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the cardiac silhouette is stable. there is increasing opacity in the right mid lung and right upper lobe which could be secondary to worsening atelectasis although superimposed infection cannot be excluded. there is persistent right pleural effusion. subcutaneous emphysema of the right chest wall is again identified.
<unk> year old woman s/p tracheoplasty s/p chest tube pull // s/p chest tube pull, interval change
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small bilateral pleural effusions are new since <unk>. the heart is mildly enlarged. widened appearance of the mediastinum appear unchanged. tortuous aorta is again seen. the lungs are grossly clear.
<unk> year old woman with hypotension, fevers. evaluate for pneumonia.
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malpositioned right internal jugular catheter traversing into the right subclavian vein is unchanged from the most recent exam (tip about <num> cm from the origin of the right subclavian vein). right infrahilar opacity suspected to be pneumonia on the prior exam is not as conspicuous, while still could be present is definitely not worse. the heart is top-normal in size. mild-to-moderate pulmonary edema is likely. no pneumothorax or pleural effusion.
<unk> year old man with concern for lower pna on previous ct. // pna?
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as compared to the previous radiograph, there is no relevant change. normal lung volumes. normal structure and transplanted lung parenchyma. no evidence of acute or chronic lung disease. in particular, there is no evidence of tuberculosis changes. normal size of the cardiac silhouette appears normal. hilar and mediastinal structures. no pleural effusions.
<unk>-year-old woman with positive ppd. questionable lung abnormality.
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pa and lateral chest radiograph demonstrates obscuration of the right heart border with a confluent opacity. this appears to be located within the right middle lobe as appreciated on the lateral chest radiograph, concerning for pneumonia. lungs are hyper expanded with flattening of the diaphragms bilaterally consistent with emphysematous changes. heart size is within normal limits. mediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. chronic right humeral head deformity is noted.
<unk>-year-old male with cough and fevers.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the aorta is somewhat tortuous. otherwise, the cardiomediastinal silhouette is unremarkable.
history: <unk>f with dysarthria // r/o pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. moderate cardiomegaly and tortuous aorta stable. left pectoral pacemaker with single lead position in the right ventricle.
<unk> year old man with h/o cardiomyopathy, cad, w/ cough, white phlegm. says it feels like pneumonia // ?pneumonia
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subtle <num> cm opacity projecting over the right lung base between the right eighth and ninth posterior ribs may be artifactual or external to the patient. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema.
history: <unk>f with copd, hypothyroidisim, hx cva, presenting with chest pain. ekg stable. // evidence of infection, edema
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. there is slight rightward convex curvature centered along the lower thoracic spine.
left-sided chest pain.
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pa and lateral views of the chest are obtained. there is left lower lobe collapse, causing mild leftward mediastinal shift. in the setting of asthma one can assume initially that the cause is mucus plugging of central bronchi. if this does not clear with treatment, inspection or imaging of the bronchial tree would be justfied. the lungs are otherwise clear and the heart is normal size. there is no pleural effusion, pulmonary edema, or pneumothorax.
<unk>-year-old man with history of asthma and several weeks of shortness of breath with negative x-ray six weeks ago.
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<num> views were obtained of the chest. on the lateral view, a small region of new consolidation in the right middle lobe and/or lingula augments the anterior opacity of the right juxtacardiac mediastinal fat collection. localization of possible pneumonia might be possible with oblique views. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
chest pain, assess 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 female with productive cough.
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left picc tip is in the right atrium and is <num> cm above the level of the carina. the lungs are clear and pleural surfaces are normal. no pneumothorax. heart size, mediastinal and hilar contours are normal.
<unk>-year-old female with crohn's and left picc placement on tpn.
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the lungs are hyperinflated, without focal parenchymal opacities. biapical pleural parenchymal scarring is identified. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. two sternotomy wires and vascular stent are unchanged in position. possible slight loss of height of a lower thoracic vertebral body is stable since <unk>.
<unk>-year-old female with shortness of breath and left rhonchi and wheezes. evaluate.
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a small right pneumothorax has markedly decreased in size following placement of a right thoracostomy tube. there is improvement of mild leftward shift of the mediastinum. a small left pleural effusion is unchanged.
right pneumothorax, post placement of a thoracostomy tube.
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there are low lung volumes. left-sided port-a-cath tip terminates at the cavoatrial junction. cardiac and mediastinal contours are within normal limits. streaky opacities within the lung bases bilaterally appear more progressed from the prior study, and likely reflect atelectasis. infection, particularly in the left lung base, cannot be completely excluded. small left pleural effusion appears not significantly changed in the interval. there is no pneumothorax. multiple clips are demonstrated within the upper abdomen.
pancreatic cancer, fever. on chemotherapy.
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blunting of the lateral and posterior costophrenic angles compatible with pleural small pleural effusions which are new since prior. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with r sided numbness // acute process?
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the horizontal linear opacity in the right lung base is unchanged from the prior study and may represent scarring or abnormal branching of a vessel. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. the visualized upper abdomen is unremarkable. degenerative change of the right acromioclavicular joint is noted.
chest pain, here to evaluate for acute cardiopulmonary process.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
<unk>f with ams // eval for pna
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. the lungs are hyperinflated suggestive of copd. minimal scarring is noted in the lung apices. no focal consolidation, pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities detected.
history: <unk>f with lightheadedness and palpitations
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the lungs remain hyperinflated. minimal apical pleural thickening is seen. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with c/o cp x <num> week // ? pna
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single portable view of the chest. there is moderate pulmonary vascular congestion. blunting of the right costophrenic angle may be due to superimposed soft tissues with component of effusion is also possible. more dense left basilar no prior study is seen which silhouettes the hemidiaphragm, similar to prior compatible with effusion with possible superimposed atelectasis or consolidation.
<unk>-year-old female with altered mental status.
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pa and lateral images of the chest demonstrate well-expanded lungs. again seen is a right lung nodule at the right lung base, unchanged in size from previous images. the chest is otherwise clear. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable. visualized osseous structures are unremarkable.
<unk>-year-old female with history of metastatic melanoma, requiring assessment for disease progression.
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pa and lateral views of the chest provided. the heart is mildly enlarged. there is no focal consolidation concerning for pneumonia. there is no large effusion or pneumothorax. pulmonary vascular congestion is noted, mild without overt edema. mediastinal contour appears normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with <num> weeks of sob, abd pain
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right internal jugular central venous catheter ends in the mid svc. endotracheal tube ends <num> cm from the carina, in appropriate position. the enteric tube ends in the stomach with the last side port at the ge junction. there is no significant change in extent and appearance of the generalized left-sided and right basal parenchymal opacity with air bronchograms. no new opacities. unchanged size of the cardiac silhouette.
intubated for pneumonia, sudden desaturations concerning for mucus plug.
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moderate enlargement of cardiac silhouette is noted. the aorta remains tortuous and diffusely calcified. the hilar contours are prominent, but this is unchanged. mild pulmonary vascular engorgement persists, and a small right pleural effusion is likely present. retrocardiac opacity could reflect atelectasis but aspiration or infection are not excluded. there is no pneumothorax. no acute osseous abnormalities detected.
fever, altered mental status.
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with cough and weakness.
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there has been interval improvement in pulmonary edema and pulmonary vascular congestion. there is slight decrease in cardiomegaly. there is no focal consolidation, effusion or pneumothorax. the left-sided aicd generator is seen with the lead in expected position.
patient with cardiomegaly and chronic dry cough. evaluate for infiltrate, volume overload.
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frontal and lateral views of the chest. a left bronchial stent is in stable position. a right bronchial stent is also likely in stable position. mediastinal widening seen on <unk> has improved. heart size is stable. severe emphysema with left base bronchiectasis is similar to prior. no new consolidation, pleural effusion, or pneumothorax.
small cell lung cancer with increasing shortness of breath and hypoxemia.
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pa and lateral views of chest. the lungs are clear. cardiac silhouette is top-normal in size. there is no pleural effusion pneumothorax or pulmonary edema.
hypertension
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heart size is normal. amplatz closure device projects over the cardiac silhouette. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
<unk> year old woman with crohn's disease // ? cardiopulmonary process, screen for tb prior to initiating monoclonal ab therapy
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frontal and lateral views of the chest are compared to previous exam from earlier the same day at <time> p.m. when compared to prior, there has been interval placement of a pigtail catheter at the left lung base with interval decrease in size of the left-sided pleural effusion. there is a small left-sided apical pneumothorax identified. persistent patchy opacity is seen in the lungs bilaterally, similar in distribution and degree when compared to prior. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with pleural effusion status post thoracentesis. question pneumothorax.
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frontal and lateral views of the chest demonstrate stable left pectoral cardiac pacer with leads terminating in the right atrium and right ventricle. there has been interval enlargement of the cardiac silhouette, although likely accentuated by ap technique. there has been development of moderate left and small right pleural effusions with compressive atelectasis in the left base. there is mild perihilar vascular congestion.
<unk>-year-old female status post pacemaker implantation for bradycardia, presents with dyspnea on exertion and anemia. question acute process.
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the patient is status post right upper lobectomy with stable right apical pneumothorax with a right apical chest tube remaining in place. again demonstrated is widening of the superior mediastinum which developed postoperatively and is likely due to shifting of the mediastinum secondary to volume loss from right upper lobectomy. there is no focal consolidation concerning for pneumonia. there is no large pleural effusion. a right subclavian central venous catheter terminates in the low svc. the endotracheal tube is in appropriate position, with tip <num> cm cranial to the carina.
status post right upper lobectomy for lung cancer and chest tube x<num> in place for pneumothorax. status post pea arrest, evaluate for interval change.
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single portable chest radiograph demonstrates a slight interval decrease of persistent enlargement of the cardiomediastinal silhouette. there is also persistent though decreased bilateral pulmonary opacifications. the remaining opacifications are predominantly within the right lower and left upper lungs. no pneumothorax is identified. possible small left pleural effusion present.
diastolic congestive heart failure, pulmonary hypertension, tbm, presents with dyspnea and fever. assess for interval change in edema and underlying consolidation.
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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. compression deformities in the mid and lower thoracic spine likely chronic and secondary to osteoporosis. no free air below the right hemidiaphragm is seen. surgical clips are noted in the right upper quadrant.
<unk>f with cough and weakness today // ? infiltrate
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since the radiographs obtained <unk>, no significant changes are appreciated. lungs are fully expanded and clear without consolidations or effusions. heart size is normal. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
<unk> year old woman with increased seizure frequency // eval for pna
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compared to the prior study, the chest tube is been removed. a small right apical pneumothorax is visible. in retrospect, this is probably unchanged. a bleb like lucency is also now visible along the edge of the elevated right hemidiaphragm, of uncertain significance. this does not clearly represent a a portion of the pneumothorax. extensive subcutaneous emphysema along the right neck and right chest and abdominal wall is again noted, relatively similar. elevation of the right hemidiaphragm is similar to the prior study. the cardiomediastinal silhouette including the right paratracheal/pericarinal opacity is unchanged. vascular plethora in both upper zones is similar to the prior study. there has been slight interval increase in patchy opacity immediately above the right hemidiaphragm slightly. atelectasis at the left base and minimal blunting of left costophrenic angle is similar to the prior study.
<unk> year old woman s/p right upper lobectomy and right middle lobe wedge resection - please take at <time> // chest tube removal - interval change/ptx - please take at <time>
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there is severe cardiomegaly. the mediastinal and hilar contours are stable. there is no pneumothorax or large pleural fusion. the lungs are well-expanded. there is mild vascular congestion. slight increased vascular markings at the right base likely represents asymmetric pulmonary edema. the patient is status post cabg. left axillary pacemaker is noted with leads in stable positions.
history: <unk>m with wheezing, edema?
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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 syncope, lightheadedness, nausea // ? cardiopulm abnormality
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portable single frontal chest radiograph was obtained with patient in a semi upright position. a dobbhoff tube terminates in the distal stomach with the tip coiled back into the body of the stomach. there has been interval advancement of the left picc line into the proximal atria. the remaining lines and endotracheal tube are unchanged in position. there is worsening of perihilar opacities, right greater than left. there is improved aeration of the lung bases. heart size is normal. there is no pleural effusion or pneumothorax.
dobbhoff tube placement, eval location.
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pa and lateral views of the chest provided. lung volumes are low. a patchy opacity at the right lung base is unchanged. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
<unk> year old woman with rll infiltrate of unclear significance // interval change
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the endotracheal tube is in satisfactory position, approximately <num> cm from the carina. a left internal jugular central venous catheter is present with the tip in the upper svc. a right hemodialysis catheter is unchanged with the tip at or just beyond the cavoatrial junction. an enteric tube is present coursing below the diaphragm with the tip out of the field of view. since prior exam, the lung volumes have improved, likely due to mechanical ventilation. there is a persistent dense opacity in the right base consistent with pneumonia. mild pulmonary edema is not significantly changed. the cardiomediastinal silhouette is normal.
evaluate after intubation and left central venous catheter.
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the cardiomediastinal shadow is normal. normal hila. no airspace consolidation. no suspicious pulmonary nodules or masses. no pneumothorax. no pleural effusions. right-sided port-a-cath in situ with the tip in the mid to distal svc. no right-sided pneumothorax.
<unk> year old woman with nmo, needs high dose steroids // r/o infection
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the cardiomediastinal silhouette and pulmonary vasculature are similar to the prior examination. linear opacities at the bilateral lung bases are most consistent with atelectasis. there is no pleural effusion or pneumothorax.
history: <unk>f with epigastric pain radiating to the back // eval for pna vs ptxeval for pancreatitis vs pyelo vs disection
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portable supine radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. the heart is markedly enlarged, which is exacerbated by supine positioning. small right pleural effusion with adjacent atelectasis appears have increased slightly over the interval, which also may be in part due to positioning. left basilar atelectasis is slightly improved. a left-sided pleural drainage catheter is present. a left-sided subclavian central venous line ends in the mid svc. the nasogastric tube courses into the stomach and out of the field of view. the endotracheal tube ends <num> cm from the carina. no pneumothorax. multiple left-sided rib fractures are again seen.
<unk> year old man with ett, chest tube // interval change?
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single portable upright frontal chest radiograph demonstrates bilateral interstitial markings with cephalization of vessels and central vascular engorgement. obscuration of bilateral diaphragmatic angles may represent bilateral small pleural effusions, although a component of atelectasis or a consolidation cannot be excluded. there is no pneumothorax. heart size is enlarged. visualized osseous structures are without acute abnormality.
<unk>-year-old female with dyspnea. evaluate for fluid overload.
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a single ap radiograph was obtained. there is diffuse airspace opacity within the lungs, radiating from the hila, most consistent with severe pulmonary edema. the heart size is difficult to assess. the mediastinal contours are normal. no definite pleural effusions. there is no pneumothorax.
shortness of breath and hypoxia, renal failure. evaluate for infiltrate.
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the lungs are essentially clear where not obscured by overlying cardiac leads. bibasilar atelectasis is noted. cardiomediastinal silhouette is within normal limits. multiple surgical clips project over the right lower lung, potentially within overlying soft tissues. no acute osseous abnormalities.
<unk>f with sob, cough // evidence of effusion or pneumonia
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a rounded opacity in the right midlung seen on the prior examination is not definitely visualized today. lung fields are clear. the cardiomediastinal silhouette is unchanged. no pneumothorax. no pleural effusion.
history: <unk>f with fever, uti, s/p renal/panc xplant, l sided rhonchus //
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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 intermittent l sided cp // eval pneumonia, pneumothorax, other acute process
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pa and lateral views of the chest were reviewed and compared to the prior study. there is bilateral apical pleural thickening. the lungs are clear and well expanded without evidence of vascular congestion, pleural effusion, or pneumothorax. there is flattening of the hemidiaphragms. the cardiac and mediastinal contours are normal. no concerning osseous or soft tissue lesions.
unintentional weight loss, tobacco use.
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right internal jugular venous catheter terminates in mid svc. pulmonary edema is mild. there is no large pleural effusion. mildly enlarged cardiac silhouette is similar to before.
<unk> year old woman with chf and desats // r/o pulm edema
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single ap view of the chest provided. the patient has known left scapula and left lower rib fractures better evaluated on prior chest ct. patient is status post median sternotomy. moderate bibasilar atelectasis is unchanged. moderate cardiomegaly is unchanged. pulmonary edema and pulmonary vascular congestion is worsened.
<unk> year old man with new hypoxia, fever in setting of hypertension // eval for pulm edema
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the cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly with a left ventricular configuration to the heart. there is slight blunting of the right costophrenic angle which may reflect a subpulmonic effusion. there is a new mild interstitial opacity suggesting pulmonary edema in addition to a vague but focal lateral right apical opacity, the latter unchanged.
possible cholangitis.
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the heart is moderately enlarged. there is mild pulmonary edema. as compared to prior chest radiograph from <unk>, there is improved aeration of the right lung base. persistent bibasilar opacities likely reflect chronic interstitial abnormality as on prior chest ct <unk>. no new focal consolidations are noted. there are improved bilateral pleural effusions. there is no pneumothorax.
chest tightness, dizziness, shortness of breath. evaluate interval worsening or resolution of pna.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is evident. the lungs are hyperinflated. heart and mediastinal contours are stable with moderate cardiomegaly and enlarged calcified tortuous aorta. nodular opacity at the left lung apex appears stable. rightward tracheal deviation is again noted, likely secondary to enlarged left thyroid.
<unk>-year-old female with chest palpitations and light-headedness.
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there is mild pulmonary vascular congestion. no pleural effusion. the heart is borderline in size. ng tube in the stomach.
<unk> year old woman with cirrhosis, s/p variceal bleed, new onset tachycardia // r/o considation
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. .
history: <unk>f with asthma, worsening dyspnea // eval for pna
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there are low lung volumes and a suboptimal inspiratory effort. allowing for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits. there is bibasilar atelectasis. there are no focal lung consolidations. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old man with cellulitis, history of multiple myeloma, evaluate for pneumonia.
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heart size remains mildly enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. cavitary lesion within the left upper lobe measuring up to <num> mm is similar compared to the previous pet ct. other previously seen nodules on the pet-ct are not as well visualized on the current exam. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
history: <unk>f with afib, shortness of breath
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right-sided port-a-cath tip terminates at the junction of the svc and right atrium. heart size is mildly enlarged. aorta is mildly tortuous. hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. lungs are clear. very small new left pleural effusion. no acute osseous abnormality is visualized.
<unk> year old woman with recently diagnosed metastatic esophageal adenocarcinoma here with blood streaked emesis and for nutritional optimization s/p surgical j tube c/b pain and intractible vomiting now resolved. // concern for aspiration pna
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lines and tubes: intra-aortic balloon pump terminates <num> cm from the apex of the aortic arch. swan-ganz catheter is unchanged in location. ekg leads overlie the chest wall. lungs: persistent opacification of the right hemi thorax sparing a portion of the right upper and mid zones. left lung is clear. pleura: there is a persistent large right-sided pleural effusion with mediastinal shift to the left side. no pneumothorax. mediastinum: mediastinum appears shifted to the left side secondary to the large right pleural effusion. bony thorax: unchanged compared to the prior radiograph.
<unk> year old man with chf exacerbation and iabp. // evaluate for interval improvement in pulm edema/effusion. evaluate for iabp placement (pulled back per last cxr)
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
nstemi with sudden hypotension.
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single frontal view of the chest demonstrates et tube terminating <num> cm above the carina. there is now striking near confluent bilateral pulmonary white-out with minimal apical sparing, rapidly worsened since <num> hours ago. there are dense opacities in the lung bases obscuring the diaphragmatic contours and costophrenic angles. assessment for pleural effusion is limited. there is no pneumothorax. below the diaphragm, a tips is in place. air distended bowel loops are incompletely imaged.
<unk>-year-old female with autoimmune hepatitis presents with worsening cirrhosis, mental status change, hypertension, now status post intubation.
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with medically refractory epilepsy // r/o pna or other acute process
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the patient is noted to have pectus excavatum, which obscures the right heart border. the heart size is otherwise normal. mediastinal contours are normal. no acute bony abnormality is identified.
fever for <num> weeks, rule out pneumonia.
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there is a moderately displaced mid sternal fracture with posterior displacement of the inferior fracture fragment. there is no pneumothorax or pleural effusion. no displaced rib fracture is seen. there is no focal consolidation or pulmonary edema. the cardiomediastinal silhouette is normal.
<unk>m w/sternal pain after cpr, evaluate for sternal fracture.
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there is a left pectoral pacer defibrillator. there is mild interstitial pulmonary edema, which appears slightly worse compared to <unk>. no overt pulmonary edema. there is no focal consolidation, pleural effusion or pneumothorax. moderate cardiomegaly. no acute osseous abnormalities.
<unk> year old man with hfref, worsening dyspnea // effusion, pulm edema
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pa and lateral views of the chest provided. overlying ekg leads are present. the heart appears top-normal in size. there is no focal consolidation, effusion, or pneumothorax. the mediastinal contour is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with r facial/arm numbness // eval fro acute process
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small bilateral pleural effusions as well as mild pulmonary edema, not significantly changed from prior. no pneumothorax identified. the size of the cardiomediastinal silhouette is enlarged but unchanged. degenerative changes of both shoulders. a catheter coursing along the right neck, right hemithorax and the upper abdomen is again noted.
<unk> year old woman with hypoxia and rales and wheezing on exam. // eval for edema
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there is no consolidation, pleural effusion, or pneumothorax. cardiac silhouette is mildly enlarged. mild right lung base opacity is likely secondary to rotated position.
history: <unk>m with chest and back pain // evaluate for acute process
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an endotracheal tube terminates approximately <num> cm above the carina. diffuse hazy opacity over the right hemithorax with associated blunting of the right costophrenic angle is likely secondary to a small to moderate-sized pleural effusion. retrocardiac and left lung base opacity persists, likely secondary to atelectasis and pleural fluid. there is no pneumothorax.
history: <unk>f with new cvl // cvl placement? cvl placement?
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. a cluster of calcified nodules in the left upper lobe appears unchanged. otherwise, the lungs appear clear. there is no pleural effusions or pneumothorax.
shortness of breath.
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the thoracic aorta is tortuous. otherwise, the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. there are low lung volumes. there may be mild atelectasis at the lung bases. there is no focal lung consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. a hiatus hernia is noted.
<unk>f with known aortic ulceration, back pain.
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there is mild cardiomegaly. the thoracic aorta is unfolded. right lower lobe interstitial markings are compatible with atelectasis versus scarring. there is no evidence of pneumonia, pleural effusion, or pneumothorax. old rib fractures are noted on the left as well as on the right.
no history is provided. clinical question is pneumonia.
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the heart is again markedly enlarged. the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. there is no evidence for free air.
chest pain and vomiting.
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the patient is intubated. the carina is difficult to discern but the endotracheal tube probably terminates about <num> cm above it. an orogastric tube courses into the stomach, terminating in the antrum to the right of midline. lung volumes are low. allowing for technique, the cardiac and mediastinal and hilar contours appear unremarkable. there is mild perihilar fullness bilaterally which is suggestive of venous hypertension. vague density at the left lung base makes it difficult to exclude the possibility of a developing opacity there, which would most commonly be due to atelectasis.
status post endotracheal intubation.
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ap upright and lateral views of the chest provided. overlying ekg leads noted. 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 syncope, unresponsive episode
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. no free intraperitoneal air.
<unk>f with dry cough and epigastric pain // eval for acute process
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the heart size is normal. the aorta is mildly tortuous. the pulmonary vascularity is not engorged. opacification within the left lung base near the left costophrenic angle on the frontal view suggests a small left pleural effusion with adjacent atelectasis. the right lung is grossly clear. no pneumothorax is identified. there are no acute osseous abnormalities.
hcc, cirrhosis, increased fluid retention.
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frontal and lateral views of the chest. despite lower lung volumes, the lungs remain clear. there is no effusion or consolidation. cardiomediastinal silhouette is within normal limits. coronary artery stents are identified. a right picc is seen with tip in likely in the lower svc. there is no free air below the diaphragm. multiple tubes identified in the upper abdomen.
<unk>-year-old female with abdominal pain.
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frontal and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old female with chest pain.
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pa and lateral views of the chest provided. patient is mildly rotated to her right. 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 right chest pain
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cough // pna
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there is a retrocardiac opacity concerning for infection. there is also mild interstitial edema. the cardiac silhouette is mildly enlarged. there is a small left pleural effusion. diffuse sclerotic osseous metastases are identified.
<unk>m with hx breast cancer, hairy cell s/p admission for hyponatremia and anemia. presenting with fever <num>, epistaxis. evaluate for pneumonia.
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an ng tube is seen with distal tip past the diaphragm and side-port beyond the gastroesophageal junction. bilateral subcutaneous emphysema is seen in the bilateral chest walls corresponding to that seen on same-day ct of the abdomen and pelvis. no pneumothorax or focal consolidation is identified. there is no pleural effusion.
<unk> year old woman s/p ngt placement // eval ngt placement
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there is ill-defined opacity at the lung bases bilaterally, which is likely a combination of consolidation and pleural fluid. the heart border is obscured. the hila are full bilaterally. there is mild interstitial edema. the descending thoracic aorta is considerably tortuous. osseous structures are demineralized but appear intact.
<unk>f with fever, ams, hypoxia // pna
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given for differences in technique, there has likely been interval decrease in the bilateral pleural effusions and basilar opacity. the interstitial edema has mildly improved. the right hilar mass and background and left near circumferential pleural disease is stable. no pneumothorax. the cardiopericardial silhouette remains enlarged.
<unk> year old woman with stage iv nsclc now with hypoxia. // evaluation of effusion
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no pneumoperitoneum identified. a moderate layering left pleural effusion with adjacent compressive atelectasis appears slightly increased from <unk>. a right port-a-cath is unchanged. no pneumothorax. mediastinal contours and cardiac borders are stable.
<unk> year old man with mds to myelofibrosis, presenting with fever, abdominal pain, please r/o free air seen on ct chest <unk>. // r/o free air, lll pleural effusion, infiltrates
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<num> there still in infiltrate in the right lower lobe however it is much improved compared to the study from <num> days prior. there is a small right effusion has increased in size. there is a tiny left effusion. the heart continues to be mildly enlarged. there are no new infiltrates.
aspiration pneumonia question change.
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lower lung volumes seen on the current exam. there is crowding of the bronchovascular markings however superimposed pulmonary vascular congestion is probable. there is no effusion or confluent consolidation. moderate cardiac enlargement is unchanged. tortuosity of descending thoracic aorta is again noted. accentuated thoracic kyphosis is seen although osseous structures are not particularly well assessed due to technique. there is suspected thoracic compression deformity which appears new since <unk>.
<unk>f with exertional dyspnea and mild non-productive cough // eval for pna or fluid overload
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pa and lateral views of the chest provided. a right pic line is seen with its tip terminating in the distal svc. a drain is seen overlying the right upper quadrant. there is opacification of the left base, consistent with atelectasis, with associated pleural effusion that is unchanged from prior study. there is near-complete collapse of the right lower lobe with a moderate layering effusion and elevation of the right hemidiaphragm, unchanged from prior study. there is no pneumothorax. the cardiomediastinal silhouette is normal. minimal pulmonary vascular congestion. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. significant dilatation of gas-filled bowel within the visualized portion of the abdomen, grossly unchanged.
<unk> year old woman with hypoxia // please evaluate for acute process
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there are vague bilateral perihilar peribronchovascular opacities, concerning for an atypical pneumonia. the lungs are otherwise clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
altered mental status. evaluate for acute process.
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pa and lateral views of the chest provided. lungs are clear. cardiomediastinal and hilar contours are normal. pleural surfaces are normal. there are no pleural effusions.
<unk> year old man with hx of melanoma, evaluate disease status
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a right port-a-cath ends at the cavoatrial junction. normal heart, lungs, mediastinum, hila and pleural surfaces.
breast cancer, known gastroparesis recent antibiotics, now with cough and leukocytosis. rule out pneumonia.
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the lungs are well expanded with fibrotic changes in the lung bases bilaterally which are consistent with findings from previous ct. though there is blunting within the left costophrenic angle, it most likely represents pleural thickening and scarring with some adjacent atelectasis; no pleural effusion is identified. the patient is status post median sternotomy with sternotomy wires seen well positioned and aligned along the midline with no evidence of hardware failure. the heart is top normal in size. aorta is normal in appearance. the hilar silhouettes are unremarkable. pleural surfaces are unremarkable, and there is no pneumothorax. osseous structures are unremarkable.
<unk>-year-old female with a history of metastatic renal cell carcinoma.
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the lungs are clear without focal consolidation, effusion, or edema. calcified granuloma again seen at the right upper lung laterally. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. surgical clip noted in the right upper quadrant.
<unk>f with headache and tachycardia // evaluate for pulmonary congestion, acs
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the lungs are hyperinflated consistent with the provided history of chronic obstructive pulmonary disease. there is no focal opacity, pleural effusion or pneumothorax. heart size is top normal and there are aortic arch calcifications.
<unk> year old man with asthma, copd, abnormal pulmonary function tests and history of a positive ppd. she presents for preoperative total hip replacement and evaluation for parenchymal evidence of old tb.
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the lungs are fully inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
cough, evaluate for acute process.