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there is upper zone re-distribution of pulmonary vascularity and minimal prominence of perihilar vascularity, suggesting pulmonary venous hypertension or slight congestion. no focal opacities are demonstrated. the lung volumes are low. there is no pleural effusion or pneumothorax. the patient is status post incompletely characterized lower anterior cervical fusion.
shortness of breath and bilateral lower extremity edema. question fluid overload. also history of copd.
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the lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. no pulmonary edema is seen. evidence of dish is seen along the thoracic spine.
history: <unk>m with cough // cough
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mild enlargement of the cardiac silhouette is re- demonstrated. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. a small left pleural effusion appears slightly increased in size compared to the prior exam with associated left basilar atelectasis. the right lung is clear. no pneumothorax is present. there are no new focal consolidations. no acute osseous abnormality is visualized.
history: <unk>f with chronic kidney disease, nausea, vomiting
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lung volumes are decreased when compared to the prior study. the patient is intubated, the tip of the ended tracheal tube is <num> cm above the level of the carina. a nasoenteric tube terminates below the left hemidiaphragm but the tip is not visualized. a dual lumen port-a-cath terminates in the distal svc. there is left lower lobe atelectasis. probable right middle lobe atelectasis also. no pneumothorax. no consolidation or pleural effusion seen.
<unk> year old man with et tube // et tube position?
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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 sob // infiltrate?
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pa and lateral radiographs of the chest demonstrates clear lungs. the cardiac and mediastinal contours are normal. no pleural abnormality is detected.
chest pain. evaluate for pneumonia.
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compared with the prior chest radiograph, lung volumes are slightly lower. the heart size is top normal. no pleural effusion, focal consolidation, or pneumothorax. the aortic annulus is calcified, but not heavily. left-sided pacemaker leads are unchanged in position.
<unk>f with cough, lighthededness. evaluate for pneumonia.
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lung volumes are very low, resulting in bronchovascular crowding. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. there has been interval removal of the right upper extremity picc. no free air is seen beneath the right hemidiaphragm. bilateral nephrostomy tubes are partially imaged.
history: <unk>f with cervical ca, // eval ? diaphragmatic free air, pna
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the lungs are clear. there is no consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>m with chest pain // acute process?
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portable semi-upright radiograph of the chest demonstrates hyperexpanded lungs. there is an persistent increased opacification of the bilateral bases, which likely represents atelectasis or aspiration. superimposed infection cannot be excluded. the cardiomediastinal and hilar contours are unchanged. the endotracheal tube ends <num> cm from the carina. the nasogastric tube courses into the stomach, with the last side port at the ge junction.note is made of multiple calcified left axillary lymph nodes and degenerative changes at the glenohumeral joints, possibly avn right humeral head. calcified plaque is seen at the left carotid bifurcation.
<unk> year old female with respiratory distress recently reintubated // eet position
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the patient is status post median sternotomy and mitral valve replacement. moderate cardiomegaly is unchanged with pronounced left atrial enlargement. hilar contours remain prominent. lung volumes are low. there is crowding of the bronchovascular structures, with probable mild pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormality is seen.
cough.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study dated <unk>. the heart size appears within normal limits. no typical configurational abnormalities are seen. mildly widened and elongated thoracic aorta without evidence of local contour abnormalities or walled calcifications. the pulmonary vasculature is not congested. no evidence of acute or chronic parenchymal infiltrates are noted, and the lateral and posterior pleural sinuses are free. mildly elevated right-sided hemidiaphragm, finding which however was present already on the previous study. there is no pneumothorax in the apical area and the skeletal structures of the thorax are grossly unremarkable.
<unk>-year-old female patient with shortness of breath, chest pain, evaluate for pneumonia or chf.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. heart size remains normal. the same holds for the thoracic aorta. no mediastinal abnormalities are present. similar as on the preceding examination, low positioned and flattened diaphragms coincide with emphysematic translucency of the lung bases. pulmonary vasculature with central prominence and peripheral attenuation typical for rather advanced copd. comparison with the next preceding study does not establish any new pulmonary parenchymal infiltrate that might represent an overlying acute pneumonia.
<unk>-year-old female patient with myeloma and copd, worsened cough, evaluate for pneumonia.
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study of <unk>. these findings are grossly unaltered. identified is a new drainage line apparently representing a subxyphoid advanced pericardiocentesis with the termination point of the line in the <unk> the heart shadow. the single plain examination does not allow specific location of the line if anteriorly or posteriorly in the pericardial space. the outer contours of the heart have not undergone any significant interval change. no pneumothorax is seen in the apical area.
<unk>-year-old female patient status post pericardial window, assess drain placement.
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there low lung volumes, which results in bronchovascular crowding. note is made of chronic elevation of the right hemidiaphragm, unchanged. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or focal consolidation. metallic clips project over the right upper quadrant.
history: <unk>f with weakness poor po // eval for pna
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persistent though substantially decreased left pleural effusion is moderate in size. opacities projecting over the now visible left mid lung and right lower lung likely reflect residual atelectasis. visible cardiomediastinal and right hilar contours are unchanged. stable healed right rib fracture.
cirrhosis, ascites, status post tube placement. assess for hydrothorax following tube placement.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there is no subdiaphragmatic free air. dilated air-filled loops of small bowel are seen within the left upper quadrant.
abdominal pain, rigid abdomen.
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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.
dysphagia.
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a right-sided port-a-cath terminates in the right atrium. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the mediastinal and hilar silhouettes are normal.
<unk> year old woman with pancreatic cancer and an osh port. eval poc.
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the cardiac and mediastinal silhouettes are stable. no focal consolidation is seen. there is no pleural effusion or pneumothorax. no pleural effusion or pneumothorax is seen.
history: <unk>m with wheezing, sputum // eval for pna
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frontal and lateral views of the chest demonstrate new patchy opacities within the left upper lobe and likely lingula and possible left lower lobe, also to a lesser extent in the right lung base, concerning for multifocal pneumonia. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is within normal limits. moderate multilevel thoracic osteoarthritis is present.
<unk>-year-old male with continuous hiccups and dyspnea. question pneumonia.
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pa and lateral views were reviewed and compared to the prior study. low lung volumes limits the evaluation; however, there is a possible retrocardiac opacification. there is no vascular congestion, or pneumothorax. the heart size is likely normal considering the low lung volumes. there are no concerning osseous or soft tissue lesions.
cough.
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cardiac size is normal. pulmonary edema has resolved. retrocardiac opacities have improved. small left effusion has improved. there is no pneumothorax. left picc tip is in the mid svc. cervical spine hardware is present.
<unk> year old woman s/p c-spine surgery with esophageal leak. // pre-op.
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et tube is <num> cm from the carina. there is a right picc line in appropriate position. an ng tube is seen, however the tip is not identified. there is a left chest wall pacemaker with leads in the right atrium and right ventricle. the lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. osseous structures are unremarkable.
<unk>-year-old man with respiratory failure. evaluate for consolidation, collection or effusion.
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the heart size is normal. mild aortic knob calcifications are noted. mediastinal and hilar contours are within normal limits. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are mild degenerative changes in the thoracic spine as well as within both acromioclavicular joints.
fever, tachypnea.
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as compared to chest radiograph from <num> day prior, mild-to-moderate pulmonary edema is slightly improved. mild to moderate bilateral pleural effusions with bibasal opacities have not significantly changed given for differences in technique. moderate to severe cardiomegaly.
<unk> year old woman with copd found to be <unk>%ra // eval for pulm edema
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ap portable upright view of the chest. a right thoracostomy tube is unchanged in position. a previously-seen right pneumothorax has resolved. there are no pleural effusions. a large right paramediastinal mass is again visualized. there is decreased central pulmonary vascular congestion. bronchial stents are unchanged in position.
<unk> year old woman with pneumothorax // assess interval change in pneumo
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in comparison to the prior examination, there is no change. enlargement of the cardiac silhouette and widening of the mediastinal from known aortic dissection are unchanged. the lungs are clear. there is no pulmonary edema, consolidation or pleural effusion. no pneumothorax
history: <unk>f with cough, hemoptysis // eval for pna
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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 bony structures appear within normal limits.
chest pain.
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. previously seen left upper lobe pneumonia has completely resolved. pleural surfaces are clear without effusion or pneumothorax.
<unk> year old woman with pneum in <unk>, hx of cv-ild // have infiltrates cleared?
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size remains unchanged and is normal. the patient is status post surgical intervention for a traumatic aortic injury with following pseudoaneurysm. multiple surgical clips around the area of the aortic arch. pulmonary vasculature is not congested and no new acute infiltrates can be identified. the previously described mild elevation of the left-sided hemidiaphragm and blunted lateral pleural sinus is again noted. comparison on the lateral view suggests that increasing scar formations have occurred, but there is no evidence of new acute free pleural effusion.
<unk>-year-old male patient with cough, wheezing on right base. assess for pneumonia.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old woman with <num> days of pleuritic chest pain, evaluate for pneumonia
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>-year-old male with shortness of breath. evaluate for pneumomediastinum.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. mild s-shaped scoliosis noted in the thoracic spine.
<unk>f with chest pain // ? effusions, infectious process
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pa and lateral views of the chest provided. lung volumes are improved compared with prior exam. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with altered mental status // evaluate for retrocardiac opacity
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the patient is status post median sternotomy and cardiac valve replacement. 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 ams // eval for pna
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a right picc is present with tip terminating in the mid svc. the cardiomediastinal and hilar contours are stable with calcification of the aortic knob. there are small bilateral pleural effusions, slightly larger than previously seen. there is no pneumothorax. mild vascular engorgement is noted.
<unk>f with somnolence, recent hospitalization.
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compared to the prior study there has been slight improvement in opacification of the right lower lung related to combination of effusion and atelectasis. stable heart size with normal mediastinal and hilar contours. the left lung is clear.
history: <unk>m with fever, hx of hcc pls eval pna // history: <unk>m with fever, hx of hcc pls eval pna
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the cardiac silhouette is mildly enlarged. mediastinal contours are grossly stable. no definite focal consolidation is seen. there is may be a trace pleural effusion although no large pleural effusion is seen. there is no pulmonary edema.
history: <unk>f with syncope // eval for pneumonia
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. small lingular opacity is compatible with atelectasis or an epicardial fat pad, though an infiltrate is not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax. no radiopaque foreign body.
<unk>-year-old female with chest pain and shortness of breath. rule out pneumonia.
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in comparison to the prior radiograph on <unk>, there are new bibasilar opacities, which may represent infection or aspiration in the appropriate clinical setting. no pleural effusions or pneumothorax. cardiomediastinal silhouette is normal. no subdiaphragmatic free air.
history: <unk>m with <num>d of cough // evaluate for pna
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a left picc catheter tip ends in the mid svc. there are no definite complications seen on this radiograph. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. compared to the prior radiograph, bibasilar opacities and pleural effusions have completely resolved. no acute skeletal abnormalities.
<unk>-year-old man with history of picc line, severe pain in left arm when he stretches out, please evaluate line placement.
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mild right basilar platelike atelectasis is present without focal consolidation concerning for pneumonia. minimal cephalization of the pulmonary vasculature without overt pulmonary edema. heart size is normal, with a calcified, tortuous aorta. pleural surfaces, hila, and mediastinum are normal. no pneumothorax.
<unk> year old woman with chf, now post-op with o<num> requirement. atelectasis vs pulmonary edema?
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previous identified lateral right lower lobe opacity has resolved. left apical pleural thickening is unchanged. no pneumothorax or pleural effusion. heart size is normal. cardiomediastinal hilar silhouettes are unremarkable.
<unk> year old woman with recent pna in the context of h/o remote tb // eval for resolution of cxr changes
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pa and lateral chest radiographs were obtained. small to moderate bilateral pleural effusions are redemonstrated from recent ct. the multifocal ground glass opacities seen in the right middle and upper lobe on ct are again seen on this chest x-ray. the cardiac and mediastinal contours are normal. a left-sided internal jugular catheter tip terminates in the low svc.
<unk>-year-old woman with ivda, hepatitis c, hypertension, follicular lymphoma, and question of hilar opacity.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is no pulmonary edema. the cardiac and mediastinal silhouettes are stable and unremarkable.
shortness of breath.
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there is no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with new onset fevers and chills ?pneumonia // new onset fevers and chills ?pneumonia
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linear atelectasis or scarring at the left lung base. otherwise, the lungs are clear without consolidation. no pneumothorax seen. no pleural effusion seen. the cardiomediastinal contour is within normal limits, the heart is not enlarged. no free air seen under the diaphragm. the visualized bony structures are unremarkable in appearance.
<unk> year old man with leukocytosis and eosinophilia // r/o infection, r/o mass
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known pulmonary nodules/ lesions are better assessed on ct. no definite new focal consolidation is seen. no large pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with lung cancer p/w lightheadedness and presyncope // eval for pneumonia
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no focal consolidation, pleural effusion or pneumothorax. the size the cardiomediastinal silhouette is within normal limits. the previously noted infiltrate in the right lower lobe has resolved.
<unk> year old man s/p liver transplant with leukocytosis // please eval for infiltrate or edema
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recently visualized <unk> x <num> mm left upper lobe nodule is again identified. otherwise, the lungs are without any new consolidation. there is no pleural effusion or pneumothorax. the heart remains mildly enlarged. no acute fractures are identified.
history of multiple myeloma with dyspnea.
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heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
chest pain and shortness of breath.
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both lungs are well inflated. the blunt left costophrenic angle previously described in prior study is again seen and unchanged. this likely reflects left lower lung subpleural parenchymal scarring seen on <unk> chest ct. there is no effusion seen on lateral view. there are no consolidation, masses, nor pneumothorax. the cardiomediastinal silhouette and hilar silhouettes are normal.. there is no acute bony abnormality nor evidence of acute fracture.
<unk> year old woman who underwent routine cxr for work tb screening, had a positive ppd, and a cxr which noted "mild left cp angle blunting which may be chronic" // confirm findings, and next steps
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small left pleural effusion has decreased. left basilar opacity, likely atelectasis. . no pneumothorax. stable linear density overlies left axilla, may represent radiopaque foreign body seen in the posterior left subcutaneous soft tissues overlying scapula on ct chest <unk>. few benign calcified lung granulomas.
<unk> year old man with pleural effusion // s/p thoracentesis
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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. no pulmonary edema is seen. there is no displaced fracture identified.
chest pain.
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when compared to <unk> study findings have overall improved. however, multifocal bilateral alveolar consolidations are stable when compared to <unk> study and is likely expected given interval extubation. there is questionable increase of consolidations of left lower lung versus atelectasis but could be exaggerated secondary to low lung volumes. heart size is top normal though likely stable given exaggeration of heart size from low lung volumes. left port is unchanged in positioning with the catheter tip terminating in the right atrium.
<unk> year old man with tachypnea // assess for interval change, pulm edema
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with ruq pain/tenderness, chest and r shoulder pain
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pa and lateral views of the chest. the lungs are clear. there is no evidence of pneumothorax or pleural effusion. the cardiac, mediastinal and hilar contours are normal. no rib fractures identified.
<unk>-year-old male with status post mvc presenting with bilateral back pain, question pneumothorax or rib fracture.
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ap portable upright view of the chest. lung volumes are low limiting evaluation. the heart remains moderately enlarged with curvilinear calcification projecting over the heart compatible with mitral annular calcification. there is persistent elevation of the right hemidiaphragm. the lungs appear clear without focal consolidation, large effusion or pneumothorax. no convincing signs of edema or congestion. atherosclerotic calcifications at the aortic knob again noted. the bony structures appear intact.
<unk>f with chest pain shortness of breath tachy cardia // eval for pna
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increased interstitial markings are again seen diffusely bilaterally suggest mild interstitial edema/ vascular congestion. a more focal opacity at the right mid to lower lung may relate to the underlying interstitial abnormality however, a superimposed pneumonia is not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. chronic lateral left lower rib deformity is again noted.
<unk> year old woman with amyloid and chest pain. // please evaluate for etiology of chest pain.
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the position of the right ij central venous catheter is not significantly changed as it still projects over the superior cavoatrial junction. a left cardiac pacemaker partially obscures the left lung base. the visualized lungs are clear. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is stable. regional bones and soft tissues are unremarkable.
<unk>-year-old female status post right ij central line repositioning.
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mild deviation of the trachea to the left is unchanged and related to right thyroid nodules. there is no focal consolidation, pleural effusion, or pneumothorax. left basilar linear opacity likely reflects atelectasis/scarring from prior left lower lobe segmentectomy. the cardiomediastinal silhouette is normal with the exception of aortic tortuosity and arch calcifications. cholecystectomy clips are noted.
cough. history of prior wedge resection of the left lower lobe.
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the right-sided port-a-cath terminates in the cavoatrial junction. mild cardiomegaly is unchanged. the mediastinal silhouette is unchanged. increased opacity at the left lung base laterally likely represents atelectasis and pericardial fat. there is no pulmonary edema or pneumothorax.
<unk> year old woman with relapsed aml // febrile neutropenia, please evaluate for pna
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the lungs are well expanded and clear. the heart size is normal. the mediastinal and hilar contours are normal. no pleural abnormality is seen.
<unk> year old woman with positive ppd, assess for e/o tb // positive ppd
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patient is rotated to the left. left perihilar opacities may relate to aspiration or asymmetric edema, however, underlying infectious process could be present. no large pleural effusion is seen although trace left pleural effusion is difficult to exclude. lung volumes are low. the cardiac silhouette is top-normal to mildly enlarged. the aorta is calcified.
history: <unk>m with status epilepticus // infiltrate?
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frontal and lateral views of the chest are compared to prior chest x-ray from <unk> and ct chest from <unk>. the lungs remain clear. there is no focal consolidation, effusion, or evidence of pulmonary vascular congestion. cardiac silhouette is stable. atherosclerotic calcifications noted at the arch. again noted is a left fat-containing bochdalek hernia, confirmed by chest ct. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with abnormal breath sounds. question infiltrate.
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pa and lateral chest radiographs were provided. median sternotomy wires appear intact. surgical clips project over the left mediastinal border. comparison is made to radiographs dated <unk>. mild cardiomegaly is stable. bilateral pulmonary opacities are present though improved relative to prior study consistent with pulmonary edema. blunting of bilateral costophrenic angles likely reflect small pleural effusions. no evidence of pneumothorax.
history: <unk>f with cp // eval for pna
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the lungs are clear. mild basal atelectasis is noted. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
<unk>m with ams// pna?
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the lungs are hyperinflated. there is diffuse bronchiectasis with airway wall thickening. diffuse parenchymal opacities are most pronounced at right upper lobe, and appears slightly worsened in the interval. the previously seen parenchymal opacities in the mid right lung field and left upper lung field have improved in the interval. streaky bibasilar opacities are again seen and likely represent chronic changes. persistent bilateral costophrenic angle blunting, similar to prior exam, could reflect chronic pleural thickening. there is no large pleural effusion or pneumothorax. cardiomediastinal silhouette is stable from prior exam. cholecystectomy clips are noted right upper quadrant.
dyspnea.
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a tracheostomy tube, enteric feeding tube, right ij central venous catheter, and right pleural pigtail catheter are unchanged in position. a small-to-moderate right apical pneumothorax is not significantly changed. mass-like opacities in the right lung base are re-demonstrated. small bilateral pleural effusions are unchanged. there is moderate subcutaneous emphysema along the right chest wall. the cardiomediastinal contours are within normal limits and unchanged.
right pneumothorax and infiltrates with hypoxic respiratory failure status post tracheostomy.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the aorta is tortuous. the cardiomediastinal silhouette is otherwise normal. no displaced fracture is seen.
left-sided chest pain for two days. evaluate for pneumonia.
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portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. the patient is status post median sternotomy. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with severe sob // ? pna
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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. the bony structures are unremarkable.
chest pressure.
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a single portable semi-erect chest radiograph was obtained. a moderate left pleural effusion and retrocardiac opacity are unchanged. there is no pulmonary edema. the right lung remains clear. dual-chamber pacing leads project over expected positions. a tunneled right internal jugular dialysis catheter tip terminates in the right atrium. cardiomegally and aortic arch calcifications are stable.
<unk>-year-old woman with end-stage renal disease, on dialysis.
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mild to moderate enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are similar. diffuse increased interstitial opacities may reflect a combination of mild interstitial pulmonary edema with chronic interstitial abnormality. no focal consolidation, pleural effusion or pneumothorax is present. there is diffuse demineralization of the osseous structures. no acute osseous abnormalities demonstrated. multiple remote bilateral rib fractures are seen.
history: <unk>f with confusion, question infection
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<num> lead left-sided pacemaker stable in position. there are relatively low lung volumes. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged, likely accentuated by low lung volumes and ap technique.
<unk> year old man with chest pain // eval for new pna or other acute process
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ap and lateral upright views of the chest were reviewed. compared to the prior study of <unk> the previously described mild pulmonary edema has resolved. on todays study the lungs are clear without focal infiltrate, pleural effusion or pneumothorax. the heart size has decreased and is now top normal.
evaluation for pneumonia in patient who desaturated.
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the et tube is <num> cm above the carina. there is moderate cardiomegaly. there is bilateral pleural effusions which are moderate in size. there is pulmonary vascular redistribution. there is a left upper lobe and right mid lung hazy alveolar infiltrate that could be partially due to volume loss and alveolar edema but an underlying infectious infiltrate can't be excluded
<unk> year old man sp intubation // intubation
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pa and lateral views of the chest provided. a small right pleural effusion is noted not significantly changed from the prior pet-ct allowing for differences in modality. otherwise, lungs are clear. cardiomediastinal silhouette is normal. bony structures are intact.
<unk>f with right pleural effusion seen on ct cervical spine, assess for interval change.
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lungs are well-expanded and clear. there is mild cardiomegaly. the aorta is tortuous. a right subclavian vein stent projects over the right apex. no pneumothorax, pleural effusion, or consolidation.
<unk>m w/ esrd presenting w weakness // <unk>m w/ esrd presenting w weakness
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the cardiac silhouette size remains mildly enlarged with a left ventricular predominance. the aorta is tortuous and mildly calcified, unchanged. enlargement of the pulmonary arteries is stable, compatible with underlying pulmonary arterial hypertension. minimal streaky opacity in the retrocardiac region likely reflects atelectasis, but infection is not excluded. no large pleural effusion is present. no pneumothorax or pulmonary vascular congestion is visualized. right humeral head prosthesis is noted.
feeling not well, fatigue.
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the lungs are clear. there is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation.
<unk>f with cough, chest pain, evaluate for pneumonia or pneumothorax.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. right paratracheal opacity is again seen, present since at least <unk>, without definite mass effect on the trachea or enlarged thyroid (correlation was made with ct c-spine from <unk>). this is likely due to prominent and toruous vessels and has been stable. cardiomediastinal silhouette is unremarkable. bones are slightly osteopenic and multilevel degenerative changes are noted in the thoracic spine.
<unk>-year-old female with fever, leukocytosis, recent uri. evaluate for pneumonia.
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small right-sided pleural effusion with fluid along the minor fissure is again seen. the adjacent surrounding atelectasis/opacity has improved. there is a possible tiny apical right pneumothorax. there is a stable small left pleural effusion. the left lung is otherwise clear. the cardiac silhouette is nonenlarged.
<unk> year old woman with mpe s/p thoracentesis. // ?ptx
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compared to prior, the lung volumes are low. left lung base opacity is concerning for pneumonia. there is increase in small left pleural effusion. bilateral perihilar opacities are suggestive of pulmonary edema. heart size is unchanged.
<unk> year old man with ugib, with volume resuscitation, with new o<num> requirement. evaluate for edema or pneumonia.
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lung volumes are low. elevation of the right hemidiaphragm is unchanged since the prior study in <unk>. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. mild cardiac silhouette enlargement is accentuated by low lung volumes.
<unk>-year-old woman with chest pain.
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tracheostomy terminates <num> cm above the carina. right picc in the cavoatrial junction. unchanged right upper lobe patchy opacification. persistent bilateral pleural effusions, right worse than left. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pneumothorax is seen.
<unk> year old man with trach, s/p thoracotomy // cardiopulmonary process
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ap and lateral radiographs of the chest demonstrate bibasilar linear atelectasis. there is slight elevation of the right hemidiaphragm with interposition of bowel underneath the hemidiaphragm. the cardiac, hilar, and mediastinal contours are normal and there is no pleural effusion or pneumothorax.
left arm pain.
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normal postoperative appearance of the cardiomediastinum. substantial left base atelectasis is new, with associated elevation of the left hemidiaphragm. right lung is clear. interval removal of the endotracheal tube, intra-aortic balloon pump, swan-ganz catheter and left chest tube is not associated with pneumothorax. small left effusion is new.
status post cabg with chest tube removal.
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mild pulmonary edema is similar to prior. ng tube and right picc are in unchanged position. cardiomediastinal silhouette is unchanged. postop changes from a hiatal hernia repair are similar to prior.
<unk> year old woman with cirrhosis s/p hiatal hernia repair // compare to prior
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with early thyrotoxicosis. please evaluate for pneumonia or other infectious trigger.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with nasal congestion, cough, shortness of breath, evaluate for pneumonia.
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the heart size is at the upper limits of normal. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old male with hypoxia.
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slightly rotated positioning. allowing for this, the cardiomediastinal silhouette is within normal limits. no chf, focal infiltrate, effusion or pneumothorax is detected.
history: <unk>m with seizure // eval for acute process
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frontal and lateral radiographs of the chest were obtained. spinal fusion hardware is incompletely visualized at the superior aspects of the image. lung volumes are somewhat low, with bibasilar atelectasis. the heart size and mediastinal contours are normal. no focal consolidation, pleural effusion or pneumothorax is present. the visualized osseous structures are grossly unremarkable.
recent anterior approach fusion at c<num> through <num>, now with pain with swallowing. evaluate for signs of hematoma or soft tissue swelling in the mediastinum.
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pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
<unk>-year-old female with chest pain.
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified. surgical clips are noted in the right upper abdomen.
right lower rib pain.
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lung volumes are slightly low. the cardiomediastinal silhouette is stable and within normal limits. central prominent prominence of the pulmonary vessels is consistent with pulmonary vascular congestion without overt edema. previous right apical consolidation has cleared. there is no focal lung consolidation. there is no sizable pleural effusion or pneumothorax.
<unk> year old woman with altered mental status and elevated wbc, rule out infiltrate.
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there is opacification at the left lung base corresponding to the retrocardiac space on the lateral view also seen on the prior study. there is no focal consolidation concerning for pneumonia. no significant pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is top normal in size but stable. the mediastinal and hilar contours are within normal limits.
history of alzheimer's disease, admitted for seizure activity, now with low-grade fever, here to evaluate for pneumonia.
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a consolidation in the right upper lobe and a small right pleural effusion are new. mild pulmonary edema is improved from the prior examination. severe cardiomegaly is unchanged.
history: <unk> with chf, pna // eval for fluid overload