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there is a <num> cm nodular opacity projecting over the right upper lung between knee anterior right second and third rib spaces, which also appears to been present on prior chest radiographs from <unk> and also seen on chest ct from <unk>. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest pain, dyspnea, wheezing // ? pneumonia, acute cardiopulm process
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low lung volumes with bronchovascular crowding. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with persistent cough/dyspnea/chest discomfort // eval for pna
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single portable view of the chest is compared to previous exam from <unk>. the lungs are grossly clear, given limitation of portable technique and patient's body habitus. cardiac silhouette is enlarged but stable. dual-lead pacing device is again seen. previously documented right-sided pulmonary nodule is not delineated on the current exam, ct is more sensitive. median sternotomy wires are seen.
<unk>-year-old male with cough, shortness of breath. question pneumonia.
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a moderate-sized right pleural effusion and trace left pleural effusion appear similar compared to prior. consolidation at the right base likely represents compressive atelectasis, but underlying pneumonia cannot be excluded. heart and mediastinal contours are stable. a right-sided port-a-cath appears similarly positioned. pigtail catheter projects over the right upper quadrant. additional hardware projecting over the left upper quadrant appears similar on this view. no pneumothorax is detected.
<unk>-year-old male with gastric cancer, pneumonia, and worsening pleural effusion.
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pa and lateral views of the chest provided. there is extensive bilateral lower lobe airspace consolidation, left greater than right, not significantly changed from the most recent prior exam and remain concerning for multifocal pneumonia. no large pleural effusion or pneumothorax. cardiomediastinal silhouette appears unchanged. bony structures are intact.
<unk>m with dyspnea, weakness // pna,acute process
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the lungs are hyperinflated with flattening of bilateral hemidiaphragms, suggesting chronic pulmonary disease. the diffuse prominent interstitial markings which that were noted on the prior chest x-ray have improved, which likely suggests resolving interstitial edema. lungs are otherwise free of consolidations, pleural effusions or pneumothorax. mediastinum and hila are normal. mild cardiomegaly, stable since <unk>. no acute osseous abnormalities.
<unk> year old man with transfusion dependent anemia, mds with chronic neutropenia, pulmonary hypertention, s/p recent hospitalization with fever. reporting increasing fatigue, weakness, doe. // assess for abnormalities. ? infiltrate, effusion
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heart size is mildly enlarged but similar. the mediastinal and hilar contours are relatively unchanged with mild tortuosity of thoracic aorta again noted. the imaged thoracoabdominal aorta appears diffusely calcified. patchy ill-defined opacity in the right lung base is concerning for aspiration or pneumonia. left lung is grossly clear with the exception of mild left basilar atelectasis. no pleural effusion or pneumothorax is seen, though assessment of the right apex is obscured by overlying soft tissue. the osseous structures are diffusely demineralized that acute abnormality.
history: <unk>f with cough
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a nasogastric tube is in-situ, the tip is in the stomach. lung volumes are within normal limits. the cardiomediastinal contour is normal. the heart is not enlarged. scarring and atelectasis of the right lung base is similar in appearance when compared to the prior ct. no pleural effusion or pneumothorax seen.
<unk>m with esrd <unk> to dm, s/p ldrt <unk>, with pmh significant for metast scc now with llq pain found to have small bowel mass c/f met scc now s/p ex-lap, sbr s/p ngt reinsertion // placement of ngt
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there is large right pleural effusion with overlying atelectasis, underlying consolidation is not excluded. the left lung is clear. no evidence of a left-sided pleural effusion is seen. the right aspect of the cardiac silhouette is not well assessed due to the large right mid to lower hemithorax opacification, however, the left aspect of the cardiomediastinal silhouette is grossly unremarkable. no pulmonary edema is seen.
history: <unk>f with right chest pain // ptx?
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pa and lateral views of the chest provided. right chest wall port-a-cath is again noted with catheter tip in the mid svc region. the heart remains mildly enlarged. there is hilar congestion and mild pulmonary edema. tiny pleural effusions are likely present. no convincing evidence for pneumonia. no pneumothorax. mediastinal contour is stable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with dyspnea history of cholangiocarcinoma. // pna? other acute cpd?
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single upright image of the chest demonstrates low lung volumes, likely secondary to poor inspiration. chest radiograph is essentially unchanged from prior imaging. there is no definite evidence of consolidation. there are mild atelectatic streaks are seen bilaterally at the bases. cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with fever.
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frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
patient with multiple myeloma, evaluate eligibility for auto bone marrow transplant.
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a right central venous catheter terminates in the right atrium. a y-stent is in unchanged position. a left central venous catheter terminates in the upper svc. there is a stable right upper lobe opacity consistent with right upper lobectomy. moderate cardiomegaly is unchanged. persistent mediastinal widening is due to distention of the mediastinal veins suggesting a component of volume overload. the right lung is however better aerated. there is mild pulmonary edema of the left lung. small right pleural effusion is unchanged. there is no large pneumothorax. the gastric fundus is distended.
<unk>-year-old man with lung cancer, bronchiectasis, status post stent. evaluate interval change.
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semi-upright portable view of the chest demonstrates endotracheal tube terminating <num> cm above the carina. nasoenteric tube is seen coursing through the esophagus, its tip out of field of view. the right pic catheter tip projects over cavoatrial junction. right internal jugular central venous catheter tip projects over distal svc. small bilateral pleural effusions with adjacent areas of atelectasis are unchanged. mild pulmonary edema has improved. hilar and mediastinal silhouettes are unremarkable. heart size is normal. no pneumothorax. partially imaged upper abdomen is unremarkable. <num> cm round rim calcification projecting over descending aorta represents saccular aneurysm, better characterized on <unk> ct, unchanged.
patient with history of coronary artery disease, status post stemi. assess for ett placement.
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compared to chest ct from <unk>, diffuse bilateral parenchymal opacities with nodular opacities in the left mid lung have progressed, especially in the right lower lobe. concurrent pulmonary edema is possible. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged from prior. the ett is in standard position. the enteric tube terminates in the upper stomach.
<unk>m with sepsis from r sided neck abscess and/or possible lll pna s/p i d by ent remains intubated // interval change
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lung volumes are relatively low with streaky bibasilar opacities which are likely atelectasis. superiorly, the lungs are clear. there is no effusion. cardiomediastinal silhouette is within normal limits. tips and cul is again seen within the upper abdomen.
<unk>m with fever and cough // ?pneumonia
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no typical configurational abnormality is identified. thoracic aorta unremarkable. the pulmonary vasculature is not congested. the diaphragms are in relatively low position and somewhat flattened. this coincides with increased translucency on the lung bases and somewhat irregular peripheral pulmonary vasculature. in the mid portion of the left hemithorax, some scattered parenchymal infiltrates are noted laterally to the hilum and most likely represents some scattered pneumonic infiltrates. the left lateral and posterior pleural sinus is free. in the right hemithorax, a remarkable prominent and dense breast shadow is noted clearly, much larger than the breast on the left side. although this finding obscures somewhat the lung fields, there is no conclusive evidence for any acute infiltrate. noted, however, is a mild blunting of the right lateral pleural sinus. when comparison is made with the next previous chest examination of <unk>, heart size configuration is unchanged. the at that time existing pneumonic infiltrate in the posterior segment of the left lower lobe has disappeared. the now present scattered infiltrates in the mid lung field in the left hemithorax, however, are new. also new is the blunted right lateral pleural sinus and comparison also demonstrates that the low positioned diaphragm and general findings of emphysema in the bases have developed since the next preceding study.
cough and fever, patient history of pneumonia in <unk>, no followup examination. evaluate for pneumonia.
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two pa and one lateral view of the chest are provided. there is no focal consolidation, pleural effusion or pneumothorax. lung volumes are low. there is linear atelectasis in the lingula and at the left lung base the cardiomediastinal silhouette is unremarkable.
<unk>-year-old with chest pain, question pneumonia.
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cardiac silhouette size remains moderately enlarged, mildly increased compared to the previous exam. moderate pulmonary edema is demonstrated with perihilar haziness and vascular indistinctness, as well as small bilateral pleural effusions. mediastinal contour is unremarkable. no pneumothorax is demonstrated. there are no acute osseous abnormalities.
history: <unk>m with atrial fibrillation with rapid ventricular rate
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cardiomediastinal silhouette is stable. lungs are clear. there is no pleural effusion or pneumothorax. deformity of the left clavicle is chronic.
history: <unk>m with ams, fever // eval ? infection
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the heart is normal in size. the aorta is slightly tortuous and calcified. the mediastinal and hilar contours appear unchanged. in addition to low lung volumes, there is similar relative mild-to-moderate relative elevation of the right hemidiaphragm compared to the left. there is mild interstitial abnormality suggesting slight fluid overload or pulmonary congestion. streaky left basilar opacities suggest atelectasis in association with a small suspected left-sided pleural effusion. the bones are demineralized. there are moderate-to-severe degenerative changes depicted along the partly visualized left shoulder.
hypotension, nausea and vomiting.
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pa and lateral chest radiographs were obtained. left lower lobe effusion and overlying dependent atelectasis have increased since <unk>. blunting of the right costophrenic angle is unchanged. there is no additional airspace opacity or pneumothorax. cardiac and mediastinal contours are normal.
fever <num> month status post left lower lobectomy.
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evaluation is very limited due to poor patient positioning and technique. the endotracheal tube terminates <num> cm above the carina. an enteric tube is seen coursing below the diaphragm and out of view on this image. there is increased opacification of the right lung base from a most recent prior study and worsening left basilar atelectasis. mild pulmonary vascular congestion is seen without overt pulmonary edema. no large pleural effusion is appreciated. the imaged cardiomediastinal silhouette is within normal limits and unchanged.
intubated with concern for aspiration on the ventilator.
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pa and lateral views of the chest. in the peripheral, lateral aspect of the inferior portion of the right upper lobe, there is a new opacity which is most consistent with pneumonia. no other opacities are seen. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
right-sided fever and right-sided back pain. evaluate for pneumonia.
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lungs are hyperinflated with emphysematous changes re- demonstrated. scarring in the lung apices, more so on the right, is unchanged. pulmonary vasculature is not engorged. heart size normal. mediastinal and hilar contours are similar with diffuse atherosclerotic calcifications noted in the aorta. no focal consolidation, pleural effusion or pneumothorax is seen.no acute osseous abnormalities seen.
history: <unk>m with chest pain
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen.
chest pain.
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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. a left nipple ring is identified.
<unk>m with fever, shortness of breath. evaluate for infection.
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heart size is mildly enlarged, similar to that seen on the prior ct. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is detected. no acute osseous abnormality is visualized.
history: <unk>m with dyspnea
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there is no pleural effusion or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. mild opacity is identified in the medial right lung base on frontal view obscuring the right cardiac silhouette is likely due to superimposed pulmonary vessels. mild pleural thickening is noted in the posterior left or right lung base on the lateral view.
history: <unk>f with cough // r/o infiltrate
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frontal and lateral chest radiographs demonstrate normal cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax. no osseous abnormality evident.
right facial numbness, evaluate for pneumonia or widened mediastinum.
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previously noted pigtail chest tube has been removed. no definite pneumothorax is seen. subcutaneous emphysema within the left neck and left lateral chest and abdominal wall appears slightly increased compared to the prior exam. hazy opacification within the left lung base likely reflects a combination of a small pleural effusion with left basilar atelectasis. patchy right basilar atelectasis is also demonstrated. there is no pulmonary edema. the cardiac, mediastinal and hilar contours are unchanged.
pneumothorax status post removal of chest tube.
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tracheostomy tube remains in place. left picc tip seen at the lower svc. there are hazy bibasilar opacities compatible with layering effusions, small to moderate in size, similar to prior. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities although chronic changes seen at the shoulders, more extensive on the left.
<unk>f with ams // eval for pna
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frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. mild asymmetry of the lung bases likely reflects atelectasis. no pulmonary nodules identified. small left pleural effusion noted. no pneumothorax present. mild dextroscoliosis of the thoracic spine evident.
history of right renal cell carcinoma. assess for metastases.
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compared to the prior study there is no significant interval change.
<unk> year old man with chf, icd, on crrt with possible infection // r/o pna
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heart is normal size and cardiomediastinal silhouette is within normal limits. extensive atherosclerotic calcifications are present in the aortic arch and along the descending thoracic aorta. symmetrically expanded lungs are hyperinflated suggestive of underlying emphysema. upper lobe opacities with volume loss and parenchymal distortion could represent post inflammatory changes or an acute infectious process including tb. clinical correlation is advised. no pleural effusion, or pneumothorax.
<unk>f with hypoxia, sob // eval for pna
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pa and lateral images through the chest demonstrate a left-sided picc terminating at the mid svc. no focal consolidation is identified. linear opacity in the left lung demonstrates atelectatic changes. retrocardiac fluid level consistent with known large hiatal hernia. there is no pneumothorax or pleural effusion. the patient is status post right shoulder arthroplasty.
<unk>-year-old male with pancreatitis receiving tpn with picc line.
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there are new small bilateral pleural effusions, larger on the left, with adjacent atelectasis. superiorly, the lungs are clear. cardiomediastinal silhouette is within normal limits. median sternotomy wires and coronary artery stents are again noted. right chest wall dual lead pacing device again seen. no acute osseous abnormalities.
<unk>m with increased sob // please eval for pna, edema
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. note is made of mild right apical pleural thickening, which could be secondary to prior granulomatous exposure. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of cough, shortness of breath. please evaluate for pneumonia.
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pa and lateral views of the chest were obtained. the heart size is top normal to mildly enlarged. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia.
chest pain.
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the heart is mildly enlarged. there is mild unfolding of the thoracic aorta. surgical clips project along the left anterior chest wall. there is no pleural effusion or pneumothorax. there is a patchy left lower lobe opacity and atelectasis in the left lower lobe, probably unchanged and chronic. bony structures are unremarkable.
chest pain.
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a right-sided picc is in-situ, this terminates in the mid svc. a dobhoff tube terminates in the stomach. lung volumes are unchanged with slightly decreased volume on the right. no focal consolidation seen however. the right hilum appears prominent but this is similar when compared to multiple prior studies.
<unk> year old man with end stage ms with new onset <unk> chest pain, afebrile with stable vs, saturating well on ra, recently resumed on po intake // acute interval change? aspiration?
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interval removal of right picc line. lung volumes are low with chronic near complete collapse of the left lower lobe. a new heterogeneous opacity in the right lung base is concerning for pneumonia. again, the significant left basilar and retrocardiac atelectasis is unchanged since <unk>. moderate to severe cardiomegaly is stable. a left pectoral pacemaker is seen with a transvenous lead in the right ventricle. an old chronic rib fracture seen on the left. no pneumothorax or pulmonary edema.
<unk> year old man with delirium // eval for signs of pneumonia
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no focal opacities concerning for infection although enlargement of the cardiac silhouette as well as the azygos vein is noted. no large effusions. stable tortuous aorta. no pneumothorax.
history: <unk>f with chest pressure // eval infiltrate or cardiomegaly
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lungs are hyperinflated, compatible with is history of copd. moderate rounded bibasilar atelectasis, left greater than right, is increased since <unk>. multiple bilateral pleural calcifications are again seen, possibly from prior asbestos exposure. asymmetric thickening of the apical pleural margin, left worse than right, is again noted. the cardiomediastinal silhouette and hilar contours are normal. no pneumothorax or pleural effusion.
<unk> year old man with copd, dchf presenting with sob. // eval pulm edema vs. copd vs. pna
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status post right upper lobe mass removed via lobectomy. elevation of the right hemidiaphragm is likely secondary to volume loss and is stable over multiple prior studies. opacity at the right hilum is likely due to atelectasis. otherwise, the lungs are clear without focal opacities, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. the air in the soft tissues overlying the right chest is likely related to a prior chest tube.
history: <unk>f with sob // ? ptx
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the left pectoral transvenous defibrillator is in unchanged position with tips terminating in right atrium and right ventricle. left lower lobe pleural effusion has increased slightly. no consolidation. no pneumothorax. the cardiac silhouette is top normal but unchanged. the mediastinum is normal.
<unk> year old man with lt peural effusion, assess for change in size // re-accumulation of lt pleural effusion
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the cardiomediastinal silhouette is normal. there is no focal lung consolidation. there is no pleural effusion or pneumothorax. a right chest wall port-a-cath ends in the proximal right atrium.
<unk>-year-old man with hypoxia, evaluate heart and lungs.
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a left subclavian dialysis catheter is in place with its tip in the low svc and is unchanged. the heart is top normal in size. the mediastinal and hilar contours are within normal limits. the aorta is tortuous. there is persistent atelectasis at the right base, not significantly changed. there is minimal atelectasis at the left base. there is no evidence of pneumothorax. there may be a small pleural effusion on the right.
<unk> year old man with hypotension // ? volume overload ? consolidation
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the patient is status post mitral valve replacement. the cardiac, mediastinal and hilar contours appear unchanged including suspected enlargement of the left atrial appendage. the lungs appear clear. there is no pleural effusion or pneumothorax.
chest pain, pleuritic in nature, with crackles at the lung bases.
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lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. no free air is seen under the diaphragm.
severe diffuse abdominal pain.
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single ap view of the chest provided. the ng tube side-hole does not reach the proximal stomach. a right ij line ends in the right atrium. an et tube terminates <num> cm above the carina. there is no change in the bibasilar opacifications, likely relating to the layering effusions and atelectatic change. no pneumothorax.
<unk> year old woman with cardiac arrest, s/p intubation, now with ngt // eval placement of ngt
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no evidence of free intraperitoneal air.
abdominal pain. evaluate for pneumoperitoneum.
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the tip of the right picc line projects over the cavoatrial junction. a feeding tube extends into stomach. the tip of the endotracheal tube projects over the mid thoracic trachea. since the prior radiograph, the pleural effusions appear slightly larger. there is persisting predominantly perihilar opacities consistent with pulmonary edema. underlying infection however cannot be excluded. there is a persisting retrocardiac opacity which likely reflects atelectasis. no pneumothorax identified. the size the cardiomediastinal silhouette is enlarged but unchanged.
<unk> year old woman with worsening sats. // worsening tachypnea and <unk> sat.
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single supine portable view of the chest. no prior. the lungs are grossly clear. cardiomediastinal silhouette is within normal limits for technique. there is no visualized displaced rib fracture.
<unk>-year-old female status post fall with rib pain and oxygen requirement.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
cough for <num> week and lumbar spine pain.
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moderate enlargement of the cardiac silhouette is unchanged. the aorta remains tortuous. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. streaky atelectasis is noted in the left lower lobe. the right lung is clear. no focal consolidation, pleural effusion or pneumothorax is present. multiple clips are noted within the left upper abdomen.
history: <unk>f with renal transplant <unk>, hypertension, hyperlipidemia, diabetes mellitus presents with <num> days orthopnea //? infiltrate, 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.
history: <unk>f with l chest pain // eval for etiology of chest pain
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left-sided pectoral pacer leads are in stable position. again noted are low lung volumes with subpleural fibrosis, better characterized on prior ct. however, there is no pulmonary vascular congestion or pleural effusion. the cardiomediastinal silhouette is stable. severe degenerative changes of the lower lumbar spine are noted.
history of pulmonary fibrosis in the setting of rheumatoid arthritis. presenting with cough, concern for chf exacerbation.
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frontal and lateral radiographs of the chest demonstrate a right chest wall port with the catheter terminating at the approximate cavoatrial junction. no pneumothorax is seen. there is a asymmetric opacity in the left middle lung field which may be due to post-radiation changes. however, if symptoms are present, concurrent pneumonia is possible. there is no pleural effusion. the cardiac contour is top normal. the mediastinal contour is normal.
breast cancer with non-flushing port-a-cath. check position.
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. mild cephalization of pulmonary vasculature is compatible with mild congestion. no focal consolidation, pleural effusion, or pneumothorax. the osseous structures are unremarkable. no radiopaque foreign body.
<unk>-year-old male with chest pain.
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cardiac size is normal. the aorta is tortuous. there is a hiatal hernia. the lungs are hyperinflated. the lungs are clear. there is no pneumothorax or pleural effusion. there are several right healed rib fractures.
<unk> year old man with copd, with cough/wheezing/sob // eval for pna
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the heart is normal in size. the contour corresponding to left atrial appendage appears mildly prominent. the mediastinal and hilar contours are otherwise unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. the visualized thoracolumbar spine demonstrates mild s-shaped curvature.
recurrent right vertebral artery dissection.
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the cardiomediastinal and hilar contours are within normal limits. there is mild atelectasis in the right middle and right lower lobes. there is no pneumothorax, pleural effusion or focal consolidation. no definite displaced rib fracture identified.
history: <unk>m with l chest wall pain after fall // eval for fx
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single ap view of the chest was obtained. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. slight increased linear opacification at the right lung base may represent atelectasis or pneumonia in the correct clinical setting.
altered mental status and hypothermia.
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ap and lateral views of the chest show moderate lung volumes without consolidation or nodule. linear opacity in the mid right lung is consistent with surgical suture from prior study. healed rib fractures are in the posterior arch of the seventh and eighth left rib. the heart is normal. severe s-shaped scoliosis. no pleural effusion or pneumothorax.
<unk>-year-old woman with right-sided decreased breath sounds, cough and history of chronic lung disease, assess for pneumonia.
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there are low lung volumes. this accentuates the size of the cardiac silhouette which is at least moderate to severely enlarged. aortic knob calcifications are re- demonstrated. there is crowding of the bronchovascular structures with mild to moderate pulmonary edema present. no large pleural effusion or pneumothorax is seen. bibasilar patchy opacities likely reflect atelectasis.
altered mental status.
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left-sided aicd is unchanged. heart size is top-normal with mild unfolding of the thoracic aortic arch. hilar contours are normal. lungs are clear. upper lobes are lucent, suggestive of emphysema. pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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pa and lateral views of the chest provided. since the prior ct exam, there is significant improvement in the lower lobe consolidations with a small residual right pleural effusion and subjacent consolidation noted. the thoracic aorta is markedly unfolded. heart size difficult to assess. a nodular opacity projects over the right upper lobe which is indeterminate. left lung is clear. chronic right shoulder deformity with numerous surgical anchor is noted. a cbd stent is seen in the upper abdomen.
<unk>f with fatigue, hyperglycemia, feeling unwell, crackles @ r lung base
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new moderate right pleural effusion with fluid in the minor fissure. there is worsening retrocardiac. new opacities in the right mid lung and left mid lung as well are all concerning for multifocal infection. upper redistribution of pulmonary vessels suggest element of volume overload as well. no pneumothorax. moderate cardiomegaly stable.
<unk> year old man with cirrhosis and mild hypoxia and orthopnea // evaluation for volume overload vs pneumonia
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compared to the prior study there is no significant interval change.
<unk> year old woman with htn, hld, ckd here with urosepsis <unk> obstructive uropathy s/p drain placement, requiring multiple fluid boluses to maintain bp // ?fluid overload v pna
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the heart is normal in size. the cardiomediastinal and hilar contours are within normal limits. streaky bibasilar opacities are most consistent with atelectasis/ scarring. there is no focal consolidation, pleural effusion or pneumothorax.
<unk>m with tib fib fx // preop cxr
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pa and lateral chest radiographs were obtained. cardiomediastinal silhouette is unchanged compared to the prior study. previosuly seen opacity in the left lower lobe is improved; however, there are persistent areas of opacification within the right mid and lower lobes, likely from atelectasis. no significant pleural effusions and no pneumothorax. clips are again noted over the mediastinum.
<unk>-year-old man with left vats, left lower lobe wedge, check interval changes.
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et and enteric tubes in standard positions. the heart size is top normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded clear without focal consolidation.
<unk>m, intubated.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old woman s/p liver transplant now in septic shock and acute renal failure // eval acute cardiopulmonary disease eval acute cardiopulmonary disease
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ap and lateral views of the chest. low lung volumes are again noted. the lungs are clear. there is no effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with liver disease and shortness of breath. question pleural effusion.
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heart size is normal. the mediastinal and hilar contours are unchanged with calcification of the aortic knob again demonstrated. the pulmonary vasculature is normal without pulmonary edema. minimal atelectatic changes are noted in the left lung base. no focal consolidation, pleural effusion or pneumothorax is seen. scarring within the lung apices is again noted.
chest pain with radiation to the back, elevated d-dimer.
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the patient is apparently status post coronary artery bypass graft surgery, as well as bilateral total shoulder replacement surgeries. the heart is normal in size. there is moderate unfolding along the thoracic aorta. central pulmonary arteries, particularly the right main, appear prominent. there is no pleural effusion or pneumothorax. the lungs appear clear. bony demineralization and loss in height among mid thoracic vertebral bodies, as well as moderate degenerative changes, show no change.
weakness.
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the heart is of normal size. hilar and mediastinal contours are within normal limits. linear opacities at the lung bases consistent with atelectasis. there is no evidence of pneumonia. mild degenerative changes are seen in the thoracic spine. there is no pleural effusion.
altered mental status question pneumonia.
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lung volumes are low accentuating heart size and vasculature. mild cardiomegaly is stable. hilar and mediastinal contours are normal. right lung and left apex are clear. left base opacity is new. there is no pneumothorax.
chest pain and tachypnea.
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ap upright and lateral views of the chest provided. lung volumes somewhat low. no free air below the right hemidiaphragm. mild basilar atelectasis noted bilaterally. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with back pain, hx pud, active gib
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding available pa and lateral chest examination <unk> <unk>. there is now status post sternotomy (not present on the preceding examination six months ago). the heart size is at the upper limit of normal variation. cardiac contour is somewhat obscured by extrapericardial apical fat pad on the left side and additional pleural and parenchymal thickenings suggestive of old scar formations. the lateral view discloses the presence of the metallic components of a porcine aortic valve prosthesis in place. there is a mild prominence of the left ventricular contour but no significant left atrial enlargement can be identified. there is no evidence of new acute pulmonary parenchymal infiltrates and the right and left-sided lateral as well as posterior pleural sinuses are free from any major fluid accumulation. skeletal structures of the thorax grossly unremarkable. similar as seen on the preceding chest examination, a nodular density projects on the frontal view in the left upper lobe area overlying the posterolateral contour of the left-sided sixth rib. this nodular density existed already on the preceding examination and has not undergone any change in size. had been evaluated on previous chest ct of <unk>, at which time they were considered to be stable and indicating benign etiology.
<unk>-year-old male patient with aids, history of left-sided empyema in <unk>. having nonproductive cough and feeling of a friction rub on the left side. any pulmonary pathology, especially on the left side.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with cp and sob // any evident reason for chest pain?
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the heart size is normal. there is mild pulmonary vascular congestion as well as mild pulmonary edema. the hilar mediastinal contours are otherwise unremarkable. there is no large pleural effusion, or pneumothorax.
history: <unk>m with low o<num> sats // r.o pna
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pa and lateral views of the chest demonstrates clear lungs. there is no pleural effusion or pneumothorax. no rib fractures are identified. while the cardiac silhouette is normal in size, it has a slight globular appearance and on the lateral view there is a suggestion of an extra lucency. these findings could represent a small pericardial effusion.
chest pain.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with pre-syncope // r/o acute process
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pa and lateral views of the chest provided. mild cardiomegaly again noted. the aorta is unfolded with unchanged mediastinal contour. a retrocardiac opacity containing an air-fluid level is consistent with a hiatal hernia. there is mild left lower lobe compressive atelectasis related to this hernia. no evidence of pneumonia or edema. no large effusion or pneumothorax. bony structures are intact.
<unk>f with new afib // ? acute cardipulm process
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of cough, chest tightness. please evaluate for pneumonia.
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a right-sided picc is stable in position. moderate pulmonary edema is increased from <unk>. lung volumes are low, however there is no focal consolidation or pneumothorax identified.
<unk> year old man with dm<num>, ckd stage iii,and pad, with known r foot non-healing ulcers, s/p multiple interventions now s/p r bkpop-dp bypass w/ gsv // labored breathing and pulmonary edema
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the patient is status post median sternotomy with aortic valve replacement. lungs lungs are low. small bilateral layering pleural effusions are unchanged with new presence of fluid layering within the minor fissure. the upper lung fields demonstrate persistent mild pulmonary edema. left midlung linear atelectasis has resolved. there is no pneumothorax. the heart appears enlarged despite the projection. chronic compression deformities of two lower thoracic vertebral bodies are unchanged.
<unk>-year-old female status post cabg and avr.
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dobbhoff tube terminates in the stomach on the second in a series of two images. the lungs are well expanded. right base opacity is unchanged from prior exam, likely a moderate right pleural effusion. the lungs are clear. there is no pneumothorax. there is no left pleural effusion. the cardiomediastinal silhouette is unremarkable.
<unk> year old woman with ams and aspiration // dopoff tube placement
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lungs are clear. cardiac silhouette is normal. no pleural effusion or pneumothorax.
dizziness.
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ap upright and lateral chest radiographs were obtained. the patient is rotated. bilateral right greater than left lower lobar opacities are re- demonstrated and in the setting of infectious symptoms multifocal pneumonia remains a consideration although aspiration or atelectasis may be present. multiple old rib fractures are demonstrated on the left. the heart and mediastinal contours are unchanged.
shortness of breath assess for pneumonia.
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ap portable upright view of the chest. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with mild cardiomegaly again noted. imaged osseous structures are intact.
<unk>f with fever and ams // eval for consolidation
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the heart is moderately enlarged. there are hilar congestive changes. no focal opacification is noted. there is no pleural effusion or pneumothorax.
question acute process.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. subtle scarring in the right mid-lung. heart size is normal. mediastinal and hilar contours are normal.
<unk> year old woman on plaquenil with cough for <num> weeks // please evaluate for occult infection
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compared to the prior study there is no significant interval change.
<unk> year old woman with adpckd on hd, hypotension, fever, unclear infection source, pleural effusions s/p chest tube placement // pneumothorax? hemothorax?
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complete resolution of the multifocal opacification involving the upper lobe as well as the lower lobes bilaterally. no pulmonary edema or pleural effusions. mild cardiomegaly unchanged. prominence of the ascending thoracic aorta with unfolding of the descending is chronic.
<unk>m with rll bronchiectasis, recent multifocal pneumonia s/p antibiotic therapy // repeat cxr in <num> weeks to evaluate for resolution of pneumonia
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a left fibrothorax is stable. there is unchanged adjacent rounded atelectasis. there is no evidence of new pleural mass. the cardiomediastinal silhouette is unchanged. few calcified granuloma in the left lung apex are unchanged.
<unk> year old man with copd, known asbestois, fibrothorax // any significant changes compared to <unk> film?
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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
reason cough.
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the radiograph timed stamped <unk> hr shows the swan-ganz catheter in the distal right pulmonary artery. the radiograph labeled 'ap semi-erect' shows that the swan-ganz catheter tip is roughly <num> cm more proximal within the right pulmonary artery. a left pectoral aicd is in place. moderate pulmonary edema has slightly improved. moderate cardiomegaly despite the projection is stable. there is no pneumothorax.
<unk> year old man with possible displaced swan. // check swan