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the patient is status post median sternotomy with intact median sternotomy wires and aortic valve replacement. cardiac silhouette appears mildly enlarged but stable. otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. mild scarring is noted at the lung apices. degenerative changes are visualized throughout the thoracolumbar spine.
evaluation of patient with complex medical history with cough and night sweats.
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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.
confusion.
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previous large scale consolidation has cleared entirely. predominantly in the left lower lobe and to a lesser degree in the right middle lobe is a new abnormality consisting of fine linear opacities and, best appreciated on the lateral view, bronchial wall thickening. this is more likely to be an atypical infection, due to a virus or mycoplasma (or given the appropriate clinical circumstances, pneumocystis), than bacterial pneumonia. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk> year old man with hiv, cvid with cough x <unk> weeks // eval for consolidation
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ap and lateral views of the chest. no prior. there are bibasilar opacities compatible with small effusions, larger on the right than on the left. there is engorgement of the pulmonary vasculature with indistinct vascular markings peripherally. the cardiac silhouette is enlarged. severe degenerative changes are partially visualized at the glenohumeral joints bilaterally. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with dehydration and weakness. question pneumonia.
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sternotomy wires and a mitral valve prosthesis are constant. atelectasis at the left lung base is improving. platelike atelectasis in the mid left lung persists. small bilateral pleural effusions are best appreciated on the lateral view under probably unchanged. no pneumothorax. the postoperative appearance of the heart and mediastinum are unchanged.
status post redo sternotomy. evaluate for pleural effusions.
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compared chest radiographs from <unk>, heart size has increased, now mildly enlarged, and there is a new small right pleural effusion. no appreciable effusion on the left. lungs are hyperinflated with vascular deficiency in the upper lobes, consistent with severe emphysema. there is mild central vascular congestion with indistinct vascular margins in the lower lobes, right greater than left, suggestive of interstitial pulmonary edema, though superimposed area of heterogeneous opacification in this area, which could reflect pneumonia, cannot be definitively excluded. nonspecific bibasilar scarring, right greater than left, persists . no pneumothorax. mediastinal and hilar contours are stable. median sternotomy wires are intact with mediastinal clips noted.
<unk> year old man with increased dyspnea on exertion, <unk> edema. known severe copd + cad + a fib // eval for change
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there is persistent volume loss in the right lung with elevation of the right hemidiaphragm. a right-sided chest tube in-situ, this is unchanged in appearance compared to the prior study. no definite pleural effusion seen. there are linear areas of atelectasis at the right lung base. there are bilateral nodular opacities, better visualized on the earlier ct chest. no pneumothorax seen. a right hilar mass is again noted, unchanged in appearance compared to multiple prior studies.
<unk> year old woman with nsclc and s/p pleurex capping. any interval change? // any interval change in cxr
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patient is status post median sternotomy and cabg. there is elevation of the left hemidiaphragm. multiple pulmonary nodules are better assessed on recent prior ct. no new focal consolidation is seen. no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are grossly stable.. no overt pulmonary edema is seen.
history: <unk>f with sob // ?edema
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since the most recent prior radiograph, there has been resolution of bilateral pleural effusions and compressive atelectasis. there is now no focal consolidation, pleural effusion, or pneumothorax. the left hemidiaphragm is elevated, which is unchanged when compared to <unk>. there is biapical pleural thickening, also unchanged from the two most recent prior radiographs. the osseous structures are unremarkable.
<unk>-year-old woman with history of pe on anticoagulation with cough for four months and hemoptysis. rule out pathology.
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chest pa and lateral radiograph demonstrates relatively unchanged exam with a stable if not minimally increased left pleural effusion. there is stable severe dextroscoliosis of the thoracic spine with a tortuous heavily calcified aorta. heart size is normal. lungs are clear.
left-sided pleural effusion. please reassess.
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cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. a pancreatic duct stent projects in the upper abdomen in the midline. there is no evidence of pneumoperitoneum.
status post robotic whipple in <unk>. please evaluate for presence of pancreatic duct stent.
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elevation of the right hemidiaphragm is unchanged. posterior atelectasis at the left hemidiaphragm. lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. left dual lead pacer is unchanged. heart size is top normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
syncope and bradycardia.
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cardiac silhouette is moderately-to-severely enlarged. postoperative appearance of the mediastinum from prior avr. a trach tube is in standard position. a left pectoral pacer is in place with leads in the right atrium and the right ventricle. a right picc terminates in the mid svc. a right pleural drainage catheter remains at the right lung base without residual pneumothorax. there is bibasilar left-greater-than-right atelectasis with mild-to-moderate pulmonary edema and mild-to-moderate left-greater-than-right pleural effusion.
pneumothorax and chest tube placement, on positive pressure ventilation.
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moderate cardiomegaly persists. the mediastinal and hilar contours are unchanged. mild upper zone pulmonary vascular redistribution appears chronic, without overt pulmonary edema. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
history: <unk>f with shortness of breath on exertion
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left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. mild to moderate enlargement of cardiac silhouette is present. the aorta is tortuous and calcified. mild pulmonary vascular engorgement is demonstrated. no large pleural effusion or pneumothorax is seen. patchy opacities in the lung bases likely reflect areas of atelectasis. rounded opacity projecting over the seventh and eighth right lateral ribs may reflect callus formation. no definite acute osseous abnormalities detected.
history: <unk>f with hypoxia
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the et tube sits <num> cm above the carina. an endogastric tube courses inferiorly and out of the field of view. the cardiomediastinal and hilar contours are unremarkable. the lungs show retrocardiac atelectasis and edema, although aspiration is also a consideration. there is no large pleural effusion or pneumothorax.
<unk>-year-old female with subarachnoid hemorrhage status post intubation.
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frontal and lateral views of the chest. right chest wall port is seen with catheter tip in the distal svc based in the lateral. as on prior, there is elevation of the right hemidiaphragm. there is no evidence of consolidation nor effusion. cardiomediastinal silhouette is within normal limits. osseous structures demonstrate no acute abnormality.
<unk>-year-old female with fevers. question pneumonia.
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a right ij catheter is unchanged in positioning. there is improved aeration of the right upper lobe compared to prior. again visualized is a large right pleural effusion, which appears to have increasing loculated components. the left lung essentially clear. pulmonary vasculature is normal. cardiomediastinal silhouette is stable. there is no pneumothorax. cervical fixation hardware is partially visualized, unchanged compared to prior. surgical clips are seen projecting over the upper abdomen.
<unk> year old woman s/p thoracic fusion now with increasing sob and desating with activity // r/o infectious process vs increasing pl effusions
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. calcification of the aortic arch is stable.
cough for several weeks. evaluate for pneumonia.
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a portable frontal chest radiograph demonstrates low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. there is bibasilar atelectasis. a retrocardiac opacity is again seen and probably unchanged compared to the prior radiograph, again possibly representing atelectasis, but superimposed pneumonia cannot be excluded. no pleural effusion or pneumothorax is identified.
acute change in mental status in a patient status post right colectomy, with fevers.
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ap chest radiograph demonstrates hyperexpanded lungs and apical pleuroparenchymal scarring. there is left basilar atelectasis. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. medullary densities in the left humerus likely represent an enchondroma.
altered mental status.
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a single portable supine chest radiograph was obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion or pneumothorax. marked tortuosity of the aortic arch is unchanged. there are no new abnormal cardiac and mediastinal contours.
weakness, hypertension.
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cardiac size is normal. mediastinum is widened. patient has known mediastinal and hilar lymphadenopathy better seen in prior ct. there is mild vascular congestion. there is no pneumothorax or pleural effusion. there are low lung volumes.
<unk> year old man with metastatic cancer, new wheeze and exam consistent with volume overload. // r/o volume overload/pna
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the lungs are well inflated and clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. the imaged osseous structures are intact.
<unk>f with pleuritc cp // r/o acute process
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pa and lateral views of the chest. left pleural effusion appears slightly larger compared to prior study. patient has known extensive mediastinal and hilar lymphadenopathy. the mass-like consolidation in the left lung with multiple nodules in the right lung are better seen on prior ct. the appearance is unchanged compared to <unk>. no pneumothorax. cardiac size is normal.
allergic reaction after premedication, crackles on exam.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of consolidation. note is made of bilateral nipple shadows at the lung bases. there is no effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unchanged, noting degenerative changes at the left glenohumeral joint.
<unk>-year-old male with altered mental status. question infiltrate.
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the lungs are clear without consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified, hypertrophic changes are noted in the spine.
<unk>f with chest pain, cough // ? pna
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ap portable upright view of the chest. there has been interval placement of a right ij central venous catheter with its tip projecting over the expected region of the mid to low svc. consolidation in the left upper lobe is concerning for pneumonia. suture material in the right upper lung noted. no pneumothorax is seen. severe emphysema is again seen.
<unk>m with r ij cvl placement // eval r ij cvl position
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bilateral lower lobe consolidations are worrisome for multifocal pneumonia. there is also subtle right apical opacity, new since the prior study which may be due additional site of infection. there may be a small left pleural effusion. no pneumothorax is seen. the cardiac silhouette remains mildly enlarged. mediastinal contours are unremarkable and stable.
history: <unk>m with dyspnea, ili. hx liver transplant with recurrent ascities. // eval heart and lungs
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crescentic lucency underlying the left hemidiaphragm likely corresponds to the distended stomach seen on recent ct. there is no evidence for pneumoperitoneum. bibasilar linear atelectasis is noted. there is no focal consolidation, pulmonary edema, or pneumothorax. there is a trace left pleural effusion. the aortic arch is calcified. the cardiomediastinal silhouette is otherwise unremarkable.
<unk>f with perforated diverticulosis on outside hospital ct, evaluate for free air.
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the previously identified left lower lobe opacity and small pleural effusion have essentially resolved. there is no other focus of consolidation identified within the lungs. there is no evidence of pneumothorax or frank pulmonary edema. the cardiomediastinal silhouette is stable. no acute bony abnormality is detected.
history of breast cancer status post radiation and left lower lobe vats. evaluate for interval improvement in left lower lobe pneumonia.
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there is a large right-sided pleural effusion with right middle lobe and right lower lobe collapse. the left lung is clear. the heart size is normal. there is no evidence of pneumothorax.
<unk>-year-old female with dyspnea and recurrent hepatic hydrothorax.
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there has been interval removal of a right pigtail thoracostomy tube. a right ij catheter, endotracheal tube, and orogastric tube are unchanged in position. there is no pneumothorax. the heart is mildly enlarged. a persistent left retrocardiac opacity likely reflects atelectasis, though underlying consolidation cannot be excluded. mild central pulmonary vascular congestion appears improved.
interval removal of a right pigtail thoracostomy tube.
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no pleural effusions. known fibrotic changes are again noted in the right upper lung. there is suggestion of borderline prominent pulmonary vascular markings. otherwise, the lungs are without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is at the upper limits of normal.
fall.
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compared to the prior study there has been a slight increase in the left pleural effusion with fluid extending into the left major fissure. left lower lobe atelectasis is similar in extent, can't exclude superimposed infection. no other areas concerning for lower per consolidation are seen. visualized bony structures have a somewhat mottled appearance, better demonstrated on the prior ct. .
<unk>f w/shortness of breath, please eval for pna, please eval for pulm edema // <unk>f w/shortness of breath, please eval for pna, please eval for pulm edema
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there is a persistent opacity at the lateral aspect of the left lung since <unk>. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. folds lateral right clavicular fracture is again noted.
<unk>m with dementia with new ams // eval pna
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heart size is normal. mediastinal and hilar contours are normal. pulmonary vascularity is normal. left upper lobe tiny calcified granuloma is unchanged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is no free air under the diaphragms. leftward deviation of the trachea is unchanged. a left sided rib deformity is old. no acute osseous abnormalities detected.
epigastric and chest pain.
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right subclavian central venous catheter tip is malpositioned, coursing across the midline, and tip likely within the left subclavian vein. the endotracheal tube has been withdrawn, with tip now terminating approximately <num> cm from the carina. enteric tube remains in unchanged position. no pneumothorax is demonstrated. patchy opacities in the lung bases likely reflect atelectasis, but aspiration is not excluded. no large pleural effusion is present. the cardiac and mediastinal contours are unchanged.
history: <unk>f with right subclavian line
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when compared to chest ct, there has been no significant interval change. moderate size left sided pleural effusion is again seen. fluid is seen at the base with loculated components extending more superiorly. there is a left suprahilar mass concerning for underlying malignancy. left upper lung opacities at the apex are as seen on prior ct and could potentially represent lymphangitic spread of tumor. right lung is clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with pleural effsuon // eval for pleural effusion extent
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the lungs are moderately well inflated. there is unchanged right apical opacity with a surgical clip overlying it. no pulmonary edema. no pleural effusions. unchanged cardiomegaly. multiple right-sided old healed rib fractures noted.
<unk> year old man with doe, bnp <unk>, <num>+pitting edema. // pulmonary edema?
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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>f with asthma symptoms, evaluate heart and lungs.
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there is a persistent a moderately large left pleural effusion with associated left lower lobe collapse. the request indicates the patient has <num> chest tubes in-situ, these are not clearly visualized on this study. a right-sided picc terminates in the mid to distal svc. no pneumothorax seen.
<unk> year old man with <unk> chest tube // ? ptx
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there has been interval placement of a right internal jugular central venous catheter, terminating near the superior cavoatrial junction. no pneumothorax is identified. there is redemonstration of a left-sided pacemaker with associated right atrial and right ventricular leads. minimal bilateral lower lung atelectasis is not significantly changed. moderate cardiomegaly is not significantly changed. a large hiatal hernia is again seen.
status post right internal jugular central venous catheter placement.
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compared to the prior study there is no significant interval change.
<unk> year old man w/ chest tube for right empyema, chest tube to waterseal // assess for interval improvement
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. old healed mid right clavicular and lateral sixth and seventh rib fractures are chronic.
<unk>m with cough, homeless // eval for cough/pna
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subtle left base retrocardiac opacity most likely represents atelectasis, scarring, and vascular structures. previously noted left upper lobe opacity appears to have resolved in the interval. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with missed dialysis with clotted av fistula // eval for fluid overload
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left-sided pacemaker is visualized in place. median sternotomy wires are again identified. there is stable moderate cardiomegaly. there is mild haziness and prominence of central venous pressure, suggestive of mild-to-moderate pulmonary edema. the lungs are without a focal consolidation, effusion, or pneumothorax.
evaluation of patient with defibrillator firing.
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the heart size is upper limits of normal in size. mediastinal and hilar contours are within normal limits. the aorta is tortuous. the lungs are hyperinflated, consistent with underlying emphysema. slightly prominent interstitial markings are felt to be reflective of age-related change or small airways disease. right apical radiation fibrosis is stable. there is a partially calcified right breast prosthesis. no pleural effusion or pneumothorax is identified. the patient is status post bilateral shoulder arthroplasty. degenerative changes are seen in the thoracic spine.
history: <unk>f with shortness of breath // eval for infiltrate
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heart size is top normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with chest pain
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with sob, chest tightness x <num> week // eval pna
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the patient is status post coronary artery bypass graft surgery. moderate cardiomegaly appears unchanged. the mediastinal and hilar contours appear stable. the pulmonary interstitium is slightly prominent, but this seems to be a background appearance without evidence for superimposed acute process. there is no pleural effusion or pneumothorax. no focal opacity is present. mild degenerative changes are similar along the mid thoracic spine.
chest pain. history of coronary artery bypass graft surgery.
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a single portable ap chest radiograph was obtained. a tracheostomy tube is in expected position. a radiopaque line at the right apex may represent an azygos fissure or scarring. the lungs are well inflated and clear. there is no pneumothorax or pneumomediastinum. cardiac and mediastinal contours are normal.
esophageal dilation
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please note that the right lung apex is excluded from this image. lung volumes are very low, resulting in bronchovascular crowding and exaggerating mediastinal contours. the heart does not appear enlarged. no pleural effusion, pneumothorax, consolidation. a right internal jugular central venous line ends at the cavoatrial junction.
history: <unk>m with sepsis, hypotension, pain // r ij placement
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lung volumes are low. heart size is mildly enlarged. mediastinal contours appear similar. there is mild pulmonary edema with small bilateral pleural effusions. bibasilar patchy opacities likely reflect areas of atelectasis. no pneumothorax is demonstrated. osseous structures are diffusely demineralized without definite acute abnormality.
history: <unk>f with altered mental status
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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
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the patient is status post midline sternotomy and cabg. mild cardiomegaly, slight increased compared to the prior exam from <unk>, and mediastinal widening are expected immediately post-operatively. right-sided swan-ganz catheter sheath terminates in the upper svc. there has been slight interval increase in mild bilateral pulmonary edema and mild bibasilar atelectasis. small bilateral pleural effusions are persistent. there may be a tiny left apical pneumothorax. the visualized osseous structures are unremarkable.
history of cabg, status post chest tube removal. please evaluate for pneumothorax.
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pa and lateral chest views were obtained with patient in upright position. available for comparison is the next preceding portable chest examination of <unk>. the heart size is at the upper limit of normal variation. no typical configurational abnormality is seen. thoracic aorta of ordinary dimension but some calcium deposits in the wall are noted at the level of the arch. pulmonary vasculature is not congested. there exist bilateral centrally located infiltrates in the lower lobe areas known from previous ct torso examinations of <unk>. direct comparison with the next preceding ap single view portable chest examination of <unk> indicates that these densities have regressed moderately in extension. no new local pulmonary abnormalities are seen. remarkable is that the lateral and posterior pleural sinuses are now free from any fluid accumulation, which was not the case on the torso examination of <unk>. no new pulmonary abnormalities are seen and no cavitation can be identified.
<unk>-year-old female patient with bilateral lung infiltrates, evaluate.
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no radiopaque foreign body is noted within the chest or upper abdomen. no free air is seen below the diaphragm. mild pleural thickening along the right costophrenic angle is noted. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. multilevel mid thoracic vertebral compression fractures are likely chronic.
history: <unk>f who presents after swallowing a pair of stud earrings this morning // eval for foreign body
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pa and lateral views of the chest were obtained. heart is normal in size and cardiomediastinal contour is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old man with cough, rule out pneumonia.
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cardiomediastinal contours are stable. large consolidation in the left mid lung is improved. small left pleural effusion has decreased. . pigtail catheter in the left base is in unchanged position. there are no other interval changes
<unk> year old woman with chest tube l side // e/o ptx given chest tube l side
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pa and lateral views of the chest provided. biapical pneumothoraces have nearly resolved. bibasilar atelectasis is again seen, otherwise lungs are clear. there is persistent apparent left hemidiaphragm elevation; given the increase distance between the apex of left hemidiaphragm and stomach bubble, a subpulmonic effusion may contribute to this appearance. otherwise, post-operative cardiomediastinal contour is stable. right ij line is in the right atrium.
<unk> year old woman with s/p cabg // eval for effusion or infiltrate
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man with left effusion // eval chest tube and drainage of chest tube eval chest tube and drainage of chest tube
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widening of the mediastinum is compatible with known aortic aneurysm. heart is moderately enlarged but unchanged. no pulmonary edema. the known, trace left pleural effusion is not appreciated on this study. no pneumothorax or focal consolidation worrisome for infection.
aneurysm, rule out effusion.
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the lung bases are somewhat under penetrated likely due to overlying soft tissue. given this, no focal consolidation, pleural effusion, for evidence of pneumothorax is seen. the mediastinal and cardiac silhouettes are stable, as are the hilar contours. no displaced fracture is identified. though, please note that the lateral bilateral lower chest is under penetrated.
mechanical fall.
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a cluster of peribronchial opacities with possible mild bronchiectasis in the right upper lobe could be an acute infection, or chronic bronchiectasis. two small ovoid opacities in the left upper lung, an <num> mm lesion projecting over the first anterior interspace and a sub cm lesion projecting over the second anterior interspace could be due to acute infection as well. lower lungs are clear. there is no pleural abnormality or evidence of central lymph node enlargement. heart size is normal. lateral view shows heavy calcification in the proximal arteries of the aortic arch. s shaped scoliosis of the thoracic spine is noted with moderate underlying degenerative changes.
<unk> year old woman with copd, dm w/fever, evaluate for source.
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portable chest film <unk> at <time> is submitted.
<unk>m s/p esophagectomy <unk> with chronic stricture and rmsb-gastric conduit fistula, s/p failed ir j-tube placement c/b enterotomy s/p open j-tube <unk>, esophageal/rmsb stents <unk> // eval post bronch eval post bronch
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frontal and lateral radiographs of the chest show interval removal of the left apical pleural pigtail catheter from the preceding radiograph. the small left apical pneumothorax is unchanged in size or distribution. the inspiratory lung volumes are appropriate. the lungs are otherwise clear without focal consolidation or pleural effusion. the cardiomediastinal silhouette is within normal limits and unchanged.
<unk>-year-old male with spontaneous left pneumothorax, here to reevaluate pneumothorax, status post chest tube removal.
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the lung volumes are reduced, with elevation of the right hemidiaphragm noted. left-sided dual-chamber pacemaker device is present with leads terminating in right atrium and right ventricle. the heart is mildly enlarged. the aorta demonstrates calcifications of the aortic knob and appears mildly tortuous. there is no pulmonary vascular congestion. mediastinal and hilar contours are otherwise unremarkable. minimal atelectasis is seen within the right lung base. no focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormalities detected.
chest pain.
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the lungs are hyperinflated. known left upper lobe pulmonary nodule is not clearly delineated. there is subtle opacity at the lung base medially which also seen posteriorly on the lateral view. elsewhere, no focal consolidation identified. cardiomediastinal silhouette is within normal limits. known left hilar adenopathy better seen by prior ct.
<unk>m with persistent cough // ?pna
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lungs are clear of consolidation, pleural effusion or pneumothorax. heart size is normal. a right-sided aortic arch is an incidental finding. no subdiaphragmatic free air. evaluation of the osseous structures reveals anterior osteophytes at multiple levels throughout the thoracic spine.
history: <unk>m with cough fever // r/o infiltrate
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pa and lateral views of the chest provided. dual lead pacer projects over the right chest wall with leads extending the region the right atrium and right ventricle. elevated left hemidiaphragm with left basal atelectasis noted. right lung is clear. the heart is enlarged though not thoroughly assessed given effacement of the left heart border. no convincing evidence for edema. the right lung is clear. bony structures intact.
<unk>m with sob // fluid overload?
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frontal and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old male with shortness of breath and chest pain.
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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 hx of uc and depression with persistent cough x <num> months
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patient is rotated. the left costophrenic angle not fully included on the image. midline tracheostomy tube is seen. the right hemidiaphragm remains elevated and there is persistent blunting of the right costophrenic angle. right base atelectasis/scarring is seen. overall, the right lung is again seen to be volume than the left. no definite focal consolidation is seen on the left. the cardiac and mediastinal silhouettes are grossly stable. the bones are diffusely osteopenic.
history: <unk>m with fever and cough, chronic trach // eval for pna
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no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable, with the cardiac silhouette borderline to mildly enlarged in size. no pulmonary edema is seen.
history: <unk>f with sob // pna? cardiomegaly?
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. cervical fixation hardware is noted.
patient with left chest pain and tachycardia. assess for pneumonia.
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the lungs are normally expanded and clear on this single projection. heart size is normal. the mediastinal and hilar contours are normal. there is no large pleural effusion or pneumothorax. there is no pulmonary edema. there is incompletely evaluated spinal fusion hardware in the cervical spine.
history: <unk>m with weakness, hypotension // assess for infiltrate
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with confusion // please eval for pneumonia
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the cardiac silhouette size is normal. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
chest pain radiating across the upper chest.
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compared to <num> day earlier, the cardiomediastinal silhouette appears slightly smaller, though this is in part due to technical differences. again seen is upper zone redistribution, without overt chf. hazy opacity at both lung bases is again noted, slightly less pronounced. possible small right and very small left effusion, also appear slightly improved. again seen is a catheter overlying the lower chest and upper abdomen, for which clinical correlation is requested. no pneumothorax, pneumomediastinum, or pneumo pericardium detected.
<unk> year old man with hypoxia, found to have pericardial effusion; hx of cll // r/o infiltration vs pulmonary edema
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left chest wall dual lead pacing device is again noted. the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is again noted. no acute osseous abnormalities.
<unk>f with sob/cough x <num> days and decreased lung sounds in bilateral lower lobes // ? pneumonia
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cardiomediastinal silhouette and hilar contours are unchanged from prior examination. heart size is normal, with mildly tortuous thoracic aorta. lungs are clear. there is no pleural effusion or pneumothorax. prominent degenerative change at a mid thoracic level is unchanged from prior study.
found down on ground after fall.
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the heart size is top normal, slightly increased since the prior study, likely due slightly lower lung volumes and patient rotation. the lungs are clear aside from a small amount of left basilar atelectasis. apparent right lower lobe nodular opacities are most likely due to vessels on end. no pleural effusion or pneumothorax; minimal left posterior pleural scarring is chronic. hilar contours are within normal limits.
shortness of breath.
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in comparison to the most recent prior study, the inspiratory lung volumes are slightly decreased. the lungs are clear without focal consolidation concerning for pneumonia, 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.
chest pain and belching, here to evaluate for acute cardiopulmonary pathology.
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the lung volumes are low, which accentuate late the bronchovascular markings; however, there appears to be slight interval worsening of diffuse bilateral pulmonary edema compared to the prior exam. moderate cardiomegaly is stable. pacemaker leads are unchanged in position. the patient is status post median sternotomy and cabg. bibasilar opacities are likely secondary to atelectasis; however, a superimposed infectious process cannot be excluded. there is no large pleural effusion. there is no evidence of pneumothorax. the visualized osseous structures are grossly unremarkable.
history of chest pain. please evaluate for pneumonia.
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right chest wall port is seen in stable position. the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with dyspnea, wheezing, h/o asthma // ? acute cardipulm process
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heart size is borderline enlarged, slightly increased from the prior exam. the mediastinal and hilar contours are unchanged. there is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. minimal atelectasis is seen in the lung bases. no acute osseous abnormalities are present.
history: <unk>m with altered mental status
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is not enlarged. the aortic knob is calcified. hilar contours are stable, with stable prominence of the right hilum in this patient with history of sarcoidosis.
shortness of breath.
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man with severe as and crackles on exam // eval for pulm edema - desatted with transfer to stretcher and almost fell eval for pulm edema - desatted with transfer to stretcher an
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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>m with fever, decreased breath sounds
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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 hx crohn's presenting with fever // eval for cardiopulmonary process
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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 man with productive cough, fever, sob. evaluate for pneumonia.
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the lungs are well inflated and clear. there is no effusion, consolidation, or edema. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. moderate hiatal hernia is suspected. no acute osseous abnormalities.
<unk>m with cp // eval for pna ptx
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low lung volumes are seen with secondary crowding of the bronchovascular markings. bibasilar opacities are most likely atelectasis, they are not seen on the lateral view which is somewhat limited by respiratory motion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with lightheaded // ? pna
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the lungs are well-expanded and clear. the heart is top-normal in size. a right-sided port-a-cath ends in the mid svc. no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with fever, leukemia // ?pna
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a portable view of the chest demonstrates a repositioned ng tube, which coils within the stomach. the patient is now extubated. right ij catheter ends in the low svc. lungs are grossly clear. cardiomediastinal and hilar contours are unchanged. there is no pleural effusion or pneumothorax.
<unk> year old man with newly placed ngt, assess position.
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in comparison to study from <unk>, the heart is mildly enlarged with left atrial enlargement. there are no pleural effusions or pneumothorax. median sternotomy wires, mitral valve replacement, and left pectoral transvenous pacemaker device are unchanged in position. mid thoracic vertebral body compression fracture grossly unchanged compared to prior study.
<unk> year old woman with h/o chf, right sided back pain // evaluate chest
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lung volumes are low. the left apex is partially obscured by an overlying drape and monitor lead. there is no definite evidence of a pneumothorax. bibasilar and retrocardiac pulmonary opacities and pleural fluid persist. the heart and mediastinal structures are unchanged. tubes consistent with a mediastinal drain, left chest tube and a right subclavian catheter remain in place.
eval ptx-ct clamped
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as compared to <num> day prior, dobhoff tube has been advanced with the tip in the pylorus region. the lungs are clear. the cardiomediastinal contours are unremarkable. no pleural effusions or pneumothorax.
<unk> year old woman s/p stroke w copious secretions // eval for pna
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ap and lateral views of the chest provided. right pacemaker and leads appear to be in normal position. prominence of the pulmonary vasculature and diffuse interstitial opacities are concerning for mild pulmonary edema. moderate bibasilar atelectasis is unchanged. no pneumothorax. a small left pleural effusion is unchanged. a small to moderate right pleural effusion is unchanged. hilar contours are normal. moderate cardiomegaly is stable.
<unk> year old man with dyspnea, <unk> edema // please eval for pulm edema