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lungs are hyperinflated. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
<unk>m with syncope without prodrome. please evaluate for cardiopulmonary change // <unk>m with syncope without prodrome. please evaluate for cardiopulmonary change
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since the prior exam, there is a new thin linear density along the left apex, which may represent a pneumothorax. alternatively, it could be a skinfold. additionally, there are worsening basilar opacities, right more than left, likely due to pulmonary edema from re-expansion after the right thoracentesis. patchy bilateral opacities are otherwise not significantly changed. there is stable small left effusion. the right costophrenic angle is somewhat obscured by overlying monitoring lines, though there is likely a small right effusion. there is no right pneumothorax. the cardiomediastinal silhouette is normal.
known multifocal pneumonia status post thoracentesis with worsening shortness of breath.
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single portable view of the chest is compared to previous exam from <unk>. enteric tube is seen with tip off the inferior field of view. left picc is seen; however, tip is not clearly delineated. persistent bibasilar effusions and a right pigtail catheter projecting over the lower chest. there is possible right apical pneumothorax. superiorly, the lungs are clear of consolidation. cardiac silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath.
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pa and lateral views of the chest. no prior. there is elevation of the left hemidiaphragm. the lungs are clear of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous structures are unremarkable. multiple surgical clips project over the region of the left axilla. soft tissues are otherwise notable for calcifications in the neck, potentially due to atherosclerosis.
<unk>-year-old female with hyperglycemia and elevated white blood cell count. question pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with pyuria.
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frontal and lateral radiographs of the chest demonstrate fractured lower three median sternotomy wires which are unchanged from <unk>. compared to the prior radiograph, there is increase in airspace opacity at the right lung base, consistent with pneumonia. the remainder of the lungs is unchanged from the prior radiograph. the cardiac contour is slightly enlarged, unchanged from the prior radiograph. no pleural effusion or pneumothorax is seen.
recent fever and crackles in the lungs. evaluate for pneumonia and/or effusion.
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the cardiac and mediastinal silhouettes appear stable compared to the prior examination. again seen at the right costophrenic angle is some haziness which when corresponding to the prior radiograph and ct examination likely represents a prominence of mediastinal fat and post resection changes. adjacent changes are seen involving diminutive right lateral ribs which appear chronic. linear scarring or atelectasis is seen at the left base, similar or perhaps slightly worse than on the prior study. no new consolidative process.
known bronchiectasis on azithromycin with worsening cough and dyspnea. evaluate for pneumonia.
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the lungs are clear. prior effusions are no longer seen. the cardiac silhouette is top-normal. no acute osseous abnormalities.
<unk>m with sob
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ap view of the chest provided. since prior study, there is new placement of the right sided chest tube. there is no pneumothorax. there is interval decrease in right pleural effusion. endotracheal tube and right ij line are in appropriate positions.
<unk> year old man with right pleural effusion s/p chest tube placement, evaluate for pneumothorax
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ap upright and lateral views of the chest provided. cardiomegaly with moderate pulmonary edema noted. hilar engorgement is noted. small bilateral pleural effusions are present. no pneumothorax. difficult to exclude a superimposed subtle pneumonia. bony structures intact
<unk>f with shortness of breath // eval for chf or pna
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frontal and lateral views of the chest. left chest wall dual-lead pacing device is again seen with tips in the right ventricle and coronary sinus. there is blunting of the posterior costophrenic angles compatible with small effusions as seen on prior. there is a hazy left basilar, retrocardiac opacity which was not clearly seen on most recent prior exam and could represent developing infection. elsewhere, the lungs are clear. the cardiomediastinal silhouette was unchanged. no acute osseous abnormalities.
<unk>-year-old male with dyspnea on exertion and cough.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are hyperinflated and clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with left-sided pleuritic chest pain and recent asthma exacerbation
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frontal and lateral views of the chest. the lungs are clear consolidation. there is no effusion. there is mild indistinctness of the pulmonary vasculature but no frank pulmonary edema. significant cardiomegaly is noted. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with severe or volume overload.
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
fever and cough.
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the patient is slightly rotated. right internal jugular central venous catheter tip terminates in the lower svc. no pneumothorax is detected. the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. minimal right basilar atelectasis is seen. remainder of the lungs are clear. no focal consolidation or pleural effusion is present. no acute osseous abnormalities are visualized.
altered mental status.
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severe cardiomegaly is re- demonstrated. mediastinal contours are unchanged. enlargement of the pulmonary arteries is compatible with underlying pulmonary arterial hypertension. mild pulmonary edema is worse compared to the previous exam. small bilateral pleural effusions are present. retrocardiac consolidative opacity may reflect atelectasis though infection is not excluded. no pneumothorax is demonstrated.
altered mental status.
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the lungs are clear with no consolidation, and pulmonary vasculature is normal. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal.
chest pain.
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one portable supine ap view of the chest. this study is severely limited due to overpenetration. within that limitation, there is no obvious pneumothorax, consolidation, or effusion. cardiac, mediastinal and hilar contours appear within normal limits.
<unk>-year-old male with chest pain, shortness of breath.
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left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. multiple clips project over the right anterior hemi thorax. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with chest pain
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again seen is mild lower thoracic spine levoscoliosis. the cardiomediastinal silhouettes are unchanged, and within normal limits. the hila are unremarkable. aortic arch calcifications are again seen. mild diffuse interstitial prominence may relate to chronic age-related changes, unchanged in comparison to prior radiographs. there may be mild diffuse peribronchial wall thickening, suggestive of small airways inflammation. no focal lung consolidations are seen. the lungs are hyperinflated. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old man with congestion and cough, evaluate for pneumonia.
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the heart size is normal. the aorta demonstrates diffuse calcifications. the mediastinal and hilar contours are unchanged and within normal limits. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. mild degenerative changes are present within the thoracic spine.
weakness.
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heart size and cardiomediastinal contours are within normal limits. elevation of the right hemidiaphragm is chronic. no focal consolidation, pleural effusion, or pneumothorax detected.
history: <unk>m with cp // edema? cardiomegaly?
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pa and lateral radiographs of the chest demonstrate persistent linear atelectasis in the bilateral lower lobes which was new on <unk>. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. the thoracic aorta appears mildly enlarged, without focal aneurysmal dilation. the heart size is normal. pulmonary vascularity is normal.
one month of cough.
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pa and lateral views of the chest. there is no focal consolidation. minimal interstitial abnormality is most commonly seen with smoking or asthma. there is no pleural effusion or pneumothorax. the cardiomediastinal contours are normal.
syncope.
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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. on the lateral view there is convex bulge to the posterior left hemidiaphragm likely representing an the eventration or a small bochdalek's hernia. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with ams, fever, leg weakness and pain, s/p lp
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the lungs are hyperexpanded likely reflecting chronic pulmonary disease. the heart size is normal. the mediastinal contours are normal.
<unk> year old man with fatigue and longstanding tobacco abuse
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patient is status post gastrectomy and esophagojejunostomy, with anastomosis likely at the level of the diaphragm on review of the prior ct. the lungs are mostly clear. the heart size is within normal limits. the mediastinum and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion or pneumothorax. the tip of the nasogastric tube is difficult to ascertain, and possibly terminates in the lower chest or below the diaphragm. dense radiopaque material in the shape of bowel loops is seen in the left upper quadrant and midline, likely from prior barium enema.
<unk> year old man with ngt. ngt placement
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are hyperinflated with increased retrosternal clear space and flattening of the hemidiaphragms. there is new consolidation at the right lung base laterally. elsewhere, the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old female with copd with cough and fever.
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cardiac size is mildly enlarged. patient is status post cabg. there is mild vascular congestion. . there is no pneumothorax. there is a small right pleural effusion. sternal wires are aligned
<unk> year old man with h/o cad s/p cabg, dmii, chf, ckd presenting after cath with possible sob and b/l <unk> pitting edema // is there pulmonary edema indicative of volume overload?
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the opacity previously seen in the right right mid/upper zone is larger and less distinct, suggesting progression. there is more pronounced patchy opacity at the left base. there is also a new small left pleural effusion. previously seen right infrahilar patchy opacities obscured by surrounding vascular plethora. there is increased vascular plethora, consistent with mild chf. heart size is at the upper limits of normal or slightly increased. note is again made of a partially imaged left total shoulder prosthesis. slight flattening of the right humeral head is included in suggest the presence of osteonecrosis or impaction injury involving the right humeral head.
<unk> year old woman with cough and leukocytosis. recently completed treatment for pneumonia // ?pneumonia
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this compared to the previous radiograph, there pleural air collection on the right. has substantially decreased in extent. the pleural space is now mostly fused with air and <num> to <num> small air-fluid levels continue to be the present along the right lateral chest wall. the pleural drain on the right is in unchanged position. unchanged normal appearance of the left lung, unchanged status post cabg an unchanged appearance of the cardiac silhouette.
<unk> year old man with plerual effusion // follow up
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pa and lateral images of the chest. the lungs are well expanded. mildly dilated upper lobe vessels are seen. there is no focal consolidation or mass. no pleural effusion or pneumothorax is seen. the cardiomediastinal silhouette is top normal in size.
lightheadedness concerning for pneumonia.
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pa and lateral chest radiographs were provided. lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. heart size is top normal. the bones are intact.
history of epigastric pain, cough, fever and weakness. evaluate for effusion versus 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. linear opacity in the right mid-lung is compatible with atelectasis. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax is present. osseous structures are unremarkable. no radiopaque foreign bodies.
<unk>-year-old male with right upper quadrant pain status post rfa of liver lesion. evaluate for pleural effusion.
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there is a right-sided pic line which terminates in the mid svc. the cardiomediastinal silhouette has a normal postoperative appearance. there are small bilateral pleural effusions. no pneumothorax is identified. there is mild bibasilar atelectasis, however the lungs are otherwise unremarkable.
history of mitral valve repair/cabg, please evaluate for postoperative changes.
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subtle apparent fibrotic changes in the medial right upper lung seen on the frontal view versus external artifact. no definite acute focal consolidation is seen. areas of subcentimeter rounded calcification projecting over the right mid to lower lung most likely reflect calcified granulomas. minor left basilar atelectasis is noted. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain radiating to l back // please eval for any pna, cardiomegaly, widened mediastinum
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the aorta is tortuous. the cardiac silhouette is not enlarged.
history: <unk>f with hyperglycemia and presumed infection // pna?
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frontal radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. there is atelectasis in the left lower lobe. the lungs are otherwise clear. no pleural effusion or pneumothorax. no displaced rib fracture identified.
hypertension and <num> /<unk> left-sided chest pain for <num> hr. evaluate for pneumonia, pneumothorax or widened mediastinum.
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lung volumes remain low with bronchovascular crowding. a right port-a-cath tip ends in the low svc. no focal consolidation, effusion, edema, or pneumothorax. the heart size is normal. mediastinal contours are overall unchanged. multilevel degenerative changes of thoracic spine are again seen.
<unk>-year-old man with asthma, coughing followed by lightheadedness. evaluate for cpd.
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lung volume is low. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with wheezing // ? acute caridopulm process
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>m with positive tb test in basic training, told he had "tb in the lungs" but treated with inh. presents with fever and cough, evaluate for infiltrate or evidence of active tb.
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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
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heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
syncope.
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heart size is normal. the mediastinal contours are unremarkable, and the hila appear stable. patchy ill-defined opacity in the left lung base is concerning for infection in the correct clinical setting. trace left pleural effusion is present. the right lung appears grossly clear. no pneumothorax is seen. there are no acute osseous abnormalities.
liver disease with abnormal labs.
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ap and lateral views of the chest. low lung volumes again noted. small right-sided pleural effusion persists. asymmetric density at the left lung apex compared to the right is compatible with post-treatment changes, unchanged. the lungs are otherwise grossly clear. the cardiomediastinal silhouette is unchanged.
<unk>-year-old female with metastatic breast cancer, presents with weakness.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old male with cough and malaise.
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heart size is normal. the mediastinal and hilar contours appear unchanged. pulmonary vasculature is not engorged. streaky left basilar opacity likely reflects a combination of bronchiectasis with bronchial wall thickening and aspiration, better assessed on the recent ct. no new focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with shortness of breath and expiratory wheezing
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a right internal jugular sheath terminates in the upper svc. there is a small to moderate effusion and adjacent pulmonary opacity at the base of the left lung. there is minimal atelectasis at the base of the right lung. there is a small left apical pneumothorax.
<unk> year old woman with s/p bentall // s/p ct removal ? ptx
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ap upright view of the chest provided. large hiatal hernia with an intrathoracic stomach is again noted as seen on the previous ct. side port of the nasogastric tube is in the portion of the stomach herniated up into the right hemithorax. gas bubble in the antral portion of the stomach in the left hemithorax is similar to prior ct. aortic valve replacement is again seen. there is no focal consolidation, effusion, or pneumothorax. cardiomegaly is mild. scoliosis is again seen. no free air below the right hemidiaphragm is seen.
<unk>f with nasogastric tube placement
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion or pneumothorax. pulmonary vascular congestion and edema are mild. moderate cardiomegaly. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>m with s/p fall, shortness of breath, chills // eval for trauma
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the lungs are clear without focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.
history of diastolic heart failure, diabetes, and end-stage renal disease on hemodialysis, now with nausea, vomiting and diarrhea. evaluate for pneumonia.
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the heart size is large but stable compared to prior exam. the mediastinal and hilar contours are within normal limits. again multiple consolidations are present in the upper and lower portions of the right lung with apparent pleural-based opacities along the lateral aspect of the chest. possibly trace apical pneumothorax remains. there is mild increase in right-sided pleural fluid, likely loculated within peripheral pleural spaces. a right-sided ij central venous catheter tip sits at the cavoatrial junction. a mid-to-upper thoracic vertebral body demonstrates loss of height which is new compared to prior ct from <unk>.
<unk>-year-old male with right multilobar pneumonia and empyema with chest tube and small pneumothorax. chest tube removed on <unk>.
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there are bibasilar opacities, right greater than left. blunting of the posterior costophrenic angle suggests small pleural effusions. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk> year old man s/p fall with hemoperitoneum without e/o solid organ injury // acute injuries
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et and ng tube are in appropriate position. bibasilar atelectasis obscuring the right hemidiaphragm and left heart border (cardiac size can't be evaluated). the left side atelectasis is slightly worse. there has been interval decrease in pulmonary edema.
<unk> year old man with pneumonia s/p intubation // eval for worsening pna
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the lungs are well expanded and clear. no evidence of focal consolidation, pneumothorax, or pleural effusions. cardiomediastinal and hilar silhouettes are unremarkable.
<unk>f with hx ptx p/w r sided chest pain worsending over <num> day. please assess for pneumothorax.
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the lungs are clear. cardiac silhouette is normal in size. there is no pleural effusion, pneumothorax, pulmonary edema or evidence of pneumonia. hilar contours are normal.
shortness of breath
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frontal and lateral views of the chest were obtained. the lungs are hyperinflated. opacity in the right medial lung is likely due to confluence of shadows, but could represent pneumonia in the appropriate clinical setting. the remainder of the lungs are clear. there is no pleural effusion or pneumothorax. heart size is normal. moderate aortic tortuosity is unchanged. mediastinal silhouette with wires projecting over the manubrium are unchanged.
dyspnea.
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a left chest wall pulse generator with leads terminating in the right ventral and left ventricle are unchanged compared to the prior study. median sternotomy wires appear intact. post-cabg changes, and a right internal jugular venous line terminates in the upper right atrium. the lung volumes are slightly low, with interval removal of pleural tubes. no residual pneumothorax or pleural effusion is identified. the heart is mildly enlarged, but stable compared to the prior. nasoenteric tube has also been removed.
<unk> year old woman s/p re-dp avr s/p chest tube pull // eval for ptx and effusion
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are adequately expanded and clear without focal consolidation. marked deformity with resorption of the right humeral head and right distal clavicle are noted, as well as a chronic fracture of the left distal clavicle. the upper abdomen is unremarkable.
<unk>-year-old male with fever and weight loss.
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when compared to prior, there has been interval removal of enteric tube and right picc. lung volumes are relatively low with diffuse airspace opacities which overall have slightly improved since prior, particularly in the right mid lung. there is no pleural effusion. the cardiomediastinal silhouette stable. dual lead left chest wall pacing device is again seen. median sternotomy wires and mediastinal clips are again seen with fracture of the superior most wire. calcified granuloma in the left upper lung and calcified ap window nodes are identified.
<unk>m with <num> day sob, thrombocytopenia // eval for consolidation
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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>m with s/p fall tib fib fx, patient has history of hypertension // eval for pre-op
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the cardiomediastinal and hilar contours are within normal limits. pleural thickening and postoperative changes are seen at the lateral right lung base, improved from the prior examination. there is a small to moderate right apical pneumothorax. there is no pleural effusion or evidence of pulmonary edema.
<unk> year old woman with small pneumothorax after rfa. please do portable cxr in pacu upon arrival. thank you. // ?size on pneumothorax after rfa
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lordotic positioning and low inspiratory volumes. compared with the prior study, the right apical pneumothorax remains relatively small, but is slightly larger than on the prior study. no discrete right-sided atelectasis is identified. the enlarged cardiomediastinal silhouette with sternotomy wires is grossly unchanged. mild prominence of vessels is likely accentuated by low inspiratory volumes. doubt overt chf the degree of increased retrocardiac density has improved, with the left hemidiaphragm now visible. there is atelectasis in left mid zone. no gross effusion is identified.
<unk> year old woman s/pcabg, postop right apical ptx // ptx
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frontal and lateral views of the chest. no prior. there is consolidation involving the right upper lobe. linear opacity in the lingula may be due atelectasis, scarring or possible additional component of infection. elsewhere, the lungs are clear. there is trace right-sided pleural effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with lethargy and fever to <num>.
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lung hyperinflation, including flattening of the hemidiaphragms, is most likely due to copd. mild ground-glass opacities in the bilateral lower lungs likely represent an atypical infection similar to opacities seen on the previous ct on <unk>. a typical pyogenic infection would likely have more confluent opacities. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
copd and shortness of breath.
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in comparison to the most recent radiograph performed on <unk>, lung volumes are lower. there is at least substantial atelectasis at the bilateral lung bases. previously noted right infrahilar opacity is difficult to assess due to elevation of the right hemidiaphragm. upper lung zones are clear. no pleural effusion or pneumothorax. moderate cardiomegaly is chronic. no evidence of pneumomediastinum. no acute osseous abnormalities identified.
<unk>-year-old female on xarelto for prior pe, now presenting for evaluation of chest pain that began approximately <num> hr after vomiting.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear except for linear atelectasis or scar within the left lung base, unchanged. . no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities, and the note is made of separately dictated dedicated right rib series from the same date.
<unk> year old woman with r lateral rib pain // eval for right lateral rib lesions
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right internal jugular central venous catheter terminates in the proximal to mid svc without evidence of pneumothorax. cardiac and mediastinal silhouettes are stable with cardiac silhouette enlargement. no focal consolidation is seen. there is no pleural effusion or pneumothorax. mild pulmonary vascular congestion appears slightly improved.
<unk> year old man with new r ij cvl // ? line placement contact name: <unk>, <unk>: <unk>
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there is persistent visualization of a large left pleural effusion with associated compressive atelectasis. superimposed infection cannot be excluded. no right-sided pleural effusion seen. a right-sided internal jugular port-a-cath terminates in the mid svc. no pneumothorax. a fracture/osteotomy of the left clavicle is again noted. the left humerus is been resected.
<unk> year old woman with mpe s/p <unk> // s/p left thoracentesis r/o ptx
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portable chest radiograph <unk> at <time> is submitted.
<unk> year old woman with cns lupus, extubated <unk> // post-extubation post-extubation
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old woman with ett // ett positioning ett positioning
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compared to the prior study there is no significant interval change.
<unk> year old man with trach, cough, increased sputum // eval for infectious process
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube is noted with tip in the stomach, but the side port is above the gastroesophageal junction and should be advanced. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
seizures and intubated.
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart, mediastinal and pleural surface contours are normal.
hypoglycemia.
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since the prior study, there is no change in position of monitoring and support devices. hardware in the thoracic spine is also unchanged in appearance. the cardiomediastinal silhouette is stable, as is the right pleural effusion. there is no pneumothorax. left pigtail catheter is in place, and unchanged in position. no new parenchymal opacities are identified.
<unk>-year-old female with polytrauma and bilateral pleural effusions. status post left-sided pigtail catheter placement. evaluation for worsening effusions.
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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. no displaced fracture is identified. query subtle lucency projecting over the posterior superior aspect of the sternal body on the lateral view, measuring approximately <num> x <num> cm, not fully assessed on this study. consider dedicated imaging of the sternum for further evaluation.
history: <unk>f with spontaneous atraumatic anterior chest pain // physical for fractures or other causes of anterior chest pain
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chest, portable. there is a small opacity overlying the left costophrenic sulcus, which may represent atelectasis. the lungs are otherwise clear and hyperinflated. scarring in the lung apices is unchanged. heart size is normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. there are atherosclerotic calcifications in the aortic arch. old right sided rib fractures are noted.
<unk>-year-old man presenting with acute onset left-sided chest pain.
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the lungs remain hyperinflated. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. hilar contours are stable. no displaced fracture is identified.
history: <unk>f with fall, head strike, bruising over left chest // eval for injury
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faint interstitial opacities are visualized at the lung bases suggestive of a chronic interstitial process. the lungs are however without a focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is mildly enlarged but stable. no acute fractures are identified.
evaluation of patient with chest pain.
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in comparison to <unk> chest radiograph, a left retrocardiac opacity has nearly resolved with minimal linear opacities remaining. lungs are hyperinflated and note is made of linear atelectasis or scarring at the right base. small bilateral pleural effusions are also demonstrated. heart size is normal and note is made of previous median sternotomy and aortic valve replacement
<unk> year old man with etoh admitted with gib reporting chest burning, sob and cough. infiltrate seen on initial x ray. // please evaluate for pneumonia
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frontal and lateral chest radiographs demonstrate clear, well-expanded lungs. there is moderate hyperexpansion and lucency consistent with emphysema. there is no pleural effusion or pneumothorax. minimal linear atelectasis or scar is noted in the left mid lung. the cardiac silhouette is top normal in size, the mediastinal contours are normal, with calcification of the aortic knob present. pleural thickening or effusion is present on the left.
<unk>-year-old male with cough and shortness of breath. evaluate for infiltrate.
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the cardiac, mediastinal and hilar contours appear unchanged. there is new mild elevation of the right hemidiaphragm with streaky opacity most suggestive of minor atelectasis. on the left, there is a streaky left retrocardiac density, most suggestive of atelectasis, with a possible trace pleural effusion. the lung volumes are low. cholecystectomy clips project over the right upper quadrant. bony structures are unremarkable.
post-surgical. question pneumonia.
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as compared to prior chest radiograph from <unk>, the tip of the nasogastric tube projects over the gastric fundus. the left lung is unchanged in appearance. cardiac silhouette is stable.
<unk>-year-old female patient with left lung collapse and respiratory distress. study requested for evaluation of ng tube placement.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.
weakness.
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the cardiomediastinal silhouettes are normal. the trachea is midline. the hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax. there is no right pleural effusion. poor visualization of the lateral left cp angle may relate to overlying soft tissues, however, a small left pleural effusion would be difficult to exclude. there is mild dextroscoliosis of the mid thoracic spine.
a <unk>-year-old man with altered mental status, evaluate for pneumonia.
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the heart and mediastinal contours are within normal limits. atherosclerotic calficiations seen at the aortic arch. the lungs demonstrate coarsened architecture as well as hyperexpansion, hyperlucency compatible with copd, but no consolidation is present. there is no pleural effusion or pneumothorax.
<unk>-year-old female with history of copd, now with dyspnea and cough.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. thoracolumbar scoliosis is noted.
<unk>f with persistent cough // ?asthma exacerbation
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compared with the immediate prior study dated <unk>, there is no relevant change. the moderate right and moderate to large left pleural effusions are unchanged, likely with substantial associated atelectasis. endotracheal tube and left ij cvc are in unchanged standard position. there is stable moderate cardiomegaly.
<unk> year old man with respiratory failure // interval change
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the lungs are clear of consolidation, effusion, or congestion. nodular opacity projecting over the right lung base is thought to be most likely nipple shadow. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with right anterior and posterior cp // please eval for pna / rib injury
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two pa and one lateral chest radiographs were obtained. a small left pleural effusion is new since <unk>. no consolidation or pneumothorax is present. cardiac and mediastinal contours are normal. no displaced rib fracture is identified.
<unk>-year-old man status post rib trauma and worsening sputum production.
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the heart is normal in size. an epicardial fat pad is incidentally demonstrated. the aortic arch appears calcified. the mediastinal and hilar contours are otherwise unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. there is mild s-shaped thoracolumbar curvature.
stroke. question cardiomegaly.
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the heart is top-normal in size but stable from the prior examination. lung volumes are markedly low which accentuates bronchovascular markings. subtle bibasilar opacities most likely reflect atelectasis. there is no pneumothorax or pleural effusion.
history: <unk>m with fever, uti, confusion and some mild sob. // pneumonia?
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left-sided vagus nerve stimulator is noted. lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. there is diffuse mild increased interstitial markings bilaterally which may relate to chronic obstructive pulmonary disease or other chronic lung disease with possible minimal interstitial edema superimposed. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable.
history: <unk>f with trauma to chest*** warning *** multiple patients with same last name! // acute process?
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the heart is mildly enlarged, and allowing for differences in technique, likely is slightly increased compared to the prior study. the aorta remains tortuous. the mediastinal and hilar contours are within normal limits. the pulmonary vascularity is not engorged. the lungs are hyperinflated. emphysematous change is redemonstrated. consolidative opacity in the left lower lobe is concerning for pneumonia. right lung is grossly clear. there is likely a trace left pleural effusion. no pneumothorax is demonstrated.
hypoxia and shortness of breath.
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there is prominence of the hila, particularly on the right which may be due to prominent pulmonary vessels although underlying lymphadenopathy is not excluded. no priors available for comparison. no focal consolidation seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. there may be mild vascular congestion without overt pulmonary edema.
history: <unk>m with c/o ble edema with hx hep c and chf // ? chf
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. bibasilar atelectasis noted. there is mild pulmonary vascular congestion and mild interstitial edema. no focal consolidation, pleural effusion or pneumothorax evident. left-sided aicd has leads are positioned in the expected positions of the right atrium and right ventricle.
chest pain.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. the heart size is moderately enlarged. in comparison with the preceding study of <unk>, the at that time existing mild cardiac enlargement has further increased. there is no typical configuration abnormality; however, the left ventricular contour is more prominent than normally. the pulmonary vasculature shows now a mild degree of perivascular haze on the bases and the pleural spaces show a touch of mild degree of blunting of the lateral and posterior pleural sinuses, all consistent with mild degree of chronic left-sided chf. there is no evidence of new discrete pulmonary parenchymal infiltrates and no pneumothorax exists in the apical area. skeletal structures of the thorax remain unchanged and grossly within normal limits.
<unk>-year-old female patient with cellulitis and new onset of cough, examine for possible pneumonia.
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. minimal degenerative change is seen in the thoracic spine without evidence of compression deformity.
hypertension and left back pain.
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as compared to prior chest radiograph from <unk> there has been interval worsening of right pleural effusion. cardiomegaly is stable. pulmonary edema persists. monitoring and support devices remain in unchanged position.
<unk>-year-old male patient with shortness of breath. study requested for evaluation of acute process.
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the trachea is central. the cardiomediastinal contour is unchanged compared to the prior study with moderate to severe cardiac enlargement. there is prominence of the pulmonary vasculature at the hila and extending into the bilateral upper lobes consistent with pulmonary vascular congestion. no frank pulmonary edema seen. linear atelectasis in the left mid lung. no consolidation seen. no pneumothorax. no pleural effusion. mild multilevel degenerative changes in the thoracic spine.
<unk> year old woman with pulmonary hypertension s/p vq scan to evaluate for pulmonary hypertension. // cxr needed for recent vq scan