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lung volumes are low. heart is mildly enlarged though this appears stable. subtle lower lung opacity is most attributable to the bronchovascular crowding in the setting of low lung volumes. there is no definite signs of pneumonia or chf. no large effusion or pneumothorax is seen. mediastinal contour is normal. imaged osseous structures are intact.
<unk>-year-old female with shortness of breath, status post transfusion, question ards or chf.
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upright ap and lateral views of the chest provided. left chest wall pacemaker is noted with leads extending to the region the right atrium and right ventricle. there is mild l bibasilar atelectasis without convincing evidence for pneumonia, edema, large effusion or pneumothorax. the cardiomediastinal silhouette appears stable. bony structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with hx lung ca p/w weakness // infiltrate
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pa and lateral chest radiographs were obtained. the lungs are well expanded. there is no focal consolidation, effusion, or pneumothorax. a right upper lobe granuloma is stable. mild cardiomegaly is similar. dual-chamber pacing leads are in unchanged positions. multi level thoracic spine osteophytes are stable.
palpitations.
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old woman with hiatal hernia. now pod <num> from repair. eval for interval change // eval for interval change eval for interval change
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single ap upright portable view of the chest was obtained. there is subtle left base streaky opacity which may be due to atelectasis. no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with lactate of <num> // assess for infection
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. lungs appear hyperinflated. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with dyspnea.
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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>m with chest pain // eval infiltrate or cardiomegaly
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is within normal limits. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. multiple surgical clips are noted in the left upper quadrant of the abdomen compatible with prior bowel surgery.
nocturnal dyspnea, here to evaluate for acute cardiopulmonary process.
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blunting of the right costophrenic angle appears unchanged compared to prior. there is increased density at the left costophrenic angle, which may represent pleural effusion. the lungs are hyperinflated with underlying emphysematous changes. linear opacity in the left mid-lung likely represents atelectasis. heart and mediastinal contours are stable with a densely calcified aorta. no pneumothorax is detected. mitral annular calcification is seen.
<unk>-year-old female with copd, now with two days of worsening shortness of breath.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded with left apical thickening, likely a sequela of prior radiation treatment. the lungs are otherwise clear. pulmonary vasculature is within normal limits. surgical clips in the left axilla are noted.
elevated calcium and vitamin d.
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moderate cardiomegaly with tortuosity of the thoracic aorta is unchanged from prior study. hilar contours are unremarkable. right lung base atelectasis and small right greater than left pleural effusion is improved compared to prior study. the lungs are hyperinflated with relatively lucent lung fields, compatible with emphysema. lungs are otherwise clear. there is no pneumothorax.
pulseless left foot, preoperative evaluation.
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the cardiomediastinal and hilar contour are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. no evidence of free intra-abdominal air.
abdominal pain status post colonoscopy. question free air under diaphragm.
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the small left pneumothorax seen on the prior ct is appreciated as a subtle lucency at the apex of the left lung. the nondisplaced rib fractures seen on the chest ct are not appreciated on the current radiograph. heart size and mediastinal contours are normal. there is no pleural effusion.
<unk>m with left sided ptx on ct from <unk> // ?enlargement ptx seen on ct
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a single portable ap chest radiograph was obtained. the lungs are well expanded. there is minimal atelectasis at the left base. cardiomegaly is mild. there is no effusion, pneumothorax, or consolidation. heterotopic calcification and surgical clips in the right axilla are sequelae from prior axillary-bi-femoral bypass. the left subclavian central catheter terminates in the proximal left basilic vein.
aaa.
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ap upright and lateral views of the chest provided. evaluation slightly limited due to under penetrated technique. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. cervical fusion hardware is partially imaged. no free air below the right hemidiaphragm is seen.
<unk>f s/p fall with ?headstrike, pain to left frontal, dizziness.
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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>m with new murmur and palpitations // r/o pna, cardiomegaly
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. there is no overt traumatic bony abnormality.
<unk> year old woman with cough, right anteriolateral chest wall pain // r/o infiltrate, r/o rib fx
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the lungs are clear. the heart size is top normal, not significantly changed. there are no pleural effusions. no pneumothorax is seen. elevation of the right hemidiaphragm is unchanged. multiple bilateral rib fractures are redemonstrated, in various stages of healing. there is no definite acute rib fracture.
syncope. assess for pneumonia.
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when compared to prior radiograph dated <unk>, there is increased patchy opacification within the right middle lobe with fiducial marker in unchanged position. the remainder of the lungs appear clear. cardiomediastinal and hilar contours are within normal limits. no evidence of pneumothorax or pleural effusion. patient is status post median sternotomy and cabg. osseous structures are unremarkable.
<unk>-year-old male with chest pain.
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a rounded mass at the right lung base laterally is again seen,, ? slightly large, notwithstanding magnifiation compared to the prior film. it measures ~ <num> x <num> c, on this exam. the exrteme right costophrenic angle is excluded from the film. ground-glass opacities in the right lower lobe are increased from <unk> but similar to the <unk> ct. in addition, the left lower lobe opacities in the mid-to-lower lung zones appear relatively stable. smaller pulmonary nodules in the left mid lung zone are again noted, though are slightly blurred on this image. cardiac size remains largely stable. no chf or pneumothorax detected.
dyspnea.
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there is a new small patchy opacity at the left lung base which could be a focal atelectasis or early developing pneumonia. the linear atelectasis or scarring at the lingula is similar to <unk>. there is no pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
<unk> year old man with copd exacerbation not improving, ?evolution of pna after administration of ivf // please evaluate for interval change
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is a vague suspected posterior opacity probably in the left lower lobe and superimposed over the spine and left hemidiaphgram; elsewhere the lungs appear clear. mild degenerative changes are noted along the thoracic spine.
weakness and fatigue.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified.
seizure. evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with <num>x days intermittent luq pain, l shoulder pain, early satiety // ? evaluate for l lung patholgy, pleural effusion, atelectasis
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no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. osseous structures are intact.
<unk>-year-old with shortness of breath, rule out infiltrate.
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pa and lateral radiographs of the chest demonstrate an increase in pleural fluid tracking along the major fissure on the right which may represent redistribution but a total increase in effusion is not excluded. a small amount of pleural air persists at the right base next to a pleural drainage catheter. bilateral lower lobe atelectasis persist. moderate cardiomegaly is stable. the hilar and mediastinal contours are unchanged.
evaluate right upper pleural effusion.
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frontal and lateral radiographs of the chest demonstrate bibasilar opacities consistent with patient's history of aspiration. the cardiomediastinal contours are normal, and there is no upper zone redistribution concerning for pulmonary edema. no pleural effusion or pneumothorax is appreciated.
recent aspiration pneumonia and left lower lobe atelectasis. now with persistent shortness of breath. evaluate for congestive heart failure and worsening pneumonia.
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ap portable view of the chest demonstrates interval removal of right-sided chest tube. large right pneumothorax is unchanged. heterogeneous opacity in the right lung base likely represents atelectasis, stable. right costophrenic angle is not included in this study. left lung remains well expanded without pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. right internal jugular central venous catheter projects over mid svc. fixation hardware for several right sided fractured ribs are again noted.
patient with history of right rib fractures and pneumothorax. assess for pneumothorax following chest tube removal.
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ap upright and lateral views of the chest provided. patient is slightly rotated to her left. the heart appears mildly enlarged but unchanged. the lungs are clear without focal consolidation, effusion or pneumothorax. no convincing evidence for congestion or edema. unfolded thoracic aorta again noted. bony structures appear intact. there is stable kyphotic angulation centered at the thoracolumbar junction. an ivc filter is visualized in the upper abdomen.
<unk>f with weakness // ? consolidation, effusions
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. apparent minimal blunting of the posterior costophrenic angles on lateral view makes it difficult to exclude trace bilateral pleural effusions. there is no evidence of pulmonary vascular congestion. there is no pneumothorax.
<unk>-year-old woman with a seizure, evaluate for pneumonia.
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patient is status post left upper lung resection. diffuse reticulonodular interstitial markings are chronic, but undiagnosed. consolidation of both lower lobes and right middle lobe is similar to prior. there is small pleural effusion bilaterally. fibrotic changes at the left hilum stable from prior. right pectoral infusion port terminates in the right atrium. there is no new consolidation compared to <unk>. cardiac silhouette is obscured by lung consolidation.
<unk> year old woman with multiple myeloma, nsclc and worsening cough/infectious sxs s/p zpack // eval for new infiltrate
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heart size is upper limits of normal.mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with erythema nodosum, history +ppd, prob s/p inh, no clinical signs of tb. evaluate for sarcoidosis or tuberculosis.
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low lung volumes persist, with top-normal heart size, and unchanged cardiomediastinal silhouette compared to the prior study. bibasilar atelectasis, with elevation of the right hemidiaphragm are stable. no focal consolidation concerning for pneumonia is identified. there is no pleural effusion, pneumothorax, or overt pulmonary edema. mild pulmonary vascular congestion is noted. a bullet projects over the left chest wall soft tissues, as before.
<unk> year old man with fatigue, bibbasilar creeps dullness to percn // r/o pna
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moderate hyperexpansion is similar to prior studies. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. mild biapical pleural and parenchymal scarring is unchanged. the cardiomediastinal silhouette is stable. the new dobhoff tube coils within the oropharynx and should be repositioned. the endotracheal tube is unchanged, terminating <num> cm from the carina. a right ij approach left pectoral accessed port-a-cath and its tip projects in unchanged location. the pre-existing enteric tube is unchanged with the tip in the stomach and the side-port located at the gastroesophageal junction.
<unk> year old woman with new dobhoff placement, evaluate placement
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there is a focal opacity seen in the right mid to upper lung likely localizing to the upper lobe based on the lateral view. elsewhere, the lungs are clear without effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality identified.
<unk>m with <num> days of left leg swelling and pleuritic pain // eval pleuritic pain in the setting of left foot swelling
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again noted are bilateral lower lobe opacities, which have been present on multiple prior studies, including a ct from <unk>. these were characterized as multifocal pneumonia. the upper lobes are clear. there is no pneumothorax or pleural effusion. heart size is normal, as is the pulmonary vasculature. there is a nasogastric tube terminating within the stomach and a tunneled central venous catheter terminating at the cavoatrial junction.
<unk>-year-old man with coarse breath sounds and fever.
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the lungs are well-expanded. asymmetric increased lucency in the left upper lobe, suggestive of emphysema. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. no discrete pulmonary nodule or mass. normal cardiomediastinal silhouette, without cardiomegaly. slight fullness of the right hilum, but no frank mass. normal-appearing pleura. no acute osseous abnormality.
<unk>-year-old man with a history smoking who presents with dyspnea. evaluate for a mass.
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cardiomediastinal contours are stable with cardiac size normal and tortuous aorta with aneurysmal dilatation better seen in prior ct. elevation of the left hemidiaphragm is chronic. the lungs are clear. opacity in the left lower lateral hemi thorax is consistent with known fat containing diaphragmatic hernia. there is no pneumothorax or pleural effusion.
<unk> year old woman with history of takayasu's, arthritis, and asthma. progressive wheeze on exam // eval progression of any lung disease
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. streaky opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with chest pain, fatigue, fevers, nausea, vomiting
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there is a large cavitating mass in the right upper lobe which is invading the mediastinum and compromising the svc and right pulmonary artery. note is made of extensive systemic collaterals. the cardiomediastinal and hilar contours are otherwise within normal limits. emphysematous changes are seen in the left lung. there is a small right sided pleural effusion.
lung mass and svc syndrome. evaluate lung mass.
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the lungs are clear without consolidation, effusion, or pulmonary edema. cardiac silhouette is enlarged but not significantly changed. no acute osseous abnormalities identified.
<unk>m with cough // r/o infiltrate
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ap upright 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 sob // infiltrate
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ap portable upright view of the chest. there is mild to moderate cardiomegaly. mild basilar atelectasis without convincing evidence for pneumonia edema effusion or pneumothorax. mediastinal contour is normal. bony structures are intact. overlying ekg leads are present.
<unk>m with chest pain and hypotension // r/o pna
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pa and lateral views of the chest provided. there is platelike left basal atelectasis. otherwise the lungs appear clear. cardiomediastinal silhouette is normal. no large effusion or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with sob // ? pna
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a single portable semi-erect chest radiograph was obtained. since yesterday, an endotracheal tube has been removed. a left internal jugular catheter remains at the confluence of the brachiocephalic vein and svc. two enteric catheters project over the stomach. the shape of a left chest tube has changed since yesterday and now has a new fold downward. a right upper quadrant drain is unchanged. low lung volumes accentuate the lung markings. in addition, bilateral pleural effusions are similar. fluid within the right major fissure is unchanged. there is persistent mild central pulmonary vascular congestion.
<unk>-year-old man with chronic alcoholic pancreatitis, pancreas divisum, pleural pancreatic fistula status post exploratory laparotomy, right hemicolectomy and ileostomy.
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et tube terminates <num> mm above the carina. transesophageal to courses below the diaphragm and out of view. there are increased bibasilar opacities, which could be due to aspiration or atelectasis. there are probably bilateral pleural effusions.
<unk> year old woman with schizophrenia presenting with cardiac arrest and now undergoing hypothermic cooling. // concern for aspiration pna given secretions suctioned
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the lungs are symmetrically well expanded and well aerated. no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. biapical pleural thickening is noted. the heart is normal in size. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. the visualized upper abdomen is unremarkable.
palpitations, here to evaluate for acute cardiopulmonary process.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged, including calcification and unfolding along the aorta. there is similar moderate relative elevation of the right hemidiaphragm compared to the left. the mediastinal and hilar contours appear unchanged. there is again a coarse reticular abnormality favoring the bases and peripheral aspects of the lung, most consistent with pulmonary fibrosis. parenchymal findings appear stable allowing for small differences in technique. there is no pleural effusion or pneumothorax. the lateral view depicts air-fluid level in the mediastinum suggesting esophageal fluid which could be seen with esophageal dysmotility that may accompany crest syndrome. in addition, there is a cluster of small densities, possibly pill fragments, three altogether projecting near the expected site of the gastroesophageal junction. the bones appear demineralized.
fatigue, anorexia, weight loss with hypoxia and leukocytosis. background of crest and chronic interstitial lung disease.
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there has been a near complete re-expansion of the right lung with a right chest tube in place. no definite residual pneumothorax is identified. there is no focal consolidation. cardiomediastinal silhouette and hilar contours are within normal limits. no pleural effusion is seen.
history: <unk>m with s/p chest tube placement // repositioning of chest tube
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the lungs are clear. there is no evidence of large effusion for pneumothorax based on this supine film which also does not include the lateral costophrenic angles. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
trauma.
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lung volumes are again low, accentuating the cardiac silhouette and causing some bronchovascular crowding. side port of the ng tube is below the ge junction. right picc tip is in the lower svc. right basilar atelectasis has improved since prior. retrocardiac opacity has also improved since prior. there is no effusion or pneumothorax. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old man with trach here for peritonitis s/p ex-lap // ?worsening pneumonia
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right basal opacity has improved, and the left hemidiaphragm and cardiac silhouette is obscured. left picc line ends in the lower svc, and the dobbhoff tube curls in the stomach. small left pleural effusion is seen, but no focal consolidation or pneumothorax is seen. the heart and mediastinal contours are normal.
<unk>-year-old man with history of seizures, fall, facial fracture, evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with pain with breathing and cough.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal in size. mediastinal contours are unremarkable. no pulmonary edema is seen.
history: <unk>f with chest pain // eval for structural process/pneumothorax
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.
history: <unk>f with fevers // eval for pna
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<num> mm nodular opacity is seen projecting over the right mid to lower lung, between the posterior right ninth and tenth ribs. no definite focal consolidation is seen. no large pleural effusion or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. the aorta is calcified. no pulmonary edema.
history: <unk>f with patellar fx // pre-op cxr
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right picc ends at the mid svc. no complications including pneumothorax are seen. the cardiac and mediastinal contours are normal, and there is no consolidation, pleural effusion or pulmonary edema is seen.
<unk>-year-old man with lymphoma, here for chemo. evaluate line placement.
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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 leukocytosis // evaluate for pneumonia
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lung volumes are low. cardiomegaly is likely mild-to-moderate. there is mild pulmonary edema. there is a small left pleural effusion. more focal opacity in the retrocardiac region may be related to low volumes and atelectasis, however pneumonia cannot be excluded.
<unk>m with sob // pna?
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities. mild dextroscoliosis of the thoracic spine is present.
preoperative chest x-ray for distal femur fracture.
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pa and lateral views of the chest provided. there is interval improvement in aeration of the right lower lung as compared with recent prior exam. 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 generalized weakness
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a pigtail catheter projects over the left lung apex, unchanged. the large left pneumothorax is minimally improved from the prior study. the small left pleural effusion has slightly increased. opacity in the left lower lung, which developed after <unk> after pigtail insertion, is improving. the right lung is well aerated and clear. heart size is normal. mediastinal silhouette and hilar contours are normal.
left pneumothorax. evaluate for interval change.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
epigastric pain.
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pa and lateral chest radiographs. lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.
<unk>-year-old female with sarcoid and asthma. evaluate for infiltrate.
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ng tube tip is in the antrum of the stomach. et tube tip is approximately <num> cm above the carina. allowing for changes in patient position, the moderate cardiomegaly, extensive right pleural and parenchymal changes, and pulmonary edema in the left lung are not significantly changed.
<unk> year old man with ngt, intubated // ngt placement
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as compared to chest radiograph from <num> day prior, tube right-sided pleural drains take a similar oblique and medial course. the first side port of the superior chest tube is projecting at the level of the chest wall. right-sided pleural effusion has increased with increasing right lower lobe opacity. small to moderate left-sided fusion with persistent retrocardiac opacity right upper lobe opacity, left lower lobe nodules and mediastinal lymphadenopathy in are better seen in prior ct
<unk> year old woman s/p planned pleuroscopy and talc pleurodesis with pleurex and chest tube placement on <unk> // placement of chest tube and pleurx
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subcutaneous emphysema continues to decrease. positioning of right-sided thoracic catheter is unchanged with tip at the right apex. no pneumothorax is visible. lower border of pneumatocele on the right is visible and linear subsegmental atelectasis at the left base and right perihilar regions persist. the patient has bilateral <unk> rods in place.
<unk> year old man s/p right chest wall repair // r/a pod#<num>
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there are small bilateral pleural effusions. overall there is mild pulmonary vascular congestion. als, there is patchy right upper lobe opacity which could relate to prominent vascular structures, but underlying consolidation may be present. stable left base atelectasis/scarring is seen.
shortness of breath. evaluate for pneumonia.
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the lungs are normally expanded and clear. the heart is top normal. mediastinal and hilar contours are within normal limits. there is no pulmonary edema. there is no pleural effusion or pneumothorax.
history: <unk>f with sob, <unk> swelling. // chf
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frontal and lateral chest radiographs demonstrate a single lead icd with the lead overlying the right ventricle. there is mild cardiomegaly and well-aerated lungs which are clear without evidence of pulmonary edema. there is no pleural effusion or pneumothorax.
status post icd placement. evaluate lead placement.
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subtle opacity projecting over the anterior right first rib may relate to overlapping structures, but suggest further evaluation with apical lordotic view. no focal consolidation seen elsewhere. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with ams, unresponsive // eval for pneumonia
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lordotic positioning. the cardiac silhouette is mildly enlarged, though likely accentuated by lordotic positioning. there is mild prominence of the upper zone vessels, consistent with mild vascular congestion. no focal infiltrate or consolidation, large pleural effusion or pneumothorax detected.
history: <unk>m with overdose // ?aspiration
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mild interstitial pulmonary edema is improved compared with <unk>, but likely worsened compared with the chest ct of <unk>. ill-defined airspace opacity best appreciated on the lateral view and likely corresponding to the left lower lobe may represent atelectasis or early consolidation. there is no pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette, including mild cardiomegaly, is unchanged.
<unk>f with ckd on dialysis with fever, weakness evaluate for pneumonia.
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an et tube is present. the tip lies approximately <num> cm above the carina. a left-sided picc line is present, tip overlies the mid/ distal svc. the patient is status post sternotomy, with the enlarged cardiomediastinal silhouette, similar to <unk>. there is upper zone redistribution and mild vascular plethora, consistent with chf -- this is similar, possibly slightly improved. again seen is increased retrocardiac density consistent with left lower lobe collapse and/or consolidation and a small to moderate left effusion. left hemidiaphragm is obscured. the right base, there is minimal atelectasis and possible minimal blunting the right costophrenic angle.
<unk> year old man with chf and stroke. // pulmonary edema
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the cardiac, mediastinal and hilar contours appear stable. the patient is status post sternotomy. there is no pleural effusion or pneumothorax. the lungs appear clear. suture anchors are again present in the right humeral head. this sternum is suboptimally visualized but there is no convincing abnormality.
incisional pain after recent coronary bypass surgery.
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a single portable frontal chest radiograph is limited by ap technique and low lung volumes. the low lung volumes accentuate the pulmonary vasculature. there is no consolidation effusion or pneumothorax. cardiac and mediastinal contours are unremarkable.
humeral head fracture.
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subject to the limitation of the film, at least a small left apical residual pneumothorax is present. there are small bilateral pleural effusions. there is bibasilar atelectasis. the cardiomediastinal and hilar contours are stable.
<unk>-year-old female patient with pneumothorax. study requested for evaluation of pneumothorax progression and/or consolidation.
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of confluent consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits given relatively low inspiratory effort. osseous and soft tissue structures are unremarkable.
<unk>-year-old man with chest pain.
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as compared to prior chest x-ray on <unk>, there is mild improvement of the opacifications in the upper lobes and right lower lobe. otherwise, the cardiac silhouette remains normal. the mediastinal and hilar structures are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old with invasive aspergillosis.
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the lungs are hyperexpanded but clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. degenerative changes of the left humeral head are noted.
<unk> year old woman with s/p cerebral aneurysm now p/w right groin pain and swelling c/f hematoma, evaluate for acute cardiopulmonary process.
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the heart continues to be enlarged, and there is interval improvement in the interstitial edema from prior radiograph. no pleural effusions, focal consolidation or pneumothorax is seen.
<unk>-year-old man with chest pain and shortness of breath.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. a patchy opacity in the left lower lobe is concerning for pneumonia in the appropriate clinical setting although atelectasis could also be considered, particularly noting its steaky character. the lungs appear otherwise clear. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with cough and shortness breath. question 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 unremarkable.
history: <unk>f with h/o pontine stroke with <num> day disequilibrium, trouble walking // r/o acute intracranial process, acute chest process
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the endotracheal tube terminates <num> cm above the carina. the enteric tube passes below the diaphragm mass and continues out of view. mild to moderate cardiomegaly is stable. increased right upper lobe opacity may be due to items outside of the patient. left lower lobe volume loss and small effusion is unchanged. notably, the left internal jugular catheter, previously described as possibly intra-arterial in course, has not changed in position.
<unk> year old woman with influenza and uti. please assess for interval change.
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both lungs are well expanded and without any abnormal opacities. heart size is normal, mediastinal and hilar contours are unremarkable. there is no pleural abnormality. there is evidence of old rib fractures involving eighth and probably seventh rib on right side, along the mid axillary line. incompletely imaged fracture of right humerus is better evaluated on the right shoulder radiograph dated <unk>.
to rule out parenchymal disease concurrent with ventilation perfusion scan. ordering ventilation perfusion scan to rule out pulmonary embolus.
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old man with esophageal perf // cardiopulm process cardiopulm process
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again seen is a left axillary dual-lead pacemaker defibrillator with tips terminating in the right atrium and right ventricle as expected. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are hyperinflated. mild interstitial changes, most prominent at the lung bases, are stable. new mild plate-like atelectasis at the left base is seen. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.
worsening dyspnea since pacemaker placement.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with severe dyspnea // eval for pleural effusion
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interval placement of an enteric tube courses below the level the diaphragm, extending into the expected location of the stomach although the side port may be at the ge junction. recommend advancement sludge is well on the stomach. endotracheal tube terminates approximately <num> cm above level the carina. severe pulmonary edema persists. blunting of the left costophrenic angle concerning for a left pleural effusion. no large right pleural effusion is seen although a small pleural effusion may be difficult to exclude. no pneumothorax seen. cardiac and mediastinal silhouettes are stable.
history: <unk>f s/p ogt placement // eval ogt placement
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right-sided picc tip terminates in the proximal right atrium. the right internal jugular central venous catheter has been removed. the heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. small bilateral pleural effusions have decreased in size compared to the previous exam. there is improved aeration of the lung bases with minimal residual atelectasis. no new areas of focal consolidation are demonstrated. there is no pneumothorax. percutaneous transhepatic biliary catheter is partially imaged. there are mild degenerative changes in the thoracic spine.
likely pancreatic cancer, recently discharged after ptc placement complicated by aspiration and ards. now presenting with nausea and vomiting.
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ap upright and lateral views of the chest provided. overlying ekg leads noted. lung volumes are low. minimally increased opacity is seen projecting over the left lower lung which could represent aspiration or pneumonia. bronchovascular crowding is noted in the right lower lung. no large effusion or pneumothorax. the heart size appears stable. bony structures are intact. no mediastinal abnormalities. chronic left ac joint separation noted.
<unk>m with intoxication, hypoxia
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there is left lower lobe opacity, with subtle suggestion of air bronchograms on the frontal view, worrisome for pneumonia. subtle patchy right base opacity may be due to atelectasis or additional site of consolidation. no large pleural effusion or pneumothorax is seen. there is a right middle lobe linear atelectasis/scarring. there has been interval removal of a left-sided central venous catheter. cervical spine hardware is noted but not well evaluated on this chest radiograph study. the cardiac and mediastinal silhouettes are stable.
shortness of breath and productive cough.
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pa and lateral images of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
myalgias, cough, sore throat.
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the right-sided suprahilar mass is again seen. there is volume loss in both lower lungs. there are small bilateral effusions. the heart continues to be moderately enlarged. left-sided picc line with tip in svc is unchanged.
<unk> year old man s/p pericardial window // evaluate for effusion/ptx
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the lungs are fully expanded and clear. no pneumothorax or pulmonary edema is present. there is minimal blunting of the right costophrenic angle; however, no significant pleural effusion is present. the heart and mediastinal contours are normal.
sudden onset of palpitations and dyspnea.
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. there is mild cardiomegaly and tortuosity of the aorta. a dual-lead left-sided pacemaker is in standard position. there are multilevel degenerative changes of the thoracic spine.
confusion
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frontal and lateral views of chest were obtained. the heart size and cardiomediastinal contours are normal. right base linear opacities are chronic and compatible with atelectasis or scarring. slight elevation of the lateral aspect of the apparent right hemidiaphragm is compatible with a tiny pleural effusion. no focal consolidation or pneumothorax. chronic right <unk> rib fracture is unchanged.
<unk>-year-old male with chest pain. rule out pneumonia.
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bilateral parenchymal opacities, most pronounced in the right perihilar region is concerning for infection given the provided history. increased opacities in the bilateral infrahilar regions could be infection or aspiration. horizontal linear opacity projecting over the right mid lung may be focal scarring. the heart remains enlarged. pulmonary vascular congestion persists. <num>-mm opacity just to the right of the trachea is probably a vessel on-end, although could also be a nodule. there may be a trace right pleural effusion on the lateral view. no large pleural effusion or pneumothorax. severe levoconvex scoliosis of the upper thoracic spine, mild dextroconvex scoliosis of the lower thoracic spine, and mild levoconvex scoliosis of the upper lumbar spine is overall unchanged with associated severe distortion of the thoracic cage and appearance of the mediastinum. the bones are diffusely demineralized, making it difficult to assess for fractures; however, significant loss of vertebral body height at multiple levels in the thoracic spine is noted and appears to have been present on the ct from <unk>. the stomach is distended with fluid and gas.
<unk>-year-old woman presenting with hypoxia. evaluate for pneumonia.
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this single view demonstrates no evidence for focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. heart and mediastinal contours are within normal limits.
<unk>-year-old female with shortness of breath and cough.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old woman with cough, sob x <num> month. evaluate for pneumonia.