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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. there is no displaced rib fracture.
<unk>m with s/p mvc, bilateral knee pain, r elbow pain, evaluate for fracture or pneumothorax.
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endotracheal tube extends to <num> cm above the carina. position of nasogastric tube is unchanged. cardiomegaly and pulmonary vascular congestion. right hemidiaphragmatic border is sharper, suggestive of improvement in the right pleural effusion. no pneumothorax.
<unk>-year-old man with polytrauma including a pulmonary contusion. assess for interval change.
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portable ap radiograph of the chest. moderate to marked cardiomegaly appears slightly increased.. a triple lead pacer device is unchanged in position overlying the left chest wall. the leads overlie the expected locations of the right atrium, right ventricle, and coronary sinus. the lungs are clear. there is no pneumothorax or pleural effusion.
status epilepticus.
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lung volumes are low. chronic small bilateral pleural effusions have increased. despite vascular crowding, mild pulmonary edema likely persists. the left lower lobe airspace opacity has increased, and is worrisome for pneumonia or atelectasis. the heart and mediastinum are magnified by the projection. sternotomy wires and spinal fixation hardware are again noted.
<unk> year old woman with ?pna // f/u cxr for pneumonia vs atelectasis. please evaluate for edema
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a left picc terminates in the low svc. a right pigtail catheter terminates in the right pleural space at the site of the known esophagopleural fistula. density projecting over the right cardiac border may correspond to amplatz plug. there is no pneumothorax. esophageal stent has been removed. the previously noted air-fluid level in the right lower lobe is no longer visualized. the left lung is clear. cardiomediastinal silhouette is normal. g-tube is in place.
<unk>-year-old woman with esophageal-pleural fistula status post amplatz plug. evaluate for pneumothorax in the right.
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right subclavian central line tip low svc. no pneumothorax. endotracheal tube tip in good position. minimal new left basilar opacity. lungs otherwise clear. . normal heart size, pulmonary vascularity.
<unk> year old male with history polysubstance abuse and hepatitis c, admitted to <unk> after trauma of unclear etiology s/p craniotomy for large epidural hematoma with midline shift. // new right cvl
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain, known cad and anginal symptoms. // eval acute process
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the lung volumes are slightly decreased compared to the most recent prior radiograph. left retrocardiac opacity most likely represents atelectasis. no new opacity concerning for infection. moderate cardiomegaly persists. the mediastinal and hilar contours are normal. there are multiple gas-filled loops of bowel in the abdomen.
history: <unk>m with altered mental status // acute process, particularly infectious
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a tunneled right-sided dialysis catheter is stable. aortic stent graft is unchanged in position and appearance. a moderate, loculated right and small left pleural effusion are stable to minimally decreased in size from the prior examination on <unk>. pulmonary opacity at the base of the right lung is demonstrated. there is minimal pulmonary opacity at the base of the left lung which suggests atelectasis. no pneumothorax.
<unk> year old man with pleural effusion // eval
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interval improvement in the right upper lobe pneumonia. mild residual opacification relation to the right transverse fissure and medial aspect of the right upper lobe. no new areas of airspace consolidation. no pleural effusions. transverse cardiomegaly is unchanged. no pulmonary edema. spondylotic changes of the thoracic spine.
<unk> year old woman with multiple myeloma with recent pna and now ongoing cough // ? progression vs improvement in pna
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no fractures are identified. there is slight indentation of the superior trachea in the region of the thryoid gland.
evaluation of patient with high blood pressure and chest pain.
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interval decrease of left pleural effusion, still with band-like opacity compatible with atelectasis. patchy opacities are still visible in the right upper lung and correlates with ground-glass opacity described in recent chest ct. left lung is clear without pleural effusion. heart size is mildly enlarged. there is no pneumothorax.
<unk> years old man with trapped lung on recent chest ct. followup film.
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pa and lateral views of the chest. the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine. no acute osseous abnormality is are noted.
<unk>-year-old female with chest pain.
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the tip of a right ij central venous catheter projects over the mid svc. the last radiograph obtained demonstrates appropriate placement of the nasogastric tube within the stomach. there is no pneumothorax. the lungs are clear. the heart and mediastinum are within normal limits despite the projection. regional bones and soft tissues are unremarkable.
<unk>-year-old female with gi bleeding status post recent placement of nasogastric tube. evaluate tube position.
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a single portable ap chest radiograph was obtained. lung volumes are low. groundglass opacities predominantly affecting the upper right and left upper lobes have progressed since <unk>. the central pulmonary vasculature is engorged and there are multiple foci of bronchial wall thickening. cardiomegaly is moderate. sternal wires are intact.
bronchial stenosis status post bronchoscopy and dilation, now with hypoxia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is moderate parenchymal irregularity of the left lung base. no pleural effusion or pneumothorax is seen. there is cervical stabilization hardware, which appears unchanged comparison to the prior chest radiograph.
<unk> year old man with hypercalcemia // evaluate for pulmonary lesion
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the heart size is normal. the aorta is mildly tortuous, otherwise the mediastinal and hilar contours are unremarkable. lung volumes are low resulting in bronchovascular crowding. the lungs are however clear without evidence of focal consolidations concerning for pneumonia or evidence of pulmonary edema. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of chf, found to have bibasilar crackles on exam, please evaluate for worsening edema.
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there is a right lower lobe consolidation consistent with pneumonia. the cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
cough fever, evaluate for pneumonia.
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the lungs are clear without focal opacities, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
<unk> year old man with hiv associated dlbcl with new fever and shortness of breath // assess for infection
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a new endotracheal tube terminates <num> cm above the carina. the ng tube has been advanced, with all sideholes contained within the stomach. no pleural effusion, pneumothorax, or large focal consolidation. left-sided picc line is unchanged in position, terminating in the mid svc. opacity in the medial right lower lung is likely due to crowding of vessels, given the projection.
<unk>m h/o seizures alcoholism s/p fall down stairs resulting in status epilepticus and right iph, unchanged bilateral sdh, unchanged sah, and acute fracture of the inferior left parietal bone with associated <num> mm epidural hematoma. position of ett.
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there has been interval appearance of bilateral pleural effusions and associated bibasilar atelectasis. interval increase in vascular congestion is seen. the cardiac silhouette continues to be enlarged, and a very dilated thoracic aorta is seen. et tube is in stable and appropriate position, and the gastric tube ends in the body of the stomach.
<unk>-year-old woman with subarachnoid hemorrhage and subdural hemorrhage, intubated. assess for any lung abnormalities. rule out pneumonia.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of injury status post motor vehicle accident. please evaluate for fracture.
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frontal and lateral views of the chest. no prior. lungs are clear of focal consolidation or effusion. cardiac silhouette is at upper normal limits of normal and size. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever.
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chronic increase in interstitial markings is seen diffusely bilaterally, similar as compared to the prior study. there are relatively low lung volumes. no large pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with interstitial disease, copd // ?pna
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cardiac silhouette size remains within normal limits. the aorta is tortuous. previously seen right lower lobe mass has substantially decreased in size from the previous exam with residual right infrahilar opacity likely reflective of post-treatment change and/or residual disease. there is no pulmonary edema. the lungs are hyperinflated with emphysematous changes again demonstrated. small right pleural effusion is noted with interval decrease in extent of lateral pleural thickening as seen on the prior study. patchy opacities in the lung bases may reflect atelectasis. no pneumothorax is identified. multilevel degenerative changes are seen in the thoracic spine. bilateral shoulder arthroplasties are partially imaged.
history: <unk>f with nausea, altered mental status // eval for infiltrate
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pa and lateral views of the chest were obtained. in comparison to the prior radiographs, patient is status post removal of pericardial drainage catheter. the cardiac silhouette is largely obscured by increased size of large left pleural effusion with adjacent atelectasis. a small-to-moderate right effusion appear is also new. there is no focal consolidation or edema. no pneumothorax.
<unk>-year-old woman with cough, evaluate for pneumonia.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female with fever and cough.
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portable semi-upright radiograph of the chest demonstrates minimal persistent left-sided apical pneumothorax status post chest tube placement. the lungs are hyperinflated. there is left basalar atelectasis. the cardiomediastinal and hilar contours are unchanged. anchor screws project over the right proximal humerus.
status post left chest tube placement for large pneumothorax. evaluate for residual pneumothorax.
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lung volumes are low. patchy opacity at the left lung base may reflect atelectasis although aspiration and pneumonia should also be considered. portable technique and body habitus limits assessment of the rib cage, particularly along the left chest wall; however, no obvious displaced fractures are identified. heart size is normal. there is no pneumothorax, pulmonary edema, or large pleural effusion.
history: <unk>f with left lower rib pain ax region after fall // r/o fx's
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there is improved aeration and resolution of the previously noted right middle lobe pneumonia. lung volumes are low, though no focal consolidation, pleural effusion or pneumothorax is seen. there is no pulmonary edema. the heart is normal in size given the low lung volumes.
<unk>-year-old female with persistent cough and recent history of right middle lobe pneumonia. evaluate for persistent right middle lobe pneumonia.
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. there is trace bibasilar atelectasis. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.
shortness of breath.
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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.
history: <unk>f with sob // acute process
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since the prior study, there has been a interval increase in bibasilar opacities as well as perihilar opacities and <unk> b-lines compatible with heart failure. the cardiac silhouette, now moderate to severely enlarged, has increased since the prior study. superimposed infection in the right lower lobe could be possible and followup radiograph after diuresis would help better evaluate this. small bilateral pleural effusions are also present.
history: <unk>m with dyspnea on exertion // eval for pneumonia
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. a suture anchor in the right humeral head is unchanged from the prior study.
<unk>f with chest pain, evaluate for acute cardiopulmonary disease.
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the lungs are clear of consolidation. increased interstitial markings are seen in the lungs, particularly at the bases. this could be due to chronic underlying interstitial process. there is no focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. mitral annular calcifications are seen. no acute osseous abnormalities identified. degenerative changes noted at the right shoulder.
<unk>f with bibasilar crackles, concern for pna from <unk> staff*** warning *** multiple patients with same last name! // pna?
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the lungs appear slightly hyperinflated with flattening of the hemidiaphragms and a barrel-shaped chest on the lateral radiograph, which is due in part to kyphotic curvature of the spine. no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. there is generalized loss of height of several thoracic vertebral bodies with a slight anterior wedge compression deformity of a mid to lower vertebral body.
acute onset of slurred speech, weakness and confusion, here to evaluate for acute cardiopulmonary process.
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pa and lateral views of the chest provided. left chest wall aicd again noted with leads extending to the region the right atrium and right ventricle. a small coronary stent projects over the heart. midline sternotomy wires and mediastinal clips are also again noted. lungs are clear. no signs of effusion or pneumothorax. no signs of pneumonia or edema. cardiomediastinal silhouette appears normal. bony structures are intact.
<unk>f with cp // eval for ptx
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there is moderate cardiomegaly which is unchanged. the aorta remains tortuous and diffusely calcified. coils are again seen projecting along the right mediastinal contour. pulmonary vascularity is not engorged. small bilateral pleural effusions are new compared to the prior study. mild bibasilar atelectasis is also noted. there is no pneumothorax.
fever and weakness.
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single portable ap chest radiograph demonstrates clear lungs. heart size is top normal. no overt pulmonary edema. mediastinal and hilar contours appear stable when compared to prior radiograph dated <unk>. no large pleural effusion. osseous structures are unremarkable.
<unk>f with chest pain
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ap and lateral views of the chest. lower lung volumes seen on the current exam. taking this into account, there is no significant interval change. there is no confluent consolidation nor fusion. cardiomediastinal silhouette is stable noting mild cardiomegaly. no acute osseous abnormality detected.
<unk>-year-old male with confusion.
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the right port-a-cath is in stable position. there unchanged appearance of the small right pleural effusion and small left pleural effusion. adjacent atelectasis is seen. the heart size is stable. no overt pulmonary edema or pneumothorax is seen. no new focal consolidation is seen.
<unk>-year-old male with congestive heart failure and presents with fatigue and renal failure. evaluate for chf.
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there has been interval removal of the femoral swan-ganz catheter. the trachea is central. the cardiomediastinal contour is unchanged with moderate cardiomegaly and prominence of the bilateral hila. prominence of the pulmonary vasculature is consistent with mild pulmonary vascular congestion. no frank pulmonary edema seen. there is persistent left lower lobe atelectasis. no definite pleural effusion seen. no pneumothorax.
<unk> year old woman with acute systolic heart failure with new onset shortness of breath and tachypnea // r/o infection, edema
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portable upright chest radiograph demonstrates small bilateral pleural effusions. the heart size is top normal despite biatrial enlargement. the pulmonary vasculature appears normal. there is no focal consolidation or pneumothorax. the pulmonary vasculature is normal. median sternotomy wires and multiple surgical clips project over the mediastinum.
<unk>-year-old male with diastolic heart failure. question edema.
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frontal and lateral chest radiographs demonstrate a heart which is top-normal in size, increased compared to <unk>. the lungs are fairly well-aerated. there is mild interstitial edema without focal consolidation. there is no pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for infiltrate in a patient with wheezing.
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cardiomediastinal silhouette is within normal limits. lungs are clear. multiple surgical clips project over the periphery of the right mid lung and the right lower lung. there is no pleural effusion or pneumothorax.
history: <unk>f with chest pain // eval for pna
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portable ap supine chest radiograph <unk> at <time> is submitted.
<unk> year old man with poly trauma // lines/tubes lines/tubes
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
history of asthma who presents with shortness of breath.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions.
<unk> year old man with chronic cough, worsened over the past <num> days and recent subjective fever. // is there evidence of cardio-pulmonary disease?
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the lungs demonstrates subtle peribronchial infiltration in the left lower lobe. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are notable for subtle compression deformity of mid thoracic vertebral body.
<unk>m with confusion. assess for acute process
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there is a persistent right mid lung masslike opacity, slightly decreased in extent when compared to the prior study. there is a small left and moderate right pleural effusion, increased opacity at the right lung base likely reflects a combination of pleural fluid and a atelectasis. left lung appears grossly clear. no pneumothorax seen. the cardiomediastinal contour is unchanged with persistent cardiomegaly and calcification of the mitral valve annulus.
<unk> year old man with pna, pleural effusion // please evaluate pna, ?reaccumulationg of pleural effusion
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. there are no acute osseous abnormalities.
<unk>m with sob, cp // infiltrate?
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
history: <unk>m with <unk> days of cough, fevers, left sided back pain with cough // r/o actue process
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lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. patchy bibasilar airspace opacities are most likely reflective of atelectasis. there is no pleural effusion or pneumothorax. no displaced fractures are identified.
pain in the chest after bike crash.
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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. please note that the lung apices are obscured by the patient's neck and chin soft tissues projecting over these regions. no acute osseous abnormalities are present.
<unk> year old woman with diarrhea, fevers, full infectious workup
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the patient is status post median sternotomy and cabg. the heart size is normal. the mediastinal and hilar contours are unremarkable and unchanged. the pulmonary vascularity is normal. the lungs are hyperinflated but clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
palpitations and chest pain.
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old woman with ams, leukocytosis // any evidence of infection/pneumonia? any evidence of infection/pneumonia?
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the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is stable given patient rotation to the left. accentuated thoracic kyphosis is noted. unchanged lower thoracic compression deformity is again noted.
<unk>f with cp and cough // eval pneumonia
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heart size is normal. there has been interval decrease in size of the left upper lobe and hilar mass. the right hilar and mediastinal contours appear unremarkable. there is no pulmonary vascular congestion, focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities are detected.
pre syncope, fall with head strike and head pain.
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there is no focal consolidation, pleural effusion or pneumothorax. pulmonary edema has resolved. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.
<unk>m with chest pain, paliptations // evaluate for acute 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.
<unk> year old woman with asthma exacerbation // r/o infiltrate
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ap semi upright view of the chest provided. a right upper extremity picc line is seen with its tip extending into the low svc. low lung volumes limits evaluation. allowing for this, there is no definite sign of pneumonia or overt chf. no large effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact.
<unk>m with waxing/waning delirium x<num> day. + c.diff, eval'ing for other infx process // eval for pneumonia
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patchy opacities of the bilateral lung bases are likely due to atelectasis although infection cannot be excluded. no other areas concerning for consolidation are seen. no pneumothorax or pleural effusion. the cardiomediastinal contour is unchanged compared to the prior study with mild prominence bilateral hila. no frank pulmonary edema.
<unk> year old man with copd presenting with dyspnea, concern for copd exacerbation, on bipap when admitted // eval lung fields
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the heart is mildly enlarged and there is mild pulmonary vascular redistribution. there is blunting of the left cp angle, which is similar in appearance compared to the study from <unk> and could represent pleural thickening or effusion. biapical scarring is again visualized. there is hazy increased opacity in the left lower lobe that could represent a patchy left lower lobe infiltrate or areas of volume loss. the patient is status post sternotomy with multiple mediastinal clips.
ams, rule out acute process.
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the tracheal tube is noted in the mid trachea. enteric tube traverses towards the stomach. there are increased opacities overlying the left lung with the most confluent opacities at the left lung base. additionally, there is left lower lobe atelectasis with mild leftward shift of mediastinal structures. otherwise, cardiac and mediastinal contours are within normal limits. no acute fracture identified.
altered mental status status post intubation.
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the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. the tip of a right-sided picc line remains in superior right atrium, approximately <num> cm beyond the cavoatrial junction. there is no focal pulmonary consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
fever and neutropenia.
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the heart size is within normal limits. the mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. minimal blunting of the costophrenic angles posteriorly may suggest trace effusions. lingular linear opacity likely reflects chronic scarring. no focal consolidation or pneumothorax is present. no acute osseous abnormalities are detected.
bilateral lower extremity swelling.
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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 cough and fever
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well aerated lungs which are clear. there is no pleural effusion or pneumothorax.
positive ppd.
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heart size and cardiomediastinal contours are normal. lung volumes are low but the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. small foci of soft tissue gas overlying both breasts is consistent with recent reduction mammoplasty.
<unk>f with fever s/p operation <num> days ago // r/o pneumonia
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low lung volumes. the bilateral hemidiaphragms, cardiac borders, and mediastinal silhouettes are normal without pleural effusion or pneumothorax. right upper lobe opacification is noted without definite correlate on lateral view.
<unk> year old man with chest pain // source of precordial chest pain
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. right chest port tip in the proximal right atrium.
<unk> year old man with metastatic scc of head/neck and history of cns abscess admitted with ams. now with fever and hypotension // eval etiology of hypotension
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the size of the left pleural effusion has decreased, but remains moderate in size. the lungs are otherwise clear. the pulmonary vasculature is normal. the cardiomediastinal silhouette is stable. there is no pneumothorax.
<unk> year old woman with left pleural effusion (?hepatic hydrothorax) // evaluate to see if there has been a decrease in effusion
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since the prior study, there is now opacity at the right lung base worrisome for right middle lobe atelectasis. small right pleural effusion was also seen on pre seeding chest ct. the left lung is clear. no overt pulmonary edema is seen. cardiac and mediastinal contours are grossly stable. no pneumothorax is seen.
history: <unk>m with dyspnea, hypoxia, now w hypotension s/p fluids // eval ? worsening edema
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the lungs are mildly hyperinflated but clear. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. no pulmonary edema, pneumothorax, or pleural effusion. no focal consolidations are seen.
history: <unk>f with dyspnea
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the lungs are well expanded and clear. the cardiac silhouette, mediastinal silhouette, hilar contours, and pleural surfaces are normal. no pleural effusion or pneumothorax is present.
new diabetes and hypoalbuminemia with new lower extremity edema. please assess for pleural effusion, other pulmonary processes.
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patient status post pacemaker generator change. single transvenous right ventricular pacer defibrillator lead is continuous with a left pectoral generator. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax. no mediastinal widening. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman s/p ppm generator change // eval for ptx, lead position
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there has been considerable increase in opacity over the left hemi thorax, likely due to significant interval increase in left pleural effusion, underlying consolidation or disease progression not excluded. small right pleural effusion persists. new pulmonary nodules seen on prior ct from <unk> were better assessed on ct. slight increase in opacity at the right lung base is nonspecific and could be due to disease progression, infection, aspiration. the left aspect of the cardiac silhouette is not well assessed due to the large left hemi thorax opacity, although grossly, likely stable.
history: <unk>f with a fib, dchf, metaststic cancer w/pleural effusion p/w dyspnea. // pt with hx of copd, dchf, and probable malignant pleural effusion p/w dyspnea. any acute intrathoracic process?
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heart size is normal. cardiomediastinal silhouette and hilar contours are within normal limits. no chf, focal infiltrate, or focal consolidation detected. pleural surfaces are clear without effusion or pneumothorax.
fevers and cough.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. no free air below the right hemidiaphragm.
<unk>m with dyspnea and tachypnea with epigastric abd pain
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the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax. again seen is a metallic distal esophageal stent projecting. no fracture is identified.
dyspnea.
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lateral view slightly motion degraded. the lungs are well-expanded. linear scar in the left mid lung is incidentally noted. no focal consolidation, edema, effusion, or pneumothorax. the heart is top-normal in size. the mediastinum is not widened. hilar contours are normal. no acute osseous abnormality. mild dextroconvex curvature of the thoracic spine is noted.
<unk>-year-old woman chest pain. evaluate for pneumonia.
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despite low lung volumes, the lungs are clear. there is no effusion, consolidation, or edema. the cardiomediastinal silhouette is within normal limits. there is tortuosity of the thoracic aorta. no acute osseous abnormalities identified.
<unk>m with increasing dementia - // needs for med clearance
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the heart is normal in size and cardiomediastinal contour is unremarkable. there is increased opacification at the right hilus as compared to the prior examinations. there is no pleural effusion or pneumothorax.
<unk> year old man with encephalopathy, dropping o<num> sats // infiltrates?
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. a rounded density in the superior portion of the left lower lobe correlates with a calcified granulomas seen on recent ct. a right-sided port-a-cath is noted with the tip terminating in the right atrium.
<unk>f with a history of ovarian cancer, presenting with malaise, fatigue, on chemo // ? pna
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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 concern for cardiomegaly
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ap upright and lateral views of the chest provided. there is left lower lobe opacity concerning for pneumonia. additionally, there is subtle opacity projecting over the right lower lung on the ap view, also concerning for pneumonia. the lungs are hyperinflated which suggests emphysema. no large pleural effusion is seen. there is no pneumothorax. the cardiomediastinal silhouette appears grossly within normal limits. no convincing evidence for edema. bony structures are intact.
<unk>f with sob // eval for pna
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion pneumothorax. there is no distracted rib fracture. extensive thoracic spine fixation hardware is noted without evidence of hardware fracture.
status post assault with punch to chest.
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lungs are hypoinflated, likely accentuating the size of the cardiac silhouette. allowing for changes due to this, the cardiomediastinal silhouette is stable. the thoracic aorta is mildly tortuous. surgical clips overlie the expected location of the thyroid. the hila are within normal limits. the lungs are clear without focal consolidation. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax. there is no right pleural effusion. there is a small left pleural effusion. there is apparent dislocation of the left glenohumeral joint. degenerative changes noted at the right shoulder. right-sided rib fractures are noted involving right upper ribs. right lower rib and left anterior second and third rib fractures are also noted. these are apparently new from the prior study from <unk>. the upper rib fractures are not clearly delineated on shoulder films from <unk>.
<unk>f with weakness, evaluate for pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. there is increased opacity projecting over the lateral left lung base. there is no appreciable pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with productive cough and shortness of breath not improved on antibiotics.
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ett and right subclavian line are present in standard positions. there has been interval removal of the enteric tube. the cardiomediastinal and hilar contours are stable. lung volumes are lower than on the most recent prior study. atelectasis with small pleural effusion is noted at the right lung base. hazy opacification of the right lung is noted with relative increased lucency of the left lung, increased compared to prior. this may be technical. however, mild pulmonary edema is resolved. there is no pneumothorax. left base atelectasis is present. gaseous distention of the stomach is noted.
<unk> year old man with upper gib intubated // ett placement
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frontal and lateral views of the chest were obtained. heart size and cardiomediastinal contours are normal. linear opacity in the right lower lung is consistent with atelectasis. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with history of dvt, now with left leg pain and chest pressure.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. a <num> mm rounded density projecting over the right lower lung is similar to prior and either represents a vessel on-end or possibly a calcified granuloma. no displaced fracture is seen.
fever, cough, chest pain.
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heart size is normal. atherosclerotic calcifications are seen diffusely within the thoracic aorta. mild pulmonary edema is new compared to the previous study with small new bilateral pleural effusions demonstrated. patchy opacities in the lung bases may reflect atelectasis however infection or aspiration is difficult to exclude. more focal ill-defined mass in the left upper lobe was better characterized on the recent chest ct as consistent with lung malignancy. no pneumothorax is present. moderate multilevel degenerative changes are seen in the thoracic spine.
<unk> year old man with severe as, cad, cva, htn, hld, dm, ckd presenting with right sided chest pain, productive cough white sputum. recent diagnosis lul mass concerning for primary lung cancer
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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 tachycardia, shortness of breath and cough
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the patient is status post median sternotomy and cabg. cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. minimal atherosclerotic calcifications are noted at the aortic knob. pulmonary vasculature is normal. calcified granuloma is seen within the right apex. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. minimal degenerative changes are seen within the thoracic spine.
history: <unk>m with chest pain
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frontal upright views of the chest were obtained. a right cardiac pacemaker obscures the right lung base. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. left basilar atelectasis is seen. pulmonary vasculature is engorged without overt pulmonary edema. cardiac and mediastinal silhouette are unchanged with mild cardiomegaly and aortic tortuosity. cardiac pacemaker leads are in satisfactory position.
lower extremity weakness with recent subdural hemorrhage.
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mild to moderate cardiomegaly is present. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. streaky opacities in the lung bases likely reflect atelectasis, without focal consolidation. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
fever.
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with malaise // acute process?
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a right pleural effusion is moderately increased. a probable left pleural effusion is unchanged. dense vascular calcifications are again noted. mild pulmonary edema is improved. cardiomegaly is mild. focal pleura thickening at the lung apices is unchanged.
history: <unk>f on nippv with chf exacerbation // eval for chf
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a portable frontal chest radiograph demonstrates a right picc terminating in the right upper atrium. heart size is normal and the lungs are fairly well-aerated. opacity in the lateral left lower lung may represent atelectasis, but infection cannot be excluded in the right clinical setting. there is no pneumothorax. the left costophrenic angle is not imaged, but within these limitations there is no pleural effusion.
evaluate for pneumonia or pleural effusion in a patient with altered mental status, tachypnea, and diffuse crackles on physical exam.