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MIMIC-CXR-JPG/2.0.0/files/p12655910/s50620666/bea217de-8341f89c-07473967-d7bb0166-d297895b.jpg
frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. the lungs are fairly well aerated, with persistent mild left base atelectasis. no appreciable pleural effusion is seen. there is no pneumothorax. the visualized upper abdomen is unremarkable. the left hemidiaphragm is elevated, as ...
intermittent chest pain x<num> week and syncopal episode, in a patient with a history of parapneumonic effusion.
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pa and lateral views of the chest. right lower mildly displaced rib fractures are again seen, better seen on dedicated rib films done yesterday. small right pleural effusion is unchanged. no left pleural effusion. the cardiomediastinal and hilar contours are normal. no evidence of pneumonia or pneumothorax.
right lateral chest wall pain status post fall, evaluate for change in effusion.
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frontal lateral views of the chest were performed. there is no pneumothorax, pleural effusion or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar and pleural surfaces are unremarkable. the imaged upper abdomen is normal. there are no displaced rib fractures identified.
neck pain and chest pain after mvc, rule out pneumothorax or fracture.
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compared to the most recent prior radiograph, there has been no significant change. there is no evidence of pneumothorax. again seen is minimal bibasilar atelectasis. there is no pleural effusion or focal consolidation. the cardiac silhouette is stable, and there is mild tortuosity of the aorta. median sternotomy wires...
<unk>-year-old man with right hemothorax and left pneumothorax, assess for interval change.
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since earlier same day chest radiograph, the endotracheal tube is positioned in the right mainstem bronchus and will need to be pulled back by about <num>-<num> cm. new opacities in the right upper and mid lung are likely due to either worsening of pre-existing developing pneumonia or aspiration. bilateral pleural effu...
<unk> year old woman with respiratory failure (called code) now intubated, c/f flash pulmonary edema // assess lung volumes
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ap upright and lateral views of the chest provided. there is tracheal deviation to the right due to known thyroid goiter. lungs are clear. no focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact.
<unk>f with increased confusion and weakness // ? pna
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old male with hypotension. rule out pneumonia.
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right subclavian picc has been removed and replaced by right jugular catheter that ends in atriocaval junction. lung volume is normal, and there are no consolidation or lung nodules. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
<unk> years old man with aml, pre-<unk> line placement.
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ap portable upright view of the chest. surgical clips are noted in the upper mid abdomen. peribronchovascular opacities are noted in the lungs which could reflect atypical pneumonia. no lobar consolidation, effusion or pneumothorax. upper lung lucency may reflect underlying emphysema. the heart size is normal. mediasti...
<unk>f with cough, fever, hypotension // presence of pleural effusion, infiltrate
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lung volumes are low but improved since the next most recent study. heart size is exaggerated by low lung volumes but likely top-normal. the lungs appear clear. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. enteric tube courses into the stomach and beyond the field of view...
<unk> year old man with alcoholic hepatitis and gpcs in blood // eval for pneumonia
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subtle patchy opacity projecting over the right upper lung could be due to overlap of vascular structures, but infection may be present. the left lung is clear. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
diabetes mellitus i, now with hyperglycemia.
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the cardiac, mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
leukocytosis and fever status post recent cystoscopy.
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lung volumes remain low with bilateral basal airspace opacities. probable small bilateral pleural effusions. the mediastinum appears widened but unchanged compared to the prior studies. there is prominence of the pulmonary vasculature with diffuse faint nodular opacities likely reflecting pulmonary edema. no pneumothor...
bilateral sah, ivh, and frontal iph likely due to aca aneurysm rupture now s/p evd placement. // interval cxr
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there is suspected pneumoperitoneum, which appears new from the recent ct. enteric tube is coiled in the pharynx and extends just beyond expected location of the ge junction. left ij cvc terminates at the upper svc. et tube terminates <num> cm above carina. low lung volumes with increased opacification of the bilateral...
<unk> year old woman with septic shock, now intubated // eval et tube placement
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frontal and lateral views of the chest were obtained. the heart has a left ventricular configuration. cardiomediastinal contours are otherwise unremarkable. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no pneumoperitoneum. no radiopaque foreign body.
<unk>-year-old male with epigastric pain. evaluate for pneumonia, pneumomediastinum, or pneumoperitoneum.
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patient is status post right upper lobectomy with redemonstration of associated volume loss and rightward mediastinal shift, slightly more prominent compared to prior exam due to additional volume loss from interval improvement of a right apical loculated effusion, now small in size. heart size is normal. hilar contour...
non-small cell lung cancer status post right upper lobectomy, presenting with acute-onset left-sided pleuritic chest pain.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia or mass. pulmonary vasculature is within normal limits.
asymmetric breath sounds, harsh inspiratory sounds on the right versus left. rule out mass in the right chest in a smoker.
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pa and lateral views of chest demonstrate clear lungs. the cardiac, hilar and mediastinal contours are normal. no pleural abnormality is seen.
subjective fever and cough.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
neck and chest pain after swallowing a hard object.
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the cardiac silhouette is stably enlarged. the pulmonary vasculature is unremarkable. recently seen right-sided pleural effusion is decreased in size. there is a persistent left-sided basilar opacity and pneumothorax, no definite right-sided pneumothorax is identified.
<unk> year old woman with chest tube // eval for pneumo
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the lungs are clear of focal consolidation, effusion, or vascular congestion. cardiac silhouette is mildly enlarged. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities identified.
<unk>f with chronic sdh, to be admitted, preop eval // preop cxr
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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
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redemonstrated is a right-sided picc line, the tip of which is noted to be terminating within the upper right atrium. redemonstrated is a small, left pleural effusion with minimal adjacent atelectasis, now somewhat improved from the prior examination. there is no focal consolidation, pneumothorax, or pulmonary edema id...
confirm picc line placement.
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lung volumes are significantly decreased. an endotracheal tube ends the upper thoracic trachea <num> cm above the carina and just distal to an area of apparent focal tracheal stenosis. there is no focal consolidation. linear atelectasis is present in the left lower lobe. with the cardiomediastinal silhouette is within ...
history: <unk>m with cpr, intubated, // pneumo?e ett?
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there is atelectasis at the left lung base. lungs are otherwise without consolidation, pleural effusion or pneumothorax. heart size is normal. calcifications are noted at the aortic arch.
history: <unk>m with syncope, previously noted to have valvular disease. // eval for pulm edema, cardiomegaly, other signs of heart failure
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. old healed right posterolateral rib fractures are noted. no visualized acute rib fractures.
<unk>m with fall c/o left posterior rib pain // eval rib fx on left
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there has been interval placement of right pleural catheter with associated decreased size of right pleural effusion, with residual moderate sized effusion. small left pleural effusion is slightly increased. there is improved aeration of the right lower lobe. there is mild pulmonary vascular congestion. bibasilar opaci...
<unk> year old woman with increased wob i/s/o recent known r pleural effusion and rll infiltrate // progression or expansion of infiltrate/effusion
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low lung volumes are present. the cardiac silhouette size is mildly enlarged. the mediastinal and hilar contours are unremarkable. crowding of bronchovascular structures results from low lung volumes. no overt pulmonary edema is present. subsegmental atelectasis is noted in the lung bases without focal consolidation. n...
history: <unk>m status post reported injury from falling branch to right head, fall, +loc <unk> mins per witness, right head laceration
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there has been interval increase in the bilateral parenchymal opacities, with more confluent opacities in the right lung. appearances are consistent with worsening pulmonary edema although superimposed infection cannot be excluded. no pleural effusion seen. the heart size remains mildly enlarged even allowing for the p...
<unk> year old man with copd, chf, newly diagnosed mzl variant. // please assess for acute pulmonary process.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with dyspnea on exertion // pleural effusion, edema, mass
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two frontal images of the chest were obtained. there are low lung volumes likely secondary to poor inspiration. the lungs are clear. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with hypoxia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with sob // evidence of pneumonia
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
shortness of breath and chest pain.
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the heart is normal in size. the aorta is tortuous. mild interstitial edema noted not as prominent as on the previous exam.
<unk> year old man with hx of multiple abdominal surgeries, dvt/pe, admitted to sicu for acute respiratory distress and chest pain. // eval acute intrathoracic process
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heart size is normal. atherosclerotic calcifications are noted at the aortic knob. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. small left pleural effusion is noted, new from the prior study. minimal atelectasis is demonstrated in the left lung base. no focal consolidation...
history: <unk>f with left-sided chest pain
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the lungs are hyperexpanded suggestive of copd. otherwise the lungs are clear. there is no pleural effusion or pneumothorax. the aorta is tortuous. the cardiomediastinal silhouette is otherwise unremarkable.
new onset of shortness of breath. evaluate for pneumonia.
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the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
left-sided chest pain. history of anemia, schizophrenic and copd.
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again seen is a left-sided picc line with tip at cavoatrial junction. cardiomediastinal silhouette is probably unchanged allowing for technique. there is bibasilar atelectasis, slightly improved bilaterally in the setting of slightly improved inspiratory volumes. upper zone redistribution, without definite chf. no gros...
<unk> year old man with ileus, episode of vomiting this am and now with tachypnea concerning for aspiration // please evaluate for aspiration, pna
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heart size is stable. mediastinum is widened compared to prior, suggestive right heart failure or volume overload. there are also worsening diffuse parenchymal opacities, suggestive of pulmonary edema. no pneumothorax.
<unk>-year-old with hypoxemic respiratory distress.
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a portable frontal chest radiograph again demonstrates sternal wires and clips overlying the left mediastinum. the right central line has been removed. there are low lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding. no pleural effusion or pneumothorax is identified. the vis...
altered mental status after taking baclofen. evaluate for infiltrate.
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cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. previously noted diffuse thin walled cysts within the lung parenchyma are better appreciated on the prior per pet-ct. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abno...
history: <unk>f with chest pain
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in the interval since the prior study, the patient has been intubated. the endotracheal tube terminates approximately <num> cm above the level the carina. the patient is somewhat rotated on today's study which limits assessment of the cardiomediastinal contour. left lower lobe atelectasis. the masslike opacity seen on ...
<unk> year old woman with copd and intubated in the icu // assess for lung mass/effusion and placement of et tube
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the lungs are well expanded. bibasilar patchy and linear opacities are present. mild leftward deviation of the trachea likely reflects enlarged right thyroid lobe. there is small right pleural effusion. there is no left pleural or pneumothorax. the cardiomediastinal silhouette is unremarkable. the bones are very demine...
<unk>f with shortness of breath and weakness. // <unk>f with shortness of breath and weakness.
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cardiomegaly is stable. the cardiomediastinal and hilar contours are within normal limits. the aorta is unfolded as before. minimally increased opacity at the base of the right lung is similar in appearance to the most recent prior examination in <unk> and may reflect atelectasis or infection in the appropriate clinica...
history: <unk>m with af rvr // eval for acute process
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cardiac silhouette size is normal. aorta remains tortuous. moderate hiatal hernia is noted. pulmonary vasculature is not engorged. lungs are hyperinflated without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. mild loss of height of a low thoracic vertebra...
history: <unk>f with weakness
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with night sweats for <unk> <unk>, fever last night // pna, mass
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the examination is limited by patient's body habitus. lung volumes are low but the lungs appear clear. the cardiac silhouette is exaggerated by the low lung volumes and is otherwise unremarkable. the mediastinal silhouette and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
shortness of breath fever. evaluate for pneumonia.
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the interim to the traverses the diaphragm in the left upper quadrant before crossing into the right upper quadrant coursing inferiorly. the tip of the enteric tube is not seen but is past the pylorus. a tips projects over the right upper quadrant, unchanged. surgical clips projecting over the upper abdomen are also un...
history: <unk>m with esld w/ recent feeding tube replacement now w/ increasing malaise, nausea, feeding intolerance // eval ? feeding tube malposition, silent aspiration
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when compared to prior, given differences in technique, there has been no significant interval change. low lung volumes are again seen with crowding of the bronchovascular markings. right basilar opacity is likely in part due to atelectasis although underlying effusion is suspected. left costophrenic angle is excluded ...
<unk>m with tachycardia // eval chf, infiltrate
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an ng tube is coiled in the gastric fundus. lung volumes are low, accentuating the transverse diameter of heart. there is a new a right lower lobe opacity, concerning for atelectasis versus aspiration, given the patient's clinical history.
<unk> year old man with diverticulitis. evaluate ng tube placement.
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bilateral shoulder are arthroplasties are partially imaged. the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> year old woman with persistent cough and yellow sputum // please rule out any pulm pathology
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the lungs are hyperinflated but clear without focal consolidation or large effusion. cardiac silhouette is within normal limits. the thoracic aorta is somewhat tortuous with atherosclerotic calcifications at the arch. of note, there is an unusual contour of the undersurface of the aortic arch with slightly medial lies ...
<unk>m with chest pain to back // please eval for aortic dissection
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lung volumes are low. heart size is exaggerated by low lung volumes and likely within normal limits. previous pulmonary edema has cleared. there is no evidence of pneumonia. there is no pleural effusion or pneumothorax. the aortic arch is calcified.
history: <unk>f with hypoxia // ?pna
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in comparison with chest radiograph from <unk>, left lower lobe consolidation has resolved. spiculated right apical nodule is unchanged since <unk>. biapical fibrotic changes, right greater than left, are unchanged. hyperinflated lungs and upper lobe vascular deficiency suggest emphysema. mediastinal and hilar contours...
<unk> year old woman with abdominal distention, prior pneumonia // assess for partial sbo, r/o free air under diaphragm, and follow up on pneumonia from <unk>
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a pleur-x catheter is seen terminating in the upper portion of the right lung. compared to prior chest radiograph from <unk>, there is a persistent moderate right-sided pleural effusion, slightly improved in the interval, with a new small air-fluid level in the right lung base suggesting a small hydropneumothorax compo...
known fluid overload and pleur-x catheter presenting with severe shortness of breath. evaluate for fluid overload.
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semi-upright portable view of the chest demonstrates low lung volumes. the costophrenic angles are obscured, suggestive of trace pleural effusions. there is perihilar vascular congestion. mediastinal silhouette is prominent. a large lucency projecting over cardiac silhouette, likely reflects patient's known hiatal hern...
sepsis.
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ap portable upright view of the chest. overlying ekg leads are present. the heart remains moderately enlarged and there are small bilateral pleural effusions. hilar congestion is noted with mild pulmonary edema. no pneumothorax. no overt signs of pneumonia. mediastinal contour is unchanged. tracheobronchial tree calcif...
<unk>f with resp distress, likely new chf
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the patient is status post coronary artery bypass graft surgery. a right-sided pacemaker device has been placed, terminating in the right ventricle. there is a moderate pleural effusion on the left with associated opacity, probably due to atelectasis, including volume loss and mild leftward shift of mediastinal structu...
gastrointestinal bleeding.
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streaky linear opacities at the left lung base likely reflect atelectasis versus scar. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with lightheadedness, nausea and dry heaves. // r/o chf/pneumonia
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. mild degenerative changes are present along the lower thoracic spine.
intermittent chest pain.
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chest, <num> vws inspiratory volumes are slightly low. this may account for apparent slight enlargement of the cardiac silhouette. within the limits of plain film radiography, no hilar or mediastinal enlargment is detected. hazy increased opacity projecting over the lower lobe posteriorly is noted, but may be an artifa...
<unk>-year-old man status post mva one week ago, now presenting with shortness of breath and rib pain, rule out pneumothorax or other acute process.
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ap upright and lateral views the chest provided. lungs are clear and well inflated. no focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette is normal. no acute osseous abnormality. a tiny metallic density projecting over the left upper abdomen which is of unclear etiology. no free air below...
<unk>f with with a fall, vomiting, head strike, head pain, evaluate for intracranial hemorrhage, fractures.
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compared to the prior study, the left lower lobe pneumonia is significantly improved. there is mild central pulmonary vascular congestion. the lung volumes are normal. the cardiomediastinal contour is normal. there is no pleural effusion. glenohumeral and acromioclavicular joint degenerative disease noted bilaterally, ...
<unk>m with chest pain x <unk> mins resolved after nitropaste. evaluate for acute cardiopulmonary process.
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the lungs are clear. no pleural effusion is seen. the heart size is top-normal. mediastinal and hilar contours are unremarkable.
<unk> year old woman with positive ppd and no symptoms. new converter // r/o active or old tb
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. cardiac loop device projects over the anterior soft tissues on the left. no acute cardiopulmonary process.
<unk>f with sob and syncope // ?pna
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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. remote left-sided rib fractures are again noted. no radiopaque foreign body is seen.
history: <unk>f with dyspnea // evaluate for evidence of pneumonia, foreign body or pneumothorax.
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lower lung volumes seen on the current exam. bibasilar streaky opacities are likely secondary to atelectasis. superiorly, lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f smoker with cough and persistent fever // r/o pneumonia
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midline sternotomy wires are intact. a prosthetic cardiac valve is again noted. a port-a-cath terminates in the upper svc. linear opacities at the right lung base likely represent atelectasis or scarring from prior thoracic surgery. the previously identified subtle opacity in the rul is no longer seen. there are no new...
diffuse large b-cell lymphoma, status post two cycles of anthracycline-containing chemotherapy, status post recent aortic valve replacement. hospitalized recently with pneumonia. complaining of worsening shortness of breath with activity, o<num> saturations at <unk>%. please assess for changes compared to <unk> chest ...
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single ap portable view of the chest. no prior. there is linear opacity at the right lung base most suggestive of atelectasis. elsewhere, the lungs are clear, without visualized effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. the osseous and soft tissue structures are unremarkable.
<unk>-year-old male with syncope and hypertension, chest pain. question pneumothorax.
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frontal views of the chest. right pleural pigtail catheter has been removed and new right apical and right base pleural drains have been placed. right basilar hydropneumothorax has slightly decreased since the prior exam. right chest wall subcutaneous gas is likely related to pleural tube placement. right lower lobe op...
<unk>-year-old female with right chest tube.
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single ap view of the chest provided. the lungs are well-inflated and grossly clear. there is no pleural effusion, or pneumothorax. the hilar and cardiomediastinal contours are normal.
<unk> year old man with leukocytosis s/p olt // acute cp process
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compared to prior radiographs on <unk>, there are consolidations at the bilateral lung bases, could represent active or resolving pneumonia.there is mild-to-moderate cardiomegaly. there is no pleural effusion, vascular congestion or edema. no pneumothorax.
<unk> year old woman with chest pain, shortness of breath on exertion // r/o abnormalities
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multiple bilateral pulmonary masses are again noted, similar to that seen on <unk>. there is no new opacity suggestive of a focal infection. heart appears prominent consistent with known fat-pad. no acute fractures are identified.
o<num> dependent copd, pulmonary amyloid, with fever, dyspnea, and chest congestion.
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frontal and lateral views of the chest. the lungs are clear of consolidation effusion or pneumothorax. there is increased opacity in the left lung compared to the right likely in part technical as well as due to overlying scapular body. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormal...
<unk>-year-old male with chest pain.
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again seen is retrocardiac opacity which now has air-fluid levels which are most likely related to gastric pull-through. the lung fields are otherwise clear and there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable. calcific densities overlying left ribs are stable from prior exam.
<unk>-year-old man with sudden onset cough four days ago with increased fatigue, expiratory wheezing, and rhonchi; evaluate for abnormalities.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. low lung volumes cause bronchovascular crowding.
<unk> year old woman with crohn's, h/o cva, neuropathy, etc with <num> month of worsening sob and <unk> edema with new onset sob, r/o fluid, infiltrates
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cervical collar projects over the neck and lung apices. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female status post motor vehicle collision.
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compared to prior there has been near complete resolution of the hazy opacity in the left lung base. there is no new consolidation. the cardiomediastinal silhouette is within normal limits. old healed left rib fractures are again noted.
<unk>m with cough, fever, sob // eval for pna
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et tube is <num> cm from the carina. a right pigtail pleural drain projects over the mid to upper right lung. mild cardiomegaly is unchanged. moderate pulmonary edema has progressed. there is a background of diffuse interstitial lung disease. small bilateral pleural effusions appear worsened. there is no pneumothorax.
<unk> year old woman with new ett please assess for placement and chf // <unk> year old woman with new ett please assess for placement and chf
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hyperinflated lungs. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with respiratory distress // eval for pna
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ap and lateral views of the chest. no prior. there is a large right and small-to-moderate left pleural effusion. where seen, the lungs are grossly clear. the cardiac silhouette is difficult to assess given silhouetting on the left. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality is...
<unk>f with unknown pmhx who presents w/ dyspnea, <unk> edema.
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patient is status post median sternotomy and mitral valve replacement.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged. hilar contours are stable.
history: <unk>m with chest pain // r/o pna
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there is mild elevation of the right hemidiaphragm.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mildly enlarged. the aorta calcified. no displaced fracture is seen.
history: <unk>f with fall // please evaluate for acute cp process
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heart size is mildly enlarged. right hilar opacity is compatible with known mass and radiation treatment changes. previously noted right upper lobe atelectasis has improved though is still present. small right pleural effusion persists. left lung is clear. there is no pulmonary edema. no pneumothorax is demonstrated. m...
lung cancer, shortness of breath.
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lungs are well expanded. indistinctness of the pulmonary vasculature appears somewhat increased, likely reflecting mild edema. asymmetric increased opacities in the mid left lung may reflect aspiration or developing pneumonia. severe cardiomegaly is unchanged. no pleural effusion or pneumothorax.
<unk> year old man with sdh, fever, ? ggos on ct chest // with am rounds
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compared with <unk>, there are no significant changes allowing for differences in technique and positioning. again seen is the opacification in bilateral bases left greater than right. again seen are bilateral low lung volumes. cardiomediastinal silhouette unchanged. the left chest port tip ends in right atrium.
<unk> year old man with metastatic gej carcinoma and acutely worsening o<num> sat requiring face mask // c/f worsening aspiration pneumonia vs pleural effusions vs pleural edema
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since the prior study, there is marked interval change with obscuration of the right lung base. there appears to be a large effusion on the lateral film and there is atelectasis in the right lung base. there is added density in the region of the right hila which could represent atelectasis, adenopathy or mass. there is...
history: <unk>f s/p unwitnessed fall // unwitnessed fall; poor historian; left eye ecchymosis and edema
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding portable chest examination with patient in supine position and dated <unk>. again mild cardiac enlargement is probably present. no typical configuration abnormalities are identified. t...
<unk>-year-old male patient, incarcerated, status post cadaveric liver transplant in <unk> for autoimmune hepatitis and psc, complicated by graft failure secondary to recurrent disease/chronic rejection (now on transplant list again).
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pa and lateral views of the chest were obtained. cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old woman, status post fall, evaluate for fracture.
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heart size is normal and unchanged. 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.
<unk>-year-old woman with dyspnea. evaluate for pneumonia
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relatively low lung volumes are noted. there is no focal consolidation, large effusion or vascular congestion. cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>f with confusion, hypoxia and lll ronchi // eval for pna
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there has been interval worsening of multifocal opacities, especially in the anterior segment of the right upper lobe with near-complete opacification clearly outlining the minor fissure. opacities are also worse in bilateral apices, the lingula and both lung bases, worrisome for progressive multifocal pneumonia. there...
positive blood culture with worsening respiratory status.
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the heart is moderately enlarged but is similar in size compared to the prior day. there bilateral pleural effusions that are moderate on the left and small on the right. there is pulmonary vascular redistribution. the large bore catheter tip is in the svc. the et tube is <num> cm above the carina. ng tube tip is in th...
<unk> year old man with esrd who had missed <num> weeks dialysis with concern for volume overload and pericardial effusion // eval interval change of pulmonary edema
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frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. there is no pleural effusion, focal consolidation, or pneumothorax. moderate cardiomegaly is stable. there is mild perihilar vascular congestion. no pulmonary edema. partially imaged upper abdomen is unremark...
seizure and wheezing.
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portable supine chest radiograph <unk> at <time> is submitted.
<unk> year old woman with open abdomen s/p end ileostomy // pod<num>, open abd pod<num>, open abd
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. there is no focal consolidation, pleural effusion, or pneumothorax. left base atelectasis is noted. there is no evidence of pneumomediastinum.
<unk>m w/wretching, and cp please eval for mediastinal air
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a left pectoral pacemaker is unchanged with two leads terminating in the right atrium and right ventricle. the cardiac silhouette remains mildly enlarged, but stable. the mediastinal and hilar contours are within normal limits, with calcification of the aortic knob again noted. the pulmonary vasculature is not engorged...
dyspnea, here to evaluate for acute cardiopulmonary process.
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there is blunting of the bilateral costophrenic angles may be due to trace pleural effusions and/or related to atelectasis. the lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the aorta is tortuous. the card...
history: <unk>m with one week worsening sob, fatigue // ?cpd
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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 altered mental status.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old woman with congestion and cough.