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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. punctate density projects over the peripheral aspect of the right upper lobe, likely a granuloma. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with chest pain, shortness of breath
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pa and lateral views of the chest were reviewed and compared to prior study. the lungs are clear without focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiac and mediastinal contours are normal. there are no concerning osseous or soft tissue lesions.
cough.
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<num> views were obtained of the chest. of note the lateral view is limited significantly with the arms being down over the chest. the lungs are low in volume with bibasilar opacities, which given lung volumes are likely atelectasis. the appearance of bronchovascular crowding is most likely due to lung volumes as well, though trace edema is impossible to exclude. no pleural effusion or pneumothorax is seen. the heart and mediastinal contours are otherwise unremarkable.
suggest hcc with fatigue decrease in uptake.
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pa and lateral radiographs of the chest show mild opacity in the right lung base which could represent atelectasis or a developing infectious process. the rest of the lungs are clear although hyperexpanded indicative of emphysema. the hilar, mediastinal, and cardiac contours are normal. slightly tortuous descending thoracic aorta is noted. no pleural effusion or pneumothorax.
hemoptysis and lethargy.
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a right hilar mass and right paramediastinal post treatment changes are unchanged since <unk>. a small to moderate subpulmonic right pleural effusion has increased since <unk>. the left lung is clear. there is no pneumothorax. the cardiac are normal. there is no free air beneath the right hemidiaphragm.
history: <unk>m with shortness of breath, intermittent cough // evaluate for pna
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there is no focal consolidation, pneumothorax or evidence of pulmonary vascular congestion. there is a very small left pleural effusion. there is marked cardiac enlargement with tortuous and calcified aorta. median sternotomy wires are present and intact.
<unk>-year-old woman with chf, status post procedure today with crackles to both lungs, evaluate pulmonary edema.
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pa and lateral views of the chest demonstrate the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of pleural effusion, pneumothorax or pulmonary edema. a spinal stimulator is seen within the spinal canal at the level of the thoracic spine, unchanged since <unk>.
symptomatic pvcs and chest pains with lightheadedness. evaluation for cardiopulmonary process.
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old woman with sudden onset left back pain, evaluate for pneumothorax.
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a right chest wall port-a-cath is present as well as a left subclavian central line, both of which terminate in the right atrium. mild bibasilar atelectasis. no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is within normal limits.
<unk> year old woman with all s p allograft, n ew gpc bacteremia with sob. // evaluate cause for dyspnea
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>f with chest pain, evaluate for acute process.
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there is new mild central pulmonary vascular prominence but no overt edema. no pleural effusion or pneumothorax is present. the heart size is top-normal. the hilar and mediastinal contours remain within normal limits. no focal consolidation is seen. linear opacities at the lung bases are most compatible with atelectasis.
desaturation episodes.
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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 dyspnea, productive cough, chills // ? pneumonia
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redemonstrated is known chronic interstitial lung disease which is seen bilaterally. as compared to the prior examination dated <unk>, there is relatively increased asymmetrical airspace opacity within the left lower lobe, which may represent a superimposed pneumonia. the right lung and left upper lung are clear of consolidation. there is no large pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk>f with c/o cough with sob // ? pna
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patient has history of cabg with median sternotomy wires and mediastinal clips seen. chronic elevation of the right hemidiaphragm is unchanged. low lung volumes bilaterally. cardio mediastinal silhouette is unchanged. mild pulmonary vascular congestion bilaterally unchanged or minimally improved. there is no pneumothorax or pleural effusion. no evidence of pneumonia.
<unk> year old woman with acute delirium and hypotension // signs of consolidation, pna
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the carina is not well visualized. however, the et tube tip probably lies approximately <num> cm above the carina. ng tube tip is present, tip extending beneath diaphragm, off film. right ij central line tip overlies the upper right atrium. cardiomediastinal silhouette is probably unchanged, allowing for considerable technical difference. again seen is upper zone redistribution mild vascular plethora, overall similar to the prior study. there is increased retrocardiac density with obscuration left hemidiaphragm, which may be slightly worse. clips again noted in the region of the ge junction.
<unk> year old woman with pulm edema // ?interval changes
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the right chest tube has been removed. a pleurx catheter is not definitely seen. there is no pneumothorax. a moderate right and small left pleural effusion are unchanged. bibasilar atelectasis is also stable. there are no new consolidations. the subcutaneous air overlying the right neck is stable. sternal wires and mediastinal clips are intact.
new pleurx catheter. evaluate for pneumothorax.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unremarkable. there is no acute osseous abnormality.
<unk>-year-old man with dyspnea, cough, fever. evaluate for acute infectious process.
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single ap view of the chest provided. emphysematous changes. a rounded eggshell calcification projects over the left lung apex. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
history: <unk>f with cough // acute process?
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on the lateral, there is increased opacification overlying the lower thoracic spine, which is not definitively localized on the ap, but is concerning for developing pneumonia. linear opacification within the left midlung likely represents atelectasis. pulmonary vascular congestion, but no overt pulmonary edema. stable enlargement of the cardiomediastinal silhouette. small bilateral pleural effusions. no pneumothorax.
history: <unk>f with sob, fever // pna
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the heart is probably borderline in size. the mediastinal and hilar contours are unremarkable within the limitations of technique. there is no pleural effusion or pneumothorax. the lungs appear clear.
post-operative fever.
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no significant interval change. lung volumes are normal. the heart is mildly enlarged, unchanged. the descending thoracic aorta slightly tortuous. right curvature of the thoracic spine is mild. no focal consolidation, effusion, edema, or pneumothorax. degenerative changes in both ac joints are noted. multi-level degenerative changes of thoracic spine are severe with prominent anterior osteophytes.
<unk>-year-old woman presenting with right-sided flank pain. evaluate for cardiopulmonary disease.
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moderately enlarged cardiac silhouette may have increased from the prior study of <unk>, although this may be related to technical differences. the mediastinal contour is normal. there is no pulmonary vascular congestion, pulmonary edema, pneumothorax, or focal consolidation.
<unk> year old woman with afib, htn, hld, cad presenting with left sided chest pain, evaluate for evidence of widened mediastinum, enlarged cardiac silhouette.
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patient is status post median sternotomy and cabg. mediastinal contour is unchanged with marked tortuosity of the aorta. focal convexity of the right superior mediastinal border is compatible with prominent vasculature as seen on the previous ct. pulmonary vasculature is not engorged. streaky opacities within the retrocardiac region likely reflect areas of atelectasis. no pleural effusion or pneumothorax is present. partially imaged is an aortic stent within the upper abdomen. no acute osseous abnormality is seen.
history: <unk>m with cough and post prandial epigastric pain
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pa and lateral views of the chest provided. there is a left upper lobe opacity which is concerning for pneumonia. no large effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with fevers, productive cough // ?pna
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lung volumes is still low with persistent bilateral opacification due to moderate-to-severe pulmonary edema. the right base atelectasis is stable, left base atelectasis is new. heart size is normal. there is mild central vein distention. dobbhoff tube is in distal gastric cavity. there is no free abdominal air. no pneumothorax or pleural effusion.
<unk>-year-old man with new abdominal pain and distention, assess for free air.
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streaky bibasilar opacities potentially due to atelectasis. chain sutures in the right mid lung are best seen on the lateral view similar to prior. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormality is identified.
<unk>-year-old male with dyspnea.
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the lungs are clear. heart size is top normal, stable. no pleural effusion or pneumothorax.
<unk> year old woman with fever // fever
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frontal and lateral views of the chest demonstrate normal cardiac silhouette allowing for low lung volumes but vascular engorgement ant and mild basal edema reflect cardiac decompensation. the thoracic aorta is unfolded with dense arch calcifications. the lung volumes are low, accentuating bronchovascular crowding. however, the lungs are clear. there is no pneumothorax or pleural effusion.
<unk>-year-old female with dementia, found walking outside. question pneumonia.
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a large right pleural effusion has increased substantially from <unk>, but was seen on the prior ct abdomen from <unk>. there is associated right basilar atelectasis. heart size is difficult to assess given the presence of the right pleural effusion. there is mild leftward shift of mediastinal structures as a result of the large right pleural effusion. left lung is clear. there is no pulmonary vascular engorgement. no pneumothorax is seen. no acute osseous abnormalities are detected.
history: <unk>f with severely decreased breath sounds on the right.
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ap and lateral views of the chest. the lungs are hyperinflated with diffusely increased interstitial markings suggestive of chronic underlying lung disease. the cardiac silhouette is slightly enlarged. the aorta is tortuous with atherosclerotic calcification of the arch. there is apparent increased lucency projecting over the cardiomediastinal silhouette on the frontal without definite correlative findings on the lateral. this could represent. this could be artifactual in nature however may also represent a portion of the right lung projecting anterior to the cardiac silhouette, just behind the sternum on the lateral view. in either case it is of doubtful clinical significance. wedge deformity seen of likely the l<num> vertebral body, age indeterminate.
<unk>-year-old female with lethargy. question pneumonia.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is normal. no pulmonary edema. partially imaged upper abdomen is unremarkable. gallstone is noted in the right upper abdomen.
epigastric pain. assess for pneumonia.
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portable supine ap radiograph of the chest shows low lung volumes and mild to moderate bilateral pleural effusions, left greater than right, with adjacent atelectasis. underlying infection cannot be completely excluded. median sternotomy wires and corevalve are in place. the aorta is tortuous and calcified. the pulmonary vessels are prominent and ill defined with hazy opacities bilaterally, compatible with pulmonary edema. emphysematous changes are redemonstrated with scattered rounded lucencies throughout both upper lungs. there is no pneumothorax. the osseous structures are grossly unremarkable.
hypoxia. evaluate for edema or pneumonia.
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right-sided dual lumen central venous catheter tip terminates in the right atrium, unchanged. mild to moderate enlargement of the cardiac silhouette is re- demonstrated. the mediastinal contour is unchanged. moderate pulmonary edema is present, similar to that seen on the prior exam, with a new small left pleural effusion. patchy opacities in the lung bases likely reflect areas of atelectasis. no pneumothorax is present. clips project over the left axilla. there are no acute osseous abnormalities.
<unk> year old woman with presyncope, congestive heart failure, end-stage renal disease.
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pa and lateral views of the chest <unk> <time> are submitted.
<unk> year old man with spontaneous r ptx s/p pigtail, eval ptx // eval ptx eval ptx
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there is a new small right apical pneumothorax and the small left apical pneumothorax has increased. there are bibasilar opacities. the right lower lobe opacity has increased and is concerning for pneumonia. the right chest tube has been slightly pulled back. right internal jugular central venous catheter ends in the upper-to-mid svc. no pleural effusion.
status post avr, evaluate for pneumothorax.
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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. streaky opacity in the lingula suggests minor atelectasis. otherwise, the lungs appear clear. there is no evidence for bony abnormality.
chest pain.
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frontal and lateral views of the chest are unchanged. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. there are no acute osseous abnormalities.
cough and chest pain. evaluate for pneumonia.
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ap view of the chest. endotracheal tube ends <num> cm from the carina. an enteric tube ends off the inferior portion of the image. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
intubation, evaluate endotracheal tube.
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frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. hilar and mediastinal silhouettes are unremarkable. heart has increased in size since <unk>. pulmonary vascular congestion. no pleural effusion. multiple surgical clips project over the mediastinum. superior sternotomy wire is fractured.
syncope.
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patient is status post median sternotomy. left-sided aicd device is noted with leads in unchanged positions. moderate to severe enlargement of the cardiac silhouette is unchanged. the mediastinal contour is similar. there is mild pulmonary vascular congestion, as seen previously without overt pulmonary edema. bilateral lateral pleural thickening is re- demonstrated. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with history of chf presents with chest pain, shortness of breath, fevers and chills, nausea, vomiting, cough
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a single portable upright chest radiograph was obtained. bibasilar parenchymal opacities are unchanged. there are bilateral pleural effusions, atelectasis and likley some degree of consolidation. cardiomegaly and mediastinal adenopathy are unchanged. a right-sided internal jugular catheter terminates in the upper right atrium.
<unk>-year-old man with aml and new fevers.
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the cardiac, mediastinal and hilar contours appear stable. lobular thickening along pleural surfaces in the right lung, particularly along the right upper lung suggests malignancy and is more extensive. there is probably a small pleural effusion on the right. there is a new small-to-moderate left-sided pleural effusion with patchy basilar opacity, probably due to atelectasis. lung fissures are thickened. the interstitium throughout the right lung is also prominent suggesting fluid overload, lymphatic congestion, or possibly carcinomatosis. a medial right basilar opacity appears more dense and confluent than on prior studies, although not clearly more extensive.
tachypnea and shortness of breath.
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there are bibasilar opacities potentially due to atelectasis. superiorly the lungs are clear, there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with s/p fall, rib fx // ptx?
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elevation the right hemidiaphragm is unchanged. the lungs are clear without consolidation, effusion, or overt edema. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. surgical clips are noted in the upper abdomen.
<unk>f with weakness, (left sided), hx of aspiration pna // pna? stroke?
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single lead right-sided icd is seen with lead extending the expected position of the right ventricle.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. surgical hardware is noted in the lower thoracic spine, not well assessed on this study. left axillary surgical clips are noted.
history: <unk>f with back pain // ?pna
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the lungs are fully expanded and clear. interval improvement of left basilar atelectasis and resolution of previous right lower lung opacity. there is prominence of the right hilum consistent with a prominent right main pulmonary artery as seen on prior ct an representing pulmonary hypertension. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
<unk> year old woman with cough // rule out infiltrate
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the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there is no pleural effusion or pneumothorax.
chest pain.
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a feeding tube has been removed. the heart is at the upper limits of normal size. there is mild unfolding of the thoracic aorta and calcification along the arch. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. a healed right mid clavicle fracture is noted.
altered mental status.
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a frontal view of the chest was obtained portably. low lung volumes results in bronchovascular crowding. a right internal jugular catheter ends in the region of the cavoatrial junction, unchanged. bibasilar opacities, with bilateral pleural effusions, moderate on the left and small on the right, and atelectasis have significantly increased from <unk>. the upper lung zones are clear. there is no pneumothorax. evaluation of the heart is difficult to bilateral opacities.
hypoxia.
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cardiac pacemaker. heart size is accentuated by a shallow inspiration. normal pulmonary vascularity. no pleural effusion. no consolidation. no edema.
<unk> year old man with chf // evaluate for infiltrate vs. edema
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lung volumes are slightly low. heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. streaky opacities in both lung bases likely reflect areas of atelectasis. linear scarring is noted within the right mid lung field compatible with prior wedge resections within the right upper and lower lobes. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities demonstrated.
history: <unk>f with copd, history of pulmonary embolism x<num> presents with acute shortness of breath and chest pain this morning. well's of <num>
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion, pulmonary edema or pneumothorax.
history: <unk>f with luq pain // luq pain
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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 vaginal bleeding, possible sti, now with right shoulder pain. // eval for empyema
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation.
<unk> year old woman with possible gib // eval for acute pathology
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the lungs are clear without consolidation, nodules, or edema. there is no pleural effusion or pneumothorax. the size of the cardiac silhouette is at the upper limits of normal. this is unchanged from the prior exam. the osseous structures are unremarkable.
chronic pruritus.
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there is no focal consolidation, pleural effusion or pneumothorax. bibasilar opacities most likely represent atelectasis. cardiomediastinal silhouette is within normal limits. there is some indistinctness of pulmonary vessels, which could reflect elevation of pulmonary venous pressure. of incidental note is a calcification in the left lower neck, consistent with thyroid adenoma.
<unk>-year-old female with a history of diabetes and copd, presenting for evaluation of shortness of breath.
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heart size is borderline enlarged. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. patchy opacity within the left lower lobe may reflect atelectasis, but infection cannot be excluded in the correct clinical setting. right lung is clear. no pleural effusion or pneumothorax is seen. fusion hardware within the cervical spine is incompletely imaged.
history: <unk>m with chest pain
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pa and lateral views of the chest. small left pleural effusion with adjacent atelectasis is unchanged. a tiny right pleural effusion has improved. there is no evidence of pneumonia. the tiny left apical hydropneumothorax is more fluid-filled and a very tiny foci of air is seen. the mediastinal and hilar contours are normal.
status post left vats and decortication, question interval change.
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. surgical clips noted in the upper abdomen.
<unk>f with sob // ?pna
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pa and lateral views of the chest. no prior. the lungs are grossly clear, noting linear lingular opacity suggestive of atelectasis. costophrenic angles are sharp and there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with coronary artery disease, presents with substernal chest pain radiating down arm and shoulder consistent with previous mi.
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frontal and lateral chest radiographs demonstrate a dual-lumen right chest wall dialysis line, terminating in the right atrium. the cardiomediastinal silhouette is normal and the lungs fairly well-aerated, without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for infectious process in a patient with fever.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar and pleural surfaces are normal and there is no evidence of pleural effusion, pneumothorax or focal consolidation.
chest pain.
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the patient has been intubated. the endotracheal tube terminates about <num> cm above the carina. an orogastric tube terminates in the stomach but probably by only about <num> cm. a single-lead pacemaker device terminates in the right ventricle. the patient is status post sternotomy. the cardiac, mediastinal and hilar contours appear stable. there are new bilateral central opacities suggesting mild pulmonary edema. small very small pleural effusions are present. the possibility of a developing focal opacity at the right lung base is not excluded within the right lower lobe. there is also patchy retrocardiac opacification.
status post endotracheal intubation an orogastric tube placement.
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a right ij line is present. the tip now overlies the mid/ distal svc, retracted compared with the most recent prior study. no pneumothorax is detected. widening of the superior mediastinal silhouette is noted, but in keeping with findings on multiple prior studies. chf findings and bibasilar atelectasis have improved somewhat compared with the prior film. increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation, remains present. small left-greater-than-right pleural effusions may be present.
<unk> year old man just self-pulled back central line // eval position of cvl
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable. while there may be minimal central pulmonary vascular engorgement, there is no overt pulmonary edema. degenerative changes are noted at the bilateral acromioclavicular and glenohumeral joints. evidence of dish is seen along the thoracic spine.
history: <unk>m with exertional chest pain with bibasilar crackles and elevated jvp*** warning *** multiple patients with same last name! // c/f pulmonary edema
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a tracheostomy tube is seen midline and a right-sided picc line terminates at the mid to distal svc. orogastric tube in seen coursing below the diaphragm, the tip is not included in this examination. as compared to prior chest radiograph from <unk>, lung volumes remain low and there has been slight improvement of right basilar opacity. retrocardiac opacity persists and there are probable persistent bilateral pleural effusions. an underlying infectious process however cannot be excluded. an area of linear atelectasis is now seen at the right lung base. moderate pulmonary edema persists. the cardiomediastinal and hilar contours are stable.
hypotension, has trach. rule out infiltrate.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild dextroscoliosis of the thoracic spine is present.
history: <unk>f with substernal chest pain, worse with palpation, recent viral illness
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heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
hiv cough, fever.
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs are now clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. no visualized free air is seen below the diaphragm.
<unk>-year-old male with one day of fevers and profuse vomiting and rigors.
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cardiomegaly is again noted. unfolding of the aortic arch. prominence of the pulmonary arteries. mild cephalization of pulmonary blood vessels. no pulmonary edema. bilateral nipple densities are visualized. no airspace consolidation. the previously noted nodular density on the lateral radiograph just anterior to the proximal descending thoracic aorta is no longer visualized and was most likely composite in nature. round metallic density seen in the upper abdomen just anterior to the spine is of indeterminate etiology and is seen on radiographs since <unk>.
<unk> year old man with chf // repeat for ovoid finding on cxr
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pa and lateral views of the chest. no prior. right-sided picc line is seen with tip at the cavoatrial junction. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. postoperative changes of lower cervical and upper thoracic anterior spinal fixation are seen.
<unk>-year-old male with back pain and fever, question epidural abscess versus parasternal abscess. question pneumonia.
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heart size is mildly enlarged. aortic knob calcifications are present. the mediastinal contours are unremarkable. there is mild upper zone vascular redistribution suggestive of mild pulmonary vascular congestion, but no overt pulmonary edema. lungs are hyperinflated. streaky opacities are seen in the lung bases likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. there are mild degenerative changes noted in the thoracic spine. no acute osseous abnormalities are visualized.
history: <unk>f with copd, altered mental status today // please eval for infectious process
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cardiac size is top normal. moderate right and large left pleural effusions with associated passive atelectasis are unchanged from prior study. there is new mild vascular congestion. right picc is in the low svc
shortness of breath
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there is new enlargement of the cardiac silhouette compared to prior exam. there is also pulmonary vascular congestion without overt edema, consolidation or effusion. no acute osseous abnormalities.
<unk>f with lupus p/w <num> days not feeling well // eval for consolidation
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pa and lateral views of the chest. lower lung volumes seen on the current exam with secondary right basilar, likely atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>-year-old female status post <unk> presenting with pain.
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there is mild pulmonary vascular congestion and minimal associated interstitial pulmonary edema. small bilateral pleural effusions have increased compared with the prior study. postsurgical changes in the left hemithorax are stable from prior studies. suture anchors are noted within the right humeral head. the left picc tip terminates in the left subclavian vein, likely withdrawn when compared with the prior study is no distal fragments are identified to suggest lying fracture.
<unk> year old woman with cough and fever, evaluate for pneumonia.
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mild cardiomegaly is similar to prior. cardiomediastinal contours are stable. indistinct appearance of the pulmonary vasculature is compatible with pulmonary edema. nodular opacity projecting over the right mid lung is similar to <unk>. blunting of the right costophrenic angle and indistinctness of the left costophrenic angle are compatible with small bilateral pleural effusions. retrocardiac opacity may represent atelectasis though pneumonia is not excluded. no pneumothorax. dialysis catheter terminates in the right atrium. the right humeral head is chronically deformed and an adjacent calcified loose body is again seen.
syncope. rule out pneumonia.
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small to moderate bilateral pleural effusions appear slightly improved compared to <unk>. mild pulmonary edema appears minimally improved compared to prior. there is no focal consolidation or pneumothorax. cardiomegaly is mild, as on prior. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. aortic arch calcifications are again seen.
<unk> year old woman with pe, dvt, l retroperitoneal mass. had pleural effusion yesterday, now s/p lasix <unk>mg iv and <unk> cc uop. // changes in pleural effusion?
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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.
history: <unk>m with stoke // acute process
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the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. no pleural effusion or pneumothorax. no metallic foreign objects are noted.
<unk>-year-old man with swallowed metal. please evaluate for foreign object.
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single frontal chest radiograph demonstrates unremarkable hilar contours. atherosclerotic calcifications are present in the aortic arch. the cardiac silhouette is not enlarged. there are bibasilar opacifications, left greater than right which may represent atelectasis though superimposed infectious process or aspiration is not excluded. no pneumothorax identified. mild blunting of the bilateral costophrenic angles suggests small bilateral pleural effusions. multilevel degenerative changes are present in the thoracic spine.
fever, altered mental status, evaluate for pneumonia.
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the patient is status post right lower lobectomy. right pleural effusion with fluid extending into the minor fissure is similar to <unk> but larger than <unk>. there is no focal consolidation or pneumothorax. heart size is top normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. right ij port tip is in the right atrium.
history: <unk>f with chest pain, sob // eval for structural process
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the cardiac silhouette remains enlarged. the mediastinal contours are stable with a calcified, somewhat tortuous aorta. trace bilateral pleural effusions may be present. there is prominence of the interstitial markings diffusely and bilaterally, as also seen on prior studies, suggesting mild interstitial edema. there is no pneumothorax. there is chronic severe compression of a vertebral body at the thoracolumbar junction.
nausea, vomiting.
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frontal and lateral chest radiographs demonstrate no current evidence of pneumonia. the heart, lungs, mediastinum, hila, and pleural surfaces are normal.
followup of a right middle lobe infiltrate.
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portable supine chest film <unk> at <time> is submitted.
<unk> year old man with low blood pressure // pna pna
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compared to the prior study there is no significant interval change.
<unk> year old man with increased resp effort // please evaluate for interval change
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the heart is again borderline in size, unchanged from the prior study. mediastinal silhouette and hilar contours are otherwise unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
right chest and right upper quadrant 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.
<unk> f with shortness of breath.
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compared with the <unk> cxr, the previously seen bilateral posterior effusions are slightly larger. allowing for technical differences, the cardiomediastinal silhouette is probably unchanged. doubt chf. subtle bibasilar opacities are similar to the prior film. no new focal infiltrate or consolidation is detected.
<unk> year old woman with uterine cancer p/w increased dyspnea x <num> days // eval pleural effusion vs. pna
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portable semi-upright radiograph of the chest demonstrates low lung volumes and a borderline enlarged cardiac silhouette. the mediastinal contours are stable since the prior examinations. new in the interval are pulmonary vascular congestion and bilateral, asymmetrically distributed perihilar opacities as well as a more focal opacity in the right upper lobe. superimposed infection is not excluded. midline sternal wires are well aligned and intact.
history: <unk>m with hyperglycemia vs seizure vs acs // ?cpd
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heart size and mediastinal contours are normal. right infrahilar streaky opacity likely represents atelectasis. no evidence of pulmonary edema. no pleural effusion or pneumothorax.
history: <unk>f with weakness status post recent stent.
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there is a small basilar pneumothorax in relation to left pleurx catheter placement. there is improvement in moderate left pleural effusion, now small in extent. there is persistent left lower lobe opacification, likely atelectasis. in addition, there is right basilar atelectasis. there are no new focally occurring opacities concerning for pneumonia. there is increased pulmonary vascular engorgement without frank interstitial edema. there is stable moderate cardiomegaly. the cardiomediastinal and hilar contours are otherwise unremarkable.
<unk>-year-old male with pleural effusion status post left pleurx catheter. evaluate for pneumo.
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there is widening of the superior mediastinum, though this may be due to low lung volumes and portable technique. otherwise the lungs are clear with no evidence of a consolidation, effusion or pneumothorax. cardiac silhouette is within normal limits. no acute fractures are identified.
chest pain.
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frontal and lateral views of the chest are compared to previous portable film from <unk> and ct abdomen and pelvis from <unk>. there is blunting of the right lateral costophrenic angle which is unchanged and likely in part due to extrapleural fat and possible pleural thickening which is partially visualized on prior ct abdomen. the lungs are otherwise clear. there is no definite pleural effusion. cardiomediastinal silhouette is within normal limits. previously seen left-sided tunneled ij line is no longer visualized. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal. no pneumomediastinum, pleural effusions, or metallic foreign body is identified.
<unk> year old woman s/p earring ingestion with hemoptysis // please evaluate for esophageal injury.
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ap upright portable chest radiograph was obtained. increased interstitial markings with fullness of the pulmonary vasculature and mild to moderate cardiomegaly is compatible with moderate to severe pulmonary edema. there is no pleural effusion or pneumothorax. mediastinal and hilar contours are unremarkable.
shortness of breath.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with chest pain.
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the patient is status post median sternotomy. the heart size remains moderately enlarged with a left ventricular predominance. the aorta is tortuous. mild pulmonary vascular congestion is noted. streaky bibasilar airspace opacities could reflect atelectasis. no pleural effusion is identified although the right costophrenic angle is excluded from the field of view. previously seen central venous catheter has been removed. no pneumothorax is present. rounded calcified structure within the liver is re- demonstrated.
hypertension, low oxygen saturation.
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very shallow inspiration. strand of atelectasis at right costophrenic angle. large left breast shadow, patient position partially compromises evaluation. mild elevation right hemidiaphragm, new since prior exam. remainder normal
history: <unk>f with ftt // eval for pulmonary process.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities visualized.
pleuritic chest pain.