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the patient is status post median sternotomy and cabg. heart size appears mildly enlarged but unchanged. mediastinal and hilar contours are similar. no pulmonary edema is present. a moderate size left pleural effusion is present along with a small right pleural effusion, both of which have increased in size compared to...
history: <unk>m with dyspnea on exertion, dry cough
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there are new small bilateral pleural effusions. there is no focal infiltrate. the cardiac and mediastinal silhouettes are unchanged
<unk> year old woman with l femur fx, now with productive cough, leukocytosis // eval for pna, interval change
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frontal and lateral views of the chest. a large retrocardiac opacity is again seen, consistent with a known large hiatal hernia containing segments of bowel. blunting of the left costophrenic angle is similar to prior. there is bilateral lung base atelectasis and biapical scarring. heart borders are obscured but appear...
altered mental status.
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as compared to <unk>, interval increase in right lower lobe and right upper lobe nodular airspace opacities. there is probable small bilateral effusions. moderate cardiomegaly persists. no pneumothorax. left-sided picc terminates in the low svc.
<unk> year old man with mds <unk>/p allo transplant now with rul infiltrate. // please assess evolution of infiltrate. thank you!
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cardiomediastinal contours are normal. aside from linear left lower lobe atelectasis, the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with r basilar crackles, nausea, former remote smoker // eval fro hcf pna
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pa and lateral views of the chest. no prior. extremely low lung volumes are seen particularly on the lateral. linear bibasilar opacities therefore are suggestive of atelectasis. there is no large confluent consolidation. costophrenic angles are sharp. cardiomediastinal silhouette is within normal limits. lucency under ...
<unk>-year-old male with new afib, atrial flutter, presents with bright red blood per rectum. evaluate for infiltrate.
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the cardiac silhouette is normal. postoperative mediastinal silhouette is is visualized improved from previous study with an air-fluid level seen and is consistent with patient's recent egd anastomosis. again seen is a left port with a catheter tip that terminates in the distal svc. no focal consolidations, pleural eff...
<unk> year old woman s/p mie in <unk> most recently s/p redo of eg anastomosis <unk> for esophageal stricture // please eval for interval change
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a right ij sheath is present. the tip lies near the point of confluence with the subclavian vessel. tubing overlies the upper mediastinum in the midline. if this is an et tube, it lies relatively low, only <num> cm above the carina. if it is an ng tube, then it has not passed beyond the mid esophagus. there are low ins...
<unk> year old man with w/hcv cirrhosis, variceal bleed. s/p <unk> line // please confirm <unk> line placement
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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.
history: <unk>f with palpitations, intermittent chest pain and sob // eval for pna or other acute process
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interval placement of a right-sided internal jugular central venous line, with the tip terminating in the vicinity of the cavoatrial junction. the lungs remain well expanded, but there is now increased moderate central pulmonary vascular congestion and interstitial edema. no large pleural effusion or lobar consolidatio...
history: <unk>m with hypoxia after ivfs // eval for fluid overload
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the lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. there is blunting of the left costophrenic angle suggesting a small pleural effusion. there may be a trace right pleural effusion. there is moderate pulmonary edema. difficult to exclude underlying infectious process. the cardiac silhouette ...
history: <unk>m with sob // eval for pulmonart edema/pna
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema.
patient status post cholecystectomy, with right upper quadrant pain.
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the lung volumes are stable. no overt evidence of focal consolidation, however it cannot be completely excluded in the setting of pulmonary edema. interval worsening of pulmonary edema. stable moderate cardiomegaly. the pleural surfaces are normal. similar to the study from earlier today, the intra-aortic balloon pump ...
<unk> year old man with pericardial effusion presents with fever, planning for pericardial windowing tomorrow. // evaluate for consolidation
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the ett is in standard position. enteric tube traverses the diaphragm and its tip is not seen. the right internal jugular venous catheter ends in the distal svc, unchanged. lung volumes remain low. compared to the exam only <num> hours prior, interstitial prominence has improved, although still present, suggesting reso...
<unk> year old man with liver failure, on hd for ain, stable ventilator settings x<num>hrs, in last hour inc tachypnea, dyssynchrony, ?new aspiration event or other acute change // please evaluate for interval change
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airspace opacities both lower lobes are probably bronchopneumonia. there is no consolidation to suggest a typical bacterial infection. there is no pleural effusion or pneumothorax. the cardiomediastinal contours are normal. the hilar structures and pleural surfaces are unremarkable.
severe cough productive of sputum. evaluate for pneumonia.
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the lungs are well inflated and clear. no focal consolidations identified. the cardiomediastinal silhouette hilar contours are stable. there is no pleural effusion or pneumothorax.
<unk>m with chest pain, etoh, evaluate for cardiopulmonary process
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left chest wall icd is unchanged. moderate cardiomegaly has improved compared to prior study. mediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
atrial fibrillation with rvr with icd firing twice.
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there is biapical pleural thickening. lungs are otherwise clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man s/p recent olt with borderline hypoxemia // evaluate for acute process
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sternotomy. cardiac pacemaker. moderate right pleural effusion similar. stable bibasilar opacities. interstitial prominence left lung, with areas of nodularity, stable, consistent with infection, with possible component of edema. no pneumothorax. increased heart size, stable.
<unk> year old man with inoperative coronary artery disease, known thrombocytopenia ?hit, gastric antral vascular ectasia (gave) syndrome, who presented with sob, found to have recurrent right pleural effusion and likely new left-sided pneumonia // ?pulmonary congestion
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cardiac, mediastinal and hilar contours appear stable. there is a developing opacity in the left lower lobe most consistent with pneumonia. there are no definite pleural effusions.
worsening tachypnea.
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nasogastric to tip in the stomach, with side port just below gastroesophageal junction. severe gastric distention. findings are new since prior exam. lungs clear. chest otherwise normal.
<unk> year old man with symptoms of gastroparesis, ng tube placed for decompression, please assess placement // ng tube
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enteric tube descends in the midthorax in an uncomplicated course, below the diaphragm and terminates in the lumen of the upper stomach, not significantly changed in position compared to exam performed approximately <num> hours prior. paraesophageal heart size is within normal limits.mediastinal and hilar contours are ...
<unk>m with h/o cabg and stent on ticagrelor now with a symptomatic hiatal hernia who recently had a gastric volvulus and transferred from osh for evaluation. evaluate for ngt placement.
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patient is status post sternotomy. the cardiac, mediastinal and hilar contours appear unchanged including moderate cardiomegaly. increasing opacities are noted at the lung bases, greater on the right than left, with a small pleural effusion on the right. a mild interstitial abnormality suggest somewhat worsening pulmon...
altered mental status. bacteremia and congestive heart failure.
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pa and lateral views the chest <unk> at <num> <num> are submitted.
<unk> year old man with pigtail discontinued // ?pneumothorax? ?pneumothorax?
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stable normal heart size, mediastinal and hilar contours. calcified hilar lymph nodes are unchanged. no focal consolidation, pleural effusion, pulmonary edema or pneumothorax. a linear density projecting over the sixth right anterior rib corresponds to a bone island within the rib seen on prior ct.
<unk> year old woman with dm, htn and prolonged cough with new doe // ?infiltrate, mass, chf
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cardiac silhouette size remains moderately enlarged. mediastinal contour is unremarkable. there is a persistent moderate left pleural effusion with associated left basilar opacity likely reflective of atelectasis. increased patchy opacity within the right lung base is also likely reflective of atelectasis. no overt pul...
atrial fibrillation with rapid ventricular rate
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the right ij central line has been removed. the tip of an endotracheal tube is at the level of the clavicles. a left ij central line is unchanged in position, likely terminating at the superior cavoatrial junction. an enteric tube remains in place, but is only visualized to the level of the mid esophagus. despite low l...
<unk>-year-old female status post gastrectomy for ulcer with open abdominal wound and pulmonary edema.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities.
<unk>f with chest pain with pleurtic component // ? infectious process
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single frontal view of the chest demonstrates tracheostomy in place. there is a dense retrocardiac opacity and bilateral lung bases which could represent atelectasis. patchy opacities in the left base likely represent atelectasis although infection should be considered in the appropriate clinical setting. the cardiomed...
<unk>-year-old male with tracheostomy, presents with leukocytosis and diaphoresis. question pneumonia.
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frontal and lateral radiographs the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
altered mental status. evaluate for pneumonia.
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there is new minimal, linear right basal opacity, likely atelectasis. left lingular atelectasis is minimal. otherwise, the lungs are clear. moderate cardiomediastinal silhouette has decreased since postop, and has appropriate postop appearance. there is no pleural effusion, pulmonary edema or pneumothorax. median stern...
<unk> year old man with s/p cabg- increasing sob with leukocytosis // evaluate for infiltrate/acute process
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pa and lateral views of the chest were provided. lungs are hyperinflated with coarsened reticular markings suggestive of underlying emphysema. there is biapical pleural parenchymal scarring. no focal consolidation to suggest pneumonia. no evidence of pulmonary edema effusion or pneumothorax. there is tracheobronchial t...
<unk>f with acute loc and hypotension.
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right-sided port-a-cath is seen, catheter terminating in the mid to low svc, without evidence of pneumothorax. there are left greater than right bilateral pleural effusions. left base opacity likely represents combination of pleural effusion and atelectasis, underlying consolidation is not excluded. left mid lung atele...
history: <unk>f with cough // acute process?
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on the frontal view, there is a subtle opacity overlying the right sixth rib. this is more prominent than on the prior exam. the lungs are otherwise clear without a focal opacity or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
productive cough. evaluate for pneumonia.
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there has been interval placement of a left-sided chest tube with tip terminating near the left apex. there has been re-expansion of the left lung, with only a minimal residual amount of the pneumothorax seen in the left apex. streaky linear opacity in the left lung base likely reflects atelectasis. previously noted ri...
pneumothorax with pigtail catheter placement on the left.
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frontal and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. there is a small pericardial effusion, that appears similar to ct in <unk>.
known metastatic thyroid cancer. presenting with cough.
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mild bibasilar atelectasis is seen without definite focal consolidation. incidental note is again made of an azygos lobe. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with full body shake, ? rigor, no uri sx // eval for pna
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a port-a-cath terminates at the cavoatrial junction. 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.
fall and fever. question source of fever.
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left-sided pacemaker device is noted with single lead terminating in the right ventricle. heart size is top normal. the aorta remains tortuous. mediastinal and hilar contours are stable. pulmonary vasculature is normal. apart from minimal atelectasis in the left lung base, lungs are clear without focal consolidation. c...
altered mental status.
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left lower lobe consolidation is worrisome for pneumonia. no large pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.
history: <unk>f with cough, fever, l shoulder blade pain // pna?
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patient is status post median sternotomy and cabg. heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected.
<unk> year old woman with hx cabg <unk>, now with new left parasternal chest pain // assess for etiology of left sided chest pain
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the lungs are hyperinflated but clear. there is no evidence of pneumonia. heart size and mediastinal contours are stable. there is no evidence of pleural effusion or pneumothorax. biapical scarring is stable. clips project over the right lower chest wall/breast. dextro convex scoliosis of the thoracic spine is unchange...
history: <unk>f with weakness // ? pna
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the cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax.
asthmatic bronchitis.
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the cardiac silhouette is obscured by large, bilateral pleural effusions, greater on the left than on the right, with likely bilateral atelectasis. at least moderate pneumomediastinum is noted, as seen on recent ct of the chest.
<unk>f with cp // eval for pleural effusion
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cardiomediastinal contours are normal. pacer leads tips are in standard position in the right atrium and right ventricle. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man s/p ppm // ptx, leads
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right-sided port-a-cath tip terminates at the junction of the svc and right atrium. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. previously demonstrated pulmonary nodules on ct are not well assessed on the current exam. lungs are clear. trace left pleural effus...
history: <unk>f with altered mental status
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there is a single-chamber icd with the tip of the lead extending to the right ventricle. the cardiac, mediastinal, and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are clear. specifically, there are no signs of lung fibrosis.
<unk>-year-old on amiodarone.
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there are increased vascular markings with upper re-distribution and hilar prominence bilaterally with more confluent opacity in the right mid lung. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old man with acute onset of shortness of breath. acute mi. evaluate for evidence of chf.
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pa and lateral views of the chest provided. right chest wall port-a-cath is noted with catheter tip in the region of the svc. there is marked elevation of the right hemidiaphragm. lungs appear clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous s...
history: <unk>f with lymphoma, in for infectious workup and escalation of therapy // shortness of breath
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pa and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormality detected. surgical clips seen in the right upper quadrant. there is no free air below the diaphragm.
<unk>-year-old female with fever and history of jaundice.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>m w/shortness of breath, please eval for pna // <unk>m w/shortness of breath, please eval for pna
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the lungs are mildly hyperexpanded and hyperlucent with flattening of the diaphragms. increased opacification of the upper lobes, more so on the right, is demonstrated and may reflect radiation change or other parenchymal abnormality. no focal consolidation, edema, effusion, or pneumothorax. blunting of the left costop...
<unk> year old woman with breast cancer, new dyspnea, rales on exam ; evaluate for congestive heart failure.
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again seen are multiple left-sided rib fractures as well as left clavicular fracture. the left-sided pneumothorax has increased in size significantly from initial chest x-ray obtained <unk>. it now measures <num> cm from lung apex to apical chest wall. there is no mediastinal shift. there is a stable persistent small l...
<unk> year old man s/p bike accident on <unk> with left pneumothorax, now found tohave increased in size on <unk> (shoulder films). recommended cxr to evaluate further // assess interval changes of left-sided pneumothorax
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again seen is a right subclavian line which appears to reside in the more centrally overall with tip terminating in the mid-to-low svc. a new sharp turn in this catheter is present. cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. round densities overlying the right lateral...
multiple myeloma, status post autologous stem cell transplant with neutropenia and fever.
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. streaky opacity at the left lung base is most consistent with minor atelectasis. otherwise, the lungs appear clear. there is no pleural effusion or pneumothorax.
three days of chest pain.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. surgical clips are seen projecting over the neck.
<unk>-year-old woman with shortness of breath. evaluate for acute cardiopulmonary process.
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there is complete opacification of the right hemi thorax compatible with a large right effusion. there has been some mediastinal shift to the left the visualized portions of the left lung are predominantly clear with some volume loss/early infiltrate at the base compared to the prior the effusion is larger on the right...
<unk> year old woman with unilateral effusion s/p <unk> // r/o ptx
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pa and lateral views of the chest. there is no focal consolidation. the cardiomediastinal contours are normal. there is no pleural effusion or pneumothorax.
palpitations, today with two episodes, evaluate for acute cardiopulmonary abnormality.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. bronchial wall thickening is noted. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with leukocytosis, somnolence // evaluate for pneumonia
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compared to the prior study, the lung expansion has slightly increased. bilateral lower lobe atelectasis and elevation of the left hemidiaphragm persists. the cardiac and mediastinal contours are stable. two compression fractures in the lower thoracic spine are unchanged since <unk> and may be related to the patient's ...
<unk> year old man with elevated left diaphragm and hx of lll atelectasis and pna. // assess for absence of lll atelectasis or rll atelectasis
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post right pneumonectomy changes are stable. compensatory hyperinflation of the left lung. no left pulmonary airspace consolidation or nodules. no edema. no pleural effusion. mild apical pleural thickening. no sinister bony lesions.
<unk> year old woman with h/o lung cancer and right pneumonectomy, with new cough for the past month // eval for infiltrate or new mass
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heart size is mildly enlarged with a left ventricular predominance. the aorta is unfolded. mediastinal and hilar contours are normal. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. minimal atelectasis is noted in the lung bases. there are no acute osseous abnormali...
history: <unk>m with new right upper and lower extremity weakness
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ap portable upright view of the chest. underpenetration limits evaluation. the heart appears mildly enlarged though likely in part magnified due to ap technique. the mediastinal contour appears normal. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. no overt signs of edema t...
<unk>f with dyspnea // ?pna
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cardiac silhouette size is mildly enlarged. the mediastinal and hilar contours are within normal limits. there is mild pulmonary vascular congestion, with a small left pleural effusion slightly increased from the prior study. patchy opacities in the lung bases are also increased, and may reflect atelectasis. no pneumot...
history: <unk>m with dyspnea, wheezing
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since the prior radiograph, there has been slight improvement in small bilateral pleural effusions. the left lung has re-expanded. there is no pneumothorax. the lungs are otherwise clear. cardiomediastinal silhouette is stable. median sternotomy wires are intact. there is no evidence of hemothorax.
<unk>-year-old man status post thymectomy, evaluate for interval change, hemothorax.
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left-sided port-a-cath tip terminates within the svc/right atrial junction. heart size is normal. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are hyperinflated with mild emphysematous changes again noted in the lung apices. trace bilateral pleural effusions appear impr...
history: <unk>m with weakness, chills. // pneumonia?
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since <unk>, the tip of a right picc line is seen in the brachiocephalic vein. the swan-ganz catheter is again seen in the right main pulmonary artery. intra-aortic balloon pump is in unchanged position. lung volumes remain low. no pulmonary edema, pneumothorax, or pneumonia. moderate cardiomegaly is unchanged.
<unk> year old woman with chf and hypothermia // evaluate for pneumonia
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patient has a left-sided pacemaker with leads terminating in the right atrium and right ventricle. moderate scoliosis is again present. there is no evidence of pneumonia. a left pleural effusion is present.
rising leukocytosis.
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>m with chest pain and shortness of breath // eval for pneumothorax
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right picc tip is in low svc. interval clearing of left lower lobe opacity. no pneumothorax, pleural effusion, new focal opacity, or pulmonary edema. subtle right-sided impression on the trachea at the level of thoracic inlet is likely from thyroid goiter. heart size, mediastinal and hilar contours are normal. widening...
<unk>-year-old male with myelofibrosis undergoing pretransplant workup with baseline lung assessment.
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the heart size remains mildly enlarged with dense mitral annular calcifications. the aorta is tortuous with a stent graft noted within the descending thoracic aorta as well as within the upper abdominal aorta. medial right upper lobe opacity is compatible with postradiation changes, and appears similar compared to the ...
recent pleurex catheter with altered mental status.
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there is mild cardiomegaly, stable compared to exams dated back to <unk>. moderate-sized right pleural effusion is similar in size with adjacent right basilar atelectasis. multiple nodular opacities in the lungs are compatible with known metastases. there is no pneumothorax. osseous destruction of the right eighth and ...
history of renal cell cancer and right-sided pleural effusion. please evaluate.
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is a healed left clavicular and left posterior ninth rib fracture.
cough. evaluate for pneumonia.
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a right chest wall power injectable port is present with the tip projecting over the right atrium. no focal consolidation, pleural effusion or pneumothorax identified. increased opacities project over the hila. chain sutures are present in the medial left upper lobe. the size the cardiac silhouette is within normal lim...
<unk> year old man with metastatic rcc and chronic cough/hx of pulm mets. admitted with hyperglyecmia // eval infection as etiology of hyperglycemia
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the inspiratory lung volumes are appropriate. the lungs are clear, there is no pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar silhouettes are within normal limits. the trachea is midline. no acute displaced or healed rib fractures are identified. the visuali...
painless lump over the left lower rib for the past five days, here to evaluate for chest trauma.
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the lung volumes are low. in comparison to the prior exam on <unk>, there is a decrease in the amount of interstitial markings, suggesting improvement in the previously seen mild pulmonary edema. there is no pleural effusion, or pneumothorax. the previously seen small retrocardiac opacity is stable and most consistent ...
heart failure after a nstemi. new shortness of breath.
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a linear opacity at the left base is similar to the prior exam. given the chronicity, this is likely chronic atelectasis or scarring. there is no new opacity to suggest pneumonia. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
severe asthma with worsening shortness of breath. evaluate for pneumonia.
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portable ap upright chest <unk> <time> is submitted.
<unk> year old woman with new oxygen requirement, recent icu stay w/intubation and volume resuscitation // ?infiltrates, edema ?infiltrates, edema
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a portable view of the chest shows little overall change to bilateral pleural effusions with the right tracking laterally. the cardiomediastinal silhouette is grossly stable. endotracheal tube, feeding tube, and right picc are unchanged in position. there is no pneumothorax.
<unk>-year-old with aspiration pneumonia, evaluate for interval change.
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no effusion. cardiomediastinal silhouette is stable, noting retrocardiac opacity compatible with a hiatal hernia. lower thoracic acute kyphosis is again seen; however, delineation of the distinct vertebral bod...
<unk>-year-old female with right-sided abdominal pain, indigestion. low-grade temperatures.
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low lung volumes at least partially contribute to apparent increase in heart size. 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 back pain // any acute cardiopulmonary process?
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there is a large left lower lobe opacity with multiple air-fluid levels consistent with patient's known large hiatal hernia with adjacent atelectasis. otherwise, the remainder of the lungs are clear. cardiomediastinal silhouette appears within normal limits. calcifications are noted at the aortic arch.
evaluation of patient with pleuritic chest pain.
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. hypertrophic changes noted in the spine. no displaced fractures identified. degenerative changes noted at the right acromioclavicular joint.
<unk>m with s/p scooter accident, fell onto l side, l high chest wall, shoulder, and knee pain // eval ? traumatic ac separation, obvious rib fx, knee effusion
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endotracheal tube and swan ganz were placed, the latter has the tip in the outflow tract the alignment of the sternotomy wires is unchanged. heart appears bigger, with increased perihilar vascular drawings for vascular congestion. there is pleural effusion on the left side. no signs of pneumothorax impression
<unk>-year-old man with a/v endocarditis, story of paravalvular leak, closure today for av dehiscence. new clinical symptoms with htn and desaturation. pulmonary edema?
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single ap view of the chest provided. et tube ends <num> cm above the carina. a transesophageal tube ends in the proximal stomach. patchy diffuse, bilateral interstitial and alveolar opacities, some of which have a nodular appearance are improving from <unk>. no pleural effusion or pneumothorax. hilar and cardiomediast...
<unk> year old man with ca-p, intubated // eval for interval change, position of ett
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities identified.
history: <unk>f status post fall with c<num>/c<num> tenderness to palpation as well as painful right shoulder and ankle
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there has been interval placement of a nasogastric tube which is coiled in the stomach. pneumoperitoneum is re- demonstrated. cardiac, mediastinal and hilar contours are normal. streaky opacities in the lung bases likely reflect atelectasis. no pleural effusion or pneumothorax is present.
history: <unk>m with post op ileus, nasogastric tube placed // please eval for ngt placement
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lung volumes are low. the heart is moderately enlarged. additionally, bibasilar and retrocardiac airspace opacities are noted, and may represent pneumonia in the proper clinical setting. streaky linear atelectasis versus scarring is noted along the lateral aspect of the mid right lung. probable small bilateral pleural ...
history: <unk>f with sob and hypoxia // eval for pneumonia
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the left picc ends in the mid-to-upper svc. multiple healed fractures are seen of the posterior ribs bilaterally, unchanged. there is no focal consolidation, pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal.
new picc line.
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the lungs are hyperexpanded, causing flattening of the hemidiaphragms and enlargement of the retrosternal clear space, not significantly changed compared to most recent study from <unk>. there is no focal consolidation. the heart is normal in size. mediastinal contours are normal. there are no pleural effusions. no pne...
shortness of breath and asthma. also with slight chest pressure and productive cough. assess for pneumonia.
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right middle lobe opacity is identified and better characterized on cta dated <unk>. when compared to radiograph dated <unk>, there has been no significant interval changes. no focal consolidation suggestive of interval development of pneumonia is identified. cardiomediastinal and hilar contours are stable in appearanc...
<unk>-year-old male with shortness of breath.
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elevation of the left hemidiaphragm is unchanged compared to the prior examination. lungs are markedly hyperinflated suggestive of underlying emphysema. relative lucency at the right base corresponds to bullous changes on a ct dated <unk>. since the prior study, there is coarsening of the interstitium with associated p...
<unk>m with dyspnea
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compared to the prior study there is no significant interval change.
<unk> year old woman with effusion and shortness of breath // effusion, edema?
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pa and lateral chest radiograph demonstrate streaky opacities in the bases bilaterally, possibly reflective of aspiration. bronchial wall thickening at the lower lobes is also noted. there is no pleural effusion. mediastinal and hilar contours are stable relative to prior examinations. the left heart border is partiall...
history: <unk>m with hematemesis, recent cocaine use, chest pain // ? esophageal rupture, chest pain, cardiomegaly
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right-sided picc terminates in the low svc. 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.
history: <unk>f with fever and tachycardia // eval for picc placement
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one ap portable view of the chest. there is dense opacification of the left lower lobe which is new. there is also right lower lobe patchy opacities and less conspicuous opacities seen at the right and left upper lobes. there is no pneumothorax. no definite pleural effusion. heart size is normal.
shortness of breath and hypoxia.
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as compared to the most recent prior examination, the previously identified perihilar opacities have now mostly resolved. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. the aorta is again noted to be calcified and somewhat tortuous. there is no ...
recurrent pneumonia, now with cough.
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frontal and lateral views of the chest. the lungs are clear without focal consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. vertebral body height loss seen in upper to mid and lower thoracic vertebral body which is unchanged.
<unk>-year-old male with hiv and seizure. confusion.
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the leads from the dual-lead pacer are unchanged. the calcification from the left ventricular aneurysm is again visualized. there is increased hazy opacity projecting over the left lung, compatible with an effusion layering posteriorly and superimposed alveolar infiltrate. this has worsened compared to the prior exam. ...
hypoxemia, question interval change.
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as compared to prior chest radiograph from earlier this morning, there has been interval placement of a right ij central venous catheter with its tip terminating at the mid to lower svc. there is no definite pneumothorax. an endotracheal tube terminates <num> cm above the carina. enteric tube is in unchanged position. ...
<unk>-year-old man with hypotension, line placement.