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the lungs are clear. there is no consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain // ? ptx
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compared with <unk>, bilateral pleural effusions with borderline pulmonary edema are again seen and opacity in the right lower lobe may represent atelectasis, aspiration, or pneumonia. the cardiac size is enlarged and mediastinal silhouette is unremarkable. again seen are the left subclavian pacemaker with dual chamber and epicardial leads, median sternotomy wires, mediastinal clips, and prosthetic mitral valve.
<unk> year old man with dyspnea. // please evaluate for chf or other thorcacic pathology.
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single frontal portable view of the chest demonstrates a right picc, which terminates at the cavoatrial junction. there is no evidence of pneumothorax, pleural effusion, overt pulmonary edema, or focal consolidation. the right costophrenic sulcus is excluded on this image. the lungs are well expanded and clear. the cardiomediastinal silhouette is unchanged.
<unk>-year-old female with recent right upper extremity picc placement. evaluation for location.
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single portable view of the chest. lung volumes are lower on the current exam. there is blunting of the lateral costophrenic angles bilaterally which could be due to overlying soft tissues, although underlying effusions would be difficult to exclude. superiorly, the lungs are clear. there is no evidence of focal consolidation. cardiomediastinal silhouette is unchanged given differences in technique and positioning, noting rotation to the right. absorption of the distal right clavicle and chronic deformity of the right humeral head are again noted, not significantly changed dating back to <unk>.
<unk>-year-old female with leg pain and shortness of breath, recent hospitalization.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. trace opacity in the left costophrenic angle is likely related to atelectasis upon correlation with subsequent ct. a biliary stent is in place.
<unk>-year-old female with diffuse abdominal pain status post ercp and stent placement. question bile leak.
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asymmetric pulmonary edema with right lung predominance is increased compared to <num> day prior. small right pleural effusion is unchanged. emphysema is severe. moderately enlarged cardiac silhouette is stable. multiple left rib fractures are noted. metallic wires project over the right lung and mid thoracic spine.
<unk> year old man with multiple rib fractures // eval for interval change
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the lungs are well-expanded. mild peribronchiolar wall thickening could suggest small airways disease or viral infection in the appropriate clinical situation. no edema, effusion, pneumothorax, or focal consolidation. the heart is normal in size. the mediastinum is not widened. no acute osseous lesion.
<unk>-year-old woman with shortness of breath. evaluate for pneumonia.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. there is no free air beneath the right hemidiaphragm. no displaced rib fractures are detected.
overdosed with respiratory arrest status post cpr, now with new cough and right-sided wheeze, here to evaluate for aspiration pneumonia, rib fracture or pneumothorax.
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the patient is rotated. the lungs are clear. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the heart is top-normal in size and the descending aorta is tortuous. the cardiomediastinal silhouette is unchanged since <unk>. no acute osseous abnormality.
<unk>-year-old woman presenting with a persistent cough; evaluate for pneumonia.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding single chest view of <unk>. presently, the heart size is normal. no configurational abnormality is present. thoracic aorta unremarkable. no mediastinal abnormalities are seen. the pulmonary vasculature is normal. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no evidence of pneumomediastinum or pneumothorax. the, on previous examination identified, mediastinal air collections and tissue emphysema in the right lower neck area have normalized.
<unk>-year-old male patient with esophageal perforation, evaluate for subcutaneous air.
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pa and lateral views of the chest were obtained. the heart is normal size, and cardiomediastinal contour is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain, evaluate for pneumothorax.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
status post fall and now with chest pain.
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the lungs are well inflated, with no parenchymal opacity identified. the pleural and hilar surfaces are unremarkable. there is no pneumothorax. the aorta is quite tortuous, but the cardiomediastinal silhouette is unchanged compared to the prior study, with a top-normal sized heart.
<unk> year old woman with atrial fibrillation on amiodarone // eval for pulmonary toxicity from amiodarone
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the enteric tube terminates within the body of the stomach, however the side-holes may be at the gastro-esophageal junction, and needs to be advanced. subdiaphragmatically noted is distention of the small bowel consistent with patient's known small bowel obstruction. the <num> cm perihilar left lung nodule is unchanged. multiple lung nodules continue to be seen, better evaluated on the prior ct. there is mild cardiomegaly which is stable since <unk>. there is stable widened mediastinum likely secondary to fat infiltration. there are small bilateral pleural effusions. there is no pneumothorax.
history of sbo, ng tube placement, please evaluate.
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ap view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. retrocardiac opacity is noted. there is no pleural effusion or pneumothorax. the descending aorta appears tortuous. the hilar and mediastinal silhouettes are unremarkable. the heart size is top normal. there is no pulmonary edema.
patient with altered mental status and right upper quadrant abdominal pain. assess for pneumonia.
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the et tube terminates approximately <num> cm from the carina and can be retracted for better positioning. patient is status post median sternotomy. there is extensive pneumomediastinum. in addition, there are left lower lobe opacities worrisome for atelectasis versus aspiration. there are likely bilateral small pleural effusions.
<unk>-year-old female with esophageal injury and intubated. evaluate et tube placement.
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small to moderate bilateral pleural effusions have increased in size compared with the immediate prior study of <unk>. mild pulmonary edema is slightly improved. the right chest wall dual-chamber pacemaker leads project in unchanged position. the right-sided picc line ends in the lower svc. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits.
<unk> year old man with recurrent sob, chf and endocarditis. // r/o pulmonary edema
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pa and lateral views of the chest are compared to previous exam from <unk>. when compared to prior, left lung base opacity has essentially resolved. the lungs are slightly hyperinflated but now grossly clear. there is no effusion. cardiomediastinal silhouette is within normal limits. left-sided central line is seen with catheter tip at the ra/svc junction. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever.
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slight prominence of the central pulmonary vasculature may be due to minimal central vascular engorgement. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mild to moderately enlarged. mediastinal contours there is tripped slight prominence of the left mediastinum, query underlying lymphadenopathy. evidence of tracheal tree calcification is again seen.
history: <unk>f with fever, ili // eval heart and lungs
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the heart is normal in size. a moderate hiatal hernia projects over the lower mediastinum in the midline. there is also a very small eventration suspected along the right hemidiaphragm. there is no pleural effusion or pneumothorax. the lungs appear clear.
palpitations and shortness of breath.
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ap portable upright view of the chest. overlying ekg leads are present. midline sternotomy wires and mediastinal clips are in place. the heart is mildly enlarged, similar to prior exam. no focal consolidation, large effusion or pneumothorax. there is an azygous fissure noted. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with chest tightness, bradycardia
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frontal and lateral radiographs of the chest demonstrate minimal change since <unk>. lungs are clear and the cardiac and mediastinal contours are normal. no pleural abnormality is detected.
persistent cough. evaluate for cause of cough.
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single portable view of the chest compared to previous exam from <unk>. there is engorgement of the central pulmonary vasculature with indistinctness of the vascular markings. there is no confluent consolidation. blunting of the left costophrenic angle could be due to technique and overlying soft tissues; however, small effusion is not excluded. cardiomediastinal silhouette is not significantly changed given differences in positioning and technique. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with altered mental status. low-grade fevers.
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right-sided dual-lumen central venous catheter is again noted. increased lung volumes seen compared to prior. there may be mild superimposed pulmonary vascular congestion without overt edema. the cardiomediastinal silhouette is unchanged. no acute osseous abnormalities.
<unk>m with extensive vascular history, here with flu-like illness // any evidence of pna?
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there is mild interstitial edema. no focal consolidation is seen. the heart is mildly enlarged. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with <unk>'s disease status post fall, evaluate for acute pathology.
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. there is a moderate-to-large hiatal hernia with an air-fluid level, as before. the chest is hyperinflated. there is no pleural effusion or pneumothorax. streaky left basilar opacity is unchanged and suggests atelectasis in associated with the hiatal hernia.
chest discomfort and recent cough.
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the cardiac, mediastinal and hilar contours are normal. diffuse, bilateral symmetric airspace opacities have progressed significantly compared to the previous exam. no pleural effusion or pneumothorax is seen. no pulmonary vascular congestion is present. there are mild degenerative changes in the thoracic spine.
dyspnea, cough, recent pneumonia, immunocompromised.
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there is new nodular opacification at the right lung base, concerning pneumonia. lung volumes are low. similar, more hazy opacities are noted at the left lung base. heart size and mediastinal contours are normal. no pleural effusion. no pneumothorax.
<unk>m with hypoxia // eval for pna
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the lungs are moderately well inflated. there has been partial resolution of the retrocardiac opacity seen on prior. a region of linear opacity remains in the retrocardiac space, similar as compared to ct chest dated <unk>, likely representing atelectasis or scar. the heart size is normal. there is no pleural effusion or pneumothorax.
<unk> year old woman with leukocytosis, history of rheumatoid arthritis, has been receiving antibiotics, had retrocardiac opacity on prior chest x-ray, question resolution.
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left picc appears similarly positioned with tip projecting over the mid superior vena cava. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. multiple mild mid and lower thoracic mild anterior wedge vertebral body deformities are seen, age indeterminate.
<unk>-year-old male with fever and neutropenia.
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bilateral lower lung opacities are more conspicuous than before and given the history, i would be concerning for an aspiration pneumonia. lungs are relatively clear. heart size, mediastinal and hilar contours are normal. there is no pleural effusion.
evaluate for evidence of pneumonia, complex partial seizures reported repeated aspiration.
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left chest tubes have been removed. stable appearance of the right chest with right pleural effusion and basilar atelectasis. there is small left pleural effusion, similar. left basilar opacity has increased, likely atelectasis. no pneumothorax. stable pulmonary vascularity. heart size is difficult to estimate.
<unk> year old man with bilateral pleural effusions and small pericardial effusion s/p chest tube removal with ?reaccumulation // interval evaluation s/p chest tube removal
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frontal and lateral views of the chest. left picc terminates in the upper svc. heart size is stable. prominent bilateral hila, right greater than left, are consistent with known hilar lymphadenopathy. increased prominence of the central bronchovascular markings may be due to low lung volumes. bibasilar streaky opacities are most consistent with atelectasis. emphysematous changes are again noted. no substantial pleural effusion or pneumothorax.
metastatic endocrine tumor presenting with epigastric pain.
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there is blunting of the left costophrenic angle in the area of the prior pleural effusion. this may represent pleural thickening or a small chronic effusion. it is unchanged in appearance from the prior exam approximately one week prior. there is no right-sided pleural effusion. there is no consolidation, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal. atherosclerotic calcifications are noted in the aortic arch. an irregular contour of the lateral border of the fifth left rib is noted. no definite fracture is identified. this irregularity is new since the prior exam on <unk>.
chest pain.
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cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. comminuted fracture of the distal left clavicle and widening of the coracoclavicular interval is partially imaged and better evaluated on the same day dedicated shoulder examination.
fall off bike, evaluate for clavicle fracture.
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the lungs are hyperinflated. cardiac silhouette size is normal. the aorta remains mildly tortuous. hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
hiv, copd and increased dyspnea.
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a portable supine frontal chest radiograph demonstrates a right internal jugular catheter, which now terminates in the low svc. lung volumes remain low, without definite focal consolidation, pleural effusion, or pneumothorax.
status post repositioning of the right ij catheter.
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the lungs are well expanded. a new opacity is noted in the left costophrenic angle. no other focal opacities are noted bilaterally. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there has been interval removal of a left-sided subclavian line with an interval placement of a tunnel trialysis line that ends in the lower svc.
<unk>-year-old female with aml, receiving chemotherapy, now with low-grade temperature. evaluate for evidence of pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. moderate cardiomegaly is stable. there is no pulmonary edema.
<unk> year old woman with follow up effusion and ?edema seen on prior cxr // follow up effusion and ?edema seen on xray at <unk>
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a left-sided pacemaker is in place. nasogastric tube enters the stomach. a right-sided picc line has been repositioned, and now terminates in the lower svc. there is no pneumothorax. the lungs are clear.
<unk> year old man with new ngt // ngt
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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 and unremarkable. partially imaged bilateral shoulder arthroplasties. no pulmonary edema is seen.
history: <unk>f with weight gain, concern for fluid overload // assess for signs of volume oevrload
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since the prior studies is been interval progression of pulmonary edema, now moderate. no large pleural effusion. heart size is enlarged but stable. right mid lung opacification persists.
<unk> year old man with worsening hypoxia. evaluate for chf.
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there is a new opacity obscuring part of the right heart border and the right hemidiaphragm, which is consistent with pneumonia involving either the right middle lobe or the superior segment of the right lower lobe. linear opacity in the right mid lung zone is compatible with atelectasis. the lungs remain hyperinflated. there is no pneumothorax or pleural effusion. the cardiac silhouette is unchanged, with a tortuous aorta. the bones are intact.
history of afib, two weeks of shortness of breath, cough, rales on exam.
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there is mild central peribronchial cuffing particularly on the left lung base which may indicate small airway disease or bronchitis. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
history: <unk>m with productive cough, fever, evaluate for possible pneumonia
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pa and lateral views of the chest provided. lungs are hyperinflated with severe emphysema noted. no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette appears grossly within normal limits. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m w/shortness of breath, please eval for pna
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pa and lateral views of the chest. the chest is clear. the cardiomediastinal silhouette is normal. atherosclerotic calcifications seen in the aorta. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain and shortness of breath.
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ap and lateral views of the chest provided. dual lead pacemaker is unchanged in position with leads extending to the region the right atrium and right ventricle. midline sternotomy wires and mediastinal clips are again noted. there is mild pulmonary edema with small bilateral pleural effusions. heart size is top-normal contours unremarkable. no pneumothorax. no acute osseous abnormalities.
<unk>m with hx of chf, cabg x <num>, multiple stents, with fall today, unclear etiology, not mechanical
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portable radiograph of the chest shows unchanged monitoring and support devices. compared to the prior study, there is worsened bilateral pulmonary edema with increased upper zone redistribution and mild increase in right pleural effusion. stable cardiomegaly and unchanged mediastinal contour. no pneumothorax is seen.
altered mental status secondary to seizures. evaluate for pulmonary edema.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are slightly low. minimal streaky opacities in the lung bases may reflect areas of atelectasis though early aspiration cannot be completely excluded. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with opioid overdose // eval for aspiration
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ap view of the chest. a tracheostomy tube and right internal jugular central venous line are stable. mild cardiomegaly is unchanged. mild interstitial pulmonary edema and pulmonary congestion are increased since <unk>. new right basilar opacity likely representing atelectasis are slightly increased. no pneumothorax. no pleural effusions.
chronic respiratory failure and tracheostomy. evaluate for interval change.
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mild cardiomegaly is been stable compared to exams dating back to at least <unk>. there is mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia identified. there is no pleural effusion pneumothorax. sternal wires and clips projected over the right lung apex, are overall unchanged in appearance compared to the prior exam. the visualized osseous structures are unremarkable.
<unk>f with sob for <num> months. desat to <unk> today // assess for pneumonia
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with pna- persistent pain and sob // r/o pna
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with cough, abnormal chest sounds // r/o infiltrate
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pa and lateral images of the chest demonstrate interval worsening of left lung opacity. the entire left hemithorax is now again opacified. opacification is likely due to a large left pleural fluid collection in the setting of lobectomy versus less likely left lung collapse. there is persistent significant elevation of the left hemidiaphragm. the right lung is clear. there is no right pleural effusion. cardiac size cannot be assessed due to obscuration by the left hemithorax opacification. the mediastinum is not shifted.
<unk>-year-old male status post thoracotomy and left lower lobe lobectomy, now requiring assessment for interval change.
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improved aeration of the left lower lobe since <unk> with residual bibasilar opacities likely atelectasis. no pleural effusion or pneumothorax. normal cardiomediastinal silhouette.
status post laparoscopic sleeve gastrectomy complicated by pneumonia, evaluate for pneumonia, atelectasis.
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the lungs are hyperinflated compatible with known emphysema. a small right-sided pleural effusion is new compared with prior exam. streaky bibasilar opacities suggest bibasilar atelectasis versus scarring. a nodular opacity in the soft tissues of the lateral aspect of the right thoracic wall is better assessed in prior ct and represents a sclerotic lesion within the scapular tip. there is no pneumothorax. the upper sternotomy wire is fractured, but the remaining sternotomy wires are intact. multiple surgical clips within the mediastinum correspond to prior surgery. the aorta is tortuous, with atherosclerotic calcifications of the aortic knob.
<unk>-year-old male with chest pain. evaluate for acute cardiopulmonary process.
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in comparison to radiograph for <num> hours prior, there is no significant interval change. again seen is the right ij catheter terminating in the mid svc (deflection to the right suggests goiter). there is no cardiomegaly, pulmonary vascular engorgement, or large pleural effusion. mild atelectatic changes at the left lung base are only partially imaged. there is no pneumothorax.
hypoxia and rales on exam. evaluation for pulmonary edema.
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the heart is mildly enlarged. the aorta is tortuous with calcifications. ascending aortic diameter cannot be accurately measured. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. s-shaped thoracic scoliosis is noted. there are degenerative changes in the thoracic spine.
<unk>-year-old woman with severe aortic stenosis, <num> days of shortness of breath. evaluate for acute process, pneumonia.
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frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
<unk>-year-old female with asthma and cough and chest tightness. evaluate for pneumonia.
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there has been no significant interval change compared to the prior radiograph performed on <unk> at <time>. lungs are free of focal consolidation, pleural effusion or pneumothorax. stimulator device projects over the left anterior chest wall. no acute osseous abnormalities are identified. however, note that a chest radiograph is not sensitive for the detection of chest wall trauma.
history: <unk>f with ams, l rib pain // acute process
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cardiomediastinal silhouette is stable. lung volumes remain low. there is no focal consolidation. there is no pulmonary edema or pleural effusion. . no pneumothorax.
<unk> year old man with encephalopathy // evaluate for lung pathology
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lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. no blunting of the costophrenic angles to suggest a pleural effusion. no consolidation or pneumothorax seen. the visualized bony structures are unremarkable in appearance.
history: <unk>f with chest discomfort and cough // evaluate for pneumonia
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right-sided port-a-cath tip terminates in the cavoatrial junction. heart size is normal. the aorta is tortuous, unchanged. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. streaky opacities within the retrocardiac region may reflect atelectasis. right lung is clear. no focal consolidation, pleural effusion or pneumothorax is seen. compression deformities of several thoracic vertebral bodies within the mid and lower thoracic spine appear unchanged with associated kyphosis.
history: <unk>m with fall. history of multiple myeloma on chemo // ?pneumonia
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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.
<unk> year old woman with esrd on pd, dm, htn, gastroparesisplease page #<unk> with wet read // patient with worsening sob
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frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. no focal consolidation, pleural effusion, or pneumothorax is seen. the visualized upper abdomen is unremarkable.
chest and shoulder pain.
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heart size remains mildly enlarged. the aorta is tortuous with diffuse atherosclerotic calcifications again noted. mild pulmonary edema is improved compared to the previous exam. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities
history: <unk>f with hypotension
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a left chest ventricular pacer with tip in the right ventricle is unchanged in position. the swan-ganz catheter has been removed since <unk>. the heart is severely enlarged. no pneumothorax, large pleural effusion or frank pulmonary edema. there is mild pulmonary vascular congestion. biapical pleural thickening or scarring is unchanged. no definite focal pneumonia.
<unk>-year-old man with nicm from cocaine here with shortness of breath. evaluate for pulmonary edema or pneumonia.
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the patient is status post intubation with an endotracheal tube terminating approximately <num> cm from the carina. an ng tube is noted to be terminating in the mid esophagus. there is a large right-sided dense consolidation occupying the upper <unk> of the lung. in the lower third of the lungs, there is more patchy consolidation. there are also patchy left lower lobe opacities. no definitive pleural effusion on the left; a small one may be present on the right.
history: <unk>m with intubation // eval tube, pna //history: <unk>m with intubation
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there is stable calcification of the aortic arch. the size of the cardiomediastinal silhouette is at the upper limits of normal and stable. the lungs are clear, without consolidations or pulmonary edema. trace bilateral pleural effusions are unchanged. there is no pneumothorax.
altered mental status. evaluate for pneumonia.
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<num> lead left-sided pacemaker is seen with lead extending to the expected positions of the right atrium and right ventricle.bilateral pleural effusions with overlying atelectasis there is seen. enlargement of the cardiomediastinal silhouette is stable. central pulmonary vascular engorgement is seen.
history: <unk>f with reported "lung crackles" // eval for pneumonia
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frontal and lateral chest radiographs demonstrate clear, well-expanded lungs without pleural effusion or pneumothorax. scarring in the left costophrenic angle is unchanged from <unk> years prior. the pulmonary vasculature is normal. the cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with chest pain. please evaluate for acute process.
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. spinal hardware is unchanged. calcified infrahilar lymph nodes are again noted.
<unk> year old woman with multiple myeloma on chemo. // r/o pneumonia. sob
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no acute focal consolidation. chronic linear opacity along the right heart border, suggestive of right middle lobe partial volume loss. nodular opacities projecting between the sixth and seventh interspace on the left appears more conspicuous since <unk>. the mediastinum is widened. the trachea is deviated to the right. moderate cardiomegaly. extensive atherosclerotic calcifications and tortuosity of the descending aorta. no pleural effusions or pneumothorax.
<unk> year old woman with history of smoking, restrictive pfts, cad, with shortness of breath, cough, recent bronchitis // any infiltrates or pulmonary edema
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there is moderate pulmonary edema and widening of the left upper mediastinum consistent with the patient's history of dissection. there is no pleural effusion and no pneumothorax. there is no lung consolidation. the endotracheal tube ends <num> cm above the carina. ng tube extends into the stomach with the tip not visualized.
<unk>-year-old with aortic dissection.
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cardiomediastinal silhouette is normal. there is no pleural effusion, pneumothorax, or pneumomediastinum. there is no focal lung consolidation. no foreign body.
<unk>-year-old man with sensation of esophageal foreign body, evaluate for pneumonia
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previously noted endotracheal tube is no longer visualized. previously noted right internal jugular central venous catheter is noted with the catheter tip in the upper right atrium. there is a new enteric tube in place with the catheter tip at the duodenal bulb. visualized lower lung bases appear clear. visualized heart appears normal. thoracic aorta appears stably tortuous.
nasogastric tube placement.
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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.
new onset of atrial fibrillation.
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confluent regions of consolidation are identified in the bilateral lower lobes, more extensive on the left than on the right. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cough, fever // eval for infiltrate
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sternotomy wires and mediastinal clips are constant. lung volumes are low. no pleural effusion, pneumothorax or focal airspace consolidation. heart is top normal in size but unchanged. mediastinal and hilar contours are unremarkable.
cough and chest pain. rule out acute process.
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compared to prior examinations from <unk>, there has been progressive increase in size of moderate bilateral pleural effusions as well as the interval development and progression of a moderate interstitial edema. cardiomediastinal silhouette and hilar contours are unchanged. there is no pneumothorax.
pleural effusion status post thoracentesis, now with worsening shortness of breath.
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lungs: the lungs are well inflated. there is no consolidation. pleura: no pleural effusion is seen. heart: the heart is not enlarged. mediastinum and hila: there is no mediastinal mass. osseous structures: the osseous structures are normal for age. other findings: none
history: <unk>m with cough for <num> weeks // evaluate for infiltrate
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cough and fever // r/o pna
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ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. bilateral chronic deformities are again seen. there is a chronic compression deformity of l<num> which is partially visualized on the lateral projection. no free air below the right hemidiaphragm is seen.
<unk>f with intermittent chest pain
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compared to prior study there is no significant change in the right upper lobe collapse, small right apical pneumothorax, and right-sided chest tube. left lung continues to be clear.
right pneumothorax.
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there is new opacification at the right lung base. the remainder of the lungs are clear. heart size is normal. mediastinal and hilar contours are stable, but slightly shifted to the left, likely due to patient position. a left port-a-cath is present with tip terminating in the region of the cavoatrial junction.
<unk>-year-old with new fevers, on chemo recently.
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frontal and lateral views of the chest. lungs are clear of consolidation or effusion. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. multiple right-sided rib fractures are identified, not definitely changed since recent prior examination. no definite new fracture is identified on this non-dedicated exam.
<unk>-year-old female with chest wall pain status post domestic abuse.
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as compared to <unk>, ng tube is in the pylorus. linear opacities in the left lower lobe have improved. no pneumothorax. no significant effusions.
<unk> year old woman with ng tube // ng tube placement?
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these are the first chest x-rays from this institution. comparison is made to chest ct from <unk> which showed multiple predominantly pleural-based focal masses/infiltrates. the current chest x-ray demonstrates irregular opacities, most marked on the right, the largest of which is <num> cm in the right mid lung laterally with other pleural-based lesions lower on the right. there is a small right-sided pleural effusion. the other lesions are better detected on the chest ct. mild degenerative changes of the thoracic spine with anterior osteophytes. the heart is mildly enlarged.
multiple focal predominantly pleural-based pulmonary infiltrate seen on prior chest ct.
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the heart size is normal. the mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
smoke inhalation <num> hours ago and shortness of breath.
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compared with the prior radiograph, the severity pulmonary edema has improved. moderate to severe cardiomegaly is stable. a persistent right lower lobe opacity concerning for pneumonia, given the improved edema. no pneumothorax. no change in the continuous left pacemaker leads terminating in the right atrium and right ventricle.
<unk> year old woman with chf and +flu swab admitted for chf exacerbation. interval change.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with cough // cough x <num> month, smoker, r/o pneumonia
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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 c/o fatigue and cough // ? pna
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heart size is normal. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected. gaseous distention of the stomach is noted.
history: <unk>f with cough
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the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are identified.
struck by a car.
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there is small area of consolidation in the left lung base in retrocardiac region which may be atelectasis, however pneumonia is possible in correct clinical setting. cardiac silhouette is again accentuated by low lung volume. there is no pulmonary edema. left picc terminates in low svc.
<unk> year old man with delirium, cough // ?opacity
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ap upright and lateral views of the chest provided. lung volumes are low limiting evaluation. there is mild hilar congestion and mild interstitial pulmonary edema. no large effusion or pneumothorax. no acute bony abnormalities. vague nodular opacity in the left mid lung is equivocal and followup post diuresis is advised.
<unk>f with multiple falls here s/p fall, occipital head strike
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the endotracheal tube terminates <num> cm above the carina. there is no pleural effusion, pneumothorax or focal airspace consolidation. streaky bibasilar atelectasis is noted. heart is normal size. the aorta is tortuous. hilar contours are unremarkable.
intubation. evaluate ett.
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pa and lateral views of the chest provided. streaky opacities in the left lower lobe are minimally changed from chest radiograph <unk>, new as compared to chest radiograph <unk>, and remain concerning for pneumonia. right lung clear. there is no pleural effusion pneumothorax. heart size is top normal. there is no osseous abnormality. no free air below the right hemidiaphragm is seen.
history: <unk>f with ?pna // ?pna
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the patient is status post median sternotomy with aortic corevalve device again noted in unchanged position. cardiac silhouette remains unchanged, mildly enlarged. the aorta is tortuous and diffusely calcified. mild to moderate pulmonary edema is somewhat worse compared to the previous exam. small right pleural effusion is noted. bibasilar atelectasis is demonstrated. no pneumothorax is identified. multilevel degenerative changes are seen in the thoracic spine.
history: <unk>m with shortness of breath and wheezing
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frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pneumothorax or pleural effusion.
patient with copd, smoker with productive cough and shortness of breath, rule out consolidation.