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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation.
history: <unk>f with seizure // infectious work up
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man with temperature <num>. // atelectasis atelectasis
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right-sided port-a-cath again seen terminating in the low svc/ cavoatrial junction. there has been interval removal of a left-sided picc. mild bibasilar atelectasis is seen. there is also new patchy opacity projecting over the right mid lung, best seen on the frontal view, and infectious process is very present. there ...
history: <unk>f with fever // eval for pna
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heart size is normal. aortic knob is densely calcified. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>f with +flu, osh cxr with question of pneumonia// re-evaluate for possible pneumonia
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since <unk>, postsurgical changes following right middle and lower lobe resection are seen with right basilar atelectasis, retraction of the right hemidiaphragm, and a small right pleural effusion. the left lung is clear. the heart is top normal in size. there is interval resolution of previously noted right pneumothor...
<unk> year old woman s/p rsxn of large lung mass // interval cxr
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the cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
visual field defect, history of transient ischemic attack.
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portable chest radiograph demonstrates interval removal of a right-sided chest tube without development of pneumothorax. right-sided central venous catheter is stable with tip at the cavoatrial junction. cardiomediastinal and hilar contours are unremarkable. interval resolution of previously noted mild vascular congest...
status post chest tube removal, please assess for pneumothorax.
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs are hyperinflated. linear opacity in the left lung base is suggestive of scarring. there is no evidence of consolidation or effusion. cardiac silhouette is enlarged, but stable. median sternotomy wires are again noted. osseous and sof...
<unk>-year-old male with history of copd and cough. shortness of breath.
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there has been interval decrease in right pleural effusion, now small in size with overlying atelectasis. there is also a trace left pleural effusion. the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous. no evidence of pneumothorax is seen.
history: <unk>m with recent <unk>, cough // eval for infiltrate, effusion, pneumo
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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.
syncope.
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compared with the prior chest radiograph, no relevant change. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits.
<unk>f with hx of asthma and acute sob. evaluate for pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart is normal in size. widened mediastinum is stable from <unk>.. no acute osseous abnormalities are seen. there is no free air under the right hemidiaphragm.
<unk>f with widened mediastinum and abd pain
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a left pleural effusion is unchanged in size. there has been interval decrease in a right small pleural effusion. there is no pneumothorax. left basilar atelectasis is unchanged. the cardiomediastinal and hilar contours are unchanged. multifocal heel-toe or fractures are similar in appearance to the prior study.
<unk> year old woman with new right effusion s/p <unk> // ? ptx, full lung expansion
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there is mild pulmonary edema. cardiac silhouette is moderately enlarged. there are small bilateral pleural effusions. hilar silhouette is exaggerated by decreased lung volume but otherwise unremarkable and similar compared to <unk>. left pectoral pacemaker has its leads terminating at right atrium and right ventricle....
evaluate for distrubition and magnitude of thoracic lymphade <unk> year old woman with mildly prominent infrahilar lymph nodes seen on abd ct as she is admitted with ischemic colitis, no active pulmonary symptoms // evaluate for distrubition and magnitude of thoracic lymphadenopathy and any parenchymal lung disease th...
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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. hardware along the left proximal humerus is partially imaged.
<unk>m with left arm pain. ped struck //
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lung volumes are low. compared to <unk>, there is improvement although not complete resolution of the diffuse interstitial thickening bilaterally with mild engorgement of the hila and associated bilateral pleural effusions compatible with pulmonary edema. no focal opacities are identified. cardiomediastinal contour can...
<unk>-year-old male with past medical history of cirrhosis now with increasing shortness of breath and abdominal pain. evaluate for worsening pleural effusion.
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status post intubation the et tube is <num> cm above the carina, slightly below the level of the clavicles. there are low lung volumes. there is no definite evidence of pneumothorax or pleural effusion. there are bilateral lower lobe opacities, which may be atelectasis or aspiration, however infection cannot be exclude...
<unk>f with angioedema s/p intubation, post intubation.
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indwelling support devices are stable in appropriate position. the right lung is clear. near complete opacification of the left hemithorax with volume loss likely reflects substantial atelectasis. aeration of left lung apex has not substantially changed. no visible pneumothorax. no definite deep sulcus sign. large calc...
<unk>m c esrd on hd s/p emergent cabg x<num> (lima>lad, svg>diag, svg>lpda)/ mvr (<num>mm sjm mechanical)/ open chest <unk>. now s/p bronchoscopy // to rule out pneumothorax
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frontal and lateral chest radiographs demonstrate a right hemodialysis catheter and a left port-a-cath in appropriate position. there is no pneumothorax or pleural effusion. lungs are clear without focal consolidation. the cardiomediastinal and hilar silhouettes are unremarkable. patient is status post sternotomy with ...
<unk>-year-old male with history of multiple myeloma prior to bone marrow transplant.
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the heart is mildly enlarged. there are streaky opacities in the bilateral bases, likely reflecting atelectasis. the mediastinal contours are normal, with note made of calcification of the aortic knob. the pulmonary vasculature is normal. clips are noted in the left apex.
<unk>-year-old female with right upper quadrant pain.
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compared with prior radiographs on <unk>, a dobhoff tube tip terminates in the esophagus. a right picc is unchanged in position, terminating in the mid svc. there is no new focal consolidation. right hilar enlargement is unchanged. there is volume loss in the left lower lobe is unchanged. cardiomediastinal silhouette i...
<unk> year old man who presented initially with urosepsis, now with worsening ams, new temperature and increasing leukocytosis and concern for possible aspiration pna. // pna? other interval change
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frontal and lateral chest radiograph demonstrates hyperinflated lungs with flattening of the diaphragms and basilar predominance.persistent left upper lobe opacity may represent a component of overlapping shadows however cannot exclude pulmonary nodule. areas of bronchial wall thickening and bronchiectasis are similar ...
copd, multiple myeloma and shortness of breath, cough. assess for pneumonia.
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compared with the supine trauma board film obtained earlier the same day, the current film is also obtained supine, with slightly better, but still low, inspiratory volumes. as before, the mediastinum appears prominent and there is probable mild cardiomegaly. there is upper zone redistribution, without overt chf. there...
found down, presumed assault, question interval change. chest, single ap supine view.
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frontal and lateral radiographs of the chest demonstrate well expanded lungs. ill-defined nodular opacities within the bilateral lungs, such as that projecting over the anterior right <num>th rib and the posterior left seventh rib, have been present since <unk>. some of these appear dense, and may represent calcified g...
history: <unk>m with chest pain // eval for ptx
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lines and tubes are unchanged in position as compared to chest radiograph completed at <time>. there has been minimal interval re-expansion of the left upper lobe, however there is still substantial atelectasis throughout the left lower and mid lung. a moderate left pleural effusion is now seen. the right layering pleu...
<unk> year old man s/p ecmo, evaluate left chest.
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pa and lateral views of the chest provided. there is extensive airspace consolidation within the left mid and lower lung concerning for pneumonia. subtle opacity also noted in the right lung apex. findings are concerning for multifocal pneumonia. overall no significant change from prior exam. mild pulmonary vascular co...
<unk>f with chest pain, dyspnea // eval for acute process
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ap portable upright view of the chest. elevation of the right hemidiaphragm is more pronounced compared with prior. there is platelike left mid lung atelectasis. mild blunting of the right cp angle may be related to a small effusion. cardiomegaly is increased in the interval. mild hilar congestion without frank edema. ...
<unk>f with sob, atrial fibrillation
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heart size remains mildly enlarged. the mediastinal contour is similar. there is mild pulmonary edema with pulmonary vascular indistinctness and perihilar haziness, more progressed in the interval. small bilateral pleural effusions, greater on the left are noted, not substantially changed in the interval. streaky opaci...
history: <unk>f with history of chf and aortic stenosis presents with shortness of breath
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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.
<unk>m w/chest pain, please eval for ptx // <unk>m w/chest pain, please eval for ptx
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mild enlargement of the cardiac silhouette is noted. lung volumes are low. the aortic knob demonstrates mild atherosclerotic calcifications. there is crowding of the bronchovascular structures. no focal consolidation, pleural effusion or pneumothorax is seen. elevation of the right hemidiaphragm is chronic.
fall, seizure.
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lung volumes remain low, particular in the left side were there is left lower lobe atelectasis. even allowing for the projection, the heart appears mildly enlarged. there is evidence of pulmonary vascular congestion. platelike atelectasis at the right lung base is similar in appearance when compared to multiple prior s...
<unk> year old woman with pneumonia, new fever // interval change
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previous small right-sided pleural effusion is now trace in size. left lung is essentially clear. no focal opacities are noted. cardiomediastinal silhouette and hilar contours are unremarkable. there are no pneumothoraces.
<unk>-year-old woman with malignant pleural effusion, status post pleurodesis. question residual effusion.
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a small hazy opacification at the right base most consistent with atelectasis. no other consolidations are present. there is no pleural effusion or pneumothorax. there is no pulmonary edema. mild-to-moderate enlargement of the cardiac silhouette is unchanged from the prior exams.
fever. evaluate for infectious process.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal to mildly enlarged, likely exaggerated by a ap technique. mediastinal contours are unremarkable. no pulmonary edema is seen.
history: <unk>f with af w/ rvr // ? acute cardiopulm process, pulm edema
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the heart size is normal. the mediastinal and hilar contours are within normal limits. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are identified. scoliosis of the thoracolumbar spine is unchanged.
right chest pain.
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et tube and enteric tube are in stable positions. low lung volumes with minimal bibasilar atelectasis. no evidence of free intraperitoneal air. cholecystectomy clips are seen in the right upper quadrant of the abdomen. otherwise no change from study performed <num> minutes prior.
history: <unk>m with abdominal pain, upper gi bleed, concern for free air, please do upright
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the heart is at the upper limits of normal size. mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear within normal limits.
pleuritic chest pain, shortness of breath, and left arm pain.
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chest, portable. there is a moderate right pleural effusion and a small left pleural effusion. there is bibasilar atelectasis, however infection cannot be excluded. the upper lungs are clear. mild dnlargement of the cardiac silhouette is likely secondary to portable technique and low lung volumes. there is no pneumotho...
<unk>-year-old man with altered mental status and cough. evaluate for pneumonia.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no free air is noted on the hemidiaphragms. cholecystectomy clips are noted in the right upper quadrant. no acute fractures are identified.
chest pain and shortness of breath.
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the left-sided central line terminates in the right atrium. lung volumes are low. the cardiomediastinal silhouette is unremarkable. there is no focal consolidation, pulmonary edema, pneumothorax, or pleural effusion.
<unk> year old man with post-lung ablation pneumothorax - for upright cxr at <time> in pacu west
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an endotracheal tube terminates <num> cm above carina. enteric tube courses along the esophagus and terminates out of the field of view, likely within the stomach. a right-sided jugular catheter is within the distal svc. a small left pleural effusion is unchanged while a small right pleural effusion has increased. ther...
fournier's gangrene. evaluate for infiltrate or fluid overload.
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the cardiac silhouette is moderately enlarged with tortuosity of the thoracic aorta unchanged from prior study. hilar contours are unremarkable. lungs are clear. there is no evidence of pulmonary vascular congestion, interstitial edema or fibrotic change. there is no pleural effusion or pneumothorax.
atrial fibrillation. baseline prior to amiodarone therapy.
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widespread opacification to the left lung has significantly improved. asymmetric opacities throughout the right lung have also improved. moderate cardiomegaly. small bilateral pleural effusions.
<unk>f pna and pulm edema // interval change
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the lungs are clear. there is no effusion or pneumothorax. opacity at the posterior costophrenic angles better characterized by same-day ct thoracic spine as atelectasis. the cardiomediastinal silhouette is within normal limits. compression deformity of a mid thoracic vertebral body is noted. no definite acute osseous ...
<unk>f with fall // ? ptx
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patchy opacities in the right lung is increased compared to <unk>, concerning for worsening pneumonia. moderate right pleural effusion is stable. there is persistent right lower lobe collapse. mildly enlarged cardiac silhouette is unchanged. multiple left rib fractures are noted.
<unk> year old man with respiratory distress // cxr stat for resp distress
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the cardiomediastinal silhouette and pulmonary vasculature are stable and unremarkable. a right-sided port-a-cath is stable in position. again seen is a moderate right-sided pneumothorax, unchanged in appearance since recent examinations. small right pleural effusion and adjacent right basilar atelectasis or scarring a...
<unk>m with stage iv metastatic rectal cancer to lung (rul) now s/p open rulobectomy, rml wedge. // eval for interval change
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the lungs are clear. the cardiomediastinal silhouette, hilar contours, and flow surfaces are normal. no pneumonia, pneumothorax, or pleural effusion. no focal consolidations are noted.
history: <unk>m with chest pain // eval for acute process
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk> year old man with relapsed acute leukemia with dysnpea at rest // r/o consolidation or acute cardiopulmonary process
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frontal and lateral chest radiographs demonstrate a left chest wall pacer device with leads projecting over the right atrium and ventricle. a linear density projecting over the heart represents either a stent or calcification. there is again moderate cardiomegaly, unchanged. no definite focal consolidation is identifie...
chronic cough and possible posterior infiltrate on prior chest radiograph. evaluate for interval change.
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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. no overt pulmonary edema is seen.
palpitations.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are slightly hyperinflated but clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with chest pain
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the feeding tube is folded in the stomach cavity and the tips ends in the prepyloric region right pleural effusion is slightly increased left lung is poor inflated but clear, without pleural effusion. heart size is unchanged. the right central line has been removed. there is no pneumothorax.
<unk>-year-old woman with status post transplant indication:evaluate for placement of dobhoff
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frontal and lateral views of the chest demonstrate clear lungs without focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. partially imaged upper abdomen is unremarkable. there is no evidence of pulmonary edema.
dizziness and shortness of breath.
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there is a dense consolidation in the right lower lobe. this has developed since recent fna of the right lower lobe nodule. this likely represent postbiopsy hemorrhage. the left lung is clear. there is no pneumothorax. no pleural effusions.
<unk> year old man s/p rll lung fiducial seed placement // please do cxr at <time>- patient in pacu. please make sure patient is upright.
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pa and lateral views of the chest provided. tracheostomy tube projects over the mediastinum. lung volumes are low. 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 shortness of breath
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since the prior study, the cardiac silhouette is enlarged, there is more central vascular congestion, and there is mild interstitial edema. no large pleural effusion. no pneumothorax.
history: <unk>m with progressive <unk> edema // evaluate for chf exacerbation
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the lungs are hyperinflated but clear of consolidation, effusion or pulmonary edema. known pulmonary nodules seen on prior ct are not clearly delineated. there is however a nodular opacity on the lateral view projecting over the major fissure compatible with nodule seen on prior exam, potentially with interval growth. ...
<unk>m with subjective fevers // <unk> <unk> pna
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ap upright and lateral views of the chest provided. tracheostomy tube is partially visualized projecting over the superior mediastinum. embolic coil material in the left upper abdomen is partially visualized. overlying ekg leads are present. cardiomediastinal silhouette remains prominent though appears unchanged. small...
<unk>m with dislodged trach tube p/w afib and rvr
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portable ap upright chest radiograph <unk> at at <time> is submitted.
<unk> year old man s/p chest tube yesterday, now w increasing shortness of breath // signs of ptx, other chest tube complication signs of ptx, other chest tube complication
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ap portable upright view of the chest. in this patient with severe pulmonary fibrosis, pattern of interstitial opacities noted bilaterally appears similar to the prior study. please note given the extent of interstitial lung disease, a superimposed pneumonia difficult to exclude. no large effusion or pneumothorax is se...
<unk>f with dyspnea // eval for infiltrate
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patient is status post median sternotomy and cardiac valve replacement. dual lead left-sided pacemaker is stable in position. there has been interval decrease in bilateral pleural effusions with are now trace in extent. bibasilar opacities has decreased in the interval.the cardiac silhouette remains enlarged. the aorta...
history: <unk>f with pna // acute process
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as compared to <unk> radiograph, heart size remains normal and lobulated enlargement of the hila is unchanged. the latter could reflect enlarged pulmonary vessels related to history of pulmonary hypertension, likely with superimposed lymph node enlargement, especially on the right. superimposed upon pre-existing basila...
<unk> year old woman with pulmonary hypertension, ?scleroderma, with worsening dyspnea and hypoxemia // eval for pnumeonia, acute process
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left retrocardiac and left costophrenic angle opacity are identified. no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
<unk>-year-old woman with fever and cough. evaluate for infiltrates.
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the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
history: <unk>m with s/p rollover mvc. chest soreness // rib fracture?
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an et tube terminates approximately <num> cm from the carina. a subtle opacity in the right mid lung is present and may represent pneumonia or aspiration. there is no dense consolidation. there is no pleural effusion. there is no evidence of pneumothorax, although evaluation is limited by the supine technique. the card...
altered mental status.
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patient is status post median sternotomy and cabg. heart size is normal. mediastinal contour is unremarkable. fullness of the right hilum likely reflects known lung cancer. mild upper zone pulmonary vascular redistribution suggests mild pulmonary vascular congestion. coarse interstitial opacities are noted in the lung ...
history: <unk>m with right upper quadrant abdominal pain, fever. history of lung cancer.
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compared to the prior study there is no significant interval change.
<unk> year old man with disseminated adenovirus, intubated // interval changes
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there is subsegmental bilateral lower lung atelectasis, as seen on ct from <unk>. the lungs are otherwise clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
altered mental status.
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a pacemaker is seen projected over the left chest wall with dual leads overlying the right atrium and ventricle. the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
history of slurred speech and unsteady gait.
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the cardiac borders are obscured, noting low lung volumes, but the heart appears probably enlarged with a left ventricular configuration. the aortic arch is calcified. the right hilum is enlarged which is suspected to reflect primarily enlargement of central pulmonary arteries. diffuse opacification has increased. the ...
coronary disease and aortic stenosis presenting with tachypnea and hypoxia.
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there is consolidation of the right perihilar region, consistent with pneumonia. there is no pleural effusion or pneumothorax. the cardiomediastinal contours are normal. the imaged upper abdomen is unremarkable.
cough and pleuritic chest pain. rule out pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is normal.
history: <unk>m with chest pain // ? acute cardiuplm process
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the lungs are grossly clear without consolidation, large effusion or edema. there is relative elevation of left hemidiaphragm which is new since <unk>, but not dramatically different from <unk> given differences in projection. cardiomediastinal silhouette is within normal limits for technique.
<unk>m with new onset aflutter history of dvt // eval for palpitations pna?cta r/o pe
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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>f with sob // eval for pna
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the endotracheal tube terminates in the upper trachea above the clavicles, unchanged since the prior exam. nasogastric tube terminates within the stomach. compared to the prior exam, there has been little change. patient is status post left thoracoplasty. the little aerated left lung is stable. the right lung is essent...
history of sternal and rib fractures. question hemothorax
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is no free intraperitoneal air. no acute osseous abnormalities.
<unk>f with history of asthma p/w <num> days of abdominal pain, fever // ? pneumonia
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sternotomy wires are unchanged as are mediastinal clips. a pacer defibrillator unit projects over the left chest with leads in the right atrium and right ventricle as well as a set of abandoned leads, all similar to prior exam. the heart continues to be enlarged but not changed from prior exam. the mediastinal contours...
<unk>-year-old male with chest pain.
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>f with palpatations earlier today, hx of dmii // eval for cardiac
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the lung volumes are low. this accentuates the cardiac silhouette size which is top normal. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. mild crowding of the bronchovascular structures is noted. no focal consolidation, pleural effusion or pneumothorax is present. there are...
history of roux-en-y gastric bypass, large ventral hernia with abdominal pain, nausea, vomiting.
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heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. minimal atelectasis is seen in the left lung base. no focal consolidation, pleural effusion or pneumothorax is identified. no displaced fracture is visualized. clips are seen within the right upper quadrant o...
right lateral chest wall pain after motor vehicle collision.
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again noted is a metallic density projecting along the base of the right neck near a central venous catheter that terminates at the cavoatrial junction. the heart is mildly enlarged. the mediastinal and hilar contours are unchanged. there is mild interstitial abnormality suggesting pulmonary vascular congestion, but ot...
confusion.
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the cardiac, mediastinal and hilar contours appear stable. there is again a very small pleural effusion on the left, none on the right side. the lungs appear clear.
shortness of breath.
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lung volumes are low, and a left retrocardiac opacity is improved from the recent radiograph and likely reflects atelectasis. minimal linear atelectasis is also demonstrated at the right lung base. there are small pleural effusions. no definite focal consolidation or pneumothorax is seen. the heart is normal in size gi...
<unk> year old man with seizure disorder, history of left frontal cerebral vascular accident, non st elevation myocardial infarction, and atrial fibrillation who presents with unresponsiveness of unknown etiology. the patient is being treated with levofloxacin for possible community-acquired pneumonia due to possible ...
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the cardiomediastinal silhouette is stable, with an abnormal contour at the level of ap window and to the right lower paratracheal stripe reflective of known fdg avid mediastinal mass. aortic arch calcifications are re- demonstrated. there is no new focal lung consolidation. there is no pulmonary vascular congestion or...
<unk>m with febrile neutropenia, evaluate for pneumonia.
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left subclavian picc line, with tip overlying the upper right atrium, near svc/ra junction. please see wet reading below. the heart is not enlarged. aorta slightly unfolded. mild prominence of the superior mediastinum is likely accentuated by supine ap technique. there is slight upper zone redistribution, also likely a...
<unk> year old man with l hip hematoma, with picc line // position of picc surg: <unk> (l hip hematoma debridement)
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. aortic knob calcification is stable. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
missed session of hemodialysis.
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a dual lead pacemaker is again seen with the tips in the right atrium and right ventricle. the heart remains mildly enlarged. mild pulmonary vascular congestion, is chronic and unchanged. no pleural effusions or pneumothorax no acute focal consolidation. the bone mineral density is diffusely reduced with mild wedging o...
<unk> year old woman awaiting mri who has a pacemaker // please evaluate placement and lead positioning
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there is hyperexpansion of the lungs, with flattening of both hemidiaphragms, compatible with copd. right upper lobe scarring and pleural thickening is likely unchanged compared to the prior study, given differences in patient positioning. there is no overt pulmonary edema, pneumothorax, or focal consolidation worrisom...
history: <unk>f with fall // ro rib fractures, infection
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no definite focal consolidation is seen. . no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. hilar contours are stable.
history: <unk>m with fever // eval for pna
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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.
history: <unk>m with cp and sob. // ? process
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single portable ap view of the chest is provided. compared to prior study there is increased prominence of pulmonary vascular consistent with worsening pulmonary edema. the cardiomediastinal silhouette is stable. there is calcification of the aortic knob. again seen is stable small left pleural effusion with slightly d...
<unk>-year-old woman with shortness of breath, question pulmonary edema.
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right et tube is in the right mainstem bronchus terminating at the origin of the bronchus intermedius and should be withdrawn approximately <num> cm. mild interstitial pulmonary edema continues to improve. there is substantial left lower lobe atelectasis. there is no new focal airspace opacity to suggest pneumonia. the...
<unk> year old woman with chronic dissection // eval for ett position
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frontal and lateral views of the chest. again seen is elevation left hemidiaphragm with left basilar atelectasis. elsewhere, the lungs are clear. no definite effusion. cardiomediastinal silhouette is stable as are the osseous structures. indentation at the right lateral aspect of the trachea at the thoracic inlet, pote...
<unk>-year-old male with weakness.
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sternotomy wires are intact. prosthetic aortic valve is in unchanged position. there is no consolidation, pneumothorax, or pleural effusion. cardiomediastinal and hilar silhouette are normal size.
history: <unk>m with seizure disorder w/ persistent seizure aura // eval ? occult infiltrate
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frontal and lateral chest radiographs again demonstrate mild cardiomegaly and mild pulmonary vascular engorgement. however, no interstitial edema is seen. lung volumes are low. there is no pleural effusion or pneumothorax.
cough.
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lung volumes are lower compared to the previous study which accentuates the size of the cardiac silhouette. heart size appears mildly enlarged. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acut...
history: <unk>f with new neurological symptoms
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there is continued improvement of diffuse interstitial opacities consistent with the diagnosis of pulmonary edema. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. hiatal hernia is again seen.
<unk>-year-old with hypoxemia and cough.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. new geographic opacity projecting over the lower portion of the right upper lobe suggests mild hemorrhage associated with a recent biopsy. there is no pneumothorax.
immediately status post right transbronchial biopsies.
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ap and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality is identified. surgical clips seen in the right upper quadrant.
pain.
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the patient is status post mitral valve replacement. there is a dual-lumen venous catheter terminating at the upper aspect of the right atrium, as before. the heart is again moderately enlarged. slightly prominent central pulmonary vascularity appears to represent a baseline finding but is slightly more prominent. a le...
cough and shortness of breath.