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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 man with coughing. he had a chest radiograph on <unk> that revealed no pathology. evaluate for any infiltrates on the chest radiograph.
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low lung volumes. mild central bronchial wall thickening, similar to prior, likely representing chronic airways disease. no focal consolidation, pleural effusion, or pneumothorax. heart size and cardiomediastinal contours are normal.
history: <unk>m with cough and fever to <num> // eval for pneumonia
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there is slightly increased mild pulmonary vascular congestion compared to <num> hr prior. left lower lobe opacification is similar to prior. moderate cardiomegaly is unchanged.
<unk> year old woman with chest pain and shortness of breath // eval for flash pulm edema
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pa and lateral views of the chest provided. hila appear slightly prominent which may reflect central airways inflammatory process i.e. bronchitis. lungs are clear. no large effusion or pneumothorax. heart and mediastinal contours are normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with c/o cough with sob // ? pna
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pa and lateral views of the chest. bilateral upper lobe scarring is seen with superior retraction of the hila. the lung volumes are relatively low. there is no evidence of superimposed acute process. cardiomediastinal silhouette is stable. surgical clips in the upper abdomen again noted. osseous structures are essentially unremarkable noting probable right glenoid orthopedic hardware.
<unk>-year-old male with chest pain.
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there are low lung volumes. bibasilar atelectasis/scarring is similar to the prior study. asymmetry of the rib cage is similar compared to the prior study. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with dyspnea and chest pain and cough // evaluate for aute process
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a frontal supine view of the chest was obtained quarterly. the right picc now ends at the origin of the svc. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. pulmonary vascular congestion has improved. right basilar atelectasis is very mild. mild cardiac enlargement and the mediastinal silhouette are stable allowing for patient position and technique.
ventral hernia status post wound vac and ir-guided drain. evaluate picc position.
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heart size is moderately enlarged. atherosclerotic calcifications are seen at the aortic knob. moderate pulmonary edema is demonstrated along with small bilateral pleural effusions. more focal opacities at the lung bases likely reflect areas of atelectasis. no pneumothorax. diffuse demineralization of the osseous structures is present.
history: <unk>f with chest pain
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left chest wall transvenous pacing leads and in the right atrium and right ventricle. moderate cardiomegaly is unchanged. also unchanged is mild tortuosity of the descending thoracic aorta. there is no pleural effusion or pneumothorax. no definite focal consolidation. there is mild vascular congestion.
<unk>-year-old man with dyspnea and chest pressure.
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paramediastinal fibrosis, apical pleural thickening, and calcified hilar lymph nodes consistent with prior radiation treatment. surgical clips are noted over the abdomen. there is no mass, focal consolidation, pleural effusion, or pneumothorax. the heart size is within normal limits.
history of hodgkin's disease and chest radiation. concern for mass.
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a dual lead left-sided pacemaker device appears intact with <num> tip ending in the right atrium and the other in the right ventricle. lung volumes are slightly low, perhaps secondary to lack of full inspiration. the lungs are clear. no pneumothorax, pleural effusion, or focal consolidation. the heart is normal in size. no pulmonary edema. the descending thoracic aorta is slightly tortuous or ectatic. the mediastinum is not widened. hila are within normal limits.
<unk> year old woman s/p ppm // ptx, leads
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single portable view of the chest is compared to previous exam from <unk>. better inspiratory effort seen on the current exam. the lungs now appear clear, and the costophrenic angles are sharp. there is no evidence of pulmonary vascular redistribution. the cardiomediastinal silhouette is stable. osseous and soft tissue structures are unchanged.
<unk>-year-old female with orthopnea and swollen legs. question chf.
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right-sided swan-ganz catheter near the right pulmonary artery. dual lead defibrillator in similar position in the right atrium and right ventricle areas. right-sided picc terminates in the low svc. no pulmonary edema. probable small pleural effusions. no pneumothorax.
<unk> with cad s/p mi and pci (lad and rca), hfref and ischemic cardiomyopathy (lvef <unk>%) s/p biv pacer/icd, pulmonary hypertension, dm, htn, and hld who presented with progressive dyspnea, upper abdominal discomfort and anorexia to <unk> concerning for acute decompensated heart failure transferred to <unk> with cardiogenic shock (started on milrinone/hydral/sildenafil w/ improvement), optimized in house and now transferred to ccu after <unk> placement and evaluation of pulmonary hypertension, cardiac optimization, and consideration for lvad placement.
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frontal and lateral views of the chest are compared to previous exam from <unk> and chest ct from <unk>. there are basilar pleural effusions which appeared to have slightly grown in size given differences in positioning and technique since most recent exam. there is underlying atelectasis, although a component of infiltrate cannot be excluded. biapical nodular opacities are seen, right greater than left, similar to prior ct scan, which appear more conspicuous, likely due to technique when compared to most recent chest x-ray. cardiomediastinal silhouette is stable. osseous and soft tissue structures are unchanged.
<unk>-year-old male with shortness of breath for one week post-avr. evaluate heart and lungs.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
<unk> year old woman with left sided chest pain // r/o infiltrate
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lungs are clear without any focal opacities, pleural effusion or pulmonary edema. there is no pneumothorax. the cardiac and mediastinal contours are normal. an expansile lesion involving the third right posterior rib is of indeterminate etiology. please correlate for any clinical history of osseous malignancy (i.e. multiple myeloma) or prior imaging to assess stability.
syncope. evaluate for cardiomegaly, edema or effusion.
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ap upright and lateral chest radiographs were obtained. the lungs are slightly low in volume but in total clear aside from linear left basilar and hazy right basilar opacities, in total, unchanged from multiple previous examinations. opacity on the lateral is likely due to large hiatal hernia. there is no pleural effusion or pneumothorax. the heart is normal in size with tortuous aortic contour. dual lead pacemaker, median sternotomy wires and valvular prosthesis are demonstrated.
cough and congestion.
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tracheostomy tube is in stable position. right-sided central venous catheter is noted with distal tip in the right atrium. relatively low lung volumes are again noted. there is right basilar opacity, most likely atelectasis. elsewhere, the lungs are clear without consolidation or edema. there is no large effusion. left shoulder arthroplasty changes are noted.
<unk>f with eval pna // ams,cough
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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 chest pain radiating to jaw and left shoulder
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an infusion port overlies the right chest with catheter terminating in the mid to the low svc. cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. there is no area of consolidation or pulmonary nodule. there is no pleural effusion.
<unk> year old man with lymphoma // cough; low grade fevers; assess for abnormality cough; low grade fevers; assess for abnormality
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no definite focal consolidation to suggest pneumonia is seen. streaky opacities in the retrocardiac and right infrahilar region likely represent atelectasis. no pneumothorax or pulmonary edema is present. pleural effusions, if any, are small. the heart size is top normal. there is tortuosity of the aorta and calcification at the aortic root. cervical fusion hardware is partially imaged. there is a chronic-appearing deformity of the right distal clavicle.
syncope.
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multifocal airspace opacities in the left lower and both upper lungs. a hiatal hernia is small. mediastinal and cardiac silhouette are normal. no pleural effusion or pneumothorax.
<unk>f with cough // r/o infiltrate
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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. mid thoracic dextroscoliosis is noted.
<unk>-year-old female with pleuritic chest pain.
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an et tube ends <num> cm above the carina. an ng tube is seen extending below the diaphragm, overlying the expected location of the stomach. the ng tube sideport if present, also likely overlies the the stomach. lung volumes are low. there is increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation. a small left effusion would be difficult to exclude. probable minimal atelectasis in the right cardiophrenic region. the right lung is otherwise clear. no gross right effusion. prominence of the upper zone vessels is likely accentuated by low inspiratory volumes. note is made of a stent or other tubing overlying the right abdomen. right upper quadrant surgical clips are also present.
history: <unk>f with intubation // tube placement
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there is no significant interval change to the appearance of the chest with moderate cardiomegaly and areas of bibasilar atelectasis. there is also pulmonary vascular congestion with a possible small left pleural effusion. there is no pneumothorax. calcifications of the aortic arch are noted. surgical clips project over the right upper quadrant.
status post fall with right hip fracture, preop radiographs.
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right picc line tip in the low svc. enteric tube tip is in the mid stomach. there are bilateral pleural effusions, which have mildly increased since prior exam. there is left lower lobe consolidation, which is stable. increased heart size, pulmonary vascularity. there are bilateral central, basilar pulmonary opacities, favor edema, consider pneumonitis, less likely ards. surgical clips in the upper abdomen.
<unk> year old man with esrd, toxic megacolon w/ cdiff now with coughing and reporting diff breathing. // aspiration? consolidation?
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no pulmonary edema. slightly decreased left lung volume with slight elevation left hemidiaphragm suggestive of mild basilar atelectasis. small bilateral pleural effusions, left worse than right. the cardiomediastinal and hilar contours are normal. stable calcification of the aortic arch. there is air beneath the diaphragms bilaterally as expected status post abdominal surgery.
<unk> year old man with rectal cancer s/p colostomy, <unk> <unk> placement unable to wean o<num> pod <num> // please evaluate for pulmonary edema or pneumonia
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left basilar opacity silhouetting the hemidiaphragm is most suggestive of a layering effusion as on prior. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits for technique. atherosclerotic calcifications are noted. previously seen left central venous catheter is no longer visualized. tracheostomy tube is also no longer seen.
<unk>f with recent trach decannulation, concern for aspiration, tachypnea/hypoxia // eval pna
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mild bibasilar atelectasis is seen. there is no definite focal consolidation. no large pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there has been interval removal of previously seen right-sided picc. partially imaged hardware in the left humerus is not well assessed on this study.
history: <unk>m with s/p l reverse total shoulder replacement <unk> now w/ tmax <num>c unclear source, // eval ? traumatic, infectious changes
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f presenting with seizure
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the lungs are clear focal consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is normal. atherosclerotic calcifications noted within the aorta. no acute osseous abnormalities identified. vertebral body height loss noted at mid and lower thoracic thoracic vertebral bodies unchanged since <unk>
<unk>m with s/p fall // acute process?
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ap view of the chest. mitral annular calcifications are again seen. heart size is normal. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
chest pain. rapid afib, hypertension.
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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.
<unk> year old woman with right sided upper chest/shoulder pain // fractures?
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there is diffuse prominence of the pulmonary interstitium, unchanged from prior studies compatible with chronic lung disease. there is no obvious superimposed pulmonary edema or pleural effusion. no focal consolidation concerning for pneumonia is detected. the cardiac silhouette is mildly enlarged but stable. the mediastinal and hilar contours are unchanged with prominence of the tortuous thoracic aorta. calcification of the aortic knob is again seen.
<unk>-year-old woman with unwitnessed fall and pain, here to evaluate for acute cardiopulmonary process.
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heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. left upper lobe opacity corresponds the known mass seen on previous chest ct. minimal streaky opacification and reticulation is seen within the lower lobes, corresponding to areas of minimal fibrosis seen on the recent ct, without new focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is demonstrated.
history: <unk>f with lungs adenocarcinoma iv, ulcerative colitis with <num> day severe abdominal pain, with leukocytosis
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the left pleural effusion has decreased in size with persistent left lower lobe atelectasis and associated elevation of the left hemidiaphgram. patient is status post median sternotomy and cabg. no pneumothorax is identified. a stable small right pleural effusion is again seen. the cardiac size remains top normal.
status post thoracentesis for pleural effusion, question pneumothorax or change in pleural effusion.
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right apical air and fluid persists. there is increased opacification of the right lung field, which may represent pleural fluid and/or consolidation. elevation of the right hemidiaphragm with rightward mediastinal shift is consistent with right-sided volume loss, as seen previously. right perihilar mass and left lung nodules are better seen on recent prior ct. small left pleural effusion persists. aortic calcifications are noted. the right pleural catheter is similarly positioned. stent in the right mainstem bronchus is faintly visible.
<unk>-year-old male with right-sided lung cancer, status post airway dilation and silicone stent placement.
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there has been interval placement of a left internal jugular central venous catheter which terminates at the brachiocephalic/svc junction without evidence of pneumothorax. the patient is status post median sternotomy. the aorta is calcified and tortuous. the cardiac silhouette is top-normal. <num> mm nodular opacity projecting over the right upper lung appears calcified and may represent a calcified granuloma. this can be confirmed on nonurgent chest ct. lateral left base scarring is again seen.
history: <unk>m with l ij placement // line placement
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cough // acute process? acute process?
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain, evaluate for pneumothorax.
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compared to examination from roughly <num> hr prior, there has been interval re-expansion of the right lung. ng tube terminates in the distal esophagus and should be advanced by roughly <num> cm. right internal jugular approach catheter is malpositioned, heading cranially with tip outside the field of view, likely in the right internal jugular vein. improving aeration in the right lung. heart stably enlarged. no other relevant change.
status post ng tube and right central venous catheter placement.
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pa and lateral views of the chest. since prior, there has been marked interval improvement in the appearance of the lungs which are now essentially clear noting trace bilateral effusions. cardiomediastinal silhouette is stable noting atherosclerotic calcifications at the aortic arch. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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lung volumes remain low. bilateral pleural effusions on the prior exam appear to have essentially resolved. mild indistinctness of the left costophrenic angle could suggest some residual small effusion. left lower lung atelectasis has markedly improved. mild cardiomegaly, even in the presence of low lung volumes and this ap view is likely still present. aortic knob calcifications are unchanged. no focal consolidation to suggest a focal pneumonia. no pneumothorax. no edema. the descending thoracic aorta slightly tortuous, unchanged. dextroconvex scoliosis of the thoracic spine is moderate, unchanged. surgical clips projecting over the right upper abdomen are consistent with cholecystectomy.
<unk>-year-old woman with question of seizure. evaluate pneumonia.
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heart size is mildly enlarged. mediastinal and hilar contours are similar with tortuosity of the thoracic aorta again noted. previous pattern of mild pulmonary vascular congestion has nearly resolved. minimal atelectasis is seen at the lung bases without focal consolidation. no pleural effusion or pneumothorax is identified. s-shaped scoliosis of the thoracolumbar spine is re- demonstrated along with multilevel moderate degenerative changes. no acute osseous abnormalities are clearly noted.
history: <unk>f with unwitnessed fall, complaining of chest pain/shoulder pain.
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a right-sided catheter has been placed. the previously seen right pleural effusion has decreased in size. a small residual pleural effusion is likely present. there is also mild minimal atelectasis at the right lung base. no obvious pneumothorax is detected. the cardiomediastinal silhouette is unchanged. mild vascular plethora and previously seen retrocardiac opacity are improved. minimal blunting of the left costophrenic angle noted, without gross effusion.
<unk> year old man with stage iv nsclc with right pleural effusion s/p pleurx placement // s/p pleurx placement, ? pneumothorax?
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no focal consolidation or evidence of pneumothorax is seen. there is focal oblong opacity projecting over the region of the left lateral mid hemi thorax which may be pleural thickening, new since the scout image from ct torso from <unk>. old right-sided rib fractures are again seen. eventration of the bilateral diaphragms is again noted. the cardiac and mediastinal silhouettes are unremarkable. cervical surgical hardware is seen but not well evaluated.
fall from forefeet with tenderness and ecchymosis on right anterior chest.
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underlying trauma board and other external artifacts partially obscure the view. additionally, the exam is under penetrated presumed due to patient body habitus. endotracheal tube terminates approximately <num> cm above the carina. enteric tube courses below the diaphragm, out of the field of view. a right internal jugular central venous catheter terminates in the proximal right internal jugular vein. an additional linear tubular structure courses over the right hemi thorax crossing over to project over the left neck, unclear whether this is a internal or external to the patient. there are low lung volumes. there is diffuse opacity projecting over the right lung. differential diagnosis includes aspiration, pulmonary hemorrhage, infection.
history: <unk>f with dropping o<num> sats post intubation*** warning *** multiple patients with same last name! // r/o ptx, assess ett
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there is a diffuse bilateral interstitial thickening in both lungs, which might represent interstitial lung disease versus interstitial pulmonary edema. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are unremarkable.
<unk>-year-old female with focal seizures, falls. evaluate for evidence of acute cardiopulmonary process.
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there is near complete opacification of the left hemi thorax with mediastinal shift to the left and left effusion that is layering posteriorly. this combination of findings is compatible with severe volume loss in association with effusion on the left. there patchy areas of atelectasis on the right
<unk>m s/p left vats washout, now s/p chest tube pull // assess for hydro/pneumothorax
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frontal and lateral views of the chest were obtained. the heart size is normal with normal cardiomediastinal contours. there is residual opacity in the left lower lobe, decreased in size since <unk>, when it was seen to correspond to a cavitary lesion. there is a persistent vague opacity in the right upper lobe, seen on the previous chest ct, which may represent sequelae of prior infection or persistent inflammation. there is new opacity at the right cardiophrenic angle, which may be atelectasis but could also represent pneumonia in the appropriate clinical setting. the pulmonary vasculature is unremarkable. no pneumothorax or pleural effusion. the osseous structures are normal. there has been interval removal of a picc. no radiopaque foreign bodies are present.
<unk>-year-old man with shortness of breath. evaluate for pneumonia.
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compared with the prior study, there has been interval removal of a left-sided picc line. the right sided central catheter tip is located at the mid svc. there is unchanged enlargement of the cardiac silhouette, likely due to mild elevation of pulmonary venous pressure. again seen is a left thyroid mass causing rightward deviation of the trachea.
<unk> year old woman with high-grade fevers, cultures negative save for uti being treated. please eval for interval change.
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ap single view of the chest has been obtained with patient in supine position. patient is now intubated, the ett seen to terminate in the trachea <num> cm above the level of the carina. a temporary pacing wire has been introduced via the right internal jugular approach and is seen to terminate position compatible with the apical portion of the right ventricle after the line past apparently markedly dilated right atrium. metallic grid structures of a corevalve prosthesis are identified and seen to overlie the area of the aortic valve and ascending aorta. the grids pattern of the stent extends however high into the ascending aorta and appears superimposed on the aortic arch. there is no pneumothorax. comparison with the next preceding chest examination of <unk>, the pulmonary vascular pattern demonstrates more congestion, with bilateral central pulmonary edema. amount of pleural effusions blunting the lateral pleural sinuses remain unaltered.
<unk>-year-old female patient with aortic stenosis, now status post corevalve placement, evaluate.
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with hypotension // ? pna
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there may be mild left base atelectasis without definite focal consolidation. there may be minimal scarring along the lateral right upper hemi thorax. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with uri symtpoms, pleuritic chest pain. // rule out pna
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mild to moderate enlargement of the cardiac silhouette is present. the aorta is mildly unfolded. the mediastinal and hilar contours otherwise are unremarkable. no pulmonary edema is seen. minimal streaky bibasilar airspace opacities likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
shortness of breath. recent travel.
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the lungs are clear. cardiac silhouette is normal in size. no pleural effusion or pneumothorax. eventration of right hemidiaphragm.
age and dizziness.
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the cardiac, mediastinal and hilar contours appear within normal limits. there is no definite pleural effusion or pneumothorax. the lungs appear clear. the bones appear demineralized. there is a mild reverse s-shaped curvature to the thoracic spine and mild degenerative changes. a vertebral body at or near the thoracolumbar junction demonstrates a moderate biconcave compression deformity.
status post fall with left lateral rib pain.
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endotracheal tube terminates approximately <num> cm above the level of the carina. recommend withdrawal by approximately <num> cm for more optimal positioning. enteric tube courses below the diaphragm into the left abdomen, inferior aspect not included on the image. left base opacity with shift of the mediastinum to the left suggests left lower lobe collapse with possible underlying pleural effusion or consolidation. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.
history: <unk>f with head cbleed w shift and ett pls assess placement and head forp interval bleed // history: <unk>f with head cbleed w shift and ett pls assess placement and head forp interval bleed
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the previous bilateral pleural effusions have resolved. substantial apical thickening bilaterally and lung scarring, the sequela of likely radiation therapy is unchanged. the cardiac size is normal. no evidence of pneumonia.
<unk> year old woman with h/o remote hodgkin's <unk> treated with radiation, asthma, and pleural effusions noted on cxr <unk>. // any change in pleural effusions
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. lung volumes are low. lungs appear clear.
cough and fever.
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the lungs are low in volume but appear clear. minimal linear bibasilar atelectasis is noted. the heart is normal in size and normal cardiomediastinal contours. no pleural effusion or pneumothorax.
<unk>-year-old man with fever to <num>, assess for acute process.
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interval removal of the endotracheal and gastric tubes. no focal consolidation, pleural effusion or pneumothorax identified. the size the cardiac silhouette is mildly enlarged but is smaller than on the prior study. no evidence of pulmonary edema.
<unk> year old man with cirrhosis admitted for bleeding peptic ulcer, new o<num> requirement after transfusions // evaluate for edema, consolidation
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portable semi-upright frontal chest radiograph demonstrates an endotracheal tube tip located at least <num> cm from the level of the carina. a left subclavian central venous catheter tip is at the confluence of the svc and brachiocephalic vein, with its tip projecting laterally against the wall of the svc. an ng tube is in place, superimposed on the stomach, though the tip is not seen off the inferior margin of the film. low lung volumes are slightly decreased with bibasilar opacities and bilateral pleural effusions, right greater than left. mild edema is unchanged. calcified mitral valve annulus is again noted.
<unk>-year-old female with bacteremia and pelvic mass.
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lung volumes are low, but the lungs are clear. there is no pneumothorax. the mildly prominent appearance of the cardiac silhouette may be due to a combination of suboptimal inspiratory effort and prominent epicardial fat. there is a moderate-sized hiatal hernia. the regional bones and soft tissues are unremarkable.
<unk>-year-old female with cough, congestion and possible low grade fever; evaluate for infiltrate.
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there is no focal consolidation, pleural effusion or pneumothorax. a right chest wall port catheter tip terminates in the distal svc. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>m with abdominal pain // ? free air
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with chest pain, pls eval for effusion vs ptx // history: <unk>m with chest pain, pls eval for effusion vs ptx
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compared to the prior study there is near complete clearance of the right lower lobe opacity. no new focal consolidation, pleural effusion or pneumothorax. normal heart size, mediastinal and hilar contours.
history: <unk>m with cough, cp, sweats // eval for pna
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. multiple calcific densities project over the soft tissues of the lateral chest wall bilaterally.
<unk>f with cp // eval for ptx, eeffusion, pna, ardiomeg
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding pa and lateral chest examination of <unk>. on today's examination, the patient is moderately rotated towards the right which results in a somewhat different projection of the previously identified sternotomy wires and the cardiovascular and mediastinal silhouettes. grossly, the findings are unchanged. the pulmonary vasculature is not congested. no signs of new acute parenchymal infiltrates are present, and the lateral pleural sinuses remain free from any fluid accumulation.
<unk>-year-old female patient with respiratory distress. evaluate for possible postoperative aspiration.
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right subclavian picc line is unchanged with tip ending in upper svc. ij catheter has tip ending in right atrium right basal pigtail tube has been repositioned at the base of the right lung, now with tip ending more medially. the right base atelectasis are slightly improved, with reduced pleural effusion. the heart size is still enlarged. there is no pneumothorax.
<unk>-year-old man with sepsis indication evaluation for chest tube placement.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. no focal consolidation, effusion, or pneumothorax is present. cardiac and mediastinal contours are normal.
<unk>-year-old man with cough.
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mild to moderate cardiomegaly has been stable compared to exams dated back to at least <unk>. sternotomy wires are again seen, and appear intact. platelike atelectasis at the left lung base, with elevated left hemidiaphragm is noted. there is mild pulmonary edema. there may be small bilateral pleural effusions. there is no evidence of a pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>m with dyspnea // evaluate for acute process
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single ap view of the chest provided. interval placement of left intra-abdominal drain. other, abdominal hardware is stable. consolidations at the lung bases, bilaterally are mildly worsened. no pneumothorax. bilateral, small pleural effusions are mildly worsened. hilar and cardiomediastinal contours are normal.
<unk> year old man with cholangiocarcinoma, cholangitis, now with cough productive of white sputum, diffusely rhonchorous // ?infiltrate
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taking into account rotation to the right on the current study, radiographic appearance of the heart and mediastinal contours and lungs is not significantly different. radio opacity in the left infrahilar region is somewhat less apparent than on the most recent previous study and no new central pulmonary vascular congestion or focal consolidation is seen. no rib fracture is seen.
<unk> year old woman with h/o dm, ra, htn, asthma who presents sp a fall and with hyponatremia now with increasing respiratory distress // eval pulm edema or pna
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an endotracheal tube is noted with the tip terminating approximately <num> cm above the level of the carina. a nasogastric tube courses below the diaphragm and out of view radiograph. lung volumes are low leading to crowding of the bronchovascular structures. bibasilar atelectasis is noted. the upper lung fields are grossly clear. the cardiac size is difficult to assess but appears within normal limits.
history: <unk>m with intubation and oral bleeding*** warning *** multiple patients with same last name! // eval for ett placement
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with long-standing crohns and ec fistula needing tb screen // eval for cavitary lesions
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the cardiac, mediastinal and hilar contours are probably unchanged allowing for differences in lung volumes, which are somewhat lower than on the prior study. the lungs appear clear. there is no pleural effusion or pneumothorax. bony structures appear within normal limits.
connective tissue disorder, fever and chills.
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portable semi-erect chest radiograph provided. there are prominent interstitial markings bilaterally with increased vasculature consistent with pulmonary congestion. there are bilateral pleural effusions, right greater than left. there is no pneumothorax. the cardiomediastinal silhouette is enlarged.
history of altered mental status. question presence of infiltrate.
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pa and lateral views of the chest. mild blunting of the left lateral costophrenic angle is most suggestive of atelectasis. the lungs are otherwise clear without consolidation or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old male with chest pain.
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scattered opacities projecting over both lungs correspond to calcified pleural plaques, as seen on prior chest ct from <unk>. previously seen pulmonary edema on <unk> has resolved. mild cardiomegaly is not significantly changed. the descending thoracic aorta is tortuous, as before. mediastinal contours are otherwise normal. small bilateral pleural effusions are likely unchanged. there is no pneumothorax. no displaced rib fractures are identified. known left-sided rib fractures were better identified on the prior ct from <unk>.
multiple rib fractures. please reassess.
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a portable frontal chest radiograph was obtained. the heart, lungs, mediastinum, hila, and pleural surfaces are normal.
status post decompression and fusion of the l<num> and l<num> vertebrae. evaluate for an infectious source.
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right-sided port-a-cath is seen terminating in the distal svc. no focal consolidation or pleural effusion is seen. no evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no overt pulmonary edema is seen. no displaced fracture is seen.
altered mental status and chest pain.
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pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip in the region of the mid svc. lungs are clear. no focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette appears normal. no convincing evidence for edema. bony structures appear intact. no free air below the right hemidiaphragm.
<unk>m with new dyspnea on chemo, newly diagnosed dlbcl.
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. minimal streaky left lower lobe opacity is concerning for pneumonia. the right lung is clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
fever.
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the multifocal airspace opacification appears slightly improved in some areas, but then slightly worsened other areas (this may be technical in nature). no pneumothorax. no significant effusion. background interstitial thickening unchanged. cardiomegaly unchanged. endotracheal tube in situ with the tip at the level of the medial clavicles <num> mm proximal to the carina. feeding tube in situ. previous right shoulder reverse arthroplasty prosthesis in situ.
<unk> year old woman with cirrhosis, intubated, vap // evaluate for interval change
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. the descending aorta appears tortuous. heart is normal in size. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. eventration of the right hemidiaphragm is unchanged.
weakness and fever. assess for pneumonia.
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there is elevation of the left hemidiaphragm with adjacent compressive atelectasis. a small left pleural effusion is difficult to exclude. the right lung and upper left lung are essentially clear an without lobar consolidation, pneumothorax, or pulmonary edema. allowing for patient rotation, there is mild cardiomegaly and enlarge pulmonary arteries. multiple vertebral compression deformities are noted, status post vertebroplasty.
history: <unk>f with confusion // eval for infiltrate
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the patient is status post median sternotomy and cabg. heart size remains mildly enlarged. mediastinal and hilar contours are unchanged. atherosclerotic calcifications are seen within the aortic arch. there is no pulmonary edema. blunting of the costophrenic angles posteriorly suggests small bilateral pleural effusions, not changed in the interval. no focal consolidation or pneumothorax is present. there are multilevel degenerative changes seen in the thoracic spine.
history: <unk>m with dyspnea
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with aml, p/w rigors, lightheadedness // eval for acute process
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the lungs are hyperinflated with irregular interstitial markings compatible with patient's known emphysema. the previously seen cavitary lesions in the left upper lobe and right middle lobe as well as the left lower lobe focal opacity are again seen. there may be new superimposed opacity in the right middle lobe. no definite interval change given differences in technique. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with failure to thrive // eval for pna
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the lungs are well inflated and clear. no nodule or consolidation is present. blunting of the posterior hemidiaphragm is stable since <unk>, likely reflecting scarring. no effusion or pneumothorax is present. the cardiac and mediastinal contours are normal. minimal left convex scoliosis.
<unk>-year-old woman with mid thoracic back pain, no trauma.
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lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. triangular opacity on the right cardiophrenic angle likely represents prominent pericardial fat or mediastinal cyst.
<unk> year old woman with cough, doe, marked eosinophilia // ? infiltrates ?
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single ap view of the chest demonstrates clear lungs. mild left basilar atelectasis with no pleural effusion or pneumothorax. the cardiac, hilar, and mediastinal contours are normal. tracheal air column is uninterrupted.
airway obstruction. shortness of breath.
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there is a new opacity obscuring the right heart border suggestive of a new right middle lobe pneumonia. otherwise, the remainder of the lungs are clear. cardiomediastinal silhouette is normal. osseous structures are normal.
evaluation of patient with fever and cough.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. a feeding tube terminates below the diaphragm. no new radiopaque foreign body. osseous structures are unremarkable.
<unk>-year-old male with cirrhosis. evaluate for pneumonia.
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enteric and et tubes are no longer visualized. degree of pulmonary edema perhaps minimally less extensive when compared to prior. cardiomegaly is again seen. retrocardiac region is not well-visualized potentially in part due to overlying soft tissues and atelectasis although underlying infection cannot be excluded.
<unk>f with hypoxia,dyspnea and cough // r/o pna
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heart size is top normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is visualized. moderate multilevel degenerative changes are noted in the thoracic spine. partially imaged is a surgical anchor in the right humeral head.
history: <unk>f with syncope, cough
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. peribronchial thickening is unchanged.
<unk> year old man with fever,sweats // fever/sweats
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the patient is status post coronary artery bypass graft surgery. the heart is at the upper limits of normal size. the mediastinal and hilar contours are unremarkable. there is a lobular soft tissue focus along the diaphragmatic inlet. possibilities include a hiatal hernia or potentially an aneurysm of the aorta. the lungs appear clear. there are no pleural effusions or pneumothorax.
question stroke.
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lung volumes are decreased, and no focal consolidation, pleural effusion or pneumothorax is seen. the heart size is normal, and the mediastinal contours are within normal limits. no displaced rib fractures seen.
<unk>-year-old man status post fall with rib fractures. evaluate for pneumothorax, pneumothorax or rib fractures.