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the tip of a new ng tube is seen folding back on itself and appears to be in the ge junction. new opacities are seen in the right lower lung, which may be due to aspiration or infection. upon discussion with the medicine resident, aspiration seems most likely. left basilar and retrocardiac atelectasis is increased. pulmonary vascular congestion is stable. the heart size is unchanged. no pneumothorax.
<unk> year old woman with new ng tube // placement of ng tube
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relatively low lung volumes noted on the frontal exam with secondary crowding of the bronchovascular markings. there is no consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fever // eval for pna
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cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax. bones and the upper abdomen are grossly unremarkable.
history: <unk>f with persistent cough and fevers // r/o pna
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascular is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. interposition of the right colon between the diaphragm and liver is incidentally noted. there is diffuse idiopathic skeletal hyperostosis. old left-sided rib fractures are re- demonstrated.
syncopal episode today.
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lung volumes are normal and lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. no pulmonary edema. mediastinal and hilar contours are unremarkable.
chest pain and cough. rule out pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is a focal consolidation projecting over the left lung within the lingula. elsewhere, the lungs appear clear. there is a suspected trace pleural effusion on the left only. there is no pneumothorax. the osseous structures are unremarkable.
productive cough and fever with pleuritic chest pain.
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. there is no visualized displaced rib fracture on these non dedicated views.
<unk>-year-old man with left thoracic pain after fall.
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frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. moderate cardiomegaly is similar in appearance compared to prior. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality is identified.
<unk>-year-old female with history of thoracic aneurysm.
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previous right picc has been removed. previous small right pleural effusion has resolved. no new focal consolidation, pleural effusion, or pneumothorax. bibasilar atelectasis is minimal, if any.
<unk>-year-old female with fever. evaluate for infection.
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the lungs are clear. there is no focal consolidation, effusion, or edema. no obvious pneumothorax. the cardiomediastinal silhouette is within normal limits. no visualized displaced fractures on this nondedicated exam.
<unk>m with back pain s/p fall // left posterior rib pain after fall and crackles in lower lobes
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no focal consolidation, large pleural effusion, pneumothorax, or pulmonary edema is detected on these views. there is blunting of the right costophrenic angle on lateral view, suggestive of a tiny pleural effusion. heart size is persistently enlarged. the aorta is tortuous. rightward intrathoracic tracheal deviation persists. hiatal hernia is again seen. there may be right diaphragmatic eventration or hernia with relative elevation of the left hemidiaphragm, which appears new compared to prior. there has been interval increase in mild anterior wedging of a mid thoracic vertebral body.
<unk>-year-old female with presyncope.
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lung volumes are low. apparent mediastinal widening is likely due to patient rotation. there is mild to moderate bibasilar atelectasis. small bilateral pleural effusions are probable. the cardiac size is stable and there is mild pulmonary vascular congestion, without frank pulmonary edema. there is no pneumothorax. chronic rib and pleural deformities are again noted.
<unk> year old woman s/p ureteroscopy; now unable to wean off o<num> // unable to wean off o<num>
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pa and lateral views of the chest demonstrate well-expanded and clear lungs. heart is normal in size and cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax. pulmonary vasculature is within normal limits.
<unk>-year-old man with dyspnea on exertion for one day, evaluate for pneumonia or edema.
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there are new heterogeneous opacities within the left lower lobe, concerning for pneumonia versus aspiration pneumonitis. subtle heterogeneous opacities are also seen medially within the lower right lung, likely atelectasis, although aspiration or infection is not excluded. the lungs are otherwise clear. the heart is normal in size. the mediastinal contours are normal. there are left greater than right small pleural effusions. there is no pneumothorax.
<unk> year old man with doe, hx pneumonia // ? pulmonary cause
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lung volumes are improved. patchy right basilar opacities are similar to prior. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is top-normal. no free air below the right hemidiaphragm is seen. the left hilum is prominent, likely due to the enlarged main pulmonary artery seen on prior ct.
history: <unk>f with cp // eval for infiltrate,
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the left costophrenic angle is blunted likely due to pleural thickening or a small effusion. there is minimal right-sided pleural effusion. the cardiomediastinal silhouette and hila are normal. the lung volumes remain low. there is no focal consolidation to suggest pneumonia.
<unk>-year-old man with anemia.
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single portable view of the chest. right-sided central venous catheter is seen with tip likely in the right atrium. lung volumes are relatively low. there are bilateral interstitial opacities similar to prior suggesting pulmonary edema. there may be a small right-sided pleural effusion with blunting of lateral costophrenic angle. more dense retrocardiac opacity seen. median sternotomy wires and mediastinal clips again seen. cardiomediastinal silhouette is difficult to assess given rotation and left base opacity.
<unk>-year-old male hypoxia.
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left-sided port-a-cath is stable in position, terminating in the low svc/ cavoatrial junction. patient is status post median sternotomy and cardiac valve replacement. right vascular stent is re- demonstrated. there is persistent blunting of the bilateral costophrenic angles, to lesser extent as compared to the prior study. left base atelectasis/scarring is seen, consolidation due to pneumonia is less likely. no pneumothorax is seen. cardiac and mediastinal silhouettes are stable.
history: <unk>m with malaise and fevers // evaluate for pneumonia, effusion
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the cardiomediastinal hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are adequately expanded without focal consolidation concerning for pneumonia. there is diffuse bronchial wall thickening or mild interstitial disease. pulmonary vasculature is within normal limits. surgical clips are noted in the upper abdomen on the lateral view.
<unk>f with chest pain, recent endoscopy.
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left internal jugular central venous catheter tip terminates in the mid svc. left-sided aicd device is noted with single lead terminating in the region of the right ventricle. mild to moderate enlargement of the cardiac silhouette is again demonstrated. mediastinal contour is unchanged with rightward tracheal deviation due to a thyroid goiter. there is mild pulmonary vascular congestion. hilar contours are unremarkable. streaky opacities in the lung bases likely reflect areas of atelectasis. there are possible trace bilateral pleural effusions. no focal consolidation or pneumothorax is clearly identified. there are no acute osseous abnormality is visualized.
history: <unk>f with hypotension, cough, possible sepsis. status post left internal jugular cvl placmeent
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the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable.
cough, evaluate for pneumonia.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no pneumomediastinum. no free air is present below the hemidiaphragms.
epigastric pain. evaluate for pneumomediastinum.
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there is an well-circumscribed irregular opacity in the right upper lobe that was not seen on <unk>. this can represent a pulmonary nodule in the right upper lobe vs right upper lobe pneumonia vs focal mediastinal calcification from radiation therapy. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumothorax. no pulmonary edema. no pleural effusions.
<unk> year old woman with history of hodgkins lymphoma years ago sp treatment who has right sided flutter sensation in her chest on deep inspiraiton, lung exam not impressive, peak flow a bit down. evalute for pulmonary process // infection? mass?
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the lungs are clear. no pleural effusion, pulmonary edema, or pneumothorax is present. the heart size is normal. no osseous abnormality is seen.
left-sided chest pain.
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ap and lateral views of the chest are compared to previous exam from <unk>. dense retrocardiac opacity with air-fluid level is compatible with hiatal hernia as previously seen. the lungs are otherwise grossly clear based on this exam which has poor inspiratory effort. there is no pleural effusion. cardiomediastinal silhouette is otherwise unremarkable as are the osseous structures.
<unk>-year-old female with fever and nausea. question pneumonia.
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faint bibasilar opacities are noted, greater at the left base than the right, and likely representative of atelectasis. the cardiomediastinal silhouette is normal. there is no evidence of an effusion or pneumothorax. there are no acute fractures. no free air is noted under the hemidiaphragms.
nausea, vomiting and abdominal pain.
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear. cardiomediastinal silhouette is stable. osseous and soft tissue structures are unchanged, noting probable post-traumatic changes in the right coracoclavicular region.
<unk>-year-old male with abdominal pain.
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endotracheal tube terminates <num> cm above the carina. particularly as the head is extended, any further movement centrally could result in unilateral intubation. new orogastric tube terminates just beyond the ge junction and could be advanced <num> to <num> cm. bilateral chest tubes are redemonstrated, without evidence of pneumothorax. left subclavian central venous catheter appears to be located in the distal subclavian or proximal left brachiocephalic vein. left sided arterial line terminates in the axilla. the lungs are low in volume with developing opacity in the left upper lobe. tortuous and unfolded aorta is noted with calcification. the heart is normal in size. normal cardiomediastinal silhouette.
status post attempted og placement, assess og.
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cardiomediastinal silhouette is within normal limits. lungs are clear. no pulmonary edema. there is no pleural effusion or pneumothorax.
<unk> year old man with dyspnea // please evaluate for intrathoracic causes
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pa and lateral chest radiograph are poorly penetrated. lung volumes are low. heart size is enlarged likely exaggerated by low lung volumes. no focal consolidation is identified convincing for pneumonia. there is no evidence of pulmonary edema, pleural effusion, or pneumothorax. no air under the right hemidiaphragm is present.
<unk>m with cough // pna?
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. a left port-a-cath terminates in the mid svc. there is retrosternal calcification near the sternomanubrial junction best seen on the lateral radiograph, and a calcified right hilar lymph node is noted.
<unk>-year-old female with fever.
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. there is no free air seen under either hemidiaphragm. suture anchors are noted in the left humeral head.
epigastric pain. evaluate for free air.
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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 shortness of breath, cough,
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allowing for technique, no definite infiltrate is identified. compared to the prior film, there is increase in the degree of upper zone redistribution and vascular plethora, suggesting mild fluid overload. otherwise, no significant change is detected. no definite interstitial edema and no alveolar edema is seen. no effusions. probable atelectasis in the lower lobe posteriorly, ? on the right, but this does not appear substantially changed. again noted is hyperinflation consistent with copd and moderately severe cardiomegaly. including prominence of the contour of the main pulmonary artery. known vertebral body compression deformities <num> less well visualized on the current film due to technical differences.
history: <unk>f with chest pain, chills // any pneumonia?
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compared with prior radiographs performed on the same day on <unk> at <time>, there has been interval increase in bilateral pneumothorax. again seen is pneumomediastinum. there is no pleural effusion. cardiomediastinal silhouette is unchanged. et tube and ng tube are unchanged in position. right central venous catheter terminates at the superior caval atrial junction.
<unk> year old man with c/f pcp, intubated // progression of ptx, pneumomediastinum
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ap and lateral views of the chest <unk> at <time> is submitted.
<unk> year old woman with recent placement of ppm // ppm lead placement ppm lead placement
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear with no focal consolidations, pleural effusions or pneumothorax. there is redemonstration of minimal scarring in the lower lungs which is unchanged. note is made of an old rib fracture.
<unk>-year-old woman with several months of new dyspnea on exertion. study requested for evaluation of interstitial disease and/or evidence of chf.
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again seen is a vp shunt catheter coursing through the thoracic midline. there is severe right convex thoracic scoliosis. the cardiomediastinal and hilar contours are normal. lungs are mildly hyperexpanded. there is stable scarring at the right base.
<unk>-year-old woman with scoliosis, now undergoing preoperative evaluation prior to anterior lumbar interbody fusion.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified. degenerative changes of the right shoulder are present with acromioclavicular spurring.
right chest wall tenderness after a fall.
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the patient is status post tracheostomy. a right-sided picc line terminates in the superior vena cava. the right lung is better aerated than on the prior study, but regarding the left lung, there is persistent opacification of the left lower lobe, which may be associated with atelectasis, consolidation and probably a substantial pleural effusion. there is no pneumothorax.
fever and tracheostomy.
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ap portable upright view of the chest. lung volumes are low with increased opacity in the left lower lobe concerning for pneumonia or atelectasis. no large effusion or pneumothorax. no edema. cardiomediastinal silhouette is normal. chronic right rib cage deformities again noted. deformity of the right mid shaft clavicle reflects old injury.
<unk>f with ams, hypoxia, <unk> aspiration
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low lung volumes contribute to bibasilar atelectasis. cardiac size is normal. no focal opacities concerning for infectious process. there may be a small amount of fluid within the fissure on the right with an adjacent area of segmental atelectasis. no pneumothorax. aorta is tortuous. gaseous distention of the stomach results in left diaphragmatic elevation. no free air under the diaphragms.
<unk>-year-old female with chest pressure.
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frontal and lateral chest radiographs. left-sided ij catheter tip remains in the right atrium. lung volumes are low with moderate bilateral pleural effusions and adjacent atelectasis. however, pulmonary vascular congestion present on <unk> has improved considerably and there is no pulmonary edema. there is no pneumothorax. the cardiomediastinal silhouette is stable.
recent cabg. evaluation for effusions or pneumothorax.
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the lungs are clear without focal consolidation. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fall <num> days ago and confusion with recetn uti // eval for pneumonia, fracture/dislocation
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the examination is somewhat limited by low lung volumes. redemonstrated are moderate to large bilateral pleural effusions. as compared to the prior examination, there has been resolution of the pulmonary edema. no focal consolidation or pneumothorax is seen. the heart size is not well assessed, but appears to be at least mildly enlarged. mediastinal contours are stable.
recent acute chf exacerbation, now with cough and sputum production.
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pa and lateral chest views have been obtained with patient in upright position. comparison is made with the next preceding chest examination of <unk>. the on previous examination identified patchy infiltrates in the right lower lobe posterior segment have cleared up and the lungs are now unremarkable without evidence of remaining parenchymal infiltrates, pleural effusions or vascular congestion. the chest findings are now very similar to that obtained on <unk> in which they also were deemed to be within normal limits.
<unk>-year-old male patient with recent pneumonia, status post antibiotic treatment ending on <unk>. assess for resolution of infiltrate.
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there is blunting of the left costophrenic angle and obscuration of the left hemidiaphragm margin which appears increased compared to <unk> and is significantly worsened from <unk>. otherwise, there are no focal opacities. cardiomediastinal and hilar contours are unremarkable. there is no right-sided pleural effusion. no pneumothorax. no fractures are identified. there is no evidence of pneumothorax. no fractures are identified.
<unk>-year-old female with pleuritic chest pain. evaluate for pneumonia.
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ap and lateral radiographs were acquired. there is a left-sided pacemaker with an associated right ventricular lead, appropriately positioned. the lungs are hyperexpanded and there is flattening of the hemidiaphragms with enlargement of the retrosternal airspace, consistent with chronic obstructive pulmonary disease. there is a right lower lung granuloma, as before. the lungs are otherwise clear. the heart size is top normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
fever, assess for pneumonia.
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the right lower lobe consolidation has not significantly changed. there is no new region of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. coronary artery stents are noted. no acute osseous abnormalities, mid thoracic dextroscoliosis is noted.
<unk>f with llq renal transplant w/ tenderness and incerased cr // eval pna, eval renal blood flow in new kidney
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the cardiac silhouette is stably enlarged. again noted is minimal indistinctness of the pulmonary vasculature. there is minimal peribronchial cuffing and thickening of septal lines, improved since the prior examination. there is no definite consolidation. small fluid is noted in the fissures ; no pleural effusion or pneumothorax identified. midline sternotomy wires are well aligned and intact. cabg clips are noted.
<unk> year old woman with <num>d h/o dry cough, sob, subj fever, hypoxemia. crackles l base // r/o pna
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unchanged location of dual-chamber pacemaker with ventricular lead again projecting over the midline of the mediastinum, which on the lateral view projects over the heart. unchanged mild pulmonary edema and cardiomegaly.
history: <unk>f with question of displaced lead placement.
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ap portable upright view of the chest. midline sternotomy wires and mediastinal clips are noted. overlying ekg leads are present. the heart is top-normal in size. the aorta is markedly unfolded. there is mild scarring in the left lower lung abutting the left heart border which is significantly improved from prior exam. otherwise the lungs are clear. no pleural effusion or pneumothorax. no signs of congestion or edema. bony structures appear intact.
<unk>m with diabetes and new <unk>, ? heart failure
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with pleuritic chest pain and foreign body sensation in throat. sternal chest pain // pna or other pulmomary pathology
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there is moderate pulmonary vascular congestion and mild cardiomegaly. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with right breast mass, sob, decreased bs // r/o pulmonary abnormality. wet read <unk> <unk>
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minimal right basilar atelectasis. otherwise, the remainder of the lungs are clear. there is no evidence of an effusion or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
dyspnea.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with progressive doe
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there is mild enlargement of cardiac silhouette. the aortic knob is calcified. mediastinal and hilar contours are unchanged. multiple clips are noted within the neck compatible with prior thyroidectomy. there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. multilevel degenerative changes are present within the thoracic spine.
confusion.
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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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left greater than right basilar atelectasis is overall unchanged compared to <unk>. there is faint indistinctness of the pulmonary vasculature. lungs are otherwise clear. no pleural effusion or pneumothorax. severe cardiomegaly is unchanged. cardiomediastinal and hilar silhouettes are unchanged. a left pectoralis dual-chamber cardiac pacemaker and leads are unchanged in position. no acute fractures are seen.
<unk>f with ground level fall // eval for acute injury
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pa and lateral views of the chest provided. please note, evaluation for lung pathology is somewhat limited due to calcified implants projecting over in the lower lungs. there is mild left basal atelectasis the lungs appear otherwise clear and well inflated. no pleural effusion or pneumothorax. no evidence of edema or pulmonary congestion. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with malaise
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nasogastric tube tip and side port are within a massively distended stomach. heart size is mildly enlarged but unchanged. bulging of the distal mediastinal contours likely reflects the paraesophageal complex collection, as seen on the previous ct. coronary artery stents are re- demonstrated. atherosclerotic calcifications at the aortic knob are again noted. pulmonary vasculature is not engorged. patchy atelectasis is seen in the lung bases without focal consolidation. trace left pleural effusion is unchanged. no pneumothorax. radiopaque foci in the upper abdomen likely reflect retained barium within colonic diverticula.
<unk> year old man status post paraesophageal repair, in ed with dilated stomach // evaluate placement of ngt
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the lungs are normally expanded and clear. the heart size is normal. the mediastinal hilar contours are normal. there is no pleural effusion or pneumothorax. there is a small to moderate hiatal hernia. partially imaged fixation screws are seen in the proximal left humerus.
history: <unk>m with fractures of the left tibia and fibula. //
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a left-sided pacemaker with leads terminating in the right atrium and right ventricle is in appropriate position. the patient is status post median sternotomy. increased interstitial markings as well as cephalization of the vessels is consistent with mild pulmonary edema. the amount of edema seems to be somewhat asymmetric, right greater than left. there may also be a small right pleural effusion. there is no evidence of pneumonia. heart size is mildly enlarged.
fall. question pneumonia.
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the previously noted small left pneumothorax is almost completely resolved with only a tiny residual pneumothorax evident. stable bilateral large pleural effusions identified with unchanged bibasilar atelectasis. minimally improved aeration noted in the right upper lung. given effusions unable to assess heart size. mediastinal and hilar contours are unremarkable. dense calcifications are noted within the thoracic aorta.
chest tube. please evaluate left pneumothorax.
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frontal and lateral views of the chest. the lungs are clear. there is no effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old male with left lower extremity injury while out of the country. pre-op.
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as compared to the prior exam dated <unk>, there has been minimal significant interval change. the lung volumes are noted to be low. no focal consolidation, pneumothorax, pleural effusion, or pulmonary edema is identified. the right hemi-diaphragm is noted to be elevated, unchanged from prior the previous exam. the heart is normal in size. the aorta is again noted to be calcified and somewhat tortuous. no bony abnormalities are detected.
malaise, chills, and recurrent fever. evaluate for possible pneumonia.
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as compared to chest x-ray from the same date, interval drainage of left-sided pleural effusion. mild pulmonary edema with moderate cardiomegaly. mild retrocardiac atelectasis has improved. multiple surgical clips in the left chest wall. no pneumothorax.
<unk> year old woman with hepatitis, sob/hypoxia s/p thoracentesis for pleural effusion // s/p thoracentesis
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. median sternotomy wires are noted. incidental note is also made of unfused posterior elements in the lower cervical and upper thoracic spine.
<unk> year old woman with asthma, long smoking hx, chronic cough x <num> weeks with sputum production, occasional streaks of hemoptysis // please eval for pneumonia or lung mass
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain // ?pneumonia
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portable ap view of the chest <unk> at <time> is submitted.
<unk> year old man s/p laminectomy with <num> thalamic iph. with new o<num> requirement now // please evaluate for intrapulomonary process please evaluate for intrapulomonary process
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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. hypertrophic changes are seen in the thoracic spine. there are no acute osseous abnormalities. right-sided vp shunt catheter is noted.
history: <unk>m with altered mental status.
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right ij venous line tip is stable in the mid svc. moderate cardiomegaly is stable. right pleural effusion is slightly improved. the left lung remains within normal limits. no focal consolidation or pneumothorax.
<unk> year old man with pulmonary mucor s/p rul wedge/rml resection, found to have anterior air-fluid collection // ? interval change
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pa and lateral radiographs of the chest demonstrate clear lungs. the cardiac, hilar, and mediastinal contours are normal. no pleural abnormality is seen.
fever and cough in the setting of immunosuppression.
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pa and lateral views of the chest. slightly lower lung volumes seen on the frontal view on today's exam; however, the lungs are clear without consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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pa and lateral chest radiographs hyperinflated lungs without focal consolidation, effusion or pneumothorax. suture material is seen in the left perihilar region with evidence of prior osteotomy involving the left fifth rib. no signs of pulmonary edema. cardiomediastinal silhouette is normal. no acute osseous injury. no free air is seen below the right hemidiaphragm.
history: <unk>m with fever, eval for pna
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with recurrent falls // ?pna
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mild enlargement of cardiac silhouette is unchanged. the aorta is tortuous, and the mediastinal and hilar contours are similar compared to the previous study. pulmonary vasculature is not engorged. paraseptal emphysematous changes, most pronounced within the right upper lobe, are also re- demonstrated along with lung hyperinflation. streaky opacity is noted in the right lung base. no focal consolidation, pleural effusion or pneumothorax is present. osseous structures remain diffusely sclerotic compatible with known metastatic disease.
<unk>m with copd and worsening dyspnea x<num> weeks worsening acutely in past day.
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the costophrenic angles are not fully included on the image. given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the mediastinum is not widened. no overt pulmonary edema is seen.
shortness of breath and palpitations.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. bibasilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk>m with bilateral leg swelling. evaluate for pneumonia
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left chest wall defibrillator has a single lead terminating in the right ventricle. the lungs are normally expanded despite a mild generalized interstitial abnormality. peribronchial opacification in the right infrahilar lung could be pneumonia or the first expression of edema. the heart is mildly enlarged. the mediastinal and hilar contours are normal. eversion of the diaphragmatic pleural surfaces is due to small effusions or pleural scarring. pleural thickening or scarring at the right lung apex is mild.
dyspnea and hypoxia. evaluate for pneumonia.
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cardiomediastinal contours are stable. patchy and linear left basilar opacities have slightly worsened and are associated with mild volume loss and adjacent small pleural effusion. probable small right pleural effusion is also demonstrated. the patient is status post previous aortic stent graft and median sternotomy and cabg, with persistent disruption of the upper sternal wire.
<unk> year old man with sah and concern for hcap // please eval for intermittent development in consolidation
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left-sided port is again seen. the lungs are clear. the cardiomediastinal silhouette is within normal limits. old healed right posterior seventh rib fracture is noted. no acute osseous abnormalities.
<unk>f with fever history of lymphoma crackles on left hypoxia // eval for pna
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as compared to the prior examination dated <unk>, there has been no relevant interval change. the lungs appear well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. known left upper lobe pulmonary nodules are better seen on concurrent ct cervical spine. scarring seen left midlung compatible with postradiation changes. the cardiomediastinal silhouette is unchanged appearance.
<unk>f with shoulder/humeral pain s/p fall // acute process
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the tip of the left picc line is again noted to project over the mid svc. surgical clips are again noted in the right upper quadrant. in the diffuse bilateral interstitial markings. no focal consolidation, pleural effusion or pneumothorax is identified. the size and appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old woman with picc line // picc line placement
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ap upright and lateral chest radiographs were obtained. known interstitial lung disease contributes to a bilateral perihilar interstitial abnormality. in addition to the chronic findings there is bilateral ground-glass opacity and interstitial thickening, predominantly radiating from the hila. cardiomegaly remains moderate. aortic arch calcifications are unchanged. a right-sided picc line terminates in the low svc. a left chest port-a-cath terminates in the right atrium. vertebroplasty changes are stable.
shortness of breath, rales and wheezing.
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pa and lateral views of the chest provided. lungs are clear. pulmonary vasculature is normal. cardiomediastinal and hilar contours are normal. pleural surfaces are normal. right sided central catheter terminates in the low svc. there is no pneumothorax.
<unk> year old man with febrile neutropenia and cough, evaluate for pneumonia
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pa and lateral views of the chest demonstrate clear lungs. cardiac apex is unremarkable. no pleural effusion or pneumothorax. surgical clips in the left axilla are present.
<unk>-year-old man with chest pain.
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single ap supine portable chest radiograph provided demonstrates interval placement of a left ij central venous catheter with which is seen terminating in the upper svc. lung volumes are low with bibasilar atelectasis. mild hilar congestion appears increased. mediastinal prominence likely reflect supine portable technique.
<unk>f with l ij cvl pls eval placement
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the cardiac silhouette size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
<num> episodes of chest feeling funny.
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a vascular stent is seen in the left brachiocephalic vein and svc, unchanged in appearance from the prior examination. the cardiomediastinal silhouette is stable. subtle opacities seen throughout both lungs, most notable at the base of the right lung obscuring the right heart border, are suggestive of multifocal infection. an area of focal opacity projected over the left mid lung could represent an additional area of consolidation. in addition, there is increased vascular congestion, that should be -re-assessed after diuresis. there is no large pleural effusion or pneumothorax.
<unk>m with confusion, malaise // r/o infiltrate
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pa and lateral views of the chest were reviewed. compared to the most recent prior, new opacity in the right middle lung likely represents consolidation. there is no pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there are no concerning osseous or soft tissue lesions.
flu symptoms for nine days.
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compared with <unk> an allowing for rotated positioning, the overall appearance is probably is slightly worse. inspiratory volumes are quite low obscuring part of the cardiomediastinal silhouette. again seen are bibasilar opacities that likely represent a combination of pleural fluid and underlying collapse and/or consolidation. there is vascular plethora and vascular blurring, consistent with chf -- this is probably slightly worse, but they could be exacerbated by low inspiratory volumes and changes at the bases. tubing or probe is seen is now seen overlying the mediastinum. it courses left, question due to hiatal hernia. right subclavian picc line tip overlies cavoatrial junction.
<unk> year old woman admitted for pna (now resolved), oropharygeal dysphagia, known pleural effusions. previously weaned off o<num>, now with new o<num> requirement. // hypoxemia
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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 cough, sob // ?pna
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single portable view of the chest. the lungs remain clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality identified. healing left lateral left <num>th rib fractures identified with callus formation.
<unk>-year-old male with hypoxia and cough.
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enteric tube has its tip and side port in the stomach. the lung apices are not included in view but the remainder of the lung fields are clear except for atelectasis at the left base. the heart is not enlarged. there is atherosclerotic calcification of the aortic arch. there is worsening gaseous distention of what is likely the stomach extending into the right upper quadrant. prominent loops of small bowel in the mid abdomen measuring up to <num> cm are similar to the abdominal radiograph of <unk>, suggesting small bowel obstruction.
<unk> year old man with sbo s/p ngt placement // confirm placement
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are hyperinflated. biapical scarring is again noted. nodule in the right upper lung is stable compared to <unk>. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with productive cough.
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the lungs are hypoinflated with bibasilar atelectasis. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>m with no recent care presenting with painless abdominal mass and <unk> lb weight loss. assess for abdominal mass.
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patient is status post right upper lobectomy. as compared to prior chest radiograph from <unk>, there has been interval improvement of right pleural effusion. there is volume loss in the right hemithorax with associated cardiomediastinal shift to the right and tenting of the right hemidiaphragm. post-radiation changes are noted along the right perihilar region. left pleural effusion is stable and there is atelectasis at the left lung base. there are no new focal consolidations. there is no pneumothorax. sclerosis of the first and fourth rib as well as resection of the second and third rib are again noted, related to prior surgery. right picc terminates in the lower svc.
<unk>-year-old female patient with chf, copd, prior lung cancer. study requested for evaluation of recurrent effusions, pneumonia clearance.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine without acute osseous abnormality.
<unk>m with fever // r/o pna
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
history: <unk>f with dyspnea, cough, and chest pain // ?pneumonia