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pa and lateral views of the chest provided. a very subtle opacity in the right lower lung could represent atelectasis versus a very early pneumonia. otherwise lungs appear clear. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact.
<unk>m with sob // ? pna
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single portable upright frontal chest radiograph demonstrates low lung volumes with bibasilar atelectasis. cardiomediastinal contour is unremarkable. no discrete area of consolidation is identified. there is no pleural effusion and no pneumothorax. ng tube tip projects in the stomach, side port likely near ge junction, should be advanced for optimal positioning.
new ng tube, evaluate for placement.
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frontal and lateral views of the chest demonstrate hyperexpanded lungs. there is a veil like opacity at the left lower lung which could reflect atelectasis, effusion or scarring. there is a more focal hyperdensity which projects over the posterior thorax and lower thoracic spine, of uncertain clinical significance. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax.
near-syncope. evaluate for widened mediastinum or cardiomegaly.
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frontal and lateral chest radiograph demonstrates clear lungs without focal consolidation. there are no pleural effusions. there is no pneumothorax. the heart is top-normal in size. mediastinal and hilar contours are otherwise unremarkable. visualized osseous structures are unremarkable.
<unk>-year-old male with cml.
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a left-sided pacemaker generator and <num> leads are seen in appropriate position. heart size is normal. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. lungs are clear. there is no pneumothorax. there are no pleural effusions. there are no acute osseous abnormalities.
<unk> year old man with new pacemaker // evaluate for lead placement and pneumothorax
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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.
shortness of breath.
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free air under both diaphragms is new compared with <unk>. worse right lower lobe atelectasis since <unk>. the lungs are otherwise clear. the heart size is normal. no pneumothorax.
new onset shortness of breath. question of heart failure, pneumonia, pneumothorax.
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the lungs are clear. there is no focal consolidation or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. orthopedic hardware seen in the humeral heads bilaterally.
<unk>m with episode of confusion // eval infiltrate
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. no displaced rib fracture is identified.
<unk> yo m with assault last week // fracture?
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there is a left upper chest pacer device with single lead projecting over the right ventricle. there are no apparent abnormalities associated with the device. the mediastinal silhouette and bilateral hila are normal. the cardiac silhouette is upper limits of normal. there are diffuse bilateral airspace opacities with indistinctness of pulmonary vasculature which likely represents increased pulmonary vascular pressures with moderate pulmonary edema. however, in the setting of fevers and concern for sepsis, especially given left lower lobe volume loss/opacification, this appearance is also concerning for bilateral pneumonia. there is a probable small left pleural effusion. there is no right effusion. there is no pneumothorax.
<unk> year old man with sepsis, fevers, possible infection of icd leads. // any evidence of pneumonia?
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the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
left-sided chest pain and smoker.
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white out of the left hemithorax. no significant mediastinal shift in keeping with history of central tumor with proximal bronchial compression, atelectasis of the left lung and an associated pleural effusion. ett in situ with the tip at the level of the medial clavicles, approximately <num> mm proximal to the carina. ng tube in situ coursing out of sight inferiorly. right-sided ijv central line in situ with the tip in the proximal svc. right-sided picc line in situ with the tip in the distal svc. no right-sided pneumothorax. compensatory vascular shunting to the right lung. increase in left supraclavicular soft tissue suggesting adenopathy. no destructive bone lesions.
<unk> year old man with small cell lung cancer, mass is barrier to extubation. ? effusion // mass, atelectasis, ?effusion
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the lungs are well expanded and clear, without focal opacities. small focus of loss of the right heart margin, right below the cardiomediastinal angle is likely due to a hilar vessel abutting the right cardiac margin and is unchanged compared with multiple prior radiographs as far back as <unk>. cardiomediastinal and hilar contours are unremarkable. the aorta is tortuous. there is no pleural effusion or pneumothorax.
acute chest pain.
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are stable. lungs are clear but hyperinflated with increased ap diameter of the chest and flattened hemidiaphragms. no focal consolidation, pleural effusion, or pneumothorax. left lateral rib deformities are chronic and similar to prior.
cough and diffuse wheezing on exam.
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ap and lateral radiographs of the chest demonstrate persistent low lung volumes with patchy bibasilar opacities, likely due to atelectasis and small bilateral pleural effusions which are stable since the prior study. the cardiomediastinal silhouette is unchanged, and there is no new opacification worrisome for pneumonia. mild pulmonary vascular congestion is stable since the prior study. a right picc is unchanged in position, terminating in the low svc. there is no pneumothorax.
<unk>-year-old female with chf exacerbation undergone significant diuresis, but having persistent shortness of breath. evaluation for acute process or change in pulmonary edema.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with pain s/p mvc.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with left chest and flank pain // r/o chf/pneumonia
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patient is status post median sternotomy and cabg. low lung volumes are present. heart size is mildly enlarged but similar compared to the prior exam. mediastinal contours are unchanged. there is new perihilar haziness with vascular indistinctness compatible with mild interstitial pulmonary edema. elevation of the right hemidiaphragm is chronic. no definite pleural effusion or pneumothorax is identified. multilevel degenerative changes are noted in the thoracic spine. there is diffuse atherosclerotic calcification of the aorta.
syncopal episode, bedside ultrasound notable for increased interstitial markings.
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compared the prior radiograph, the severe left pleural effusion has increased in size, causing opacification of the left hemithorax with rightward mediastinal shift. right pleural effusion is also large, but unchanged. no substantial change in mild pulmonary vascular congestion. interval placement of a right picc line, with its tip terminating in the lower svc. heart size cannot be assessed. again, a sclerotic lesion of the left humeral head is present and unchanged since <unk>.
<unk> year old woman with chf exacerbation, l pleural effusion, diuresing on lasix drip but continued o<num> requirement. pleural effusion, pulm edema, infiltrates.
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there is moderate right pneumothorax. right apical pneumothorax component has mildly decreased ; right basilar component is similar. worsened left perihilar, basilar opacity, consider aspiration, atelectasis. stable mild left pleural effusion. small right pleural effusion is more prominent. mild right basilar opacity, likely atelectasis, stable. port-a-cath in place. left chest tube. cardiac pacemaker. no left pneumothorax. surgical clips upper abdomen.
<unk> year old woman with desat and ptx // ptx change
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the patient is status post median sternotomy and cabg. heart size remains mildly enlarged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. no radiopaque foreign bodies are visualized.
possible aspiration of an apple slice.
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lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. there is slight increase elevation of the right hemidiaphragm compared to the previous study, likely reflective of ascites. small bilateral pleural effusions are noted along with bibasilar opacities likely reflective of atelectasis. no pneumothorax is present. an there are no acute osseous abnormalities. clips are seen within the anterior abdominal wall.
history: <unk>f with shortness of breath, ascites, ? volume overload
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lung volumes are low. the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. streaky opacities in the lung bases most likely reflect atelectasis. these findings appear relatively unchanged compared to the previous radiograph. no pleural effusion or pneumothorax is seen. there is no acute osseous abnormality.
shortness of breath.
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compared to prior cxr, there has been no significant interval change. lung volumes are low. dual barrel port-a-cath resides over the right chest wall with catheter tip extending to the lower svc. a right hilar mass is again noted with right perihilar linear density extending to the right lung base unchanged and consistent with chronic collapse of the right middle lobe. no large effusion or pneumothorax is seen. the cardiomediastinal silhouette is stable. no convincing sign of a superimposed pneumonia or edema. overall cardiomediastinal silhouette is stable. no acute bony abnormality.
<unk>m with lymphoma on salvage chemo now w/ syncopal episode. evaluate for acute intrathoracic process.
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heart size is mildly enlarged, decreased in size compared to the previous radiograph. mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. patchy opacities are noted in the lung bases, potentially atelectasis but infection or aspiration cannot be excluded. small bilateral pleural effusions are also present, not substantially changed from the prior study. no pneumothorax is present. no acute osseous abnormalities detected.
history: <unk>f with history of congestive heart failure, chronic cough and crackles right lung base
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pa and lateral views of the chest provided. mildly elevated left hemidiaphragm noted. the lungs are clear. 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 cough shortness of breath productive
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prominence of the interstitial markings has improved since prior but persists. there is no consolidation or large effusion. the cardiomediastinal silhouette is stable. old healed left lateral rib fractures are noted. kyphoplasty changes in the lower thoracic spine is noted.
<unk>f with dyspnea // r/o pna
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a single portable frontal radiograph of the chest was acquired. lung volumes are slightly low, causing bronchovascular crowding. streaky opacities at both lung bases are likely atelectasis, although early infection could have a similar appearance. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
fever, cough, and tachycardia. assess for pneumonia.
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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 cough ongoing
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no significant interval change in the right apical pneumothorax. there has however been interval increase in idea bilateral pleural effusions with overlying atelectasis, moderate on the right and small on the left. the size of the cardiomediastinal silhouette is unchanged. a right chest wall dual lead pacemaker is again present.
<unk> year old man s/p ppm for lyme heart block, with pneumothorax // please evaluate for interval change for ptx in context of worsening chest pain
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lung is well inflated, without consolidation or nodules. cardiomediastinal silhouette is normal. there is no pneumothorax or pleural effusion. large right subdiaphragmatic air collection is likely related to recent abdominal surgery.
<unk> years old man status post incisional hernia repair, history of recurrent pleural effusion.
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cardiomediastinal and hilar contours are unremarkable. retrocardiac opacification with faint air bronchograms may represent atelectasis versus aspiration in the setting of trauma with known t<num> burst fracture. no other pulmonary opacifications identified. known small pneumothorax identified on ct is not evident on radiograph. no pleural effusion or displaced rib fractures identified. endotracheal tube and enteric catheter are well positioned.
evaluate for pneumothorax.
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again appreciated are prominent bilateral hilar masses, right greater than left with slight progression in size of the left hilar mass compatible with patient's known mediastinal and hilar lymphadenopathy seen on prior ct examination. the left main bronchial stent remains in expected position and appears patent. there is re-demonstration of mild bibasilar volume loss; however, there is increased subtle opacity of the left upper lung suggestive of a component of atelectasis and collapse. there is slight global increase in interstitial opacities suggestive of a component of edema. there is no clear pleural effusion or pneumothorax.
<unk>-pack-year smoking history. presenting for respiratory distress, likely due to rapidly progressive lymphadenopathy with impingement of pulmonary arteries concerning for lymphoma. status post endobronchial ultrasound with fna of lymph nodes with a left main bronchial stent placement.
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mild bibasilar opacities are likely atelectasis. no pneumothorax or pleural effusion is identified. cardiomediastinal and hilar silhouette are normal size. curvilinear dense opacity in the retrosternal region is unchanged and may reflect focal calcified pleural plaques or pericardium.
history: <unk>m with fever, asplenia // eval for pna
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the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no evidence of pulmonary kaposi's sarcoma.
new diagnosis of the kaposi sarcoma, baseline chest x-ray.
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heart size and cardiomediastinal contours are normal. the catheter of a right chest wall port terminates in the mid svc. there is residual consolidation in the right upper lobe, significantly improved since <unk>. heterogenous right basilar opacities are nonspecific, may represent pneumonia. no pleural effusion or pneumothorax.
history: <unk>m with recent port placement // ? ptx
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two views of the chest demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. perihilar bronchial wall thickening could be consistent with a viral/ reactive airways process. prominence of the hilar structures could potentially represent reactive lymphadenopathy or prominent vessels. no focal consolidation, pleural effusion, or pneumothorax is identified. the visualized upper abdomen is unremarkable.
cough and fever, in a patient with a history of asthma. evaluate for pneumonia.
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lung volumes are normal. there is no consolidation, pleural effusion or pneumothorax. incidental note is made of a calcified granuloma in the peripheral left upper lobe. cardiomediastinal contours are normal. no acute osseous abnormalities identified. there is dextrocurvature of the lower thoracic spine. no radiopaque foreign body identified.
<unk>-year-old female with retrosternal globus sensation after taking a large calcium carbonate pill
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there is subtle right basilar opacity. elsewhere, lungs are clear. there is no effusion or edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. degenerative changes noted at the shoulders.
<unk>f with right knee pain, swelling. +productive cough // please evaluate for acute process, pna, right knee fracture
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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. the widened right ac interval likely reflect prior resection of the distal clavicle.
<unk>f with chest pain
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there is interval removal of right pigtail pleural catheter with reaccumulation of large left pleural effusion. this has resulted in passive collapse of the left lower lung. the left upper lung is clear. heterogeneous airspace opacities in the right lung have minimally changed. a moderate loculated right pleural effusion is probably unchanged. the cardiac silhouette is partially obscured and difficult to evaluate. there is no pneumothorax.
<unk> year old woman with pleural effusion // eval
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frontal and lateral radiographs of the chest show persistently low inspiratory lung volumes. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged and no interstitial edema is present. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.
<unk>-year-old female with worsening dyspnea on exertion, here to evaluate for evidence of congestive heart failure.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. chest findings are grossly unaltered. the left-sided apical small pneumothorax is still present, although it has diminished in size again. the maximal pleural layer separation in the apical area is about <num> cm. pulmonary parenchyma appears clear and the post-operatively small remaining hematoma has now formed into a linear scar as can be identified on the lateral view.no new abnormalities.
<unk>-year-old male patient status post vats with left upper lobe wedge resection and left apical pneumothorax with repeat small left pneumothorax on <unk>.
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heart size is top normal. lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with cva/afib rvr rates in <num>s with sscp. evaluate for pneumonia.
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ap portable upright view of the chest. there has been interval placement of a left ij central venous catheter with its tip projecting over the expected region of the mid svc. otherwise no change.
<unk>m with central line (lij) placement
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left-sided port-a-cath is seen terminating in the proximal right atrium.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with hypotension and fever // eval for pna
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compared to earlier the same day and allowing for differences in technique, the degree of opacification seen in both lungs appears to have progressed slightly, with more opacity now seen in the mid and upper zones on both sides. the possibility of some associated pleural fluid cannot be excluded, but much of this is likely accounted for by parenchymal opacification. the cardiac silhouette is now less well seen on both sides due to this opacification. the right paratracheal soft tissues are again noted to be prominent -- ? due to right-sided vascular engorgement. the et tube lies approximately <num> cm above the carina and the right ij central line overlies the distal svc, both similar to the prior film.
<unk> year old man with legionella pna, intubated // interval imaging
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a transesophageal tube ends in the stomach. the most proximal side port ends at the gastroesophageal junction. a right port-a-cath ends in the right atrium. there are median sternotomy wires and left mediastinal surgical clips. the cardiac and mediastinal contours are stable. compared to the prior radiograph performed <num> day prior, the volume of the left lower lung has decreased and new wedge shaped opacity in the mid lung is identified. there is no pleural effusion or pneumothorax. the right lung is clear. there is no free air beneath the hemidiaphragms.
<unk> year old man with rectal cancer, sbo // please evaluate for lung findings, free air under diaphragm
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the patient has been extubated in the ng tube removed. a right-sided chest tube remains in good position. no pneumothorax. there are that persistent bilateral congestive changes though these <num> have improved versus the prior radiograph dated <unk> at more focal opacities in both lung bases suggest atelectasis and or infection.
<unk> year old woman with ild who is now s/p vats biopsy, intubated and with chest tube. // evaluate for interval changes
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the et tube and ng tube have been removed. there is increased vascular plethora with more focal areas opacity in both lower lungs. is unclear if this is an infectious infiltrate or due to pulmonary edema the right ij cordis is unchanged.
<unk>m iddm vasculopath p/w sepsis due to necrotizing l thigh fascia s/p i d <unk> // eval for volume overload - crackles on exam s/p significant volume resuscitation
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female with night sweats and lymphadenopathy.
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consolidation in the superior segment of the right lower lobe was most consistent with pneumonia. the left lung is clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with one week of fevers to <num>, cough. // pna?
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the endotracheal tube ends <num> cm above the level of the carina. the left picc ends in the low svc, as before. mild interstitial pulmonary edema has minimally improved. dense left retrocardiac opacification is not significantly changed, likely atelectasis. a small left pleural effusion is not significantly changed. a small layering right pleural effusion is also not significantly changed. the heart size is normal. the mediastinal contours are normal. there is no pneumothorax. a displaced fracture of the proximal right humerus is again noted.
pneumonia. assess for interval change.
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since the most recent prior study, there has been interval increase in size of a moderate right sided pneumothorax. right apical and basilar chest tubes are unchanged in position. subcutaneous emphysema persists. there remains increased opacity in the right perihilar region, unchanged. the left lung is grossly clear with a small left pleural effusion. the cardiomediastinal silhouette is unchanged.
<unk> year old man with cts to water seal, evaluate size of pneumothorax..
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when compared to prior, there has been no significant interval change. hazy bilateral parenchymal opacities seen bilaterally. there is no large effusion. cardiomediastinal silhouette is stable.
<unk>f with sob, hypoxia // chf?
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monitoring and support devices are in unchanged position. right-sided pneumothorax has worsened with no evidence of tension. the diffuse parenchymal opacities are unchanged. the cardiomediastinal silhouette is unchanged.
<unk> year old man with pleural effusions, s/p <unk> and development of ptx, now improved with pigtails. // ptx?
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is identified.
<unk>-year-old female with right upper quadrant pain and air under the diaphragm, right upper quadrant pain. evaluate for air under the diaphragm.
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frontal and lateral views of the chest again demonstrate moderate cardiomegaly with left atrial enlargement. the lungs appear better aerated on this study with persistent central venous vascular congestion and no overt evidence for pulmonary edema. there is no pleural effusion or pneumothorax. there is no focal air space consolidation to suggest pneumonia. dense mitral annular calcifications are again seen.
evaluate for pneumonia.
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the patient is status post esophagectomy and gastric pull through. the lungs are hyperinflated. there are new patchy airspace opacities in the bilateral lung bases, concerning for aspiration. chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen. a hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe. an <num> mm nodular opacity is again seen within the right lower lobe, unchanged from prior exam. there is atelectasis at the left lung base. a chronic right pleural effusion is again noted. there is no left pleural effusion. cardiomediastinal silhouette is stable. there is no pneumothorax. visualized osseous structures are unremarkable.
productive cough.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath, cough, and subjective fevers. evaluate for pneumonia.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no rib fractures are identified.
<unk>-year-old male with left chest rib pain. evaluate for rib fracture or pneumothorax.
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. no interstitial lung disease is appreciated to suggest the presence of pneumocystis pneumonia.
fevers and hiv.
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frontal and lateral radiographs of the chest. lung volumes are low. there is stable appearance of mild enlargement of the cardiac silhouette which is new from older prior. likely small left pleural effusion is unchanged with associated atelectasis. no significant right pleural effusion. slighlyt increased interstitial markings seen without frank pulmonary edema. no focal consolidation or pneumothorax.
shortness of breath and leg swelling, evaluate for interval change of effusions or new signs of chf.
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. the cardiomediastinal and hilar contours are unchanged. the aorta is tortuous. there is no pneumothorax, pleural effusion, or consolidation. a right-sided internal jugular central venous line ends at the upper svc. a nasogastric tube ends in the stomach with the last side port at the ge junction.
<unk>-year-old man with new central venous line placement.
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new single lead pacemaker with the tip in the right ventricle. no pneumothorax. mild pulmonary edema has improved. bibasal subsegmental atelectasis, slightly increased in the right lower lobe. mild cardiomegaly. left shoulder arthroplasty is partially imaged
<unk> year old woman with recent ppm // evaluate for pneumothorax and lead placement
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endotracheal tube, swan-<unk> catheter, orogastric tube, mediastinal drains and left chest tube have been removed. median sternotomy wires are stable as well as mitral valve replacement. lung volumes are slightly decreased, expected after extubation. there is improved pulmonary vascular congestion. there is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man s/p mv repair // eval for pneumothorax s/p chest tube removal
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moderate to severe cardiomegaly has increased since <unk>, mediastinal venous and pulmonary vascular engorgement (with cephalization) have worsened, and small bilateral pleural effusion is present once again. there is no pulmonary edema or consolidation. persistent leftward displacement of the cervical trachea suggests right thyroid enlargement or mass.
<unk>-year-old female with nausea.
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lung volumes are low. heart is mildly enlarged. there is mild pulmonary edema. there are small to moderate bilateral pleural effusions, left greater than right. superimposed consolidation is seen in the left lung base and could reflect atelectasis or pneumonia. a more nodular focal opacity overlying the left eighth rib may relate to the same process. sternotomy wires and mediastinal clips are noted.
asymptomatic hypoxia after av fistula thrombectomy. evaluate for pleural effusion.
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pa and lateral views of the chest provided. there is a persistent small right pleural effusion. no free air below the right hemidiaphragm. overall, no change from prior. cardiomediastinal silhouette is normal. no pneumothorax. bony structures are intact.
<unk> year old woman with lung cancer presents with ruq pain
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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>f w/syncope // <unk>f w/syncope
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right internal jugular central venous catheter terminates in the mid-to-low svc. the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no appreciable pleural effusion or pneumothorax.
new line placement.
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a portable frontal chest radiograph again demonstrates subcutaneous and mediastinal emphysema, which is unchanged to minimally decreased compared to prior exam. there is no pneumothorax. lung volumes are low and right base atelectasis may be slightly increased. right lateral rib fractures are identified but better assessed on recent ct.
bilateral pneumothorax and pneumomediastinum, with subcutaneous and mediastinal emphysema after fall and fracture of multiple lateral right ribs.
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frontal and lateral chest radiographs demonstrate a right internal jugular catheter unchanged in position with the tip in the low svc. lung volumes are lower than on prior radiograph, resulting in increased vascular crowding and apparent interval increase in heart size. increased opacity adjacent to/overlying the right heart border may be secondary to low lung volumes and continued vascular engorgement overlying the right heart border, but superimposed infection cannot be excluded. there are bilateral moderate to large pleural effusions, likely right greater than left, with associated bibasilar atelectasis. there is no pneumothorax.
status post resolved upper gi bleed, now with altered mental status. evaluate for infection.
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the tracheostomy tube projects over midline, and a right central venous catheter terminates at the cavoatrial junction. the cardiac and mediastinal silhouette is unchanged. bibasilar atelectasis is seen with possible mild edema. median sternotomy wires are intact.
chronic trach on hemodialysis with crackles bilaterally. evaluate trach.
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the cardiac, mediastinal and hilar contours appear unchanged including dextro-positioning positioning and cardiomegaly. the aortic arch is calcified. there is a prominent epicardial fat pad. the chest appears hyperinflated. coarse lung markings appear unchanged and reflect emphysema. there is no focal opacity. slight blunting of the right costophrenic sulcus appears unchanged and accordingly most likely reflects minor scarring or atelectasis rather than an effusion.
worsening shortness of breath and dyspnea on exertion.
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pa and lateral views of the chest provided. port-a-cath over the right chest wall is again seen with catheter extending into the region of the mid svc. in this patient with known pulmonary nodules better seen on the a recent ct exam, nodules are poorly visualized on radiograph. there is a small right pleural effusion which appears unchanged from the recent ct exam. no evidence of superimposed pneumonia or edema. cardiomediastinal silhouette is stable. the imaged bony structures are intact.
<unk>m with history pancreatic cancer, fever, cough, recent hospitalization, abd pain.
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ng tube tip is not well visualized. there is small bilateral pleural effusions and mild bibasilar atelectasis, similar to prior. cardiomediastinal silhouette is unchanged.
<unk> year old man s/p left buccal tumor resection with segmental mandibulectomy, partial maxillectomy modified radical neck dissection for squamous cell carcinoma with fibula free flap, now w fever // pls eval for atelectasis, intrathoracic pathology
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pa and lateral chest radiographs were provided. there is a moderate left pleural effusion, similar to the prior ct. there is a left basilar opacity which most likely corresponds to the lobulated pulmonary nodle in the right lower lobe seen on ct. this is concerning for lymphoma recurrence. no large focal consolidation or pneumothorax is identified. the cardiomediastinal silhouette is unchanged and the imaged upper abdomen is unremarkable. the bones are intact.
<unk>-year-old man with history of fungal pneumonia and ongoing cough. assess for infection, edema or nodules.
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frontal and lateral views of the chest were obtained. low lung volumes are slightly low resulting in bronchovascular crowding. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. cardiac and mediastinal silhouettes and hilar contours are normal. no acute osseous abnormality is identified. eventration of the right hemidiaphragm is noted. there is no free air under the diaphragm.
<unk>-year-old woman with cough and fever.
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heart size is normal. mediastinal and hilar contours are unremarkable. right-sided pacemaker device with leads terminating in right atrium and right ventricle is in unchanged position. the pulmonary vasculature is normal. lungs are clear. a small hiatal hernia is noted. no pleural effusion or pneumothorax is present.
chest tightness, dyspnea.
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low lung volumes. atelectatic changes present in the lower lobes. atelectasis/scarring seen in the right upper lobe (unchanged). presumed vp shunt in situ. no new areas of airspace consolidation. feeding tube in situ with its tip in the stomach. chest wall deformity as known.
<unk> year old woman with dwarfism, multiple abd surgeries, s/p ventral hernia repair, now with nausea/distention, new ngt // ?ngt in stomachngt placement issues this admission, now new ngt.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. minimal left basilar atelectasis is noted. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with acute onset chest pain, mild dyspnea // r/o ptx, pna
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compared with the immediate prior study, the right ij cvc, epidural catheter, and enteric tubes have been removed. moderate bibasilar atelectasis is new compared with <unk>. small left pleural effusion is also new.there is no focal consolidation, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old man s/p whipple with wbc to <unk> // ? pna
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. left brachiocephalic vascular stent is re- demonstrated. previously seen right sided dual lumen central venous catheter has been removed. partially imaged is cervical fusion hardware. mild loss of height of <num> vertebral bodies at the thoracolumbar junction is unchanged.
hiv, end-stage renal disease with chest pain.
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the compared to prior, there is no significant change. the lungs are well expanded and clear. no pleural abnormality is seen. heart size is top normal, unchanged from prior. the mediastinum and hilar contours are unchanged. the thoracic aorta is mildly tortuous.
<unk> year old woman with cough. evaluate for pneumonia.
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frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. small focus of increased opacification is noted in the right lower lung corresponding with summation of vessels and costochondral calcification on the concurrent chest ct. no pleural effusion or pneumothorax evident. multilevel degenerative changes are identified with flowing anterior osteophyte formation evident.
copd, acute shortness of breath. please evaluate for pneumonia or evidence of failure.
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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 chest pain // r/o pna
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pa and lateral views of the chest provided. midline sternotomy wires again noted. cardiomediastinal silhouette is unchanged with mild cardiac enlargement. aortic and mitral valve replacements are noted. lungs are clear without overt signs of edema or pneumonia. mild hilar congestion is suspected. no large effusion or pneumothorax. bony structures are intact. degenerative changes of the left shoulder partially imaged
<unk>m with chest pain and doe, hx of copd
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ap view of the chest provided. since prior study from <num> day ago, bilateral chest tubes and mediastinal drains have been removed. right subclavian line terminates in the low svc. there is a new right apical pneumothorax. retrocardiac atelectasis continues to improve. mild edema within the left lung is minimal. small left pleural effusion is unchanged. the postoperative cardiomediastinum is stable.
<unk> year old woman with s/p mvr // eval for ptx
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the patient is status post aortic valve replacement. the heart is moderately enlarged. there is no pleural effusion or pneumothorax. there is a patchy opacity in the left lower lobe in the retrocardiac region that is similar to decreased and may correspond to atelectasis associated with a tortuous aorta.
right vision change.
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the heart is normal in size. there is mild to moderate unfolding of the thoracic aorta. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
hiv, cough and failure to thrive. question pneumonia.
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frontal and lateral views of the chest. the lungs are hyperinflated but clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. anterior cervical and thoracic vertebral body hardware is again seen in addition to old healed right lateral and anterior rib fractures.
<unk>-year-old female with cough and history of copd. room air saturation <unk>%.
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pa and lateral views of the chest were provided. dual lead pacemaker is unchanged with leads extending to the region of the right ventricle. a thorax catheter is again seen at the left lung base. pleural effusions appear similar to prior exam without significant change. mild basilar opacities likely reflect compressive atelectasis. no new consolidation. cardiomediastinal silhouette appears stable with atherosclerotic calcification along the aortic knob. the bony structures appear stable. no free air below the right hemidiaphragm.
<unk>-year-old man with shortness of breath and history of pleural effusion.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
<unk>f with cp/doe // r/o acute process
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the lungs are poorly expanded, accounting for some vascular crowding. no focal opacities are present. posterior mediastinal widening is not acute and likely due to a tortuous dilated thoracic aorta. stable mild cardiomegaly. there is no pleural effusion or pneumothorax.
<unk>-year-old female status post fall, with chest pain. evaluate for rib fractures.
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a right chest wall dual lumen port-a-cath ends with <num> lumen at the level of the cavoatrial junction and <num> in the right atrium on the frontal view. on the lateral view with arms above the head of the port ends deeper in the right atrium. there is stable appearance of the chest with volume loss with scarring and pleural thickening in the bilateral apices.
<unk> year old man with lymphoma // previous chest ct comments on "right chest wall port-a-cath is in unchanged position ending in the right ventricle". need to assess placement.
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pa and lateral views of the chest provided. fusion hardware is partially noted in the lower c-spine. minimal opacity is seen projecting over the right lower lung on the frontal view which could represent a very early pneumonia or atelectasis. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.
<unk>m with cough, dyspnea, hypoxia, wheeze // eval for pna
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heart size is mildly enlarged. calcified hilar and mediastinal lymph nodes are compatible with prior granulomas disease. the aorta remains tortuous. mediastinal and hilar contours are unchanged. chain sutures are noted within the right apex and right base laterally. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is detected. pulmonary vasculature is not engorged. no acute osseous abnormality is visualized. the enteric tube has been removed in the interval.
history: <unk>m with fever, confusion
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in comparison is chest radiograph obtained <num> days prior, there has been interval placement of a vp shunt. lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. no pleural abnormalities. heart size is top normal. cardiomediastinal and hilar silhouettes are normal. dobhoff the tube terminates in the mid gastric body. a right-sided ij central venous catheter terminates in the lower svc.
<unk> year old woman. intracranial hemorrhage. fever. // <unk> year old woman. intracranial hemorrhage. fever.