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the et tube is present in standard position, but the cuff is overinflated. an enteric tube is also present with tip off the film. a right internal jugular line is present with tip in the low svc. rotation of the patient makes assessment of the cardiomediastinal contours difficult. there is no pneumothorax or large pleural effusion. there is no focal consolidation concerning for pneumonia. there is no pulmonary edema.
<unk>f with triple lumen to right ij // check line placement and ett tube placement
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pa and lateral chest radiographs again demonstrate a right middle lobe opacity with evidence of atelectasis, mildy improved since <unk>. there is persistent elevation of the right hemidiaphragm of unknown age. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits.
followup of right middle lobe pneumonia.
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the lung volumes are low. there is mild vascular engorgement but no evidence of pulmonary edema. there is no consolidation, pleural effusion, or pneumothorax. small central calcifications are unchanged and represent known calcified lymph nodes, likely from prior granulomatous disease. there is calcification of the aortic arch. the cardiac size is at the upper limits of normal. no fracture is identified.
history of mechanical fall. evaluate for fracture or dislocation.
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portable ap chest radiograph demonstrates mildly increased pulmonary vascular dilatation and small right pleural effusion with associated atelectasis. the vascular pedicle is also enlarged. however, no interstitial edema is seen. left lower lobe consolidation is not well appreciated on today's exam. median sternotomy wires and cabg clips are again noted.
congestive heart failure. left lower lobe pneumonia. worsening hypoxemic concern for pulmonary edema.
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the cardiomediastinal and hilar contours are normal, with calcification of the aortic arch. there is no pleural effusion or pneumothorax. the lungs are well expanded. a vague retrocardiac density, better seen on the lateral view, with hazy left retrocardiac density on the frontal view, may represent an infectious process. the upper abdomen is unremarkable.
cough, shortness of breath and fever, query pneumonia.
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indistinct left heart, medial diaphragmatic border, more prominent since prior, suggest developing infiltrate. sternotomy. cardiac pacemaker. shallow inspiration accentuates heart size. normal pulmonary vascularity. no pneumothorax. no effusion. arterial calcification. .
<unk> year old man with nash cirrhosis, hf, presenting with confusion. // eval for pneumonia
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the patient is status post sternotomy. suture material projects over the left suprahilar region and clips suggest prior coronary bypass surgery. the heart appears mild to moderately enlarged. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain.
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ap upright and lateral views of the chest were provided. evaluation limited due to exclusion of the left cp angle on the frontal projection and the posterior cp recess on the lateral view. fusion hardware is again noted in the lower cervical spine. the heart remains mildly enlarged. there is mild interstitial pulmonary edema which is not significantly changed from the prior exam. mediastinal contour is unchanged. no pneumothorax. small bilateral pleural effusions are likely stable from prior. old distal clavicle injuries are again seen. multiple old right rib cage deformities are also noted.
<unk>m with dyspnea and bradycardia.
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compared to the prior study there is no significant interval change.
<unk> year old woman with afib with rvr // r/o pneumothorax, effusion
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the ett tip projects approximately <num> cm the carina with the neck in neutral position. right ij catheter tip projects over the expected region of the upper svc, unchanged. left ij catheter tip projects over the expected region of the mid svc, also unchanged. enteric tube traverses the diaphragm and left upper quadrant and its tip is beyond the scope of this image. other lines are external to the patient. the patient is rotated. lung volumes are low. interval increase in left perihilar opacity is concerning for developing pneumonia. interval increase in left lower lung opacity, most likely reflecting combination of increased atelectasis and size of the moderate left pleural effusion. increased right pleural effusion. no pneumothorax.
<unk> year old woman with respiratory failure, intubated // please assess for ett placement
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endotracheal tube terminates <num> cm above the carina. ng tube terminates below the diaphragm. heart size and cardiomediastinal contours are normal. blunting of the left costophrenic angle is noted. . linear opacities in left lung base are consistent with scarring or atelectasis. increased interstitial markings suggest either edema or chronic interstitial lung disease. a vague opacity in the periphery of the right upper lung at the level of the second anterior rib, suboptimally evaluated on this single frontal view. no focal consolidation or pneumothorax.
history: <unk>f with chf exacerbation, intubated transfer // eval ett placement
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patient is status post left thoracentesis with interval near-complete resolution of the previously seen left pleural effusion. there is minimal residual blunting of the left costophrenic sulcus and linear opacities likely representing persistent platelike atelectasis. there is no pneumothorax, focal consolidation, or pulmonary edema. the cardiomediastinal silhouette is unchanged.
<unk> year old woman with pleural effusion status post thoracentesis, evaluate for pneumothorax.
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small bilateral pleural effusions with minimal compressive atelectasis. no pneumothorax is seen. the heart is moderately enlarged, unchanged compared to <unk>.
<unk> year old woman with pleural effusion // eval
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single portable view of the chest demonstrates normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. retrocardiac opacity with rounded rounded lucencies, represents diaphragmatic hernia containing stomach and large bowel loops, better demonstrated on ct torso of <unk>. no pulmonary edema.
patient with an episode of slurred speech, which lasted for three hours.
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the lungs are hyperexpanded with severe emphysema. right pigtail pleural drain has been removed. there is no evidence of pneumothorax. mild subcutaneous gas persists along the right chest wall. heart size is normal. there is no pleural effusion. there are chronic interstitial abnormalities at the lung bases. there is mild gaseous distention of loops of small bowel in the upper abdomen.
<unk> year old man with r ptx // r/o pxt post pigtail removal
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ap upright and lateral views of the chest provided. small bilateral pleural effusions are present. there is mild pulmonary interstitial edema. heart size is normal. the mediastinal contour is prominent which is in part further assessed on the same day ct neck. no pneumothorax. bony structures are intact.
<unk>f with <num> weeks of inc. confusion, // eval for infx
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the lungs are well expanded and clear. minimal leftward tracheal deviation has been present since at least the radiograph from <unk> and may be related to goiter. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with weakness. evaluate for evidence of pneumonia.
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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 chest pain
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ap portable upright view of the chest. overlying ekg leads noted. mild basilar atelectasis on the left. lungs are otherwise clear and hyperinflated. the cardiomediastinal silhouette is stable. no pneumothorax. no signs of congestion or edema. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with tachycardia
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frontal and lateral views of the chest demonstrate low lung volumes. there is no pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
patient with exertional dyspnea.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. the cardiomediastinal silhouette is normal. the osseous and soft tissue structures are unremarkable.
<unk>-year-old female with one day of weakness and dyspnea on exertion, experiencing chest tightness.
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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.
<unk>m with severe epigastric pain // free air, air fluid levels.
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lungs are slightly hyperinflated. there is no consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are within normal limits. no acute osseous abnormalities are identified. there is no subdiaphragmatic free air.
history: <unk>m with etoh withdrawal, n/v, abdominal pain // eval ? acute process, aspiration
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no focal consolidation, effusion or pneumothorax are present. there is unchanged appearance of moderate cardiomegaly and tortuous aorta.
right acetabular fracture and oxygen saturation drop in operating room. please do portable, patient unable to stand. rule out pneumonia.
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right-sided port-a-cath terminates in the low svc. the mediastinal and hilar contours are normal. heart size is top normal. lung volumes are low. there is elevation of the right hemidiaphragm. there is new opacity at the right base which may reflect atelectasis or pneumonia and possible small subpleural effusion.
hypotension. evaluate for infiltrate.
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pa and lateral views of the chest provided. low lung volumes. mild bibasilar atelectasis. no convincing signs of pneumonia. no congestion or edema. no large 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 cough, shortness of breath
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there relatively low lung volumes. slight prominence of the interstitial markings suggest minimal interstitial edema. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta is slightly tortuous. the cardiac silhouette is top-normal in size.
history: <unk>m with dyspnea, orthopnea // ? acute process, signs of heart failure
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with new ongoing cough + baseline asthma, intact peak flow // eval for pneumonia or other lung pathology
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the tracheostomy is in place. the heart and mediastinum are unchanged. there has been interval worsening of bibasilar atelectasis, left greater than right. there appears to be interval increase of the moderate left and mild right pleural effusions. there also has been interval development of a left sided fissural loculation. no pneumothorax is seen. there is again a redemonstration of the fractured displaced right shoulder. the left heart border is obscured by the pleural effusion and the fissural loculation.
<unk>-year-old female with trach, history of recent aspiration, who presents for evaluation of new chest pain. question of pneumonia.
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the inspiratory lung volumes are appropriate. there is interval resolution of small pleural effusions from <unk>. the lungs are clear without focal consolidation. there is no pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is mildly enlarged but stable. the mediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
cml with history of pleural effusions.
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the <num> lead pacemaker is again seen with leads projecting over the expected locations the heart is mildly enlarged there is mild increase in lung markings but no focal infiltrate or effusion
<unk> year old woman with ?syncope // evaluate pacer
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single supine view of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no displaced fracture is seen.
<unk>-year-old male status post mvc.
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upright ap and lateral radiographs of the chest. the lungs are hyperinflated, with evidence of parenchymal scarring. ? large bulla posteriorly on the lateral view versus artifact due to atelectasis. no chf, focal infiltrate or gross effusion is identified. minimal blunting of both costphrenic angles present. there is no pneumothorax. there is mild cardiomegaly, with a left ventricular configuration and slight aortic unfolding. an incomplete azygos fissure is noted in the right lung apex.
fever.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. mildly tortuous appearance of the ascending aorta and slight unfolding of the descending aorta appear unchanged. the lungs remain hyperinflated with diaphragmatic flattening, compatible with emphysema. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with productive cough. question infiltrate.
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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 lightedness 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 r hand table saw injury // preop
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heart size is mildly enlarged. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. streaky retrocardiac opacity likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax is otherwise demonstrated. no acute osseous abnormality is seen. there are mild degenerative changes in the thoracic spine.
altered mental status.
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endotracheal tube tip is approximately <num> cm above carina. enteric tube tip is below diaphragm, not included on the radiograph. sternotomy. there is increasing left basilar opacification, with associated volume loss, consistent with atelectasis, with probable component of mildly increasing effusion. stable right basilar opacification, likely edema. there is stable probably mild right pleural effusion. it is difficult to estimate cardiac size cava left basilar opacification. no pneumothorax.
<unk> year old woman s/p stemi and cardiac arrest intubated with increasing vent settings // ?interval change
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left chest wall pacemaker has two leads terminating in the right atrium and right ventricle in stable position. median sternotomy wires appear intact. there is a chronic left retrocardiac opacity. the lungs are otherwise clear. mild to moderate cardiomegaly is unchanged. there is no pleural effusion or pneumothorax.
history: <unk>m with chf, worsening doe // ?pulm edema
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frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or focal consolidation. the patient is status post right shoulder arthroplasty and vertebroplasty at t<num> and l<num>. remote rib fractures are noted. no displaced acute rib fracture is identified.
status post fall with pain. evaluate for rib fractures or shoulder injury.
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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.
<unk> year old woman with rll pneumonia <unk> // f/u rll pneumonia
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pa and lateral views of the chest provided. there is a right chest wall port-a-cath with its tip in the low svc at the region of the cavoatrial junction. 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 with fevers.
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with dizziness // infiltrate?
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fever, chills, sob. // any e/o pna, acute processes?
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the heart size is top normal. the mediastinal and hilar contours are unremarkable. biapical scarring is re- demonstrated. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
fever, hemoptysis, cough.
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ap and lateral views of the chest are compared to previous exam from <unk> and images from ct abdomen from <unk>. increased interstitial markings at the lung bases are as seen on multiple prior exams including ct of the abdomen from <unk> and is most suggestive of scarring. the lungs are otherwise clear of consolidation or effusion. cardiomediastinal silhouette is essentially unremarkable noting multiple left coronary stents. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chf and chest pain.
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the lungs are clear. cardiac silhouette is exaggerated by low lung volumes. there is no pleural effusion or pneumothorax. there is a chronic-appearing deformity of the sternum; however, the bones are not well visualized on this non-dedicated view.
alzheimer's status post fall.
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right picc line again projects superiorly in the neck, in the right jugular vein.tracheostomy tube, enteric tube, and left subclavian line are unchanged. bilateral pleural effusions and significant atelectasis (bilateral lower lobe collapse) is overall unchanged. thoracic fusion hardware partially obscures the central mediastinum.
<unk> year old woman with polytrauma and intubated. evaluate interval change
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portable upright chest. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. there is mild pulmonary vascular congestion. a right internal jugular central venous line terminates at the cavoatrial junction.
fever in a patient with recent right ankle surgery.
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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. chronic right rib fracture
<unk> year old woman with asthma // left mid lung opacity follow up for resolution
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.
history: <unk>m with cll, esrd presenting with possible temporal arteritis, want to r/o infection prior to starting high dose steroids. // infection?
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
chest pain.
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there has been interval development of a moderate-sized left pleural effusion. peribronchial cuffing is seen bilaterally. the left hilar vasculature is poorly defined. left mid and lower thoracic rib fractures are unchanged. there is no definite pneumothorax. cardiomediastinal silhouette is midline.
<unk> year old man with mechanical fall, rib fx, ptx.
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left port-a-cath tip near cavoatrial junction. endotracheal tube tip in the mid stomach. very shallow inspiration. additional tubing projected over right chest. normal heart size, pulmonary vascularity. there is small left pleural effusion, new since prior exam.
<unk> year old man with panc ca s/p whipple // post-op
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portable view of the chest. moderate-to-severe cardiomegaly is noted. bibasilar opacities are identified, right greater than left, which are likely in part due to layering effusions. instinct pulmonary vascular markings are seen superiorly. aortic corevalve device is identified. atherosclerotic calcifications noted at the aortic arch.
<unk>-year-old male with fever and hypoxia.
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compared to a prior examination, there is slightly increased layering right pleural effusion. there is otherwise no significant interval change including mild fluid overload, severe cardiomegaly, bibasilar atelectasis as well as unchanged positioning of numerous monitoring support devices including the lvad. there is no pneumothorax.
lvad placement. evaluate for effusion.
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a right-sided port-a-cath is in unchanged position with the tip at the cavoatrial junction. a nasogastric tube is present coursing below the diaphragm with the tip out of the field of view. since the prior exam, there is a new large left pleural effusion with associated atelectasis. there is no right pleural effusion. there is no pulmonary edema or pneumothorax. the cardiomediastinal silhouette is normal.
pancreatic cancer. confirm port placement.
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left-sided pacemaker device is noted with leads terminating in the region of the right atrium and right ventricle as well as an abandoned lead within the left anterior chest wall. the patient is status post median sternotomy, cabg, and mitral valve replacement. heart size remains mildly enlarged with a left ventricular predominance. the aorta is markedly tortuous. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. elevation of the right hemidiaphragm is chronic with linear opacities in both lung bases compatible with areas of subsegmental atelectasis. there appears to be minimal blunting of the costophrenic angle posteriorly on the left suggestive of the trace left pleural effusion. no focal consolidation or pneumothorax is visualized. there is gaseous distention of colonic loops of bowel. no acute osseous abnormality is identified.
history: <unk>m with fatigue and dyspnea on exertion
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pa and lateral radiographs of the chest. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. the pulmonary vascularity is normal.
hemoptysis.
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chronic increased reticular opacities predominantly in the lung bases have improved when compared to <unk> and represent mild interstitial edema. no acute focal consolidation. no significant pleural effusions or pneumothorax. the heart remains mildly enlarged with unfolding of the thoracic aorta.
fever, shortness of breath
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the lungs are markedly hyperinflated with significant elevation of the left hemidiaphragm similar, with overlying atelectasis. streaky linear opacities in the mid and lower right lung are increased from the previous examination but their appearance is more suggestive of a chronic process. there is mild blunting of the posterior right costophrenic angle, which may be due to a small pleural effusion or pleural thickening. cardiac silhouette and mediastinal contours are unchanged.
fever.
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pa and lateral views of the chest provided. the heart appears moderately enlarged, increased from prior. there is a small right pleural effusion. no overt signs of edema. no convincing evidence for pneumonia. no pneumothorax. bony structures are intact. the mediastinal contour is within normal limits. no free air below the right hemidiaphragm. gaseous distention of the stomach noted.
<unk>f with chest tightness and shortness of breath
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in comparison with the ct examination of <unk>, there has been substantial opacification of the left hemithorax with shift of the mediastinal contents to the left. this is consistent with severe volume loss in the left lung. the right lung is hyperexpanded and essentially clear.
pneumonia and hemoptysis, to assess for change in left basilar pneumonia.
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pa and lateral views of the chest were reviewed. heart size is top normal. mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. lungs are well expanded. there is no focal consolidation concerning for pneumonia. right glenohumeral degenerative changes are seen, along with multilevel degenerative changes with anterior bridging osteophytes in the thoracic spine.
fever, cough.
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. minimal bibasilar opacifications are likely reflecting atelectasis. no pleural effusion or pneumothorax evident.
altered mental status, please evaluate for acute process.
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platelike atelectasis is noted bilaterally. low lung volumes cause bronchovascular crowding. there is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. gaseous distention of the bowel in the left upper quadrant has increased slightly compared with the prior study. apparent inferior subluxation of the left humeral head appears stable from the most recent prior study. the cardiomediastinal silhouette is within normal limits.
<unk>f with hx iph, poor airway clearance, hx aspiration, eval for acute process or infiltrate.
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
history of hiv with diarrhea, fever and tachycardia.
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frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax. no osseous abnormalities evident.
dizziness, assess for reason for dizziness.
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ap view of the chest provided. compared to prior study from <unk>, there is minimal improvement in the right lung base opacity. degree of pulmonary edema is unchanged. there is no large amount of pleural effusion. heart size is stably enlarged. right-sided central line terminates in the low svc.
<unk> year old man with pneumonia, worsening hypoxemia
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the lungs are well inflated and grossly clear. the cardiomediastinal silhouette is stable. there is no pleural effusion, pneumothorax, or focal consolidation worrisome for pneumonia. mild prominence of interstitial markings is similar compared to prior studies. there is no overt pulmonary edema. atherosclerotic calcifications are noted in the aortic arch. no displaced rib fractures are identified.
<unk>f on coumadin, s/p fall w/ head strike, c/o l hip pain, l lateral chest wall pain // ?ich, ? c spine injury, ? l lateral rib fx, ?occult pelvic fracture
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pa and lateral views of the chest provided. cardiomegaly is stable and mild. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. no signs of congestion or edema. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with chest pain, shortness of breath
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a small left-sided pneumothorax is probably unchanged. there has been no significant short-term change.
tension pneumothorax status post chest tube placement.
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new from the recent prior study is ill-defined medial right mid lung airspace opacity which may represent pulmonary vascular congestion, subsegmental atelectasis, or early peribronchial consolidation. there is no right-sided pleural effusion or pneumothorax. opacification of the left hemi thorax is unchanged from multiple prior studies. a right ij central venous catheter likely terminates at the cavoatrial junction. demineralization severe multilevel degenerative changes are noted including spinal fusion hardware in the upper lumbar spine.
<unk> year old woman with sig cardiopulmonary dz, postop, increased crackles, evaluate for pulmonary edema.
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the heart size, mediastinal, and hilar contours are normal. a small, rounded, dense nodule in the right middle lung is unchanged in size since <unk> and is likely a granuloma. the lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old woman with cough x <num> days, pmh of asthma. evaluate for consolidation.
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right ij, et tube, and ng tube with the side port are in acceptable positions and are unchanged. mild cardiomegaly is unchanged. superimposed on pre-existing pulmonary edema are bilateral asymmetric opacities worse on left, improving on the right.
<unk> year old man with cirrhosis, intubated for hypoxic respiratory distress and being treated for vap // change?
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pa and lateral chest radiograph demonstrate clear lungs bilaterally. linear lucencies paralleling the upper mediastinum extending into the neck is compatible with pneumomediastinum. pulmonary vasculature is normal. there is no pneumothorax or pleural effusion. no air under the right hemidiaphragm.
<unk>f with chest pain // ?pna
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the endotracheal tube terminates approximately <num> cm above the carina. an enteric tube courses to the body of the stomach. note is also made of a right ij catheter. evaluation of the lung parenchyma reveals pronounced alveolar opacities in a perihilar distribution, right greater than left, likely representing pulmonary edema. there is no sizable pleural effusion. no pneumothorax. cardiomediastinal silhouette is within normal limits.
history: <unk>m with s/p arrest // eval for ett placement, ich
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right-sided port-a-cath is seen terminating in the mid svc without evidence of pneumothorax superior lung volumes are low in there is persistent right middle lobe linear scarring. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. multiple compression deformities are seen in the mid thoracic spine, grossly similar to prior.
history: <unk>f with multiple myeloma, breast cancer and fever*** warning *** multiple patients with same last name! // pneumonia?
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portable ap chest radiograph. right-sided picc and left-sided dual-chamber pacer leads are in stable position. moderate interstitial edema is stable to slightly worse from <unk>, and small bilateral pleural effusions have increased. there is no pneumothorax. the cardiomediastinal silhouette is stable.
recent ablation with chf and increased wheezing and respiratory rate.
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pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no configurational abnormality is identified. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area on frontal view. there exists no prior chest examination or records available for comparison.
<unk>-year-old male patient with low oxygen saturation and egophony in right middle lobe area, evaluate for pneumonia.
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the lungs are well expanded and clear. lung volumes are mildly diminished with no evidence of overt airtrapping. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. no radiopaque foreign body is identified.
possible pill aspiration.
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pa and lateral views of the chest provided. a feeding tube is in place extending into the upper abdomen. lungs are clear. no 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 lethargy, cirrhosis // eval for pneumonia
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frontal and lateral chest radiographs demonstrate an enlarged cardiomediastinal silhouette, which could be in part due to patient rotation. sternal wires are intact. the patient is status post coronary artery bypass and mitral valve replacement. apparent asymmetric mild opacity of the right lung is likely due to patient rotation. there is mild bibasilar atelectasis. no focal consolidation, pleural effusion, or pneumothorax is seen.
evaluate for pneumothorax or pneumonia in a patient with right upper quadrant pain, worse with movement and recent pneumonia.
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the lungs are clear. the heart is top-normal in size. the hilar and cardiomediastinal contours are normal. there is some calcification of the aortic arch. there is no pneumothorax. there is blunting of the left costophrenic angle consistent with a trace left pleural effusion. pulmonary vascularity is normal.
<unk> year old man with <num> days of chest pain and new onset afibeval for effusion, <unk>-year-old man with <num> days of chest pain and new onset atrial fibrillation. evaluate for pleural effusion.
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the elliptical density in the right lower lobe is consistent with the mass seen on the prior ct. there is now hazy veil-like opacity surrounding this lesion, which likely represent layering pleural effusion. linear atelectasis is noted on the left. there is no pneumothorax. the heart size is unchanged.
<unk>-year-old female with desaturation, question acute process, fluid overload.
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the patient is now status post right thoracoplasty. there are two new cerclage wires in the right chest wall. there is a new right chest tube which is appropriately positioned within the pleural cavity. the lucency in the right hemithorax in the extra thoracic soft tissues has greatly decreased in size, likely reflecting repair of lung herniation noted on the prior radiograph. there is still some subcutaneous emphysema present. a curvilinear lucency in the right lower chest may reflect the edge of a pneumatocele. there is a small to moderate right pleural effusion mainly tracking up the lateral hemithorax and into the major fissure. there is extensive bilateral lower lobe atelectasis. no large pneumothorax is seen. the heart size is normal.
status post right thoracoplasty.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are hyperinflated but clear. there is no pleural effusion or pneumothorax. small osteophytes are noted along the mid thoracic spine. there are also subchondral cystic changes in the right humeral head.
fever. question pneumonia.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with hx cad s/p stenting now w/ angina since <time> am. evaluate for widened mediastinum.
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lung volumes are low. the patient is status post median sternotomy and cabg. heart size is mildly enlarged. mediastinal contours unremarkable. mild pulmonary vascular congestion is demonstrated. additionally patchy opacities are seen in the lung bases, more so on the right. no focal consolidation, pleural effusion or pneumothorax is present. clips are also demonstrated in the region of the gastroesophageal junction.
history: <unk>m with chest pain
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ett terminates approximately <num> cm above the carina. enteric tube tip seen within the region of the gastric body, side-port likely just distal to the ge junction. lung volumes are normal. there is no focal consolidation, effusion or pneumothorax. there is mild central vascular congestion without overt pulmonary edema. mediastinal and hilar contours are normal. dense atherosclerotic calcifications are noted. atherosclerotic calcification of the aortic knob.
<unk>f with intubated txf // eval for ett placemetn
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the heart size, mediastinal, and hilar contours are normal. the lung volumes are slightly lower, but the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with fever, tachycardic, elevated lactate. ?infiltrate
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slightly rotated positioning. the ostomy tube noted. an ng tube is present, tip extending beneath diaphragm off film. left subclavian picc line tip overlies mid svc. no obvious pneumothorax identified. inspiratory volumes are slightly lower. cardiomediastinal silhouette is grossly unchanged. there is upper zone redistribution and mild vascular blurring, suggesting mild chf. minimal bibasilar atelectasis. no gross effusion.
<unk> year old man with increased work of breathing // fluid overload
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moderately enlargement of the cardiac silhouette is likely from a moderate pericardial effusion seen on the recent ct from <unk>. the large heterogeneous mediastinal mass seen on recent ct is not well depicted radiographically. there is no pulmonary edema. there is no pleural effusion or pneumothorax.
<unk> year old woman with respiratory distress and known mass // please eval for interval change.
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since the prior exam, there is increased pulmonary edema, which is now mild-to-moderate. there is increased left basilar atelectasis, though no focal airspace opacity to suggest a pneumonia. there are small bilateral pleural effusions, also increased in size since the prior exam. there is no pneumothorax. calcifications are noted in the aortic arch. the heart is moderately enlarged, similar to prior exams. a left chest dual lead pacemaker device is unchanged.
persistent hypoxia. evaluate for pulmonary edema or pneumonia.
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there are moderate bilateral pleural effusions, which appear similar in size from the prior ct of the chest in <unk>. there are prominent interstitial markings, which likely represent mild pulmonary edema. bibasilar hazy opacities are most consistent with atelectasis. there is no evidence of a pneumothorax. the mediastinal silhouette is normal. the cardiac silhouette is difficult to fully evaluate, as the left heart border is obscured by the adjacent pleural effusion, but appears mildly enlarged, and stable from the prior chest ct.
increasing oxygen requirement and dyspnea.
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frontal and lateral views of the chest demonstrate mass-like consolidation in the left upper lobe estimated <num> cm in widest ap dimension, similar as compared to <unk>. the lungs are low in volume. the right lung remains clear. the cardiomediastinal silhouette is within normal limits. a left basal approach pleural catheter is present, with a small residual left pleural effusion, generally decreased in size as compared to <unk>. smaller lesions in bilateral lungs are better demonstrated on prior ct from <unk>.
<unk>-year-old male with left upper lobe small cell lung cancer and left pleural effusion in the setting of known prior interstitial lung disease. patient is status post first cycle of chemotherapy. question change in size or reaccumulation of fluid.
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>f going to or for finger amputation // pre-op
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>f with cough, fever // r/o pna
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the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. an enteric catheter passes below the level of the diaphragm, ending within the stomach. there is minimal left lower lung atelectasis. the lungs are otherwise clear. the heart size is normal. the mediastinal contours are normal. there are no definite pleural effusions. no pneumothorax is seen.
status post intubation. assess endotracheal tube position.
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the lungs are now clear besides relatively streaky right basilar opacity. there is no edema or effusion. right basilar opacity is moderate cardiac enlargement is slightly improved from prior. no acute osseous abnormalities. old healed mid left clavicular fracture is again noted.
<unk>m with cough, diffuse rhonchi // eval for pna vs chf