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the heart size is moderately enlarged. the aorta is tortuous and diffusely calcified. streaky bibasilar airspace opacities likely reflect atelectasis. there is no pulmonary edema. no pneumothorax or large pleural effusion is present. there are no acute osseous abnormalities. clips are seen within the upper abdomen.
fall with head strike.
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low lung volumes are overall unchanged. small amount of fluid in the minor fissure is overall unchanged. no pneumothorax, focal consolidation, large effusion, or edema. elevation of the left hemidiaphragm is overall unchanged in the setting of gaseous distension of colon in the left upper quadrant. the cardiomediastina...
<unk> year old woman s/p l orif with new onset hypoxia; evaluate for interval change.
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cardiomediastinal silhouette is within normal limits. new faint right basilar opacity may represent atelectasis, although superimposed infection is not excluded in this clinical setting. no pneumothorax or pleural effusions detected.
<unk>m with fever, malaise. evaluate for infectious process.
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again seen is marked interstitial opacity particularly notable at the left lung base consistent with patient's known pulmonary fibrosis and bronchiectasis seen on the ct's from <unk> and <unk>. there is evidence of right basilar atelectasis. in the context of the limitations of the parenchyma, no definite superimposed ...
<unk>-year-old male with a history of shortness of breath and chest pain, who presents for evaluation of an acute process.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk> yo with left sided chest pain.
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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 chest pain
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the lungs are again noted to be hyperinflated, with flattening of the hemidiaphragms. bilateral pleural effusions are similar to perhaps slightly increased compared with prior. there is new silhouetting of the right heart border likely reflecting right middle lobar atelectasis. the pulmonary vasculature is normal in ap...
<unk>-year-old female with recent pulmonary stent, presents with productive cough, question infiltrate.
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frontal and lateral chest radiographs demonstrate well-expanded lungs. heart is normal in size and cardiomediastinal contours are unremarkable. lungs are clear. there is no pleural effusion and no pneumothorax. no definite rib fractures.
chest after assault, evaluate for rib fractures or extension of pneumothorax.
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there is a triangular retrocardiac opacity, which likely represent left lower lobe atelectasis. the right lung is clear. there is no evidence for pulmonary edema, pneumothorax or pneumonia. the heart is top-normal in size. the mediastinum and hilar contours are unremarkable. svc vascular stent seen. tracheostomy tube a...
<unk> year old woman w/ trach, increasing pressures on vent. evaluate for consolidation or effusion.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. a <num>-mm nodule in the left base is unchanged since at least <unk>. note is made of indistinctness of the most posterior part of the left dia...
<unk>-year-old male with fever and cough as well as wheezing. question pneumonia.
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the cardiomediastinal silhouette is normal. the hila and pleura are normal. the lungs are clear without evidence of focal opacifications, pulmonary edema or pneumothorax.
<unk> year old woman with history of asthma, cough. // pneumonia
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the lung volumes are low. within the limitations of technique, the cardiac, mediastinal and hilar contours are probably within normal limits. there is no definite pleural effusion or pneumothorax. heterogeneous opacification involves each mid lung, greater on the right than left, with areas of entirely spared lung. the...
fever and asthma exacerbation.
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heart size is mildly enlarged and the mediastinal and hilar contours are unchanged. patient is status post right upper and lower lobe wedge resections with volume loss again noted in the right lung and rightward shift of mediastinal structures. patchy opacity within the right lung base is relatively unchanged and bette...
history: <unk>f with shortness of breath, cough
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frontal and lateral views of the chest demonstrate hyperexpanded lungs. no pleural effusion, focal consolidation or pneumothorax. the heart is moderately enlarged. descending aorta appears tortuous. there is no pulmonary edema. hilar and mediastinal silhouettes are otherwise unremarkable. multiple surgical clips projec...
weakness.
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there is a dual-lumen dialysis catheter terminating in the uppermost part of the atrium, in an unchanged position. the heart is normal in size. the aortic arch is partly calcified. there is no pleural effusion or pneumothorax. the lungs appear clear aside from patchy right infrahilar opacity that appears unchanged and ...
confirm bacteremia. question pneumonia.
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single lead left-sided aicd is again seen, stable in position. the cardiac silhouette remains enlarged. mediastinal contours are stable. there is mild central pulmonary vascular engorgement without overt pulmonary edema. minor left basilar atelectasis is seen. no focal consolidation, large pleural effusion or pneumotho...
history: <unk>m with sob, heart failure // eval for pulm edema
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with weakness // eval for infection
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frontal and lateral views of the chest were performed. there is increase in interstitial markings are compared to prior, likely indicating mild pulmonary edema. there is no pleural effusion or pneumothorax. there is no focal airspace consolidation. the cardiac silhouette remains mildly enlarged. a coronary artery stent...
chest pain, evaluate for an acute intrathoracic process.
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frontal and lateral views of the chest demonstrates an opacification of the right lung base, which likely represents chronic right pleural effusion, and is essentially unchanged from <unk>. the lungs are otherwise clear. the heart is stably enlarged. the mediastinal and hilar contours are unchanged. there is no pneumot...
recurrent pleural effusion status post thoracentesis x<num>, followup effusion.
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heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. moderate degenerative changes are seen in the thoracic spine. chronic appearing bilateral rib fractures are re- demonstrat...
<unk>m with weakness, please evaluate for occult pneumonia
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with l sided exertional chest pain, l arm tingling
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the monitoring and support devices are stable and in good position. no pneumothorax is visualized since clamping the chest tube. chronic linear scarring and right pleural fluid has not significantly changed. the appearance of the left lung has also not significantly changed. the heart size is stable.
<unk>m s/p prior partial esophagogastrectomy presents <num>wk after eus/panc mass bx c/b perf, mediastinitis/pancreatitis/ards now s/p r thoracotomy, mediastinal drainage/abd washout // apical chest tube is clamped, please evaluate for pneumothorax
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compared to the prior radiograph, no significant change is noted. bilateral pleural effusions with adjacent atelectasis are unchanged. there is minimal fluid overload without overt pulmonary edema. no new focal consolidation concerning for pneumonia. the support and monitor devices are constant in position. intact medi...
<unk> year old man with resp failure. assess for change.
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lung volumes are low with bibasilar atelectasis and linear segmental atelectasis in the right mid lung. cardiomegaly is stable. pulmonary vascular congestion is increased from <unk>. small bilateral pleural effusions are unchanged.
<unk> year old woman with cough, fever // evaluate for acute process, pneumonia
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lung volumes are extremely low, accentuating the cardiac silhouette and pulmonary vasculature. heart size is top normal with prominent tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. bony structures are grossly intact.
right posterior thoracic pain.
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patient is rotated to the left. there is persistent marked elevation of the right hemidiaphragm and chronic blunting of the costophrenic angles. subtle left mid lung opacity is stable since at least <unk>. cardiac and mediastinal silhouettes are stable. surgical clips seen in the right upper quadrant.
history: <unk>f with chest pain // cardiopulm process
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. mild atelectasis is seen in both lower lobes without focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities are present. clips are noted projecting over the left superior mediastinum at...
history: <unk>f with fever, diarrhea
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left basilar pneumothorax which tracks superiorly. decreased left sided pleural effusion with mild residual. stable mediastinal contours, left pacemaker, and clear right lung.
<unk> year old man with new l pleural effusion s/p thoracentesis. // stat. eval for ptx
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there has been interval resolution of the borderline interstitial pulmonary edema and cardiomegaly. compared with the prior radiograph, a new right upper lung opacity extending to the minor fissure with a similar vague opacity below this could be small areas of infection or infarction. these were not present on the che...
<unk> year old woman with cough and fever. evaluate for pneumonia.
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since same-day earlier chest radiograph, diffuse hazy opacification of the left lower lobe, lingula, and right middle lobe are increased. the cardiomediastinal silhouette is difficult to evaluate due to stranding opacities. no pneumothorax. tip of the endotracheal tube is seen <num> cm above the carina. a feeding tube ...
<unk>m w cll on chemo a/w hematemesis/ugib. new distention, increased bladder pressure/peak insp pressure // eval free intraperitoneal air
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patchy right upper lung opacity, not clearly seen on the prior radiographs, or least significantly increased, is worrisome for pneumonia. additional ground-glass opacities noted on chest ct from <unk> for better appreciated on ct. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are ...
history: <unk>f with productive cough // r/o pna
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right tunneled catheter is intact and terminates in the appropriate positions. the lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
<unk> year old woman with scheduled ecp // please check placement of tunneled cathether, two out of three ports with no blood return
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frontal and lateral views of the chest. linear opacity at the left lung base most suggestive of atelectasis. the lungs are otherwise clear without consolidation or large effusion. there is, however, blunting of the posterior costophrenic angles, raising possibility of trace effusions. cardiomediastinal silhouette is wi...
<unk>-year-old male with fever.
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pa and lateral views of the chest. the lungs are clear. there is no consolidation, pneumothorax, or pleural effusion. the cardiac, mediastinal, and hilar contours are normal. there is no pulmonary vascular congestion.
crackles in the left lower lobe on exam, rule out pneumonia.
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a loculated left pleural effusion appears similar compared to prior. unchanged left apical density may represent pleural fluid and/or thickening. left lower lobe atelectasis persists. calcified pleural plaques are likely related to prior asbestos exposure. no pneumothorax is seen. heart and mediastinal contours are sta...
<unk>-year-old male with pleural effusion.
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airspace opacities at the right suprahilar are slightly less prominent on today's exam. however, new post procedural changes in the right upper lobe have developed. there is no pneumothorax. there is a decreased small layering right pleural effusion. the heart and mediastinum are within normal limits despite the projec...
<unk> year old man with rul nodule s/p bronch with biopsy andbal // eval for ptx
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the heart is mildly enlarged. low lung volumes result in bronchovascular crowding. there is mild engorgement of the pulmonary vasculature as well as bilateral, basilar opacities consistent with atelectasis and possibly mild pulmonary edema. there is no pneumothorax or pleural effusion identified.
<unk>m with hypoxia. // assess for infiltrate, edema
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a moderate to large right pleural effusion layers on the current exam which accounts for the hazy opacity overlying the right upper and mid lung fields. small left pleural effusion is relatively unchanged. assessment of the cardiac silhouette size is difficult given the presence of bilateral pleural effusions. mediasti...
history: <unk>f with shortness of breath// eval pna
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left-sided aicd device is noted with leads terminating in unchanged positions in the right atrium and right ventricle. mild enlargement of the cardiac silhouette is unchanged. aortic knob calcifications are present. the mediastinal and hilar contours are similar. mild interstitial pulmonary edema is demonstrated with a...
<unk>m with chest pain, crackles in left lower lung, no cough, no fever
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mildly increased density in the left posterior costophrenic sulcus may represent an early consolidation in the proper clinical setting. there is no pneumothorax, pulmonary edema, or pleural effusion. the cardiomediastinal silhouette is normal.
<unk>m with fever, evaluate for pneumonia.
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sternotomy wires and prosthetic valve are unchanged. the cardiomediastinal and hilar contours are normal. the lungs are clear of consolidation. there is no pleural effusion or pneumothorax. no displaced rib fracture is apparent.
<unk>-year-old male who had fallen and struck his left axilla.
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heart size is borderline enlarged. mediastinal contour demonstrates mild unfolding of the thoracic aorta. the hilar contours are normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized. degenerative changes of the right glenohume...
increased seizures.
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appearance of tracheostomy is unchanged. right picc terminating in the low svc. ng tube with tip in the stomach. complete opacification of the left pneumothorax due to left lung collapse unchanged. unchanged moderate pulmonary edema. unchanged small right pleural effusion. unable to evaluate size of cardiomediastinal s...
<unk> year old man with pulmonary edema and pleural effusion, intubated // cardiopulmonary process
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<num> ap portable views of the chest. better inspiratory effort is obtained on <num> of the <num> views. indistinct pulmonary vascular markings are noted. the left costophrenic angle is not clearly identified, potentially due to atelectasis versus effusion. cardiac silhouette is enlarged but stable. more dense retrocar...
<unk>-year-old female with hypoxia and left leg swelling and pain.
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normal cardiomediastinal and hilar contours. focal eventration of the right hemidiaphragm. clear, fully expanded lungs. no definite soft tissue or osseous abnormalities.
<unk>-year-old woman with chest pain. evaluate for thoracic pathology.
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there is mild lateral left basilar atelectasis/scarring. slight blunting of the posterior right costophrenic angle may be due to a trace pleural effusion. no evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. surgical clips are partially seen in the upper abdomen.
fever.
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding pa and lateral chest examination of <unk>. heart size in comparison made on the frontal views has not significantly changed, thus cardiogenic pulmonary edema is unlikely. there are new bilater...
<unk>-year-old male patient with hemorrhagic cystitis, status post blood transfusions with worsening cough and basilar crackles. question: ? pulmonary edema.
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evaluation is limited by low lung volumes and patient body habitus. the pulmonary vascular markings are exaggerated by low lung volumes but there is suggestion of pulmonary arterial prominence in comparison to the prior study. there are mild bibasilar atelectatic changes. otherwise, the lungs are without focal consolid...
dyspnea, tachycardia.
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the lungs are clear without focal opacity, pleural effusion or pneumothorax. the aorta is tortuous and calcified. the heart size is top normal, unchanged. clips are noted in the neck, likely from prior thyroid surgery. there is clips in the abdomen and spinal hardware.
<unk> year old woman with cough x <num> weeks (with fevers last week <num>-<unk> f), rhonchi noted in the lll. evaluate for pneumonia.
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heart size is mildly enlarged but unchanged. the aortic knob is calcified. mediastinal and hilar contours are similar. there is no pulmonary edema. streaky opacity is seen within the right lower lobe. no pleural effusion or pneumothorax is seen. multiple old right-sided rib fractures are demonstrated. no acute osseous ...
history: <unk>m with failure to thrive
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patient is status post median sternotomy. the cardiomediastinal and hilar contours are within normal limits. as compared to prior chest radiograph from <unk>, there is redemonstration of bilateral moderatesized pleural effusions, slightly decreased in size on the left. lung volumes remain decreased and there is mild bi...
status post cabg with shortness-of-breath. question pleural effusion.
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frontal and lateral views of the chest. low inspiratory effort seen particularly on the frontal view with secondary crowding of the bronchovascular markings. the lungs however are clear of consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseou...
<unk>-year-old female with cough and malaise.
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the lungs are clear besides mild left basilar atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with afib, cva, recent admission for cholecystitis complaining of sob. // evaluate for pna
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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 pulmonary edema is seen.
cough, wheezing.
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the tip of the endotracheal tube projects over the lower trachea at the level of the carina. the enteric feeding tube has been removed. mild left basilar atelectasis. no pleural effusion or pneumothorax identified. the size the cardiac silhouette is within normal limits. there is significant gaseous distention of the s...
<unk> year old woman with choroid plexus papilloma tumor post op day <num> resection, extubated today, became apneic // re-intubated after extubation
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with rib pain s/p fall
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old woman with breast cancer and pleural effusions bilaterally. left pleurx in place. right side removed <unk>. // pleural effusions pleural effusions
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old woman with resp distress // eval interval changes eval interval changes
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the cardiomediastinal and hilar contours are normal. the curvilinear opacity in the right lung base most probably reflects an area of band-like atelectasis as opposed to subdiaphragmatic air within the diaphragmatic eventration. however, clinical correlation would be recommended to assess for surgical abdomen. a promin...
<unk>-year old male with lethargy.
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the lungs are hyperexpanded with flattened diaphragms. bilateral sutures in the upper lungs are consistent with history of lung volume reduction surgery. multifocal bilateral opacities are concerning for infection. prominent pulmonary arteries suggest pulmonary hypertension. the mediastinal contours and heart borders a...
<unk> year old man with copd and some sob
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patient is status post cabg and mvr. mild cardiomegaly is again persistent. small bilateral effusions are stable to slightly decreased in size. bibasilar opacities again persist and likely represent atelectasis. the right lower lobe parachymal changes are the sequelae of old trauma and are not changed. no focal consoli...
<unk>-year-old male with cough and chest pain.
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frontal and lateral chest radiograph demonstrates well expanded and clear lungs with no focal consolidation. there is no pleural effusion or pneumothorax. the pleural surfaces are unremarkable. cardiomediastinal and hilar contours are within normal limits. a tortuous ascending aorta is noted.
<unk>-year-old female with new fever and cough.
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wispy opacities projecting over the posterior lower lung, possibly left lower lobe are seen which may be due to atelectasis however, consolidation due to infection is not excluded in the appropriate clinical setting. the very inferior/posterior costophrenic angles are not fully included on the lateral view however, no ...
shortness of breath.
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the et tube sits <num> cm above the carina. the endogastric tube side port is well below the ge junction. left-sided central line tip sits at the lower svc. the cardiomediastinal contours are normal. the lungs demonstrate mild interstitial edema, similar to prior studies. additionally, subtly increased opacity of the r...
<unk>-year-old female with dka, pneumonia.
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the support devices are unchanged and in good position. given for differences in technique, small right apical pneumothorax is stable. the left moderate pneumothorax appears larger, however this is likely due to the patient's more erect positioning. mild pneumomediastinum and subcutaneous emphysema are stable. there is...
<unk> year old man with worsening hypoxia, vent requirements, bilat chest tubes // eval for interval change
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the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural abnormalities. no fractures are identified.
status post assault with left chest pain. evaluate for fracture.
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there is a new new moderately large right and a stable small left pleural effusion. there is associated relaxation atelectasis. infection cannot be excluded. no pneumothorax seen. a right-sided port-a-cath terminates in the distal svc although evaluation of the right heart border is limited due to the effusion and atel...
<unk> year old woman with lymphoma undergoing chemo now w/ diminished r lung sounds // evaluate r lung for possible inc interstitial edema/early volume overload
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there is left lower lobe opacity, new since <unk>. small to moderate right pleural effusion is also new. there is background interstitial lung disease. cardiac silhouette is within normal size.
<unk> year old man with h/o hemochromatosis c/b hcc who presented to osh for confusion and lethargy, found to have bacteremia. also c/o acute on chronic sob. per osh cxr report, "questionable lll infiltrate with significantly elevated r hemidiaphragm" // presence of pneumonia, pleural effusion, or pulmonary edema to e...
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compare to prior, there has been interval advancement of the enteric tube with its tip terminating in the upper stomach. there is no significant interval change. lateral aspect of the left lower hemi thorax is excluded from the examination but the other pleural surfaces are normal. lungs are clear. borderline cardiomeg...
<unk> year old man with s/p exp. lap, <unk>'s, dobhoff in esophagus, tube advanced <num> cm // check placement of dobhoff tube, low cxr
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there has been interval development of a retrocardiac opacity at the left lung base obscuring the left medial hemidiaphragm. linear scar or atelectasis in the right mid and left lower lungs are unchanged. cardiomediastinal contours are stable there is no evidence of pulmonary vascular congestion.
<unk> year old man with <unk>'s, presenting with gnr bacteremia, likely gu in origin. // assess for pulmonary edema in setting of ivf rehydration for sepsis.
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ap and lateral views of the chest provided. left hemodialysis catheter terminates at the right atrium. lung volumes are low. asymmetry at lung bases concerning for consolidation at left lung base. mild indistinctness of pulmonary vessels could be related to elevated venous pressure or low lung volumes. no pneumothorax....
<unk> year old man pod <num> from combined kidney pancreas transplant with increasing confusion, delayed graft function of the kidney // assess for effusion, exudate, atelectasis, any infectious source for confusion
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when compared to recent exams, there has been no significant interval change. the ground-glass opacities in the upper lobes bilaterally seen on prior chest ct are seen as vague upper lobe parenchymal opacities. compared to prior chest x-ray they have not significantly changed. possible trace bilateral pleural effusions...
<unk>f with bilateral pneumonia on ct, not improved on levofloxacin, l-flank pain with cough // evaluate for interval change
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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. no subdiaphragmatic free air is seen.
history: <unk>f with abdominal pain
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pa and lateral chest radiographs were obtained. an esophageal stent is new since <unk>, unchanged since pet-ct <unk>. partial left lower lobe collapse and left lower lobe airspace opacities are new since <unk>. additional micro-nodular densities are seen in the right lower lobe. no pneumothorax. bilateral effusions are...
<unk>-year-old man with esophageal cancer with new dyspnea on exertion and cough.
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ap portable supine view of the chest. chronic collapse of the left lower lobe is noted with persistent hazy opacity in the left upper lobe which remains concerning for pneumonia, possibly aspiration related. the right lung appears grossly clear. the cardiomediastinal silhouette is stable. no large effusion or pneumotho...
<unk>m with hx of aspiration pna
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the right-sided chest tube has been removed with subcutaneous emphysema in the chest wall. no definite pneumothorax. curvilinear opacity in the right upper lobe, at the track of prior chest tube. the lung volumes are very low with increasing basal atelectasis. the right hilar opacity also appears more prominent could b...
<unk> year old man s/p chest tube pull // please evaluate for interval change - please perform exam at <unk>
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ap and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is stable. no acute osseous abnormality is identified noting compression deformity in the lower thoracic spine as on prior.
<unk>-year-old female with weakness, worse on the right arm, normal yesterday.
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lung volumes are low. elevation of the right hemidiaphragm is chronic. severe rotary kyphoscoliosis of the thoracolumbar spine, convex to the left, is again demonstrated. the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. no focal consolidation, pleural effusion or pneu...
fevers.
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frontal and lateral views of the chest. the lungs are clear. midthoracic dextroscoliosis is again noted. the cardiomediastinal silhouette is within normal limits. surgical clips seen in the right upper quadrant. no acute osseous abnormality.
<unk>-year-old female with chest pain.
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chest, pa and lateral radiographs demonstrate unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. no displaced rib fractures identified.
pleuritic chest pain, evaluate heart and lungs.
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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.
<unk>m immunocompromised, p/w n/v and tactile fevers, please assess for pna // <unk>m immunocompromised, p/w n/v and tactile fevers, please assess for pna
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there is a tracheostomy tube in appropriate position. the size of the cardiac silhouette remains enlarged with retrocardiac atelectasis. the lung volumes are low. there has been an interval increase in bilateral pulmonary vascular engorgement and pulmonary edema. there is a stable small left pleural effusion. there is ...
<unk>-year-old male with sbo status post exploratory laparotomy and tracheostomy, who presents for evaluation of position of the feeding tube.
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comparison with chest radiograph from <unk>, a small right effusion has improved. left pleural effusion with left retrocardiac atelectasis is grossly unchanged. there is persistent moderate central vascular congestion. moderate cardiomegaly is unchanged. patient is status post median sternotomy.
history: <unk>f with dyspnea // ?effusion or pneumonia
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. patchy bibasilar airspace opacities most likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. moderate degenerative changes are noted within the thoracic spine.
chest pain.
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ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison to the next preceding similar study obtained on <unk>. very small right apical pneumothorax persists but has not increased in comparison with the previous study. hazy density on the right base...
<unk>-year-old male patient with fungal pneumonia and pneumothorax, status post biopsy with chest tube to waterseal. evaluate for interval change in pneumothorax.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size remains normal. no configurational abnormality is seen. thoracic aorta unchanged and without evidence of local contour abnormalities or adv...
<unk>-year-old male patient with hiv, cough, wheezing and shortness of breath, evaluate for pneumonia or pcp.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. bony structures are unremarkable.
dry cough, on chronic immune suppression.
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a pa and lateral view of the chest were obtained. in comparison to the prior exam, lung volumes are lower. linear opacities at the right base are accentuated due to low lung volumes, but grossly unchanged from the prior exam and likely represents scarring and atelectasis. left mid lung linear atelectasis/scarring is al...
altered mental status.
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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.
<unk>f with postoperative fever. evaluate for pna.
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focal opacity silhouetting the left hemidiaphragm represents dense consolidation in the left lower lobe. no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is a dextroscoliosis in the thoracic spine.
history: <unk>f with <num> month worsening cough // eval pna
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a three-lead pacemaker/icd device appears unchanged. the cardiac, mediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
dyspnea.
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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 fever on chemotherapy
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compared with prior radiographs on <unk>, there has been interval placement of a tracheostomy. there is no pneumothorax. bibasilar atelectasis and possible pleural effusions are similar to prior. cardiomediastinal silhouette is similar to prior. a right picc line terminates in the mid svc.
<unk> year old man with new trach // ?trach placement, ?ptx
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portable frontal radiograph demonstrate lower lung volumes with no definite consolidation. interstitial edema has improved when compared to chest radiograph <num> day prior. there is volume loss with in the lower left lobe with stable appearing pleural effusion.
<unk>-year-old female with critical aortic stenosis, left lower lobe pneumonia with new dyspnea. evaluate for interval change.
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ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. the heart appears normal in size. there is prominence of the outline of the main pulmonary artery and clinical correlation for possible pulmonary arterial hypertension is recommended. imaged osseous structures...
<unk>f s/p fall // eval for rib fx
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there is no significant change compared with the prior radiograph. the lungs are well expanded. chain suture is seen in the right upper lung, compatible with prior resection. mild elevation of the right hemidiaphragm is likely due to volume loss in the right. there are no focal opacities. there is a prominent epicardia...
right chest discomfort. evaluate for effusion.
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again seen is a right central venous catheter with the tip terminating in the mid svc. the cardiomediastinal silhouette is normal. the hila and pleura are unremarkable. no focal opacities, pleural effusions, pulmonary edema, or pneumothorax are seen.
<unk> year old man with bmt evaluation // bmt evaluation
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since the prior exam, the enteric tube has been pulled back. the tip is still in the stomach, though the side port is above the gastroesophageal junction. a left picc is in unchanged position with the tip in the upper-to-mid svc. pulmonary edema has resolved. there is no opacity to suggest pneumonia. there is no pleura...
status post orif of the left leg and right arm with rising white blood cell count. evaluate for pneumonia.
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pa and lateral views of the chest demonstrate persistent biapical reticular opacities, right greater than left, with pleural thickening or effusion along the right lateral pleural surface at the level of the minor fissure. there is also persistent blunting of the right costophrenic angle. the heart is moderately enlarg...
<unk>-year-old man with lymphoma, on chemo, with pneumonitis in the past. evaluation for resolution of infiltrates on recent x-ray.
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the ng tube is seen ending in the stomach, including the sideport below the diaphragm. a left port-a-cath is in unchanged position at the cavoatrial junction. multiple nodular opacities in the right mid lung are consistent with the patient's known pulmonary metastases. there is left basilar opacity which may represent ...
stage iii rectal cancer with partial small bowel obstruction requiring ng decompression. evaluate placement of ng tube to evaluate if we are able to give contrast ct for ct scan.