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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> year old woman with pmh esrd on hd, cad, dm<num> p/w dry hacking cough and associated back pain // acute pulmonary process?
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frontal and lateral views of the chest were obtained. the heart is normal size with normal cardiomediastinal contours. retrocardiac and medial right lung base opacities are compatible with atelectasis. no pneumothorax or pleural effusion. the catheter of a right chest wall port terminates in the lower svc. bilateral glenohumeral joint degenerative changes are severe.
<unk>-year-old male with fever on chemotherapy. evaluate for pneumonia.
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pa and lateral views of the chest provided. there is left basal opacity most compatible with atelectasis though an early pneumonia difficult to exclude in the correct clinical setting. otherwise the lungs are clear. no effusion or pneumothorax. no congestion or edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. there has been interval vertebroplasty at <num> levels of the mid thoracic spine. no free air below the right hemidiaphragm is seen.
<unk>m with cough, chills // r/o pna
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the heart is normal in size. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
midsternal chest pain.
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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. there is no subdiaphragmatic free air.
history: <unk>f with n/v abd pain, known ulcers // free air? upright
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the lungs demonstrate emphysematous changes, with hyperinflation and flattening of the diaphragms.there is no focal consolidation. there is borderline cardiomegaly with no vascular congestion, edema or pleural effusion. no pneumothorax is seen. there is a pectus deformity of the sternum. the thoracic aorta is normal in caliber but contains atherosclerotic calcifications.
<unk> year old woman with cough for a week r/o infiltrate // cough for a week r/o infiltrate
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et tube terminates <num> cm from the carina. ng tube courses below the diaphragm, off the inferior borders of the film. there are dense calcifications of the tracheobronchial tree. left upper lobe cavitary lesion was better appreciated and evaluated on the ct from six days prior as well as the adjacent left upper lobe mass. cardiac size is normal. no evidence of pneumonia or overt edema. mild vascular congestion is present. no pleural effusion. chronic-appearing partially imaged deformity of the right humeral head is present. no free air.
<unk>-year-old female, status post intubation. evaluate for et tube placement.
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pa and lateral views of the chest were obtained. the heart is top normal size, and mediastinal contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old man with cough, evaluate for pneumonia.
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the cardiomediastinal silhouette is normal. the hila and pleura are unremarkable. no focal consolidations, pleural effusions, or pneumothorax are seen. mild pectus excavatum is seen on lateral imaging.
<unk> year old man with esrd // evaluate lungs for abnormal growths
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a right internal jugular central venous catheter is present. the tip is difficult to visualize, though appears to be in the low svc. since the prior exam, the lung volumes are lower. mild pulmonary edema seems similar allowing for the changes in the lung volumes. there is no new opacity, pleural effusion, or pneumothorax. the mediastinal contours are normal. the heart size is moderately enlarged.
increasing creatinine. evaluate for worsening edema.
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frontal and lateral views of the chest demonstrate no pleural effusion, pneumothorax or focal airspace consolidation. prominence of the basilar interstitium is suggestive of a chronic lung disease. streaky atelectasis is also noted at the bases. calcifications within the aortic arch, descending aorta and arteries of the neck are noted. the cardiac silhouette is normal in size.
vomiting, evaluate for acute cardiopulmonary process.
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the cardiomediastinal contours are normal. slight increased soft tissue nodularity superior to the left hilus is present. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear.
preoperative assessment before right lower extremity debridement.
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there has been slight interval retraction of a right-sided chest tube which now projects over the mid right lung field. the inferior chest tube projects over the lower lung. right-sided subcutaneous emphysema persists. small right apical pneumothorax is unchanged. large known upper lobe consolidation on the right appears similar to the prior exam with persistent mild right basilar atelectasis. mild plate-like atelectasis is seen at the left lung base; otherwise, the left lung is clear. there is no interval change in the appearance of the cardiac silhouette. small right-sided pleural effusion is persistent. the visualized osseous structures are unremarkable.
history of right pleurodesis and pleurx catheter. please evaluate for interval change.
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since yesterday retrocardiac opacity and small opacity in the right infrahilar and right lower medial lung is much better, likely atelectasis or aspiration. both upper lungs are clear. there is no pleural abnormality.
questionable pneumonia.
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the cardiomediastinal and hilar contours are stable. patient is status post cabg. again demonstrated is a left pleural effusion, not significantly changed in size on this single frontal view compared to the prior radiograph. there is no pneumothorax. there is no right pleural effusion. there is no focal consolidation concerning for pneumonia.
acute on chronic dyspnea. status post ultrasound-guided thoracentesis.
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in comparison to the prior exam, there is no change in the extensive parenchymal abnormalities bilaterally. in addition, there remains bilateral pleural effusions. heart size remains enlarged. a dobbhoff tube is in place which courses to the region of the pylorus.
<unk> year old man with feeding tube // assess dophoff placement //<unk> year old man with feeding tube
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the lungs are clear. cardiac silhouette is top normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema.
three days of cough.
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there is persistent visualization of a moderate right pneumothorax and small to moderate right pleural effusion. a right-sided chest drain is in-situ, unchanged in position and appearance when compared to the prior study. there is a right basilar atelectasis. the left lung remains grossly clear. the heart is enlarged, stable compared to the prior study. previous median sternotomy noted, the sternal wires are unchanged in appearance. previous mitral valve replacement noted.
<unk> year old man with chest tube and pneumothorax // interval change
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the heart is enlarged. there is a small right pleural effusion and a small-to-moderate left pleural effusion. calcified lymph nodes are seen in the right hilum. otherwise, the hilar and mediastinal contours are normal. the lungs are well expanded and clear. there are no focal consolidations. there is no pneumothorax. a left-sided double-lumen dialysis catheter is seen with the tip in the right atrium.
<unk>-year-old female patient with history of chf, end-stage renal disease on dialysis. study requested for evaluation of cardiomegaly, pleural effusion and/or infiltration.
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patient is rotated to the right. given this, no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is not enlarged. mediastinal contours are grossly unremarkable, given patient rotation. no pulmonary edema is seen.
history: <unk>m with decrease po intake sob // eval for sob
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single portable chest radiograph a prominent right upper mediastal contour without loss of right paratracheal stripe, likely due to mediastinal vessels. heart size is normal. faint opacifications are noted in bilateral lower lungs with air brochograms in the retrocardiac space likely representing atelectasis, but infectious process is a consideration. no pleural effusion or pneumothorax.
fevers, cough, hypotension. please evaluate for pneumonia.
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frontal and lateral views of the chest. vague opacity at the right lung base is seen and projects over the hemidiaphragm on the frontal view. it is not clearly identified on the lateral view. linear opacity is seen in the left mid lung suggestive of atelectasis. elsewhere, the lungs are clear. there is no effusion or pulmonary vascular congestion. cardiomediastinal silhouette is stable. atherosclerotic calcifications noted at the arch. no acute osseous abnormality is detected.
<unk>-year-old female with pneumonia on <unk> with increased fatigue.
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interval insertion of a nasogastric tube with the tip in the body of the stomach, with persistent distention of the stomach. the tracheostomy, right internal jugular line are in standard position. median sternotomy wires are stable and in good alignment. the multifocal airspace opacities throughout the lungs bilaterally are stable in appearance. mild central venous congestion. small bilateral effusions. no pneumothorax.
mr. <unk> ia a <unk> year-old man with a hx of aml s/p allo-sct (day <num>+), gvhd of the skin and liver on home cellcept + hydrocortisone and cad s/p cabg x <num> who is readmitted after discharge from <unk> on <unk> with acute hypoxemic respiratory failure of unclear etiology but most concerning for an infectious process, with gastric distention on cxr and increased interstitial markings today // assess for ngt placement
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patchy bilateral lower lobe opacities are seen, worrisome for multifocal pneumonia. no pleural effusion is seen. the cardiac and mediastinal silhouettes are unremarkable. no evidence of pneumothorax is seen.
productive cough with sputum, chills.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the lungs are clear. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
slurred speech.
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there are pacemakers overlying the chest bilaterally, with leads that appear intact in the right atrium, and two in the right ventricle. the patient is status post median sternotomy and cabg, with sternotomy wires that appear intact and appropriately aligned. there are linear opacities at the bases bilaterally, representing atelectasis. the lungs are otherwise clear. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with new single chamber ppm on rright // assess lead position
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an endotracheal tube terminates <num> cm above the carina. enteric tube ends within the stomach. the lungs are hyperexpanded but clear. no pleural effusions or pneumothorax. cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.
<unk>-year-old female patient with shortness of breath, crackles. study requested for evaluation of overload and/or aspiration.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
cough.
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pa and lateral views of the chest provided. new from prior exam, is opacification of the right mid to lower lung which likely represents a combination of consolidation/atelectasis and effusion. the heart is slightly shifted to the left. there is no pneumothorax. left lung is clear. right heart border is obscured. mediastinal contours unremarkable. bony structures are intact.
<unk>m with etoh cirrhosis and ascites. complaining of sob // pna, hydrothorax
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ap portable upright view of the chest. there has been interval placement of a right chest tube which is seen extending to the right lung apex. there is decrease in size of right pneumothorax which is currently not detectable. suture material is noted in the right mid lung. mild right basal atelectasis is present. there is likely a small right pleural effusion. left lung remains clear. port-a-cath is unchanged with tip extending into the the right atrium.
<unk>f with new r chest tube placement // eval for resolution of pnuemo
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man with mssa bacteremia, loculated pleural effusions s/p trach and r chest tube. eval for chest tube placement and interval change. // <unk> year old man with mssa bacteremia, loculated pleural effusions s/p trach and r chest tube. eval for chest tube placement and interval change. <unk> year old man with mssa bacteremia, loculated pleural effu
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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 cough, sob, congestion // please eval for pna
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no focal consolidation is identified. there is mild bibasilar atelectasis. there is no pneumothorax or pulmonary edema. bibasilar atelectasis is noted. there may be small bilateral pleural effusions. the heart size is mildly enlarged.
<unk>f with nausea/vomiting diaphoresis // ?cardiomegaly
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the patient is status post median sternotomy and aortic valve replacement. the heart size is normal. mediastinal and hilar contours are unchanged and within normal limits. the pulmonary vascularity is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
status post aortic valve replacement, now presenting with chest pain.
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the lungs are well-expanded and clear. the hilar and pleural surfaces are normal. the cardiomediastinal silhouette is unremarkable.
<unk>m with chest pain // ? pna
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as compared to the previous radiograph, post radiation changes at the right apex and bilateral hilar enlargement is stable. heart is normal in size. lungs are otherwise clear. there is no pleural effusion or pneumothorax.
<unk> year old woman with chills, cough ,fatigue
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right port-a-cath in place. shallow inspiration accentuates heart size, pulmonary vascularity. no pleural effusion. no pneumothorax. no infiltrates.
<unk> year old man with aml and complicated prolonged hospital course including multiple infections (eg mucor) with new chest tightness // eval chest tightness. ? fluid overload
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the dobbhoff is coiled in the mid esophagus with the tip extending superiorly beyond the edge of the film. the heart is normal in size. there is evidence of atelectasis in the right lower lung. the hilar and mediastinal contours are unremarkable. the visualized osseous structures are unremarkable. there is no pneumothorax or pleural effusion.
<unk>-year-old female with new dobbhoff placement who presents for evaluation.
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portable supine radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. there has been interval increase in opacification in bilateral lung fields, right greater than left, consistent pulmonary edema. superimposed infection could be considered in the appropriate clinical setting. the cardiomediastinal and hilar contours are unchanged. there is a new small right-sided pleural effusion. the endotracheal tube ends <num> cm from the carina and the endotracheal cuff appears hyperinflated.
<unk> year old man with respiratory compromise and intubation at <num>am. ? location of et tube. // ? location of et tube
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vascular congestion and edema appears improved. no overt pulmonary edema. bilateral pleural effusions are moderate. suspected subtotal left lower lobe atelectasis is slightly increased. marked degenerative changes of the left shoulder joint.
<unk> year old woman with nstemi, chf // pulm edema
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right-sided port-a-cath tip terminates in the upper/mid svc. heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no displaced rib fracture is seen.
<unk> year old woman with sternal pain and hypercoagulable state.
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left internal jugular central venous catheter tip has been slightly withdrawn with tip projecting over in the region of the upper svc however curved appearance of the distal aspect of the catheter may suggest that it is approaching the azygos vein. lung volumes remain low. heart size remains mildly enlarged. bibasilar atelectasis is demonstrated. no pneumothorax or pleural effusion is present. crowding of bronchovascular structures is re- demonstrated without overt pulmonary edema. assessment of the medial lung apices is obscured by the patient's neck and chin.
history: <unk>f with line readjustment
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there has been interval replacement of the endotracheal tube with a tracheostomy tube. there is no mediastinal hematoma, pneumothorax, or pneumomediastinum. dual-chamber pacemaker leads and right picc are stable. small bilateral pleural effusions are no larger. moderate bibasilar atelectasis. no new parenchymal consolidation.
<unk>f with afib on coumadin, ventricular arrhythmia w/ pacemaker presenting with altered mental status, right sided weakness, and right sided facial droop. ct revealed large left sided iph w/ sdh and ivh. now s/p evd placement and removal <unk>.
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there is new complete opacification of the left hemithorax with rightward shift of mediastinal structures concerning for a large left pleural effusion. multiple nodular opacities in the right lung are re- demonstrated, better characterized on the previous ct. no focal consolidation or pneumothorax is demonstrated. cardiac silhouette size is difficult to assess given the opacification of the left hemi thorax. pulmonary vasculature in the right lung is not engorged. no acute osseous abnormalities are demonstrated.
history: <unk>m with known left pleural effusion and mass diagnosed on ct today
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the lungs are clear without focal consolidation, effusion, or edema. there is an <num>mm nodular opacity projecting over the left posterior sixth rib. there is also biapical, left greater than right pleural based scarring. cardiomediastinal silhouette is within normal limits. there is tortuosity of the descending thoracic aorta. no acute osseous abnormalities.
<unk>m with cough // evaluate for pneumonia
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moderate bilateral pleural effusions left more right are unchanged. heart size difficult to evaluate. mediastinal contours are otherwise unchanged. lungs are clear. right ij catheter is no longer seen. hiatal hernia noted.
<unk> year old man with s/p cardiac surgery // evaluate for acute process
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cva // eval for cardiomegaly
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are slightly hyperinflated but clear. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with shortness of breath.
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion, consolidation, or pneumothorax.
history: <unk>m with htn, hld presents with substernal chest pain at rest with sob, n, diaphoresis // evaluation for substernal chest pain
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there is blurring of detail due to respiratory motion. moderately severe cardiomegaly is chronic. mediastinum is persistently widened by a tortuous aorta and probably also vascular ectasia. there is mild perihilar vascular engorgement; however, no significant pulmonary edema is identified. increase in opacity in the retrocardiac region may be secondary to atelectasis and overlao of vascular shadows; however, an acute infectious process cannot be excluded. there is no large pleural effusion or pneumothorax. again seen is hyperinflatipm and flattered diaphragms suggesting bacground copd.
history of fever. please evaluate for pneumonia.
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the lungs are hyperinflated. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.
history: <unk>m with chest pain // acute process?
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there is retrocardiac opacity compatible with volume loss/infiltrate/effusion. there is pulmonary vascular re-distribution. the heart is mildly enlarged. there is a small right apical pneumothorax.
altered mental status.
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opacities are noted in the right upper, middle, lower lobe and greatest in the medial segment of the right middle lobe and suggestive of pneumonia. otherwise, the left lung is clear. the cardiomediastinal silhouette is normal. no acute fractures are identified.
evaluation of patient with fever.
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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.
history: <unk>m with chest pain // evaluate for acute process
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ap and lateral views of the chest. when compared to prior, lower lung volumes are seen with crowding of the bronchopulmonary markings. the lateral view demonstrates increased opacity throughout which is likely technical given lack of correlative finding on the frontal view. the cardiac silhouette is enlarged but stable in configuration. atherosclerotic calcifications are again seen at the aortic arch. no acute osseous abnormality is identified.
<unk>-year-old male with weakness.
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cardiomediastinal silhouette is within normal limits. lung volumes are low. an endotracheal tube terminates approximately <num> cm above the carina and an enteric tube projects over the stomach with tip excluded from the images. linear opacities at the bases likely represent atelectasis in the setting of low lung volumes. there is no focal consolidation, pleural effusion, or pneumothorax.
history: intubation // check for tube placement.
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single semi-erect portable chest radiograph demonstrates an endotracheal tube, the tip of which projects <num> cm from the level of the carina. the lungs are clear. the heart is normal in size, the mediastinal contours are normal.
<unk>-year-old male with intracranial hemorrhage. please evaluate et placement.
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ap upright and lateral views of the chest provided. overlying ekg leads are present. 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 fall, chest pain pain // ? ptx
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an endotracheal tube and gastric tube are present. no focal consolidation identified. there is unchanged ill definition of the left hemidiaphragm when compared to the <num> most recent prior radiographs which may represent a small layering left pleural effusion. no discrete pneumothorax identified. the size and cardiomediastinal silhouette is within normal limits.
<unk> year old man with peritonsilar abscess intubated for altered mental status. // ? pneumothorax, please take xray sitting upright as much as possible
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frontal and lateral views of the chest, total of three images. mild streaky right basilar opacity is seen suggestive of atelectasis, especially given lower lung volumes on the current exam. the lungs are otherwise clear without effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality identified.
<unk>-year-old male with chest pain.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
<unk> year old woman with f/u pneumonia // ? resolution
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there are markedly low lung volumes bilaterally, with crowding of bronchovasculature with no areas of focal consolidation, pleural effusion, mass lesions or evidence of vascular congestion. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. the pleural surfaces are unremarkable. there are stable multilevel degenerative changes seen in the thoracic spine.
<unk>-year-old man with dyspnea on exertion, history of pneumonia several months ago.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
pleuritic chest pain. assess for pneumonia.
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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.
<unk> year old woman with tachycardia and upper neck discomfort // pulmonary pathology and ?cervical vertebral body pathology
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. no radiopaque foreign body within the imaged field. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> yo m who swallowed piece of dental tool while at routine dental cleaning, please evaluate for foreign body
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the left pic line terminates in the proximal superior vena cava. the enteric tube appears to terminate in the distal esophagus and needs to be advanced. the cardiac silhouette remains enlarged with stable pulmonary vascular congestion and minimal bilateral pulmonary edema. rightward deviation of the trachea is secondary to the known enlargement of the left lobe of the thyroid gland. no new focal consolidations, significant pleural effusions, or pneumothorax is identified.
<unk>-year-old female with a history of ileus who presents for ng tube placement evaluation.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of nausea/vomiting, history of gastric bypass, please evaluate.
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in comparison to the most recent study, there has been increase in size of the left pleural effusion, with considerable new increased density at the left lung apex, which may represent loculated pleural fluid. some residual lucency is seen at the uppermost left lung apex raising the question of a residual hydro pneumothorax versus a small area of residual aeration at the lung apex. there is likely underlying compressive atelectasis the left lung. again seen is a left chest tube coursing along the base and medial side of the left lung. vascular congestion is similar to the prior examinations. focal consolidation is not excluded. incidental note is made of degenerative change at the left shoulder, with focal hydroxyapatite/calcific tendonitis.
history: <unk>f with known pleural effusion, here w/ dizziness // eval pleural effusion
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. there is minimal patchy opacity within the right lower lobe. the left lung is clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
cough, history of asthma with abnormal right lower lobe lungs sounds.
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large opacity projecting over the left mid to lower hemi thorax is again seen, worrisome for pleural effusion and overlying atelectasis. mild pulmonary edema is again seen. increased patchy right basilar opacity may be due to atelectasis or aspiration given short term development. difficult to exclude a small right pleural effusion. the cardiac silhouette is enlarged although not well assessed on the left due to the large left-sided opacity. no pneumothorax seen.
history: <unk>f with pleural effusion, elevated inr, worsening hypotension // presence of worsening hemothorax
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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, pain radiating from the back.
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cardiomediastinal and hilar silhouettes and pleural surfaces are normal. lungs are clear without focal consolidation, effusion, or pneumothorax.
<unk> year old man with multiple myeloma. chest x-ray evaluation for entrance on a clinical trial. evaluate for cardiopulmonary abnormalities.
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right picc terminates in upper svc. lung volume is low. pulmonary vascular congestion is on verge of pulmonary edema. right lung base atelectasis is similar as before. there is no pneumothorax or large pleural effusion. moderately enlarged cardiac silhouette is exaggerated by low lung volume.
altered mental status <unk> year old woman fluid overloaded // altered mental status
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pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fever, seizure.
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tip of the right port-a-cath in terminates in the mid right atrium, unchanged. newly placed enteric tube courses to the body of the stomach. since the prior chest radiograph performed in <unk>, there has been interval development of bilateral small to moderate pleural effusions, left greater than right. dense left retrocardiac opacity likely represents atelectasis. no consolidation in the aerated portions of the lungs. no pneumothorax. heart size is normal.
<unk> year old woman with metastatic breast cancer who presents with renal failure and hypotension // interval change. please evaluate for free air.
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patient is status post right upper lobe lobectomy, with stable postoperative changes in the right hemi-thorax. compared to the prior radiograph on <unk>, there are no new focal consolidations or pneumothorax. the previously seen left pleural effusion has since resolved. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk> year old man with s/p lung surgery/resection @bi ; now withcough/congestion/ eval for infiltrate increase sob/sx // <unk> year old man with s/p lung surgery/resection @bi ; now withcough/congestion/ eval for infiltrate increase sob/sx
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lung volumes are normal and lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. mediastinal and hilar contours are unremarkable. a radiopaque object projecting over the arms on the lateral view may be external and should be correlated with physical examination.
sternal pain after motor vehicle collision. rule out acute process.
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no focal consolidation is seen. there is minor atelectasis. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. partially imaged cervical spine hardware is noted. some degenerative changes are seen along the spine.
history: <unk>m with left chest pain // ?cpd
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lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are unremarkable. no displaced rib fracture.
<unk>m with right lower rib pain and headache after fall. assess for rib fracture.
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the left-sided picc line terminates in the proximal superior vena cava. the tip of the enteric tube is difficult to visualize on this exam. the cardiac silhouette remains enlarged with stable pulmonary vascular congestion and bilateral minimal pulmonary edema. again rightward deviation of the trachea is seen secondary to known enlargement of the left lobe of the thyroid. no new focal consolidation, significant pleural effusions or pneumothorax is identified.
<unk>-year-old female with ileus who presents for evaluation of ng tube placement.
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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. evaluate for pneumonia
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lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with cough, fever // ?pna
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cardiomediastinal contours are a stable. multifocal pneumonia in the right lung is a stable. left lower lobe opacities have increased could be atelectasis or pneumonia. small bilateral effusions are unchanged. there is no pneumothorax.
<unk> year old man s/p esophagectomy with rll pneumonia // perform at <num>am on <unk>. r/o interval change.
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the cardiac, 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.
productive cough and thoracic pain.
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mild hyperinflation of the lungs is unchanged. there is no focal consolidation. the cardiomediastinal silhouettes, hilar contours, and pleural surfaces are normal. atherosclerotic calcification of the aortic arch is not significantly changed. there is no pleural effusion or pneumothorax.
weight loss, smoking history, hypertension, and hyperlipidemia. rule out lung lesion or atherosclerotic cardiovascular disease.
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on the background of coarse interstitial markings there are multiple foci of patchy opacities, more prominently in the right upper and mid lung as well as in the retrocardiac region and the left lower lung. these opacities although are less conspicuous than in <unk> are new from <unk> which is considered this patient's baseline. the left-sided pleural effusion is also present. there is no pneumothorax. moderate cardiomegaly stable.
a <unk>-year-old female with hypoxia. evaluate for pneumonia. .
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there is suggestion of a left retrocardiac opacity which may represent pneumonia in the appropriate clinical setting. no pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified.
<unk>-year-old female with fevers, chills, cough and lower back pain x<num> days.
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compared to the prior study there is no significant interval change.
<unk> year old man with stroke, now hypoxic // hypoxia
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there is stable appearance of the large left pleural effusion with slight increase in the small right pleural effusion. the small left apical pneumothorax is slightly decreased in size. again the heart size is difficult to evaluate due to overlying effusion. the large hiatus hernia is noted projecting over the left hemithorax. pulmonary vascular congestion is stable.
<unk> year old woman with cirrhosis and gib, found to have left sided pleural effusion and ptx // assess for changes in pneumothorax and pleural effusion on prior x-ray
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pa and lateral views of the chest were obtained. the heart is normal in size and cardiomediastinal contour is unremarkable. lungs are clear. there is no pulmonary edema. no pleural effusions or pneumothorax.
<unk>-year-old man with chest pain, shortness of breath, ? fluid overload.
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an aortic stent is in place within the tortuous thoracic aorta with a known aneurysm arising from the aortic arch. right axillary skin <unk> are noted. new bilateral interstitial and airspace opacities are most likely due to pulmonary edema. there is no pneumothorax. persistent retrocardiac airspace opacification is most likely due to atelectasis. small left pleural effusion is unchanged.
<unk> year old man s/p evar/tvar and r femoral-axillary bypass graft // acute onsent of shortness of breath
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portable ap image through the chest demonstrates clear lungs bilaterally. patient is status post endotracheal tube placement, its terminal end <num> cm above the level of the carina in appropriate position. an enteric tube is seen descending along the expected course of the esophagus, its terminal end out of the field of view. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion.
<unk>-year-old female with head bleed status post intubation.
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the heart is top normal in size. the hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with sob cp // eval for pna eval for pna
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
trauma, hit by a car while on a bike. left neck and collarbone tenderness.
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single portable upright ap image of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is upper normal in size.
fever of unknown origin, neutropenia, cough.
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the et tube is in more appropriate position at the level of the clavicles. the left picc line is visualized with tip terminating in the upper svc. the bilateral basilar atelectasis and pleural effusions are improved. the cardiomediastinal and hilar silhouettes are stable.
<unk>-year-old woman with respiratory distress.
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low lung volumes are present. heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. apart from mild atelectasis in the lung bases, the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with epigastric pain // eval for chf/pneumonia
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single portable view of the chest. no prior. there are bibasilar opacities which silhouette the hemidiaphragms, right greater than left suggestive of pleural effusions. indistinctness of pulmonary vascular markings with cephalization also seen. cardiac silhouette appears slightly enlarged but is difficult to assess given bibasilar opacities. degenerative changes noted at the shoulders bilaterally. osseous and soft tissue structures otherwise grossly unremarkable.
<unk>-year-old female with shortness of breath, dyspnea on exertion with swollen ankles.
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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. right-sided porta catheter is unchanged in position and a left site catheter has been removed in the interval. within the imaged upper abdomen, splenomegaly is noted.
<unk> year old woman with lymphoma. s/p allo with cough and pancytopenia. please further evaluate. // <unk> year old woman with lymphoma. s/p allo with cough and pancytopenia. please further evaluate.
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endotracheal tube terminates approximately <num> cm above level the carina. recommend advancement by approximately <num> into cm for more optimal positioning. there are moderate bilateral pleural effusions with overlying atelectasis. bilateral perihilar opacities may relate to combination of pulmonary edema and pleural effusions. left base opacity may represent combination of pleural effusion and atelectasis although infection is not excluded in the appropriate clinical setting. the cardiac and mediastinal silhouettes are similar. hilar contours are somewhat more prominent, likely related to pulmonary edema. there is moderate to severe pulmonary edema.
history: <unk>f with resp failure // ett placement