volume. evaluate for pneumothorax.
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the patient is status post left upper lobectomy with postsurgical changes noted in the left hemi thorax. cardiac, mediastinal and hilar contours are unremarkable. no focal consolidation, pleural effusion or pneumothorax is demonstrated. the lungs are hyperinflated. no acute osseous abnormalities present.
<unk> year old man with cough, dyspnea and fever
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mild bibasilar atelectatic changes are noted. otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal contours appear stable with mild cardiomegaly. mild atherosclerotic calcifications are noted at the aortic arch; otherwise, aorta is within normal limits. no acute fractures are identified.
near-syncope.
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pa and lateral views of the chest. no prior. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with allergic reaction, question aspiration.
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ap upright and lateral views of the chest provided. mild cardiomegaly again noted. there is mild hilar congestion with interstitial pulmonary edema. no large effusion or pneumothorax. no overt signs of pneumonia though subtle pneumonia difficult to exclude in the correct clinical setting. calcific densities overlie the left scapula as on prior. degenerative changes at the right shoulder noted.
<unk>m with fever and cough // r/o pna
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there is relative elevation of the right hemidiaphragm as on prior. the lungs remain clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. median sternotomy wires are noted.
<unk>m with h/o cabg, renal transplant, now w/dyspnea and shortness of breath // evaluate heart size, eval for pulm edema, pna/consolidation
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extensive diffuse bilateral heterogeneous pulmonary opacities may represent multifocal infection, edema, or hemorrhage. the heart appears top-normal in size. there is no pneumothorax. tracheostomy tube is in standard position. right upper extremity picc line ends in the mid svc.
history: <unk>m with respiratory failure // r/o infiltrate
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cardiac silhouette size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
history: <unk>f with pleuritic chest pain // acute process?
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ap portable upright view of the chest. hilar congestion is noted with mild interstitial pulmonary edema. there are likely tiny pleural effusions. the cardiomediastinal silhouette is stable. chronic left ribcage deformities are again noted.
<unk>m with resp distress // eval for fluid overload
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the cardiomediastinal silhouette is difficult to assess given posttreatment changes in left lung. mediastinal surgical clips are noted. there is opacity in the left lower lung with elevation of the left hemidiaphragm and blunting of left lateral cp angle with left lateral pleural thickening. this correlates to findings on a ct chest from <unk>, likely relating to post treatment changes in the left lung. the left upper lung is grossly clear. the right lung is mildly hypoinflated but clear. there is no pneumothorax. there is no right pleural effusion. there is no pulmonary edema.
<unk> year female with a history of metastatic non-small-cell lung cancer cough presenting with fever, evaluate for pneumonia.
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as compared to prior chest radiograph from <unk>, there has been no significant change. the heart is large. there is mediastinal lipomatosis as seen on prior chest cta examination. lung volumes are decreased. however, a focal consolidation cannot be definitely excluded.
shortness of breath. rule out pneumonia.
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frontal radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. the left chest wall aicd is unchanged in position.
fall, rule out injury, pain.
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frontal and lateral views of the chest. again, low lung volumes are noted. widespread fibrotic lung parenchymal changes are again seen. there is no evidence of new consolidation. cardiomediastinal silhouette is stable. osseous structures demonstrate no acute abnormality.
<unk>-year-old female with chest pain radiating to the left shoulder.
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left internal jugular venous catheter terminates at cavoatrial junction. tracheostomy tube is in unchanged position. there is no consolidation, pneumothorax, or large pleural effusion. cardiomediastinal silhouette is normal size.
<unk> year old man with trach, fever // pneumonia
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
weakness, bradycardia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with sbp><num> and chest pressure // dissection?
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an external monitor traverses the mediastinum and partially obscures the left apex. lung volumes are low, but the visualized lungs are grossly clear. the right hilus appears prominent which may be due to prominent vascularity or lymphadenopathy. there is no pneumothorax. the heart and mediastinum are magnified by the projection. incidental note is made of aortic arch calcifications.
<unk> year old woman with stroke // r/o infection
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube courses through the stomach with tip beyond the inferior borders of the film. heart size is normal. the aorta is tortuous. pulmonary vasculature is not engorged, hilar contours are unremarkable. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. compression deformities of <num> adjacent lower thoracic vertebra, likely t<num> and t<num>, are of indeterminate age.
history: <unk>f with diffuse intraventricular hemorrhage, intubated, coarse breath sounds
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frontal and lateral views of chest demonstrate fully expanded and clear lungs. the mediastinal contour is unremarkable. the heart is top-normal in size. there is no pleural effusion or pneumothorax. an oval density projecting over the eighth rib posteriorly is likely a calcified granuloma.
<unk>f h/o papillary thyroid ca now s/p completion thyroidectomy, evaluate for widened mediastinum.
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scarring at the lung apices bilaterally, right greater than left. <unk> x <num> mm nodular opacity within the right lower lung likely represents a nipple shadow. no focal consolidations to suggest pneumonia. no pulmonary edema. normal size of the cardiomediastinal silhouette with calcifications of the aortic knob. no pleural effusion. no pneumothorax.
history: <unk>f with chest pain // chest pain
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there is minimal streaky density at the lung bases consistent with subsegmental atelectasis or scarring. there is no pneumothorax. the heart is normal in size. the aorta is mildly tortuous and calcified. there are no concerning bone findings.
pre-op film
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<num> right ij line with tip at the cavoatrial junction is unchanged. the small bilateral pleural effusions have increased compared to the prior exam. there is bilateral lower lobe volume loss. an underlying infectious infiltrate can't be excluded in these regions.
pulled tunneled line question location.
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there is a left chest wall port catheter tip terminating at the cavoatrial junction. there is no focal consolidation or pneumothorax. there is mild elevation of the left hemidiaphragm and small bilateral pleural effusions. the imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>f with weakness // eval pna
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evidence of previous sternotomy. caval vascular stent in situ. the heart size normal. the hila are normal. no airspace consolidation. no pleural effusion. no pneumothorax. it is difficult to determine the exact position of the feeding tube, but it appears to be curled up in the stomach. a focused radiographic exposure of the epigastric area may be performed to better visualize this.
<unk> year old woman with ng tube placement // placement
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the lungs are well aerated and clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact. right picc is seen with tip over the mid to lower svc. hardware seen in the right humeral head.
<unk>f with right flank pain, fever s/p left mtp washout currently on vanc/ctx // ?pna with r back pain and recent hospitalization. also picc position
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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 fevers/chills, neutropenia // any signs of infection?
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lung volumes are moderate. there is minimal streaky density bilaterally consistent with subsegmental atelectasis. the lungs are otherwise clear. there is no focal consolidation. the heart and mediastinal structures are unremarkable for technique. an endotracheal tube and nasogastric tube remain in place. there are no concerning bone findings.
eval for pneumonia
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left chest tube is grossly unchanged in position. there is a persistent small left apical pneumothorax, grossly unchanged from prior. there is lucency projecting over the left lateral hemi thorax with an air-fluid level. small left-sided pleural effusion is unchanged. the right lung is grossly clear. cardiomediastinal silhouette is unchanged.
<unk> year old man s/p l vats blebectomy/pleurodesis, check interval change with cts on waterseal, please do around <num> pm
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. of note, multiple linear hyperdensities in the lateral view likely represent artifacts.
<unk>-year-old male with chest pain. evaluate for acute process.
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the heart size is top normal. the mediastinal and hilar contours are stable. there is no pneumothorax. a moderate right pleural effusion is again seen with adjacent hazy opacity in the right lower lobe, likely representing a layering component. the lungs are well expanded without focal consolidation. increased interstitial markings is indicative of mild pulmonary edema. the upper abdomen is unremarkable.
<unk>-year-old male with shortness of breath, query congestive heart failure.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. permanent pacer capsule in unchanged position in anterior left axillary region. unchanged appearance of connecting intracavitary electrodes. the icd device terminates in unchanged fashion in the right ventricular apical area and the left ventricular stimulating electrode passes again from the right atrium in the venous coronary sinus to terminate in the mid portion of obtuse marginal coronary vein. the positions of the wires remain completely unchanged in comparison with the previous study of <unk>. as before, the patient was unable to elevate left arm for the lateral view but image qualities are very acceptable.
<unk>-year-old male patient with coronary artery disease, biventricular pacer with icd device implanted on <unk>. left ventricular threshold increased? left ventricular lead dislodged.
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low lung volumes and atelectasis is seen, and no consolidation, pleural effusion or pulmonary edema is seen. the cardiac silhouette is enlarged secondary to ap radiograph technique and low lung volumes. previously seen rightward tracheal deviation has resolved.
<unk> year woman postop day <num> status post left partial thyroidectomy. spiking fever, desaturating to mid <num>s on room air. evaluate respiratory status, atelectasis and pneumonia.
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low lung volumes persist. eventration of the right hemidiaphragm is seen. there is mild elevation of the right hemidiaphragm.no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with dizziness // eval pna
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there has been slight interval decrease in small to moderate left pneumothorax, and a stable small left pleural effusion. the right lung remains clear. the heart and mediastinum are within normal limits. multiple left rib fractures are also noted.
status post atv accident with multiple rib fractures and left pneumothorax. evaluate pneumothorax.
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compared with the prior exam there has been significant interval improvement of bilateral pulmonary edema, although residual pulmonary edema is still significant. no focal opacity is seen in the left affected upper lungs. small bilateral pleural effusions are present. there is no pneumothorax. moderate cardiomegaly stable. the first sternotomy wire is broken although not displaced and the remaining sternotomy wires are intact, similar to prior.
<unk>-year-old male with new a fib and probable chf. evaluate for pneumonia.
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a right subclavian central venous catheter terminates at the cavoatrial junction. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear.
subclavian line placement.
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faint lateral right middle lobe opacity could be due to underlying atelectasis or related to overlying nipple shadow, however developing consolidation is not excluded in the appropriate clinical setting. the left lung is clear. no pleural effusion or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. evidence of coronary stenting is again seen particularly on the lateral view. no overt pulmonary edema is seen.
fatigue, weakness.
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the lung volume is small. no consolidation. there is chronic diffuse opacities, unchanged from prior. no consolidation. no pleural effusions. no pneumothorax. the heart size is normal and unchanged. the mediastinum is normal. no fractures.
<unk> year old man with cough, leukocytosis // any acute intrathoracic process?
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. there is status post sternotomy as before. the presence of multiple surgical clips in the left-sided anterior mediastinum is indicative of previous bypass surgery. the heart size is not enlarged. no typical configurational abnormality is present. thoracic aorta mildly widened and elongated, but without local contour abnormalities. the pulmonary vasculature is not congested. no signs of pleural effusion as the lateral and posterior pleural sinuses are free. no acute parenchymal infiltrates. similar as on preceding examination, there is some hazy crowding of the left cardiac contour identified as pleural thickening on the lateral view. these findings are completely unchanged and most likely represent postoperative scar formations related to cardiac surgery. do not represent any acute pulmonary infiltrate.
<unk>-year-old male patient with chronic myelocytic leukemia, two weeks of productive cough, evaluate for pneumonia.
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the heart is severely enlarged, worsened from prior, with increased bulging of the right border compared with prior exam. there is bilateral diffuse interstitial opacities and hilar engorgement with associated left-sided pleural effusion. there is no pneumothorax. a biventricular pacemaker is again noted with the leads in unchanged position.
<unk>-year-old male with chest pain post cardiac resynchronization procedure. evaluate for evidence of chf.
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compared with the prior radiograph, no significant change in the degree of vascular engorgement and interstitial pulmonary edema, more severe on the left. it is difficult to decipher how much of these changes are due to chronic interstitial disease, as correlated with the ct torso from the prior day. the abnormally thickened/partially calcified pleura is unchanged, as is the right pacer/defibrillator, with continuous leads in the right atrium and right ventricle.
<unk> year old man with chf, tachypnea. evaluate for fluid overload, acute change.
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left-sided dual lumen dialysis catheter tip terminates in the proximal right atrium, unchanged. the heart is mild to moderately enlarged with left atrial prominence. mediastinal contours are unchanged. there is mild to moderate moderate pulmonary edema, with more focal opacity seen in the right lung base, new from the prior study. small bilateral pleural effusions are noted. there is no pneumothorax. no acute osseous abnormalities are visualized. clips are seen within the upper abdomen.
chest pain.
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a single frontal view of the chest was obtained portably. the lungs are well expanded and clear, without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. no displaced rib fracture is identified.
neck and chest pain after mvc.
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there is stable persistent elevation of the left hemidiaphragm. mild, smooth left apical pleural thickening was not visualized on the previous exam, likely due to differences in positioning. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is obscured by the left hemidiaphragm.
<unk> year old man with gi bleed // ? aspiration
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pa and lateral views of the chest. the opacity within the left mid lung field compatible with known chest wall mass as seen on prior ct is again seen. emphysematous changes and right upper lobe scarring are again seen and unchanged. small right pleural effusion is new. no pneumothorax. the cardiomediastinal and hilar contours are stable.
lung cancer, altered mental status, evaluate for acute process.
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portable ap chest radiograph demonstrates a new small right pleural effusion. stable scarring in the right lung and bilateral pleural plaques are unchanged. there is no pneumothorax. the cardiomediastinal silhouette is stable.
right cervical lymph node biopsy. evaluation for pneumothorax.
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old woman with with symptomatic cholelithiasis, choledocholithiasis, and likely mild cholangitis s/p ercp with stone extraction and sphincterotomy, now s/p laparoscopic cholecystectomy // increeasing creatitin in the setting of low uop and pulmonary edema, was fluid overloaded yesterday, rule out pulonary edema/effusion increeasing creatitin in the setting of low uop and pulmonar
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ap portable view of the chest demonstrates the hilar and mediastinal silhouettes are unremarkable. aortic arch calcifications are present. moderate cardiomegaly and mild pulmonary edema are new. minor fissure thickening reflects edema. there is no pneumoperitoneum dialysis catheter tip projects over cavoatrial junction, unchanged. nasogastric tube has been removed.
bradycardia.
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lung volumes are low and clear. no focal consolidation, effusion, or pneumothorax is present. the hila are normal and distinct on this pa exam. previous hilar opacity was most likely artifact. top normal heart size is accentuated by low lung volumes.
<unk>-year-old woman with elevated white blood cell count and question hilar adenopathy versus infiltrate on portable radiograph.
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rotated positioning. et tube tip in carina not well delineated, but the tube probably lies approximately <num> cm above the carina, at the level of the lower clavicular heads. ng type tube present, tip extending beneath diaphragm, off film. dual-lumen left ij line tip overlies proximal svc. the previously seen swan-ganz catheter is no longer visualized. right ij line appears to correspond to a pacer tip which overlies the right ventricle. there are low inspiratory volumes, similar to prior. the cardiomediastinal silhouette is enlarged, also similar to prior. diffuse vascular plethora and vascular blurring is consistent with chf with interstitial and possible pulmonary edema. increased retrocardiac density again seen, consistent with left lower lobe collapse and/or consolidation. probable small left effusion is also again seen. hazy opacity at the right lung base could reflect some pleural fluid as well as a underlying atelectasis. no obvious pneumothorax detected
<unk> year old man with temporary pacer wire placement, femoral cvl placement // assess placement
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there has been interval removal of the right-sided pleurx catheter. left-sided pleurx catheter remains. moderate bilateral pleural effusions with fissural component are stable from <unk> and decreased from <unk>. right lower lobe consolidation appears unchanged. left basilar atelectasis is slightly improved. no pneumothorax. port-a-cath dual lumen pacemaker appear unchanged.
<unk> year old woman with breast cancer, malignant pleural effusions with pleurx, r pleurx not draining so removed <unk>. // evaluate pleural effusions
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. no cavitating lesions or calcifications are present.
<unk>-year-old male with night sweats and recent prison time.
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frontal and lateral views of the chest were obtained. lung volumes are low. bibasilar and retrocardiac opacities are consistent with atelectasis. the heart size and cardiomediastinal contours are stable. no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain. evaluate for cardiopulmonary process.
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the lungs are clear and well inflated. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. the osseous structures are intact.
history: <unk>f with altered mental status// acute process
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old woman with av block s/p dual-chamber pacemaker via l cephalic vein // lead position, pneumothorax lead position, pneumothorax
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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 rml and rll inspiratory crackles, syncope this morning // <unk>f with rml and rll inspiratory crackles, syncope this morning
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a new right internal central jugular venous catheter has been placed, which terminates at the cavoatrial junction. otherwise, there has been no significant change. there is no pneumothorax.
line placement.
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the cardiac, mediastinal, and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear.
altered mental status.
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pa and lateral images of the chest. the lungs are well expanded. opacity at the left lung base likely represents atelectasis. there is cephalization of the pulnoary vasculature without evidence of edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is moderate cardiomegaly, increased from prior exam.
chest tightness and shortness of breath.
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low lung volumes contribute to bibasilar atelectasis; however, there are no focal consolidations worrisome for pneumonia. cardiac size is also exaggerated by the low lung volumes. the mediastinum is normal given a tortuous aorta. the hilar contours are normal. no pleural effusion, pneumothorax or pulmonary edema is identified.
<unk>-year-old man with shortness of breath and chest pain. question pneumonia.
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the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected.
chest pain and shortness of breath.
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there is an unchanged minor left retrocardiac opacity likely representing atelectasis. there is mild pleural thickening bilaterally. mild cardiomegaly, but no pulmonary edema. status post mitral valve replacement.
<unk>-year-old man with fever.
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there is minimal bilateral lower lobe atelectasis. the lungs are otherwise clear. there are small bilateral pleural effusions. the heart size is top normal. there is pulmonary vascular congestion, without frank interstitial edema. the mediastinal contours are normal. there is no pneumothorax.
fever and cough. assess for infiltrate.
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the endotracheal tube terminates <num> cm above the carina. the right internal jugular sheath ends at the thoracic inlet. compared with the prior scan, edges of the first and second ribs are unchanged, but extrapleural bleeding has increased in the right apex with right upper lobe atelectasis. a heterogeneous left lung consolidation has worsened, concerning for pneumonia. opacity in the right bronchial tree could be due to retained secretions or clot.
<unk> year old woman with blunt force thoracoabdominal trauma. eval for resolving contustions.
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there is a new opacity at the right lung base suggesting pneumonia with lesser but new opacity also projecting along the left mid lung, the latter obscuring the left heart border and probably localizing to the lingula. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax.
shortness of breath.
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there are low lung volumes, which accentuate the bronchovascular markings. given this, questionable right perihilar opacity is no longer appreciated and most likely related to vascular structures. blunting of the costophrenic angles suggest small pleural effusions. there is likely left base atelectasis. slight prominence of the vasculature may be due to mild pulmonary vascular congestion.
new afib.
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patient is status post median sternotomy and mitral valve replacement. right-sided dual lumen central venous catheter tip terminates in the right atrium, unchanged. mild enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. streaky atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is demonstrated.
history: <unk>m with ugib, hypotension // evaluate for aspiration
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the heart size is mildly enlarged. the aorta is slightly unfolded. hilar contours are normal, and there is no pulmonary vascular congestion. asymmetric opacity which is ill-defined in the right lung apex is nonspecific. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
bump on right neck, likely a lymph node.
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assessment is mildly limited by patient rotation. heart size is normal. the aorta is tortuous and diffusely calcified. hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are hyperinflated. minimal streaky and patchy opacities are noted at the lung bases likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are noted within the thoracic spine. remote right-sided rib fractures are present.
history: <unk>f with slurred speech
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the lungs are well expanded and clear. apparent widening of the vascular pedicle is secondary to a tortuous and unfolded aorta, better assessed in the lateral view. otherwise, the cardiomediastinal and hilar contours are unremarkable. heart size is normal. there is no pleural effusion or pneumothorax. no rib fractures are identified. no subdiaphragmatic free air is present.
patient with epigastric pain. evaluate for free subdiaphragmatic air.
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the heart size is top-normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>m with syncope, head trauma, altered mental status // assess for bleeding, pna
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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.
shortness of breath.
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the heart size is normal. note is made of mild pulmonary vascular congestion, otherwise the hilar mediastinal contours are normal. there is no overt pulmonary edema. right-sided tunneled catheter terminates within the right cavoatrial junction. there is no evidence of a pneumothorax. moderate left pleural effusion has increased compared to the prior exam. adjacent atelectasis, is compressive.
history: <unk>f with neutropenic fever // please eval for acute cp process