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the lungs are clear but no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette remains at top normal and stable. mild degenerative changes of the thoracic spine.
fever and cough.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. mild subpleural thickening suggest scarring at each lung apex. the lungs appear clear. there are no pleural effusions or pneumothorax.
hiv, cough, chills, and shortness of breath.
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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 weakness // acute process
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since the chest radiograph obtained <num> days prior, there has been interval removal of an enteric tube. lung volumes appear lower with increased crowding of the pulmonary vasculature and atelectasis of the right middle and left lower lobes. small bilateral pleural effusions. moderate cardiomegaly without pulmonary va...
<unk> year old man with muscle-invasive bladder cancer s/p robotic cystectomy and neobladder . requiring supplemental oxygen. // ?worsening of consolidation
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there are relatively low lung volumes. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with feeling unwell // ?pna
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frontal and lateral views of the chest. the lungs are clear of focal consolidation. linear left base opacity only seen on the frontal is likely due to atelectasis. there is no effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures demonstrate no acute abnormality.
<unk>-year-old female with cough and congestion. question infiltrate.
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the lungs are clear with bilateral calcified pleural plaques again seen compatible with prior asbestos exposure. there is no pleural effusion or pneumothorax. the heart is top normal in size with normal cardiomediastinal silhouette and intact median sternotomy wires.
history of multiple stones and prior cabg with intermittent chest pain, assess for acute cardiopulmonary process.
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since the prior exam, there is a new interstitial opacity, predominantly involving the right, mid and lower lung zones. there is mild vascular congestion and some kerley b lines at the left base, suggestive of volume overload. a small right pleural effusion is stable in size. a trace left pleural effusion appears sligh...
shortness of breath. evaluate for acute cardiopulmonary process.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are grossly clear aside from a nodular opacity in the left midlung. this may represent a vessel, though nodular opacity is not excluded. there is no pleural effusion or pneumothorax. no subdiaphragmatic air is identified.
<unk>f with epigastric pain, n/v // rule out free air
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the lungs are clear and the lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. the heart is normal size. the mediastinal and hilar contours are unremarkable.
chest pain. evaluate for pneumonia.
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new patchy airspace opacities are present involving the bilateral perihilar regions and extending into the bilateral bases, concerning for multifocal pneumonia, which has developed since <unk>. no pleural effusion or pneumothorax is detected. the cardiac silhouette is normal in size allowing for slight patient rotation...
history of dka now with altered mental status, here to evaluate for infectious process.
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a large left pleural effusion, largely obliterating the left heart border, persists. there is evidence of underlying atelectasis or consolidation as before. there is continued evidence of a small right pleural effusion. lung volumes are lower than before and there is more streaky density at the right base consistent wi...
eval for pleural effusion
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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 <num> weeks cough
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the right-sided picc line is visualized with the catheter tip at mid svc. lung volumes remain low. there are multiple densities overlying the left lower lobe. these densities are likely representative of the previously visualized spiculated left pulmonary mass, left pleural thickening involving the major fissure, and p...
evaluation of patient with history of metastatic melanoma, dic, fevers, altered mental status, possible pneumonia, and left pulmonary mass for interval change.
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the patient is markedly rotated. the tip of the endotracheal tube projects over the mid thoracic trachea and the the tip of the gastric tube projects below the level the diaphragms but beyond the field of view of this radiograph. a right internal jugular central venous catheter is present. persisting opacification of t...
<unk>f w/ pna, moved // confirm ogt and ett placements
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tracheostomy tube is in standard position, terminating approximately <num> cm from the carina. lung volumes are low. moderate to severe enlargement of the cardiac silhouette is demonstrated. the mediastinal contours are unremarkable. mild pulmonary vascular congestion is demonstrated with vascular indistinctness and ce...
history: <unk>f with copd, chf presents with atrial fibrillation with rapid ventricular rate in pcp <unk> // ?volume overload
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dual lead left-sided pacer device is stable in position. there are small bilateral pleural effusions with overlying atelectasis. lateral left mid to lower lung opacity persists. cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen.
history: <unk>m with recent thoracotomy, icd placement, with sob // evaluate for acute process (chf< pneumonia, pericardial effusion, pneumothorax)
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette size is normal. subtle prominence at the ap window is nonspecific and may be artifactual however underlying lymph node not excluded p
history: <unk>m with tb screen priro to remicaide for uc // acute process/tb
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
<unk> year old woman with recent diagnosis of walking pneumonia now s/p abx course. please evaluate for residual pneumonia // eval for pneumonia
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a single portable chest radiograph was obtained. aeration of the lungs has minimally improved since the prior exam. severe cardiomegaly is not changed. small bilateral pleural effusions are similar.
chest pain.
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a dual-lead/icd pacemaker with leads terminating in the right atrium and ventricle, respectively, appears similar to <unk>. allowing for low lung volumes and ap upright technique, the cardiac, mediastinal and hilar contours also appear unchanged including a stable convex contour to the right upper mediastinum. there is...
status post fall with hematoma on the left head. question acute disease or trauma.
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bibasilar atelectasis/ scarring is again seen. the cardiac and mediastinal silhouettes are stable. again seen is a moderate to large hiatal hernia. no definite new focal consolidation. no pleural effusion or pneumothorax.
history: <unk>f with near syncope // eval for pneumonia, pneumothorax, other acute process
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left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. heart size is mildly enlarged. the aorta is tortuous and diffusely calcified. mediastinal and hilar contours are unremarkable. crowding of bronchovascular structures is present without overt pulmonary edema. minimal blu...
history: <unk>m with fall from standing, confusion
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the cardiac, mediastinal and hilar contours appear unchanged. as before, the left hemidiaphragm is moderately elevated in association with partial atelectasis of the left lower lobe basilar segments. there is no definite pleural effusion or pneumothorax. the lateral view depicts a parasternal mass effacing the usual ex...
left arm swelling after biopsy. question dvt or mass or compression.
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ap view of the chest. right-sided pacemaker leads end in the right atrium and right ventricle. there is a right lower lung opacity, either right middle lobe or right lower lobe. there is also a smaller left lower lobe opacity. the cardiomediastinal and hilar contours are stable. no pneumothorax or pleural effusion. the...
chest discomfort and desaturations.
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moderate to severe cardiomegaly has increased, pulmonary vascular congestion is new and there may be mild pulmonary edema. the costophrenic sulci are mildly blunted, but there is no large pleural effusion. there is no pneumothorax.
back pain beginning approximately a week ago.
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endotracheal tube terminates approximately <num> cm from the carina. enteric tube terminates beyond the diaphragm. right picc line terminates at the brachiocephalic-svc junction. moderate left pleural effusion and layering right pleural effusion are similar to the prior ct.
<unk> year old man, intubated // please assess for ett placement
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and unchanged hyperinflated lungs which are clear. right greater than left apical scarring is unchanged. there is no pleural effusion or pneumothorax.
wheezing, slightly more prominent on the right, and cough x <unk> weeks.
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there is not increased right perihilar airspace opacity. a small right pleural effusion has also increased, and there is now a small amount of fluid in the minor fissure. a <num> cm right lower lobe nodular opacity is more prominent on today's exam. the left lung remains clear. there is no pneumothorax. the heart and m...
<unk> year old man with history of crohn's disease, cirrhosis, and persistent cough, malaise. crackles r base. h/o copd // r/o pna
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compared to prior, left chest tube has been withdrawn slightly and projects over the medial cardiac border. remainder of the lines and tubes are unchanged. persistent small to moderate right pneumothorax. there is substantial subcutaneous emphysema. bilateral rib fractures are again seen.
<unk>-year-old man with bilateral chest tubes, post cardiac arrest
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a portable semi-upright ap radiograph of the chest demonstrates low lung volumes. the lungs are clear. there is no pneumothorax or pleural effusion. the hilar and cardiomediastinal contours are normal. the pulmonary vascularity is normal.
<unk>-year-old man with history of cerebral palsy, mental retardation, now presenting with altered mental status and pain of unclear etiology. evaluate for pneumonia.
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with calcified and tortuous aortic contour. postsurgical changes are noted. high riding right humeral head may reflect rotator cuff pathology.
new onset delirium.
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lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. probable moderate cardiomegaly. mediastinal contours and hilar contours are otherwise preserved. mild bibasilar atelectasis. lungs otherwise grossly clear. no dense consolidation to suggest pneumonia. no effusion pneumothorax.
chest pain.
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the lungs are hypoinflated with crowding of vasculature. new retrocardiac opacity causing obscuration of the left hemidiaphragm is noted. stable small bilateral pleural effusions. no pneumothorax. top-normal heart size is accentuated due to low lung volumes. mediastinal contour is unremarkable. mild prominence of the r...
<unk>f with "pain" . assess etiology of pain.
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ap and lateral views of the chest. streaky retrocardiac opacities are most suggestive of atelectasis. the lungs are hyperinflated but otherwise clear without effusion or consolidation. cardiac silhouette is mildly enlarged. descending thoracic aorta is tortuous. no acute osseous abnormalities detected.
<unk>-year-old male with right-sided weakness.
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et tube is in appropriate position, and the gastric tube ends in the stomach. the left subclavian line ends in the lower svc. low lung volumes are low with bibasilar atelectasis. the cardiac is mildly enlarged with mild interstitial edema. small pleural effusions may be present.
<unk>-year-old woman status post lumbar laminectomy, intubated, field spontaneous pre contrast. evaluate for fluid overload.
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single ap view of the chest was reviewed. since the recent prior study, there has been interval placement of an intended left internal jugular line with tip not clearly in a central vein. the et tube now resides in the trachea with tip approximately <num> cm from the carina. the more distal aspect of the enteric tube i...
new left ij line.
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heart size is mildly enlarged. the aorta is markedly tortuous with the ascending aorta appearing aneurysmally dilated. the hilar contours are normal, and the pulmonary vasculature is normal. lungs appear hyperinflated. no focal consolidation, pleural effusion or pneumothorax is identified. no displaced fractures are se...
fall, confusion.
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an et tube terminates proximal to the carina. an enteric tube probably terminates in the stomach, however, the tip is not included in this examination. as compared to prior chest radiographs from <unk>, there has been resolution of free intra-abdominal air. lung volumes remain low. there is bibasilar atelectasis, worse...
<unk>-year-old male patient status post ex lap for perforated bowel. study requested for assessment of et tube position, effusion, consolidations, and ng tube position.
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there are biapical pleural blebs, better evaluated on the ct scan from <unk>. the lungs are otherwise free of focal consolidations, pleural effusions or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old man with <num> weeks of productive cough; diffuse rhonchorous breathing on examination, without focality // please assess for pneumonia
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with seizure. evaluate for evidence of infection.
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there are low inspiratory volumes. the cardiomediastinal silhouette is enlarged. allowing for lordotic positioning on today's exam, the cardiomediastinal silhouette is similar to the prior study. there is upper zone redistribution and mild vascular plethora, suggesting mild chf. allowing for technical differences, the ...
<unk>f w/hypotension, diff breathing // interval changes, pleural effusions, pulm edema
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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 fever and right lower quadrant pain
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endotracheal tube in situ at the level of the medial clavicles <num> mm proximal to the carina. right-sided picc line in situ with the tip at the cavoatrial junction. the cardiomediastinal shadow unchanged. there is persistent bilateral parahilar and infrahilar airspace opacification, which shows mild interval progress...
<unk> year old man with global hypoxic brain injury, history of aspiration // interval change
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near resolution of right upper lobe consolidation. the lung volumes are normal. normal size of cardiac silhouette. no pleural effusions. no focal parenchymal opacity suggesting pneumonia. no pulmonary edema. no pneumothorax. normal hilar and mediastinal contours. the osseous structures are stable.
<unk> year old woman with recent rul pna // eval for resolution
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pa and lateral radiographs of the chest demonstrate a new large right pleural effusion with adjacent compressive atelectasis. the left lung base contains minimal atelectasis, improved from the prior study on <unk>. the left lung is otherwise clear. there is no left-sided pleural effusion and no pneumothorax is detected...
evaluate for effusion in patient about to be discharged after right minithoracotomy approach repair of patent foramen ovale.
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frontal and lateral chest radiographs demonstrate mild cardiomegaly and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. no pulmonary edema is identified. no acute osseous abnormalities seen.
history: <unk>m with tachycardia to <num>'s, // pulmonary edema?
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the pericardial effusion has probably decreased in size. there is a moderate left pleural effusion and basilar atelectasis. there is a rounded opacity in the right upper lobe corresponding to subpleural nodule seen on prior chest ct. there is no pneumothorax. hilar and mediastinal contours are normal.
<unk> year old man with hx pericardial window for acute pericardial effusion // effusion?
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mildly enlarged, with left ventricular configuration. mediastinal contours are unremarkable. no pulmonary edema is seen.
<unk> year old woman with h/o ischemic stroke, hypothyroidism presenting with lightheadedness with standing x <num> days, generally feeling unwell. // eval for pna
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pa and lateral views of the chest. no prior. the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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frontal and lateral views of the chest were performed. the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures and pleural surfaces are unremarkable. the imaged upper abdomen is normal. there are no acute osse...
cough, evaluate for pneumonia.
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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 cough // evaluate for pna
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there are low lung volumes. there are increasing bibasilar opacities likely representing atelectasis. the prominent cardiomediastinal silhouette is not significantly changed from prior and may be exaggerated by ap technique and positioning. no pneumothorax is present. the stomach is markedly distended and air-filled.
aspiration/near drowning. evaluate for pneumonia.
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right-sided pacemaker device with leads terminate a right atrium right ventricle is unchanged. mild cardiomegaly persists. aortic knob is calcified. mild pulmonary vascular congestion is not substantially changed in the interval. a moderate size left pleural effusion is relatively similar compared to the previous study...
history: <unk>f with cough, fever
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a nasogastric tube is seen curling in the stomach with its tip near the gastroesophageal junction. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the heart is normal in size. there is no overt pulmonary edema.
<unk>-year-old man with history of crohn's disease presenting with small bowel obstruction. a nasogastric tube was placed for decompression. please confirm nasogastric tube placement.
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there is persistent increased opacity in the right hemithorax. there is however improved aeration of the underlying right lung when compared to prior. there is no pneumothorax. there is no mediastinal shift. the left lung remains clear. no acute osseous abnormalities.
<unk>f with pleural effusion, s/p thoracentesis // eval pleural effusion, s/p thoracentesis
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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 for five days.
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portable supine chest film <unk> at <time> is submitted.
<unk> year old man s/p liver txp now w/ dobhoff placement // eval placement eval placement
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the ng tube is in the mid esophagus, too high, recommend advancement. the et tube, left subclavian line, and mildly elevated right hemidiaphragm are unchanged. there continues to be pulmonary vascular redistribution, but overall the parenchymal opacities are improved.
gastric ulcer, ng tube was pulled back, please evaluate ng tube placement.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. there is prominence of the interstitial markings, consistent with mild pulmonary congestion. cardiomediastinal silhouette is top normal in size and notable for a tortuous aorta. there is a compression defo...
<unk>-year-old female with chest pain. evaluate for cardiopulmonary disease or infiltrate.
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pa and lateral views of the chest provided. azygous fissure noted. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there is a nodular density overlying the left sixth rib along the anterolateral arch as on prior likely representing a healed rib fracture. no free a...
<unk>m with fever, cough, hx of renal transplant
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the nasogastric tube has been advanced with the tip now seen in the mid stomach. small lung volumes. bibasilar atelectatic changes are stable.
<unk> year old woman popd<num> ventral hernia repair, requiring gastric decompression // ngt position.
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there is a new left pectoral atrial bi-ventricular pacer/defibrillator system in place with unchanged positions of dual leads terminating in the right atrium and right ventricle and interval placement of a third epicardial lead. there is no definitive evidence of pneumothorax. the lungs are well aerated without focal c...
<unk>-year-old man status post-icd upgrade, here to evaluate for a pneumothorax.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain.
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the lungs are clear, there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
shortness of breath, evaluate for pneumonia or hilar lymphadenopathy.
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pa and lateral radiographs of the chest demonstrate clear lungs. the nodular opacity in the right apex seen on the prior study is no longer apparent, and was not definitively seen on multiple prior radiographs. as noted previously, the patient does have apical pleural scarring at this location as demonstrated on the ct...
cough. also, please follow up right apical nodule seen on prior chest radiograph for which the patient declined ct for further evaluation.
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there is mild chronic elevation of the left hemidiaphragm. aside from minimal bibasilar atelectasis, the lungs are clear. mild cardiomegaly is unchanged. tortuosity and ectasia of the thoracic aorta is unchanged. the mediastinal contours are otherwise normal. there are no pleural abnormalities. loss of height of severa...
chest tightness, evaluate for acute process.
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frontal and lateral views of the chest are compared to previous exam from <unk>. ct torso from <unk>. lower lung volumes are seen on the current exam. there is, however, new right basilar opacity likely within the lower lobe. chronic underlying lung disease seen with bullous change and relative lucency of the apices. t...
<unk>-year-old man with confusion. question infiltrate.
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the chest tubes, swan-ganz catheter, nasogastric and endotracheal tubes have been removed. stable position of the single lead pacemaker in the right ventricle. new left lower lobe and lingular opacity likely atelectasis. there is a new small left pleural effusion. the cardiac silhouette is enlarged. no interstitial pul...
<unk> year old woman with avr/mvrep // s/p ct d/c, r/o ptx
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a tracheostomy tube is present. persisting left lower lobe atelectasis. no pleural effusion or pneumothorax identified. the appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old man with sah // s/p bronch
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tracheal stenosis has improved with stent in place. no pneumothorax. no pneumomediastinum. linear band of atelectasis left lower lung base medially. normal heart size, pulmonary vascularity. right lung is clear.
<unk> year old woman with tracheal stenosis s/p stent placement // tracheal stent
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endotracheal tube terminates approximately <num> cm above level the carina. enteric tube courses below the level of the diaphragm, terminating in the left upper quadrant expected location of the stomach. there is a moderate left pneumothorax with the left chest catheter in place. large lucency projects over the lower l...
history: <unk>f intubated d/t respiratory failure // ? acute process, tube placement
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the status post median sternotomy and an aortic valve replacement. cardiac size remains stable and normal. there is no pleural effusion, pneumothorax, or pulmonary edema. there is no evidence of pneumonia. prior picc line has been removed.
<unk>m with weakness, shortness of breath // evaluate for acute process
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hyperexpansion of the lungs is similar to prior. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. irregular density projecting over the left humerus is similar to <unk>. no free air below the right hemidiaphragm is seen. upper abdominal catheter is partially imaged...
<unk> year old woman with hx of squamous cell cancer s/p chemo and xrt with pain in left lower ribs // fracture?
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compared with prior radiograph, there are no significant changes. there is stable moderate cardiomegaly, unchanged. the lungs are well expanded and without focal opacities. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain. evaluate for acute cardiopulmonary process.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild degenerative changes are noted in the imaged thoracic spine.
history: <unk>m with chest pain
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. the lungs are hyperinflated. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
chest tightness.
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pa and lateral views of the chest were obtained. there has been interval placement of a tracheal stent, which appears in good position. there is mild left basilar plate-like atelectasis. the lungs are otherwise clear with no focal consolidation, pneumothorax or effusions. the cardiomediastinal silhouette is unchanged. ...
recent tracheal stent placed, now with shortness of breath, question stent migration or pneumonia.
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endotracheal tube tip is slightly low lying, terminating approximately <num> cm from the carina. cardiac, mediastinal and hilar contours are normal. opacity in the left lung base likely reflective of atelectasis. no large pleural effusion or pneumothorax is demonstrated on this supine exam. there is no pulmonary vascul...
history: <unk>m with confirm ett placement head bleed status post intubation and transfer
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there are increased interstitial markings bilaterally not significantly changed from <unk>, but no focal opacities. heart size is top normal. the aorta is tortuous. there is no pleural effusion or pneumothorax. sternotomy wires as well as mediastinal surgical clips from prior cabg are re-demonstrated and unchanged in p...
patient with right lateral chest pain. evaluate for pneumonia.
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are hyperinflated, but clear of focal consolidation. biapical scarring is again noted. cardiomediastinal silhouette is stable in configuration. mid thoracic dextroscoliosis is again noted. no displaced rib fractures are seen.
<unk>-year-old female with presyncope.
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the lung volumes are extremely low, limiting evaluation. prominence of the cardiomediastinal silhouette is likely technique related. there is moderate bibasilar atelectasis. there is no evidence of pneumothorax.
<unk>m with fall // eval for pna
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heart size remains moderately enlarged. dense atherosclerotic calcifications are noted at the aortic knob. mild pulmonary edema has improved compared to the previous study. there are small bilateral pleural effusions. patchy bibasilar airspace opacities likely reflect atelectasis. no pneumothorax is demonstrated. there...
history: <unk>f with dyspnea
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the cardiac silhouette is severely enlarged but stable. extensive coronary calcifications are best appreciated on the lateral radiograph. the mediastinal contours are prominent due to an unfolded and tortuous thoracic aorta. calcification at the aortic knob is noted. the trachea is slightly deviated to the right by the...
history of end-stage renal disease, due for dialysis today, now with orthopnea, here to evaluate for pulmonary edema.
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. marked tortuosity of the thoracic aorta is unchanged from multiple priors.
chest pain.
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previously noted left subclavian catheter has been removed. left axillary arterial line is again noted. endotracheal tube terminates <num> cm above the carina. curved tube projecting over the neck may reflect nasogastric tube coiled in the cervical esophagus. ng tube terminates in the stomach. bilateral chest tubes are...
status post poly trauma, assess for interval change.
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the lung volumes are low, accentuating the vascular markings. there is no evidence of consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. there is mild enlargement of the cardiac silhouette, unchanged from prior exam. calcifications of the aortic arch are stable. no fracture is identified.
fall with facial lacerations.
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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. central line terminates in the low svc.
history: <unk>f with feeling bad, infectious workup // eval 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 unremarkable. a <num> cm nodular opacity overlying the inferior endplate of the mid thoracic vertebral body is likely an osteophyte.
<unk> year old man with cough and fever // ? infiltrate
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chest, single ap portable view the carina is not well delineated. allowing for this, the et tube lies approximately <num>-<num> cm above the carina. an ng tube is present -- the tip extends beneath diaphragm, off film. additional tubing is looped over the upper abdomen in the midline. a right ij sheath is present, tip ...
et tube, trauma line not bolusing. question trauma line positioning.
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frontal and lateral views of the chest are compared to previous exam from <unk>. moderate right-sided pleural effusion persists. there has, however, been interval improvement of previously seen pulmonary edema which is now essentially resolved. no significant left-sided pleural effusion is seen. cardiac silhouette is e...
<unk>-year-old female with diastolic dysfunction and dyspnea after physical therapy today.
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compared to the prior study there is no significant interval change.
<unk>f h/o esrd on hd, chf, pvd, dmt<num> p/w perforated diverticulitis s/p <unk>'s procedure now s/p takeback for colostomy revision, now septic on pressors and respiratory failure // interval change
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the patient is status post median sternotomy and cabg. lung volumes are low. heart size is difficult to assess given the low lung volumes, but is at least mildly enlarged. there is mild pulmonary vascular congestion. elevation of the left hemidiaphragm is again noted, with small bilateral pleural effusions visualized. ...
altered mental status.
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the et tube and ng tube have been removed. lung volumes are slightly low. difficult to completely assess the retrocardiac region secondary to the low lung volume otherwise the lungs are clear
<unk> year old man s/p mvc and splenectomy, orif, now with fever // acute process
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ap upright and lateral views of the chest provided. cardiomegaly is again noted with small bilateral pleural effusions, left greater than right. there is hilar congestion and mild interstitial pulmonary edema. there is stable calcified opacity projecting over the left upper lung which is unchanged over several prior ch...
<unk>f with anemia // r/o acute process
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. multiple remote right-sided rib fractures are re- demonstrated.
history: <unk>f with copd, shortness of breath
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the lungs are clear of focal consolidation, effusion, or pneumothorax. there is no pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities identified.
<unk>m with chest pain // eval for cardiopulmonary process
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portable upright radiograph of the chest demonstrates the lungs are well expanded with persistent linear opacities in the right upper lobe, unchanged since <unk>, likely scarring. the heart is moderately enlarged and unchanged. no pleural effusion, pulmonary edema, or focal consolidation concerning for pneumonia is ide...
<unk>-year-old male with dyspnea. evaluation for pneumonia.
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the lungs are hyperinflated. there is relative elevation of the right hemidiaphragm more accentuated than on prior, potentially in part due to patient positioning. there is no focal consolidation or edema. blunting of the left posterior costophrenic angle could represent a trace effusion. moderate cardiac enlargement i...
<unk>f w/agitation, please eval for occult pna
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lungs are hyperinflated. bibasilar linear opacities are present, left greater than right, likely due to a combination of subsegmental atelectasis and scarring. tiny calcified granuloma at the right lung base is unchanged. cardiomediastinal and hilar contours are unchanged. no pneumothorax, pleural effusion, or pulmonar...
history: <unk>m with cad and chf p/w chest pain // eval for chest pain