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ap and lateral views of the chest. lower lung volumes seen on the current exam, particularly on the frontal. linear left basilar opacity suggestive of atelectasis versus scarring. the lungs are otherwise clear without consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. calcific densities project over the right axilla. no acute osseous abnormality is identified.
<unk>-year-old female with dyspnea.
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mild cardiomegaly is present. the mediastinal hilar contours are unremarkable. no pulmonary edema is present. patchy opacities in the lung bases may reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. moderate degenerative changes are seen in the thoracic spine.
history: <unk>m with altered mental status // evaluate for pneumonia
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frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. there is mild anterior wedging of a lower thoracic vertebral body of indeterminate age.
cough, recurrent seizures. evaluate for pneumonia.
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pa and lateral chest radiograph demonstrates improved aeration of the lungs relative to examination dated <unk>. heart is enlarged with a tortuous aorta. there is mild pulmonary edema . there is a probable trace right pleural effusion. no opacity convincing for pneumonia is seen. there is no air under the right hemidiaphragm. there is no pneumothorax. large ossific density inferior to the left humeral bone may reflect large osseous loose body. note is made of right seventh rib fracture, previously present.
history: <unk>f with sob // ? infectious process
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frontal and lateral radiographs of the chest demonstrated hyperexpanded lungs. increased pleural-based density at the right base posteriorly may represent a partially loculated hemorrhagic right-sided pleural effusion. cardiomediastinal and hilar contours are unremarkable. no pneumothorax. increased soft tissue density seen in the posterior soft tissues adjacent to the pleural based abnormality on the lateral view.
<unk>m with cough, leukocytosis // acute cardiopulm diseasehematoma on physical exam, trauma.
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there is mild cardiomegaly and a large hernia containing stomach causing streak-like atelectatic change at the right lower lobe. incidental note is made of an azygos lobe at the right side. no pleural effusion and no pneumothorax.
<unk>-year-old female with hypoxia.
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the right middle lobe opacity has resolved. the lungs are clear. the cardiomediastinal silhouette is normal. there are no pleural effusions or pneumothorax. there is no evidence of pulmonary vascular congestion.
recent pneumonia, question clearance of infiltrate.
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the lung volumes are low. bilateral pleural effusions, increased since <unk>. increased interstitial markings in bilateral scattered patchy opacities, suggestive of pulmonary edema or pneumonia in the appropriate clinical setting, worse since <unk>. stable cardiomegaly. no pneumothorax.
<unk>-year-old woman presenting with new onset hypoxia. evaluate for pneumonia, pulmonary edema, or evidence of malignancy.
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the lungs are well-expanded and clear. there is no focal consolidation, pleural effusion, or evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen. no displaced fracture is identified.
fall: palpitations at.
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portable ap upright chest <unk> at <time> is submitted.
<unk> year old woman with ett // ett placement ett placement
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the heart is mildly enlarged. upper mediastinal contours are unremarkable. the thoracic aorta is densely calcified throughout. lung volumes are low and there is bibasilar atelectasis. no focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with resolved right facial droop // eval for pna
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there is a new dense consolidation in the inferior aspect of the right upper lobe abutting the minor fissure. air bronchograms are visible within it. the pleural effusions are now much smaller, although there is a background of mild interstitial pulmonary edema. atelectasis at the left base has improved considerably. there is no pneumothorax. the heart size is top normal and unchanged.
worsening hypoxia in a patient with congestive heart failure and coronary artery disease.
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mild hyperinflation. otherwise the lungs are clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
<unk> year old woman with recurrent diverticulitis preparing for colectomy // pre-opt
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there has been interval extubation. an enteric catheter has been removed. there is mild-to-moderate interstitial pulmonary edema, increased compared to the prior study from <unk>. small bilateral pleural effusions are not significantly changed. mild bibasilar atelectasis is increased. mild enlargement of the cardiac silhouette is not significantly changed. the mediastinal contours are normal. there is no pneumothorax.
status post open cecopexy and appendectomy for bowel obstruction, attributed to cecal volvulus. assess for interval change.
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
<unk> year old woman with asthma and exacerbation, ? due to mold or other allergic reaction // r/o infiltrate
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there are increased bibasilar opacities and prominent central pulmonary vasculature likely due to pulmonary edema. the costophrenic margins are indistinct bilaterally likely due to small bilateral pleural effusions. heart size is mildly enlarged, however this may be technical due to the ap projection. there is no overt focal consolidation or pneumothorax. the imaged upper abdomen is unremarkable.
history: <unk>m with sob // pna?
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ap portable upright view of the chest. cardiac enlargement is again noted with hilar congestion and mild to moderate pulmonary edema, similar to prior. no large effusion or pneumothorax is seen.
<unk>f with hypoxia // r/o acute process
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the chest tube is in unchanged position prior exam. a trace left pneumothorax is again noted laterally. the appearance of the lungs is unchanged from prior exam, with complex cavitary disease in the left upper and left lower lobes as well as pleural thickening. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with chest tube // chest tube eval now hypotensive
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since the prior scan the endotracheal tube has been retracted and now situated <num> cm above the carina. a right ij central venous catheter has been placed terminating at the distal svc. an enteric tube is also partially visualized. remaining lung parenchymal findings are unchanged with markedly low lung volumes.
<unk>-year-old man status post right ij central line, evaluate placement.
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upright portable chest radiograph is limited by multiple external wires overlying the chest. residual linear airspace opacity in the right upper lobe is present. there is no pneumothorax. lung volumes are low. cardiac silhouette is accentuated by low lung volumes, and remains moderately enlarged. there is mild pulmonary edema and vascular congestion.
<unk>-year-old female with cough following endobronchial ultrasound, rule out pneumothorax.
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a right-sided picc terminates at the caval atrial junction. the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
right-sided picc. admitted for urinary tract infection.
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the cardiomediastinal and hilar contours are within normal limits. there is minimal calcification of the aortic knob. the lungs are hyper expanded. there is an area of increased opacity at the lingula. there is no pleural effusion or pneumothorax.
fever, shortness of breath.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with dyspnea on exertion // evaluate for pneumonia
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ap portable view of the chest. an enteric tube has been advanced and now ends in the stomach with the last side port beyond the ge junction. the lungs are clear. no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
dobbhoff tube advancement.
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blunting of the left costophrenic angle is unchanged, consistent with prior empyema and decortication and reactive thickening/pleural scarring. the lungs are clear. there is no large pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
history of left vats and decortication in <unk> for empyema. flu-like symptoms today.
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the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
chest discomfort.
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linear opacities in bilateral lung bases are similar to before and likely chronic atelectasis. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with abd pain, chills // pna?
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left-sided port-a-cath terminates at the cavoatrial junction. right subclavian stent and left axillary and upper arm stents are re- demonstrated. the cardiac and mediastinal silhouettes are stable. patchy left lower lobe opacity is worrisome for pneumonia. no pleural effusion or pneumothorax is seen.
history: <unk>m with history of renal transplant on immunosuppression with chills, fatigue. // please evaluate for pneumonia.
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frontal ap and lateral views of the chest were obtained. increased heterogenous opacity at the right lower lobe since <unk> is a pneumonia. there is no pleural effusion or pneumothorax. moderate cardiomegaly and tortuous aorta are unchanged.
fever and fatigue.
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patient is status post median sternotomy and cabg. left mid to lower lung scarring/atelectasis is re- demonstrated. bibasilar atelectasis is seen. moderate cardiomegaly persists. mediastinal contours are stable.
history: <unk>m with dyspnea, chest pain // acute process
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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.
asthma exacerbation over past <num> weeks.
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in the left perihilar region is a large mass-like opacity with irregular borders which is new from the prior radiograph. elevation of the left hemidiaphragm suggests volume loss and probable obstruction in the region of the mass. at the right base there is a stable <num> mm dense nodule. there is no edema, pleural effusions, or pneumothorax. the cardiomediastinal silhouette is normal.
progressive dyspnea on exertion, wheezing, and cough.
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there has been interval placement of et tube terminating <num> cm above the carina. otherwise the cardiomediastinal silhouette, pleura, right picc line and lungs are unchanged.
<unk> year old woman with respiratory distress, intubated // evaluate endotracheal tube evaluate endotracheal tube
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the heart is moderately enlarged. there is similar moderate unfolding of the thoracic aorta. the cardiac, mediastinal and hilar contours appear unchanged. there is similar blunting of the left costophrenic angle, probably chronic, although perhaps reflecting scarring or a very small loculated pleural effusion. patchy posterior basilar opacities suggest minor atelectasis. interstitial opacification is quite mild but could be seen with slight congestion. mild degenerative changes are noted throughout the thoracic spine.
dyspnea on exertion and leg swelling.
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old man with a <num> day history of chest pain.
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the lungs are clear. there is mild cardiomegaly but the mediastinal and hilar contours are unremarkable otherwise. there is no pleural effusion or pneumothorax. vascular calcifications are noted in the aortic arch.
<unk>-year-old man with atrial fibrillation. evaluate for pulmonary infiltrates.
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mild cardiomegaly is unchanged from <unk> with mild tortuosity of the thoracic aorta. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion or interstitial edema. lung volumes are low but are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.
hypertension and chest pain.
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as compared to the prior examination dated <unk>, there has been no significant interval change. redemonstrated are persistent streaky opacities within the right lower lobe, likely chronic and and due to scarring versus atelectasis. there is no evidence of new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. redemonstrated is a small, calcified granuloma within the right upper lobe, stable in appearance. a calcified right axillary lymph node is noted at the periphery of the film. the cardiomediastinal silhouette is stable.
history of latent tb and bronchiectasis. now with dyspnea on exertion.
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the endotracheal tube tip is approximately <num> cm above the carina. a right internal jugular catheter terminates in the expected location of the mid to low superior vena cava. an esophageal catheter terminates in the stomach with side port in the expected location of the gastroesophageal junction or distal esophagus. additional thin wiring coursing along the expected location of the esophagus and terminating in the left upper quadrant may represent temperature probes, but this is indeterminate on this study; <num> of these wires courses below the diaphragm and loops back superiorly to the level of the inferior heart. mediastinal clips are seen. additional metallic density hardware projects over the midline and right hilus. lung volumes are low, exaggerating heart size. no pneumothorax is detected on this single supine view. there is a small right pleural effusion. bibasilar atelectasis and perihilar atelectasis is seen. vascular cephalization may be exaggerated by low lung volumes and supine positioning, but mild pulmonary vascular congestion is a consideration. irregularity at the lateral right <num>th rib may relate to a fracture. chest ct is pending.
<unk>-year-old male, transfer, with endotracheal tube.
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lung volumes are low. a right-sided chest port is in stable position. in the left lower lobe, a new patchy opacity has developed. additionally, minimal linear bibasilar atelectasis is also demonstrated there is no pleural effusion or pneumothorax.
history: <unk>m with fever, on chemo // eval for consolidation
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a pacer is seen overlying the left anterior chest with intact lead terminating in the right ventricle. the lungs are hyperinflated but clear. there is no pleural effusion or pneumothorax. moderate cardiomegaly is noted.
<unk>m with s/p mechanical fall. now complaining of pain s/p fall. fracture?
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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>. a permanent pacer is identified in left anterior axillary position and seen to be connected to an intracavitary ic device seen to terminate with the electrode in the periphery of the right ventricular cavity. the position of the device is completely unchanged in both frontal and lateral views in comparison with the followup examination at the time of installation. the heart size is at the upper limit of normal variation demonstrating a relative prominence of the left ventricular contour, a finding which in conjunction with the moderately widened and elongated thoracic aorta suggests systemic hypertension. the pulmonary circulation, however, is not congested and there is no evidence of any acute pulmonary infiltrate. pleural sinuses are free laterally and posteriorly, and no pneumothorax exists in the apical area. mild degree of degenerative changes is seen in the thoracic spine without evidence of any vertebral body compression.
<unk>-year-old female patient with three months of cough, evaluate for infiltrates or pulmonary edema.
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pa and lateral views of the chest provided. low lung volumes limits assessment. there is bibasilar atelectasis and perihilar crowding of bronchovascular markings. there is no convincing evidence of pneumonia or edema. no pleural effusion or pneumothorax. no overt edema. cardiomediastinal silhouette appears stable. bony structures intact.
<unk>m with weakness // ? pna
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small left pleural effusion with overlying atelectasis persists. no right pleural effusion is seen. the right lung appears clear. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with abdominal pain // eval infiltrate
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the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are clear without effusion or pneumothorax.
positive ppd and negative quantiferon gold with recent weight loss and lymphadenopathy.
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in comparison to the prior radiographs, there is no substantial change. moderate cardiomegaly and mediastinal contours are stable. hazy opacity in the posterior sulcus is unchanged and related to mild atelectasis and trace pleural effusions on the prior ct. there is no pneumothorax. h-shaped vertebral bodies are consistent with reported history of sickle cell disease.
history: <unk>m with sickle cell crisis, hx acute chest syndrome // eval for acute chest
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
sudden onset chest pain, shortness of breath.
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ap upright and lateral views of the chest provided. hilar congestion with mild interstitial pulmonary edema noted. there also bibasilar opacities right greater than left which could reflect aspiration or pneumonia. no large effusion or pneumothorax. overall cardiomediastinal silhouette is unchanged. bony structures are intact.
<unk>m with cough and shortness of breath x <num> weeks // eval for pna
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lungs are hyperinflated but clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits. there is no pleural effusion or pneumothorax. degenerative changes are seen at the bilateral acromioclavicular joints.
<unk>f with chest pain and sob. evaluate for acute cardiopulmonary process.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with left ankle fracture, needs cxr pre op // pre op
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pa and lateral views of the chest demonstrate low lung volumes. moderate bilateral pleural effusions are present with adjacent areas of atelectasis. cardiac silhouette is difficult to assess due to adjacent opacities. mild pulmonary edema is noted. there is no pneumothorax. apparent perihilar vascular congestion is also seen. partially imaged upper abdomen is unremarkable.
patient with bilateral lower extremity edema. assess for pulmonary edema.
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frontal and lateral views of the chest demonstrate fully expanded and clear lungs. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. pleural surfaces are unremarkable.
<unk> year old woman with chest pain.
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lungs are well expanded. the cardiac silhouette is enlarged, stable. the aorta appears mildly tortuous. no pneumothorax, pleural effusion, or consolidation. chronic deformity of the right shoulder appears unchanged.
history: <unk>f with of <num> fever and confusion x<num> days. // ? pneumonia
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the lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion, or pneumothorax. no pulmonary vascular congestion or edema is present. the cardiomediastinal and hilar contours are within normal limits. the trachea is midline. there is no free air beneath the right hemidiaphragm. no acute osseous abnormality is detected.
seven weeks of chest pain, here to evaluate for acute cardiopulmonary process.
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nasogastric tube courses below the diaphragm into the stomach. again seen are multifocal opacities, better evaluated on the recent chest ct. there is no pleural effusions or pneumothorax. the cardiomediastinal slight is normal.
<unk> year old man with recent ngt placement. // placement of ngt
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable including prominence of central mediastinal pulmonary arteries. there is no definite pleural effusion or pneumothorax. there is again striking upper zone redistribution of pulmonary vasculature suggesting pulmonary venous hypertension although not significantly changed. otherwise, aside from slight suspected atelectasis at the left lung base, the lungs appear clear.
dyspnea.
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single lead left-sided pacer is again seen with lead extending the expected position of the right ventricle, stable. the cardiac and mediastinal silhouettes are stable. there are relatively low lung volumes. patchy airspace opacity in the lateral left mid lung could be due to infection or pulmonary contusion. no overlying rib fracture is seen, although ct is more sensitive. there is no pleural effusion or pneumothorax.
history: <unk>m with a fib on coumadin and unwitnessed fall vs syncope, with cough productive of phelgm // ? infiltrate
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lung volumes are markedly low limiting assessment with bronchovascular crowding and atelectasis of the lung bases. no convincing signs of pneumonia, effusion or pneumothorax. no hilar congestion or edema. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with cough, subjective fever // eval for pneumonia
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the heart is normal in size. there is a slight unfolding of the descending thoracic aorta. otherwise, the mediastinal and hilar contours are unremarkable. the lungs appear clear. there is no pleural effusion or pneumothorax. there is no evidence for pneumomediastinum or free intraperitoneal air under either hemidiaphragm. the osseous structures are unremarkable.
stuck steak. question free air.
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ap portable view of the chest. the lungs are relatively hyperinflated. linear opacities at the left lung base again suggestive of atelectasis versus scarring. indistinct pulmonary vascular markings are seen particularly in the left upper and right lower lung. this could be due to asymmetric mild interstitial edema in the setting of the background of chronic lung disease noting that infection is also possible. the cardiac silhouette appears slightly enlarged. median sternotomy wires again noted.
seventeen no shortness of breath and history of chf and copd.
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pa and lateral views of the chest. the lungs are clear of consilidation. rounded calcific density at the right lung base may be a calcified granuloma. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old male with lightheadedness.
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right central venous line ends in the mid svc, and the right picc line ends well within the right atrium. et tube is stable and in appropriate position. nasogastric tube passes the diaphragm and outside view of this chest radiograph. bilateral parenchymal pulmonary opacification continues to be seen consistent with pulmonary edema, and the cardiac silhouette continues to be moderately enlarged. no pleural effusions are seen, and no pneumothorax is visualized.
<unk>-year-old man with renal failure and pulmonary edema, now on cvvh. please evaluate for interval change.
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compared to the prior study there is no significant interval change. no rib fractures identified. there is no pneumothorax.
<unk> year old man with right rib pain radiating towards back // fracture?
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severe cardiomegaly is unchanged from previous studies. the mediastinal silhouette is normal. bilateral pleural effusions, small to moderate on the right and moderate on the left. mild pulmonary edema is unchanged from <unk>. an opacification overlying the lower lung is consistent with previously seen pleural plaque and remains unchanged. tavr is seen in unchanged in position. there is a interval placement of a transjugular pacemaker with the leads running from left pectoral generator to the right ventricle and coronary sinus.
<unk> year old man with new crt-p implantation. // assess lead position
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the cardiomediastinal and hilar contours are within normal limits. port-a-cath catheter is seen on the right terminating at the upper svc, not significantly changed from prior chest examination. there is increased focal opacity at the right middle and upper lung fields, concerning for pneumonia. there is also an area of increased opacity at the lingula. there is no pleural effusion or pneumothorax.
fever. rule out pneumonia.
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all lines, tubes, and support devices are unchanged in positioning. there is no evidence of pneumothorax. there is increasing opacification within the right upper lung, which likely represents pneumonia, although this area is difficult to evaluate due to overlying devices. the size of the bilateral pleural effusions is essentially unchanged. pulmonary vasculature is normal. cardiomediastinal silhouette is stable.
<unk> year old woman with restrictive lung physiology, intubated, rv failure // evaluation of et tube and volume status, e/o infection
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the previously visualized right upper lobe consolidation appears unchanged in comparison to the prior chest radiograph and chest ct. there are also more diffuse patchy opacities in the right mid lung with thickening of the horizontal fissure, which also appear unchanged in comparison to the prior chest radiograph. surgical clips are seen at the right apex. moderate enlargement of the cardiac silhouette. 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 man with b/l effusion s/p <unk> with <num>ml out // ? ptx
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as compared to chest radiograph from the same date, right-sided pigtail catheter has been inserted. right-sided pneumothorax has nearly resolved, with very small right apical pneumothorax. moderate interstitial and alveolar pulmonary edema are stable.
<unk>f s/p rvats superior segementectomy now with ptx pod<unk> s/p pigtail // interval change
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et tube has been pulled back of <num> cm. ng tube is still in place and the end of tip is not visualized in the chest x-ray the right picc line is in standard position with tip ending at the cavo-atrial junction the cardiomegaly is slightly improved, with reduction of pulmonary edema. left base has an increased pleural fluid the basilar atelectasis seems more extensive.
<unk> year old woman with ubig, intubated, diuresing
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single portable supine ap image of the chest. there has been interval intubation of the patient, with the et tube at the level of the aortic knob. an ng tube is seen terminating in the left upper quadrant. there are low lung volumes. diffuse right greater than left increased interstitial prominence is seen, most consistent with asymmetric mild pulmonary edema, though pneumonia could have a similar appearance. no focal consolidation or mass is seen. the bilateral costophrenic angles are blunted, consistent with small bilateral pleural effusions. no pneumothorax is seen. the cardiomediastinal silhouette is enlarged, similar to prior exam.
intubation for altered mental status, rhonchorus breath sounds bilaterally.
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again seen is extensive opacification of the majority of left lung due to underlying malignancy, better described in the ct report dated <unk>. the left-sided pleural effusion is larger compared to the <unk> radiograph. the right lung is generally clear, with no large consolidations, effusions or pneumothorax. prior tiny left apical pneumothorax and left-sided subcutaneous emphysema have both resolved. the cardiomediastinal silhouette is unchanged. no acute osseous abnormalities.
<unk> year old woman with pleural effusion // eval
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there is new consolidation located within the lingula. elsewhere, lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain // acute process
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the heart size is normal. the aortic knob is calcified. pulmonary vasculature is not engorged. mediastinal and hilar contours are unremarkable. lungs are hyperinflated with flattening of the diaphragms and increased retrosternal clear space compatible with underlying copd. linear opacities are noted at the lung bases which may reflect areas of scarring and/or atelectasis. minimal patchy opacity is also noted at the right costophrenic angle, which could reflect an area of infection. mildly increased interstitial markings are noted within both lungs, which could reflect a chronic interstitial process. no large pleural effusion is demonstrated, and no pneumothorax is seen. multilevel degenerative changes are present within the thoracic spine.
cough and fever.
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there is no notable changed compared to prior. severely enlarged cardiac silhouette is unchanged and can be secondary to cardiomegaly and/or pericardial effusion. wide mediastinum is unchanged. right hemidiaphragm is elevated, similar to prior. tube terminates <num> cm above the carina. mild bibasilar opacity is consistent with atelectasis and/ or pleural effusion. there is persistent pulmonary vascular congestion.
<unk> year old woman with known copd and chf, presenting w/new afib w/rvr with increased dyspnea and trach secretions. // r/o pna, assess interval change
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left-sided port-a-cath tip terminates at the junction of the svc and right atrium. severe cardiomegaly is present. the aorta is tortuous. mild pulmonary edema is demonstrated. small bilateral pleural effusions are noted. no focal consolidation or pneumothorax is identified. a focal hazy opacity is seen within the right apex not clearly visualized on the previous cta of the head and neck, potentially an area of infection but is nonspecific. no acute osseous abnormality is visualized. clips are seen in the right axilla. degenerative changes of the right glenohumeral joint are noted.
history: <unk>f with dyspnea
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low lung volumes are again noted. the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is stable noting mild cardiomegaly. aortic valve replacement is faintly visualized. median sternotomy wires are intact. left chest wall battery pack with lead projecting over the anterior chest wall is unchanged compared to prior. no acute osseous abnormalities.
<unk>m with dizziness and diarrhea // r/o acute process
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frontal and lateral chest radiographs demonstrate hyperinflated lungs with flattening of bilateral diaphragms consistent with patient's known history of copd. when compared to chest radiograph dated <unk>, there is redemonstration of left lower lobe scarring and atelectasis and persistent peribronchial increased density concerning for infectious process. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are unchanged with note made of of tortuous descending aorta.
<unk>-year-old male with copd and recent left lower lobe pneumonia on ct. evaluate for resolution or worsening of infiltrate seen on ct.
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the heart remains enlarged. the hilar and mediastinal contours are normal. lung volumes are low. lungs are otherwise clear and there is no focal consolidation concerning for pneumonia. there are no pleural effusions or pneumothorax. there is stable positioning of mitral valve replacement. a left pacemaker is in place with two leads terminating in the right atrium and right ventricle, expected locations.
<unk>-year-old female patient with cough and immunosupressed. study requested to rule out an infiltrate.
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ap portable upright view of the chest. overlying ekg leads are present. there is a picc line partially visualized overlying the right upper arm with catheter tip in the region of the right axilla. cardiomegaly is mild. hila appear congested. no frank edema. retrocardiac opacity could represent atelectasis versus an early pneumonia. no large effusion or pneumothorax. aortic calcifications again noted.
<unk>f with midline placed <num>mo ago // verify midline for use
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the picc line tip is in similar location compared to the prior recent study with the tip in the proximal portion of the svc. there is no pneumothorax. the lungs are clear. the cardiac silhouette remains mildly enlarged.
picc line.
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pa and lateral views of the chest again demonstrate right infrahilar atelectasis not significantly changed since the prior portable radiograph from <unk>. the cardiomediastinal silhouette is stable. there is a right pleural effusion and blunting of the costophrenic angle on the right. there is no evidence of pneumothorax.
<unk>-year-old male with history of tracheomalacia status-post tracheobronchoplasty with hemoptysis. evaluation for pneumonia or acute intrathoracic process.
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compared to the prior study there is no significant interval change.
<unk> year old man with scc of mandible and dementia who comes in with fever, elevated wbc, and altered mental status now with tachycardia and increasing o<num> requirement // new developing 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.
shortness of breath on exertion for two weeks.
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lung volumes are decreased, accentuating the cardiomediastinal silhouette and bronchovascular structures. increased opacities at the left lung base obscure the left cardiac border and are concerning for an infectious process involving the lingula. there is mild pulmonary vascular engorgement. probable small bilateral pleural effusions. no definite pneumothorax. left infusion port catheter is in unchanged position.
<unk>-year old man with glioblastoma, ams and fever. rule out pneumonia.
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the inspiratory lung volumes are appropriate. the interstitial markings of the lungs are normal with interval resolution of pulmonary edema from <unk>. the lungs are clear without pleural effusion, focal consolidation or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits.
<unk>-year-old male with atrial fibrillation on warfarin now with hemoptysis, here to evaluate for pneumonia.
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there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance.
history: <unk>f with cough // r/o acute process
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frontal and lateral radiographs of the chest demonstrate well expanded lungs. there is asymmetry of the lung apices, with greater opacity seen on the right, seeming to conform to the right <num>st rib. this may represent old rib deformity versus residual disease in the setting of recent right upper lobe pneumonia. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion.
<unk>-year-old female with a recent pneumonia. evaluate for residual pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. focally increased patchy opacity in the right lower lung, not seen on lateral view, may reflect developing infection. remainder the lungs are clear. no pleural effusion or pneumothorax is identified. the visualized upper abdomen is unremarkable.
<unk> year old man with cough, fatigue, on chemo // r/o acute process
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no significant change since the prior radiograph. the cardiac silhouette is borderline enlarged. the lungs are grossly clear. there is no pleural effusion or pneumothorax.
history: <unk>f with chest pain // chest pain
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interval removal of the endotracheal tube, feeding tube and right central venous catheter. the lungs are again noted to be hyperinflated. there are moderate layering bilateral pleural effusions with overlying atelectasis/ consolidation. unchanged nodule in the right midlung zone. no pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits. there is calcification of the aortic arch.
<unk> year old woman with rhonchorous breath sounds, fever // r/o pna
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there are streaky bibasilar opacities. superiorly the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. there is no free intraperitoneal air.
<unk>f with fever, tachycardia, recent pneumonia, recent liver biopsy, ruq tenderness // evaluate for acute process
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single portable view of the chest is compared to previous exam from <unk>. hazy opacities seen throughout the lungs bilaterally. there is no confluent consolidation or large effusion. cardiac silhouette is slightly enlarged but not significantly changed. multiple old healed right lateral rib fractures are identified. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female status post mechanical fall.
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the patient has undergone recent tavr with new right internal jugular line terminating in the upper svc. the heart is milldly enlarged, but this may be accounted for by supine positioning and ap projection. there is no pneumothorax or large pleural effusion. the lungs are well expanded with new mild interstitial edema. surgical clips are seen projecting over the upper abdomen.
<unk> year old woman s/p tavr procedure // please evalaute for volume overload, acute processes
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pa and lateral views of the chest provided. left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle unchanged. aortic valve replacement again noted. midline sternotomy wires are present. there is mild hilar congestion and mild pulmonary edema. opacity at the right lung base likely represents a small pleural effusion, difficult to exclude a superimposed pneumonia. elevated right hemidiaphragm is chronic. heart size is stably enlarged. mediastinal contour is unchanged. bony structures are grossly intact.
<unk>f with dyspnea // pulm edema?
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frontal and lateral views of the chest were obtained. mild cardiomegaly is similar to prior. cardiomediastinal contours are stable. opacity in the medial retrocardiac region is compatible with a hiatal hernia, which was present on <unk> chest ct. the pulmonary vasculature is indistinct, compatible with mild pulmonary edema. no substantial pleural effusion, focal consolidation, or pneumothorax. no radiopaque foreign body. bilateral shoulder degenerative changes are similar to prior. a calcified granuloma in the right mid lung is similar to prior. wedge deformities of two thoracolumbar vertebral bodies are similar to prior.
<unk>-year-old female with past medical history of asthma presenting with shortness of breath.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with confusion and hallucinations // r/o pneumonia, ich
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endotracheal tube remains stable in the trachea. right internal jugular catheter remains in the lower svc. left-sided chest tube and left basal pigtail catheter are again visualized in unchanged position. again visualized is a small left apical pneumothorax, which appears stable in size. rightward shift of normally midline structures again noted but difficult to compare due to differences in rotation. the cardiac silhouette appears stable. again visualized are stable right upper lobe, right lower lobe and lingular opacities as well as a small right pleural effusion.
evaluation of patient with history of left rib fracture and pneumothorax status post chest tube placement, for interval change.
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lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. radiographically dense suture material is seen projecting over the left apex. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. .
<unk> year old man with pneumo/hemothorax in <unk>, now with increasing pain and sob. // is there evidence of worsening hematoma or other pulmonary disease?
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ap portable upright view of the chest. since the prior exam, there has been development of pulmonary vascular congestion and mild to moderate pulmonary edema. a small right pleural effusion is increased from prior. heart size is unchanged appearing stably prominent. mediastinal prominence likely reflects differences in technique. bony structures are intact.
<unk> year old man with cirrhosis, now sob.
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the lungs are hyperinflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. degenerative changes are seen in the thoracic spine.
<unk>f with left arm numbness, evaluate for pneumonia or cardiomegaly.