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MIMIC-CXR-JPG/2.0.0/files/p16988043/s58419102/6821f279-edb0f9e4-33b1e358-d2107686-9429b5f6.jpg
the left-sided central catheter terminates in the mid svc. the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs are well expanded and clear. there is no evidence of pulmonary edema or vascular congestion. there is no pneumothorax or pleural effusion. the visualized osseous structures...
<unk>-year-old female with a history of kidney transplant, who presents for evaluation of chest heaviness.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. chronic appearing deformity of the left posterior seventh rib is likely from prior fracture. there is no acute displaced fracture.
<unk>f s/p ped struck // eval for acute process
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a tiny left apical pneumothorax remains visible. on the current exam, lucency seen in the left costophrenic angle is again noted --<unk> much of this is accounted for by a pneumothorax at this time is unclear. subcutaneous emphysema is probably similar to the prior study. no right-sided pneumothorax is detected. atelec...
<unk> year old man with persistent l ptx ct on ws // evaluate for l ptx on water-seal please do at <unk>
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the lungs are hyperexpanded. patchy retrocardiac opacity is worse compared to prior. there is no pneumothorax. there may be a trace left effusion. the cardiomediastinal silhouette is enlarged, similar to prior. there is mild pulmonary vascular congestion, worse than before. no free air below the right hemidiaphragm is ...
history: <unk>f with sob and cough // chf v. pneumonia v. pleural effusion
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the lungs are clear. moderate cardiomegaly is not significantly changed. massive enlargement of the pulmonary arteries is consistent with pulmonary hypertension. there are no pleural effusions. no pneumothorax is seen. old right-sided rib deformities are redemonstrated. a <num> cm radiopaque structure projecting over t...
syncope.
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there are small persistent bilateral pleural effusions. there is pulmonary vascular congestion without overt edema. the lungs are otherwise clear besides linear opacity in the right midlung which is likely atelectasis. left chest wall triple lead pacing device is again noted with leads in stable position. moderate to s...
<unk>m with orthopnea // eval for volume status
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a frontal upright view of the chest was obtained portably. the left subclavian catheter ends in the upper svc, unchanged. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is upper limits of normal, unchanged. mediastinal silhouette and hilar contours are no...
aml, on chemotherapy with new fever and presyncope.
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swan-ganz catheter is in proximal right pulmonary artery. tip of et tube is <num> cm above the level of the carina, and is in appropriate position. ng tube is visualized upto the upper esophagus. since <unk>, there is partial resolution of right lower lobe opacity and near complete resolution of the bilateral pleural e...
<unk>-year-old male with v-fib arrest and possible pneumonia. assess for pneumonia.
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heart size is top normal in size and appears minimally increased in size from the prior study, which may in part be due to differences in inspiration. the mediastinal contours are mildly widened when compared to prior study . lung volumes are slightly lower than on the prior study. the pulmonary vasculature is normal. ...
<unk>f with pleuritic chest pain // evaluate for acute process
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the lungs are clear besides mild left basilar atelectasis. the cardiomediastinal silhouette is stable. left chest wall vagal nerve stimulator is seen.
<unk>f with ams // eval for consolidation
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>m with hx of liver transplant, presenting with pancytopenia. needs infectious workup // please eval for any evidence of an infection
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and there is no right pneumothorax.
<unk> year old man with hcap, parapneumonic effusion of l lung, s/p chest tube placement at osh // please eval for interval change in effusion size, chest tube placement please eval for interval change in effusion size, chest tube placement
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the lungs are clear. cardiac silhouette is stable in size. previous picc line has been removed. no pleural effusion or pneumothorax. aicd surgical plate is noted.
chest pain.
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ap portable upright view of the chest. the lung volumes are low. the cardiomediastinal contour remains unchanged. an endotracheal tube and orogastric tube are unchanged position. a right-sided ij central venous catheter terminates within the right atrium. there is no pneumothorax. widespread bilateral pulmonary opaciti...
<unk> year old man with hiv p/w pcp and respiratory failure // interval change
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a new ng tube is present with the tip in the right mainstem bronchus. there is no evidence of complications such as perforation or pneumothorax. a left picc is in appropriate position in the mid svc and unchanged from the prior exam. since the prior exam performed three days prior, mild pulmonary edema has improved. mo...
evaluate ng tube placement.
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there is a two-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, as before. allowing for differences in technique, including moderate tortuosity of the aortic arch and descending aorta, the cardiac, mediastinal and hilar contours appear stable. the aorta is largely calcified. there is ...
left-sided chest pain.
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frontal and lateral chest radiographs demonstrate severe cardiomegaly, unchanged compared to <unk>. the patient is status post aortic valve replacement. left chest wall pacer device leads project over the right atrium and ventricle. pulmonary edema is mild, but increased compared to <unk>. there is a small left pleural...
evaluate for chf in a patient with recent aortic valve replacement, now with shortness of breath.
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compared to chest radiograph from <unk> again seen are chronic changes related to cystic fibrosis with bronchiectasis, bronchial wall thickening, and nodular opacities in the upper lobes of both lungs consistent with impacted bronchi. previously identified left lower lobe opacity abutting the pleura is no longer seen o...
<unk> year old male with trauma to right hand and congestion with productive cough. assess for pneumonia.
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frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified.
cough and fever. evaluate for infiltrate.
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the cardiomediastinal silhouettes are normal. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
a <unk>-year-old man with weakness and lightheadedness, evaluate for etiology.
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there is dense focal opacification in the mediastinal region extending from the level of the clavicles to just above the hemidiaphragms and is concerning for large mediastinal mass. the upper region of the trachea just above the carina is shifted to the right. the left mainstem bronchi appear is in a rule. the right ma...
<unk> yo female s/p <num> falls in <num> hours with acute on chronic left sdh and chronic right sdh // tachypnea, please assess for pulmonary edema
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there is mild to moderate cardiomegaly as well as mild pulmonary edema. right lower lobe and retrocardiac opacities may be atelectasis although underlying infection is difficult to exclude. the patient is status post median sternotomy and cabg. there is a small right pleural effusion. there is no pneumothorax.
<unk>-year-old male with elevated troponin.
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a right picc terminates at the mid svc. surgical clips overlying the right hemithorax are unchanged in position. an intrathecal device is again seen. there is no pneumothorax, focal consolidation, or pleural effusion.
neutropenic fevers.
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rounded calcific densities projecting over the left mid to lower lung are compatible with previously calcified nodules. right apical scarring is again noted. lung fields are clear. there is no pleural effusion. the cardiomediastinal silhouette is unremarkable.
<unk>f with hx lung cx and chest pain // free air, mediastinal widening, pna
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>m with chest pain // acute process?
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the lungs are clear and well expanded bilaterally with no areas of focal consolidation, masses or lesions. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. the pleural surfaces and osseous structures are unremarkable.
<unk>-year-old woman with cough and wheeze.
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pa and lateral views of the chest provided. previously noted picc line has been removed. there is stable mild cardiomegaly and mild pulmonary edema. mild hilar engorgement is noted. no large pleural effusion is seen. no focal consolidation concerning for pneumonia. no pneumothorax. mediastinal contour stable. bony stru...
<unk>f with shortness of breath, hypoxia
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two bilateral fissural chest tubes have not changed position, and the et tube is in appropriate position. nasogastric tube ends in the stomach outside of the view of this radiograph. left ij introducer sheath ends at the brachiocephalic vein. lung volumes are low without any focal consolidation, pleural effusion or pul...
<unk>-year-old male with acute desaturation, evaluate interval change.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no free intraperitoneal air.
<unk>-year-old male with right lower quadrant pain and cough.
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the lateral view is obliqued and therefore suboptimal. within this limitation, no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old male found down at home with leukocytosis.
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ap portable supine view of the chest. an endotracheal tube is seen terminating <num> cm above the carina. the endogastric tube descends into the left upper abdomen. lung volumes are low though allowing for this, there is no evidence of pneumonia or edema. there is mild right basal atelectasis. no supine evidence for ef...
<unk>f with s/p intubation
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the right upper extremity picc line ends at the cavoatrial junction. there is mild bibasilar atelectasis. cardiomediastinal and hilar contours are stable. no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with picc line requires confirmation before use. // picc line in place.
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the lungs are clear without consolidation, effusion, or edema. nipple shadows project over the lung bases bilaterally. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. calcification adjacent to the right humeral head could be due to calcific tendinitis.
<unk>f with alcoholism, p/w brbpr and found to have leukocytosis to <unk>. // please evaluate for pnuemonia
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the previously seen cavitary lesion has been excised. a right chest tube is present. the right lung is fully expanded without effusion or pneumothorax. the left lung is clear. the cardiomediastinal silhouette is normal.
status post right lower lobectomy. evaluate for reexpansion.
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right port-a-cath is in unchanged position. the right lung base opacification consistent with pleural effusion and volume loss is grossly unchanged. left lower lung opacity likely atelectasis is unchanged. the lungs are otherwise clear. no pneumothorax. the cardiomediastinal silhouette is stable.
<unk> year old man with pleural effusion // eval
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the lungs are clear. there is no consolidation, pneumothorax, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cp // r/o chf
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pa and lateral views of the chest provided. the lungs are hyperinflated. 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 severe dyspnea
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compared with prior radiographs on <unk> there are new moderate right and small left pleural effusions. overall lung volumes are low. there is no new focal consolidation. no pneumothorax. there is mild cardiomegaly, unchanged.
<unk> year old man with ckd <num> and dyspnea. // assess pleural effusion and chf
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compared to the prior film, there is been resolution of the chf. mild residual upper zone redistribution may be present. there is minimal patchy opacity posteriorly, with patchy opacities in the right cardiophrenic region and in the retrocardiac region. no frank consolidation is identified. no pleural effusion. cardiom...
<unk> year old man with decompensated chf, new productive cough. // evaluation of pulm edemea/ vasculature, any infitrate c/f pna
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is seen.
<unk>f with worsening confusion // eval infiltrate
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the inspiratory lung volumes are slightly decreased. there is mild anterior eventration of the right hemidiaphragm. hazy opacification at the bilateral lung bases on the frontal view is due to underpenetration of soft tissues. no focal air space opacity concerning for pneumonia is detected. there is no pleural effusion...
dyspnea, here to evaluate for pneumonia.
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the endotracheal tube is in satisfactory position, <num> cm from the carina. an enteric tube in unchanged position with the tip in the distal esophagus. a new right internal jugular central venous catheter is present with the tip in the mid svc. the opacity in the right medial base is improved. there is no new opacity,...
evaluate new central line placement.
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<num> views of the chest demonstrate an enlarged cardiac silhouette, somewhat increased compared to the most recent chest radiograph. the mediastinum is within normal limits. there is vascular congestion without frank pulmonary edema. there is no pneumothorax or large pleural effusion. a small left pleural effusion may...
hypertension, currently off medications, now with shortness of breath and lower extremity edema. evaluate for pulmonary edema.
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lung volumes are low. heart size is mildly enlarged but unchanged. mediastinal and hilar contours are normal. there is crowding of the bronchovascular structures without overt pulmonary edema. streaky opacities are seen within the lung bases, likely reflective of atelectasis. no focal consolidation, pleural effusion or...
history: <unk>f with weakness, fatigue
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compared with the immediate prior radiographs, the multifocal areas of airspace opacity have increased in extent and severity, compatible with progression of multifocal pneumonia. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. a well-healed late...
<unk> year old man with multifocal pneumonia // interval improvement interval improvement
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heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. elevation of the right hemidiaphragm is again noted. previously noted ill-defined opacities within both lung bases have improved from the prior exam, with only minimal residual patchy opacity seen. no pleur...
hypotension.
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the cardiac, mediastinal and hilar contours are normal. the lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
cough, fevers.
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moderate cardiomegaly is essentially unchanged from the prior examination. there is no appreciable pleural effusion, pulmonary edema, consolidation, or pneumothorax identified. the cardiomediastinal silhouette is otherwise within normal limits. degenerative changes are noted within the visualized thoracic spine.
history: <unk>f with paroxysms of afib, p/w n/v x<num> hour, similar to prior paroxysms // eval for cardiomegaly
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are clear. there are no pleural effusions or pneumothorax. the osseous structures are unremarkable.
stab wound to the left flank. question pneumothorax.
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ap portable upright view of the chest. there has been interval intubation with the tip of the endotracheal tube located approximately <num> cm above the carina. the og tube extends into the left upper quadrant. the lungs are clear. cardiomediastinal silhouette is normal. no acute bony injuries.
<unk>f with ett
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portable upright chest radiograph was provided. there is no focal consolidation, pleural effusion or pneumothorax. the heart is mildly enlarged. cardiomediastinal silhouette is normal.
history of fever, question pneumonia.
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frontal and lateral views of the chest. the lungs are clear of consolidation or effusion. cardiac silhouette is enlarged but unchanged. widening of the left ac joint again noted. no acute osseous abnormality detected.
<unk>-year-old female with chest pain and shortness of breath.
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frontal and lateral views of the chest. there is persistent blunting of the right lateral costophrenic angle and trace blunting seen posteriorly. this may be due to small pleural effusion with possible underlying pleural thickening or scar laterally. faint right basilar opacities have not significantly changed since pr...
<unk>-year-old male with pericardial effusion and dyspnea.
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opacities are seen in the right lower lobe, concerning for pneumonia. the left lung is clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pneumothorax, pleural effusions, or pulmonary edema.
<unk> year old man with cough and fever // pna
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mildly decreased lung volumes are noted. an area of near consolidation is seen only on the lateral projections and without a correlate on the anterior-posterior view. there is no pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is at the upper limits of normal, but without evidence of pulmo...
cough and chest tightness.
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ap upright and lateral views of the chest provided. acute rib fractures involve the right eighth and ninth lateral arch, minimally displaced. there is no pneumothorax or pleural effusion. lungs are clear. a retrocardiac opacity on the lateral projection may reflect the presence of a hiatal hernia. cardiomediastinal sil...
<unk>m with etoh intoxication, fell from standing onto r side with +headstrike and +loc, reporting r rib pain, neck and head pain
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pa and lateral views of the chest. the lungs are hyperinflated. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
subarachnoid hemorrhage, increasing confusion and agitation. evaluate for acute process.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. patchy right basilar opacity appears similar compared to the previous examination. left lung is clear. no new focal consolidation is demonstrated. no pleural effusion or pneumothorax is seen. there are no acute oss...
history: <unk>f with shortness of breath
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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. there is no displaced fracture. please note that esophageal abnormalities cannot be excluded on this study.
pleuritic chest pain, dyspnea.
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again seen are multiple scattered pulmonary metastases bilaterally. small-to-moderate bilateral pleural effusions, left greater than right, are unchanged since prior exam. there is slight pulmonary edema in the right lower lung. there is no evidence of pneumonia. the cardiac silhouette is partially obscured by the pleu...
<unk>-year-old female with recurrent malignant pleural effusions, requiring assessment for interval change.
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since prior, endotracheal tube has been retracted now ends approximately <num> cm above the carina. nasoenteric tube has also been retracted ending at or just above the level of the ge junction. there is a developing left basilar opacity. there is linear atelectasis at the right lung base. there is no pneumothorax or p...
<unk>f with subarachnoid hemorrhage, endotracheal tube repositioning.
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frontal and lateral views of the chest. the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. no acute osseous abnormality is seen.
chest pain. evaluation for pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
history: <unk>m with cp // eval for cp
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the lungs are clear. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unremarkable. calcifications in the aortic knob and unchanged. stable, mildly tortuous or ectatic descending aorta. no acute osseous abnormality. postsurgical changes incidentally noted a...
<unk>-year-old woman presenting left sided chest pain; evaluate for acute process.
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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 sudden sob and chest pain this am // eval ptx
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again demonstrated is a second ventricular lead projecting from a left upper pacemaker generator pack. this is unchanged in configuration since the <unk> radiographs. there is no pneumothorax, focal consolidation, or pleural effusion. the heart size remains normal.
new rv lead placement via left subclavian vein.
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there is an opacity of the anterior portion of the right upper lung which likely represents pneumonia in the right clinical setting. there is also another subtle opacity in a more superior portion of the right upper lung. the cardiomediastinal silhouette and hilar contours are within normal limits. the pleural surfaces...
history of cll and several weeks of progressive dry cough and dyspnea on exertion, in the setting of fever.
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. heart size is normal. mediastinum is not widened. no acute osseous abnormality on this nondedicated exam.
<unk>-year-old man presenting after fall with pain on deep inspiration. rule out pneumothorax.
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there is subtle opacification within the left lower lung, which is localized to the lower lobe on the lateral, representing an early/developing pneumonia. no pulmonary edema. heart size is normal. the mediastinal and hilar contours are normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abno...
history: <unk>f with cough // acute process
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there has been no significant change since most recent prior radiograph. a chest port catheter is in stable position. again seen is scarring and post-surgical changes at the right lung base. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable. osseous structur...
<unk>-year-old woman with polycythemia <unk> for screening prior to transplant, assess for abnormalities.
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again seen is marked cardiomegaly. the hilar and mediastinal contours are otherwise unremarkable. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures demonstrate no evidence of a fracture.
history of left-sided chest pain. please evaluate.
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dilated loops of large bowel are noted in the abdomen. intraluminal air is likely accounting for the lucency abutting the hemidiaphragms bilaterally. however, pneumoperitoneum is difficult to completely exclude on the basis of this exam. the cardiomediastinal and hilar contours are normal. the lungs are hypoinflated wi...
<unk>m with ? free air seen on cxr from osh // eval for free air, infiltrate
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the lungs are clear without focal consolidation, effusion, or pulmonary edema. cardiac silhouette is mildly enlarged. flowing osteophytes suggestive of dish seen in the thoracic spine.
<unk>m with cough, sob // eval for pna
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et tube is seen in stable position, terminating <num> cm above the carina. stable location of right-sided central venous catheter terminating in the mid upper svc. right-sided pigtail catheters are in unchanged position there is rightward rotation on the current film. allowing for changes due to this, the cardiac and m...
<unk> y/o m with recently diagnosed dm<num>, cachexia with unexplained <unk>-lb weight loss in last month, direct admit from <unk> for leukocytosis , thrombocytosis, found to have elevated alk phos <num> and posterior thorax and paraspinal fluid collection who is now <num> days s/p drainage of r empyema who is being r...
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there is a <num> mm left apical pneumothorax, previously <num> mm on the outside hospital chest x-ray performed <num> hours earlier. no evidence of tension. right lung is clear. no evidence of pulmonary edema or pneumonia. cardiomediastinal silhouette is within normal limits. acute fractures are re-demonstrated in the ...
history: <unk>f with ptx, pls assess interbval change // history: <unk>f with ptx, pls assess interbval change
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heart size is normal. the mediastinal and hilar contours are unremarkable with atherosclerotic calcification of the aortic arch again noted. a fudicial seed is again seen within a posterior left lower lobe lesion, compatible with known malignancy status post cyberknife therapy. minimal streaky bibasilar opacities likel...
fever and cough.
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the ascending aorta is moderately tortuous. heart size is normal. the lung fields are clear. no pneumothorax or pleural effusion. mild compression deformity of a midthoracic vertebral body.
history: <unk>f with intrascapular pain, diaphoresis // pna
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the heart is not enlarged. both hila are prominent and the aorta is tortuous. there is increased retrocardiac opacity compatible with atelectasis. there may be small left effusion.
<unk> year old man s/p trauma, mult rib fxs // eval for changes
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cardiac silhouette size is top normal. the aorta is mildly tortuous. mediastinal and hilar contours are unremarkable. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with hypertension, presenting from pcp's office with concern for possible ekg changes and intermittent chest pressure // assess for etiology of chest pressure
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the lungs are clear aside from a small amount of bilateral lower lobe atelectasis. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. the left hemidiaphragm is noted to be chronically elevated. calcifications of the anterior longitudinal ligament are seen on the ...
history: <unk>m with progressive dizziness in setting of metastatic brain cancer
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a picc line has been removed. the cardiac, mediastinal and hilar contours appear unchanged. the right lung remains clear. there is again mild relative elevation of the left hemidiaphragm with patchy opacification most suggestive of atelectasis, although somewhat improved. there is no pleural effusion or pneumothorax. p...
increasing lower extremity edema; question fluid overload.
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frontal and lateral views of the chest. there are hazy bibasilar opacities. there is no effusion or overt pulmonary edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the arch. hypertrophic changes noted in the spine.
<unk>-year-old male with altered mental status.
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portable ap upright chest film <unk> at <time> is submitted.
<unk>-year-old male with etoh cirrhosis, complicated by encephalopathy, ascites, grade ii varices, hx sbp on cipro, currently listed with meld <unk>, who presents with somnolence, fatigue, and unsteadiness on feet. now s/p egd // pt had egd yesterday, now c/o severe abd pain. concern for perf. pt had egd yesterday, no...
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mild cardiomegaly is noted. the aorta is diffusely calcified. mild pulmonary edema is demonstrated with perihilar haziness and increased interstitial markings without pleural effusion or pneumothorax. minimal patchy atelectasis seen in the lung bases. there is no focal consolidation. hypertrophic changes are seen withi...
history: <unk>f with syncope
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the patient is intubated. the endotracheal tube terminates approximately <num> cm above the carina. there is a right internal central jugular venous catheter terminating in the superior vena cava. the heart is probably normal in size, allowing for technique. the aortic arch is partly calcified. the lungs are essentiall...
new intubation.
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the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. multilevel spinal degenerative changes are stable.
<unk> year old woman with cough // cough
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear without pneumothorax or pleural effusion, although the extreme right costophrenic angle is excluded. again noted is asymmetric left lateral pleural thickening in the left base, similar as compared to <unk>, but n...
<unk>-year-old male with chest pain. question acute process.
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an interstitial abnormality has improved substantially. there is suggestion of persistent reticulation in the lower lungs, however, which suggests underlying interstitial disease, as was reported previously. there is no focal opacification suggestive of pneumonia. the cardiac, mediastinal and hilar contours appear unch...
dyspnea.
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since prior, there has been minimal increase in the fluid component and minimal decrease in the air component of a right basilar hydropneumothorax. the left lung is clear. there are no new parenchymal opacities. scarring at the right lung apex is unchanged. cardiomediastinal contour is stable.
<unk> year old man with basilar pneumothorax, assess interval change.
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pa and lateral chest radiographs demonstrate mild cardiomegaly in the setting of new perihilar opacities and mild bilateral pleural effusions, not present on <unk>. there is no pneumothorax.
frontal headache and mid left temporal artery tenderness.
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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. anterior flowing osteophytes within the mid and lower thoracic spine are compatible with dish.
history: <unk>m with shortness of breath // eval pna
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ett in standard position. enteric tube tip projects over the expected region the stomach. right ij catheter tip projects over the expected region of the svc-ra junction, unchanged. aeration has slightly improved in the interim. opacity projecting in the left lower lobe may correspond to the known malignancy. small left...
<unk> year old woman with <unk> year old woman intubated for respiratory failure. interval change?
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a swan-ganz catheter extends to the right pulmonary artery, and can be pulled back approximately <num> cm. endotracheal tube in appropriate position. transvenous pacing veins ending in the right atrium and right ventricle. a nasoenteric to the crosses the left hemidiaphragm with its tip not visualized. since prior, the...
<unk> year old man with recent anterior stemi c/b cardiogenic shock now admitted with worsening respiratory failure, evaluate for pulmonary edema and evidence of consolidation .
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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.
chest pain, cough. evaluate for infiltrate.
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the cardiomediastinal and hilar contours are within normal limits. lung volumes are decreased. there is no focal consolidation, pleural effusion or pneumothorax.
productive cough. evaluate for acute process.
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ap and lateral views of the chest. there are low lung volumes with associated bronchovascular crowding. no focal consolidation or mass is seen. there is no pleural effusion or pneumothorax. chronic moderate to severe cardiomegaly is seen.
knee pain, preoperative evaluation.
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frontal and lateral views of the chest were obtained. lucency in the upper lung zones, right more than left, is compatible with severe emphysema. linear opacities in the lower lungs are likely due to compression of vessels with areas of linear scarring and a bandlike scar in the right middle lobe, similar to the prior ...
copd, bronchiectasis with episodes of fatigue and dyspnea.
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lung volumes are low. again noted are reticular opacities in the bilateral apices, consistent with underlying chronic interstitial lung disease. no overlying consolidation is identified. the cardiomediastinal silhouette and pulmonary vasculature are similar the prior examination.
history: <unk>m with cirrhosis s/p fall // eval for ich nhct eval for pna xray
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frontal and lateral chest radiographs demonstrate well-defined <num> mm density projecting over the left <unk> lateral rib most likely granuloma. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax. normal heart size. large anterior posterior diameter consistent with hyperinflated...
<unk>-year-old female with cough. evaluate for pneumonia or mass.
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heart size is top normal. re- demonstrated is a superior anterior mediastinal mass with deviation of the trachea to the right, similar compared to the prior exam, likely related to a large thyroid goiter. mediastinal and hilar contours are otherwise unchanged. lungs are clear. no focal consolidation, pleural effusion o...
chest pain, shortness of breath