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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. coronary artery stenting/calcification is noted.
history: <unk>f with acute onset luq and flank pain, worse with inspiration // any cpd or pna
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normal heart, lungs, pleura and mediastinal surfaces.
<unk>-year-old woman with chest pain and upper back pain. evaluate for acute cardiopulmonary process.
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pa and lateral chest radiographs were obtained. evaluation of the lung parenchyma is limited by body habitus. lung volumes remain low, as they have been in prior years. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
<unk>-year-old man with left-sided chest pain and cough for two months.
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are now clear of focal consolidation. left basilar scarring is again noted. cardiomediastinal silhouette is within normal limits. incidental note again made of an azygos lobe and fissure. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with shortness of breath.
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pa and lateral views of the chest demonstrate symmetrically expanded clear lungs. the heart is normal in size and cardiomediastinal contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with fever, rule out pneumonia.
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bibasilar opacities may be due to atelectasis however, underlying infectious process due to aspiration is not excluded in the appropriate clinical setting. there is no pleural effusion or pneumothorax. there are relatively low lung volumes. the cardiac and mediastinal silhouettes are unremarkable.
right upper quadrant pain and tenderness.
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opacities in the right middle and lower lobes appear not significantly changed since prior studies. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the chest is perhaps hyperinflated to some degree.
persistent cough and shortness of breath.
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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 displaced rib fracture is seen. no free air below the right hemidiaphragm is seen.
<unk>m with lt anterior chest wall pain post mvc
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the right-sided picc line tip is in the right atrium <num> cm below the cavoatrial junction. ng tube tip is in the stomach. et tube tip is <num> cm above the carina. there bilateral pleural effusions and volume loss in both lower lungs.
<unk> year old man with cirrhosis and cholangitis developed orphaarygeal bleeding after ercp with worsening hypoxemia // eval for vap or other acute process
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sternotomy wires intact. right ij tip is in right atrium. interval mild decrease in left lower lobe atelectasis, left pleural effusion and pulmonary edema. slight decrease in otherwise mildly enlarged heart with normal mediastinal contour and hila. the right lung is clear without pleural effusion. no pneumothorax.
<unk>-year-old female status post resection of subaortic membrane and septal myomectomy. assess for pleural effusions and pneumothorax.
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frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal. incidental note is made of an azygous fissure.
<unk>-year-old male with right anterior chest wall pain, rule out pneumothorax.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. no free air seen below the diaphragm.
<unk>-year-old with cough and fever. right upper quadrant tenderness.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lung volumes are low with linear opacities at the lung bases most likely reflective of subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. there are mild multilevel moderate degenerative changes in the thoracic spine.
history: <unk>f with ms and fever
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the cardiac silhouette is enlarged with mild interstitial edema. pulmonary artery is enlarged. lung volumes are low, and there is a left retrocardiac opacity. a left axillary vascular stent is again noted.
<unk>-year-old female with shortness of breath, worse when lying flat. evaluate for fluid overload versus acute process.
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the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality. dextroconvex scoliosis of the mid thoracic spine is mild. no pleural abnormality is identified.
<unk>-year-old man with persistent coughing after seizure; evaluate for aspiration.
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frontal and lateral views of the chest. the lungs are clear of consolidation or effusion. cardiac silhouette is enlarged. calcifications noted at the arch. no acute osseous abnormality seen.
<unk>-year-old female with elevated troponin and st elevation.
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there is mild enlargement of the cardiac silhouette. the mediastinal silhouettes are within normal limits. the hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk> year old woman brought in after witness seizure. history of seizures in remote past, please evaluate for consolidation ( part of infx w/u for precipitating event for seizure).
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the patient is status post median sternotomy. moderate cardiomegaly and moderate central pulmonary vascular congestion are again noted. an increasingly confluent right lower lobe airspace opacity is worrisome for developing pneumonia. the upper lungs are clear bilaterally. no evidence of large pneumothorax. probable small right and trace left pleural effusions.
history: <unk>m with cough fever shortness of breaht lower leg edema // eval for pna and pulmonary edema
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the change since the previous exam. left pleural effusion. again seen. right lower lobe atelectasis also seen. the heart is enlarged and the aorta is tortuous as previously.
<unk> year old woman with pleural effusion and ctx // ? ctx interval eval
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the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest pain // acute cardiopulmonary process
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the heart is normal in size. the cardiomediastinal and hilar contours are within normal limits. the thoracic aorta is tortuous. the pulmonary artery is enlarged suggesting pulmonary hypertension. the lungs are hyperinflated consistent with emphysema. opacities involving the bilateral lower lobes and within the right middle lobe could represents infection and are best appreciated on the lateral view. a focal rounded opacity in the left mid lung is seen. there is no pneumothorax or large pleural effusion.
history: <unk>f with sob, chest pain // ?pna
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ap portable upright view of the chest. midline sternotomy wires and mediastinal clips are again noted. the heart remains markedly enlarged. the lungs appear clear without focal consolidation, large effusion or pneumothorax. a tiny pleural effusion on the right is suspected. no overt edema. bony structures are intact.
<unk>m with shortness of breath and edema // ?chf vs pna
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an endotracheal tube terminates <num> cm above the carinal. a right subclavian central venous catheter terminates at the lower svc. there is no pneumothorax, focal consolidation, or pleural effusion. the heart size remains normal. the hilar and mediastinal contours remain within normal limits.
traumatic brain injury.
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there is worsened pulmonary status on the left compared to the prior study, with near total whiteout of the left hemithorax since the mild shift of the mediastinum to the right. the feeding tube tip is not well visualized. this is likely off the film, but is at least in the stomach. findings were discussed with dr. <unk> on <unk> at <time> p.m. by dr. <unk>.
labored breathing.
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lungs are hyperinflated, suggesting copd. heart size is at the upper limits of normal or slightly enlarged. no chf. minimal subsegmental atelectasis and/or scarring seen at the left lung base. no focal infiltrate or gross effusion identified. no pneumothorax detected.
<unk> year old woman with cough and swelling in legs // evaluate for pulmonary edema and pneumonia
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a left-sided pacemaker and multiple leads are in unchanged position. right-sided picc terminates at the cavoatrial junction as before. a left ventricular assist device projects over the lower left hemi thorax. a left basilar opacity is stable from <unk> which likely reflects a combination of a left pleural effusion and adjacent compressive atelectasis. there is minimal atelectasis at the right base which is stable. no pneumothorax. the cardiomediastinal and hilar contours are unchanged.
<unk> year old man s/p lvad // status of residual pleural effusions
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
cough, fever, asthma.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with cough and wheezing. r/o pneumonia // r/o infiltrate
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pa and lateral views of the chest provided. subtle opacity in the left lung base is noted which could represent a trace effusion, difficult to exclude a very subtle pneumonia. right lung is clear. cardiomediastinal silhouette is normal. bony structures are intact
<unk>m with intraparenchymal hemorrhage // eval for pneumonia
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there continues to be moderate cardiomegaly and volume loss at both bases. there is a small left effusion. there is no focal infiltrate. pacemaker and mitral valve replacement and sternotomy wires are unchanged
<unk> year old woman with productive cough, fever // please eval for acute pulmonary process
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with seizure disorder and now with hypoxic respiratory failure. failed extubation yesterday and required emergent re-intubation. // interval changes. interval changes.
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there are new opacities at both lung bases, greater on the left than right, although mid and low upper lungs remain clear. there is no pleural effusion or pneumothorax. the cardiac, mediastinal and hilar contours appear stable.
fever and intoxication.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. anterior osteophytes are seen at the thoracic spine.
<unk>-year-old man with status post laminectomy, presenting with shortness of breath.
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there is new mild-to-moderate relative elevation of the right hemidiaphragm compared to the left. there is no evidence for free air. the lung volumes are low. allowing for differences in technique, the mediastinal, hilar, and cardiac contours appear unchanged. the lungs appear clear. there is no pleural effusion or pneumothorax.
severe left upper quadrant pain.
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there are asymmetric, right greater than left, opacities in a perihilar distribution compatible with pulmonary edema. moderate enlargement of the cardiac silhouette is unchanged. there is no pleural effusion or pneumothorax.
end-stage renal disease on hemodialysis, presenting with new afib. evaluate for pneumonia.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with dyspnea // r/o chf
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when compared to most recent prior, there has been no significant interval change. increased interstitial abnormality bilaterally has improved since <unk> but persists with more focal opacity at the right cardiophrenic angle. this region on prior pet-ct had been suspicious for malignancy. there is no new consolidation. the cardiomediastinal silhouette is stable, atherosclerotic calcifications again noted at the arch. posterior left upper rib deformities are chronic.
<unk>m with esrd, with sob x sev hours // eval pna, pulm edema
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a frontal semi upright chest radiograph demonstrates an endotracheal tube terminating in the mid thoracic trachea, intact sternal wires, a nasogastric tube terminating in the stomach, a right chest wall cardiac pacing device with the lead overlying the right ventricle, as well as a left approach cardiac l which also overlies the right ventricle. there is mild to moderate cardiomegaly, exaggerated by low lung volumes. patchy airspace opacities bilaterally, particularly in the left base, may represent mild pulmonary edema. there is no appreciable pleural effusion or pneumothorax.
evaluate a pacemaker in a patient needing pacemaker interrogation.
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two limited portable chest radiographs were obtained. the tip of an intra-aortic balloon pump is <num> cm below the superior edge of the aortic arch. the endotracheal tube and swan-ganz catheter are in stable positions. the side hole of an enteric catheter is around the gastroesophageal junction. the left lower lobe consolidation and volume loss are right basilar density and small effusion also similar.
intra-aortic balloon pump.
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the cardiomediastinal and hilar contours are normal. left dialysis catheter tip terminates in the right atrium. there is a large right pleural effusion with layering of fluid. there is no pneumothorax. there is no definite consolidation.
<unk>-year-old with hypotension, nausea and vomiting.
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the right pneumothorax has increased in size, now approximately <num> cm from the lung apex. there is no left pneumothorax. linear opacities at the right base are consistent with atelectasis. lung volumes remain low. cardiomediastinal silhouette is unchanged.
right pneumothorax, evaluate interval change.
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lung volumes are normal. there is no consolidation. pleural surfaces are smooth, without effusion or pneumothorax. cardiomediastinal contours are normal. no subdiaphragmatic free air.
history: <unk>m with dyspnea, cough, hx of asthma // please evaluate for acute cp process
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no significant interval change. the lungs are well-expanded. no focal consolidation, edema, effusion, or pneumothorax. the heart is top-normal in size, unchanged. mediastinal and hilar contours are unchanged. no acute osseous abnormality.
<unk>-year-old female with left chest pain. evaluate for pneumothorax.
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as seen on recent ct, there is a <num> cm lingular nodule. blunting of the right costophrenic angle suggests small effusion. the lungs are hyperinflated but otherwise clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with bradycardia, dyspnea // eval for pleural effusions
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the ett is in appropriate positioning terminating <num> cm above the carina. the ng tube is seen coursing below the diaphragm, however the tip is not visualized on these images. there is a left picc terminating near the brachiocephalic vein. there are increased streaky opacities seen at the left hilum. the patchy bibasilar opacities and small bilateral pleural effusions remain unchanged. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with dobhoff // check for position
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the lung volumes are low. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. the osseous structures are unremarkable.
weakness. question pneumonia.
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severe cardiomegaly has increased compared to prior examination. there is engorgement of the central pulmonary vasculature with increased reticulation compatible with mild pulmonary edema. lungs are otherwise without definite focal consolidation. pleural effusion, if present, is small. there is no pneumothorax.
hypoxia and fever.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding pa and lateral chest examination of <unk>. the patient is status post sternotomy and bypass surgery performed at our institution on <unk>. on post-operative followup chest examinations, he had bilateral basal plate atelectasis and moderate amount of pleural effusions. on the next preceding post-discharge pa and lateral chest examination of <unk>, there existed small amounts of pleural effusion remaining in the posterior pleural sinuses, a moderate enlargement of the heart size was noted post-operatively and thin plate atelectasis were noted on the bases. no acute pulmonary infiltrates or pulmonary congestion was seen. on the present examination, the bilateral plate atelectasis have further regressed. no new parenchymal infiltrates are present. the lateral and posterior pleural sinuses are free from any fluid accumulation and no pneumothorax exists in the apical area on the frontal view. similar as on all previous chest examinations, the patient has orthopedic metallic stabilization devices in the lower cervical spine.
<unk>-year-old male patient status post bypass surgery. history of smoking with chronic cough. presented with increased cough, evaluate for effusions, pneumothorax and consolidation.
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upright pa and lateral radiographs of the chest. the lungs are normally expanded and clear, apart from minimal linear bibasilar opacities which reflect scarring or subsegmental atelectasis. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. pulmonary vascularity is normal and symmetric. there is no pulmonary edema. the aorta is somewhat tortuous. there is no pleural effusion or pneumothorax. on the lateral view, there are degenerative changes of the thoracic spine with anterior and posterior osteophytes.
chest pain, shortness of breath, cough, crackles at bases, left greater than right. evaluate for pneumonia or pulmonary edema.
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low lung volumes with right basilar atelectasis. no definite focal consolidation. heart is top-normal in size. mediastinal contour is normal given ap technique.
<unk>-year-old woman with increased lethargy, worrisome for an infection with elevated wbc, evaluate for pneumonia
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax. cardiac pacer defibrillator leads are unchanged in their respective positions.
removal sternal hardware chest closure
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there is no pulmonary nodule, focal consolidation, pleural effusion, hilar lymphadenopathy, vascular congestion, or pneumothorax. the heart size is normal. the cardiomediastinal silhouette is within normal limits.
hemoptysis and pending ppd. evaluation for pneumonia or evidence of tuberculosis.
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lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette appears enlarged, although may be due to portable technique. no acute osseous abnormalities identified.
history: <unk>m with chest pain // ?pnuemonia
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the lungs are expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with fall // eval for consolidation
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endotracheal tube terminates approximately <num> cm above the carina. a right picc terminates in the low svc. nasogastric tube terminates in the stomach with side port beyond expected location of the gastroesophageal junction. lung volumes are low with bibasilar opacities which are stable from <unk>. the left hemidiaphragm is elevated, unchanged. no pleural effusion or pneumothorax.
<unk> year old woman with <unk> toxicity, on ventilator <num>days // ?pneumonia
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since <unk>, the right lower lobe opacity has cleared. hyperinflated lungs. chronically hyper inflated lungs. . normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pulmonary edema. no pleural effusions.
<unk> year old woman with cop on slowly tapering steroids and right lower lobe pneumonia // assess for any recurrence of infiltrates
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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 chest pain // r/o pneumothorax, pna
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the lungs are clear. cardiac silhouette is normal size. there is no pleural effusion or pneumothorax.
chest pain.
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the right ij central venous catheter has been removed. the enteric tube terminates in the stomach. no pneumonia. there is a right apical opacification that is difficult to see due to the overlying ribs and does not has typical appearance of pneumonia. the lungs are clear. the hila and pulmonary vasculature are normal. no pleural abnormalities or pneumothorax. the cardiomediastinal silhouette is normal and unchanged. no fractures.
<unk> year old man with fever // eval for pna
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frontal and lateral views of the chest are compared to previous exam from <unk>. since prior, there has been interval development of bilateral alveolar opacities with central distribution, somewhat sparing the periphery. there is no effusion. cardiac silhouette is enlarged but stable in configuration. atherosclerotic calcification is noted in the aorta. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath. question pneumonia.
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cardiomediastinal contours are stable. patient is status post right lower lobectomy. the lungs are clear. there is no pneumothorax. if any there is a small right effusion. there are mild degenerative changes in the thoracic spine.
<unk> year old man s/p robotic-assisted right lower lobectomy. // check interval change
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frontal and lateral views of the chest. the lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is within normal limits. no free air is seen below the diaphragm. no acute osseous abnormality is identified.
<unk>-year-old male with fevers and right upper quadrant pain.
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pa and lateral chest. the lungs are well expanded and clear. no pleural effusion or pneumothorax. the cardiomediastinal silhouette is mildly enlarged. the free air is seen under the diaphragm.
status post endoscopy and colonoscopy, now requiring assessment for free air or perforation.
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study obtained <num> hours earlier during the same day. the portable ap single image of the chest covers well the lung bases but does not include the ultimate tip of the apices. comparison with the next previous chest examination does not demonstrate any significant interval change. as before, there is evidence of bilateral central pulmonary edema, but the pulmonary vasculature is not congested and no evidence of pleural effusion is present in the lateral pleural sinuses. although the apical area is not covered completely, there is no suggestion of any new apical pneumothorax.
<unk>-year-old female patient with known right lower lobe mass which recently was biopsied via bronchoscopy, followed by pneumothorax. now status post pigtail catheter placement. presents with right lower lobe pneumonia. evaluate for interval changes, worsening edema.
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pa and lateral views of chest given slightly lower lung volumes, the lungs are clear. cardiac silhouette is normal in size. mediastinal contours are normal. there is no pleural effusion, pneumothorax or pulmonary edema. there is no free air
abdominal pain
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right ij central venous catheter is seen with tip at the cavoatrial junction. there is no pneumothorax. the lungs are clear. the cardiomediastinal silhouette is within normal limits.
<unk>f with new right ij // eval new line
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. right lower lobe consolidation has substantially decreased in extent. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with pneumonia // follow-up right lower lobe pneumonia
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since <num> day prior, a a loculated right apical and lateral pleural effusion has decreased in size, a motor edema is decreased, and retrocardiac atelectasis is decreased. a small, dependent right pleural effusion has probably increased in size. the apices are incompletely visualized, but no obvious pneumothorax. severe cardiomegaly and mediastinal widening are unchanged. an ett terminates <num> cm above the carina. a left sided ij swan-ganz catheter terminates in the main pulmonary artery. an enteric tube terminates in the proximal stomach. bilateral chest tubes and mediastinal drains appear unchanged in position.
<unk> year old man with lvad // interval change
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single frontal view of the chest was obtained. nodular opacities overlying the right upper lung have increased since <unk> and are concerning for worsening infection. minimal right base atelectasis and left hilar scarring is unchanged. no pleural effusion or pneumothorax. the heart size and cardiomediastinal contours are normal.
<unk>-year-old female with past medical history of achalasia presenting with cough and desaturations.
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lung volumes are again low, corresponding with vascular crowding. new perihilar opacities and prominence of the mediastinal veins correspond to acute vascular engorgement given that they appeared overnight. no pleural effusion or pneumothorax. mediastinum is stable. right-sided port-a-cath terminates in the mid svc.
<unk>-year-old woman with pancreatic adenocarcinoma, now with back and chest pain. rule out acute cardiopulmonary process.
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ap view of the chest provided. compared to prior study from a day ago, there is less pulmonary vascular congestion. heart size is still moderately enlarged. there is no pleural effusion. swan-ganz catheter is seen terminating in the right pulmonary artery.
<unk> year old man with schf, eval for interval changes, pa catheter placement
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known lingular consolidation is re-demonstrated. no new areas of consolidation, pulmonary edema or a pneumothorax. no pleural effusions. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old woman with lingular infiltrate s/p tbbx. // ptx
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pa and lateral views of the chest provided. there is again noted to be near complete opacification of the left hemi thorax with sparing of the left upper lung. as seen on recent ct, patient is known to have a large loculated left pleural effusion which is similar in overall extent compared with prior. there is mild shift of midline structures to the right. right lung remains clear. bony structures are intact.
<unk>m with worsening dyspnea, hx of left pleural effusion
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there is mild-to-moderate interstitial pulmonary edema. the heart is moderately enlarged but not significantly changed in size compared to <unk>. no definite pleural effusions are seen. there is no pneumothorax.
chest pain. evaluate for acute process.
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the lungs are clear without focal consolidation concerning for pneumonia, significant pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. the visualized upper abdomen is unremarkable. an intramedullary rod is partially imaged in the right humerus.
first-time seizure, here to evaluate for acute cardiopulmonary process.
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left-sided port-a-cath tip terminates in the mid/lower svc. right-sided dual-chamber pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle. heart size is normal. mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. minimal patchy opacities are seen in the lung bases, likely areas of atelectasis. known pulmonary nodules seen on previous chest ct are not clearly identified on the current radiograph. no focal consolidation, pleural effusion or pneumothorax is identified. there are mild degenerative changes seen in the thoracic spine. clips are noted within the right chest wall.
history: <unk>f with left anterior chest pain
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there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. old right rib fracture is seen. no free air below the right hemidiaphragm is seen.
history: <unk>m with sob/cp // acute process
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endotracheal tube tip is low lying, terminating approximately <num> cm from the carina. enteric tube tip and side port terminate within the stomach. heart size is normal. mediastinal and hilar contours are unremarkable. lung volumes are low with crowding of bronchovascular structures. there is mild upper zone vascular redistribution which may be due to supine positioning. patchy opacities are noted in the lung bases, possibly atelectasis. no large pleural effusion or pneumothorax is seen. contrast is noted within the collecting systems bilaterally as well as within the left colon possibly from recent ct examination.
history: <unk>f with endotracheal tube placement
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assessment is limited due to positioning. allowing for this limitation, there is no significant change compared with the recent exam performed <unk> min prior. the esophageal tube ends below the ge junction, with the tip out of view. the tube is radiopaque, probably from contrast material within the tube or from tube change with a tube with radiodense walls.
<unk> y/o male with gastrointestinal bleed. tube placement.
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projecting over left abdomen is an ingested paper binder. there is no evidence of free intraperitoneal air. the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>f with s/p supposed foreign body ingestion.
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low lung volumes are again noted with crowding of the bronchovascular structures and bibasilar atelectasis. there is no large effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. right picc tip terminates in the mid to lower svc.
<unk>m with known babesiosis. // pneumonia?
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no free air is identified under the diaphragm. pulmonary vascular congestion is mild. right lung base opacity is likely atelectasis. there is no large pleural effusion. moderate cardiomegaly is similar to before.
history: <unk>f with possible gi bleed // eval for acute process, free air
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ap upright and lateral chest radiograph demonstrates clear lungs bilaterally. there is no pleural effusion the are pneumothorax. visualized osseous structures are without an acute abnormality. a chronic left rib deformity is present. left humeral head degenerative changes noted, present on prior studies. cardiomediastinal and hilar contours are within normal limits.
<unk>m with tachypnea.
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the heart size is normal. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. no acute focal consolidations are identified. the visualized osseous structures are unremarkable.
<unk>-year-old female with chest pressure and dyspnea x <num> month, who presents for evaluation.
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there has been interval removal of a ng tube. other support structures remain in good position, including a right chest tube. the cardiomediastinal and hilar silhouettes are stable. there remain low lung volumes. right pleural effusion and atelectasis is stable compared to yesterday.
<unk>-year-old status post liver transplant.
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stable chronic left apical pleural thickening. lungs clear bilaterally without pleural effusion or pneumothorax. heart is mildly enlarged in size with normal mediastinal contour and hila. left lower lobe and retrocardiac opacity is likely from epicardial fat. chronic stable biliary duct air was seen on ct. no bony abnormality.
female with new dyspnea on exertion and pedal edema. assess for atelectasis or pneumonia or chf.
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ap view of the chest is compared to previous exam from <unk>. the lungs are hyperinflated. there are diffusely increased interstitial markings seen throughout the lungs bilaterally, but no confluent consolidation. lateral costophrenic angles are sharp. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath, desaturation.
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the heart size is normal. the mediastinal and hilar contours are within normal limits. as demonstrated on the prior ct, innumerable small nodules are again seen in both lungs in a miliary pattern. no focal consolidation, pleural effusion or pneumothorax is present. the patient is status post right mastectomy. no acute osseous abnormality is identified.
hyperglycemia and history of breast cancer.
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the heart is normal in size. the aortic arch is calcified. the mediastinal and hilar contours show mild upper mediastinal widening, probably normal, although it is hard to exclude lymphadenopathy. at the lung bases there is somewhat coarse reticulation suggestive of an underlying interstitial abnormality. the lungs appear otherwise clear.
new diagnosis of leukemia.
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there are linear opacities of the right middle and lower lobes, representing atelectasis. there is a moderate sized left pleural effusion with left lower lobe atelectasis. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities. surgical in the right upper quadrant appear unchanged from the prior chest radiograph
<unk> year old woman s/p exlap with new onset sob, right sided pleuritic pain // rule out infiltrate, effusion
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portable frontal radiograph of the chest demonstrate et tube, ng tube and left internal jugular central venous catheter in unchanged satisfactory position. worsening multifocal opacities in the bilateral lungs could represent pneumonia or aspiration. likely small left pleural effusion is unchanged. stable heart size and mediastinal contours.
shock, postop. evaluate for pneumonia.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there are small, bilateral pleural effusions. in the retrocardiac region, there is a streaky opacity. while this may represent atelectasis, aspiration or pneumonia is not entirely excluded.
history: <unk>f with right sided abdominal pain, s/p cholecystectomy // eval for pneumonia
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the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.
<unk>-year-old male with near syncope and chest pressure.
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right-sided port-a-cath tip terminates within the proximal right atrium. no pneumothorax is present. heart size is normal. mediastinal and hilar contours are unremarkable. no focal consolidation, pleural effusion or pneumothorax is seen. pulmonary vasculature is not engorged. compression deformities and sclerotic lesions throughout the thoracic spine are compatible with known metastatic disease and appear unchanged.
history: <unk>f with port placement
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the lung volumes are low. there is mild right lower lung atelectasis. the heart size is top normal. mild interstitial pulmonary edema is difficult to exclude. there are no definite pleural effusions. no pneumothorax is seen. a right port-a-cath ends in the mid svc.
altered mental status with mild hypoxia. history of brain malignancy.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk> year old female with cough, vomiting.
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ap and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. there is no free subdiaphragmatic gas.
history: <unk>m with seizure // eval for acute process
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the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural abnormalities. a slight cortical step-off in the lateral aspect of the right <num>th rib is likely a minimally displaced fracture. no additional fractures are identified.
tenderness over the <unk> ribs, status post fall, evaluate for fracture or pneumothorax.
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pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. both lungs are hyperexpanded with increased retrosternal space and flattening of the diaphragms. no evidence of interstitial lung disease or focal opacification, concerning for pneumonia. no pleural effusion or pneumothorax.
dyspnea on exertion; please assess for infiltrate, interstitial lung disease, evidence of chf.
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single supine portable view of the chest. left costophrenic angle and left lateral chest is excluded from the field of view, but patient was not able to cooperate for this examination to repeat film. where seen, the lungs are clear. previously seen enteric tube is no longer visualized. the cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with shortness of breath and hypoxia.