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the heart is mildly enlarged with a left ventricular predominance. the aorta remains tortuous. mediastinal and hilar contours are unremarkable, and there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. linear opacities within the retrocardiac region likely reflect atelectasis. there is no acute osseous abnormality. mild levoscoliosis of the thoracic spine is re- demonstrated along with mild degenerative changes. remote sternal fracture is again noted.
elevated lactate and creatinine.
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heart size is unchanged. the mediastinal and hilar contours are normal. the pulmonary vasculature is mildly congested with mild pulmonary edema. bilateral effusions are larger and the right lower lobe is probably collapsed. consolidation in the right upper lung is similar to <num> days ago. consolidation of the left lung has progressed significantly from <num> days ago an is now diffuse and overall slightly worse than the right side. no pneumothorax. lines and tubes: et tube tip is approximately <num> cm above the carina. left ij venous line tip is in the lower svc. ng tube and esophageal probe positions and tip locations are not significantly changed.
<unk> year old woman with septic shock from urinary source, intubated now with ? vap // please assess for interval change
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frontal and lateral views of the chest demonstrate stable cardiomegaly and mild thoracic aortic tortuosity, as well as atherosclerotic calcifications in the aortic arch. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. no displaced rib fracture is appreciated. mild thoracic kyphosis is unchanged. no compression deformity is identified.
<unk>-year-old female status post unwitnessed mechanical fall while on coumadin.
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low bilateral lung volumes. no focal consolidation or pneumothorax. mild central pulmonary vascular congestion. minimal increased reticular markings suggests mild reticular edema. the size of the cardiac silhouette is likely normal within limits of projection.
<unk> year old woman with acute bleed post partum, now receiving significant fluids and products // evidence of pulm edema
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portable supine chest film <unk> at <time> is submitted.
<unk> year old man with intubated // interval change interval change
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there is moderate cardiomegaly. . the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old man with frontotemporal dementia with afib with rvr and temperature, c/f sepsis // eval for aspiration, pna
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frontal and lateral radiographs of the chest were acquired. a left tunneled dialysis catheter ends within the low svc. lung volumes are slightly low, with streaky left lower lobe opacities, consistent with subsegmental atelectasis. there is no focal consolidation. mild cardiomegaly is not significantly changed compared to the radiographs from <unk>, allowing for differences in lung volumes. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
sore throat and shortness of breath.
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the et tube is <num> cm above the carina. picc line catheter tip is in the mid axillary vein and is not seen extending beyond this point. left subclavian line tip is in the svc. there is increased pulmonary vascular congestion with moderate cardiomegaly, bilateral pleural effusions, right greater than left pulmonary vascular redistribution and alveolar edema.
check et tube.
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heart size is difficult to assess given the presence of moderate to large bilateral pleural effusions, but appears at least moderately enlarged. the mediastinal contours are grossly unremarkable. perihilar haziness with vascular indistinctness and diffuse alveolar opacities are compatible with moderate pulmonary edema. bibasilar compressive atelectasis is demonstrated. no pneumothorax is seen. moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f status post fall, bradycardic // ? effusion, infectious process
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endotracheal tube is seen with tip in the right mainstem bronchus. hazy right basilar opacity may be due to atelectasis. left lung is grossly clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. thoracolumbar s-shaped scoliosis is noted.
<unk>f with sob // pna
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar silhouettes are within normal limits. there is no evidence of pulmonary edema, consolidation, pleural effusion, or pneumothorax. imaged upper abdomen is unremarkable.
<unk>f with cough // pna?
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cardiomediastinal contours are normal. the lungs are clear. there are persistent low lung volumes with crowding of the bronchial vascular structures. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with persistent cough // ? pneumonia
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there is moderate cardiomegaly. the left hilar contour is prominent, consistent with known pulmonary hypertension. there is right basilar atelectasis. no focal consolidation or pneumothorax.
<unk>f with ss disease here with abdominal pain, abnormal ekg, report of abnormal cxr from osh last night. evaluate for pneumonia or acute chest process.
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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. mediastinal contour in the region of the pulmonary outflow tract has always been mildly enlarged. this can be a normal finding in young women. it would nevertheless be reasonable to evaluate the patient clinically for any evidence of pulmonic valvular abnormality.
evaluate for pneumonia in a patient of bilateral leg pain.
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pa and lateral views of the chest. the lungs remain clear. there is no consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormality detected. no free air is seen below the diaphragm.
<unk>-year-old female with upper abdominal pain and elevated white blood cell count.
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the lungs are clear. the heart is top-normal in size. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with a history of copd and gradual onset dizziness.
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the lungs are clear any focal opacities concerning for infection. mild prominence of the interstitium is noted. heart size is within normal limits. no pleural effusion. no pneumothorax. t<num> compression deformity is better assessed on subsequent same day ct.
<unk>f with hypoxia // is there any pna?
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the lungs are clear and lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal in size. the mediastinal and hilar structures are unremarkable. prior fracture of the left clavicle is noted.
weakness and probable stroke. evaluate for infiltrate.
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mild basilar atelectasis is seen without definite focal consolidation. no large pleural effusion or pneumothorax is seen. diaphragm eventration is noted bilaterally. the cardiac silhouette is stable. the aorta is tortuous.
history: <unk>m with iddm p/w hypoglycemia // ?pna
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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.
<unk> year old man with acute strokes
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ap portable upright view of the chest. there has been interval placement of a left pleural chest tube with decreased size of the left pleural effusion. airspace consolidation persists in the left lung base concerning for pneumonia. mild hazy opacity at the right lung base is also concerning for pneumonia. a small right pleural effusion again seen. no large pneumothorax is seen.
<unk>f with cough, sob, s/p l chest tube // eval chest tube placement
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the patient is status post left lower lobectomy with a left-sided chest tube and mediastinal clips noted. there is a small to moderate left apical pneumothorax. there is no right-sided pneumothorax. a right ij introduction sheath is noted in the the origin of the svc. an epidural catheter is in place.there is no focal consolidation or pleural effusion. the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with lll mass s/p l lower lobectomy // s/p l lower lobectomy
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pa and lateral chest radiographs were obtained. the lungs are clear. no focal consolidation, effusion, or pneumothorax is present. the heart and mediastinal contour are normal. minimal aortic arch calcifications are present. left chest cardiac device has leads projecting over the right atrium and right ventricle. a mitral valve mechanical prosthesis is in expected location. median sternotomy wires are intact.
<unk>-year-old woman with intermittent chest pain.
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new tracheostomy is in place. a left-sided picc tip seats at the cavoatrial junction. the heart size is within normal limits. the mediastinal and hilar contours are also within normal limits. ill-defined opacity and blurring of the left hemidiaphragm are most compatible with small-to-moderate left pleural effusion and basilar atelectasis. there is no pneumothorax. a gastrotomy tube projects over the left upper abdomen.
<unk>-year-old male with left pleural effusion and tracheostomy.
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portable upright frontal view of the chest. coarse reticulation is consistent with interstital lung disease. bilateral hilar enlargement is substantially greater on the right than on the left. bilateral small pleural effusions have increased since one day prior. bilateral diffuse airspace opacities with a perihilar predominance have increased as well. no pneumothorax is identified. the aortic knob is calcified. the cardiac silhouette is enlarged.
shortness of breath.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. there is no evidence of aspiration or focal consolidation. there is no pleural effusion or pneumothorax. pulmonary vasculature is unremarkable. the osseous structures are unremarkable. no radiopaque foreign bodies are present.
<unk>-year-old male with recent seizure. rule out pneumonia or aspiration.
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the lungs are hyperinflated. minimal basilar atelectasis is seen. there is no focal consolidation, pleural effusion, evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable. chronic deformity of the right humeral head is re- demonstrated.
history: <unk>f with hypoglycemia // ? chf
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the heart size is normal. the mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. there is no pleural effusion or pneumothorax. no acute osseous abnormalities are visualized.
cough, green sputum.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>-year-old female with intermittent chest pain and arm tingling for <num> week.
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pa and lateral views of the chest. there are new bibasilar opacities compatible with right middle lobe and lingular pneumonia. elsewhere, the lungs are clear and there is no effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality.
<unk>-year-old female with fever and cough.
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cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pulmonary edema, pleural effusion, or pneumothorax. osseous structures are grossly unremarkable.
<unk>f with chest pain
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there has been interval decrease in the right pleural effusion. however there is also a large right pneumothorax. at the time of dictating this report a followup film had already been ordered. there is severe right lower lobe volume loss with some increased opacity in the right lower lobe that may be due to re-expansion edema. the left lung is clear
<unk> year old man with pleural effusion // s/p thoracentesis
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there are bibasilar opacities compatible with small to moderate pleural effusions. superiorly, the lungs are clear given relatively low lung volumes. cardiac silhouette is also accentuated by low lung volumes, with possible superimposed cardiomegaly. left-sided pleural catheter is noted.
<unk>f with visual changes, picc // eval for picc, pna
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single frontal view of the chest was obtained. new og tube terminates below the diaphragm. endotracheal tube terminates in similar position to prior. elevation of the right hemidiaphragm and linear atelectasis of the right mid lung are unchanged. left perihilar opacity shows rapid improvement since <unk>. no new lung opacity. heart size and cardiomediastinal contours are stable.
<unk>-year-old male with new og tube.
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there is subcutaneous emphysema in the left chest wall. there is a consolidation in the left mid and lower lung, which likely represents a combination of hemothorax and atelectasis and contusion from prior injury. multiple continuous posterior rib fractures are seen in the left, as seen on prior ct. et tube ends <num> cm from the carina. the enteric tube ends in the stomach. no pleural effusion is identified. the right lung is grossly clear. the mediastinal and hilar contours are within normal limits.
multiple rib fractures.
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since <num> day prior, left upper lung and right lower lung consolidations have increased in density. innumerable nodular opacities consistent with known metastasis appear relatively unchanged. lateral left pleural thickening is unchanged. moderate to large bilateral pleural effusions are probably unchanged. heart size and cardiomediastinal silhouettes are inadequately evaluated on this study.
<unk> year old woman with lung cancer, bilateral pleural effusions, pneumonia // please evaluate for interval change
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single frontal view of the chest. heart size is moderately increased. there is mild pulmonary interstitial edema with indistinct appearance of the right costophrenic angle, potentially representing a small pleural effusion. no lobar consolidation or pneumothorax.
shortness of breath.
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frontal and lateral views of the chest. the bilateral perihilar opacities with indistinct pulmonary vascular markings seen throughout. blunting of posterior costophrenic angles suggestive of effusions. linear opacity in the region of the minor fissure suggests fluid within the fissure versus potential adjacent atelectasis or other cause of consolidation. the cardiac silhouette appears enlarged likely exaggerated by poor inspiratory effort. dense mitral annular calcifications are noted as well as atherosclerotic calcifications of the aorta which is tortuous. multiple compression deformities are noted throughout the thoracic and likely lumbar spine which are age indeterminate.
<unk>-year-old female with shortness of breath, cough and sputum production. new onset of dyspnea and chest pain.
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normal, heart, lungs, pleura and mediastinal surfaces.
history: <unk>m with sudden chest pain and sob after running today // eval ptx
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the lungs are clear. there is no effusion, edema, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>m with palpitations // ? acute cardiopulm process, abnormal heart silhouette
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cardiac silhouette size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are hyperinflated suggestive of copd. scarring within the lung apices is unchanged. no focal consolidation, pleural effusion or pneumothorax is identified. mild degenerative changes are noted in the thoracic spine.
history: <unk>f with chest pain
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there is hazy opacity in the infrahilar region on the right. elsewhere, lungs are clear. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. no evidence of pulmonary edema. imaged osseous structures and upper abdomen demonstrate no acute abnormality.
<unk>m with cough x <num> weeks, now blood-tinged sputum // eval for pna or other acute process
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the lungs are clear of opacities concerning for infection. there is a small left-sided pleural effusion. there is no pulmonary edema. cardiac size is normal.
<unk>-year-old male with dyspnea. rule out chf.
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since the prior exam, there is an increased right pleural effusion with associated right basilar opacity. additionally, obscuration of the left costophrenic angle is likely due to a small effusion and atelectasis. there is no overt pulmonary edema. the apices of the lungs are clear. there is no pneumothorax. the mediastinal contour is normal. the heart size is moderately enlarged, and unchanged from prior exams.
history of congestive heart failure with bibasilar crackles and hypotension. evaluate for pulmonary edema or pneumonia.
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ap portable upright view of the chest. there has been interval repositioning of the left chest tube which now terminates in the medial left mid chest. near complete opacification of the left hemi thorax is unchanged. right lung remains clear.
<unk>m with left chest tube placement // left chest tube placement
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compared to chest radiograph performed earlier on same day, a left apical pneumothorax is stable to slightly decreased in size. there is no evidence of tension. overall lung volumes are low, with atelectasis at the left lung base. scattered areas of perihilar opacity in the right lung are unchanged. cardiomediastinal silhouette is stable.
<unk> year old woman s/p l vats wedge // check left ptx, please do around <num>pm
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frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
patient with productive cough and malaise, rule out pneumonia.
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hypoinflated lungs with perihilar interstitial prominence consistent with vascular crowding. no pleural effusion pneumothorax. prominence of the heart is likely related to low lung volume. new left lower lobe and retrocardiac opacity is noted. mediastinal contour and hila are otherwise unremarkable. visualized osseous structures are unremarkable and upper abdomen is within normal limits.
<unk>m with cirrhosis with sob. assess for pneumonia effusion.
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the lungs are well-expanded. the previously described ill-defined opacity projecting over the right anterior third rib is not clearly appreciated on today's exam and may previously have been the results of superimposition of normal structures. otherwise, no significant interval change from the prior exam. no focal consolidation, edema, or pneumothorax. the heart remains top-normal in size. mediastinum is not widened. a broad-based, right lower thoracic wall pleural abnormality in the region of the right seventh posterior rib with slight asymmetric appearance of the soft tissue on the right compared to the left is overall unchanged. no definite evidence of underlying rib fracture. dextroconvex scoliosis of the upper thoracic spine is mild, overall unchanged.
<unk>-year-old man presenting with chest pain. evaluate for acute process.
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there is a moderate to large left pleural effusion with an associated consolidation, which is likely atelectasis, although in the proper clinical setting, a pneumonia cannot be excluded. there is no right pleural effusion. there is no consolidation, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is severely enlarged. the mediastinal contours are normal.
shortness of breath.
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right-sided pigtail in situ. the right-sided pleural effusion shows interval increase in size and so does the left mediastinal shift in comparison with prior serial radiographs. persistent collapsed right lung unchanged. no consolidations seen in the left lung.
<unk> year old man with sob/backpain found to have r pleural effusion and widespread mets.please do cxr on <unk> // trend pleural effusion.please do cxr on <unk>
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the lungs are clear with no pleural effusion identified. cardiomediastinal contour appears stable when compared to prior study dated <unk>. intact median sternotomy wires are identified. calcifications are noted within the aortic arch. no acute osseous abnormality is identified.
<unk>-year-old male with cough.
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heart size is top normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. cholecystectomy clips are noted in the right upper quadrant of the abdomen. no acute osseous abnormalities are demonstrated.
history: <unk>f with left leg swellling, chest pain, palpitations
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the endotracheal tube sits <num> cm above the carina. the endogastric tube tip sits within the stomach, although a portion of the weighted tip sits above the ge junction. the heart size is within normal limits. the mediastinal and hilar contours appear unremarkable. the lungs continue to demonstrate heterogeneous opacity in the right mid and lower portion, which may represent an area of scarring. additionally, more scattered punctate densities throughout the right and left lung are compatible with calcified pleural plaques as confirmed by the visualized chest portion of the abdominal and pelvic ct from <unk>. trace bilateral pleural effusions. there is no pneumothorax.
<unk>-year-old male status post pituitary resection, now with copious respiratory secretions.
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there appears to be a new linear density in the right middle lobe compared to the prior exam. there is no evidence of a pneumothorax or pleural effusions. the hilar and mediastinal contours are unremarkable. the heart is normal in size. the visualized osseous structures are unremarkable.
<unk>-year-old female with shortness of breath who presents for evaluation.
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patient is status post median sternotomy, aortic arch stent graft repair, and aortic valve replacement with multiple clips noted projecting over the right axillary region. severe cardiomegaly is again noted with diffusely dilated thoracic aortic contour compatible with known dissection and subsequent aortic graft repair. overall, the cardiac and mediastinal contours are unchanged. there is mild pulmonary vascular congestion, worse in the interval. retrocardiac opacity appears unchanged compatible with atelectasis with similar-appearing small left pleural effusion. there has been interval improvement in the right basilar patchy opacity compatible with improving atelectasis, with decreased size of the right pleural effusion which is partially loculated in the fissure. no pneumothorax is detected. no acute osseous abnormalities seen.
history: <unk>f with recent thoracic aortic aneurysm repair now with chest pain
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough // pna?
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the lungs are clear and well inflated bilaterally with no areas of focal consolidation, masses, lesions, or pleural effusions. there is no pneumothorax. the cardiomediastinal silhouette is normal. the pleural surfaces are unremarkable.
<unk>-year-old woman with shortness of breath, concern for copd or bronchitis.
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frontal and lateral chest radiographs demonstrate well expanded lungs. the cardiomediastinal and hilar contours are unremarkable. there is stable-appearing fibrosis at the bilateral lung apices. no pleural effusion, pulmonary vascular congestion, or pneumothorax is seen.
<unk>-year-old man with history of recurrent pneumothoraces and left chest pain. evaluate for left-sided pneumothorax.
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although the appearance of the left-sided picc line has improved, it remains angled at its tip. given its location, this could indicate that it extends into the azygos vein and should therefore be repositioned. no pneumothorax is detected. otherwise, no significant changes identified.
<unk> year old man with l picc malpositioned // l picc retracted <num>cm and <unk> <unk> <unk>
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since prior, a left picc has been retracted and now ends at the confluence of the left brachiocephalic vein and superior vena cava. an endotracheal tube has been removed. there is no pneumothorax or pleural effusion. cardiac enlargement is unchanged. since prior, there has been increased right greater than left basilar opacity, compatible with worsening pulmonary edema.
<unk>-year-old man who a partially pulled out picc line, evaluate position.
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initial images show the dobbhoff tube to be coiled within the pharynx but subsequent images show repositioning with the tip terminating in the stomach. there are worsening bibasilar opacities, most notable on the left, and aspiration or pneumonia should be considered in the appropriate clinical setting. there is no pneumothorax. cardiomediastinal silhouette is unremarkable.
<unk> year old man currently npo, now requiring dobhoff placement // ?dobhoff placement
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ap and lateral views of the chest. relatively low lung volumes are again seen with secondary crowding of the bronchovascular markings. there is likely superimposed vascular congestion. blunting of posterior costophrenic angles is suggestive of small effusions. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with cough and shortness of breath.
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compared to the prior study there is no significant interval change.
<unk> year old woman with respiratory failure // acute change
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there is bilateral hilar prominence with increased vascular markings and upper redistribution. kerley b lines and interstitial thickening is noted in both lung bases. otherwise, there are no focal opacities. the heart appears mildly enlarged, although may in part be accentuated by ap technique. there is no evidence of pleural effusion or pneumothorax.
<unk>-year-old male with hypoxia. evaluate for pneumonia or any other acute cardiopulmonary process.
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there is severe dextroscoliosis of the thoracic spine. platelike scarring in the left mid lung is unchanged. diffuse patchy opacities are worse at the right lung apex and right lung base. there is mild cardiomegaly. a right chest port ends in the mid svc.
history: <unk>f with hyperglycemia, hypoxia // eval for pna
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old woman with cough, asthma exacerbation, evaluate for pneumonia
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the lungs are well inflated and clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
history: <unk>f with chest pain. evaluate for pneumothorax.
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the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. hilar contours are normal. no evidence of a replaced cardiac valve.
<unk>-year-old man with a pre-syncopal event; still with dizziness, palpitations, bradycardia, question of possible sick sinus syndrome given cardiac surgery as premature neonate, would like to evaluate for cardiac abnormality; evidence of valve replacement and if so, which one.
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frontal and lateral chest radiographs demonstrate a left picc which terminates in the mid svc. there is a normal cardiomediastinal silhouette and well-aerated lungs. no focal consolidation, pleural effusion, or pneumothorax is seen. lingular scarring is unchanged. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with fever.
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single supine portable view of the chest. there is increased opacity projecting over the left hilar region which could be due to parenchymal opacity or enlarged left hilum due nodes or enlarged pulmonary artery. the lungs are otherwise clear of focal consolidation. the cardiomediastinal silhouette is within normal limits for technique. mid thoracic dextroscoliosis is identified. rounded radiopaque density projects over the left upper quadrant. there is also increased lucency projecting below the right hemidiaphragm, some of which may be within bowel however there may also be component of free intraperitoneal air.
<unk>-year-old female with crackles. question pneumonia.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign body.
<unk>-year-old female with chest pain. evaluate for acute intrathoracic process.
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the lungs are clear without focal airspace consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no evidence of free intraperitoneal air below the hemidiaphragms. bridging anterior osteophytes are noted along the low thoracic vertebral bodies.
recurrent small bowel obstructions with diffuse abdominal pain. evaluate for free air.
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endotracheal tube tip <num> cm above carina. worsened bibasilar opacities, atelectasis versus pneumonitis. shallow inspiration accentuates heart size. normal pulmonary vascularity. no pneumothorax. no pleural effusion.
<unk> year old man s/p intubation // evaluate ett placement
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pa and lateral views of the chest. no prior. lungs are clear of focal consolidation. cardiomediastinal silhouette is top normal in size. median sternotomy wires are noted. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with hypotension.
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the lungs remain hyperinflated. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the aorta is tortuous. the cardiac silhouette is not enlarged. evidence of dish is seen along the thoracic spine. no definite new vertebral body height loss is identified in the imaged thoracic spine.
history: <unk>m with s/p fall backwards, tender t<num>-t<num>; // eval for fx, ich
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frontal and lateral views of the chest were obtained. there is no focal consolidation, pleural effusion or pneumothorax. minimally increased opacity in the right lower lobe since <unk> is likely atelectasis, but may represent an early or developing pneumonia in the appropriate clinical setting. lungs are hyperinflated compatible with copd. heart size is normal. mediastinal silhouette and hilar contours are normal.
<unk>-year-old woman with copd exacerbation with increased cough and sputum.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is identified.
rib pain.
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there has been essential resolution of previously seen pulmonary opacities with possible minimal residual remaining in the right upper lung. the left lung is clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cancer, sob // ?pleural effusion
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the lungs are clear. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no aggressive bony lesions.
<unk> year old man with hx of melanoma // please evaluate disease status
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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. some degenerative changes are seen along the spine.
<unk> year old woman with abdominal pain, recent r iliac to sma bypass graft as well as recent lll pna // r/o worsening lll pna
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single portable frontal chest radiograph demonstrates hypoinflated lungs with crowding of vasculature and bilateral lower lobe atelectasis. retrocardiac opacity with trace pleural effusion. persistent elevation of left hemidiaphragm. heart size, mediastinal contour, and hila are otherwise unremarkable. limited assessment of the upper abdomen is within normal limits.
cough. assess for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with renal tx on immunosuppresion presenting with fever // eval for pneumonia
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ap portable upright view of the chest. there is persistent elevation of the right hemidiaphragm. the heart size remains normal. the hilar and mediastinal contours are within normal limits. there is no superimposed focal consolidation, effusion, or pneumothorax. there is no central pulmonary vascular congestion or pulmonary edema.
<unk> year old woman with pmr, recurrent sclerosing cholangitis c/b hepatic microabscess, fmf, now w/ recurrent hepatic microabscess, fever to <num>, tachy to <num>s, on ivf. // pulm edema?
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the right lung base opacity has decreased since <unk> with improved aeration. fluid in the major fissure on the right is also decreased. mild pulmonary edema is stable compared to the baseline chest x-ray from <unk>. the cardiomediastinal silhouette is normal. the picc line ends at the proximal svc.
<unk>-year-old woman with hypoxia and desaturation. please assess for pulmonary edema, pneumonia or other intrathoracic process.
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portable upright radiograph of the chest. a right apical pneumothorax persists, and is perhaps slightly smaller than on the prior study performed two days ago. there is persistent subcutaneous emphysema in the right chest wall. there is no evidence of tension. the pneumomediastinum is less apparent on the study. subtle small right inferolateral pulmonary opacities persist. the hilar and cardiomediastinal contours are normal. there is a small amount of bilateral basilar atelectasis. the left costophrenic angle is blunted.
shortness of breath, worsening subcutaneous edema after right vats. evaluate for acute cardiopulmonary process.
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain and cough.
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a medial right basilar opacity has fully resolved. a left retrocardiac opacity has mostly resolved, leaving slight patchy residual opacity with volume loss at the left lung base. there is a possible residual pleural effusion on the left side, probably small. there may also be a trace right-sided pleural effusion. there is no pneumothorax. the cardiac, mediastinal and hilar contours appear unchanged, allowing for increased leftward rotation on this study.
inability to walk.
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there are two punctate metallic density foreign bodies. one projects over the right scapula in the posterior soft tissues on the lateral view and one is seen only on the frontal view projecting over the right aspect of the c<num> vertebral body; however, the lateral view does not cover this portion of the neck so unclear where in the soft tissues in ap dimension it is located. normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man who needs cmr but reports hunting accident // ?metal
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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. a clip projects over the left mid lung field.
history: <unk>f with fall outside of the hospital, no loss of consciousness // rule out acute intracranial or acute cardiopulmonary process
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there are bibasilar linear opacities, which were seen as early as <unk>, suggestive of chronic scarring. the lungs are otherwise free of focal consolidations or pleural effusions. no evidence of pneumothorax. the heart and mediastinum are within normal limits. no osseous abnormalities are identified on this radiograph.
<unk> year old man with atypical chest pain. remote smoking hx // r/o infiltrate or nodule
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endotracheal tube tip terminates <num> cm from the carina. orogastric tube tip is within the stomach. heart size is normal. the aortic knob calcifications are demonstrated. the mediastinal contours are unremarkable. fullness of both hila may suggest underlying pulmonary arterial enlargement. lungs appear hyperinflated which could reflect underlying copd. there appears to be mild cephalization of pulmonary vascular markings suggestive of pulmonary vascular congestion. punctate radiopaque densities projecting over the right lung base may be due to prior aspiration of barium. the left costophrenic angle is excluded from the field of view. streaky bibasilar opacities likely reflect atelectasis. no large pneumothorax or large pleural effusion is seen.
history: <unk>m with intubated
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there is diffuse subcutaneous gas, pneumomediastinum, and bilateral pneumothoraces. additionally, there is pneumatosis of the visualized stomach. subdiaphragmatic free air is noted. the lungs themselves are essentially clear with no pleural effusion.
history: <unk>m with food impaction // ?free air
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pa and lateral views of the chest provided. multiple surgical clips are again noted in the left axilla. lungs are hyperinflated consistent with known copd. no focal consolidation, large effusion or pneumothorax. no overt signs of edema or congestion. the heart is mildly enlarged. mediastinal contour is normal. no acute bony abnormalities. left breast shadow is absent.
<unk>f with pmh copd w/ non prod cough and fever
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pa and lateral views of the chest provided. the heart remains moderately enlarged. the lungs are clear. upper lobe lucency suggests underlying emphysema. the aorta is densely calcified. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old woman with pmh of chf, copd with persistent sob, fever, cough, now bacteremic with gnr and new jaundice.
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the heart is moderately enlarged. a dual lead pacemaker is again visualized. there is pulmonary vascular redistribution and ill-defined vasculature predominantly on the right. there is volume loss in both lower lungs. there is obscuration of the right hemidiaphragm compatible with infiltrate/volume loss in this region. there is a small right effusion. there is a small left effusion. the patient is status post sternotomy with sternal wires and mediastinal clips.
gangrenous toe ulcer. pre-op.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain.
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pa and lateral views of the chest provided. increased streaky opacities in the right cardiophrenic/lower lung is likely atelectasis however developing pneumonia cannot be excluded. lung volumes are low, accentuating the cardiac silhouette and pulmonary vasculature. there is no pulmonary edema. there is no pleural effusion.
<unk>f with palpitations, sob, evaluate for pna, chf
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frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion or pneumothorax. previously described right upper lobe opacity has improved. the cardiac silhouette remains top normal in size, the mediastinal contours are normal. a rim-calcified mass is superimposed on the liver and measures <num> x <num> cm, unchanged from <unk> and partially imaged in <unk>.
<unk>-year-old female with persistent cough, please evaluate for resolution of pneumonia.
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ap single view of the chest shows no pnumothorax. left pleural effusion has minimally increased, now moderate. right basilar opacity is new, and is suspicious for new focal area of inflammation. heart size still severely enlarged. all the monitoring and support devices are unchanged.
<unk> years old woman status post sbr, now extubated with right pigtail catheter, assess interval change in left pleural effusion and right pneumothorax.