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no focal consolidation, pleural effusion, no evidence of pneumothorax is seen. the cardiac silhouette is top-normal. the aorta is slightly tortuous. there is no overt pulmonary edema. there is no significant change since the prior study.
cough.
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frontal and lateral views of the chest. right chest wall port is again seen. there is right-sided volume loss. peaking of the right hemidiaphragm laterally is new and raises possibility of subpulmonic effusion. right perihilar and paratracheal opacity presumably due to patient's known lung cancer is again seen. the left lung is grossly clear. cardiac silhouette is unchanged.
<unk>-year-old female with active lung cancer and pleuritic chest pain.
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the endotracheal tube terminates <num> cm above the carina. there is an enteric tube coursing below the diaphragm with the sidehole within the stomach. the heart is mildly enlarged. there are low lung volumes, with evidence of bibasilar atelectasis. no definite evidence of focal consolidations concerning for infection is identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of brain cancer and altered mental status who presents for evaluation of acute cardiopulmonary process.
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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 luq, ll chest ttp with ecchymosis and petichae // eval for ll rib fractures or pna
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube tip courses below the gastroesophageal junction with tip off the inferior borders of the film. lung volumes are low. heart size is normal. mediastinal contour is widened as a result of low lung volumes and supine technique. pulmonary vasculature is not engorged. patchy bibasilar opacities likely reflect atelectasis. no definite focal consolidation is present. no large pleural effusion or pneumothorax is seen on this supine exam though the extreme left costophrenic angle is excluded from the field of view. clips are noted projecting over the left perihilar region and left chest.
history: <unk>m with intubated // confirm ett placement
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left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and ventricle. moderate cardiomegaly is unchanged. atherosclerotic calcifications of the aortic knob are again demonstrated. mild pulmonary vascular congestion is similar compared to the previous study with a small to moderate right pleural effusion and trace left pleural effusion, relatively unchanged compared to the previous studies. bibasilar airspace opacities likely reflect areas of atelectasis. no pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with dyspnea, lethargy
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portable semi upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. there is a persistent consolidation and volume loss in the right upper and left lower lobes. a small right and small to moderate left pleural effusion are unchanged from the prior study. the cardiomediastinal and hilar contours are unchanged. the thoracic aorta is tortuous. a right-sided internal jugular central venous line ends in the cavoatrial junction. nasogastric tube courses into the stomach and ends in the duodenum.
<unk> year old woman with aspiration // consolidation
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the lung volumes are low. this accentuates the appearance of the cardiomediastinal silhouette, which otherwise appears within normal limits. streaky opacities at the bilateral lung bases, greater on the left than the right, most likely represents atelectasis in the setting of low lung volumes. there is no focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax is detected. the visualized upper abdomen is relatively gasless. no acute osseous abnormality is detected.
cough for the past three days, here to evaluate for pneumonia.
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pa and lateral views of the chest provided. left chest wall pacer device is again seen with leads extending into the region of the right atrium and right ventricle. cardiomediastinal silhouette is stable. new blunting at the left cp angle on the frontal view only could reflect a small effusion though no corresponding finding on the lateral view. no radiopaque foreign body is seen. no evidence of pneumomediastinum. no pneumothorax. right lung is clear. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with chest pain and difficulty swallowing after eating // foreign body
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the ett terminates approximately <num> cm above the carina. all other lines and tubes are unchanged in positioning. the multifocal airspace opacities are essentially unchanged compared to prior. the cardiomediastinal silhouette is stable. there are no large pleural effusions. there is no pneumothorax.
<unk> year old woman with intubation // interval change
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portable ap upright image of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
dka.
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pa and lateral chest radiograph demonstrates cardiomegaly. when compared to prior radiograph dated <unk>, lung volumes are improved. there is mild pulmonary vascular congestion though no overt in pulmonary edema. there is no pleural effusion or pneumothorax. a left pectorally placed defibrillator device is identified, its leads in unchanged position. the defibrillator lead is seen projecting over the right ventricle and a pacer lead along the diaphragmatic surface of the left ventricle. hilar contours are stable when compared to prior examinations. osseous structures demonstrates degenerative changes within bilateral acromioclavicular joints as well as within the visualized thoracolumbar spine.
<unk> yo m with altered mental status.
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the lungs are well inflated and clear. the cardiomediastinal silhouette is unremarkable. hilar and pleural surfaces are normal.
history: <unk>m with cp // r/o pna. ptx
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frontal and lateral chest radiographs demonstrate unchanged linear opacity in the left lower lung compatible with scar. the lungs are well expanded. there is no pleural effusion or pneumothorax. the cardiac silhouette remains mildly enlarged, the mediastinal contours are normal. a lap gastric band is noted which is changed in orientation as can be seen in prolapse. there are surgical clips in the right upper quadrant.
chest discomfort.
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frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. there is widening of the superior mediastinum suggestive of lymphadenopathy in the right lower paratracheal station in the ap window. the heart is not enlarged. there is no pneumothorax of pleural effusion or consolidation.
<unk>-year-old male with history of sarcoidosis a persistent cough and shortness of breath. evaluate for recurrent sarcoidosis.
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pa and lateral views of the chest show no consolidation, pleural effusion, pulmonary edema, or pneumothorax. linear opacities at the left base are likely scarring and unchanged from the prior chest radiograph in <unk>. prominence of the pulmonary vasculature is also unchanged. cardiac size is normal. the mediastinal contours are normal.
chest pain. evaluate for pneumonia or cardiomegaly.
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pa and lateral views of the chest. the lungs are clear. there is no consolidation or pneumothorax. the cardiomediastinal silhouette is normal. there is no effusion. no displaced fractures seen on this non-dedicated examination.
<unk>-year-old male hit by car with right thoracic pain.
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the lungs are grossly clear. there is no effusion, consolidation, or edema. moderate enlargement of the cardiac silhouette is noted. atherosclerotic calcifications are seen at the aortic arch. hypertrophic changes are seen in the spine.
<unk>m with copd, recent pna admission, now w fatigue lactate <num>, hypotension at home today // eval ? recurrent pna
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dual lead pacemaker is present, with lead tips over the right atrium and right ventricle. probable background hyperinflation. there is mild cardiomegaly, similar to the prior study. as before, there is slight prominence of the right left pulmonary arteries, which could reflect an element of pulmonary hypertension. the aorta is calcified. on today's exam, there is upper zone redistribution and mild increased interstitial markings. more confluent opacities are seen in the right upper zone, right and left lung bases. there is increased retrocardiac density, consistent with collapse and/or consolidation, similar to <unk> , but slightly more pronounced. minimal blunting of both costophrenic angles is compatible with small effusions. possible mild bronchiectasis at the left lung base and in the right suprahilar region. no pneumothorax detected.
history: <unk>f with chest pain // dyspnea, hypoxia
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single portable chest radiograph was provided. basilar opacities and small left pleural effusion are unchanged. mild cardiomegaly has slightly increased since the most recent prior exam. the tracheostomy tube is in appropriate position. left picc terminates in the right atrium. bony structures are unremarkable.
<unk>-year-old male with no significant past medical history presenting with weakness, developing acute respiratory failure, found have saddle pe.
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portable ap upright chest radiograph was provided. surgical clips are again noted in the right axilla. a dialysis catheter extending from the ivc into the right atrium is also again noted. heart size is within normal limits. the mediastinal contour is stable. there is no focal consolidation, effusion or pneumothorax. while there is no overt edema or definite signs for fluid overload, mild hilar congestion is noted. bony structures are intact. a vascular stent is partially imaged in the left axilla.
<unk>-year-old female with nausea, rule out pneumonia. comparison : prior exam from <unk>.
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the patient has been intubated. endotracheal tube terminates <num> cm above the carina. an orogastric tube courses into the stomach, its tip lying beyond the inferior margin of the fell. the lungs appear clear. there no pleural effusions or pneumothorax. there may have been an interval non-displaced fracture involving the left fifth rib, but probably not acute.
shortness of breath.
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interval improvement in the right lower lobe heterogeneous opacification with residual linear reticular opacities, which may represent residual pulmonary process or scarring. left lung is clear. no pleural effusion or pneumothorax. median sternotomy wires are in correct position. heart size is top normal with normal mediastinal contour and hila. no bony abnormality.
male on coumadin with hemoptysis, abnormal chest x-ray and ct scan. still presents with minimal hemoptysis. assess for resolution of abnormality seen in <unk>.
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the cardiac silhouette is unremarkable. again noted are diffusely increased interstitial markings and bibasilar reticular opacities, corresponding to patient's known chronic interstitial lung disease and pulmonary fibrosis, seen on prior examinations. there is stable elevation of the right hemidiaphragm. no definite consolidation, pleural effusion, or pneumothorax is identified.
<unk> year old woman with vasculitis, pulmonary fibrosis, p/w dyspnea, please eval for interval change // please eval for interval change from prior cxr
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded without focal consolidation concerning for pneumonia. known bibasilar atelectasis is better seen on ct. ett and ng tube are in appropriate positions.
<unk>m s/p ? assault // <unk> m s/p ? assault, eval for acute injury
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. there is minimal atelectasis at the right lung base. a picc line is noted with its tip at the cavoatrial junction.
<unk> year old man with picc line placement // s/p picc placement
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there is mild cardiomegaly with a tortuous aorta. the lungs are grossly clear without focal consolidation concerning for pneumonia or effusions. no pneumothorax.
<unk> year old man with altered mental status. please r/o cardiopulm process.
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increased bilateral symmetric central pulmonary opacities seen. name compatible with increased pulmonary edema.
<unk>-year-old male with past medical history significant for chf, a. fib, cad, dm<num>, amyloid angyopathy, multiple previous intra-parenchymal / subdural/arachnoid bleeds, chronic multidrug resistant uti, and baseline aphasia/bed-ridden presenting with hypoxia from snf. // eval for interval change, etiology of tachypnea
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the patient is status post median sternotomy. a prosthetic mitral valve is noted. pulmonary vascular congestion is mild. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with chest pain // r/o acute process
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the lungs are well expanded. there is a small residual left pleural effusion and atelectasis, likely representing post-operative changes, which are unchanged from prior exam. there is no new focal mass, consolidation, or edema. the cardiomediastinal silhouette is moderately enlarged, unchanged from prior exam. there is no pneumothorax. midline sternotomy wires are noted.
fatigue status post tee.
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pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain and shortness of breath.
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there is a heterogeneous, asymmetric parenchymal opacity in the left lower lobe concerning for new pneumonia.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> year old man with fevers to <num>, no other localizing sx // r/o pneumonia/<unk>
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the lungs are hyperexpanded. there is interval development of an airspace opacity projecting over the right heart border on the frontal view, which is not confirmed on the lateral view. chronic appearance of scarring in the right upper and middle lobes is unchanged from prior studies. there is no 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 <num> days of cough, phlegm production, chills. // ?infiltrate
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the et tube terminates approximately <num> cm above the carina. a swan-ganz catheter is positioned with the tip in the right main pulmonary artery, overall unchanged in position compared to the prior exam. enteric tube traverses below the diaphragm with the tip out of view of this film. layering right-sided effusion has improved compared to the prior exam. linear radiopaque structure seen projecting over the proximal descending thoracic aorta is in the expected location and demarcates the intra-aortic balloon pump marker. mild bibasilar atelectasis is persistent.
history of coronary artery disease status post v-fib arrest and intubated, now with intra-aortic balloon pump. please evaluate for interval change.
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frontal and lateral views of the chest were obtained. the pulmonary vascular markings are indistinct, compatible with vascular congestion. a <num> cm nodular opacity overlies the left mid-lung. the hila are enlarged, suggesting lymphadenopathy. the costophrenic angle are blunted, compatible with small bilateral pleural effusions. no pneumothorax. heart size is normal. no radiopaque foreign body. osseous structures are unremarkable.
chest pain and back pain. evaluate for pneumonia.
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there is subtle opacity in the right lower lobe which maybe due to atelectasis and low lung volumes versus pneumonia in the correct clinical setting. left lower lobe opacity is likely a prominent epicardial fat pad. retrocardiac area remains clear. there is no pleural effusion or pneumothorax or pulmonary edema. the heart size is mildly enlarged.
shortness of breath, question pneumonia.
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. right upper lobe known pneumatocele is not clearly seen on the current exam. no focal consolidation, pleural effusion or pneumothorax is present. moderate degenerative changes of the thoracic spine are visualized.
history: <unk>m with s/p spinal fusion who presents worsening pain in the right illiac crest, and right elbow since surgery no numbness tingling
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no displaced fracture is seen.
chest pain.
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pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected.
<unk>-year-old female with chest pain.
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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 sob
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the patient is status post median sternotomy and cabg. lung volumes are low which accentuates the size of the cardiac silhouette. the heart size does appear at least mild to moderately enlarged. the aorta is tortuous. mediastinal and hilar contours are otherwise unchanged. crowding of the bronchovascular structures is demonstrated with probable mild pulmonary vascular congestion but no overt pulmonary edema. minimal blunting of the right costophrenic sulcus suggests a trace right pleural effusion. no pneumothorax is present. streaky opacities are seen within the lung bases, likely atelectasis. mild to moderate multilevel degenerative changes are noted in the thoracic spine. remote bilateral rib fractures are noted.
history: <unk>f with chest pain/ back pain
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. lower thoracic dextroscoliosis is noted. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with cough, sore throat // pna?
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is no pneumomediastinum. vascular stent projects over the upper mediastinum on the right. surgical clips are seen in the upper abdomen. there is no free intraperitoneal air. no acute osseous abnormalities.
<unk>f with small bowel enteroscopy yesterday, s/o roux en y bypass presenting with neck and abd pain // c/f abd perforation, subcutaneous emphysema
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there is persistent elevation of the right hemidiaphragm. the cardiac and mediastinal silhouettes are stable. again seen are streaky opacities in the upper lungs bilaterally, likely representing atelectasis and/ or scarring. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. there is a known hiatal hernia. wedge deformity at the thoracolumbar junction is grossly stable.
history: <unk>f with malaise // infiltrate?
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cortical irregularity and lucency through the lateral seventh left rib may reflect a nondisplaced fracture or chronic fracture as seen on the prior exam. no evidence of pneumothorax. overall appearance of the lungs is otherwise unchanged. slight increased opacity in the right mid thorax could reflect a nodular opacity demonstrated on cross-sectional ct from <unk>. the heart is severely enlarged all including the right heart and left atrium, best appreciated on prior ct and may suggest cardiomyopathy. elevation of the left mainstem bronchus is overall unchanged, likely related to left heart enlargement. the descending thoracic aorta is tortuous and/or ectatic, unchanged. scoliosis is also unchanged.
history: <unk>f with fall on left side with bruising now mild sob // eval pneumothorax
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there is pulmonary vascular congestion, without frank edema, and mild distention of mediastinal veins compared to <unk>. the heart is moderately enlarged. mediastinal contours are unchanged. no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with b/l rales, hx of chf, recent fall // ?pleural effusion, pna
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portable upright chest radiograph demonstrates a hemodialysis catheter, the tip of which projects over the right atrium. a left upper extremity picc tip projects over the lower svc. a dobbhoff tube has been placed, which does pass below the level of the diaphragm and curls cephalad with its tip projecting over the expected position of the stomach body. the lungs are clear. aortic endograft is unchanged in position.
<unk>-year-old male status post thoracic aortic repair with a three-vessel reconstruction, status post left colectomy for colonic ischemia. evaluate placement of dobbhoff.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with globus sensation // acute process
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an et tube is present, tip approximately a <num> cm above the carina. an ng tube is present, tip extending beneath the diaphragm, off film. a left subclavian central line tip overlies the proximal/mid svc. no pneumothorax is detected . lung findings are grossly unchanged.
<unk> year old man with aaa repair // check ngt placement
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cardiac, mediastinal and hilar contours are unremarkable, with the heart size within normal limits. pulmonary vasculature is normal. lungs are clear. no focal consolidation effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m, pre-op radiograph
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a right-sided dual lumen central venous catheter tip terminates in the lower svc. heart size is normal. aortic knob is calcified. mediastinal and hilar contours are normal. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with diabetes mellitus, congestive heart failure,?seizure disorder presenting with syncope versus seizure
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this compared to the previous radiograph, the a large left effusion with subsequent atelectasis is unchanged. on the right, the area of pleural thickening along the chest wall has substantially decreased. the monitoring and support devices are unchanged. no new parenchymal opacities. unchanged appearance of the cardiac silhouette.
<unk> year old woman with respiratory failure, intubated, being diuresed // evaluate for progression of effusions
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pa and lateral views of the chest. no prior. indistinct pulmonary vascular markings seen throughout. increased hazy bibasilar opacities are in part due to overlying gynecomastia; however, prominent interstitial markings are likely in part accountable for this finding. there is no confluent consolidation or large effusion. cardiac silhouette is enlarged. osseous and soft tissue structures are unremarkable. free air is seen below the diaphragm.
<unk>-year-old male with upper abdominal pain. history of end-stage renal disease, on hemodialysis. question free air.
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heart size remains mildly enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is present.
history: <unk>f with fever, cough, asymmetric lung exam
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single frontal view of the chest was obtained. the heart is of top normal size. the vascular pedicle is widened. there is calcification of the aortic knob. the pulmonary vasculature is engorged with indistinct bronchovascular markings. a healed chronic right seventh posterior rib fracture is present. no focal consolidation, pneumothorax, or pleural effusion is seen. an endotracheal tube terminates <num> cm above the carina. there is severe dextroscoliosis of the lumbar spine.
<unk>-year-old female with respiratory failure. evaluate for tube placement and infectious process.
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a single-lead pacemaker device has a lead terminating in the right ventricle, as before. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. mild perihilar congestion is noted, but otherwise, the lungs appear clear.
increased weight and heart failure.
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endotracheal tube terminates <num> cm from the carina. enteric tube and side port are within the stomach. lung volumes are low. this accentuates the size of the cardiac silhouette which appears mildly enlarged. apparent widening of the superior mediastinal contour also is likely due to low lung volumes. there is crowding of the bronchovascular structures without overt pulmonary edema. patchy and linear opacities in the lung bases likely reflect areas of atelectasis. no large pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
history: <unk>m with intubated
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exam is relatively unchanged compared to next preceding study with stable low lung volumes and streaky opacities in the bibasilar lungs. opacities likely reflect atelectasis particularly given stability compared to <unk>, though an early infectious process cannot be entirely excluded. stable right mid lung pleural thickening with adjacent linear opacitiy correlating with area of scarring on <unk> chest ct. no pleural effusion or pneumothorax evident. the cardiomediastinal and hilar contours are unremarkable. no osseous abnormalities identified.
dyspnea on exertion and liver failure, please evaluate for effusion.
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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 chest pain // eval for structural process
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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. again noted are myeloma- related changes of multiple right-sided ribs. there is significant kyphosis in the setting multiple compression deformities.
<unk> year old man with multiple myeloma recent pna with recurrent cough and chest congestion // pna
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lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pulmonary edema, pleural effusion, or pneumothorax. no focal consolidation is seen.
history: <unk> with cough, fevers // ? pneumonia
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there are bilateral diffuse interstitial opacities with foci of more patchy consolidation along the right lung base, which is significantly worsened compared with <unk>. there are bilateral pleural effusions, right worse than left, also significantly worsened from prior. assessment of the cardiac size cannot be performed due to obscuration of the lateral margins. there is a large combined hiatal/left diaphragmatic hernia with the contents extending to the left lateral thoracic wall, unchanged from <unk>. there is no evidence of pneumothorax.
<unk>-year-old female with dyspnea. evaluate for evidence of pneumonia.
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cardiac silhouette size remains mildly enlarged, unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. chronic fibrotic changes with bronchiectasis are again noted at the lung bases, with minimal chronic interstitial abnormality also seen along the periphery of both lungs, not significantly changed in the interval. no new focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
history: <unk>f with epigastric pain
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frontal and lateral chest radiograph demonstrate a normal cardiomediastinal silhouette , no pulmonary edema. the moderate left pleural effusion is unchanged, with associated left base atelectasis. there is no pneumothorax.
known left pleural effusion, here with hyponatremia. evaluate effusion.
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the cardiac, mediastinal and hilar contours appear stable. there is a patchy a new opacity in the left lower lobe with a small pleural effusion concerning for pneumonia. very mild new interstitial process suggests coinciding fluid overload or airway inflammation. there is no evidence for pleural effusion on the right.
cough and fever.
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in comparison with the prior study, there is opacification at the left lung base, obscuring the hemidiaphragm, consistent with a pleural effusion and left lower lung volume loss. there is no focal consolidation concerning for pneumonia, or pneumothorax. no change in the old healed right rib fracture.
<unk> year old man with cirrhosis, history of pleural effusion s/p tips with shortness of breath. effusion, cause of sob.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. central mild interstitial abnormality is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old male with iv drug use and fever.
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please note: there were <num> images were taken in this study. the first was at <time> showing right mainstem bronchus intubation and the <unk> at <time> showing the et tube in the distal trachea <num> cm above the carina. there is a large bore left subclavian line with tip in the right atrium just below the cavoatrial junction. there is mild cardiomegaly and pulmonary vascular redistribution with alveolar edema. effusions layer posteriorly. there is a moderate left pneumothorax, predominately inferiorly. the hila are prominent but it is unclear how much of this is due to technique findings of the pneumothorax were called to dr. <unk> by dr. <unk> at the time of discovery of this finding at <time> pm, at the time of dictation of this report.
coughing up blood.
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with atypical cp // ? pneumonia
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previously noted left basilar opacity has continued to improve with minimal left basilar atelectasis persisting. no new consolidations are identified. cardiac and mediastinal contours appear stable. no acute fractures are identified.
intraparenchymal hemorrhage, evaluation for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pneumothorax, pulmonary edema, pleural effusion, or pneumonia.
<unk> year old woman with chest pain/upper epigastric pain and pain under left breast, associated shortness of breath. // eval for cardiopulmonary process.
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single ap view of the chest provided. left picc ends at the proximal svc. right pigtail catheter projects over the right lung base. left chest to appears unchanged. a small, right pleural effusion and associated atelectasis is mildly increased. probable moderate left pleural effusion and moderate left lower lobe volume loss is unchanged. hilar contours are normal. moderate cardiomegaly is unchanged.
<unk> year old woman with b/l chest tubes // interval change
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ap upright and lateral views of the chest were provided. the right lung apex is obscured by the patient's chin on the frontal projection. the lungs appear clear bilaterally. no evidence of pneumonia, chf, pleural effusion or pneumothorax. the cardiomediastinal silhouette appears normal. stable compression deformities are again seen in the lower thoracic spine with associated kyphotic angulation.
<unk>-year-old male with history of diabetes, hypertension, presents with altered mental status and cough.
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moderate-to-severe cardiomegaly is unchanged. mediastinal and hilar contours are stable. left axillary pacemaker is present with tips terminating in the right atrium and right ventricle as expected. there is no pleural effusion or pneumothorax. left basilar scarring or atelectasis is again noted. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.
shortness of breath.
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dual lead left-sided pacer device is stable in position. the cardiac and mediastinal silhouettes are stable. no focal consolidation is seen. there is no pleural effusion or pneumothorax. no pulmonary edema is seen.
history: <unk>m with icd shock x<num> // eval icd position, pulm edema
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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 woman with chest pain.
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pa and lateral views of the chest provided. cardiomegaly is again noted with hilar congestion and pulmonary edema which is mild to moderate in extent. there is trace pleural fluid noted bilaterally layering along the fissural surfaces. no pneumothorax. no convincing evidence for pneumonia. bony structures are intact.
<unk>f with dvt? // pna?
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the left-sided pneumothorax is unchanged compared to the most recent study. the remainder of the exam is unchanged.
left pleural effusion, status post thoracentesis and subsequent pneumothorax.
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pa and lateral views of the chest were provided. the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette appears normal. imaged bony structures appear intact. no free air below the right hemidiaphragm is seen.
<unk>-year-old female with cough and sinus congestion, evaluate for pneumonia.
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pa and lateral views of the chest provided. right chest wall pacer device is again seen with pacer leads extending into the right atrium and right ventricle. midline sternotomy wires and mediastinal clips are again noted. there is again noted to be evidence of pulmonary fibrosis with basal predominant pattern not significantly changed. no definite signs of a superimposed pneumonia or edema. small pleural effusions difficult to exclude. no large pneumothorax. cardiomediastinal silhouette is stable with mild cardiomegaly appearing unchanged. bony structures are intact.
<unk>m with significant cad hx, recent discharge w/ conservative management of restenosing graft/stents, now w/ doe and <unk> swelling // eval ? pulm edema, infiltrate, cardiomegaly
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mildly enlarged heart. pulmonary vascular congestion is improved from previous chest radiograph. no consolidation, pleural effusion or pneumothorax is seen. left axillary surgical clips are seen consistent with history of breast cancer and resection.
<unk>-year-old woman with atrial fibrillation, breast cancer now with leukocytosis. evaluate for pneumonia.
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mild cardiomegaly is again noted. biapical pleural thickening and parenchymal scarring is unchanged. there are increased bilateral interstitial markings, some of which may be due to paramediastinal fibrosis consistent with prior radiotherapy, as described on the prior ct chest. no focal consolidation or large pleural effusions. no evidence of pneumothorax.
<unk>m with dyspnea on exertion. evaluate for acute cardiopulmonary process.
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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>f with seizure, st, cough // eval ? infiltrate
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. deformity of the left first and second ribs is again noted.
history: <unk>m with shortness of breath // eval for acute process
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the lungs are clear without focal consolidation. no overt signs of pulmonary edema. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. unchanged degenerative change of the thoracic spine.
<unk>m with chest pain. evaluate for acute abnormality.
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ap and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with fever and cough.
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the patient is rotated. pa and lateral views of the chest provided. lungs are hyperexpanded. there is no focal consolidation, effusion, or pneumothorax. cardiomegaly is unchanged from comparison study. patient is status post no. status post arthroplasty of the bilateral proximal humeral heads. chronic rib deformities of the right-sided are unchanged. no free air below the right hemidiaphragm is seen.
history: <unk>f with history of fibromyalgia p/w rle swelling. // eval for pulm edema
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pa and lateral views of the chest. the lungs are essentially clear noting minimal streaky left basilar opacity. elsewhere the lungs are clear. there is no effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
<unk>-year-old female with fever and back pain.
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et tube tip is approximately <num> cm above the carina. enteric tube courses below the diaphragm and out of view. low lung volumes cause bronchovascular crowding and accentuation of the cardiac silhouette. dense retrocardiac opacity is worse compared to prior. there is no pneumothorax. cardiomegaly is moderate, as on prior. no free air below the right hemidiaphragm is seen. calcified right styloid process is similar to <unk>.
<unk> year old man with iph // please eval for changes, right jugular central line attempt
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ap upright and lateral views of the chest provided. there is mild bibasal atelectasis. the heart appears mildly prominent likely in part due to ap technique. mediastinal contour is unremarkable. no pneumothorax or large effusion. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with sob, abd pain // pna, colitis?
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the lungs are clear without focal consolidation pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. hardware in the bilateral humeral heads and spine with associated degenerative changes are noted. ivc filter is partially visualized. no fracture is identified.
<unk>-year-old woman status post mechanical fall with tenderness over the left anterior chest.
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evaluation is slightly limited due to patient's positioning. within this limitation, the patient is status post median sternotomy and coronary artery bypass graft surgery. the cardiac silhouette remains moderately enlarged but unchanged. the mediastinal contours are prominent, which is related in part to unfolding of the thoracic aorta and patient's positioning with slight rotation to the right. the hilar contours appear unchanged. the right hemidiaphragm remains elevated compared to the left. the inspiratory lung volumes remain low. streaky opacification of the right lung base is increased, which may represent worsening atelectasis. mild opacification of the left lung base most likely reflects atelectasis. a small right pleural effusion is present. the left costophrenic angle is clear. no pneumothorax is detected.
cough and dyspnea, here to evaluate for pneumonia.
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heart size is mildly enlarged. aorta is tortuous but unchanged. there are diffuse calcifications of the thoracic aorta. the pulmonary vascularity is normal. linear opacities within the left lower lobe may reflect subsegmental atelectasis versus scarring. calcified granuloma in the right upper lobe is unchanged. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities identified.
audible wheeze, dry cough and shortness of breath.
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endotracheal tube has been placed and lies at the level of the carinal. a nasogastric tube overlies the expected location of the stomach. the heart is mildly enlarged. the pulmonary vasculature is normal. there is no focal consolidation, pneumothorax, or effusion.
placement of endotracheal tube and og tube
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the lungs are clear. there is minimal linear atelectasis at the left lung base. the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with chest pain // r/o pna
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pa and lateral views of the chest provided. volume loss is again noted within the right hemithorax with traction bronchiectasis noted in the upper lobes, right greater than left. patient status post partial resection in the right upper lobe. pleural thickening likely accounts for blunted cp angles bilaterally though small pleural effusions difficult to exclude. upward retracted hila unchanged. overall cardiomediastinal silhouette unchanged. overall appearance of the chest is minimally changed from numerous prior studies.
<unk>m with hemoptysis, history of lymphoma <unk> years ago treated with xrt.
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the cardiac, mediastinal and hilar contours appear unchanged. there is no shift of mediastinal structures. there is a large right-sided pleural effusion, which has increased since the earlier radiographs and perhaps slightly since the more recent ct. there is no pneumothorax. the left lung remains clear.
fatigue and recurrent pleural effusion. status post recent thoracentesis.
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ap and lateral views of the chest are compared to previous exam from <unk>. right chest wall port is now seen with catheter tip in the proximal right atrium. slightly low lung volumes. the lungs are grossly clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with questionable seizure activity. history of pancreatic cancer. question acute cardiopulmonary process.
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the support and monitoring devices are unchanged. the first side port of the nasogastric tube remains at the ge junction. the overall appearance of the lung are unchanged with hyperinflation and linear calcific opacity in the periphery of the right lung. no acute focal consolidation or interstitial edema. the cardiomediastinal and hilar contours are within normal limits. localized lucency in the right costophrenic angle likely represents localized bullous disease.
<unk> year old man with chf and ckd on hd presenting with resp failure // interval change
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frontal and lateral adiographs of the chest demonstrate a stable moderate cardiomegaly. the right chest wall port-a-cath is in unchanged position ending in the lower svc. no focal consolidation, pleural effusion or pneumothorax.
leukocytosis, rule out pneumonia