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bilateral patchy airspace opacities are overall increased in comparison to <unk>, particularly in the right perihilar region. calcified pleural plaques are unchanged. there is no pneumothorax.
history: <unk>m with hypoxia // pna?
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with seizure // acute process
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frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pneumothorax. there is elevation of the left hemidiaphragm. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality.
<unk>-year-old male with chest pain for three days.
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a right picc terminates within the right atrium. 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 man with picc line // confirm picc placement
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mild bibasilar opacities are identified. otherwise, the upper lungs are clear. the cardiomediastinal silhouette is normal. the aorta appears tortuous stably tortuous. there is no evidence of a pleural effusion or pneumothorax. surgical clips again noted in the right upper quadrant.
cough.
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no focal consolidation, pneumothorax, pleural effusion or pulmonary edema is seen. bilateral nipple shadows appear unchanged. the cardiomediastinal silhouette is stable.
eight days of productive cough.
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ap and lateral views of the chest. low lung volumes again noted. the lungs are clear of focal consolidation or pulmonary vascular congestion. there is no visualized pleural effusion seen noting that the posterior costophrenic angles are excluded from the field of view. the cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is noted. hardware identified in the right humeral head.
<unk>-year-old male with fever, postop.
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pneumomediastinum is demonstrated along with air dissecting into the soft tissues of the neck,similar to the prior study. cardiac, mediastinal and hilar contours are otherwise unremarkable. heart size is normal. lungs are clear. no pleural effusion or pneumothorax is seen. the pulmonary vascularity is normal. there are no acute osseous abnormalities.
chest pain and neck pain after smoking a bong.
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hyperinflation, likely reflecting copd. no focal infiltrate, effusion, edema, or pneumothorax. heart size normal. cardiac pacer is present. degenerative changes of the thoracic spine.
history: <unk>f with cough, night sweats, fatigue, runny nose, and sore throat for the past <num> days. // ? pneumonia
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there are low inspiratory volumes. a right ij sheath is now present, tip near the expected site of confluence of the right ij and right subclavian veins. no obvious pneumothorax detected. compared to the prior study, the right effusion is now larger, with underlying collapse and/or consolidation. exact position of the diaphragm is not well-defined. there is minimal patchy opacity at the left base not clearly changed. no left effusion. there is upper zone redistribution and mild vascular plethora, but doubt overt chf.
<unk> year old man with cirrhosis and hcc s/p bleed this admission from tips complication vs new hepatic mass; now more sob w o<num> requirement, concern for effusion vs pulm edema // effusion vs pulm edema
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single portable view of the chest. the lungs are clear of focal consolidation or large effusion. the cardiac silhouette is enlarged but stable. no acute osseous abnormalities detected.
<unk>-year-old male with dyspnea.
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bilateral pleural effusion is small. there is no pneumothorax. linear opacity is identified in the left lower lobe. there is bilateral increased perihilar interstitial markings. cardiac silhouette is mildly enlarged.
history: <unk>m with weakness s/p <unk> <unk> // eval for acute process
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cough // ? pneumoina
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et tube terminates <num> cm above the carina. the ng tube with the tip and side hole in the esophagus. hyperinflated lungs. patchy opacities within the right lower lung and left upper lungs, as well as nodular opacities within the right upper lung, consistent with multifocal pneumonia, however there are pleural calcifications which obscure evaluation of the lung parenchyma. normal cardiomediastinal silhouette. no pulmonary edema. no pleural effusion. no pneumothorax.
history: <unk>m with intubated transfer // eval ett placement
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the cardiomediastinal and hilar contours are normal. the lungs demonstrate a subtle airspace opacity in the distribution of the right middle lobe that was not present on prior exams. there is no pleural effusion or pneumothorax.
<unk>-year-old female with fever and leukocytosis.
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ap and lateral radiographs of the chest. there has been interval increase of the lung volumes. resolution of the right basilar opacity, which was likely vascular crowding from low lung volumes. there is opacification at the left base, which may represent atelectasis, however, in the appropriate clinical setting, this could represent pneumonia. no other focal areas of opacification are noted. the heart, mediastinum, and hilar contours are normal. no pleural abnormalities are detected.
intermittent fever and elevated white blood cell count. evaluate for pneumonia.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable.
<unk>f with neutropenia, fever, vomiting // evaluate for infectiohn
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pleurex drain catheter tip projects over the left lower hemithorax. moderate left pleural effusion persists and is probably slightly worse with increased rightward shift of the right heart border compared to the prior exam despite coexisting left atelectasis. remaining aerated left lung is overall similar in appearance with perhaps slightly improved aeration of the left lung apex. the right lower lung is grossly clear. the heart is severely enlarged. calcification of the aortic knob unchanged. no pneumothorax.
<unk> year old woman with left pleural effusion and pleurex on place // interval change
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pa and lateral views of the chest were obtained. the heart is normal in size and cardiomediastinal silhouette is stable. lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with septic arthritis of the shoulder, preoperative evaluation.
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mild enlargement of the cardiac silhouette has slightly increased in the interval. the mediastinal contours are unremarkable. mild pulmonary vascular congestion is new from the prior study. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities seen.
history: <unk>m with ekg changes
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified.
seizure.
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a single portable ap chest radiograph was obtained. a moderate right pleural effusion has substantially decreased in size status post thoracentesis. there is no pneumothorax. the left lung volume is low but the lung appears clear. there are no new abnormal cardiac or mediastinal contours. a right chest port-a-cath is in stable position.
right pleural effusion status post thoracentesis.
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the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits for technique. there is tortuosity of the descending thoracic aorta as well as calcifications of the aortic arch. no acute osseous abnormalities identified.
<unk>f with weakness // r/o pna
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ap and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is normal. surgical clips seen in the upper abdomen. no acute osseous abnormality is identified.
<unk>-year-old female with malaise and cough.
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lungs are slightly low volume. as before, the right hemidiaphragm is elevated. the is mild cardiomegaly, unchanged compared with <unk>. the appearance of the lungs is also unchanged. possible mild crowding of vessels in the right cardiophrenic region with increased density posteriorly is unchanged compared with <unk> and could be related to the elevated hemidiaphragm. no superimposed infiltrate is identified. no pleural effusion or pneumothorax detected. mild degenerative changes in thoracic spine are similar to prior. right upper quadrant surgical clips noted.
<unk>f with chest pain.
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right-sided port-a-cath tip terminates at the lower svc/right atrial junction. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. multiple pulmonary nodules in both lungs are better depicted on the same day chest cta. trace right pleural effusion is noted. there is no pneumothorax. there are no acute osseous abnormalities.
shortness of breath.
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there is new pneumoperitoneum since <unk>, likely related to recent g-tube placement. right picc is unchanged in position. the et tube has been removed and there is new tracheostomy tube terminating <num> cm above the carina. atelectatic changes are noted at the left lung base. there is no pleural effusion. cardiomediastinal silhouette is normal size.
<unk> year old woman with evd for hydro, trached, with worsening breath sounds today // new focal findings?
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. the lungs are clear. no pleural effusion or pneumothorax evident.
fever, abdominal pain; please rule out for pneumonia.
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small left pleural effusion persists. no pneumothorax. the cardiac and mediastinal silhouettes are unchanged. previously seen left fifth lateral rib fracture is again seen with underlying parenchymal abnormality probably atelectasis unchanged compared to prior study.
<unk> year old man with pleural effusion // eval
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. osseous structures are normal with evidence of an old rib deformity on the right. no free air is noted in the hemidiaphragms. surgical clips are noted in the right upper quadrant suggestive of prior cholecystectomy.
evaluation of patient with changes in blood sugar.
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lung volumes are slightly low. the heart is top normal. mediastinal contours are unremarkable. consolidative opacity is noted within the left lung base concerning for pneumonia. right lung is grossly clear. there is no pleural effusion or pneumothorax. no pulmonary vascular congestion is identified. no acute osseous abnormalities are present.
chronic pancreatitis, possible aspiration pneumonia.
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an enteric tube courses below the level of the diaphragm and appears to terminate in the stomach. heart size is mildly enlarged. minimal atelectasis at the left base. there is no pneumothorax.
history: <unk>f with ngt for likely sbo // eval ngt placement
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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 worsening hypona setting of cirrhosis //
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there is pulmonary vascular engorgement, with mild pulmonary edema. note is made of small bilateral pleural effusions with adjacent atelectasis. the heart is enlarged, which appears increased from the prior. no pneumothorax.
history: <unk>f with dyspnea // r/o chf
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lungs are fully expanded and clear. no pleural abnormalities. heart size is top-normal. cardiomediastinal and hilar silhouettes are normal.
<unk>m w/ nash cirrhosis worsening fogginess in the past day r/o pna.
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the right lower lung consolidation has slightly progressed. there is also a possible second region of central consolidation in the right upper lobe in the paramediastinal region. pulmonary vascular congestion and edema are a persistent finding. the right picc line and tracheostomy are unchanged in position. a large amount of intraperitoneal air is again demonstrated.
<unk> year old woman presenting with stroke. clinically with pneumonia.
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the lung volumes are low, which limits evaluation. there is minimal right basilar atelectasis. the left upper lobe opacity appears to have nearly completely resolved; there is possible mild residual scarring or atelectasis. there is no new airspace opacity. there is no pulmonary edema, pleural effusion, or pneumothorax. the mediastinal contours are widened due to the known ectasia and tortuosity of the thoracic aorta. the heart size is enlarged, and unchanged from prior exams.
continued dyspnea on exertion. evaluate for pathology.
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compared to <unk>, there is mild increase in left pleural effusion. right pleural effusion and pulmonary vascular prominence have not significantly changed. moderate cardiomegaly is unchanged.
<unk> year old man with chest pain, nausea, vomiting.
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a portable ap radiograph of the chest once again demonstrates extensive subcutaneous emphysema throughout the thorax. a left chest tube is unchanged in position and the previously seen pleural edge is no longer visualized, indicating resolution of the pneumothorax. minimally displaced fractures of the posterior left second and fifth ribs are once again seen. there is no pleural effusion, and the hilar and cardiomediastinal contours are normal. right middle lobe atelectasis persists, but the lungs are otherwise clear.
evaluate for interval change in left pneumothorax after placing chest tube on waterseal.
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mild blunting of the left costophrenic angle could be due to pleural thickening or small effusion. in addition, on the lateral view there is increased opacity projecting over the posterior costophrenic angles, potentially localizing to the left lower lobe on the frontal view. the lungs are otherwise clear. cardiac silhouette is top-normal. proximal right humerus fracture is as seen on recent shoulder x-rays. compression deformities of several lower thoracic/upper lumbar vertebral bodies are noted. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with chest pain // ? mass, consolidation
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the patient is status post sternotomy. sternotomy wires are well aligned. surgical clips overlie the mediastinum and right upper lung field. allowing for ap projection and rotation, the heart is upper limits of normal. lung volumes are mildly decreased. patchy and linear opacities are present at the left lung base. . there is no lobar consolidation, pneumothorax, or pulmonary edema. mild blunting of the left costophrenic angle may be secondary to pleural thickening or trace pleural effusion.
history: <unk>m with cough, hypotension // eval for pna
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frontal and lateral views of the chest were performed. there is a focal consolidation seen in the left lower lobe, worrisome for pneumonia. there is no pleural effusion or pneumothorax. the cardiac silhouette is normal. the mediastinal and hilar structures are unremarkable. the pulmonary vasculature is normal.
cough and low oxygen saturation. evaluate for an infiltrate.
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heart size remains mildly enlarged. mediastinal and hilar contours are unchanged, with multiple clips noted in the left posterior mediastinum. aortic knob is calcified. hilar contours are unremarkable. there is no pulmonary edema. small bilateral pleural effusions are again demonstrated with associated bibasilar opacities possibly reflecting atelectasis. left picc tip remains in unchanged position, terminating in the left brachiocephalic vein. there is no pneumothorax. cervical spinal fusion hardware is partially imaged.
recent septic right hip with fatigue and anemia.
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ap and lateral chest radiographs were provided. lucent lesion in the right upper lobe is compatible with mycetoma as seen on the prior chest ct. the superimposed consolidation in this area seen on the prior study has improved. there are prominent interstitial markings, increased in a chronic manner since <unk>. no new focal consolidation, pleural effusion or pneumothorax is present. the cardiomediastinal silhouette is unchanged. the bones are intact.
history of multiple sclerosis, knee pain, rule out infiltration.
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the support devices are unchanged and in standard position. no acute focal consolidation. the upper mediastinum remains enlarged, unfolding and dilatation of the thoracic aorta. no pleural effusions or pneumothorax.
<unk> year old man with ?aspiration pneumonia // new consolidation, interval change
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interval decrease in size of the right pleural effusion, now small in extent. opacity in the right lower lung zone likely reflect atelectasis and residual pleural fluid. there is no pneumothorax identified. there persisting opacities centrally in the left lung. small left pleural effusion. the size and appearance of the cardiac silhouette is unchanged.
<unk> year old man s/p tavr with acute decompensated chf and r pleural effusion now s/p <unk> // s/p <unk> <unk> for ptx
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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, cough and chest tightness. assess for pneumonia.
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there is mild elevation of the right hemidiaphragm, similar compared to <unk>. otherwise, the lungs are clear. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with question pneumonia.
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in comparison with the study of <unk>, there is no interval change. again there is some blunting of the right costophrenic angle on the frontal view but not posteriorly on the lateral, consistent with pleural scarring. no acute pneumonia, vascular congestion, or pleural effusion.
<unk> year old woman with rheumatoid arthritis, shortness of breath and nonproductive cough // ? ild
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the cardiac, mediastinal and hilar contours are unchanged and within normal limits. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
fever of unknown origin.
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pa and lateral views of the chest provided. there has been significant interval increase in right pleural effusion with only partial residual aeration of the right upper lobe and shift of midline structures to the left. the left lung is clear. heart size cannot be assessed. bony structures appear intact.
<unk>m with shortness of breath // ?interval increase in hydrothorax
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moderate cardiomegaly is stable. transvenous pacer leads are in standard position with tip in the right atrium and right ventricle. there is no pneumothorax or pleural effusion. bibasilar atelectasis are grossly unchanged. sternal wires are aligned. patient is status post cabg.
<unk> year old man with cad s/p cabg, mmvt s/p dual chamber icd // lead position, ptx
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pa and lateral views of the chest. ventriculoperitoneal shunt courses over the right anterior chest wall. left picc is no longer visualized. the lungs are essentially clear noting calcific densities project over the right lung apex which could potentially be vascular in nature, unchanged. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old man status post self removal of picc.
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indistinct right basilar opacity is likely atelectasis as identified on recent ct. trace left pleural effusion. severe cardiomegaly without pulmonary vascular congestion or edema. a left pectoralis pacemaker with right atrial and right ventricular leads is noted. cardiomediastinal hilar silhouettes are unremarkable. incidental note is made of a moderate hiatal hernia and multiple contiguous, healed left rib fractures.
<unk> year old man with chf and pancreatitis new o<num> requirement while on iv fluid. volume status difficult to assess // eval for pul edema
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pa and lateral views of the chest are compared to previous exam from <unk>. lungs are clear. there is no pneumothorax or effusion. the cardiomediastinal silhouette is normal. surgical clips seen in the right upper quadrant suggesting prior cholecystectomy. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with chest pain, question cardiomegaly.
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the patient is status post median sternotomy and cabg. heart size is top normal. mediastinal and hilar contours are unremarkable, and no pulmonary vascular congestion is seen. small bilateral pleural effusions are noted with minimal bibasilar atelectasis. no focal consolidation or pneumothorax is present. there are no acute osseous abnormalities.
status post cabg with orthopnea and significant lower extremity edema.
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ap upright and lateral views of the chest provided. lungs are clear though volumes are low. cardiomediastinal silhouette appears stable and normal. multiple calcified mediastinal lymph nodes are noted. no large effusion or pneumothorax. no signs of congestion or edema. the aorta is slightly unfolded. bony structures are intact.
<unk>f with sob // eval for consolidation
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
chest pain.
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the heart size is top normal. there is mild bibasilar atelectasis. subtle increase in right infrahilar opacification is likely secondary to atelectasis. there is left basilar atelectasis. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. dilated loops of small bowel in the visualized portion of the abdomen is incompletely evaluated, however an obstruction cannot be excluded by this study.
history of et tube placement. please evaluate.
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the lungs are n hyperinflated, suggesting chronic obstructive pulmonary disease. there is increased opacity at the right lung base, which could be due to underlying infection or aspiration. there appears to be perihilar peribronchial thickening. no large pleural effusion is seen although a trace right pleural effusion be difficult to exclude. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with recent smoke exposure // is there an intrapulmonary process.
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interval removal of left chest tube since <unk>. stable appearance of left lung abnormality with left hemidiaphragm elevation, nodular and pleural thickening, small layering pleural effusion, and left basilar atelectasis since <unk>. the heart size is unchanged. the right lung is clear. no pneumothorax.
<unk> year old man with lung cancer s/p chest tube removal. // interval change
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the chin overlies the right apex and upper mediastinum significantly limiting evaluation. lung volumes are low. yhe right hemidiaphragm is poorly visualized due to right basilar opacities, likely a combination of atelectasis and small pleural effusion. atelectasis is also noted in the left lung base. the cardiac silhouette is poorly visualized and evaluated due to the low lung volumes. the mediastinum is not significantly changed since the next most recent radiograph. there is mild prominence of the central pulmonary vasculature without evidence of frank pulmonary edema. the aorta is tortuous and calcified. there is no evidence of a large pneumothorax.
shortness of breath, fever, altered mental status. evaluate for pneumonia.
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an enteric feeding tube tip courses through the stomach below the diaphragm. the right cardiophrenic angle is not imaged. well inflated lungs are grossly clear. there are no pleural effusions or pneumothorax. there is tortuosity of the thoracic aorta. heart size is normal. pulmonary vascularity is not increased.
<unk>-year-old male with right basal ganglia hemorrhage. evaluate for pneumonia.
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lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with dislocated fracture of l ankle, may require surgical repair // preop
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a permanent pacemaker capsule is seen in the anterior axillary position with two intracavitary electrodes. the leads are in the proper position with the atrial lead in the anterior lateral wall of the right atrium and the ventricular lead in the apical portion of the right ventricle. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is unchanged.
evaluate pacemaker leads.
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lung volumes are low and is difficult to assess for focal infiltrate. however overall there is little change compared to the most recent prior
<unk> year old man with worsening encephalopathy in setting of possible uti, concern for aspiration // evidence of pneumonia, aspiration
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the patient is status post midline sternotomy and cabg. mild cardiomegaly and mediastinal widening appears improved compared to the prior exam. right-sided swan-ganz catheter sheath terminates in the upper svc. overall, there has been slight interval increase in the diffuse moderate bilateral pulmonary edema as well as mild bibasilar atelectasis. small right-sided pleural effusion is persistent. there is no pneumothorax. visualized osseous structures are unremarkable.
history of aortic valve replacement/cabg. please evaluate for pulmonary edema.
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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 cough, dyspnea // evaluate for pneumonia
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ap and lateral views of the chest demonstrates unchanged cardiomegaly. the patient is area of rounded atelectasis in the left mid lobe appears to have somewhat resolved. no focal opacities concerning for infection. left lower lobe atelectasis is present. no pleural effusion or pneumothorax. there is possible minimal increased left lung hazy opacity which could be due to edema.
confusion.
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pa and lateral views of the chest are compared to previous exam from <unk>. again seen are diffuse bilateral parenchymal opacities, somewhat more confluent on the right than on the left. there is superimposed right-sided pleural effusion with presumed fluid tracking in the minor fissure, similar to prior. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with recent ed visit for pneumonia with continued symptoms. three days of abdominal pain. elevated lfts.
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frontal and lateral radiographs of the chest were acquired. a <num>-mm calcified granuloma in the right mid to upper lung is not significantly changed. there is no focal consolidation. the heart size is normal. the descending thoracic aorta is mildly tortuous, unchanged. aortic calcifications are noted. the mediastinal contours are otherwise normal. there are no pleural effusions. no pneumothorax is seen. multilevel degenerative changes of thoracolumbar spine are noted.
acute shortness of breath.
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suture chain is noted at the right lung apex. there has been interval resolution of the patient's right apical pneumothorax. the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
<unk> year old man s/p r vats blebectomy // check interval change
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the lungs are well expanded and clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fall, injuries to l periorbital area and l shoulder // ? traumatic injuries
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the heart size is within normal limits. the mediastinal contours demonstrate an unfolded aorta. subtle opacity with air bronchograms coursing through in the right lung base is present. there is no large pleural effusion or pneumothorax. a mid-thoracic vertebral body compression fracture has been stable since <unk>.
<unk>-year-old female with hemoptysis.
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
hyperglycemia and cough.
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there has been mild interval increase in size of right apical pneumothorax which measures approximate <num> cm. a right pigtail catheter is in unchanged position. the left lung is clear. no new pleural effusion. cardiomediastinal and hilar contours are normal. no mediastinal shift or diaphragmatic flattening to suggest tension physiology.
<unk> year old woman with ct newly to water seal // please eval for possible worsening ptx at <time> pm
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pa and lateral chest radiograph increased moderate enlargement of the cardiac silhouette due to moderate cardiomegaly and/or pericardial effusion. there has been interval removal of a right-sided central venous catheter. patient is status post cabg with intact sternal wires. there is a moderate left pleural effusion with adjacent atelectasis. previously right pleural effusion is decreased in size. no focal opacity is identified concerning for pneumonia. no overt pulmonary edema is seen. visualized osseous structures are without acute abnormality.
<unk>-year-old male with chest pain.
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the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal.
<unk>m w/atypical chest pain radiating to back, rt chest wall ttp // focal consolidation, rib fx, anatomic abnormalities
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the tip of the endotracheal tube projects over the mid thoracic trachea. the gastric tube extends below the level of the diaphragms but beyond the field of view of this radiograph. the right internal jugular central venous catheter tip projects over the mid svc. there has been further increase in the bilateral predominantly perihilar and lower lobe patchy and confluent airspace opacities, possibly reflective of pulmonary edema and/or multifocal pneumonia in the correct clinical context. the small layering left pleural effusion. the size of the cardiac silhouette is unchanged.
<unk> year old woman with etoh cirrhosis and gib intubated for egd // et tube placement evaluation
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single portable view of the chest is compared to previous exams from <unk>. despite improved inspiratory effort on the current exam, there is evidence of increased interstitial markings throughout, with more confluent opacity at the right lung base and on the left laterally. dense mitral annular calcifications are seen. cardiomediastinal silhouette is otherwise unremarkable. right subclavian central line is seen with tip at the ra-svc junction. degenerative changes are seen at the shoulders bilaterally.
<unk>-year-old female with upper abdominal pain, pneumonia?
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
chest pain.
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heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. there is mild thickening along the azygos fissure. lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. streaky opacity in the left lung base likely reflects atelectasis. no acute osseous abnormality is detected. partially imaged is cervical spinal fusion hardware.
<unk> year old woman with fatigue and cough // r/o pulm path
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ap and lateral chest radiograph demonstrates a left chest wall pacing device, its leads which appear intact in in unchanged position relative to most recent examination dated <unk>. cardiomediastinal and hilar contours are stable. there is a moderate-sized left pleural effusion as seen on recent exam. no focal opacity is identified convincing for pneumonia. no evidence of pulmonary edema. imaged upper abdomen is without evidence of an acute abnormality.
<unk>-year-old male with seizures. evaluate for acute intrathoracic process.
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single ap view of the chest demonstrates an unchanged position of tracheal stent. the heart and mediastinal contours are stable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia seen on the radiograph. again seen is a left port-a-cath with tip terminating in the proximal left brachiocephalic vein. postoperative changes after upper lobectomy are again seen.
cough, tracheal stent.
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portable upright chest film <unk> at <num> <num> is submitted.
<unk> year old man with new sob // please assess volume status please assess volume status
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the endotracheal tube is in satisfactory position <num> cm from the carina. an enteric tube courses below the diaphragm with the tip out of field of view. a swan-ganz catheter is present, and since the prior exam, the tip is now pointing left toward, likely into the left main pulmonary artery. the opacities in the right upper lobe, and to a less extent, in the left upper lobe are more discrete appearing, suggesting the presence of pneumonia. there is still mild edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.
status post cardiac arrest, evaluate for interval change.
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there is a <num> mm metallic density object within the soft tissues of the left axilla. the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with neck pain s/p mvc // rule out metal artifact
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a prior left lung pneumonia has resolved. lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. unchanged irregularity of the posterolateral right fifth rib and posterolateral left seventh and eighth ribs are consistent with healed fractures. no new fracture is identified.
<unk>m with hypoxic and dyspnea and orthopnea // pulmonary edema?
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pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion or pneumothorax. left apical, left perihilar and right lower perihilar surgical chain sutures are noted. cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures.
<unk>-year-old female with fall and hypotension.
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lung volumes are low, causing bronchovascular crowding. there may be mild pulmonary vascular congestion. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is moderately enlarged. the left hemidiaphragm is elevated, as on prior.
history: <unk>m with chest pain // infiltrate
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the endotracheal tube tip is <num> cm above the carina. the right ij central catheter terminates in the lower svc. no pneumothorax. no significant change in the vascular engorgement and bilateral interstitial pulmonary edema, worse on the left. it is difficult to decipher how much of this is due to chronic interstitial disease. cardiac silhouette is unchanged, as is the right pacer/defibrillator with leads in the right atrium and right ventricle. left subclavian and left ij stents are also unchanged.
<unk> year old man with chf, tachypnea, recent trauma. evaluate for interval change.
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pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with pleuritic chest pain.
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lower lung volumes are noted on the current exam. increased perihilar opacities are now noted. cardiomediastinal silhouette also is accentuated by lower lung volumes. no acute osseous abnormalities.
<unk>f with ams // eval for aspiration
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there are increased interstitial markings throughout the lungs, more conspicuous on today's exam. there is no confluent consolidation or effusion. cardiac silhouette is enlarged, similar compared to prior. prosthetic aortic valve is identified. left-sided central venous catheter is in stable position. vascular stent projects over the right upper mediastinum.
<unk>f with cough // r/o pna immunocompromised.
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ap upright and lateral views of the chest provided. again noted are subtle linear densities in the right lower lung likely representing areas of scarring. otherwise, lungs are clear. tiny right pleural effusion is again seen. no pneumothorax. no edema. cardiomediastinal silhouette is stable. bony structures are intact.
<unk>m with espoh pull through surg, gtube placemebt w abd pain and throat pan, pls eval abd for sbo and chest for widened mediastinum or bleeiding
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small left pleural effusion appears to have resolved. perhaps minimal pulmonary vascular congestion. otherwise, no significant change from the prior exam. there may be trace persistent right pleural effusion. bilateral atelectasis persists. no focal consolidation, pneumothorax, or overt pulmonary edema. stable prominent cardiomegaly. stable calcification of the aortic arch. stable mediastinal and hilar contours. bilateral narrowing of the ac joint and high-riding humerus as well as heterotopic ossification superolateral to the right humeral head, suggesting chronic rotator cuff tear and severe osteoarthritis/post-trauma changes, are overall similar to prior shoulder radiographs.
<unk>-year-old woman with hypotension; evaluate for pneumonia or pulmonary edema.
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the lungs are well inflated and clear. no focal consolidation, effusion, or pneumothorax is present. the heart is mildly enlarged.
<unk>-year-old man with dementia.
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there is mild effacement of the right cardiac border and faint opacification within the right lower lobe, which could relate to resolving/known pneumonia, however recent radiographs are unavailable for comparison. the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax.
history of pancreatic and renal transplant for diabetes type <num>, presenting with severe headache, neck pain and nausea with recent diagnosis of pneumonia on <unk> (patient evaluated at urgent care <unk> at <unk>).
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there are bilateral calcified pleural plaques with some regions projecting over the hemidiaphragms bilaterally as well as overlying the midlung bilaterally. these plaques somewhat obscure the underlying lung parenchyma although there is no large confluent consolidation. there is no effusion or edema. the cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormalities.
<unk>m with daily alcohol use, altered mental status // eval for chf/pneumonia, intracranial hemorrhage, cspine fracture
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ap upright and lateral views of the chest provided. previously noted left subclavian central venous catheter has been removed. there is a calcified granuloma again seen in the right mid lung. the heart is mildly enlarged though stable. no focal consolidation, effusion or pneumothorax is seen. there is a stable mediastinal contour. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with diarrhea, bmt // infiltrate?