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there are low lung volumes. the heart size is mildly enlarged but this is accentuated by the presence of low lung volumes. the mediastinal and hilar contours are unchanged. previously noted orogastric tube has been removed. there is crowding of the bronchovascular structures, and the previous pattern of pulmonary edema has improved. small left pleural effusion has decreased from the prior study, and a probable trace right pleural effusion persists. minimal bibasilar atelectasis is noted. no pneumothorax is identified. there are no acute osseous findings.
new cough, shortness-of-breath, cirrhosis.
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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 cough // cough
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moderate left, mostly anterior, pneumothorax is unchanged compared to <unk> study though there is increased subcutaneous air of the left chest wall and shoulder. no mediastinal shift is seen. the cardiac silhouette is normal. the lungs are hyperinflated with flattening of the hemidiaphragms. left upper lung previously fluid-filled cystic abnormality is now evacuated and not present on today's study. the small left pleural effusion is stable. the right lung is clear.
<unk> year old woman s/p lung biopsy with pneumothorax // ?progression of pneumothorax
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ap upright and lateral views of the chest provided. left chest wall pacer device is again noted with leads extending to the region the right atrium and right ventricle. there is diffuse mild pulmonary edema. heart size remains mildly prominent. mediastinal contour is unchanged with atherosclerotic calcifications along the aortic knob. tracheobronchial tree calcification also noted. no large effusion or pneumothorax. clips in the upper abdomen noted.
<unk>f with sob // eval pneumonia vs chf
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heart size is normal. the patient is status post previous median sternotomy and coronary bypass surgery. right internal jugular catheter terminates in the lower superior vena cava, with no pneumothorax. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear except for linear scar in the lingula. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man s/p heart transplant with bandemia. r/o infection. please do it on <unk> in the am // pulmonary process
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the lungs are hyperinflated. no focal consolidation is seen. there is no pleural effusion or pneumothorax. there is mild central pulmonary vascular engorgement. the cardiac silhouette is mildly enlarged. mediastinal contours are stable and unremarkable. calcification along the right hemidiaphragm is again seen, consistent with a calcified plaque.
history: <unk>m with ams hypotension // eval for pna
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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. clips are noted in the right upper quadrant of the abdomen from prior cholecystectomy.
history: <unk>f with chest pain
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pa and lateral chest views were obtained with patient upright position. the heart size is normal. no configurational abnormality is identified. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is normal. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in apical area. skeletal structures of the thorax grossly within normal limits. our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with positive ppd, evaluate for tuberculosis for health employment form.
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the lungs are clear without focal opacity, pleural effusion or pneumothorax. the aorta is slightly unfolded. the cardiac silhouette is moderately enlarged.
<unk>-year-old woman with malaise.
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normal lungs, hila, mediastinum, pleural surfaces. heart size is top normal. partially imaged upper abdomen is unremarkable. mild carinatum configuration upper sternum.
chest pain. assess for pneumonia.
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the heart size is normal. the mediastinal and hilar contours are normal. lungs are clear. no pulmonary vascular congestion, pleural effusion or pneumothorax is identified. no acute osseous abnormality seen.
tachycardia, history of liver disease.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette remains mildly enlarged. mediastinal contours are stable. no pulmonary edema is seen.
<unk> year old man with actue onset left lower rib pain. // please eval for e/o fracture or ptx
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pa and lateral chest radiograph demonstrate clear lungs bilaterally. no focal opacity convincing for pneumonia are identified. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrates no acute abnormality. no air under the right hemidiaphragm is noted.
<unk>-year-old male with shortness of breath.
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there is no subdiaphragmatic free air. moderate cardiomegaly is unchanged. eventration of the right hemidiaphragm is again noted. bilateral pleural thickening, right greater than left is unchanged. there is no pneumothorax, overt pulmonary edema, or focal consolidation worrisome for pneumonia. scarring in the right lower lobe may be from chronic aspiration.
history: <unk>m with headache, nausea, vomiting // r/o pneumonia, free air
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et tube is approximately <num> cm above the carina. right ij central venous catheter terminates in mid svc. the enteric tube loops around and terminates in the stomach. moderate pulmonary venous congestion has slightly improved and no pulmonary edema. left lower lobe atelectasis is unchanged. no new consolidation. no pleural effusions or pneumothorax. heart size is top normal but unchanged. mediastinal silhouette is unchanged.
<unk> year old man s/p cardiac arrest, pna, high peep requirement // interval line placement, pulmonary edema
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dual lead left-sided pacer device is stable in position. the cardiac silhouette remains top-normal to mildly enlarged. mediastinal contours are unremarkable. there has been significant interval decrease in previously seen pulmonary opacities. minimal vascular congestion may persist. subtle right basilar opacity more likely relates overlap of vascular structures rather than focal consolidation.
history: <unk>m with c/o weakness with fever/chills // ? pna
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portable semi-supine radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. slight improvement in small right pleural effusion and adjacent atelectasis. interval collapse of the left lower lobe. no significant pleural effusion or pulmonary edema is seen. cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. tracheostomy tube ends <num> cm from the carina. left-sided subclavian central venous line ends in the cavoatrial junction. nasogastric tube is seen ending in the stomach. a second enteric tube is seen also ending in the stomach. large bore right-sided internal jugular central venous line ends at the mid svc. a right-sided midline ends in the axilla.
<unk>-year-old female status post traumatic liver laceration, now with respiratory failure. evaluate for interval change.
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the heart appears mildly enlarged. the mediastinal and hilar contours appear within normal limits. there are very small bilateral pleural effusions. there is no pneumothorax. the lungs appear clear. the chest is hyperinflated.
altered mental status and tachycardia.
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in comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
left upper back pain.
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frontal and lateral radiographs of the chest demonstrate moderate enlargement of the cardiac silhouette. the mediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax.
chest pain, rule out infection
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after thoracentesis there has been interval decrease of right base pleural effusion, now small. there is also new small pneumothorax at the right costophrenic angle. increased opacification at the right lung base is likely related to moderate post-procedural edema. the lung is otherwise clear except for linear opacity at the left lung base compatible with atelectasis. heart size still moderately enlarged.
<unk> years old man with right pleural effusion, right thoracentesis, evaluation of pneumothorax.
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no acute change or new consolidation. the right subpleural wedge-shaped and right hilar opacities are consistent with known carcinoma and hilar lymphadenopathy, unchanged from <unk>. bilateral lower lobe predominant reticular nodular interstitial abnormality is unchanged, better assessed on chest cta from <unk>. right upper lung and retrocardiac lucencies are consistent with underlying emphysema. left chest wall pacemaker is unchanged in appearance.
<unk> year old man with sclc p/w weakness, cough, leukocytosis and o<num> requirement // evaluate for infiltrate
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ap and lateral views of the chest demonstrate moderate-to-severe cardiomegaly, unchanged. cardiomediastinal contour is stable. lungs are clear. there is no pleural effusion or pneumothorax. the sternotomy wires, multiple surgical clips and degenerative changes in the spine are noted.
<unk>-year-old man with a history of lung cancer and pneumonia with midsternal chest pain with swallowing.
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the tip of the endotracheal tube is difficult to exactly discern, but appears to be appropriately situated at the level of the thoracic inlet, approximately <num> cm from the carina. enteric tube tip is within the stomach. as seen previously, there is continued extensive subcutaneous emphysema, pneumomediastinum, and a left basal lateral hydropneumothorax, all similar compared to the most recent previous study. cardiac and mediastinal contours are unchanged. scarring within the right hilar region is similar. patchy opacities in the lung bases appear more pronounced in the interval, and likely reflect aspiration or infection.
history: <unk>f with intubation
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pa and lateral views of the chest provided. the hila appear congested and there appears to be mild pulmonary edema. no convincing evidence for pneumonia. no large effusion or pneumothorax. heart size and mediastinal contour remain normal. bony structures are intact.
<unk>m with cough, immunosuppressed // any e/o pna?
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pa and lateral views of the chest provided. the extensive subcutaneous emphysema is noted. also noted is pneumomediastinum. no large pneumothorax. lungs appear relatively clear. heart size is normal. mediastinal contour is within normal limits. fracture of the right tenth posterior rib noted.
<unk>m with dyspnea, concern for ptx // eval for ptx
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mild pulmonary vascular congestion has increased. there is also fluid along the minor fissure and very small left effusion. the cardiac silhouette remains mildly enlarged. no acute focal consolidation. no pneumothorax.
<unk> year old woman with fever // fever work up. ?pna
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a large right pleural effusion has increased. a small layering left pleural effusion with associated left basilar atelectasis has also increased. mild pulmonary edema is unchanged. there is no pneumothorax. aortic arch calcifications are incidentally noted. the heart and mediastinum cannot be accurately assessed due to projection and obscuring pleural fluid.
<unk> year old man s/p lle angio // pulm edema, effusion
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. the lungs are clear. minimal blunting of the left costophrenic angle may indicate small left pleural effusion. no pneumothorax evident.
question widened mediastinum.
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slight increased interstitial markings compared to the prior exam suggests pulmonary edema. otherwise, no significant change of chronic lung process. lung volumes are low. bandlike opacity in the right lung and prominence of the minor fissure are overall unchanged. opacity in the left lower lobe is probably slightly improved from the prior exam. no definite pleural effusions. stable appearance of the cardiomediastinal silhouette, including cardiomegaly. stable aortic knob and descending aorta calcifications.
<unk>-year-old man complaining of dyspnea; evaluate for an acute cardiopulmonary process.
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ap upright and lateral views of the chest provided. lung volumes are low. faint linear density in the left lower lung is most compatible with atelectasis. otherwise lungs are clear. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact. dish related changes of the t-spine noted.
<unk>f with stroke symptoms // eval for infiltrate
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there is no focal consolidation or pneumothorax. there is a small left pleural effusion. there are surgical clips seen in the left upper thorax. the cardiomediastinal silhouette is stable.
<unk>-year-old man with subclavian stenosis status post subclavian dissection on the left.
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as compared to chest x-ray in the morning, persists mild pulmonary edema especially in the right upper lobe. multiple scattered nodules at the lung bases are redemonstrated. small pleural effusion at the right base. there is no pneumothorax. cardiomediastinal silhouette is unchanged.
for pulmonary edema versus acute infectious process.
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. lung hyperinflation is re- demonstrated. no acute osseous abnormality is identified. left breast clips are re- demonstrated.
history: <unk>f with chest pain // eval for infiltrate or widened mediastinum
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax. no definite rib fractures identified.
history: <unk>m with cp s/p assault // evidence of rib fractures
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portable semi upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. there is increased opacification of the right base which likely represents pneumonia. the left lung is essentially clear. there is a probable small right-sided pleural effusion. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. the tracheostomy tube ends <num> cm from the carina. right-sided picc ends in the distal svc.
<unk> year old woman who is intubated with leukocytosis // new focal opacity
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frontal and lateral radiographs of the chest demonstrate mildly enlarged cardiac silhouette. the mediastinal and hilar contours are normal. there is mild pulmonary edema, worse from prior. small pleural effusions are improved. opacity in the right lower lobe and could represent atelectasis although superimposed infection is also possible; however, it appears improved compared to the prior study. no pleural effusion or pneumothorax.
shortness of breath. evaluate fluid overload.
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compared with most recent prior radiograph, bibasilar atelectasis has improved. the prior possible effusion has resolved. there is stable appearance of tortuous aorta and normal heart size. no focal consolidation or pneumothorax.
cough, rales, rule out infiltrate.
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the lungs are clear. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with palpitations and chest pressure.
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left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. the heart size remains mildly enlarged but unchanged. the mediastinal and hilar contours are stable with mild calcification of the aortic knob. there is no pulmonary vascular congestion. streaky linear opacities are seen within both lung bases, likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormalities are detected.
ataxia.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. coronary artery calcifications are seen along the course of the lad in the lateral view. aortic valve calcifications might be present as well. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chest discomfort. evaluate for evidence of pneumonia.
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cardiomediastinal silhouette and tortuosity of the thoracic aorta are grossly unchanged. heart is not enlarged. coronary artery stents are noted. port-a-cath terminates in the lower svc. lungs are clear. there is no pleural effusion or pneumothorax. multiple surgical clips are present in the upper abdomen.
<unk>m with generalized weakness // eval for acute process
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there is no focal consolidation, pleural effusion or pneumothorax. streak-like atelectasis is noted at the left lung base. heart size is mildly enlarged. no acute osseous abnormalities identified. cholecystectomy clips are visualized in the right upper quadrant.
<unk>-year-old female with altered mental status, evaluate for evidence of infection.
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the heart is again markedly enlarged. fullness of the left hilum suggests mild vascular congestion. there is increased opacification at the base of the left chest suggesting a combination of possible pleural effusion and parenchymal opacification. there is no pneumothorax.
dyspnea.
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the heart size is normal. calcification of the aortic knob is present. lungs are well-expanded. there is mild pulmonary edema. opacification of the right hemidiaphragm with hazy opacity likely reflects a layering pleural effusion with underlying atelectasis. developing consolidation is not excluded. there is no large left pleural effusion. there is no pneumothorax. et tube is present in standard position. an enteric tube is present with distal tip not captured but sideholes just distal to the ge junction. a right axillary dual lead pacemaker is present with tips expected positions.
<unk>f intubated, pls eval tube placement.
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lung volumes are low. this limits assessment of the lung bases where there are mild bibasilar streaky opacities. the heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion, focal consolidation, pleural effusion or pneumothorax. there are no acute osseous abnormalities visualized.
rollover motor vehicle collision with chest injury.
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a right pectoral pacemaker with dual leads is unchanged. the patient is status post corevalve. multiple vertebral kyphoplasty use are re- demonstrated. there is slightly increased opacification of both lung bases with moderate bilateral pleural effusions on the right greater than the left and associated atelectasis. there is mild pulmonary vascular congestion, which is unchanged. no pneumothorax is seen. the cardiac silhouette cannot be evaluated in the setting of bibasilar opacification. the mediastinal contours are unchanged. multiple vertebroplasties are again noted.
<unk>-year-old woman with dyspnea.
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endotracheal tube tip is <num> cm above the carina, above the clavicular heads. the lungs are clear besides minimal right basilar atelectasis. cardiac silhouette is within normal limits. there is new right upper mediastinal soft tissue extending from the thoracic inlet to the level of the azygos. of note, the trachea is located to the right of midline. no acute osseous abnormalities. anterior cervical fixation hardware is only partially visualized.
<unk> year old man with s/p acdf intubated // eval for tube. suspected hematoma clinically.
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sternal wires are intact. right ij catheter terminates at the superior cavoatrial junction. moderate right pleural effusion has improved, now small. this may be secondary to patient positioning the postoperative appearance of the left lung is similar with a small left apical pneumothorax. left pleural effusion is small.
<unk> year old man with pod<num> left vats. evaluate pneumothorax.
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portable upright chest film <unk> at <num> <num> is submitted.
<unk> year old woman with right effusion s/p thoracentesis // evaluate for pneumothorax evaluate for pneumothorax
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in comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. bibasilar linear opacities are consistent with focal scarring. lungs are otherwise fully expanded and clear without focal consolidations. heart size is top normal with no pulmonary vascular congestion or pulmonary edema. no pleural effusions. kyphosis, sclerosis, and adjacent disc space obliteration of the thoracic spine are unchanged. an opacity projecting over the anterior left third rib corresponds to a known, old rib fracture.
<unk> y/o male with pmhx of copd, dvt, dm, ckd, htn with cough x <num> week with diffuse wheezing in the right upper/lower lobes // r/o pneumonia
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there are no focal consolidations. there are no pleural effusions. there is no pneumothorax. visualized osseous structures are grossly intact.
<unk>-year-old woman with new diagnosis of sle and dyspnea on exertion. study requested for evaluation of pleural effusion.
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ap portable upright view of the chest. left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle. there is pulmonary edema which appears progressed from the chest ct performed earlier today. no large effusion or pneumothorax is seen. multiple pulmonary nodules are better assessed on the ct exam from earlier today. heart size is mildly enlarged. mediastinal contour appears grossly within normal limits. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with acute onset cp , sob, desat to <unk> after ivf, history of metastatic renal cell cancer.
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pa and lateral chest radiographs. low lung volumes partially accentuate the pulmonary vasculature. however, there are no overt signs of edema. there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. atherosclerotic calcifications are noted in the aortic arch. there is an age-indeterminate compression fracture of one of the lower thoracic vertebra along with a exaggerated kyphosis and anterior wedging of one of the upper thoracic vertebra that is partially obscured by the scapula.
weakness and fall.
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patient is status post median sternotomy and cabg. heart size is normal. mediastinal and hilar contours are unchanged with slight leftward deviation of the trachea again noted. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. deformity of the left rib cage is unchanged. mild degenerative changes are noted in the thoracic spine.
history: <unk>m with chest pain
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there is pleural thickening along the lateral right mid hemithorax of indeterminate age, given lack of priors for comparison, but related to recent injury is not excluded. no discrete rib fracture is identified however, dedicated rib series or oblique views are more sensitive. no pleural effusion or pneumothorax is seen. no definite focal consolidation. the cardiac and mediastinal silhouettes are unremarkable.
right rib pain status post blunt trauma.
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ap upright and lateral views of the chest. suture material projects over left apex with adjacent scarring. lung volumes are low with mild basilar atelectasis as well as bronchovascular crowding. no large effusion or pneumothorax. no convincing signs of pneumonia or edema. the cardiomediastinal silhouette is stable. no acute displaced rib fracture is seen. there is a chronic deformity involving a left lower lateral rib as on prior.
<unk>m with rib pain // r/o fx
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heart size is mildly enlarged. aortic knob is mildly calcified. there is mild to moderate pulmonary edema. bibasilar airspace opacities may reflect atelectasis but is nonspecific and infection cannot be excluded. no large pleural effusion or pneumothorax is detected. small right pleural effusion, however, cannot be completely excluded. there are no acute osseous abnormalities.
end-stage renal disease on hemodialysis however no hemodialysis since <unk>.
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. there is atelectasis at the left base. the patient is status post median sternotomy and cabg with unchanged pleural thickening at the left apex.
substernal chest pain. shortness of breath.
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an enteric catheter courses below the level of the diaphragm, passing out of field of view inferiorly, with its presumed tip reentering the image at a slightly more medial position, ending over the mid portion of the stomach. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no definite pleural effusions. no pneumothorax is seen. there is no evidence of free air in the abdomen.
status post exploratory laparotomy and hemicolectomy, self-discontinued nasogastric tube. now with abdominal pain. assess for intra-abdominal free air.
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biventricular lead pacemaker in situ with the lead tips in the appropriate positions. no left-sided pneumothorax. mild cardiomegaly, but no other features of decompensation. no airspace consolidation. no significant pleural effusion seen. spondylotic changes of the thoracic spine.
<unk> year old woman with new crt-p device // assess lead position
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a right-sided picc terminates at the superior cavoatrial junction in appropriate position. the cardiomediastinal and hilar contours are within normal limits. the heart is normal in size. diffuse interstitial opacities are most consistent with mild to moderate pulmonary edema as well as moderate bilateral pleural effusions. slightly more focal opacity involving the right upper lung may be related to focal edema as a result of mitral regurgitation. no focal consolidation or pneumothorax is identified.
<unk>f with dyspnea // acute cardiopulm disease
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lung volumes are low. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. there is no focal consolidation, pleural effusion or pneumothorax. there is minimal atelectasis in the lung bases. there are multiple old remote bilateral rib fractures. mild loss of height of multiple thoracic vertebral bodies is present with diffuse demineralization, similar to the prior study.
shortness of breath, hypoxia.
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there is interval removal of right-sided chest tube. lungs are better expanded compared to the previous study and with normal volumes. small right pleural effusion again noted. right basal atelectasis is improved. left lung is clear. heart is normal size and mediastinal contours are unremarkable. no pneumothorax.
<unk>-year-old man with pleural effusions, evaluate.
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an electronic device again projects along the left anterior subcutaneous soft tissues. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones appear demineralized.
hepatic encephalopathy and cirrhosis.
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pa and lateral chest radiographs were obtained. a left-sided chest tube was removed. mild left-sided subcutaneous emphysema remains. left apical pneumothorax is small. bibasilar atelectasis is mild. a left-sided pleural effusion is small. there is a mild amount of fluid in the right minor fissure. low lung volumes accentuate interstitial markings.
<unk>-year-old man status post left upper lobe and lower lobe vats wedge resections. status post chest tube removal.
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endotracheal tube terminates <num> cm above the carina. enteric tube courses below the diaphragm and terminates at the upper stomach. left picc line terminates at the mid svc. hyperexpanded lungs suggest underlying copd. persistent retrocardiac opacity is consistent with left lower lung collapse and probable layering effusion. there is a small residual pleural effusion on the right, if any. the cardiac silhouette is normal.
<unk>-year-old man with subarachnoid hemorrhage, intubated. study requested for evaluation of ett and infiltrate.
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left-sided subclavian central line tip terminates in the low svc. there is no focal consolidation, effusion or pneumothorax. opacification within the right middle lobe is consistent with atelectasis. cardiomediastinal silhouette is stable.
<unk> year old man with a history of htn and hld who presented with a leukocytosis, anemia, and thrombocytopenia and blasts on smear, then cytogenetics which showed aml; had pheresis line removed, central line placed, now s/p <num>+<num> but febrile <unk> pm // fever with neutropenia <unk> pm, evaluate for pulmonary source
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opacities are seen at the right and left lower lobes. there is suggestion of a small left pleural effusion. the cardiomediastinal silhouette is unremarkable.
<unk> year old woman with suspected new diagnosis of cirrhosis. // r/o infectious process r/o infectious process
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the heart is normal in size. the aorta is tortuous. allowing for differences in technique, mediastinal and hilar contours are unremarkable. there is volume loss in the right hemithorax with scarring at the right apex that is presumably post-surgical. mild chronic-appearing compression deformities are poorly visualized along the upper thoracic spine; although unlikely to represent acute fractures, there may be some increase in the degree of attenuated body heights at one or more levels since the prior ct from several years ago.
trauma.
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. <num> mm calcified nodule projecting over the left upper lobe likely reflects a granuloma. streaky opacities in the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes noted in the thoracic spine.
history: <unk>m with right sided weakness // evalaute for pneumonia
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frontal and lateral chest radiographs were obtained. there is a new posterior basal opacity in the retrocardiac region on the lateral view. no pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is mildly enlarged. the mediastinal and hilar contours are stable. again seen is a calcified nodule in the right upper lung projecting over the first anterior rib, unchanged since <unk>.
<unk>-year-old man with night sweats.
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pa and lateral views of the chest. there are low lung volumes. within the right lung base adjacent to the heart border, there is a vague opacity that is new from prior study. this may represent atelectasis or pneumonia, however this may also represent crowding of the pulmonary vasculature due to low lung volumes. likely small right pleural effusion. no pneumothorax. heart size is normal. the mediastinal contours are normal. there is mild interstitial thickening and bronchial cuffing. there is a small nodular opacity projecting over the right lower hemithorax.
altered mental status.
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compared to prior, there is no significant change. severe cardiomegaly is a stable. the pulmonary vasculature is mildly engorged, however no pulmonary edema is seen. small left pleural effusion is seen. the lungs are low in volume, but clear. left ventricular assist device, left-sided pacemaker, sternotomy wires are intact and unchanged in position.
<unk> year old <unk> speaking man with history of a non-ischemic dilated cardiomyopathy s/p dt heartmate ii lvad implant on <unk> for nyha class iv heart failure complicated by rv dysfunction and ventricular arrhythmias, and t<num>dm, cva in <unk> w/ no residual deficits. had elective umbilical hernia repair <unk>. // any evidence of pna? acute change?
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portable frontal chest radiograph demonstrates stable mild cardiomegaly with unchanged mediastinal and hilar contours. when compared to chest radiograph dated <unk>, there appears to be a slight increased retrocardiac opacification, most likely left lower lobe atelectasis. there is no pneumothorax, pleural effusion, or pulmonary edema. a left subclavian line is seen terminating in the upper right atrium.
<unk>-year-old female with status epilepticus.
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portable ap upright chest from <unk> at <time> is submitted
<unk> year old man with esrd s/p transplant, with pericardial effusion and pericarditis this admission, with <unk> edema and worsening sob/ abdominal distention/ <unk> edema. // please assess for interval increase in pulmonary edema. please assess for interval increase in pulmonary 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 hx of palpitations, hyperventilation, lupus
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pa and lateral views of the chest. no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal, mediastinal and hilar contours are normal.
question of lesion, suggestive of tb. ulcerative colitis.
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in comparison with chest radiograph from <unk>, lung volumes have improved. atelectasis in the left lobe has mildly improved. there is mild pulmonary vascular congestion without evidence of cardiac decompensation. heart size is increased, which could be due to cardiomegaly without effusion or pericardial effusion. left-sided pacemaker and dual pacing wires following their expected course to the right atrium and ventricle.
<unk> year old man with heart failure, weight gain, desat // please eval for pulm edema/vascular congestion
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when compared to most recent study dated same date <num> hr previously, the right internal jugular central line has been withdrawn, its tip terminating within the distal svc. there is no pneumothorax. a right pectorally placed pacer is noted, lead tips in stable position. lungs are clear bilaterally. cardiomediastinal and hilar contours are stable.
<unk> year old man with new onset chf vs sepsis // confirm central line placement
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heart size is top normal. cardiomediastinal contours are unremarkable. there is small atelectasis at the right lung base. no focal consolidation is identified. no substantial pleural effusion or pneumothorax. sternotomy wires are intact. leads of a left chest wall pacer terminate in stable position.
<unk>-year-old male with altered mental status and fever. evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips in the abdomen noted on the lateral view. clip sulcal project over the neck.
<unk>f with fever <num> // eval for pna
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the lungs are clear without focal consolidation, effusion, or edema. small round calcific density projects over the left upper lobe compatible with a calcified granuloma. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with code stroke // code stroke
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
syncope, status post fall, evaluate for acute cardiopulmonary process.
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chronic changes in the right upper lung and right perihilar region are again seen. since the prior study, there has been increase in the bibasilar opacities from vertically on the left, worrisome for pneumonia. difficult to exclude a small left pleural effusion. the cardiac silhouette remains mildly enlarged. the aorta is calcified.
history: <unk>m with fever // eval for pna
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right basilar and hilar opacities are consistent with increasing effusion and adjacent atelectasis. a right chest tube points towards the medial apical lung. lung volumes continue to be low. the heart and mediastinal contours are normal. et tube, gastric tube, and left ij central venous line is in appropriate position.
<unk>-year-old man with multiple medical issues, now febrile. evaluate for pneumonia or atelectasis.
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frontal and lateral views of the chest were performed. the lungs are better expanded on this exam. there is no focal consolidation to suggest aspiration or pneumonia. there is no pleural effusion or pneumothorax. prominence of the interstitium and enlargement of the superior vena cava likely reflects mild pulmonary edema. the cardiac silhouette remains mildly enlarged. the mediastinal contours are unremarkable.
questionable aspiration.
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endotracheal and enteric tubes are in unchanged and standard positions. lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. patchy opacities in the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is identified. no displaced fractures are present. a tips is seen within the right upper quadrant, and several clips are noted within the left upper quadrant of the abdomen. embolization coils are noted projecting over the epigastric region.
history: <unk>f with intracranial hemorrhage
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pa and lateral views of the chest provided. surgical clips projecting over the left breast and left axilla are unchanged. mild bibasilar atelectasis is unchanged. otherwise, the lungs are grossly clear. no pleural effusion or pneumothorax. hilar contours are normal. increase in right paratracheal radiodensity combined with blunting of the paratracheal stripe and the slightly outward bulging of the mediastinal contour.
<unk> year old woman with gnr bacteremia <unk> urinary source; still febrile, neutropenic, on cefepime for <num> days // ?infiltrate
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single portable view of the chest is compared to previous exam from earlier the same day at <time> p.m. there has been interval placement of a left-sided chest tube projecting over the left lower hemithorax. there is overlying subcutaneous gas. lucency still persists adjacent to the mediastinum on the left. otherwise, there has been no change. multiple right-sided rib fractures are better seen on the prior exam.
<unk>-year-old male with left pneumothorax, chest tube placement.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with traumatic cp // r/o rib fractures
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lung volumes are low, accounting for some bronchovascular crowding. no focal opacities are identified. there is no pleural effusion or pneumothorax. cardiac size is within normal limits, taking into account this is an ap projection. the aorta is tortuous. no mediastinal abnormalities are identified.
<unk>-year-old male with acute change in mental status. evaluate for acute cardiopulmonary process.
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there has been interval removal of the right chest tube, with a small apical pneumothorax minimally increased since study from five hours earlier. there is otherwise no significant interval change with persistent left pleural effusion with bibasilar atelectasis and extensive subcutaneous emphysema.
status post right upper lobectomy with chest tube removal.
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pa and lateral views of the chest provided. lung volumes are low with faint bibasilar atelectasis noted. no convincing signs of pneumonia, edema, effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest heaviness and recent cardioversion
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. streaky and patchy right basilar opacities could reflect atelectasis, but infection is not completely excluded. there is a small right pleural effusion. left lung is clear. no pneumothorax is identified. no acute osseous abnormalities are detected.
history: <unk>m with shortness of breath and chest pain
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the cardiac, mediastinal and hilar contours are stable. the heart is borderline in size. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. no fracture is identified. there is vague sclerosis in a linear fashion along the lower part of the scapula which may be due to a prior fracture. correlation with physical findings is suggested.
right rib pain after a fall. question rib fracture or pneumothorax.
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the cardiomediastinal silhouette and hila are normal. there is a subtle right lower lobe opacity and bronchial wall thickening which might represent early pneumonia, new from <unk>. there is no pleural effusion or pneumothorax.
<unk>-year-old with hiv, found down.
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the lungs are well inflated and clear. there is mild cardiomegaly. hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain and shortness of breath. evaluate for chf versus pneumonia.
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single ap portable upright radiograph demonstrates bilateral nodular opacities bilaterally about the hila are thought to reflect engorged central vessels. the heart is moderately enlarged, stable allowing for differences in radiographic technique when compared to prior study. no pulmonary edema. there is no large pleural effusion. there is no pneumothorax. evaluation of the tracheostomy tube is limited secondary to overlying soft tissue density. allowing for this, the tracheostomy appears in stable position when compared to prior study.
<unk>-year-old male status post trach with cough.
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the lung volumes are low. again visualized is extensive pleural calcification bilaterally including along the diaphragmatic pleura. bibasilar opacities likely atelectasis and/ consolidation unchanged compared to the prior radiograph. there is no pleural effusion. stable mild cardiomegaly and aortic knuckle calcification. no interval change in bony thorax.
<unk> year old man with tachypnea to the <unk> and concern for pulmonary process. // evaluate for infection/edema