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the cardiac, mediastinal and hilar contours appear stable including a focal rightward bulging mediastinal contour immediately above the right hemithorax earlier shown to represent a benign cyst. the heart is again mildly enlarged. the aorta is largely calcified. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are again present at the thoracolumbar junction.
weakness. question pneumonia.
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the heart size is within normal limits. the mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob, but no widening. the lungs are clear of consolidation. there is no large pleural effusion or pneumothorax. an old fracture is present at the distal left clavicle.
<unk>-year-old male with peripheral vascular disease, now here with right leg pain and white count and fever.
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the iabp has been removed. the tortuous heavily calcified thoracic aorta is unchanged. the cardiomediastinal silhouette is stable. pulmonary edema has resolved. minimal biapical pleural thickening is unchanged. there is no pleural effusion.
<unk> year old woman with nstemi s/p iabp // eval interval change, position of iabp
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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 male with left sided chest pain. evaluate for pneumonia, pneumothorax, congestive heart failure.
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the heart is probably at the upper limits of normal size. the aortic arch is calcified. there are heterogeneous but confluent bilateral hazy opacities, somewhat more extensive on the right than left. blunting of the right costophrenic sulcus suggests there may be a small effusion. there is no pneumothorax.
shortness of breath.
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since most recent prior radiograph a swan-ganz catheter, feeding tube, right ij central line have been removed and et tube hav been removed. lung volumes are low. there are now new bilateral large bibasilar opacities consistent with atelectasis. there are unchanged bilateral pleural effusions. there is new mild pulmonary edema. a right chest tube is in place. there are median sternotomy wires and stable moderate cardiomegaly.
<unk>-year-old woman status post avr, evaluate for effusion.
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the lateral aspect of the right chest wall is excluded from this exam. the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.
trauma status post mvc.
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low lung volumes are present. this accentuates the size of the cardiac silhouette which is likely top normal. mediastinal and hilar contours are within normal limits. there is crowding of the bronchovascular structures but no pulmonary edema is seen. patchy bibasilar airspace opacities likely reflect atelectasis, but aspiration cannot be excluded. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
altered mental status, concern for aspiration.
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extensive nodular densities project over the lungs bilaterally consistent with pleural plaques secondary to prior asbestos exposure. interval improvement of previously seen pulmonary vascular congestion and trace pulmonary edema stable right pleural effusion. with this improvement previously seen left mid lung airspace opacification since consistent with known pleural plaques.
<unk> year old man with dyspnea // assess for interval changes in lung fields
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ap portable upright view of the chest. single lead pacer projects over left chest wall with pacer lead extending to the region the right ventricle. the heart is mildly enlarged. hila appear congested. airspace opacity is seen projecting over the right lower lung which is concerning for pneumonia though given setting of trauma, contusion is difficult to exclude. no large effusion or pneumothorax. no convincing signs of edema. bony structures are intact.
<unk>f with fall, hemothorax w/ possible pulm lac
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portable ap upright chest radiograph was provided. midline sternotomy wires and mediastinal clips are again seen. the lungs are clear bilaterally. the cardiomediastinal silhouette appears grossly unremarkable. no large effusion or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with nausea, chest discomfort
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
cough and malaise. evaluate for pneumonia.
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there is a new chest tube in place, terminating along the lateral right upper hemithorax. coinciding with placement there has been marked decrease in a right-sided pneumothorax, which is now small. there may be trace fluid effacing the right costophrenic sulcus. the lungs appear clear. the cardiac, mediastinal and hilar contours appear stable.
follow-up of pneumothorax after pigtail placement.
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the heart size remains mildly enlarged. aorta is tortuous and calcified. mediastinal and hilar contours are unchanged, and the pulmonary vasculature is not engorged. lung volumes are low which causes crowding of the bronchovascular structures. patchy atelectasis in the left lung base is noted. no focal consolidation, pleural effusion or pneumothorax is present. there is diffuse demineralization of the osseous structures.
dementia, back pain.
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compared to <unk>, there has been interval resolution of intrafissural right-sided pleural effusion. no new focal opacity, pneumothorax or pleural effusion. the lungs are well expanded and clear bilaterally. heart size, mediastinal contour and hila are normal. aortic arch calcifications again noted. limited assessment of the bones are unremarkable.
<unk>-year-old male with shortness of breath. assess for chf.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old woman with sah <unk> intracerebral aneurysms s/p acom aneurysm coiling, course c/b hcap, now with elevated wbc and more frequent afib with rvr. // assess for pna/pulmonary edema assess for pna/pulmonary edema
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frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. the cardiomediastinal and pulmonary structures are unremarkable. blunting of the posterior costophrenic angle may represent a tiny pleural effusion, which is unchanged from prior studies. diaphragms are flattened, compatible with chronic obstructive lung disease. the patient is status post median sternotomy and cabg. there is no pneumothorax or consolidation to suggest infection. there are mild degenerative changes of the thoracic spine. the heart size is top normal.
hypotension, evaluate for infiltrate.
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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 chest pain.
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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.
history: <unk>m with transient ischemic attack// apical lung mass
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two-view chest provided. dual lead pacer again noted as are midline sternotomy wires. cardiomegaly is re- demonstrated with small bilateral pleural effusions and moderate pulmonary edema. difficult to exclude a superimposed pneumonia.
<unk>m with ams and cough on plavix
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the heart is borderline in size. the aorta is mildly tortuous. there is no pneumomediastinum. there is no pleural effusion or pneumothorax. the chest is hyperinflated. a focal area of opacification is noted in the right upper lobe as well as streaky retrocardiac opacification and vague opacity effacing the right lateral costophrenic angle. air beneath the right hemidiaphragm is consistent with intraluminal air in colon interposed immediately below the diaphragm.
dysphasia.
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lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pleural effusion, pulmonary edema, or pneumothorax. no focal consolidations are noted.
history: <unk>m with fever // ? pna
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again seen are diffuse, bilateral interstitial opacities, greater on the right than on the left, with central pulmonary vascular congestion and scattered bronchial wall thickening. the main pulmonary artery is enlarged, stable since prior examinations. there is likely a small left pleural effusion, persistent since prior examinations. ill-defined opacity in the right upper lung is likely a combination of fissural fluid and adjacent atelectasis. retrocardiac opacity may represent atelectasis, though infection is not excluded. a hiatal hernia is present. no pneumothorax is seen. rightward tracheal deviation may be positional.
history: <unk>f with sob // eval for pulm edema
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the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there is no visualized pneumomediastinum. no acute osseous abnormalities identified.
<unk>m with chest pain // pneumomediastinum
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pa and lateral views of the chest. the lungs are clear of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is no acute osseous abnormality detected.
<unk>-year-old female with new low back pain and cough. right chest tightness.
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compared with the immediate prior radiograph there has been interval reaccumulation of a large left pleural effusion with associated compressive atelectasis of the entire left lower lobe. a small amount of aeration is still seen within the left upper lobe with persistent left upper lobe opacities similar to the prior study, which may represent pneumonia, metastatic disease, or pulmonary hemorrhage. a small amount of air laterally may represent persistent aeration in the left upper lobe or a small locule of air within the effusion. there is a trace right pleural effusion. the right lung is otherwise clear. the cardiomediastinal silhouette is obscured by the large left pleural effusion.
<unk>f with cough and fever, evaluate for pneumonia.
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the lungs are clear without focal consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>m with cough x <num> days, wish to r/o pneumonia // ? pneumonia
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ap portable supine view of the chest. endotracheal tube projects over the thoracic midline with its tip located roughly <num> cm above the carina. an ng tube courses into the left upper quadrant. there is extensive confluent airspace consolidation within the right lung occupying the upper, mid and lower lung with sparing of the right apex. findings concerning for pneumonia or large volume aspiration. there is mild congestion at the left pulmonary hilum with left perihilar opacities which could also represent multifocal sites of pneumonia though <num> background edema difficult to exclude. the heart is top-normal though supine technique results in magnification. mediastinal contour unremarkable. no acute bony abnormalities.
<unk>m with hypoxia
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compared to the prior study there is increased bilateral pleural effusions, moderate on the left and small on the right. there is increased size of the cardiac silhouette. surgical clips consistent with prior thyroid surgery are unchanged. a stimulator with leads extending upwards is seen in the right chest wall. a second device is seen inferior to the first which appears new from prior.
history: <unk>f with fever, hypoxia // eval for pneumonia
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the cardiomediastinal contour is within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. however, there is <unk> increased opacity anterior to the hilum seen only in the lateral view.
<unk> year old man with cough, fever and chills for <num> months and history of <unk> year pack smoking. // evaluate for cough.
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moderate right pneumothorax is again visualized and is similar size compared to prior. the left pneumothorax is now larger than prior and is now moderate in size. bilateral pigtail catheters are again visualized. there has been partial re-expansion of the right lower lobe, but there is still rll volume loss medially. there is volume loss/infiltrate in the left mid lung laterally.
followup pneumothorax.
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portable upright chest radiograph <unk> at <time> is submitted.
ms <unk> is a <unk> yr old female with metastatic colon cancercurrently c<num>d<num> irinotecan/cetuximab who is admitted w/ worseningdyspnea on exertion, nausea and vomiting while on trip to <unk>.found to have dvt in <unk>, ct chest in ed showed increased pes. currently spiked fever to <num>. // any acute changes? pna? any acute changes? pna?
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infusion port projects over the left hemi thorax. catheter tubing is intact with tip in the right atrium, unchanged. cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. there is no consolidation or pleural effusion. there is no pneumothorax.
<unk> year old man with pancreatic cancer, port, some port pain // check port placement check port placement
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a single portable ap semi-upright view of the chest was obtained. heart is normal size and cardiomediastinal contours are unremarkable. lung volumes are low. there is no focal consolidation, large effusion, or pneumothorax.
<unk>-year-old man with chest pain.
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the cardiac, mediastinal and hilar contours appear unchanged. streaky right basilar opacification with volume loss suggests chronic atelectasis or scarring, also unchanged. there is potentially a small pleural effusion on the right, but no evidence for one on the left. there is no pneumothorax. as previously noted, the available ap view of the left shoulder suggests dislocation with possible healed or healing fractures suggested by irregular sclerosis along the margin of the glenoid.
mental status change. question pneumonia.
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there is no focal consolidation, pleural effusion or pneumothorax. mild streaky retrocardiac opacity is likely atelectasis. cardiomediastinal silhouette is unremarkable. osseous structures are intact.
<unk>-year-old man with right anterior chest wall and shoulder pain, rule out fracture or infiltrate.
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. there is no acute osseous abnormality.
<unk>f with weakness and confusion, evaluate for pneumonia..
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cardiomediastinal and hilar silhouettes are unchanged. there is likely streaky bibasilar atelectasis. lungs are otherwise clear without focal consolidation, pleural effusions, or pneumothorax. calcified aortic arch and mild to moderate degenerative changes of the thoracic spine are noted.
<unk>f with hx tias with left sided weakness/numbness. pneumonia?
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mild to moderate cardiomegaly is unchanged. the aorta remains calcified, with the mediastinal and hilar contours appearing otherwise unremarkable. there is no pulmonary vascular engorgement. lungs are clear. hyperinflation of lungs with flattening of the diaphragms suggests copd. no pleural effusion or pneumothorax is identified. there are mild degenerative changes in the thoracic spine. clips are seen within the upper abdomen. widening of the left acromioclavicular joint suggest prior trauma.
chest pain and history of congestive heart failure.
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pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain.
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the lungs appear hyperexpanded. there is mild increased pulmonary vascular congestion from <unk>. a small right pleural effusion is likely present with mild right basilar atelectasis. right base consolidation is not entirely excluded. no significant left pleural effusion or pneumothorax is detected. suture chain material and scarring in the left upper-to-mid lung zone is not significantly changed. multiple mediastinal surgical clips are compatible with history of cabg surgery. the cardiac silhouette is top normal in size but unchanged. the mediastinal and hilar contours are within normal limits with moderate tortuosity of the descending thoracic aorta. lobulation at the apex of the left hemi thorax along the mediastinal border is stable, residual of slowly resolving hematoma.
status post cabg, now with fever.
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there is unchanged severe cardiomegaly. mild pulmonary vascular congestion is present. there is no pleural effusion or pneumothorax. no focal consolidation is identified. a left chest pacemaker and leads are in unchanged positions.
<unk> year old woman with ?chf exacerbation with hepatic congestion and lv thrombus seen on echo- please evaluate for pulm congestion.
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there has been interval removal of the chest tube and endotracheal tube. no pneumothorax is seen. the patient is status post median sternotomy and cabg. a right central venous line ends in the lower svc. there is bibasilar atelectasis, and there is no focal consolidation or pleural effusions.
<unk> year old man status post cardiac surgery and pulling of chest tubes.
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the heart is moderate to severely enlarged. aortic knob calcifications are present. enlargement of the hila bilaterally may suggest pulmonary arterial hypertension. there is mild pulmonary vascular congestion. small bilateral pleural effusions are noted. no focal consolidation is seen. no pneumothorax is present. mild multilevel degenerative changes of the thoracic spine are present. additionally, severe degenerative changes of both glenohumeral and acromioclavicular joints are present with narrowing of the acromiohumeral intervals bilaterally suggestive of underlying rotator cuff disease.
confusion and cough.
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pa and lateral views of the chest. no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal.
syncope.
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frontal and lateral views of the chest were obtained. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old man with shortness of breath, palpitations, and leg swelling.
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is no free air beneath the right hemidiaphragm.
<unk>-year-old female with recent hemorrhoidectomy. now with a hemoglobin of <num>. evaluate for free air.
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small right pleural effusion has worsened. there is tiny left pleural effusion, stable. bibasilar opacities have developed, may represent atelectasis, consider pneumonitis or aspiration, particularly on the right. no pneumothorax. no pneumomediastinum. normal heart size, pulmonary vascularity. hyperexpanded lungs, suggesting chronic lung emphysema, stable. residual contrast in the stomach.
<unk> year old man with esophageal rupture, copd. // please evaluate for pneumomedistinum, s/p esophageal rupture.
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pa and lateral views of the chest were obtained. mediastinal contour including moderate cardiomegaly is stable. there is no focal consolidation, pleural effusion, or pneumothorax. no pulmonary edema.
<unk>-year-old woman with dyspnea and hypertension.
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ap upright 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. chronic widening of the right ac joint is unchanged. no free air below the right hemidiaphragm is seen.
<unk>f with increased confusion // r/o pna
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the lungs are well-expanded. a <num> x <num> cm opacity is seen projecting over the left lower lobe and may represent nipple shadow or a pulmonary nodule. lungs are otherwise clear. enlarged left pulmonary hilum is new since previous examination. heart size, mediastinal contour, and right hilum are unremarkable. no pleural effusion or pneumothorax. limited assessment of the osseous structures are within normal limits and upper abdomen is unremarkable.
<unk>f with sob, recent liver mets dx smoker pls eval for pna mets or effusion
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable.
<unk>m with r flank pain, negative ctu and ua.
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the lung volumes are slightly low. there is bilateral lower lung atelectasis. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. mild elevation of the right hemidiaphragm is not significantly changed.
acute shortness of breath and chest pain. evaluate for acute process, including <unk> <unk>'s hump <unk> <unk> sign.
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the lungs are hyperinflated but clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain, current cmv infection // ?cardiomegaly, pna, effusion
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the lungs are clear, without focal consolidation or pulmonary edema. no pleural effusion or pneumothorax. the heart size is normal. mediastinal contours, hila, and pleura are unremarkable. mild degenerative changes in the visualized thoracic spine, with endplate sclerosis and narrowing of the intervertebral disc space.
<unk> year old woman with productive cough, night sweats, and low o<num> sat ; evaluate for pneumonia.
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right-sided pacemaker device is noted with lead terminating in the right ventricle. moderate cardiomegaly is re- demonstrated. the mediastinal and hilar contours are similar. the pulmonary vasculature is minimally engorged. there are mild patchy opacities in the lung bases likely reflective of atelectasis. a trace left pleural effusion may be present. no pneumothorax is detected. no acute osseous abnormality is visualized.
history: <unk>f with hypoxia
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frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal allowing for low lung volumes. no displaced rib fracture is seen. no t-spine fracture is seen, although ct is more sensitive for detection of these.
mvc with back pain.
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new et tube is seen with tip <num> cm from the carina. peg tube projects over left upper quadrant. there has been rapid interval progression of bilateral perihilar opacities worrisome for edema. there is no obvious effusion based on this portable film. cardiomediastinal silhouette is within normal limits. chronic appearing right lateral ninth rib fracture is noted.
<unk>f with new ett // ett
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the heart is enlarged but likely exaggerated related to lower lung volumes. pulmonary vascular congestion is unchanged. the left hemidiaphragm is obscured secondary to a small left pleural effusion and increasing adjacent atelectasis though given patient's current symptoms a superimposed pneumonia cannot be excluded. no pulmonary edema or pneumothorax are seen.
<unk> year old woman with concern for pneumonia on previous imaging, now s/p diuresis. wbc slightly uptrending. // worsening vs resolution of infiltrate, vascular congestion
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the lungs are relatively well expanded and grossly clear. there is eventration of the right hemidiaphragm, with mild right basilar atelectasis. the heart size is top-normal in size, and the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
history: <unk>f with sob/cough fever. // r/o pna
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the lungs are relatively well inflated and clear. there is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity. the cardiomediastinal silhouette is stable.
<unk> year old woman with pmh mi many years ago, depression well-controlled presents complaining of l chest pain radiating to back // acute cardiopulmonary process
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a right-sided chest drain is in-situ. no pneumothorax seen. multiple well-defined lucencies seen in the right lung apex are consistent with paraseptal emphysema as seen on the prior ct chest. no consolidation or pleural effusion seen. the cardiomediastinal contour is within normal limits. visualized bony structures are unremarkable in appearance.
<unk> year old man with spont ptx s/p ct placement, change from suction to water seal // please eval for ptx; schedule for <num>am today
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increasing linear opacity in the left lung base may reflect atelectasis, however developing pneumonia is possible. there is small left pleural effusion. mildly enlarged cardiac silhouette is unchanged. lungs are hyperinflated.
<unk>f with recent pna here with n/v and leukocytosis // please eval for consolidation, effusion, etc.
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the cardiomediastinal silhouette is unremarkable. there is no pneumothorax. lung volumes are low. there is no focal consolidation.
history: <unk>m with fever, rigors. // assess for infiltrate
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax. no focal consolidation is seen. the visualized upper abdomen is unremarkable.
left lateral chest wall pain. evaluate for pneumothorax or obvious rib fracture.
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a right pleural drainage catheter is noted at the lung base. there is a residual small right pleural effusion. there is background is mild interstitial pulmonary edema. the heart size is unchanged. the mediastinal contours are stable. there is no pneumothorax.
<unk>f pod<num> from right pleurex catheter placement for pleural effusion p/w bleeding from site, evaluate for pleural effusion catheter placement.
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
evaluation of patient with cough.
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the cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged, and except for minimal streaky left basilar atelectasis, the lungs are clear of focal consolidations. no pleural effusion or pneumothorax is seen. hyperinflation of lungs is noted, with thoracic kyphosis and multilevel degenerative changes again seen in the thoracic spine. cholecystectomy clips are re- demonstrated in the right upper quadrant of the abdomen.
weakness for <num> days.
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endotracheal tube tip <num> cm above carina, new since prior exam. enteric tube coiled in the stomach, tip in the distal stomach/ proximal duodenum. shallow inspiration. linear band of atelectasis left lower lobe. minimal elevation right hemidiaphragm, more prominent. atherosclerotic calcification aortic arch. chronic left rib fractures, stable. remainder normal.
<unk> year old woman w respiratory failure, s/p repositioning of et tube // position of et tube
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the endotracheal tube is appropriately positioned. two enteric catheters course below the level of the diaphragm and out of the field of view inferiorly. there is mild to moderate bilateral mid to lower lung atelectasis and small pleural effusions, not significantly changed. a nodular opacity projecting over the right mid lung has a bandlike appearance on the preceding ct, likely worsening atelectasis. there is no pneumothorax. the heart size remains mildly enlarged.
septic shock, intubated, with cough and desaturation. evaluate for evidence of aspiration or mucous plugging.
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improved lung volumes bilaterally. interval increase in left pleural effusion and persistent small right pleural effusion. bibasilar opacities left greater than right is unchanged. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged. dual lead pacemaker with pacer leads in the right atrium right ventricle in expected positions.
<unk> year old woman with worsening lll consolidation // pneumonia, chf
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pa and lateral views of the chest provided. hilar congestion is noted with mild interstitial pulmonary edema. there are tiny bilateral pleural effusions. cardiomediastinal silhouette is stable. no pneumothorax. no convincing evidence for pneumonia. bony structures appear intact.
<unk>m with doe, anemia // evaluate for acute process
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the endotracheal tube is seen with tip approximately <num> cm from the carina. enteric tube tip in the gastric body although side port is likely proximal to the ge junction. patchy regions of consolidation are seen in the lungs bilaterally most conspicuous at the bases, left more than right. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with intubation // tube placement
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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>f with left sided cp // ptx?
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portable ap chest radiograph. upper lobe pulmonary consolidations representing pulmonary contusions on ct are improved. bilateral apical pneumothoraces seen on ct c-spine are too small to visualize on this modality. there is no pleural effusion. the cardiomediastinal silhouette is normal.
mvc with pulmonary contusions and cervical spine fractures. evaluation for interval change.
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single portable semi upright frontal chest radiograph demonstrates interval placement of an enteric feeding tube coursing mid line with side port at the level of the diaphragms and tip within the stomach. moderately well inflated lungs with persistent linear atelectasis. no pneumothorax. again seen is linear scarring in the lungs and pleural scarring, similar to previous examination. stable small left pleural effusion with scarring. no new focal opacity. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are within normal limits and upper abdomen demonstrates pneumobilia as seen on previous ct.
<unk>f with ngt. assess ng tube placement.
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the lung volumes are low, which leads to bronchovascular crowding. no focal consolidation is identified. the cardiomediastinal silhouette, hilar contours are stable. there is no pleural effusion or pneumothorax.
<unk> year old woman s/p kidney transplant in <unk> presenting with generalized malaise. please rule out pneumonia.
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there is been placement of a right internal jugular central line that terminates in the right atrium. endotracheal tube, a nasogastric tube are unchanged and appropriately positioned. compared to the prior study there is improved aeration and improvement in bilateral pulmonary opacities.
confirm line placement.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is identified. minimal degenerative changes are seen in the thoracic spine.
history: <unk>f with foreign body sensation after stepping on glass, shortness of breath
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
history: <unk>f s/p assault with chest discomfort // eval for ptx, fx
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lungs are grossly clear without focal consolidation. known pulmonary nodules in the right middle lobe and bronchiectasis are better appreciated on recent chest ct. the cardiomediastinal silhouette and hilar contours are unchanged with prominent epicardial fat at the right costophrenic angle. there is no pleural effusion or pneumothorax.
<unk>m with cf presenting for sudden onset cp wakng him up from sleep this morning. chronic cough not worse than usual. evaluate for pneumonia.
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the lung volumes are low. the heart is again borderline in size. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
altered mental status.
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all the monitoring devices are unchanged and in standard position. lung volumes are low with persistent opacification of the left retrocardiac space for atelectasis. there is minimal pleural effusion alongside the left posterior costovertebral space, better seen in the lateral. cardiomediastinal silhouette is unchanged with persistent mild cardiomegaly. there is no pneumothorax.
<unk> years old man with fever, diminished breathing sounds at the bases, postoperative day <num> status post whipple surgical procedure. assessment of acute infectious process.
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frontal and lateral views of the chest demonstrate low lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unchanged. mild cardiomegaly persists. mild perihilar vascular congestion is noted. retrocardiac opacities likely represents atelectasis.
chest pain.
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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. anterior fixation hardware overlying the inferior cervical spine is again noted. there is a left total shoulder arthroplasty.
evaluate for pneumonia in a <unk>-year-old woman with left-sided chest pain.
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ap and lateral radiographs of the chest demonstrates moderate-size right apical-lateral pneumothorax with no evidence of tension. the lungs are otherwise clear with no focal consolidation. the cardiac and mediastinal contours are normal. trace right pleural effusion.
chest pain. evaluate for pneumothorax.
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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 ruq pain // ? pneumonia
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there is no evidence of pneumothorax. cardiac size remains stable. persistent interstitial abnormalities are noted. the aortic knob is calcified and the aorta is unfolded.
<unk> year old woman s/p bronchoscopy // r/o ptx post bronch //<unk> year old woman s/p bronchoscopy
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the heart size is normal. the hilar and mediastinal contours are normal. there is a small amount of right-sided atelectasis. otherwise, the lungs are clear. no focal consolidation, pneumothorax or pleural effusions are seen. incidental note is made of unilateral degenerative changes in the mid-thoracic spine across two or three vertebral bodies, with osteophytes extending off the left vertebral border. the visualized portion of the vp shunt does not demonstrate any kinking.
<unk>-year-old male with cough and hypereosinophilia who presents for evaluation for a granulomatous lesion.
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<num> cm retrocardiac opacity seen on the lateral view interposed between the posterior wall of the left ventricle and the spine was also present on chest radiograph performed <unk>, but a subsequent chest ct scan on <unk> <unk> shows that there is no lung nodule or significant abnormality. this is presumably a pulmonary vein seen in partial cross section. lungs are clear. no pleural effusion or pneumothorax. severe cardiomegaly is unchanged. there is mild pulmonary vascular engorgement. mediastinal and hilar silhouettes are wise unremarkable.
history: <unk>m with cough // evaluate for pneumonia
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
chest pain.
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pa and lateral views of the chest. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. there are three compression deformities in the thoracic spine, which are grossly unchanged since the prior chest x-ray from <unk>.
<unk>-year-old male with chest pain and shortness of breath.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. there is status post left-sided upper lobectomy with commensurate mild degree of volume reduction of the left hemithorax. there remains some blunting of the left lateral pleural sinus, but there is no evidence of residual pleural effusion accumulating in the posterior sinus as identified on the lateral view. the on previous examination identified left-sided chest wall emphysema has disappeared completely. right hemithorax remains unremarkable as before.
<unk>-year-old female patient, status post left upper lobectomy, check interval change.
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mild enlargement of the cardiac silhouette is increased compared to the prior exam. the aorta is mildly unfolded. the mediastinal and hilar contours are otherwise unremarkable. there is no pulmonary edema. minimal patchy opacity in the right lung base likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. there is moderate multilevel degenerative changes noted in the thoracic spine.
history: <unk>f with right upper quadrant pain after fatty meal
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focal somewhat linear opacity at the right costophrenic angle is likely atelectasis. elsewhere, the lungs are clear. cardiomediastinal silhouette is stable. left chest wall dual lead pacing device is again noted. chronic left lateral rib fractures are noted. median sternotomy wires are intact. partially visualized stent seen in the abdomen.
<unk>m with new dyspnea on exertion // eval for acute cp process
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the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
chest pain. evaluate for infiltrate.
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the cardiomediastinal and hilar contours are stable. mild cardiomegaly. no vascular congestion or pulmonary edema. a left-sided pectoral chest wall pacer and dual leads are in stable position. a right lower lobe opacity is improving from the prior examination consistent with resolving right lower lobe pneumonia. no additional focal consolidations are identified. no pleural effusion or pneumothorax is seen.
<unk> year old man with rll infiltrate on cxr from <unk>. now s/p antibiotic treatment // r/u cxr to ensure resolution of infiltrate.
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as compared to chest radiograph from <num> day prior, insertion of a right-sided pigtail catheter with interval decrease in the moderate right-sided pleural effusion. no pneumothorax. the left lung is clear.
<unk> year old woman with hepatic hydrothorax, s/p tube placement, please eval for placement, pneumo // eval s/p chest tube placement
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the cardiomediastinal silhouette is stable, with a mildly tortuous thoracic aorta. new since prior radiograph from <unk> is hazy lower lobe airspace opacities likely affecting the right middle and left lower lobes, as well as the lingula. there is suggestion of mild pulmonary interstitial prominence with a central predominance, suggesting elevated pulmonary vascular pressures, without overt edema. there is no pneumothorax or sizable pleural effusion.
<unk>-year-old female with chest pain, dyspnea, cough, evaluate for pneumonia.
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again seen is the endotracheal tube with tip above the carina, ng tube with tip coiled in the stomach, a swan-<unk> catheter with tip in the right main pulmonary artery, a right subclavian picc line with tip in the lower svc, and a battery pack in the left chest wall with leads coursing superiorly towards the head. there is interval removal of the right central venous catheter and interval placement of <unk> <unk> catheter with tip extending beyond the diaphragm and beyond the inferior margin the film. there is volume loss in the left lower lobe consistent with collapse of the left lower lobe. there is also pulmonary congestion bilaterally. the cardiomediastinal and hilar contours are grossly unchanged. there is no pneumothorax.
<unk> year old man with year old male w/ pmh of seizures on <num> home aeds presents as transfer from osh for seizure management // <unk> catheter placement check / image chest and abdomen . please perform by <num> pm - thank you!