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MIMIC-CXR-JPG/2.0.0/files/p19532801/s55312236/54b0e292-2e32e84f-91bf5782-9102a62f-a5579b84.jpg
single portable view of the chest is compared to previous exam from <unk>. again, there is elevation of the right hemidiaphragm. blunting of the right lateral costophrenic angle may be due to atelectasis versus small effusion. left lung is clear, noting that the costophrenic angle is excluded from the field of view. th...
<unk>-year-old male with central line placement.
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the cardiac silhouette size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are within normal limits. lungs are hyperinflated but clear without focal consolidation. minimal scarring is noted at the lung apices. no pleural effusion or pneumothorax is present. pulmonary vasculature is normal. ther...
history: <unk>m with chest pain
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pa and lateral views of the chest provided. midline sternotomy wires, prosthetic valve, and mediastinal clips are again noted. there is improved aeration in the lung bases with resolution of previously noted opacities and effusion. cardiomediastinal silhouette appears stable and normal. no signs of edema or congestion....
<unk>f with right sided jaw pain // r/o acute process
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there is a focal opacity in the right lower lobe. the lungs are otherwise clear. moderate cardiomegaly is not significantly changed. the descending thoracic aorta is slightly ectatic, as before. there are no pleural effusions. no pneumothorax is seen. degenerative changes of the thoracolumbar spine are again noted.
mental status change, evaluate for infiltrate.
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the heart continues to be enlarged, and there is central pulmonary vascular congestion and mild interstitial edema. there is no pleural effusion or focal consolidation. there is no pneumothorax.
<unk>-year-old male with increased shortness or breath. evaluate for fluid overload or pneumonia.
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pa and lateral views of the chest provided. left-sided pacemaker and leads are stable in position terminating in the anterior wall of the mid right ventricle and the right atrium. lungs are well inflated and grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
<unk> year old man with pacemaker and left temporal anaplasticastrocytoma // check pacemaker placement
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there is persistent tenting of the left hemidiaphragm, chronic. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the hilar contours are stable.
seizure.
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. anterior wedging of either a lower thoracic or upper lumbar vertebral body is slightly increased compared to the prior radiographs from <unk>.
history of alcoholic cirrhosis. assess for pleural effusion as part of evaluation for liver transplantation.
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a left picc is in place with the tip terminating at the cavoatrial junction. the lungs are symmetrically well expanded and well aerated. there is an ill-defined airspace opacity projecting over the left mid lung zone, which is decreased from the prior study. the left lung base is better aerated. no pleural effusion or ...
recent ventilator-associated pneumonia, ex lap and bowel resection, now with fever, here to evaluate for pneumonia or intra-abdominal free air.
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previously seen right lower lobe pneumonia has resolved with insignificant residual opacity. there are no new areas of focal consolidation. the lungs are well expanded and clear with no mass lesion, pleural effusion or pneumothorax. cardiomediastinal silhouette demonstrates mildly tortuous aorta, but is otherwise norma...
<unk>-year-old male here for followup study after diagnosis of right lower lung pneumonia in <unk>.
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heart size is normal. mediastinal contours are unremarkable. there is no pulmonary edema. bibasilar airspace opacities, more pronounced on the left, and may reflect areas of aspiration or infection. small bilateral pleural effusions may be present. no pneumothorax is identified. diffuse gaseous distention of the stomac...
shortness of breath.
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right internal jugular central venous catheter tip terminates at the svc/ right atrial junction. the patient is status post median sternotomy. the cardiac, mediastinal and hilar contours are unchanged. minimal atelectasis is noted in the lung bases. no pneumothorax is identified. no large pleural effusion is present th...
history: <unk>m with line placement
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain, palps // ? acute cardiopulm process
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pa and lateral views of the chest. the lungs, mediastinum, heart, and pleural surfaces are normal. there is no evidence of pneumonia.
cough for one month, evaluate for pneumonia.
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low lung volumes with subsegmental atelectasis in the lower lobes. prominence of the pulmonary vasculature can be related to crowding from low lung volumes or mild elevated pulmonary venous pressure. mild cardiomegaly. no effusions or pneumothorax. prior sternotomy, cabg and implanted left chest wall holter monitor.
<unk> year old man with af starting amiodarone // starting amiodarone
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pa and lateral views of the chest are compared to previous exam from <unk>. there has been no change. lungs remain clear. elevation left hemidiaphragm again noted. cardiomediastinal silhouette is within normal limits. right-sided central line and pacer leads are again noted. osseous structures are unremarkable.
<unk>-year-old male with history of short gut syndrome with fever for three days.
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left picc is again seen with tip projecting over the upper right atrium. enteric tube is no longer visualized. the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. peg tube projects over the left upper quadrant.
<unk>f with shortness of breath // acute process?
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cardiac, mediastinal and hilar contours are normal. lungs are hyperinflated with emphysematous changes again noted. atelectasis is seen in the lung bases. no large pleural effusion or pneumothorax is present. pulmonary vasculature is not engorged. moderate compression deformity of a mid thoracic vertebral body remains ...
history: <unk>m with chest pain, fever
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are hyperinflated suggestive of copd. blunting of the right costophrenic angle is unchanged, and could suggest chronic pleural thickening. no large pleural effusion or pneumothorax is seen. there are mild degenerative cha...
chest pain.
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ap upright and lateral views of the chest provided. lung volumes are low with linear opacities in the lower lungs again seen likely representing atelectasis versus scarring. there is mild interstitial edema which is new from prior exam. no large effusion or pneumothorax is seen. the heart size appears within normal lim...
<unk>f with diffuse pain, c/o intermittent sob, decreased breath sounds on exam // acute process in chest?
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ap single view of the chest obtained with patient in semi-upright position is analyzed in direct comparison with the next preceding similar study obtained six hours earlier during the same day. tracheostomy cannula remains in unchanged position. the same holds for multiple other devices and unchanged position is noted ...
<unk>-year-old female patient with pneumothorax, status post chest tube switched to water seal. evaluate for pneumothorax.
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patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are stable. previously seen right-sided picc is no longer seen. right lower lobe opacity has increased since the prior study. no large pleural effusion is seen. there is no evidence of pneumothorax.
history: <unk>m with post obstructive pna p/w worsening hypoxia, cough // eval for consolidation
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the cardiac silhouette quite enlarged, although likely in part exaggerated by supine position and ap technique. no focal consolidation is seen. there may be left base atelectasis. no large pleural effusion or pneumothorax is seen.
history: <unk>f with hypoxia s/p mvc // eval for pna
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low lung volumes cause significant bronchovascular crowding. a moderate to large left pleural effusion with loculation within the fissure and associated left lower lobe and lingular collapse and/or consolidation. there is a small right pleural effusion. pulmonary vascular congestion is likely mild, accentuated by volum...
<unk>m with weakness, confusion, evaluate for infiltrates
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the patient is post aortic valve replacement. right ij line terminates at the superior-cavoatrial junction. a moderate size right pleural effusion is new. lungs are essentially clear.
<unk> year old man with s/p avr // eval for effusion
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left-sided port-a-cath is seen, distal tip of which may appears to project posteriorly and may actually terminate in the azygos vein. left base opacity most likely represents atelectasis. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. t...
history: <unk>f with elevated wbc/abd abd pain // r/o acute process
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compared to the prior exam there has been interval increase in the amount of hazy opacity in both lower lungs. while some of this is due to volume loss, an early infiltrate in either lower lobe cannot be totally excluded. there is mild pulmonary vascular redistribution. the heart is mildly enlarged. left ij line with t...
<unk> year old woman with infected l kidney stone s/p pcn, now appearing septic. // is there e/o pna?
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the et tube tip lies at the level of the mid clavicular heads. the carina is not well delineated, but the tip of the et tube likely lies approximately <num> cm above the carina. an ng type tube is present, tip overlying the stomach. no ng sideport is identified. if present, the ng tube sideport may be obscured by a spi...
<unk> year old man with trauma // acute process
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the lungs are well expanded and clear. bibasilar atelectasis/scarring is again noted, unchanged from prior. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. old left rib fracture is seen.
crackles heard at bases, <num> days with dizziness.
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tracheostomy is in place. right ij line tip overlies the proximal svc. no pneumothorax detected. multiple lines overlie the chest. of note, the previously seen left-sided picc line is not visualized on the current study. compared with the prior film, i doubt significant interval change. again seen are low inspiratory v...
<unk>m hx of right lung nodule, cll, paf, copd and etoh abuse s/p right upper lobectomy on <unk>, admitted to sicu for hypoxic respiratory distress on the floor requiring non-rebreather mask. recovery c/b etoh withdrawal and hallucinations // follow up
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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 portable chest examination of <unk>. previously identified pleural drainage tube at right lower base has been removed. mild degree of pleural blunting is noted. the right pulmona...
<unk>-year-old female patient status post pericardial window placement, now status post removal of chest tube, evaluate for pneumothorax.
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ap portable upright view of the chest. a tiny left apical pneumothorax is present. two thoracostomy tubes are present. the heart size is top normal. there is central pulmonary vascular congestion, with no appreciable edema. a left basilar opacity likely reflects a combination of atelectasis and a small left pleural eff...
<unk> year old man with left empyema sp decort // ptx
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pa and lateral views of the chest. the lungs are slightly hyperinflated but clear of consolidation effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no displaced rib fracture identified.
<unk>-year-old male with pain.
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ap and lateral chest radiographs. lung volumes are chronically low with bibasilar and perihilar atelectasis. the heart is not enlarged and there is no evidence of pulmonary edema. there is no pneumothorax.
fever. evaluation for pneumonia.
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increased interstitial markings are seen throughout the lungs, worse at the bases. the appearance is not dramatically different from prior exam. there is no definite superimposed consolidation. cardiac silhouette is grossly unchanged. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormaliti...
<unk>f with ams pna?
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single portable supine frontal image of the chest. the et tube is in adequate position. the og tube passes into the stomach and off of the image inferiorly. the lungs are well expanded. mild pulmonary edema is seen. opacities are seen in the bilateral lung bases, which may represent atelectasis, but cannot excluded pne...
intubated with ogt placed.
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chronic appearing changes are noted at the right lung with chronic volume loss. there is chronic blunting of the right costophrenic angle which may be due to small pleural effusion or pleural thickening. subtle increase in interstitial markings bilaterally may be due to minimal interstitial edema superimposed on copd. ...
history: <unk>f with copd, nsclc s/p resection in <unk>, follicular lymphoma p/w fever, cough // pneumonia, adenopathy, mass
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pa and lateral views of the chest. there are small bilateral effusions which are new since prior. the lungs are clear without consolidation or pulmonary vascular congestion. there is mild cardiomegaly which has developed since prior exam. no acute osseous abnormality is identified.
<unk>-year-old male with cough.
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the cardiac silhouette size is normal. the aorta is mildly unfolded. mediastinal and hilar contours are otherwise normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with palpitations, lightheadedness // pneumonia
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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.
history: <unk>f with cough and hyperglycemia // eval for pneumonia
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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 // acute cardiopulm disease
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. there is a triangular opacity projecting over the heart on the lateral view likely reflects chronic atelectasis in the inferior lingula better assessed on prior ct and unchanged from at least <unk>. the cardiomediast...
<unk>f with chest pain, dyspnea on exertion // evidence of infiltrate, effusion, volume overload
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patient is status post partial right upper lobe resection with subsequent volume loss in the right hemi thorax. irregular interstitial markings at the right lung base on the frontal view abutting the diaphragm likely chronic based on changes on prior chest ct. there is no focal consolidation worrisome for pneumonia nor...
<unk>m with fever and cough // r/o acute process
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cardiac silhouette size is top normal. the aorta is tortuous and demonstrates atherosclerotic calcifications at the aortic arch. pulmonary vasculature is not engorged and the hilar contours are unchanged. minimal atelectasis is noted in lung bases without focal consolidation. no pleural effusion or pneumothorax is dete...
history: <unk>m with chest pain, shortness of breath, cough
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frontal and lateral views of the chest. when compared to prior, there has been significant interval improvement of the previously seen pulmonary edema which has resolved. minimal blunting of the lateral and posterior costophrenic angles likely due to trace effusions. the cardiac silhouette is enlarged but not moreso th...
<unk>-year-old female with atrial fibrillation with rapid ventricular rate. feeling unwell. question pneumonia.
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the cardiac, mediastinal and hilar contours appear unchanged. opacity in the right upper lung appears similar to slightly increased while opacities in the left lower lung have partly resolved. elsewhere the lungs remain clear without new areas of opacification. there is no pleural effusion or pneumothorax.
dyspnea and anemia.
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a rounded structure in the left suprahilar region is consistent with an external pendant, and removed on repeat frontal view. the cardiomediastinal silhouette is within normal limits. the lungs are clear with the exception of trace left basilar atelectasis. there is no large effusion, vascular congestion, or pleural ef...
<unk>-year-old male with fever. question pneumonia.
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart, mediastinal and pleural surface contours are normal.
syncope.
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semi-upright portable chest radiographs demonstrate dobbhoff tube curled within the stomach. right ij catheter is in appropriate position in the upper svc. small right pleural effusion and pulmonary vascular congestion are seen with stable cardiomegaly and aortic calcifications without focal consolidation.
dobbhoff tube placement.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. minimal streaky opacity at the left lung base suggests very minor atelectasis. otherwise, the lung fields appear clear. there is no pleural effusion or pneumothorax. the thoracic spine curves slightly to the right.
palpitations and shortness of breath.
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two views were obtained of the chest. the lungs are low in volume without focal consolidation, pleural effusion, or pneumothorax. the heart is mildly enlarged with normal cardiomediastinal contours.
<unk>-year-old female with chest pain and back pain. assess for infiltrate.
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the left-sided chest tube and mediastinal drains have been removed. there is a small left apical pneumothorax. right ij line with tip in the right atrium is again seen. there is volume loss in both lower lungs left greater than right
<unk> year old man with sternotomy/pacer wire removal // r/o ptx, s/p ct d/c
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normal cardiomediastinal and hilar contours. normal pleural surfaces. low lung volumes with vascular crowding adjacent to the right heart border. lungs are clear. no acute focal pneumonia, pleural effusion, pulmonary edema, or pneumothorax.
<unk>-year-old woman with shortness of breath and tachycardia. evaluate for pulmonary edema or pneumonia.
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since the prior radiographs, new moderate pleural effusions have developed. patchy parenchymal opacities in the lower lobes are most suggestive of associated atelectasis. there is no pneumothorax. the cardiac, mediastinal and hilar contours appear unchanged.
pancreatitis and leukocytosis. new pleural effusion seen on ct.
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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. thoracic scoliosis is noted.
itp and worsening cough.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear normal.
chest pain, back pain, and hypertension.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion, or pneumothorax. the lungs are well expanded. the cardiomediastinal silhouette is normal. possible minimal degenerative change in the thoracic spine. the imaged upper abdomen is unremarkable.
<unk>-year-old male with lightheadedness. evaluate for cardiopulmonary disease or infiltrate.
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there are tiny bilateral pleural effusions, seen only on the lateral view, which are unchanged from the prior ct of the chest from <unk>. there is no consolidation, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal. a left picc is present with the tip at the cavoatrial junction.
history of a all. evaluate prior to bone marrow transplant.
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the heart size is normal. there has been interval development of left-greater-than-right patchy consolidations worrisome for aspiration pneumonia. mild prominence of the pulmonary vasculature may suggest a background of mild edema. there is no pneumothorax.
history of aspiration presenting with low o<num> sats and coarse breath sounds postoperatively.
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marked interval increase in size of the loculated left-sided pleural effusion. there is associated air bronchograms suggesting adjacent lingular and left lower lobe collapse (as there is no significant medial shift). right-sided icd in situ with interval decrease in the amount of pleural fluid. right apicolateral pneum...
<unk> year old woman s/p thoracoscopy and tpc placement // r/o pneumothorax
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in comparison to the prior radiograph, the lung volumes are significantly lower, with resultant crowding of the vascular structures and exaggeration of the cardiac silhouette which is likely within normal limits. there is no evidence of consolidation, edema, pleural effusion, or pneumothorax.
left-sided chest pain.
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prior right picc is no longer seen. there are small bilateral pleural effusions. low lung volumes are seen with crowding of the bronchovascular markings however there is no superimposed consolidation. the cardiomediastinal silhouette is within normal limits. hypertrophic changes noted in the spine. multiple presumably ...
<unk>m with fever, tachy // pna?
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fibrotic changes in the lungs bilaterally are similar in distribution and appearance when compared to prior, particularly from <unk>. there is no definite new consolidation although subtle changes could easily be obscured. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. t...
<unk>m with cough and hypoxia // pneumonia?
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the ng tube is seen passing along the expected course into the distal portion of a severely distended stomach. chest radiograph is otherwise unchanged from prior exam. there is no pneumothorax or other complication seen. there is minimal bibasilar atelectasis. there is stable widened mediastinum. there is no evidence o...
<unk>-year-old male status post cabg and avr with ileus and high ng tube output.
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chest, pa and lateral. the lungs are clear. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
syncope.
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ap and lateral radiographs of the chest were acquired. there is minimal bibasilar atelectasis and scarring. the lungs are otherwise clear. the cardiac and mediastinal contours are normal. aortic knob calcifications are re-demonstrated. there are no definite pleural effusions. no pneumothorax is seen. unfolding of the d...
lower extremity edema and generalized weakness. evaluate for fluid overload.
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. suture anchor in the right shoulder is unchanged.
<unk> year old woman with pleuritic cp // ? infiltrate
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there is apparent elevation the right hemidiaphragm with apex relatively lateral suggesting a subpulmonic effusion. secondary right basilar atelectasis is seen. the degree of pulmonary vascular congestion is similar compared to recent exam. no left-sided effusion identified. cardiac silhouette is enlarged as on prior. ...
<unk>m with hfpef, cirrhosis, anemia p/w cough and dyspnea. // evaluate for pna, volume overload
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the cardiac silhouette is top-normal. mediastinal contours are stable. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. no pulmonary edema is seen. <unk> partially imaged.
history: <unk>f with chest pressure // eval for consolidation, effusion, acute process.
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the cardiomediastinal contours are unchanged. there is no concerning focal consolidation. there is no pleural effusion or pneumothorax. compression deformity of mid thoracic vertebral body is unchanged since <unk>.
<unk>f with fall and presyncope // please evaluate for intracranial hemorrhage, c-spine fracture or pneumonia.
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ap upright and lateral views of the chest provided. dextroscoliotic curvature of the thoracic spine in patient rotation to the left limits assessment. allowing for this, the lungs appear clear and hyperinflated. the cardiomediastinal silhouette appears similar to that on prior. bony structures are intact. a catheter pr...
<unk>f with hypotension // r/o acute process
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pa and lateral views the chest provided. lungs are clear. cardiomediastinal silhouette is stable and normal. no large effusion or pneumothorax. bony structures are intact.
<unk>-year-old man with hypoglycemia and dyspnea. evaluate for evidence of pneumonia.
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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> year old woman with acute onset this morning of facial weakness/numbness, slurred speech, occipital ha
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain // eval for cardiopulmonary process
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right-sided picc is seen terminating in the mid to lower svc. no pneumothorax is seen. lung volumes remain low without definite focal consolidation. no pleural effusion is seen. cardiac and mediastinal silhouettes are stable.
history: <unk>m with confusion and rash // eval for pna
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portable upright radiograph of the chest demonstrates markedly low lung volumes with bibasilar atelectasis. there is a right chest wall port-a-cath terminating at the cavoatrial junction. there is no pneumothorax or right sided pleural effusion. a small left pleural effusion is not excluded. the mediastinal contours ar...
abdominal pain and tachypnea. evaluate for pneumonia or free abdominal air.
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a left chest wall pacemaker is present leads in the lower right atrium and right ventricle. there is no focal consolidation, pleural effusion or pneumothorax. there is mild cardiomegaly. degenerative changes are present within the right shoulder.
<unk>f with infected pacemaker wound // r/o intrathoracic process
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chronic mild prominence of the interstitial markings likely relates to chronic lung disease. left upper lobe/lingular scarring/atelectasis is seen. there is no definite focal consolidation. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. surgical material is again seen ...
chf and asthma presenting with shortness of breath.
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the aorta is tortuous and calcified, causing rightward displacement of the trachea. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk>f w/ hypoxia. evaluate for pneumonia.
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frontal upright ap and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. heart size is normal. mediastinal silhouette and hilar contours are normal. an inferior approach dialysis catheter ends in th...
hypotension.
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a left picc line terminates in the distal svc. there are no other significant changes compared with prior the lungs are clear without focal consolidation. pleural and parenchymal scarring at the periphery of the left lung base is unchanged since <unk> the cardiac and mediastinal silhouettes are unremarkable. median ste...
picc that
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the newly placed dobbhoff catheter coils in the upper esophagus. chronic diffuse interstitial abnormality with small layering bilateral pleural effusions are unchanged. the heart and mediastinum are within normal limits despite the projection. increased retrocardiac airspace opacification may either be due to atelectas...
<unk> year old man with new dophoff placement // dophoff placement
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patient is status post median sternotomy and cabg. moderate enlargement of cardiac silhouette is re- demonstrated. mediastinal contour is unchanged. diffuse atherosclerotic calcifications of the aorta are noted. hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are clear without foca...
history: <unk>m with elevated lactate
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right pectoral infusion port terminates in mid svc. multifocal dense opacities throughout the lungs with relative sparing of left apex are slightly worse compared to <unk>. worsening of opacities may represent increased pulmonary edema or progression of superimposed pneumonia. there is no pneumothorax or large pleural ...
<unk> year old man with metatstatic esophageal ca, pulmonary edema vs pneumonia // int change
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cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is visualized.
history: <unk>f with left upper quadrant and left sided chest pain
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again seen is the feeding tube taken in atypical course due to a hiatal hernia. the tip of the feeding tube is in the left upper quadrant and therefore should be advanced if he planned to be used for feeding. the lucency in the mid trachea is again visualized but is not as conspicuous on today's study there continue to...
<unk> year old woman extubated <unk>, copious diuresis. // eval for resolving pulm edema
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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 altered mental status // eval for acute process
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there has been interval placement of a right pigtail catheter. the previously seen large pneumothorax has markedly decreased in size. the cardiomediastinal silhouette is normal. the left lung is clear. right lower lobe atelectasis persists.
<unk>m with p pigtail placement for ptx // eval placement
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single portal ap chest radiograph was provided. there are diffuse prominent interstitial opacities, peribronchial thickening and kerley b lines consistent with pulmonary edema, more confluent at the bases. the heart is enlarged since the prior study. there is no pneumothorax or pleural effusions. the imaged upper abdom...
shortness of breath and crackles. evaluate for fluid overload or pneumonia.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is enlarged but stable. the thoracic aorta is tortuous with unchanged mediastinal and hilar contours...
status post bone marrow transplant <unk> years ago, now with non-productive cough, here to evaluate for pneumonia.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiac silhouette and mediastinal contours are normal. there is mild pulmonary vascular congestion.
<unk>-year-old female with altered mental status, question pneumonia.
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even allowing for the projection, the heart is mildly enlarged. there is prominence of the bilateral hila and pulmonary vasculature with haziness of the upper lobe vasculature. the findings are consistent with congestive heart failure. bibasal opacities may reflect layering pleural effusions. infection cannot be exclud...
<unk> year old woman with acute dyspnea and desaturation // ?infiltrate, edema, effusion
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. no pulmonary edema is seen.
history: <unk>m with epigastric pain // r/o chf/pneumonia
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frontal and lateral views of the chest. the lungs are grossly clear. costophrenic angles are obscured, likely due to overlying soft tissues. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with one month of cough and bilateral ear pain.
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pa and lateral views of the chest provided. cervical spinal hardware noted in the lower neck. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. mild aortic knob calcification noted. imaged osseous structures are intact. no free air below the right hemidiaphragm is s...
<unk>f with chest pain/back pain
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lung volumes are low, with exaggeration of bronchovascular markings. there is suggestion of a left retrocardiac opacity, which could represent atelectasis or pneumonia. no pleural effusion or pneumothorax. cardiomediastinal contours are within normal limits. no acute osseous abnormalities identified. a catheter is seen...
history: <unk>m with fever // eval for pna
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lung volumes are low. heart size is top normal. mediastinal and hilar contours are unremarkable given supine positioning and technique. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. minimal atelectasis is likely present at the lung bases. no displaced fractu...
history: <unk>m with trauma
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right picc tip projects over the mid svc. low lung volumes are noted. the lungs are clear without focal consolidation or large effusion. cardiomediastinal silhouette is enlarged, stable. degenerative changes are seen at the shoulders. surgical clips are in the right upper quadrant.
<unk>m with right foot <unk>, <unk> need or. pre-op. // acute 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 similar study of <unk>. status post sternotomy and previous bypass surgery with multiple surgical clips in the anterior mediastinum appear unchanged. moderate cardiac enlargement...
<unk>-year-old male patient with recurrent right pleural effusion, status post thoracocentesis/pleurodesis, assess for interval change.
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pa and lateral views of the chest provided. lungs appear <unk> markedly hyperinflated with widened ap diameter of the chest and prominent retrosternal airspace consistent with copd. scattered areas of calcified pleural plaque noted bilaterally likely reflecting chronic asbestos exposure. biapical pleural parenchymal sc...
<unk>f with dizziness, weakness, pls eval cxr for pna as cause of weakness.