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the lung volumes are low. there is no evidence of pneumonia. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
evaluation for pneumonia
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a left-sided pacemaker projecting leads into the left atrium and ventricle is unchanged in position and orientation. the heart size is top-normal. the hilar and mediastinal contours are unchanged. the right lung apex is obscured by the patient's chin. mild central pulmonary vascular congestion and pulmonary edema are p...
worsening dyspnea.
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there is a linear opacity projecting over the heart that is best visualized on lateral view, which likely represents atelectasis in either the rml or lingula. there are no pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. no hilar lymphadenopathy. there is an irregularity in the l...
<unk> year old woman with metastatic breast cancer, s/p fall to right ribs, now with rib pain, occasional sob when laying on right side, also elevated wbc // r.o infection, effusion, pneumothorax
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.
chest pressure.
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interval development of a small right pleural effusion as well as interval increase in the right basilar atelectasis since <unk>, after the right-sided vats procedure. the left basilar atelectasis has since improved, although the left hemidiaphragm remains elevated. the lung volumes remain low. the cardiomediastinal si...
<unk>m h/o ild s/p right vats wedge resection two weeks ago (<unk>) with pathology consistent with usual interstitial pneumonitis, on antibiotic treatment for uti, who presents with fever and right lower chest and ruq/flank pain for <num> day. evaluate for pneumonia or pleural effusion.
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interval removal of a right central venous line. a right picc line terminates in the mid svc, unchanged from the prior examination. numerous intact sternotomy wires are again noted. a retrocardiac opacity containing an air-fluid level is compatible with a large hiatal hernia. there is adjacent compressive atelectasis t...
<unk>m with fever, recent avr
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et tube ends <num> cm above the carina. ng tube in unchanged position in the stomach. compared with most recent prior radiograph, there is no significant change in right basilar atelectasis with no pleural effusion or pneumothorax. normal heart size and mediastinal contours.
crohn's disease, in icu for complicated bowel surgery, evaluate interval change.
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previously known left upper lobe subpleural mass with fiducial markers appears increased in density since the prior radiograph from <unk>. lung volumes are reduced since the prior study. no definite pleural effusion or pneumothorax. cardiomediastinal contour is unchanged, with mild cardiomegaly. chronic changes proxima...
<unk>f with ams // eval pna
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mild cardiomegaly is unchanged from <unk>. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions.
<unk> year old woman with history of positive tb skin test last week. needs f/u chest x-ray. no symptoms // r/o active tb
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman presenting with chest pain and shortness of breath. evaluate for pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
shortness of breath.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
fever.
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single frontal image of the chest was obtained. again seen is a right-sided chemotherapy line with the tip near the mid svc. the lungs are clear bilaterally with no evidence of pulmonary congestion or pneumonia on this single frontal view. sternotomy wires and surgical clips are again seen, consistent with history of c...
<unk>-year-old male with myelodysplastic syndrome now with new cough and wheezing.
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pa and lateral views of the chest demonstrate normal lung volumes. small bilateral pleural effusions are new since <unk>. there is no focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size top normal. there is no pulmonary edema. fullness of the ap window is due to multiple lym...
patient with chest pain following biopsy. assess for pneumothorax.
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a tracheostomy is in place. a left-sided picc tip sits at the lower svc. the lung volumes are low, obscuring and exaggerating the heart size; mediastinal contours are stable. there is a small left pleural effusion with associated atelectasis. the right costophrenic angle has been excluded from the study. there is no la...
<unk>-year-old female in status epilepticus with intracranial mass, in need of preoperative chest x-ray.
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the heart is at the upper limits of normal size. the aortic arch is calcified with slight unfolding. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. streaky retrocardiac opacities are visible in the left lower lobe, more dense and crowded than on the prior study. elsew...
cough.
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a tracheostomy tube is in place. there is mild improvement in diffuse moderate-to-severe pulmonary edema and vascular congestion from the most recent prior study. a moderate right pleural effusion is unchanged. retrocardiac opacification and opacification at the right lung base is most likely reflective of underlying a...
pulmonary edema.
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heart size is normal, and tortuosity of the thoracic aorta is unchanged. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear, with resolution of previously described right basilar lung opacification. no pleural effusion or pneumothorax is seen. there are no acute osseous ...
<unk> year old woman with + ppd amd chest xray while in hosp with pneumonia that showed some patchy right baxilar opacity // ? parenchymal infiltrate.
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right-sided chest tube is unchanged in position, mild right lung base atelectasis is similar. there are no other interval changes in the right lung. left lower and mid lung opacity reflecting a combination of atelectasis and effusion has minimally increased since <unk>. there is no pneumothorax. cardiomediastinal silho...
<unk>-year-old man who is status post esophagectomy, to look for interval changes and left effusion.
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the neo esophagus is fluid filled. there is a moderate size right pleural effusion. pleural effusion and neo esophagus obscure evaluation of the right mid and lower lung. the left lung is grossly clear. the cardiomediastinal and hilar contours are unchanged. no pneumothorax.
history: <unk>m with hypoxia // pna?
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heart size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is detected. mild degenerative changes are seen in the thoracic spine.
history: <unk>f with productive cough, shortness of breath
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there is no evidence of focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the heart and mediastinal contours are normal.
stroke workup.
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endotracheal tube is seen terminating approximately <num> cm above the level of the carina. there is bibasilar atelectasis, platelike on the right. no definite focal consolidation is seen. the cardiac silhouette is top-normal to mildly enlarged. the aorta is tortuous. no large pleural effusion is seen although a trace ...
history: <unk>f with ett*** warning *** multiple patients with same last name! // ett
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right pleural catheter again terminates over the left lower lung. right pleural effusion is small, improved from the prior study. degree of opacification of the right lower lobe is improved. left lower lobe demonstrates mild linear atelectasis but is otherwise clear. heart size mediastinal contours are normal. small ri...
<unk> year old woman with nsclc and recurrent pleural effusion presenting with dypsnea found to have loculated pleural effusion s/p ct placement. evaluate change in effusion.
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endotracheal tube is <num> cm above the carina. an enteric tube terminates in the stomach. right internal jugular is within the distal superior vena cava. the dense consolidation within the lingula appears unchanged. further aeration of the left upper lobe likely reflects resolving edema and mild to moderate pulmonary ...
pneumonia.
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the lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. slightly tortuous descending thoracic aorta is again noted. no acute osseous abnormalities.
<unk>f with chest pain for <num> weeks // ?acute cardio/pulmonary process?
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a frontal upright view of the chest was obtained portably. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. blunted right costophrenic angle likely reflects pleural scarring. there is minimal left basilar atelectasis. heart size is normal. mediastinal silhouette and h...
<unk>-year-old man with chest pain. evaluate for mediastinal widening or pneumothorax.
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lung volumes are moderate. the lungs are clear. there is no pleural effusion or pneumothorax.the cardiomediastinal silhouette is unchanged.
<unk> year old woman with cough, sputum production, and chills question focal consolidation.
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two pa and one lateral radiograph of the chest were obtained. the lungs are clear. no consolidation, effusion, or pneumothorax is present. heart and mediastinal contours are normal. lateral view of the spine demonstrates confluent anterior osteophytes consistent with dish.
hematemesis.
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opacities projecting over the left chest appear geographic and most suggestive of pleural plaques, unchanged since the earliest radiographs available. the patient is status post coronary artery bypass graft surgery. the lung volumes are low. the right major fissure appears thickened. it is also difficult to exclude a s...
hypotension and seizure.
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dense left mid lung airspace opacification may represent a superior subsegment left lower lobe pneumonia or parenchymal mass. nodular densities project over the lungs bilaterally consistent with pleural plaques related to prior asbestos exposure. there is mild pulmonary vascular congestion with trace pulmonary edema. t...
<unk>m with respiratory distress, evaluate for acute abnormality
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there are severe, worsening, diffuse interstitial abnormalities, particularly in the right upper lobe and the left perihilar region compared to the most recent prior studies from <unk>; these changes may be due to worsening nsip, superimposed infection or lower lung volumes (or a combination therein). cardiac silhouett...
dyspnea.
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
recent pulmonary vein ablation, presenting with chest pain and shortness of breath for the past <num> minutes. evaluate for pneumonia or pleural effusion.
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patient is rotated. there is a right picc with tip projecting over the right atrium. there is a tracheostomy cannula. posterior lower cervical fusion hardware is re- demonstrated. bilateral layering pleural effusions with associated associated underlying bibasilar atelectasis are unchanged. there is unchanged cardiomeg...
<unk>m with acute cord injury in the setting of c<num> fracture and bilateral c<num> facet fractures and dish. // assess for interval changes assess for interval changes
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. no free air is identified. a biliary stent projects over the right upper quadrant of the abdomen. there are also surgical clips projecting over the right upper quadrant...
abdominal pain after ercp.
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a portable upright ap radiograph of the chest demonstrates a tracheostomy catheter in unchanged position. the aortic stent graft is unchanged also. the lung volumes are low and there is a stable small left pleural effusion. moderate cardiomegaly and retrocardiac atelectasis is stable. there is a faint linear opacity ov...
<unk>-year-old woman with bleeding from tracheostomy. evaluate for pneumonia and picc placement.
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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 sle presents with fever, abdominal pain, any infectious intrathoracic source?
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there are moderate bilateral pleural effusions, left greater than right. prominence and indistinctness of the hila is consistent with moderate pulmonary edema. the cardiac silhouette remains enlarged. increased opacity along the right heart border could be due to increase in cardiac silhouette size/pericardial effusion...
worsening dyspnea on exertion, lower extremity edema x.
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there is moderate cardiomegaly overall unchanged compared to the prior exam. calcifications are seen within the aortic arch. prominence of the hilar and mediastinal contours are stable. there is no definite lobar consolidation, or pneumothorax. low lung volumes result in mild bibasilar atelectasis. there is no large pl...
history: <unk>f with headache s/p ischemic stroke months ago. now with weakness as well. cough this am // eval for pna/bleed
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suspect background hyperinflation, consistent with copd. there is moderate cardiomegaly, with splaying of the carina. there is upper zone redistribution and diffuse vascular blurring, consistent with chf. some kerley b lines are noted. there is hilar prominence, right > left. there are small bilateral effusions. the po...
short of breath, rule out acute process. chest, two views.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for mass or pneumothorax in a patient with chest pain.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. no free air identified below the diaphragm.
<unk>-year-old female with right upper quadrant and left upper quadrant pain with cough.
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the lungs appear clear. the cardiomediastinal silhouette is within normal limits. posterior thoracolumbar fixation hardware as well as vertebral body cage are identified.
<unk>f with fever, confusion // any pneumonia?
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two views were obtained of the chest. interstitial abnormality is likely unchanged and probably relates to extensive paraseptal emphysema seen on the prior chest ct. there is no right pleural effusion with perhaps trace left pleural effusion. the heart is normal in size and normal mediastinal and hilar contours. no pne...
shortness of breath and new cough, assess for pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. a focal opacity over the right heart border, unchanged over time, likely represents focal scarring. a posterior round opacity seen on lateral view is not localized on frontal view. there is no pleural effusion or pneumothorax.
chest congestion not resolved with an antibiotic course. evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with parietal contusion, found down confused. // eval for trauma
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compared to the prior exam, no acute interval change is detected on this single frontal view. heart size is severely enlarged. chronic pulmonary vascular engorgement appears unchanged. no new large consolidation or pneumothorax is detected. no large pleural effusions are seen. right-sided large-bore dialysis catheter t...
<unk>-year-old female with multiple falls.
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ap portable view of the chest. there are patchy, predominantly basilar and central opacities consistent with moderate-to-severe pulmonary edema. the costophrenic angles are not well visualized and there are small bilateral pleural effusions. there are more confluent opacities in the right lung base. no pneumothorax.
end-stage renal disease, no dialysis today, shortness of breath, and hypoxia.
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cardio mediastinal silhouette is unchanged. stable cardiomegaly. increased opacity in the right lung base likely combination of atelectasis with small right pleural effusion. in the right clinical setting, consider superimposed pneumonia or aspiration. there is no pneumothorax.
<unk> year old man with copd, hip fracture s/p orif now with persistent hypoxia // assess for pulmonary edema vs pneumonia
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there has been interval extubation and removal of the enteric catheter. multifocal airspace opacities throughout the right lung as well as within the upper left lung have increased compared to the prior study from <unk>, concerning for worsening multifocal infection. there are no pleural effusions. no pneumothorax. the...
continued dyspnea. evaluate for new infiltrates.
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man with aggressive infection, ? pneumonia, worsening sob. // eval for interval change eval for interval change
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interval placement of left and right chest tubes with subsequent decrease in size of the pleural effusions bilaterally. the tip of the right picc line projects over the cavoatrial junction. diffuse patchy and confluent airspace opacities bilaterally likely reflect underlying pulmonary edema and atelectasis. a trace lef...
<unk> year old woman s/p bilateral chest tube placement. please assess for interval change in effusions, pigtail placement and ptx. // as below
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ap and lateral views of the chest demonstrate normal lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. imaged osseous structures are intact. multiple metallic densities project over ...
pleuritic chest pain and difficulty breathing.
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frontal and lateral radiographs of the chest demonstrate normal heart size and mediastinal contours. the lungs are clear. small hiatus hernia. no pleural effusion or pneumothorax. no displaced rib fracture identified.
<unk>
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the heart size remains mildly enlarged. the aorta is tortuous. the patient is status post median sternotomy and cabg. the pulmonary vascularity is normal, and the hilar contours are unremarkable. patchy left basilar opacity likely reflects atelectasis. there is no pleural effusion or pneumothorax. the lungs are hyperin...
pedestrian struck, unwitnessed, with no memory of the event. head injury.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. lungs are hyperinflated secondary to copd. an area of focal scarring in the right upper lobe is unchanged. upward retraction of the hila is also stable.
afib, fatigue.
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lungs are fully expanded and clear. no pleural abnormalities. severe cardiomegaly and cardiomediastinal hilar silhouettes are unchanged. pacemaker and icd leads are unchanged in position. no evidence of displaced rib fracture.
left back pain
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compared with <unk>, there are new opacities in the left mid and lower lung, mostly in the lingula. there are additional opacities in the right mid lung. there is a small left pleural effusion. the heart is enlarged.
history: <unk>f with cough // r/o pneumonia/infiltrate
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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there are no acute bony abnormalities.
<unk>-year-old woman with history of pe, now off coumadin x<num> months, with one year of progressive dyspnea on exertion. evaluate for interstitial lung disease and pulmonary hypertension.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk>m w/pa catheter now s/p new iabp // interval changes interval changes
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cardiomediastinal contours are normal. lungs are clear except for linear atelectasis or scar at the periphery of the right lung base. widespread skeletal metastases are noted with diffuse sclerotic lesions throughout the visualized skeletal structures. no pleural effusion or large pneumothorax is detected, but left lun...
<unk>-year-old man with altered mental status. known metastatic prostate cancer.
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frontal and lateral chest radiographs demonstrate resolution of the left apical pneumothorax. the heart, lungs, mediastinum, hila, and pleural surfaces are normal.
status post vats truncal vagotomy, with a postoperative left pneumothorax. evaluate for interval change.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormality identified.
<unk>-year-old female with chest pain.
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cardiac silhouette size is normal. mediastinal and hilar contours are unchanged, and there is no pulmonary vascular congestion. linear opacities in the left lower lobe are compatible with areas of subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities ...
history: <unk>m with fall
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heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. lungs are clear. no pleural effusion or pneumothorax is present. no subdiaphragmatic free air is seen. multiple clips are noted in the left upper quadrant of the abdomen. no acute osseous abnormalities are detected.
history: <unk>m with history of necrotizing pancreatitis, presents with high luq pain // please eval for free air
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median sternotomy wires are intact and stable in appearance as well as prior cabg clips. moderate right-sided pleural effusion, slightly increased since the prior with adjacent atelectasis. the left lung is clear. the cardiac silhouette is mildly enlarged. no pneumothorax.
<unk> year old man with hcv cirrhosis, multifocal hcc (s/p tace x<num> and s/p rfa x<num>, most recently <unk>), recently admitted for post-rfa syndrome with fevers, new right pleural effusion, and possible infiltrated. treated for community-acquired pneumonia. // interval change
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there is a severe levoconcave scoliosis of the thoracic spine. the compensatory dextroconcave scoliosis of the lumbar spine is not included on this radiograph as in priors. the lungs, however, remain clear without consolidation or edema. evidence of prior median sternotomy and cabg noted. the cardiac silhouette size is...
nausea.
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patient is rotated. allowing for differences in technique, cardiomegaly and diffuse pulmonary vascular congestion is stable. there is no focal consolidation, large pleural effusion, or pneumothorax.
history: <unk>f with fevers // eval pna
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there is severe stable cardiomegaly with associated chronic vascular cephalization and hilar engorgement. no interstitial thickening or focal lung opacity is observed. there is no pleural effusion or pneumothorax.
<unk>-year-old female with fever, chills. evaluate for acute cardiopulmonary process.
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the patient is status post median sternotomy and transcatheter aortic valve replacement. moderate cardiomegaly is re- demonstrated with diffuse calcification of the thoracic aorta again noted. mediastinal contour is stable with clips again demonstrated in the lower aspect of the neck likely related to prior thyroid sur...
reported hypotension and nausea.
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low lung volumes bilaterally. the cardiac devices are in the stable position in the right atrium and right ventricle. multiple surgical changes consistent with recent spine surgery are noted. endotracheal tube is seen ending above the carina. og tube is seen in the stomach with the tip going back to the ge junction. bl...
<unk>-year-old woman with mssa and endocarditis, status post cord decompression surgery, placement of og tube placement.
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heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities
<unk> year old man with hiv well controlled status post syncope, head strike, chest pain
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portable chest radiograph demonstrates apparent widening of mediastinum this is due to patient rotation. cardiomediastinal and hilar contours are unremarkable. low lung volumes with vascular crowding. lungs are clear. no pleural effusion or pneumothorax.
chest pain radiating to back, please evaluate mediastinum.
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the cardiomediastinal hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs splenic. a new focal opacity in the left upper lung. this concerning for an infectious process. the upper abdomen is unremarkable.
<unk>f with chest pain, fever // eval for pneumonia
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there is minimal bibasilar atelectasis/scarring. the heart is mild to moderately enlarged, not significantly changed. the descending thoracic aorta is tortuous, as before. there are no pleural effusions. no pneumothorax is seen. note is made of a diffusely sclerotic thoracic vertebral body, better assessed on the subse...
weakness. assess for pneumonia.
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heart size is top normal with redemonstration of post-surgical mediastinal contour. hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
chf with palpitations.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. no displaced fracture is identified.
history: <unk>f with s/p fall l rib pain and difficulty taking deep breath // r/o fx
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frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is minimal prominence of pulmonary vasculature. the cardiac silhouette is top normal. the mediastinum is unremarkable.
<unk>-year-old male with chest pain and shortness of breath.
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patient is status post median sternotomy and cabg. a shin is seen. there is no pneumothorax or pleural effusion. the cardiac silhouette remains mildly enlarged. mediastinal contours are stable. no displaced rib fracture is seen, however, these radiographs has low sensitivity for the detection of such.
<unk>f with avr on coumadin who presents s/p fall down for <num> hour and stooled self. // please evaluate for pneumonia, volume overload and other intra-thoracic 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>f with cough and fever // pneumonia?
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pa and lateral views of the chest. right picc is no longer seen. the lungs are hyperinflated but clear of confluent consolidation or effusion. the cardiomediastinal silhouette is within normal limits. degenerative change is seen at the right acromioclavicular joint. no acute osseous abnormality detected.
<unk>-year-old male with chest pain and shortness of breath.
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diffuse increase in interstitial markings bilaterally is re- demonstrated in this patient with chronic lung disease. there is slight increase in opacities bilaterally, which may be due to acute worsening of chronic lung disease versus overlying mild edema versus superimposed infectious process. the cardiac and mediasti...
history: <unk>f with dyspnea // infiltrate
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the lungs are clear of focal consolidation, pleural effusions or pneumothoraces, and biapical scarring is noted. the heart is normal in size, and the mediastinal silhouette is within normal limits.
<unk> year old woman with atrial fibrillation on amiodarone, screening x-ray
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there is a large hiatal hernia containing bowel, with adjacent atelectasis. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with dyspnea // eval heart and lungs
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enteric tube seen passing below the inferior field of view. air-fluid level within a loop of bowel is seen in the right upper quadrant as well as within the stomach. biapical scarring is again noted with superior retraction of the hila. linear opacities at the left lung base are also compatible with scarring. the lungs...
<unk>m with ? obstruction, persistent cough, chills x several wks. known bilat upper parenchymal, pleural airspace disease // ?eval new or interval worsening of lung process
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moderate enlargement of the cardiac silhouette is re- demonstrated. the mediastinal and hilar contours are relatively unchanged. crowding of bronchovascular structures is present as result of low lung volumes, but mild pulmonary vascular congestion is likely present. no focal consolidation, pleural effusion or pneumoth...
history: <unk>f with fever, dementia
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frontal and lateral views of the chest. moderately severe cardiomegaly is similar to prior with enlargement of the left atrium. mediastinal contours are otherwise unremarkable. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with shortness of breath status post ablation.
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the lungs are well expanded and clear. the cardiomediastinal silhouette, hila, and pleural surfaces are normal. there is no pericardial calcification.
<unk> year old woman with anterior chest pain known mild pericarditis // check cardiac size and check lungs
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there is stable moderate cardiomegaly. the hilar and mediastinal contours are unremarkable. again seen is diffusely increased interstitial markings of the lungs, particularly at the bilateral bases, which are consistent with patient's chronic interstitial lung disease. bullous disease is again noted at the left lung ap...
history of copd, who received intravenous fluids. please evaluate for fluid overload.
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lungs are clear. cardiomediastinal silhouette is normal. no effusion or pneumothorax. bony structures are intact.
<unk>f with chest pain. // infiltrate, pe?
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heart size is normal with mild tortuosity of the aorta. cardiomediastinal silhouette and hilar contours are otherwise normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. no overt traumatic abnormality.
subdural hematoma presenting with falls, chest wall bruising and pain.
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since the most recent chest radiograph, there has been removal of the right-sided central venous catheter, and lung volumes are reduced. mild bibasilar atelectasis versus aspiration in the left infrahilar region. cardiomediastinal contours are normal. no pleural effusion or pneumothorax.
<unk>m with chest pain
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relatively low lung volumes are noted. the lungs however are clear where not obscured by overlying leads and wires. left chest wall port-a-cath is again noted. median sternotomy wires and mediastinal clips are identified. the cardiomediastinal silhouette is within normal limits for technique.
<unk>m with ruq pain with hx of bilary stent and met pancreatic ca // ? cbd dilation
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slight flattening of the diaphragms could reflect mild copd. slight distortion of the parenchymal markings in the right lung could also reflect emphysematous change. allowing for this, the heart is at the upper limits of normal in size. the aorta is unfolded. no chf, focal infiltrate, pleural effusion, or pneumothorax ...
<unk>-year-old male with cough. evaluate for pneumonia
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frontal and lateral views of the chest demonstrate normal lung volumes without focal consolidation, pleural effusion or pneumothorax. left lung base atelectasis is noted. hilar and mediastinal silhouettes are unchanged. aortic arch calcifications are again noted. the descending aorta appears tortuous. the heart size is...
chest pain.
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ap portable view of the chest. right pleural effusion has decreased, now moderate. the diffuse small pulmonary nodules in both lungs are again seen. no left pleural effusion. no focal consolidation. heart size is difficult to evaluate, but likely not enlarged.
history of mpe status post right thoracentesis. evaluate pneumothorax.
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heart size and cardiomediastinal contours are normal. the lungs are hyperinflated but there is no focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with resolved weakness // eval for pna
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the lungs are well-expanded and clear. a left chest wall pulse generator is unchanged in position, with leads terminating in the right atrial appendage, right ventricle, and left ventricle. there is no pneumothorax, pleural effusion, or focal consolidation concerning for pneumonia. the heart is mildly enlarged, but sta...
<unk> year old woman chf s/p ppm placement with continued pain and wbc <unk> // ?infiltrate
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there is extensive peribronchial cuffing with interstitial abnormality. in the left upper lobe in the perihilar region, there is a large consolidation. a small consolidation is seen in the right upper lung lateral to the hilus. no pleural effusion or pneumothorax is seen. heart size is stably enlarged. the aorta is cal...
<unk>-year-old female with seizure, bradycardia, and cough.
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as compared to <unk>, stable left moderate pleural fluid with interval decrease in the retrocardiac opacity. the right lung is clear. moderate cardiomegaly. displaced left-sided rib fractures are again demonstrated. no pneumothorax.
<unk> year old man with altered mental status // ? pna, pneumonia