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MIMIC-CXR-JPG/2.0.0/files/p15878234/s50446025/07419161-868c4791-8d8a28de-a698ce01-22df49bb.jpg
mild cardiomegaly is stable. pacemaker leads are in standard position in the right atrium and right ventricle. there is no pneumothorax. small to moderate bilateral effusions larger on the right associated with adjacent atelectasis are unchanged. there are mild degenerative changes in the thoracic spine. right upper lo...
<unk> year old woman with prior pleural effusions s/p chest tube drainage on the right. // presence of pleural effusions
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endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the diaphragm, out of the field of view. dual lead left-sided pacer device is seen with leads extending to the expected positions of the right atrium and right ventricle. there is mild cardiomegaly. prominence ...
history: <unk>m with s/p intubated // eval for tube
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pa and lateral views of the chest provided. patient is slightly leftward rotated which limits evaluation. the heart is top-normal in size. subtle prominence of the left fifth anterior rib likely accounts for subtle opacity adjacent to left pulmonary hilum. no definite consolidation, effusion or pneumothorax is seen. cl...
<unk>m with chf // r/o acute process
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the lung volumes are low with probable right basilar atelectasis. the lungs are otherwise clear without a consolidation or edema. there is no pleural effusion or pneumothorax. atherosclerotic calcifications are noted along an unchanged tortuous aorta. the mediastinal contours are otherwise normal. the heart is mildly e...
cough and fever. evaluate for pneumonia.
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a small to moderate size pneumothorax on the right is demonstrated, predominanly loculated along the base, with adjacent lung atelectasis. lungs are hyperinflated with attenuation of the pulmonary vascular markings towards the apices compatible with mild emphysematous changes. the cardiac, mediastinal and hilar contour...
known pneumothorax.
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pa and lateral views of the chest. no definite focal consolidation, pleural effusion or pneumothorax. cardiomediastinal and hilar contours are normal.
fever, splenectomy, crackles in both lungs. evaluate for pneumonia.
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a left-sided pacemaker remains in place. a right upper lobe consolidation with a component of volume loss is unchanged. small bilateral pleural effusions are unchanged, left greater than right. an airspace opacity at the left lung base may be due to infection and/or atelectasis. there is no pneumothorax. the cardiomedi...
<unk> year old woman with pna // eval for effusion
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cardiomediastinal silhouette and hilar contours are unremarkable. the lungs are clear. the pleural surfaces are clear without effusion or pneumothorax.
shortness of breath and chest pain.
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the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are similar along the mid thoracic spine where there is also slightly exaggerated kyphotic curvature.
status post fall.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is unremarkable aside from an unfolded thoracic aorta. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain // ? chf
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the lungs are clear. there is no effusion, consolidation, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>f with chest pain // ? ptx
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a single ap supine chest radiograph was obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. the tip of a right ij line terminates in the mid svc. aortic arch calcifications and pleural plaques are mild.
new right ij.
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chest, portable. there is a spiculated right hilar mass, with slightly denser adjacent hazy opacity. another opacity in the left lower lung is actually a calcified pleural plaque based on the prior ct. the lungs are otherwise clear. the mediastinal and cardiac contours are normal. there are atherosclerotic calcificatio...
<unk>-year-old man presenting with shortness of breath. the patient has a history of metastatic non-small cell lung cancer. evaluate for pneumonia.
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pa and lateral views of the chest provided. a right arm access picc line is seen with its tip in the mid svc. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. calcification is seen along the course of the thoracic aorta. imaged osseous structures a...
<unk>m with hypotension and mult skin infections pls eval for pna or edema
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the cardiomediastinal and hilar contours are within normal limits. lungs are well-expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
shortness of breath, wheezing. assess for infiltrates or other abnormality.
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heart size is top-normal with mild tortuosity of the thoracic aorta. aortic knob calcifications are noted. cardiomediastinal silhouette and hilar contours are otherwise unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
symptomatic anemia with lightheadedness and dyspnea. <num> weeks of bronchitis like illness.
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as compared to the previous radiograph, there is no relevant change. moderate asymmetry of the rib cage, due to healed rib fractures and marked scoliosis. normal size of the cardiac silhouette. marked tortuosity of the thoracic aorta. no evidence of hilar or mediastinal lymphadenopathy. lung parenchyma appears normal, ...
rule out sarcoid.
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pa and lateral views of the chest provided. lungs appear clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with unexplained hypoglycemia
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the cardiac and mediastinal contours appear unchanged. the right hilar contour has decreased in extent, with near resolution of the right-sided pleural effusion. there is probably still a loculated component of pleural effusion along the posterior aspect of the right lower lobe and probably parenchymal opacity, but min...
bloody output from pleural tube. history of lung cancer.
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interval increase in size of a layering right pleural effusion, large in extent. there is overlying atelectasis and/or consolidation. patchy left basilar opacities likely reflect atelectasis. no pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged. a left chest wall port-a-cath is prese...
<unk> year old woman s/p bka with desaturations // please evaluate for volume overload or intrapulmonary process
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are noted. 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>m with stroke symptoms.
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the patient is rotated somewhat to the right. there are areas of minor right mid to lower lung atelectasis/scarring. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta is calcified. the cardiac silhouette is top-normal. air is seen within bowel beneath the right hemidiaphragm. degen...
fall, weakness.
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cardiomediastinal contours are stable. lungs and pleural surfaces are clear, with no new areas of consolidation.
<unk> year old man s/p kindey transplant wiht fever // please eval for pneumonia
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a single portable ap upright view of the chest was obtained. cardiomediastinal silhouette is notable for moderate cardiomegaly, similar to the prior examination. increased bilateral opacities in a perihilar distribution and thickening of the minor fissure is consistent with mild pulmonary edema. small pleural effusions...
<unk>-year-old man with hypoxia and chest pain, evaluate for edema.
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pa and lateral views of the chest were provided. the lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm. clips are noted in the right upper quadrant.
<unk>-year-old female with visual changes and chest pain.
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lung volumes are low. the heart continues to be enlarged with a left ventricular configuration. there is a left retrocardiac opacity which could reflect pneumonia versus atelectasis. there is no pleural effusion or pneumothorax.
<unk>-year-old male with <unk>'s, worsening dyspnea for <num> week, nonproductive cough. the patient has a recent hospitalization and right lower extremity greater than the left lower extremity. evaluate for aspiration/pneumonia.
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there has been no significant interval change. mild the bibasilar atelectasis is noted as previously. et tube remains low, <num> cm above the carina. left ij line in upper to mid svc. ng tube in the stomach.
<unk> year old woman with altered mental status s/p intubation // evaluate for interval change
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heart size is normal. aorta is tortuous and diffusely calcified. coarse interstitial opacities with associated hazy opacification are predominantly in a peripheral and basilar distribution, more so on the right than on the left. these findings appear more pronounced when compared to the previous radiograph. pulmonary v...
history: <unk>m with back pain, interstitial lung disease
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right pleural effusion has increased and left pleural effusion appears unchanged. bibasilar atelectasis is seen. no pneumothorax is seen. heart and mediastinal contours are stable. aortic stent graft is again noted. right internal jugular catheter is similarly positioned.
<unk>-year-old male with fever and elevated white blood count.
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left central venous catheter ends in the upper svc. no pneumothorax. right infrahilar opacity has improved compared to prior. no focal lung consolidation. pleural effusion is small, and any.
<unk> year old woman here with sepsis, evaluate for interval change
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diffuse peribronchial abnormalities in the right upper lobe as well as the area of consolidation on the lateral margin of the left and right lungs have improved since <unk> chest radiograph and <unk> chest ct and are likely due to bronchiectasis on the left and pneumonia or possible radiation injury in the left lung. n...
chest pain, please evaluate for acute process.
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supine and lateral views of the chest. the lungs are clear consolidation or large effusion. cardiac silhouette appears enlarged likely accentuated by lordotic and supine positioning. no acute osseous abnormality detected. focal accentuated kyphosis seen at the lumbosacral junction.
<unk>-year-old female status post syncope. headache and neck pain and back pain. pleuritic chest pain.
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there is increased retrocardiac opacification, concerning for pneumonia. the lungs are hyperinflated. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
fever and cough evaluate for pneumonia.
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left subclavian central venous catheter tip terminates in the mid svc. the heart size remains moderately enlarged. numerous clips are seen projecting over the left lower hemi thorax. mediastinal contour is unchanged. moderate pulmonary edema persists, perhaps minimally improved in the interval. small right pleural effu...
shortness of breath
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a portable semi upright frontal chest radiograph demonstrates a left picc which appears to terminate in the upper right atrium, although this may be related to low lung volumes. if desired, this can be pulled back approximately <num> cm to terminate in the low svc. the remainder of the exam is largely unchanged, with s...
evaluate picc placement.
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there are small bilateral pleural effusions, larger on the right than on the left, as seen on previous exam. associated right basilar atelectasis is noted. superiorly, the lungs are clear. cardiac silhouette is enlarged similar to prior. linear calcific density at the left ventricular apex is compatible with prior infa...
<unk>m with dyspnea on exertion // evaluate for fluid overload, pneumonia, acute process
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heart size is top-normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are low however the lungs are clear. no pleural effusion or pneumothorax is seen. mild vascular congestion without pulmonary edema.
history: <unk>m with assault, loc // eval for fx/bleed
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pa and lateral chest radiographs provided. lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. bones are intact.
history of cough, rule out pneumonia.
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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 // r/o pneumothorax
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the lungs are mildly hyperinflated with diffuse prominence of interstitial markings and lung vasculature. there are bilateral small pleural effusions. mild cardiomegaly. diffuse demineralization with bilateral acromioclavicular arthropathy.
<unk> year old man with abdominal sepsis, also cough/wheezing // ?acute respiratory process
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ng tube terminates in the stomach with the side port just beyond the ge junction. right internal jugular dialysis catheter terminates at mid svc. right picc terminates at the cavoatrial junction. there is persistent opacification of left hemithorax. right lung is clear.
<unk> year old man with recent ng tube placement with coiling in mouth. re-checking for placement after pulling back and re-advancing // where is the tip of the ng tube?
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chest, portable upright. new right internal jugular central venous line has been placed and terminates near the cavoatrial junction. there is no pneumothorax. the appearance of the heart and lungs otherwise unchanged from the prior study, with mild pulmonary vascular congestion and bibasilar atelectasis due to low lung...
evaluate line placement.
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single portable view of the chest demonstrates worsening bilateral opacities particularly at the lung bases. heart size is stable. no obvious pleural effusion or pneumothorax.
<unk>-year-old man with rsv pneumonia. question worsening airspace disease.
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pa and lateral views of the chest provided. there is no focal consolidation, pulmonary vascular congestion, or pleural effusion. heart size is enlarged compared to <unk> years ago. differential includes pericardial effusion versus cardiomyopathy. the mediastinal and hilar contours are normal.
<unk> year old man with cough sob fatigue and wheezes rll // pls eval for pna or infectious process
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moderate enlargement of the cardiac silhouette persists. the mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted at the aortic knob. pulmonary vasculature is not engorged. small bilateral pleural effusions are demonstrated, larger on the right, not substantially changed in the interva...
history: <unk>f with shortness of breath
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the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
left-sided chest pain with radiation to left shoulder and scapula. shortness of breath and diaphoresis.
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ett tip ends the <num> cm from the carina, which is too high with the patient's chin flexed. enteric tube traverses the diaphragm with its tip is not seen. the stomach is nondistended. lung volumes remain low. the lungs are clear. the heart size is normal. no pneumothorax, focal consolidation, or pleural effusion. medi...
<unk> year old woman with seizures // assess for cardiopulmonary process
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the right chest tube is no longer visualized. large right pleural effusion with associated compressive atelectasis at the right base has increased in size compared to the prior study. there is no mediastinal shift. the lungs are clear. there is no pneumothorax.
<unk> year old man with pleural effusion // eval
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interval advancement of an endotracheal tube with the tip now terminating in the upper-mid thoracic trachea, approximately <num> cm from the level of the carina. ng tube is coiled with tip in distal esophagus. the appearance of the chest is otherwise unchanged.
history: <unk>f with ett advanced over bougie*** warning *** multiple patients with same last name! // evaluate ett placement
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frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. on a background of interstitial edema, there are dense opacifications noted in the left lower lobe as well as within the lingula. no opacification is noted in the right lung. no pleural effusion or pneumothorax present.
chest pain, cough, fever, evaluate for pneumonia.
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a right internal jugular venous catheter has been removed. the patient is status post apparently mitral valve replacement. the heart is moderately enlarged. the mediastinal and hilar contours are similar. there is persistent fluid in the minor fissure, but somewhat decreased. a small quantity of fluid is similar in the...
congestive heart failure.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. previously seen right lung base airspace opacity has improved, likely attributable to atelectasis.
<unk>m with psych eval, evaluate for cardiopulmonary disease.
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lung volumes are low, however the lungs are grossly clear. there is a large hiatal hernia. the heart and mediastinum are within normal limits. there is generalized osteopenia and multilevel spinal degenerative changes. subtle sclerotic lesions in multiple thoracic vertebral bodies likely correspond to known sclerotic m...
<unk> year old man with doe, stable hct. has prostate ca under good control by psa. // r/o infiltrate, effusion.
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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>m with cp // ?cpd
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>f with shortness of breath // eval pna
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there is a vague asymmetric opacity in the left lower lobe which may represent an area of early infection. remainder of the lungs are clear. cardiac and mediastinal silhouette are normal. hilar contours are unremarkable without pulmonary vascular congestion. no pleural effusion or pneumothorax.
cough.
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there is minimal atelectasis at the left lung base. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with esrd <unk> lupus, here with fever // eval for pneumonia
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the tip of the right dialysis catheter projects over the right atrium. the sternotomy wire wrists are intact. there is unchanged marked could enlargement of the cardiac silhouette. minimal bibasilar atelectasis, greater on the left. no pleural effusion or pneumothorax identified.
<unk>f with afib on coumadin, chf w/ ef <unk>%, severe mr, esrd on hd preadmit for angio // pulmonary edema? pna?
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heart size is normal. the mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
fevers, chills, cough.
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no focal consolidation is seen and there is no pleural effusion or pneumothorax. cardiac silhouette is top-normal. mediastinal contours unremarkable. no pulmonary edema is seen.
history: <unk>f with chest pain relieved with ntg, recent long flight // chest pain with recent long flight
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the heart size, mediastinal, and hilar contours are normal. there is bronchial cuffing with increased background density and small irregular opacities, most commonly seen in chronic asthma. no focal consolidation, pleural effusion, or pneumothorax.
<unk>f with shortness of breath. please evaluate for infectious, ptx.
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. et tube is in standard position. ng tube tip is in the stomach
<unk> year old man with perforated appendicitis // please check lines/tubes
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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>m with left arm weakness // stroke
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frontal and lateral radiographs of the chest demonstrate clear lungs with no evidence of pneumonia. the cardiac and mediastinal contours are normal. a right chest wall port with the catheter terminating in the mid-to-low svc is unchanged. subacute left lower rib fractures are seen, which appear partially healed. no acu...
esophageal cancer, presenting with cough and rib pain status post fall. evaluate for pneumonia as well.
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two views were obtained of the chest. the lungs are hyperexpanded with blunting of the costophrenic sulci bilaterally, perhaps due to pleural thickening or trace pleural effusions, unchanged from the previous examination. no focal consolidation is seen. the heart and mediastinum are unremarkable aside from post-surgica...
bulge below the breast, access for incisional hernia.
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cardiac silhouette size is borderline enlarged. the aorta remains tortuous. the mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is not engorged. there is minimal streaky opacity in the left lower lobe compatible with atelectasis. no focal consolidation, pleural effusion or pneumothorax is ...
history: <unk>f with cough, fever, shortness of breath
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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 within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with cough and shortness of breath.
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ap portable upright view of the chest. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. aortic calcification is noted. imaged osseous structures are intact. left humeral head replacement noted. degenerative changes noted at the righ...
<unk>m with a fib rvr, new // acute process
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax. no displaced rib fracture is identified.
history: <unk>m with injury // r/o fracture
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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.
hematemesis and voice changes after profuse vomiting.
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ap portable semi upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m referred in for pna, please eval for pna
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moderate cardiomegaly is unchanged. the hilar contours are unremarkable. there is a moderate right pleural effusion that is increased from previous studies and has a fissural component similar to study from <unk>. there are no focal abnormalities of left lung.
<unk> year old woman with pleural effusion // eval
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right picc terminates at the superior cavoatrial junction. heart size and cardiomediastinal contours are normal. the aortic knob is calcified. there is bibasilar atelectasis but no focal consolidation, pleural effusion, or pneumothorax.
syncope with hematocrit drop. evaluate for pneumonia.
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diffusely increased interstitial markings are unchanged. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits. calcification of the aortic arch is noted. there are marked degenerative changes of both the glenohumeral and acromioclavicu...
<unk> year old woman with r hip infection to or tomorrow // pre-op surg: <unk> (r hip revision arthroplasty/girdlestone)
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of focal pneumonia, pleural effusion, pulmonary edema or pneumothorax.
<unk>-year-old male with intermittent chest pain. evaluation for infiltrate.
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube courses below the left diaphragm, with tip off the inferior borders of the film. the patient is status post median sternotomy, cabg, and prostatic valve replacement. heart size is mildly enlarged. the aorta is tortuous. lung volume...
history: <unk>m with intubated
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there are bilateral pleural effusions, moderate on the right and small on the left, which may be minimally increased from the prior radiograph on <unk>. there is a similar degree of background pulmonary edema. bibasilar consolidations may represent atelectasis or pneumonia. no focal consolidation is identified within t...
history: <unk>f with cough // eval for acute process
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the lungs are clear without infiltrate or effusion. the bony thorax is normal. no pneumothorax or pneumomediastinum is identified.
history: <unk>f with chest and abdominal pain, prior pneumomediastinum // evaluate for pneumomediastinum, free air under diaphragm
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cardiac silhouette size is normal. the aorta is tortuous and diffusely calcified. hilar contours are unremarkable, and there is no pulmonary edema. within the left upper lobe is a <num> x <num> cm rounded opacity, new in the interval, concerning for a neoplastic mass. innumerable nodular opacities in the right mid lung...
history: <unk>f with cough, altered mental status
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left chest wall pacing device is again noted. there is pulmonary vascular congestion which has progressed since prior. small bilateral pleural effusions are noted. there is right basilar opacity potentially atelectasis. the cardiomediastinal silhouette remains stable. no acute osseous abnormalities identified.
<unk>m with dyspnea // evaluate for fluid overload, pneumonia
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compared with the prior chest radiograph, chain sutures and linear scarring are again seen in the right upper lobe, similar prior studies. the heart size is normal, with dense mitral annular calcifications. mediastinal and hilar contours are unchanged. re demonstration of a small hiatal hernia. no focal consolidation o...
<unk>-year-old woman with l hip pain and left rib pain s/p fall from standing. evaluate for acute injury.
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pa and lateral chest radiographs demonstrate mild cardiomegaly, improved when compared to prior examinations. there is no pulmonary vascular congestion or evidence of pulmonary edema. the lungs are clear and there is no pneumothorax. surgical clips are noted in the right upper quadrant. sclerotic appearance to lower th...
tremors, recent surgery. seizure. evaluation for pneumonia.
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the lungs are clear without consolidation or edema. an ill-defined density projecting adjacent to the cardiac apex is likely nipple shadow. mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the visualized osseous structures are unremarkable.
hyperglycemia.
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a right-sided picc terminates in the right axillary vein. a tunnel dialysis catheter is seen. in the left internal jugular, terminating in the right atrium. lung volumes remain low. there is persistent airspace opacity in the right lower lung, likely related to atelectasis as there is a moderate right-sided pleural eff...
<unk> year old man left pleural fluid collection s/p left pigtail placement // ptx, left pigtail placement
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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. mild thoracic scoliosis is noted.
history: <unk>m with lfts, // acute process, renal tb per pcp?
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the lungs are well inflated and grossly clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are grossly unremarkable. there is no pleural effusion or pneumothorax.
fatigue, evaluate for acute cardiopulmonary process.
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ap upright and lateral views of the chest provided. lung volumes are low. ivc dialysis catheter is noted extending into the right atrium. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphrag...
history: <unk>m with fever // eval for infiltrate
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified, there no visualized displaced rib fractures on this nondedicated exam. radiopaque density projects over the lower neck in the midline, potentially external.
<unk>m with fall pls eval reib fx and pna
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lung volumes are lower compared to the prior examination. heart size is accentuated as result, appearing mildly enlarged but similar to the previous examination. the aorta remains mildly tortuous. mediastinal and hilar contours are unremarkable. crowding of bronchovascular structures without overt pulmonary edema is pr...
history: <unk>m with hiccups and fever
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a left-sided picc line terminates in the mid superior vena cava. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax. bony structures are unremarkable.
febrile neutropenia.
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tracheostomy project over the upper trachea. lower lung volumes seen on the current exam. increased opacity projecting over the left hemithorax compared to the right is compatible with persistent large pleural effusion. more dense retrocardiac opacity is noted, potentially from the effusion and atelectasis noting that ...
<unk>m with chronic trach // eval for trach placement
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endotracheal tube ends approximately <num> cm above the carina. a nasoenteric tube enters the stomach with the tip not visualized. a left chest wall pacer lead project over the right atrium and right ventricle, as expected. there are bilateral chest tubes. right projects over the lower right cardiac border and left che...
<unk>-year-old man post cardiac arrest with bilateral chest tubes
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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> year old woman with persistent cough // r/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. no free air below the right hemidiaphragm is seen.
<unk>m with hx of frequent pvcs started on renexa, has return of pvcs; sob, dizziness
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monitoring and support devices are in unchanged position. diffuse right lung opacification is chronic and unchanged. no consolidation the left lung. left lower lobe atelectasis and pleural effusion have increased slightly. the left pulmonary vascular markings are unchanged. no pulmonary edema. the cardiomediastinal sil...
<unk>f with hx of cad s/p cabg (svg to lad, om and pda in <unk>), hx of hodgkin's lymphoma s/p radiation c/b constrictive pericarditis s/p pericardiocentesis, af c/b pauses s/p ppm, and chronic rh failure with severe tr who presents with decompensated rh failure. failed iv diuresis, now on hd for volume removal. last ...
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increased linear streak opacities are seen in the retrocardiac region, representing atelectasis. the right lung is clear. severe cardiomegaly is unchanged. no pneumothorax or pulmonary edema.
<unk> year old woman with fever and cough. // evaluate for pneumonia
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et tube terminates <num> cm above the carina. the ng tube terminates in the stomach. diffuse opacity in the right lung is improved. known right lower lobe mass is again noted. right lower lobe consolidation is persistent. left lung base atelectasis is slightly less. there are probable small bilateral pleural effusions....
<unk> year old man pod <unk> s/p ex lap, s/p ngt replacement // please eval ngt position
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the lungs are well expanded. right upper lobe scarring is seen, unchanged from prior exam. nipple shadows are noted bilaterally. bibasilar opacities are seen, which likely represent atelectasis or scarring but cannot completely exclude infectious etiology. a left upper lung calcified granuloma is again noted. cardiomed...
copd with pleuritic chest pain and shortness of breath today, now resolved.
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normal cardiomediastinal and hilar contours. clear lungs. normal pleural surfaces.
<unk>-year-old woman with cough for <num> weeks and rales at the right base. evaluate for pneumonia.
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the cardiomediastinal shadow is normal. dilated pulmonary artery suggestive of pulmonary arterial hypertension. pulmonary metastatic lesion visualized. no pulmonary edema. no airspace consolidation. no pneumothorax. no effusion visualized. calcified pleural plaque projecting over the mid aspect of the right lung.
<unk> year old man with newly metastatic transitional cell cancer with pulmonary mets. progressive dyspnea and cough // eval dyspnea and cough