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MIMIC-CXR-JPG/2.0.0/files/p19231238/s51367041/147935b9-3f5ec406-a6932613-f45cd5c5-7337a056.jpg
previous pulmonary edema has nearly resolved. the cardiac silhouette continues to is mildly enlarged. small pleural effusions are present, left greater than right.
<unk>-year-old woman with acute on chronic diastolic congestive heart failure, evaluate interval change after diuresis.
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interval increase in mild pulmonary edema with cephalization of pulmonary vessels. right apical scarring is stable. there is a retrocardiac opacity. no pneumothorax or pleural effusion. prominence of the pulmonary arteries are again noted, unchanged since prior examination. heart size and mediastinal contour are otherw...
<unk>m with syncope/ hypoxia. assess for acute process.
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mild cardiomegaly is stable. dense mitral annular calcifications are again noted. atherosclerotic calcifications are noted at the aortic arch. the previously visualized interstitial markings have resolved. the lungs are without focal consolidation. probable very small bilateral pleural effusions with minimal blunting o...
shortness-of-breath with atrial fibrillation.
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left picc terminates at the junction of the left brachiocephalic vein and superior vena cava. cardiomegaly is accompanied by pulmonary vascular congestion, mild to moderate edema, and small bilateral pleural effusions. note is made of previous coronary bypass surgery.
<unk> year old man with chf, elevated cr // eval for pulm edema
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no previous images. the heart is normal in size and lungs are clear without vascular congestion or pleural effusion.
elevated white count, to assess for pneumonia.
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interval insertion of a right internal jugular catheter with the tip in the low svc. right-sided pleurx catheter is in the chest wall with surrounding subcutaneous emphysema. there is a new small pneumothorax on the right. there is further collapse of the right lung associated large right upper lobe mass. the left lung...
<unk> year old woman with right lung cancer s/p right plaurex catheter placement // eval for ptx, pleurex placement
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ap and lateral views of the chest are compared to previous exam from <unk> and chest ct from <unk>. expected post-operative changes of left pneumonectomy are seen. the right lung remains clear. there is no effusion. osseous and soft tissue structures are unchanged.
<unk>-year-old female with cough productive of sputum and malaise for <num> weeks, now with nausea and vomiting. question pneumonia. additional history from medical record is history of lung cancer and left pneumonectomy.
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new irregular <num>cm x <num>cm opacity projecting over the left <unk> posterior rib. no additional focal opacity, pleural effusion, pulmonary edema, or pneumothorax. heart size, mediastinal contour and hila are normal. no bone abnormality.
female with recurrent cholangitis. presented with fever, chills, and right upper quadrant pain. assess for infection.
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the lungs are clear. the cardiac silhouette is mildly enlarged but unchanged from the prior exam in the hilar contours are within normal limits. the pleural surfaces are clear without effusion or pneumothorax.
history of myeloma with dyspnea and cough.
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pa and lateral radiographs of the chest reveal interval breast augmentation, which somewhat limits assessment of the frontal radiographs. despite the increased overlying density of the implants, there is consolidation of the right lower lobe concerning for pneumonia. there is no pneumothorax or pleural effusion. there ...
cough, dyspnea, and four days of sore throat and nausea, vomiting, and diarrhea. the patient also has leukocytosis and a prior history of pneumonia.
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compared with the immediate prior study, a left base pleural drain has been removed. a small to moderate left pleural effusion has reaccumulated with mild associated atelectasis. previously seen atelectasis at the right lung base has improved. right-sided effusion is small, if present at all.there is no focal consolida...
<unk> year old woman with recent pna/pleural effusion // has fluid on left re-accumulated?
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pa and lateral views of the chest are compared to previous exam from <unk>. there is no evidence of consolidation or pleural effusion. there is, however, suggestion of peribronchial wall thickening seen centrally. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with productive cough and chest pain.
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minor right middle lobe atelectasis is seen without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cp // eval for cp
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there are somewhat diminished lung volumes. coarse interstitial pulmonary and markings again seen, most prominent in the lung bases, consistent with known pulmonary fibrosis. no new opacities or findings are seen to suggest an acute pulmonary process. there is no pleural effusion or pneumothorax. the cardiomediastinal ...
history: <unk>f with cough // ?pna
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the ovoid opacity projecting over the left midlung laterally is compatible with calcified pleural scarring, unchanged. there is no focal consolidation, effusion, or edema. cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>f with chest pain // eval for pna
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heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. linear and patchy opacities in the right upper lobe and lung bases likely reflect areas of atelectasis in the setting of low lung volumes. no focal consolidation, pleural effusion or pneum...
history: <unk>m with history of afib, asthma/copd, who presents after <num> month vacation in <unk> with cough.
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the right port-a-cath reservoir projects over the right chest and is currently accessed; the catheter tip ends in the lower svc. there has been interval placement of sternotomy wires, which are intact. the heart size is within normal limits and the mediastinal hilar contours do not appear widened. calcified ap window n...
<unk>-year-old female with substernal chest pain who is two-month out from a cabg.
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frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
<unk>-year-old female with recent worsening of dyspnea. evaluate for pneumonia.
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the lung volumes are low, causing crowding of bronchovascular structures. increasing opacity at the right lung base is new from <num> days prior and could represent a developing infection, or aspiration. there are small bilateral pleural effusions. the aorta is calcified and tortuous. heart size is normal. appearance o...
status post incision and drainage of the left groin hematoma. rule out infection.
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lungs are well expanded. heart appears normal in size and configuration. there is slight deviation of the trachea to the left with no evidence of stenosis. this could be consistent with a goiter. cardiomediastinal contours are unremarkable. lungs are clear bilaterally without any focal infiltrates, pleural effusions, o...
weight loss and cough.
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lung volumes are markedly low which accentuates bronchovascular markings. streaky bibasilar opacities likely represent atelectasis. there may be a small left pleural effusion. no pneumothorax.
history: <unk>m with hypotension, tachycardia. hx of asp pna // eval for pna
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et tube tip <num> cm above the carina. right ij central line appears slightly more distal overlying the right atrium. there are dense diffuse bilateral airspace and question interstitial opacities throughout both lungs allowing for technical differences, these appear more pronounced and confluent compared with <unk>. t...
<unk> year old man with cirrhosis with respiratory failure, intubated // eval for interval change
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there is mild to moderate enlargement of the cardiac silhouette, unchanged. mediastinal and hilar contours are stable. pulmonary vascularity is normal. streaky opacities in the lung bases are felt to reflect atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities d...
weakness and fall.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. no pleural effusion or pneumothorax. atherosclerotic calcifications line the aorta.
<unk>-year-old man with history of alcoholism now with cough, question pneumonia.
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the heart is mildly enlarged. mediastinal contours are unremarkable. there is mild pulmonary vascular congestion with perihilar haziness. patchy opacities in the lung bases likely reflect atelectasis. infection is not completely excluded. there is no pleural effusion or pneumothorax is identified. no acute osseous abno...
cerebral vascular accident.
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heart size is top-normal. the lungs are well-expanded and clear. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with productive cough, fever, and sob, also has iliopsoas abscess and mssa bacteremia // ?pneumonia
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single portable view of the chest. extremely low lung volumes are noted. endotracheal tube is within <num> cm of the carina and should be withdrawn. enteric tube passes below the inferior field of view. median sternotomy wires and mediastinal clips are identified. there is focal opacity at the left costophrenic angle, ...
<unk>-year-old male status post intubation.
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minimal left basilar atelectasis is noted. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced rib fracture is seen.
history: <unk>f with fall, right rib pain // ? rib fracture, ptx, pna
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there is a left chest cardiac device with lead tips in the right atrium and right ventricle. 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. aortic arch calcification is simil...
<unk> year old man s/p dual chamber ppm // assess leads placement and r/o ptx.
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pa and lateral views of the chest provided. there are subpleural reticular opacities as seen on prior ct compatible with early interstitial lung disease. the heart size appears mildly enlarged. the mediastinal contour is normal. no pleural effusion or pneumothorax. bony structures are intact.
history: <unk>m with pancreatic mass, crackles on auscultation // eval heart and lungs
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there are several focal pulmonary abnormalities which are difficult to characterize. for example, there is bronchial wall thickening in the right mid lung zone and a linear opacity in the left lower lung zone. there is no pulmonary edema, consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouett...
status post orif of the right distal radius with low oxygen saturations.
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a port-a-cath terminates at the cavoatrial junction. surgical clips project about the expected site of the gastroesophageal junction. the cardiac, mediastinal and hilar contours appear unchanged. the heart is normal in size. there is very similar mild relative elevation of the right hemidiaphragm. there is no pleural e...
dysphasia and epigastric pain.
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the lungs remain relatively hyperinflated. the cardiac and mediastinal silhouettes are stable. subtle opacity projecting over the anterior right first rib likely relates to the rib; this can be confirmed with apical lordotic views. scarring with possible calcified granuloma again noted at the lateral left upper lung. n...
history: <unk>f with chest pain // eval for ptx
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old man with htn, hld, a fib, aaa, hfref about to start amiodarone for a fib, need baseline cxr. // starting amiodarone, need baseline cxr
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the tip of an ett is seen <num> cm above the carina. enteric tube is seen heading toward the stomach and continues out of view. lungs are hypoinflated. no evidence of focal consolidation, pulmonary edema. left costophrenic angle is not well seen, likely reflecting a small pleural effusion. the cardiomediastinal silhoue...
history: <unk>m with seizure, intubated // eval for acute process, et tube position
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female with shortness of breath.
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enteric tube tip is in the proximal stomach, should be advanced. right ij central line tip in the low svc, similar. endotracheal tube tip in good position. bilateral moderate pleural effusions are stable. bibasilar opacities, likely atelectasis stable. increased heart size, pulmonary vascularity, stable. no pneumothora...
<unk>f s/p polytrauma, extubated reintubated for respiratory failure // eval et tube placement
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a new right pigtail catheter ends in the right lung base. there is no pneumothorax. the right pleural effusion has slightly decreased in size. right lung consolidation has been slowly increasing since <unk> and may represent aspiration. the left lung is clear. mediastinal clips and sternotomy wires are again noted. the...
<unk> year old man with recent rulobectomy now with increased right effusion // ? ptx, tube placement
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. the osseous structures are unremarkable.
<unk>-year-old man with sickle cell trait, now with abdominal pain. evaluate pneumonia or acute chest syndrome.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with mediastinal and hilar contours.
chest pain.
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subtle left basilar streaky opacity seen on the ap view does not have a clear correlate on the lateral view and may represent atelectasis. however, a subtle consolidation is not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremar...
history: <unk>f with left sided cp // ?pna
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mild enlargement of the cardiac silhouette is unchanged with dense mitral annular calcifications again noted. mediastinal and hilar contours are similar with leftward shift of mediastinal structures again noted. lungs are hyperinflated with emphysematous changes visualized predominantly in the upper lobes. mild pulmona...
history: <unk>f with dyspnea on exertion for <num> weeks.
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frontal and lateral chest radiographs were obtained. there is a large right pleural effusion and a moderate left pleural effusion, resulting in bibasilar compressive atelectasis. the pulmonary vascular congestion appears to have improved, though this could be secondary to patient in upright position. no pneumothorax is...
patient with dyspnea, eval interval change in effusions.
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single portable frontal view of the chest shows a newly placed tracheostomy tube in satisfactory position. there has been removal of a feeding tube. the right subclavian catheter tip terminates in the mid to low svc. although there has been improvement in the bilateral pleural effusions, there is still a moderate right...
fall from ladder with complicated icu stay, evaluate for interval change.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation.
<unk>-year-old female with cough. evaluation for pneumonia.
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the heart is normal in size. the cardiomediastinal and hilar contours are within normal limits. the lungs appear clear. there is no evidence of pneumothorax or effusion. bony structures appear intact.
<unk>f with lymphoma on chemo, chills.
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heart size is normal. the aorta is mildly unfolded. mediastinal and hilar contours are otherwise unremarkable. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. there is minimal scarring within the lung apices. no acute osseous abnormalities present.
chest pain.
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there is i bold ncreased opacity projecting over the anterior right <num>th rib which is felt to be related to callus formation from prior fracture. there is also a retrocardiac opacity. there is no effusion or overt pulmonary edema. right apical granuloma again noted. moderate cardiomegaly and aortic graft repair unch...
<unk>m with syncope // increased heart size, pneumonia?
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ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar portable chest examination <unk> <unk>. there is mild cardiac enlargement as before, but no evidence of pulmonary vascular congestion. there is evidence of subd...
<unk>-year-old female patient with history of multiple cvas. evaluate for possible aspiration following witnessed event.
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right chest wall port is identified with catheter tip noted in the region of the upper svc. the lungs are clear. the cardiomediastinal silhouette is normal. there is no free intraperitoneal air. no acute osseous abnormalities.
<unk>f with iddm, gastroparesis, here with nausea/vomiting/abd pain // confirm port placement? okay to access?
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frontal and lateral chest radiograph demonstrates moderate right sided somewhat loculated pleural effusion with associated basilar atelectasis. there is no appreciable left-sided pleural effusion. a linear opacity overlying the a right lower lung zone is most consistent with atelectasis. the left lung is grossly clear ...
<unk>-year-old female status post tracheal proper plasty. evaluate interval change.
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<num> x <num> cm partially calcified ovoid lesion along the anterior medial right middle lobe is unchanged since <unk> and previously characterized as a calcified internal mammary lymph node. the lungs are mildly hyperinflated with flattening of diaphragms and are otherwise clear. no pleural effusion or pneumothorax. h...
<unk>m with vertigo on experimental drug for lymphoma. assess for pneumonia
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left picc line tip to in the low svc. mildly worsened right basilar opacity. enteric tube has been removed. otherwise stable. increased heart size, pulmonary vascularity. mild interstitial prominence, likely edema, stable. stable left basilar opacity, likely edema. mild pleural effusions are stable.
<unk> year old woman with tachypnea to high <num>s, accessory muscle use. // ?interval changes
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lung volumes are low. this accentuates the size of the cardiac silhouette which is likely within normal limits. the mediastinal and hilar contours are unremarkable. there is no pulmonary edema. linear opacities in the lung bases are compatible subsegmental atelectasis. no focal consolidation, pleural effusion or pneumo...
diabetes mellitus, hypertension, chest pain.
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single portable upright chest radiograph demonstrates similar appearance to <unk> chest ct with severely thickened irregular pleura extending into the fissure and encasing the entire shrunken asymmetrically opacified right lung with areas of septal thickening. the left lung and pleura are clear. no pneumothorax is pres...
status post right pleural biopsy.
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frontal and lateral chest radiographs demonstrate well-aerated and clear lungs bilaterally. no evidence of tuberculosis infection. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. mild scoliosis noted.
<unk>-year-old female with a positive ppd.
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frontal and lateral views of the chest. the lungs are clear of focal consolidation. right apical scarring is again noted. calcified right upper lung granuloma is seen. nodular opacities over the lung bases bilaterally are most suggestive of nipple shadows. the lungs are, otherwise, clear. the cardiomediastinal silhouet...
<unk>-year-old male with lower extremity swelling.
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patient is status post transcatheter aortic valve replacement as well as right-sided pacemaker placement with leads in unchanged positions in the right atrium and right ventricle. left-sided port-a-cath tip terminates in the upper svc. heart size remains mildly enlarged. mediastinal and hilar contours are unchanged. lo...
<unk> f esrd status post tavr diaphoretic this morning
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the lungs are hyperinflated, with flattening of the diaphragms. there is diffuse increase in interstitial markings bilaterally which may be due to chronic interstitial lung disease although superimposed mild interstitial edema is not excluded. no definite focal consolidation is seen. . no pleural effusion or pneumothor...
history: <unk>f with cough, wheeze, fever // pna
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single ap view of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old male with atrial fibrillation.
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heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations, pleural effusions or pneumothoraces. the visualized osseous structures are unremarkable.
history of hematemesis and chest pain, rule out intrathoracic process.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. left humeral head replacement noted. a peg tube projects over the upper abdomen.
<unk>m with sinus tach to <num>s // eval ? effusion, infiltrate
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chest pa and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. there is stable mild cardiomegaly. there is minimal bibasilar atelectasis; otherwise, lungs are clear. small bilateral pleural effusions are stable.
type a dissection repair, please evaluate for effusions.
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cardiac silhouette size is normal. the aorta is tortuous. hilar contours are normal. right apical opacity measuring <num> x <num> cm is concerning for a primary lung malignancy. no clear osseous destruction is visualized. subsegmental atelectasis is noted in the lung bases. no pleural effusion or pneumothorax is presen...
history: <unk>m with <num> weeks of worsening ambulation, multiple falls, new cerebellar tumors on head ct //evaluate for primary lung mass
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the lungs are clear without focal consolidation, effusion, or edema. the cardiac silhouette is top normal. no acute osseous abnormalities.
<unk>f with rhonci on exam and cough // r/o pneumonia
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feeding tube tip is in the proximal stomach, including side port. right ij central line tip is in the mid to low svc. endotracheal tube tip is <num> cm above carina, could be advanced. stable small right pleural effusion. no pneumothorax. lungs are clear. chronic postsurgical or posttraumatic change distal right clavic...
<unk> year old man with new ngt placement. // eval for ngt placement.
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frontal and lateral views of the chest demonstrate low lung volumes. moderate pulmonary edema is present. costophrenic angles are obscured, suggestive of small pleural effusions. moderate cardiomegaly is noted. hilar and mediastinal silhouettes are unremarkable. aortic arch calcifications are seen with tortuosity of th...
dyspnea.
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the endotracheal tube, enteric tube and right ij central venous catheter are unchanged in position. the lung volumes are unchanged. retrocardiac opacification is again seen, likely reflecting atelectasis. there is mild right basilar atelectasis. blunting of the right costophrenic angle may reflect small right pleural e...
mvc status post splenectomy and orif of the hip, now intubated, with fever.
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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.
chest pain, evaluate for pneumonia or widened mediastinum.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. surgical clips project over the left axilla. the thoracic spine again curves slightly to the right side.
chest pain. question pneumothorax.
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there is mild cardiomegaly and vascular congestion. no pulmonary edema. no pleural effusion or pneumothorax is seen.
<unk> year old man with wt gain, <unk> edema, hypoxemia with exertion // ?chf
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bilateral geographic foci of interstitial abnormality is present, most conspicuous in the left greater than right upper lobes. there is no pleural effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal, although calcification of the aortic knob is present. there is part...
<unk>-year-old female with chronic cough, rule out pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is a persistent patchy left basilar opacity. given the lack of change, the appearance may be chronic. more generally, there is mild interstitial prominence, perhaps due to slight fluid overload or congestion, but not spec...
shortness of breath and ascites.
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portable semi-upright radiograph of the chest demonstrates low lung volumes of results in bronchovascular crowding. bibasilar atelectasis has worsened over the interval. there is moderate pulmonary edema. cardiomediastinal and hilar contours are unchanged. the endotracheal tube ends <num> cm on the carina. enteric feed...
<unk> year old man with severe pancreatitis, fluid overload, failure to extubate x <num> // interval assessment of fluid status, ? pna
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endotracheal tube approaches the right mainstem bronchus. ng tube terminates within the stomach. heart size and cardiomediastinal contours are normal. lungs are clear other than minimal right base atelectasis without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with s/p intubation // eval ett
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as compared to the prior ct examination, a loculated right pleural effusion has essentially been drained. there are two new right-sided chest tubes, which enter the same level with one positioned inferiorly and one continuing superiorly. there is now a new trace right apical pneumothorax. lung volumes remain low with n...
loculated right effusion status post thoracoscopy and chest tube placement.
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a tracheostomy terminates <num> cm above the carina. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. there is mild central vascular congestion, but no edema.
new tracheostomy.
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a moderate right hydropneumothorax is mildly increased within increased air component at the right lung base. an opacity at the right heart border is of uncertain etiology. the heart size is within normal limits. subcutaneous emphysema in the right chest wall is unchanged. interstitial and mild pulmonary edema in the r...
<unk> year old woman with s/p rul wedge // check right ptx, please do at <num>pm
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the lungs are well inflated, without focal opacities. mild-to-moderate cardiomegaly is not significantly changed compared with prior exam. the aorta is tortuous but otherwise the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with severe aortic stenosis presenting with tachycardia. evaluate for acute cardiopulmonary process.
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no previous images. the heart is normal in size and lungs are clear without vascular congestion or pleural effusion.
fever and night sweats, assess for pneumonia.
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an endotracheal tube has been placed since the prior examination, which terminates <num> cm above the carina. an orogastric tube courses towards the stomach. its tip not visualized. the sidehole, however, appears to lie slightly above the left hemidiaphragm. superimposed on background elevation of the right hemidiaphra...
intubated and respiratory distress.
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an endotracheal tube terminates in appropriate position approximately <num> cm in the carina. an ng tube is in the stomach. cardiac size is top normal. no evidence of pneumothorax. no free air. a large pleural-based opacity projects over the right lung apex and spans least <num> x <num> cm. additional opacities are not...
*** code cord *** history: <unk>m with new intubation // eval tube placement //*** code cord *** history: <unk>m with new intubation
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right picc tip has been withdrawn in the interval and now terminates in the mid/proximal right subclavian vein. the cardiac silhouette size is mildly enlarged. the aortic arch is calcified. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute ...
clogged picc.
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<num> views were obtained of the chest. the lungs are well expanded and clear without pleural effusion or pneumothorax. the heart is normal in size with normal mediastinal contours aside from a slightly unfolded aorta which is unchanged. no displaced rib fractures are identified. eventration of the right hemidiaphragm ...
left rib pain after fall.
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ap portable upright view of the chest. in this patient with known left lower lobe mass, a fiducial marker projects over the cardiac silhouette. there is interval improvement in overall aeration in the left upper lobe. mild persistent perihilar opacity persists which may represent residual atelectasis or may be related ...
<unk>f with pna and worsening dyspnea, history lung cancer.
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right-sided dual chamber pacemaker with leads terminating in the right atrium and right ventricle is in unchanged position. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
fever.
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mild cardiomegaly is unchanged. mediastinal and hilar contours are stable. there is no pulmonary vascular congestion. apart from mild bibasilar atelectasis, remainder lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
altered mental status.
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frontal and lateral radiographs of the chest. tracheostomy tube is in unchanged expected position. numerous rounded opacities are noted in both lungs which are increased in size and number compared to the prior study consistent with patient's known metastatic disease no pleural effusion or pneumothorax. normal heart si...
foreign body in the esophagus question pneumonia.
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enlarged caliber of the main pulmonary arteries bilaterally may indicate underlying pulmonary arterial hypertension. heart size is top-normal and there is no consolidation or evidence of pulmonary edema. obscuration of the costophrenic angles bilaterally indicate effusions.
<unk> year old man with htn, afib, chf here for severe aortic stenosis undergoing tavr evaluation.
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hazy bibasilar opacities are likely due to technique and overlying soft tissues. superiorly, the lungs are clear. there is no overt pulmonary edema. the cardiomediastinal silhouette is stable. atherosclerotic calcifications seen at the aortic arch.
<unk>f with sob // infiltrate
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heart size is normal. mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta again noted. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
status post arrest.
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the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for infection is identified. note is made of mild bibasilar atelectasis, and mild bibasilar interstitial scarring stable compared to studies dated back to at least <unk>. there is no pleural effusion or pneumotho...
history of vomiting. rule out aspiration.
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a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively, appears unchanged. the heart is moderately enlarged. the mediastinal and hilar contours appear unchanged. a diffuse mild-to-moderate interstitial abnormality appears more prominent than on the prior examination. the...
shortness of breath and hypoxia.
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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 is no subdiaphragmatic free air.
nausea, vomiting, abdominal pain.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine. there is mild increase of the thoracic kyphosis
<unk> year old woman with unexplained weight loss // evaluate
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lungs are well-expanded and clear. no pleural effusion. moderate cardiomegaly is unchanged. cardiomediastinal and hilar silhouettes are unremarkable. dense aortic calcifications are noted. a a left pectoralis pacemaker with right atrial and right ventricular leads is unchanged.
<unk> year old woman with hx of chf // left sided crackles
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in comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion or pleural effusion.
gerd after fundoplication.
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the distal tip of the et tube is not well delineated due to overlying sternal wires, but likely lies approximately <num> cm above the carina, just below the medial clavicular heads on this lordotic view. ng tube tip extends beneath the diaphragm and overlies the upper stomach. if a side-port is present, it does not cle...
history: <unk>m with sdh*** warning *** multiple patients with same last name! // acute prpocess . history provided for head ct also ordered today refers to sdh.
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a right internal jugular central venous catheter ends in the upper aspect of the right atrium, unchanged. a left-sided swan-ganz catheter ends within the interlobar portion of the right pulmonary artery. the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. an enteric cathete...
<unk> year old man with chf // interval change w/ diuresis
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interval placement of a right internal jugular-approach central venous catheter noted with tip projecting over the expected region of the right atrium. no pneumothorax. otherwise no change.
<unk>-year-old with a right ij cvl. evaluate placement of cvl, ? ptx.