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MIMIC-CXR-JPG/2.0.0/files/p18392720/s51549568/f7166ac0-d9668c46-a2ea8335-2efc725a-e6f31c70.jpg
compared to prior, there is increased mild bilateral lower lobe opacities, likely due to atelectasis. small bilateral pleural effusion is likely. the cardiomediastinal silhouette is grossly unchanged. there is no significant pulmonary edema. no pneumothorax is seen.
<unk> year old man with new cannula placement // ? rll collapse
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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.
<unk>f with ?ms flare. pls eval pna // <unk>f with ?ms flare. pls eval pna
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. oval each a linear density projecting just lateral to the aortic arch is likely embolic material unchanged from prior. no acute osseous abnormalities.
<unk>f with ha, sob despite inhalers. // evidence of pneumonia, obstructive lung disease?
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these images show no change in a calcified nodule in the left upper lobe. no consolidation suggestive of pneumonia is seen. the heart and mediastinal contours and bony structures are not changed.
history: <unk>f with cough // r/o pneumonia
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portable ap semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old man with chf and swan // interval changes interval changes
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pa and lateral views of the chest provided. lung volumes are low with bibasilar atelectasis again noted. no large effusion or pneumothorax. heart and mediastinal contours are stable and within normal limits. bony structures are intact.
<unk>f with etoh cirrhosis // ?cpd or change from prior
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normal cardiomediastinal and hilar contours. normal pleural surfaces. clear lungs. bony structures appear intact. external ekg leads and zipper noted.
<unk>-year-old woman with a history of asthma, now with dyspnea. evaluate for an acute intracranial process.
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the heart is moderately enlarged. the aorta is mildly tortuous. superior mediastinum is prominent in this patient with known aortic dissection compared to the outside exam, the vascular engorgement is worse. there is volume loss at the bases. an underlying infectious infiltrate cannot be excluded.
<unk> year old man // eval for pneumonia
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the lungs are clear besides mild right apical scarring. there is no consolidation or edema. the cardiomediastinal silhouette is within normal limits. mid thoracic dextroscoliosis is identified. no acute osseous abnormalities.
<unk>f with hypoxia // acute process?
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the heart is moderately enlarged, particularly at the left atrium, but stable. the hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. nipple shadows should not be mistaken for pulmonary nodules. deformity of the left lower ribs is likely secondary to prior surgery. surgical clips project over the mid upper abdomen.
<unk>m s/p fall please evaluate for fx // <unk>m s/p fall please evaluate for fx <unk>m s/p fall please evaluate for fx
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with dyspnea
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resolved right upper lung atelectasis is prior radiograph. significantly improved right basilar atelectasis. improved interstitial opacities. changes of descending aortic dissection with aortic endograft in place, similar. endotracheal, right ij central lines in place, similar. increased heart size.
<unk> year old man with resp failure, s/p bronch // ?improvement in lung collapse
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there has been interval removal of endotracheal tube. heart size is normal. there is calcification of the aortic arch. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. again, there is opacity at the right base which is likely atelectasis. no pleural effusion or pneumothorax is seen.
<unk> year old woman with c<num> fracture s/p fall // interval change
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patchy, streaky opacities in both lung fields suggest subsegmental atelectasis but could be developing aspiration pneumonia. the heart mediastinal contours do not suggest chf. no fractures are visible. leftward deviation of the trachea is noted above the thoracic inlet which may be related to head position and no corresponding abnormality was seen on neck ct from <unk>. recommend correlation with physical exam.
<unk> year old man with tachypnea, temperature of <num>, pod <num> r tibeal plateau orif // acute process? pneumonia?
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with fever // r/o acute process
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk> year old woman with chest pain elicited with deep breathing unclear etiology // <unk> yo female with chest pain of unknown etiology
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ap and lateral views of the chest are compared to previous exam from <unk>. diffuse increased interstitial markings are seen in the lungs which given differences in technique have not significantly changed. there is no confluent consolidation or large effusion. cardiac silhouette is stable in configuration. right chest wall port is again noted. no displaced fractures are identified. posterior spinal fixation seen in the lumbar spine, partially visualized.
<unk>-year-old female with right facial weakness and right arm and leg weakness. status post fall.
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there is a left -sided port-a-cath which terminates in the mid svc. the cardiac size remains moderately enlarged. left atrial appendage clip is unchanged position. surgical clips are on the left side of the abdomen. there are small bilateral pleural effusions, probably present on the <unk> study as well.
<unk>f with with fever. // pna?
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small pleural effusions are new since <unk>. there is no consolidation or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. right infusion port terminates at the cavoatrial junction. surgical <unk> in right hilar region and lung base are unchanged in position. diffuse sclerotic changes of the bones are consistent with metastatic disease. degenerative changes are noted in bilateral acromioclavicular joints.
<unk> year old woman with metastatic breast ca and new cough // ?pneumonia vs pulm edema
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compared to the prior study there is no significant interval change. the feeding tube is folded back on itself in a position that suggests that it is in the third portion of the duodenum.
<unk> year old woman with pancreatic pseudocyst, now regurgitating and aspirating tube feeds // is feeding tube post-pyloric still?
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
sudden onset right chest pain. evaluate for pneumothorax.
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frontal and lateral views of the chest. prior right ij line is no longer visualized. there are new bibasilar regions of consolidation. indistinct pulmonary vascular markings seen more superiorly. the cardiac silhouette is enlarged but stable in configuration. there is vertebral body height loss of a mid thoracic vertebral body and severe height loss in a lumbar vertebral body which based on frontal projection were likely present on <unk>. no acute osseous abnormality identified.
<unk>-year-old female with hypoxia and rhonchi.
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there has been interval decrease in the amount of left-sided pneumothorax previously reported. there has been increase in bilateral pleural effusion and right-sided atelectasis. there is a possible area of consolidation in the left upper lobe. a hiatal hernia is incidentally noted. the cardiomediastinal silhouette is stable.
<unk>-year-old female with enlarging left pulmonary nodules status post left vats wedge resection.
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lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with hx of epilepsy presenting s/p seizure. r/o infection // pneumonia?
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. calcifications are seen within the aortic arch. the cardiomediastinal silhouette is within normal limits. a surgical anchor is seen within the left humeral head. degenerative changes are noted within the bilateral ac joints.
history: <unk>m with syncope, head strike and cspine pain, hx of cspine surg pls eval for injury, also eval cxr for pna // history: <unk>m with syncope, head strike and cspine pain, hx of cspine surg pls eval for injury, also eval cxr for pna
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compared with the prior film, the ett, ngt, and additional tubing or central mediastinal line or pleural have been removed. the right ij catheter is again seen, with tip over proximal/mid svc. no pneumothorax is detected. again seen is a right pleural effusion, likely with underlying collapse and/or consolidation, though the right hemidiaphragm is also probably elevated. also again seen is increased retrocardiac density, with air bronchograms. previously seen small left effusion is significantly smaller or resolved.no new infiltrate or convincing new area of aspiration is identified. there is mild upper zone redistribution and very slight vascular plethora, improved. the partially obscured on the right, the cardiomediastinal silhouette is not appear significantly changed.
<unk> year old man with leukocytosis, concern for aspiration // please assess for e/o pneumonia
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lung volumes are low, which may be secondary to positioning, slightly apical lordotic angle, and inadequate inspiration. bilateral mild to moderate interstitial edema is probably overall unchanged from the prior exam. stable enlarged heart size. no pneumothorax. retrocardiac opacity is probably from atelectasis, although underlying pneumonia cannot be excluded. increased opacity in the right upper lung is probably from atelectasis. stable appearance of the left pectoral three-lead cardiac pacemaker device is again noted.
<unk>-year-old man with v-tach and cough; evaluate for pneumonia or effusion.
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frontal and lateral views of the chest. the lungs are clear of focal consolidation. there is apparent posteriorly loculated effusion seen on the lateral which localizes to the left on the frontal view and was seen on recent thoracic spine ct. the cardiomediastinal silhouette is stable noting mild cardiomegaly. hypertrophic changes are noted in the spine with posterior fixation hardware spanning upper thoracic through upper lumbar spine. median sternotomy wires are also noted.
<unk>-year-old male status post cabg x<num> and recent back surgery presents for rehab with syncope.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. subsegmental atelectasis is demonstrated within the right lower lobe. focal opacity within the lower lobe posteriorly on the lateral view, likely within the right lower lobe is present. there is an associated small right pleural effusion. no pneumothorax is seen. the pulmonary vasculature is normal.
right-sided chest and back pain.
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lateral view is limited secondary to motion. the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with reported dx of pna at osh // pna
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there small bilateral pleural effusions, larger on the left than on the right and increased since prior. there is no focal consolidation or overt pulmonary edema. there is no pneumothorax. lungs are hyperinflated. cardiac silhouette is enlarged but stable. atherosclerotic calcifications are seen at the arch. there is a new displaced fracture of the distal left clavicle with significant displacement, new since <unk>, potentially recent. left lateral third fourth and potentially fifth rib fractures are new since <unk>, to be correlated clinically. chronic right posterior rib fractures are noted. right shoulder arthroplasty is seen.
<unk>f with cough // eval for pneumonia
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mild cardiomegaly is seen. there is a small retrocardiac opacity. there is no pneumothorax or pleural effusion. the visualized osseous structures are unremarkable.
history: <unk>m with chest pain. please evaluate.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema.
patient with history of pancreatitis. assess for pleural effusion.
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the patient is intubated. the endotracheal tube terminates about <num> cm above the carina. an orogastric tube terminates in the stomach although the sidehole indicator projects over the distal esophagus. the cardiac, mediastinal and hilar contours are unremarkable aside from mild tortuosity of the thoracic aorta. the lungs appear clear. there are no pleural effusions or pneumothorax.
endotracheal tube placement.
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ap upright and lateral views of the chest provided. patient's known pulmonary nodules are better assessed on recent ct of the chest. there is increased opacity in the right lower lung which could reflect atelectasis versus pneumonia. there is also increasing retrocardiac opacity suggesting left lower lobe atelectasis versus pneumonia. tiny pleural effusions are likely present. cardiac silhouette is unchanged. mediastinal contour is normal. bony structures are intact.
<unk>f with hypoxia, metastatic pancreatic cancer
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
dizziness. history of renal transplant.
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the heart size is normal. the hilar and mediastinal contours are within normal limits. a right-sided pacemaker generator pack and leads projecting into the right atrium and ventricle are unchanged in configuration. there is no pneumothorax, focal consolidation, or pleural effusion.
discomfort at the pacemaker site following weight lifting.
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a left-sided chest tube has been removed. overlying emphysema along the chest wall is similar. there is no definite pneumothorax, however. there is mild elevation of the left hemidiaphragm with streaky opacifications suggesting minor atelectasis. elsewhere, the lungs appear clear. there is no pleural effusion. mild degenerative changes are similar along the thoracic spine.
post-removal of chest tube. question residual pneumothorax.
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain.
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the cardiomediastinal and hilar contours are stable, with mild cardiomegaly. a right basal pleural catheter has been removed. a small residual right pleural effusion is seen with fissural extension. no pneumothorax is seen. the left lung is well expanded and clear. left chest wall aicd device is seen with leads in the expected position of the right atrium and right ventricle.
<unk>-year-old woman with prior right pleural effusion status post thoracentesis.
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semi-erect portable ap view of the chest are provided. there has been interval placement of a endotracheal tube which terminates approximately <num> cm above the carina. there is no pneumothorax. an enteric tube projects below the left hemidiaphragm and terminates in the expected location of the stomach. lung volumes are low and causes crowding in the central bronchovascular structures. opacities in the lung bases likely represents atelectasis. there is no large effusion. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with ett s/p intubation
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median sternotomy wires are again seen with fractures of the superior most wires. the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with fever and rll crackles // evaluate for developing pneumonia evaluate for developing pneumonia
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the cardiomediastinal and hilar contours are normal. there are new small bilateral pleural effusions. there is no pneumothorax. the lungs are again hyperinflated and clear with no focal consolidations concerning for pneumonia. previously seen nodular density in the right apex is not appreciated on the current study.
followup on density seen on admission chest radiograph.
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heart size is normal. the aortic knob is mildly calcified. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal and the lungs are clear. no pleural effusion, focal consolidation or pneumothorax is seen. no acute osseous abnormalities detected.
new oxygen requirement.
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the heart is normal in size. there is mild unfolding of the lower thoracic aorta. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
shortness of breath and chest pain.
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the lungs are clear. blunting of the posterior costophrenic angles is unchanged since <unk> and may be chronic. there is no large effusion or pneumothorax. pleural based scarring seen at the left lung apex. the cardiomediastinal silhouette is within normal limits. descending thoracic aorta is noted. s shaped thoracolumbar scoliosis is again noted.
<unk>f with chest pain // eval for pneumo or widened mediastinum
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
fevers, cough.
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numerous nodular opacities compatible the patient's metastatic disease are again appreciated. in addition, there is worsening pulmonary edema as well as a worsening right lower lobe infiltrate which could represent pneumonia in the correct clinical setting. a right pleural effusion is also increased in size.
<unk> year old man with sob and tachycardia // please assess for worsening pna or effusion //<unk> year old man with sob and tachycardia
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round opacity in the left upper lobe corresponds to laceration seen on prior ct and has enlarged from <unk>. again seen is a left <unk> rib fracture. no subcutaneous emphysema is seen. there are small bilateral pleural effusions, unchanged. the left ij catheter is in stable position. there is no pneumothorax.
pulmonary contusions, pneumothorax, and subcutaneous emphysema treated with <num> left chest tubes.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain // eval for acute process
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. no displaced rib fracture is identified.
trauma.
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the lungs are well expanded. there is a vague opacity which is obscuring the right heart margin, unchanged from a recent radiograph. there is also a vague opacity obscuring the lateral margin of the left hemidiaphragm. otherwise, cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. bilateral apical pleural parenchymal scarring is noted, more prominent in the left upper lobe. bilateral severe degenerative changes of the shoulder joints are noted.
<unk>-year-old female with nausea, vomiting and acute change in mental status. evaluate for acute cardiopulmonary process.
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pa and lateral radiographs of the chest demonstrate normal heart size. there are low lung volumes. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified.
cough for <num> week and history of multiple pneumonias in the past. question consolidation.
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streaky left retrocardiac opacity likely represents atelectasis. no other consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no subdiaphragmatic free air. no acute osseous abnormalities identified.
history: <unk>m with shortness of breath // please evaluate for acute abnormality
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pa and lateral chest radiographs are provided. a right picc terminates in the mid svc. median sternotomy wires are intact. there is no focal consolidation, pleural effusion or pneumothorax. the lungs are well expanded. the cardiomediastinal silhouette is normal. the bones are intact.
history of questionable gi bleed and chf, question fluid overload.
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large left apical mass invading the mediastinum is unchanged. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. left pectoral transvenous pacer leads terminate in the right atrium and right ventricle.
<unk> year old man s/p dual chamber ppm // assess leads placement and r/o ptx.
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compared to the prior study there is no significant interval change.
<unk> year old man with new hypoxia s/p ortho surgery // please assess for pulm edema vs. pneumonia
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compared to prior ct there is likely worsening pleural effusion at the left base. the remaining lung fields are clear. heart size is normal. there is no pneumothorax. right port-a-cath is stable in configuration terminating in the mid to low svc.
<unk>f with pancreatic ca p/w n/v malaise // r/o infiltrate
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old man with intermittent confusion, evaluate for pneumonia
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the cardiac, mediastinal and hilar contours appear unchanged. lung volumes are low. in that setting streaky opacities at the lung bases suggest minor atelectasis. otherwise, the lungs appear clear. there no pleural effusions or pneumothorax.
right-sided chest pain and cough.
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complete opacification of the left hemi thorax is re- demonstrated. on the previous ct examination, this finding appears to be due to the presence of a large pleural effusion combined with multiple pleural masses and pleural thickening. there is mild rightward shift of mediastinal structures. right sided picc tip terminates in the right atrium. the right lung demonstrates atelectatic changes in the lung base. pulmonary vasculature is normal. no pneumothorax is present, and no right-sided pleural effusion is demonstrated.
history: <unk>f with fever
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lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. mediastinal and hilar contours are unremarkable. lumbar spine hardware is partially visualized.
left shoulder pain. evaluate for pneumonia.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. there is no evidence of pneumomediastinum. no acute osseous abnormality is detected.
history: <unk>m with cp after smoking marijuana // ptx? pneumomediastinum?
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the patient is following intubated with the endotracheal tube at the carina. the nasogastric tube has also been inserted with the tip of the tube at of view below the diaphragm. . as compared to the radiograph from earlier today, multifocal widespread opacities have increased. moderate cardiomegaly with a small to moderate left-sided pleural effusion. no pneumothorax.
<unk> year old man on anticoagulation with hypoxic respiratory failure, concern for alveolar hemorrhage, s/p intubation // please eval ett placement
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the heart is top normal in size. the aortic knob is calcified. streaky retrocardiac opacities suggest atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified.
<unk> year old woman with dyspnea, ?aspiration // infiltrate
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portable semi-upright radiograph of the chest demonstrates low lung volumes resulting in bronchovascular crowding. the cardiomediastinal and hilar contours are unchanged. there is no evidence of vascular congestion, pleural effusion, pneumothorax, or pneumonia.
evaluate for intrathoracic process.
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the exam is somewhat limited by low lung volumes and lordotic positioning. within this limitation, the cardiomediastinal silhouette and hilar contour is stable. mild widening of the mediastinum is unchanged and corresponds to mediastinal lipomatosis on prior ct. again appreciated is a right-sided port-a-cath with the tip terminating at the cavoatrial junction. bibasilar atelectasis is noted. there is no effusion or pneumothorax. no acute bony change is identified.
altered mental status and cough.
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there are relatively low lung volumes, but no definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with large sacral decub
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cardiac size is top normal. right picc tip is in the cavoatrial junction as before. persistent right lower lobe opacity could be atelectasis but superimposed infection cannot be excluded, otherwise the lungs are clear. there is no pneumothorax or pleural effusion. blunting of the left cp angle is unchanged
<unk> year old man with apml, cirrhosis, fevers // ?pneumonia
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a frontal supine view of the chest was obtained portably. the endotracheal tube ends <num> cm above the carina. the upper enteric tube follows the expected course, ending below the diaphragm, although the tip is not visualized. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. cardiac and mediastinal silhouette and hilar contours are normal allowing for lung volumes.
traumatic subarachnoid hemorrhage status post intubation. evaluate endotracheal tube placement.
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the lungs are well-expanded and grossly clear. the heart is top-normal in size, similar compared to the prior study. hilar and pleural surfaces are unremarkable. there is no pneumothorax.
history: <unk>f with cough, dyspnea // eval for infectious process
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the lungs are grossly clear without focal consolidation, effusion or edema. the cardiomediastinal silhouette is within normal limits. old healed right posterior rib fractures are noted.
<unk>f with cough, hypoxia // acute process?
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pa and lateral views of the chest provided. cardiomegaly is stable from prior. the lungs remain clear without focal consolidation, effusion or pneumothorax. overall appearance of the chest is unchanged. mediastinal contour is stable. bony structures are intact.
<unk>f with palpitations // r/o infection
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frontal and lateral views of the chest. the heart size and cardiomediastinal contours are stable. small hiatal hernia is unchanged. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with severe hypertension.
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study is limited as the left lung base is excluded from the field of view. the heart size is mildly enlarged. smooth left superior mediastinal fullness may reflect mediastinal lipomatosis. the aortic knob is well defined. the hilar contours are normal. the pulmonary vascularity is not engorged. no large focal consolidation, large pleural effusion or pneumothorax is identified given the limitations of this exam.
congestive heart failure, copd, shortness of breath.
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low lung volumes are present. the heart size is normal. mild widening of the superior mediastinum is likely related to low lung volumes. no pulmonary vascular engorgement is seen, though there is mild crowding of the bronchovascular structures. no focal consolidation, pleural effusion or pneumothorax is identified. the osseous structures are within normal limits.
fever.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain // r/o acute process
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the tip of the right central venous catheter projects over the distal svc. the right internal jugular central venous catheter has been removed. new left basilar opacities likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits.
<unk> year old man with h/o perforated marginal ulcer s/p repair now w/ acute sob, cp // r/o acute pulmonary process
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the lungs are well expanded and clear. the patient is status post right middle lobectomy and chain sutures are seen in the right lower lung. there is slight shift of the heart to the right following the lobectomy. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
shortness of breath. evaluate for pneumonia.
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the lungs remain hyperinflated. there is persistent to slight blunting of the right costophrenic angle which could be due to a trace pleural effusion and or pleural thickening/ atelectasis. there is subtle diffuse increase in interstitial opacity bilaterally which could be due to mild fluid overload versus atypical infection. no lobar consolidation is seen. the cardiac and mediastinal silhouettes are stable. aorta remains calcified and tortuous.
history: <unk>f with sob, hypoxic // pna?
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two upright images of the chest show moderate chronic cardiomegaly, unchanged acutely. a dobbhoff tube passes into the stomach, and ends out of view. mild-to-moderate right pleural effusion is unchanged since late <unk>. dependent edema in the right lower lobe has worsened. the consolidation in the right lower lobe appears more typical of atelectasis than pneumonia. a new small left pleural effusion is seen. interstitial edema in the left lung base has worsened since previous imaging.
<unk>-year-old female with melena and weakness, now requiring assessment of dobbhoff tube placement.
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portable ap semi-erect chest film <unk> at <num> is submitted.
<unk>f w esophageal dysmotility and l diaphragmatic hernia requiring g tube feeding s/p l diaphragmatic hernia repair, resiting of g tube for chronic leakage/pain/skin breakdown <unk> c/b g tube placed into colon now s/p ex-lap, repair of colotomy, open abdomen <unk>, s/p washout <unk> // interval change interval change
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lung volumes are extremely low. platelike opacities in the right lower lobe are suggestive of atelectasis. aeration of the left lung base is improved from <unk> with mild opacity remaining. mediastinal contours, hila, and cardiac silhouette are stable from <unk>. there is no pneumothorax or pleural effusion. levoscoliosis of the lumbar spine is stable from <unk>.
<unk>f with fever // ro pna
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there is moderate cardiomegaly, not significantly changed since prior examination. there is mild pulmonary vascular congestion. however there is no overt pulmonary edema. there is a focal area of linear atelectasis at the right lower lobe. no focal consolidation, pleural effusion or pneumothorax identified.
history: <unk>f with copd, with cough, fevers, dyspnea // ? acute intrathoracic process ? acute intrathoracic process
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a left-sided port-a-cath terminates at the cavoatrial junction, unchanged from the prior study. the cardiomediastinal and hilar contours are within normal limits and stable from the prior exam. a left basal opacity is similar in character to the prior radiograph and likely represents a layering left pleural effusion and adjacent atelectasis. there is no pneumothorax identified. the osseous structures are grossly normal.
history: <unk>f with dyspnea // infiltrate?
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moderate to severe cardiomegaly is unchanged. the aorta is tortuous and diffusely calcified. there is mild interstitial pulmonary edema, new from the prior exam. no focal consolidation, pleural effusion or pneumothorax is identified. mild loss of height of a mid thoracic vertebral body is unchanged.
hypoxia.
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single portable ap upright chest radiograph demonstrates an oval shaped, poorly defined opacity within the right lower lobe, new relative to examination dated <unk> and <unk>. minor linear atelectasis is present at the left lung base. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. imaged upper abdomen is unremarkable.
history: <unk>m with sob // eval for pna
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heart size remains within normal limits. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
<unk> year old woman with asthma, sleep apnea non on cpap presents with productive yellow/green cough x <num> days
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. there is some atelectasis at the left base. cardiac and mediastinal silhouettes are normal. no acute fractures are identified. anterior bridging osteophytes are again identified along the mid thoracic spine consistent with dish. left shoulder degenerative changes are again noted.
chest pain.
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increased interstitial markings the lung bases are again seen and are chronic. right apical pulmonary nodule is better seen on prior ct scan. right chest wall port is stable in position. cardiomediastinal silhouette is within normal limits, known mediastinal adenopathy not clearly delineated on this film. no acute osseous abnormality is identified.
<unk>f with hypoxia // acute cardiopulm disease
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion is seen. the lung apices are not completely imaged on this exam, though no large pneumothorax is identified. there are no acute osseous abnormalities. no free air is seen under the diaphragms.
history: <unk>m with acute abdomen // ? perf
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the lungs are mildly hypoinflated with crowding of vasculature and left lower lobe atelectasis. mild perihilar interstitial prominence is noted. no vascular engorgement. no pleural effusion or pneumothorax. heart size, mediastinal contour and hila are unremarkable.
<unk>m w/productive cough. assess for pna
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frontal and lateral views of the chest. the patient is rotated to the right. within this limitation the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is likely unchanged. no displaced fractures identified.
<unk>-year-old male with shortness of breath.
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pa and lateral views of the chest. there is new consolidation and interstitial abnormality identified within the right upper and middle lobes not present on prior exam. the left lung is clear. there is a small right-sided pleural effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with abnormality seen on scout of abdominal ct scan from earlier the same day.
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single view of the chest was obtained with patient in rotated position. low volumes are low, exaggerating heart size. cardiomediastinal contours are normal. the lungs are clear without focal consolidation or diffuse abnormality. no pneumothorax or pleural effusion. pulmonary vasculature is unremarkable. osseous structures are unremarkable. no radiopaque foreign bodies.
<unk>-year-old female with altered mental status and fevers. evaluate for cardiopulmonary process.
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pa and lateral views of the chest provided. lungs appear hyperinflated with coarsened reticular markings suggesting underlying emphysema. 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 hypoxia // pna?
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pa and lateral views of the chest provided. frontal and lateral views of the chest are obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the hilar contours are stable. cardiac and mediastinal silhouettes are stable.
history: <unk>m with cough // r/o pna
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lung volumes are low. there is mild-to-moderate pulmonary edema. there is no pleural effusion and no pneumothorax.
<unk>-year-old with aspiration pneumonia.
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frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs with bibasilar atelectasis. no focal opacity. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
<unk>-year-old male with right lower chest pain, cough and sputum. assess for acute cardiopulmonary process.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with palpitations // ? intrathoracic process