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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 hepatitis-c cirrhosis, with new decompensation. evaluate for evidence of pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the g tube is not well visualized. no free air is seen under the hemidiaphragms.
g-tube site pain.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contour is normal. the heart size is moderately enlarged. in several of the mid thoracic and lumbar vertebral bodies, there is mild anterior wedging, which is likely chronic, though there are no prior exams...
chest pain, leg swelling, and recent plane flight. evaluate for infiltrate or signs of pulmonary embolism.
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there is a moderate to large right pleural effusion which appears increased in size in comparison to a prior study. adjacent air space atelectasis is present in the right lower lobe. otherwise, the left lung appears clear. mediastinal silhouette remains grossly stable where visualized. visualized osseous structures are...
evaluation of patient with history of cll and pleural effusion with progressive difficulty breathing.
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a left chest wall pacer and <num> leads are seen in the expected position. the cardiomediastinal and hilar contours are within normal limits. the aorta is minimally tortuous and shows mural calcification. there is no pneumothorax. there is a diffuse bilateral interstitial abnormality of uncertain chronicity or signific...
<unk> year old man s/p pacemaker via axillary vein access // rule out pnuemothorax
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no focal consolidation, pneumothorax, or pulmonary edema is seen. blunting of the costophrenic angles posteriorly is compatible with trace pleural effusions. heart size is top normal and stable. mediastinal contours are stable with mild aortic tortuosity. pacing hardware appears similarly positioned.
<unk>-year-old female with chest pain.
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pa and lateral views of the chest provided. lung volumes are low limiting assessment. left basal consolidation is concerning for atelectasis and/or pneumonia. no large effusion or pneumothorax. heart mediastinal contour is stable. bony structures intact.
<unk>f with sob // acute process
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> yo woman with new uri, fevers, cough. r/o pneumonia // <unk> yo woman with new uri, fevers, cough. r/o 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>f with cough, dyspnea
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portable single frontal chest radiograph was performed with the patient in supine position. the tip of the et tube lies <num> cm above the carina. the og tube is coiled in the pharynx. the tip of the right picc line terminates in the lower svc. there is worsening of pulmonary vascular congestion with a small left pleur...
patient status post intubation and og tube placement, eval et tube placement.
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single ap view of the chest. the lungs are clear of consolidation or pulmonary vascular congestion. there is no large effusion based on this single view. cardiac silhouette is at upper limits of normal for technique. median sternotomy wires are noted. no acute osseous abnormalities detected, degenerative changes seen a...
<unk>-year-old male with a flutter.
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there is persistent small right-sided pleural effusion. asymmetric right apical opacity is again seen. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine.
<unk>m with dyspnea // acute cardiopulmonary disease
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frontal and lateral views of the chest are obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the hilar contours are stable. cardiac and mediastinal silhouettes are stable.
history: <unk>f with cad, htn, dm<num>, dchf with sudden onset dizziness // evidence of pna, edema
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the lungs are hyperinflated, similar the prior exams. no focal consolidation, effusion, edema, or pneumothorax. the heart is top-normal in size, unchanged. the mediastinum is not widened. no evidence of an acute osseous abnormality. anterior osteophytes and calcification of anterior longitudinal ligament is noted in th...
<unk>f with mild cough, s/p renal txp on immunosuppress. // ?cpd
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pa and lateral views of the chest provided. the lungs are clear without focal consolidation, large effusion or pneumothorax. the heart remains stably enlarged. the aorta is unfolded with an unchanged mediastinal contour. no acute osseous abnormality. anchors are noted in the right humeral head. no free air below the ri...
<unk>m with upper abd pain, ?pancreatitis.
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the lungs are hyper inflated. the pulmonary vasculature is mildly redistributed. the heart size is enlarged.. the osseous structures are normal for age.
history: <unk>f with copd and hypoxia and sob // evaluate for pneumonia
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moderate right-sided pneumothorax has not significantly changed. mild leftward shift of the mediastinal structures is unchanged. the lungs are clear. there is no fracture or focal osseous abnormality.
<unk>f with right penumothorax eval for change // eval for pneumothorax
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relatively low lung more volumes are noted with bibasilar opacities which may be due to atelectasis in the setting of low lung volumes. there is enlargement of the cardiac silhouette likely accentuated by poor inspiratory effort with possible superimposed mild cardiomegaly. elevation of the left hemidiaphragm is noted....
<unk>m with chf, cholangitis // eval ? free air, pulm edema
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cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. patchy ill-defined opacities are present in both lung bases, more pronounced on the left, concerning for multifocal pneumonia. no pleural effusion or pneumothorax is detected. there is no pulmonary vascular engorgement. no acute oss...
history: <unk>m with fever and cough
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there is moderate interstitial pulmonary edema as well as bilateral atelectasis, which is moderate on the left and mild on the right. there are probable small bilateral pleural effusions. no pneumothorax is seen. mild-to-moderate cardiomegaly is not significantly changed. the mediastinal contours are otherwise normal. ...
acute shortness of breath. assess for chf versus infection.
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since the chest radiographs obtained <num> day prior, there is worsening of the diffuse right pulmonary opacities . mild pulmonary edema in the left lung is new. allowing for changes in patient positioning, the moderate right hydro pneumothorax, probably loculated at the site of the resected superior segment of the low...
<unk> year old woman s/p rll segmentectomy // please assess for interval change, ptx or increasing segmental consolidation - please schedule for <unk>
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. there is similar vague asymmetric opacification in the left perihilar region, but elsewhere the lungs appear clear. there is no pleural effusion or pneumothorax.
substernal chest pain and diffuse abdominal pain.
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situs inversus is again seen. heart size is normal. normal hilar contours. lungs are clear. pleural surfaces are normal.
<unk>-year-old man with possible prior exposure to tb.
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cardiomediastinal contours are normal. lungs are clear except for a focal linear scarring in the left lower lobe. there are no pleural effusions. bones are diffusely demineralized
<unk> year old woman with ild, sweets syndrome // ? infiltrates/ effusions
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central venous catheter from an inferior approach terminates in the right atrium and courses through an ivc stent in the upper abdomen. cardiac silhouette size is normal. mediastinal and hilar contours are unchanged with a prominent azygos contour. pulmonary vasculature is not engorged. lungs are clear. no pleural effu...
history: <unk>f with hypotension, cough
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moderate cardiomegaly is mildly increased from prior. on the pa view the lung volumes are low and infrahilar opacities are explained by atelectasis. no corresponding lesion is seen on the lateral views. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with ams, cough // pna?
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there is a heterogeneous opacity in the right middle lobe as well as more linear opacity in the left lower lobe. there is mild cardiomegaly. the hilar and mediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman with cough and fever.
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the cardiac and mediastinal silhouettes appear within normal limits. there no focal pulmonary opacities, pleural effusions, or evidence of pneumothorax. osseous structures appear unremarkable.
pain and shortness of breath. evaluate for pulmonary embolism.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. no focal consolidations are identified. there is no evidence of pneumothorax, overt pulmonary edema or pleural effusion. a bb marker is present along the right upper quadrant of the abd...
<unk>-year-old with recent kick to the stomach. evaluation for rib fractures or pneumothorax.
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as compared to prior chest radiograph from <unk>, pulmonary findings remain essentially unchanged, with atelectasis along the left lower lung. there is no definite pleural effusion or pneumothorax. there is, however, an area of lucency above the right upper quadrant outlining the contour of the right hemidiaphragm whic...
<unk>-year-old female patient status post mechanical avr.
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endotracheal tube tip is <num> cm from the carina. enteric tube is seen to the level of the lower mediastinum although is not clearly seen to pass below the diaphragm and should be advanced. bibasilar streaky opacities, left greater than right are noted, potentially atelectasis although infection is not excluded. right...
<unk>m with intubation, s/p transfer// ? tube placement
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heart size is top normal. mediastinal and hilar contours are unchanged with atherosclerotic calcifications of the aortic arch re- demonstrated. pulmonary vasculature is not engorged. minimal linear opacities within the right upper lung field may reflect areas of scarring. no focal consolidation, pleural effusion or pne...
history: <unk>f with shortness of breath, cough
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there has been interval increase in the past she alveolar infiltrates right greater than left there is a small left effusion heart size is upper limits normal there is mild pulmonary vascular redistribution
<unk> year old man with <unk> m presenting with confusion, dehydration, has metastatic likely hcc with large liver mass and lung mets, on treatment for cap. // ?worsening pneumonia
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in comparison to the prior study, lung volumes have slightly improved. cardiomediastinal contour is stable. a small right pleural effusion is new. there is no focal consolidation. no pneumothorax.
<unk> year old man s/p lap hernia repair and colles <unk> // check interval change
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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.
right lower chest in right upper quadrant pain.
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heart size is normal. mediastinal and hilar contours are within normal limits and unchanged. the aortic knob is calcified. there are emphysematous changes again noted, severe in extent. <num> mm nodular opacity projecting over the left lung apex is new compared to the prior study, but could reflect the end of the left ...
copd, continued shortness of breath.
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pa and lateral views of the chest provided. the lungs are well-inflated and grossly clear. patient is status post median sternotomy. there is no focal consolidation, effusion, or pneumothorax. mild basilar atelectasis is seen on the left. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk> year old man with cough and wheezehx vhd // ? pneumonia
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lungs are clear. no effusions. normal heart size, vascularity
<unk> year old man with onset of fever with unknown source. // ?signs of infection?
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old male with two syncopal episodes at the <unk> <unk> today.
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ap and lateral radiographs of the chest demonstrate clear lungs. the cardiac, hilar, and mediastinal contours are normal. no pleural abnormality is seen. the osseous structures are within normal limits.
chest tightness.
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the lungs are mildly overinflated, similar to the prior. the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. known numerous subcentimeter nodules are not well appreciated on the current examination, and are better seen on comparison ct. there is no focal consolidation. minimal bibasilar scarrin...
<unk>m with hypotension, hyperglycemia // eval ? infiltrate
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. hypertrophic changes noted in the spine.
chest pain,assess for infiltrate, edema.
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heart size is normal. aorta is mildly unfolded. mediastinal and hilar contours are otherwise unremarkable, and there is no pulmonary edema. while the lungs are clear on the frontal view, minimal patchy opacity is noted within the lower lobes on the lateral view, which could suggest atelectasis or early infection. no pl...
abnormal chest sensation.
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a portable frontal chest radiograph demonstrates interval increase in the heart size, which is consistent with cardiomegaly and/or pericardial effusion. there is mild, if any, pulmonary edema. bilateral pleural effusions are small to moderate in size, with associated bibasilar atelectasis. there is no pneumothorax.
acute kidney injury, with a recent diagnosis of diastolic heart failure. evaluate for evidence of heart failure.
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response to interval increase in the alveolar and interstitial infiltrate right greater than left with more dense consolidation in the right lower lobe. there continues to be volume loss/infiltrate/effusion in the retrocardiac region right ij line is unchanged.
hypoxia and increasing oxygen requirement.
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the cardiomediastinal and hilar contours are stable with fullness of the right cardiophrenic angle, stable since the prior study, and likely representing prominent mediastinal fat. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. pulmonary vasculature is within normal limits.
cough, crackles and wheeze.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. the hilar contours are normal.
shortness of breath and tachycardia.
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right ij central line tip in the mid svc, new since prior exam. no pneumothorax. shallow inspiration accentuates heart size, pulmonary vascularity. electronic device projected over left chest, with lead extending over the left neck. left lower lobe consolidation, likely from atelectasis, similar. there are small bilate...
<unk> year old woman with s/p rij // eval line placement
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the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear unchanged. there is stable relative volume loss of the left hemithorax without change. a background interstitial prominence appears stable. there is no pleural effusion or pneumothorax. cholecystectomy cl...
shortness of breath and cough. question 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. relative elevation of the right hemithorax may be related to respiration.
history: <unk>m with h/o asthma and prostate cancer, presenting with chest pain // acute process to explain chest pain?
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there is evidence of the moderate cardiomegaly, slightly worsened compared to the exam from <unk> however stable compared to the most recent exam. the previously noted vascular congestion in the upper lungs has improved; however, there appears to be an interval increase in the left perihilar opacification compared to t...
history of respiratory distress and transient hypoxia. please evaluate for interval change, aspiration pneumonia.
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lungs are clear. there is no focal consolidation, effusion, or pneumothorax. heart size is normal. mediastinal and hilar contours are normal. old healed rib fractures are seen on the right .
<unk> year old homeless man with question of prior tb exposure // eval for evidence of acute infection or chronic evidence of tb
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compared to <num> day prior, right perihilar opacity has increased in prominence. definite localization limited on lateral view, possibly superior segment right lower lobe. no pleural effusion. heart size is normal. cardiomediastinal hilar silhouettes are unremarkable. a right ij central venous catheter terminates in l...
<unk> year old woman s/p vanc zosyn for aspiration pna <unk>, now with new r hilar opacity // pna
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frontal and lateral chest radiographs were obtained. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal and hilar contours are normal. no bony abnormality is detected.
<unk>-year-old woman with exacerbation of asthma by report, eval for intrathoracic abnormalities.
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lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. heart is mildly enlarged. mediastinal contours are normal. no acute osseous abnormalities are identified. there is no subdiaphragmatic free air.
<unk>f with chest pain
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there is mild to moderate pulmonary vascular congestion and interstitial edema. small bilateral pleural effusions are present. areas of plate like atelectasis are noted in the bilateral lung bases. bibasilar opacities most likely reflect compressive atelectasis in the setting of bilateral pleural effusions although sup...
history: <unk>f with afib, hfref, recent pneumonia here with abdominal pain // rule out infection
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frontal view of the chest shows no acute intrathoracic process. basilar reticular opacifications relate to chronic lung disease are unchanged from prior studies. there is no pleural effusion or pneumothorax. the mediastinal structures are unremarkable and the heart size is normal. there are calcifications seen within t...
fall with head strike and left shoulder pain, evaluate for acute process.
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lungs are mildly hyperinflated and there is chronic elevation of the right hemidiaphragm. hyperlucency at the left lung apex corresponds to the known the bulla.the cardiac, hilar and mediastinal contours are normal.no pleural effusion or pneumothorax.
history: <unk>m with chest burning.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. tortuous aortic contour is noted. there is eventration of right hemidiaphragm.
<unk>f w/pre-syncope // <unk>f w/pre-syncope
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since the prior radiograph performed approximately <num> minutes earlier, the endotracheal tube has been retracted and now terminates approximately <num> cm above the carina. however, the neck is flexed during this study, and the tip of the tube will likely be too low when the head position changes. there is otherwise ...
history: <unk>m with intubation for ams // eval eti placement after withdrawal
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right-sided apical lateral pneumothorax measuring <num> mm in the craniocaudal plane. intercostal drain in situ in the right pleural space. mild interval increase in size of the right hemithorax. evidence of previous left pneumonectomy. endotracheal tube in situ with the tip <num> mm proximal to the carina. left-sided ...
<unk> year old man s/p pneumonectomy with chest tube clamp trial and now with worsening tachypnea // please evaluate for worsening pneumothorax
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one ap view of the chest. there are low lung volumes. there is moderate cardiomegaly. a left-sided pacemaker is seen. low lung volumes crowd the pulmonary vasculature. there appears to be slight increase in vascular markings consistent with pulmonary vascular engorgement. no focal consolidation.
hypotension and abdominal pain, evaluate for pneumonia.
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ap upright and lateral views of the chest provided. there is increased retrocardiac opacity which could reflect the presence of a left lower lobe pneumonia. linear densities in the left and right mid lung are unchanged likely scarring. no large effusion or pneumothorax. no signs of congestion or edema. cardiomediastina...
<unk>f with fever // r/o infiltrate
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heart size is moderately enlarged with the left ventricular predominance. the aorta is tortuous and demonstrates mild atherosclerotic calcifications. hilar contours are within normal limits. there is minimal upper zone vascular redistribution suggestive of mild pulmonary vascular congestion. no overt pulmonary edema, f...
history: <unk>f with pedal edema
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compared to prior, there has been interval resolution of the previously seen right lower lobe consolidation. there is no focal consolidation, effusion, or edema. massive cardiomegaly is again seen. left chest wall dual lead pacer is seen with leads in stable position at the right ventricular apex and left right atrium....
<unk>f with afib, shf (ef <unk>%), cad who presents with pre-syncopal episode. also with malaise, worsening doe and crackles on lung exam. // assess for acute infiltrate, pulmonary edema
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single ap view of the chest provided. median sternotomy wires are intact and proper alignment. two prosthetic cardiac valves are unchanged. bilateral, predominantly bibasilar alveolar opacities are unchanged from <unk>. focal opacification adjacent to the right heart border may represent atelectasis or pneumonia no ple...
<unk> year old woman with copd, chf, hypoxia, concern for dissecting aortic aneurysm // pneumonia, pulmonary edema
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>f with fall and chest pain
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lung volumes are low. no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart size is top normal.
elevated blood sugar. elevated white blood cell count.
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ap and lateral views of the chest. the lungs remain clear, without focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality identified.
<unk>-year-old male with two-week history of fever and drenching night sweats.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with dyspnea and back pain. // please eval for pneumonia vs. pneumothorax vs. other acute cardiopulmonary process
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previously described areas of fibrosis in the right mid lung have slightly progressed with shift of the mediastinal structures towards the right. additionally, there is a more confluent appearance to the opacity in the right mid lung which projects to the lower portions of the right upper lobe as well as the right midd...
<unk>-year-old female with history of lung cancer status post chemotherapy and radiation with possible radiation pneumonitis.
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pa and lateral views of the chest provided. linear density in the right mid lung is most compatible with scarring or atelectasis. mild left basal atelectasis also noted. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free ...
<unk>m with dka, sob.
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<num> views were obtained of the chest. left lower lobe opacity is similar in appearance to the <unk> examination and likely reflects a combination of atelectasis and effusion though aspiration or infection cannot entirely be excluded. the remainder of the lungs are clear. pulmonary vascularity is normal. cardiac silho...
cough assess for pneumonia.
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heart is normal size and cardiomediastinal contours are unremarkable. lungs are well expanded and clear. no evidence of focal consolidation to suggest pneumonia. no pleural effusions and no pneumothorax. left picc is noted to terminate in the lower svc.
<unk>-year-old man with neutropenic fever and questionable pneumonia.
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single portable view of the chest. compared to prior, there has been no significant interval change. again seen are relatively low lung volumes. linear bibasilar opacities likely due to atelectasis. cardiomediastinal silhouette is within normal limits. there is no visualized displaced fracture on this nondedicated exam...
<unk>-year-old male hypoxia status post fall.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain // pna?
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comparison is made to prior study from <unk>. heart size is normal. lungs are clear. bony structures are intact.
<unk>-year-old man with testicular cancer status post orchiectomy. evaluate for any abnormalities.
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion. no focal consolidation. there is no pneumothorax. hilar and mediastinal silhouettes are unremarkable. the descending aorta appears tortuous. heart size is top normal. there is no pulmonary edema.
cough and chest pain.
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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. the pulmonary vascularity is normal. an implanted transvenous pacer/defibrillator is unchanged and longstanding breakage of the fourth sternal cerclage wire from...
evaluate for signs of congestive heart failure in patient with chest discomfort following left heart catheterization.
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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 cough, congestion, ili, possible black mold exposure // eval for pna, evidence of fungal infection
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pa and lateral radiographs were acquired. the lungs are hyperinflated, and there is flattening of the hemidiaphragms as well as enlargement of the retrosternal airspace and attenuation of the upper lobe vascular markings, findings consistent with severe emphysema. the lungs are clear. surgical clips at the left lung ba...
shortness of breath. evaluate for infectious process.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
<unk>m with chest pain, radiating to left arm from evaluate for pneumonia or other acute abnormality.
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pa and lateral views of the chest. a dual-lead pacemaker is in place in standard position on this view. the heart size is top normal, unchanged. there is a retrocardiac opacity likely representing a hiatal hernia. hilar and mediastinal contours are unremarkable. lungs are clear and there is no pleural effusion or pneum...
<unk>-year-old man with weakness and dizziness.
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ap single view of the chest was obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. the right-sided pigtail end catheter remains in unchanged apical position in the right hemithorax overlying the anterior portion of the second rib on the frontal view. this is un...
<unk>-year-old female patient with spontaneous pneumothorax, status post chest tube placement, evaluate position and possible resolution of pneumothorax.
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a frontal upright view of the chest was obtained portably. low lung volumes result in bronchovascular crowding. there is mild pulmonary edema in the setting of moderate-severe cardiomegaly. opacification in the retrocardiac area is probably due to effusion, atelectasis, or infection.
dyspnea on exertion.
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an et tube ends <num> cm above the carina. an ng tube is present with the tip in the stomach but the side hole in the lower esophagus. normal heart size, mediastinal and hilar contours. retrocardiac opacity may reflect atelectasis, aspiration or infection. the right lung is clear. no pleural effusion or pneumothorax.
history: <unk>m with s/p found down *** warning *** multiple patients with same last name! // eval for ett placemetn
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portable semi-erect chest film <unk> at <num> <num> is submitted.
<unk> year old man with hx of sbo s/p repair, hx of pulmonary edema, would like reassessment for possible extubation // assess for evidence of volume overload or consolidation; pre extubation film assess for evidence of volume overload or consolidation; pre
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near complete opacification of the right hemi thorax secondary to an enlarging pleural effusion, which is inseparable from the patient's known anterior chest wall mass. there is mediastinal shift towards the left. the left lung appears grossly well aerated. a left-sided port-a-cath terminates within the right atrium. t...
history: <unk>f with r malignant pleural effusion, metastatic breast cancer // size of effusion, please obtain fully upright images, other acute proceses
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a new right lateral approach apical pigtail catheter ends over the posterior fifth and sixth rib interspace. the previously seen right apical loculated pneumothorax has decreased in size. a small amount of right apical loculated effusion persists. a right lower lobe effusion is stable. the cardiac and mediastinal conto...
<unk>-year-old woman status post pigtail placement. evaluation for reinflation of the previously seen pneumothorax.
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relatively low lung volumes persist. there is chronic blunting of the right costophrenic angle. no pleural effusion is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. chronic changes at the superior left hemi thorax are again noted. punctate linear metallic foreign body again seen projecting ...
history: <unk>m with sob/doe cough // ? pna
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the lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. there is subsegmental bilateral lower lung atelectasis. the heart is top normal in size. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. there is no free air unde...
history of hypertension and "hlid," presenting with epigastric pain and nausea. assess for free air under the diaphragm.
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lung volumes are low. heart size is normal, and the mediastinal and hilar contours are unremarkable. no focal consolidation, pleural effusion or pneumothorax is detected. there is no pulmonary vascular congestion. no acute osseous abnormalities are detected. surgical anchors are demonstrated within the right humeral he...
history of renal transplantation on immunosuppression with high fever.
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the intra-aortic balloon pump tip is <num> cm below the aortic knob. swan-ganz catheter, left-sided chest tube, et tube, mediastinal drains, and sternal wires are unchanged. there is pulmonary vascular redistribution with hazy alveolar infiltrates right greater than left. there small bilateral pleural effusions.
<unk> year old man with iabp, advanced <num>cm // iabp placement
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the bilateral mid to lower lung hazy opacities, right more than left, have improved. bilateral lower lobe atelectasis is unchanged. bilateral lower lobe pleural effusion is unchanged. no new consolidation. moderate cardiomegaly and mediastinal contour are unchanged.
<unk> year old woman with aspiration pna // assess for change
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are normal. no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with palpitations // eval for chf/pneumonia
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mild cardiomegaly is overall stable compared to the prior exam. the lungs are mildly hyperinflated. there may be small bilateral pleural effusions. no focal consolidation concerning for pneumonia is identified. a left-sided aicd is unchanged in position compared to the prior exam. the visualized osseous structures are ...
<unk>m with cad, chf, afib, now with <num> days of melena and progressive doe. // any pulmonary edema, infection?
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two views of the chest demonstrate clear lungs without effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal. note is made of thyroidectomy clips within the neck.
<unk>-year-old female with chest pain, question pneumonia, pneumothorax.
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right internal jugular central venous catheter terminates in the mid svc, unchanged. cardiomediastinal silhouette is stable. lungs are clear. bibasilar opacities likely reflect mild atelectasis and development of mild pulmonary interstitial edema. there is no large effusion or pneumothorax.
<unk>f with hcv and hcc (seg vii) s/p rfa <num> days s/p dcd liver transplant with <unk> with acute sob. // assess for pulmonary edema
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a right-sided picc line has been removed. the patient is status post anterior cervical fusion. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. streaky right lower lung opacity, in the right middle lobe suggests minor atelectasis that appears unchanged. elsewhe...
cough and chest pain.
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there has been interval increase in the left pleural effusion which now all completely obscures the left hemi thorax. there is vascular congestion and hazy alveolar infiltrate on the right with a layering right effusion. the swan-ganz catheter tip is in the main pulmonary artery. the et tube, ng tube and pacemaker appe...
<unk> year old man s/p cabg // eval for infiltrate