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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
<unk> year old man with confusion // r/o pneumonia
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the heart size is top normal. the hilar mediastinal contours are normal. a focal opacity seen in the left lower lobe. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>m with cp // r/o pna
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pa and lateral views of the chest provided. midline sternotomy wires and left chest wall pacer device appear unchanged. the pacer leads extending to the region of the right atrium and right ventricle. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with syncope // eval for chf, pneumonia, free intraabdominal air
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severe cardiomegaly is unchanged. no change to the positioning of the left-sided pacer leads projecting over the right atrium and right ventricle. elevation of the right hemidiaphragm is again noted. hilar congestion again noted without overt pulmonary edema. small pleural effusions are likely present. bony structures appear intact.
<unk>-year-old woman with shortness of breath. evaluate for acute process.
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ap view of the chest provided. right upper lobe collapse has resolved. widespread parenchymal opacities are otherwise unchanged. bilateral ij lines, endotracheal tube, and nasogastric tubes are in appropriate positions.
<unk>m s/p bronch for rul collapse due to clot // evaluate for interval change
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pa and lateral views of the chest demonstrate well-expanded and clear lungs. the heart is normal in size and cardiomediastinal contour is unremarkable. there is no pleural effusion and no pneumothorax.
<unk>-year-old woman with chest pain, history of polysubstance abuse, evaluate for pneumonia or pneumothorax.
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there is extensive bilateral pulmonary opacities which may be due to severe pulmonary edema or infection. more confluent opacity in left mid lung raises concern for consolidation due to infection. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough // r/o pneumonia
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the heart is mildly enlarged and there is a right lower lobe infiltrate, increased compared to prior study. there is also retrocardiac opacity.there is pulmonary vascular redistribution. the et tube and ng tube are unchanged
brain death, for organ donation.
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ap view of chest: the heart, lungs, pleural surfaces, mediastinum, hilar contours are all normal.
preop radiograph
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. osseous structures are normal.
evaluation of patient with infectious symptoms, hiv.
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with mvc, right chest wall and shoulder tenderness to palpation
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the heart is mildly enlarged. lung volumes are low. there is pulmonary vascular redistribution and hazy alveolar infiltrate. despite the low lung volumes, the appearance of the lungs is clearly worsened than on the study from the prior day. there is no definite effusion.
<unk> year old woman with autoimmune hepatitis and new onset peripheral edema // c/f pulmonary edema
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pa and lateral views of the chest. biapical calcified pleural-based scarring is again seen. the lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. a right-sided central venous catheter again seen with tip in the right atrium. no acute osseous abnormality detected noting osteopenia and unchanged compression deformity in the mid thoracic spine. surgical clips seen in the right upper quadrant.
<unk>-year-old female with chest pain.
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overall, there has been interval improvement of the small right pleural effusion and adjacent consolidation. however, left lower lobe collapse has progressed compared to the most recent prior exam. the may also be a small left pleural effusion. cardiomediastinal contours are normal. there is no evidence of a pneumothorax. left-sided pic line terminates in the upper svc. the visualized osseous structures are unremarkable.
history of large squamous cell carcinoma in the mouth, known aspiration. please evaluate for interval change.
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patient is status post median sternotomy and cabg. cardiac silhouette size is mild to moderately enlarged. the aorta is mildly tortuous. lung volumes are slightly low which results in crowding of bronchovascular structures, but no overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. there are moderate degenerative changes seen in the thoracic spine.
history: <unk>m with syncope, shortness of breath
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lung volumes are low. opacities are seen in the bilateral lung bases likely reflecting atelectasis but cannot exclude aspiration or pneumonia in the right clinical setting. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with sob // ? pulmonary edema
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size. normal cardiomediastinal silhouette.
left chest pain, night sweats and clear lungs on exam. assess for acute process.
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the lungs are well expanded. the right lung is clear. in the lateral view there is an ill-defined opacity blunting the costophrenic angle without a clear fluid meniscus to account for pleural effusion in this side. there is no pleural effusion in the right either. there is no pneumothorax. with the exception of stable moderate cardiomegaly and minimal aortic tortuosity, the cardiomediastinal and hilar contours are unremarkable.
<unk>-year-old female with fevers and cough. 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>m with chest pain
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the patient has been intubated. the endotracheal tube terminates approximately <num> cm above the carina. an orogastric tube terminates in the distal esophagus. the cardiac, mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax.
endotracheal tube placement.
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the right chest port-a-cath terminates in the mid svc. the lungs are well expanded and clear. mediastinal contours, hila, and cardiac silhouette are normal. no pneumothorax or pleural effusion.
<unk>m with chills, neutropenia. // ?pneumonia
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ap upright and lateral views of the chest provided. lungs are clear and hyperinflated. cardiomediastinal silhouette appears normal. no large effusion or pneumothorax. bony structures appear intact.
<unk>f with fall w/headstrike no loc // ich? pna?
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the lungs are clear. heart size and mediastinal contours are normal. no pleural effusion or pneumothorax. osseous structures are intact.
history: <unk>m with productive cough x <num> week // r/o 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 cough, uri
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median sternal wires are intact and in standard position. no acute focal consolidation. no pulmonary edema, pleural effusions or pneumothorax. mild cardiomegaly persists.
<unk> year old woman pod#<num> from left fem-at bypass with postop fever and elevated wbc // pneumonia
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frontal and lateral radiographs of the chest were acquired. there is a widespread interstitial abnormality, likely secondary to mild pulmonary edema. moderate cardiomegaly is not significantly changed. aortic calcifications are noted. mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. multilevel degenerative changes of the thoracolumbar spine are noted. there is a left-sided pacemaker with right atrial and right ventricular leads. there is also re-demonstration of left shoulder hardware.
history of copd, now with bibasilar rales. evaluate for pulmonary edema versus pneumonia.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>f with chest pain and dyspnea // r/o acute infection
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again seen is a right upper chest pacer device with associated dual leads in unchanged, appropriate position. the cardiomediastinal silhouette is stable, compatible with mild cardiomegaly. aortic arch calcifications are again seen. the bilateral hila are within normal limits. linear opacities at the right lung base may represent basilar atelectasis, similar to prior exam. otherwise, there is no evidence of focal lung consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
a <unk>-year-old woman with a history of congestive heart failure presenting with fatigue, lightheadedness, and cough, evaluate for pleural effusion or pulmonary edema.
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there are bibasilar opacities, which become more conspicuous on the lateral view which may be in part due to lower lung volumes. superiorly the lungs are clear. there is no effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, old healed right posterior rib fractures noted. .
<unk> year old man with productive cough and cold symptoms // ?bronchitis/pneumonia ?acute process
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the lung volumes are low, limiting assessment. within the limitations, there is evidence of right basilar atelectasis. there is no opacity to suggest a pneumonia. mild vascular congestion is noted without frank pulmonary edema. there is no pneumothorax. the cardiomediastinal silhouette is normal.
postoperative fever. evaluate for pneumonia.
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heart is mildly enlarged and calcifications are seen in the aortic arch as before. cardiomediastinal contours are stable. there is a small round patchy area of opacity projecting over the right base. in the appropriate clinical context, this could represent a developing pneumonia. bibasilar atelectasis again noted. no significant pleural effusions and no pneumothorax.
<unk>-year-old woman with known chf secondary to aortic stenosis and copd with chronic cough, now presenting with new productive cough, ? acute pneumonia.
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the lungs are clear besides left basilar atelectasis. the patient's chin obscures partial visualization of the lung apices. the cardiomediastinal silhouette is within normal limits. dense atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities.
<unk>m with cough and increased confusion/agitation // ? pna
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as compared to prior chest radiograph from <unk>, there has been interval improvement of pulmonary edema. there is loculation of the pleural fluid at the right lower lung base. pleural effusions at the lung bases are otherwise unchanged. the cardiac silhouette is stable. there has been interval removal of a right internal jugular venous catheter. sternotomy wires are intact.
<unk>-year-old female patient status post cabg. study requested for postop evaluation.
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pa and lateral views of the chest provided. left lower lobe atelectasis and pleural effusion are stable. a small amount of pleural effusion is seen on the right. post-operative cardiomediastinal structure is stable.
<unk> year old woman with s/p cabg on <unk>, now readmit for sob //
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mild cardiomegaly is stable. moderate pulmonary edema has worsened. . there is no pneumothorax. if any there are small bilateral effusions. .
<unk> year old man with desats, o<num> requirement // ?effusion ?overload
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in comparison to the chest radiograph obtained approximately <num> hours prior, there has been interval removal of left and right-sided chest tubes. no pneumothorax. moderate pulmonary edema, cardiomegaly, and bibasilar opacities are essentially unchanged. subcutaneous emphysema in the left chest wall is similar an appearance.
<unk> year old man with s/p bilateral chest tube removal // interval change
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the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. mild mid thoracic dextroscoliosis is noted as well as a chronic right mid clavicular fracture.
<unk>m with <num> day of l sided cp, sob for <num> months // eval for consolidation
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an et tube ends <num> cm above the carina. a right internal jugular central venous catheter and the tip in the mid svc. lung volumes are low bibasilar opacities which could reflect atelectasis although aspiration or infection are possible. normal heart size, mediastinal and hilar contours. the stomach is very distended with air.
history: <unk>m with s/p ich right ij placementett *** warning *** multiple patients with same last name! // eval for cvl and ett
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the cardiac silhouette is top normal in size. the mediastinal and hilar contours are normal. patchy bibasilar airspace opacities compatible with atelectasis are slightly worse in interval. small bilateral pleural effusions appear to be present. there is no pneumothorax. no acute osseous abnormality is seen.
shortness of breath, recent diagnosis of pericarditis.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is not enlarged. there is a moderate to large hiatal hernia. the proximal esophagus may be dilated vs a possible azygous fissure.
<unk> year old man with abd and back pain, +pallor low suspicion
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portable single ap chest radiograph demonstrates no focal consolidation concerning for pneumonia. when compared to prior chest radiograph dated <unk>, the cardiomediastinal and hilar contours are stable in appearance and within normal limits. allowing for technique, no large pleural effusion or pneumothorax is identified.
<unk>-year-old male with cough and history of aspiration.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. cholecystectomy clips project over the right upper quadrant.
weakness and occasional chest pain.
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there is no focal opacity, pleural effusion, pneumothorax or pulmonary edema. the heart and mediastinal contours are normal.
ms <unk>. evaluate for infiltrate.
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the lungs are clear, without focal consolidation, effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk>m with sob // ? pna
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the endotracheal tube ends at the level of the clavicles. an ng tube terminates in the stomach. a right picc line is unchanged in position, ending in the mid svc. moderate right has slightly increased, but the small left layering pleural effusion is unchanged. there is no pneumothorax. heart size appears slightly larger, which may be due to a combination of poor inspiration and pleural fluid.
<unk> year old man with worsening <unk> requirement. please assess for interval change
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prominence of the interstitial markings as well as peribronchial cuffing, particularly in the left lower lobe, could be reflective of a viral infection or atypical pneumonia. there are no focal consolidations. in addition, on the prior ct there were noted to be multiple cysts within the lung parenchyma which if increased in size and number could also be contributing to the appearance of the lungs at this time. there is no pulmonary edema or pleural effusions. no fractures identified on this nondedicated view however there is a severe scoliosis which limits the overall evaluation.
history: <unk>f with chest pain after fall and cough
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there is a tracheostomy, which terminates <num> cm above the carina. there is a right picc line, which terminates in the distal svc. low lung volumes with bilateral vascular crowding. there is mild elevation of the right hemidiaphragm with bibasilar atelectasis. the lungs are otherwise clear. heart size is stable. the mediastinal and hilar contours are stable. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with sickle cell disease s/p trach with bloody secretions and periods of apnea // evaluate for aspiration
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left-sided aicd device is noted with leads terminating in the regions of the right atrium and right ventricle. heart size remains severely enlarged, similar to the prior study. moderate pulmonary edema is worse compared to the prior exam. the mediastinal and hilar contours are relatively unchanged. more focal opacities in the lower lobes may reflect atelectasis. probable trace bilateral pleural effusions are noted. assessment of the lung apices is obscured by the patient's neck and chin projecting over these regions, but no large pneumothorax is identified.
history: <unk>f with dyspnea
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the cardiomediastinal silhouette is stable. there are patchy opacities throughout the lungs, particularly in the perihilar and bibasilar regions, suggestive of pulmonary edema. there is blunting of the left costophrenic angle, suggestive of a small effusion. a right-sided subclavian dual-lumen catheter terminates in the lower superior vena cava and right atrium. sternotomy wires are in place. multiple surgical clips project over the mediastinum and right upper quadrant. no acute bony abnormality is identified.
fever and shortness of breath.
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there is no focal consolidation, large pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. there is scoliosis, of the thoracic spine and tortuosity of the thoracic aorta. no acute osseous abnormalities identified.
<unk> female, for pre-operative evaluation
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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 right-sided chest pain
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subtle opacity at the left lung may be due to atelectasis although subtle infection is not excluded in the appropriate clinical setting. there is persistent apparent blunting of the right costophrenic angle on the frontal view, chronic. cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. vertebral body heights are grossly stable in appearance. no displaced fracture is identified.
history: <unk>m with fall, syncope, landed on ground, on coumadin // ? traumatic injuries or signs of infection
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no focal consolidation, pleural effusion, or pneumothorax is seen. mild pulmonary interstitial prominence may be secondary to small airways inflammation. heart and mediastinal contours are within normal limits.
<unk>-year-old male with asthma, now with cough and fever.
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pa and lateral views of the chest provided. again seen is bibasilar atelectasis. compared to prior, there is mild fullness of the bilateral vasculature with prominence of upper vasculature and <unk> b-lines. there is no pneumothorax. the cardiomediastinal silhouette is normal. left-sided pacemaker leads are unchanged in position. aortic knob calcification appears similar to prior. imaged osseous structures are unremarkable.
<unk> year old woman with rigors, chills, sore throat. evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male on chemotherapy with cough and chills.
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since prior, lung volumes are lower. there is increased opacification at the right lung base. cardiac silhouette has increased in size, possibly secondary to lower lung volumes. mediastinal contour is normal. there is no pleural effusion or pneumothorax.
<unk>f with cough, dyspnea, evaluate for pneumonia.
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lung volumes are mildly decreased. blunting of the bilateral costophrenic angles has not changed since at least <unk>. cardiac and mediastinal contours are normal. there is no evidence of pneumothorax or pneumomediastinum.
<unk>-year-old man with prior esophagectomy and anatomic stricture status post dilatation.
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>m with chest pain and shortness of breath, evaluate for chf or pneumonia.
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the lung volumes are low accounting for crowding at the bases. no focal opacities are identified. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with acute dysarthria. evaluate for acute cardiopulmonary process.
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ap portable upright view of the chest. lung volumes are low limiting assessment. there is reticulonodular opacity in the lower lungs which in the correct clinical setting could represent an atypical pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact.
<unk>m with hypotension
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the lungs are clear without consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities.
<unk>f with pmh pancreas and kidney transplant p/w weakness // ?pneumonia
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pa and lateral chest radiographs were obtained. the lung volumes are slightly low. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
chest pain.
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minimal decrease in size of the right pleural effusion tracking into the minor fissure. no edema or pneumothorax. the heart is moderately enlarged, unchanged. the descending thoracic aorta slightly tortuous and/or ectatic, also unchanged. no pneumothorax. multi-level degenerative changes with anterior osteophytes in the mid thoracic spine are noted.
<unk> year old woman with r pleural effusion presenting with dyspnea. cxr for possible thoracentesis.
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frontal chest radiographs demonstrate a nasogastric tube with the tip in the stomach. bilateral pleural effusions are increased, left greater than right. severe cardiomegaly and bibasilar atelectasis is unchanged
status post dobbhoff placement.
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two views were obtained of the chest. the lungs are well expanded and clear. the heart is mildly enlarged with otherwise normal cardiomediastinal contours.
cough and fever
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the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pneumothorax is present. although a small right pleural effusion was noted on ct one day prior, it is not visualized on this radiograph. the bony structures are unremarkable.
right clavicular/superclavicular pain with fevers. evaluate right clavicle and supraclavicular space. also, attention to right effusion.
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ett terminates <num>cm above the carina. right ij is not changed, terminating at the superior cavoatrial junction. a dobhoff tube can be traced to the distal stomach, but the tip is not visualized. posterior fusion hardware noted in the cervical spine. lung volumes are low, which accentuates bronchovascular markings. no consolidations. hazy left lung base opacity suggests a layering pleural effusion. no sizeable pleural effusion on the right. no pneumothorax. stable cardiomediastinal contours.
<unk>f w/ nash cirrhosis c/b variceal bleed, p/w elevated tbili and <unk>, now s/p olt <unk> post-transplant course c/b stress induced cm, <unk>, likely ischemic hepatopathy // eval pna, effusion
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pa and lateral views of the chest provided. volumes are somewhat low though allowing for this the lungs are clear. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. the heart size is top-normal. the aorta is unfolded. mild degenerative changes in the thoracic spine with mild anterior spurring. numerous air-fluid levels are noted within the colonic loops in the upper abdomen. no free air below the right hemidiaphragm.
<unk>m with <unk> week history of dull chest pain in <unk> chest
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cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax.
esrd, for prerenal transplant evaluation.
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ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study dated <unk>. during the one-day interval, the previously existing right-sided chest tube has been removed. there is now a small apical pleural separation of less than <num> cm in width. otherwise, the lungs appear well aerated and the previously present plate atelectasis on the right lung base remains unchanged. similar as on previous examination, there exists a hazy density in the left upper lobe area, probably a pneumonic infiltrate. heart size and mediastinal structures remain unchanged and the same holds for the double-lumen catheter introduced via the right internal jugular approach and terminating in the mid portion of the svc.
<unk>-year-old male patient with acute renal failure, on hemodialysis. right-sided chest tube status post removal, evaluate right lung.
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the patient status post median sternotomy with wires intact. a cardiac conduction device is contiguous with leads which appear to terminate in the right atrium and right ventricle. the ventricular lead has a horizontal orientation. right lower lobe atelectasis is unchanged. the cardiomediastinal silhouette is unremarkable, not widened. no pleural effusion. no evidence of pneumothorax.
<unk> year old man s/p dual chamber ppm. // assess leads placement and r/o ptx.
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a large left pleural effusion has decreased in size. small-to-moderate left greater than right effusions still persist. retrocardiac opacity has increased. prominence of the central pulmonary vasculature is similar.
<unk>-year-old woman with history of chf, chest pain, rule out chf.
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heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
wheezing, fatigue.
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a new enteric catheter courses below the level of the diaphragm, passing out of the field of view inferiorly. lung volumes are low. there is minimal bilateral lower lung atelectasis. no focal consolidation. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. note is made of scoliosis.
new nasogastric tube placement. assess position.
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patient is status post median sternotomy. the cardiac and mediastinal silhouettes are grossly stable. lateral left mid to lower lung opacity which may represent small chronic pleural effusion, adjacent atelectasis and scarring. no pneumothorax is seen. no definite new focal consolidation is seen.
history: <unk>m with dchf esrd with sob // eval for infection, effusion
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frontal and lateral views of the chest. no prior. increased interstitial markings are seen in the lungs bilaterally. there are also small bilateral pleural effusions. there is also suggestion of pleural thickening on the right seen laterally versus prominent extrapleural fat. cardiac silhouette is slightly enlarged and the aorta is tortuous. dual-lead pacing device is seen with lead tips in the right atrium and right ventricle. hypertrophic changes are seen in the spine.
<unk>-year-old female with fevers.
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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 remains within normal limits. similar as identified on previous examination, there exists extensive pericardial calcifications surrounding the ventricular contours, but excluding the atrial wall areas. the pulmonary vasculature is not congested. slightly prominent azygos vein suggests elevated venous pressure. this existed already on the previous study. the pulmonary vasculature is not congested. there exists now a moderate amount of pleural effusion on the right base that obliterates the lateral pleural sinus and obscures the peripheral half of the right-sided diaphragm. the fluid extends along the right lateral chest wall and reaches the minor fissure. when the lateral views are compared, increase of pleural density in the posterior pleural sinus and along the posterior pleural space has increased markedly and the amount must now be considered to be moderate. as the films were obtained following a recent thoracocentesis, it can be assumed that the right-sided pleural effusion was markedly increased since the preoperative chest examination of <unk>. comparison with the most recent chest ct of <unk>, indicates that the present pleural effusion has a similar extension at that time.
<unk>-year-old male patient with right pleural effusion, post-right sided thoracocentesis.
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cardiac silhouette size is normal. the aorta is tortuous. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is identified. moderate to severe multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with chest pain
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the lungs are clear though focal solid renal pleural effusion pneumothorax seen. cardiac and mediastinal silhouettes are unremarkable. no evidence of free air seen beneath the diaphragms. no displaced fracture seen.
epigastric abdominal pain.
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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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the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
chest pain.
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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 tachycardia
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cardiomediastinal silhouette is unremarkable. no pleural effusion or pneumothorax is seen. no parenchymal consolidation is noted.
<unk> year old woman with asthma new onset sob asociated with r pleuritic pain // r/o infiltrate chest pain, right side x <num>days;sob;r/o infiltrate
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mild emphysema involving the biapical lung is unchanged. linear bibasilar atelectasis is present. the cardiomediastinal and hilar silhouette is normal. no evidence of pneumothorax, pleural effusion, or focal consolidation.
<unk>m with hx of cad, exertional substernal chest pain similar to prior cad. evaluate for acute cardiopulmonary process.
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heart size is top normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature normal. the left hemidiaphragm appears elevated posteriorly no focal consolidation, pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality seen.
chest pain.
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interval increase in the retrocardiac and left upper lobe opacity. there is also increasing moderate left pleural effusion. the right lung remains clear. mild cardiomegaly. no pneumothorax. moderate hiatal hernia. prior spinal surgery with hardware along the lower thoracic spine.
<unk> year old woman with lll consolidation // <unk> year old woman with lll consolidation
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opacity at the right lung base as seen on prior study on <unk> could be lower lobe pneumonia. a small left pleural effusion has increased and very minimal right pleural effusion is unchanged compared to prior study. no pneumothorax is seen. moderate cardiomegaly is unchanged. left pectoral transvenous pacer leads terminate in the right atrium and right ventricle. transcutaneous epicardial leads terminate in the cardiac apex
<unk> year old man with cough and question of lll pna on prior ct scan showing lung bases. // evaluate for consolidation/infiltrate
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lungs are clear without focal consolidation. the heart is mildly enlarged. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. degenerative changes are seen throughout the thoracic spine.
chest pain, rule out pneumonia.
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endotracheal tube tip is <num> cm from the carina. moderate hiatal hernia is again noted. enteric tube tip projects in the region of the hiatal hernia in the retrocardiac region. left basilar opacities are identified potentially atelectasis given the low lung volumes and adjacent hernia. lungs are otherwise clear of confluent consolidation. surgical clips project over left upper quadrant. the cardiomediastinal silhouette is unchanged.
<unk>m with s/p intubation // eval tube position
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left chest wall pacemaker has a single lead terminating in the right ventricle. median sternotomy wires appear intact. there are numerous surgical clips projecting over the mediastinum. a striped projecting over the right upper lung and mediastinum is likely a skin fold. lung volumes are low. platelike atelectasis at the right base is no longer visible. however, there is moderate bibasilar atelectasis. pulmonary vasculature is engorged and there is peribronchial cuffing in the setting of moderate pulmonary edema. there is no large pleural effusion. there is no pneumothorax. moderate cardiomegaly is stable.
pneumo status post nerve block.
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pa and lateral images of the chest. there are low lung volumes but the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
chest pain.
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the heart size is normal. the hilar and mediastinal contours are normal. there is a subtle consolidation at the right lower lobe. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>f with cough.
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frontal and lateral chest radiographs were obtained. there are stable postop changes in the right mid lung with chain sutures. the focal rounded opacity in the right upper lobe is less visible. the remaining known lung nodules are not seen and better evaluated on ct from <unk>. no other focal consolidation, pulmonary edema, or pneumothorax is seen. there is a small right pleural effusion. the heart size is normal. mediastinal and hilar contours are stable.
patient with possible wegener's disease, multiple lung nodules, status post vats biopsy, eval for pneumonia, effusion, ild.
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cardiac silhouette size is difficult to assess given the presence of a moderate left pleural effusion which appears increased in size compared to the previous chest radiograph. left hilar and infrahilar masses as well as the left upper lobe mass are grossly unchanged compared to the recent chest ct. left basilar opacity may reflect compressive atelectasis but infection is difficult to exclude. chain sutures within the right upper lobe are re- demonstrated. the aorta is tortuous. pulmonary vasculature is not engorged. no pneumothorax or right-sided pleural effusion is demonstrated. there are no acute osseous abnormalities.
history: <unk>f with lung cancer, increasing dyspnea and chest pain, cough
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a right ij central catheter is again noted, unchanged from prior exam. the lungs are well expanded. there is generalized pulmonary edema. a right lower lobe consolidation is seen, which may represent atelectasis. there is a right pleural effusion. cardiomegaly is increased from prior exam. pulmonary vascular engorgement is seen, without frank edema. persistent opacity in the right lung base likely reflects atelectasis. bilateral pleural effusions, right greater than left, have decreased slightly from the prior exam. the cardiomediastinal silhouette is stable.
history: <unk>f with shortness of breath // eval for infiltrate or pna
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ap upright and lateral views of the chest provided. cardiomegaly is stable. there is hilar engorgement similar to prior. minimal interstitial pulmonary edema is likely present. no large effusion or pneumothorax. stable prominence of the mediastinum likely reflects ectatic vasculature. bony structures are intact.
<unk>f with ams // infiltrate?
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semi-erect frontal portable chest radiograph demonstrates well expanded and clear lungs. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is unremarkable and visualized osseous structures are within normal limits.
history: <unk>m with fall and ams. assess for pneumothorax.
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frontal and lateral chest radiographs demonstrate a left chest tube, unchanged in position. there is persistent right upper lobe atelectasis with collapse of the right upper lobe and rightward tracheal deviation. the lungs are clear without focal consolidation or pulmonary edema. there is no pneumothorax. the cardiomediastinal silhouette is unchanged.
status post left upper lobectomy. evaluate for interval change.
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there is been improvement and bilateral pulmonary opacities. there is no pneumothorax or pleural effusion. the cardiomediastinal slight is a wedged. a left central line terminates in the distal svc.
<unk> year old woman with all s/p sct, flash pulmonary edema with improving o<num> requirement after diuresis, new fever, is there a pneumonia? // eval for interval change in effusion, is there pneumonia now that lungs are dry?
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a nasogastric tube and tip are coiled within a large hiatal hernia. heart size remains moderately enlarged. the mediastinal contour is unchanged. there is worsening mild pulmonary edema. patchy opacities in the lung bases may reflect atelectasis, but aspiration is not excluded. no pneumothorax is present.
history: <unk>f with vomiting, status post nasogastric tube placement