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MIMIC-CXR-JPG/2.0.0/files/p14042163/s57927226/730674cd-0b6752f8-d4296b0d-1af68d0e-5ba93303.jpg
the right-sided picc and port-a-cath are unchanged in positioning. there are bilateral pleural effusions, right greater than left, which are unchanged in size compared to the prior. the cardiomediastinal silhouette is stable. there is mild pulmonary edema. there is no pneumothorax.
<unk> year old woman with bilateral pleural effusions with worsening wheezing and hypoxia // eval re: volume overload, pleural effusions
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the heart is normal in size. the descending thoracic aorta is tortuous. there is no pleural effusion or pneumothorax. the right hemidiaphragm is mildly elevated. the lungs appear clear.
dizziness.
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there is minimal central pulmonary vasculature engorgement. no focal consolidation is seen. there is no large pleural effusion. no evidence of pneumothorax is seen. the aorta is calcified and tortuous. the cardiac silhouette is not enlarged. there is apparent narrowing of the distal trachea just above the level of the carina for which further evaluation with chest ct is recommended.
tachycardia and syncope.
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as compared to the prior examination dated <unk>, there has been no significant interval change. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are detected.
history: <unk>f with chest pain radiating down the left arm. // desire for pneumonia or other intrathoracic causes of chest pain.
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cardiac, mediastinal and hilar contours are unchanged with similar prominence of the main pulmonary artery. prominent interstitial markings are again demonstrated bilaterally which are similar compared to the previous exam, without evidence of overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. remote right-sided rib fracture is again seen.
chest pain and dyspnea on exertion.
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cocaine chest pain // eval for acute cardiopulmonary process
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there are low lung volumes which accentuate the bronchovascular markings. given this, there may be mild bibasilar atelectasis. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
dyspnea, fevers, vomiting, chest pain.
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pa and lateral chest radiographs are provided. the lungs are well expanded. there is no focal consolidation or pneumothorax. blunting of the posterior costophrenic angles suggests small efusions. elevated left hemidiaphragm is unchanged. cardiomediastinal silhouette is unchanged. upper abdomen is unremarkable. a rounded density projecting over the middle of the mediastinum is external to the patient.
diplopia. evaluate for cardiopulmonary process.
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ap and lateral views of the chest. bibasilar atelectasis is mild. no pleural effusion or pneumothorax. moderate cardiomegaly, severe pulmonary artery dilatation and moderate pulmonary vascular congestion are similar.
fever, rigors, evaluate for infiltrate.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with confusion, weakness // eval for pna
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<unk>, there has been interval accumulation of now moderate pleural effusion on the left with associated left basal atelectasis. the right pleural effusion also has increased since <unk>. the upper lungs are clear. the hilar and mediastinal silhouettes are unchanged. right-sided infusion port terminates cavoatrial junction. a biliary is seen.
<unk>f with fever and sob and chest pain // pna?
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the heart is top-normal in size, accentuated on the expiratory view. otherwise, the lungs are clear. there is no evidence of pneumothorax or pleural effusion. hilar surfaces are unremarkable.
<unk> year old man with fall from <unk> ft last night found to have b/l small pneumo on imaging
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no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
<unk>-year-old male with heart palpitations, evaluate for infiltrate, cardiac abnormality.
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right upper extremity picc is not seen beyond the right pacer battery pack at the level of the right axillary vein. left base atelectasis is seen. the cardiac floor meta remains enlarged. cardiac and mediastinal silhouettes are stable. no definite focal consolidation a large pleural effusion. no pneumothorax.
history: <unk>m with rue picc // picc placement
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frontal and lateral views of the chest demonstrate slightly hyperexpanded lungs. airspace opacities are seen in the right lung base, which project over the spine on the lateral view. additional small focus of opacity in the left lung. there is no pleural effusion. no pulmonary edema. hilar and mediastinal silhouettes are unchanged. heart size is normal. partially imaged upper abdomen is unremarkable.
cough for two weeks.
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a single-lead pacemaker device appears unchanged with a single lead terminating in the right ventricle. the cardiac, mediastinal and hilar contours appear stable. the heart is normal in size. there is no pleural effusion or pneumothorax. the lungs appear clear.
myotonic dystrophy, status post icd placement, presenting with chest pain.
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heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. the pulmonary vascularity is normal. no pleural effusion or pneumothorax is demonstrated. small focus of calcification adjacent to the left humeral head may reflect calcific tendinopathy.
dyspnea.
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the lungs are hyperinflated. there is no focal consolidation. the cardiac silhouette is normal. there is mild bulging of the right mediastinal contour for, likely secondary to the ascending aorta. there is no pleural effusion or pneumothorax. mild degenerative changes of the thoracic spine.
<unk>m with cough, evaluate for pneumonia..
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since <unk>, left upper lobe pneumonia is improved, small left pleural effusion is resolved, small right pleural effusion is unchanged, and residual atelectasis persists. left perihilar consolidation in the region of known small cell lung cancer is unchanged. mildly improved aeration of the lungs, particularly the left, is seen compared to last exam. unchanged positioning of the left bronchial stent. the right picc line has been removed. the heart size is normal. no pneumothorax.
lul post obstructive pna, on abx // any improvement in aeration?
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax.
epigastric and chest pain radiating to the back.
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single ap upright portable view of the chest. external artifact overlying the right chest makes evaluation slight suboptimal. lung volumes are relatively low. there is prominence of the bilateral pulmonary vasculature, worrisome for pulmonary edema. more focal areas of patchy opacity in the right lung as compared to the left could be due to asymmetric pulmonary edema, but infection or aspiration or not excluded in the appropriate clinical setting. no large pleural effusion is seen although a small pleural effusion is difficult to exclude. there is no evidence of pneumothorax. cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are grossly unremarkable.
history: <unk>f with sob // eval for consolidation
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cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. patchy left lower lobe opacity is concerning for infection. no pleural effusion or pneumothorax is seen. there are mild multilevel degenerative changes noted in the thoracic spine.
history: <unk>m with cough
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. costochondral calcification is seen bilaterally, most notably on the right. . the cardiac silhouette remains enlarged. the aorta is tortuous. surgical clips were again noted in the epigastric region, at the level of the gastroesophageal junction.
history: <unk>f with dizziness and dementia // eval for pna
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bronchiectasis is noted in the right lower lobe. right lower lobe opacity is likely atelectasis. there is no consolidation, pneumothorax, or large pleural effusion. cardiac silhouette is mildly enlarged.
<unk> yo m c<num>-c<num> tetraplegia s/p distant mva, osa on home cpap, copd not on home o<num> p/w severely worsening sob since midnight after feeling unwell for <num> week. // ?acute interval changes in pulmonary status
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is a patchy medial right infrahilar opacity most suggestive of minor atelectasis. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax. the bony structures are unremarkable.
neck mass.
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multiple support devices have been removed in the interim. the dobhoff tube tip projects chest the low the ge junction in the proximal stomach, advanced from the prior exam. there is mild elevation of the right hemidiaphragm with right lower lobe atelectasis. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. extensive multilevel degenerative changes with anterior osteophytes in the visualized thoracic spine are noted.
<unk> year old woman with tachycardia, sob, hypoxic ; evaluate for etiology.
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left chest wall port is again seen. relatively low lung volumes are noted but the lungs are grossly clear. the cardiomediastinal silhouette is within normal limits. there is no pneumothorax.
<unk>m with chest pain // acute cardio plum disease
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified. there is no free air under the right hemidiaphragm.
history: <unk>f with cp/sob // r/o infectious process
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compared to the prior study there is no significant interval change.
<unk> year old man with as s/p tavr, copd on <num>l o<num>, sclc s/p rfa with copd exacerbation // interval change
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lines and tubes: ett tip is approximately <num> cm above the carina. enteric tube passes into the stomach with the side port below the ge junction and the tip out of view. right ij venous line tip is in the lower svc. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. left retrocardiac opacity is not significantly changed. no pleural effusion or pneumothorax.
<unk> year old woman with epidural abscess, respiratory failure // intubated
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significant increase in cardiomegaly is concerning for hemopericardium. there has been slight increase in bilateral pleural effusion with increase in right hilar prominence and right-sided atelectasis. there has been interval extubation of the patient. swan-ganz catheter is seen in place, now advanced into the right pulmonary artery. there are stable low lung volumes with no evidence of new pneumothorax.
<unk>-year-old male status post cabg revision, now with dropping hematocrit.
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minimal right pneumothorax with both apical and anterior components is unchanged. apical pigtail drains and posterior lateral right lower thoracostomy tubes remain in unchanged position. minimal right pleural effusion and atelectasis is unchanged. left lungs grossly clear. mediastinal and hilar contours are stable. heart size is normal.
<unk> year old woman with acute resp distress // r/o ptx
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with fever and shortness of breath.
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frontal and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. cardiac silhouette is slightly enlarged. atherosclerotic calcifications noted at the aortic arch. severe degenerative changes seen at the left shoulder. there is no visualized displaced rib fracture.
<unk>-year-old female status post fall with rib pain.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
evaluation of patient with sudden chest pain.
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left-sided port-a-cath terminates in the low svc. new dense left lower lobe and lower under consolidation can be pneumonia and/or aspiration. there is likely adjacent pleural fluid. the right lung is clear. heart size is normal. no pneumothorax.
<unk> year old man with gastric cancer and now with altered mental status // ?pneumonia
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chain sutures project over the apex of the left lung as before. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
<unk> year old man s/p l vats, blebectomy now with fevers, chills, productive cough // evaluate for infiltrate
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linear retrocardiac opacity is seen and could potentially represent atelectasis however infection is not entirely excluded. multiple previously seen calcified conglomerate lymph nodes in the mediastinum and left hilum as seen on prior studies. there is no effusion, or pneumothorax. no evidence of cardiomegaly. imaged osseous structures are intact. no evidence of free air below the diaphragm.
<unk>-year-old female with a history of aih on steroids and aza status post ex lap and drainage of intra-abdominal and pelvic abscesses in <unk> presents with ongoing abdominal pain and distention, leukocytosis, chills, and cough. evaluate for infectious process.
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ap portable upright view of the chest. there has been interval intubation with the tip of the endotracheal tube positioned <num> cm above the carina. the right upper extremity access picc line is unchanged. there is increasing bibasilar atelectasis.
history: <unk>m with ett tube, pls eval placement //
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ap view of the chest. there is persistent right basilar opacity compatible with a pleural effusion noting that underlying atelectasis or consolidation are also possible. pulmonary vascular engorgement is seen. regions of more confluent opacity also seen at the left lung base. cardiac silhouette is enlarged but unchanged. no acute osseous abnormalities detected.
<unk>-year-old male with fever and hypoxia.
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the cardiac, mediastinal and hilar contours appear stable. the lungs appear clear. there are no pleural effusions or pneumothorax. the chest is hyperinflated. chronic-appearing right-sided rib deformities are unchanged.
shortness of breath and cough.
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as compared to prior chest radiograph from <unk>, there is increased density of a left perihilar opacity and there is reaccumulation of left pleural effusion. right lung is clear. there is no evidence of pneumothorax. cardiomediastinal and hilar contours are unchanged. sternotomy and mediastinal clips are intact.
<unk>-year-old male patient with history of cad, loculated pleural effusion, status post thoracentesis on <unk>, complaining of shortness of breath. study requested for evaluation of pneumothorax.
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old woman with elevated wbc // wbc <unk>.<num> ? pna vs atelectasis wbc <unk>.<num> ? pna vs atelectasis
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et tube tip is <num> cm from the carina. enteric tube seen within the stomach. low lung volumes are noted with secondary bibasilar atelectasis. cardiomediastinal silhouette is within normal limits for technique and positioning. spinal stimulator seen at the lower thoracic level.
<unk>f with hypotension and intubated // ett placement?
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the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unchanged. the heart remains enlarged which may reflect cardiomegaly or pericardial effusion. a single lead pacemaker is present. no pneumothorax, pleural effusion, consolidation, or evidence of pulmonary edema.
history: <unk>f with sob // edema
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single portable view of the chest. low lung volumes are seen with secondary crowding of the bronchovascular markings. left chest wall port is seen with catheter tip within the right atrium. there is no large confluent consolidation or large effusion. calcified bilateral hilar nodes are identified. cardiomediastinal silhouette is within normal limits for technique and low inspiratory volume.
<unk>-year-old female with chest pain.
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. upper thoracic dextroscoliosis is mild.
<unk>-year-old male with acute onset of dyspnea and chest pain.
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the lungs are clear.heart size is top normal. mediastinal contours are normal.no pleural abnormality is seen.
<unk> year old woman with multiple sclerosis presenting with a <num> week history of progressive leg weakness , and chills. evaluate for infection.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. surgical clips project over the left lateral chest wall, and patient is status post left mastectomy. no acute osseous abnormality is identified.
<unk>-year-old female with breast cancer, on cycle <num> day <unk> of docetaxel and cyclophosphamide, presents with fever.
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the cardiomediastinal silhouette is stable compared with <unk> study with a top normal heart size and widened superior mediastinum secondary to known thyroid mass. bilateral moderate layering pleural effusions and bibasilar atelectasis, left greater than right, appears stable when compared with the most recent study. small pulmonary vascular congestion is stable. ett appears to have been advanced further when compared with <unk> study now projecting <num> cm superior to the carina.
<unk> year old woman with copd, gerd, and active tobacco who presented with paratracheal mass with airway compromise now s/p left thyroidectomy being managed in the icu following her procedure // hypoxia on abg. interval change
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supportive a monitoring equipment is unchanged in appearance when compared to the prior study. assessment of the cardiomediastinal contour is limited by technique but appears grossly unchanged. lung volumes remain low. the previously demonstrated mild pulmonary edema appears to have improved slightly however there is persistent prominence of the pulmonary vascular consistent with mild congestive heart failure.
<unk> year old man with hx uc s/p colectomy/end ileostomy in <unk>, h/o gib <unk> no clear source p/w <num>days brb in ostomy now s/p exlap revision stoma (<unk>), exlap resite ostomy (<unk>) in sicu for management of septic shock. // please eval for interval change
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portable upright chest film <unk> at <time> is submitted.
<unk> year old woman with recent tension pneumothorax s/p removal of chest tube. // r/o pneumothorax, acute process r/o pneumothorax, acute process
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compared to prior chest x-rays there is improvement of the bilateral opacification especially in the right lung for reduced vascular congestion. ventilation of the left base is improved for reduced atelectasis. there is no pleural effusion or pneumothorax. reticular changes with mild hyperlucency in the upper lobes is for emphysema. cardiac size is normal.
<unk> years old woman with pulmonary edema. evaluation of pulmonary edema.
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in comparison with study of <unk>, there is again diffuse chronic scarring and interstitial changes, consistent with the clinical diagnosis of sarcoidosis. no evidence of acute focal pneumonia. no evidence of pleural effusion.
sarcoidosis.
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the cardiac, mediastinal and hilar contours appear stable. lung volumes are low. the course of a right-sided picc line is difficult to follow within the mediastinum due to incomplete penetration of soft tissue structures. it passes at least into the upper superior vena cava, its tip not visualized on this study. there is probably a small pleural effusion on the left and in any case hazy opacification which could be seen with either atelectasis although potentially pneumonia. there is similar mild perhilar vascular engorgement. however, there has been no significant change.
altered mental status.
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ap upright and lateral views of the chest provided. a port-a-cath resides over the right chest wall with catheter tip in the region of the mid svc. lung volumes are low though allowing for this the lungs appear clear. no convincing signs of pneumonia, edema, effusion or pneumothorax. the heart and mediastinal contours appear normal and stable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with hx of neuromyelitis optica presenting with worsening weakness. r/o infection
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>m with htn, hld presenting with dizziness // evidence of infiltrate
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. eventration of the bilateral hemidiaphragms is incidentally noted.
history: <unk>m with chst pain // chest pain
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with stroke // ?pulm edema ?pulm edema
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cp // eval for ptx
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the heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with new onset atrial fibrillation. rule out chf or pneumonia.
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pa and lateral chest radiographs demonstrate severe cardiomegaly. however, there is no focal consolidation, pulmonary vascular congestion (unlike prior radiograph), or pneumothorax. the cardiac, hilar and mediastinal contours are normal. small pleural effusions noted.
desaturation on room air. evaluation for pneumonia.
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the inspiratory lung volumes are slightly decreased. streaky opacities in the right lung base greater than the left are compatible with atelectasis. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits allowing for low lung volumes. no acute osseous abnormality is detected.
chest pain, here to evaluate for acute cardiopulmonary process.
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right-sided port-a-cath terminates in the upper to mid svc without evidence of pneumothorax. no focal consolidation is seen. there is no pleural effusion. cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>f with fatigue, cough // ? pneumonia
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left-sided picc tip terminates in the svc. the heart size is moderately enlarged. the aorta is unfolded. the pulmonary vascularity is normal. minimal blunting of the left costophrenic sulcus posteriorly is compatible with a trace left pleural effusion. no focal consolidation or pneumothorax is present. there are no acute osseous abnormalities.
poor swallowing, cough, lethargy.
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there is partial silhouetting of the left hemidiaphragm without a confirmatory opacity identified on the lateral view. the lungs are otherwise clear lungs are clear. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
productive cough, evaluate for pneumonia.
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the cardiomediastinal and hilar contours are within normal limits. a retrocardiac opacity correlates with a subtle haziness projecting over the posterior lung bases on the lateral view. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with high fevers and cough // ? infiltrates
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the known rib fractures are not visualized on the plain radiograph, and better evaluated on the ct of the torso.
hypoxia. evaluate for pneumonia.
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ap and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormalities identified. please note lateral view is limited secondary to patient's arm being down by his side.
<unk>-year-old male with altered mental status.
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the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. streaky opacities in the left mid lung are most consistent with minor atelectasis. the right hemidiaphragm is mildly elevated but unchanged.
chest pain. history of coronary bypass surgery.
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as compared to chest radiograph from <unk>, increasing lower lobe opacities with low lung volumes. no interstitial pulmonary edema. the cardiac silhouette is not enlarged. no pleural effusions or pneumothorax. support devices remain in similar position with the ett <num> cm from the carina.
<unk> year old woman with sah, intubated // hypoxic, assess causes
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pa and lateral views of the chest were obtained. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal and hilar contours appear normal. the bony structures are unremarkable.
left-sided chest pain. rule out effusion, pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
history: <unk>f restrined driver of high speed mvc with airbag deployment, tenderness over r shoulder to anterior chest with point tenderness over the <num>th rib in the r midclavicular line // ?fractures
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. subpleural thickening at each lung apex appears unchanged. otherwise the lungs appear clear.
new left hemiparesis. question infection.
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new bibasilar atelectasis is seen with bilateral pleural effusions, left greater than right. previous right-sided picc line has been removed. the cardiac and mediastinal contours are normal. dobbhoff tube coils in the stomach and ends below the level of the radiograph.
<unk>-year-old woman with acute on chronic pancreatitis, now with increased shortness of breath, oxygen requirements. please evaluate for possible pleural effusion or pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. an upper lumbar interspace is moderately narrowed with subchondral sclerosis and small osteophytes. several mid thoracic levels appear mildly narrowed.
ataxia.
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the patient is intubated. the endotracheal tube terminates about <num> cm above the carina. an orogastric tube terminates near the inlet to the hemidiaphragm, probably in the distal esophagus. a left internal central jugular venous catheter terminates in the upper superior vena cava. the heart appears mildly rounded and perhaps enlarged. there is a pleural effusion on the left, probably small-to-moderate in size, with retrocardiac opacification, including air bronchograms, which is non-specific but often seen with atelectasis, although potentially aspiration or pneumonia could be considered. the right costophrenic angle is partly excluded, but visualized right lung fields appear clear.
post-cardiac arrest.
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frontal and lateral views of the chest were performed. no pleural effusion, pneumothorax or focal airspace consolidation. heart size is normal. mediastinal and hilar structures are unremarkable. as before, there is mild hyperexpansion of the lungs consistent with chronic pulmonary disease related to smoking.
chest pain and shortness of breath. evaluate for cardiopulmonary process.
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the new left-sided picc line ends in the mid svc. there is no pneumothorax. slightly increased opacification at the left lung base is likely due to atelectasis, but could represent early pneumonia. conventional pa and lateral chest radiographs are recommended if there are any clinical findings to suggest pneumonia. there is no pleural effusion or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
picc line placement
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for infiltrate in a patient with tachycardia and cough.
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pa and lateral views of the chest provided. left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle. mild bibasilar atelectasis noted. there is no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. the overall heart and mediastinal contours appear unchanged. bony structures are intact. no free air is seen below the right hemidiaphragm. there is a focal eventration again noted at the right hemidiaphragm.
<unk>m with increased doe and syncopal episode
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with r-arm parsthesias now resolved, delerium // evaluate for acute process
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present.
chest pain.
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lungs remain hyperinflated. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac, mediastinal and hilar contours are stable. no pulmonary edema is seen.
history: <unk>m with sob and cp for <num> days, // ?pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with ? chest pain // acute process?
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frontal and lateral views of the chest are compared to previous exam from <unk>. there is increased parenchymal opacity in the retrocardiac region confirmed on the lateral view. elsewhere, lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath and cough. review of medical records also reveals recent completion of antibiotic treatment for pneumonia.
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heart is top-normal in size. mediastinal contour is unremarkable. there is no large pleural effusion or pneumothorax. heterogeneous opacity in the paramedian right mid lung extends to the apex. the left lung is grossly clear. a left basilar nodules unchanged dating back to at least <unk>.
<unk>-year-old man with altered mental status, evaluate for pneumonia
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prior left picc is no longer visualized. there are persistent bilateral effusions, moderate on the left and a small on the right, similar to prior. increased interstitial markings throughout the lungs are likely due to chronic underlying interstitial process. peripheral patchy opacities are also visualized, right greater than left and are in a similar distribution to nodular opacities seen on prior ct. mild cardiomegaly is again noted. compression deformity of an upper thoracic vertebral body level was seen on prior but has likely progressed since <unk>.
<unk>f with right lower lobe crackles, o<num> desat // pna?
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pa and lateral views of the chest provided. volumes are low. allowing for this, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with dyspnea.
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the lungs are well inflated and free of consolidation. linear density seen in left base which could represent delete the atelectasis, not thought of importance. the heart is enlarged as it was in the past. no pleural effusion is noted. surgical clips noted in the right axilla
<unk>f s/p elective crani for l pfossa tumor via hypoglossal canal <unk>. + dysphagia, + dysphonia // ? evidence of aspiration
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the lungs are mildly hypoinflated with crowding of vasculature and left lower lobe atelectasis. triangular-shaped opacity along the right cardiophrenic angle is stable and consistent with prominent fat pad. the lungs are otherwise clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. a tortuous aorta with aortic arch calcifications are noted. visualized osseous structures are notable for a stable chest left cage deformity. partially visualized right shoulder replacement with stable superior subluxation of the left humeral head, unchanged since prior examination. stable mild anterior compression deformity of a mid thoracic vertebral body is noted.
<unk>f with congested cough > <num> week. assess for pneumonia.
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ap upright and lateral views of the chest provided. opacity in the right mid to lower lung is noted which is new from the prior exam and could reflect atelectasis versus pneumonia. a small adjacent effusion is difficult to exclude. left lung is grossly clear. heart size difficult to assess. mediastinal contour is grossly within normal limits. no pneumothorax. bony structures are intact.
<unk>f with cp, sob, history of cirrhosis // eval for pna
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the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. there is no free air beneath the right hemidiaphragm. a healed fracture at the left mid clavicle is noted. no acute osseous abnormality is detected.
history of polysubstance abuse, now with mild dyspnea, here to evaluate for acute cardiopulmonary process.
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compared to the prior radiograph, lung volumes remain low. streaky opacity in the left lung base is likely atelectasis, and similar to the prior radiograph. no focal opacity identified at the left lung base on concurrent ct. moderate cardiomegaly is unchanged. the mediastinal and hilar contours are stable. no pneumothorax is identified.
<unk>f with esrd on dialysis, dm, who presents with abdominal pain. rule out pneumonia.
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ap upright and lateral views of the chest provided. there has been interval removal of the dialysis catheter appearing there is mild pulmonary edema. no large effusion or pneumothorax. no overt signs of pneumonia though subtle opacity at the left lung base is noted which is thought to represent atelectasis. heart is mildly enlarged with subtle mitral annular calcifications noted. the aorta is unfolded with atherosclerotic calcifications again seen. the imaged bony structures appear grossly stable with multilevel degenerative changes in the imaged portion of the spine. there is a chronic compression deformity in the lower thoracic spine better assessed on prior ct abdomen pelvis.
history: <unk>f with weakness // eval for pna
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faint bilateral airspace opacities corresponding to multifocal pneumonia and bibasilar subsegmental atelectasis are not appreciably changed. the left picc line terminates in the low svc. there is no pneumothorax. the heart and mediastinum are magnified by the projection.
<unk> year old man with pneumonia, hypoxia // interval change
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the right lower lobe pneumonia has resolved. there is no new focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
followup for resolution of pneumonia.
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lines and tubes are unchanged in position. the cardiomediastinal silhouette is stable. there is a new patchy opacity at the right lung base which may reflect aspiration or a developing infiltrate. there is no congestive heart failure or pneumothorax.
left-sided intraparenchymal hemorrhage question interval change
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portable view of the chest was reviewed. again seen are median sternotomy wires as well as a prosthetic aortic valve, in standard positions. significant mitral annular calcifications are again noted. there is mild cardiomegaly, stable over the past <num> days. a left pleural effusion with underlying atelectasis obscures the left heart border. there is no pneumothorax. mild pulmonary edema is seen. slightly increased and more confluent interstitial markings in the right lateral mid lung may be indicative of an infectious process. alternatively, mitral regurgitation may result in asymmetric right upper lobe pulmonary edema from aberrant blood flow into the right superior pulmonary vein.
acute shortness of breath.
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patient is status post median sternotomy. mediastinal surgical clips are seen. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. the aorta is calcified and tortuous. no pulmonary edema is seen.
history: <unk>f with chest discomfort // eval for pna