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MIMIC-CXR-JPG/2.0.0/files/p11533366/s58036198/11364bdc-79771d3f-30afc555-80fa0503-2c1d2638.jpg
single portable supine chest radiograph was provided. lung volumes are low. there is continued elevation of the right hemidiaphragm. previously seen opacities in the right and left upper lung fields are no longer visualized. there is no definite evidence of focal consolidation or pneumothorax. there may be small bilate...
chf, copd, diffuse crackles, hypoxia. evaluate for effusion or pneumonia.
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ap single view of the chest has been obtained with patient in sitting upright position. analysis is performed in direct comparison with the next preceding pa and lateral chest examination <unk> <unk>. the heart size has increased, but may be accentuated by the ap frontal portable chest technique. thoracic aorta unremar...
<unk>-year-old female patient status post revision of hepaticojejunostomy, now with shortness of breath, evaluate for possible pulmonary process.
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heart size is normal. mediastinal and hilar contours are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities present.
sudden onset shortness of breath and cough.
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since <unk>, the patient has been extubated and the bilateral pleural effusions have completely resolved. the lungs are well-expanded and clear. no focal consolidation, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette and hila are unremarkable. bilateral old rib fractures. stable surgical fixation bas...
<unk>-year-old man who is recently intubated for seizure (<unk>) who is presenting with a cough. evaluate for pneumonia.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with concern for asthma exacerbation // evidence of pna, effusion
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lung volumes are normal. no consolidation, effusion or pneumothorax. cardiomediastinal contours are normal. osseous structures are unremarkable.
history: <unk>m with chest pain // eval for pneumothorax
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cardiomegaly is moderate and limits assessment of the retrocardiac lungs. prominence of the upper mediastinum is likely a combination of unfolding of the aorta and projection. the hila are likely prominent with a tapered appearance raising the question of pulmonary hypertension. there is pulmonary edema, with vascular ...
history: <unk>m with ams // ?pneumonia
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax.
history of all and gvhd, heavily immunosuppressed, now with fever and cough. evaluate for pneumonia.
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compared with the radiograph from earlier on the same date, the left pigtail catheter has been removed and a left chest tube is now in place. there is a persistent large amount of left pleural fluid, with an irregular contour of the left chest wall, possibly suggesting loculation. small right effusion unchanged. the ot...
<unk> year old man s/p cabg x<num>(svg-diag)avr(<unk> <unk> <unk> bioprosthetic). eval for pneumothorax in patient with recent pigtail placement.
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frontal and lateral views of the chest demonstrate low lung volumes, but clear lungs. the heart is borderline enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. pleural surfaces are normal.
perforated appendicitis, with new oxygen requirement, assess for pneumonia.
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sternotomy wires are intact. et tube is <num> cm above level of the carina and has improved in position. left-sided surgical <unk> noted. new mild pulmonary edema and bilateral pleural effusions, moderate sized on right and small on left. new right upper lobe ovoid opacity with air bronchograms may represent aspiration...
<unk>-year-old female status post left cea with v-tach, confusion, hypoxemia. intubated. assess for pulmonary congestion.
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pa and lateral views of the chest provided. lungs are hyperinflated. there is no focal consolidation, effusion, or pneumothorax. <unk>-<unk> bronchial cuffing could reflect chronic airway inflammation. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiap...
<unk>f history of asthma presents with <num> weeks of acute on chronic thoracic back pain and chronic cough.
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there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no evidence of free air below the diaphragm.
<unk> year old man presents with syncope. evaluate for pneumonia or pulmonary edema.
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in the right lower lung, there is a ill-defined opacity that may represent early pneumonia or edema. no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
history: <unk>m with sob, hypoxia // pna?
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
basilar crackles and cough. evaluate for pneumonia.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal hilar contours are normal.
cough, dyspnea on exertion and multiple uris symptoms.
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there is mild volume loss in the left lung base with associated chain sutures suggesting prior segmentectomy. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
<unk>f with left shoulder pain s/p fall, evaluate for shoulder dislocation
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pa and lateral images of the chest. the lungs are well expanded and clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
leukocytosis.
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there are vague opacities in the bilateral lower lobes, which correspond to the ground-glass opacities and intralobular septal thickening seen in the imaged portion of the lower lung on the prior ct. the lungs are otherwise clear. aside from mild cardiomegaly, the hilar and cardiomediastinal contours are normal. there ...
<unk>-year-old woman with abdominal pain, shortness of breath, and leukocytosis.
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pa and lateral views of the chest. the lungs are clear. there is no consolidation, pneumothorax, or pleural effusion. the cardiac, mediastinal, and hilar contours are normal. the aortic arch calcifications are stable. no pulmonary vascular congestion.
subacute anemia, guaiac negative, evaluate for hemothorax. also suspicion for multiple myeloma.
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there has been interval placement of an et tube with tip in satisfactory position <num> cm above the carina. an enteric tube is seen with tip coiled in the stomach. left picc line position is stable with tip terminating at the origin of the svc. the cardiomediastinal and hilar contours are stable with moderate cardiome...
respiratory arrest status post intubation, evaluate et tube placement.
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a right upper extremity picc courses into the low svc. mild pulmonary edema is slightly worse from yesterday morning. a moderate right pleural effusion persists. no parenchymal opacity worrisome for pneumonia. heart remains mildly enlarged. postoperative mediastinal and hilar contours are unchanged. no pneumothorax.
tracheobronchomalacia, daily postoperative chest x-ray.
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heart size and cardiomediastinal contours are normal. biapical scarring is noted without focal consolidation, pleural effusion, or pneumothorax. no displaced rib fracture identified.
history: <unk>m with right sided chest pain // r/o pna, ptx, rib injury
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frontal and lateral radiographs of the chest demonstrate a chronic right middle lobe opacity which corresponds to linear scarring, which is unchanged from <unk>. no superimposed infectious process is identified. the remainder of the lungs is clear. the cardiac and mediastinal contours are normal. no pleural abnormality...
evaluate right-sided chronic opacity.
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cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable and unchanged. the pulmonary vasculature is not engorged. ring-like <num> cm opacity within the right lower lobe is compatible with the known malignancy, and contains <unk> fiducial markers within it. compared to the previous radiogr...
<unk> year old woman with dizziness, history of malignancy
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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 prolonged fever, cough, chills and malaise.
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frontal and lateral chest radiographs demonstrate a normal cardiac silhouette. the aorta is tortuous or dilated, with calcifications seen within the aortic knob. the lungs are moderately hypoinflated, with atelectasis at the left base. no focal consolidation, pleural effusion, or pneumothorax is seen. the visualized up...
acute on chronic full-body burning sensation.
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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>m with cough // pna, acute process
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pa and lateral chest radiographs were provided. compared to the most recent prior study, there has been no significant change. there is no focal consolidation, pleural effusion or pneumothorax. there is no overt pulmonary edema. moderate cardiomegaly and elevation of the right hemidiaphragm persists. the imaged upper a...
<unk>-year-old woman with recent pneumonia, basilar crackles on the right. rule out chf.
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the heart size is top normal. mild cardiomegaly is unchanged compared to the prior exam. the aorta is tortuous. otherwise, the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is a new small left-sided pleural effusion. there is no e...
history of leukocytosis. please evaluate for pulmonary etiology.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are stable with aortic calcification and tortuosity. sternotomy wires appear intact. mediastinal clips likely reflect prior cabg.
<unk>-year-old male with history of coronary artery disease and congestive heart failure, requesting evaluation for tuberculosis.
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there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. visualized osseous structures are unremarkable.
<unk>-year-old woman with increased seizure frequency, evaluate for infiltrate.
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the heart size is top normal. the aorta is mildly tortuous. widening of the right superior mediastinal contour and rightward deviation of the upper trachea likely reflect underlying mediastinal lymphadenopathy. hilar contours are within normal limits. there is no pulmonary vascular congestion. small bilateral pleural e...
non-hodgkin's lymphoma with recent recurrence, now with malaise, fatigue and dyspnea.
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the lungs are clear without focal consolidation. the cardiac silhouette is moderately enlarged. there may be trace pleural effusions. the patient's arm overlies the chest on the lateral view, partially obscuring the view. single lead left-sided aicd is seen with lead extending to the expected position of the right vent...
history: <unk>m with chf and a fib p/w sob, worse when supine, pls eval for effusion and edema // history: <unk>m with chf and a fib p/w sob, worse when supine, pls eval for effusion and edema
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the patient is status post median sternotomy and cabg. left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle. moderate cardiomegaly is unchanged with left atrial enlargement. the mediastinal and hilar contours are within normal limits. no pulmonary edema is visualized...
fall on pradaxa.
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the right port-a-cath is stable with distal tip in the right atrium. no pneumothorax. lung volumes are low but lungs are clear. mediastinal contours, hilar, and heart borders are normal. no large pleural effusion.
<unk> year old man with fn // r/o infection
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left base atelectasis is seen. lungs are relatively hyperinflated. no definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain // eval for chf/pneumonia
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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with tracheostomy, sp bronch for dyspnea, found mucus plug // sp bronchoscopy sp bronchoscopy
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there is some further interval reexpansion of the right lung, although right pleural effusion remains. there is no pneumothorax. surgical clips superimposed upon the right chest are again noted. chain suture in the bilateral lung apices is unchanged. the cardiac silhouette and mediastinal contours remain normal.
history of multiple spontaneous pneumothoraces, status post right chest tube removal.
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the lungs are clear. no visualized effusion. the cardiomediastinal silhouette is within normal limits.
<unk>m with hypotension // ? pna
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ap and lateral views of the chest. left chest wall single-lead pacing device is again seen. there is no overt pulmonary edema or significant change compared to prior given differences in technique. degree of cardiomegaly is similar compared to prior. no pleural effusion. no acute osseous abnormality is identified.
<unk>-year-old male with palpitations.
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pa and lateral views of the chest are compared to <unk> and <unk>. as on prior, there are diffuse increased interstitial markings throughout the lungs which demonstrate appropriate volumes. there is no evidence of new consolidation compared to previous exam from <unk>. there is no effusion. the cardiac silhouette sligh...
<unk>-year-old female with low oxygen saturation and cough from pulmonary clinic with oxygen saturation of <num>%.
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small bilateral pleural effusions are seen. mildly increased interstitial markings bilaterally suggests mild pulmonary vascular congestion. no definite focal consolidation is seen. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable. no pneumothorax is seen.
history: <unk>f with paf, crackles, o<num> requirement // eval for acute process, attn to volume status
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities.
<unk>-year-old male with diplopia. question pneumonia.
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right internal jugular venous catheter terminates in low svc. et tube has been removed. pulmonary edema is improved. there is mild pulmonary vascular congestion. no new consolidation is identified. there is no pneumothorax or large pleural effusion. cardiomediastinal silhouette is normal size.
<unk> year old woman s/p jet ski accident, intubated w/ ards vs pna // interval change
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there has been interval removal of the swan-ganz catheter. a right-sided internal jugular catheter is in-situ, the tip terminates in the distal svc. a nasoenteric tube is in-situ, the side port is at approximately the level the gastroesophageal junction and this could be advanced further into the stomach. there are per...
<unk> year old man with with liver failure // ngt placement
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a hemodialysis catheter ends in the right atrium, and is unchanged in position. again seen is opacification involving the left lung base, which represents a small to moderate pleural effusion and associated compressive atelectasis, unchanged since <unk>. since prior, there has been increased opacification at the right ...
<unk>-year-old man with tremors, concern for infectious cause, evaluate for pneumonia.
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heart size is normal with a mildly tortuous aorta. hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. severe degenerative changes are noted in bilateral shoulders. a slight indentation of the trachea on the right at the level of the thoracic inlet is suggestive of enlarged thyroid...
fever.
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single portable upright chest radiograph was provided. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the bones are intact.
<unk>-year-old woman with post-op fever, assess for pneumonia or atelectasis.
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no consolidation, pleural effusion or pulmonary edema is seen. mildly enlarged cardiac silhouette is unchanged. the mediastinal contours are normal.
<unk>-year-old man with new onset chest pain on hemodialysis for end-stage renal disease, evaluate for acute cardiopulmonary process.
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ap upright and lateral chest radiographs were obtained. mild to moderate pulmonary edema and small bilateral pleural effusions have improved over the past week. retrocardiac opacity is likely left lower lobe atelectasis. cardiac size is mildly enlarged but stable. there is no pneumothorax.
chest pain.
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lung volumes are low. heart size is accentuated as a result of low lung volumes, appearing borderline enlarged. aorta is unfolded. mild pulmonary vascular congestion is present along with a small left pleural effusion. patchy opacities in the lung bases may reflect areas of atelectasis though infection or aspiration ca...
history: <unk>f with cough and fever
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single portable ap image of the chest. the et tube terminates <num> cm above the carina. an ng tube is seen passing into the stomach and coiling back up superiorly in the stomach. the lung volumes are low. there has been interval development of a retrocardiac opacity, concerning for a developing infectious process. the...
head bleed, intubated osh, now requiring assessment of et tube placement.
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cardiomediastinal contours are normal. lungs are clear, and there are no pleural effusions. scoliosis is noted as well as degenerative changes in the spine.
<unk> year old man with slurred speech and h/o of lung nodule // lesions?
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with cough and fever.
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the lungs are notable for mild bilateral lower lobe atelectasis and are otherwise clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
<unk>f with palpitations and lower chest pain. assess for acs
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clear lungs bilaterally without pleural effusion or pneumothorax. heart size, mediastinal contour and hila are normal. no bony abnormality.
<unk>-year-old female with history of chest pain and new shortness of breath. assess for cardiopulmonary process.
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interval removal of <num> chest tubes, without evidence of pneumothorax. persistent left perihilar and retrocardiac opacities are not significantly changed compared to previous. no large pleural effusions. stable appearance of sternotomy wires. the cardiopericardial silhouette is within normal limits.
<unk> year old man with mediastinal seminoma s/p sternotomy, excision mass // post-pull film removal l thorax <unk> x<num>, evaluate ptx/htx or other intrathoracic acute process
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pa and lateral chest radiographs are obtained. right large pleural effusion seen previously extending to the level of mid thorax appears slightly worse. cardiomediastinal contours are stable. dialysis catheter is unchanged. left lung and visualized portion of the right lung are clear. no pneumothorax.
<unk>-year-old man with latent tb, recurrent pleural effusions, esrd on hd, pleural effusions.
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there has been no significant change to the previous exam with an pulmonary vascular congestion interstitial edema and there left lower lobe retrocardiac opacity, compatible with atelectasis. bilateral effusions, larger on the left. there has been no significant change to the position of the various tubes. in particula...
<unk> year old woman with cad s/p cabg mvr avr intubated s/p fluid resuscitation // interval change?
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endotracheal tube now terminates <num> cm from the carina. swan-ganz catheter demonstrates an abrupt angulation at the right ventricle and its tip terminates at the right ventricular outflow tract. the heart is enlarged. there is mild pulmonary vascular congestion. there is improving airspace opacity of the right lower...
<unk>-year-old female patient status post mvr, tvr, maze. study requested for evaluation of pulmonary edema.
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pa and lateral views of the chest provided. lungs are well inflated and grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
<unk> year old man with hx of aml, s/p allo with chest tightness and shortness of breath.
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pa view of the chest. the lungs are clear without consolidation or effusion. the cardiomediastinal silhouette is top-normal in size. no acute osseous abnormalities detected.
<unk>-year-old male with seizure. fever.
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the cardiomediastinal silhouette is enlarged and improved from <unk> study. the hilar contours are improved compared to previous studies. the pleura are unremarkable. no focal opacities, pleural effusions, pulmonary edema, or pneumothorax seen.
<unk> year old woman with chf and severe copd and <num> wks of increased sob // assess for any evidence of pulmonary edema, effusion, or infiltrates
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severe cardiomegaly and tortuous aorta are unchanged. the main pulmonary arteries are enlarged. mild pulmonary edema has improved. biapical scarring is again noted. the lungs are hyperinflated consistent with emphysema. bilateral effusions are small.
<unk> year old man s/p cardiac cath and stent placement recently treated for influenza and pna now with increased cough and l lung rhonchi // pna?
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lung volumes are low. there is a trace left pleural effusion, best seen on the lateral view. there is no pneumothorax or focal airspace consolidation. heart is normal size. there is no pulmonary edema. the aorta is tortuous. the hilar contours are unremarkable. old right-sided rib fractures and cervical spine hardware ...
decreased rectal tone and difficulty walking. evaluate for pneumonia or effusions.
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single portable view of the chest. no prior. endotracheal tube is seen with tip approximately <num> cm from the carina. nasogastric tube is also seen with side port in the region of the ge junction. left-sided central venous catheter is seen with tip in the right atrium. right-sided subclavian line is seen with tip in ...
<unk>-year-old female with dyspnea, status post intubation.
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old man intoxicated with hemoptysis // evaluate for findings suggestive of pulmonary tb evaluate for findings suggestive of pulmonary tb
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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 tachycardia // ptx, pna, effusion, pulmonary edema
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tracheostomy tube again noted. ng tube again noted, extending beneath the diaphragm to overlie the stomach. right subclavian picc line tip lies near the svc/ ra junction, similar to prior. cardiomediastinal silhouette is unchanged. equivocal minimal upper zone redistribution, without other evidence of chf. patchy opaci...
<unk> year old woman s/p trauma; now s/p trach // eval for interval change
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frontal and lateral chest radiograph. unremarkable cardiomediastinal and hilar contours. no focal pulmonary opacifications are evident. a slight prominence of the interstitium is likely exaggerated by low lung volumes, and unchanged across multiple prior radiographs. no pleural effusion or pneumothorax.
chest pain, nausea, evaluate for pneumonia.
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patient is status post median sternotomy and cabg. low lung volumes are present which accentuates the size of the cardiac silhouette. heart size appears mildly enlarged. mediastinal contour is unremarkable. there is crowding of the bronchovascular structures with probable mild pulmonary vascular congestion. patchy biba...
history: <unk>m with raf and <unk> # weight gain
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frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. hilar and mediastinal silhouettes are unchanged. heart size is normal. there is mild perihilar vascular congestion. retrocardiac opacities are better seen on the lateral view projecting over spine. right lung...
fever and upper respiratory infection.
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the cardiac and mediastinal silhouettes are stable. prominence of the hila is stable. no focal consolidation is seen. there is no pneumothorax.
history: <unk>f with cough, pleurtiic cp // r/o acute process
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lung volumes are slightly low, causing accentuation of the pulmonary vasculature. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. multiple surgical clips are seen in the right upper abdominal quadrant, as before.
chest pain. assess for 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 pancreatitis // eval for infection
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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.
<unk> year old woman with dyspnea/ fever // r/o pneumonia
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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. stable decrease in anterior vertebral height of the mid thoracic vertebral since <unk>.
<unk> year old man on chronic amiodarone - eval for amio toxicity // <unk> year old man on chronic amiodarone - eval for amio toxicity
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there is increased opacity in the left lower lung, concerning for pneumonia. there is mild interstitial abnormality probably due to pulmonary edema. small left and trace right pleural effusion is seen. the previously seen right middle lung nodular opacity is not well visualized in the study. heart size is top normal. m...
<unk> year old woman with hiv, esrd on hd, here with sepsis from bloodstream infection and pneumonia - has new anemia and very mild report of hemoptysis (not on exam), rule out pulmonary hemorrhage // eval for change in left-sided opacity, eval for evidence of pulmonary hemorrhage <unk> year old woman with hiv (cd<num...
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ap and lateral views of the chest. linear opacities in the right mid lung laterally suggestive of scarring. low lung volumes likely account for bibasilar opacities suggestive of atelectasis. there is no pneumothorax or large effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities ...
<unk>-year-old male with fall from standing.
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by report, the the patient is status post left upper resection. compared with the prior film, the port-a-cath type catheter is no longer visualized. overall appearances are similar, with bilateral effusions; left apical pleural thickening, left hilar retraction, can tenting along the left hemidiaphragm; and pleural thi...
<unk> year old woman with nsclc. reports persistent new cough // eval etiology cough
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the cardiac, mediastinal and hilar contours appear stable. although less striking than before, indistinct prominent pulmonary vasculature suggests mild vascular congestion, decreased. no focal opacification is seen. there is no pleural effusion or pneumothorax. a prior left posterolateral sixth rib fracture appears unc...
tachycardia.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. linear scarring is again noted within the left mid lung field. lungs are hyperinflated without focal consolidation. no pleural effusion or pneumothorax is identified. there are no acute osseous...
history: <unk>f with dizziness
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single portable view of the chest. no prior. relatively low lung volumes are seen. streaky bibasilar opacities are seen potentially due to atelectasis noting that aspiration cannot be completely excluded. the lungs superiorly are clear, were not obscured by overlying leads. cardiomediastinal silhouette is within normal...
<unk>-year-old female with overdose, question aspiration.
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the heart size is normal. hilar and mediastinal contours are normal. there is a subtle increase in opacification at the right lung base. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of fever. please evaluate for pneumonia.
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pa and lateral chest radiographs were provided. a moderate-sized right pleural effusion has decreased since the prior study. there is no focal consolidation, pleural effusion or pneumothorax. cardiac silhouette is stably enlarged. the bones are intact.
<unk>-year-old man with history of chf, now with productive cough and scant hemoptysis. decreased breath sounds at the bases. rule out infiltrate.
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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. no displaced fractures are visualized. hypertrophic changes are noted within the thoracic spine.
history: <unk>m with cough, rib pain
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lung volumes are low, causing bronchovascular crowding. it is impossible to exclude a pneumonia in the right lung. no evidence of pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. lower thoracic spinal stimulator noted.
history: <unk>f with cough, asthma exacerbations. evaluate for pneumonia.
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linear opacities at the lung bases bilaterally likely reflect atelectasis. no focal consolidations to suggest pneumonia. no evidence of pulmonary edema. stable enlargement of the cardiomediastinal silhouette. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with <num> lb weight gain in <num> days // eval chf
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with lower gi bleed // eval for infiltrate
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airspace opacities in the superior subsegment of the left lower lobe are unchanged from the immediate prior study consistent with an acute pneumonia. additional nonspecific opacity at the left lung base has improved and may have reflected a focus of atelectasis given rapid improvement. there is no pleural effusion, pne...
<unk>f with pna, evaluate for worsening pna.
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the lungs are better expanded than on <unk>, with improved aeration of the lung apices. mild pulmonary edema is improved from <unk>. cardiomegaly is stable. bibasilar opacities are more prominent than on <unk>, partially obscuring both left and right heart borders. no large pleural effusion. left lateral rib fractures ...
<unk>m with here with chest pain last night and now bradycardia. // ? cardiomegaly, pulmonary edema, pneumonia
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a left chest cardiac device with associated dual leads are seen projecting over the right atrium and right ventricle in grossly appropriate and unchanged location. in comparison to radiograph from <unk>, there has been interval reduction in the size of the cardiac silhouette, now within normal limits. there is no evide...
<unk>m with hx of acute pericarditis, cardiac tamponade s/p pericardial drain presenting with a <num> week history of intermittent lightheadedness and chest pain over, evaluate for cardiomegaly, or pulmonary edema.
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the cardiac silhouette size is top normal. the aorta is tortuous. calcifications within the right hilum likely reflect prior granulomatous disease. the pulmonary vascularity is not engorged. tiny calcified granuloma is demonstrated within the right mid lung field. there is minimal linear atelectasis in the left lung ba...
dyspnea on exertion with chest pain radiating to left arm, shoulder and back.
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single frontal portable view of the chest was obtained. the heart is enlarged and its right border is silhouetted by right lung base consolidation, which is increased since <unk> and compatible with pneumonia, pleural effusion, or a combination of both. the left lung is clear. no pneumothorax is identified. a right cen...
<unk>-year-old female with desaturation to low <num>s. evaluate for pneumonia.
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the heart is mild to moderately enlarged. the mediastinal and hilar contours appear unchanged. a linear left basilar opacity suggests minor atelectasis. mild blunting of the left costophrenic angle suggests a persistent pleural effusion. there is no evidence for pleural effusion on the right.
new hypoxia.
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a small right apical and basal pneumothorax persists but is significantly decreased than on the prior study. a right pleurx catheter is in place and right pleural effusion has significantly decreased. there is no left pleural effusion. again seen is opacity in the left lung peripherally which corresponds to findings se...
<unk>-year-old man with right pleural effusion, status post pleurx placement. rule out pneumothorax.
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ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. the hila appear somewhat prominent and hilar congestion difficult to exclude. there is a subtle nodular opacity projecting over the right upper lung which may represent confluence of shadows though the possibility of a pulmona...
<unk>m with chest pain // eval for acute process
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cardiomegaly is mild. there is pulmonary vascular congestion and mild pulmonary edema. there is no pneumothorax probable bilateral tiny pleural effusions. osseous structures are unremarkable. calcifications of the aortic arch are dense. the positioning of a left pacemaker generator and leads are unchanged.
history: <unk>f with dementia, dm p/w "feeling off", poor historian, lives alone, +abdominal ttp // eval for ich, intraabdominal infection, chf, pneumonia
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right picc is stable in location with the tip terminating in the low svc. the heart is top normal in size. the mediastinal and hilar contours are stable. the lung volumes remain low, with persistent right middle lobe subsegmental atelectasis. the extent of large right pleural effusion is slightly increased as compared ...
<unk>-year-old female with chronic crohn's ileitis, status post exploratory laparoscopy for anastomotic leak and status post right thoracentesis three days prior. question bilateral effusions.