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the heart is normal in size. there is mild unfolding of the thoracic aorta. patchy atherosclerotic calcifications are noted along the ascending aorta and the arch. there is no pleural effusion or pneumothorax. aside from streaky left basilar opacification suggesting minor atelectasis, the lungs appear clear. a moderate to large hiatal hernia is noted with an air-fluid level. the bones are probably demineralized to some degree. lower thoracic interspaces show slight biconcave endplate depressions typical for sequelae of bony demineralization.
increased lethargy.
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previously seen et tube has been removed and replaced with a mask which overlies portions of the left neck, at the site of previously seen subcutaneous emphysema. technical factors limit re-evaluation of areas where subcutaneous emphysema and possible paratracheal emphysema was seen on the prior study. relative lucency along the right mediastinal contour could reset represent either <unk> <unk> artifact or small amount of pneumomediastinum. the cardiomediastinal silhouette is grossly unchanged, with probable mild cardiomegaly. of note, there are faint alveolar opacities at both lung bases, that appear to have progressed compared with <num> day earlier. there is minimal , if any, upper zone redistribution, making chf unlikely. no gross effusion.
<unk> year old man with esophageal perforation // please assess for interval change
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pa and lateral chest radiographs are provided. this study is read in conjunction with the ct performed on the same day. the lungs are well expanded. there is no focal consolidation or pneumothorax. there are small bilateral pleural effusions. the cardiomediastinal silhouette is normal. the bones are intact. mutliple dilated loops of small bowel are partially visualized in the upper abdomen and concerning for small bowel obstruction.
<unk>-year-old male with abdominal pain status post appendectomy on <unk>, evaluate for obstruction or free air.
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lung volumes are slightly low. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>m with urinary retention, low wbc, low platelets, febrile to <num> // ?consolidation
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there has been interval removal of an enteric tube. low lung volumes and bibasilar airspace opacities are unchanged, likely representing a combination of pleural effusions and atelectasis. a superimposed infectious process is difficult to exclude. pulmonary vascular congestion and mild pulmonary edema having improved. there is persistent moderate dextroscoliosis of the upper thoracic spine. the cardiomediastinal silhouette is largely obscured by the bibasilar airspace opacities.
<unk> year old woman with acute pancreatitis, concern for seizure, now with increasing o<num> requirement, evaluate for pulmonary edema, evidence of atelectasis vs effusion or pneumonia
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small right apical pneumothorax is stable since the prior study. no evidence of tension is seen. right-sided rib fractures seen on rib series performed earlier today were better assessed on dedicated rib series. small right pleural effusion and right base atelectasis. mild left base atelectasis is seen. cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. <num> bbs project over the right lower chest.
history: <unk>m with fall and fractures and ptx // sdh, ptx?
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lung volumes are markedly diminished with resultant subsegmental atelectasis at the bases. no consolidation or edema is noted. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. residual contrast is noted within upper abdominal bowel loops.
preoperative chest x-ray.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. mild retrocardiac linear density is most compatible with atelectasis or scarring. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. in particular, no displaced rib fracture is seen. no free air below the right hemidiaphragm is seen.
<unk>m with s/p soccer game hit in the ribs // eval for left rib fracture
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there is no focal consolidation, pleural effusion or pneumothorax. atelectasis is noted at the left lung base. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
history: <unk>m with chest pain // eval for acute process
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lung volumes are low. heart is upper limits normal in size. there is no focal infiltrate or effusion.
<unk> year old woman with new desat // please eval
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain, palpitations, fatigue // r/o acute intrathoracic process
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et tube terminates <num> mm above the carina. right picc terminates in right atrium. transesophageal tube terminates in the stomach. there is new collapse of left lower lobe and subsequent left mediastinal shift. no pneumothorax.
<unk>m schizophrenic, dm<num>, htn s/p trauma with sah bifrontal contusions due to likely fall vs. assault // desaturation s/p bronch
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the lungs are clear, heart size and mediastinal structures are normal, and there is no pleural effusion or pneumothorax. osseous structures are intact.
history: <unk>f with intermittent cp x <unk> year w/assoc pleuritic pain // evaluate lung fields heart size, eval for pneumothorax, pna
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. small hiatal hernia is suspected.
<unk>-year-old female with left dysmetria, dysarthria, gait abnormality. please evaluate with stroke workup.
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frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax is evident. no osseous abnormality evident.
midsternal chest pain similar to prior pe. d-dimer negative, evaluate for acute cardiopulmonary process.
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compared to the prior film, there is new atelectasis and a very small new right pleural effusion. the right hemidiaphragm is elevated, perhaps slightly more than on the prior film. the cardiomediastinal silhouette is similar, allowing for differences in positioning and technique. no chf, frank consolidation, or left-sided effusion is identified. no pneumothorax and no free air beneath the diaphragm is detected.
<unk> year old man w/ mylodysplastic syndrome pod #<num> from subtotal gastrectomy // ? pna, cause for fever
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pa and lateral views of the chest provided. heart size is top-normal. the lungs are clear without focal consolidation, large effusion or pneumothorax. mediastinal contour is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old man with fever // eval for pna
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compared the prior study, there has been slight improvement in the pulmonary vascular congestion and pulmonary edema. probable small right pleural effusion is unchanged. no pneumothorax. no focal areas of consolidation seen. the endotracheal tube is unchanged in position. nasogastric tube and a right internal jugular catheter are unchanged in appearance.
<unk> year old man with shock, intubated // pls eval for pna
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there continues to be mild cardiomegaly with pulmonary vascular redistribution and some alveolar infiltrates, most marked in the lower lobes. compared to prior study, this is slightly worsened appearance. the right-sided picc line tip at the cavoatrial junction is unchanged.
hypertension and dyspnea with increased oxygen requirements.
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the lungs are symmetrically well expanded with no focal consolidation, concerning for pneumonia, 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. no acute osseous abnormality is detected.
cough and sore throat, here to evaluate for pneumonia.
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there has been placement of an og tube which is coiled within the stomach. et tube is in appropriate positioning. since the prior radiograph, there has been no significant change. again seen is complete opacification of the left hemithorax with volume loss in the left upper and left lower lobes. there is leftward mediastinal shift, consistent with volume loss. there is no pneumothorax. right ij central line is in appropriate position within the right atrium.
<unk>-year-old woman, intubated with new og tube, assess og tube placement.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. no rib fractures.
history: <unk>m s/p fall trauma, numbness below t<num> area // <unk>m s/p fall from a bar stool trauma, numbness below t<num>, eval for injuries
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frontal and lateral chest radiographs were obtained. there is a persistent large right pleural effusion with slight improvement in aeration of the anterior segment of the right upper lobe. a right perihilar opacity corresponds to the patient's known mass that is better assessed on ct scan from <unk>. multiple nodules are present in the left lung, consistent with known metastatic disease. there is no pleural effusion on the left. there is no pneumothorax. mediastinum is midline. heart size is difficult to assess due to intraparenchymal abnormalities.
assess right pleural effusion status post thoracentesis.
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the lungs are well inflated and clear. the cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pulmonary edema.
chest pain.
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frontal and lateral views of the chest were obtained. overall, there has been no significant interval change since the radiographs from <unk>, with nodular and irregular opacities seen in the right lung apex/right upper lobe, similar in appearance to prior. there is evidence of mild volume loss of the right lung. the left lung is clear. the cardiac and mediastinal silhouettes are stable, with mild to moderate enlargement of the cardiac silhouette and aortic tortuosity. no pleural effusion or pneumothorax is seen. no overt pulmonary edema is seen. there is slight loss of height of a lower thoracic vertebral body, stable, particularly from prior ct from <unk>.
<unk>-year-old female with chest pain.
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ap single view of the chest has been obtained with patient in upright position. comparison is made with the next preceding ap single view chest examination of <unk>. status post sternotomy and right-sided picc line as before. during the latest one-day examination interval, thoracocentesis has been performed on the left side with marked reduction of the pleural density. on the frontal ap view, one can now identify the diaphragmatic contours again and only mild blunting of the left lateral pleural sinus remains. the left-sided pulmonary vasculature is unremarkable and there is no pneumothorax in the apical area. in comparison with the next previous examination, a mild thickening of the apical pleura existed already at that time.
<unk>-year-old male patient with new left-sided pleural effusion status post thoracocentesis with <num> ml fluid removed. evaluate for pneumothorax.
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
eval for pneumothorax
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ap portable upright view of the chest. lungs appear clear. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact.
<unk>f with crohn's, cmv igm positive, worsening diarrhea, high fever, c/o sob
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the patient is status post median sternotomy and thymectomy, with multiple tiny surgical clips seen in the anterior mediastinum and sternotomy wires seen well aligned. there is evidence of pulmonary vascular congestion with interstitial edema and vascular redistribution to the upper zones. associated small, bilateral pleural effusions are noted. no pneumothorax or focal consolidation is identified. there is a mild, stable cardiomegaly. the mediastinal contours are normal. a hiatal hernia is noted.
increasing shortness of breath, evaluate for infiltrate or edema.
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ap upright and lateral views of the chest provided. vascular stent is seen in the region of the right brachiocephalic vein. the heart is moderately enlarged. there is mild interstitial pulmonary edema. previously noted et and ng tubes have been removed. no large pleural effusion. mediastinal contour is stable. bony structures are sclerotic which could reflect renal osteodystrophy.
<unk>f with cp, emesis // r/o pna, widened mediastinum
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right parenchymal opacification is concerning for aspiration. low lung volumes are low. the heart is top-normal in size. a right chest wall port-a-cath terminates at the cavoatrial junction. left internal jugular vein catheter terminates at the upper svc. a tracheostomy tube is in place. scoliotic curvature of the lumbar spine is noted.
history: <unk>f with hypoxia // infiltrate
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lines and tubes: right picc terminates in the svc. partially visualized is a g-tube balloon projecting over the left upper quadrant of the abdomen. lungs: well inflated and clear. pleura: there is no pleural effusion or pneumothorax mediastinum: there is no cardiomegaly. mediastinal silhouette is within normal limits. bony thorax: unremarkable.
<unk> year old woman with picc // picc placement
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there are increased nodular opacities scattered throughout both lungs, greater on the right than the left with a basilar predominance, compatible with progression of sarcoidosis. no pleural effusion or pneumothorax is detected. the heart is top normal in size. the hilar contours are top normal without evidence of large lymphadenopathy. the mediastinal contours are within normal limits. the visualized upper abdomen is unremarkable.
history of sarcoidosis, now with increased dyspnea, here to evaluate for progression of pulmonary sarcoid or acute chf exacerbation.
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cardiomediastinal silhouette is stable. inreased intersitial marking throughout the lungs are unchanged compared to priors. there is persistent left base opacity. there is no evidence of a pneumothorax. the visualized osseous structures are unchanged with chronic posterior right rib fractures, right clavicular fracture and anterior cervicothoracic spine fixation hardware.
history of seizure, pneumonia. please evaluate for interval change compared to the prior exam.
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ap and lateral views of the chest. no prior. lungs are clear of focal consolidation, effusion, or pneumothorax. cardiac silhouette is top normal in size. there is irregularity of the lateral left clavicle, which is better characterized on dedicated exam. there is no visualized displaced rib fracture.
<unk>-year-old female status post fall.
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a right-sided port-a-cath terminates at the mid svc. a nasogastric tube terminates within the stomach. mild pulmonary edema has improved since <unk>. a small right pleural effusion has decreased in size. a left effusion has resolved. the heart size remains normal. there is no pneumothorax.
post gastrojejunostomy with increasing oxygen requirements.
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or pulmonary edema. visualized osseous structures are without an acute abnormality.
<unk>-year-old male with chest pain.
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ap and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. mild prominence of the pulmonary interstitium is present. the cardiomediastinal silhouette is notable for a tortuous aorta. there is a midthoracic compression fracture with nearly complete loss of height, which is age indeterminate. patient has had a lower thoracic vertebroplasty. there are no displaced rib fractures.
<unk>-year-old female with mechanical fall, right knee pain, rule out rib fracture.
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lung volumes are normal. parenchymal opacity in the posterior aspect of the left lower lobe is consistent with pneumonia. there is no effusion or pneumothorax. mediastinal and hilar contours are normal. heart size normal. mid thoracic dextroscoliosis is noted.
<unk>f with fever, tachycardia // ? pneumonia
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single portable view of the chest is correlated to ct scan of the abdomen from earlier the same day performed at an outside hospital. there are bibasilar opacities, larger on the left than on the right which partially silhouette the hemidiaphragms. there is engorgement of the central pulmonary vasculature and indistinct pulmonary vascular markings seen peripherally. cardiac silhouette appears enlarged. degenerative changes noted at the right shoulder and acromioclavicular joint. surgical clips seen in the left axilla. partially visualized abdominal aortic stent.
<unk>-year-old female with chest pain.
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two views of the chest. the lungs are well expanded with bilateral basal left greater than right linear opacities consistent with bronchial wall thickening and bronchiectasis seen on the prior ct, likely reflecting chronic/recurrent aspiration. left mid lung nodule is better depicted on the prior ct from <unk>. heart and mediastinal contours are unremarkable with post-cabg changes noted.
ventricular ectopy, on amiodarone, assess for toxicity.
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are similar along the thoracic spine. a suture anchor is present in the right humeral head, as before.
weakness and fatigue.
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patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear unchanged including moderate cardiomegaly. what is new is bilateral opacification of each lung base, which is especially confluent in the retrocardiac region on the left. particularly on the right, small coinciding pleural effusion is suspected. indistinct pulmonary vasculature appears mildly distended suggesting coinciding vascular congestion.
worsening oxygen requirement and hypernatremia. history of dementia and recent pneumonia.
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman with shortness of breath. evaluate for pneumonia.
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severe cardiomegaly is unchanged. left lower lobe collapse is chronic. moderate to severe pulmonary edema and moderate pleural effusion, both worsened on the left. there is no pneumothorax. tracheostomy tube is midline. right picc line terminates in lower svc. midline external defibrillator and lvad unchanged in their positions.
<unk> year old man with pmh sle c/b lupus nephritis, cad w/ <num>vessel dz s/p stemi cardiac arrest <unk>, chfref (last ef <unk>%), seizureds, ltbi s/p inh, admitted in <unk> with vtach and cardiogenic shock. prolonged hospital course including iabp placement, inotropic support, now s/p lvad placement, and trach placement undergoing transplant, transferred to the cvicu <unk> gib now transferred back to zoll <unk>. // eval for evidence of pna, aspiration
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lung volumes are low. heart size remains mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. eventration of the right hemidiaphragm is again noted. patchy opacities are seen in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. <num> mm calcified nodule in the left upper lung field is unchanged, likely a granuloma. there are mild degenerative changes noted in the thoracic spine with unchanged compression deformity at the thoracolumbar junction.
history: <unk>m with shortness of breath
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with two weeks of productive cough and fevers and chills.
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compared to the study from the prior day there is no significant interval change.
ards
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marked enlargement of cardiac silhouette, slightly increased since <unk> in association with pulmonary vascular congestion and diffuse interstitial edema. no pleural effusion or focal lung consolidation.
<unk> year old man with chf ef <unk>% with tachycardia, cough and pleuritic cp // evaluate for new effusions (including pericardial), and interval change in parenchymal findings
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frontal and lateral views of the chest were performed. the cardiac silhouette is top normal in size. the mediastinal and hilar structures are normal. the lung volumes are low, however, there is no focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is normal. the imaged upper abdomen is unremarkable.
fatigue, evaluate for infiltrate.
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the cardiac and mediastinal silhouettes are normal without pleural effusion, pneumothorax, or focal consolidation.
<unk> year old woman with arachnoid cyst to undergo placement of a cystoperiotoneal shunt on <unk>. portable cxr to rule out chest pathology. // portable cxr for or clearance for case <unk>. surg: <unk> (cp shunt )
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tunneled left internal jugular central venous catheter tip terminates in the right atrium. the heart is enlarged. there is elevation of the right hemidiaphragm, and in absence of priors, may represent diaphragmatic paralysis, which could be contributing to the patient's shortness of breath. there is no evidence of pulmonary edema or pleural effusions. obscuration of left heart border is indicative of a lingular opacity.
<unk>m with esrd on hd with shortness of breath. evaluate for edema.
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a portable frontal chest radiograph demonstrates a left chest wall pacer device with leads overlying the right atrium and ventricle, intact sternal wires, and an lvad device projecting over the left lung base. prominent lung markings are similar in appearance compared to <unk>, increased compared to <unk>. this represents mild pulmonary edema. no appreciable pleural effusion, pneumothorax, or focal consolidation. the visualized upper abdomen is unremarkable.
history: <unk>m with icd firing, has lvad // ? cardiopulm abnormality
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding portable chest examination of <unk>. heart size and thoracic aorta appear unchanged. pulmonary vasculature not congested. there is a large density in retrocardiac position in the left lower hemithorax with atypical air-fluid level. this appears to be a pulmonary cavitation which probably has been drained on earlier occasion. time. in comparison with the next preceding portable chest examination of <unk>, this cavity with air-fluid level has developed in the area of a previous atelectasis. a chest ct of <unk> is reviewed, reveals necrotic left lower lobe mass. this explains the finding on the present chest examination.
<unk>-year-old female patient with pleural effusions, evaluate.
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the nodular and linear opacities throughout the lungs bilaterally are stable when compared to the prior examination. the superimposed interstitial opacities representing pulmonary edema has improved. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is within normal limits.
<unk> year old man with h/o hodgkin's lymphoma c/b organizing pneumonia on prednisone, admitted for chf exacerbation. now euvolemic. // ? progression of organizing pneumonia
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the cardiac, mediastinal and hilar contours are within normal limits. lungs are clear and the pulmonary vasculature normal. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen.
fall, left arm pain, hypotension.
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ap chest radiograph demonstrates the right chest tube has been removed. there is no pneumothorax, but a trace pleural effusion is seen. the left picc is in stable position. multifocal opacification seen on <unk> has improved. since <unk>, the left lung base has cleared. the heart size remains mildly enlarged, unchanged from multiple priors.
multifocal areas right chest tube removal. evaluation for pneumothorax.
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the sternotomy wires appear intact and appropriately aligned. there is a right ij which terminates in the distal svc. the patient has been extubated, and the ng and mediastinal drains have been removed. there is mild vascular congestion, small bilateral pleural effusions, and bibasilar atelectasis, all which are essentially unchanged. heart size is stable. the mediastinal and hilar contours are stable. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with mv mass excision // r/o ptx, s/p ct d/c
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right-sided picc terminates in the upper to mid svc without evidence of pneumothorax. a right-sided catheter courses vertically over the chest and into the abdomen most likely representing a vp shunt. subtle patchy left base retrocardiac opacity appears less prominent as compared the prior study may represent atelectasis rather than pneumonia. there is no pulmonary edema. no large pleural effusion is seen. tracheostomy tube is again noted.
history: <unk>f with hypoxia // eval for pulm edema
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a right internal jugular central venous catheter is unchanged with the tip in the upper-to-mid svc. the patient is status post median sternotomy. multiple mediastinal surgical clips are compatible with prior cabg surgery. the cardiac silhouette is mildly enlarged and increased in size from <unk>. the mediastinal and hilar contours are within normal limits. small bilateral pleural effusions are present on the right greater than the left. there is no pulmonary edema. a radiolucent area in the right lateral cardiophrenic angle may represent a small loculated pneumothorax.
pleural effusion s/p cabg, here for followup.
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since the prior radiograph, there are new loculations of the moderate left pleural effusion, overlying the left upper lobe. the right upper lobe consolidation has slightly improved, although pneumonia can cavitate and produce a similar appearance. a moderate right pleural effusion is unchanged. mild to moderate cardiomegaly is unchanged, with persistent pulmonary edema. unchanged tracheostomy tube in standard position and left picc line in the upper right atrium.
<unk> year old woman with pneumonia. evaluate evolving pneumonia.
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the lungs appear slightly hyperexpanded, as before. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
dyspnea, here to evaluate for acute cardiopulmonary process.
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the lungs are well expanded. no focal consolidation or mass is seen. there is no bilateral pleural effusions are likely present. there is no pneumothorax. the mediastinum appears to be widened up to <num> cm, which is concerning for possible aortic abnormality or hemorrhage in this patient with hypotension and clinical concern for dissection.
history: <unk>f with hypotension, hypoxia // eval ? edema, mediastinal abnormalities, infiltrate
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pa and lateral chest radiographs. lung volumes are low with bibasilar atelectasis. this also makes the cardiac silhouette appear larger than it likely is. there is no pleural effusion.
motor vehicle accident. evaluation for pneumothorax.
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pneumomediastinum appears to have nearly resolved. moderate left pleural effusion is stable in size. opacity at the left base is likely atelectasis. small pneumothoraces have mostly resolved. there is no focal consolidation. pneumoperitoneum is stable.
<unk>-year-old woman with pneumomediastinum. assess for interval change.
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right picc tip projects over the upper svc. nodular opacity projecting over the left lung base is felt to represent nipple shadow. vague opacity projecting in the left mid lung overlying the anterior left fourth rib corresponds to subpleural radiation changes on prior ct. the lungs are otherwise clear without consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. surgical clips project over the left breast. oblong calcific densities are also seen in that region, unchanged and are within the breast tissues on prior ct.
<unk>f with picc line, not functioning also with cough // eval picc position, for pneumonia
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the lungs are grossly clear without focal consolidation, large effusion or overt pulmonary edema. the cardiac silhouette is enlarged but similar compared to prior. median sternotomy wires and mediastinal clips are again noted. known compression deformities in the spine are not clearly delineated on this exam.
<unk>f with tachycardia, fever // eval for pneumonia
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portable ap chest radiograph. the ett has been advanced and now terminates <num> cm above the carina. ng tube tip is in the stomach. however, the side hole is above the ge junction. the right lower lung opacity described on prior radiograph is incompletely imaged, but still present. there is no pneumothorax. the cardiomediastinal silhouette is normal.
ng tube placement.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with s/p seizure // acute or infectious process
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portable ap supine view of the chest was reviewed and compared to the prior studies. an endotracheal tube ends <num>-<num> cm above the carina. a right-sided line ends in the low superior vena cava. a nasogastric tube passes into the stomach. since <unk> the left pleural effusion has slightly increased and the small right pleural effusion has slightly decreased. bibasilar atelectasis is unchanged. cardiomegaly, specifically, left atrial enlargement is unchanged. there is no pneumothorax.
gi bleed and shock in an intubated patient.
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normal cardiomediastinal and hilar contours. clear lungs. normal pleural surfaces. serpentine opacity projecting over the left supraclavicular region and apex is an external structure.
<unk>-year-old woman with anxiety and dyspnea on exertion. evaluate for evidence of consolidation.
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there is a right sided port-a-cath with tip in the mid svc. the lungs are clear without infiltrate or effusion. cardiac and mediastinal silhouette are normal.
<unk> year old man with port-a-cath. // need to confirm placement of pac prior to use.
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a single portable ap semi-upright view of the chest was obtained. endotracheal tube projects approximately <num> cm above the carina. ng tube is not visualized. lung volumes are low. heart is top normal in size, and cardiomediastinal contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old man, intubated after ingestion of alkaline bleach, evaluate endotracheal and ng tubes.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with cough // evaluate for infiltrate
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with cough, sob. evaluate for pneumonia
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the cardiomediastinal silhouette is normal. the hilar contours are unremarkable. a left nodular opacity may represent trapped pleural fluid versus atelectasis or both. no other focal consolidations are seen. a small left pleural effusion has decreased when compared with <unk> study. right port-a-cath unchanged in position with a catheter tip that terminates at the cavoatrial junction.
<unk> year old man with <unk> weber rendu-hht overlap with persistent fever. has a non-productive cough // ?pneumonia
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. there is no acute osseous abnormality.
<unk>f with dizziness and nausea, suddenly developed tmp to <num>, evaluate for pneumonia.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with cough and subjective fever.
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there has been interval placement of a left ij central venous catheter which terminates in the superior cavoatrial junction. the pre-existing right ij terminates in the right atrium. the et tube is correctly positioned <num> cm above the carina. an enteric tube is partially visualized with the tip coursing out of the field of view of this exam. there has been interval improvement in the atelectasis at the left lung base as well as bilateral perihilar opacities which probably reflects a combination of pulmonary edema and resolving atelectasis. the cardiac silhouette is stable. there is no pleural effusion or pneumothorax. included upper abdomen is unremarkable.
<unk> year old woman with cadiac arrest status post left ij placement.
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compared to chest radiographs from <unk>, bilateral perihilar and lower lobe opacities have nearly resolved, reflecting improved pulmonary edema. no new focal consolidation. no pleural effusion. no pneumothorax. mild unfolding of the thoracic aorta with calcification at the aortic knob. otherwise, mediastinal and hilar contours are normal. mild cardiomegaly has increased.
<unk> year old man with cough // eval for pna
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a right-sided pacemaker projects leads to the right atrium and ventricle. the heart size is top normal. the hilar and mediastinal contours are unchanged since the <unk> examination. there is no new consolidation, pneumothorax, or pleural effusion. again seen are coarse interstitial markings.
hypotension.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with dyspnea.
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two frontal images of the chest demonstrated dobbhoff tube with the tip in the stomach. the tube is not post-pyloric. there is no pneumothorax or other complications visualized. there is moderate pleural effusion on the right, unchanged since previous imaging. there is a small left pleural effusion also unchanged since previous imaging. a consolidation is again seen in the right lower lobe medially which is due to radiation changes. there is an enlarged cardiac silhouette secondary to a known pericardial effusion.
<unk>-year-old female with recent dobbhoff tube placement.
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study is under penetrated. lung volumes are normal. there is no wall consolidation, pneumothorax, or pleural effusion. cardiac silhouette is top-normal in size. there is no osseous abnormality.
history: <unk>m immunomodulation w infectious w/u // ?cpd
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interval improvement of bilateral multilobular airspace disease. trace left pleural effusion. stable moderate hiatal hernia. normal size of cardiac silhouette. no pleural effusions. no focal parenchymal opacity suggesting pneumonia. no pulmonary edema. no pneumothorax. normal hilar and mediastinal contours. chronic midshaft fracture of the right clavicle. remote compression deformity of l<num> vertebral body is unchanged. no new osseous abnormalities.
<unk> year old woman with ild // evaluate progression of lung disease
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heart size is normal. thoracic aorta is tortuous without focal aneurysmal segment. hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax.
cirrhosis, diastolic heart failure, presenting with dyspnea. history of prior to tobacco use.
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lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. coronary artery stent is identified. cardiomediastinal silhouette is otherwise unremarkable. no acute osseous abnormalities.
<unk>m with cough // r/o infiltrate
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there are relatively low lung volumes. increased interstitial markings bilaterally suggests mild vascular congestion/edema. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal in size. the aorta is tortuous..
history: <unk>f with bilateral flank pain with radiation to the back, worse with inspiration // ?pneumonia, mediastinal widening
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the cardiomediastinal and hilar contours are within normal limits. there is mild calcification of the aortic knob. linear opacity seen in the left upper lung field, right lung base and lingula likely represents atelectasis or scarring. otherwise, no focal consolidation, pleural effusion or pneumothorax is identified.
chest pain. rule out acute process.
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ap portable supine view of the chest. interval intubation with the tip of the endotracheal tube located <num> cm above the carina. the consolidation in the right upper lobe is less conspicuous. left basal opacity and minimal right basal opacity is unchanged. patient is rotated with similar overall appearance of the cardiomediastinal silhouette.
<unk>f with pt intubated
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portable single frontal chest radiograph was obtained with the patient in upright position. there is a new increased opacity in the right lung base. there is mild left basilar atelectasis with an associated small left pleural effusion. the mild bilateral pulmonary vascular congestion is unchanged. there is no pneumothorax. the heart size is mildly enlarged. there are multiple left rib fractures as seen on ct from <unk>, at least one of which is displaced. the left diaphragm is now elevated compared to study on <unk>.
increased oxygen requirement, possible aspiration.
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a new left anterior chest wall dual-lead pacemaker defibrillator is present with leads terminating in the right atrium and right ventricle as expected. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear.
new pacemaker placement.
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frontal and lateral radiographs of the chest were acquired. as before, the patient is status post midline sternotomy and cabg. marked elevation of the left hemidiaphragm is not significantly changed. heterogeneous opacities in the right mid to lower lung have substantially decreased compared to the prior study from <unk>, likely atelectasis. there is also volume loss at the left lung base. the heart size is difficult to assess but does not appear significantly changed. the mediastinal contours are not significantly changed. multilevel degenerative changes of the thoracic spine are noted. there is redemonstration of a mitral valve annuloplasty. there may be small bilateral pleural effusions. the air-filled gastric bubble is identified in an appropriate retrocardiac position.
evaluate for effusion and assess gastric bubble.
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cardiomediastinal silhouette and hilar contours are stable. lung volumes are persistently low with mild improvement of pulmonary edema and persistent small left effusion with bibasilar atelectasis. there is no pneumothorax.
motor versus pedestrian with worsening hyperbilirubinemia.
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a single portable supine frontal chest radiograph was obtained. there has been slight interval improvement in the degree of opacification of a right upper lobe pulmonary contusion. several smaller bilateral contusions are also noted. there is no new consolidation, effusion, or pneumothorax. endotracheal tube remains in the upper airway. an enteric catheter loops in the stomach and extends below the field of view. two right and two left chest tubes are unchanged. mediastinal drain and median sternotomy wires are stable. extensive vascular surgical clips are seen overlying the right upper chest.
<unk>-year-old man status post mvc and repair of subclavian artery avulsion.
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in comparison to recent radiographs, numerous bilateral lung nodules consistent with metastatic disease appear grossly unchanged in size and number. there has not been re-accumulation of the right pleural effusion. right pleural drain appears unchanged in position. lungs are fully expanded. no focal consolidations. heart size is normal.
<unk> year old woman with pleural effusion // eval
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in comparison to the chest radiograph obtained <unk>, no significant changes are appreciated. severe hyperinflation is unchanged. large retrosternal airspace and diaphragmatic flattening is unchanged since at least <unk>. lungs are otherwise clear without focal consolidation or suspicious pulmonary nodules. heart size is normal without pulmonary vascular congestion or pulmonary edema. pleural surfaces are normal. mild thoracolumbar scoliosis is unchanged.
<unk> year old woman with dyspnea // dyspnea
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pa and lateral views of the chest provided. there is diffuse osseous sclerosis concerning for diffuse metastatic disease. prominence of the right peritracheal stripe is concerning for mediastinal lymphadenopathy. correlation with ct is advised. heart size is normal. no convincing signs of pneumonia, edema, effusion or pneumothorax.
<unk>m w/pre-syncope, coughing up blood weight loss.
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the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. the pulmonary vasculature is normal, and the lungs are clear. no pleural effusion or pneumothorax is present. remote right <unk> posterior rib fracture is again demonstrated.
dyspnea.
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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.
history: <unk>f with chest pain // please evaluate for intrapulmonary process