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ap upright and lateral chest radiograph demonstrate low lung volumes with subsequent bibasilar atelectasis and crowding of the vasculature. no focal consolidation convincing for pneumonia is present. there is no large pleural effusion or pneumothorax. cardiomediastinal and hilar contours are within normal limits. calcifications involve the aortic arch.
history: <unk>f with s/p syncope, concern for ecg changes, head strike // ? traumatic injuries or cardiouplm abnormalities
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the cardiac silhouette size is top normal. the aorta is mildly tortuous. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. minimal patchy opacities are demonstrated in the right lower lobe which may be infectious in etiology. left lung is clear. no pneumothorax or pleural effusion is identified. no acute osseous abnormalities seen.
history: <unk>f with cough and fever
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compared to yesterday's examination, the patient has been extubated with interval improvement of aeration at the right lung base, however, with a new heterogeneous consolidation of the right lung apex suggestive of collapse or aspiration. left-sided effusion has minimally increased in size with associated left base atelectasis. there is no pneumothorax.
status post mcc with ruptured spleen, status post splenectomy. extubated yesterday.
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there is a small right apical pneumothorax. the previously visualized right pleural effusion has decreased, but remains moderate in size with resulting right middle and lower lobe compressive atelectasis. lungs are otherwise clear. the cardiomediastinal silhouette is stable. the pulmonary vasculature is normal. there are no acute osseous abnormalities.
<unk> year old woman with large right vol effusion s/p <unk> with <num>ml out // ? ptx
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two pa and one lateral chest radiographs were obtained. compared to the prior study three days ago, there has been improved aeration of the pulmonary opacity in the left anterior lateral base. minimal atelectasis and small effusion at the right knee are unchanged. diaphragm flattening consistent with copd is unchanged. no new consolidation, effusion, or pneumothorax is present. the cardiac and mediastinal contours are normal. degenerative changes in the thoracic spine and wedge deformity of t<num> are unchanged.
<unk>-year-old woman with pneumonia and new oxygen requirement, evaluate for worsening pneumonia.
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hazy opacity in the right mid-lung is likely due to overlying breast implant. left lower lobe opacities are concerning for pneumonia. furthermore, given leftward cardiac shift, an obstructive process in the left lower lobe cannot be ruled out. a left picc line is not well seen with the tip possibly in the lower svc. the heart size is stable. no pneumothorax.
<unk> year old woman with reported sob and rr <num> // pna/effusion/infiltrate
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a diffuse right lung opacity, representing a combination of atelectasis and effusion, is unchanged in comparison to the <unk> examination. a previously seen focal opacity within the left mid lung zone is less apparent on the current examination. a small left pleural fusion is unchanged. there is mild left pulmonary edema. there is no pneumothorax.
known right lung opacity, receiving iv fluids, with concern for worsening effusion or edema.
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severe cardiomegaly is unchanged. aicd leads are stable. mild-to-moderate diffuse pulmonary edema is slightly worse. there is no focal consolidation or pleural effusion. no pneumothorax.
<unk> year old man with systolic chf, dual chamber icd, admitted for chf exacerbation. // evaluate for edema, ?infiltrate
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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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 night sweats, please evaluate for pneumonia.
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cardiac size is top normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with asthma and abnormal ct s/p vats wedge x <num> on r // eval chest tube placement
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lordotic positioning. probable mild cardiomegaly. aorta calcified. patchy opacity at the left lung base partial obscuration left hemidiaphragm and probable small left pleural effusion. no chf. no focal no right-sided focal infiltrate and no gross right effusion.
<unk> year old woman with pleural effusion, s/p thoracentesis // s/p thoracentesis
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pa and lateral chest radiograph demonstrates overall unchanged appearance of a right upper lobe paramediastinal mass with associated volume loss in the right lung consistent with known lung carcinoma. no developing opacity is identified worrisome for an infectious process. new relative to prior examination is a small right-sided pleural effusion. cardiomediastinal contours are stable. there is no evidence of pulmonary edema. no pneumothorax.
history: <unk>f with stage iv nsclc s/p chemo with n/v/decreased po // evidence of pneumonia
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the cardiomediastinal silhouettes are normal. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
a <unk>-year-old man with shortness of breath, evaluate for pneumonia.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
history: <unk>f with chest pain // r/o acute process
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right picc ends in the superior cavoatrial junction. an enteric tube ends off the inferior portion of this image. tracheostomy is in place. there are low lung volumes. there are persisient right greater than left small bilateral pleural effusions, at least mild cardiomegaly with moderate pulmonary edema. visualization of the lower lobes is difficult and cannot rule out pneumonia in these areas. no pneumothorax.
respiratory distress, evaluate for pneumonia or pneumothorax.
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cardiomediastinal contours are the stable. bibasilar opacities have improved. bilateral effusions are small. there is no pneumothorax. mild pulmonary edema has improved. right supraclavicular catheter tip is in the cavoatrial junction. there are no new lung abnormalities. . the osseous structures are unremarkable
<unk> year old woman with esrd s/p renal transplant <unk> now w allograft dysfunction, pyelonephritis, re-spiking fevers after initial defervesence, concern for pna as source of infection // evidence of pna?
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old man with chest pain
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an orogastric tube is seen coiled within the hypopharynx, and an endotracheal tube is noted terminating approximately <num> cm above the level of the carina. there are airspace opacities involving the perihilar regions bilaterally, moreso on the left, with vascular indistinctness. no evidence of overt volume loss, pleural effusion, or pneumothorax. the heart size is normal. no acute osseous abnormality is detected. the stomach is noted to be distended with air.
history: <unk>f with drowning, intubated // eval ett, aspiration
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is present. several left-sided axillary clips are re- demonstrated. no acute osseous abnormality is noted.
history: <unk>f with chest pain
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frontal and lateral chest radiograph demonstrate well expanded and clear lungs. there is no focal consolidation. the cardiac and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with bilateral inspiratory and expiratory wheezing with fever and cough. assess for pneumonia.
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cardiac silhouette size remains mild to moderately enlarged. mediastinal and hilar contours are unchanged, with mild calcification of the aortic knob. the pulmonary vasculature is normal. apart from minimal atelectasis within the left lung base, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. right vp shunt catheter is partially imaged. fusion hardware within the thoracolumbar junction is also partially imaged.
confusion.
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compared with <unk>, inspiratory volumes are slightly lower. otherwise, i doubt significant interval change. heart size is borderline, but probably not enlarged allowing for technique. no chf, focal infiltrate or effusion is identified. probable mild right convex curvature in the upper thoracic spine, unchanged.
<unk> year old woman with dka // pna
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with productive cough // evaluate for pneumonia
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severe cardiomegaly is stable. mitral annulus is noted. left pleural effusion and adjacent atelectasis have resolved. small right effusion and adjacent atelectasis have decreased. mild vascular congestion has improved. there is no pneumothorax. sternal wires are aligned
<unk>f hx mitral valve stenosis s/p repair at <unk> c/b unrepairable perivalvular leak, valvular afib on coumadin, dchf (lvef <unk>% in <unk>), cad s/p rca stent <unk>, pulmonary hypertension secondary to r to l shunting through an iatrogenic asd presents with typical cardiac chest pain. // assess for edema
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the heart is borderline enlarged, allowing for ap technique. the right pleural effusion has decreased, now small if present at all. mild pulmonary vascular congestion without overt pulmonary edema is new from the prior study. a calcified lesion overlying the right lower lung corresponds to breast calcification seen on ct from <unk>. there is no focal consolidation or pneumothorax.
<unk>f with widespread pulmonary edema.
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compared to the prior study, there may be very slightly improved aeration in the right upper and mid zones. otherwise, i doubt significant interval change.
<unk> year old woman with pneumonia, tracheostomy leak, s/p bronchoscopy // evaluate interval change in right lung pneumonia
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frontal and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with asthma and history of tb presents with fever.
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the heart is enlarged, minimally increased from <unk>. lung volumes are low which accentuates bronchovascular markings. given that, there is mild pulmonary vascular congestion and mild to moderate pulmonary edema. no pleural effusion or pneumothorax is seen.
<unk> year old woman with basilar crackles // ? edema
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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> project over the right chest. a cardiac battery pack projects over the left chest.
<unk>-year-old male with vomiting, coffee grounds,. evaluate for free air under diaphragm or acute cardiopulmonary abnormality.
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the endotracheal tube tip projects <num> cm above the carina. no change in the ng tube positioning. compared with the prior study, moderate left-sided pleural effusion has increased in size, with adjacent compressive atelectasis. small right pleural effusion is still present. there has been interval improvement in the bilateral multifocal opacities, suggesting they were likely due to pulmonary edema. no pneumothorax.
<unk> year old woman with flash pulmonary edema. eval for interval change.
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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.
dizziness. possible new ms. <unk>: chest pa and lateral
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there are relatively low lung volumes. pulmonary vascular congestion is again seen. there is left mid lung atelectasis/scarring. no definite focal consolidation is seen although study is slightly underpenetrated due to patient body habitus. no large pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with recent stemi now presenting after <num> wk with hypoxia, fever // eval ? pneumonia, chf
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with altered mental status after recent back surgery. evaluate for pneumonia
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. again noted is a healed proximal one-third right clavicular fracture. otherwise, no acute osseous abnormalities are identified.
fever.
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cardiac silhouette size is mildly enlarged. the mediastinal and hilar contours are unremarkable. mild pulmonary vascular congestion is demonstrated with patchy atelectasis in the lung bases. no pleural effusion or pneumothorax is noted. there are no acute osseous abnormalities.
history: <unk>m with shortness of breath// eval for pulmonary edema
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pa and lateral views of the chest were obtained. cardiomediastinal silhouette is stable, allowing for differences in positioning and degree of inspiration. there is increased bibasilar opacification, compared to the prior film, which on subsequent <unk> cta chest corresponds to atelectasis. there is no frank consolidation, pleural effusion or pneumothorax. no pulmonary edema.
<unk>-year-old man with chest pain, evaluate for pneumonia or cardiomegaly.
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there has been interval removal of right pigtail catheter. there are bilateral pleural effusions right greater than left. there is bilateral lower lobe volume loss with iincreased nfiltrate in the right lower lobe. vascular redistribution and perihilar haze have worsened compared to the prior study. there is moderate cardiomegaly.
atn status post pericardial.
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cardiomediastinal contours are normal. faint opacities in the left lower lobe could be atelectasis or pneumonia in the appropriate clinical setting. . there is no pneumothorax or pleural effusion. hardware in the cervical spine is partially imaged.
<unk> year old woman with dizziness, fever // look for pna
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the cardiac silhouette is mildly enlarged with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. a left-sided icd is unchanged in position. the lungs are clear. there is no evidence of fluid overload or interstitial edema. there is no pleural effusion or pneumothorax. degenerative changes are noted throughout the thoracic spine.
exertional dyspnea.
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the heart is mildly enlarged. the mediastinal and hilar contours are within normal limits. there is tortuosity of the aorta. a subtle opacity is identified along the right mid lung adjacent to the minor fissure on the frontal view, and overlying the cardiac silhouette on the lateral view. there is re-demonstration of a stable <num> mm rounded density in the right lower lung, likely representative of a granuloma. there are no pleural effusions or pneumothorax. there is kyphosis of the thoracic spine. note is made of a deformity along the right clavicle, likely related to a healing fracture.
<unk>-year-old female patient with cough.
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a single frontal chest radiograph demonstrates endotracheal tube terminating at the level of the carina and could be withdrawn <num>-<num> cm. right-sided central venous catheter terminates in the distal svc. enteric catheter courses below the hemidiaphragm with sideport at the level of the ge junction and thus, could be obtained several cm. left lower lung opacification is nonspecific and differential includes pneumonia or aspiration ; however, degree of left hilar depression suggesting predominant component is atelectasis. no pleural effusion identified. no fracture is identified
meningitis, intubated with a right ij. assess for ij and endotracheal tube placement.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal and hilar contours are unremarkable.
history: <unk>f with pre-op // pre-op
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mild cardiomegaly is unchanged. the mediastinal and hilar contours are unremarkable. left picc has been removed. elevation of the right hemidiaphragm persists. small bilateral pleural effusions are noted. patchy opacity in the left lung base may reflect atelectasis, but infection is not excluded. linear opacities in the left mid lung field likely reflects scarring or subsegmental atelectasis. no pneumothorax is identified. degenerative changes are noted in the thoracic spine.
fever.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with chest pain radiating to back. evaluate for free air or acute cardiopulmonary process.
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the cardiomediastinal and hilar contours are normal. there is no pneumothorax or left pleural effusion. there is a small peripheral opacity at the right lung base with a small right pleural effusion. pulmonary vasculature is within normal limits.
cough, fever in a patient with behcet's.
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the lungs remain clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with patient with hx of flu, asthma, presenting with fever, persistent cough. // pls eval for pneumonia
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the lungs are well expanded. a small focus of opacity along the diaphragm near the right heart border likely represents atelectasis given the appearance of this region on ct. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is mildly enlarged.
history: <unk>f with <num>d generalized abd distension; blq abd pain; chronic dysuria; hx asthma, + sob x<num> day //
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mild enlargement of the cardiac silhouette is similar. the aorta is tortuous. patient is status post tavr, in unchanged position. diffuse increased interstitial opacities are re- demonstrated suggestive of chronic interstitial lung disease. more focal opacities within the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is present. no definite pulmonary edema is identified. partially imaged is lumbar spine fusion hardware.
history: <unk>f with tavr, mri with concern for stroke // eval for acute process
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single portable view of the chest. no prior. there are bibasilar opacities, larger on the left than right. these are suggestive of pleural effusions with probable underlying airspace opacity as well. there is engorgement of the central pulmonary vasculature with indistinct pulmonary vascular markings peripherally. cardiac silhouette appears enlarged; however, is not well seen secondary to silhouetting from airspace disease. osseous and soft tissue structures are grossly unremarkable.
<unk>-year-old female with st elevation mi. rule out chf.
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the cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly with a left ventricular configuration. in addition to unfolding, the aorta is again calcified. there is no pleural effusion or pneumothorax. the chest is mildly hyperinflated. the lungs appear clear. the bones appear demineralized.
cough and urinary retention.
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frontal and lateral views of the chest demonstrate mildly prominent cardiac silhouette. atherosclerotic arch calcifications are noted. the mediastinal and hilar contours are within normal limits. the left lung is clear of confluent consolidation or pleural effusion. a tiny focus of opacity in the lateral left upper lobe corresponds with a focus of linear opacity on ct dated <unk>, suggestive of chronic infection/inflammation. in the right lung, streaky right upper lobe opacities persist, which also likely reflect chronic change. there is trace if any small right pleural effusion, with a persistent rounded right costophrenic contour, previously confirmed to be rounded atelectasis on ct. surgical <unk> are seen in the subdiaphragmatic location. multilevel lower thoracic wedge compression deformities are unchanged as compared to prior ct from <unk>. there is no evidence of pneumothorax or pulmonary edema.
<unk>-year-old female with pleural effusion, here for evaluation.
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ap and lateral views of the chest compared to previous exam from <unk>. linear opacity at the right lung base may represent atelectasis. there is also, however, blunting of the lateral costophrenic angle suggestive of an effusion. elsewhere, the lungs are clear. please note that the lateral view is limited secondary to patient's arms down by his side. cardiac silhouette is enlarged but stable in configuration. osseous and soft tissue structures are unchanged.
<unk>-year-old male with lethargy, and abdominal pain. question pneumonia.
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minimal left basilar atelectasis is noted. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with esrd s/p renal transplant, presenting with fatigue/malaise, nausea, worsening lower extremity edema and decreased urine output // please assess for pulmonary edema or pleural effusion
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lung are volumes are low. the cardiac, mediastinal and hilar contours appear probably unchanged although cardiac borders are obscured by recurrent nearly confluent opacity involving the mid to left lower lung. a new opacity in the right upper lobe suggests pneumonia. volume loss has actually improved somewhat in the right lower lung, probably encroaching on the right middle lobe. small subpulmonic effusions are not excluded.
shortness of breath. question pneumonia.
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since the prior radiograph, there has been no significant change. there are bilateral diffuse parenchymal opacities that are extensive and worse on the right side. given the distribution and underlying clinical history, this most likely etiology is infectious; however, pulmonary hemorrhage should be considered if there is accompanying coagulopathy. pulmonary edema is less likely given the distribution and time course. there is no pleural effusion. the cardiomediastinal silhouette is unchanged.
<unk>-year-old woman with cholangiocarcinoma and desaturation, evaluate for infection or aspiration.
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portable chest radiograph demonstrates two pleural drains terminating in the left apex and posterior left costophrenic angle. there is no pneumothorax. there is a persistent left pleural effusion which appears significantly decreased. bibasilar atelectasis persists. the right lung is grossly clear. the stomach is moderately distended. heart size appears normal.
<unk>-year-old male status post left vats decortication.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with exacerbation of seizure disorder
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the lungs are noted to be mildly hyperexpanded, compatible with mild chronic obstructive pulmonary disease. the cardiomediastinal silhouette is stable. no acute bony abnormality is detected.
chest pain status post cocaine use.
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the heart is enlarged. mediastinal contour is normal. there is no pneumothorax or pleural effusion. there is no focal consolidation. there is no acute osseous abnormality. surgical clips noted in the left upper quadrant. multilevel degenerative changes of the thoracic spine with anterior bridging osteophytes.
<unk>f with fever, muscle aches, wheezing no hx of asthma or copd, evaluate for pneumonia.
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a single portable frontal view of the chest is provided. the patient is status post endotracheal tube placement, which is in apparopriate position. however, in comparison to the prior study, the entire right lung has now collapsed resulting in ipsilateral shift of the heart and mediastinum. the left lung is well expanded and clear. there is no pneumothorax. there is no large effusion. gastrostomy tube again noted.
<unk>-year-old man post-intubation for respiratory failure.
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the right-sided effusion has significantly decreased as well as the fluid along the minor fissure. the left pleural effusion has also decreased. there is persistent left retrocardiac opacity which could represent atelectasis/consolidation. the pulmonary vascular congestion is compared well. pneumothorax. stable enlargement of the cardiac silhouette.
<unk> year old woman with cardiac amyloidosis, now with likely volume overload and some left-sided chest pain. concern for pleural effusion. // pleural effusion, pericardial effusion
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pa and lateral images of the chest demonstrate well-expanded lungs which are clear. there is no pneumothorax or pleural effusion. there is no obvious consolidation, mass, or volume loss visualized on this exam. there is slight cardiomegaly unchanged from prior exam. again seen are multiple osteophytes along the spine consistent with dish. other visualized osseous structures are unremarkable.
<unk>-year-old male with question of carcinoid on biopsy, now requiring imaging to look for a lung mass.
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stable cardiomediastinal appearance. dense retrocardiac opacification likely represents a combination of a stable moderate left pleural effusion and atelectasis. trace right pleural effusion noted. linear density within the right middle lung consistent with atelectasis. no pneumothorax evident. sternotomy sutures are midline and intact.
recent ascending aortic arch repair, now with chest and back pain, please evaluate for widened mediastinum or infiltrate.
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midline sternotomy wires are present, intact. multiple surgical clips overlie the superior anterior mediastinum. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk>m with chest pain // r/o acute process
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the initial image shows a dobhoff tube positioned in the mid esophagus. subsequent images show the tip is below the left hemidiaphragm, likely in the stomach or duodenum. multiple rib fractures with varying degrees of healing seen. no con solid a shin or pneumothorax seen.
<unk> year old man with failure to thrive awaiting dobhoff // awaiting dobhoff placement, to be done at same time as cxr
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the lungs remain clear, without pleural effusion or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with history of melanoma, please evaluate disease status.
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the heart size is unchanged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. there is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old female patient with wheezing. study requested to rule out pneumonia.
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there are now <num> right-sided chest tubes. it is difficult to assess for a pneumothorax. there has been some interval improved aeration of the right lower lung. there is patchy areas of volume loss/ consolidation in the left lower lung. there is a small left effusion.
<unk> year old woman with new chest tube. // ? ptx
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the cardiac, mediastinal and hilar contours appear unchanged, including an enlarged convex right lateral mediastinal contour suggesting dilatation of the ascending aorta although probably unchanged. costophrenic sulci are not completely excluded, but there is no evidence for pleural effusion or pneumothorax, and the lungs appear clear.
altered mental status.
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no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. mild right middle lobe and basilar atelectasis is noted. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. <num> mm ovoid calcification adjacent to the lateral right humeral head likely represents calcific tendinosis.
chest pain.
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compared to the prior study there is no significant interval change.
<unk> year old man with af and hf, was initially treated for septic shock and stabilized. now afebrile but af with rvr, lungs w crackles and rigoring. // ?pneumonia
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette and clear lungs. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with cough and right shoulder pain. question pneumonia.
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a left-sided picc line terminates in the upper superior vena cava. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
picc line placement.
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right-sided port-a-cath terminates in the mid to low svc without evidence of pneumothorax. small bilateral pleural effusions. central pulmonary vascular engorgement and mild to moderate pulmonary vascular congestion is seen. no definite focal consolidation. no pneumothorax is seen. cardiac silhouette is top-normal. mediastinal contours are grossly unremarkable.
history: <unk>f with elevated cr, sob and new weight gain // chf?
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. spinal stimulator device projects over the lower thoracic spinal canal.
<unk>f with chest pain and palpitations // chest pain workup
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there is indistinct upper zone redistribution of pulmonary vascularity and perihilar fullness most suggestive of mild pulmonary edema. in addition, there are suspected moderate bilateral pleural effusions. in that setting, associated suspected bibasilar opacities can probably be attributed to atelectasis.
shortness of breath.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. lungs are well-expanded and clear. the cardiomediastinal contour is normal.
<unk>m with chest pain, evaluate for pneumonia.
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pa and lateral chest radiographs were obtained. post-surgical right hemidiaphragm elevation and suture material are stable. no consolidation, pleural effusion, or pneumothorax is present. cardiac and mediastinal contours are unremarkable.
<unk>-year-old man with history of carcinoid lung mass status post resection, presenting with worsening cough.
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
seizure. evaluate for pneumonia.
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heart size is normal. aorta is tortuous with atherosclerotic calcifications noted diffusely. hilar contours are similar. moderate size hiatal hernia is re- demonstrated. pulmonary vasculature is not engorged. patient is status post bilateral upper lobectomy and left lower lobe superior segmentectomy. patchy atelectasis is noted in the lung bases without focal consolidation. moderate emphysema is again noted. no pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized. chronic bilateral rib deformities are re- demonstrated.
history: <unk>f with shortness of breath on exertion
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the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal.
<unk> year old man with temp to <num> // fever workup
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pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no configurational abnormality is identified. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in the apical area on the frontal view. skeletal structures of the thorax are grossly within normal limits. there exists no prior chest examination or records available for comparison.
<unk>-year-old male patient with cough, subjective fevers and chills x<num> weeks, evaluate for pneumonia.
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a post-pyloric feeding tube is present, although the tip was not included in the field of view. the lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. mediastinal and hilar contours are unremarkable.
cough, fever, and feeding tube. evaluate for pneumonia.
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when compared to prior, there has been no significant interval change. moderate cardiomegaly is again noted. the lungs are clear without focal consolidation, effusion, or edema. no acute osseous abnormalities identified.
<unk>m with hx afib s/p failed ablation w/ chest pain, ? presyncopal sxs // eval ? acute chest process
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single ap view of the chest provided. an et tube appears to be at the carina and should be pulled back <num>-<num> cm. an orogastric tube is in standard position. interval increase in opacification of the left lung base likely represents lung collapse. mild pulmonary edema appears improved. no pneumothorax. hilar and cardiomediastinal contours are obscured.
<unk> year old woman with chf exacerbation poss infiltrate // eval for interval change
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. the bones are intact.
<unk>-year-old man with fever status post hospitalization. evaluate for infiltrate.
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single portable view of the chest is compared to previous exam from <unk>. the lungs are clear of focal consolidation. please note the left costophrenic angle is excluded from the field of view. cardiomediastinal silhouette is within normal limits for technique. osseous structures are unremarkable. colonic interposition over the liver seen in the right upper quadrant.
<unk>-year-old male with gi bleed and vomiting. rule out pneumonia.
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assessment is somewhat limited due to patient rotation. endotracheal tube tip terminates <num> cm from the carina. right internal jugular central venous catheter tip terminates in the proximal right atrium. a orogastric tube tip courses below the diaphragm, into the stomach, and off the inferior borders of the film. lung volumes are low. there is moderate to severe cardiomegaly. widening of the superior mediastinum may be due to low lung volumes and supine positioning. there is mild pulmonary vascular engorgement. consolidative opacities in the lung bases are concerning for areas of infection. patchy opacities in the left lung as well as in the right upper lung field may reflect areas of infection or aspiration. no large pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.
central line placement.
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as compared to chest radiograph from <num> day prior, interval insertion of a nasogastric tube with tip in the body of the stomach. remaining support devices are unchanged. increased lung volume with slight decrease in the bibasilar opacities. mild pulmonary edema persists. no pneumothorax.
<unk> year old man with hypoxemic respiratory failure, new og tube // og position? infiltrate? edema? effusion?
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the lungs are clear without evidence of consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
chest tightness and left shoulder pain. evaluate for cardiopulmonary process.
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heart size and cardiomediastinal contours are normal. no chf, focal consolidation, pleural effusion, or pneumothorax detected. no displaced rib fracture is identified on these lung technique films.
<unk>m with assault r chest pain // eval for ptx or rib fx
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an endotracheal tube is in-situ, the tip terminates <num> cm above the carina. a nasogastric tube terminates in the stomach. a right internal jugular catheter terminates in the mid svc. the heart size remains mildly enlarged. there is prominence of the bilateral hila with hazy pulmonary vasculature consistent with pulmonary vascular congestion. airspace opacities are consistent with pulmonary edema. there is likely a linear atelectasis of the right lung base. no definite pleural effusion seen. no pneumothorax.
<unk> year old man with acute chest syndrome s/p exchange transfusion. on vent. being treated for hcap. // interval progression
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frontal and lateral views of the chest including a total of three views. the lungs are hyperinflated but clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. hypertrophic changes are noted in the thoracic spine.
<unk>-year-old male with fever and chills and cough.
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ap view of the chest provided. there is asymmetric pulmonary vascular congestion, right worse than the left. superimposed pneumonia cannot be excluded. heart size is stably enlarged. sternotomy wires are in unchanged positions.
<unk>f with history of cad status post cabg in <unk> and chf presents with nausea, vomiting, and low back pain.
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increased opacity in the retrocardiac region could be concerning for a pneumonia in the appropriate clinical setting. mild pulmonary vascular congestion is noted. pleural effusion seen on the lateral view is likely on the right. no pneumothorax. moderate cardiomegaly is unchanged. the aorta is tortuous.
<unk> year old woman with recurrent a. fib, fatigue, sob x <num> days // r/o acute chf
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there are low lung volumes. the heart size is moderately enlarged. widening of the superior mediastinum is likely due to low lung volumes. multifocal consolidative opacities within the right lung and left lung base are concerning for multifocal pneumonia. there is crowding of the bronchovascular structures with likely a element of mild pulmonary vascular congestion. no pleural effusion or pneumothorax is identified. there are multilevel degenerative changes in the imaged thoracic spine.
hypoxia, shortness of breath, rhonchi in the right lung fields.
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a right-sided picc ends in the mid svc, unchanged. there is a new stent within the distal aspect of left mainstem bronchus. the distal trachea and carina are displaced toward the right due to a large esophageal mass, better evaluated on the prior ct from <unk>. the lungs are clear. there are no pleural effusions. no pneumothorax. the heart size is normal.
followup stent placement.
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the lung volumes are low. the lungs are clear without consolidation or edema. no pleural effusion or pneumothorax is identified. allowing for patient rotation, the cardiomediastinal silhouette appears unchanged, with stable moderate cardiomegaly. compression deformities in the thoracic and lumbar spine are also unchanged.
cough. evaluate for acute process.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is noted. no acute osseous abnormalities. surgical clips noted in the right upper quadrant.
<unk>f w/chest pain // <unk>f w/chest pain