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MIMIC-CXR-JPG/2.0.0/files/p12022236/s57878989/f02e752f-21a5b4f8-7c71c22c-03d89e69-b4eeb696.jpg
ap portable upright view of the chest. there has been interval placement of a pigtail left chest tube with interval re-expansion of the left lung. the tip of the chest tube abuts the lateral pleura of the left mid lung. there is now a small amount of subcutaneous emphysema in the left chest wall at the chest tube inser...
<unk>m with spontaneous pneumo s/p chest tube placement // eval for chest tube placement
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the cardiac and mediastinal silhouettes are stable. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. no overt pulmonary edema is seen.
history: <unk>f with morbid obesity, asthma with productive cough. // pneumonia
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heart size is top normal, unchanged. lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. left-sided aicd with leads in unchanged positions. median sternotomy wires are intact.
<unk>m with chest pain. eval for acute process.
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the patient is not in full inspiration. overall, no significant change from the prior exam other than apparent resolution of the right lower lung plate like atelectasis. the lungs are clear, without focal consolidation or pulmonary edema. no pneumothorax or pleural effusion. the cardiomediastinal silhouette is within n...
<unk>-year-old woman presenting with weakness; evaluate for acute process.
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pa and lateral chest views were obtained with patient in upright position. there is moderate cardiac enlargement. no typical configurational abnormality is seen, but there exists a relative prominence of the left ventricular contour. this finding coincides with a general widening and elongation of the thoracic aorta su...
<unk>-year-old female patient with new dementing illness and odd movements, evaluate for any 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. bony structures are unremarkable.
chest pain.
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enteric tube tip is in the proximal stomach, side hole near gastroesophageal junction, should be advanced. very shallow inspiration. mild elevation of the right hemidiaphragm. bibasilar opacities, likely atelectasis, more prominent. postoperative changes upper abdomen. accentuated heart size by shallow inspiration. nor...
<unk> year old man s/p extended r hepatectomy with ngt placement // check positioning of ngt.
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there is an endotracheal tube which terminates approximately <num> cm from the carina. an ng tube is seen curling into the fundus of the stomach. the lungs are clear. cardiac silhouette is normal. no pleural effusion or pneumothorax.
subarachnoid hemorrhage. now intubated.
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the cardiac silhouette is mildly enlarged, however, unchanged from prior examination. the mediastinal and hilar contours are within normal limits. there is mild calcification of the aortic knob. there is mild interstitial pulmonary edema. however, there is no focal consolidation, pleural effusion, or pneumothorax.
fall, on coumadin. right shoulder and left knee bruising. rule out pneumonia.
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lungs are well inflated bilaterally with subtle opacity adjacent the right heart border on frontal view and projecting over the lower thoracic vertebra on the lateral view. these findings may represent a possible developing pneumonia. there is no pleural effusion or pneumothorax. pleural surfaces are unremarkable. the ...
<unk>-year-old female with cough x<num> weeks.
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the et tube is slightly high, <num> cm above the carina, at the thoracic inlet. right-sided picc line tip is at the cavoatrial junction. there continues to be elevation of the right hemidiaphragm with volume loss in the right mid lung. there is alveolar infiltrate most marked in the left mid lateral lung
intubated, check ett.
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frontal and lateral views of the chest. when compared to multiple prior exams, there has been no significant interval change and interstitial opacities most notably at the lung bases. more spiculated opacity in the right upper lung is also seen. when compared to remote priors this has not significantly changed and is m...
<unk>-year-old male with shortness of breath, nausea and vomiting.
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increased interstitial markings are seen in the lungs bilaterally, more conspicuous on the right than the left as seen on prior. there are small bilateral pleural effusions. the cardiomediastinal silhouette is stable, top-normal in size. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abno...
<unk>m with transient hypotension/ams // acute process
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when compared to prior, there has been interval resolution of the right upper lobe and left lower lobe regions of opacity. the lungs are now clear. the cardiomediastinal silhouette is within normal limits. anterior cervical hardware is visualized.
<unk>m with recent pna, recurrent falls, ? loc // pna, ich
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the heart appears mildly enlarged. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain.
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interval placement of right-sided central venous catheter seen with distal tip in the lower svc. the lungs are clear without focal consolidation, effusion or or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with neutropenic fever // evaluate for pneumonia, acute process
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the patient is rotated somewhat to the right. enlarged cardiomediastinal silhouette is stable. no focal consolidation is seen. there is no pleural effusion. no pneumothorax is seen. the hilar contours are stable.
afib, absent presenting with wheezing, hypoxia.
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heart size and mediastinal contours appear within normal limits. there is minimal opacity in the medial aspect of the right lung base which could reflect atelectasis although early consolidation cannot be excluded. apart from minimal bibasilar linear atelectasis, the left lung appears clear. there is no pleural effusio...
history: <unk>m with cough // eval for infiltrate
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right-sided pacemaker device is re- demonstrated with leads terminating in right atrium and right ventricle. the patient is status post median sternotomy and cabg. the heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged. mild interstitial pulmonary edema appears improved compared to the...
hypertension, flushing sensation.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with chest pain, shortness of breath // ? pna
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no significant interval change. stable radiographic appearance and size of the right paratracheal opacity. stable loss of right lung volume. the large opacity at the right lung base probably reflects a combination of a subpulmonic right pleural effusion with lateral-shift of the right diaphragm apex and adjacent atelec...
<unk>-year-old man with mediastinal non-hodgkin's lymphoma, status-post right thoracotomy and right upper lobectomy with hand-sewn closure and intercostal muscle buttress; evaluate for interval changes.
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frontal and lateral chest radiographs again demonstrate a left chest wall pacer device with leads projecting over the right atrium and ventricle, as well as multiple sternal wires, all unchanged. there is again moderate cardiomegaly, improved compared to <unk>. there is vascular congestion, without frank pulmonary edem...
evaluate for pneumonia in a patient with fatigue.
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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 and unremarkable.. no pulmonary edema is seen.
history: <unk>f with history of hypertension, crackles at lung bases. // volume overload
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old man with new fever to <num>, unclear source. h/o chf, here for chf exacerbation // ?pna ?pna
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the tip of the left picc line extends into the right atrium. a feeding tube extends ends in the gastric body. the tip of the endotracheal tube projects <num> cm from the carina and could be advanced. slight improvement in diffuse reticulonodular pulmonary opacification.
<unk> yo m w/ h/o asthma (no prior intubations no prior admissions for asthma), p/w <num> days uri symptoms and worsening dyspnea. today at work was very short of breath so he got checked out. he reports that he has never felt short of breath in the past. he denies chest pain, fevers, abdominal pain, nausea, vomiting,...
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a tracheostomy is in-situ. a left-sided internal jugular catheter and right-sided picc are unchanged in appearance compared to the prior study. an aortic valve prosthesis is also unchanged in appearance. median sternotomy sutures are unchanged. left lower lobe atelectasis and a layering left-sided pleural effusion are ...
<unk> year old man with cabg/avr // check l sided eff
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low lung volumes cause bronchovascular crowding and subsegmental atelectasis. pulmonary vascular congestion is decreased compared with the prior study, now mild. previously seen pulmonary edema has resolved. opacity in the right lower lobe is increased from the immediate prior radiograph, similar to <unk>. there is no ...
<unk>m s/p fall, evaluate for fracture.
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frontal and lateral views of the chest show no acute cardiopulmonary process. the cardiomediastinal, pleural and pulmonary structures are unremarkable. there is no pleural effusion or pneumothorax. there is no consolidation to suggest pneumonia. there are no suspicious osseous lesions.
chest pain, evaluate for pneumothorax or pneumonia in patient with chest pain.
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frontal and lateral views of the chest. mild vascular congestion and pulmonary edema appear improved since <unk>. cardiomegaly, a moderate left pleural effusion and bibasilar atelectasis are unchanged. mediastinal widening is unchanged since <unk>.
acute episode of dyspnea.
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pa and lateral views of the chest provided. as compared to prior study from <num> day ago, pulmonary vascular engorgement has improve. minimal right base atelectasis remains unchanged. there are no pleural effusions. mild cardiomegaly is stable. there is no mediastinal widening. defibrillator leads are in appropriate p...
<unk> year old man with sob s/p biv-pacemaker, evaluate for pneumothorax
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mild left apical pleural thickening. normal cardiomediastinal and hilar contours. normal pleural surfaces. fully expanded, clear lungs. no pulmonary vascular congestion, acute pneumonia, pleural effusion, or pneumothorax.
<unk>-year-old woman with a history of copd, now with persistent cough. evaluate for chf exacerbation, copd exacerbation, or pneumonia.
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patient is rotated to the left. there are low lung volumes. no definite focal consolidation is seen. there is no pleural effusion. the cardiac silhouette is mildly enlarged. there may be minimal pulmonary vascular congestion
history: <unk>m with fall, altered mental status, abdominal pain // ct abd: r/o splenic rupture, intrab traumacxr: r/o infiltrate, rib fxct head: r/o bleed, r/o fx
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subtle increase in right hilar density with normal hilar contours. normal cardiomediastinal contours and pleural surfaces. fully expanded, clear lungs.
<unk>-year-old woman with a history of asthma, now undergoing preoperative evaluation prior to abdominoplasty.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs appear hyperexpanded, in keeping with known emphysema. previously seen left lower lobe opacity has resolved on the frontal view but may persist on lateral view obscuring the posterior costophrenic angle, which could repres...
<unk>-year-old male with shortness of breath and cough. question pneumonia.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with chest pain // eval for widened mediastinum
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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. the chest has a carinatum configuration superiorly, probably of no clinical significance.
<unk>-year-old female with shoulder pain.
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lung volumes are low, resulting in bronchovascular crowding. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with alcohol abuse, cough/wheezing. // pneumonia?
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. there has been no significant change.
chest pain.
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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 altered mental status
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the lungs are well expanded and clear. there is no focal consolidation there are effusion. cardiomediastinal silhouette is stable. no acute osseous abnormalities identified. aortic graft is partially visualized in the abdomen.
<unk>m with dilirium // evidence of infection
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cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is not engorged. the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
chest pain.
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there is a new opacity along the right upper lobe with adjacent fissural thickening. the pulmonary nodules characterize on the prior ct from <unk> are not well seen on this exam. the heart size is normal. the hilar and mediastinal contours are normal. there is no pleural effusion or pneumothorax.
history of multiple myeloma and shortness of breath. please evaluate for pneumonia.
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study is limited due to patient body habitus. diffuse interstitial opacity appears similar compared to prior. no new focal consolidation or pneumothorax is detected. heart size is top normal and unchanged.
<unk>-year-old female with history of heart failure and interstitial lung disease, now with fever and cough.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged, and unchanged from prior exams. no free air is present under the hemidiaphragms.
confusion. rule out infectious process.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding a similar study of <unk>. heart size and mediastinal structures unchanged. the same holds for the previously described left subclavian approach port-a-cath system and a wider cal...
<unk>-year-old female patient with past medical history of breast cancer, status post bilateral mastectomies, on chemotherapy, which was complicated by polycythemia <unk> with secondary myelofibrosis. the patient has new chest pain, evaluate for any new chest abnormalities.
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pa and lateral views of the chest. the lungs are clear of consolidation. there are trace bilateral effusions. the cardiomediastinal silhouette is within normal limits. anterior vertebral body hardware is seen at the cervicothoracic junction. no acute osseous abnormality detected.
<unk>-year-old male with fevers status post discectomy and bone graft. cough.
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large opacity in the left mid lung, better assessed on torso ct <unk>, has grown since previous radiograph two weeks ago. there is also greater heterogeneous opacity at the right lung base where there was a similar peripheral lung and pleural lesion. first consideration, to exclude multifocal lung infection, is unlikel...
<unk>-year-old female with history of pleural effusions, now with posterior back pain for two days. evaluate pleural effusions or evidence of pneumonia.
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the patient is status post median sternotomy and cabg. tracheostomy tube tip is in unchanged position. the patient is status post median sternotomy and cabg. the heart is moderately enlarged. mediastinal contours are unchanged. there is mild interstitial pulmonary edema which is worse compared to previous exam. further...
tracheostomy with shortness of breath and chest pain.
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ap and lateral views of the chest. there is a subtle right basilar opacity which was not been seen on most recent exam despite very similar positioning and technique. elsewhere, the lungs are clear. the cardiomediastinal silhouette is stable noting cardiac enlargement and atherosclerotic calcifications of the aortic ar...
<unk>-year-old female with leukocytosis and cough for <num> days.
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an endotracheal tube ends in the mid thoracic trachea. heart size is within normal limits. an enteric tube courses below the level of the diaphragm. there is no evidence of pneumothorax. a new opacity at the left lung base could represent atelectasis or aspiration. there is a fracture of the right humeral through the g...
history: <unk>m intubated with hypotension // pneumothorax?
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a new right internal jugular approach central venous catheter terminates at the mid svc. endotracheal tube terminates approximately <num> cm. an orogastric tube courses below the diaphragm, tip is not included in this examination. evaluation of the lung parenchyma is somewhat limited secondary to overlying respiratory ...
history: <unk>f with new line, right ij // eval new line eval new line
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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>m with breakthrough seizure
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the heart is normal in size. the lung volumes are low. the superior vena cava appears distended and there is mild bilateral hilar congestion, all suggesting mild fluid overload. however, the lungs appear otherwise clear. there is no pleural effusion or pneumothorax. the bony structures are unremarkable.
alcohol intoxication presenting with cough after recent fall.
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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>f with dypnea // sob
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heart size is top normal. the cardiomediastinal silhouette and hilar contours are unremarkable. the lungs are clear without focal consolidation, effusion, or pneumothorax.
<num> days postpartum, presenting with leg swelling, abdominal pain, headache and hypertension. evaluate for cardiomyopathy.
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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 chest pain family history of heart disease
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinal contours are unremarkable.
history: <unk>m with chest pain // eval heart and lungs
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is detected.
right upper quadrant pain with pleuritic component. evaluate for pneumonia, abdominal free air, acute changes.
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compared to the prior study the right chest tube has been removed. the right apical pneumothorax is stable. no pleural effusion or left pneumothorax. normal heart size, mediastinal and hilar contours.
<unk> m fall from standing, right rib fx, ptx now s/p ct removal // ?interval changes ?ptx
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peribronchial consolidations in the bilateral upper lobes are not well appreciated on radiograph and better characterized on prior ct from <unk>. peribronchial thickening in the lower lobes is improved. pulmonary edema is also improved compared to the prior study, now mild. the cardiomediastinal silhouette and hilar co...
<unk> yo m with h/o mds <unk>/p mud hsct x <num> (<unk> and <unk>) c/b transplant rejection and graft failure c/b gvhd of the lungs, gut, and skin, s/p recent prolonged hospital courses (<unk> and <unk>) for pnas, presenting with hypoxia and tachycardia, concern for respiratory failure and shock from pulmonary infecti...
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
diabetic ketoacidosis
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the lungs are relatively hyperinflated. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. the aorta is tortuous. there is slight prominence of the superior mediastinum which may be due to ap technique and prominent vasculature. if clini...
history: <unk>m with hx recurrent utis, t<num> paraplegia, referred in for rigors // eval ? infx
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there is stable elevation of the left hemidiaphragm with adjacent platelike atelectasis and/or scarring at the left lung base. the cardiomediastinal silhouette and pulmonary vasculature are stable since the prior exam. again seen is a dual lead pacemaker, with expected position of the leads. no focal consolidation is i...
history: <unk>m with hypoxia during exertion, known elevated left hemidiaphragm // ?acute cardiopulmonary process
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the heart is normal in size. the mediastinum and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
chest pain.
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heart size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. linear opacities in the lung bases, more pronounced on the left, likely reflect areas of subsegmental atelectasis. no definite large pleural effusion or pneumothorax ...
<unk> year old man with leukocytosis, part of infectious workup
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bilateral vagal nerve stimulators are seen. there are relatively low lung volumes. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are unremarkable. anchor screws are noted overlying the right humeral head.
history: <unk>m with ams // pneumonia?
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the lungs are hyperinflated with lucency of the lung apices and attenuation of the pulmonary vascular markings compatible with severe bullous emphysema. no focal consolidation, pleural effusion or pneumothorax is identified. there are degene...
copd with increasing shortness of breath.
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the lungs are clear. there is no consolidation or edema. previously seen left basilar opacity from exam <num> days prior has resolved. trace left pleural effusion remains. median sternotomy wires are intact. mediastinal clips are again noted. no acute osseous abnormalities.
<unk>m with recent surgery now with nausea, vomiting // eval for pna, eval for sbo
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ap single view of the chest was obtained with patient in semi-upright position. a dobbhoff line is identified and seen to reverse in the lower portion of the esophagus, so that its tip is located in the epipharynx. the appearance of chest has not undergone any significant interval change since the next preceding examin...
<unk>-year-old male patient with subdural hematoma, evaluate dobbhoff placement.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
abdominal pain.
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the patient has been extubated. low lung volumes. there are sternotomy wires that appear intact and in appropriate alignment. there is a right ij with the tip in the low svc. stable enlargement of the cardiac silhouette. given the changes in inspiration, the lungs appear unchanged.
<unk> year old man s/p sob // eval for ptx
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et tube is <num> cm above the level of the carina and is in good position. ng tube extends into the proximal stomach and is out of view. right ij tip is in low svc. chronic reticular interstitial pattern at the lung bases appear unchanged. no interval change in mild pulmonary edema, however, has improved since <unk>. n...
female with history of coronary artery disease, status post multiple pcis, presents with chf exacerbation. assess for interval change.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
chest pain and shortness of breath.
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the lung volumes are hyperinflated and the lungs are clear. there is no pneumothorax or focal airspace consolidation. the heart is mild to moderately enlarged but unchanged from at least <unk>. there is no evidence for pulmonary edema. slight blunting of the costophrenic angles may reflect trace pleural effusions, unch...
possible cva, evaluate for pneumonia.
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study is essentially unchanged from prior. lungs are well expanded and clear bilaterally with no masses, lesions or pleural effusion. there is no pneumothorax. again visualized is a large hiatal hernia, essentially unchanged from before. cardiomediastinal silhouette is stable demonstrating normal-sized heart with a tor...
<unk>-year-old female with cough x<num> weeks.
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there is extensive posterior spinal stabilization hardware in-situ, incompletely visualized. this partially obscures the tracheostomy tube which is grossly unchanged in position. a left-sided picc terminates in the azygos vein as seen on multiple prior studies. there is persistent left lower lobe atelectasis and a hazy...
<unk>m s/p mcc, arrest x <num> w/ rosc, s/p cric w/ tbi, c<num>-<unk> fxs with vert dissection, t<num> vertebral fx, mediastinal hematoma, r <unk>, <unk> and l <unk> rib fxs, b/l hemothoraces, r orbital frx, r zygomatic frx s/p c<num>-t<num> fusion (<unk>) s/p trach (<unk>) and peg (<unk>) now s/p r craniotomy for dec...
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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. there are no pleural effusions or pneumothorax. mild degenerative changes are similar along the thoracic spine.
fever.
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there is increased left basilar opacity laterally with mild blunting of the left costophrenic angle. the lungs are otherwise clear. cardiac and mediastinal silhouettes are stable with heavy atherosclerotic calfications of the aortic arch. no acute fractures are identified.
history of glioblastoma multiforme status post craniotomy with lethargy and altered mental status.
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moderate cardiomegaly is re- demonstrated. the mediastinal and hilar contours are unchanged. there is mild upper zone vascular redistribution without overt pulmonary edema, a finding which appears chronic. patchy opacities in the lung bases also persist, and likely reflect chronic bronchiectasis with atelectasis althou...
history: <unk>m with dyspnea
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left picc tip is at the junction of the left and right brachiocephalic veins. et tube tip is approximately <num> cm above the carina. side port of the ng tube is just below the ge junction, with the tip in the stomach. low lung volumes accentuate the cardiac silhouette and cause bronchovascular crowding. mild-to-modera...
<unk> year old woman with left picc <unk> <unk> // repeat film to check picc location <unk> <unk>
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pa and lateral views of the chest provided demonstrate dual lead pacer unchanged in position. the heart remains mildly enlarged with an unfolded thoracic aorta which contains mural calcification. there is no focal consolidation, effusion, or pneumothorax. there is no free air below the right hemidiaphragm. the bony str...
<unk>-year-old female with abdominal pain, nausea and vomiting.
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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>m with chest pain and dyspnea
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right hemidiaphragm remains elevated. evidence of chronic fibrotic lung disease particularly in the left mid to lower lung is re- demonstrated, similar to priors. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. gaseous distention of bowel is re- demonstrated.
history: <unk>m with pulmonary disease now with nonproductive cough, congestion // r/o acute process
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the endotracheal tube has been slightly retracted and now terminates <num> cm above the carina. an enteric tube courses into the stomach and out of the field of view. a right-sided vp shunt is partially imaged and terminates in the right upper quadrant. the lung volumes are low but unchanged. patchy retrocardiac opacit...
new orogastric tube placement.
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no relevant change as compared to the previous examination. several small calcified granulomas. no suspicious lung nodules or masses. no pneumonia, no pulmonary edema. normal size of the cardiac silhouette. minimal elongation of the descending aorta.
<unk> year old woman with rhonhi left base // r/o mass
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pa and lateral views of the chest were obtained. the heart is normal size. increased opacification at the right base and distortion of the right cardiac border likely relate to moderate-sized right pleural effusion and adjacent atelectasis. lungs are otherwise clear. there is no left effusion. no pneumothorax.
<unk>-year-old man with known right pleural effusion, reevaluate.
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pa and lateral views of the chest provided. lung volumes are low with bibasilar atelectasis noted. no convincing signs of pneumonia. no large effusion, pneumothorax for signs of edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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cardiomediastinal silhouettes are stable. the bilateral hila are unremarkable. new since prior are subtle opacities at the medial lung bases bilaterally. elsewhere there is no focal consolidation, pulmonary edema, or pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>m with new hypoxia, evaluate for infiltrate or hypervolemia.
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no displaced rib fractures are detected. the lungs are symmetrically well expanded without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette, mediastinal and hilar contours are within normal limits. the trachea is midline. there is no free air benea...
right chest wall pain status post assault, here to evaluate for fracture.
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the left-sided picc tip still remains at the lower svc. the dobbhoff tube tip projects over the gastric bubble. the heart size is at the upper limits of normal and the mediastinal contours are unchanged. the lungs show decreased volume in the right base with probable right pleural effusion patent. the left costophrenic...
<unk>-year-old male with new dobbhoff tube placed.
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ap and lateral views of the chest provided. there is a small amount of associated subcutaneous emphysema within the right chest wall. interval et tube removal. lungs are well inflated and grossly clear. no pleural effusion. faint line projecting over the right lung apex may represent tiny residual apical pneumothorax. ...
<unk> year old woman with resolving pneumo with pigtail in place // interval change, residual pneumo
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increased retrocardiac opacity compared to the prior exam. left lower lung linear atelectasis and pleural thickening. stable left apical pleural thickening. stable left mid-lung sub-centimeter nodules. no focal consolidation to suggest pneumonia. no pulmonary edema, pneumothorax, or pleural effusion. stable top-normal ...
<unk>-year-old man complaining of cough and congestion, known aspiration. evaluate for pneumonia.
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ap and lateral views of the chest are compared to previous exam from <unk>. again, diffuse fibrotic changes are noted in the lungs. there is no evidence of new consolidation, nor effusion. cardiomediastinal silhouette is stable in appearance. there is no visualized displaced rib fracture; however, examination is limite...
<unk>-year-old female with left chest wall pain.
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lung volumes are low causing crowding of the central bronchovascular structures. no focal consolidation, pleural effusion or pneumothorax is seen. the heart is top-normal in size. no overt pulmonary edema. right upper quadrant abdominal surgical clips are again noted.
<unk>-year-old female with recurrent intraparenchymal hemorrhage with aphasia. evaluate for acute cardiopulmonary process.
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the lungs remain clear with no new focal opacities concerning for pneumonia. there are no pleural effusions or pneumothorax. there is left ventricular configuration of the heart which is mildly enlarged. there is tortuosity of the thoracic aorta. the cardiomediastinal and hilar contours are otherwise unremarkable. pulm...
<unk>-year-old female with cough and crackles on the left side. evaluate for lesion.
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pa and lateral views of the chest provided. patient is status post median sternotomy with wires intact and in proper alignment. lungs are well inflated and grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal. mitral annular calcifications are unchanged from <unk>. moderat...
<unk> year old woman with <num> days cough, extreme malaise, myalgias. reports green phelgm. pmhx chf, bioprothetic valve, aortic stenosis, essential thrombocytopenia, hypertension, carotid stenosis // r/o pneumonia
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left subclavian venous access catheter is in unchanged position with tip in svc. heart size and mediastinal contours are within normal limits. the lungs are clear. there is no evidence of pleural effusion or pneumothorax. no change from <unk>. osseous structures appear stable.
neutropenic fever, evaluate for pneumonia.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>f with history of eczema and mononucleosis p/w fevers x <num> week with dysphagia, evaluate for pneumonia.
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lordotic positioning. there is marked cardiomegaly, overall similar to the prior film. there is vascular plethora, with interstitial and alveolar edema. the appearance is also similar to the prior film, though the degree of confluence of the opacities in the right lung appears greater on today's exam. minimal blunting ...
<unk> year old man with esrd and chf // assess for pulmonary edema
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the patient had has been extubated since the <unk> radiograph. the heart size is normal. the hilar and mediastinal contours are unchanged. there is central pulmonary vascular engorgement, but no pulmonary edema. the lungs are underinflated, further exaggerating the pulmonary vasculature. a small right pleural effusion ...
continued oxygen requirement. concern for pulmonary edema.