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a frontal semi-upright view of the chest was obtained portably. the endotracheal tube ends <num> cm above the carina and could be pulled back to avoid bronchial intubation. the nasogastric tube follows the expected course, although the tip is not visualized. there are diffuse bilateral opacities, which may be due to pulmonary edema but underlying infection cannot be excluded. the heart is upper limits of normal in size. there is no pleural effusion or pneumothorax on this supine view. no displaced rib fracture is seen.
<unk>-year-old woman, intubated in the field. evaluate endotracheal tube placement.
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since <unk>, left moderate pleural effusion has increased with adjacent atelectasis. a small right pleural effusion is possible. cardiomediastinal silhouette is largely unchanged. a feeding tube is seen in the stomach. tracheostomy is noted.
<unk> year old man with trach, prior pna, new concern for aspiration event // please eval for interval change
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platelike atelectasis is again noted at the bilateral lung bases. otherwise, there is no evidence for focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with cough // acute process?
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old female with dyspnea and chest discomfort.
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the lungs are normally expanded and clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. the airways appear patent without evidence of radiopaque foreign body.
status post swallowed fish bone. evaluate for foreign body.
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lung volumes are low. there is prominence of the central pulmonary vasculature compatible mild pulmonary edema. additionally there is a right lower lobe opacity which is concerning for infection. there is no pneumothorax or pleural effusion. the cardiomediastinal slight is unchanged with a tortuous aorta and a valvular replacement. median sternotomy wires are intact.
history: <unk>f with r heart failure, crackly lungs // assess for pulm edema
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lordotic positioning and low inspiratory volumes. the left hemidiaphragm is elevated. there is upper zone redistribution, likely accentuated by low lung volumes. there is scattered subsegmental atelectasis or scarring in the right upper zone, right base and left base. question sutures at the left base --<unk> there been prior surgery at the left lung base. allowing for technique, the heart is not enlarged. no frank consolidation or gross effusion. no pneumothorax detected. incidental note is made of a partially imaged right shoulder reverse arthroplasty.
history: <unk>m with abdominal pain and mild hypoxia with hypotension // pna or effusion?
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since prior exam, the subcutaneous emphysema has resolved. the lung volumes are higher. a linear opacity at the left base is most consistent with atelectasis. a small right pleural effusion is present, appreciated best on the lateral view. there is no evidence of pneumonia, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal.
status post laparoscopic reduction of hiatal hernia and gastropexy. evaluate for interval change.
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the cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing top normal. the aorta remains unfolded and diffusely calcified. pulmonary vasculature is normal. apart from minimal atelectasis in the lung bases, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is visualized. cholecystectomy clips are demonstrated within the right upper quadrant of the abdomen.
weakness.
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lung volumes are low. no focal opacities are identified. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumonia. there is no evidence of subdiaphragmatic air.
<unk>-year-old male with right upper quadrant pain. evaluate for occult pneumonia.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusions, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. again seen old left-sided seventh rib fracture.
recent fall with left rib cage pain and cough.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax.
<unk>-year-old male with nausea, vomiting, and new rales at the left base, who presents for evaluation.
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the cardiomediastinal and hilar contours are unchanged. dense calcifications of the aortic knob are again noted. there is no pleural effusion or pneumothorax. the lungs are hyperexpanded with a new focal opacity at the right lung base. increased interstitial markings diffusely are noted with increased peribronchial thickening.
<unk>-year-old female with headache and weakness.
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the enteric tube mixed a single loop in the body of the stomach, with the tip terminating superiorly near the gastric cardia. there is bibasilar patchy and linear opacification, right greater than left. no other focal consolidation. no sizable pleural effusion or pneumothorax. heart is normal in size. aortic arch calcifications are noted. there is dextrocurvature of the thoracic spine. residual intravenous contrast is seen within the collecting system on the right.
<unk>-year-old female with small bowel obstruction, evaluate ngt placement
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frontal and lateral views of the chest were obtained. low lung volumes results in bronchovascular crowding. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal.
leukocytosis
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heart size is mildly enlarged. the mediastinal contours are unchanged. there is a enlargement of the hila bilaterally, which again reflects a combination of pulmonary arterial enlargement and lymphadenopathy. mild pulmonary edema has slightly improved in the interval. no focal consolidation, pleural effusion or pneumothorax is present.
history: <unk>f with copd, congestive heart failure, chronic o<num> requirement with increased oxygen requirement
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pa and lateral chest radiograph demonstrates no focal opacity convincing for pneumonia. patient is status post median sternotomy and mitral valve repair. sternotomy wires appear intact. cardiomediastinal and hilar contours are stable in appearance.blunting of the left costophrenic angle is likely scarring. there is no pleural effusion or pneumothorax.
<unk>-year-old female smoker with cough.
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a chronic, displaced fracture of the right mid clavicle is unchanged in comparison to prior studies dating at least in <unk>. the cardiomediastinal silhouette is within normal limits. the hila are unremarkable. there is no focal lung consolidation. postradiation fibrosis at the lung apices was better evaluated on prior ct. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion. surgical chain sutures seen in the lingula, as on prior ct. surgical clips overlie the left hemidiaphragm and left hemi abdomen, also unchanged.
<unk>-year-old female with shortness breath, evaluate for consolidation or pleural effusion.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. stable irregularity of the left costophrenic angle is unchanged and correlates with mild pleural thickening and scarring. fullness in the right hilum is stable and represents superimposition of the pulmonary artery and veins. the cardiac silhouette is stably enlarged. the mediastinal contours are normal.
shortness of breath. evaluate for infiltrate or chf.
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moderate enlargement of cardiac silhouette is again noted. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. minimal linear opacities in the lung bases and periphery of the right upper lobe likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with shortness of breath
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pa and lateral chest radiographs were provided. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. radiopaque densities projecting lateral to the mid cervical spine on the right are likely vascular calcifcations.
history of substernal chest pain. evaluate for pneumothorax or pneumonia.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
<unk>m with heart racing sensation several times in the past month evaluate for acute cardiopulmonary process.
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endotracheal tube terminates approximately <num> cm above the carina. enteric tube courses below the diaphragm, into the left upper quadrant, into the expected location of the stomach. small left pleural effusion is seen. there is mild pulmonary vascular congestion. subtle bibasilar opacities may relate to vascular congestion, but aspiration is not excluded. cardiac silhouette size is top-normal. mediastinal contours are unremarkable. no pneumothorax is seen.
<unk> year old man with ams // s/p intubation
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the patient is status post talc pleurodesis. right pneumothorax is seen increased from previous study most prominent at the basilar portion with a small right pleural effusion. the cardiac silhouette is normal. moderate thoracolumbar scoliosis is unchanged. a left lateral mid lung nodule remains unchanged.
<unk> year old woman with right pneumothorax, s/p talc pleurodesis // check interval change
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the lungs are hyperinflated. 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>f with fevers, chemo // acute process
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the lungs are clear without infiltrate or effusion. the bony thorax is normal. the cardiac and mediastinal silhouettes are normal
<unk> year old man with hiv w/ new leukocytosis // ?acute intrapulmonary process / signs of infection
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs appear clear of confluent consolidation. there is mild blunting of the posterior costophrenic angles, potentially a small effusion versus atelectasis. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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a left-sided picc line terminates in the lower superior vena cava. there are moderate bilateral pleural effusions which are similar to increased allowing for differences in technique. coinciding atelectasis is likely in the lower lungs. fissures are thickened. pulmonary edema has worsened and is moderate in severity.
weakness and shortness of breath.
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compared with the most recent radiograph, mild cardiomegaly is unchanged. pulmonary edema has worsened, most pronounced in the right upper lobe. the patient has emphysema and possibly diffuse interstitial lung disease. no larger pleural effusions or new focal consolidation. no pneumothorax. spiculated nodule seen in prior ct in the left lower lobe is not clearly visualized in this radiograph, attention in followup ct is recommend
<unk> year old man with pmh of as, cad s/p cabg, hfref, hld, copd on home o<num> presented with nstemi and bms to svg-om now with new o<num> requirement. ?pna vs volume overload vs aspiration, patient with increased o<num> requirement.
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pa and lateral views of the chest. the lungs are clear. there is no focal consolidation or effusion. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>-year-old female with persistent cough.
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pa and lateral views of the chest provided. low lung volumes limits assessment. allowing for this, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with headache, weakness and nausea
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frontal and lateral views of the chest. no prior. the lungs are clear of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female status post mvc with neck pain, headache, and lumbar back pain. history of subdural hematoma in the past.
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ap portable semi upright view of the chest. in the interval, there has been placement of a right ij central venous catheter with its tip in the internal jugular vein in the region of the confluence with the right brachiocephalic vein. no pneumothorax. otherwise no change.
<unk>f with hypotension, central line // ? cvl placement
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minimal left base atelectasis is seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dizziness // consolidation
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as compared to prior examination dated <unk>, there has been no significant interval change. again, the lungs are hyperexpanded bilaterally with flattening of the hemidiaphragms and apical scarring, compatible with chronic obstructive pulmonary disease. redemonstrated is a right apical airspace consolidation. there is no pleural effusion. the cardiomediastinal silhouette is stable. a large hiatal hernia is noted.
<unk> year old woman with gi bleed (likely diverticular), colitis, rising white blood cell count // r/o pneumonia
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with l cp, history of lymphoma.
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. cardiac, hilar, and mediastinal contours are within normal limits.
coarse breath sounds and asthma.
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marked subcutaneous emphysema is again seen tracking up the right chest wall, bilateral neck, and outlining the pectoral muscle, though it has minimally decreased. pneumomediastinum is again noted. a small right apical pneumothorax persists. a right chest tube is unchanged in position with its tip directed towards the right lung apex. bibasilar atelectasis is slightly increased from prior. the cardiac silhouette remains moderately enlarged, the mediastinal contours are unchanged. an et tube and ng tube are unchanged in appearance.
<unk>-year-old male with right pneumothorax. evaluate for interval change.
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there has been interval placement of a picc which terminates at the level of the low svc. there is no pneumothorax. cardiomediastinal silhouette is unremarkable. heart size may be exaggerated on this ap radiograph. left apical scarring likely secondary to radiation are again seen. surgical clips projecting over the left axilla and right upper lobe are again noted. patient is status post left mastectomy.
<unk>f with new picc line placement // eval picc line placement <unk>.<num>cm
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heart size is top normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lung hyperinflation is compatible with emphysema/ copd as seen on the previous chest ct. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. remote right-sided rib and sternal deformities are unchanged. known osseous lesions within the bony thorax are better assessed on the previous ct. there is no subdiaphragmatic free air. clips are noted in the upper abdomen.
history: <unk>m with abdominal distension
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pa and lateral views of the chest. better lung volumes compared to most recent study. moderate cardiomegaly is stable. unchanged mild pulmonary vascular congestion, no pulmonary edema. the mediastinal and hilar contours and pleural surfaces are normal. mild linear atelectasis in the left mid lung.
chf exacerbation, right foot cellulitis, on antibiotics, new fever and cough; question of pneumonia.
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surgical clips project over the left axilla. the cardiac, mediastinal and hilar contours appear unchanged. there is again mild-to-moderate relative elevation of the right hemidiaphragm. there is no pleural effusion or pneumothorax. patchy opacity projects over the right mid lung, potentially an early focus of pneumonia, but not very striking.
hypoxia.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with hypoxia // int change?
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frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. the heart is mildly enlarged. there is a tortuous aorta. the patient is status post cabg with median sternotomy wires in place. there is no pleural effusion or pneumothorax or consolidation concerning for pneumonia.
<unk>-year-old man with cough and hemoptysis, former smoker.
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pa and lateral views of the chest demonstrate a fiducial marker adjacent to known left lower lobe mass which appears larger than on prior radiograph from <unk>, but exhibits continued decreasing fdg-avidity on recent pet-ct from <unk>. no pleural effusion or pneumothorax is present. bibasilar fibrotic changes are stable. there is no subdiaphragmatic free air. the cardiomediastinal silhouette is stable. right upper quadrant abdominal surgical clips are again seen.
<unk>-year-old man status post rfa for hcc with concern for proximity of colon to therapeutic field. evaluation for subdiaphragmatic free air.
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the inspiratory lung volumes remain decreased but improved from the most recent prior study. there is no significant pleural effusion or pneumothorax on this single frontal view. minimal patchy opacities projecting over the left mid lung field may represent atelectasis. there is no focal consolidation concerning for pneumonia. mild streaky opacification of the bilateral lung bases is most compatible with atelectasis on the left greater than the right. retrocardiac opacification corresponds to the patient's known large hiatal hernia. the cardiomediastinal contours are unchanged. there is no pulmonary vascular engorgement or edema.
fevers, fatigue and dyspnea, here to evaluate for pneumonia.
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ap portable upright view of the chest. overlying wires are present somewhat limiting assessment. there is a fiducial marker position in the left mid to upper lung likely representing site of recent biopsy. a small left apical pneumothorax is present. no evidence of tension. there is elevation of the left hemidiaphragm with left basal atelectasis. right lung is clear. cardiomediastinal silhouette is unremarkable.
<unk>f with sob, hypoxia, and lung biopsy <unk>.
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there are bilateral regions of reticulonodular opacities predominantly involving the lower and mid lungs, similar in distribution to previous chest x-ray. there continues to be obscuration of the right heart border and left hemidiaphragm, probably reflecting a degree of atelectasis. left picc line is similar in position. there is no evidence of pneumothorax.
<unk> year old man with coagulopathy, <unk>, sepsis, suspected pna // interval change.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are slightly hyperinflated. lungs are clear. no nodules are identified. no pleural effusion or pneumothorax is seen. chronic fracture of the left <num>th rib is unchanged.
<unk> year old man with non-productive cough, heavy smoking history. // any abnormalities in the chest?
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portable ap chest radiograph demonstrates stable positioning of the left picc. pulmonary edema has cleared significantly since <unk>. however, there still is a moderate pleural effusion and opacification of the on the left lower lung. mild cardiomegaly is stable. there is no pneumothorax.
leukocytosis and respiratory distress.
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the patient is status post median sternotomy. the aorta appears dilated and tortuous. clips are seen projecting over the right lung apex. heart size is normal. hilar contours and pulmonary vascularity are normal. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected.
new onset atrial fibrillation status post aortic dissection repair.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. there is prominence of the interstitial markings, unchanged from prior. hilar and mediastinal silhouettes are stable. the heart size is normal. partially imaged upper abdomen is unremarkable.
patient with history of coronary artery disease, now with chest pain. assess for pneumonia.
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ap portable semi-upright chest radiograph demonstrates clear lungs bilaterally. there is no pneumothorax or pleural effusion. heart size is normal. hilar contours are within normal limits. there is no air under the right hemidiaphragm.
<unk>f w/ hypoxia, tachycardia // <unk>f w/ hypoxia, tachycardia
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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 male with chest pain. evaluate for cause chest pain.
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the heart size is mildly enlarged and there is pulmonary vascular redistribution with small bilateral pleural effusions. in addition there is volume loss/ infiltrate in both lower lobes
<unk> year old man with af s/p pvi, s/p abd surgery for gist, with temp to <num> // r/o acute cardiopulmonary process
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interval removal of the previous right picc line. no focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal.
<unk> year old woman with aml and neutropenic fever. evaluate for pneumonia.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal scarring in the right upper lobe is unchanged. posterior rib deformities are stable. there is no consolidation effusion or pneumothorax. cardiac and mediastinal contours are normal. there is no pneumoperitoneum.
abdominal pain.
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pa and lateral views of the chest are provided. there is no focal consolidation, pleural effusion or pneumothorax. the lungs are well expanded. the cardiomediastinal silhouette is unremarkable.
<unk>-year-old man with chest pain and left shoulder pain with intervening shortness of breath, evaluate for acute process.
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there is a persistent small left pneumothorax, smaller from <unk>. pleural thickening, fluid and atelectasis of the left lung base is unchanged. the right lung is largely clear. the cardiac and mediastinal contours are normal. left rib fractures are again seen.
fall from ladder with multiple injuries and rib fractures. re-evaluate left pneumothorax.
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
dyspnea on exertion.
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portable upright view of the chest demonstrates increased lung volumes and flattening of the hemidiaphragms, as well as attenuation of the pulmonary vascular markings, compatible with severe emphysema. right lateral lung base opacities are longstanding and likely reflect scarring. bibasilar streaky opacities could reflect atelectasis or infection. no pleural effusion or pneumothorax is seen. there is mild perihilar vascular congestion. aortic arch calcifications are again noted. hilar and mediastinal silhouettes are unchanged. heart size is top normal. partially imaged upper abdomen is unremarkable.
patient with shortness of breath and cough. assess for pneumonia.
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cardiomegaly is unchanged. the hilar contours are normal. the mediastinum is unchanged since yesterday at <time>. the pulmonary vasculature congestion is similar to yesterday at <time>. bibasilar opacities may represent dependent edema or aspiration. no pneumothorax.
<unk> year old man with fever, flank pain, rle ulcer, now with increasing o<num> requirement // aspiration v. pulmonary edema
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there is no pulmonary vascular congestion, pleural effusion, or focal consolidation. there is a right-sided chest wall port, the tip terminates in the cavoatrial junction. clips are noted in the right upper abdomen, suggestive of a prior cholecystectomy. mild focal narrowing of the upper trachea suggests prior tracheostomy
<unk> year old woman with a port // confirm palcement
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lung volumes are low. there is elevation of the left hemidiaphragm with colonic interposition. aside from the left lower lobe subsegmental atelectasis, the lungs are grossly clear. there is no pneumothorax. the heart and mediastinum are grossly unremarkable. a chronic left distal clavicular fracture and ac joint dislocation is incidentally noted. irregularly shaped opacities at the left ac joint may be due to heterotopic ossification.
<unk> year old man with cervical neck fracture now with crackles at bases // r/o pna/ pulm edema.
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cardiac size is normal. ill-defined opacity in the right cardiophrenic sulcus is unchanged, as mentioned before usually due to mediastinal fat or other benign entities. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with left frontal brain mass // pre-op planning for <unk> surg: <unk> (left craniotomy for tumor rsx)
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clear lungs bilaterally without pleural effusion or pneumothorax. stable moderately enlarged heart and left ventricle. mild vascular engorgement with normal mediastinal contour and hila. no bony abnormality.
female with chf. assess for interval change.
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minimal left base linear atelectasis/ scarring. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dyspnea, palpitations // 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.
<unk> year old man with history of aspiration pneumonia in <unk> now with similar symptoms // ?pneumonia
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is a subtle left midlung opacity.
<unk>-year-old woman with weakness evaluate for pneumonia
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are low. the lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with l chest pain // r/o pneumothorax
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again seen is a <num> cm right upper lobe nodule overall unchanged compared to the prior exam. the heart is within upper limits of normal. the hilar and mediastinal contours are unremarkable. no focal airspace consolidation concerning for pneumonia is identified. there is no large pleural effusion or pneumothorax. visualized osseous structures are unremarkable.
history shortness-of-breath. please evaluate for pneumonia. technique: single ap portable radiograph of the chest.
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a dual-lead pacemaker/icd device has leads terminating in the right atrium and ventricle, respectively. the cardiac, mediastinal and hilar contours appear stable. the chest is hyperinflated. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones appear probably demineralized.
confusion.
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the patient has a right picc line with tip terminating in the axilla. there is also an et tube with tip in good position approximately <num> cm from the carina as well as an upper elementary tube coursing past the diaphragm with tip off the film. the interstitial pulmonary edema and bilateral pleural effusions with associated consolidations are stable since <unk>. cardiomediastinal and hilar contours are stable.
<unk>-year-old intubated for respiratory failure with low-grade temperature.
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there is persistent elevation of the right hemidiaphragm. cardiac silhouette size remains mild to moderately enlarged. aorta is tortuous and demonstrates atherosclerotic calcifications of the arch. mediastinal and hilar contours are unchanged. bibasilar atelectasis is noted without focal consolidation. crowding of the bronchovascular structures is noted without overt pulmonary edema. no pleural effusion or pneumothorax is identified.
history: <unk>f with shortness of breath
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the lungs are clear. there is no pleural effusion or pneumothorax. heart is normal in size and normal cardiomediastinal silhouette.
asthma with increasing productive cough, assess for pneumonia.
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a single portable semi-erect chest radiograph was obtained. moderate left pleural effusion and retrocardiac opacity are similar to the exam of <time> a.m. the right lung is relatively clear. dual-chamber pacing leads project over the expected positions of the right atrium and right ventricle. a right internal jugular tunneled dialysis catheter tip is in the right atrium. aortic arch calcifications are noted. cardiomegally is mild.
<unk>-year-old woman with pneumonia versus aspiration.
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ap upright and lateral views of the chest provided. low lung volumes noted. no focal consolidation, large effusion or pneumothorax. bronchovascular crowding may account for subtle increase in bronchovascular markings. cardiomediastinal silhouette appears normal. several mild compression deformities are noted in the imaged thoracic spine.
<unk>m with chest pain, seizure // eval for pna
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intra-aortic balloon pump projects <num> cm below top of aortic arch. pulmonary edema has decreased. mildly prominent heart size, pulmonary vascularity, stable. more prominent retrocardiac opacity left base, likely atelectasis. minimal right basilar atelectasis is seen.
<unk> year old man with severe mr on iabp // is balloon pump in correct location?
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pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
pleuritic chest pain.
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the cardiac, mediastinal and hilar contours appear within normal limits. an opacity in the lingula has largely resolved. there is also been improvement in some right mid lung opacities, but there is new right middle lobe opacification. each hilum shows increased congestive changes. there is no pleural effusion or pneumothorax.
altered mental status.
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in comparison to <unk> study the large left pleural effusion has increased in size. no focal consolidations, pulmonary edema, or pneumothorax are seen.
<unk> year old woman with post cabg pleural effusion. // please evaluate change of pleural effusion
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the lungs are well inflated and clear. no pulmonary edema. normal appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax.
history: <unk>m with cough // pulmonary edema? pna?
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the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable.
history of right rib pain. please evaluate for rib fracture.
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there is a small to moderate right pleural effusion with adjacent atelectasis, slightly worse compared to <unk>. no left pleural effusion. no pneumothorax. mild pulmonary vascular engorgement, which has improved. stable mild to moderate cardiomegaly. left pectoral pacemaker lead terminates in the right ventricle.
<unk> year old man with r pleural effusion // f/u
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ap upright and lateral views of the chest provided. the heart is mildly enlarged. mitral annular calcifications are noted. hilar congestion is noted without overt edema. no convincing signs of pneumonia. no pneumothorax or large effusion. mediastinal contour is unchanged. atherosclerotic calcifications along the aortic knob again noted. bony structures are intact.
<unk>f with generalized weakness
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there is minimal right basal atelectasis and minimal blunting of the left hemidiaphragm suggestive of a small left pleural effusion. otherwise, the lungs are clear with no evidence of a consolidation or pneumothorax. there is mild stable tortuosity of the descending thoracic aorta; otherwise, the cardiac and mediastinal silhouettes are normal with no evidence of widening. no acute fractures are identified.
chest pressure.
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a left-sided port-a-cath is in stable position. there is a moderate right pleural effusion, slightly decreased in size from the most recent prior ct in <unk>. additionally, there is adjacent pulmonary opacity involving the right lower lobe and right middle lobe, which could represent areas of collapse or infection. there is streaky opacity at the base of the left lung, most consistent with atelectasis. no left pleural effusion or pneumothorax is seen.
<unk> year old man with lymphoma, now with fevers, malaise // <unk> year old man with lymphoma, now with fevers, malaise
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there is dense opacification of the left lower lung zone with upper lobe collapse and central adenopathy. there is rightward deviation of trachea. large left pleural effusion is observed with a lower lung zone mass presumed. the right lung is unremarkable. there is no pneumothorax. the most of the cardiac border is obscured by left lower lung opacity.
<unk>-year-old male with hypoxia and newly diagnosed lung cancer.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. there has been no significant change.
chest pain.
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frontal and lateral radiographs of the chest show the patient is status post left pneumonectomy with a large left pleural effusion, increased in size from the preceding chest radiograph as expected with fewer but persistent locules of air within the pleural effusion. there is slight leftward shift of the upper mediastinum. a small right pleural effusion is decreased from <unk> with resolution of the opacity seen in the right lower lobe at that time. the right lung is otherwise clear without focal consolidation or pneumothorax. a small amount of subcutaneous emphysema is seen on <unk> has resolved. postoperative rib abnormalities are unchanged.
<unk>-year-old female, status post left pneumonectomy, here to evaluate for interval changes.
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an electronic device projects over the subcutaneous fat along the upper left chest. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the chest appears hyperinflated. moderate degenerative changes are similar along the mid thoracic spine.
chest pain.
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pa and lateral views of the chest provided. lungs are grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal. moderate scoliosis is unchanged from <unk>.
<unk> year old woman with a history of falling against an open car door last night, landing on her left side. it was immediately painful and she lost her breath, breathing is ok now but painful, and she describes a "grinding" feeling inside her chest. exam significant for tenderness, no obvious deformity in left ribs <unk>. please call wet read to <unk> pager <unk> // r/o rib fx, pneumothorax
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with hypothyroidism, htn who experienced an anterolateral stemi with successful stenting on <unk> // evaluate for pulmonary edema/pleural effusion, patient s/p stemi with pci
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there is continued expected large left pleural effusion now with very few residual locules of air and slight leftward shift of the upper mediastinum. a small right pleural effusion is unchanged from <unk>. the right lung is otherwise clear without focal consolidation or pneumothorax. postoperative rib abnormalities on the left and surgical clips are noted.
left pneumonectomy. surveillance for interval changes.
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since the prior exam, there are increased interstitial abnormalities at the bilateral bases and in the right apex with some tenting of the right side of the mediastinum. the abnormalities are mostly subpleural in location. there is interval volume loss of both lungs. there is no focal opacity, pulmonary edema, pleural effusion, or pneumothorax. the heart size is normal. tiny clips are present at the diaphragm, and related to the known gastric surgery.
bibasilar dry crackles and history of radiation. evaluate for radiation changes.
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a left internal jugular catheter terminates in unchanged position at the confluence of the left ij and left subclavian veins. an enteric tube descends below the field of view. a left chest wall pacer and to a leads are in expected in unchanged position. sternotomy wires and vascular clips are demonstrated. a layering right pleural effusion and bibasilar atelectasis are re-demonstrated. the cardiomediastinal and hilar contours are stable. the aorta is tortuous and shows wall calcification as before. no pneumothorax.
<unk> year old woman with s/p cabg/avr, needs anesthesia after being at rehab. cvl placed here <unk> // ce line placement surg: <unk> (peg placement)
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no evidence of free air. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with colonoscopy, severe abdominal pain, ?free fluid on ultrasound, evaluate for free air
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there is chronic opacity at the right base. opacities at the left base are also similar and may reflect atelectasis. moderate cardiomegaly is unchanged. the mediastinal and hilar contours are normal. median sternotomy wires appear intact. there is no large pleural effusion or pneumothorax on this single frontal projection. slight prominence of interstitial markings may reflect mild pulmonary edema.
anemia and tachypnea. evaluate for cardiomegaly.
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the lungs are height there inflated. mild biapical scarring is again seen. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with cough // ? pna
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frontal and lateral views of the chest were obtained. enlarging left lower lobe opacity without shift of the mediastinum is consistent with pleural effusion and atelectasis. the right lung is essentially clear with minimal right lower lobe atelectasis. mild pulmonary edema has slightly worsened. no pneumothorax. mild to moderate cardiomegaly is unchanged. a compression deformity of a lower thoracic spine vertebral body is unchanged.
<unk>-year-old female with lethargy and recent pneumonia.