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moderate scoliosis of the thoracic spine is unchanged when compared to previous studies. the cardiomediastinal silhouette is stable compared <unk> study with a normal heart size. the left pulmonary artery appears prominent and may be enlarged but is likely in part attributed to anatomical changes. no focal consolidatio...
<unk> year old man with htn, diabetes, ckd, presenting with episodes of syncope // eval for pneumonia, cardiac size
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>m with cough // eval for pna
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left-sided picc is not seen beyond the left brachiocephalic vein/proximal subclavian vein, and is high in position. patchy bibasilar opacities may be due to atelectasis, aspiration, early infectious process not excluded. no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are unremarkable. hilar co...
history: <unk>m with ?piccodislodged // eval picc placment
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the cardiac silhouette is top-normal to mildly enlarged. no large pleural effusion is seen. . patchy right basilar opacity may relate to prominent vascular structures, but underlying infection or aspiration is not excluded. anchor screws overlie the left humeral head which could. inferiorly simple in relation area
history: <unk>f with sob // presence of pleural effusion, pulmonary edema
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the lungs are clear without evidence of consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
persistent cough and chills.
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heart size is likely normal allowing for prominent epicardial fat pad. mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. median sternotomy wires are noted. there is mild anterior wedging of <num> vertebral bodies in the...
cough, headache, and chills for <num> month. evaluate for pneumonia.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with <num> day constant substernal cp, // eval for cardiomegaly
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feeding tube tip is well below diaphragm, not included on the radiograph. central line tip is in the low svc. increased heart size, stable. subtle interstitial prominence in the lower lungs, may represent edema, more prominent. normal pulmonary vascularity. probable tiny right pleural effusion. mild left basilar atelec...
<unk> year old woman with type <num> diabetes mellitus with recurrent dka and hypoglycemia, systolic chf ef <unk>%, ckd (baseline creatinine <num> -<num>), recurrent c diff, who was found obtunded and hypoglycemic. // pt found upside down with tube feeds running, rule out aspiration
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low lung volumes cause bronchovascular crowding, bibasilar atelectasis, and artificial enlargement of the cardiac silhouette. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. an accessed left pectoral port-a-cath catheter tip terminates in the low svc. mid thoracic compression fractu...
<unk> year old man with hx of myeloma and cough, evaluate for pneumonia.
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single ap view of the chest provided. interval placement of an orogastric tube with the tip in the mid stomach. otherwise, no significant change from the prior.
<unk> year old man with og // placement
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is stable. minimal dextroscoliosis of the mid thoracic spine is unchanged.
<unk>m with chest pain, evaluate for acute process
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frontal and lateral views of the chest. relatively low lung volumes are seen, but the lungs are clear. the cardiomediastinal silhouette is within normal limits. mild mid thoracic dextroscoliosis is noted. no acute osseous abnormality is identified.
<unk>-year-old female with epigastric pain radiating to her flank.
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lung volumes are low. moderate pulmonary edema is increased from the prior examination on <unk>. there may be small bilateral pleural effusions. no pneumothorax. a left pectoral pacemaker is unchanged. no pneumothorax.
<unk> year old man with tachypnea, <unk> edema // eval for pulmonary edema
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frontal and lateral views of the chest. the lungs are clear. cardiac silhouette is mildly enlarged. osseous structures are unremarkable.
<unk>-year-old female with fever.
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portable single frontal chest radiograph was obtained with the patient in a semi upright position. a malpositioned ng tube terminates in the right lower lobe bronchus. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the cardiomediastinal silhouette is normal.
eval ng tube placement.
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endotracheal tube tip is <num> cm from the carina. relatively low lung volumes are noted. streaky bibasilar opacities are likely due to atelectasis. there is no large effusion or visualized pneumothorax based on this supine film. cardiomediastinal silhouette is within normal limits, no visualized pneumomediastinum. no ...
<unk>m s/p draino ingestion // eval for chf/pneumonia
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are hypoinflated but clear without focal consolidation. known left humerus fracture is redemonstrated. the upper abdomen is unremarkable. no nondisplaced rib fracture is seen.
left humerus fracture. preoperative study.
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frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. heart is top normal in size. cardiomediastinal and hilar contours are unremarkable. the aorta is tortuous. there is no pneumothorax, pleural effusion, or consolidation.
<unk>-year-old female with cough and hypoxia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with c/o cough with sob // ? pna
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ap upright and lateral chest radiograph demonstrates a moderately enlarged heart. there is prominence of the interstitial markings which is similar to prior likely reflecting known interstitial lung disease. no convincing evidence for a superimposed pneumonia or edema. no large effusion or pneumothorax. cardiomediastin...
<unk>f with palps, dyspnea
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the lung volumes are very low which causes crowding of bronchovascular structures. within this limitation there is relatively no change compared to the prior chest radiograph. no focal opacity, pleural effusion or pneumothorax is identified. the cardiac and mediastinal contours are stable.
<unk>m with hypotension // eval for pna
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right picc tip terminates within the right atrium, similar compared to the previous exam. there is continued elevation of the right hemidiaphragm with leftward shift of mediastinal structures. atelectatic changes are noted in the lung bases, and small bilateral pleural effusions appear relatively unchanged. no pulmonar...
possible hepatic abscess history with increasing liver function tests andhypotension.
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the endotracheal tube is <num> cm above the carina. enteric tube extends to at least the stomach, but the tip is beyond the inferior margin of the image. there is mild pulmonary edema, which has worsened since <unk>, but unchanged since the most recent cxr of <unk> at <time>am. additionally, there are bibasilar opaciti...
<unk> year old woman with pna requiring intubation // ?pna, tube position, edema, interstitial lung disease
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there is a new area of consolidation in the left lower lobe, suspicious for pneumonia. there is no pleural effusion or pneumothorax. cardiac silhouette is mildly enlarged.
<unk> year old man with cough sob with activity // pna or infection
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there has been interval removal of the right-sided internal jugular catheter. no pneumothorax seen. there is a small right pleural effusion. no consolidation seen. the heart is not grossly enlarged.
<unk> year old man pulled out his central line // e/o pneumothorax?
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heart size is normal. mediastinal and hilar contours are unchanged, with mild calcification of the aortic knob is noted. the lungs are clear and the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
chest pain.
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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. clips are noted in the right upper quadrant of the abdomen compatible with prior cholecystectomy. surgical anc...
history: <unk>f with altered mental status
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pa and lateral views of the chest <unk> at <time> are submitted. the lateral view is suboptimal due to overlying motion artifact.
<unk> year old man with av block s/p dual-chamber pacemaker via l cephalic vein // lead position, pneumothorax lead position, pneumothorax
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mediastinal and hilar widening is consistent with known lymphadenopathy. right upper lobe geographically marginated consolidation as well as left juxta hilar consolidation are consistent with previous radiation treatment. biapical pleural thickening may also be due to this process. a subtle patchy opacity is present at...
<unk> year old woman with lung cancer, hypotension // infiltrate?
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due to poor beam penetration and patient's body habitus, the picc catheter is not well visualized on either pa or standard lateral views. of note, the catheter is partially visualized on a partial lateral view which excludes the distal tip of the catheter; however, the catheter is at least to the level of the mid right...
right picc placed but difficulty visualizing on portable.
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endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the diaphragm, terminating in left upper quadrant ; side port appears to be at the level of the gastroesophageal junction, consider advancement so that it is well within the stomach. right subclavian central ve...
history: <unk>m with central line placement confirmation // subclavian central line placement confirmation
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ap and lateral views of the chest. there are low lung volumes which exaggerate the interstitial markings and size of the heart. mild cardiomegaly and moderated hiatus hernia are unchanged. there are no focal consolidations. there is no pleural effusion or pneumothorax.
chest pain. evaluate for infiltrate.
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compared to the prior study there is slight interval decrease in the right-sided effusion, otherwise no significant interval change
<unk> man with pmhx of cad, s/p multiple pci's, htn, ckd, schf (ef <unk>%) and severe aortic stenosis, presents for admission for tavr scheduled for <unk>. // ett placement
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compared with prior radiographs on <unk>, there is improvement in both the right and left lung interstitial markings. there is no pleural effusion or pneumothorax. there is no vascular congestion or edema. there is no evidence to suggest or exclude pulmonary embolism. again seen is chronic elevation of the right hemidi...
<unk> year old man with ipf presents with <num> weeks of worsening dyspnea and fatigue. // ? acute process, pneumonia
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single portable view of the chest. low lung volumes contribute to crowding of the bronchovascular structures as well as bibasilar atelectasis. cardiac size is top normal. a right internal jugular line terminates in the upper svc. there is no evidence of pneumothorax, pneumonia, pulmonary edema or large pleural effusion...
right internal jugular line placement
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in comparison to the prior exam, there appears to be increasing opacities particularly in the right upper lobe which may be related to worsening pulmonary edema versus redistribution of the moderately sized right pleural effusion. there may be a tiny left pleural effusion. heart size remains normal. the patient is stat...
history: <unk>f with dyspnea // ? pulmonary edema
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the lungs are moderately well inflated with persistent mild pulmonary edema and bilateral pleural effusions. aortic knuckle calcification is again identified. diffuse demineralization is unchanged. ekg leads overlie the chest wall.
<unk> year old woman with increased o<num> need // comparison
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pa and lateral chest radiograph demonstrate low lung volumes. hazy parahilar densities are seen. there is obscuration of the left hemidiaphragm, which may reflect a component of atelectasis though infection cannot be excluded. the heart is enlarged, unchanged since prior examination. aortic arch calcifications are note...
<unk>-year-old female with shortness of breath.
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the patient is status post median sternotomy and cabg. left-sided aicd/ pacemaker device is noted with leads terminating in the right atrium and right ventricle. heart size is normal with a left ventricular predominance. the aorta is tortuous and diffusely calcified. pulmonary vasculature is normal. hilar contours are ...
chest pain
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frontal and lateral views of the chest. again seen are biapical calcified nodular opacities. there is superior retraction of the hila, at least on the left suggesting component of scarring. focal lucent region seen at the left lung apex as well as more dense opacity over the anterior right first rib as well. inferiorly...
<unk>-year-old female with hiv, presenting with syncope, fevers, cough and chills.
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right picc and right jugular venous catheter have been removed in the interim. pulmonary edema, slightly asymmetric and more prominent on the right is mild. the heart size is top-normal. the left pleural effusion has resolved. no pneumothorax. no focal consolidation. the mediastinum is not widened.
<unk> year old man with t<num>dm <unk> whipple, asplenia, ckdiii w/ nephrolithiasis s/p pcn, recent ugib (<unk>), recent admission for babesiosis found to have new leuckotyosis // rule out infection
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a right-sided dialysis catheter terminates in the right atrium. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. subtle airspace opacities are demonstrated throughout both lungs (right greater than left), predominantly at the bases which could represent atypical ...
<unk>m with esrd on hd // eval for pulmonary edema
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pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there is no visualized fracture.
<unk>-year-old male with right rib pain status post fall.
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single ap view of the chest provided. lung volumes are low, but grossly clear. minimal retrocardiac scarring versus atelectasis is unchanged. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
<unk> year old woman with ams, desat to <unk>% // pna? aspiration?
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frontal and lateral views of the chest demonstrate normal lung volumes. trace right apical pneumothorax is unchanged since <unk>. no focal consolidation or pleural effusion. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pleural effusion. partially imaged upper abdomen is unremark...
patient with history of pneumothoraces and shortness of breath for two months.
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there is a new opacity of the left lung base which may represent a combination of small pleural effusion and atelectasis however, an underlying infectious process cannot be excluded. evaluation of the cardiac silhouette is limited. mediastinal contours are stable. there is tortuosity of the descending aorta. flattening...
left sided pleuritic pain.
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pa and lateral views of the chest provided. clips in the right axilla again noted with asymmetric smaller right breast shadow. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the heart appears mildly enlarged. the mediastinal contour is unremarkable aside from an unfolded thoracic aorta. at...
<unk>f with sudden onset chest pain earlier today that has now resolved
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pa and lateral views of the chest provided. the right hemidiaphragm remains elevated. the previously noted opacity in the left upper lung appears resolved. no consolidation concerning for pneumonia. no effusion or pneumothorax. cardiomediastinal silhouette appears essentially stable. bony structures are intact. no free...
<unk>f with cough // eval heart and lungs
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heart size is moderately enlarged. the mediastinal contour appears unremarkable. mild prominence of the left hilum could suggest left pulmonary artery dilatation. right hilar contours normal. pulmonary vasculature is not engorged. lungs appear hyperinflated. streaky left basilar opacity could reflect atelectasis. no fo...
history: <unk>f withfeelsness of breath, feelks food stuck in throat happened after eating
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ap portable view of the chest. limited study, lung bases not imaged. the patient is rotated to the right which limits evaluation. the et tube is <num> cm from the carina. a right subclavian line ends in the low svc. pulmonary edema and pleural effusions are unchanged. bibasilar opacities are unchanged. no pneumothorax....
respiratory failure.
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portable semi-upright radiograph of the chest demonstrates low lung volumes results in bronchovascular crowding. increased opacity in the right mid and lower lung is concerning for pneumonia. the cardiomediastinal hilar contours are unchanged. there is prominent medastinal and extrapleural fat present on prior ct of th...
<unk>m with tachycardiatachypnea // eval for acute process
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
<unk>m with chest pain/dyspnea // r/o acute process
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is stable. no acute osseous abnormalities, hypertrophic changes noted in the spine. .
<unk>m with cp, sob and l shoulder pain pls eval for edema pna and also shoulder pathology // history: <unk>m with cp, sob and l shoulder pain pls eval for edema pna and also shoulder pathology
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cardiac size is top normal. there is no pneumothorax. large bibasilar consolidations have increased on the left. small bilateral effusions are probably unchanged. extensive nodular and peribronchial opacities are again noted better seen in prior ct. right chest tube is in place. there is minimal right subcutaneous emph...
<unk> year old man with resp failure sp right vats wedge // ptx
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the lungs are well expanded and clear. the aorta is noted to be tortuous. the heart size is at the upper limits of normal. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.
<unk>-year-old female with fever.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. there is eventration of the right hemidiaphragm, similar to <unk> with bibasilar atelectasis and calcified pleural plaques again seen. lungs are otherwise grossly clear without focal consolidation, ...
<unk>-year-old male with fever and productive cough. evaluate for infectious process.
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ap single view of the chest has been obtained with patient in semi-upright position. analysis performed in direct comparison with the next preceding similar study obtained nine hours earlier during the same day. the extensive parenchymal density occupying major portion of the left upper lobe and mid lung field on this ...
<unk>-year-old male patient with chf and hypotension, evaluate for edema, effusion or possible pneumonia.
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subtle patchy lateral left base opacity is nonspecific, but infectious process versus scarring may be present. some thickening is seen along the major fissure on the lateral view, much less likely trace fluid in the fissure. no pleural effusion is seen at the posterior costophrenic angles. no pneumothorax is seen. the ...
history: <unk>m with fevers // r/o acute process
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lung volumes are low which leads to bronchovascular crowding. no focal consolidation is seen. the cardiomediastinal silhouette and hilar contours are within normal limits. there is no pleural effusion or pneumothorax.
<unk>f with chest pain over left chest, recent cough and viral illness. evaluate for pneumonia
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a left typically directed chest tube is present. a trace left apical pneumothorax persists. slight increase in left basilar atelectasis. no pleural effusion. relative lucencies in the right lower lung zone may reflect underlying emphysematous change. the size the cardiomediastinal silhouette is within normal limits. un...
<unk> year old man with pneumothorax. // ?interval change
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is normal. there is no pulmonary edema. patient is status post left mastectomy. bilateral nodular opacities seen on <unk>...
shortness of breath for three days. patient with history of asthma and breast cancer.
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lung volumes are slightly low, but without focal consolidation concerning for pneumonia. the left pectoral pacemaker with leads in stable positions, likely in the right ventricle. there is been interval removal of the rig...
<unk>m with aicd alarm.
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endotracheal tube tip is <num> cm above the carina, orogastric tube courses below the diaphragm into the stomach and is appropriately positioned. bilateral diffuse pulmonary opacities are persisting. left hemithorax is less opaque than it was yesterday, but whether this is due to differences from layering of left pleur...
<unk>-year-old woman status post right mca bleed, evaluate for acute process.
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frontal and lateral views of the chest. low lung volumes are seen on the current exam with secondary crowding of bronchovascular markings and accentuation of the mediastinum which given differences in positioning and technique is not changed. there is no confluent consolidation, effusion or pneumothorax. no acute osseo...
<unk>-year-old male with concern for possible dissection, chest pain.
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cardiomegaly is unchanged. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. retrocardiac atelectasis appears similar to <unk>. no focal consolidation, pleural effusion, or pneumothorax. picc line tip is approximately in the mid svc. cardiac device leads appear in similar position.
<unk> year old man with aoc schf who desated to the <num>s last night. // flash pulmonary edema? pleural effusions?
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the heart size is top-normal. the aorta is tortuous. there is mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are unremarkable. the lung volumes are low with mild bibasilar atelectasis however no focal consolidations concerning for pneumonia are identified. there is no large pleural eff...
history: <unk>m with h/o of cad w/ mi, htn, alcoholism with cirrhosis with varices/avms who presents with chest pain
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the patient is status post median sternotomy, mitral valve repair, and cabg. epicardial leads are also seen. the heart size is mildly enlarged, unchanged. mediastinal and hilar contours are normal. there is minimal atherosclerotic calcification of the aortic knob. lungs are clear and the pulmonary vasculature is normal...
leukocytosis.
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the lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. right axillary surgical clips are noted. severe degenerative changes are noted at the left glenohumeral joint with deformity of the humeral head.
<unk>f with autoimmune hepatitis p/w <unk> edema, shortness of breath. evaluate for pneumonia, pulmonary edema, or effusions.
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compared to prior radiograph, there has been interval withdrawal of the left chest tube which now projects adjacent to the left lower mediastinum. otherwise, lines and tubes are unchanged in position. lung volumes remain low. there is right greater than left lung opacity. there are small bilateral pneumothoraces. there...
<unk>-year-old man post cardiac arrest
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there is no evidence of pneumonia. there is a nodular opacity adjacent to the left hilum, measuring <num> mm with an adjacent branching structure which appears to represent a vessel. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
hemoptysis, cough and dyspnea on exertion. evaluation for pneumonia.
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the cardiomediastinal silhouette is unremarkable. vascular crowding is noted at the right lung base. the lung fields are clear. there is no evidence of fracture. there is no pneumothorax or pleural effusion.
history: <unk>m with fever // eval for infiltrate
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cardiac silhouette size remains mildly enlarged. the mediastinal and hilar contours are similar. lungs remain hyperinflated. no pulmonary vascular congestion is demonstrated. rounded opacity projecting over the posterior aspect of the right diaphragm is compatible with a bochdalek's hernia. there is no focal consolidat...
history: <unk>f with palpitations and chest pressure/pain.
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the cardiomediastinal silhouette is unchanged with mediastinal prominence secondary to mild aortic ectasia. there is no pleural effusion or pneumothorax. there is no concerning parenchymal consolidation.
<unk>m with tachycardia fever // eval for pna
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ap and lateral views of the chest demonstrate low lung volumes, with bibasilar atelectasis, as well as a more linear area of atelectasis in the posterior left lower lobe. a pleural effusion is present on the left. the heart size is top normal, with median sternotomy wires and mediastinal clips, unchanged from the prior...
<unk>-year-old female with weakness. evaluation for pneumonia.
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lungs are hyperinflated. the aorta is unfolded. the cardiac silhouette is not enlarged. there is a right suprahilar opacity which may represent overlap of vascular structures however, underlying small consolidation or pulmonary lesion not excluded. additionally, there is a subtle opacity projecting over the lateral rig...
history: <unk>m with worsening doe, chronic cough // eval for pna, mass
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the patient is status post median sternotomy. there is focal eventration of the posterior right hemidiaphragm which may relate to a bochdalek hernia. there is slight blunting of the right costophrenic angle on the frontal view. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax....
confusion.
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the lungs are relatively well expanded without focal consolidation. there is minimal left base linear atelectasis/scarring. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
cough and hypoxia.
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pa and lateral views of the chest. there is no focal consolidation. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is normal.
<unk>-year-old male with left-sided chest pain. question of pneumothorax.
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comparison with prior studies is complicated due to magnifying effect of ap view on the heart. allowing for those limitations, there lung volumes are low, but there is no definite focal opacity. the left lower lung field cannot be assessed in the frontal view due to obliteration by magnified heart shadow, but the later...
<unk>-year-old female with weakness and fever. evaluate for acute cardiopulmonary process.
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. a bone bridge is noted between the left first and second ribs anteriorly. no displaced rib fracture identified.
history: <unk>m with fall <num> week ago and left rib pain // eval for rib fracture on left
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the cardiac silhouette is mildly enlarged. an aortic valve replacement is visualized partcularly on the lateral view. the mediastinal silhouette and hilar contours are unremarkable. mild bibasilar atelectasis is noted. the lungs are otherwise clear. there is no pleural effusion or pneumothorax.
history of avr presenting with shortness of breath.
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the patient is status post mitral valve replacement surgery. the heart is again mild to moderately enlarged. unfolding appears similar along the thoracic aorta. the cardiac, mediastinal and hilar contours are more generally stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain.
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since the prior chest radiograph performed earlier on the same date, there has been interval placement of an enteric tube which terminates in the body of the stomach. endotracheal tube terminates <num> cm above the carina. ill-defined opacity at the right lung base has significantly progressed, and concerning for aspir...
<unk>-year-old female with a bowel obstruction. evaluate og tube position.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. lung volumes are low, with bronchovascular crowding and mild bibasilar atelectasis. a trace right pleural effusion is unchanged. no left pleural effusion or pneumothorax is identified. no rib fracture is seen. the visualized upper ...
status post fall.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
chest pain. status post partial nephrectomy.
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the tip of the et tube is located approximately <num> cm above the carina just at the thoracic inlet. the tip of the swan-ganz catheter appears to extend just beyond the right descending pulmonary artery at the level of the right middle lobe pulmonary artery. the tip of the intra-aortic balloon pump appears high, likel...
<unk> year old man with cardiogenic shock, evaluate for et tube placement.
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bilateral spinal rods are re- demonstrated. no focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with fever and generalized body aches*** warning *** multiple patients with same last name! // infiltrations
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<num> lead left-sided pacer device is seen, unchanged in position. there is a small to moderate left pleural effusion with overlying atelectasis. left basilar opacity may be due to combination of pleural effusion and atelectasis, underlying consolidation is not excluded. left basilar opacity is grossly stable to possib...
history: <unk>m s/p mvc, hit chest on steering wheel //
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pa and lateral views of the chest. a picc line ends in the mid-to-low svc. small bilateral pleural effusions seen only on the lateral view have decreased since <unk>. aside from minimal atelectasis at the posterior left lung base, the lungs are clear. the aorta is tortuous but not dilated. heart size is normal.
rule out aspiration.
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in comparison to the chest radiograph obtained <num> hours prior, there is increased right lower lobe atelectasis. unchanged, dense, left lower lobe consolidation with silhouetting of the left hemidiaphragm is likely atelectasis with a moderate pleural effusion or alternatively a developing pneumonia. moderate pulmonar...
<unk> year old man with ngt // assess ngt placement
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portable semi-upright radiograph of the chest demonstrates persistent bilateral pulmonary edema with stable bilateral pleural effusions and adjacent atelectasis. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. endotracheal tube ends <num> cm from the carina. swan-ganz catheter tip ends...
<unk>-year-old female status post left picc line placement.
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there is a left pectoral pacemaker identified with two intact leads terminating within the right atrium and right ventricle, respectively. streaky left basilar, retrocardiac opacities are new from <unk>. there may be a small left pleural effusion. lungs are hyperinflated, but otherwise clear. aside from atherosclerotic...
history: <unk>f with chest pain // infiltrate?
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cardiac size is normal. aside from retrocardiac opacities, the lungs are clear. there is no pneumothorax. there is a small left effusion. pneumoperitoneum is again noted. tracheostomy tube is in standard position. right central catheter tip is in the cavoatrial junction.
<unk> y/o f s/p pedestrian struck p/w admitted to the ticu with bilateral iph w/sah and <num>mm of midline shift and right temporal bone fracture. // ?infiltrate
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the tip of the right internal jugular central venous catheter projects over the cavoatrial junction. the tip of the endotracheal tube projects over the mid thoracic trachea. the feeding tube extends below the level the diaphragms but beyond the field of view of this radiograph. increasing hazy opacity at the left lung ...
<unk> year old man organ donor // eval for changes every <num> hours
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heart size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. subsegmental atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalitie...
history: <unk>m brought in intoxicated by ems with cough // evaluate for 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.
evaluate for pneumothorax in a patient with dyspnea.
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the medial right clavicle is again lower in position on the right as compared to the left which has been the case since at least <unk>. no new focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
<unk> year old man with fevers and cough // ?pneumonia
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frontal and a lateral chest radiographs demonstrate multiple sternotomy wires, mediastinal clips, and post cabg material. right lung base scarring and irregularity of the right rib cage may be secondary to cardiac surgery and are unchanged. moderate cardiomegaly is redemonstrated. there is no pulmonary edema, pleural e...
aortic stenosis and coronary artery disease. evaluate for heart failure.
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ap portable upright view of the chest. midline sternotomy wires and prosthetic cardiac valve again noted. the heart is massively enlarged. bilateral small pleural effusions are noted, slightly increased on the right. there is increased right lower lung opacity which could represent atelectasis versus pneumonia. no over...
<unk> year old woman with chest pain // eval for pulmonary edema
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frontal and lateral views of the chest were performed. there is atelectasis of the left lung base. there is no pleural effusion or pneumothorax. the heart size is normal. calcifications are seen within the aorta.
cough and hypotension. evaluate for pneumonia.