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MIMIC-CXR-JPG/2.0.0/files/p19398915/s55892211/c5875463-4379f0b6-3299f595-3f8a0b86-25980d6a.jpg
ap portable upright view of the chest. a nasogastric tube terminates within the stomach, with the side hole at the gastroesophageal junction. a moderate right pleural effusion is unchanged since the <unk> examination. again seen is central pulmonary vascular congestion with moderate edema. a right picc terminates at th...
new ngt placed // new ngt placed
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pa and lateral chest radiographs demonstrate surgical material in the lingula from prior wedge resection. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
rcc and prior lingula resection. cold-like symptoms.
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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.
weakness.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with left upper quadrant pain. please assess for 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 lung volumes are low. the lungs appear clear.
chest pain.
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compared to prior, there is new moderate left basal atelectasis with associated leftward shift due to volume a loss and small left pleural effusion. the evaluation of left heart border is difficult, but the heart size is likely normal. mediastinal and hilar contours are unremarkable. the right lung is clear. there is n...
<unk> year old man with pleural effusion // evaluate pleural effusion
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lung volumes are low, and there are small bilateral pleural effusions. heart size is top normal. there is central pulmonary vascular congestion, without pneumothorax or focal consolidation.
<unk>m with aflutter and severe mr. <unk> for pulmonary edema.
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the heart and mediastinum are not enlarged. aorta is minimally unfolded. there is equivocal bilateral hilar retraction. a small faint ill-defined density seen in the right upper zone laterally measuring roughly <num> by <num> mm. this lies between the posterior fifth and sixth ribs. the lungs are hyperinflated, suggest...
history: <unk>f with palpitations, a-fib rvr // eval for acute process
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cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. again seen is a right chest port with tip terminating in the mid svc.
neutropenic fever.
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et tube terminates <num> cm above the carina. a nasogastric tube courses below the diaphragm and out of view. a poorly defined opacity in the right lung base medially may represent aspiration and/or pneumonia. . left pleural effusion is small. cardiac silhouette is normal size.
history: <unk>f with left hem stroke, <num>x<num> cm pls eval interval change, also ett pls eval cxr //
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the lungs are clear focal consolidation, effusion or vascular congestion. there is moderate cardiomegaly and tortuosity of the descending thoracic aorta. no acute osseous abnormalities.
<unk>m with <unk> headache, e/o right basal ganglia ischemia in the setting of hypertension to sbp > <num> // ? e/o cardiomegaly, pulmonary vascular congestion
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. left breast clips are identified.
<unk>f with cough // cough
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blunting of the left costophrenic angle with silhouetting of the left hip in diaphragm is most consistent less small left pleural effusion and atelectasis. there is also small right pleural effusion. central pulmonary vascular congestion is moderate. the mass is minimal. heart size is enlarged, unchanged. aortic knob c...
<unk> year old man with sig abd pain. // upright image to r/o perforation
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cardiomediastinal silhouette and hilar contours are unremarkable. a <num> cm nodular opacity in the right lung base has no lateral correlate and is new from <unk>. the left lung is clear. there is no pleural effusion or pneumothorax. the osseous structures are grossly unremarkable.
chest pain and left arm pain.
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portable chest radiograph demonstrates left basilar atelectatic changes with slightly increased left pleural effusion. there is no pneumothorax. redemonstration of several left rib fractures as well as left scapular fracture. the right lung remains grossly clear. cardiomediastinal and hilar contours stable.
<unk>-year-old hepatic pedestrian status post left pneumothorax.
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there is a mild dextrocurvature of the thoracic spine, new since comparison study, which may be positional in nature. lung volumes are normal. there is no acute consolidation, pleural effusion, pneumothorax. cardiomediastinal silhouette is normal. anterior dislocation of the left humeral head is noted.
history: <unk>m with likely l shoulder dislocation s/p seizure // ? acute cardiopum process, ? l shoulder dislocation
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heart size is normal. mediastinal and hilar contours are unremarkable. streaky right basilar opacity likely reflects atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. no pulmonary vascular congestion is demonstrated. there are no acute osseous abnormalities identified.
chest pain.
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mild to moderate cardiomegaly is stable. transvenous pacemaker leads terminate in a standard positions in the right atrium, right ventricle and through the coronary sinus. patient is status post cabg. the lungs are clear. there is no pneumothorax or pleural effusion. sternal wires are aligned, breakage of the fourth st...
<unk> year old man s/p biv icd placement // ptx, leads
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with palpitations and dyspnea. evaluate for pneumonia.
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frontal and lateral views of the chest were obtained. the lungs are hyperinflated. there is right apical scarring. large, peripheral opacities in the lung apices, right larger than left with focal calcifications in the right opacity and right hilar retraction. a large apparent lung nodule at the upper pole of the right...
subarachnoid hemorrhage, dementia.
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pa and lateral views of the chest. moderate-to-severe cardiomegaly is seen. a left-sided pacemaker is in place. mediastinal wires and mediastinal clips are seen. there is mild pulmonary vascular congestion, but no focal consolidation and no evidence of pulmonary edema. there may be small bilateral pleural effusions.
bilateral lower extremity swelling, shortness of breath.
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small to moderate right pleural effusion appears decreased as compared to the prior study. there appears to be some volume loss of the right lung although there is improved aeration as compared to the prior study. the left lung is clear. no left pleural effusion is seen. no definite focal consolidation. the cardiac sil...
history: <unk>m with liver transplant <unk> p/w fever and diminished r breath sounds // evaluation of pna
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the lungs are hyperexpanded with flattening of the diaphragm, compatible with copd. there is prominence of interstitial lung markings as well as airspace opacities, compatible with mild pulmonary edema. no focal consolidation is identified. there is no pneumothorax. there is a small left pleural effusion. the cardiomed...
history: <unk>f with history of copd, now with dyspnea // please evaluate for acute abnormality
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endotracheal tube tip is <num> cm from the carina. enteric tube passes with tip into the stomach, side-port just proximal to the ge junction. the lungs are clear without consolidation, large effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. mitral annular calcifications are noted. old heal...
<unk>f with intracranial bleed. // confirm et tube position
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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. clips noted in the right upper quadrant compatible with prior cholecystectomy.
<unk>f with disseminated zoster, sob // pna.
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ap semi-erect portable chest film <unk> at <time> is submitted.
<unk> year old woman with rsp distress // pulmedema? mucous plug? pulmedema? mucous plug?
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there are relatively low lung volumes, which accentuate the bronchovascular markings. given this, no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with fever and shortness of breath // please eval for pna
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the lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged, and there is no overt pulmonary edema. an ill-defined opacity projecting over the left lateral lung base is unchanged from <unk> and may represent focal s...
history of multiple sclerosis, on chronic immunosuppression, now with new onset weakness, here to evaluate for acute cardiopulmonary process.
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m with tachycardia // ? infectous process
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heart size is mildly enlarged. the aorta is tortuous and demonstrates calcifications of the aortic knob. small bilateral pleural effusions with mild pulmonary vascular engorgement is noted. additionally, patchy opacities in the lung bases may reflect aspiration or infection, and less likely atelectasis. no pneumothorax...
elevated troponin, bilateral lower extremity edema, elevated bnp and shortness of breath.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are hyperinflated compatible with copd. there is no pleural effusion or pneumothorax. subtly increased opacity at the base of the right lung may represent atelectasis or infection in the appropriate clinical setting. as before, cervical fusion...
history: <unk>f with dyspnea, cough // evaluat efor acute process
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ap portable upright view of the chest. an orogastric tube terminates in the left upper quadrant. there is a left arm picc line with its tip residing in the low svc. hazy lower lung opacities likely reflect layering effusions with probable subjacent atelectasis. there has been slight improvement in aeration compared wit...
<unk> year old man with metastaic cancer. has left arm picc. // please confirm location of picc
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the tip of a left picc line projects over the distal svc. there is a new opacity in the right upper lung zone in the area of the previously described cavitary lesion. otherwise the diffuse and prominent reticular markings are unchanged. no pleural effusion or pneumothorax identified. the size the cardiac silhouette is ...
<unk> year old woman with ild, chf, now tachypneic and tachycardic // is there e/o pulmonary edema?
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heart size appears mildly enlarged but unchanged. a moderate size hiatal hernia is re- demonstrated. atherosclerotic calcifications are noted aortic knob. soft tissue density along the left aortic knob contour is new since the previous ct and may reflect lymphadenopathy. hilar contours are grossly unchanged from the re...
history: <unk>f with cough
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the cardiac, mediastinal and hilar contours appear stable. asymmetric heterogeneous opacification suggests multifocal pneumonia in the right lung. right mid lung opacities are vague but somewhat rounded so septic nodules are possible this may perhaps be explained primarily by pneumonia. there is also a fairly well defi...
shortness of breath and tachycardia. positive blood cultures and known mitral valve prolapse.
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compared to the prior study there is no significant interval change.
<unk> year old man with ? stroke // ? cardiopulmonary process - can cancel if this has been done in the ed before admission on <unk>
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a portable frontal chest radiograph demonstrates a right jugular central catheter with the tip in the low svc, and a nasogastric tube which extends at least into the stomach. the right pneumothorax now has a subpulmonic component, and appears slightly larger, although this may simply be due to changes in positioning. a...
pneumothorax. evaluate for interval change.
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there has been interval retraction of the right picc, now extending to the upper svc. the swan-ganz catheter has been removed. small bilateral pleural effusions with overlying atelectasis. there is persisting mild central vascular congestion, although decreased in extent since prior. no pneumothorax identified. the siz...
<unk> year old man with severe phtn now acutely sob. crackles on exam. // please eval for pulm edema/other pathology.
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no definite interval radiographic change. inspiratory volumes are low, similar to the prior study. again seen are extensive opacities throughout both lungs. more confluent opacity at the right lung apex is again noted, similar to the prior study. there could be very slight interval improvement in the left mid-zone, but...
<unk> year old man having high peak pressures on vent // ?interval change
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the lungs are well expanded. there is unchanged appearance of the left base. while some of this density may be accounted for by elevated hemidiaphragm, there is also increased retrocardiac opacity. left effusion is suspoected given presence on prior with similar appearance on the frontal view. mild cardiomegaly is also...
<unk>-year-old male unable to ambulate or sit up for at least three days. evaluate for acute cardiopulmonary process.
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ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. in aortic valve replacement again noted. elevation of the right hemidiaphragm again noted. no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. there is mild bronchovascular crowding in the lower...
<unk>f with increased bilat leg swelling // ?fluid overload
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trace right pleural effusion has decreased compared to prior. no consolidation, left effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. curvilinear density projecting along the dome of the liver appears unchanged. metallic densities projecting over the right upp...
<unk>-year-old female with pleural effusion.
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left-sided icd in situ with its position unchanged. there is no significant improvement in the left-sided effusion with adjacent airspace opacification in the left mid to lower lung zone. small left apical pneumothorax measuring <num> mm in diameter. the right lung is clear.
<unk> y/o m hd<unk> s/p mcc, l hemothorax with ct placement // interval change
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pulmonary vasculature is less dilated and there is less pulmonary edema than on prior exam. there is a right pleural effusion. there is plate atelectasis in the left mid zone. the right ventricle pacer wire passes in a supero-oblique direction within the heart instead the usual infero-oblique direction. there is no pne...
<unk>-year-old female with cad status post recent nstemi, admitted for chf exacerbation, now requiring assessment for interval change.
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pa and lateral radiographs demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. mild atherosclerotic plaques can be seen in the aortic arch. there are degenerative changes of the thoracic spine with kyphosis.
<unk>-year-old woman with abnormal ekg. evaluate for acute process.
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there are no focal areas of consolidation. there may be tiny bilateral pleural effusions, decreased from prior. no pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old woman with neutropenic fever, persistent fevers despite broad spectrum abx. // eval for pna
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lung volumes are low, likely secondary to lack of inspiratory effort. the lungs are otherwise clear. no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the heart size is normal. the mediastinum is not widened. the hila are unremarkable. the descending aorta is slightly tortuous. there is slight...
<unk> year old man with ? widened mediastinum on recent cxr // ? widened mediastinum- seen at urgent care and subsequently s<unk> hosp over weekend with cough. apparently urgent care radiology thought widened mediastinum. <unk> didn't agree. i don't have report they have disk of images.
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the heart size is moderately enlarged, minimally increased compared to the prior exam. the aorta remains tortuous. there is mild pulmonary edema with upper zone vascular redistribution and vascular indistinctness. small bilateral pleural effusions are new. retrocardiac and right basilar opacities likely reflect areas o...
hypoxia, shortness of breath.
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there are large bilateral pleural effusions. heart size is not evaluable in this context. prominent calcifications are noted at the aortic knob. there is central pulmonary vascular congestion with mild edema. there is no pneumothorax. basal consolidations could represent atelectasis versus aspiration/pneumonia.
altered mental status.
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moderate scoliosis and kyphosis. mild pulmonary edema with small to moderate left and small right pleural effusion. the retrocardiac opacity is probably a combination of atelectasis and pleural effusion, but could hide pneumonia. right lower lobe opacity also likely atelectasis. mild cardiomegaly. moderate hiatal herni...
<unk> year old woman with new o<num> requirement // ?atlectasis vs fluid overload vs pna
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frontal and lateral views of the chest demonstrate normal lung volumes. right lower lobe opacity appears new since prior exam. multifocal pneumonia seen predominantly involving the left lung on <unk> exam has largely resolved. residual opacity projecting over left lower lung zone may represent residual pneumonia. hilar...
patient with history of cough and fevers. assess for pneumonia.
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hyperinflated lungs noted. the lungs are otherwise clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pulmonary edema, pleural effusion, or pneumothorax. no focal consolidations are seen.
history: <unk>m with ankle fracture // pre-op cxr
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low lung volumes, old right-sided rib fractures. there is no focal lung consolidation. possible small right pleural effusion. the cardiomediastinal shilhouette is normal. no pneumothorax.
<unk>-year-old with seizure.
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lung volumes are low and exaggerate the pulmonary vascular markings. et tube is in the lower trachea at <num> cm from the carina. right ij tip is in the upper svc. enteric tube traverses to the stomach. while the heart size is exaggerated due to technique, it is still enlarged. the superior mediastinum also appears pro...
intubated transfer with left lower lobe opacity.
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interval decrease in the lung volumes causing crowding of the bronchovascular markings and subsegmental atelectasis. no acute focal consolidation, pneumothorax or pleural effusions. mild pulmonary vascular congestion. no overt pulmonary interstitial edema. prior cabg, median sternotomy and mitral valve placement.
<unk> year old woman with recent tee, cough. r/o pna. // pneumonia?
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frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. cardiac silhouette is top normal in size. no acute osseous abnormality is detected.
<unk>-year-old male with hypertension, hyperlipidemia and melanoma presenting with fevers and chest pain.
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postsurgical changes include chain sutures along the right upper mediastinum and median sternotomy wires, with fracture of the superior most wire. right posterior rib irregularities and elevation of the right hemidiaphragm with scarring in the right lung base is likely also postsurgical. there is a thorax, pleural effu...
history: <unk>f with diarrhea, weakness // evaluate for acute process
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portable supine chest film <unk> at <time> is submitted.
<unk> year old man with stemi, s/p iabp // eval iabp placement, pulmonarhy edema eval iabp placement, pulmonarhy edema
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a single-lead pacemaker device terminates in the right ventricle. 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 are unremarkable. there has been no significant change.
chest pain.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
chest tenderness and pain. evaluate for acute cardiopulmonary process.
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frontal and lateral views of the chest. the lungs are clear. there is no effusion, consolidation, or pulmonary vascular congestion. cardiac silhouette is slightly enlarged. no acute osseous abnormalities detected.
<unk>-year-old male with inferior q-waves and new heart failure on echo. nocturnal dyspnea. question chf.
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with <unk> <unk> // ? ptx ? ptx
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a large pneumothorax is identified on the right. an opacity along the right lower lobe appears more prominent on today's examination and could be related to recent procedure. there is blunting of the left hemidiaphragm, which could represent a small pleural effusion. left lung is otherwise clear.
<unk>-year-old female patient status post tbna on left and tbbx in rml. study requested to check for pneumothorax.
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the cardiomediastinal and hilar contours are within normal limits. subtle, small, symmetric opacities overlying the lower lungs on the frontal projection may represent nipple shadows. otherwise, there is no focal consolidation, pleural effusion or pneumothorax is identified. bony structures are intact. no free air belo...
<unk>m with fever // pna?
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there is an opacity in the left retrocardiac region, slightly more conspicuous than on <unk>. there is no pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged, unchanged from priors. there is a <num> mm nodule in the right upper lung not visualized on priors as well as more conspicuous left upper...
<unk>f with altered mental status // acute process?
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compared to prior exam there has been removal of the upper enteric tube. lung volumes are lower than prior examination on today's examination which accentuates the cardiac silhouette and pulmonary vascularity. there is minimal bibasilar atelectasis. the cardiac silhouette remains mildly enlarged without overt fluid ove...
alcoholic hepatitis with fever and cough.
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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>m with trauma, laid down motorbike, p/w l shoulder pain, sob
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the heart size is moderately enlarged and unchanged as far back as <unk>. the descending thoracic aorta is tortuous or possibly mildly aneurysmal.there is no focal consolidation,pleural effusion,pneumothorax,or frank pulmonary edema. there is no pulmonary vascular congestion.
<unk> year old woman with doe, cough // ? infiltrate
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the lungs are clear. cardiac silhouette and mediastinal contours are unchanged. no pleural effusion or pneumothorax.
<unk>-year-old female with right-sided weakness.
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the heart size is mildly enlarged. upper mediastinal contours are unremarkable. sternotomy wires and mediastinal clips are intact. low lung volumes. streaky left base opacity is consistent with atelectasis though infection cannot be entirely excluded. no substantial pleural effusion or pneumothorax. chronic right rib f...
<unk>f with confusion // pna?
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
chest pain.
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube tip is within the stomach. heart size is mildly enlarged. mediastinal contours are unremarkable. there is mild pulmonary edema with perihilar haziness and vascular indistinctness, worse since the previous examination. patchy opacit...
history: <unk>m with endotracheal tube placement
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is borderline enlarged. the thoracic aorta is tortuous in its course. the mediastinal and hilar contours are stable.
<unk>-year-old female with acute on chronic pancreatitis, now with mild hypoxemia, here to assess for pulmonary pathology.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
<unk>m w/fever and elevated wbc please, evaluate for occult 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. widening of the left acromioclavicular joint is noted, likely reflecting an old injury. no free air below the right hemidiaphragm is s...
<unk>m with chest tightness, lightheaded.
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a nasogastric tube courses below the diaphragm, into the stomach, with side hole well below the gastroesophageal junction. multiple air-filled loops of distended bowel are present in the mid abdomen, better characterized on recently obtained ct. no pneumatosis or subdiaphragmatic free air is identified. the lungs are w...
history: <unk>f with large bowel obstruction s/p ngt // eval ? ngt placement
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the lungs are well expanded and clear. cardiomediastinal silhouette is slightly enlarged. the aorta is noted to be tortuous. there is no pneumothorax or pleural effusion.
history of hiv, now with cough.
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cardiomediastinal and hilar contours are unremarkable. stable positioning of atrial closure device noted. lungs are clear. no pleural effusion or pneumothorax evident.
chest pain, evaluate for pneumonia.
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mild cardiomegaly is re- demonstrated. mediastinal and hilar contours are relatively unchanged with diffuse atherosclerotic calcification of the thoracic aorta again noted. there is no pulmonary vascular congestion. focal patchy opacity is noted projecting over the left <unk> anterior rib end, not clearly seen on the p...
fever and congestion.
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lung volumes are low but are otherwise clear. there is no pleural effusion or pneumothorax. no free air seen below the diaphragm.
fevers and vomiting.
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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 aorta is slightly tortuous. no pulmonary edema is seen. lucency is seen the level the left hemidiaphragm, some which appears to be within bowel, more laterally this is unclear but most...
history: <unk>f with epigastric pain after colonoscopy // eval for free air
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the lungs are clear. there is no focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with depression and cirrhosis // eval for effusion or pneumonia
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there is focal consolidation with air bronchograms seen in the left perihilar region, consistent with a pneumonia likely within the superior segment of the lingula. cardiomediastinal contours are unchanged. no pneumothorax. persistent elevation of the left hemidiaphragm is stable
history: <unk>m with hx of aids (recent cd<num>s better), fevers, rigors // evaluate for pneumonia, pcp, acute process
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a tracheostomy tube appears well positioned ending approximately <num> cm from the carina. a left picc ends in the mid svc. heart is enlarged. there is a background of mild vascular congestion. the right lung is otherwise clear. there is a small to moderate left pleural effusion with a retrocardiac opacity. there is no...
<unk>f with resp distress, difficult to back tracheostomy, evaluate for pneumothorax or pneumonia.
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there is a subtle of opacification lateral to the right heart border, which has been present since <unk>. there is also a <num> mm round opacity projecting over the left mid lung, which is stable since <unk>. the lungs are otherwise clear. moderate enlargement of the cardiac silhouette. the mediastinal and hilar contou...
<unk> year old man with mds, c/o increasing shortness of breath with talking/activity, weakness, chills; afebrile, low o<num> sat // assess for infectious process, heart failure
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large bore right-sided catheter terminates in the right atrium. heart size and mediastinal contours are normal. aortic knob calcification is unchanged. lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with syncopal episode // evaluate for pneumonia, fluid overload
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there is extensive subcutaneous emphysema which limits assessment. no definite free air under the diaphragm seen however dedicated decubitus radiographs may be helpful to clarify. persistent patchy airspace opacities are noted in the bilateral lungs. a right internal jugular catheter terminates in the proximal svc.
<unk> year old man with intubated with free air noted on cxr. // evaluate for ongoing free air/expansion. please ensure patient is sitting upright for the study.
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the cardiac silhouette size is normal. the mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is demonstrated although the extreme right costophrenic angle is excluded from the field of view. there is no acute osseous abnormality.
seizure.
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mild scoliosis again noted. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with doe // ? lesion
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mediastinal widening and perihilar opacification on the left have largely resolved. there is suspected minor atelectasis at the left lung base and probably small subpulmonic pleural effusions as well as thickening of fissures. however, parenchymal edema has resolved. the patient is status post coronary artery bypass gr...
status post cabg and avr.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with mild enlargement of cardiac silhouette. imaged osseous structures are intact. mild compression deformity is noted in the lower thoracic spine as on prior. no free air b...
<unk>m with sscp
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pa and lateral views of the chest. when compared to prior, there has been no significant interval change. again, relatively low lung volumes are seen. there is retrocardiac opacity on the frontal view which correlates with increased density projecting over the right hemidiaphragm on the lateral view. this is not signif...
<unk>-year-old male with productive cough for <num> days.
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the heart size is moderate to severely enlarged. aortic knob is calcified. mediastinal and hilar contours are relatively unremarkable. increased interstitial markings bilaterally which appear slightly more pronounced along the periphery may suggest a chronic interstitial lung disease although a superimposed mild inters...
chest pain.
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there is mild pulmonary edema, which has improved compared to prior. there are bilateral small pleural effusions with associated bibasilar atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is stable. there is no pneumothorax.
<unk> year old man with poss pulm htn // eval prior to vq scan
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema.
patient with history of chest pain. assess for pneumonia.
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interval improvement in interstitial edema. small bilateral effusions. suture lines are noted in the region of the left upper hemithorax. the opacity in the right upper lobe corresponds to the mass demonstrated better on recent ct. no pleural effusion, pulmonary edema, or focal consolidation to suggest pneumonia. stabl...
<unk>-year-old man with history of non-small cell carcinoma and pulmonary nodules, copd, chf, and a recent pneumonia. evaluate for interval change.
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the patient is status post cabg. severe cardiomegaly is again noted, with mild central pulmonary vascular congestion and interstitial edema. bibasilar opacities likely reflect atelectasis, although superimposed infection is not excluded. no evidence of pneumothorax or large pleural effusion.
<unk>m w/sob // <unk>m w/sob
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the patient has been intubated. an endotracheal tube terminates approximately <num> cm above the carina. an orogastric tube heads into the stomach although its tip lies beyond the confines of the film. a right internal jugular central venous catheter again terminates in the lower superior vena cava. the cardiac, medias...
status post endotracheal intubation.
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heart size is top 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
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pa and lateral views of the chest. right picc is no longer visualized. lungs remain clear consolidation or effusion. obscuration of the right heart border is again due to picardial fat pad. no free air seen below the diaphragm.
<unk>-year-old female with <num>-day history of right lower quadrant pain. question free air.