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MIMIC-CXR-JPG/2.0.0/files/p17657063/s53797623/db131bec-d3ce8bd1-16caded0-8095181c-4c1b96f5.jpg
the heart size is moderately enlarged. the right mediastinal and hilar contours are normal. pulmonary nodules seen on <unk> pet-ct cannot be definitively correlated on today's study. a left upper lobe opacity is seen which represents fluid in the major fissure. a moderate left pleural effusion present which by itself d...
<unk> year old woman with metastatic sarcoma, post op day #<unk> from posterior exenteration vram flap reconstruction presents with fevers // acute process for cause of fevers?
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ap and lateral views of the chest are compared to previous exams from <unk>. linear opacities identified at the lung bases, most suggestive of atelectasis given their configuration. there is also subtle residual retrocardiac opacity which has improved since <unk>. elsewhere, the lungs are clear. cardiomediastinal silho...
<unk>-year-old male with recent history of pneumonia, unclear compliance with treatment. evaluate for progression.
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right picc tip projects over the low superior vena cava. tracheostomy cannula is re- demonstrated. lower cervical fusion hardware is partially visualized. there is unchanged mediastinal widening. cardiomegaly is unchanged. large right effusion has increased in size. moderate left pleural effusion is unchanged. prominen...
<unk> year old man with pulm edema // int change int change
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heart size is mildly enlarged. the aorta remains tortuous. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. the osseous structures are diffusely demineralized with multilevel degenerative changes.
history: <unk>f with dementia, cva, presenting with balance issues concerning for infection // evidence of infiltrate
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the overlying brace with somewhat obscures evaluation. there is no definite pneumothorax seen after chest tube removal. small bilateral pleural effusions are unchanged with fluid seen in the left major fissure. there has been improved aeration of the left lung base with persistent, residual bibasilar atelectasis. the c...
recent chest tube removal. evaluate for interval change.
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compared with the prior study, new left lower lung opacity may be a combination of atelectasis and pleural fluid, however superimposed infection is not excluded. right basilar opacity is similarly detected. mild cardiomegaly is unchanged. no pneumothorax. intact median sternotomy wires and unchanged positioning of mult...
history: <unk>m with progressive doe and sob, presenting with weakness. evaluate for pneumonia, or pulmonary edema.
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large right pleural effusion with overlying atelectasis has significantly increased compared the prior study. no left pleural effusion is seen. patchy left base opacity could be due to pneumonia, aspiration, or atelectasis. no pneumothorax is seen. cardiac silhouette is top-normal. mediastinal contours are unremarkable...
history: <unk>m with dyspnea on exertion // ? process
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the lung volumes are low which causes crowding of the bronchovascular structures. linear scarring and atelectasis in the left lung is unchanged. there is no pneumothorax or large pleural effusion. there is a prosthetic heart valve and median sternotomy wires.
<unk>m with chf, etoh use, recent pneumonia presenting with chest pain. evaluate for pleural effusions.
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compared to prior exam less than <num> hr ago, there is significant increase in size of the right pleural effusion. the right-sided chest tube is in a similar position with an approximate <unk> degree bend/kink. cardiomediastinum is midline. no pneumothorax.
<unk> year old woman with right rib fractures and chest tube putting out blood. // interval change? accumulated blood?
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with pleuritic cp x <num> wk // eval ? pna, effusion
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable and within normal limits. imaged osseous structures are intact. dextroscoliosis of the t-spine again noted. no free air below the right hemidiaphragm is seen.
<unk>f with intermittent cp since <num>am this am, exacerbation at <num>pm. hx of pes on lifelong coumadin // cause cp
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ap upright and lateral views of the chest provided. there is moderate pulmonary edema with diffuse bilateral ground-glass and reticular opacities. basilar atelectasis is also noted with small bilateral pleural effusions. the heart size is similarly enlarged. hilar vascular engorgement is noted. aortic calcification is ...
<unk>m with dyspnea // pulm edema?
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endotracheal tube terminates in the mid trachea. right subclavian catheter has been introduced and terminates in the mid svc. nasogastric tube courses into the stomach with side hole just beyond the ge junction. moderate left and small-to-moderate right pleural effusions and bibasilar atelectasis are increased. fullnes...
<unk>-year-old male with multiple fractures after bike accident, assess for interval change in left effusion and vascular congestion.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are normal and stable. no pulmonary edema is seen. no displaced fracture is seen. metallic surgical hardware is incidentally noted projecting over the lower cervical spine. there is mini...
recent syncope, question head strike, rule out widened mediastinum.
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opacity over the right mid-to-lower lateral lung appears similar, likely corresponding to known loculated pleural effusion; catheter within the effusion appears similarly positioned. right port-a-cath terminates in the low svc, similar to prior. no new consolidation, left effusion, pneumothorax, or pulmonary edema is d...
<unk>-year-old male with burkitt's lymphoma, now with pain around the right port site.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are moderate degenerative changes in the thoracic spine
<unk> year old man with cough and sob // r/o pneumonia
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a right lower lung opacity is new compared with the radiograph from the prior day and concerning for pneumonia in the correct clinical setting. left lung is clear. cardiomediastinal and hilar silhouettes are stable. no larger pleural effusions or pneumothorax.
<unk> year old man with copd, on o<num> at home, delirious. evaluate for infiltrate.
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits.
productive cough.
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the patient is markedly rotated to the left. there are low lung volumes. small bilateral pleural effusions likely persists. there is persistent prominence of the interstitial markings, possibly slightly improved as compared the prior study, suggesting interstitial edema. the cardiac and mediastinal silhouettes are stab...
history: <unk>f with tachycardia // eval for pna
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there has been interval progression of severe bilateral interstitial opacities. mild cardiomegaly is unchanged. the mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax.
ms. <unk> is a <unk> f with sarcoidosis w/ lung/skin involvement on methotrexate and methylprednisolone, also h/o + anca, w/ worsening hypoxia // is there change in her opacities?
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single portable ap chest radiograph is provided. since the prior radiograph, there has been no significant interval change given differences in technique. prominent interstitial markings as well as opacities in the right perihilar region again seen. there is no pleural effusion or pneumothorax. cardiomediastinal silhou...
shortness of breath and tachycardia status post episode of chest pain, rule out infectious process versus cardiomegaly.
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the lungs remain hyperinflated. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable given slight differences in patient position. right upper quadrant surgical clips noted. mild compression deformity of the lower thoracic vertebral body is stab...
history: <unk>f with sob // eval pna
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there is no evidence of pneumothorax. there is biapical scarring left greater than right. no definite rib fractures are visualized. obscuration of the left heart border likely represents cardiophrenic fat. the patient is status post right mastectomy.
history: <unk>f with right <unk> rib fx on osh ct scan. // rib fxs, ptx?
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the lungs are well-expanded. a right chest wall port catheter tip terminates in the distal svc. subtle opacity in the right lower lobe only seen on the frontal projection may represent atelectasis however early infection is also possible. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is...
history: <unk>m with hx of esophageal ca with recent esophageal dilation p/w cough // r/o pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>f with chest pain // eval for acute process
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ap upright and lateral views of the chest provided. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. partially visualized hardware in the lumbar spine noted. no free air below the right hemidiaphragm is seen.
<unk>f with appendicitis // pre-op
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lung volumes are low. heart appears borderline in size. the mediastinal and hilar contours are unremarkable. the lungs appear clear. there no pleural effusions or pneumothorax.
altered mental status.
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pa and lateral views of the chest provided. minimal scarring in the midlung, bilaterally is a chronic finding. no pneumothorax. small, left pleural effusion is unchanged. hilar contours are normal. the aorta is tortuous. chronic left rib fracture is unchanged. multiple compression deformities in the mid and lower thora...
<unk> year old woman with recent abnormal cxr during admission // please evaluate for resolution
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right chest wall port again seen with tip in the mid to lower svc. the lungs are clear of focal consolidation, effusion, or edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. stent partially seen overlying the left upper extremity.
<unk>f with sob pms of ovarian ca // r/o infectious process
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there are slightly increased interstitial markings compared to the previous exam. there is no confluent consolidation or effusion. prominence of the upper mediastinum is most likely due to fat and unchanged. cardiac silhouette is enlarged but similar to prior.
<unk>m with doe // r/o chf
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there is no consolidation, pleural effusion, or pneumothorax. pectus excavatum is again noted. borderline cardiomegaly may be exaggerated by the pectus excavatum. mediastinal and hilar silhouettes are normal size.
<unk> year old man with left sided numbness, ?stroke // r/o pulmonary process, aspiration etc
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the major airways are patent but appears slightly decreased in diameter compared to previous imaging done <unk> (this may be technical in nature). airspace opacification in the left lower lobe is increased compared to previous imaging. no pneumothorax. no pleural effusion. the cardiomediastinal shadow is normal.the air...
<unk> year old woman with bronchothermoplasty <unk> // eval interval change
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the dobbhoff tube extends below the diaphragm with the tip in the body of the stomach. the lung volumes are low, with persistent mild cardiomegaly. there is bilateral perihilar vascular congestion with slight interval increase in mild-to-moderate bilateral pulmonary edema. small bilateral pleural effusions are persiste...
history of cirrhosis, septic shock. please evaluate for dobbhoff placement.
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enteric tube tip is below diaphragm. right port-a-cath in place tip in the low svc. left suprahilar band of atelectasis. normal heart size, pulmonary vascularity. chronic right rib fractures are stable. no pleural effusion. no consolidations. postoperative changes abdomen.
<unk> year old woman s/p whipple with vasc recon, rij harvest // postop
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patient is post cabg with postsurgical clips noted and median sternotomy wires intact. the heart is mildly enlarged. mitral annular calcifications again noted. mild improved pulmonary edema. small pleural effusions if any. no evidence of pneumothorax. right -sided pacer with leads projecting over the right atrium and r...
<unk> year old woman with pacemaker // eval for leads and pneumothorax
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pa and lateral views of chest. the lungs are clear. cardiac silhouette is normal in size. there is no pleural effusion pneumothorax or pulmonary edema.
chest pain
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compared to the prior study there is no significant interval change.
<unk> year old man with bilateral chest tubes // evaluate for stability
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there are bilateral small pleural effusions with associated bibasilar opacity likely atelectasis though cannot exclude pneumonia. the heart size is mildly enlarged with mild interstitial edema.
<unk>m with esrd, worsening dyspnea, r/o pna vs volume overload.
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there is mild cardiomegaly. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no large pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>m with l sided cp // ? acute cardiopulm process
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diffuse pleural parenchymal nodules consistent with pulmonary edema is mildly improved,as compared to <unk>. right upper lobe opacity is mildly improved, as compared to <unk>. new left moderate pleural effusion. cardiomegaly is unchanged. port-a-cath terminates in the right atrium. no evidence of pneumothorax. mediasti...
<unk> year old man with recent diagnosis of b-cell neoplasm on chemotherapy with possible aspergillosis, copd, recent pneumonia, recent possible rituximab induced drug pneumonitis. // change in multiple prior abnormalities
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the patient is status post median sternotomy and cabg. heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. multilevel degenerative changes are present within the ...
fall with left-sided rib pain and headache.
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ap portable upright view of the chest. a vascular stent in the left subclavian region is noted. lung volumes are low limiting assessment. allowing for this the lungs are clear aside from mild left basal atelectasis. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silh...
<unk>m with shortness of breath, fever
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pa and lateral views of the chest provided. lungs appear hyperinflated with central hilar engorgement and mild interstitial pulmonary edema. small bilateral pleural effusions are present. cardiomediastinal silhouette appears stable. chronic left ribcage deformities noted. otherwise bony structures appear intact.
<unk>m pmh mitral regurg presenting with exertional dyspnea of one week.
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pa and lateral views of the chest demonstrate the bilateral lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no focal consolidation, pleural effusion, pulmonary edema or pneumothorax.
<unk>-year-old female with pneumothorax. evaluation for size of pneumothorax.
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compared to the prior study there is no significant interval change.
<unk> year old man with hx of ild with pneumonia and worsening respiratory failure now with fevers // interval change; increase in consolidations
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the lung volumes are slightly low. there is mild bibasilar atelectasis. heart size is normal. the mediastinal hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk> year old man with crohns on infliximab, mtx p/w sbo, now w fever and hypoxia. // r/o pna
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. the lungs appear clear. there is no pleural effusion or pneumothorax. no free air is demonstrated. mild degenerative changes are noted along the visualized thoracolumbar spine. there are slight...
status post fall with chest tenderness.
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there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. prominence of the right hilum is stable from multiple priors dating back to <unk>.
pneumonia, productive cough.
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the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. a right subclavian central venous catheter ends in the low svc. an enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. there is central pulmonary vascular congestion without f...
left basal ganglia hemorrhage. intubated. assess for interval change.
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the lungs are well expanded and clear. the patient is status post wedge resection of a right upper lobe nodule. chain sutures are noted in the right apex. the opacity in the right apex is significantly decreased and likely represents resolving hematoma. the right apical pneumothorax has also resolved. the cardiomediast...
status post right vats, wedge resection of right upper lobe nodule and mediastinal lymph node dissection.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. multilevel degenerative changes are seen along the spine.
history: <unk>f with cough, chest pain // ?pna
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
fever and abdominal pain.
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portable semi-erect chest from <unk> at <time> is submitted.
<unk> year old man with pna and intubated // interval change interval change
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mild cardiomegaly is unchanged. there is no focal solid aeration, pleural effusion, or pulmonary edema. no pneumothorax.
<unk> year old woman with leukocytosis // evaluate for pneumonia
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the right lung is clear. post-surgical changes are noted in the left lung with elevation of the left hemidiaphragm and rightward deviation of normally midline structures as expected after completion left upper lobectomy. tiny left pleural effusion may be present. cardiac silhouette is unremarkable.
status post left vats lingular segmentectomy and completion upper lobectomy, <unk>. assess for interval change.
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pa and lateral radiographs of the chest were acquired. the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. cervical fusion hardware is not fully evaluated.
chest pain, evaluate for pneumonia or widening of the mediastinum.
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
neutropenic fever.
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as compared to prior chest radiograph from <unk>, there has been interval resolution of right mid lung opacities. there is unchanged right pleural and parenchymal scarring at the right base laterally. moderate cardiomegaly is stable and there is no evidence of congestive heart failure. the hilar and mediastinl contours...
<unk>-year-old female patient with recent admission for pneumonia and chf versus pulmonary hemorrhage. study requested for assessment of radiographic improvement.
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pa and lateral views of the chest provided. a wispy opacity in the left upper lung may represent an area of atelectasis. no discrete consolidation concerning for pneumonia. no effusion or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact.
<unk>m with asthma flare, doe, chest pain // ? pna/ chest process
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pa and lateral views of the chest provided. lung volumes are low limiting assessment. there is minimal change from prior exam with bibasilar atelectasis and probable small bilateral pleural effusions noted. no large pneumothorax. no convincing signs of edema. heart size cannot be assessed. mediastinal contour is normal...
<unk>m with fever // eval pna
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the patient is status post median sternotomy and cardiac valve replacement, unchanged. there has been interval placement of a second lead arising from the right chest wall pacemaker whose tip projects over the right ventricle. unchanged retrocardiac opacity as well as a platelike atelectasis in both lower lung zones. a...
<unk> year old woman with tachy brady syndrome, recent pacemaker with malfunction // s/p new rv lead
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heart size remains mildly enlarged. the aorta demonstrates diffuse atherosclerotic calcifications. the mediastinal contours are unchanged. there is continued mild pulmonary edema, slightly improved in the interval with perihilar haziness and vascular indistinctness. small bilateral pleural effusions are not substantial...
history: <unk>f with dyspnea, cough, fever
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ng tube tip terminates outside the field of view, probably in the stomach. heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
small bowel obstruction. evaluate ng tube placement.
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portable ap semi-erect view of the chest was reviewed and compared to the prior studies. the right upper lobe opacity could be due to pneumonia or asymmetric pulmonary edema, in a pattern seen particularly in mitral regurgitation. a small pericardial effusion is of undetermined chronicity. mild-to-moderate cardiomegaly...
oxygen requirement.
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lungs: the lungs are well inflated. there is no consolidation. pleura: no pleural effusion is seen. there is no pneumothorax. heart: the heart is not enlarged. mediastinum and hila: there is no mediastinal mass. osseous structures: the osseous structures are normal for age. other findings: a venous access device termin...
<unk> year old woman with hx of cervical cancer, s/p port placement // port placement
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are clear. there are no pleural effusions or pneumothorax. the osseous structures are unremarkable.
prior pneumothorax. preadmission chest radiograph.
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cardiac silhouette size is mildly enlarged. there is perihilar haziness and vascular indistinctness compatible with mild pulmonary edema. new bilateral pleural effusions are small in size. bibasilar airspace opacities may reflect atelectasis. infection is not completely excluded. no pneumothorax is identified. a rugger...
history: <unk>m with left -sided weakness (?chronicity), cough, altered mental status// evaluate for acute process
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of note, there is a mislabeling of the pa image with the side being marked as "left" actually being the right side of the patient. pa and lateral images of the chest demonstrate expanded lungs. there is significant interval increase in the opacity of the perihilar areas and the mid lung zones with associated enlarged v...
<unk>-year-old female with worsening shortness of breath and wheezing.
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the patient is rotated somewhat to the right. there are bilateral pleural effusions on a background of likely pulmonary edema. right mid lung opacity is worrisome for pneumonia versus possible loculated pleural effusion with overlying collapse, and is new/ increased since the prior study. cardiac silhouette remains enl...
history: <unk>m with altered mental stauts // evidence of acute process
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the right subclavian access dialysis catheter tip is unchanged in position, ending in the mid to low svc. the nasogastric tube side port ends in the stomach. the left picc line ends in the mid svc, unchanged. a chest tube projects over the right hemithorax, unchanged in orientation. bilateral small pleural effusions, g...
<unk> year old woman with shock, renal failure, volume overload on hd with resolving respiratory failure // interval change
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frontal radiographs of the chest were acquired. there are bilateral lower lung heterogeneous opacities, right greater than left, concerning for infection versus aspiration pneumonitis. the mid and upper portions of both lungs are clear. the heart is normal in size. the mediastinal contours are normal. there are no defi...
hypoxia and fever. evaluate for pneumonia.
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lung volumes remain low with persistent left basilar opacity likely reflecting a combination of pleural fluid and atelectasis. airspace opacity in the right upper lobe is also unchanged. no pneumothorax seen. no definite right-sided pleural effusion.
<unk> year old woman with new dvt, new sob after blood transfusion // interval change
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retrocardiac opacification may represent early consolidation in the proper clinical setting. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is normal. left sixth and seventh rib fractures appear subacute or chronic.
<unk>m with c/o reflux and fever in setting of recent colonoscopy, evaluate for pneumonia for
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again seen is cardiomegaly and left-sided biventricular pacing device, with similar lead placement. also again seen is a right ij swan-ganz catheter, with tip near the origin of the right pulmonary artery. cardiomegaly is similar prior. there is upper zone redistribution, without other evidence of chf. there has been c...
<unk> year old man with swan catheter in place with elevated wbc. // please evaluate for location of swan and evidence of infectious process.
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the heart size is within normal limits. the mediastinal and hilar contours are normal. again, there is marked improvement of a right-sided pleural effusion with residual fluid in the posterior costophrenic recess with minimal associated atelectasis. there is no pneumothorax.
<unk>-year-old male with alcoholic cirrhosis and a history of a right-sided large pleural effusion, now status post large-volume thoracentesis.
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the dobbhoff catheter has been removed. a newly placed ng tube terminates in the stomach. a left pectoral dual lead pacemaker is in place. blunting of the left costophrenic angle is likely due to a small pleural effusion. left basilar subsegmental atelectasis is unchanged. moderate cardiomegaly is unchanged. mild pulmo...
<unk> year old woman with ng tube advanced, r/o pneumo // r/o pneumo, evaluate placement ng tube.
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a pleural catheter is noted at right lung apex, similar to prior. pneumothorax is minimal, if any. there is no consolidation or pleural effusion. cardiomediastinal and hilar silhouettes are within normal size limits.
<unk> year old woman with nsclc with brain mets, s/p ct-guided biopsy with pneumo, now with r chest tube, continued pneumo with airleak // evaluate pneumothorax
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pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain, intermittent for one month.
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in comparison to the prior radiograph, there are new bibasilar opacities, worse on the left, which in the setting of vomiting may represent aspiration. alternatively, this may represent multifocal pneumonia given the appropriate clinical setting. cardiomediastinal contour is normal. no pleural effusion or pneumothorax.
<unk>m with fever, vomiting. evaluate for pneumonia.
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the patient is slightly lordotic in positioning. the aorta is unfolded. the heart size is normal. the hilar contours are within normal limits, and no pulmonary vascular congestion is identified. lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen. clips in the right u...
fatigue, 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.
<unk>-year-old female with hematemesis. evaluate for aspiration.
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the cardiac, mediastinal and hilar contours appear stable. there is again mild-to-moderate relative elevation of the right hemidiaphragm. the only change is a streaky right mid lung opacity, suggesting minor atelectasis. a central venous catheter terminates in the lower superior vena cava.
fever, chills, shortness of breath and cough.
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. the heart is normal in size. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
hemoptysis.
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two left chest tubes are in unchanged position. a tiny <num> to <num> mm left apical pneumothorax is unchanged. there is no evidence of tension. the lung volumes are lower. a small left pleural effusion with pleural thickening is mostly stable and is slightly exaggerated by the low lung volumes. a small right pleural e...
status post left vats and resection of pleural renal cell carcinoma metastasis.
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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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the heart is normal in size. the mediastinal and hilar contours appear normal. there is no pleural effusion or pneumothorax. the lungs appear clear.
history: <unk>f with s/p mvc, pain over l posterior ribs, l humerus, and l anterior shin.
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the lungs are well expanded and clear. no pleural abnormality is seen. the heart size is normal. the mediastinal and hilar contours are normal. mild left convex scoliosis is seen.
<unk> year old woman with + ppd, no symptoms // r/o pulmonary tb
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right port-a-cath tip at the low svc. mild elevation right hemidiaphragm, stable. few strands of fibrosis bilateral costophrenic angles, stable. no infiltrates. remainder normal.
aml now w/ fever // eval for pna
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frontal and lateral views of the chest. the lung volumes are very low and there is resultant crowding of bronchovascular structures, especially at the bases. an apparent more confluent opacity in the posterior basal left lower lobe is noted. both the low lung volumes and ap technique accentuate the cardiomediastinal co...
progressive bilateral lower extremity weakness. possible inflammatory cause such as sarcoidosis. evaluate for hilar lymphadenopathy.
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pa and lateral images of the chest. lungs well expanded and clear. no pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged, increased from prior exam. no vascular congestion or edema is seen.
dizziness.
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the heart size is normal. the mediastinal and hilar contours are unchanged. multiple mediastinal clips are again noted. the pulmonary vascularity is normal. patchy retrocardiac opacity is re- demonstrated, and likely reflective of the patient's pneumonia, as demonstrated on the prior ct. calcified granuloma in the righ...
recent pneumonia with medical noncompliance, fevers.
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the lungs are well inflated and clear. the cardiac silhouette appears slightly increased compared to prior study but likely secondary to underinflation. a focal opacity projecting over the left lung base is a soft tissue artifact. no free air seen under the diaphragm. osseous structures are grossly intact.
abdominal pain after vomiting, evaluate for free air.
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the lungs are hyperexpanded. no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
history: <unk>m with esophageal ca on chemo/rad now with fever // eval for pna
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moderate to severe cardiomegaly is increased compared to the previous exam. the aorta is diffusely calcified. the mediastinal contours remain unchanged with mild tortuosity of the thoracic aorta again noted. there are increased interstitial markings compatible with mild interstitial pulmonary edema. small bilateral ple...
shortness of breath.
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old female with chest pain
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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. no overt pulmonary edema is seen.
hypotension.
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the patient is status post median sternotomy and cabg. mild enlargement of the cardiac silhouette is re- demonstrated. the aorta is diffusely calcified. the mediastinal and hilar contours are similar. small bilateral pleural effusions are present along with bibasilar patchy opacities, likely atelectasis. pulmonary vasc...
history: <unk>f with drop in hematocrit and bruising on chest wall
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the heart is mildly enlarged. there is mild unfolding of the thoracic aorta. patchy calcification is noted along the aortic arch. there is no pleural effusion or pneumothorax. the lungs appear clear. there is no evidence for fracture. mild degenerative changes are noted along the thoracic spine.
shortness of breath. status post fall.
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since prior, there has been decrease in size of a right pleural effusion after thoracentesis, with likely a loculated component. there is no pneumothorax. right lower heart border is obscured by fluid. the cardiomediastinal silhouette is unchanged.
<unk> year old woman with new pleural effusion, now s/p thoracentesis
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single frontal image of the chest demonstrates right-sided moderate-to-large pleural effusion and left-sided moderate pleural effusion, which are essentially unchanged from prior imaging. again seen are left perihilar, right lower lobe, and left lower lobe opacities which are unchanged from prior imaging. the appearanc...
<unk>-year-old male with bilateral pleural effusions.