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frontal and lateral views of the chest. hazy right basilar opacity at the cardiophrenic angle on the frontal view is compatible with a fat pad identified on prior ct. there are small bilateral effusions at the posterior costophrenic angles. superiorly, the lungs are clear without evidence consolidation or pulmonary vascular congestion. cardiac silhouette is enlarged. hypertrophic changes seen in the spine as well severe potentially posttraumatic changes at the left glenohumeral joint.
<unk>-year-old female with fever. history of sternal fracture. question pneumonia.
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the two pulmonary nodules noted on <unk> are stable in size, both measuring less than <num> mm. no new nodule is identified. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
three-month followup of pulmonary nodules identified in <unk>.
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the heart is enlarged and severe central vascular congestion and interstitial pulmonary edema is noted. bilateral moderate pleural effusions are noted right greater than left. the upper lung fields are grossly clear. there is no pneumothorax identified. diffuse bilateral lung nodules are better evaluated on the patient's recent ct examination.
history: <unk>f with sob // eval for pneumonia
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single portable chest radiograph demonstrates an endotracheal tube, its tip which projects approximately <num> cm above the level of the carina in appropriate position. enteric tube descends the thorax in uncomplicated course, its tip out of the field-of-view although below the level of the diaphragm. the lungs are clear bilaterally. there is no large pleural effusion or pneumothorax. cardiomediastinal and hilar contours are within normal limits.
history: <unk>f with intubated. sedated // ett position?
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the lungs are hyperinflated, consistent with copd. some streaky bibasilar opacities, slightly worse on the right than the left, are likely atelectasis. there is no pulmonary edema, pleural effusion, or pneumothorax. the aorta is calcified and tortuous. the cardiac size is at the upper limits of normal, and unchanged. there are coronary artery and aortic valve calcifications, which have progressed since the prior exam. compression deformities in the mid thoracic spine are stable. old healed rib fractures are unchanged.
als with chest pressure.
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heart size is normal. mediastinal contours is unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation.
<unk>f with cough and fever, evaluate for pneumonia..
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there is small right pleural effusion seen on the lateral view only, decreased from prior study. no focal consolidation. no pneumothorax. the cardiomediastinal and hilar contours are normal.
possible right-sided pneumonia. status post <num> l paracentesis.
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there is mild cardiomegaly. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are adequately expanded and clear without focal consolidation concerning for pneumonia. there is no pulmonary edema.
<unk>f with dyspnea, chest pain, recent <num> hour bus ride, calf tenderness..
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
<unk>f with right-sided chest pain s/p fall // eval for rib fx, pneumothorax
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there has been interval increase in bilateral pleural effusions with moderate interstitial edema. lung volumes are low. increased retrocardiac opacity most likely represents atelectasis. right internal jugular catheter is similarly positioned. no pneumothorax is seen.
<unk>-year-old female with cirrhosis, spontaneous bacterial peritonitis, and low oxygen saturation.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. hilar contours are stable.
<unk> year old woman with nbnb emesis after coughing. // please r/o pna
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation. a right-sided picc line ends in the mid svc. a dual lead pacemaker is present with leads in unchanged position.
history: <unk>m with fever // eval for pna
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pa and lateral views of the chest provided. there is a subtle nodular opacity at the right lung apex projecting at the overlap between the right clavicle and right first rib, appears more conspicuous than on prior exam, possibly a pulmonary nodule. please correlate with nonemergent chest ct. otherwise lungs are clear. there is no pleural effusion, 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 // assess for infiltrate, effusion, ptx
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single portable frontal radiograph through the chest demonstrates low lung volumes. the chin overlies and obscures bilatearl apices. there is opacification of the right lung base which likely reflects a small pleural effusion with underlying atelectasis. infection cannot be excluded. this has a similar appearance since prior examination dated <unk>. incidental note is made of bilateral hilar calcified nodes, which may relate to prior granulomatous disease. the heart is enlarged, unchanged since prior examination. redemonstration of corevalve in unchanged position. aortic arch calcifications again noted. degenerative changes within osseous structures again identified.
<unk>-year-old male with afib and rvr.
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ap and lateral radiographs of the chest demonstrate a left chest wall aicd generator with right ventricular and coronary sinus leads, unchanged since the prior study. stable cardiomegaly. degree of pulmonary vascular congestion may be slightly worse than the prior study, although there is decrease in lung volumes which may accentuate this. no pleural effusions. no significant increase in interstitial markings. no pneumothorax is seen.
shortness of breath and weight gain. evaluate for congestive heart failure.
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relative elevation of left hemidiaphragm is again none. left basilar opacity may be secondary to atelectasis. elsewhere the lungs are grossly clear. the cardiac silhouette is stable in configuration. there is no large effusion. no acute osseous abnormalities identified.
<unk>m with fever, cough, sob recetnpna dx // pna?
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patient is rotated somewhat to the right. cardiac silhouette is top-normal to mildly enlarged. the aorta unfolded and calcified. mild basilar atelectasis is seen. subtle patchy left base opacity is most likely due to atelectasis, but consolidation due to infection is not excluded in the appropriate clinical setting. no large pleural effusion is seen. there is no pneumothorax.
history: <unk>m with cp, htn // r/o pna
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cardiac silhouette size remains mildly enlarged, unchanged. the aorta is tortuous, and the mediastinal and hilar contours are otherwise stable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is demonstrated. there are mild degenerative changes noted within the mid thoracic spine.
history: <unk>f with chest pain // ? intrathoracic abnormality
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compared to most recent prior exam, there is improved aeration of the right lung base. small bilateral pleural effusions persist. no focal consolidation or pneumothorax is detected. left basilar subsegmental atelectasis persists. an air-fluid level is again noted within the neo-esophagus. heart and mediastinal contours are stable. left-sided port-a-cath appears similarly positioned. mid-thoracic vertebral compression deformity appears similar.
<unk>-year-old male status post esophagectomy.
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a right tunneled dialysis catheter has been placed in the interim with its tip in the right atrium. central pulmonary vascular congestion and edema is mild. blunting of the bilateral costophrenic angles, worse on the left, is consistent with a small left and trace right pleural effusion. no focal consolidation to suggest focal pneumonia. no pneumothorax. the heart size is mildly enlarged, overall unchanged. the mediastinum is not widened. lung volumes have improved since the prior exam.
<unk>-year-old man with a history of hypertension, esrd <unk> dm<num>, and ef <unk>%, who missed hd; evaluate for pulmonary edema.
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there is a small right-sided pneumothorax with a chest tube traversing medially and terminating along the right mediastinal border. the heart size is mildly enlarged. there is mild pulmonary vascular congestion. note is made of subcutaneous emphysema along the right lateral chest wall. increased opacities at the mid right lung, is likely secondary to aspiration. no acute fracture is identified. the left lung aside from mild pulmonary vascular congestion is otherwise clear. there is no large pleural effusion.
history of bike accident. please evaluate chest tube.
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the lungs are hyperexpanded, as before. heart size is normal and unchanged. there is a left chest pacemaker with electrode in the right ventricle. there is mitral annular calcification. the patient is status post tavr. there is calcification of the aorta, indicating atherosclerosis. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are clear, except for apical scarring. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. there are degenerative changes of the visualized spine.
<unk>-year-old woman with recent tavr now w/ presyncopal episode, nausea, lightheadedness. evaluate for infiltrate, edema
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. no focal consolidation concerning for pneumonia is identified. obscuration of the right hemidiaphragm is consistent with a small pleural effusion and a component of atelectasis, additionally seen on the left. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is identified. surgical clips are seen projecting over the right upper quadrant.
<unk>-year-old female with dyspnea and chest tightness.
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increased interstitial markings, particularly at the lung bases suggest chronic interstitial lung disease similar as compared to the prior study. minor basilar atelectasis is seen. there is no new focal consolidation. no large pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.
history: <unk>m with bibasilar rhochi // eval for acute process, attn to pna
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ap portable upright view of the chest. right ij access dialysis catheter again seen with tip extending into the right cavoatrial junction. there is mild pulmonary vascular congestion and probable mild interstitial pulmonary edema. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. the cardiomediastinal silhouette is unchanged. bony structures are intact. vascular calcifications are present.
<unk>f with ams // eval for pna
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with right upper quadrant/flank pain.
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dual lead left-sided pacer device is seen with leads extending the expected positions of the right atrium and right ventricle.no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>m with hx c/w aspiration events // pna
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there are mild bilateral effusions, right greater than left. the ij cordis is been removed. the heart is moderately enlarged. there is mild pulmonary vascular redistribution. there is mild volume loss at both bases.
postop av.
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stable cardiomegaly is seen, and mild pulmonary edema is seen. no pleural effusions, focal consolidations or pneumothorax is seen.
<unk>-year-old woman with prior history of heart failure, now with worsening dyspnea, weight gain, started on diuretics. evaluate interval change.
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the lungs are clear without focal consolidation. calcified opacities in the right upper lung is likely from prior granulomatous disease. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cp and sob // r/o acute process
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persistent opacity in the right upper paramediastinal area. the extrapulmonary lesion along the costal surface of the right mid lung appears smaller, but this may be secondary to projection. the left lung is clear. elevated left hemidiaphragm unchanged. no pulmonary edema or pleural effusion.
history: <unk>m with ams, rigors // assess for pna
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there persistent bilateral pleural effusions. superimposed bibasilar and bilateral upper lung right greater than left opacities are again identified. elevation of the minor fissure suggest upper lobe volume loss on the right. dense retrocardiac opacity in left silhouetting the descending thoracic aorta also suggests left lower lobe atelectasis. the cardiomediastinal silhouette is stable. left chest wall dual lead pacing device is identified. no acute osseous abnormalities.
<unk>m with sob // ? pna
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with r breast swelling, pain, and rash // eval for acute process
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frontal radiograph of the chest demonstrates interval removal of swan-ganz catheter. bilateral pulmonary vascular congestion is again noted with continued bibasilar atelectasis and pleural effusions. there is slight interval increase in the left pleural effusion which is small and right pleural effusion which is small to moderate. stable cardiomegaly which is consistent with postoperative appearance. no pneumothorax is identified.
status post cabg with shortness of breath and increased oxygen requirements. evaluate for effusion.
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the lungs are clear. there is no effusion, consolidation, or pneumothorax. the cardiomediastinal silhouette is normal. there is no visualized pneumomediastinum. no acute osseous abnormalities identified. no free air below the diaphragm.
<unk>f with recent esoph tumor removal, now w cp pls eval for widened mediastinum
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there are low lung volumes. there is a diffuse interstitial process which is predominantly scarring, as evidenced by a chest ct from <unk>. superimposed on chronic interstitial scarring is mild edema, but no large pleural effusion. heart size is mildly enlarged, but stable. no pneumothorax.
<unk>m with dyspnea, hypoxia // eval for pna, chf
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low lung volumes. no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
<unk> year old man presenting s/p assault, notes chest pain // chest/intrathoracic pathology?
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there has been prior median sternotomy. heart demonstrates multi chamber enlargement has increased slightly in size since the prior study. permanent pacemaker remains in place with leads in the right atrium and right ventricle. . the mediastinal and hilar contours are normal. the pulmonary vasculature is increased but stable since the prior study. . lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with ai, tr, cad // pre-op baseline study
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the lungs are clear and without any focal consolidations, effusions, or pneumothoraces. the cardiomediastinal silhouette remains stable.
evaluation of patient with asthma and igg subclass deficiency with cough and fever.
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bilateral chest tubes are in unchanged position. allowing for changes in patient positioning, the small bilateral pleural effusions appear stable. there is persistent bibasilar atelectasis. low lung volumes accentuate the bronchovascular structures, though there is no overt pulmonary edema. there is no pneumothorax. the cardiomediastinal silhouette is unchanged.
pleural effusions, now status post chest tube placement. evaluate for resolution or progression.
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the cardiac, mediastinal and hilar contours are normal. the cardiac size is normal. the lungs are clear. no pleural effusion or pneumothorax is present. no displaced rib fractures are present. no acute osseous abnormalities are seen.
motor vehicle collision, head strike and thoracic spine tenderness.
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right picc line tip near cavoatrial junction. very shallow inspiration. increased heart size, similar. increased lower lung opacities, atelectasis likely, consider pneumonitis. few strands of basilar fibrosis. sternotomy, valve prosthesis. cardiac defibrillator. thoracolumbar curve.
<unk> year old man with chf and picc line // eval picc, eval chf
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the heart is enlarged but stable from the prior exam. there is pulmonary vascular engorgement and mild pulmonary edema. a more focal opacity the base of the left lung may represent a focus of atelectasis or infection. no pneumothorax or pleural effusion.
history: <unk>m with bl knee pain and cough // knee fx? pna?
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the heart size remains mildly enlarged but stable. the mediastinal or hilar contours are similar, with tortuosity and diffuse calcifications of the thoracic aorta again noted. as before, there is prominence of the right paratracheal stripe which is attributable to the presence of tortuous vessels and mediastinal lipomatosis as seen on the prior ct of the chest from <unk>. lateral pleural thickening at the lung bases bilaterally is again noted, unchanged. streaky airspace opacities in lung bases may reflect atelectasis though aspiration or infection cannot be excluded. no pleural effusion or pneumothorax is visualized. there is no pulmonary vascular congestion. a nephrostomy catheter is noted on the lateral view.
shortness of breath.
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in comparison to the recent prior study, there is no significant interval change in the complete collapse of the right middle and lower lobes with hyperinflation of the right upper lobe. the left lung is unremarkable except for a small left basilar atelectasis. small-to-moderate right and small left pleural effusion are unchanged. there is no evidence of pulmonary edema or consolidation. the cardiomediastinal silhouette is unchanged.
<unk>-year-old man status post exploratory and right colectomy, with recent chest x-ray demonstrating right middle lobe and lower lobe collapse, is here for followup evaluation.
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frontal views of the chest were obtained. widespread bilateral hazy opacities with indistinct costophrenic angles are consistent with severe pulmonary edema with small to moderate pleural effusions. ovoid calcification overlying the left heart border is consistent with a calcified left ventricular aneurysm. aortic knob calcification is present. endotracheal tube terminates <num> cm above the carina. leads of a left-sided defibrillator projecting over the right atrium and ventricle.
<unk>-year-old female with acute shortness of breath.
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an ovoid density projecting over the left perihilar region at the eighth, may represent an orthogonal imaged vessel and is stable from the prior study over <unk> years ago. there is no evidence of suspicious opacities, there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette and hila are normal.
<unk>-year-old man with fever, renal failure.
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there are low lung volumes. given this, no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. hilar contours are stable and unremarkable.
patient is a position enlarged lymph node on his neck.
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the lungs are clear without consolidation worrisome for pneumonia or edema. linear right basilar and left mid lung opacities are likely atelectasis. there is no large pleural effusion. moderate cardiomegaly is again noted. accentuated thoracic kyphosis is seen. no acute osseous abnormalities identified.
<unk>f with dizziness, fall, hx of cva, on warfarin, plavix // evaluate for acute process
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the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
positive ppd.
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frontal and lateral views of the chest. the cardiomediastinal silhouette is within normal limits. there is no radiographic evidence of lymphadenopathy. there is no focal infiltrate, pneumothorax, vascular congestion or pleural effusion.
<unk>-year-old male with night sweats. question lymphadenopathy.
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ap upright and lateral radiographs were obtained. lung volumes are low. there are bilateral interstitial opacities and more linear bibasilar opacities. the cardiac contours are normal.
shortness of breath
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single frontal view of the chest demonstrates interval decrease in a previously large left pleural effusion, with some residual fluid layering along the lateral chest wall. there is no evidence to suggest pneumothorax. right pleural effusion with fissural loculation appears similar in configuration as compared to preceding exam. there is persistent plate-like atelectasis in the right lung base and in the left base retrocardiac region. patient is status post esophagectomy with pullthrough, accounting for prominent right paramedian contour. gaseous distention of bowel loops is redemonstrated under the diaphragm, similar as corroborated with preceding ct from three days ago.
<unk>-year-old male with thoracentesis of left pleural effusion. question post-procedural pneumothorax.
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heart size is normal. the aorta remains tortuous but unchanged. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. streaky opacities in the lower lobes bilaterally likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. posterior fusion hardware is seen spanning the thoracolumbar junction.
history: <unk>m with lightheadedness/dizziness
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an endotracheal tube terminates <num> cm above the carina. a right ij central venous catheter is in unchanged position, terminating in the distal svc. previous perihilar opacities have substantially improved, most consistent with resolving edema. there is no appreciable pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits.
intubated, acs, evaluate for pulmonary 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>f with dyspnea, equivocal lul findings <unk> // r/o pneumonia
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there is prominence of the pulmonary vasculature, consistent with pulmonary congestion. bibasilar opacities most likely represent atelectasis. there may be small pleural effusions. there is no pneumothorax. the cardiomediastinal silhouette is normal. the bones are intact.
<unk>-year-old with dyspnea, question acute cardiopulmonary process.
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again seen is the peripheral right upper lung mass as well as large right lower lung opacity. the right lower lung opacity appears to demonstrate a loculated with an air fluid level, consistent with the prior ct. there has been interval resolution of the subcutaneous emphysema. the hilar and mediastinal contours are otherwise normal. the heart size is normal. there is no pleural effusion or pneumothorax. again seen are pathologic rib fractures on the right, better assessed on the prior ct from <unk>.
<unk>-year-old female with prior subcutaneous emphysema and pathologic rib fractures, who presents for evaluation.
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pa and lateral chest radiograph is compared to prior radiograph dated <unk>. heart size is stable. lungs are without a focal opacity convincing for pneumonia. there is no evidence of pulmonary edema or pneumothorax. there is no pleural effusion.
<unk>-year-old male with chest pain and shortness of breath.
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pa and lateral views of the chest provided. moderate cardiomegaly with prominence of the left atrial appendage is noted. there is hilar congestion and mild interstitial edema. no large effusion or pneumothorax. imaged osseous structures are intact. no free air below the right hemidiaphragm.
<unk>f with just arrived to us from <unk>, hx of severe mr, today with chest pain, dyspnea
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multiple parenchymal based masses are better evaluated on the prior ct, but vaguely evident in the right lower and left lower lobes. additional smaller masses are not well seen. there is no evidence of pneumonia. cardiac size is normal. aorta is mildly unfolded. no pleural effusion. no pneumothorax.
history: <unk>m with fever, tachycardia // evaluate for pneumonia //history: <unk>m with fever, tachycardia
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increased opacities in the right lung may be concerning for aspiration or infection. lung volumes remain low with worsening moderate bibasilar atelectasis. the heart continues to be moderately enlarged. the tip of the right picc line is seen in the low svc. the tracheostomy is in the appropriate position. pleural effusions are not well <unk>.
<unk> year old man with aspiration and de-sats // <unk> year old man with aspiration and desats
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there are relatively low lung volumes. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal contours unremarkable. no pulmonary edema is seen.
history: <unk>m with htn, recent positive stress test and stable angina // evaluate for acute cardiopulmonary process
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax.
evaluate for pneumonia in a patient with cough.
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the heart size is normal. again seen is minimal biapical pleural thickening. there is no large pleural effusion or pneumothorax. there is mild bilateral fullness of the hila; however, no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of cva , who complains of abdominal pain, please evaluate.
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the confluent airspace opacities in the left lower lobe are concerning for pneumonia. left upper and the right lungs are clear. there is no pleural effusion. heart size, mediastinal and hilar contours are normal.
to rule out pneumonia.
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. imaged upper abdomen is unremarkable.
patient status post fall.
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the lungs are well inflated and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. old fractures of the right sixth and tenth rib are noted.
<unk>-year-old male with cough, shortness of breath. evaluate for evidence of acute cardiopulmonary process.
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an enteric tube is seen straddling the ge junction. the cardiomediastinal contours are within normal limits allowing for accentuation by low lung volumes. there is partial atelectasis and increased opacity of the right upper lobe, which could be related to aspiration. there is elevation of the right hemidiaphragm. increased opacity is also noted at the left lower lung, and could reflect atelectatic changes or early pneumonia. there is no definite pneumothorax or pleural effusions.
<unk>-year-old man status post hemiglossectomy, radical neck dissection, radial forearm free flap, now with dobbhoff in place. study requested for assessment of dobbhoff tube.
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frontal and lateral views of the chest. scarring is identified at the left more so than right lung base is with prominent extrapleural fat on the left, similar to prior. lung volumes are relatively low but clear of focal consolidation or effusion. cardiomediastinal silhouette is unchanged noting a tortuous descending thoracic aorta. numerous clips project over the left hemithorax and neck, similar to prior. no acute osseous abnormalities detected.
<unk>-year-old male with chest pain radiating to the jaw. question pneumonia.
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pa and lateral views of the chest. there is a left-sided pacemaker with leads ending in appropriate position. mild cardiomegaly, slightly increased in size. no focal consolidation, pleural effusion or pneumothorax. the mediastinal and hilar contours are normal.
somnolence, evaluate for pneumonia.
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pa and lateral views of the chest provided. there is subtle increase in central perihilar opacities with bronchial cuffing on the lateral projection potentially raising concern for central airways inflammation. no lobar consolidation, effusion or pneumothorax. no convincing evidence for edema. cardiomediastinal silhouette is unchanged. bony structures are intact.
<unk>f with persistent cough after recent pneumonia
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lung volumes are low with persistent moderate relative elevation of the left hemidiaphragm compared to the right side. patchy opacities in the lower lungs can probably be attributed to atelectasis in that setting. limitations of technique makes it difficult to exclude subtle pneumonia, however. there is no pleural effusion or pneumothorax. bony structures are unremarkable.
syncope.
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lung volumes are low accentuating the cardiac silhouette which appears mildly enlarged. hilar contours are unremarkable. note made of peribronchial cuffing and diffuse hazy opacities slightly increased from prior examination. no large pleural effusion or pneumothorax.
shortness of breath.
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right port-a-cath in place. tiny left pleural effusion is new. distended loop of colon left upper quadrant. normal heart size, pulmonary vascularity. no infiltrates. no pneumothorax.
<unk> year old woman with cough and fever // ? pneumonia
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there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. there is likely an epicardial fat pad. orthopedic hardware is seen within the right shoulder.
new onset dyspnea upon exertion. evaluate for cause.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old man with recent cap, still with diffuse rhonchi/wheezes, low grade fever // interval change, ?acute process interval change, ?acute process
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. partially imaged upper abdomen is unremarkable.
syncope.
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frontal and lateral views of the chest demonstrate fully expanded and clear lungs. post radiation changes are noted at the left hilum. the cardiomediastinal and hilar contours are unchanged. postsurgical changes including elevation of the left hemidiaphragm and <unk> posterior rib thoracotomy are stable. there is no pleural effusion or pneumothorax.
lung cancer status post cyberknife and left upper lobe resection with persistent cough, 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 apart from minimal atelectasis in the left lung base. no focal consolidation is identified. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with svt // evidence of pneumonia, cardiomegaly
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the cardiac silhouette is top normal to mildly enlarged. the mediastinal contours are unremarkable. no focal consolidation, pleural effusion, evidence of a pneumothorax is seen. there is minimal left base atelectasis. no overt pulmonary edema is seen. mild degenerative changes are seen along the spine.
dyspnea.
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the heart is mild to moderately enlarged. the patient is status post mitral valve repair. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. peripheral reticulation indicates a mild suspected interstitial abnormality, probably unchanged.
hemoptysis. on anticoagulation.
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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.
liver failure and decompensation.
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a single portable chest radiograph was obtained. an endotracheal tube terminates approximately <num> cm above the carina. the orogastric tube extends inferiorly out of the field of view and may course upwards toward the fundus of the stomach. the lungs are diffusely opacified by airspace densities. a retrocardiac left lower lobe opacity obscures the left hemidiaphragm. a right pleural effusion is better seen on the subsequently acquired ct. enlargement of the mediastinum is exaggerated by ap technique. there is no pneumothorax.
intubated.
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interval placement of a right internal jugular central venous line terminating within the mid svc. there is no pneumothorax. again seen is an endotracheal tube now terminating approximately <num> cm above the level of the carina. a new upper enteric drainage tube ends in the stomach. diffuse, heterogeneous bilateral airspace opacities predominantly affect the perihilar upper and mid lungs, essentially unchanged. widening of the mediastinum particularly in the right paratracheal station could be distended vasculature, exaggerated in the supine position, or adenopathy or both. there is no appreciable pleural effusion.
history: <unk>f with r ij line placement // line placement, ptx
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since <unk>, the right pleural effusion has increased, now moderate in size. the perihilar opacities have increased on the right and are stable at the left hilum, partially obscured by the icd-pacemaker device. the heart is enlarged. an enteric tube passes beyond the diaphragm into the stomach, but the tip is not visualized. the endotracheal tube ends <num> cm above the carina. a replaced aortic valve is seen.
<unk>-year-old man with rsv, please assess for interval change.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. an orthopedic screw is seen to project over the left shoulder.
<unk>m with ruq pain, hx hep c, p/w transaminitis and thrombocytopenia // eval for acute cardiopulm processeval for liver abnormalities, signs of liver abscess
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compared with the prior radiograph, lung volumes remain low, with unchanged positioning of the left port-a-cath terminating in the right atrium and the previously described right-sided shunt. right cardiomegaly has worsened, now with more right fissural fluid. no focal consolidation or pneumothorax.
<unk> year old woman with cerebral palsy and fever. please evaluate for consolidation, acute process.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there no pleural effusions or pneumothorax.
fever and headache.
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mild cardiomegaly has been stable compared to exams dated back to <unk>. the aorta is mildly tortuous. otherwise, the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of cabg, patient has hypotension. please evaluate for acute intrathoracic process.
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ap and lateral views of the chest. previously seen pleural effusions have resolved. there is no superimposed confluent consolidation. degree of cardiomegaly is unchanged. atherosclerotic calcifications noted at the arch. degenerative changes seen in the shoulders bilaterally.
<unk>-year-old female with hypoxia.
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there are chain sutures along the right upper lobe reflective of prior biopsy. no focal consolidation, pleural fusion pneumothorax seen. the heart is normal in size, and there is no pulmonary edema.
<unk>-year-old male was rapid onset dizziness and headache. evaluate for pneumonia.
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman with chest pain.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. in the right anterior neck, there is a calcified <num> x <num> cm nodule, which is stable from the prior exam in <unk>. degenerative changes are noted in the thoracic spine.
lightheadedness.
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the right picc line still heads high into the right neck and continues out of view. the feeding tube is seen in the mid-esophagus. lung volumes remain low. the heart size is normal. subsegmental atelectasis persists in the right lower lung. no pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old man with picc repositioning, will go to ir now if procedure unsuccessful // picc position
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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 cough, prior pna // eval for pna
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lung volumes are low without focal consolidation. right lower lobe atelectasis is unchanged from <unk>. there is no pleural effusion or pneumothorax. the right hemidiaphragm is stably elevated. left chest wall port-a-cath ends in the low svc.
<unk>-year-old man with dyspnea, evaluate for pneumonia.
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the cardiomediastinal silhouette is enlarged. there is no focal lung consolidation. increased opacification of the right lung base, likely represents atelectasis. there is no pneumothorax or pleural effusion. there is no acute osseous abnormality.
<unk>f with sob, tachypnea, evaluate for pneumonia.
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there is severe cardiomegaly which is significantly increased compared to <unk> without evidence of vascular congestion or interstitial edema. bilateral scattered nodular opacities are noted. mild blunting of the costophrenic angles is likely due to pleural thickening. there is no pleural effusion or pneumothorax. severe osteopenia is noted with compression fractures of multiple thoracic vertebral bodies with significant kyphosis of the thoracic spine.
confusion and left lower lobe <unk>.
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interval re-expansion of left lower lobe, with minimal residual atelectasis, and possible trace pleural effusion. stable elevation left hemidiaphragm. normal heart size, pulmonary vascularity. right lung is clear. no pneumothorax.
<unk> year old woman with tbm s/p bronch for lll collapse // interval improvmenet in lll collapse?