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a right-sided internal jugular line terminates in low svc. lung volumes are again low. right hemidiaphragm remains elevated. persistence of a small left-sided pleural effusion and bilateral atelectasis. retrocardiac opacity is slightly improved from the prior study.
<unk>-year-old woman with hypoxia. rule out pneumonia, effusion, or pneumothorax.
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lung volumes are low. linear density at the right base likely represents atelectasis. retrocardiac opacity could represent atelectasis or pneumonia. heart size is mildly enlarged. mediastinal contours are exaggerated by low lung volumes. no pleural effusion, pulmonary edema or pneumothorax is detected on these views.
<unk>-year-old male with right upper quadrant pain and shortness of breath.
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ap portable upright view of the chest. there is mild elevation of right hemidiaphragm. the heart appears at least moderately enlarged. there is hilar congestion and probable mild interstitial pulmonary. no large effusion is seen. no pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with hx of chf and dyspea // ?pulmonary edema
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when compared with the immediate prior study, left upper lung aeration has improved and effusion has decreased. there appears to be moderate re-expansion pulmonary edema. the right lung is unchanged, likely with a small pleural effusion. endotracheal tube is <num> cm from the carotid. a left-sided picc line ends in the mid svc. the enteric tube passes beyond the diaphragm outside of the field of view with the decompressed stomach. there is no pneumothorax.
<unk> year old man s/p <unk> // post thoracensis
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there are low lung volumes and mild to moderate pulmonary vascular congestion. linear left mid to lower lung atelectasis/scarring is again seen. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with syncope // eval for acute process
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as on the prior radiograph from <unk>, there is a triangular opacity at the left lung base compatible with atelectasis. the lungs are mildly hyperinflated. heart size and mediastinal contours are normal. no pleural effusion or pneumothorax.
history: <unk>m with chest pain // eval for acute process
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion or pulmonary vascular congestion. there is no pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old female palpitations and shortness of breath.
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single frontal view of the chest was obtained. lung volumes are low. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, pneumothorax, or pneumoperitoneum. no radiopaque foreign body.
<unk>-year-old male status post gunshot wound to the abdomen. evaluate for pneumothorax, hemothorax, bullet.
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frontal and lateral views of the chest. there is no displaced rib fracture. no pleural effusion, pneumothorax or focal airspace consolidation. a calcified left upper lobe granuloma is unchanged. severe cardiomegaly is unchanged, with obvious enlargement of the right atrium. pulmonary vascularity is normal. multilevel degenerative changes seen throughout an osteopenic spine.
left upper quadrant pain after falling off a chair. evaluate for a rib fracture.
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the heart is borderline in size. there is some mild bilateral perihilar fullness suggesting pulmonary venous hypertension but pulmonary edema has resolved. there is streaky opacity at the right lung base suggesting chronic scarring in the right middle lobe as well as unchanged blunting of the right costophrenic sulcus. there is no pleural effusion or pneumothorax. mild degenerative changes again affect the upper thoracic spine.
cough and shortness of breath.
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there has been interval placement of a nasogastric tube, which terminates just below the gastroesophageal junction, but the distal side hole port remains within the distal esophagus. there is no subdiaphragmatic free air. numerous upper abdominal surgical clips are again noted. the appearance of the chest is otherwise unchanged compared to the prior study from <time> earlier today.
history: <unk>m with ngt // eval for ngt
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lower lung volumes are noted. blunting of the left lateral costophrenic angle is likely due to combination of rotation with prominent mediastinal fat as seen on ct scan. superiorly, the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
<unk>f s/p fall on right breast // <unk>f s/p fall on right breast
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ap upright single radiograph of the chest demonstrate heart size which appears top normal in size. heart size however is inadequately assessed on ap views. mediastinal and hilar contours are within normal limits. no evidence of pulmonary edema. no large pleural effusion is seen. no pneumothorax is identified. visualized osseous structures demonstrates no acute abnormality.
<unk>m with stab wound to l chest
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there is bulging of right lower mediastinal contour which appears to be extending beyond the right heart border. contour is sharply demarcated and smooth. there is no consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with chest pain s/p illicit injection of crushed dilauded yogurt. // eval for pulm edema
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size remains normal. no configurational abnormality is seen. very mild widening and elongation of the thoracic aorta but no evidence of any local contour abnormality. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. skeletal structures of the thorax are grossly unremarkable.
<unk>-year-old male patient with productive cough and greenish sputum, poor response to antibiotics. evaluate for possible pneumonia.
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lungs are fully expanded and clear. heart size top normal. no pleural abnormality. tracheostomy tube is midline. as reported on <unk> for the tracheostomy cuff distends the trachea, and warrants clinical evaluation.
<unk>-year-old female with polymyositis, ventilator dependent, for a muscle biopsy.
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there has been interval removal of a left-sided internal jugular central venous line and nasogastric tube. a large, rounded opacity involving the left upper lobe correlates with the left upper lobe mass seen on chest ct dated <unk>, which appears to have enlarged in the interval. the heart remains moderately enlarged and demonstrates moderate central pulmonary vascular congestion without overt interstitial pulmonary edema. no evidence of pneumothorax or pleural effusion.
<unk>m with renal failure presents with worsening lethargy and weakness for the past <num> days // pneumonia or edema
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the large layering right pleural effusion is difficult to compare with the immediate prior study of <unk> given differences in patient positioning, semi-erect versus upright. allowing for the layering affect of semi-upright positioning, it is likely unchanged. low lung volumes cause bronchovascular crowding with minimal pulmonary edema. there is no significant left-sided pleural effusion. there is no focal consolidation. the cardiomediastinal silhouette is stable.
mr. <unk> is a <unk> year old man s/p olt for hcv cirrhosis in <unk>, c/b recurrence of hcv in the allograft with resultant cirrhosis c/b splenomegaly, portal vein thrombosis, splenic vein thrombosis, varices, who presented with confusion concern for hepatic encephalopathy, now resolved also with pvt s/p ir guided re-cannulization with new o<num> requirement, evaluate for pulmonary edema or pneumonia.
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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 appear within normal limits.
cough and shortness of breath.
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there is been interval placement of a right supraclavicular large bore catheter, which terminates at the level of the upper to mid svc. a left ej catheter is unchanged in the left neck. the inspiratory lung volumes are decreased with resultant bronchovascular crowding and accentuation of the cardiomediastinal silhouette. the cardiomediastinal silhouette is likely within normal limits as on the outside same day radiograph. no infiltrate, effusion, or pneumothorax is identified. healed bilateral rib fractures are noted.
history: <unk>m with acute bleeding, s/p line // eval line placement eval line placement
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the heart size remains mild to moderately enlarged. mediastinal and hilar contours are unchanged, with tortuosity of the thoracic aorta again demonstrated. mild atherosclerotic calcifications are seen within the aortic arch. the pulmonary vasculature is not engorged. minimal atelectasis is noted within the left lung base. no focal consolidation, pleural effusion, or pneumothorax is seen. loss of height of several mid and lower thoracic vertebral bodies appear unchanged. multiple clips are demonstrated at the ge junction.
pneumonia.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. lungs are hyperinflated. no pulmonary edema is seen. ill-defined patchy opacities are noted in the left lung base, concerning for pneumonia. blunting of the costophrenic angles bilaterally suggests trace bilateral pleural effusions, more pronounced on the left. no pneumothorax is present. no acute osseous abnormalities detected. multiple clips are again noted at the gastroesophageal junction and in the right upper quadrant of the abdomen.
history: <unk>m with cough, fever
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pa and lateral views of the chest provided. airspace consolidation in the right lower lobe is concerning for pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact. small retrocardiac opacity may represent a small hiatal hernia.
<unk>f with ams // infiltrate
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frontal and lateral views of the chest show no acute cardiopulmonary process. the cardiomediastinal, pleural, and pulmonary structures are unremarkable. there is no pleural effusion or pneumothorax. scarring at the right lung base is unchanged. although no localizing history was provided, there is no definite fracture seen.
thoracic back pain with movement, evaluate for rib or spine fracture.
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extensive subcutaneous emphysema involving the entire chest and lower neck is unchanged. evaluation of the lungs is limited due to linear opacities from subcutaneous air collections. within this limitation, a small right apical pneumothorax likely persists. pleural fluid is small in amount, if any. there is increased opacification of the the right lung base, likely reflecting collapse. the cardiomediastinal contours are within normal limits. extensive pneumomediastinum is not significantly changed from <unk>.
known pneumomediastinum, here to evaluate for interval changes.
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stimulator is again visualized overlying the left hemithorax. the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute fractures are identified.
evaluation of patient with new seizure.
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lung volumes remain low on the right status post removal of the chest tube with a small residual right pleural effusion. small left-sided pleural effusion also seen. no definite pneumothorax seen. there is a small amount of subcutaneous air tracking in the neck. left lung appears clear. the cardiomediastinal contour is unchanged compared to the preoperative study.
dr <unk> <unk> homeless f w/ r pna, loculated pleural effusion, and subpleural ptx, c/s for vats washout // look for post-pull pneumothorax
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cardiac silhouette size is mildly enlarged but unchanged. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected. mild to moderate degenerative changes are noted in the thoracic spine. clips are noted in the right upper quadrant of the abdomen compatible with prior cholecystectomy.
<unk>f with chest pressure and shortness of breath for the past two weeks ,history of asthma
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ap semi upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. there is mild to moderate pulmonary edema. moderate cardiomegaly is similar to prior. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with anemia, copd on home o<num> // baseline cxr pre-transfusion
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midline sternotomy wires and cardiac valve noted. there is interval development of right lower lung consolidation which is compatible with pneumonia. also noted is mild pulmonary edema. possible additional area of consolidation in the right upper lobe noted. the heart appears mildly enlarged. a small right effusion is likely present. no pneumothorax is seen.
hypertension and chest pain.
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the lungs are relatively hyperinflated. right lower lobe consolidation is worrisome for pneumonia. there may be a trace associated right pleural effusion.
history: <unk>f with copd p/w cough and dyspnea. wheezes on exam // ?pneumonia
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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.
<unk>-year-old female with wheezing cough. evaluate for pneumonia.
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patient's condition required examination in sitting position using ap frontal and left lateral views. comparison is made with the preoperative chest examination of <unk>. there existed already marked cardiac enlargement on the pre-operative chest examination with most prominent left ventricular contour to the left and posteriorly. left atrial contour was only mildly prominent on the lateral view but pulmonary vascular pattern demonstrate an upper zone redistribution indicative of mildly increased chronic pulmonary congestion. on the present examination, the ap frontal view demonstrates the multiple metallic sternotomy wires in midline. the heart shadow remains similar in size, but there is now a remaining postoperative obliteration of the diaphragmatic contour and some blunting of the posterior pleural sinuses bilaterally on the lateral view suggestive of some remaining bilateral pleural effusion postoperatively. on the preoperative chest findings, these pleural densities were not seen. there is no evidence of pneumothorax on the frontal view but a degree of upper zone redistribution pattern remains.
<unk>-year-old female patient status post aortic valve replacement, pre-discharge evaluation.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>m with hcv and hiv w unsteady gait and weakness pls eval head for toxo vs bleed vs infarct and cxr for pna or effusion
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a portable upright ap radiograph of the chest demonstrates clear lungs. heart size is top normal. there is no pneumothorax or pleural effusion. the hilar and mediastinal contours are normal.
<unk>-year-old man with tachycardia.
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the endotracheal tube terminates <num> cm above the carina. a right large bore ij central venous catheter tip is a the level of the mid svc. enteric tube is in unchanged position. tip of left picc line is seen projecting over the left axillary region. as compared to prior chest radiograph from <unk>, diffuse bilateral pulmonary opacifications are unchanged, likely represent severe pulmonary edema. cardiomegaly is stable.
<unk>-year-old female patient with aidp. study requested for evaluation of interval change.
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lung volumes are low with resultant vascular crowding, but no frank pulmonary edema and no definite focal airspace opacity to suggest pneumonia. mild left basilar atelectasis. the heart is not enlarged. mediastinal and hilar contours are normal. there is mild atelectasis at the left base. there is no large pleural effusion or pneumothorax. right chest wall pacemaker has leads terminating in the right atrium and right ventricle respectively.
fever, hypotension and cough. evaluate for evidence of pneumonia.
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the patient is status post median sternotomy and cabg. left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. the aortic knob is calcified and aorta remains mildly tortuous. there is new mild pulmonary vascular congestion. hyperinflation of the lungs is re- demonstrated. new consolidative opacity within the right upper lobe is concerning for pneumonia. and ill-defined nodular opacity within the right upper lung field measuring up to <num> mm is also new, and likely infectious in etiology. no large pleural effusion or pneumothorax is present. no acute osseous abnormality is seen. there are multilevel degenerative changes in the thoracic spine.
confusion, weakness, failure to thrive.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>f with chest pain and shortness of breath // r/o acute process
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chain sutures are re- demonstrated at the left lung apex. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is no pulmonary edema.
history: <unk>m with shortness of breath // acute process?
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the lungs are clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
<unk>f with generalized malaise, // eval pna
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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. a catheter projects over the left upper abdomen.
<unk>m with cp, fever // pna?
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compared with the prior radiograph, moderate cardiomegaly is unchanged, without pleural effusions or pneumothorax. edema has improved. course of the feeding tube is unchanged. a faint right lower lobe opacity is new.
<unk> year old woman with stroke, fever and respiratory distress. evaluate for pneumonia.
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in comparison <unk> study multifocal airspace consolidation of the right lung continues to improve as well as improvement of the left lung though a infrahilar opacity persists. moderate pleural effusion appears stable and a right pleural effusion is minimal. again seen is a right central venous catheter with the tip terminating in the mid svc.
<unk> year old man with vap and fluid overload // mucus plug, vap, pulmonary edema
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. previously noted linear left lower lobe is no longer seen. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
shortness of breath.
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the lung volumes are low. streaky opacities in lung bases likely reflect bibasilar atelectasis. otherwise, there is no focal consolidation, pleural effusion or pneumothorax. the aortic knob is calcified. the heart size is top normal with left ventricular predominance.
history: <unk>f with weakness
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema.
history: <unk>m with atrial fibrillation // eval for pulm edema
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. aortic calcifications are noted.
status post knee surgery earlier today, now with weakness. assess for infiltrate.
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ap upright and lateral views of the chest provided. chain sutures are noted projecting over the left upper lung. patient is slightly rotated to the right. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. chronic appearing left rib deformities are noted. no free air below the right hemidiaphragm is seen.
<unk>f with copd p/w increased cough and weakness.
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a tracheostomy tube is appropriately positioned. an enteric catheter is visualized only to the level of the thoracic inlet, likely obscured more distally due to underpenetration of this radiograph. a metallic stent within the right main stem bronchus appears appropriately positioned. a left internal jugular central venous catheter ends at the confluence of the brachiocephalic veins, not significantly changed. a right superior mediastinal mass extends to the right hilus, not significantly changed. fluid within the minor fissure is increased. there is mild-to-moderate bibasilar atelectasis. small layering pleural effusions may be present, not significantly changed. there is no pneumothorax. mild cardiomegaly is not significantly changed.
right lung cancer, status post right main stem bronchial stent. assess for interval change.
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there is mild to moderate pulmonary edema. diffuse hazy opacities at the lung bases bilaterally could reflect atelectasis. evaluation of the cardiac silhouette is somewhat limited due to overlying opacities. however, there is probable mild cardiomegaly. no pneumothorax or focal consolidation identified.
pulmonary edema. // eval for volume overload
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a right-sided port-a-cath is seen, terminating at the cavoatrial junction/distal svc, without evidence of pneumothorax. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen.
tachycardia.
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patient is status post median sternotomy and cabg. low lung volumes are present. heart size is moderately enlarged. mediastinal contours appear unchanged. crowding of bronchovascular structures is noted with probable mild pulmonary vascular congestion. elevation of the right hemidiaphragm appears to be chronic. patchy opacities in the lung bases may reflect areas of atelectasis. no pleural effusion or pneumothorax is demonstrated. the osseous structures are diffusely demineralized.
history: <unk>m with congestive heart failure, <num> lb weight gain over <num> weeks, worsening lower extremity edema
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frontal and lateral views of the chest demonstrate hyperexpanded lungs with flattening of hemidiaphragms. increased ap diameter of the chest is apparent. costophrenic angles are blunted, suggestive of trace pleural effusions. bibasilar opacities are noted. there is no pulmonary edema or pneumothorax. subtle rounded lucencies and linear opacities, likely correspond to underlying emphysema. visualized osseous structures are intact. tracheal stent is fully characterized on this radiograph.
patient with an episode of tracheal stent clogging, improved during transport from an outside hospital.
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mild to moderate cardiomegaly is again noted. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. streaky left lower lobe opacity may reflect atelectasis but infection cannot be excluded in the correct clinical setting. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities. oral contrast material seen within the colon.
history: <unk>m with fever
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frontal and lateral views of the chest demonstrate a slightly rotated patient. the heart is normal in size. the mediastinal and hilar contours are within normal limits. unfolding of the thoracic aorta is unchanged. the lungs are slightly low in volume, accentuating basilar vascular crowding. there is no confluent consolidation to suggest pneumonia. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with leukocytosis, nausea and vomiting. question pneumonia.
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the lungs are well inflated and clear. the cardiac silhouette is normal in size. mediastinal contours are enlarged compared to the prior study as well as a prominent azygoesophageal line. the right paratracheal line is also fuller. there is no pleural effusion or pneumothorax.
<unk> year old man with atypical chest pain, please rule out significant pathology
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right-sided picc is seen terminating in the low svc/cavoatrial junction. left perihilar opacity raises concern for infection. underlying disease involvement is not excluded. there is no pleural effusion or pneumothorax. the aorta is slightly tortuous. the cardiac silhouette is not enlarged.
history: <unk>m with cll and richter transformation to aggressive b cell lymphoma presenting with diffuse body aches // evidence of hilar lyphadenopathy or acute infection
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there is a heterogeneous opacity in the left lower lobe concerning for pneumonia. right lung is clear. there are no pleural effusions or pneumothorax. the cardiac, mediastinal, and hilar contours are normal.
history of lymphoma, temperature of <num> and left base crackles, evaluate for infiltrate.
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pulmonary edema has resolved since yesterday. moderate cardiomegaly persists, with significant left atrial enlargement. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. compared to prior examination, mild to moderate interstitial edema has resolve.
<unk> year old woman with nhl, schf, asthma and afib presenting with afib with rvr now with sob, productive cough, and wheezing on exam, assess for pulmonary edema vs. pna
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a portable supine frontal chest radiograph again demonstrates an endotracheal tube terminating approximately <num> cm from the carina. an enteric tube is unchanged in position, terminating in the stomach. lung volumes remain low, with exaggeration of the cardiac silhouette. the right hemidiaphragm is not as well seen, likely related to atelectasis. mild edema has improved since <unk>:<num>. no obvious focal consolidation, pleural effusion, or pneumothorax is identified. there may be minimal edema in the bilateral upper lung zones.
evaluate for interval change in a patient with hypoxia.
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frontal and lateral chest radiographs demonstrate normal cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax is seen.
chest pain radiating to back and arm, question widened mediastinum.
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there are small bilateral pleural effusionll. cardiac silhouette is mildly enlarged. there is no pneumothorax. opacity in the right lower lobe medially obscures lower thoracic spine anteriorly on the lateral view. there is pulmkany vascular redistribution and increased interstitial lines.
history: <unk>f preop // pna?
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portable upright chest radiograph <unk> at <time>
<unk> year old gentleman with history of alcohol abuse presenting with evidence of decompensated cirrhosis, alcoholic hepatitis, hyponatremia, macrocytic anemia, thrombocytopenia. course complicated by enterococcus uti.tbili trending up, concerning for underlying infection in setting of prednisone for alcoholic hepatitis. // evidence of infection evidence of infection
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there is no focal consolidation or pleural effusion. mildly prominent bilateral interstitial lines are not significantly changed from the prior exam. there is no pneumothorax. the heart and mediastinum are within normal limits. regional bones and soft tissues are unremarkable.
<unk>-year-old male with fever; evaluate for pneumonia.
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portable ap chest radiograph. lung volumes are now very low with bilateral pleural effusions, limiting evaluation of the cardiac silhouette. mild asymmetric edema is unchanged from <unk>. there is no pneumothorax.
congestive heart failure, now with hypoxemia.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour, including mild cardiomegaly, is unchanged.
<unk>m with cough, chills, right chest pain, evaluate for pneumonia.
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frontal supine view of the chest was obtained. radiopaque marker of the iabp overlies the inferior aspect of left main bronchus. the heart is of normal size with normal cardiomediastinal contours. lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax.
<unk>-year-old female with new intra-aortic balloon pump. evaluate pump position.
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lung volumes are low, and the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. there is a right port-a-cath in stable position in the proximal-mid svc. bilateral pulmonary nodules a better assessed on the recent ct. small bowel air-fluid levels are noted in the partially imaged abdomen which could be due bowel obstruction or ileus. please see subsequent ct.
<unk> year old male with abdominal pain, nausea, vomiting and coarse left breath sounds.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. there is mildly increased right infrahilar opacity, which could represent prominent vessels as noted before, though no definite focal consolidation is identified. there is no pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for infiltrate in a patient with asthma, not improving with steroid treatment.
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the moderate left pleural effusion has decreased in size. persistent but slightly improved opacification within the left upper lobe is concerning for pneumonia, though asymmetric edema or atelectasis are possible. there is probably a small to moderate right pleural effusion. increased interstitial markings at the right base are compatible with pulmonary vascular congestion and mild pulmonary edema. there is no pneumothorax.
<unk> year old man with lul pna, now decreased breath sounds of l lung // interval change
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cardiac silhouette size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. anterior flowing osteophytes are noted in the thoracic spine compatible with dish. no subdiaphragmatic free air is identified.
abdominal pain
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bilateral moderate size pleural effusions are increased with increased interstitial markings and vascular congestion compatible with moderate to severe pulmonary edema. mid and lower lung right greater than left pulmonary opacities, may reflect atelectasis in this setting of effusions and pulmonary edema, however a in multifocal infectious process or aspiration cannot be excluded. moderate cardiomegaly persists unchanged. patient is status post median sternotomy and cardiac valve replacement.
chf, lethargy and hypotension. please assess for pneumonia or pulmonary edema.
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single ap view of the chest provided. left central venous catheter ends at the mid svc. patient is status post tracheostomy. consolidations at the lung bases, bilaterally are mildly worsened from chest radiograph <unk>. additionally, there is moderate atelectasis at the right lung base. no pneumothorax. right basilar pleural effusion and atelectasis is unchanged. hilar contours are normal. cardiomediastinal contours are unchanged.
<unk> year old man with ms pneumonia, effusions // eval for interval change
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the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable. a gallstone is noted in the right upper abdominal quadrant. there is no free intraabdominal air.
<unk>-year-old female with hypoglycemia.
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the ng tube ends in the stomach near the ge junction; however, the last side port is above the ge junction in the distal esophagus. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. tips is unchanged in position.
hepatic encephalopathy, evaluate for ng tube placement.
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lung volumes are low. no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. the heart size is within normal limits given positioning. posterior cervical spinal fusion hardware appears intact though alignment is not well evaluated and better seen on ct of the same date. there is partially imaged lumbar spinal fusion hardware. no displaced fracture is identified. a known c<num> fracture is not evaluated on this examination.
fall.
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an endotracheal tube and enteric tube are unchanged in position. the lungs are well expanded without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. there is no pulmonary vascular congestion or interstitial edema. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
asthma exacerbation and pea arrest.
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pa and lateral views of chest demonstrate a tortuous aorta. there are aortic valvular calcifications, not quantifiable on this radiograph. heart size is normal. the diaphragms are flattened suggesting emphysema. right lower lobe atelectasis present. no pleural effusion, pneumothorax or focal consolidation concerning for pneumonia.
cough and syncope.
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frontal and lateral views of the chest are compared to previous exam from <unk>. severe thoracic dextroscoliosis is again noted, somewhat limiting evaluation. the lungs, however, appear grossly clear. previously identified bibasilar opacities have resolved. endotracheal tube is no longer visualized. cardiomediastinal silhouette is unchanged.
<unk>-year-old female with cough.
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there is patchy consolidation in the left upper lobe which is new since prior. elsewhere, lungs are clear. left chest wall triple lead pacing device is noted. moderate cardiomegaly is similar in appearance. no acute osseous abnormalities, hypertrophic changes seen the spine.
<unk>f with cough, fever // eval for pna
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding chest examination of <unk> performed at the<unk> campus. the present pa and lateral chest views were obtained with patient in upright position. the heart size appears to be at borderline with a relative prominence of the left ventricular contour. this coincides with a moderate degree of widening and mild elongation of the thoracic aorta suggestive of systemic hypertension. pulmonary vasculature, however, is not congested. the on next previous examination of <unk> identified pulmonary parenchymal infiltrates that occupied the right middle lobe have resolved almost completely. there remain some small linear densities in this area suggestive of scar formations or peripheral remnants of atelectasis. no new pulmonary abnormalities can be identified. a linear density in the left upper lobe area reaching the apical pleura where local thickening exists appears to be evidence of old probably specific scars. their appearance has not changed during the latest examination interval. observed that the previous examination was also confirmed by a ct examination at that time. the apparent prominence of the right hilum did not demonstrate any mass.
<unk>-year-old male patient with history of pneumonia at<unk> <unk>. evaluate for resolution of pneumonia.
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a frontal upright view of the chest was obtained portably with a lateral performed <num> hour later. new bibasilar opacities with indistinctness of the pulmonary vasculature is likely due to pulmonary edema with increased pleural effusions. underlying infection cannot be excluded. the heart cannot be assessed. the aortic knob appearance is unchanged. there is no pneumothorax. degenerative changes are seen in the shoulder girdles bilaterally.
<unk>-year-old man with dyspnea for two days. evaluate for acute process.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. compression fracture of the mid thoracic spine is of indeterminate chronicity.
<unk>m with fever and hiv // infection?
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lung volumes are slightly decreased when compared to the earlier study. the endotracheal tube is unchanged in position. a nasogastric tube has been advanced slightly but still terminates above or at the level the gastroesophageal junction. a side hole in the tube is within the esophagus. this should be advanced at least <num> cm for better positioning in the stomach. no pleural effusion, consolidation or pneumothorax seen.
<unk> year old man with altered mental status s/p intubation, endogastric tube placement // after repositioning gastric tube
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moderate right-sided pleural effusion has not substantially changed. small left pleural effusion. bibasilar atelectasis, right greater than left also unchanged. no pneumothorax. mild cardiomegaly.
<unk> year old woman s/p tbp <unk> <unk> effusion // ?interval change
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the dobhoff tube is now in the lower esophagus and has been significantly pulled back. the nasogastric tube first port remains at the gastroesophageal junction. bilateral moderate pleural effusions and interstitial edema with basal opacities have not significantly changed. no pneumothorax visualized on this portable supine.
<unk> year old woman s/p dht replacement // eval position
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ap and lateral views of the chest are compared to previous exam from <unk>. increased interstitial markings are seen throughout the lungs bilaterally. there is a large retrocardiac opacity which is partially aerated compatible with large hiatal hernia, similar to previous exam. there is no definite pleural effusion or confluent consolidation. the cardiac silhouette is essentially stable, noting lower lung volumes on the current exam. there is apparent inferior subluxation of the left humeral head with respect to the glenoid. possible cortical stepoff is seen in the medial aspect of the humerus.
<unk>-year-old female with dyspnea and hypoxia to <unk>% on room air.
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an endotracheal tube is in appropriate position <num> cm above the level the carina. an enteric feeding tube is seen coursing midline with tip in stomach and side ports below level of the diaphragm. the lungs are hypoinflated with crowding of vasculature and mild pulmonary edema. bilateral lower lobe atelectasis is present. small bilateral, left greater than right, pleural effusions. a tiny right pneumothorax as well as mild right pneumomediastinum is present. mild mediastinal widening is likely related to patient positioning and low lung volumes.
<unk>f with ett/ogt placement; found down, + sa, od. assess endotracheal tube placement.
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the tracheostomy tube is been advanced compared with the prior study, now terminating <num> cm from the carina. moderate pulmonary vascular congestion with mild associated interstitial pulmonary edema is similar to the prior study. right lower lung airspace opacities may represent asymmetric edema, atelectasis, or consolidation, depending upon the clinical setting. there is no pleural effusion or pneumothorax. calcification of the aortic arch is noted. apparent moderate to severe degenerative changes of the right shoulder are partially evaluated.
<unk>m with replaced trach, resp distress, evaluate for pneumothorax.
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a chest tube is seen inserted in the posterior right lung, which takes an approximately horizontal course, and then is seen taking a <unk> degree turn downwards, and terminating at the level of the right hemidiaphragm.
<unk> year old man with polytrauma; r ptx // portable lateral only; assess chest tube location
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supine portable chest x-rays. relative lucency in the left hemithorax and right lung base is compatible with extensive bullous disease seen in the chest on prior chest ct from <unk>. there is no new confluent consolidation. the cardiomediastinal silhouette is stable. no acute osseous abnormality is identified.
<unk>-year-old male with abdominal pain and elevated lactate.
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a right picc terminates at the lower svc. an endotracheal tube terminates <num> cm above the carina. an orogastric tube terminates within the stomach. the lung volumes are very low. there is central pulmonary vascular congestion with new mild edema since the <unk> examination. small pleural effusions, greater on the left, are unchanged. right and left retrocardiac opacities are unchanged, likely atelectasis.
hypoxic respiratory failure, pleural effusions, and pericardial effusion.
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the tracheostomy tube is still in placethe position of the monitoring devices is unchanged. the mild cardiomegaly is stable there are no consolidation or pleural fluid.
<unk> year old woman with +nmda receptor antibodies and pna
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in comparison to the prior study from <unk>, the cardiomediastinal silhouette is stable, reflective of probably mild cardiomegaly. aortic arch calcifications are again seen. there are low lung volumes with crowding of the normal bronchovascular structures. centrally predominant prominence of the pulmonary vasculature is suggestive of pulmonary vascular congestion without overt pulmonary edema. there is no focal lung consolidation. there is no pneumothorax, however note that the lung apices are obscured on this study. there may be a trace left pleural effusion. no sizable right pleural effusion.
<unk>m with fever and hypoxia, evaluate for pneumonia.
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there is area of increased density seen at the right lung base without correlation on the lateral view, which represents dense breast tissue. the lungs are otherwise clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with fever of unknown origin. // please assess for pulmonary process.
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left port-a-cath tip projects over the expected region of the proximal right atrium, unchanged. the left ij catheter has been removed in the interim. a small right pleural effusion is new. a left pleural effusion is also small. no focal consolidation, edema or pneumothorax. the heart normal in size. aortic knob calcifications are unchanged. no mediastinal widening.
<unk> year old man with mds <unk>/p allo transplant who presents with shortness of breath. assess for abnormalities.
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the bilateral upper lobe symmetric calcified nodules with associated mild volume loss and retraction of the hila are likely the sequelae of prior granulomatous exposure. no acute focal consolidation. no pleural effusions or pneumothorax. cardiac size is normal.
<unk> year old man with well controlled hiv, smoker with <num>d of cough and rll wheezes on exam // r/o rll pna
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there is a large left-sided pleural effusion, not significantly changed since <unk>, though increased since <unk>. a right sided port terminates in the upper svc, stable. the cardiomediastinal silhouette and pulmonary vasculature are stable and unremarkable.
<unk> year old woman with dlbcl, recent chylothorax s/p <unk> <unk>, with fever // evaluate for interval change of effusion, evaluate for infiltrates
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion or pneumothorax. there is a nodular opacity projecting adjacent to the right interlobar artery which was also faintly seen on the prior study and likely represents overlap of vascular structures. aortic tortuosity is unchanged. the heart size is stable.
syncope and chest pain.