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chronic diffuse interstitial lung changes are present. blunting of the right costophrenic angle is compatible with a pleural effusion. no new consolidation is identified. no pneumothorax. cardiomediastinal contours are stable. right central line terminates in the right atrium.
<unk>-year-old female with cough. evaluate for infiltrate.
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frontal and lateral views of the chest are compared to previous portable chest x-ray from <unk>. there is a moderate to large left and small right pleural effusion, decreased in size on the right compared to prior. more dense left basilar opacity suggestive of underlying atelectasis, with consolidation also possible. superiorly, the lungs are clear. cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures. surgical clips in the upper abdomen again noted.
<unk>-year-old female with fever and cough.
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single portable ap chest radiograph was obtained. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with tortuous ascending thoracic aortic contour.
coronary artery disease, pre-cabg. assess for pneumonia.
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the cardiac silhouette is stably enlarged. there is new vascular congestion in comparison to most recent prior. the lungs are otherwise clear. no definite pleural effusion or pneumothorax identified. again noted is a right port-a-cath which terminates in the right atrium.
<unk> year old man with multiple myeloma presenting with sob and acute mental status change // pneumonia, acute change?
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portable ap upright view of the chest was reviewed and compared to the prior studies. the tracheal stent in the right main bronchus has been removed. right perihilar opacity represents metastatic disease that has significantly decreased since <unk> due to radiation therapy. multiple nodules seen throughout both lung fields are better characterized on the previous ct of <unk>. new increased opacification in the left upper lung could be due to patient rotation or an infectious process. normal cardiac, pleural and mediastinal surfaces.
evaluation for interval change in patient status post tracheal stent removal and tumor debulking with known renal cell carcinoma metastasis to the lungs.
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left-sided dual-chamber pacemaker device is re- demonstrated with leads in unchanged positions. patient is status post tavr, in unchanged position. moderate enlargement of the cardiac silhouette is similar to the prior study. the aorta is diffusely calcified and mildly tortuous. there is mild pulmonary vascular congestion, improved compared to the previous examination. there are tiny bilateral pleural effusions which are decreased in size compared to the prior study. no focal consolidation or pneumothorax is present. there are mild multilevel degenerative changes seen in the thoracic spine.
history: <unk>f with tachycardia, history of chf
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the cardiac, mediastinal and hilar contours appear unchanged. there is new opacity projecting over the right lower lung accompanied with volume loss including a band-like opacity that is fairly typical for atelectasis; however much of the opacity is ill-defined. the left lung appears clear with resolution of opacity in the left costophrenic sulcus. there is no pleural effusion or pneumothorax. a prior right posterolateral ninth rib fracture appears unchanged.
hypoxia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. dense opacity projecting over the left lower hemi thorax may relate to breast tissue and appears to be external to the patient.
history: <unk>f with increasing confusion // eval for infiltrate
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the heart is mildly enlarged. the aorta is partly calcified. a moderate hiatal hernia is noted with an air-fluid level. an opacity in the right upper lobe has mostly resolved. streaky opacities in the right costophrenic sulcus suggest minor atelectasis. elsewhere, the lungs appear clear. there is no pleural effusion or pneumothorax. there is mildly exaggerated kyphotic curvature and a thoracolumbar compression deformity, mild to moderate in degree, that appears unchanged. small to moderate anterior osteophytes are present along the thoracic spine. moderate leftward convex curvature is centered along the upper lumbar spine, with incompletely characterized degenerative changes.
pneumonia.
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the lungs are well expanded. no definite consolidative opacity is seen. there is no pleural effusion or pneumothorax. the pulmonary arteries are noted to be prominent. the cardiomediastinal silhouette is otherwise unremarkable. a right-sided central line is seen terminating in the cavoatrial junction.
history: <unk>m s/p fall with intracranial hemorrhage // eval for cardiopulmonary injury
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in comparison to the prior study of <unk>, the cardiac silhouette has slightly decreased in size. pulmonary edema and right pleural effusion have resolved. linear opacities at the left base likely represent atelectasis. no pneumothorax.
history: <unk>m with cp // infiltrate
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. the right chest port is identified, its tip terminating within the low svc. best appreciated on the lateral view, there is a small right pleural effusion. no pneumothorax is identified. visualized osseous structures are without an acute abnormality.
<unk>m with ruq pain, new port
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portable frontal chest radiograph demonstrates interval placement of esophageal tube with tip terminating at the level of the <num>th rib posteriorly. endotracheal tube identified with its tip terminating <num> cm above the level of the carina. for proper placement, recommend advancement of endotracheal tube <num> cm. unchanged right internal jugular line with tip at the level of the mid svc. unchanged left internal jugular hemodialysis catheter with tip projecting over the brachiocephalic vein at the midline. unchanged cardiac silhouette. mild clearing of the left mid and lower lung fields.
<unk>-year-old male with multi focal pneumonia.
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frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. surgical clips are noted projecting over the left scapula on the frontal view. blunting of the left costophenic sulcus is likely related to old injury. clips are seen projecting over the left upper quadrant. no focal consolidation or pneumothorax. there is bronchial wall thickening on the lateral view. old left posterior <num>th rib fracture. possible left <num>rd rib fracture.
chest wall discomfort.
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portable ap upright chest <unk> <time> is submitted.
<unk> year old man with code blue on floor // please eval interval change, line placement please eval interval change, line placement
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a portable frontal chest radiograph again demonstrates a normal cardiomediastinal silhouette. the lungs are relatively well aerated, with mild vascular congestion and pulmonary edema which is improved compared to <unk>. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. generalized increased density of the osseous structures is compatible with renal osteodystrophy and unchanged dating back to <unk>.
evaluate for pneumonia in a patient with dyspnea.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
history of pe.
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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.
left rib pain after a fall.
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ap upright and lateral views of the chest were obtained. cardiomediastinal silhouette is stable. a dual-chamber pacemaker is unchanged in position. lung volumes are low. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old man with chest pain.
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ap and lateral views of the chest. low lung volumes seen on the current exam. there are increased reticular markings in the lungs bilaterally, similar to priors. given stability, these are most suggestive of chronic underlying process, either interstitial disease or scarring potentially from aspiration. cardiomediastinal silhouette is within normal limits. multiple old left rib fractures are identified. orthopedic screws seen in the right humeral head and extensive chronic changes seen at the left shoulder. compression deformities seen in the lower thoracic and upper lumbar spine, not definitely new since prior. there is no free air below the diaphragm.
<unk>-year-old female with diffuse abdominal tenderness and vomiting with fever.
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there has been interval placement of a ng tube, which projects along the expected location of the gastric fundus. however, the tip is not visualized in this examination. as compared to prior chest radiograph from <unk>, there has been no significant change. the heart size is normal. the mediastinal and hilar structures are normal. again seen are nodular-appearing densities in the left lower lobe. there are no pleural effusions or pneumothorax.
<unk>-year-old female patient with gastroparesis, new ng tube placement.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal hilar contours are normal.
left-sided chest pain evaluate for pneumonia or pneumothorax.
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an et tube is present, tip approximately <num> cm above the carina. an ng tube is present, tip extending beneath diaphragm, off film. the ngt sideport appears to lie at the level of the gastric fundus, near the region of the ge junction. there is mild cardiomegaly. there is upper zone redistribution and mild vascular plethora. there are small to moderate bilateral effusions with underlying collapse and/or consolidation. compared with <unk> at <time>, there may have been slight improvement in chf findings.
<unk> year old woman with hemorrhage stroke and chf s/p lasix // assess for interval change, assess ett
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the patient is status post median sternotomy. right-sided port-a-cath tip terminates in the right atrium. lung volumes are low. this accentuates the cardiac silhouette size which is likely mildly enlarged. calcified mediastinal nodes are re- demonstrated reflective of prior granulomatous disease. mediastinal and hilar contours are otherwise unremarkable. there is no pulmonary vascular congestion. patchy bibasilar airspace opacities most likely reflect atelectasis. there is no pleural effusion or pneumothorax. no acute osseous abnormalities detected.
wheezing, mast cell crisis.
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heart size is normal. a large hiatal hernia is demonstrated. hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities detected.
history: <unk>f with weakness and shortness of breath
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pa and lateral chest radiographs demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are normal. there is no pleural effusion, pulmonary edema, or pneumothorax. no air under the right hemidiaphragm is present.
<unk>m with dmi p/w hyperglycemia, polyuria, polydipsia, eval for infection as source // eval for pna
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ap and lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is unchanged. degenerative change is seen at the shoulders. no acute osseous abnormality detected.
<unk>-year-old male with leukocytosis and poor ambulation.
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et tube ends <num> cm above the carina. right subclavian line is in unchanged position. an ng tube ends in the stomach. the left pleural effusion is larger since yesterday. widespread opacities also worse since yesterday are consistent with worsening pulmonary edema. severe cardiomegaly is unchanged. no pneumothorax.
respiratory failure question edema.
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portable semi-erect chest film <unk> <time> is submitted.
<unk> year old man with <unk> // placement placement
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chest, pa and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. the patient is status post cabg with midline and intact sternotomy sutures. atherosclerotic disease is evident in the aortic arch. minimal atelectasis present in the bilateral lower lungs. otherwise, the lungs are clear. blunting of the right costophrenic angle likely reflects a small right pleural effusion, possibly loculated. no pneumothorax present. multiple radiopaque foci are identified in the right lateral subcutaneous tissues possibly representing skin calcifcations. multilevel degenerative change present.
cough, please evaluate for pneumonia or congestive heart failure.
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the bilateral lung apices and left costophrenic angle have been excluded from the field of view. there has been interval placement of a feeding tube with its tip projecting over the stomach. metallic right upper quadrant surgical clips from are in place. the tip of a right-sided picc line is not well seen, but appears to extend to at least the level of the mid svc. small bilateral layering pleural effusions are unchanged. mild pulmonary edema is unchanged.
<unk> year old man with new dobhoff. confirm placement.
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lines and tubes: newly placed right-sided picc terminates in the svc. left picc terminates at the cavoatrial junction. enteric tube and et tube are in unchanged position. lungs: moderately well inflated with persistent bilateral perihilar vascular prominence and dense left retrocardiac opacity. pleura: left pleural effusion, unchanged. no pneumothorax. mediastinum: there is stable cardiomegaly. bony thorax: prosthetic cardiac valve and sternal sutures remain unchanged. surgical clips project over the left lower chest.
<unk> year old man with new right ij c-line // eval line tip placement and r/o ptx
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portable ap upright chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. imaged upper abdomen is unremarkable.
history: <unk>m with chest pain // ? acute cardiopulm process
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the lungs are less well expanded than seen on <unk>, likely reflecting decreased inspiratory effort. slight right lower lobe opacity may reflect atelectasis, although infection cannot be excluded. the pleural surfaces, cardiac silhouette, and mediastinal contours are normal.
<unk>-year-old male with hiv, fever and hypoxia, evaluate for interval change or new pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is minimal atelectasis at the base of the right lung. otherwise the lungs are clear. there is persistent elevation of the right hemidiaphragm, similar in appearance to <unk> no pleural effusion or pneumothorax is seen. left subclavian vascular stent is unchanged in position.
<unk>m with dka // infiltrate?
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no focal consolidation, pleural effusion, or pneumothorax is detected. bluntin of the right cardiophrenic angle appears chronic and unchanged, probably reflecting slight atelectasis or scarring. heart and mediastinal contours are within normal limits.
<unk>-year-old male with productive cough and subjective fever.
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single portable view of the chest. there are bilateral upper lung regions of consolidation, right worse than left. there is also opacity the right lung base obscuring the costophrenic angle potentially due to layering effusion. the cardiac silhouette appears slightly enlarged but likely accentuated by low inspiratory effort and portable technique. atherosclerotic calcifications noted at the aortic arch and descending thoracic aorta. left chest wall dual lead pacing device seen. the bones appear diffusely osteopenic.
<unk>-year-old female with shortness of breath.
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. no overt bony abnormality is seen.
<unk> year old woman with discomfort left lower chest and ribs // ? parencymal abn.
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pa and lateral radiographs of the chest demonstrate symmetrically well-expanded and well-aerated lungs without focal consolidation, pleural effusion or pneumothorax. there is mild bi apical pleural scarring on the right greater than the left. no pulmonary lesion is detected by conventional radiography. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. no acute osseous abnormality is detected.
history of smoking now with chest pain, here to evaluate for pulmonary lesion.
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again seen are multiple right lateral rib fractures with mild pleural thickening, not significantly changed from <unk>. known old left rib fractures are not well visualized radiographically. deformity of the manubrium is consistent with the fracture identified on the <unk> chest ct. there is minimal degenerative spurring along the t-spine. review of <unk> chest ct raises the question of minimal concavity along superior endplate of an upper thoracic vertebral body, ? t<num> (s<num>b:im <unk>), of indeterminate acuity, without frank loss of vertebral body height. no pneumothorax is detected. the lungs are well expanded, except for possible trace atelectasis at the right lung base. no chf, focal infiltrate or gross pleural effusion is identified. minimal blunting of the posterior right costophrenic angle could reflect a small right effusion. mild cardiomegaly is unchanged from prior.
known rib fractures and worsening pain. evaluate for evidence of pneumothorax.
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compared with the most recent radiograph, left lower lobe opacity compatible with infection is grossly unchanged. there is minimal right basilar atelectasis. lobulated contour abutting the aortic arch and projecting over the ap window is compatible with thoracic aortic aneurysm and prior dissection. intact median sternotomy wires. no pneumothorax. tiny, if any, right pleural effusion.
<unk> year old woman with desaturation on o<num> and cough and upper extremity edema <unk> brachiocephalic and svc stenosis. please eval for consolidation, edema, or effusion.
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patient is status post median sternotomy, aortic valve replacement, and cabg. the heart size remains mild to moderately enlarged. the mediastinal and hilar contours are unchanged. pulmonary vasculature is mildly engorged without overt pulmonary edema. small bilateral pleural effusions are again noted, as seen on the most recent radiograph. patchy atelectasis is seen in the lung bases, not substantially changed in the interval. there is no pneumothorax. clips are noted in the right upper quadrant of the abdomen. there are no acute osseous abnormalities visualized.
history: <unk>f with hip pain.
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there has been interval intubation with the tip of the endotracheal tube positioned <num> cm above the carina. also new in the interval is a ng tube with the tip of the gastrostomy tube situated in the left upper quadrant. there is persistent left upper lobe collapse. suture material in the left upper lung is noted. right pleural effusion and fibrotic changes are again noted.
<unk>f with intubation // check ett placement
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frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is bibasilar atelectasis without focal consolidation, pleural effusion or pneumothorax. a nodular opacity in the right upper lobe is superimposed over the right sixth posterior rib. the heart cannot be well evaluated due to lung volumes. the aorta is tortuous. hilar contours are normal. degenerative change is seen in the shoulder girdles bilaterally. there is no free air under the diaphragm. compression deformities in the thoracic spine are noted.
<unk>-year-old woman with fall out of bed.
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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.
history: <unk>m with chest pain // ? process
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pa and lateral views of the chest again demonstrate bilateral pleural plaques. there is no focal consolidation, pleural effusion, or evidence of pneumothorax. indiscrete obscuration of the right lung base seen on pa view may represent an area of plate-like atelectasis. the cardiomediastinal silhouette is stable.
chest pain.
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compared to the prior study there is no significant interval change.
pulmonary embolus, intubated.
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. biapical scarring is unchanged. clips in the right upper quadrant are unchanged.
history: <unk>f with dypsnea, ruq abd pain // pna
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the mediastinum is widened secondary to known ascending aortic aneurysm, but is unchanged from prior exams. there is no new mediastinal widening. the cardiac silhouette is stably enlarged. bilateral moderate pleural effusions are unchanged with associated bibasilar atelectasis. there are no new consolidations. there is no pneumothorax.
postoperative hypotension with thoracic aneurysm on lovenox. evaluate for mediastinal changes.
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there is new consolidation seen in the left upper lobe consistent with pneumonia. there is a suggestion of a left hilar prominence, possibly reflecting underlying lymphadenopathy. there is no pleural effusion or pneumothorax. the cardiac silhouette is normal. the imaged upper abdomen is unremarkable.
fever and possible pneumonia and outside chest radiograph.
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slightly increased reticular density over the lower spine on the lateral radiograph may represent overlapping structures or early consolidation. the lungs are otherwise clear. there is no pleural effusion. cardiomediastinal silhouette stable. no pneumothorax.
<unk>m with cough // acute process?
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there is prominence of the central pulmonary vasculature suggesting vascular engorgement. the right hilum appears more prominent than the left which may relate to prominent vessels, however underlying lymphadenopathy is not excluded. no focal consolidation is seen. there is minor left basilar atelectasis. no pleural effusion or pneumothorax is seen. the aorta is calcified and tortuous. the cardiac silhouette is top-normal to mildly enlarged.
history: <unk>f with with lightheadness // role out pneumonia
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a left pectoral pacer and dual leads are new from the prior exam and are in expected position. the cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax, pleural effusion or focal consolidation.
<unk> year old man s/p dual chamber ppm // <unk> year old man s/p dual chamber ppm
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bedside upright ap radiograph of the chest shows interval removal of the endotracheal tube and orogastric tube. the swan-ganz catheter has been advanced to further <num> cm and terminates low within the right pulmonary artery. this catheter needs to be withdrawn by at least <num> cm to be appropriately positioned in the right main pulmonary artery. mild pulmonary edema as well as small bilateral pleural effusions persists, with fluid once again tracking in the minor fissure on the right. the postoperative appearance of the mediastinum and heart are unchanged. surgical clips, artificial aortic valves, and intact sternal cerclage wires are noted. there is no pneumothorax.
post-extubation evaluation of patient status post avr and mvr.
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there is mild to moderate cardiomegaly. there is a moderate left pleural effusion with no right pleural effusion. there is no pneumothorax. moderate pulmonary edema is seen, worse compared to the most recent prior study but similar compared to the study from <unk>. there has been interval removal of the right picc. left axillary pacemaker is again noted.
<unk>m with chf, dyspnea on exertion.
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compared to the prior study the et tube has been removed, otherwise there is no significant interval change
<unk> y.o female with scc and recent stent placement // interval improvement of aeration
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ap and lateral views of the chest are compared to study performed at <unk> from earlier the same day. there has been interval development of indistinct pulmonary vascular markings. small- to moderate-sized bilateral pleural effusions are more clearly delineated on the current exam. the lung volumes are seen. cardiac silhouette is prominent, likely accentuated due to ap technique and low inspiratory effort. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with elevated troponins and shortness of breath.
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since earlier same day chest radiographs, mild pulmonary edema, bilateral pleural effusions, moderate on the right and small to moderate on the left, and bibasilar atelectasis are unchanged. lung volumes remain low. cardiomegaly is unchanged. the tip of an endotracheal tube is seen <num> cm above the carina. og tube is seen in the stomach. severe gas filled bowel loops are noted. no pneumothorax.
<unk> year old woman with cholangitis with new og tube // eval og tube placement
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ett tip projects <num> cm from the carina. enteric tube traverses the diaphragm into the left upper abdomen out of the view of this image. there is lucency paralleling the left heart border. when read in conjunction with prior ct a neck which demonstrated air more superiorly in the mediastinum, this is compatible with pneumomediastinum. the heart is top-normal in size. no subdiaphragmatic free air on this supine film. right infrahilar and lower lobe parenchymal opacities as well as the lingula opacities are more conspicuous from the prior exam. no pneumothorax or pleural effusion.
<unk> year old man with coma, worsening hypoxia and peep requirements on the ventilator; evaluate for interval change.
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cardiac, mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. elevation of the right hemidiaphragm is unchanged. there is minimal atelectasis in the right lung base. no focal consolidation, pleural effusion or pneumothorax is identified. previously demonstrated pulmonary nodules on ct are not well assessed on the current radiograph. no acute osseous abnormalities demonstrated. cervical spinal fusion hardware is partially imaged.
history: <unk>m with shortness of breath
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portable single frontal chest radiograph was obtained. the patient is status post extubation and removal of ng tube. a right ij terminates in the right atrium. there is a persistent opacity at the left lung base with compressive atelectasis. subsegmental atelectasis is also present in left mid lung zone. the pulmonary edema has improved. the heart size remains borderline enlarged with mild pulmonary vascular congestion. there is no pneumothorax.
patient status post ex lap, now with wheezing, rule out consolidation.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. old left-sided rib fractures are unchanged.
altered mental status, chills, and hypoglycemia. status post renal transplant.
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subtle interstitial opacities in the right upper and right lower lung correlate with the locations of peribronchial nodules seen on prior ct chests, most recently <unk>. otherwise, there is no evidence of new focal consolidation. the cardiomediastinal silhouettes are stable, within normal limits. the bilateral hila are unremarkable. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion.
<unk>-year-old man with cough, fever, evaluate for infiltrate.
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the cardiac silhouette size is top normal. the mediastinal and hilar contours are unremarkable. linear opacity within the right middle lobe likely reflects subsegmental atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is present. cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen. there are no acute osseous abnormalities.
tachycardia and diabetic ketoacidosis.
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the patient is status post median sternotomy and cabg. the heart size remains moderately enlarged. the mediastinal and hilar contours are unchanged. there is no pulmonary edema. small right pleural effusion which is partially loculated laterally and extends into the minor fissure is unchanged. right basilar patchy opacity is re- demonstrated as well as <num> retrocardiac patchy opacity, all of which are similar compared to the previous exam. there is likely a small left pleural effusion. no pneumothorax is seen.
pneumonia.
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left pleural catheter has been removed. no pneumothorax. mildly improved left lateral chest wall emphysema. improved right basilar opacity, likely improving atelectasis. shallow inspiration accentuates heart size. normal pulmonary vascularity. stable left lower lobe consolidation.
<unk> y.o female s/p lap esophageal diverticulum resection with dor fundoplication c/b ptx post-op // ?interval change post-pull, now w/ increased o<num> requirement
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there has been interval development of a large left-sided pneumothorax, with displacement of the mediastinum to the right. the right lung base also shows more conspicuous opacities secondary to new atelectasis in the setting of previously existent right basal opacities. there is no right sided pleural effusion or pneumothorax. a new left-sided ij line is seen crossing the midline and ending at the confluence of both innominate veins. an esophageal tube ends below the gastroesophageal junction and the endotracheal tube is unchanged in position compared with prior exam, ending <num> cm above the carina.
<unk>-year-old female with new ij line placement.
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. the heart size is normal. cervical fusion hardware is partially imaged.
cough.
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endotracheal tube terminates <num> cm above the carina. nasogastric tube extends below the hemidiaphragm and out of view. stable, severe right convex scoliosis. stable, severe cardiomegaly. stable opacity at the right base likely reflects atelectasis. apparent interval increase in hazy opacification of the right hemithorax likely reflects layering of the moderate, right pleural effusion. stable, moderate left pleural effusion. persistent retrocardiac opacity likely reflects left basilar atelectasis. new, mild pulmonary edema.
<unk>-year-old woman status post intubation.
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the lungs are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there is no free air under the hemidiaphragms. no pancreatic calcificaitons visualized. osseous structures are intact.
<unk>-year-old man with history of chronic pancreatitis and hirschsprung disease. evaluate for free air and evidence of pancreatic calcification and chronic pancreatitis.
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the heart size is top normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. chain sutures are noted within the right upper lobe. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is definitively noted. no acute osseous abnormalities are seen.
chest pain and vision loss.
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. cervical spinal fusion hardware is incompletely assessed. a gastric band is noted within the left upper quadrant of the abdomen as well as clips in the right upper quadrant of the abdomen.
<unk> f with chest pain radiating to the back
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central venous catheter is again seen with tip in the mid to lower svc. there are <num> areas of consolidation identified, <num> in the right upper lung the other in the left mid lung on frontal exam. lungs are otherwise clear. there is no effusion or vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with fevers nos source, please r/o pna // pna?
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cervical spinal hardware appears intact. median sternotomy wires are intact. prosthetic aortic valve appears intact. normal cardiomediastinal and hilar contours. unchanged, minimal bibasilar atelectasis. no focal consolidation to suggest pneumonia. normal pleural surfaces.
<unk>-year-old man with <num> week of cough and left lower lobe rhonchi. evaluate for pneumonia.
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there are bilateral diffuse interstitial thickening and upper vascular re-distribution compatible with interstitial edema. there are no focal opacities suggestive of pneumonia. heart size is mildly enlarged, although assessment is limited in this ap projection. there is no pleural effusion or pneumothorax.
<unk>-year-old female with dyspnea. evaluate for pneumonia.
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen. cervical spinal fusion hardware is re- demonstrated, but not completely assessed. no subdiaphragmatic free air is demonstrated.
history: <unk>f with chest pain and recent coloscopy
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pa and lateral views of the chest provided. moderate left pleural effusion and small right pleural effusion are increased in size from chest radiograph <unk>. bibasilar atelectasis is noted. there is no pneumothorax or evidence of pulmonary edema. evaluation of the cardiomediastinal silhouette is limited by left-sided pleural effusion. sternotomy wires and surgical clips overlying the upper mediastinum are again noted.
history: <unk>m with recent cabg, here with orthopnea // assess for pulmonary edema
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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman s/p open ccy w/ new hypotension, tachycardia and cough // r/o pulmonary etiology r/o pulmonary etiology
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the patient is intubated. an endotracheal tube terminates approximately <num> cm above the carina. the cardiac, mediastinal and hilar contours appear unchanged including widening of the mediastinum and substantial cardiomegaly. mild perhilar congestion appears unchanged. there are possibly small pleural effusions and the base of the chest is difficult to assess owing to cardiomegaly and soft tissue attenuation. there has been no significant change aside from endotracheal intubation.
status post intubation and transfer from outside hospital.
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frontal and lateral radiographs of the chest. postsurgical changes are seen in the right upper hemithorax which are grossly stable but there is possible slight increase in opacification in the right upper upper hemithorax since the prior study. volume loss related to the prior lobectomy is noted with elevation of the right hemidiaphragm and the right hilus. the left lung is clear. no pleural effusion or pneumothorax. normal heart size.
history of right upper lobe resection for mycobacterium pneumonia here with fever and cough. question pneumonia.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen. no evidence of free air is seen beneath the diaphragms.
right upper quadrant, right flank pain x.
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there is a left lingular consolidation. the right lung is clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old male with cough and fever. evaluate for pneumonia.
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a cardiac conduction device is contiguous with leads which project over the right ventricle and right atrium. no pneumothorax. no focal consolidation. a metallic stent projects over the aortic valve.
history: <unk>f with confusion // eval for acute process
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ap upright chest radiograph demonstrates a mildly enlarged heart despite marked patient rotation. there is no evidence of pulmonary edema. there is no large pleural effusion. no focal opacity convincing for pneumonia. air-fluid level above the hemidiaphragm is present, most conspicuous on the lateral view, likely reflective of hiatal hernia. no pneumothorax.
history: <unk>m with cva // routine
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the heart is at the upper limits of normal size. the mediastinal contours appear unchanged. perihilar fullness with a predominantly central to lower lung interstitial abnormality is fairly similar, most consistent with mild-to-moderate pulmonary vascular congestion, somewhat worse than on the prior examination but similar in pattern. there is no definite pleural effusion.
shortness of breath and cough.
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old female with new t-wave inversions. evaluate for cardiopulmonary process.
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there is no focal consolidation. the heart size is top normal. the cardiomediastinal contours are normal. there are aortic calcifications. there is no pleural effusion or pneumothorax. there is no pulmonary vascular congestion or edema.
syncope, question of edema.
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mild enlargement of cardiac silhouette is present. thoracic aorta is unfolded. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. streaky opacities in lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is seen. remote left third posterior rib fracture is present.
history: <unk>m with altered mental status, agitation
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. no displaced rib fracture is identified on these lung-technique films.
<unk>-year-old female status post mvc, now with right chest wall pain.
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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 <unk> <unk>. the heart is moderately enlarged. the configuration indicates a left ventricular prominence to the left and posteriorly. this finding in conjunction with the generally widened and elongated thoracic aorta is suggestive of systemic hypertension. this cardiac enlargement is rather similar to what has been noticed on the previous chest examination <unk> <unk>. the pulmonary vasculature on the other hand has undergone a change in it, much as the vasculature is more plethoric and shows perivascular haze consistent with some mild degree of interstitial edema. in addition, the lateral pleural sinuses are now blunted by small amounts of pleural effusion that extend into the posterior pleural sinuses as seen on the lateral view. there is no evidence of new discrete pulmonary parenchymal infiltrates and no pneumothorax can be identified in the apical area.
<unk>-year-old male patient with persistent asthma exacerbation, evaluate for pneumonia.
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low lung volumes are noted. the lungs are grossly clear without consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. deformities of the left lateral ribs are chronic.
<unk>f with ams // eval infiltrate
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lung volumes are extremely low, accentuating the cardiac silhouette and pulmonary vasculature. given low lung volumes, heart size is likely top normal. mediastinal silhouette and hilar contours are unremarkable. lungs are clear without focal consolidation concerning for pneumonia. pleural surfaces are clear without effusion or pneumothorax.
cough and shortness of breath.
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips noted in the upper abdomen.
<unk>m with stroke // acute process?
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the lungs are clear. there is no consolidation or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified, mild height loss of lower thoracic vertebral body levels is unchanged.
<unk>m with sob // r/o pe
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the heart is enlarged, as before. a dual-lead pacemaker/icd device appears in a similar configuration. mild unfolding and calcification involving the thoracic aorta appears similar. the mediastinal and hilar contours appear unchanged. the lung volumes are low. patchy bibasilar opacities are nonspecific as to etiology and appear slightly decreased within the left lower lobe. interstitial pulmonary edema has also improved. there is a small right-sided pleural effusion that appears increased with blunting of the left posterior costophrenic sulcus that may reflect a tiny effusion which is unchanged. degenerative changes along the thoracic spine are similar.
substernal chest pain.
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there has been interval extubation. enteric tube terminates at the anastomosis in this patient post esophagectomy. right-sided chest tubes, right picc are unchanged in position. persistent low lung volumes with no interval change in paramediastinal and right lower lobe atelectasis or right pleural effusion. in interval worsening of left basilar linear atelectasis.
<unk> year old man s/p esophagectomy with difficulty breathing // please assess for atelectasis vs. consolidation vs. pneumothorax
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there is a large hiatal hernia. streaky right basilar opacity is likely atelectasis especially in setting of large hiatal hernia. the lungs otherwise grossly clear. the cardiomediastinal silhouette is otherwise unremarkable.
<unk>m with ams, found down w head lac, hypotensive, pls eval cxr for pna and rib injury, cspine for fx and re-read head ct for ?hemorrhage (initial read is "mass" with shift) pt on three anticoags
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the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal.
<unk>f with pancreatitis. // effusion?
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the lungs are hyperexpanded with flattened diaphragms, suggesting copd. there is no focal consolidation, vascular congestion, or pneumothorax. patient is status post sternotomy with multiple intact sternotomy wires. surgical clips in the left mediastinum are unchanged. the heart is not enlarged, and the heart borders are well-defined. osseous structures are unremarkable.
<unk> year old man with right clavicular pain radiating into right shoulder. source of right clavicular pain.
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the lungs are well expanded. there is no focal consolidation or pneumothorax. prominence of interstitial lung markings may be due to mild interstitial edema. the heart is mildly enlarged.
history: <unk>f with s/p with facial abrasions, r knee and tib/fib tenderness // ?fracture or bleed