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lung volumes are normal, and free of focal consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. there is no evidence of subdiaphragmatic free air. no acute fractures identified.
history: <unk>f with sbo, peritoneal abd // eval for subdiaphragmatic free air
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pa and lateral chest radiographs were obtained. the lungs are well expanded. right basilar atelectasis and effusion are similar. left basilar scarring has not changed. there is no new consolidation or pneumothorax. cardiomegaly and mild aortic arch calcifications are unchanged. minimal peribronchial opacities are appar...
chest pain. productive cough and chills.
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the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. there is blunting of the right posterior costophrenic sulcus, possibly due to scarring versus a very small pleural effusion. moderate degenerative changes again effect the shoulder.
worsening right-sided weakness. history of stroke.
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frontal and lateral views of the chest. the lungs are hyperinflated. there is a region of consolidation in the lingula. there also regions of increased opacity in the retrocardiac region and at the right lung base confirmed on the lateral view. superiorly the lungs are clear with suggestion of underlying emphysema. car...
<unk>-year-old male with hiv and shortness of breath.
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the lungs are hyperinflated with evidence of underlying emphysema. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old male with copd, now with oxygen desaturation.
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left-sided port-a-cath is intact with tip terminating in the lower svc, essentially unchanged. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated
history: <unk>f with left sided port malfunction
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. the lungs are hyperinflated with emphysematous changes re- demonstrated. patchy opacity is noted in the left lung base. remainder of the lungs are clear. no focal consolidation, pleural effusion or pneumothorax i...
copd, cough, shortness of breath, chest pain.
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pa and lateral views of the chest provided. lungs appear lucent compatible with known emphysema. there is no focal consolidation, large effusion or pneumothorax. heart size is mildly enlarged. mediastinal contour is unremarkable. bony structures are intact
<unk> year old man with cerebral atrophy, sob // ? lesion
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pa and lateral views of the chest were reviewed. compared to the most recent prior study, lung volumes have improved and only mild subsegmental left lower lobe atelectasis remains. otherwise, the lungs are clear. there is no pleural effusion or pneumothorax. postoperative mediastinal enlargement continues to decrease, ...
evaluation for interval change in a patient status post cabg.
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since the prior exam, the lung volumes are lower. with new increased interstitial markings at the bilateral bases, this may represent new interstitial lung disease. there is no focal consolidation. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
cough. evaluate for pneumonia.
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frontal and lateral chest radiographs were obtained. the lungs are hyperinflated with flattening of both hemidiaphragms. the previous bibasilar opacities have essentially cleared. the upper lung zones are hyperlucent with attenuation of pulmonary vessels and destruction of parenchyma, consistent with severe emphysema. ...
patient with recent pneumonia, assess for resolution.
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low lung volumes cause bronchovascular crowding and bilateral subsegmental atelectasis. bibasilar airspace opacities, left greater than right, correspond to the chest ct findings of multiple masslike pulmonary nodules some with cavitation, potentially representing septic emboli, fungal infection, or multifocal pneumoni...
<unk>f with new o<num> requirement, evaluate for acute process.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with hx hiv, cocaine use, recent om, p/w chest pain and headache. // r/o chf/pneumonia, mastoiditis, abscess
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the left lower lobe pneumonia has resolved. median sternotomy wires and pacer are noted. moderate cardiomegaly is unchanged.
history of pneumonia. evaluation for clearance.
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compared with the prior radiograph, new right lower lobar opacity, particularly appreciated on the lateral view, is concerning for developing infection, in the correct clinical setting. there is no new pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits.
<unk>f with chest pain that started this morning. evaluate for acute cardiopulmonary process.
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the et tube terminates approximately <num> cm from the carina. the right-sided ij terminates in the mid svc. the left perihilar opacification appears stable. the left-sided pleural effusion is unchanged compared to the prior exam as well as the left lower lobe atelectasis which is stable. there appears to be slight int...
<unk>-year-old male presents for evaluation of et tube position.
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new right lower lobe opacity concerning for infection process. mild cardiomegaly is stable. the mediastinal contour is unchanged. no pleural effusion or pulmonary edema. the left hemidiaphragm is elevated by gas-filled colon.
<unk> year old man with aftib, pe, dvt // ?pneumonia/ patient <num> weeks post op from postectomy. new dry cough. known pulm nodules
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the lungs are well-expanded and clear. the cardiomediastinal hilar contours are unchanged. there is no pneumothorax, consolidation, or pleural effusion. a right port-a-cath ends in the right atrium.
history: <unk>m with fever cough cancer patient // r/o pna
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compared to the prior study there is no significant interval change.
<unk> year old woman with stage iv nsclc admitted for persistent hypoxia after therapeutic thoracentesis with pleurex catheter placement, found to have multiple left side pe's on <unk> // assess for interval change in pleural effusion, right pneumothorax
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frontal and lateral radiographs of the chest show persistently low but improved inspiratory lung volumes with right lower lobe atelectasis. the lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. haziness in the left upper lobe is likely post-operative. prominence of the cardiomedi...
<unk>-year-old male status post left upper vats segmentectomy, here to re-evaluate for interval changes.
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the study is somewhat limited due to motion artifact. the lungs are well expanded. indistinct vasculature and cardiomegaly suggests mild pulmonary edema, although some of the haziness could be due to technique. hazy opacities are seen in the left upper lung and right lung base, which could reflect atelectasis or focal ...
history: <unk>m with chf, sob // eval for volume status
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with severe asthma and new cough/fever // e/o pna
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk> year old woman with generalized weakness of unknown etiology. evaluate for infectious process.
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pa and lateral views of the chest were obtained. the heart is normal in size, and cardiomediastinal silhouette is unremarkable. lungs are symmetrically expanded without focal consolidation. there is no pleural effusion or pneumothorax. linear opacities at the right base are less conspicuous compared to the prior examin...
<unk>-year-old man with confusion, evaluate for pneumonia.
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this study was made available for my interpretation, today, <unk>. there may be trace pleural fluid. no definite focal consolidation is seen. slight increase in interstitial markings bilaterally may be due to mild interstitial edema. no pneumothorax is seen. the cardiac silhouette remains enlarged. the aorta is calcifi...
<unk>f with increasing weakness. // <unk>f with increasing weakness.
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since prior radiograph, the lung volumes are increased; however, there appears to be increased bilateral diffuse opacities likely due to pulmonary edema. a more focal consolidation at the right base is concerning for atelectasis or possible aspiration. et tube is <num> cm from the carina. ng tube is seen coursing below...
<unk>-year-old woman with acute increase in fio<num> requirement, concern for aspiration or 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.
history: <unk>f with tia // any pna
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since the most recent chest radiograph performed on <unk>, there has been slight interval progression of multifocal airspace consolidations, which affects all lungs lobes. however, note that this is also exaggerated by low lung volumes. pleural effusions are present bilaterally, new on the right. no pneumothorax. tip o...
<unk> year old woman with mds, neutropenia and hypoxemia // ?interval change
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as compared to the prior examination dated <unk>, there has been no significant interval change. there is persistent hyperexpansion of the right lung secondary to emphysema. significant left lower lobe atelectasis and near- complete collapse is stable. the upper lungs are grossly clear bilaterally. the cardiomediastina...
history: <unk>m with weakness // acute process
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the lungs are hyperinflated, but are clear of focal consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. moderate hiatal hernia is again seen. hypertrophic changes seen in the spine, without acute osseous abnormality.
<unk>-year-old female with chest pain.
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single frontal chest radiograph demonstrates normal cardiac and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident.
chest pain and hypoxia, evaluate for pneumonia or pneumothorax.
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ap and lateral views of the chest. there is a right chest wall port whose catheter tip is in the upper right atrium. this is new from recent chest ct. patient has known bilateral pulmonary nodules/masses, better seen on ct but the most conspicuous of which is in the right mid lung and has grown since prior chest x-ray ...
<unk>-year-old male with history of metastatic melanoma and right chest port, presents with generalized weakness.
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portable frontal upright radiograph of the chest. compared to the prior study there is stable heart size and tortuosity of the aorta. the right upper lung mass is again seen measuring approximately <num> cm. there is a small right pleural effusion and trace left pleural effusion with associated atelectasis. no pulmonar...
peritonitis from peritoneal dialysis with fluid overload. evaluate for pulmonary edema.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
chest pain and shortness of breath.
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study is slightly limited due to patient rotation. lung volumes are low. cardiac and mediastinal contours are unchanged. crowding of bronchovascular structures is likely due to low lung volumes. there is minimal atelectasis at the lung bases without focal consolidation. no pleural effusion or pneumothorax is seen. righ...
<unk> year old woman with fever, altered mental status, cough.
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as seen on the recent ct there is volume loss and infiltrate in the left lower lobe. the left hemidiaphragm slightly elevated. the mediastinum continues to appear wide secondary to vasculature and patient body habitus. there compressive changes at the right base
<unk> year old woman <num> days status post lithotripsy, now with hypoxia. // pulm edema, pleural effusions
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endotracheal tube tip terminates approximately <num> cm from the carina. mild enlargement of the cardiac silhouette is present. aortic knob calcifications are visualized. lung volumes are low with widening of the superior mediastinal contour which may be due to low lung volumes and supine ap technique. pulmonary vascul...
history: <unk>f with cardiac arrest // eval for acute process
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redemonstrated is a right port-a-cath, the tip of which is seen terminating in the upper svc. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. a right mid lung nodule appreciated on the ct exam performed the same day is not well delineated. the cardiomediastinal sil...
history of colorectal cancer.
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an endotracheal tube is <num> cm from the carina. an ng tube is in the stomach. a right and left internal jugular central lines both end in the upper svc. there is no pneumothorax. a right abdominal pigtail catheter is unchanged. the cardiomediastinal silhouette is normal. the left pleural effusion has slightly decreas...
fever and sepsis from pyelonephritis. evaluate endotracheal tube.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain, fatigue // eval for structural process
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single portable upright frontal image of the chest. the lungs are well expanded and clear. no large pleural effusion or pneumothorax is seen. the cardiomediastinal silhouette is enlarged.
shortness of breath.
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endobronchial lung reduction with coils are again seen. increased interstitial markings are seen throughout the lungs which appear chronic, unchanged. there is no new consolidation. there is no effusion. the cardiomediastinal silhouette is within normal limits. multiple thoracic compression deformities are better seen ...
<unk>f with copd p/w gen weakness, nausea, reduced oral intake recently started on metolazone and furosemide // pneumonia or copd exacerbation or chf
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable. patient is status post aortic valve replacement. no pulmonary edema is seen.
history: <unk>f with amsa // eval for acute process
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the lungs are clear. there is are low lung volumes and a tiny area of right bibasilar atelectasis. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
two weeks of cough. concern for pneumonia.
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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. note is made of previous median sternotomy and cabg.
<unk> yo male with a history of a nonischemic dilated cardiomyopathy, s/p lvad placement in <unk> as btt which he underwent at <unk> on <unk> c/b retained drive line fragment now presents with new onset hip pain and progressive doe. // please get for comparison to vq scan, thanks!
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there is a free intraperitoneal air seen below the diaphragm which appears increased from prior chest radiograph from <unk>. cardiomediastinal silhouette is unchanged. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old man with confusion evaluate for pneumonia.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is mildly enlarged, unchanged from the prior examination. there is minimal bilateral cephalization without absolute engorgement of the pulmonary vasculature. no bony abnormality is detected.
abnormal lung sounds following stroke. evaluate for aspiration pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with generalized weakness // eval for infection
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heterogeneous multifocal airspace opacities are seen within the bilateral lungs. heart is top-normal in size. endotracheal tube ends <num> cm from the carina. an enteric tube ends in the stomach, with the last side port at the level of the ge junction. there is no pneumothorax or pleural effusion.
history: <unk>m with intubated transfer, reported c/f aspiration*** warning *** multiple patients with same last name! // eval ett placement
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the single lead pacemaker is again visualized with the lead projecting over the expected location
<unk> year old woman s/p single chamber ppm // lead placement
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re-identified is a right ij central venous catheter with tip projecting over the high right atrium versus cavoatrial junction. also unchanged are multiple median sternotomy wires and mediastinal surgical clips. there are very low lung volumes, likely accentuating the size of the cardiomediastinal silhouette, stable in ...
<unk>-year-old man status post cabg, evaluate for effusions.
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heart size remains mildly enlarged. the aorta is tortuous. the mediastinal and hilar contours are otherwise similar. pulmonary vasculature is not engorged. streaky atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detect...
history: <unk>m with chest pain // eval for acute process
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a left upper lobe lesion persists and is unchanged from the immediate prior radiographs of <unk>. this is decreased from the radiographs of <unk>. no new focal opacity is seen. the heart size and cardiomediastinal contours are unchanged.
history of recent left upper lobe pneumonia with nodularity. followup examination to ensure resolution.
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pa and lateral views of the chest. there is no focal consolidation seen in the lungs. the right hilum is full likely from previously seen lymphadenopathy. no pleural effusion or pneumothorax. the heart is mildly enlarged.
elevated blood sugar. assess for pneumonia.
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a nodular opacity in the interspace between the anterior first and second right ribs is ill-defined. there is no pleural effusion or pneumothorax. the heart size is normal. the aortic knob is calcified.
history: <unk>f with weakness // ?pna
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pa and lateral views of the chest provided. left basilar linear density is most compatible with atelectasis. there are multiple left rib fractures which appear subacute as these were present on the prior ct from outside hospital performed <unk>. these appear to involve the left fifth through ninth ribs posterolaterally...
history: <unk>m with chest pain after a fall // r/o pneumothorax or obvious rib fracture
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there is a faint opacity in the right upper lobe suggestive of an infectious process. there is mild right lower lobe atelectasis. otherwise, the remainder of the lungs are clear with no evidence of other consolidations, effusions, or pneumothoraces. the cardiomediastinal silhouette is normal. calcified costochondral ju...
evaluation of patient with cough and dyspnea.
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ap and lateral views of the chest dated <unk> at <time> are submitted.
<unk> year old woman with copd and pah ongoing dyspnea // r/o edema, infiltrate r/o edema, infiltrate
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the cardiac silhouette is top-normal in size. the pulmonary vasculature is unremarkable. the the lungs are clear. there is no definite pleural effusion or pneumothorax. no displaced rib fracture is identified. vertebral body heights are maintained. plain radiographs, however, are limited for of evaluation for traumatic...
history: <unk>f with pain, fall // eval for fx
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heart size is borderline enlarged. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen. there is minimal atelectasis in the lung bases. no acute osseous abnormality is visualized.
history: <unk>f with exertional dyspnea // eval for acute process
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old woman with nausea and vomitting now with dyspnea and jvd // r/o pulmonary edema r/o pulmonary edema
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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.
<unk>-year-old male with chest pain. please assess for cardiopulmonary disease.
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ng tube is in the esophagus with the tip above the ge junction. again seen is the radiopacity that is presumed to represent a tooth projecting over the left hemidiapragm. the paper clip marking a skin lesion is not near this region. the lines and tubes are otherwise unchanged. there are there is platelike atelectasis i...
check ng tube.
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chronic reticular nodular opacities at the left lung apex are re- demonstrated. ill-defined medial right lung apex opacity is also stable. previously seen right base opacity has significantly improved and essentially resolved in the interval. no definite new focal consolidation is seen. no pleural effusion or pneumotho...
history: <unk>f with syncope, hiv off antiretrovirals // any infectious process in lungs?
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probable mild cardiomegaly, though the cardiomediastinal silhouette is unchanged. again seen is upper zone redistribution, unchanged, without overt chf. minimal bibasilar atelectasis and/or scarring is unchanged. no focal infiltrate, consolidation, effusion or pneumothorax is detected. incidental note is made of right ...
<unk>f with pmh of apls on coumadin for hx of pe, poorly-controlled t<num>dm complicated by esrd s/p living kidney transplant in <unk> on mmf, tacrolimus, prednisone, cad s/p mi x <num> and des <unk>, with several-day history of melena/hematemesis // eval for infection, effusion
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mild to moderate enlargement the cardiac silhouette is unchanged. the mediastinal and hilar contours are within limits. the pulmonary vasculature is not engorged. streaky and linear opacities in both lung bases likely reflect areas of atelectasis. no pleural effusion, focal consolidation or pneumothorax is present. no ...
history: <unk>f with chest pain.
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single frontal view of the chest was obtained. moderate sized bilateral effusions, right greater than left, are new since <unk>. vague bibasilar lung opacities could represent atelectasis versus pneumonia. no pneumothorax. heart size and cardiomediastinal contours are stable. changes of lumbar spine kyphoplasty are sim...
<unk>-year-old female with chest pain and hypoxia.
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moderate cardiomegaly and mild tortuosity of the thoracic aorta is unchanged. hilar contours are unremarkable. a large midline retrocardiac density is unchanged from prior examination compatible with hiatal hernia. lungs are clear. the pleural surfaces are clear without effusion or pneumothorax.
cough.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities present.
fever, cough.
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pa and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax or pleural effusion. no evidence of pulmonary edema. there is no air under the right hemidiaphragm.
history: <unk>f with palpitations // eval for cm, infiltrate
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the tip of the right picc line projects over the distal svc. surgical clips project over the thoracic inlet. there are increasing opacities at the left lung base which reflect atelectasis and/or pneumonia. a left pleural effusion is also suspected. the right lung appears hyperexpanded however no focal consolidation, pl...
<unk> year old man with respiratory failure // eval for interval change
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heart size is normal. the aorta is tortuous. the mediastinal and hilar contours are unremarkable. multiple clips are demonstrated within the left anterior chest wall with minimal scarring seen in the left mid lung field. lungs are hyperinflated but clear. no focal consolidation, pleural effusion or pneumothorax is seen...
hypoxia, gi symptoms.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. extensive degenerative changes are noted in the thoracic spine.
history: <unk>m with fever // eval for infection
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk>-year-old female with chest pain
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ap chest radiograph. the heart is moderately enlarged. the lungs are clear. there is no pleural effusion or pneumothorax. probable nipple shadow overlies the left mid lung.
pre-op evaluation prior to fixation for intertrochanteric fracture.
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large bore catheter is seen on the right to with tip in the right atrium. the lungs are clear without infiltrate or effusion. compared to the prior study from <unk> the pulmonary edema has improved. there is mild cardiomegaly there is tiny bilateral pleural effusions
<unk> year old woman with ?seizures // eval for infiltrate
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pa and lateral views of the chest. the lungs remain clear of consolidation, effusion, or pneumothorax. cardiac silhouette is enlarged but stable. there is no pulmonary vascular congestion. multiple bilateral prior anterior rib fractures are again seen.
<unk>-year-old female with chest pain.
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the heart is mildly enlarged. there is no pneumothorax or pleural effusion. bibasilar linear opacities likely reflect atelectasis, though a left basilar retrocardiac opacity with small air bronchograms may reflect a small underlying consolidation, difficult to differentiate from focal atelectasis. there is persistent e...
<unk> year old man with dm<num>, cad, htn, afib, ckd, panhypopit, h/o dvt, rcc, here for weakness and general fatigue x <unk> days. // any acute processes (pneumonia, pulm edema, change in cardiac silhouette)
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portable supine chest film <unk> at <time> is submitted.
<unk> y/o male s/p fall with head strike p/w sah, sdh, evidence of downward herniation now s/p craniectomy <unk>. // interval change interval change
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interval removal of the right internal jugular central venous catheter. the patient is status post median sternotomy and cabg. interval increase in the lung volumes, however there is persisting bibasilar opacities, likely reflective of atelectasis/consolidation. a trace right pleural effusion is present. mildly enlarge...
<unk> year old man with cabg // r/o inf, eff
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the heart is mildly enlarged, stable. lungs are hyperexpanded with flattening of the diaphragms consistent with copd. there is no focal consolidation, pleural effusion or pneumothorax.
shortness of breath. recent stent. evaluate for pneumonia.
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a small left apical pneumothorax is stable from <unk>. small bilateral pleural effusions appear unchanged. indwelling support and monitoring devices are stable and in appropriate position. bibasilar and right perihilar opacities are stable.
<unk> year old woman with lll wedge and mediastinal ln dissection // interval change on am rounds
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evaluation of the chest is limited due to low inspiratory lung volumes and slight patient rotation with resultant prominence of the cardiomediastinal silhouette and lung markings due to under-inflation. within this limitation, there is no focal consolidation concerning for pneumonia. no large pleural effusion or pneumo...
<unk>-year-old woman with symptoms of tia, here to evaluate for acute cardiopulmonary process.
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>m with leukemia, fever // please eval for pna
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pa and lateral chest radiographs were obtained. moderate right basilar atelectasis is similar. the left lung is well inflated. ground-glass opacification in the right lower and middle lobes has improved since prior exam of <unk> and significantly improved since <unk>. no pneumothorax is present. cardiac and mediastinal...
<unk>-year-old man with esophageal perforation, respiratory failure and empyema.
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pa and lateral chest radiographs were obtained. the tip of a left-sided picc line projects over the mid svc. the lungs are well inflated. no focal consolidation, effusion, or pneumothorax is present. the cardiac and mediastinal contours are normal.
<unk>-year-old woman with all and leukopenia, new cough.
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a right central venous access catheter terminates in the mid svc. prior imaging taken during placement of port demonstrated tip in the right atrium, however, it is unclear if this represents the final positioning of the tip. the cardiomediastinal and hilar contours are normal. there is persistent elevation of the left ...
<unk>-year-old woman with hodgkin's lymphoma, poc sluggish in flushing. study requested for evaluation of positioning.
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while there is mild cardiomegaly. the patient is status post cabg with sternal wires and mediastinal clips. the right hemidiaphragm is mildly elevated and there is crowding at the right base. it is unclear if the opacity in this region is due to volume loss or infiltrate. the left lung is clear. there is mild pulmonary...
anoxic brain injury with fever.
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there are low lung volumes. this accentuates the size of the cardiac silhouette which is mildly enlarged. the mediastinal contours are unremarkable. there is mild pulmonary edema, but no pleural effusion or pneumothorax is identified. bibasilar airspace opacities likely reflect atelectasis. no acute osseous abnormaliti...
dyspnea.
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there is a new tracheostomy tube in good location. single lead pacemaker is again visualized. left subclavian line with tip in the svc is again seen. lung volumes are low. there bilateral pleural effusions and pulmonary vascular redistribution. the heart size is moderate to severely enlarged. compared to the prior stud...
<unk> year old man with respiratory failure now s/p trach // pls eval for interval changes
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again seen is a right subclavian central line with tip over proximal svc. no pneumothorax detected. inspiratory volumes are low. allowing for this, the heart is not enlarged. apparent upper zone redistribution is likely accentuated by low inspiratory volumes. doubt chf. there is patchy opacity at the right base mediall...
<unk> year old man with aml and progressive cough // eval cough
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the heart is mildly enlarged. cardiomediastinal contours are normal. pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. metallic clips projecting over the left breast are compatible with history of prior left breast surgery. the catheter...
history of breast cancer presenting with seizure and syncope. evaluate for pneumonia.
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the lungs are clear. rightward deviation of the trachea at the cervicothoracic junction is due to the enlarged left thyroid lobe. the heart is borderline enlarged. the hilar and cardiomediastinal contours are otherwise normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman, for preoperative evaluation prior to surgical repair of a c<num> fracture.
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aside from minimal atelectasis along the left fissure, the lungs are clear and pulmonary vasculature is normal. a left pleural effusion is small. moderate enlargement of the cardiac silhouette, predominantly left ventricular, is chronic; ct shows a small pericardial effusion. the hilar and mediastinal contours are othe...
evaluate for pneumonia in a patient with leukocytosis and a history of multiple myeloma.
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lower lung volumes seen on the current exam. the lungs are grossly clear. cardiomediastinal silhouette is stable. s-shaped thoracolumbar scoliosis is again identified. there is fracture of a the lumbar pedicle screw as seen on prior. new from prior however, is a fracture of the left-sided transfixing rod just below the...
<unk>f with shortness of breath // r/o chf/pneumonia
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascular is normal. linear bibasilar airspace opacities are compatible subsegmental atelectasis. there is no pleural effusion or pneumothorax. no acute osseous abnormalities seen. asymmetry of the rib cage is unchanged, compatible with...
shortness of breath.
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a focal opacity is noted in the right lower lobe, concerning for infection. mild patchy opacity is also noted in the left lung base, potentially atelectasis or additional site of infection. the cardiomediastinal silhouette and hilar contours are unremarkable. no pulmonary edema or pneumothorax.
history: <unk>m with cough
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bilateral low lung volumes. resolving mild pulmonary edema bilaterally. right pleural effusion. bibasilar atelectasis. there is no pneumothorax. cardiac size exaggerated by low lung volumes. et tube is <num> cm above the carina. enteric tube is widely looped in the stomach. . right ij catheter in the right atrium.
<unk> year old woman with septic shock with gram + rods. // ?interval change
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since prior, left pleural effusion has slightly decreased in size. the lungs are grossly clear. cardiomediastinal silhouette is unchanged. small right pleural has resolved. there is no pneumothorax.
neutropenic fever with nausea vomiting and diarrhea, assess for infection.
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lung volumes are normal without consolidation or nodules identified. a right pectoral pacemaker has <num> leads extending to the expected regions of the right atrium and right ventricle. the patient is status post median sternotomy and the metallic wires are intact and in line. there is no evidence of pleural effusion ...
<num> weeks of shortness of breath.