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lungs are well inflated and clear bilaterally with stable upper zone redistribution of vasculature. there is no pleural effusion or pneumothorax. no areas of focal consolidation, masses or lesions are identified. aorta is mildly tortuous, and heart is top normal in size. pleural surfaces are unremarkable. an ng tube is...
<unk>-year-old female with history of copd, now with new cough.
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there is retrocardiac and left basilar opacity silhouetting the hemidiaphragm. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. right-sided picc seen with tip in the mid svc. catheter also projects over the left upper quadrant. no acute osseous abnormality is identified.
<unk>-year-old female with metastatic cancer with syncope and hypoxia.
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the cardiomediastinal and hilar contours are normal. the lungs are clear; specifically a density lateral to the right hilus represents a vessel. there is no pleural effusion or pneumothorax.
<unk>-year-old female with positive ppd.
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frontal and lateral views of the chest. the lungs are clear noting that the left costophrenic angle is excluded from the field of view on the lateral view is limited by motion. approximately <num> cm left mid lung nodule is unchanged. there is no visualized effusion. cardiomediastinal silhouette is unchanged. posterior...
<unk>-year-old male with confusion and altered mental status.
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there has been substantial interval decrease in the trace right pleural effusion following drainage. a right perihilar airspace opacity corresponding to radiation pneumonitis is unchanged when allowing for differences in technique. prominent interstitial lung markings in the right lung the may be due to lymphatic conge...
<unk> year old woman with pleural effusion // s/p <unk> right
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lung volume is low. there is no focal consolidation, pneumothorax or pleural effusion. cardiac silhouette is exaggerated by low lung volumes. there is a mild diffuse interstitial abnormality which is similar to <unk>.
history: <unk>f with malaise, ams // infiltrate
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. right shoulder arthroplasty is noted. no acute osseous abnormalities are seen.
<unk>f with recent fall, pleuritic pain in side. // please assess for rib fracture or other abnormality
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no focal consolidation is seen. previously seen moderate interstitial edema has improved in the interval. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. aortic calcifications are seen.
history: <unk>f with cough // ?pna
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pa and lateral views of the chest. there is a small left apical pneumothorax. no focal consolidation or pleural effusion. the cardiomediastinal and hilar contours are normal.
left anterolateral rib trauma, evaluate for infiltrate.
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right basilar and hilar opacities are consistent with increasing effusion and adjacent lung atelectasis. the right-sided chest tube appears kinked, and points towards the medial apical lung, unchanged compared to the prior exam. the lung volumes continue to be low. the heart demonstrates stable mild cardiomegaly. the e...
history of hypoxia, effusion. please evaluate for interval change.
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ap portable upright view of the chest. overlying ekg leads noted. lung volumes are low. no large consolidation concerning for pneumonia. no overt signs of edema or congestion. mild left basal atelectasis likely present. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures appear gr...
<unk>m with leukocytosis // pna?
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as compared to <unk>, right-sided internal jugular catheter has been removed. ill-defined opacity in the lingula and retrocardiac opacity have minimally improved. small bilateral pleural effusions are stable. no pneumothorax. cardiomediastinal contours are stable.
<unk> year old man with recurrent fevers s/p cabg // follow up effusion
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ap semi upright and lateral views of the chest provided. cardiomegaly is again noted. the aorta is unfolded and calcified. there is mild congestion and subtle interstitial edema. no convincing signs of pneumonia, effusion or pneumothorax. imaged bony structures are intact. severe degenerative disease at bilateral shoul...
<unk>f with general weakness // eval for pna
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pa and lateral views of the chest provided. suture material is noted projecting over the left hilar region with left lung volume loss consistent with prior wedge resection. lungs are clear without pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. no bony abnormality.
<unk>f with worsening r sided rib pain
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right lower lobe opacity is likely hemorrhage status post right lower lobe bronchoscopy. the cardiomediastinal silhouettes are stable. lungs are otherwise clear without new focal consolidation. no evidence of pneumothorax. no intra-abdominal free air. calcified aorta correlates with findings from the ct chest.
<unk> year old woman with lung nodule s/p bronchoscopy. rule out pneumothorax. history of large cell lung cancer.
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tracheostomy tube again noted. again seen is a right-sided picc line, with tip near cavoatrial junction. no pneumothorax detected. allowing for technical differences, the overall appearances are quite similar. however, there is improved aeration at the left base, with new visualization of left hemidiaphragm, and less p...
<unk> year old man with trach/peg // acute process
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ap upright 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. anterior spurring in the mid to low thoracic spine is noted. no free air below the right hemidiaphragm is seen.
history: <unk>f with falls // eval infiltrate
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there has been interval increase of the cardiac silhouette which raises the suspicion of an enlarging pericardial effusion. an anterior mediastinal mass is again noted and better characterized on prior chest ct. there is bibasilar atelectasis, left greater than right. no pleural effusion or pneumothorax is seen.
<unk>-year-old woman with dyspnea, evaluate for pneumonia.
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a left lateral approach chest tube remains in place within a loculated left pleural effusion, which is not appreciably changed. the right lung remains clear. there is no pneumothorax. the cardiomediastinal contours are stable. a cortical irregularity with step-off in the lateral rib cage at the level of the chest tube ...
<unk> year old man with pleural effusion, nodules, and chest tubes s/p pleurodesis // *** please perform before <num> am ***
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left-sided aicd/ pacemaker device is re- demonstrated with leads in unchanged positions in the right atrium, right ventricle, and coronary sinus. severe enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are without substantial change. mild pulmonary edema is worse in the interval. n...
<unk> year old woman with fever and confusion
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pa and lateral views of the chest provided. patient rotated to the left. there has been recent placement of a dialysis catheter with tip in the region of the right atrium. lung volumes are low. mild cardiomegaly is noted. there is mild pulmonary congestion. no large effusion or pneumothorax. bony structures are intact.
history: <unk>f with ams // eval for infection
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compared with most recent prior radiographs, pleural effusions and associated atelectasis have resolved. there is no change in severe leftward thoracic scoliosis and hiatal hernia. lungs are clear. no pleural effusion or pneumothorax.
history of renal cell cancer, resected. question pulmonary nodules.
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portable ap upright chest radiograph was obtained. vascular engorgement with <unk> b-lines and fluid in the minor fissure are in keeping with mild to moderate pulmonary edema. small dependent right pleural effusion is noted. there is no focal consolidation or pneumothorax. enlarged pulmonary arteries may reflect pulmon...
dyspnea.
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ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. in addition, kyphotic angulation of the t-spine in the setting of multiple chronic compression deformities in the lower t-spine somewhat limit the evaluation through the lung bases. allowing for this, there is mild bibasilar a...
<unk>f with chest pain // etiology of chest pain?
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the heart is moderately enlarged. there is no pleural effusion or pneumothorax. compared to the prior study, there is vague opacity projecting over the right lower lung; mild edema or infection could be considered.
chest pain.
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hazy left lower lobe opacity may represent pneumonia. there is no effusion or pneumothorax. there is mild pulmonary vascular congestion and possible trace interstitial edema. there is streaky left basilar and right perifissural atelectasis. the cardiomediastinal silhouette is normal. imaged osseous structures are intac...
history: <unk>m with dyspnea // ?pneumonia
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. there is a healed right rib fracture. there is superior endplate depression fracture of a mid thoracic vertebral body, likely chronic.
<unk>-year-old with fall, please assess for rib fractures.
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a single ap chest radiograph was obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion or pneumothorax. cardiac and mediastinal contours are normal.
fall
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there are diffuse airspace opacities bilaterally. there may be trace pleural effusions. no pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. spinal catheter is noted.
history: <unk>f with hypoxia, cough // eavl for pna
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portable ap chest film <unk> at <time> is submitted
<unk> year old woman with esrd on hd, anemia s/p <num> units prbc and new dyspnea // interval change, pulmonary edema? interval change, pulmonary edema?
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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 history of shortness of breath and knwn asthma // role put 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.
left-sided rib and chest pain.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the ascending aorta is tortuous, but unchanged from priors. the cardiomediastinal silhouette is otherwise normal. compression deformities in the mid thoracic spine are unchanged from the prior exam.
cough and dyspnea.
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there is interval increase and left lower lobe opacity, worrisome for pneumonia and/ or aspiration, with a trace associated pleural effusion. no focal consolidation is seen on the right. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with h/o dm<num>, <unk>'s, cad s/p stemi, coming in with weakness, sob.
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<num> cm wide left lung nodule, projecting over the anterior left fourth rib, was <num> mm on <unk> and not present on chest radiograph <unk>. it needs to be evaluated with chest ct. median sternotomy wires are well aligned and intact. multiple mediastinal clips are noted, similar to the prior. the cardiomediastinal an...
history: <unk>m with chest pain // eval for infiltrates
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. multiple air-fluid levels are identified on the upright lateral view. su...
<unk>-year-old male with fevers and chills. immunosuppressed.
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left chest wall pacemaker generator and leads are unchanged.the heart size is top-normal. the lungs are otherwise clear and no pleural abnormality is seen.
<unk> year old man with increased dry cough, occasional wheezing. evaluate for pneumonia, lesions, copd, chf.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. a left chest port-a-cath terminates within the right atrium.
pancreatic cancer with single rul nodule with cavitation but negative quantiferon gold and negative cultures now with cough and nasal congestion x days. rule out infection
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mild cardiomegaly and a fractured mitral valve ring are unchanged from prior studies. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette, including a markedly enlarged main pulmonary artery, is stable. hyperexpansion suggests underlying copd. there is m...
<unk>f with chest pain please evaluate for pneumonia or edema.
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frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. fixation hardware is noted in the right clavicle
chest pain, evaluate for pneumothorax, pneumonia or other acute cardiopulmonary process.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cough // ?pneumonia
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heart size is normal. the aorta remains mildly tortuous with atherosclerotic calcifications again seen at the aortic knob. hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs remain hyperinflated. linear opacities in the lung bases likely reflect areas of subsegmental atelectasis and/or scarri...
history: <unk>f with episode of anterior chest pain radiating across chest and to jaw
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk> year old man with chest pressure, told he had "congestion" on xray at <unk>, // r/o infiltrate
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the cardiomediastinal silhouette is mildly enlarged. there is no focal consolidation. although no overt pulmonary edema is seen on this chest radiograph, there is septal thickening seen on subsequent spine ct. minimal upper zones septal thickening is noted. there is no pneumothorax.
<unk> year old with dyspnea, evaluate for chf or pneumonia..
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the right picc tip is within the svc. the lung volumes are low. there is improved aeration within the right lung base with near complete resolution of previously noted right basilar atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. the cardiac, mediastinal and hilar contours are normal.
possible migration of the right picc.
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frontal and lateral chest radiograph demonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. no pneumomediastinum. the esophagus is air-filled. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. evidence of healed left pos...
esophageal ring with vomiting. assess for mediastinal air or widening.
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there has been interval placement of a new left-sided chest tube, with significant interval decrease in the left pneumothorax. a small residual left pneumothorax persists. unchanged positioning of the pigtail catheter, endotracheal tube, right ij line, and right pleural catheter.
<unk> year old woman with bilateral ptx, septic pulm. evaluate new left chest tube placement.
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clips in the right hilum and the right costophrenic angle represent post-surgical changes from prior upper and middle lobe resections. the remaining right lower lobe is well aerated. there is a small amount of pleural fluid with a locule of gas in the right apex representing a stable hydropneumothorax. there is no medi...
<unk>-year-old male with right upper lobe and right middle lobe resections with right apical fluid collection.
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there are multiple nodular densities seen throughout both lungs, the largest measuring approximately <num> mm, seen at the left lung base. these are depicted in greater detail on the chest ct from <unk>. there is mild cardiomegaly. low inspiratory volumes may contribute to accentuation of the cardiac silhouette. there ...
<unk> year old man with rectal cancer now with shortness of breath and cough // does this patient have pneumonia or pulmonary edema
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a dual-lead pacemaker/icd device is present. the heart is normal in size. the aortic arch is calcified. there is a large hiatal hernia with an air-fluid level projecting over the lower central mediastinum slightly to the right of midline. there is no pleural effusion or pneumothorax. aside from streaky opacities, proba...
non-responsiveness and syncope. pain with breathing.
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ap and lateral views of the chest demonstrate that the lungs are slightly hyperinflated and there is bibasilar scarring, but otherwise they are clear of focal opacities concerning for pneumonia. surgical clip is noted in the right upper lobe, perhaps from a prior surgical resection. there is no evidence of pulmonary ed...
altered mental status.
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pa and lateral views of the chest provided. no focal consolidation, large effusion or pneumothorax is seen. the lungs appear somewhat hyperinflated with slightly coarsened lung markings which could reflect mild fibrosis. the hila may be slightly congested. tiny pleural effusions are present. no pneumothorax. bony struc...
<unk>m with sob // please evaluate for abnormality
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subtle right base opacity is more likely due to atelectasis or overlap of vascular structures rather than pneumonia. . the left lung is clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cp and sob // eval pneumonia
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ap view of the chest. sternotomy wires are seen. heart size is top normal. mediastinal and hilar contours are normal. there are aortic knob calcifications. there is new moderate pulmonary edema. no pleural effusion or pneumothorax.
stemi, evaluate for cardiomegaly or pulmonary edema.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no overt pulmonary edema. the cardiomediastinal contours are within normal limits allowing for low lung volumes. no acute displaced rib fractures are detected. there is no free air beneath the right hemidiaphragm.
chest pain, here to evaluate for rib fracture.
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there is moderate s-shaped thoracolumbar scoliosis with levoconvex curvature at the upper thoracic spine and dextroconvex curvature at the upper lumbar spine. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. there is no overt pulmonary edema. ...
new-onset seizure, here to evaluate for acute cardiopulmonary process.
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again noted is small right-sided pleural effusion, similar in size to the <unk> study. there now an increasing left-sided pleural effusion compared to the prior study, but it is small in size. prominent interstitial markings likely represent mild pulmonary edema. no opacities that are concerning for an infectious proce...
<unk>-year-old female with history of breast cancer and pleural effusions. rule out infiltrate.
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bilateral pulmonary opacities with an upper lobe predominance are present and better evaluated on the ct chest. a stent is noted in the left upper chest. there is no pleural effusions or pneumothorax. the cardiomediastinal slight is unchanged. imaged upper abdomen is unremarkable.
history: <unk>f with <unk> pain and hypotension // infectious process? pna?
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
history: <unk>m with hematuria; hx of kidney stones; on asa for intermittent cp //
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pa and lateral images of the chest show a new <num>cm wide cavity lesion in the apex of the right upper lobe, bronchogenic carcinoma or tuberculosis . the lungs are otherwise clear. there are no pleural effusion. the longstanding saber-sheath deformity of the trachea and hyperinflation reflect copd. the mediastinum is ...
history of immune suppression due to renal transplant. cough for three weeks.
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there is an area of consolidation in the right perihilar region, concerning for pneumonia. lateral view demonstrates opacification of a portion of the anterior rul and lateral rml. left lung essentially clear. no pulmonary edema, pneumothorax or pleural effusions. cardiomediastinal silhouette is within normal limits. n...
<unk> year old man with fever and cough with temperatures as high as <num> for the past <num> days // please evaluate for pneumonia
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postoperative changes status-post right pneumonectomy include posterior right fifth and sixth rib osteotomies, surgical clips projecting of the lateral right seventh rib, and complete opacification of the right hemithorax, similar in appearance to the most recent radiographic examination. the left lung is fully expande...
history: <unk>m with lung ca, seizure, worsening cough // r/o pna
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decrease in lung volumes with increasing bibasal atelectasis. small left pleural effusion. no interstitial edema. no pneumothorax. right-sided internal jugular catheter with the tip in the low svc.
<unk> year old man with new diaphoretic and hypothermic coming out of i d of l hand // ?pna/infiltrative process
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there is a left chest tube in place. there is no residual pneumothorax visualized. low lung volumes with bibasilar atelectasis, but no focal consolidations. the pulmonary vasculature is normal. the cardiomediastinal silhouette is stable. there are no pleural effusions. none of the previously reported rib fractures are ...
<unk> year old man with l <num> rib fx and ptx and l chest tube // comparison and eval of the chest tube
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again seen is the dual-chamber intracardiac device with the leads in the expected locations of the right atrium and right ventricle respectively. there is no focal consolidation, pleural effusion, or pneumothorax. the patient is status post sternotomy and valve replacement. the heart size is normal. the hilar and media...
<unk>-year-old male with new profound pulmonary hypertension, who presents for evaluation.
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compared with <unk>, heart size is increased, with increased pulmonary vascular congestion. there is a left pleural effusion and probable right pleural effusion. no overt pulmonary edema. an opacity at the right lung base is concerning for pneumonia.
history: <unk>m with hypoxia // eval for acute process
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged with prominent left cardiophrenic angle fat pad with with.
<unk>m with chronic back pain, radiation to chest pain for the past night.
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain, dyspnea, dizziness.
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a single frontal upright view of the chest was obtained portably. changes from prior left thoracotomy are similar in appearance to prior studies. healed right-sided rib deformities are also noted. there is no focal consolidation or pneumothorax. bibasilar atelectasis is noted. blunting of the left costophrenic sulcus m...
white count and hypotension.
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the left hydropneumothorax remains unchanged compared to the prior exam. there is a new right basilar and infrahilar opacity. left upper lobe and left basilar chest tubes are unchanged. the cardiomediastinal silhouette is stable and there is no evidence of pulmonary edema.
<unk>-year-old after vats decortication.
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the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with chest pain // eval for ptx or chf
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lung volumes are very low with bibasilar atelectasis. bilateral pleural effusions appear similar. there is new mild interstitial edema. mediastinal contours are unchanged. there has been interval extubation. esophageal catheter and left internal jugular catheter appear similarly positioned with esophageal catheter tip ...
<unk>-year-old male status post right lower and middle lobectomies with complicated postoperative course.
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et tube and ng tube are unchanged and in standard position. compared to chest x-ray, there is an increased vascular congestion which is more prominent on the left lung. the bibasilar consolidation is stable and is likely due to pneumonia. cardiomediastinal silhouette is normal. there is no pneumothorax. surgical tube c...
evaluation for pneumonia.
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there is a left pectoral pacemaker with its leads terminating at right atrium and right ventricle. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
patient has a pacemaker, check for lead position. <unk> year old woman awaiting mri. // patient has a pacemaker, check for lead position.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
toe pain and chest pain.
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there has been interval placement of <num> drains at the right lung base, <num> appears to be pleural, the other is intra-abdominal. no pneumothorax seen. there has been interval improvement in the right lower lobe effusion with only a trace amount of fluid seen. interval improvement in the right basilar atelectasis. n...
<unk> year old man with new right pleural effusion s/p right hepatectomy <unk> for liver mets (adenocarcinoma) // please assess lungs after placement yesterday of pigtail and pleural drainage
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the lungs are clear without focal consolidation, effusion, or edema. left chest wall single lead pacing device is noted. mild cardiomegaly is noted. median sternotomy wires and mediastinal clips are seen. prior endotracheal and enteric tubes are no longer visualized.
<unk> year old man with pre-op // eval for acute process
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low lung volumes. transverse cardiomegaly. bibasilar opacities most likely represent atelectasis with small associated effusion. no overt pulmonary edema. right coronary artery stent in situ. nonspecific density projecting over the central superior mediastinum.
<unk> year old woman s/p hip replacement with hypoxia // pulmonary edema?
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the cardiac, mediastinal and hilar contours appear stable. there is small eventration of the right hemidiaphragm. there is no pleural effusion or pneumothorax. streaky posterior left basilar opacity suggests minor atelectasis. elsewhere, the lungs appear clear. moderate to severe rightward convex curvature is centered ...
right leg pain and transient exertional chest pain.
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right-sided port-a-cath tip terminates in the mid svc. heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are without focal consolidation. patchy atelectasis is noted in the lung bases. tiny bilateral pleural effusions appear unchanged. no pneumothorax is se...
history: <unk>m with atrial fibrillation with rapid ventricular rate.
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left base atelectasis/scarring is re- demonstrated. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. enteric tube terminates in the left upper quadrant in the expected location of the stomach. no pulmonary edema is seen.
history: <unk>f with history of eating disorder and chest pain // eval for chf/pneumonia
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. there is stable mild cardiomegaly. left-sided pacemaker with atrial and right ventricular leads is present. there is no pleural effusion, pneumothorax, or consolidation.
<unk>-year-old man with cough and leukocytosis. evaluate for pneumonia.
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cardiomediastinal and hilar contours are within normal limits. aorta is tortuous. low lung volumes with relative elevation of the right hemidiaphragm. clear lungs. no pneumothorax.
<unk>m with ? recurrent syncope vs. falls // ? acute cardiouplm process
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there has been interval placement of a right internal jugular vein which terminates within the upper svc. no complications following the procedure are seen, and there continue to be low lung volumes without focal consolidation pulmonary edema or pleural effusions. the heart continues to be enlarged.
<unk>-year-old man after placement of a right internal jugular central venous line.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with seizure, ? infectious trigger // please eval for pna
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ap and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no displaced fractures identified.
<unk>-year-old female with fall, striking the left occiput.
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. streaky medial right lower lung opacity suggests minor atelectasis. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax. along the mid thoracic spine, there is a mild wedge compression deformity, which is age...
right-sided chest pain after bicycle accident.
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there is a moderate cardiomegaly and a large hiatal hernia. the lungs are clear. no pleural effusion or consolidation. mildly tortuous descending thoracic aorta is noted. heavily calcified aortic arch seen. osseous structures are demineralized.
<unk> year old woman with chest pain// eval for acute pathology
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the nasogastric tube has been repositioned from the left lower lobe bronchus to the stomach, and passes out of view. endotracheal tube ends <num> cm above the carina in standard position. a <num> cm long catheter projecting over the left upper is not identified. it should be sought on subsequent studies to make sure it...
history: <unk>f with new ett // ett placement? og tube placement?
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there is a moderate new widespread but heterogeneous interstitial abnormality, which is worrisome for pulmonary edema superimposed on a background of normal lung tissue, noting a previous chest ct that showed substantial emphysema. perhaps less likely consideration would be atypical pneumonia, which could be considered...
hypoxia.
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single supine view of the chest. endotracheal tube is seen with tip approximately <num> mm from the carina which is difficult to clearly see. left-sided central venous catheter tip projects over the distal brachiocephalic/upper svc, although its tip is not well seen. relatively low lung volumes are seen without focal c...
<unk>-year-old female with hypertension, undifferentiated. transferred for hypertension and unresponsive. intubated with central line prior to transfer.
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portable upright frontal view of the chest. bilateral diffuse airspace opacities with a perihilar predominance are concerning for pulmonary edema. the heart is moderately enlarged. the right hilar contours is significantly more enlarged than the left hilar contours. there are small bialteral pleural effusions and cepha...
shortness of breath.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. an ng tube is seen with the tip and side port beyond the gastroesophageal junction. no subdiaphragmatic free air is identified.
<unk>-year-old female with small bowel obstruction status post ng tube placement. evaluate position of the tube.
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et tube terminates approximately <num> cm from the carina. enteric tube coils in the stomach. lung volumes are low. the heart is not enlarged. the mediastinal and hilar contours are normal. no large pleural effusion or pneumothorax although small bilateral pleural effusions are known to be present on the ct of the tors...
intubated. confirm et tube placement.
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overall volume of the right hydropneumothorax is stable, with a slight increase in dependent fluid. stable right apical pneumothorax. unchanged left pleural effusion. moderate bibasilar atelectasis, slightly increased on the right and stable on the left. normal cardiomediastinal and hilar contours.
<unk>-year-old woman with a history of cecal cancer complicated by liver metastases now status post segment <num> wedge resection, pericardial effusion status post pericardial window, and pleural effusion and pneumothorax status post chest tube removal. assess for interval change.
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lung volumes are normal. opacity at the left cardiophrenic angle is unchanged from most recent prior, then described as an epicardial fat pad. there is no focal consolidation, effusion, or pneumothorax. there is no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are normal. heart si...
<unk>f with chest pain // ?pneumonia
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endotracheal tube, enteric tube, and right picc tube are appropriately positioned. a right pleural effusion is small and left lung base is incompletely imaged, although there is likely a small pleural effusion there is well. heterogeneous opacities in the right upper and lower lung may indicate multifocal infection. no...
<unk> year old man with severe copd, parainfluenza <num>, intubated, now with fever // ? pna
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lung volumes are low. despite that, there is likely mild pulmonary edema given prominent interstitial markings and new peribronchial cuffing. bibasilar subsegmental atelectasis is present. blunting of the costophrenic angles on the frontal radiograph is likely due to prominent overlying soft tissues. the heart mediasti...
<unk> year old man with cough, increased blood sugar // ? pneumonia
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pulmonary edema has substantially worsened from the prior study. again seen is moderate cardiomegaly and mediastinal/pulmonary vascular engorgement. there may be some left retrocardiac atelectasis and there are likely small bilateral pleural effusions.
increased work of breathing. evaluate for acute process.
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heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is identified. no radiopaque foreign body is present. there are no acute osseous abnormalities. no subdiaphra...
history: <unk>m with epigastric pain