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as compared to prior examination, lung volumes are decreased, accentuating the cardiac silhouette and bronchovascular structures. as seen on prior chest radiograph, the pulmonary artery is mildly enlarged, consistent with pulmonary arterial hypertension. there is persistent elevation of the right hemidiaphragm. there is no new focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with abd solid tumor, <num>d n/v and abd distention, warm to touch // eval ? free air, compressive atelectesis, edema
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
dyspnea on exertion.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear without vascular congestion. nodular opacities projecting over the lung bases bilaterally compatible with nipple shadows. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. surgical clips identified in the upper abdomen in the midline.
<unk>-year-old male with chest pain.
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the endotracheal tube is low, with the tip terminating just above the carina. recommended retracting at least <num>cm for optimum positioning. nasogastric tube ends in the proximal portion of the body of the stomach with sidehole at the level of the gastroesophageal junction, and recommended further advancement. a right ij approach venous pacer lead ends at the level of the right ventricle. the lung volumes are extremely low. mild pulmonary congestion is seen. small left pleural effusion with likely compressive atelectasis of the left lung base is noted. the cardiomediastinal and hilar contours are stable, with mild cardiomegaly. no pneumothorax is seen. old healing left rib fracture is again seen.
<unk>-year-old woman with bradycardia and hypotension, status post intubation and transvenous pacer placement.
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lung volumes are low secondary crowding of the bronchovascular markings. superimposed mild pulmonary edema is also possible. blunting of the left lateral costophrenic angle suggests an effusion. there may also be a small right pleural effusion as well. left chest wall port-a-cath is again noted, catheter tip not clearly delineated but likely in the region of the ra svc junction.
<unk>m with cp // r/o acute process
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frontal and lateral views of the chest. left basilar opacity seen laterally compatible scarring as seen on prior ct. elsewhere the lungs are clear without effusion or pneumothorax. the cardiac silhouette is moderately enlarged. dual lead pacing device again seen. no acute osseous abnormality detected.
<unk>-year-old male with chest pain.
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an enteric tube enters the stomach, distal tip not visualized. the et tube has been removed. there are new predominantly right-sided airspace opacities. moderate cardiomegaly despite the projection is unchanged. there is no pneumothorax.
<unk>m pmh htn, hl, dm w/ global aphasia, r hemiplegia c/w l mca stroke s/p tpa s/p thrombectomy. now with o<num> desaturations // interval change
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compared to <unk>, bilateral lung opacities have significantly improved. a left basilar opacity is similar to <unk> but more apparent than on <unk> given the improvement in the other opacities, corresponding to a lesion in the left lower lobe on the prior ct. a small left pleural effusion is new. no pneumothorax. cardiac and mediastinal silhouettes and hilar contours are stable. diffuse metastatic disease appears similar to <unk>. interval removal of pericardiocentesis catheter.
likely metastatic lung cancer with new left posterior chest pain with cough and crackles at the left base.
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mild hyper expansion. the lungs are clear of airspace or interstitial opacity. slight asymmetric indentation of the right lower trachea unchanged is <unk>, can be related to thyroid enlargement. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
<unk> year old man with psc likely requiring transplant so need this for transplant workup // transplant workup, any evidence of pneumonia
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the heart size is normal. the mediastinal silhouette and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
tuberculosis, on treatment with worsening pleuritic chest pain.
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the heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. streaky left lower lobe opacity likely reflects atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. mild degenerative changes are noted in the thoracic spine. clips are seen in the right upper quadrant compatible with prior cholecystectomy.
fever, postop.
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there is mild improvement in the bilateral parenchymal opacities the remainder of the appearance the lungs are unchanged. the et tube and right-sided picc line and ng tube are unchanged.
<unk> year old man with myoclonic epilepsy post-arrest intubated // evaluate for interval change
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compared with the prior film, i doubt significant interval change. again seen is cardiomegaly with a calcified, unfolded aorta ; small left effusion with increased retrocardiac density and obscuration of the left hemidiaphragm, consistent with left lower lobe collapse and/or consolidation; patchy opacity at the right base with a small right effusio; and upper zone redistribution, without other evidence of chf. there is background hyperinflation suggestive of copd. there is deformity of some of the right upper ribs consistent with old rib fractures. as before, the there is anterior dislocation of the right humeral head with respect to the glenoid .
<unk> year old woman with dyspnea // acute intrathoracic process
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. dextroconvex thoracic scoliosis and levoconvex lumbar scoliosis are similar to prior.
<unk>f with episode of sob and indigestion on <unk> // ? infectious process/evidence of aspiration
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the chest is hyperinflated. there is no pleural effusion or pneumothorax. no focal opacity is visualized. the bones are probably demineralized.
recent aspiration.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. there is mild elevation of the left hemidiaphragm due to mildly distended colonic loops of bowel. there is minimal subsegmental atelectasis in the left lung base. otherwise the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
cough.
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the lungs are clear without focal consolidation or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. right lateral rib fractures appear old.
<unk>m with ams and cough // eval for pneumonia
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pa and lateral images of the chest show a new hazy opacity in the left lingula consistent with an underlying infectious process. this was not present on the prior exam. there are no other opacities. there are no pleural effusions or pneumothoraces. there is a pacemaker in place with cardiac wires within the right atrium and left ventricle. there is stable cardiomegaly. there is no evidence of interstitial edema. there is a stable compression fracture of t<num>.
cough and fever. immunosuppressed for treatment for myasthenia <unk>. evaluate for pneumonia.
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heart size is normal. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. blunting of the left costophrenic angle is unchanged, likely reflective of a trace left pleural effusion. minimal atelectasis is seen in the lung bases without focal consolidation. no pneumothorax is present.
history: <unk>m with shortness of breath
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support lines and tubes are unchanged in appearance when compared to the prior study. there are persistent multifocal airspace opacities throughout both lungs total relative sparing of the left apex. in addition there are ring shadows and tram-tracking suggests of bronchiectasis, consistent with the patient's known history of cystic fibrosis. no definite pleural effusions. no pneumothorax seen.
<unk> year old man with cf, intubated with recurrent fevers // please assess for interval change
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lung volumes are low. heart size is within normal limits. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. minimal patchy opacities are seen in the lung bases, likely reflective of atelectasis without focal consolidation. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities seen.
history: <unk>f with chest pain
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right infrahilar and left perihilar opacities are noted with otherwise clear lungs. these findings are concerning for multifocal pneumonia. there is no pleural effusion or pneumothorax. within the limitations of technique cardiac and mediastinal contours are unremarkable.
fever, cough, and hypoxia.
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a frontal upright view of the chest was obtained portably. low lung volumes result in bronchovascular crowding. the nasogastric tube ends in the stomach. there is no focal consolidation, pleural effusion, or pneumothorax. enlargement of the cardiac silhouette is accentuated by low lung volumes and portable technique.
<unk>-year-old man with new nasogastric tube. evaluate placement.
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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 similar study of <unk>. the heart size is at the upper limit of normal variation with a mild prominence of the left ventricular contour to the left, but absence of significant left atrial enlargement. thoracic aorta is moderately widened and elongated and shows some calcium deposits in the wall at the level of the arch. no new local contour abnormality is present. the pulmonary vasculature is not congested. pulmonary vasculature shows some regional distortion with some areas of increased translucencies in the left lung mid field. this slightly abnormal distribution of the vasculature was not present at least to the same extent on the previous study. on the other hand, a left lower lobe basal linear density in supradiaphragmatic position existed already at that time. in the right hemithorax, similar somewhat irregular vascular distributions are noted, but are less prominent. as they occur in conjunction with relatively low positioned and somewhat flattened diaphragms is suggestive of copd. there is no evidence of any acute parenchymal pulmonary infiltrate of pneumonic appearance and no evidence of pneumothorax exists in the apical area. skeletal structure of the thorax demonstrate a moderate degree of demineralization of the vertebral bodies in the thoracic spine with some moderate degree of degenerative changes, but no conclusive evidence of local skeletal destruction.
<unk>-year-old male patient with lytic thoracic spine lesions, concerning for metastatic disease or multiple myeloma, evaluate for lung cancer.
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heart size is top-normal. the mediastinum, hila, and pleural surfaces are normal. lungs are clear without effusion or consolidation.
<unk> year old man with w/ rectal ca s/p chemo/xrt, temporary ileostomy with proctectomy and coloanal anastomosis <unk>; c/b c-diff+, abscesses s/p proctectomy and end colostomy. please evaluate for pneumonia, wbc up to <unk> without clear source.
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cardiomediastinal silhouette and hilar contours are normal. patient is status post cabg and atherosclerotic calcifications of the bypass graft vessels are present. median sternotomy wires are well aligned and intact. lungs are clear. there is no pleural effusion or pneumothorax.
extensive cardiovascular history presenting with worsening with limb ischemia as well as petechial rash. assess for sarcoid.
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there is moderate cardiomegaly, unchanged from <unk>. there is again elevation of the left hemidiaphragm with adjacent left basilar atelectasis or scar. lung fields are otherwise clear. no pneumothorax.
history: <unk>m with sepsis, increasing tachypnea s/p resuscitation, hr <num>s // eval ? infection, edema
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the cardiomediastinal contours are within normal limits. the bilateral hila are grossly unremarkable. there is suggestion of bronchial wall thickening involving the lower lobes, with subtle, ill-defined opacity best seen on lateral view, possibly right lower lobe. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. old healed right clavicle fracture noted.
<unk>m with one week of cough, productive of yellow sputum, subjective fever. smoker. lung exam without focal findings, pneumonia.
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chest pa and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. heart size is top normal. patient is status post cabg with mediastinal clips evident. clips also located in right breast. sternotomy sutures are midline and intact. lungs are clear. no pleural effusion, pneumothorax, or pneumoperitoneum evident.
belching, please evaluate for air-fluid levels.
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pa and lateral views of the chest and multiple views of the left ribs. comparison is made to previous chest x-ray from <unk>. small-to-moderate bilateral pleural effusions are again noted. superiorly, the lungs are clear. the cardiac silhouette is stable. dual-lead pacing device is again seen with lead tips in the right atrium and right ventricular apex. there are no visualized acute rib fractures. osseous structures are unremarkable. surgical clips seen in the mid abdomen. well-circumscribed round osseous structure projects over the left upper quadrant.
<unk>-year-old female with left rib cage pain status post fall. question fracture.
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there are bilateral humeral head prostheses. there is no focal consolidation. no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there are aortic knob calcifications.
<unk>-year-old female with fall and head laceration, evaluate for pneumonia.
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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 palpitations // eval for acute process
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pa and lateral images of the chest show no infiltrates or consolidations. there is no interstitial edema. there are no pleural effusions or pneumothoraces. the cardiomediastinal silhouette is within normal limits. there is no cardiomegaly. the osseous structures are unremarkable.
fever and cough. evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with back pain // back pain
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cardiomediastinal contours are stable with moderate cardiomegaly. the lungs are clear. there is no pneumothorax or pleural effusion. there are moderate degenerative changes in the thoracic spine
<unk> year old woman with elevated wbc on prednisone r/o infiltrate // leukocytosis r/o infiltrate
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is stable. eventration of the right hemidiaphragm is incidentally noted.
<unk>f with toxic-metabolic encephalopathy evaluate for acute infectious process.
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redemonstrated is an unchanged <num> cm left apical pneumothorax. there is no evidence of tension physiology. no focal consolidation, pleural effusion or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal.
left pneumothorax, evaluate for interval change.
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single ap view of the chest provided. patient is status post median sternotomy, wires are properly aligned and intact unchanged from <unk>. the lungs are well-inflated. large calcified granulomas in the right lung apex are unchanged from <unk>. there is no pleural effusion, or pneumothorax. the hilar and cardiomediastinal contours are normal. surgical clips in the upper abdomen at midline are unchanged from <unk>. surgical clips and probable sutures project over the mediastinum and are unchanged from <unk>. imaged bony structures are grossly unchanged from <unk>.
<unk> year old man with new chest pain // cardiopulmonary process?
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man with cirrhosis, avr, and mvr actively bleeding with worsening pulmonar edema after transfusion. // interval change interval change
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. a previously noted right lower lobe opacity is not seen and better assessed on the recent chest ct. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. air noted in the esophagus may reflect esophagitis.
<unk>-year-old male with dyspnea and history of pulmonary embolism. please assess for pneumothorax.
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new heterogeneous opacity at the right lung base from <unk> is concerning for pneumonia. the left lung is clear. the heart size is unchanged. there is no pneumothorax or pleural effusion. a gastrostomy tube is incidentally noted.
<unk> year old woman with chronic aspiration and recurrent pna. now with lower sats and crackles on exam // rule out aspiration pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with no significant medical history presenting with several days of chest discomfort, palpitations // please assess for infiltrate or evidence of pneumonia
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lung volumes are low, however there are no pleural effusions or focal consolidations concerning for pneumonia. a right port-a-cath terminates in the lower svc/cavoatrial junction. unchanged aortic arch calcifications. unchanged rightward deviation of the trachea is likely due to an enlarged thyroid. there is diffuse bony sclerosis, with mixed areas of osteolysis, consistent with the known history of metastatic breast cancer.
<unk> year old woman with metastatic breast cancer. new crackles lll, on chemotherapy with known pulmonary toxicity. please assess for infiltrates or acute process.
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portable semi-upright radiograph of the chest demonstrates an enlarged cardiac silhouette, with sternotomy wires. left-sided <num> lead pacemaker is present, with lead tips over right atrium and right ventricle. the pulmonary vasculature is indistinct. there is a right lower lobe opacity, not seen on prior examination, concerning for pneumonia in the appropriate clinical context. a small right pleural effusion may be present. patchy opacity at the left base may represent atelectasis. surgical clips are seen in the right upper abdomen immediately to the left of midline. .
history: <unk>f with acute sob // eval for heart failure
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a right internal jugular central catheter terminates at the origin of the svc. tracheostomy tube is unchanged in position. a left picc terminates at the cavoatrial junction. a nasogastric tube can be followed but the tip is not visualized. again seen are post-operative changes from right upper lobectomy with volume loss in the right lung and fluid within the right apex. there is no pneumothorax. cardiomediastinal silhouette is unchanged.
<unk>-year-old male status post right upper lobectomy for lung cancer with pea arrest x <num> and respiratory arrest.
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frontal portable views of the chest. the patient is status post coronary artery bypass grafting. sternotomy wires are intact. a fiducial marker is present within a band-like area of scarring in the left upper lung that extends to the pleural surface. no new focal consolidation, pleural effusion, or pneumothorax. the heart size and cardiomediastinal contours are stable.
<unk>-year-old man presenting with substernal chest pain and positive troponins at outside hospital.
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there has been no short-term interval change since study performed <num> hours prior with persistent left lower lobe collapse, left pleural effusion and mild pulmonary edema. the right picc can only be followed to the upper svc but not distally due to technique.
stroke now with respiratory distress.
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the lungs are well expanded and clear. no pleural abnormality is seen. the cardiac and mediastinal silhouettes are unremarkable. surgical clips in the right anterior chest is consistent with patient's history of prior conservation therapy.
<unk>f with cp. evaluate for acute process.
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frontal and lateral radiographs through the chest demonstrate redemonstration of hyperinflated lungs with flattening of the diaphragm suggestive of copd. cardiac, mediastinal, and hilar contours are normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
<unk> year old male with chest pain
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ap and lateral views of the chest. linear opacity at the left lung base most suggestive of atelectasis. the lungs are otherwise essentially clear. blunting of the posterior costophrenic angle on the left may represent trace effusion. cardiac silhouette is within normal limits noting prominent left cardiophrenic fat pad, unchanged. no acute osseous abnormality detected.
<unk>-year-old male with syncope. question cardiomegaly.
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single upright portable view of the chest demonstrates interval improvement in asymmetric right pulmonary edema, which is now moderate in severity. the heart size is top normal, and median sternotomy wires are noted. no focal consolidation concerning for pneumonia is identified and there is no pneumothorax. likely small bilateral pleural effusions are present.
<unk>-year-old female with chf.
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the right effusion is smaller. there is no pneumothorax.there are diffuse increased interstitial markings and the heart is moderately enlarged and there is prominence to the pulmonary vasculature. the large-bore central catheters again visualized.
status post thoracentesis question pneumothorax
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there is cephalization of pulmonary vessels, with perihilar haziness, vascular indistinctness consistent with moderate pulmonary edema, worsened since prior exam. small bilateral pleural effusions are noted. bibasilar opacities are noted, which likely represent atelectasis. the cardiac silhouette is obscured by the pleural effusions. there is no pneumothorax. sternotomy wires, cabg clips, and cholecystectomy clips are noted.
shortness of breath.
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portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. bibasilar opacities may reflect atelectasis, however aspiration or pneumonia could be considered in the appropriate clinical setting. there is a probable small left pleural effusion. the mediastinum appears somewhat wide, which may relate to portable supine technique. there is no pneumothorax. the endotracheal tube ends <num> cm from the carina. a nasogastric tube courses into the stomach, which appears distended with gas. right subclavian central venous line ends in the upper right atrium.
history: <unk>m with unconscious // eval for pna
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there is a moderate right-sided hydropneumothorax after chest tube removal. the remainder of the right lung remains well aerated. since the prior examination there is opacification demonstrated within the left lower lobe. there is a trace left pleural effusion. there is no evidence of left pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is normal.
<unk>-year-old female with right lower lobectomy for adenocarcinoma. after chest tube removal. evaluate for pneumothorax.
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compared to the prior study there is no significant interval change.
<unk> year old man with chf exacerbation and flash pulm edema // ? volume overload
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portable frontal chest radiograph demonstrates at but improved aeration in the right lung. there is a small loculated pneumothorax at the level of the right chest tube which is seen projecting to the level of the carina. there is a possible right apical pneumothorax without tension. there is right midlung pulmonary edema likely secondary to re-expansion. the left lung is grossly clear. cardio mediastinal and hilar contour are stable in appearance. right ij seen with its tip terminating at the cavoatrial junction.
<unk>-year-old male with hemothorax.
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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. mild pectus excavatum.
<unk> year old woman with rll pneumonia // ?clearance
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lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with s/p fall // acute process?
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frontal and lateral chest radiographs demonstrate that a chronic right pleural effusion is decreased from <unk>. there is no focal consolidation, or pneumothorax. the cardiac silhouette is top normal in size, unchanged. the mediastinal contours are normal.
<unk>-year-old male with fever. please evaluate for pneumonia.
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frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax identified.
patient with aids, dizziness, cough and intracranial mass. please assess for pulmonary opacification.
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normal cardiomediastinal and hilar contours. normal pleural surfaces. fully expanded, clear lungs.
<unk>-year-old man with cough and lymphadenopathy.
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heart size is normal. tortuous aorta with calcifications are unchanged. there is mild central pulmonary vascular congestion without frank interstitial edema. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. thyroidectomy and probable cholecystectomy clips are again noted. old healed posterior right rib fractures are noted.
increased fatigue and weakness over the past <num> hours.
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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 prior mi, devp cp at rest x<num> minutes now resolved
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vague region of new opacification in the right mid lung could be pneumonia, though seen only on the frontal view; confirmation and localization might be possible with oblique views. the left lung is clear as is the right upper lobe. there is no pleural effusion or pneumothorax. heart size is normal. the hila are unremarkable.
cough, question pneumonia.
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lung volumes are low. the heart size is top normal. mediastinal contours are unchanged. there is mild pulmonary vascular engorgement, but this is improved compared to the prior study. no definite pleural effusions are seen. no pneumothorax is seen. minimal bibasilar patchy opacities may reflect atelectasis. no acute osseous abnormalities are detected.
shortness of breath.
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ng tube tip terminates in the stomach. right picc terminates in the svc. ekg leads overlie the anterior chest.heart size is within normal limits allowing for technique. mediastinal and hilar contours are grossly unremarkable. there is no consolidation. small left pleural effusion and likely left lower lobe atelectasis. there is no pneumothorax.
<unk> year old woman with ngt; eval for ngt tip placement // ?tip of ngt placement
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lung volumes are low. assessment of the medial lung apices is slightly limited by the patient's chin and neck projecting over and obscuring these regions. heart size appears mildly enlarged, accentuated by low lung volumes. the mediastinal and hilar contours are unchanged. crowding of bronchovascular structures without pulmonary edema is demonstrated. minimal patchy atelectasis is seen in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. hypertrophic changes are noted within the thoracic spine.
history: <unk>m with recent tkr washout and spacer, anemia, question of pneumonia on rehab chest radiograph
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compared to <unk>, there appears to be an increase in the right pleural effusion with fluid in the minor and possibly major fissure; however, this may be related to change in positioning. no definitive sign of loculated effusion. no pneumothorax. bilateral pulmonary edema with enlarged heart appears unchanged. mediastinal contour appears unchanged. prosthetic heart valve again seen in correct position.
male with chf and afib, presenting with pneumonia status post treatment, and with bilateral pleural effusions. assess pleural effusions.
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cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax. bones and the upper abdomen are grossly unremarkable.
history: <unk>f with chest pain sudden onset on right side of chest. she states it feels like prior gall bladder pain // acute cardiopulmonary process
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frontal and lateral chest radiographs were obtained. there is an area of increased opacity in the right lower lung anteriorly. bilateral pleural effusions are unchanged. mild pulmonary edema is stable. there is no pneumothorax. scattered calcified granulomas are present, compatible with prior granulomatous disease. there is bibasilar compressive atelectasis. the heart size is enlarged but stable. patient is status post cabg with a stable fracture of the second median sternotomy wire.
patient with pleural effusion, evaluate effusion.
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since the prior study there has been insertion of endotracheal tube which projects <num> cm from the carina. the enteric tube terminates in the left upper quadrant. lung volumes are reduced since the prior study. there are new opacities at the right lung base with elevation of the right hemidiaphragm, which in combination likely suggest volume loss and atelectasis.
<unk>f with shortness of breath. intubated. evaluate endotracheal tube position.
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ap upright and lateral views of the chest provided. port-a-cath again seen residing over the right chest wall with catheter tip looping in the right neck with right ij access, terminating in the upper svc. the heart appears enlarged of this may be technique related. lung volumes are low. scattered areas of atelectasis noted without convincing evidence for pneumonia or chf. no pleural effusion or pneumothorax. mediastinal contour is stable. bony structures intact.
<unk>f with copd hx, recent vertebral injury, hx ivdu and lymphoma, recent trauma with t<num>/t<num> compression fxs on osh ct, bilat <unk> weakness
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bibasilar opacities may be due to atelectasis and overlying vascular structures however, underlying aspiration or subtle infection is not excluded in the appropriate clinical setting. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with ?seizure // ? ich. pna
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal.
leukocytosis.
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frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
chest pain. assess for acute process.
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right chest wall port-a-cath is again noted. lungs are clear of consolidation, effusion, or edema. cardiomediastinal silhouette is stable. known mediastinal adenopathy is better seen by prior pet-ct. coronary artery stents are noted. tortuosity of the descending thoracic aorta is again seen. s-shaped thoracic scoliosis is unchanged as is a compression deformity of an upper thoracic vertebral body.
<unk>f with hx of lymphoma, now sob and hypotension pls eval for pna
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compared with the immediate prior study of earlier the same day, there is a new right-sided pigtail drainage catheter. there is no pneumothorax. the right pleural effusion has significantly decreased, with only a trace pleural effusion remaining, though there may be a residual subpulmonic effusion. fluid no longer extends into the minor fissure. there is no left-sided pleural effusion. there is no focal consolidation or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old man with laparoscopic cholecystetomy, recovery c/b abdominal abscess with effusion (not drained in hospital per acs decision). presents for follow up of effusion. now loculated, partially organized space s/p <unk>f chest tube placement // ? ptx.
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a left-sided pacemaker and multiple leads are seen and are in appropriate position. the patient is status post median sternotomy and cabg. the heart is enlarged. there is a small to moderate right pleural effusion, which is possibly loculated. opacity in the right lower lobe could represent consolidation due to pneumonia. there is no evidence of pneumothorax. there is no evidence of pulmonary edema.
<unk>m with doe and cough // eval edema, pna
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the patient is status post median sternotomy with aortic valve replacement. a left pectoral dual lead cardiac aicd is in place. the tip of a newly placed right ij central venous catheter projects over the svc. there has also been interval placement of an et tube which terminates above the carina. mediastinal drains are in place. there is a small amount of fluid adjacent to the tip of the newly placed right lung base chest tube, which likely represents a new small hemothorax. there is no pneumothorax. new obscuration of the medial left hemidiaphragm is likely due to subsegmental atelectasis. the cardiomediastinal silhouette is magnified by the projection.
<unk> year old woman s/p sternal washout // cardiac surgery aortic stenosis.
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right-sided port-a-cath tip terminates at the junction of the svc with the right atrium. cardiac silhouette size is top normal. mediastinal and hilar contours are unremarkable, and the lungs are clear. there is no pulmonary vascular congestion. small left pleural effusion is demonstrated, similar compared to the prior exam. no pneumothorax is present. there are no acute osseous abnormalities. multiple clips are noted within the upper abdomen along with a biliary stent.
hypotension, pancreatic cancer.
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left anterior chest wall dual lead pacer is unchanged. median surrounding wires and anterior fixation plate are unchanged. right-sided picc tip terminates at the cavoatrial junction. lung volumes are low. heart size is top-normal with unfolding of the thoracic aorta. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. sclerotic focus in the proximal right humerus is unchanged, potentially enchondroma versus infarct.
re- adjusted right picc line.
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pa and lateral chest radiograph demonstrate subtle hazy opacity projecting over the right lower lung zones on the frontal view and within the retrocardiac space on the lateral view corresponding to the right lower lobe. findings may reflect early pneumonia. heart size is within normal limits. mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. visualized osseous structures are without an acute abnormality.
<unk>-year-old male with cough hemoptysis and fever.
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the cardiomediastinal and hilar contours are stable. there is redemonstration of multiple lung masses which appear similar as compared to prior chest ct. there is a small sized right-sided pleural effusion, which allowing for differences in technique, appears slightly increased in size since prior chest ct. the left costophrenic angle is clear. there is no pneumothorax. no definite new focal consolidation concerning for pneumonia. however, a small superimposed infectious process cannot be excluded.
fever and confusion. evaluate for pneumonia.
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>f postpartum w/ chest pain // ? consolidation, enlarged heart
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lung volumes are low and the lungs are clear. hila and cardiomediastinal contours and pleural surfaces are normal.
<unk> year old man with cirrhosis presenting with malaise // evaluate for pneumonia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable, with the cardiac silhouette top-normal in size..
history: <unk>f with near syncope, cough, sputum // ? acute cardiopulm process
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there are small bilateral pleural effusions with atelectasis at the lung bases. the cardiomediastinal silhouette and hilar contours are stable. there is no pneumothorax.
<unk> year old woman with sob and chestwall pain, not able to take deep breath. no trauma or falls. evaluate for pneumothorax.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. mild right apical pleural parenchymal scarring is noted. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> yof with adrenal insufficiency on chronic steroids p/w headache, n/v, diarrhea and cough.
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cardiomediastinal contours are normal. aside from linear scarring in the lingula, the lungs are clear. there is no pneumothorax or pleural effusion. there is a scoliosis
<unk> year old woman with screening for malignancy // any lesions?
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the lungs are well expanded and clear. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable. multiple surgical clips are seen overlying the left upper quadrant.
bilateral lower extremity swelling.
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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>f with chest pain
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heart size is top normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation. the upper abdomen is unremarkable.
history: <unk>f with fever, cough, elevated white count. // pneumonia?
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as compared to prior chest radiograph from <unk>, there has been interval improvement of the left-sided pleural effusion. there is no pneumothorax. monitoring and support devices are essentially unchanged. an enteric tube terminates at the end of the fourth portion of the duodenum. cardiomediastinal silhouette is unchanged.
<unk>-year-old male patient with left effusion status post thoracentesis. study requested to rule out pneumothorax.
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frontal and lateral views of the chest. a pacemaker has been placed in the interval, with leads terminating in the right atrium and right ventricle. clips are seen within the neck. no pleural effusion or pneumothorax. no focal airspace consolidation worrisome for pneumonia. cardiac silhouette remains mildly enlarged. mediastinal and hilar structures are unchanged.
headache and chest pain. evaluate for pneumonia.
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the et tube remains at the level of the clavicles. a right picc line likely extends into the right atrium. an enteric tube terminates in the stomach. a small layering left pleural effusion is unchanged. a left basilar airspace opacity may be due to either atelectasis or infection. there is new mild pulmonary vascular engorgement. there is no pneumothorax. the heart and mediastinum are magnified by the projection.
<unk> year old woman presented with ams and non-convulsive status epilepticus, new fever; ? pneumonia
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heart size is mildly enlarged; increased since <unk> with redemonstration of atherosclerotic calcifications along a mildly tortuous thoracic aorta. there is central pulmonary vascular congestion with mild interstitial pulmonary edema. there is a small left-sided pleural effusion with probable adjacent atelectasis. there is no pneumothorax.
atrial fibrillation with rvr.
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no new radiodense pericardial drain is visible and previously seen pigtail catheter had been removed before most recent prior study. cardiac silhouette appears similar and central pulmonary vascular congestion, haziness and pleural fluid appear decreased. leads appear intact and unchanged in position.
<unk> year old woman with chb now w/ ppm and pericardial drain // position of pericardial drain, interval change in pleural effusions
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with asthma, presents with cough.
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semi upright views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. bilateral apical scarring is similar to prior.
history: <unk>m with dyspnea, wheezing, chest discomfort // evaluate for acute process