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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. prominent convexity of the ap window remains unchanged.
history: <unk>m with sharp l sided cp // eval ? pneumothorax, pneumonediastinum eval ? pneumothorax, pneumonediastinum
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a single portable semi-erect frontal view of the chest was obtained. an endotracheal tube is approximately <num> cm above the carina. the enteric tube is within the stomach. a right central venous (ij) catheter terminates in the right atrium. prominent streaky opacifications in the left and right bases could reflect atelectasis or aspiration. lungs are otherwise clear. there is no large pleural effusion. there is no pneumothorax.
<unk>-year-old female with new right ij placement.
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streaky linear opacities are again seen, similar to prior and may be due to atelectasis. there is no confluent consolidation. costophrenic angles are sharp. the cardiomediastinal silhouette is within normal limits. rounded calcific density overlying the anterior left seventh rib is compatible with calcification at the costochondral junction. no acute osseous abnormality is detected.
<unk>-year-old female with respiratory distress. question pneumonia.
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heart size is mildly enlarged, unchanged. the aorta is mildly tortuous with atherosclerotic calcifications noted at the aortic knob. mediastinal and hilar contours are similar and the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with chest pain
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two frontal images of the chest demonstrate significant interval improvement in the right basilar pneumothorax. the left pleural effusion has increased in size since prior imaging. there is no change in the right basilar opacities. cardiomegaly is mild and stable. a stent is seen which is likely in the svc. there is a large femoral central line with the tip in the right atrium. a pigtail catheter is again seen in the right lung base.
<unk>-year-old female with right pleural effusion and pneumothorax requiring interval assessment of change in the pneumothorax.
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the patient is rotated. the endotracheal tube terminates in the lower trachea. a nasogastric tube can be visualized the level of the mid esophagus. there is no pneumothorax. bibasilar subsegmental atelectasis is unchanged. there is a stable small right pleural effusion. the heart and mediastinum are within normal limits despite the projection.
<unk> year old woman, intubated, with iph/ivh/sah and evd now s/p ngt placement // please assess for proper ngt placement
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compared to the prior study there is no significant interval change. there is a tiny left lateral pneumothorax with left chest tube in place. again seen are bilateral pulmonary lesions compatible with metastatic disease. mediastinal clips and sternal wires are unchanged. left-sided dual lead pacemaker is unchanged.
<unk> year old man with small l ptx after lung biopsy today, has chest tube in place, will switch to water seal at <time> // any pneumothorax? chest tube placement?*** patient is being turned to water seal at <time>. please do cxr around <time> ***
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a ventriculoperitoneal shunt is seen projected over the right hemithorax with its distal tip not clearly seen. a left-sided pacemaker is seen with two leads following an expected course to the right atrium and proximal right ventricle, respectively. the left hemidiaphragm is elevated by gas seen in the stomach or bowel. the heart is mildly enlarged. the hilar contours appear normal. the left costophrenic angle is not well visualized but there is no right pleural effusion. there is a small bochdalek hernia seen on the lateral view. there is no evidence of pneumothorax.
prostate cancer.
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portable chest radiograph demonstrates left lower lobe atelectasis with bibasilar hazy opacifications concerning for layering bilateral pleural effusion. no new focal consolidation. the cardiomediastinal and hilar contours are otherwise unremarkable. moderate in supportive devices are in standard position.
<unk>-year-old male with persistent seizures. evaluate for interval change.
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upright ap and lateral views of the chest provided. left chest wall aicd is noted. with lead extending into the right ventricle. midline sternotomy wires and mediastinal clips are noted. the heart is mildly enlarged. the lungs are clear and hyperinflated. no large effusion or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with chest pain, shortness of breath // eval pna, ptx
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frontal and lateral views of the chest were obtained. the heart size is mildly enlarged, similar to prior. the cardiomediastinal contours are stable. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. an endovascular stent in the abdomen is incompletely imaged.
<unk>-year-old female with chest pain, cough, and palpitations.
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mild improvement in known right hydropneumothorax with improved aeration of the right lung base. the right pigtail pleural catheter appears to be slightly moved in positioning. the left lung is essentially clear. the heart size is unchanged. no pulmonary edema.
<unk> year old woman with hydropneumothorax s/p ct placement <unk>. please perform at <num>am on <unk>. // ? resolution of hydropneumothorax
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the heart is again at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there is no pleural effusion or pneumothorax. a thin flowing osteophyte is present along the anterior mid-to-lower thoracic spine, as before.
chest pain.
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the patient is status post median sternotomy and cabg. left picc tip terminates in the svc. heart remains moderately enlarged, unchanged. mediastinal contours are stable. mild pulmonary edema appears slightly progressed in the interval. small left pleural effusion persists. retrocardiac opacity could reflect infection or atelectasis and persistent right basilar patchy opacity is noted. no pneumothorax is demonstrated. no acute osseous abnormality is identified.
fever.
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a new oval <unk> x <num>mm radioopacity has developed in the right lung at the level of the <unk> anterior interspace. there is a suggestion of greater fullness in the right paratracheal region of the mediastinum and increase in previous mild lobulation of the right hilus both suggesting interval lymph node enlargement. two small calcifications in the left hilus are more radiodense today than in <unk>. lateral view raises the question of a second lung nodule also oval in shape, <unk> x <num> mm at projecting between the sternum and the ascending thoracic aorta. mild loss of height is present at multiple thoracic vertebral bodies, probably a function of patient's age. there is no pleural effusion. heart size is normal and pulmonary vasculature are unremarkable.
<unk>-year-old male with tobacco use and cough, intermittent shortness of breath. rule out infiltrate.
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lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. no subdiaphragmatic free air is identified. multiple air-fluid levels within small bowel loops in the mid abdomen are partially seen.
<unk> year old woman with pancreas / kidney transplant, severe abd pain, n/v // perforated viscous?
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pa and lateral views of the chest provided. the lungs are clear. 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. partially imaged, are clips in the upper abdomen.
<unk>m with pmh cva x <num> presents after noticing difficulty walking.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
cough and shortness of breath for three weeks. evaluate for pneumonia.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
cough and wheezing. history of asthma and pulmonary embolism.
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there is a small right apical pneumothorax, not well appreciated on previous radiograph. there are small bilateral pleural effusions and bibasilar consolidations. cardiomediastinal silhouette is unchanged. patient is status post pacemaker placement, with leads terminating in the right atrium and right ventricle. a loop of bowel is seen as above the diaphragm, related to prior esophagectomy with gastric pull-through.
history: <unk>m with pleuritic cp // ptx?
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. there is no evidence of pneumoperitoneum. a stent is seen projecting over the expected location of the left subclavian vein.
<unk>-year-old female with a past medical history of left subclavian thrombosis, now presenting with left upper chest pressure and shortness of breath x<num> hr. afebrile, normal wbc.
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m with chest pain
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. linear opacities at the left lung base are compatible with subsegmental atelectasis. remainder of the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities present.
history: <unk>m with cough and shortness of breath
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the cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax. biliary stents and surgical clips are seen in the right upper quadrant.
fever, fatigue. question pneumonia.
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sternotomy. shallow inspiration. moderate left, mild right pleural effusion is stable. improved right basilar atelectasis. left basilar consolidation has improved. difficult to assess heart size. normal pulmonary vascularity. surgical clips right axilla. no pneumothorax.
<unk> year old woman with afib rvr ? fluid overload // fluid status, infiltrates?
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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with myeloma, s/p thoracentesis <unk> // f/u pleural effusions f/u pleural effusions
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mild cardiomegaly. the mediastinal and hilar contours are normal. there is minimal pulmonary edema. no evidence of pneumonia. no pneumothorax or pleural effusion.
<unk>-year-old man with peripheral vascular disease undergoing angiography. preoperative evaluation.
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frontal and lateral radiographs of the chest show severe dextroscoliosis and structural abnormality of the left hemithorax, unchanged from multiple priors. there is improved aeration at the left lower lobe from <unk> with visualization of the left hemidiaphragm and minimal residual left lower lobe atelectasis. the previously described left perihilar nodular opacity is stable from multiple prior studies dating back to <unk>. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. the cardiac silhouette is mildly enlarged but stable. the mediastinal and hilar contours are unchanged.
<unk>-year-old male with left lung opacity coming here to reevaluate for interval change.
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the heart is again mild to moderately enlarged. the mediastinal and hilar contours appear stable. an central pulmonary arteries are again mildly prominent in size. there is no pleural effusion or pneumothorax. lungs appear clear. there has been no significant change.
dyspnea on exertion.
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the heart size is mildly enlarged. there are moderate bilateral pleural effusions. there is pulmonary vascular redistribution and alveolar edema bilaterally. there is volume loss/infiltrates in both bases. compared to the prior study the amount of fluid over load has increased.
decreased breath sounds are question pulmonary edema.
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the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. tortuosity of the thoracic aorta is noted. no displaced fractures identified. hypertrophic changes noted in the spine.
<unk>m with weakness // r/o pna
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scarring at the left base is stable from multiple prior radiographs. the lungs are otherwise clear without consolidation or edema. there is no hilar lymphadenopathy. the size of the cardiac silhouette is at the upper limits of normal, but stable. there is no pleural effusion or pneumothorax.
assess for sarcoid or any progression of disease.
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a tracheostomy tube is in unchanged position. the cardiomediastinal and hilar contours are stable and within normal limits. lung volumes are low. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. catheter device projects over the upper abdomen.
<unk> year old man with dyspnea/new trach // r/o pna
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single frontal portable radiograph of the chest demonstrates interval placement of a right internal jugular approach central catheter with the tip in the lower svc. no pneumothorax or pleural effusion. the right costophrenic angle is excluded from the image. unchanged heart size, mediastinal and hilar contours. no focal consolidation. calcification of the mitral annulus.
central line placement.
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cardiomediastinal silhouette is unremarkable. there is no focal consolidation. no pleural effusion or pneumothorax.
history: <unk>m with fever, cough // ?pna
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the right costophrenic angle is obscured by overlying soft tissue, however there is probably a small right pleural effusion. otherwise, the lungs are clear. there is mild bulging of the right heart border, which may represent right atrial enlargement and right heart strain. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with pe and persistent pain // please eval for pulmonary infarct, pleural effusion
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the heart size is within normal limits. the cardiomediastinal contours within normal limits and showed no abnormal contour irregularities. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old female with a history of syncope with a near syncopal episode today.
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the heart is normal in size. the mediastinal and hilar contours are unremarkable aside from streaky right suprahilar opacity most suggestive of minor atelectasis. there is no pleural effusion or pneumothorax. the lungs appear otherwise clear. bony structures are unremarkable.
tachycardia and chest pain.
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compared with the prior radiograph, increased bibasilar opacities reflect atelectasis. heart size is top normal. mediastinal and hilar silhouettes are normal. lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. linear calcifications overlying the right lung apex are unchanged. healed bilateral rib fractures are unchanged in appearance. a left-sided presumed pacer device is unchanged in appearance and position.
<unk>m with chest pain. evaluate for pneumothorax.
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patient is status post median sternotomy and cardiac valve replacement. left-sided central venous catheter is similar position, terminating in the low svc. there is mild pulmonary vascular congestion. no focal consolidation is seen. there is no definite pleural effusion. no evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. moderate compression of a vertebral body at the thoracolumbar junction likely grossly stable as compared to the prior study.
history: <unk>m with history of lumbosacral nhl and bilateral leg weakness p/w fall, right shoulder tenderness and inability to ambulate // eval for ich, cspine fracture, right shoulder fracture/dislocation, pneumonia, chf
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with chest pain // eval for infiltrate, widened mediastinum
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frontal and lateral views of the chest. relatively low inspiratory effort on the frontal view accentuates the cardiac silhouette which is likely within normal limits. the lungs are clear of consolidation. there is no effusion. mild hypertrophic changes seen in the spine.
<unk>-year-old male with left lower lobe crackles.
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a right-sided ij central venous catheter is again seen, terminating in the right atrium. the patient is status post aortic valve replacement. there is persistence of small bilateral pleural effusion, with a very similar morphology when compared to the prior examination. there is probably related atelectasis. no definite consolidative process is seen. no evidence of pneumothorax.
<unk> year old woman s/p avr // eval for pleural effusions
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right-sided port-a-cath tip terminates at the svc/right atrial junction, unchanged. mild enlargement of the cardiac silhouette is unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. there has been interval development of a small left pleural effusion with patchy left lower lobe opacity, potentially compressive atelectasis, though infection is not excluded. the right lung is grossly clear. no pneumothorax is present. there is no subdiaphragmatic free air. clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen. known osseous metastatic disease is better seen on the previous ct.
history: <unk>f with abdominal pain
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the heart size is within normal limits. increased density at the right cardiophrenic angle likely represents an epicardial fat pad as seen on the upper images from the abdominopelvic ct performed on the same day. the mediastinal contours and hilar contours are normal. the lungs are clear. there is no large pleural effusion. there is no large pneumothorax, although there is subtly increased lucency at the right apex with no clear pleural line or pulmonary parenchymal markings; these findings may represent focally hyperextended apical lung versus apical pleural fat versus a small apical pneumothorax. no displaced rib fractures are evident.
<unk>-year-old female with right posterior chest wall pain after falling off from bicycle.
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cardiac silhouette size is difficult to assess given the presence of right basilar consolidation, but appears at least mild to moderately enlarged. the aorta appears mildly tortuous. pulmonary vasculature is not engorged. consolidative right basilar opacity is highly worrisome for pneumonia, with an associated moderate pleural effusion. streaky atelectasis also demonstrated within the left lung base. no pneumothorax is clearly identified. no acute osseous abnormalities are visualized.
history: <unk>f with cough, hypoxia // evaluate for pneumonia
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. ill-defined, somewhat oblong opacity within the right upper lobe is relatively unchanged compared to the prior study, measuring approximately <num> cm. remainder of the lungs are clear of consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen.
seizure with recent radiation.
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there is slight elevation of the right hemidiaphragm.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no evidence of free air is seen beneath the diaphragms.
history: <unk>f with recent open chole, now complaining of both shortness of breath and abd pain radiating to shoulder and back // e/o free air under diaphragm given recent surgery? acute process to explain sob?
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cardiomediastinal silhouette is stable. lung volumes are slightly low. increased perihilar opacities may be accentuated by the technique but the indistinctness of the more distal pulmonary vessels is suggestive of mild edema. retrocardiac opacitiesmay likely represent a combination of edema and atelectasis however superimposed consolidation cannot be excluded. there is no large pleural effusion or pneumothorax. bones and the upper abdomen are grossly unremarkable.
history: <unk>m with cough, hypoxia, fever // eval for pneumonia
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frontal and lateral radiographs of the chest show interval fiducial placement within a small pulmonary mass in the left lower lobe. a small left apical pneumothorax is present which is new from the preceding studies. a large spiculated mass with a central fiducial projects over the right upper lung. no large pleural effusion or focal consolidation is present. opacification extending along the right mediastinum is unchanged and related to known gastric pull-through for esophagectomy of prior esophageal carcinoma. left mediastinal surgical clips are unchanged. the cardiomediastinal silhouette is within normal limits and unchanged.
<unk>-year-old female with left lower lobe mass, status post ct-guided fiducial placement, here to evaluate for pneumothorax or new pleural fluid.
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube tip is within the stomach. cardiac and mediastinal contours remain unchanged. there is persistent mild pulmonary vascular congestion. patchy opacities in lung bases are also similar without new areas of focal consolidation. a trace left pleural effusion may be present.
history: <unk>m with endotracheal tube placement
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there is an et tube which terminates <num> cm above the carina. the right ij central venous catheter is in stable position with tip projecting over the low svc. again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. the bilateral hila are not well visualized. there is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. there is stable pleural thickening most notable in the left apex. there are at least small bilateral layering pleural effusions, stable in size. there is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. there is no pneumothorax.
<unk> year old man s/p strangulated ventral hernia repair with aggressive fluid resuscitation // assess lungs
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there is diffuse interstitial abnormality, slightly more prominent at the bilateral bases, and of uncertain chronicity. the bilateral hila are enlarged. there is no dense consolidation or overt pulmonary edema. there is no pleural effusion or pneumothorax. the cardiac silhouette is normal.
history of sarcoid with one week of fevers.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear. there are no focal consolidations. there is no evidence of large mediastinal lymphadenopathy. there is no pneumothorax or pleural effusion. the sternal wires are intact.
<unk>-year-old woman with history of sarcoidosis. study requested for evaluation of pneumonia.
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frontal and lateral views of the chest demonstrate normal lung volumes. no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema. cervical fixation hardware is noted.
renal failure. assess for fluid overload.
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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 dyspnea // evidence of pneumonia
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the cardiomediastinal and hilar contours are normal. linear opacities at the right lung base are likely reflective of atelectasis. there is also atelectasis at the left lung base. no focal consolidation concerning for pneumonia identified. there is a right port-a-cath catheter, tip is difficult to visualize.
dyspnea. question acute cardiopulmonary disease.
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the heart size is normal. the aorta is diffusely calcified. mediastinal and hilar contours are normal. lungs are hyperinflated. linear opacities in the lung bases either reflect scarring or atelectasis. no large pleural effusion or pneumothorax is identified though the costophrenic angles are not completely encompassed on the field of view. there are no acute osseous abnormalities.
bowel perforation, preoperative exam.
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frontal and lateral chest radiographs demonstrate low lung volumes with resultant prominence of the cardiac silhouette and bronchovascular crowding. linear opacities in the left base are consistent with atelectasis. no focal consolidation, pleural effusion, or pneumothorax is seen. the visualized upper abdomen is unremarkable.
weakness. evaluate for pneumonia.
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heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
shortness of breath, cough, fever.
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transverse cardiomegaly. atherosclerotic changes of the aortic arch. post cabg changes are stable. left-sided prepectoral dual lead pacemaker in situ with the leads in the appropriate positions. surgical material projecting over the right lung. small loculated right-sided pleural effusion. nonspecific area of airspace opacification projecting over the mid aspect of the right lower lung just superior to the diaphragm. the left-sided effusion has improved.
<unk> year old woman with cad s/p cabg, afib, diastolic chf, admitted for lower gi bleed, transfused <num>unit prbcs today, now with fever, hypoxemia. // please assess for pulm edema, pneumonia, or evidence of trali/taco
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mid left upper and mid-zone linear atelectasis has improved since the <unk> examination. there is persistent moderate atelectasis and effusion at the right lung base. the tracheostomy tube, abdominal drain, and bilateral ij catheters are unchanged in position. there is no pneumothorax.
fungal septicemia.
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frontal and lateral views of the chest demonstrated right pic catheter projecting over mid svc. low lung volumes without pleural effusions, focal consolidation or pneumothorax. linear opacity in the left lung likely represents atelectasis. hilar and mediastinal silhouettes are unchanged. heart size normal. no pulmonary edema.
patient with fevers. assess for pneumonia.
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ap portable upright view of the chest. midline sternotomy wires again noted. the heart remains mildly enlarged. no focal consolidation, effusion or pneumothorax is seen. no overt edema. unfolded thoracic aorta noted. imaged bony structures are intact.
<unk>f with palpitations // infiltrate?
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the azygous vein is enlarged and unchnaged. otherwise, the cardiomediastinal and hilar contours are normal.
cough and shortness of breath.
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heart size is normal. the aorta is mildly tortuous and diffusely calcified. the mediastinal and contours are otherwise unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or is present. compression deformities involving an upper and mid thoracic vertebral bodies appear unchanged.
history: <unk>f with chronic dizziness and history of dysautonomia, brought in by ambulance with dizziness
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there is diffuse bilateral reticular interstitial markings, which are suggestive of chronic lung disease with superimposed mild new pulmonary edema. opacities in the right lung base may be due to mild pulmonary edema but concurrent infection cannot be excluded in the right clinical setting. the heart size is mildly increased compared to same day outside exam, although still top normal in size. no pneumothorax. surgical clips are seen in the right axilla.
history: <unk> with ? flu // eval for infiltrate
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pa and lateral chest radiographs were obtained. the lungs are well inflated and clear. no focal consolidation, effusion, pneumothorax is present. cardiac and mediastinal contours are normal.
<unk>-year-old woman with cough and wheezing.
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additional views were requested to evaluate right upper mediastinum linear metallic densities. magnified examination reveals that these are four surgical clips. no evidence of shrapnel. remainder of examination is unchanged with chain sutures related to right upper lobe resection. prominence of the interstitium more apparent on the current study due to differences in technique and may reflect chronic underlying lung disease. no focal opacification concerning for pneumonia present. there is mild blunting of the bilateral costophrenic angles, right greater than left, possibly reflecting trace effusions versus scarring. stable cardiomegaly.
need for mrv for access with question of shrapnel related to right-sided gunshot wound.
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cardiomegaly and the pulmonary vascular congestion again seen, mildly improved since the previous exam of <unk>. there is increased opacity in both the right and left lower lobes. an underlying pneumonia or aspiration cannot be excluded. surgical clips over the left upper ex seen as previously.
<unk> year old man with cough productive and e/o volume overalod // evaluation of volume statys and ?colsolidation
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as compared to the chest radiograph from earlier today the <unk> a spinal drains and chest tube have been removed. there is a new small left apical pneumothorax. increasing bibasal opacities are likely worsening atelectasis. small bilateral pleural effusions. mild pulmonary vascular congestion has increased. moderate cardiomegaly.
<unk> year old woman with s/p opcab // eval ptx
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there has been interval placement of a right pleural pigtail catheter with essentially complete resolution of the previously described pneumothorax. the lung volumes are low, but opacity at the right cardiophrenic angle may represent hemorrhage from recent biopsy of the right lower lobe. scarring/atelectasis is present along the medial aspect of the left lung, possibly representing prior radiation. the heart and mediastinal contours are within normal limits.
<unk>-year-old female with a transbronchial biopsy on the right, complicated by pneumothorax, now with right pleural catheter in place.
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et tube is <num> cm above the carina. the ng tube tip is in the stomach. there new bilateral lower lobe infiltrates.
intracranial hemorrhage for organ donation.
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pa and lateral views of the chest provided. lungs are hyperinflated with flattened diaphragms suggestive of copd. 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>m with presyncope, chest pain
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lung volumes are low with patchy bibasilar opacities, overall improved from same-day radiograph. cardiomediastinal silhouette is unchanged. there is no pleural effusion or pneumothorax. transvenous pacing leads again seen with the right ventricular lead not seen on this radiograph. no acute osseous abnormality is seen.
<unk>-year-old man with respiratory distress.
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frontal radiograph of the chest again demonstrates appropriate positioning of endotracheal tube, enteric tube, internal jugular line, and left pleural catheter. compared to the prior study, there is no interval change in the left pneumothorax. diffuse bilateral alveolar opacities continue.
refractory hypoxemic respiratory failure secondary to ards. status post chest tube placement. evaluate for interval change in pneumothorax.
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right-sided chest drain in situ with interval decrease in the right-sided pleural effusion. no left-sided effusion. low lung volumes. no new areas of airspace consolidation. the pulmonary nodule in the left upper lobe is vaguely visualized on today's study.
<unk> year old woman with metastatic breast ca (mets to liver lung) s/p palliative simple mastectomy, now with fever // pneumonia/pleural effusion as a source of fever
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the cardiac silhouette is mildly enlarged, similar to prior examination. in the right infrahilar region, there is a patchy opacity, in the appropriate clinical context, which may represent a right middle lobe pneumonia. there is no pleural effusion or pneumothorax.
history: <unk>f with cough, sob // eval for pna
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pa and lateral views of the chest provided. hyperinflated lungs. 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>m with chest pain
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there is mass-like opacity in the left lower lobe, measuring approximately <num> cm. there is elevation of the right diaphragm, consistent with history of right diaphragmatic paralysis. heart size is within normal limits.mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old man with ipf and right sided diaphragm paralysis now with one month of cough and shortness of breath. please evaluate for interval change.
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there is a new right internal jugular central venous catheter which terminates in the low svc. appearance of the lungs, heart and mediastinum are unchanged. no new focal airspace opacity is detected. there is a healed right <num>th rib fracture. there is atelectasis at the left base.
right ij placement. confirm line placement.
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triple lead left-sided pacer device is again seen with we stable in position. since the prior study there has been development of right lower lung opacity worrisome for pleural effusion and overlying atelectasis as well as possible consolidation due to pneumonia. the posterior left costophrenic angle is also blunted, possibly due to a small pleural effusion. there is mild to moderate pulmonary vascular congestion. the cardiac silhouette remains mildly enlarged. the aorta is calcified as was seen previously.
history: <unk>f with worseing sob and <unk> edema, b/l crackles r>l on exam // eval for effusion, pneumonia
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the lungs are underinflated. there is no evidence of pneumothorax, and no overt pulmonary edema or pleural effusion. the cardiomediastinal silhouette is unremarkable. no focal opacities are seen. bilateral degenerative changes are seen at the glenohumeral joints.
<unk>-year-old female with crackles in the left lower lobe. evaluation for pneumonia.
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ap upright and lateral chest radiograph demonstrate minimal emphysematous changes. there is no focal opacity convincing for pneumonia. heart size is normal. there is no evidence of pulmonary edema. oblong opacity projecting over the left hemi thorax is without a correlate on the lateral view, present on examination dated <unk>, probably benign possibly representing pleural calcification. there is no pleural effusion or pneumothorax. no displaced rib fracture is identified.
history: <unk>m with sp fall // eval for trauma
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the lungs are clear without focal consolidation, effusion, or edema. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain // ? pneumonia
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moderate enlargement of cardiac silhouette appears increased in size compared to the previous exam. the mediastinal contours are unchanged. there is mild pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
atrial fibrillation.
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in comparison with chest radiograph from <unk>, there has been interval removal of left chest tube. there is a new small left apical pneumothorax without evidence of tension. there is persistent subcutaneous air along the left lower neck. area of heterogeneous opacity in the left mid-zone reflect aspiration or infection. no pleural effusion, vascular congestion or pulmonary edema. mediastinal and hilar contours are stable. heart size is normal.
<unk> year old man s/p l vats sup seg // r/o ptx post ct removal
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with shortness of breath.
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supine portable view of the chest demonstrates interval retraction of the endotracheal tube, which still remains in the right main stem bronchus. there is interval improvement in left lung aeration. retrocardiac opacity, likely reflects atelectasis. right lung is clear. no pleural effusion or pneumothorax is seen. nasogastric tube is seen traversing through the esophagus and terminating in the stomach.
patient with previous right main stem bronchus intubation. assess for et tube placement.
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there is subtle right middle lobe opacity which may be due to atelectasis although an early infectious process is not excluded in the appropriate clinical setting. the left lung is clear. the hilar contours are stable. the cardiac silhouette is not enlarged. the aorta is slightly tortuous.
dyspnea.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain // ? pna
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the endotracheal tube ends <num> cm above the carina. the tip of the orogastric is not visualized, however, the tube extends at least to the gastroesophageal junction. compared to the prior chest radiograph performed <num> hours ago the lung volumes are lower and moderate pulmonary vascular congestion is new. bilateral lower lobe atelectasis has progressed. allowing for lower lung volumes, the cardiac and mediastinal contours are likely stable. no large pleural effusion or pneumothorax. multiple chronic appearing left lateral rib fractures are noted.
<unk>-year-old man intubated.
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there are persistent small bilateral pleural effusions, larger on the right. the degree of pulmonary edema is improved. moderate cardiomegaly is again noted. no acute osseous abnormalities.
<unk>f with worsening renal failure // please eval for pulmonary edema
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left chest wall diluted dual lead pacing device seen with right ventricular and right atrial leads. increased interstitial markings are seen throughout the lungs. there are small bilateral pleural effusions, larger on the left. retrocardiac opacity is noted medially. cardiac silhouette is mildly enlarged. mediastinal wires are noted and densities in the region of the mitral valve suggesting prior repair. no acute osseous abnormalities identified.
<unk> year old woman with dyspnea, cough, pedal edema // r/o acute process
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frontal and lateral views of the chest. there is new bilateral increased interstitial markings throughout the lungs. more dense region of consolidation identified in the right lower lobe. there is no pleural effusion. the cardiac silhouette is moderately enlarged, but unchanged. tortuosity of the descending thoracic aorta is noted. no acute osseous abnormality is identified.
<unk>-year-old male with fever and cough.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged with mildly unfolded thoracic aorta. imaged osseous structures are intact. mild anterior spurring in the mid t-spine noted. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain // pneumothorax or infiltrate?
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there are low lung volumes. the heart size is normal. the mediastinal and hilar contours are within normal limits. there is crowding of the bronchovascular structures. minimal streaky opacities in the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are multilevel degenerative changes in the thoracic spine with anterior bridging osteophytes.
new weakness and fatigue.
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the left chest tube is unchanged position. no pneumothorax. stable small left pleural effusion without reaccumulation. the left mid to lower lung opacification is slightly more prominent, likely due to re-expansion edema but superimposed infection cannot be excluded. the cardiomediastinal silhouette is unchanged. no pneumothorax.
<unk> year old woman with hx breast cancer now with sob x<num>weeks found to have large left pleural effusion s/p chest tube placement <unk> // eval chest tube, eval pleural effusion
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severe cardiomegaly is unchanged. the mediastinal and hilar contours are similar. there is mild pulmonary vascular engorgement, also unchanged. bibasilar airspace opacities could reflect atelectasis though infection or aspiration cannot be excluded. no large pleural effusion or pneumothorax is seen.
shortness of breath, altered mental status.
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pa and lateral chest views were obtained with patient in upright position. heart size is normal. no configurational abnormality. thoracic aorta unremarkable. no mediastinal abnormalities. the pulmonary vasculature is normal. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. skeletal structures of the thorax grossly within normal limits. comparison is made with the next preceding chest examination <unk> <unk>. at that time, the chest findings are grossly normal, but a subtle small suspicious parenchymal infiltrate was noted localized to the right base in posterior position. this suspicious infiltrate does not exist anymore.
<unk>-year-old male patient with fatigue and malaise, oxygen saturation mildly low, evaluate for infiltrates.