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elevated right hemidiaphragm is again noted. the lungs are grossly clear. left chest wall dual lead pacing device and aortic core valve are again noted. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities.
<unk>m with n/v, hx of chf and cad, tacyhpnic and mildy sob on exam // ? pulmonary edema
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nasogastric tube courses into the upper abdomen to the expected location of the stomach. there are low lung volumes. no large pleural effusion is seen. there is no focal consolidation or evidence of pneumothorax. the cardiac silhouette is top-normal to mildly enlarged, likely exaggerated by ap portable technique and low lung volumes. no pulmonary edema is seen.
history: <unk>m with ugib, pre-procedure cxr and ng tube placement // history: <unk>m with ugib, pre-procedure cxr and ng tube placement
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frontal and lateral chest radiographs were obtained. there is a persistent small left apical pneumothorax. there is scarring at the left lung base. no focal consolidation or pulmonary edema is seen. small bilateral pleural effusions are present. the heart size is in the upper limit of normal. mediastinal and hilar contours are stable.
patient with left upper lobe nodule status post wedge resection and chest tube removal, eval pneumothorax.
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frontal radiograph of the chest shows unchanged position of the right subclavian catheter in the mid svc. compared to the prior radiograph, there is mild decrease in lung volumes. there is increase in opacification of the right and left lower lung zones, concerning for developing pneumonia. the cardiac and mediastinal contour is normal. no pleural effusion or pneumothorax is appreciated.
day <num> of autologous stem cell transplant with neutropenic fever and decreased oxygen saturation. evaluate for infection.
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lung volume is low. there is no consolidation, pneumothorax, or large pleural effusion. there is no pulmonary edema. moderately enlarged cardiac silhouette is exaggerated by low lung volume.
<unk> year old woman with asthma, tbm s/p tracheobronchoplasty, recent pe, gerd with dyspnea. // interval change
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ap upright and lateral chest radiographs demonstrate severe upper thoracic rightward convex scoliosis, likely exaggerated secondary to patient positioning. assessing cardiomediastinal and hilar contours is difficult given patient positioning. heart size is probably top normal to mildly enlarged. lungs are clear without a focal consolidation convincing for an infectious process. emphysematous changes are moderate. blunting of bilateral costophrenic angles may reflect pleural thickening. there is no large pleural effusion, pneumothorax, or evidence of pulmonary edema.
history: <unk>f with dizziness and ekg changes // eval for chf/pneumonia, ich, intracranial mass
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
cough, history of hiv. rule out infection.
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pa and lateral views of the chest. there is a large confluent opacification in the right upper lobe that likely represents a mass that likely arose from nodule seen on previous radiograph. in the right middle and lower lung, this are two rounded, slightly spiculated nodules that likely represent metastasis. the left lung appears relatively clear. there is no pleural effusion or pneumothorax. the cardiac, and mediastinal contours are normal.
weakness, evaluate for pneumonia.
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single portable supine radiograph is compared to prior study dated <unk>. heart is enlarged. no appreciable vascular congestion is present. no focal consolidation convincing for pneumonia is identified. there is no large pleural effusion or pneumothorax. visualized osseous structures are without an acute abnormality.
<unk>-year-old female with altered mental status.
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there is no focal consolidation, pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits.
<unk> year old woman s/p tracheal stent/dialation with new onset tachycardia // ? ptx, ?intrathoracic processes
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lung volumes are low. there is diffuse interstitial opacity with engorgement of the central vasculature, consistent with moderate pulmonary edema. heart is moderately enlarged but unchanged. there is a small right pleural effusion. a retrocardiac opacity presumably reflects a component of pleural effusion and overlying atelectasis and appears similar to <unk>. a superimposed infection be difficult to exclude. sternotomy wires and an aortic valve prosthesis are constant.
dyspnea, evaluate for edema or infiltration.
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frontal and lateral views of the chest. relatively low lung volumes are noted. there is a moderate right pleural effusion, slightly smaller compared to prior. lungs are clear of consolidation. cardiomediastinal silhouette is within normal limits. moderately distended air-filled loops of bowel seen in the upper abdomen. surgical clips seen in the right upper quadrant.
<unk>-year-old female liver disease and weakness.
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the heart appears moderately enlarged. there is mild unfolding and calcification along the aorta. mild relative elevation of the left hemidiaphragm compared to the right is noted. there are also several small calcified nodules projecting over the left mid lung suggesting granulomas. the lungs appear otherwise clear. there is no pleural effusion or pneumothorax. bony structures are difficult to assess, but there is apparently a moderate wedge compression deformity along the lower thoracic spine, as well as moderate degenerative changes throughout the visualized thoracic spine with narrowed interspaces.
worsening shortness of breath and orthopnea.
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portable supine chest radiograph <unk> at <time> is submitted.
<unk> year old man intubated, ng tube placement // confirm ng placement confirm ng placement
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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 <num> weeks of diarrhea, cough, hyponatremia
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the cardiac size is normal. new density in the retrosternal clear space suggests the presence of an anterior mediastinal lesion, of note in prior ct there were enlarge lymph nodes in this location. the pulmonary vasculature is normal. the lungs are clear. there is no pleural effusion or pneumothorax. basilar atelectasis is noted. several wedge shaped compression fractures are long standing
history: <unk>m with alcohol fell six days ago right ankle swelling // ct head eval for ichc spine eval for fracturecxr eval trauma
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single ap view of the chest. the lungs are clear of consolidation, effusion, or pneumothorax. cardiac silhouette is slightly enlarged, unchanged. no displaced fractures identified.
<unk> year female with chest pain.
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there is interval development of left lower lobe opacification consistent with pneumonia. no pleural effusion or pneumothorax is present. stable cardiomediastinal silhouette. unchanged dish along the thoracic spine.
<unk>m with cough and fever // ?pna
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ap upright and lateral views of the chest dated <unk> at <time> are submitted.
<unk> year old woman with glioblastoma s/p resection with mild dysphagia and elevated wbc; also clinically with fluid overload // any evidence of pneumonia; pulm edema any evidence of pneumonia; pulm edema
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frontal and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected noting hypertrophic changes in the spine and degenerative changes at the acromioclavicular joints.
<unk>-year-old male with near syncope with quadriceps tendon rupture, preop evaluation.
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lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. patchy opacities in the lung bases may reflect aspiration, atelectasis or pneumonia. no pleural effusion or pneumothorax is present. there is no pulmonary vascular congestion. no acute osseous abnormalities detected.
seizure, confusion.
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right picc is no longer seen. relatively low lung volumes are noted but the lungs are clear. there is no effusion or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old woman with hx nash cirrhosis p/w hepatic encephalopathy. // eval for effusions/focal consolidation
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the right internal jugular central venous catheter is malpositioned, coursing cephalad within the right internal jugular vein, tip off of the superior borders of the film. remainder of the exam is unchanged.
history: <unk>m with right internal jugular central line placement
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interval increase in retrocardiac opacity and left lower lobe atelectasis. stable small bilateral pleural effusions and left hilar mass. no pneumothorax and right lung is clear. heart size and mediastinal contour are normal.
female, postop day #<num> with new fever and increasing oxygen requirement with history of known pe and pneumothorax. assess for pneumonia.
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compared with prior radiographs on <unk>, there is interval complete opacification of the left hemithorax, with shift of the trachea towards the left, indicating left total lung collapse. severe consolidation in the right lung is similar to prior, and likely represents a combination of pulmonary edema and pleural effusion. there is no pneumothorax. et tube is in standard position, an esophageal drainage tube passes into the stomach and out of view. a right ij catheter and terminates at the cavoatrial junction.
<unk> year old woman with respiratory failure, intubated, // interval change
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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 displaced fracture is identified.
history: <unk>f with neck pain and right rib tenderness after mvc // eval for traumatic injury
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no significant interval change. right port-a-cath tip ends in the mid svc. the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart size is normal. mediastinal and hilar contours are unchanged. no acute osseous abnormality.
<unk>-year-old woman presenting with with weakness, recent pna, off abx. evaluate for pneumonia.
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the endotracheal tube, enteric tube, and left subclavian central venous catheter are stable in position. heart size is stable and enlarged, and inspiratory level is slightly reduced from the prior. there is slight improvement in pulmonary edema with continued vascular congestion at the hila bilaterally and left lower lobe atelectasis.no large pleural effusion or pneumothorax.
<unk> year old woman with respiratory failure. evaluate interval change.
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the cardiomediastinal silhouette is stable. the lungs are symmetrically expanded. slightly increased opacity at the right base may represent atelectasis; however developing pneumonia cannot be excluded. there is no pleural effusion or pneumothorax.
<unk>f with cough
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the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. a left mandibular plate is partially visualized. left shoulder anterior dislocation appears unchanged since the <unk> examination.
new fever.
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pa and lateral chest radiographs again demonstrate right-sided subclavian central line catheter terminating in the right atrium. defibrillator patches again also seen unchanged. the lungs are now clear and there is no pleural effusion or pneumothorax. the cardiac, hilar, and mediastinal contours are within normal limits. the left hemidiaphragm is elevated, but this is not significantly changed from prior imaging. no free air below the diaphragm.
abdominal pain. evaluation for source of infection.
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the endotracheal tube tip is <num> cm above the carina. the endogastric tube courses inferiorly out of field of view. a right-sided central venous catheter tip terminates at the upper-to-mid svc. the heart size is exaggerated by positioning and low lung volumes. mediastinal and hilar contours are stable. the lung volumes are low with bibasilar consolidations likely representing atelectasis. the aerated portions of the lung demonstrate pulmonary edema. there is no pneumothorax. overall, the appearance is similar to prior exam.
<unk>-year-old male with rhabdomyolysis and renal failure as well as respiratory failure.
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the lead positions of the dual-chamber pacemaker is unchanged compared to the prior exam. there is moderate cardiomegaly. the lungs demonstrate moderate pulmonary edema but no evidence of pleural effusions or pneumothorax. mild atelectatic changes at the lung bases are unchanged. incidental note is made of chronic stable calcified scarring in the left apex. there are no new parenchymal opacities. there is no evidence of pneumothorax.
<unk>-year-old female who presents for evaluation of lead position.
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newly placed ng tube terminates in the stomach. the patient is rotated, within limitations lungs are well inflated and clear. stable cardiomegaly and tortuosity of thoracic aorta. no change in bony thorax.
<unk> year old woman with partial sbo // confirm ngt
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
shortness of breath and back pain.
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portable upright frontal view of the chest. the lungs are clear without focal opacity, pleural effusion or pneumothorax. the heart size is normal and the cardiac and mediastinal silhouettes are unremarkable. there is a paucity of gas in the upper abdomen. there is no acute osseous abnormality.
atrial fibrillation and rapid ventricular response.
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streaky opacities at bilateral lung bases as well as the mid left lung are stable and consistent with atelectasis and scarring. no pleural effusion or focal consolidation on the present x-ray. cardiac size is stable. mediastinal contours are unremarkable. no pneumothorax. previous cervical spinal hardware is noted in the area of the neck. a heterogeneous opacity projects over the the left scapula/lateral left upper rib. this was present on the most recent prior exam as well but not dating further back and it is not clear if this represents a rib or scapular abnormality. if there is concern for metastatic prostate cancer, a bone scan would be helpful to evaluate this area.
<unk>-year-old man with prostate cancer, presenting with left flank pain.
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there is a interval increase in bilateral interstitial opacities concerning for moderate pulmonary edema. bilateral pleural effusions, right greater than left, persists. cardiac and mediastinal silhouettes are stable.
<unk> year old female with history of severe mitral regurgitation (s/p mitraclip <unk> and <unk>), diastolic heart failure, afib, hypertension, asthma, prior breast cancer, and recent admission for acute decompensated heart failure complicated by hypoxic respiratory failure and cardiogenic shock presented from snf for dyspnea on <unk>, requiring ccu admission for bipap // interval change
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heart size remains normal. widening of the upper mediastinum is stable and is accounted for by mediastinal fat as seen on chest ct from <unk>. increasing indentation on the left upper trachea at the level of the clavicles may reflect new pathology in the left thyroid lobe, which appears hypertrophied on the prior chest ct. left pleural effusion is small if present. there is no pneumothorax or right pleural effusion. there is no focal consolidation concerning for pneumonia. pulmonary vessels appear slightly more engorged, but there is no overt edema.
systolic heart failure, history of pe, shortness of breath.
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stable cardiomediastinal contours, with persistent apparent widening of the right mediastinal contour which appears to be due to tortuous vascular structures accentuated by patient rotation by recent cta of <unk> bibasilar atelectasis is again demonstrated, and has worsened in the right lower lobe. small right pleural effusion has also slightly increased in size. markedly distended loops of bowel in the upper abdomen are incompletely evaluated on this chest radiograph exam but have been assessed by a recent abdominal series. .
<unk> year old woman with tachypnea, here with meningitis and cdiff colitis // eval for pna vs. pulm edema
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the lungs are clear. there are no pleural, mediastinal or hilar abnormalities. the cardiac silhouette is normal in size. there is a tortuous aorta. there are no cavitary lesions within the lungs.
nightsweats, no cough with a positive tuberculosis tests.
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compared to chest radiographs from <unk>, bilateral peribronchial opacities in the right middle and lower lobes and left lower lobe have resolved. lung volumes remain low, as on multiple priors. right apical pleural thickening is unchanged. there is no new focal consolidation or pleural effusion. no pneumothorax. mediastinal and hilar contours are stable. heart size is normal.
<unk> year old man with new shortness of breath // r/o pneumonia
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ap upright and lateral chest radiograph demonstrates low lung volumes. heart is moderately enlarged. mediastinal contour is stable when compared to prior study dated <unk>. low lung volumes results in bronchovascular crowding centrally and atelectasis. there is no pleural effusion. no pneumothorax or acute osseous abnormality is identified.
<unk> year old female with dizziness.
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ap and lateral chest radiograph demonstrates hyperexpanded lungs with no focal consolidation identified. redemonstration of prominent interstitial markings bilaterally, present on prior examination dated <unk> and unchanged. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are stable in appearance. patient is status post dual-lead pacemaker with leads terminating in the right atrium and right ventricle. patient is status post sternotomy with intact sternotomy wires identified. osseous structures demonstrate chronic prior rib fractures through the third, fourth and fifth right ribs.
<unk>-year-old female status post fall.
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the lungs are clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. a left-sided subclavian central line is again noted ending at the level of the mid svc in unchanged position compared with prior exam.
<unk>-year-old female with multiple myeloma, day one of systemic corticosteroid therapy, now presenting with fever. evaluate for evidence of acute thoracic process.
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the patient is intubated. the endotracheal tube terminates <num> cm above the carina. an introducer catheter terminates in the upper superior vena cava. an endoscope passes through the whole esophagus and imaged upper part of the stomach. no inflated balloon is visualized. the lung volumes are low. the heart shows a left ventricular configuration, as before. there is new retrocardiac opacification which is very commonly due to atelectasis. coinciding small pleural effusion is not excluded on the left. none is demonstrated on the right side. perihilar opacity suggests mild fluid overload.
cryptogenic cirrhosis, presenting with large varus seal bleeding status post lake more tube and emergent tips placement.
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the lungs are well inflated and clear. branching opacities in the retrocardiac region likely reflective vessels and mild atelectasis. there is no focal consolidation, pleural effusion, or pneumothorax.. cervical spine hardware is partially imaged.
history: <unk>m s/p renal tx on mmf/tacro here with cough and fever. // ?pna/infx
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the cardiac silhouette size is normal. mild atherosclerotic calcifications are seen within the aortic arch. mediastinal and hilar contours are within normal limits. mild prominence of the pulmonary vascular markings suggest mild pulmonary vascular congestion. additionally, scattered patchy opacities are seen within the left upper lobe, and both lung bases, findings which are concerning for infection in the correct clinical setting. no pleural effusion or pneumothorax is identified. there are moderate multilevel degenerative changes noted in the thoracic spine.
altered mental status, cough
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increased interstitial markings in the lungs, similar compared to remote exam from <unk> and likely due to chronic underlying interstitial process. there is no focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. old healed left lateral rib fractures are again noted.
<unk>f with sob // eval for pulm edema
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a moderate to large left pleural effusion has developed from <unk> to the <unk> post median sternotomy. the median sternotomy wires are stable in position. fluid is seen in the minor and major oblique fissures. cardiomegaly is stable. there are degenerative changes in the bilateral shoulders.
<unk> year old woman s/p tissue avr, cabg, mvr, tvr // predischarge eval
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unchanged, irregular, linear opacities in the left lower lobe are probably scars. the minor fissure is thickened and elevated. mild generalized bronchial cuffing is new, an indication of inflammation, either asthma or bronchitis. cardiomediastinal and hilar silhouettes are normal.
cough.
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frontal and lateral chest radiograph demonstrates well expanded lungs with no focal consolidation. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old male with hiv and new fevers.
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compared to chest radiographs from <unk>, there has been interval removal of a right-sided chest tube and small right apical pneumothorax has resolved. mild effusion on the right with a loculated appearance has mildly improved and could represent postoperative hematoma or loculated effusion. tiny effusion on the left persists. mild bibasilar atelectasis has improved. cardiomediastinal silhouette is stable. right innominate artery stent is again noted.
<unk> year old woman s/p r vats and pericardial cyst excision // ?lung status<num>/<unk> am cxr thanks
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there is mild central pulmonary vascular congestion. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable.
history: <unk>f with weakness and cough // r/o acute infectious process
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heart size is mildly enlarged, minimally increased in size compared to the previous study. the aorta remains mildly tortuous. mild pulmonary vascular congestion is demonstrated with new small bilateral pleural effusions. patchy opacities in the lung bases likely reflect areas of atelectasis. no pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>m with dyspnea
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there are small bilateral pleural effusions, right greater than left. there is volume loss at both bases. there is mild pulmonary vascular redistribution. bilateral central lines are unchanged. compared to the prior study, the fluid status is slightly worse. right lower lobe post-surgical changes are unchanged.
cough and wheezing.
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moderate left pleural effusion has slightly increased in the interval with overlying atelectasis. new right base opacity is seen, may represent combination of pleural effusion and atelectasis with overlying consolidation. fluid is seen tracking in the minor fissure on the lateral view. there is mild pulmonary vascular congestion. the cardiac silhouette difficult x-ray assessed due to the bibasilar opacities. the aorta is calcified. right-sided port-a-cath is seen, with distal tip in the expected location of the right atrium.
recent admission for pneumonia.
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there is a moderate left pleural effusion obscuring the left heart border significantly increased in size compared to the exam post-thoracentesis from <unk>. there is adjacent consolidation likely secondary to compressive atelectasis. the hilar and mediastinal contours are otherwise stable. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no evidence of pneumothorax.
history of pleural effusion. please evaluate.
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the heart is normal in size. the lungs are grossly clear. no significant pleural effusion is seen. compared to prior, there is increased in vascular pedicle and increased in caliber of pulmonary vasculature, likely from increased intravascular volume. however, no pulmonary edema is seen. right picc terminates in mid svc.
<unk> year old woman with pvd and non-healing l heal ulcer, planned l fem-pop bypass tomorrow. // assess for intrathoracic pathology. surg: <unk> (l fem-pop bypass)
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the lungs are well-expanded with near complete resolution of right lower lobe opacity. new linear platelike opacities within the right lower and left lower lobe are most consistent with atelectasis and only seen on frontal projection. no additional focal opacity. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are otherwise unremarkable. limited assessment of the upper abdomen is within normal limits.
<unk>f with shortness of breath. assess for pneumonia.
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lung volumes are low. no focal consolidation, pleural effusion or pneumothorax is seen. there is no pulmonary edema. the cardiac silhouette is accentuated by low lung volumes and ap projection.
<unk>-year-old female with fall, weakness. please assess for pneumonia.
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pa and lateral images of the chest show no consolidations or infiltrates. there are no pleural effusions or pneumothoraces. the cardiomediastinal silhouette is within normal limits. there is no cardiomegaly. the osseous structures are unremarkable.
history of leukemia, status post transplant with rising white count and cough.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is mildly enlarged in size, and the mediastinal contours are normal. no displaced rib fractures are noted.
<unk>-year-old female with assault and chest wall ecchymosis. evaluate for hemothorax or pneumothorax.
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given the patient's rotation, the mediastinum and cardiac silhouette is within normal limits. there is a left-sided pacemaker battery pack with leads terminating in the right ventricle and right atrium, in unchanged position from the prior study. blunting of the right costophrenic angle on the ap view is not collaborated on the lateral view; therefore no pleural effusion is thought to be present. a retrocardiac opacity is present and may represent a combination of atelectasis and aspiration. pneumonia cannot be ruled out in the correct clinical setting. there is no pulmonary edema and there is no pneumothorax. there is no free air.
new right-sided weakness, stroke workup.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormality detected. no free air seen below the diaphragm.
<unk>-year-old female with chest pain and epigastric pain.
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the lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. there is no pulmonary vascular congestion or overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits with mild tortuosity of the thoracic aorta. partial calcification at the aortic knob is noted. no acute osseous abnormality is detected.
dyspnea on exertion, here to evaluate for pneumonia.
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left-sided picc terminates in the low svc without evidence of pneumothorax. there is persistent blunting of the left costophrenic angle suggesting small pleural effusion with possibly overlying atelectasis. right base opacity persists, possibly minimally improved. no large pleural effusion seen on the right. no overt pulmonary edema. stable cardiac and mediastinal silhouettes.
history: <unk>f with hypotension // ?pna, also confirmation of picc placement
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the lungs are hyperinflated compatible with copd. the heart is top normal in size. there is no focal consolidation, pleural effusion or pneumothorax. there is no overt pulmonary edema.
<unk>-year-old female with chest pain. evaluate for pneumonia.
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bilateral multifocal opacities are unchanged compared to <unk>. there are no new opacities. no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are stable.
history of aplastic anemia, pre-allo dmt workup.
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patient is status post left mastectomy with implant and right axillary clips. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is identified. no pulmonary edema is demonstrated. mild degenerative changes are noted within the imaged thoracic spine.
history: <unk>f with shortness of breath // r/o pneumonia
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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 cp s/p mvc // ptx?
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left mid lung linear atelectasis/ scarring is seen. there is no definite focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette is mildly enlarged. the aorta is slightly tortuous. there is central pulmonary vascular engorgement with possible minimal interstitial edema.
history: <unk>f with pre op for ankle fracture // pneumonia
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with f with epigastric abdominal pain // pls eval for pna
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portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. the heart is top normal in size. there is no pleural effusion, consolidation or pneumothorax. the cardiomediastinal and hilar contours are unremarkable.
cough and dyspnea. evaluate for pneumonia.
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as compared with the prior exam, there has been removal of a dialysis catheter. no focal consolidation, pleural effusion, pneumothorax, or overt pulmonary edema is seen. the heart size is normal. mediastinal contours are normal.
hiv, now with cough.
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left-sided aicd is stable in position. there are low lung volumes. prominence of the central pulmonary vasculature likely accentuated by low lung volumes and ap technique. patchy right basilar opacity may be due to combination of vascular structures and low lung volumes but a consolidation is not excluded in the appropriate clinical setting. no large pleural effusion or pneumothorax. calcified ventricular aneurysm is again seen. cardiac and mediastinal silhouettes are stable.
history: <unk>f with hypoxia // ?pna
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lung volumes are low. heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. apart from mild atelectasis at the lung bases, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
history: <unk>m with end-stage renal disease presenting with chest pain and shortness of breath // ?thoracic process
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. right diaphragmatic eventration is noted. chain sutures are noted in the left upper and mid lung. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable. no displaced rib fractures are seen.
<unk>m with fall // eval for rib injurty
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lungs are well expanded and clear. there is no pneumoperitoneum.
epigastric abdominal pain, evidence of perforation.
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dual lead defibrillator remains in stable position with leads in the right atrium and right ventricle. no pneumothorax or pleural effusion. mildly enlarged cardiac silhouette is stable. pulmonary vascular congestion has slightly progressed. new linear opacity in the right middle lobe likely atelectasis.
<unk> year old woman with chf and lbbb s/<unk> crt-d via l axillary vein // pneumothorax, lead position
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lungs are clear without clear consolidation. however, a definitive consolidation is difficult to exclude without a lateral view. there is no significant interval changes in the pulmonary vasculatures. no pleural effusion. the cardiomediastinal silhouette is unchanged. no pneumothorax. the sternotomy wires are aligned without evidence of dehiscence. no fractures.
<unk> year old woman with pmh of severe aortic stenosis post mechanical avr and paroxysmal a. fib, currently with bp <num>s/<unk> and tachycardia with irregular heartbeat // question of fluid overload
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this study centered over the left hemi thorax to evaluate the nasogastric tube. the tip nasogastric tube is seen below the left hemidiaphragm in the expected location of the stomach. endotracheal tube is unchanged in position compared to the prior study. a right-sided picc is not clearly visualized. persistent left basilar atelectasis. findings suggests pulmonary vascular congestion.
<unk> year old man s/p gbm resection, continued ams // ? ogt placement
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as before, the patient is status post median sternotomy, coronary artery stenting and cabg. mild unchanged cardiomegaly. the aorta is tortuous and diffusely calcified. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. as before, degenerative changes are noted in the imaged thoracolumbar spine.
history: <unk>f with history of coronary artery disease with chest pain. evaluate for pneumonia.
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the lungs are clear. stable small right pleural effusion and no left pleural effusion. heart size, mediastinal contour and hila are normal without lymphadenopathy. old healed rib fracture of the left sixth posterior rib.
<unk>-year-old female with pleural effusions.
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on chest x-ray # <num>, an et tube is present, tip lying in the proximal portion of the right mainstem bronchus. on chest x-ray # <num>, the tip of the et tube lies approximately <num> cm above the carina, in improved position. the previously seen ng tube is no longer visualized. the stomach is distended with air. there are low inspiratory volumes. there is patchy opacity of both lung bases, those could represent atelectasis. in the appropriate clinical setting, an infectious infiltrate or focus of aspiration could have a similar appearance. vertical linear opacity in the left suprahilar region most likely also represents atelectasis. doubt chf. no gross effusion. no pneumothorax detected.
<unk> year old woman with intubation // ett
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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 // r/o pneumothorax
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frontal and lateral radiographs of the chest demonstrate mild right basilar and lingular atelectasis. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with sudden onset r sided chest pain // ptx?
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the lungs remain hyperinflated. blunting of the right costophrenic angle suggests a small pleural effusion. no definite focal consolidation is seen. the cardiac silhouette is moderately enlarged. mediastinal contours are unremarkable. biapical pleural thickening is seen. no evidence of pneumothorax is seen. old mid left clavicular fracture is seen. also old left-sided rib deformity. severe degenerative change at the right glenohumeral joint with high-riding right humeral head concerning for rotator cuff disease. right acromioclavicular joint degenerative change.
history: <unk>m with possible cva/tia // eval for acute process
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the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
<unk>f ped struck by car <num> days ago, with headache, neck pain, chest tenderness // eval for rib fractures
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portable supine study dated <unk> at <time> is submitted.
<unk> year old man with trach // interval change? interval change?
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a pacemaker/icd device with two leads appears unchanged. the cardiac, mediastinal and hilar contours appear unchanged. the pacer device overlaps persistent opacification of the left costophrenic angle that is probably unchanged, however, likely reflecting a combination of atelectasis and a small loculated pleural effusion. there is persistent thickening of the minor fissure with possible fluid and atelectasis with a small right-sided pleural effusion. nodular suprahilar opacification on the right is associated with treated malignancy with an associated fiducial seed and appears stable. there is no pneumothorax. free air is no longer apparent on this study.
non-small cell lung cancer and acute congestive heart failure exacerbation. patient complains of dyspnea and also has end-stage renal disease, on peritoneal dialysis.
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heart size is normal. mediastinal contour is unchanged. there is no focal lung consolidation. there is left basilar atelectasis. there is no pleural effusion or pneumothorax.
chest pain and troponin elevation evaluate for pulmonary edema.
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the patient's chin overlies the medial right lung apex, partially obscuring the view. additionally, the right costophrenic angle is not fully included on the image. there are bilateral pleural effusions with overlying atelectasis. bilateral perihilar opacities are seen, raising concern for pulmonary edema. the cardiac and mediastinal silhouettes are stable. likely skin folds overlie the bilateral lateral upper chest.
history: <unk>m with sob // eval for pna
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since <unk>, with tip of a new endotracheal tube is a <num> cm above the carina. mild pulmonary congestion, small left pleural effusion, and left basilar atelectasis is unchanged. heart size is top normal. positioning of the right internal jugular venous line is unchanged. no pneumothorax.
<unk> year old woman s/p cardiac arrest, intubated // please evaluate for interval change, please evaluate et tube position
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endotracheal tube terminates <num> cm above the carina. enteric tube courses below the diaphragm, terminating in the expected position of the stomach. there are low lung volumes. moderate pulmonary vascular congestion is seen. left base opacity may be due to vascular congestion, but consolidation due to pneumonia or aspiration is not excluded. no large pleural effusion is seen. there is no pneumothorax. cardiac and mediastinal silhouettes are stable.
history: <unk>m with fall and ams // ?pna
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the lungs are clear of focal consolidation, large effusion or vascular congestion. the cardiomediastinal silhouette is stable given differences in positioning. median sternotomy wires are again noted. no acute osseous abnormalities identified.
<unk>m with active chest pain // eval for cardiopulmonary process
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patient is somewhat rotated. there relatively low lung volumes. there is elevation of the right hemidiaphragm with overlying atelectasis. right base opacity may all relate to atelectasis but underlying consolidation from infection or possible trace pleural effusion not excluded. linear left mid lung atelectasis is seen. the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous. no overt pulmonary edema.
history: <unk>f with dyspnea // acute process
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with seen at outside facility - just need to medically clear // rule out pleural effusion
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previous multifocal pneumonia has almost entirely resolved, with minimal, residual peribronchial opacification in the right lung. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. note is made of mediastinal surgical clips.
<unk> year old woman with pneumonia // f/u ? resolution
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patient positioning is somewhat suboptimal as the patient's mandible projects over the upper chest. lung volumes are slightly low. there is linear atelectasis or scarring in the left mid lung. no definite consolidation seen. assessment of the cardiomediastinal contour is really not possible. no pleural effusion seen.
history: <unk>f found wandering barefoot aox<num> // ?pneumonia