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cardiomediastinal silhouette is normal. the lungs are clear without focal consolidation. there is no pleural effusion or pneumothorax. there is no acute osseous abnormality.
<unk>-year-old woman with history of asthma presenting with <num> week of productive cough.
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right internal jugular central venous catheter terminates in the low svc. lung volumes are low. there is a small right pleural effusion and likely left pleural effusion. atelectasis at the lung bases is mild. heart size is normal. the mediastinal and hilar contours are normal.
history: <unk>m with central line placement // central line placement
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the lungs are well expanded. there is a vague opacity in the right lung base at the cardiophrenic angle which is slightly more conspicuous as compared to previous exams but may be secondary to summation of shadows. in the lateral view, there may be very minimal increase in opacity of the anterior cardiophrenic angle, stable to minimally increased compare to prior, likely artifactual. no other focal opacities identified. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
patient with fever and dizziness. evaluate for acute cardiopulmonary process.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk>f with epig astric / lower sternal burning x <num> hr, evaluate for pleural effusion or pneumonia.
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frontal and lateral views of the chest were obtained. increased opacity in the right middle lobe is a pneumonia. the remainder of the lungs are clear. there is no pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal.
cough, fever, and leukocytosis.
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pa and lateral chest radiographs were obtained. two leads from a pacemaker generator in the left chest project over the expected positions of the right atrium and right ventricle. no pneumothorax is present. bilateral pleural effusions are small. additional interstitial opacities present at both lung bases are also mild. mild cardiomegally and aortic arch calcifications are present.
<unk>-year-old woman with new pacemaker via left cephalic vein.
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there are bilateral small pleural effusions with adjacent atelectasis. there is cephalization of the vessels consistent with mild vascular congestion, without frank pulmonary edema. the cardiomediastinal and hilar contours have the expected post-operative appearance. there is no pneumothorax. the right-sided internal jugular central venous line ends at the mid to distal svc.
<unk>-year-old female status post recent cardiac surgery. evaluate for central venous line placement.
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with hypoxemia of unknown etiology, ?methb // interval changes interval changes
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frontal and lateral chest radiographdemonstrates well expanded and clear lungs. small right apical pneumothorax is present. no pleural effusion or left pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
chest pain. assess for pneumonia or pneumothorax.
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given differences in technique, there has been no significant interval change. right suprahilar opacity there is a least in part due to radiation fibrosis. moderate bilateral pleural effusions are again seen as well as more dense retrocardiac opacity, potentially atelectasis. right basal pleural catheter is again noted. there is no new focal consolidation. cardiomediastinal silhouettes within normal limits. no acute osseous abnormalities identified.
<unk>m with met lung ca, pleural effusions with increased sob // eval for effusion
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no central line is visualized on current examination. cardiomediastinal and hilar contours are stable. the left costophrenic angle is not captured on the current study, however, there is no large pleural effusion or pneumothorax. tracheostomy tube is in stable position. no focal consolidation concerning for pneumonia is present.
picc line placement.
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pa and lateral views of the chest provided. a large retrocardiac opacity containing foci of gas may represent a large hiatal hernia though this would be new from the prior imaging studies. left lower lobe opacity may represent pneumonia. small pleural effusions are seen, left greater than right. a hazy opacity in the right lower lung is indeterminate. small nodules project over the upper lungs which are new from the prior study. heart size cannot be assessed. no large pneumothorax. bony structures are intact.
<unk>f with shortness of breath increase o<num> requirement
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pa and lateral views of the chest provided. again seen is a left-sided port-a-cath tip terminating at the cavoatrial junction, unchanged from prior. bibasilar opacities appear less conspicuous than on prior - ?? mild atelectasis versus scarring. the mediastinal and hilar contours are unchanged from prior. there is no evidence of congestion or edema. left upper quadrant clip is seen.
<unk>m with weakness. evaluate for pneumonia.
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since the prior radiograph performed <num> hour earlier, there has been interval placement of a chest tube in the right lung base. the previously noted pneumothorax is no longer appreciated. no pneumothorax on the left. there has otherwise been no significant interval change. the upper lungs appear hyperlucent, related to severe underlying emphysema as demonstrated on the recent ct chest.
<unk>-year-old male with known pneumothorax, evaluate after chest tube placement.
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the lungs are well expanded. no chf, focal infiltrate, effusion or pnemothorax is detected.cardiomediastinal and hilar contours are within normal limits. no rib fracture is detected on these lung-technique films.
chest pain. evaluate for acute process.
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semi-upright ap and lateral views of the chest demonstrate adequate lung volumes, with clear lungs. there is no pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged, the mediastinal contours remain normal. the pulmonary vasculature is normal.
<unk>-year-old male with altered mental status, evaluate for pneumonia.
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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>m with fever // pna?
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dual lumen central venous catheter tip terminates in the lower svc. no pneumothorax. heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion is identified. there are no acute osseous abnormalities.
history: <unk>f with fever, discharge from hickman // assess line, assess for pneumonia
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frontal and lateral views of the chest were obtained. the heart size is mildly enlarged. mediastinal contours are normal. the right lower lobe heterogeneous opacity could represent atelectasis, but pneumonia is not excluded. interstitial lung markings are diffusely increased, suggesting pulmonary edema although other diffuse interstitial lung diseases cannot be excluded. leftward deviation of the trachea is consistent with thyroid goiter. the patient is status post cabg. pacer leads of a left chest wall generator terminate in the right atrium and right ventricle.
<unk>-year-old male with jaw pain and elevated troponins.
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opacity at the left lung base peripherally is worrisome for infectious process. question nodular opacity in the right lower lung zone medially, possibly superimposed shadows. previous right middle lobe opacity seen on radiograph dated <unk> has resolved. there are small bilateral pleural effusions. upper lung zones appear clear. cardiomediastinal and hilar contours are stable. there is no pneumothorax. there is no air under the right hemidiaphragm.
history: <unk>f with wolfram syndrome, multiple pneumonias presenting with // ?pna
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<num> views were obtained of the chest. the lungs are well expanded and clear. surgical clips projects over the left chest. the heart and mediastinal contours are unremarkable.
cough and dizziness. assess for pneumonia.
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the lungs are clear without focal consolidation, effusion, or edema. median sternotomy wires and prosthetic aortic valve are noted. cardiomediastinal silhouette is otherwise within normal limits. no acute osseous abnormalities.
<unk>f with lymphoma now with neutropenic fever of unknown etiology // new infiltrate
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pa and lateral views of the chest were obtained. heart is normal in size and cardiomediastinal contour is unremarkable. lungs are well expanded and clear. there is no pleural effusion or pneumothorax. gastric bubble is noted without evidence of free air under the diaphragm.
<unk>-year-old woman with epigastric pain radiating to the back, evaluate for cardiopulmonary process or presence of subdiaphragmatic free air.
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. et tube is in standard position
<unk> year old woman s/p posterior crani for tumor resection // please assess lines/tubes
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lung volumes are low likely secondary to poor inspiratory effort. atelectasis at the left lung base is noted. widening of the cardiomediastinal silhouette silhouette is consistent with postsurgical changes. small right pleural effusion is noted. median sternotomy wires are intact. a right-sided central line terminates in the mid svc. no evidence pneumothorax.
<unk> year old man s/p cabg // interval change
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pa and lateral views of the chest demonstrate low lung volumes with persistent mild bibasilar atelectasis. there is no evidence of focal opacity, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable and the heart size is stable.
left lateral chest pain worse with inspiration. evaluation for cardiopulmonary 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 stable and unremarkable.
history: <unk>f with chest pain // eval for acute process
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left picc is again seen with tip at the ra svc junction. increased interstitial markings seen throughout the lungs similar to prior but improved since <unk>. cardiomediastinal silhouette is stable. chronic deformity of the proximal right humerus is noted.
<unk>f with hyperkalemia and <unk> on ckd // eval picc placement
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heart size is normal. in comparison to the prior study there is partial obscuration of the left heart border and increased retrocardiac opacities with air-bronchograms, consistent with presence of consolidation in the lingula. the right lung is clear. there is no pleural effusion or pneumothorax.
<unk> year old woman with left sided chest pain and doe // please evaluate for pneumonia
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patient is status post total right pneumonectomy, with expected postoperative changes, including rightward shift of the mediastinal structures. right-sided port-a-cath ends in the low svc. cardiac and mediastinal contours are unchanged. no left-sided consolidation, pneumothorax, or pleural effusion.
history: <unk>f with hx lung ca, pe on lovenox, here w/ cp, ha x<num>days // ? pneumonia, acute cardiopulm process
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there is better aeration of the lungs on today's exam with interval resolution of left hemidiaphragmatic elevation. the lungs are clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. mild aortic calcifications are unchanged. mild dextroconvex scoliosis of the visualized thoracic spine is unchanged. again, evidence of diffuse idiopathic skeletal hyperostosis is also unchanged.
<unk> year old man with productive cough. evaluate for pneumonia.
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compared with the prior radiograph, the cardiomediastinal silhouette is normal in size and unchanged. lungs are clear without focal consolidation, effusion, or pneumothorax.
<unk>-year-old man with chest pain. evaluate for pneumonia.
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there has been interval removal of a right-sided chest tube. postsurgical changes are noted on the right. there is associated subcutaneous emphysema noted along the soft tissues of the right thorax. there is mild left lower lobe atelectasis. no focal consolidation, pneumothorax, pleural effusion, or frank pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
status post wedge resection, now status post chest tube removal.
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pa and lateral views of the chest provided. cardiomediastinal silhouette remains mildly enlarged, which is consistent with cardiomegaly and/or pericardial effusion. there is distention of the azygos veins, reflective of an overloaded state. no overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with sle who is immunosuppressed with worsening cough and focal left sided findings on exams. // ? pna, ?pulmonary edema
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again seen is a large hiatal hernia in the left lower chest causing associated relaxation atelectasis. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the visualized portions of the cardiomediastinal silhouette are within normal limits.
<unk>f with known hernia and uti, evaluate for acute process.
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cardiac silhouette is mildly enlarged. mediastinal contours unremarkable. mild basilar atelectasis is seen. there is no focal consolidation or a pleural effusion. no pneumothorax is seen. there is central pulmonary vascular engorgement without overt pulmonary edema.
history: <unk>f with r upper back pain // infiltrate or effusion
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the cardiomegaly is unchanged. no new consolidation. pulmonary venous congestion and pulmonary edema are mild. no pleural effusions. no pneumothorax. the mediastinum is unchanged. the transvenous pacer leads terminates in right atrium and right ventricle. the sternotomy wires are intact without evidence of dehiscence. the mitral annular calcification is noted.
<unk> year old woman with s/p tavr // post op
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. chronic elevation of the left hemidiaphragm is noted. no acute fractures identified.
chest pain.
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upright pa and lateral radiograph of the chest. lung volumes are slightly low, but there is no focal airspace consolidation. there is mild atelectasis at the left base and right infrahilar region. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. surgical clips again project over the right breast and axilla.
wheezing and cough for one week with chills. evaluate for pneumonia.
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compared with the prior radiograph, no change in the positioning of the left-sided aicd leads, projecting to the right atrium and right ventricle. mild cardiomegaly is unchanged. no new focal consolidation, pleural effusion, or pneumothorax.
<unk>m with palpitations. evaluate for acute intrathoracic process.
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portable semi upright chest radiograph demonstrates new enteric tube in appropriate position in the left upper quadrant in the expected location of the stomach. stable appearing right port-a-cath and left-sided central line seen terminating in the low superior vena cava. an endotracheal tube is seen in appropriate position. as compared to prior radiograph dated <unk>, there are ongoing opacities which in the left lower lobe appears slightly improved. stable cardiomediastinal and hilar contours.
<unk>-year-old male with pneumonia and respiratory failure. evaluate for interval change.
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shallow inspiration. there are mild bibasilar opacities, likely atelectasis, mildly more prominent compared to prior. normal heart size, pulmonary vascularity, accentuated by shallow inspiration. suggestion of tiny pleural effusions or thickening. no pneumothorax.
<unk> year old woman with hepatic encephalopathy and some sob // r/o consolidation
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interval placement of a left chest tube with decreased size of the left pleural effusion. there is minimal residual fluid and probable atelectasis at the left lung base. no discrete pneumothorax is identified. the appearance of the right lung unchanged. interval placement of a left chest tube with
<unk> year old woman with a urinothorax. // ? interval change in size of pleural effusion, ? chest tube placement
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain.
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there is a small left pleural effusion and bibasilar atelectasis. mild interstitial pulmonary edema is seen throughout the lung fields with visible kerley b lines. heart is upper normal in size. pleural surfaces are unremarkable. ng tube is seen in place coursing through the ge junction into the stomach; however, tip is not seen.
<unk>-year-old female with cirrhosis, now with hepatorenal syndrome presents with symptoms suspicious for pneumonia versus pulmonary edema.
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the lungs are fully expanded and clear. there is no pleural effusion or pneumothorax.
<unk>f with right-sided chest pain, evaluate for pneumonia.
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the heart size and mediastinal contours are within normal limits. the lung volumes are low, without evidence of lobar consolidation. there is no pleural effusion or pneumothorax.
<unk>-year-old male with clinical concern for infection or aspiration.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified although there are hypertrophic changes in the spine.
<unk>m with chest pain // eval for pna, chf
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frontal and lateral radiographs of the chest demonstrate normal heart size. the mediastinal silhouette and hilar contours are normal. bibasilar opacities likely reflect atelectasis. no pleural effusion or pneumothorax.
fever and cough, evaluate for pneumonia
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there is a right-sided port-a-cath, which terminates in unchanged position it in the mid-to-low svc. cardiac silhouette is normal in size and unchanged. mediastinal contours unremarkable. there is no pleural effusion. there is no evidence of overt edema. there is no evidence of focal opacities concerning for infection. left sided breast clips are redemonstrated.
<unk>-year-old female with breast cancer, presenting with seven days of cough.
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plural effusion, atelectasis, and pulmonary edema are improved in the right lung. small layering bilateral pleural effusions persist. left lower lobe atelectasis remains prominent. mediastinal contours and heart size are better visualized and stable. indwelling cardiopulmonary devices are unchanged and in standard position. no pneumothorax.
<unk> year old man with respiratory failure now intubated // eval for interval change
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the left pectoral icd device terminates in the right ventricle. lungs are free of focal consolidations, pleural effusions or pneumothorax. no pulmonary edema. the mediastinum and hila are within normal limits. heart size is top normal.
<unk> year old woman s/p left sided icd implantation // r/o ptx; check rv lead position
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ap upright and lateral chest radiograph. cardiomegaly is again noted with asymmetric prominence of the interstitial pulmonary markings which raises concern for edema though lymphangitic tumor spread is difficult to exclude. no large effusion is seen. no pneumothorax. diffuse osseous metastatic disease is re- demonstrated.
<unk>m with cp s/p blood transfusion, history of breast cancer.
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pa and lateral views of the chest provided. lungs are well inflated and grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
<unk> year old woman with <num> weeks cough, bilateral wheezing, feverish last night. never a smoker. // r/o pneumonia
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pa and lateral views of the chest. the lungs are clear. there is no pulmonary vascular congestion. the cardiomediastinal silhouette is normal. hypertrophic changes are seen in the spine.
<unk>-year-old male with fever and altered mental status.
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again seen are multiple bilateral nodule opacities compatible with metastases, not significantly changed from previous radiograph, which is better assessed on prior ct. heart size is within normal limits. mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. leftward scoliosis is unchanged. left-sided port-a-cath tip terminates in the lower svc.
<unk> year old woman with metastatic rectal cancer now with nausea and vomiting. evaluate for pneumonia.
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midline tracheostomy tube and right-sided picc are re- demonstrated. there moderate bilateral pleural effusions, similar as compared to prior study. the cardiac and mediastinal silhouettes are stable.
<unk> year old woman with multiple abdominal surgeries, hypotensive, ?infection // infection
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the lungs are clear of focal consolidation effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with chest pain // acute cardiopulm disease
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focal consolidation in the left lower lobe concerning for pneumonia. no pleural effusion no pneumothorax. size cardiac contours is normal. cardiomediastinal border is a hilar structures are normal.
<unk> year old man with cough, fever // any pneumonia evident?
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frontal and lateral views of the chest. the lungs are clear of focal consolidation. blunting of the posterior costophrenic angles may be due to trace bilateral effusions. the cardiomediastinal silhouette is within normal limits given slightly low lung volumes. no acute osseous abnormality is identified. lucency projecting over the neck on the right could be subcutaneous gas in the setting of recent surgery.
<unk>-year-old female postop day #<num> from right thyroid lobectomy with extensive dissection, transection of the involved right recurrent laryngeal nerve. fevers and wheezing.
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. cardiac size appears borderline enlarged. mediastinal contour is likely normal accounting for mild vascular ectasia. imaged osseous structures are intact.
<unk>m with syncope and hypoxia // r/o pe, aaa
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single portable view of the chest. exam is limited secondary to portable technique and patient's body positioning. the increased retrocardiac opacity suggestive of hiatal hernia. left base opacity is also seen with obscuration of the left hemidiaphragm. cardiomediastinal silhouette is otherwise within normal limits given severely limited exam. bones are diffusely osteopenic. there is coarsened trabecular pattern of the proximal left humerus suggestive of pagetoid changes.
<unk>-year-old status post unwitnessed fall.
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the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion.
intermittent chest pain.
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pa and lateral views the chest provided. fiducials present in the left lower lung are unchanged. stable mild right hemidiaphragmatic elevation. no focal consolidation, large effusion or pneumothorax is seen. the cardiomediastinal contours are stable. the aorta is tortuous. no acute bony abnormalities.
<unk>m with dyspnea, lung ca // pna?
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right lower lobe consolidation is worrisome for pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with ili, productive cough // ? pna
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pa and lateral views of the chest. there is mild biapical scarring. the lungs are otherwise clear without consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. surgical clips are identified in the left upper quadrant.
<unk>-year-old female with syncope.
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heart size is top normal.there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old man s/p open cholecystectomy, now with productive cough // r/o acute process, ?consolidation
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compared to chest radiographs from <unk>, lung volumes have slightly improved. retrocardiac opacification continues, which likely are represents atelectasis, though aspiration or infection cannot be excluded. probable small left pleural effusion is stable. no appreciable effusion on the right. no new focal parenchymal consolidation. no central vascular congestion or overt pulmonary edema. moderate cardiomegaly is stable. right picc line tip terminates in the right atrium and should be withdrawn approximately <num> cm. tracheostomy tube is in good placement.
<unk> year old woman with trach, thick/blood tinged secretions. // evaluate for infiltrate.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with cough/presyncope. please assess for pneumonia.
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interval placement of right-sided <unk> drain with tip projecting over the lower right hemithorax. no pneumothorax or pleural effusion. lung volumes are lower with interval increase in atelectasis, particularly on the left. pulmonary vascular congestion is mild, despite lower lung volumes. elevation of the right hemidiaphragm secondary to volume loss post vats wedge resection. the heart is top-normal in size, unchanged. the mediastinum and hila are within normal limits.
<unk>f s/p r vats diagnostic wedge resection x<num> // eval for ptx, position <unk> <unk> tube
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pa and lateral views of the chest demonstrate low lung volumes. heart is normal in size and cardiomediastinal contour is stable. chronic elevation of the left hemidiaphragm noted. there is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old man with diabetes and hyperglycemia, evaluate for pneumonia.
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a cardiac device generator is in the left chest with leads terminating in the right atrium and right ventricle. cardiomegaly is unchanged. there are low inspiratory volumes. bilateral pleural effusions with associated underlying compressive atelectasis are unchanged. pulmonary vasculature dilation is unchanged. there is no pneumothorax. surgical clips project over the right axilla.
<unk>f l aka,angio <unk> w/occl r sfa/at/pt,pop <unk>,peroneal run off w distal occl now s/p <unk> r sfa stent c/b sfa occl,s/p <unk> r groin cutdown, cfa/sfa endart+patch angioplasty, sfa stent // recent fluid overload and diuresis f/u lung status recent fluid overload and diuresis f/u lung status
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the lungs are moderately well inflated. there is unchanged mild prominence of lung vasculature without frank pulmonary edema. mild cardiomegaly. no pleural effusions. left upper chest wall pacemaker and pacer wires, right-sided central venous catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral humeral prosthesis, all remain unchanged compared to the prior radiograph.
<unk> year old man with recent tunnel dialysis catheter placement and frank bleeding from site. on warfarin for a fib and had been bridge with hep gtt after being reversed for procedure // evaluate for hematoma, hemorrhage
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interval removal of a lateral right chest tube. in the location of the previously coiled pigtail catheter, there is pleural thickening, possibly loculated effusion. additional right chest tube is unchanged in position. small, dependent right pleural effusion is minimally increased. trace left pleural effusion is likely unchanged. no pneumothorax. heart size is normal. cardiomediastinal and hilar silhouettes are normal. a left picc terminates in the lower svc, near the cavoatrial junction.
<unk> year old woman with <num> r sided chest tubes // interval change for chest tube
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pa and lateral images of the chest demonstrate well-expanded lungs. cardiomediastinal silhouette including moderate cardiomegaly is unchanged. there is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old woman with copd, afib on coumadin, prior cva, prior gi bleed and cholecystectomy, presents as transfer from <unk> for back and abdominal pain in the setting of elevated lfts, lipase and jaundice, evaluate for an etiology for hypoxemia.
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heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are hyperinflated with upper lobe predominant mild emphysema. no focal consolidation. streaky atelectasis is noted in the right middle lobe. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>m with infectious workup
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the cardiomediastinal and hilar silhouettes are unremarkable. no focal consolidation, pleural effusion, or pneumothorax.
<unk>m with abdominal pain and cough. evaluate for pneumonia.
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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 back pain, chest pain. // acute cardiopulm process
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pa and lateral chest radiographs show hyperinflation suggestive of emphysema. bibasilar consolidations are consistent with pneumonia. there are also small bilateral pleural effusions. there is no pneumothorax. the heart size is normal.
pneumonia for two weeks.
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opacity in the superior segment of the left lower lobe is consistent with pneumonia. no pleural effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality.
<unk>m w/pain with inhalation.
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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 visual changes // acute process
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heart size remains borderline enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear without focal consolidation, pleural effusion or pneumothorax. calcified granuloma is again noted within the posterior aspect of the superior segment of the left lower lobe. mild degenerative changes are noted in the thoracic spine.
<unk>f with diffuse body rash and weakness. right second toe nail infection last week. concern for systemic infection, potentially pneumonia
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the lungs are clear without consolidation or edema. no large effusion noting that the left costophrenic angle is excluded from the field of view. there is mild cardiac enlargement potentially accentuated by ap technique and low lung volumes. no acute osseous abnormalities.
<unk>m with right femur fracture // pre-op
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lungs: the lungs are well inflated. there is no consolidation. pleura: no pleural effusion is seen. heart: the heart is enlarged. a pacemaker is noted. mediastinum and hila: there is no mediastinal mass. osseous structures: a mid dorsal spine compression fracture probably t<num> become a vertebra plana. other findings: none
history: <unk>f with cough // ? infiltrate, ? chf
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patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are stable. there is subtle increase in opacity of the left mid to lower lung which is decreased compared to <unk>, but slightly more apparent compared to <unk>, underlying infectious process not excluded. no pleural effusion or pneumothorax is seen. no overt pulmonary edema. sutures again seen in the left mid lung region.
history: <unk>m with productive cough and neutropenic fever // ?pneumonia
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a left supraclavicular skin <unk>, left subclavian drain, an accessed right pectoral mediport ending in the lower svc, and a right-sided chest tube are all unchanged. there is improved aeration of the left lung base, with residual left basilar linear atelectasis. the lungs are otherwise clear. small left pleural effusion is unchanged. moderate cardiomegaly despite the projection is stable.
<unk> year old m s/p three hole mie and j tube placement for t<num>n<num> esophageal cancer // rule out pneumothorax, acute changes, effusion
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dual-chamber pacemaker with two leads in right atrium and anterior right ventricle. interval increase in bilateral moderate sized pleural effusions, right greater than left. interval worsening of bilateral opacities likely due to aspiration pneumonia with no interval change in calcified pleural thickening on the left. heart size is obscured by pleural effusion. mediastinal contour and hila are normal. no pneumothorax or pulmonary edema.
male with bilateral pneumonia and aspiration. please assess for pneumonia, effusions.
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mediastinal, hilar and cardiac contours remain stable. note is made of sternotomy wires and surgical clips from prior cabg. the pulmonary opacifications consistent with pulmonary edema are stable compared to yesterday. there is no new focal consolidation to suggest pneumonia. there is no pleural effusion or pneumothorax.
<unk>-year-old with mssa bacteremia and recent fever spike.
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there are aortic knob calcifications. the heart size is normal. there is a right shoulder prosthesis in unchanged alignment since <unk>. there is a small right pleural effusion. perihilar fullness and cephalization of the vasculature increased intravascular volume.
<unk>-year-old woman shortness of breath. evaluate for pneumonia.
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i doubt significant interval change. lines and tubes are similar. there is upper zone redistribution without overt chf and bibasilar atelectasis. no frank consolidation or effusion identified. no pneumothorax detected. possible mild cardiomegaly. cardiomediastinal silhouette is probably similar allowing for differences in positioning. lumbar spine fixation hardware again noted.
<unk> year old woman s/p pea arrest, intubated // please evaluate for interval change
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pa and lateral views of the chest are compared to prior from <unk>. compared to prior, there has been near complete resolution of left base opacity which is still faintly visualized. in addition, there is new ill-defined parenchymal opacity in the right mid lung which is new. superiorly, the lungs are clear. there is no effusion. cardiomediastinal silhouette is within normal limits. surgical clips are again seen in the upper abdomen. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old man with shortness of breath and cough. question pneumonia.
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mild enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours appear similar. pulmonary vasculature is normal. no focal consolidation, large pleural effusion or pneumothorax is present. please note that the left costophrenic angle is excluded from the field of view. there are moderate degenerative changes noted in the thoracic spine.
<unk> year old man with history of heart failure, copd presents with generalized weakness, increased dyspnea on exertion. // ?pleural effusion
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ap and lateral views of the chest show bilateral humeral head prostheses. patient is status post right upper lobe resection. the right lung volumes are again low. cardiac size is top normal. lungs otherwise clear with no focal consolidation, pleural effusion, or pneumothorax.
altered mental status, nausea, vomiting, abdominal pain.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is not enlarged. mediastinal contours are unremarkable. query hiatal hernia. there is a oval shaped density projecting over the lower thorax in the midline seen on the frontal view, not substantiated on the lateral view, may be artifactual. patient's overlying arm partially obscures the lateral view.
history: <unk>f with altered mental status // assess for infiltrate
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left picc ends in the distal svc. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
history: <unk>m with fever, picc line // ? pna, picc line placement
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compared to the prior study there is no significant interval change.
<unk> year old woman with acute chf exacerbation now with increased work of breathing and tachycardia // interval change?
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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 pain in left shoulder and wrist after mvc // r/o fracture
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single portable semi-upright image of the chest. an et tube is seen terminating <num> cm above the carina. an ng tube is seen terminating in the distal esophagus. the lungs are well expanded and clear. minimal bibasilar atelectasis is seen. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable.
dyspnea.
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pa and lateral chest radiograph demonstrates a <num> x <num> cm opacity within the left lower lobe not definitely confirmed on the lateral chest radiograph. linear opacity in the right upper lobe consistent with azygous fissure. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion. osseous structures demonstrates no acute abnormality.
<unk>-year-old female smoker with hemoptysis.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. cluster of small radiopaque densities are seen projecting over the left posterior chest, likely reflecting shrapnel. there are no acute osseous abnormalities.
chest pain and shortness of breath.