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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 with shoulder pain status post mvc
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a left-sided picc terminates at the distal svc. a right-sided pleural catheter is in unchanged position a small to moderate right pleural effusion persists. there is no pneumothorax or left-sided effusion. the cardiomediastinal and hilar contours are stable.
<unk> year old woman with pleural effusion // eval
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portable supine chest radiograph (<num> exposures): an endotracheal tube is in satisfactory position, <num> cm above the carina. an enteric tube courses along the esophagus and terminates just distal to the gastroesophageal junction. the gastric side port is located within the esophagus. there is a large consolidation of the right upper lobe, consistent with pneumonia. additionally, there is volume loss of the right lower lobe with elevation of the right hemidiaphragm. there are probable small bilateral pleural effusions. there is evidence of mild pulmonary edema. no pneumothorax. heart size is mildly enlarged. there is apparent widening of the mediastinum. calcifications are seen within the aortic arch.
respiratory distress with possible pneumonia in an intubated. evaluate for tube placement.
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linear left basilar opacity is most likely atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m hx ms with <unk>, head injury. // acute process in head? c-spine injury?
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with gallstone pancreatitis. pleural effusion?
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart size is normal.
left-sided substernal chest pain.
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there is new bilateral hazy alveolar infiltrate involving the upper lobes greater than the lower lobes. the heart is mildly enlarged and is larger than on the prior study. there is a small right effusion. there is no left effusion. the pulmonary vasculature is indistinct.
<unk> year old man with cirrhosis aw gib now confused // evaluate for pna
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mild to moderate cardiomegaly is stable. pacer lead is in standard position with tip in the right ventricle. . the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with recent icd placement, now with end-expiratory wheeze // any worrisome lesion?
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cardiomediastinal contours are normal. opacities in the left base have resolved. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable. right picc tip remains in standard position.
<unk> year old woman with mitral valve endocarditis with persistent fevers // evidence of infiltrate
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
history: <unk>m with syncope // r/o pna
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moderate cardiomegaly is unchanged. the lungs are hyperinflated. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with fever hx of recurrent pna // pna
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<num> views were obtained of the chest. the lungs are mildly hyperexpanded, which can be seen in chronic obstructive pulmonary disease. there is no focal consolidation, pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
chest pain.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>f with dyspnea on exertion and cp // ? acute cardiopulm process, signs of chf
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lung volumes are slightly low. the cardiomediastinal and hilar contours are within normal limits. no focal consolidation, pleural effusion or pneumothorax is identified.
<unk>f with cough and presyncope // please assess for cardiopulmonary process
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the heart is mildly enlarged and is increased in size since the previous chest radiograph of <unk> and probably since the more recent portable radiograph of <unk> as well. pulmonary vascularity is normal, and lungs and pleural surfaces are clear. surgical clips are present in the thymic bed consistent with previous thyroid resection.
<unk> year old man with pancreatic cancer with new doe, cough // assess 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. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
patient fell off her bicycle.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is mild upper zone re-distribution of pulmonary vascularity and indistinctness, suggesting slight vascular congestion or fluid overload, although not striking. there is no pleural effusion or pneumothorax.
ekg changes and chest pain.
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chain sutures are present in the right mid lung. there has been no significant change in the extent of the pre-existing pleural effusions. there is no new pneumonia, pulmonary edema or pneumothorax. mediastinal silhouette including the median sternotomy wires and valve replacement are stable.
malignant effusion and aspiration status post thoracentesis, evaluate pleural effusions.
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frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with intracranial lesion and fever. rule out infiltrate.
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the lungs are clear bilaterally. no focal consolidations, pleural effusions or pneumothorax. no pulmonary edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old woman with sbo // pre-op surg: <unk> (ex-lap)
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right subclavian venous catheter terminates in mid svc. small lingular opacity is similar to <unk>. small left pleural effusion is new since <unk>. there is faint right upper lung perihilar opacity, which was better visualized the ct from same day. there is no pneumothorax. cardiac silhouette is mildly enlarged.
<unk> year old woman with aml recently started chemo, now w/ recurent neutropenic fevers // eval for infiltrates
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. no pulmonary edema is seen. the cardiac and mediastinal silhouettes are stable, with the cardiac silhouette top-normal to mildly enlarged.
history: <unk>f with htn with shortness of breath and <unk> edema // pulmonary edema vs pleural effusions
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size remains unchanged and is within normal limits. also unchanged appearance of mildly widened and elongated thoracic aorta. no pulmonary vascular congestion is present. mildly elevated right-sided diaphragm is unchanged and there appears a mild blunting of the right lateral pleural sinus. this very mild thickening of the lateral pleural space along the right lateral chest wall reaches up to the minor fissure which also appears to be mildly thickened. the finding is completely unchanged in comparison with the previous study. the same holds for the appearance of the right-sided posterior pleural sinus as seen on the lateral view. again, these findings are completely unaltered. comparison is also extended to chest pa and lateral view of <unk> where bilateral mild blunting of the pleural sinuses was identified. the left-sided pleural findings had normalized on <unk>. present unchanged appearance of some pleural residuals suggests the possibility of scar formations. no new acute abnormalities are seen. the chest ct examination of <unk> is also reviewed. it demonstrated absence of any pulmonary embolism but small pleural effusions on the left side and minimal pleural effusion on the right.
<unk>-year-old female patient with history of carbon monoxide exposure and recent right pleural effusion, crackles on right base. assess previous pleural effusion.
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pa and lateral images of the chest. a nodular opacity is seen overlying the right mid lung. a well-marginated elongated opacity is seen overlying the left mid lung laterally. these findings are seen only on the frontal view. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
pneumonia
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema seen. the heart size and mediastinal contours are normal.
midsternal chest pain, rule out pneumonia or effusion.
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left pleural catheter is noted. there is no pneumothorax. persistent left basilar pleural effusion has not significantly changed since most recent examination. underlying parenchymal opacities with some distortion of the underlying parenchyma laterally is compatible with patient's known neoplasm and associated possible lymphangitic spread or edema. the right lung is grossly clear. cardiac silhouette is difficult to accurately assess. no acute osseous abnormalities.
<unk>f with l shoulder pain, chest pain // eval for consolidation, effusion
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single frontal view of the chest. right port terminates in the right atrium. no kink or discontinuity is seen along the catheter of the port. diffuse bronchiectasis, right upper lobe consolidation, and left lower lung opacities are similar to prior exams. the heart size and cardiomediastinal contours are stable.
cystic fibrosis and chf with recent port repositioning.
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lung volumes are low. this accentuates the size of the cardiac silhouette which is borderline enlarged. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. streaky opacities in the lung bases likely reflect atelectasis in the setting of low lung volumes. no large pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with chest pain // ?pna
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the left-sided picc line is confirmed to end at the level of the mid svc in the lateral view. otherwise there is no significant change compared with radiograph performed <num> hr earlier, with bilateral pleural effusions, right worse than left with probable associated atelectasis. no focal parenchymal opacities are seen in the aerated portions of the lungs. there is no pneumothorax. a left-sided ij line ends in the upper atrium. sternotomy wires are intact.
<unk> year old woman with new left sided picc. repeat examination to assess placement including lateral view.
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left picc terminates in the lower svc. internal external biliary stent is in similar position to prior. a peg overlies the gastric bubble. heart size and cardiomediastinal contours are stable. lungs are essentially clear. no pneumothorax.
confirm position of picc.
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left-sided dual-chamber pacemaker device is re- demonstrated with leads in unchanged positions. low lung volumes result in accentuation of the cardiac silhouette size which is borderline enlarged. the aorta remains unfolded. pulmonary vasculature is normal. there is mild atelectasis within the medial right lung base without definite focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormality is visualized.
history: <unk>m with chest pain
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the patient is status post median sternotomy. sternotomy wires appear intact. the lungs are fully expanded and clear. mild cardiomegaly is unchanged. there is no pleural effusion or pneumothorax.
fall on outstretched hands
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compared with prior radiographs on <unk>, there is no significant changethe lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is top-normal..
<unk> year old woman with chronic left lateral chest wall discomfort // please assess cardiopulmonary architecture/compare to <unk> study
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portable chest. the opacity seen in the left lower lobe on the prior radiograph is no longer present. there is chronic interstitial prominence as well as lucency of the upper lungs consistent with severe bullous emphysema. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion.
<unk>-year-old man with altered mental status after trauma. evaluate for pneumonia.
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the tip of the patient's tunneled right-sided hickman catheter remains at the level of the svc right atrial junction or proximal right atrium with no change in the coarse or position. minimal fluid or subsegmental atelectasis seen in the minor fissure. the lungs are otherwise clear and the heart and mediastinal contours are unchanged. there is superior displacement of the distal left clavicle at the acromioclavicular joint where degenerative changes are seen.
<unk> year old man with aml and right tunnelled hickman with sutures which have broken. // please evaluate for displacement of cvl tip.
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single frontal chest radiograph demonstrates worsening pulmonary edema. otherwise no change.
<unk>-year-old woman with dyspnea and orthopnea assess for fluid overload.
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ap radiographs of the chest demonstrate interval placement of an endotracheal tube tip located approximately <num> cm above the carina. a nasogastric tube is visualized but its distal course is not well seen, with tip appearing to terminate in the distal esophagus, above the diaphragm. there is continued bibasilar opacification of the lungs compatible with mild congestive heart failure and small bilateral pleural effusions. no pneumothorax.
status post intubation. evaluate ett tube placement.
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the endotracheal tube is appropriately positioned, no less than <num> cm above the carina. a nasogastric tube courses through the esophagus and into the expected location of the stomach. the sideport may be near the gastroesophageal junction the there are median sternotomy wires and mediastinal surgical clips. the lung volumes are low. bilateral perihilar opacities and bronchial cuffing are consistent with pulmonary vascular engorgement. the there is no pneumothorax. the there is a convex, sharply demarcated, rounded opacity in the lower left chest of unclear etiology, possibly an elevated hemidiaphragm. there are likely small bilateral pleural effusions.
<unk>-year-old man status post intubation. evaluate tube placement.
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frontal and lateral views of the chest. the lungs are clear without focal consolidation. linear opacity in the left lower lung is most suggestive of scar versus atelectasis. there is no effusion. coronary artery stents identified as well as median sternotomy wires. there is no pneumothorax. there is an anterior wedge deformity of a lower thoracic vertebral body which is age indeterminant given lack of prior. no definite acute osseous abnormality is identified.
<unk>-year-old male with chest pain. question cardiomegaly.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. no radiopaque foreign bodies are present. the osseous structures are unremarkable.
<unk>-year-old man with chest pain and cough. evaluate for cardiopulmonary process.
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left picc is again seen with tip in the mid to lower svc. the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>m with n/v/d // pneumonia?
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there bilateral regions of consolidation, at the right lung and left mid to lower lung. findings are most concerning for bilateral infection. moderate enlargement of the cardiac silhouette is unchanged. multiple vascular stents are also noted. no acute osseous abnormalities. splenic calcifications are again noted.
<unk>m with tachy, cough, hypoxic // pna?
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heart size is mildly enlarged with a left ventricular predominance. the mediastinal contours unremarkable. lung volumes are low with crowding of bronchovascular structures. there is likely mild pulmonary edema. patchy opacities within the lung bases may reflect areas of atelectasis though infection is not excluded in the correct clinical setting. no large pleural effusion or pneumothorax is present. no definite subdiaphragmatic free air is seen. there are no acute osseous abnormalities. clips and common bile duct stent are seen in the right upper quadrant of the abdomen.
history: <unk>f with sepsis/ abdominal pain pod<num> from cholecystectomy// eval for bile leak/collection
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the patient is status post median sternotomy, cabg, and corevalve placement. the heart size is mildly enlarged. mediastinal contours are unchanged. left-sided dual-chamber pacemaker leads terminating in the right atrium and right ventricle are in unchanged positions. there is mild pulmonary congestion vascular congestion with small to moderate size bilateral pleural effusions, which are increased in size compared to the previous exam. bibasilar airspace opacities likely reflect atelectasis though infection cannot be completely excluded. there is no pneumothorax.
altered mental status. shortness of breath.
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pa and lateral views of the chest. left chest wall single lead pacing device seen with the tip at the right ventricular apex. the lungs where seen are clear. there is no effusion or pneumothorax. there is no pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is seen.
<unk>-year-old male with chest pain.
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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. there is no evidence of free air. old deformity is seen in the left mid shaft clavicle.
right upper quadrant abdominal pain, question free air, pneumonia.
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right pleural effusion is improved. left basilar opacity likely reflects combination of moderate pleural effusion and possible atelectasis or consolidation. there is new fluid in the minor fissure. moderate cardiomegaly is stable. there is mild central pulmonary vascular congestion but pulmonary edema is significantly improved. the mediastinal and hilar contours are normal. there is calcification of the aortic knob. there is no pneumothorax.
<unk> y/o male with a history of cad, schf (ef <unk>%), copd, dm<num>, htn, esrd on hd (mwf), and recent ugib p/w hypoxia, still hypoxic after volume removal at dialysis // level of pulm edema. r/o pna
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lung volumes are low exaggerating prominence of the cardiac silhouette and vascular crowding, although compared to prior exam there is haziness of the pulmonary vasculature suggestive of a component of pulmonary edema. low lung volumes are associated with bibasilar atelectasis. a tracheostomy tube is in proper positioning. a right picc is again seen with the tip terminating in the right atrium. there is no large pleural effusion or pneumothorax.
possible ventilator associated pneumonia.
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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. aortic calcifications are moderate.
history: <unk>m with leukocytosis // eval for pneumonia
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a left pectoral pacemaker is noted with leads in the standard position. there are bilateral basilar opacities, likely combination of small pleural effusions and atelectasis. superimposed infection would be difficult to exclude. there is mild pulmonary edema. heart size is probably enlarged but difficult to fully assess given the parenchymal abnormalities. no pneumothorax.
respiratory distress. evaluate for infiltration.
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a central venous catheter terminates in the right atrium. the patient is status post coronary artery bypass graft surgery. the heart is normal in size. the mediastinal and hilar contours appear unchanged. hazy predominantly central opacification suggests mild fluid overload, and streaky new right basilar opacities can probably be attributed atelectasis. there is no definite pleural effusion or pneumothorax. there is no free air.
abdominal pain. history of diverticulitis.
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the og tube tip is off the film, at least in the stomach. the et tube and left ij line are unchanged. there continues to be rotation to the right obscuring some of the right lower lobe with apparent mediastinal shift to the right. there continues to be vascular engorgement with alveolar infiltrate
<unk> year old woman with esrd, afib, mrsa bacteremia, s/p intubation, now ogt placement // assess for ogt placement
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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. fixation hardware of the lower cervical spine is incompletely imaged.
chest pain.
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et tube tip is seen <num> cm from the carina. enteric tube tip is within the stomach, the side-port is proximal to the ge junction and should be advanced. the lungs are clear without focal consolidation or large effusion. no visualized pneumothorax on this supine film. calcification projects over the right clavicular head, potentially calcified pulmonary nodule or lymph node. chronic right posterior rib fractures are noted. there is also chronic appearing deformity of the proximal right humerus.
<unk>f with intubated // ett placement, pna?
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the cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax. surgical clips project over the expected location of the thyroid gland. surgical changes are also present in the right humeral head.
<unk>f with sob // eval pneumonia
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low lung volumes are noted with secondary left basilar atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with ?seizure, undergoing infection workup // eval for pneumonia
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pa and lateral views of the chest provided. there is a similar pattern of linear density in the right perihilar region which may represent a focus of scarring. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. the heart size is normal. the mediastinal contour is prominent which could be due to an unfolded thoracic aorta. imaged osseous structures appear intact. no free air below the right hemidiaphragm.
<unk>m with confusion, weakness, // eval for ich, pna
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left picc tip terminates in the mid svc. no pneumothorax is demonstrated. cardiac, mediastinal and hilar contours are normal. lungs are clear, though the right costophrenic angle is excluded from the field of view. no left-sided pleural effusion is demonstrated. no acute osseous abnormality is seen.
history: <unk>m with left picc placement
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the cardiomediastinal silhouettes are stable, demonstrating a tortuous thoracic aorta. the cardiac silhouette is within normal limits. the bilateral hila are unremarkable. left brachiocephalic stent is again noted. there are low lung volumes. there is no focal consolidation. there is no evidence pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>f with shortness of breath, evaluate for acute process.
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assessment is limited by patient positioning and rotation. there are low lung volumes. mild to moderate enlargement of the cardiac silhouette is grossly unchanged. the aorta appears diffusely calcified. the mediastinal and hilar contours are not substantially changed in the interval. crowding of bronchovascular structures is noted and mild pulmonary vascular congestion is likely present. streaky opacities in the lung bases may reflect areas of atelectasis. no large pleural effusion or pneumothorax is present.
history: <unk>f with dyspnea, dysphagia and productive cough
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frontal and lateral chest radiographs demonstrate a dialysis catheter with the tip terminating in the mid svc. the cardiomediastinal silhouette is unchanged. pulmonary edema is similar to <unk>, but improved from <unk>. left base atelectasis is also improved. there is no pleural effusion or pneumothorax. no clear sternal fracture is identified.
status post cardiac arrest requiring compressions, with a tender sternum for the past several days and now rising leukocytosis. evaluate for acute process.
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the patient is status post median sternotomy. median sternotomy wires are intact and well aligned. there is evidence of prior cabg. the cardiac silhouette is stably enlarged. the mediastinal and hilar contours are not significantly changed since prior examinations. similar to prior examinations, there is an area of scarring and small pleural effusion obscuring the right lung base, which is unchanged since prior examinations. no definite consolidation is noted. there is no pneumothorax.
<unk>f with chf, doe, gi bleed, bloated and diffusely tender abdomen // eval ? free air, edema
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heart size is normal. the mediastinal and hilar contours are normal. the left pulmonary vasculature is normal. there is a large right pleural effusion with complete atelectasis of the right middle and lower lobes. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with alcoholic cirrhosis and right hydrothorax // evaluate effusions
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pa and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with chest pain. question acute process.
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pa and lateral views of the chest are compared to previous exam from <unk>. biapical right greater than left pleural-based scarring is again noted. the lungs are otherwise clear without consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with left hand numbness. question infection.
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as compared to the prior examination, there has been interval removal of a right internal jugular central venous line. a left ij hemodialysis catheter is unchanged in position. there is a new retrocardiac, left lower lobe opacity obscuring the left hemidiaphragm. a left small pleural effusion is stable. the patient is status post sternotomy, and the cardiomediastinal silhouette is stable.
<unk> year old woman with angina // ?interval changes
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lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart is top-normal in size. mediastinal contour and hila are unremarkable. limited assessment of the upper abdomen is unremarkable. no free intraperitoneal air.
<unk> year old man with epigastric pain, nausea, and vomiting. assess for free air under the diaphragm
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right apical scarring is unchanged since <unk>. blunting of the left costophrenic angle is likely due to atelectasis versus scarring. the lungs are otherwise clear. cardiac silhouette is mildly enlarged. no acute osseous abnormalities.
<unk>f with ams, cough // eval for pna
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lung volumes are low. central pulmonary vascular congestion has increased, now moderate. no large pleural effusion, pneumothorax, or lobar consolidation. moderate cardiomegaly is unchanged.
history: <unk>m with ronchi on lung exam // eval for pna
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there is prominence of the pulmonary vasculature bilaterally. small bilateral pleural effusions, left greater than right, are larger since the study of <unk>. adjacent atalectasis at the left base has progressed. the heart is poorly visualized due to low lung volumes, although there is likely mild cardiomegaly. the mediastinal and hilar contours are normal. there is no pneumothorax.
dyspnea and orthopnea. evaluate for congestive heart failure.
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cardiomediastinal contours are normal, and lungs and pleural surfaces are clear.
<unk> year old woman with dissection and ha // r/o infection
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a small quantity of free air can be seen under each hemidiaphragm. there is a small pleural effusion on the right. it is difficult to exclude a very small pleural effusion on the left side. the lungs appear clear. bony structures appear within normal limits.
right-sided pain and fever status post surgery.
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compared to the prior study there is no significant interval change.
<unk>f w/ hx of dm, htn, with empymea on the left, sepsis hyponatremia, hyperkalemia // eval for pleural effusion
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lung volumes remain low, particularly on the right where there is blunting of the costophrenic angle consistent with a small pleural effusion. the right-sided chest tube is unchanged in position, post lateral chest wall. no pneumothorax seen. the cardiomediastinal contour is unchanged. no consolidation seen.
<unk> year old man with chest tube post stab wounds. // r/o pneumonia post ct water seal
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portable upright view of the chest demonstrates low lung volumes. there are diffuse bilateral airspace opacities, which have progressed since prior. small focal consolidations are seen in the right lung base abutting the right cardiac border. no pleural effusion is seen. there is no pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is mildly enlarged. partially imaged upper abdomen is unremarkable.
shortness of breath, assess for pneumonia.
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. the lungs are hyperinflated. the cardiomediastinal silhouette is unremarkable.
diffuse low-pitched wheezes and cough.
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interval removal of right ij swan-ganz catheter and ett and ng tube. right ij sheath is noted with tip in the upper svc. a left ij catheter with tip in the proximal right atrium. decreased bilateral lung volumes post extubation with mild increase in bilateral lung densities. cardiac size is normal. unchanged bilateral interstitial markings consistent with patient's known chronic pulmonary fibrosis. there is no pneumothorax or pleural effusion.
<unk> year old woman with scleroderma-related ild, now with ahrf in setting of pulm edema/ stress cm, now with acutely worsening hypoxia in setting of likely mucus plugging. // evidence of new airspace disease
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chest pa and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. moderate cardiomegaly evident with crescentic density projecting in the expected location of the mitral valve, likely representing enlarged significantly calcified mitral valve. lungs are clear. no pleural effusion or pneumothorax evident. no narrowing of the trachea identified.
worsening hoarseness, concerning for malignancy. please include neck and evaluate for narrowing of the trachea.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with severe left chest pain radiating to neck, to back // ?cpd
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portable ap chest radiograph. right-sided tunneled hd catheter tip is in the mid svc. pulmonary vascular congestion and widening of the vascular pedicle are likely related to the patient's volume status, but there is no evidence of interstitial edema. there is no pneumothorax. the heart size is mildly enlarged. widening of the posterior right <unk> and <num>th ribs is unchanged from <unk> and probably is from a prior thoracotomy.
right tunneled subclavian line placed. evaluation for position.
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there is minimal interstitial prominence in the right lower lobe, stable in comparison to prior studies. otherwise, cardiomediastinal silhouette remains stably moderately enlarged. biventricular icd system appears stable. post-surgical changes are noted with mid sternotomy wires. the lungs are otherwise clear with no evidence of consolidation, effusion, or pneumothorax.
shortness of breath.
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the lungs are clear, there is no focal consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cough and fever // eval for pneumonia
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the lungs are clear with post-surgical changes and chain suture noted in the right mid lung. the lungs are obscured in part due to dense irregular calcified pleural plaques as seen on previous ct from <unk>. previously described interstitial edema has resolved. there is no pleural effusion or pneumothorax. median sternotomy wires and changes from prior mitral valve replacement are noted. the heart is normal in size. normal cardiomediastinal silhouette.
nausea and ekg changes. assess for cardiopulmonary abnormality.
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endotracheal tube tip in good position. enteric tube tip mid stomach. left ij central line tip in low svc/upper ra. bilateral perihilar, right basilar opacities, left lower lobe consolidation, stable. left pleural effusion, stable. right costophrenic angle is not included on this radiograph. shallow inspiration accentuates heart size which is enlarged.
<unk> year old woman with ng tube just placed // ng tube placement
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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 dizziness, headache
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this study is technically limited due to the patient's body habitus and positioning. allowing for this limitation, the lungs are hypoinflated, resulting in bronchovascular crowding, but there is no focal opacity suggestive of pneumonia. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are unchanged from the previous examination. cardiac size is unchanged.
patient with history of metastatic melanoma to the liver and worsening jaundice. evaluate for pneumonia.
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heart size remains moderately enlarged but unchanged. mediastinal contours are relatively stable. there is moderate pulmonary edema with perihilar alveolar opacities present, new from the prior. a moderate size right pleural effusion is increased in size compared to the prior exam. small left pleural effusion is likely present. bibasilar opacities, with more focal opacification in the right lung base, could reflect compressive atelectasis. no pneumothorax is identified. there are no acute bony findings.
chest pain.
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pa and lateral views of the chest provided. the trachea is midline. there is no evidence of pneumomediastinum. no radiopaque foreign body is seen. lungs are clear. 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 burning sensation in throat and foreign body sensation.
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pa and lateral views of the chest were obtained. the lungs are clear bilaterally without focal consolidation or congestive heart failure. no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no bony abnormalities. no free air below the right hemidiaphragm.
dyspnea.
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there is streaky left basilar atelectasis. the heart size is normal. no focal consolidation, pleural effusion, or pneumothorax. a leftward impression on the right aspect of the trachea raises the question of a right-sided aortic arch. incidental note of cervical spinal hardware.
<unk> year old woman s/p cervical fusion now with productive cough. evaluate for atelectasis or pneumonia.
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mild hyperexpansion of the lungs is again seen. mild right upper lobe opacity is identified, likely postprocedural in nature. no pneumothorax, focal consolidation, or pleural effusions.
<unk> year old woman with rul spiculated nodule s/p transbronch bx on right upper, also s/p bal rul // ptx?
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dual-chamber pacemaker device is noted in the left chest with leads terminating in the right atrium and right ventricle. the heart is mildly enlarged. atherosclerotic calcification of the aorta is noted. mediastinal and hilar contours are otherwise unremarkable. lungs appear mildly hyperinflated. no pulmonary vascular engorgement is seen. left basilar opacification is noted, with a small left pleural effusion . no pneumothorax is seen, and there is no right-sided pleural effusion. loss of height of several thoracic vertebral bodies is age indeterminate.
dyspnea, fever, cough and new oxygen requirement.
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cardiac silhouette is severely enlarged. the patient is status post median sternotomy. there is minor atelectasis the right lung base. no pleural effusion or pneumothorax. no evidence of pneumonia.
history: <unk>m with chest pain after recent open heart surgery avr and aneurysm repair // eval pna //history: <unk>m with chest pain after recent open heart surgery avr and aneurysm
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications seen at the aortic arch. the thoracic aorta is tortuous. surgical clips seen in the upper abdomen. no acute osseous abnormalities identified.
<unk>-year-old female with history of coronary artery disease with new svt and chest pressure.
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chest, portable. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman with fever, hypoxia, and cough. evaluate for pneumonia.
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the cardiomediastinal and hilar contours are stable with mild tortuosity descending aorta. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. surgical clips project over the left axilla, new since the prior radiograph. the upper abdomen is unremarkable.
<unk>f with dizziness, sob found to be in afib with rvr.
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old man s/p cabg // post-op baseline post-op baseline
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there is unchanged appearance of mildly enlarged mediastinal silhouette likely secondary to tortuous and dilated thoracic aorta, with stable minimal calcifications seen. again seen is significant enlargement of cardiac silhouette, with unchanged marked lateral movement of right heart border suggesting right ventriculomegaly, better seen on prior ct, stable in appearance. there is evidence of small pericardial effusion better appreciated on prior ct. the bilateral hila are normal. the right basilar opacity previously noted has resolved. there are stable small bilateral pleural effusions as seen on prior ct exam. there are no new focal lung consolidations. there is no evidence of pulmonary vascular congestion. there is no pneumothorax
<unk> year old man with need for v/q // eval for pulmonary process
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single portable view of the chest is compared to previous exam from <unk>. linear left basilar opacity is seen most suggestive of atelectasis especially given elevation of the left hemidiaphragm. the lungs are otherwise clear. the cardiomediastinal silhouette is stable denoting a tortuous aorta. degenerative changes noted at the left glenohumeral joint and bilateral acromioclavicular joints.
<unk>-year-old female with new onset of seizure and left extremities with old right-sided mca.
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in comparison with the study from <unk>, an enteric tube extends at least the level of the distal esophagus. the tube cannot be followed beyond the lower esophagus do the overlying soft tissue and scatter radiation. otherwise, little change compared to prior study.
<unk> year old man with septic arthritis s/p washout, now with renal failure and persistent respiratory failure-- og tube pulled out this am and now re-advanced // ? placement of og