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the lungs are clear without focal consolidation,, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cough // cough
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cardiomediastinal contours are normal. focal bronchial wall thickening is present in the left perihilar region along with subtle hazy opacities in the left infrahilar region. there are no pleural effusions or acute skeletal findings.
<unk> year old woman with shortness of breath, cough. ex-smoker // assess for infiltrate/ mass
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the heart is normal in size. the hilar and mediastinal contours are normal. there is an area of linear atelectasis at the left lower lung base. the lungs are otherwise clear. there are no focal consolidations. there are no pleural effusions or pneumothorax. port-a-cath extends to the lower portion of the svc. visualized osseous structures are grossly unremarkable.
<unk>-year-old male patient with apml, presenting with cough and fever. study requested to rule out infiltrates.
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frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. heart is top normal in size. the cardiomediastinal and hilar contours are unchanged. there has been interval removal of the right-sided picc line. a left-sided dual-chamber pacemaker is seen with leads ending in the right atrium and right ventricle. there is trace left-sided pleural effusion. no acute rib fractures are identified.
<unk>-year-old female with bilateral back pain with inspiration status post fall. evaluate for pneumonia or rib fracture.
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heart size is normal. the aorta is mildly tortuous. the pulmonary vascularity is normal. hilar contours are unremarkable. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. linear calcifications along the anterior pleura within the left hemithorax likely reflect pleural plaques, and probably account for the <num> x <num>cm rounded opacity projecting over the left <unk> anterior rib. there are no acute osseous abnormalities.
chest pain.
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support and monitoring devices are in unchanged positions. there are unchanged bilateral opacities compatible with multifocal pneumonia. the cardiac silhouette is mildly enlarged, with mild pulmonary edema. there are small bilateral pleural effusions.
<unk> year old man with history of vap this hospital course s/p treatment now with elevated lactate. evaluate for focal consolidation or infection
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mild cardiomegaly is persistent compared to the prior exam. there is a subtle increase in opacity seen on the lateral view. the hilar and mediastinal contours are normal. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of cough, sickle cell disease. please evaluate for pneumonia.
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since the prior radiograph, there has been resolution of the right pleural effusion. there is no pleural effusion on the left. apical pleural thickening, greater on the right than the left, is unchanged. the lungs are clear without consolidation or pulmonary edema. there is no pneumothorax. the cardiomediastinal silhouette is normal. a stable mild compression deformity is noted in the mid thoracic spine.
history of cough.
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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. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
chest pain, evaluate for pneumonia.
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the cardiac silhouette size is mildly enlarged. the mediastinal contours are unremarkable. there is mild perihilar haziness with upper zone vascular redistribution and vascular indistinctness compatible with mild pulmonary edema. more focal ill-defined opacities within the lung bases could reflect aspiration. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
heroin overdose, asthma, persistent hypoxia.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the appearance of the lungs is stable compared to the prior study. no pulmonary edema is seen. the cardiac mediastinal silhouettes are stable and unremarkable. partially imaged cervical spine hardware is again noted.
<unk> year old woman with chest pain // part of acs workup
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. 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 uri/cough, chest pain. evaluate for pna
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cardiomediastinal contours are stable allowing for differences in lung volumes. there has been marked interval improved aeration in the left lower lobe with residual retrocardiac opacity remaining as well as mild elevation of the left hemidiaphragm. bandlike, linear atelectasis is also present in the lingula. small left pleural effusion has slightly decreased in size. the right lung and pleural surfaces are clear. distended loops of bowel with air-fluid levels in the imaged upper abdomen are incompletely imaged on this study.
<unk> year old man with chest pain s/p bleach ingestion // r/o acute cardiopulmonary process
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. there is mild hyperinflation suggested by flattening of hemidiaphragms. bony structures are unremarkable. cervical spine fusion is incompletely characterized.
chest pain.
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a right picc ends in the mid superior vena cava. the lungs are clear without focal opacity, pleural effusion or pneumothorax. mediastinal surgical clips and stents are noted. there are aortic knob calcifications. the heart size is top normal. prominence of the right hila is stable.
<unk> year old man with osteomyelitis and picc placement.
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interstitial prominence has increased compared to prior, suggestive of mild edema. no focal consolidation or pneumothorax is detected. tiny right pleural effusion appears new compared to prior. heart and mediastinal contours appear stable with mild cardiomegaly.
<unk>-year-old male with shortness of breath, on dialysis.
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right-sided picc terminates in the distal svc as before. a tracheostomy is in unchanged position. a moderate layering right pleural effusion is demonstrated as well as a small to moderate left layering pleural effusion. bibasilar opacities likely reflect atelectasis. the heart is enlarged but stable from multiple prior exams. there is no pneumothorax. the pulmonary vasculature is minimally engorged in and there is mild interstitial pulmonary edema, improved from the prior.
<unk> year old woman with sepsis.
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the heart is moderately enlarged, and there is mild-by pulmonary edema, right greater the left. no focal consolidation is noted. no pneumothorax is seen. there is a left subclavian port-a-cath with its tip terminating at the cavoatrial junction.
<unk>-year-old female with past medical history of congestive heart failure presenting with bilateral leg swelling and pain since this am, similar to previous dvt. evaluate for consolidation or edema.
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there has been interval decrease in size of the right pleural effusion with small residual effusion remaining. there is a new small right pneumothorax measuring <num> cm at the apex. there is no shift of mediastinal structures. the right upper lung paramediastinal mass is unchanged. underlying lesions in the right lung are better seen on prior ct from <unk>. residual right basilar opacity likely represents a combination of atelectasis and underlying mass. the left lung is clear. no left pleural effusion or pneumothorax is present. heart size is normal.
right pleural effusion status post right thoracentesis. rule out pneumothorax.
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frontal and lateral views of the chest demonstrate normal 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 limited upper abdomen is unremarkable.
chest pain. assess for pneumonia or pneumothorax.
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slightly lordotic positioning. cardiomediastinal silhouette is enlarged, but grossly unchanged. mild prominence of the pulmonary arteries is similar to the prior study. there is upper zone redistribution, without overt chf. there is a small to moderate size left pleural effusion, with underlying left lower lobe collapse and/or consolidation. the effusion appears larger and the consolidation more dense than on the prior study. again seen is patchy opacity in the right cardiophrenic angle, essentially unchanged --<unk> differential diagnosis includes infection versus aspiration or early infiltrate. a small right effusion appears new.
<unk>f increased o<num> requirement in setting of blood product transfusion // evaluate for edema versus interval development of pneumonia
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the endotracheal tube ends <num> cm from the carina. the enteric tube extends outside of the field of view within a decompressed stomach. there is apical emphysema. there is an old, well healed rib fracture of the posterior seventh rib.there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with subarachnoid hemorrhage, intubated // evaluate ett
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lines and tubes: none. ekg leads overlie the anterior chest wall. lungs: the lung volumes are low. again identified are linear opacities in the right lower lobe, likely atelectasis. there is no definite consolidation. pleura: there is no pleural effusion or pneumothorax mediastinum: there is persistent cardiomegaly. aortic knuckle calcification is again identified. bony thorax: there is an old healed fracture involving the posterior right seventh rib. otherwise bony thorax demonstrates no significant interval change.
<unk> year old woman with new sob // any interval change?
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pa and lateral views of the chest provided. a nodular opacity projects over the right lateral lung base better seen on same-day ct abdomen and pelvis. otherwise the lungs appear relatively clear. there is dense mitral annular calcification and mild cardiomegaly. the mediastinal contour is normal. bony structures are intact.
<unk>f with hx of afib with two days history of intermittent chest pain that radiates down right arm
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left-sided port-a-cath is seen, terminating in the upper to mid svc without evidence of pneumothorax. no pleural effusion or pneumothorax is seen. there is pulmonary vascular congestion. . the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable.
history: <unk>f with tachycardia // ?pna
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
<unk> year old man with cough and low grade fever // r/o pna
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rotated positioning. allowing for this, the cardiomediastinal silhouette is probably unchanged. background hyperinflation/copd again noted. the right ij central line is similar in configuration. no pneumothorax is detected. there are small bilateral pleural effusions, which are new compared with earlier the same day. there is bibasilar atelectasis. increased retrocardiac density has progressed slightly the possibility of left lower lobe collapse and/or consolidation. there is mild prominence of the lower zone vessels, but no upper zone redistribution or mid zone peripheral vascular plethora.
<unk> year old woman with septic shock of unknown source, worsening respiratory status after fluid resuscitation // evaluate for edema/congestion vs. blooming pna
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pa and lateral views of the chest are obtained. there is a <num> cm, relatively lucent right cardiophrenic mass which is best seen on the pa view. the etiology of this mass is unclear, although it may represent a large fat pad, pericardial cyst, lipoma or fat-containing hernia. due to a lack of prior imaging, a dedicated ct of the chest is recommended. there are large lung volumes with associated flattening of the diaphragm. there is also some attenuation of apical pulmonary vascular structures, consistent with emphysematous change. the bilateral costophrenic angles demonstrate some linear opacification which may represent scarring or atelectasis. the cardiomediastinal contours are within normal limits. visualized osseous structures are unremarkable.
<unk>-year-old female with dyspnea on exertion, minimal tobacco and asbestos exposure. evaluation for pulmonary fibrosis.
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cardiomediastinal silhouette and hilar contours are normal. lung volumes are low but clear. there is no pleural effusion or pneumothorax.
status post rectopexy and sigmoidectomy for rectal prolapse with post-op hypotension.
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frontal and lateral chest radiographs were obtained. lungs are clear. the cardiac silhouette is mildly enlarged. the hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax. atherosclerotic calcifications are again noted at the aortic arch.
patient with nausea and vomiting, evaluate for pneumonia.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar chest examination of <unk>. mild cardiac enlargement as before with contour prominence of the left ventricle in posterior direction. thoracic aorta mildly widened and elongated, but without local contour abnormalities. the pulmonary vasculature is not congested. the uneven peripheral vascular distribution, which includes areas of increased translucency are consistent with copd and appear similar as on the previous examination. there is no evidence of new acute pulmonary parenchymal infiltrates and the lateral and posterior pleural sinuses remain free from any effusion. there is no evidence of pneumothorax in the apical area on the frontal view.
<unk>-year-old female patient with copd and dyspnea on exertion.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. there is no evidence of pneumothorax, pulmonary edema, or pleural effusion. the cardiomediastinal silhouette is unremarkable. no focal opacities are seen.
right-sided chest pain. evaluation for pneumothorax.
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pa and lateral views of the chest were reviewed. there is mild cardiomegaly. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. slightly low lung volumes result in bronchovascular crowding. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.
possible stroke. evaluate for acute process.
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the patient is somewhat rotated on today's study. lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. no blunting of the costophrenic angles to suggest a pleural effusion. no pneumothorax or consolidation seen. no free air seen under the diaphragm.
<unk>m necrosis <unk> digits // preop surg: <unk> (angio)
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size is unchanged and remains normal. no typical configurational abnormality is present. thoracic aorta of ordinary dimension but some small calcium deposits are seen in the wall at the level of the arch. no local contour abnormalities are identified. 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. skeletal structures of the thorax are grossly within normal limits.
<unk>-year-old male patient with new herpes zoster and fever, evaluate for pneumonia.
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there has been interval removal of a swan-ganz catheter and endotracheal tube. an enteric tube has also been removed. a right internal jugular sheath remains in stable position. a right-sided picc is also stable. an aortic valve projects over the heart. the cardiac silhouette is enlarged but stable in size from the prior examination. moderate layering bilateral effusions are noted and are increased from the prior examination. no pneumothorax is seen. moderate edema.
<unk> year old woman s/p mech mvr, tv repair, asd closure // eval for pneumothorax s/p ct removal
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pa and lateral views of the chest. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
rsv, status post fall, cough.
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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 <unk>, struck in head by pole at site, with l anterior chest wall ttp // eval for fx
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single portable view of the chest. no prior. exam is limited secondary to patient positioning with obscuration of the lung apices secondary to patient's chin. the lungs are grossly clear. cardiomediastinal silhouette is within normal limits for position. subtle patchy opacity seen in the right mid lung. there is no visualized pneumothorax noting obscuration of the lung apices.
<unk>-year-old male with trouble breathing, history of lung cancer, being treated. question pneumothorax.
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the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are stable. focal linear opacity in the right mid lung in similar location of prior, likely linear atelectasis/scarring. no definite focal consolidation. no pleural effusion or pneumothorax.
history: <unk>m with back pain, fever // back pain, fever
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dobbhoff catheter tip in the duodenum. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with etoh cirrhosis, with asymptomatic rise in white count. // evidence of infection
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pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected.
<unk>-year-old female with hemoptysis.
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the heart size is normal. the hilar and mediastinal contours are normal. note is made of mild right apical pleural thickening. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. there is a nodular opacity overlying the left posterior <num>th rib, which may correlate to the nodule seen on the prior ct. the visualized osseous structures are unremarkable.
history of chest pain, headache. please evaluate mediastinum.
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pa and lateral views of the chest. no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar contours are normal.
chronic cough, evaluate for cause.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for fracture or consolidation in a <unk>-year-old woman with chest pain status post fall.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. visualized bones are unremarkable.
<num> weeks of fever. evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear of consolidation. linear left basilar opacity is suggestive of atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected. no free air seen below the diaphragm.
<unk>-year-old male with right upper quadrant pain.
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the lungs are well expanded and clear. previously seen left lung nodule is not seen on this exam. no pleural effusion is seen. heart size is normal. the mediastinal and hilar contours are unremarkable.
<unk> year old woman with possible lung nodule vs ekg lead // please remove all external leads
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ap and lateral views of the chest. the lungs are well expanded. there is increased interstitial markings from prior exam, suggestive of a mild interstitial pulmonary edema. there is a small left pleural effusion. there is a trace right pleural effusion. no pneumothorax is seen. the cardiomediastinal silhouette is enlarged, unchanged from prior exam. a pacer is seen overlying the left anterior chest with intact leads in appropriate positions.
abdominal pain, nausea, vomiting, diarrhea.
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compared to the prior chest radiograph, the lung volumes are low. otherwise, the lungs are clear without focal opacity, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. no acute osseous abnormality.
<unk> year old man with shortness of breath and cough.
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interval removal of the nasogastric tube, endotracheal tube, and left chest tube. no pneumothorax. postoperative mediastinum and substantial cardiomegaly are stable. left basilar atelectasis is improved. no large pleural effusion. swan-ganz catheter is unchanged terminating in the left main pulmonary artery.
<unk> year old man s/p ct removal // eval for pneumo
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right chest wall port-a-cath is again noted. the lungs are clear without focal consolidation, or edema. blunting of the posterior costophrenic angles may be due to small effusions. increased opacity in the retrocardiac region on the lateral view is compatible with known hiatal hernia. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old woman with metastatic adenocarcinoma, wbc elevaation // r/o pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no radiopaque foreign body is identified.
history: <unk>m with esophageal/ upper thoracic pain x <num> weeks // is there foreign body or pneumothorax?
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a pleurx catheter is in-situ in the right lower chest. there is a residual pleural effusion which has increased slightly when compared to the prior chest radiograph. this is similar in appearance when compared to the prior pet-ct. previous median sternotomy noted. no focal consolidation seen. no left-sided pleural effusion. a surgical clip or fiducial seen in the right lung apex. mild degenerative changes are seen throughout the thoracic spine.
history: <unk>m with chest congestion // eval for pna
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ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. the heart appears top-normal in size though this could be partially magnified given ap technique. mediastinal contour is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with new cough // evaluate for pna
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cardiac size is top normal. mild interstitial edema has improved. emphysema is noted. there is no pneumothorax or pleural effusion.
<unk> year old man with severe pulm htn, worsnening hypoxia, insp crackles . // pulm edema vs. pneumonia
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ap upright and lateral views of the chest provided. lung volumes are somewhat low though allowing for this, there is no focal consolidation, large effusion or pneumothorax. the cardiomediastinal silhouette is stable. bony structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old man with cough, chest pain
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the ng tube is coiled in the esophagus with the loop near the ge junction and the tip in the upper thoracic esophagus. lung volumes are lower compared to the prior study and there is bibasilar atelectasis, left greater than right. heart size is normal. mediastinal and hilar contours are normal. there is no large pneumothorax. a small left pleural effusion is presumed.
<unk> year old woman s/p ex-lap, reduction of internal hernia with ngt placement // ngt location
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a single ap radiograph of the chest was acquired. as before, the patient is status post right upper lobectomy for prior lung carcinoma. right apical pleural thickening and loculated pleural effusion has decreased compared to <unk>. there is minimal bibasilar atelectasis. no focal consolidations are noted. the heart size is normal. the mediastinal contours are unchanged. there is no pneumothorax. there is evidence of prior right thoracotomy, as before.
metastatic lung cancer and shortness of breath. evaluate for pneumonia.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is stable. no by bony abnormality is detected.
cough.
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no large amount of free air <unk> <unk>'s sign in this supine film. low lung volumes bilaterally. progression of left and right lower lobe plate-like atelectasis with elevation of right hemidiaphragm. no pleural effusion, pneumothorax, <unk> pulmonary edema. heart and mediastinal contours are unchanged. no bony abnormality is detected.
female with complicated diverticulitis status post ir drainage of pelvic and hepatic abscess in <unk>. now returns with fever, pain, tenderness, and increased pelvic abscess. assess for free air.
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cardiomediastinal silhouette and hilar contours are normal. atelectasis is present at the left lung base. lungs are otherwise clear. there is no pleural effusion or pneumothorax.
amiodarone surveillance.
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the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with recurrent stridor and dyspnea, barking cough, not stable to travel // stat portable eval for evidence of tracheal narrowing or epiglottic swelling
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the heart is mildly enlarged.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen.
history: <unk>m with cough, + trach // ? infectious process
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. no acute osseous abnormalities. no free air below the right hemidiaphragm.
<unk>m with recent history of esophageal ca // ?cardiomegaly/pleural effusion
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the accessed right pectoral subclavian approach port-a-cath catheter tip terminates in the distal svc. the line appears intact. there is no sharp angulation to explain port malfunction. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is normal.
<unk>-year-old female with acute lymphocytic leukemia with non functioning port-a-cath, evaluate port-a-cath.
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lungs are now essentially clear noting streaky left basilar opacity likely due to atelectasis. the cardiomediastinal silhouette is within normal limits given low lung volumes. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities identified.
<unk>m with weakness // eval for pna
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the left-sided pigtail catheter is been removed. there is no pneumothorax. the endotracheal tube and right-sided picc line with tip in svc are unchanged. there is pulmonary vascular redistribution
<unk> year old woman with left chest tube, now removed // eval for pneumothorax
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ap upright and lateral views of the chest provided. surgical clips are noted projecting over the midline of the low chest. there is left upper lung irregular opacity and left apical pleural cap which could relate to and old infection/ scarring/injury. please correlate clinically and with prior imaging studies if available. there is emphysema without definite signs of a superimposed pneumonia. no large effusion or pneumothorax. the heart is mildly enlarged. the mediastinal contour is grossly within normal limits. the bony structures appear demineralized though intact.
<unk>m with chest burning and cough // eval for pneumonia, chf
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ap upright and lateral chest radiographs demonstrate low lung volumes. heart is mildly enlarged and atherosclerotic calcifications are again seen along the aortic arch. lungs demonstrate normal vascularity without focal consolidation. no pleural effusion or pneumothorax.
bilateral lower extremity weakness, evaluate for pneumonia.
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evaluation is limited by overlying trauma backboard. endotracheal tube is visualized with the tip in the mid trachea. an enteric tube is visualized with the tip coiled within the stomach. the lungs are hypoinflated which exaggerate the pulmonary vascular markings. the cardiomediastinal silhouette is normal. there is no pneumothorax or focal consolidation.
evaluation of patient status post fall for endotracheal tube placement.
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pa and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. imaged upper abdomen demonstrates no air under the right hemidiaphragm.
<unk>-year-old female with history of hypertension who presents with shortness of breath.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are hyperinflated but clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. multilevel degenerative changes are noted in the thoracic spine with anterior bridging osteophytes.
history: <unk>m with weight loss, weakness.
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in comparison to the chest radiograph obtained <num> day prior, there is been a substantial in the right pleural effusion, now small to moderate, after interval placement of a right-sided chest tube. there is substantial associated right basilar atelectasis, but no pneumothorax. heart size is difficult to determine, but there is a mild pulmonary edema. an et tube terminates just above the clavicles.
<unk> year old man with r pleural effusion s/p r chest tube placement // evaluate for pneumothorax
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when compared to previous radiograph, there is no significant change. two right chest tubes end in the apical region, and one other right chest tube curls towards the base of the lung. low lung volumes continue to be seen with bilateral parenchymal opacification. mild cardiomegaly continues to be seen. et tube is in appropriate position, and a gastric tube ends in the stomach and outside the view of this radiograph.
<unk>-year-old man with chest tubes, please evaluate for interval change.
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pa and lateral views the chest provided. the heart appears mildly enlarged. lungs are clear without focal consolidation, large effusion or pneumothorax. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with cough hand chest pain.
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lungs are well expanded. linear atelectasis at the left lung base is unchanged. no pleural abnormality. moderate cardiomegaly is unchanged. no pulmonary edema. a dobhoff tube terminates within the gastric body. a a radiopaque line projects over the right axilla, but is incompletely visualized.
<unk> year old woman with cerebellar hemorrhage now with lethargy. cxr to rule out concern for infection. // cxr to rule out infectious agent.
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the patient is post removal of two left pigtail drains. there is residual left basilar atelectasis and trace pleural effusion. there is no pneumothorax or focal consolidation.
loculated effusions.
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the lung volumes are low. the et tube and right ij cordis are unchanged. there is increased opacity at both bases. it is unclear how much of this is due to volume loss or an underlying infectious infiltrate. there is mild pulmonary vascular redistribution and a probable small left effusion.
status post embolization of ir with large volume fluid.
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs demonstrate mildly increased interstitial markings bilaterally. there is no large confluent consolidation or effusion. cardiac silhouette appears slightly enlarged, likely accentuated by ap technique and relatively lower inspiratory volumes. old posterior right rib fractures identified. no acute osseous abnormality detected.
<unk>-year-old female with altered mental status.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding ap single view chest examination of <unk>. the previously identified right-sided picc line and a left-sided internal jugular approach double-lumen catheter (probably dialysis line) have been removed. no pneumothorax identified now. heart size and mediastinal structures are unchanged. the previously identified right-sided obliteration of the diaphragmatic contour and blunting of the right lateral pleural sinus persists and appears rather unchanged. the previously described mild blunting of the left lateral pleural sinus is less marked now and there is no conclusive evidence for remaining pleural effusion. no new parenchymal abnormalities are present.
<unk>-year-old male patient status post vats right lower lobectomy on <unk>, then requiring right middle lobe muscle flap reinforcement and decortication on <unk>. patient with stage ib scc. evaluate for interval change.
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the lung volume is small. bilateral lower lobe atelectasis, right more than left, is mild. the lungs otherwise clear. no pleural effusions or pneumothorax. the visualized cardiomediastinal silhouette is stable. distended colon is consistent with postoperative adynamic ileus.
<unk> year old woman with new shortness of breath pod<num> exlap // ?atelectasis vs pneumo vs pna vs pulmonary edema. compare to prior
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no focal consolidation, pleural effusion, evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen. evidence of old right mid clavicular fracture is seen.
cough.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. mediastinal contours are unremarkable.. mild cardiomegaly.
<unk> year old woman with sob, f/u on ? chf read prev cxr, nl d dimer // f/u, ? still looks like chf
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with scapular pain. evaluate for pneumothorax.
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the lungs are clear. moderate cardiomegaly is again noted. atherosclerotic calcifications are seen at the aortic arch. no acute osseous abnormalities. surgical clips seen at the neck and within the right upper quadrant.
<unk>f with tachypnea // eval for chf/pneumonia
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the lungs are clear with no evidence of a consolidation, effusion or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified. there is no air under the hemidiaphragms. air is noted throughout the colon consistent with recent colonoscopy.
status post recent colonoscopy with abdominal pain.
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lungs are clear. cardiac silhouette is normal in size. mediastinal and hilar contours are unremarkable. there is no pleural effusion, pneumothorax or pneumonia or pulmonary edema.
chest pain and tachycardia.
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. persistent small left pleural effusion is noted, with slight interval worsening of adjacent left basilar opacity likely reflecting compressive atelectasis. there is no right-sided pleural effusion, and the right lung is clear. no pneumothorax is visualized. there are no acute osseous abnormalities.
left-sided chest pain.
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single ap view of the chest was obtained. there lung volumes are low. allowing for this, no focal consolidation, pleural effusion or pneumothorax is detected linear opacities in the right base are likely atelectasis. the heart appears mildly enlarged and the aorta is unfolded and calcified. note is made of slight elevation of the left hemidiaphragm, but the imaged upper abdomen is otherwise unremarkable.
<unk>-year-old male with chest pain. evaluate for infiltrate.
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right picc tip terminates in the mid svc. cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. the pulmonary vasculature is not engorged. blunting of the left costophrenic angle appears unchanged, possibly a small pleural effusion. patchy atelectasis is noted in the lung bases without focal consolidation. no pneumothorax is identified. clips are again visualized in the left upper quadrant of the abdomen.
<unk> year old woman with fevers, recent surgery, and picc line. // picc line placement as well as fevers, assess for pneumonia
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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with sah, now w/ low-grade temps // pls eval interval change pls eval interval change
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the lungs are clear. cardiac silhouette is normal in size. there is no pleural effusion, pneumothorax or pulmonary edema.
cough and fever, question pneumonia.
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frontal and lateral radiographs of the chest demonstrate a left chest wall port with the catheter terminating at the cavoatrial junction. there has been no change in the catheter placement since the prior radiograph. otherwise, the lungs are clear, and the heart, hilar and mediastinal contours are normal. no pleural abnormality is detected.
metastatic breast cancer with a port with no blood return. confirm port placement.
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the lungs are clear of focal consolidation, large effusion, or confluent consolidation. cardiac silhouette is within normal limits for technique. dense mitral annular calcifications are again noted. no acute osseous abnormalities identified.
<unk>f with mechanical fall this morning, reports left hip pain. // rule out intracranial injury, c-spine fracture, hip/ pelvic fracture.
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since the prior study, there has been decrease in bilateral parenchymal opacities, compatible with improved pulmonary edema. a right subclavian catheter, endotracheal tube, and esophageal tube remain unchanged in position. mild cardiomegaly is stable. there is no pneumothorax. large bilateral cervical ribs are incidentally noted.
<unk> year old man with sah and mvr // eval pulm edema
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ap portable upright view of the chest. interval resolution of right lower lobe pneumonia. no focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette is normal. bony structures are intact.
<unk>m with low o<num> sats // eval for infiltrate, edema
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. views of the upper abdomen are unremarkable.
<unk>f with s/p fall with cord compression, preoperative radiograph.
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cardiomediastinal contours are normal. the upper lungs are clear. there is no pneumothorax. small bilateral pleural effusions are associated with adjacent atelectasis . the osseous structures are unremarkable
<unk>m s/p pancreas txp <unk> presents with n/v/d abdominal pain, fevers, leukocytosis c/o chest tightness // assess for pneumonia
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there are patchy bibasilar opacities. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough and fever quadriplegic, evaluate for pneumonia.