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MIMIC-CXR-JPG/2.0.0/files/p12646856/s52031024/e75234e4-da154cd9-e752ca8e-eb797477-38a43edc.jpg
compared to the prior study there is no significant interval change.
<unk> year old woman s/p r vats // post-pull cxr
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. cholecystectomy clips are noted in the right upper quadrant.
fever. evaluate for pneumonia.
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the cardiac silhouette is top-normal. mediastinal contours are not widened. the right costophrenic angle not fully included on the image. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
femur fracture
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there is minimal increase in right basilar opacity suspicious for possible infectious process or aspiration. there are continued bibasilar opacities, right greater than the left. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are unchanged.
patient with chest discomfort, evaluate for effusions versus focal consolidation.
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the cardiomediastinal and hilar contours are within normal limits. tortuosity of the aorta is unchanged since prior examination from <unk>. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old man with chest pain in the er. evaluate for aortic contour.
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there has been interval placement of the et tube which terminates <num> cm above the carina. left picc line terminates in the mid svc. ng tube terminates in the stomach however its side-port appears to be at the ge junction. left lower lobe atelectasis has improved. there is new right middle lung atelectasis. a small r...
<unk> year old man being intubated for ect // evaluate et tube placement
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with elevated white count. flank pan // eval for pna
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on today's exam, inspiratory volumes may be slightly low, but there is background hyperinflation. there is moderate cardiomegaly the pulmonary hila are grossly unchanged. there is slight upper zone redistribution similar to the prior film, without other evidence of chf. on today's film, the left hemidiaphragm is well d...
<unk> year old man with pmh significant for t<num>dm, htn, ischemic cardiomyopathy, and cad s/p mi x<num> and pcta x<num> with stent placement in <unk>, lad stent in <unk>, with <num> recent bms in <unk>, and recent admission to ccu <unk> for stemi s/p <num> des to rca presenting from <unk> for chf exacerbation. curre...
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comparison with chest radiograph from <unk>, moderate interstitial edema has improved and is now mild. there is no new focal consolidation, pleural effusion or pneumothorax. mediastinal and hilar contours are normal. heart size is decreased, now top-normal in size.
<unk> year old woman with recent pneumonia // f/u pneumonia
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the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pneumothorax, pleural effusion, pulmonary edema, or pneumonia.
<unk>f with productive cough // eval for pna
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a chest tube projects over the mid to upper right lung. the previously identified small right apical pneumothorax appears unchanged to minimally decreased in size. extensive subcutaneous emphysema involving the lateral right and upper left chest wall is unchanged. the lungs are otherwise clear. no pleural effusion. hea...
<unk> year old man with r <num>th rib fx and ptx, subq emphysema s/p ct placement <num> days ago // please eval for resolution of ptx, subq emphysema
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portable semi-supine chest radiograph <unk> <time> is submitted.
<unk> year old woman with upper gi bleed, intubated // pulm edema? pulm edema?
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the patient is status post median sternotomy and cabg. fracture of the superior most sternotomy wire is re- demonstrated. heart size is mildly enlarged but unchanged. the aortic knob is calcified. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. there is no focal consolidation or pneumoth...
fever and cough.
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the cardiac silhouette is mildly enlarged. the hilar vasculature is prominent, but well defined. there is no definite consolidation. no pleural effusion or pneumothorax identified. there are mild bony changes in the visualized thoracic spine consistent with patient's known sickle cell disease.
<unk>m with sickle cell crisis, neuro deficits // rule out acute chest syndrome
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the patient is status post median sternotomy and cabg. dual lead left-sided pacemaker is again seen with lead extending to the expected positions of the right atrium and right ventricle. the cardiac silhouette is mildly enlarged. there is mild interstitial prominence consistent with fluid overload, minimally increased ...
chf, worsening shortness of breath, and lower extremity edema.
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a left chest wall dual lead pacemaker is present. the patient is status post prior median sternotomy and cabg. there are bibasilar opacities, greater on the left which may reflect atelectasis or consolidation in the proper clinical context. no pleural effusion or pneumothorax is identified. the size the cardiomediastin...
<unk> year old man with hx mi cabg, now with dyspnea. // ?pulm edema vs consol?
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pa and lateral views of the chest provided. cardiomegaly is moderate. overall contour of the mediastinum is unchanged with prominence of the aortic knob previously assessed by ct. there is no focal consolidation, large effusion or pneumothorax. there are right and left perihilar linear densities which likely represents...
<unk>f with fall, elbow pain
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moderate to severe cardiomegaly persists. aorta demonstrates diffuse atherosclerotic calcifications. mediastinal contours are unchanged. there is mild pulmonary edema which is new compared to the prior exam. worsening opacification is seen within the right lung base with interval increase in size of a right pleural eff...
generalized weakness.
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
history: <unk>m with chest pain // eval for infiltrate
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in comparison to the chest radiographs obtained <unk>, there is a new right middle lobe consolidation consistent with pneumonia. bilateral lung hyperinflation with diaphragmatic flattening and a large retrosternal airspace are unchanged. heart size is normal. no pleural abnormalities.
<unk> year-old female with cough x <num> weeks and fevers (<unk><num>) // r/o pneumonia
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frontal images of the chest demonstrate well-expanded lungs which are clear. there is a left-sided pleural effusion. there is no effusion on the right. there is no pneumothorax. cardiomediastinal silhouette is unremarkable. sternotomy wires and mitral valve ring again noted. visualized osseous structures are unremarkab...
<unk>-year-old female with bilateral dvts, now with chills and dry cough.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. the pulmonary vasculature is unremarkable. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign b...
<unk>-year-old female with diffuse body pain and weakness. evaluate for pneumonia.
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no focal consolidation, pleural effusion, or pneumothorax is seen. there is pulmonary vascular redistribution with mild interstitial edema. heart size is mildly enlarged. the aorta is calcified and tortuous. there is mild dextroconvex thoracic scoliosis.
<unk>-year-old male with dizziness.
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the heart is normal in size. there is moderate unfolding of the thoracic aorta. otherwise, the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
pain with eating.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. there is calcification of the aortic knob. no acute osseous abnormality is detect...
history: <unk>m with dm and chf with dyspnea and abd bloating // pneumonia
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left-sided pacemaker device with leads terminating in the right atrium and right ventricle is re- demonstrated, unchanged. heart size remains mildly enlarged. the mediastinal and hilar contours are similar. no pulmonary vascular congestion is present. minimal atelectasis is noted in the right lung base. no new focal co...
history: <unk>m with chest pain
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single portable view of the chest is compared to previous exam from <unk>. exam was extremely limited secondary to portable technique, poor inspiratory effort, and patient's body habitus. there is no definite large confluent consolidation. cardiac silhouette is stable compared to prior given differences in positioning ...
<unk>-year-old male with increased confusion over two weeks, elevated creatinine and calcium. question infiltrate.
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
chest pain.
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frontal and lateral views of the chest demonstrate normal lung volumes. no pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. mild dextroscoliosis of the thoracic spine is noted.
patient with fever and cough. assess for fever, cough and wheeze at the left base. assess for pneumonia.
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ap and lateral views of the chest. when compared to prior, there is a new moderate left-sided pleural effusion. diffusely increased interstitial markings are again noted. there is no new confluent consolidation. the cardiomediastinal silhouette is unchanged. atherosclerotic calcifications noted at the arch. surgical cl...
<unk>-year-old female with shortness of breath.
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ap upright and lateral chest radiograph demonstrate subtle increase in opacity at the left lung base likely linear atelectasis. pulmonary edema has almost completely resolved. the right lung is clear. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax or pleural effusion. a left che...
<unk>-year-old female with decreased breath sounds at the bases.
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frontal and lateral radiographs of the chest are provided. moderate cardiomegaly is noted. there is minimal peribronchial cuffing with trace interstitial pulmonary edema. there is no pneumothorax. there are likely small bilateral pleural effusions and/or pleural thickening. numerous surgical clips are noted throughout ...
<unk>-year-old man with congestive heart failure, presenting status post fall, with right perihilar "infiltrate" on outside hospital chest radiograph.
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a dobbhoff tube terminates in the region of the stomach. the heart is top-normal in size, but stable from the prior study. clear lungs with no focal consolidation. no pleural effusion or pneumothorax is identified.
<unk> year old man s/p sdh evacuation pod <num>, with fever <num>. // <unk> year old man s/p sdh evacuation pod <num>, with fever <num>.
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the central line is unchanged. the multiple sclerotic bone lesions compatible with metastatic disease are again seen. the heart size is moderately enlarged. there is pulmonary vascularity redistribution and ill-defined vascularity compatible with chf. there are patchy alveolar infiltrates bilaterally lower lobe greater...
altered mental status question infection.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with cough, fever
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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 a pneumothorax. patchy opacity refers to the left lower lobe, but elsewhere the lungs appear clear. small anterior osteophytes are noted along the mid thoracic spine.
syncope.
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interval removal of right pigtail catheter. moderate right pneumothorax, has increased in size, with <num> cm apical component, and basilar component. there is trace right pleural effusion, similar. right basilar opacity, likely atelectasis. subcutaneous emphysema right lower lateral chest wall has worsened. left lung ...
<unk> year old woman with ptx. pigtail placement. tube removed at <num>.<unk> pm // interval change. please complete at <num>pm
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moderate to severe cardiomegaly with tortuous aorta are unchanged. pacemaker leads are in standard position. the left lung is clear. moderate right pleural effusion is unchanged. . there is no pneumothorax. patient is status post avr. sternal wires are aligned
<unk> year old man with chronic pleural effusion and shortness of breath // eval pleural effusion for change
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cardiomegaly is stable. small right and moderate left pleural effusions are stable allowing the difference in positioning of the patient. there is no pneumothorax. there is mild vascular congestion.
<unk>m found down, rhabdo, left <unk>th rib fractures, incarcerated lih, s/p small bowel resection // comparison
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the lungs are hyperinflated but clear. cardiomediastinal silhouette is normal. there is no pneumothorax or pleural effusion.
<unk> year old woman with copd exacerbation, evaluate for interval change
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as compared to prior chest radiograph from <unk>, pulmonary edema has significantly improved and is nearly resolved. cardiomegaly remains unchanged. a new enteric tube courses below the diaphragm, the tip is not included in this examination. no definite pleural effusions or pneumothoraces are present. left-sided pacema...
<unk>-year-old man with chf, aggressive resuscitation. evaluate for interval change.
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there is a right-sided hemodialysis catheter that terminates in the right atrium. the right hilum appears prominent and comparison should be made with prior studies. otherwise the cardiopulmonary silhouette is normal in the pleura is unremarkable.
<unk> year old man with esrd and weakness // evaluate for acute process
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the lungs are well inflated. bibasilar atelectasis, greater on the left is grossly unchanged since prior studies. a subtle increased peripheral opacity in the left lower lobe could be present. small bibasilar effusions are stable. no pneumothorax is present. the cardiac and mediastinal contours are unremarkable. right-...
<unk>-year-old woman with neutropenic fever and pancytopenia, hemolytic anemia, splenomegaly, colon cancer status post liver biopsy yesterday.
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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 dm, htn, hld p/w cp <num>x in past month and sob. // eval for infiltrate, vascular congestion, acute process.
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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.
history: <unk>f with mild chest discomfort
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a left subclavian approach port has been placed with tip demonstrated within the lower svc. there is no evidence of pneumothorax. the lungs are essentially clear with minimal atelectasis in the retrocardiac region. there are no pleural effusions. the cardiomediastinal and hilar contours demonstrate mild cardiomegaly an...
<unk>-year-old female with rectal cancer and status post port placement. evaluate for pneumothorax.
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the cardiac, mediastinal and hilar contours appear unchanged. area of scarring at the left lung apex appears unchanged. elsewhere, the lungs appear clear aside from noting background emphysematous change. there is no pleural effusion or pneumothorax. surgical clips are noted along the left axilla.
dyspnea on exertion.
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the heart is top-normal in size. the mediastinal contours normal. there is no pleural effusion or pneumothorax. there is no focal consolidation. degenerative changes noted in the thoracic spine.
<unk>m with <num> days of fevers, myalgias, cough, evaluate for pneumonia.
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as compared to the previous radiograph, there is no relevant change. known scoliosis with subsequent asymmetry of the rib cage. no change in appearance of the lung parenchyma, in particular no pneumonia, no pulmonary edema and no pleural effusions. normal size of the cardiac silhouette. normal hilar and mediastinal con...
left-sided chest pain, rule out abnormality.
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endotracheal tube tip is <num> cm from the carina. enteric tube passes below the field of view. bibasilar opacities are noted which could be due to any combination of consolidation, atelectasis or effusions. cardiac silhouette is moderately enlarged likely accentuated by technique. calcifications are noted at the aorti...
<unk>m with post-arrest, intubated // evaluate intubation, acute process
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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 abnormality is identified.
<unk>m with depression, medical clearance needed for <unk>-psych // evaluate for pneumonia
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are demonstrated. no subdiaphragmatic free air is seen.
recent nsaid use with acute abdominal pain.
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a subtle nodular opacity is present in the right upper lobe at the level of the second right anterior rib, difficult to assess due to overlap with the adjacent scapular border at apparently new compared to the prior radiograph. no additional nodules are observed in the remainder of the lungs. heart is enlarged but stab...
<unk> year old man with ? pulmonary nodule on outside cxr, details unavailable. // r/o nodule
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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.
<unk>m with severe lumbar spinal stenosis per mri, preop cxr // eval for infection / acute processes
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a portable view of the chest shows a new tunneled catheter ending at the inferior cavoatrial junction. there is a question of a small right apical pneumothorax. lung volumes are low with mild to moderate pulmonary edema. moderate cardiomegaly is unchanged. there is no definite pleural effusion. a dobbhoff ends in the s...
<unk> year old woman with r tunneled line placement.
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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 etoh abuse, afib p/w ongoing sob
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the cardiomediastinal and hilar contours are stable. there has been interval placement of a right internal jugular line with tip terminating in the upper svc. there is no pleural effusion or pneumothorax. pulmonary vascular congestion has improved on the current study. deformity of the left clavicle has been stable sin...
new right ij central line placement.
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the heart and mediastinal contours are within normal limits. the lungs are clear. a retrocardiac triangular-shaped opacity correlates with fluid in the left major fissure, and is unchanged from prior exam. there is no pneumothorax.
<unk>-year-old male with right-sided pleuritic chest pain.
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the heart is normal in size. the aorta shows moderate unfolding, similar to the prior examination. the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. healed left-sided posterior third through sixth ribs are noted. there is also suggestio...
chest pain.
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the heart is at the upper limits of normal size with a left ventricular configuration. the aorta is mildly tortuous with calcifications seen along the arch. there is no widening of the mediastinum. the lungs appear clear. there is no pleural effusion or pneumothorax. mild degenerative changes are noted along the thorac...
unclear baseline mental status. right shoulder pain.
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asymmetric interstitial pulmonary edema has slightly improved. possible underlying lymphangitic carcinomatosis in right lung. right middle and lower lobe airspace opacity have increased. there is an air-fluid level in the right mid hemithorax anteriorly, likely loculated hydro pneumothorax. the interstitial edema on th...
<unk> year old man with pleural effusion // eval
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with febrile neutropenia. evaluate for pneumonia.
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portable semiupright radiograph of the chest demonstrates well expanded and clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, consolidation, or pleural effusion. a nasogastric tube ends in the stomach. a left-sided picc line ends at the mid svc.
<unk>-year-old female with likely amyloid angiopathy. evaluate for nasogastric tube placement.
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frontal and lateral radiographs of the chest were acquired. lung volumes are slightly low, causing crowding of the bronchovasculature. there are bilateral lower lobe ill-defined opacities, right greater than left, concerning for infection. the heart size is normal. the mediastinal contours are normal. there are no pleu...
chest pain and shortness of breath.
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frontal and lateral views of the chest. previously seen dual-lumen left chest wall port is no longer visualized. there is now a single-lumen right chest wall port with catheter tip at the ra svc junction. relatively low lung volumes are seen. the lungs are grossly clear, there is no effusion. cardiomediastinal silhouet...
<unk>-year-old female with power port, question single right dual lumen.
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heart size remains mildly enlarged. a large hiatal hernia is again noted. mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is normal. the lungs are hyperinflated compatible mild emphysema. scarring within the left lower lobe is unchanged. lungs are otherwise clear without focal consolidatio...
cough, fever.
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compared to the prior study there is no significant interval change
<unk> year old man with worsening blood pressures and edema // ?worsening pulmonary edema
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with productive cough, fever // infiltrate suggestive of pneumonia
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pa and lateral views of the chest demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal in size. the pulmonary vascular markings are within normal limits.
chest pain, evaluate for infiltrate/pneumonia/pneumothorax.
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left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. mild enlargement of the cardiac silhouette is present. the aorta is mildly tortuous and demonstrates atherosclerotic calcifications diffusely. hilar contours are normal, and the pulmonary vasculature is not...
history: <unk>f with chest pain, shortness of breath
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ap portable supine view of the chest. the tip of the endotracheal tube resides <num> cm above the carina. lower lung opacities likely represent atelectasis though cannot exclude aspiration. lung volumes are low. no overt edema. no supine evidence for effusion or pneumothorax. bony structures appear grossly intact.
<unk>f with intubated s/p osh please eval intubation // please eval ett placement
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
inability to ambulate. baseline chest radiograph.
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interval removal of the endotracheal, right internal jugular, gastric, left chest and mediastinal tubes. low bilateral lung volumes with bibasilar atelectasis, greater on the left. no pleural effusion or pneumothorax identified. the appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old man with removal of chest tubes // eval for ptx
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there are <num> tubes projecting over the expected course of an ng tube. the each have the tip in the stomach. the remainder the appearance of the lungs unchanged
<unk> year old man with advancement of ngt. // advancement of ngt
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since the prior study there is an improvement in aeration of the lungs with slight improvement in heterogeneous bibasilar opacities. moderate cardiomegaly persists and there is increased opacification in the right lower lobe. chain sutures are again noted in the right upper lung. there is no evidence of pleural effusio...
<unk>f with fatigue, hematocrit dropped. evaluate for acute process.
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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.
chest pain.
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pa and lateral views of the chest demonstrate the heart is mildly enlarged, but stable compared to prior exams. aortic knob and lad calcifications/stent are again noted. subsegmental atelectasis in the left mid lung and lung base are unchanged. right apical scarring is again noted. otherwise, the lungs are clear with n...
<unk>-year-old female with palpitations. evaluate for acute process.
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the right chest tube is unchanged in position. other than linear atelectasis at the left lung base, the lungs are free of focal consolidations, pleural effusions or pulmonary edema. there is a surgical clip in the right apex. there is no pneumothorax. cardiomediastinal silhouette remains stable. no acute osseous abnorm...
<unk> year old man s/p r vats blebectomy // ? ptx
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cardiac, mediastinal and hilar contours are within normal limits. atherosclerotic calcifications are noted at the aortic knob. pulmonary vasculature is not engorged. hyperinflation of the lungs suggests underlying copd. lungs are clear without focal consolidation. calcified granulomas in the periphery of the right mid ...
history: <unk>f with cough
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left-sided port-a-cath terminates in the low svc without evidence of pneumothorax. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. mild prominence of the left hilum is stable to slightly less conspicuous...
history: <unk>f on coumadin, here w/ weakness, minor head trauma <num> days ago no ct done // hemorrhage
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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.
history: <unk>f with hyperglycemia. // pneumonia?
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single frontal view of the chest in semi-erect position demonstrates stable position of a dual-channel central venous catheter with tip terminating in the upper right atrium. the patient is slightly rotated to the left. cardiomediastinal silhouette is within normal limits. multiple clips are seen overlying the right ap...
<unk>-year-old male with hypotension. question fluid overload or pneumonia.
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the et tube tip lies slightly above the level of the clavicular heads approximately <num> cm above the carina. the right subclavian central line tip overlies the cavoatrial junction. an ng tube is present. due to underpenetration is difficult to trace through the lower mediastinum into the abdomen. the cardiomediastina...
<unk> year old man with endocarditis. intubated // eval for interval change
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frontal and lateral views of the chest. the lungs are hyperinflated but clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with left arm weakness.
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mild interstitial pulmonary edema. no acute focal consolidation. no large pleural effusions or pneumothorax. the hila are enlarged, but unchanged when given for differences in technique. the cardiopericardial silhouette is not enlarged.
<unk> year old woman with r hip fracture with acute fever <num> and new hypoxia // acute infiltrate? volume overload?
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pa and lateral views of the chest are compared to previous exam from <unk> and pet-ct from <unk>. postoperative changes from gastric pull-through are again seen, with more prominent contour at the right lung base medially from the neoesophagus. there is superimposed region of increased consolidation at the right lung b...
<unk>-year-old male with new onset of afib.
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there is a dual-lead pacemaker/icd device with leads again terminating in the right atrium and ventricle, respectively. the cardiac, mediastinal and hilar contours appear unchanged. aside from streaky basilar opacities suggesting minor atelectasis, the lungs are probably clear. there is no pleural effusion or pneumotho...
concern for tia.
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pa and lateral views of the chest. there are mild interstitial opacities bilaterally indicating mild interstitial pulmonary edema. there is increased pulmonary vascular congestion. there is no focal parenchymal opacities concerning for pneumonia. there is no pleural effusion or pneumothorax. the left transvenous pacema...
chest pain, palpitations, question pneumonia or chf.
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there are low lung volumes and possible minimal pulmonary vascular congestion. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.. old right-sided rib deformities are noted, possibly from prior trauma.
history: <unk>f with chest pain and cough // r/o pna
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heart size is normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
syncope.
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there is persistent elevation of the right hemidiaphragm. the medial left base retrocardiac density corresponds to known large hiatal hernia is similar in appearance to scout radiograph from chest ct from <unk>, all with likely adjacent atelectasis. no new focal consolidation is seen. there is no large pleural effusion...
leg shaking.
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a right internal jugular central venous catheter is in place with the tip terminating in the low right atrium, which should be retracted approximately <num> cm to place in the low svc. the patient is status post median sternotomy with multiple intact-appearing sternal wires. multiple mediastinal surgical clips are comp...
status post cabg, here to evaluate for pleural effusion.
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the patient is status post median sternotomy and cabg. the heart is mildly enlarged, and the aorta demonstrates mild tortuosity. the pulmonary vascularity is not engorged. blunting of the right costophrenic sulcus likely reflects a small right pleural effusion. minimal linear opacities in the lung bases likely reflect ...
hypertension and chest pain.
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the previously described right apical pneumothorax is not seen on today's exam. compared to <unk>, the right pleural effusion and right basilar atelectasis is worse. left basilar opacity is more pronounced. unchanged moderate cardiomegaly. support devices are unchanged in position. mediastinal borders and hilar structu...
<unk> year old man with new vent setting, increased peep, eval pneumothorax // eval progression of pneumothorax
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there has been interval placement of an orogastric tube with tip out of view and well into the distal stomach. the endotracheal tube is in appropriate position <num> cm cranial to the carina. there is otherwise no change compared to exam from six hours prior.
new orogastric tube placement.
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pa and lateral views of the chest. there is a heterogeneous opacity in the right lower lobe that is new and concerning for pneumonia. there is also increase in mild interstitial opacity diffusely and this may represent mild interstitial edema. probably small right pleural effusion. left lung is clear. <unk> be mild lef...
fever, evaluate for pneumonia.
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ap portable upright view of the chest. there is a large hiatal hernia with intrathoracic stomach projecting over the left lower hemi thorax. compressive atelectasis in the left lower lung noted. right lung is clear. heart size cannot be assessed. mediastinal contour appears normal. increased sclerosis and degenerative ...
<unk>f with dyspnea // ? acute cardiopulm abnormality
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the lungs are clear, no pulmonary edema or pneumonia. heart size is normal. no pleural effusion or pneumothorax. prior posterior cervical fusion.
<unk> year old woman w r hip fx, plan for or // pre-op exam surg: <unk> (r hip hemi )
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frontal and lateral chest radiographs demonstrate well-expanded lungs. cardiomediastinal contour is within normal limits. vague rounded opacity overlying the right first rib and clavicle is potentially external. lungs are otherwise clear without focal areas of consolidation. there is no pleural effusion and no pneumoth...
chest pain, evaluate heart and lungs.
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the patient's overlying arm partially obscures the anterior hemithorax on the lateral view. given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. the hilar contours are stable. there has been interval removal of a previously seen r...
fever.