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lung volumes are low. there is no significant changed since the recent prior aside from the interval placement of a right sided internal jugular venous catheter and possible small left pleural effusion versus atelectasis. again noted is mild edema. the tip terminates in the lower svc. enteric and endotracheal tubes terminate in the appropriate position. internal fixation hardware is again seen of the right clavicle.
history: <unk>m with cardiac arrest*** warning *** multiple patients with same last name! // evaluate for central line placement
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two frontal images of the chest demonstrate endotracheal tube in position with tip <num> cm above the carina, essentially unchanged from previous imaging. there is some opacification at the left lung base again seen, which likely represents atelectasis but cannot rule out an effusion. opacification in the right lung base may represent atelectasis; however, in appropriate clinical setting, could also be concerning for pneumonia. cardiomediastinal silhouette is unchanged. there is no pneumothorax or other complication seen. visualized osseous structures are unremarkable.
<unk>-year-old male with pneumonia and pe, requiring assessment of endotracheal tube position.
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pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with no past medical history, presents with dyspnea and calf pain.
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a semi-erect frontal chest radiograph demonstrates an endotracheal tube terminating <num> cm above the carina and nasogastric tube terminating within the stomach. lung volumes are slightly low, with mild prominence of the cardiac silhouette and bronchovascular crowding. there is mild vascular congestion. patchy left suprahilar opacity could reflect asymmetrical edema or secondary process such as aspiration or infectious pneumonia the left hemidiaphragm is elevated, of unclear chronicity. the visualized upper abdomen is unremarkable.
evaluate endotracheal tube position.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear. there are no focal consolidations, pleural effusions or pneumothorax. visualized osseous structures are grossly unremarkable.
<unk>-year-old woman with smoking history and persisting left scapular pain. study requested for assessment of bony problems, infiltrate and/or other pathology.
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portable single frontal chest radiograph was obtained. the ng tube and right ij has been removed. a right picc line terminates in the low svc. the left pleural effusion is slightly improved. bibasilar opacities are likely secondary to layering pleural effusions and atelectasis, though pneumonia is certainly possible. the cardiac silhouette remains moderately enlarged with moderate-to-severe pulmonary edema. there is no pneumothorax.
patient with shortness of breath, crackles, eval for intrapulmonary abnormality.
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as compared to chest radiograph from earlier today, bilateral chest tubes have been removed. tiny right apical pneumothorax is unchanged. no left pneumothorax. moderate left effusion and adjacent opacity unchanged. minimal right effusion and adjacent atelectasis.
<unk> year old woman with recent removal of chest tubes, prior read of possible apical ptx. // evaluate for ptx or accumulation of fluid.
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right lower lobe pneumonia has substantially improved. however, there is a new right upper lobe airspace opacity which may be due to infection in the appropriate clinical setting. symmetric biapical pleural scarring is unchanged. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. mild spinal degenerative changes are present.
<unk> year old man with h/o rll pneumonia in <unk>, returns with dry cough and feeling cold. evaluate for pneumonia.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with arm and shoulder pain. evaluate for evidence of mass or other thoracic abnormality.
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the heart size is mildly enlarged. the aorta remains tortuous and calcified. the pulmonary vascularity is not engorged. bilateral lower lobe airspace opacities are concerning for infection, though in the setting of hemoptysis, hemorrhage can cannot be excluded. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. mild degenerative changes are noted in the thoracic spine as well as within the right shoulder.
cough, hemoptysis, fever and chills.
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left-sided port-a-cath is stable in position, terminating in the proximal right atrium. there are relatively low lung volumes. no focal consolidation is seen. there maybe minimal central vascular congestion. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with leukocytosis and history c.diff // assess pna
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pa and lateral views of the chest provided. mild elevation of the right hemidiaphragm is noted. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. partially visualized cervical spinal hardware noted. no free air below the right hemidiaphragm is seen.
<unk>f with hypoglycemia and ams // infiltrate?
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no focal consolidation, pleural effusion or pneumothorax is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old female with chest pain radiating to the arm and back.
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extremely low lung volumes are again noted with secondary crowding of the bronchovascular markings. the lungs however clear focal consolidation, or effusion. the cardiomediastinal silhouette is grossly within normal limits. no acute osseous abnormalities identified noting anterior wedging of lower thoracic vertebral bodies with associated kyphosis.
<unk>f with cough fevers // cough/fever
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there is a moderate to large left pleural effusion, new from <unk>, with compressive atelectasis. the right lung is clear. no pneumothorax. heart is normal size. mediastinal and hilar contours are unremarkable. note is made of a right proximal humeral fracture, incompletely imaged but new from <unk>.
multiple falls with a large left chest wall contusion. evaluate for fluid.
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lung volumes are slightly low. the cardiac silhouette and pulmonary vasculature are unremarkable. the central pulmonary vasculature is somewhat prominent, without overt edema. there is no pleural effusion or pneumothorax. small bochdalek's hernia is projecting posteriorly, containing upper pole of the right kidney and fat as demonstrated on ct abdomen from <unk>.
history: <unk>f with possible cva // ?pna
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the lungs are well expanded and clear. the hila and pulmonary vasculature are normal. no pleural abnormalities or pneumothorax. cardiomediastinal silhouette is unremarkable. no fractures.
<unk> year old woman with epilepsy. // r/o other causes, triggers of seizures.
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pa and lateral chest radiographs were obtained. multiple consecutive rib fractures are again noted on the left. no pneumothorax is appreciated. there is a small left pleural effusion. lungs are well expanded and clear bilaterally. cardiomediastinal contours are unchanged.
<unk>-year-old woman status post fall. has left <unk>th rib fractures and left hemopneumothorax. evaluate interval changes.
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single portable view of the chest demonstrates no evidence of pneumothorax. port-a-cath is in place terminating in the right atrium. post rfa changes as well as clips are noted in the right lower lobe.
status post rfa
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cardiac silhouette size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. minimal streaky opacities in the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected.
history: <unk>m with fever and cough
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk>-year-old female with chest tightness yesterday evening. now left arm radiating pain. evaluate for cardiopulmonary process.
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the patient is status post median sternotomy with three intact median sternotomy wires demonstrated. mild enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are stable. pulmonary vascularity is normal. linear opacities within the lingula are compatible with areas of scarring. no focal consolidation, pleural effusion or pneumothorax is present. there is no pulmonary vascular congestion. clips are seen within the upper abdomen just to the right of midline.
chest pain.
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there are mildly indistinct pulmonary vascular markings, without confluent consolidation. blulting of the posterior costophrenic angles are suggestive of small effusions. the cardiac silhouette is enlarged but stable in configuration. descending thoracic aorta is tortuous. no acute osseous abnormality is identified.
<unk>-year-old male with shortness of breath and history of chf.
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a left picc has been removed. the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. a new patchy opacity is demonstrated within the left lower lobe, with a small left pleural effusion. right lung is clear. no pneumothorax is identified. there are no acute osseous abnormalities.
cardiac lymphoma, chest pain.
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compared with the prior study, no change in the positioning of the endotracheal tube, right picc line, and ng tube. no change in the prior left lower lung consolidation and right lower lung opacity. no new pneumothorax. small bilateral effusions are persistent. cardiomediastinal silhouette is unchanged. median sternotomy wires are intact, with unchanged mediastinal clips.
<unk> year old woman with respiratory failure, intubated. evaluate for interval change.
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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 left atraumatic scapula pain
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there is no evidence of a large hiatal hernia on the lateral radiograph. the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. there is no free air beneath the right hemidiaphragm. no acute osseous abnormality is detected.
nausea and vomiting with early satiety, here to evaluate for hiatal hernia.
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lung volumes are slightly low. the cardiac silhouette is enlarged but unchanged. there is small bilateral pleural effusions and bibasilar atelectasis. no evidence of pneumothorax. the visualized osseous structures are grossly unremarkable. median sternotomy wires are in place.
palpitations.
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ap and lateral images of the chest were obtained. lung volumes are low and there is bibasilar atelectasis. otherwise, the lung fields are clear and there is no focal consolidation or congestive heart failure. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is normal. there are no bony abnormalities. there is no free air below the right hemidiaphragm.
cough and congestion.
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heart size is top normal. mediastinal and hilar contours are unremarkable. there is mild upper zone vascular redistribution, as seen on the prior study. no focal consolidation, pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are noted in the thoracic spine. clips are seen in the right upper quadrant compatible with prior cholecystectomy.
history: <unk>f with abdominal pain and shortness of breath
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the lungs are clear. the heart is normal in size. there is either eventration of the medial left hemidiaphragm or an old contained diaphragmatic rupture. the mediastinal contours are otherwise normal. there are no definite pleural effusions. no pneumothorax is seen. healed left-sided rib fractures are noted. multilevel degenerative changes of the thoracic spine are seen.
status post fall. assess for fracture or acute intrathoracic process.
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ap upright and lateral views of the chest provided. there is right perihilar opacity, consistent with known primary malignancy, similar to the recent ct exam. no large effusion is seen though there is fissure oral thickening best seen on lateral view. the heart and mediastinal contour is similar to prior. no acute osseous abnormalities in this patient with known metastatic bony disease.
<unk>f with stage iv lung adenocarcinoma with known mets to skeleton and liver
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frontal and lateral radiographs of the chest show a dense calcified opacity in the right paratracheal region which likely represents a calcified lymph node consistent with granulomatous disease. bibasilar coarse opacities likely represent a combination of atelectasis and fibrosis. the upper and mid lungs are clear bilaterally. no pleural effusion or pneumothorax is present. the inspiratory lung volumes are decreased. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits.
<unk>-year-old male with cough and possible low-grade tuberculosis, here to evaluate for pneumonia.
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compared with <unk>, sternotomy wires and mediastinal clips are now present. mild cardiomegaly is again seen. there is borderline upper zone redistribution, without overt chf. there is possible minimal subsegmental atelectasis of the left lung base. no focal consolidation or pleural effusion is identified. the right hemidiaphragm is again noted to be eventrated. incidental note again made of mild degenerative spurring in the thoracic spine.
history: <unk>m with wekaness // pna?
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.incidental note of a prominent small bowel loop in the left upper quadrant.
<unk>m with chest pain. eval for pneumothorax.
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a single portable frontal chest radiograph was obtained. subcutaneous emphysema in the right and left lateral margins of the chest and lower cervical regions is extensive. an air-filled retrocardiac structure is similar to the pre-operative appearance of the large hiatal hernia. the cardiac silhouette is widened by ap portable technique.
<unk>-year-old man status post hiatus hernia repair.
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
anterior chest burning.
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pa and lateral views of the chest provided. bilateral percutaneous nephrostomy tubes are in place. safety pins projecting over the upper abdomen are likely external. lungs are clear. 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 sudden onset right-sided chest and flank pain during dialysis today @ nephrostomy site. pls r/o ptx // <unk>f sudden onset right-sided chest and flank pain during dialysis today @ nephrostomy site. pls r/o ptx
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lung volumes is low. there is opacity in the left lung base obscuring cardiac border which may represent pneumonia in correct clinical setting. pleural effusion is not large, if any. no displaced rib fracture is identified.
<unk>m with sudden onset aphasia and fall, eval for ischemia, cxr for pna/rib fx // history: <unk>m with sudden onset aphasia and fall, eval for ischemia, cxr for pna/rib fx
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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 displaced rib fractures seen. no free air below the right hemidiaphragm is seen.
<unk>m with fall // rib fracture
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. coronary artery stents are noted as well as mediastinal clips. no acute osseous abnormalities. prior median sternotomy wires are no longer seen.
<unk>f with ruq pain, significant cardiac hx ? infectious process
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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 displaced fracture is seen.
cough, chest discomfort.
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there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. no acute osseous abnormalities are identified. no acute osseous abnormalities. findings suggestive of diffuse idiopathic skeletal hyperostosis are noted in the thoracic spine.
history: <unk>m with cough, confusion // eval for pna
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minimal left basal atelectasis. no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is mildly enlarged but unchanged. a large hiatal hernia is again noted as are chronic appearing left sided anterior rib fractures.
<unk> year old man with asymptomatic hypoxemia s/p r tka. // eval for atelectasis/infiltrate
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the cardiac, mediastinal and hilar contours are within normal limits. numerous cavitary nodules and masses are seen within both lungs diffusely, which appear increased in size and number compared to the prior exam. for example, a right perihilar mass now measures approximately <num> cm, previously <num> cm. streaky retrocardiac opacity may reflect atelectasis, but infection is not excluded. no overt pulmonary edema is seen, and no pleural effusion or pneumothorax is present. scarring within the lung apices is present. there are no acute osseous abnormalities.
metastatic colon cancer, weakness.
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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 cough // acute process?
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the inspiratory lung volumes are slightly decreased. 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. no acute osseous abnormality is detected. a small linear calcification superior to the left humeral head could represent a focus of calcific tendonitis.
history: <unk>f with chest pain // r/o rib fx
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enteric tube tip is in the mid stomach. additional catheter projected over chest. surgical drain right abdomen with <unk>, clips. very shallow inspiration. bibasilar opacities, likely atelectasis, consider pneumonia clinically appropriate. trace left pleural effusion. normal heart size. shallow inspiration accentuates pulmonary vascularity. no edema. findings are new since prior exam. no pneumothorax. degenerative arthritis right shoulder.
<unk> year old woman with fevers // r/o infection
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a right chest tube is in place. side hole is at the chest wall. there is a small right apical pneumothorax. the lungs are otherwise clear without focal consolidation or pleural effusion. there is minimal atelectasis at the left base. known right rib fractures are not clearly identified.
right pneumothorax status post chest tube at outside hospital. evaluate for chest tube placement and status of pneumothorax.
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lung volumes are normal. there is no consolidation, pleural effusion or pneumothorax. no pulmonary edema. cardiomediastinal contour normal.
<unk> year old man with gout, hypertension, hyperlipidemia. // sob with exertion. r/o pulmonary pathology
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lung volumes are low. allowing for this difference in volumes, there is no significant change compared to <unk>. no large pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable. no displaced rib fracture is identified.
history: <unk>f with right rib/side pain // pls eval for fx
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there are low lung volumes. <num> mm rounded calcification projecting over the right upper lung most likely represents calcified granuloma. no focal consolidation is seen. there is blunting of the posterior left costophrenic angle suggesting a small pleural effusion. the cardiac and mediastinal silhouettes are stable. there is gaseous distention of the stomach.
history: <unk>m with hcc, hcv cirrhosis p/w increased abd distension and pain // e/o hepatohydrothorax
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ap portable upright view of the chest. there is mild left basal opacity likely atelectasis or aspiration. otherwise lungs are clear. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with acute liver failure // ? aspiration
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there has been interval removal of the right-sided picc line, and insertion of a right ij central venous catheter with distal tip overlying the cavoatrial junction. the cardiomediastinal silhouettes are stable, reflective of mild-to-moderate cardiomegaly. there is pulmonary vascular congestion and mild pulmonary edema. there are small bilateral pleural effusions. there is no pneumothorax.
<unk>-year-old man with v-tach, status post central line insertion.
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ap portable upright view of the chest. port-a-cath resides over the left chest wall as on prior with catheter tip in the mid svc. lungs are clear bilaterally. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. mild dextroscoliosis noted.
<unk>f with ams // pna?
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest pain // chest pain
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heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. minimal degenerative spurring is seen in the thoracic spine.
history: <unk>f with new onset chest pain since <num> am
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there is mild central pulmonary vascular engorgement without overt pulmonary edema. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal. mediastinal contours are stable.
history: <unk>m with cough and fever // r/o pna
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frontal and lateral radiographs of the chest. compared to the prior radiograph, the patient's fluid overload status has improved and there is no evidence of pulmonary edema. no pleural effusion or pneumothorax is appreciated. the cardiomediastinal contour has improved in the interval. tortuous aorta is again noted. the previously noted opacities at the right lung base may have been a function of engorge vasculature, and are no longer seen.
esrd on hemodialysis with previous chest x-ray showing nodular opacity. assess lung opacity.
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frontal radiographs of the chest demonstrate top normal heart size. the cardiomediastinal silhouette and hilar contours are normal. increase opacity in the left lower lung could be due to overlying soft tissues, but could represent infection in the correct clinical setting. vague opacity in the left lower lung unchanged from prior study and previously characterized on ct at subpleural fat. no pleural effusion or pneumothorax. no displaced rib fracture identified.
chest pain question pneumonia
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lung volumes are low. heart size is normal. aorta is mildly tortuous and demonstrates diffuse atherosclerotic calcifications. crowding of the bronchovascular structures is a result of the low lung volumes. there is no overt pulmonary edema, though mild pulmonary vascular congestion may be present. streaky opacities in the lung bases likely reflect atelectasis, similar compared to the prior exam. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
fall.
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left-sided aicd device is again noted with leads in unchanged positions. patient is status post median sternotomy, cabg, and pulmonic and tricuspid valve replacement. cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected.
history: <unk>m with presyncope
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mild cardiomegaly is present. the aorta is tortuous. lung volumes are low with crowding of bronchovascular structures and mild pulmonary vascular congestion. no pleural effusion, focal consolidation or pneumothorax is present. streaky atelectasis is seen in the lung bases. lateral view is limited due to the patient's inability to raise her arms. moderate multilevel degenerative changes are noted in the thoracic spine.
<unk>f w/fever and cough
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pa and lateral views of the chest provided. there is persistent opacification of the right lung base, and although this may be due to known mass but superimposed pneumonia could be considered. lungs are hyperexpanded. there is a small right pleural effusion. there is mild cardiomegaly. the mediastinal and hilar contours are normal.
<unk> year old woman with lung ca, new dx pe, with low grade temp and productive cough, evaluate for infiltrate
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar pleural surfaces are normal. there is no subdiaphragmatic free air.there is a small hiatal hernia.
history: <unk>f with abdominal pain // ?free air
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patient is status post median sternotomy and cabg. normal postoperative cardiomediastinal silhouette is stable. no focal consolidations, pleural effusions, pulmonary edema, or pneumothorax are seen. right-sided picc again seen with unchanged position in the mid to distal svc.
<unk>-year-old man with history of cad on <num> l of o<num> nc trigger for shortness of breath and chest pain. ? infiltrate, ? effusions
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
syncope.
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endotracheal tube tip is approximately <num> cm from the carina. enteric tube tip projects over the stomach with side-port in the region of the ge junction. the lungs are clear of confluent consolidation, large effusion or pneumothorax based on a supine film. cardiac silhouette is likely within normal limits for technique. no displaced fractures identified.
cardiac arrest.
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lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk> year old woman with fever/chills, coughing, sore throat, vomiting // eval for infection
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frontal and lateral radiographs of the chest demonstrate re-accumulation of large left-sided pleural effusion. there is also minimal, unchanged right pleural effusion. there has been interval removal of the right internal jugular central venous line, enteric tube, and endotracheal tube, as well as the left pleural catheter. no focal areas of increased opacification concerning for pneumonia are seen. diffuse bony demineralization and multilevel degenerative changes of the thoracic spine are noted. a slight aortic knob is also seen.
respiratory failure status post chest tube for pleural effusion. evaluate for re-accumulation.
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lung volumes are reduced. heart size is borderline enlarged. the aorta is mildly tortuous. there is crowding of the bronchovascular structures with mild pulmonary vascular congestion. patchy opacities in lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities seen. there are multilevel degenerative changes in the thoracic spine.
pathologic fracture, altered mental status.
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lung volumes are low. cardiac silhouette size is top-normal. mediastinal contour is unremarkable. prominence of the hila bilaterally could suggest enlargement of the pulmonary arteries or underlying lymphadenopathy. there are diffuse interstitial opacities bilaterally, most pronounced along the periphery, which is concerning for chronic interstitial lung disease. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m with left sided chest pain and cough
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the cardiac, mediastinal and hilar contours appear unchanged. unchanged also is mild relative elevation of the right hemidiaphragm compared to the left side. there is no pleural effusion or pneumothorax. the lungs appear clear.
cough.
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ap portable chest radiograph demonstrates interval placement of a nasogastric tube, which appears to descend the thorax in an uncomplicated course. the terminal tip appears at the anticipated location of the gastroesophageal junction. for standard placement within the stomach advance approximately <num> cm. streaky opacity in the left lung base is reflective of atelectasis. bibasilar atelectasis is persistent on the right and slightly improved on the left. lung volumes are overall low. there is no pneumothorax or pleural effusion. note is made of chronic deformity of the right humeral neck.
history: <unk>f with sbo, s/p ng placement // ? ng tube placement
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bilateral low lung volumes again noted. new opacity in the right base probable atelectasis but cannot exclude pneumonia. mild improvement in left pleural effusion and left base opacity noted with air bronchograms, concerning for pneumonia. cardiomediastinal silhouette unchanged. there is no pneumothorax.
<unk> year old man with hypoxemia // assess for pna, infiltrate
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there is prominence of the interstitial markings consistent with chronic lung disease. no focal opacification concerning for pneumonia. mediastinal and hilar contours are unremarkable. cardiac borders are partly obscured by elevated hemidiaphragm, though heart size appears normal.
fever, increased respiratory rate. please assess for infiltrate.
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the cardiac silhouette and pulmonary vasculature are unremarkable. there is no definite pleural effusion or pneumothorax. the lungs are clear.
<unk>m with left pleuritic pain // ?ptx, pl effusion
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the cardiomediastinal and hilar contours are within normal limits. there is calcification of the aortic arch. coarse lung markings are likely related to chronic lung changes. lungs are otherwise clear. there is no focal consolidation, pleural effusion or pneumothorax.
status post fall. evaluate for pneumonia, recently treated with levaquin for pneumonia.
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there is a large left-sided pneumothorax extending from the apex to the base with rightward shift of the mediastinum, depression of the left hemidiaphragm and expansion of the left-sided ribs. right side is clear with no evidence of pneumothorax. the heart size is normal. pleural surfaces are unremarkable.
<unk>-year-old male with first episode of spontaneous pneumothorax, now with chest tube to waterseal.
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mild cardiomegaly is unchanged. no pulmonary edema. left-sided pigtail in situ. the left-sided pleural effusion is decreased in size. small right-sided pleural effusion. no new areas of airspace consolidation. the right nipple is again visualized. marked hyperinflation suggesting copd.
<unk> year old woman with loculated l pleural effusion s/p pigtail // interval change
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compared to <unk>, i doubt significant interval change. the heart is not enlarged. the aorta is minimally unfolded, also unchanged. within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. no chf, focal infiltrate, pleural effusion, or pneumothorax is detected. slight elevation of the right hemidiaphragm is also unchanged. minor degenerative spurring is again noted in the thoracic spine.
history: <unk>f with cp // acute process
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et tube is <num> cm from the carina. right port-a-cath terminates at the cavoatrial junction. left internal jugular central venous catheter terminates in the low svc. enteric tube courses into stomach and beyond the field of view. there is mild pulmonary vascular congestion without frank pulmonary edema. there are probable small bilateral pleural effusions.
<unk> year old man with concern for ards, +leak, ett advanced <num>cm // interval change
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pa and lateral views of the chest provided. lung volumes are low limiting assessment. allowing for this, 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 // eval for acute process
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since the prior radiographs there are new discontinuities involving the upper and lower most among three cerclage wires situated along lateral right lower ribs, which are also only completely visualized on the lateral view. there is no gross change in alignment since the prior radiographs; however the ribs are difficult to visualize. the heart is moderately enlarged, as before. the mediastinal and hilar contours appear unchanged. there is patchy unchanged opacification in the right lower lung suggesting scarring with no definite pleural effusion or pneumothorax. slight loss among vertebral body heights along the thoracic spine appear unchanged.
rib defect after a fall. question rib fracture.
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the lungs are clear of consolidation, effusion, or pulmonary edema. prominent extrapleural fat is seen bilaterally. the cardiac silhouette is stable. right shoulder arthroplasty changes are noted in addition apparent dislocation or subluxation of the left glenohumeral joint.
<unk>f with <num>xwk lle ttp, now w/ calf ecchymosis, fullness // r/o pleural effusion
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the lungs are clear. there is no evidence of effusion, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the pulmonary vasculature is unremarkable.
left-sided abdominal pain. evaluate for pneumonia or acute cardiopulmonary 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.
<unk>-year-old female with chest pain.
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pa and lateral views of the chest were reviewed. compared to the most recent prior, mild pulmonary edema has slightly improved and the endotracheal tube and swan-ganz catheter has been removed. upper lung vascular redistribution, tiny bilateral pleural effusions and moderate cardiomegaly are unchanged. a left pectoral defibrillator lead ends in the mid to distal right atrium. aortic core valve and median sternotomy wires are intact and unchanged in alignment. aortic core valve is unchanged in position. mediastinal surfaces are relatively unchanged.
shortness of breath in a patient with a history of coronary artery disease and congestive heart failure.
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portable semi upright radiograph of the chest demonstrate increased opacification of the right hemithorax, with persistently enlarged cardiac silhouette and engorged hilar vasculature, consistent with pulmonary edema. there is dense opacification of the retrocardiac space which may represent atelectasis, however pneumonia can be considered in the appropriate clinical setting. there is no pneumothorax. a right-sided picc line ends at the cavoatrial junction. there is no large pleural effusion or pneumothorax.
esrd on hd (<unk>), hiv on haart (cd<num> <num>), hcv, polysubstance abuse on methadone, cryoglobulinemia, schf <unk> nicm, resistant hypertension and gerd, s/p pea arrest w/ neurologic devastation on <unk> in the setting of htn emergency (flash pulmonary edema), in micu w/ myoclonic seizures prior to cooling protocol, and since protocol completed has continued to have seizures on quadruple aed therapy and new tachpnea // eval pulm edema, pna
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heart size is at the upper limits of normal. mediastinal contours are within normal limits for age. no chf, focal infiltrate or effusion is identified. no obvious pneumothorax is detected. linear density seen at the right lung apex immediately above the clavicle is equivocal for pneumothorax. no significant atelectasis is detected. mild degenerative changes of the thoracic spine noted.
history: <unk>f with chest pain // ? pna
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there is a <num> mm dense ovoid opacity projecting in the posterior left lower lobe. the nodular opacity is dense and may be calcified however, this is not confirmed on chest radiograph and nonurgent chest ct is recommended for further evaluation. the remainder of the lungs are clear. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal mildly enlarged. mediastinal and hilar contours are unremarkable. degenerative changes seen along the spine.
history: <unk>f with presyncope // eval heart and lungs
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no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable.
history: <unk>f with dizziness and weakness concerning ? stroke. // patient with chest tightness
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the lungs are clear without focal consolidation on the frontal view. however, there is increased retrocardiac opacity on the lateral view, likely related to expiratory phase and atelectasis. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are enlarged, unchanged.
history: <unk>f with smoke inhalation, sob // pneumonitis?
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pa and lateral views of the chest provided. cardiomegaly again noted. there is a left pleural effusion which is moderate in size with associated compressive lower lobe atelectasis. there is hilar congestion without overt edema. mediastinal contour is stable. bony structures are intact.
<unk>m with lung biopsy today, with sob, poor left lung sliding.
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the patient is status post median sternotomy and cabg. right-sided pacer device is noted with single lead terminating in the right ventricle. left axillary vascular stent is re- identified. heart size remains moderately enlarged. lung volumes are low. the mediastinal contours are unchanged with calcification of the thoracic aorta re- demonstrated. there is crowding of the bronchovascular structures, with mild pulmonary vascular congestion. ill-defined nodular opacity within the right mid lung field is new and may reflect a focus of infection. additionally bibasilar airspace opacities appear progressed compared to the previous exam and could reflect atelectasis but infection or aspiration are not excluded. small left pleural effusion persists, with a component loculated laterally, and is perhaps slightly increased compared to the prior study, with the right pleural effusion appearing essentially resolved. there is no pneumothorax.
vomiting, poor historian.
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on the frontal view, there is faint opacity projecting over the left lung base which does not silhouette the left cardiac margin. on the lateral view there is increased opacity projecting over the spine anteriorly. while this finding can be seen in the setting of degenerative spine changes, it is more conspicuous when compared to previous exam from <unk>. cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine.
<unk>f with cough, chills. // pneumonia?
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the lungs remain hyperinflated. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with cp // evidence of pneumothorax or pna
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dobhoff tube with distal tip terminating in the stomach beyond the level of the gastroesophageal junction. right picc, unchanged. decreased prominence of left pleural effusion and stable left basilar atelectasis.
<unk> year old woman with sah and facial fractures s/p fall with new dobhoff placement. // check new dobhoff placement
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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.
history: <unk>m with chest pain // eval for pneumo
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lungs are clear without focal consolidation, effusion, or pneumothorax. there is no central vascular congestion or overt pulmonary edema. mediastinum, hila and pleural surfaces are unremarkable. heart size normal.
cough, chest pain with breathing.