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mild enlargement of the cardiac silhouette is present. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. clips are noted within the upper abdomen. there are no acute osseous abnormalities.
pleuritic chest pain.
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no typical configurational abnormality is identified. thoracic aorta mildly widened but no local contour abnormalities or wall calcifications are seen. the pulmonary vasculature is not congested. no eviden...
<unk>-year-old male patient with left-sided deep vein thrombosis. cough. evaluate for pulmonary embolism.
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there is no evidence of a focal consolidation. small, bilateral pleural effusions are new from the prior examination. no pneumothorax or pulmonary edema is identified. the cardiomediastinal silhouette is unremarkable in appearance. no bony abnormality is detected.
history of ovarian cancer, cough and vomiting overnight, now febrile. evaluate for aspiration pneumonia.
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since <unk>, the left apical pneumothorax is mildly improved. again seen is the right breast partially calcified prothesis and calcifications of the right apex with scarring. the left sixth and seventh posterior rib fractures are again seen. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastina...
<unk> year old woman with fall down stairs, small pneumothorax on admit film // pneumothorax progression?
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heart size is normal. the aorta is mildly unfolded. mediastinal contours are unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. clips in the left upper quadrant of the abdomen are again noted. there are no acute osseous abnormalities.
history: <unk>m with nausea, vomiting, leukocytosis
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lung volumes are normal. no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified. however, note that a chest radiograph is not sensitive for detection of chest wall trauma.
history: <unk>m with fall // acute process, headache/l<num> pain, abd pain
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all lines and tubes are unchanged compared to the prior examination. bilateral diffuse patchy air space opacities are unchanged compared to the prior examination. heart size is normal. the mediastinal and hilar contours are normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman s/p cardiac arrest, currently intubated. // please evaluate for cardiopulmonary process.
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the lungs are clear bilaterally. there are no focal consolidations, pleural effusions or pneumothorax. the cardiomediastinal silhouette is within normal limits. mild atherosclerotic calcification of the aortic arch, unchanged from prior. no acute osseous abnormalities.
<unk> year old woman with low oxygen sats // low oxygen saturations surg: <unk> (exlap)
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since <unk>, there is a worsening focal consolidation in the left lower is not zones concerning for right middle lobe and lower lobe pneumonia. no evidence of pneumothorax or mucus plugging. left upper lobe opacity has resolved, which is consistent with resolved pulmonary hemorrage or resolved aspiration. cardiomediast...
<unk> year old woman post recuscitation due to drug od re-warmed after therapeutic hypothermia now with hypotension and hypoxia // pneumothorax? mucus plug? pneumonia?
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. projecting over the right lung base, there is a well-defined rounded <num> mm opacity which is most likely a vessel on, less likely calcified granuloma. the cardiac and mediastinal silhouettes are unremarkable. thoracolumbar scoliosis is inc...
fever, cough.
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cardiomediastinal silhouette is normal. there is a right basilar opacity. there is also mild obscuration of the right cardiac border. there is no pleural effusion or pneumothorax. there is no acute osseous abnormality. there is a moderate s-shaped scoliosis of the thoracic lumbar spine.
<unk> year old woman with sle on prednisone and mercaptopurine with <num> wk history of fever, nonproductive cough and now congestion bilaterally, evaluate for pneumonia.
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the cardiomediastinal and hilar contours remain stable. there is no pleural effusion or pneumothorax. there is no focal consolidation. pulmonary vasculature is within normal limits.
chest pain in the context of productive cough.
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ap and lateral views of the chest are compared to previous exam from <unk>. again seen is a right-sided pleural effusion which partially tracks within the minor fissure. small left-sided effusion is now also seen. there are increased parenchymal opacities, particularly at the right lung base more so than that at the le...
<unk>-year-old male with fall. question altered mental status.
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patient is post right breast surgery, with surgical clips identified overlying the right chest. cardiomediastinal and hilar contours are normal. lungs are clear without pleural effusion, pneumothorax, or focal consolidation.
<unk>f with dyspnea. evaluate for pneumonia.
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enlargement of the cardiac silhouette is is stable. patient has known pericardial effusion. small left effusion with large adjacent atelectasis is stable. there are minimal atelectasis in the right base. there is no pneumothorax
<unk> year old man with history of osa and recent diagnosis of sclerosing mesenteritis with left sided pleural effusion s/p thoracentesis presenting with cough, neck and chest pain found to have moderate sized pericardial effusion. // eval interval change of l pleural effusion
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as compared to prior chest radiograph from <unk>, bilateral alveolar and interstitial opacities appear worsened, however this represents a limited evaluation given change in obliquity and patient's positioning. there is a moderate right pleural effusion. underlying pneumonia in the right lung however, cannot be exclude...
<unk>-year-old man status post <unk>'s with pulmonary edema. please evaluate interval change in pulmonary edema, rule out pneumonia.
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single frontal view of the chest was obtained. moderate cardiomegaly is similar to prior. mild pulmonary edema is slightly increased since the prior exam. moderate left pleural effusion and small right pleural effusions are similar to prior, allowing for difference in patient position. sternotomy wires and aortic valve...
<unk>-year-old female with mitral valve repair presenting with hypoxia and dyspnea. rule out chf.
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this is a slightly rotated film the heart size is mildly enlarged, larger than prior. the bilateral alveolar infiltrates are now more fluffy and hazy in appearance and more confluent. dual lead pacemaker is present. et tube is <num> cm above the carina. right subclavian line tip is in the svc.
ards worsening.
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increased opacity seen in the right mid lung and there are changes suggesting of underlying fibrotic changes in the perihilar regions bilaterally, right greater than left. there is also increased density in the retrosternal clear space on lateral view with associated linear, spiculated opacities. the lungs are otherwis...
<unk>f with cough, sob, wheezing, <unk> sarcoid // presence of infiltrate, pleural effusions
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk> y/o m with pain after trauma to the chest.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with mild cardiomegaly. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with epigastric pain // ro chf/pneumonia
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frontal and lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. post-operative changes of cabg are noted with median sternotomy wires, mediastinal clips and mitral valve repair. no acute osseous abnormal...
<unk>-year-old male with chest pain status post cabg.
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a single semi-upright chest radiograph was obtained. an endotracheal tube terminates at the inferior margin of the clavicular heads. the endotracheal tube is <num> cm above the carina, but the neck is in flexion. an orogastric tube loops in the stomach. a right internal jugular catheter terminates in the mid svc. the l...
<unk>-year-old woman with diverticulitis, status post colectomy.
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right picc tip has been somewhat advanced into the upper-to-mid svc. the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old male with epidural abscess.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable.
<unk>f with chest tightness.
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the lung volumes are low, which does result in crowding of the bronchovascular structures. streaky opacity seen at the left lung base is unchanged, likely representing scarring. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are unchanged. air-filled, nondilated loops of bowel are se...
tachycardia and increased oxygen requirements. evaluate for pneumonia.
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. numerous surgical clips are seen in the right upper quadrant as before.
chest pain.
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the cardiac, mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
seizure. question acute process.
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a portable frontal chest radiograph demonstrates removal of the left chest tube, without appreciable pneumothorax on the left. the moderate right pneumothorax is unchanged. the remainder of the exam is unchanged, including bibasilar atelectasis and a small left pleural effusion.
status post cabg and mitral valve replacement, with a right pneumothorax, status post removal of chest tubes. evaluate for interval change in the right pneumothorax.
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the lungs are hyperinflated with underlying emphysema. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. <num> mm nodular opacity projecting over the left lower lung field likely represents a prominent left nipple. no radiopaque foreign body is seen projecting over the expected course ...
<unk>-year-old male with foreign body sensation in throat.
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single ap view of the chest was reviewed. enteric tube is present <num> cm above the carina. enteric tube is noted, but sideholes are near the gastroesophageal junction. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well expanded and clear.
trauma.
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the heart is mildly enlarged. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with leukocytosis of unclear source // any e/o pna
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the lungs are well expanded and clear. the cardiac size is enlarged, which is particularly evident in the lateral view, raising concern for pericardial effusion. no pleural effusion or pneumothorax is identified.
<unk>-year-old male with left-sided chest pain. evaluate for evidence of pneumothorax.
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there is stable moderate cardiomegaly. there is a new small left pleural effusion with adjacent consolidation likely secondary to compressive atelectasis. note is made of mild pulmonary vascular engorgement; however, there is no evidence of pulmonary edema. no focal consolidations concerning for infection are identifie...
history of right mca stroke with peg and acute shortness of breath. please evaluate for infiltrate.
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a right-sided port-a-cath terminates at the cavoatrial junction. surgical fixation hardware projects over the cervicothoracic spine. surgical clips project over the left chest wall and axilla. the heart is normal in size. multiple soft tissue density masses and nodules are seen throughout both lungs suggestive of metas...
<unk> year old woman with history of melanoma and port placed at outside facility. // confirm line placement
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the postsurgical changes in the right upper lung are unchanged. there is increased opacity in the right lower lung medially with s ill definition of the right hemidiaphragm medially compatible with a new right-sided infiltrate. the left lung is clear.
tachycardia and shortness of breath.
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tracheostomy tube tip terminates approximately <num> cm from the carina. heart size is mildly enlarged. the aorta is tortuous and diffusely calcified. mediastinal contour is unremarkable. pulmonary vasculature is normal. small bilateral pleural effusions are noted with bibasilar airspace opacities which may reflect ate...
history: <unk>f with tracheostomy, respiratory distress
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> man w/pmhx cll, metastatic prostate cancer on adt, bipolar d/o, ?copd, admitted with altered mental status on <unk>, felt to be due to psych and toxic/metabolic reasons, now transferred to the ficu for hypoxic respiratory failure requiring intubation. // interval change interval change
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pa and lateral views of the chest. the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected.
<unk>-year-old male with chest pressure and shortness of breath.
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pa and lateral views of the chest are reviewed and compared to the prior study. the lungs are clear without evidence of vascular congestion, pleural effusion, or pneumothorax. the cardiac and mediastinal contours are normal. the bones and soft tissues are unremarkable.
chest pain and palpitations.
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pa and lateral views of the chest. the lungs are hyperinflated. lung nodules better seen on prior exam. there is no confluent consolidation. no new effusion. cardiomediastinal silhouette is unchanged. no acute osseous abnormality detected.
<unk>-year-old female with chest pain.
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compared to the prior study there is no significant interval change.
<unk> year old man with acute onset cp and high bps // mediastinal widening?
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pa and lateral views of the chest provided. mild left basal atelectasis noted. otherwise lungs are clear. no signs of pneumonia or edema. no pleural 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 left flank pn // r/free air
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pa and lateral views of the chest. no prior. the lungs are clear. the cardiomediastinal and hilar contours are normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with question erythema nodosum. question infiltrate.
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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.
history: <unk>m with with seizure // eval for pna
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there is increased opacification of right upper lobe which may be due to a combination of collapse and infection. there is new right basilar opacification, likely due to atelectasis. tenting of the right hemidiaphragm as well as rightward shift of the mediastinal structures indicates volume loss. right perihilar fullne...
<unk>-year-old male status post v-fib arrest. evaluate for et tube placement.
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the lungs are well expanded and clear with minimal blunting of the left costophrenic angle on the lateral view which could reflect trace pleural effusion or pleural thickening. there is no pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
confusion.
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lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with chest pain and sob // please eval for pneumonia
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pa and lateral radiographs of the chest demonstrate clear lungs. the cardiac, hilar, mediastinal contours are normal. no pleural abnormality is seen.
shortness of breath
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the patient is status post median sternotomy and cabg. left-sided aicd/pacemaker device is again noted with leads in unchanged positions. heart remains moderately enlarged. mediastinal and hilar contours are unchanged and within normal limits. there is similar upper zone vascular redistribution compatible with mild pul...
history: <unk>m with shortness of breath, lower extremity edema
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pa and lateral views of the chest demonstrate increased lung volumes, and diffuse bilateral focal lucencies, indicating moderate emphysema better seen on ct exam of <unk> exam. right lower lobe mass with a fiducial marker has decreased in size since <unk>. there is no pleural effusion or pneumothorax. no focal consolid...
patient with history of adenocarcinoma right lower lobe, status post cyberknife treatment on <unk>, who now presents with persistent dry cough. assess for pneumonia.
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pa and lateral radiographs were acquired. there is subtle increased heterogeneous opacity near the left costophrenic angle, projecting over the lower thoracic spine on the lateral radiographs, possibly atelectasis or though early pneumonia is not excluded. the lungs are otherwise clear. heart size is normal. the medias...
fever, evaluate for infection.
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as compared to chest radiograph from <num> day prior, support devices remain in similar position. left thyroid goiter with deviation of the left internal jugular line. overall the appearance of the lungs have not substantially changed with persistent obscure aeration of the left hemidiaphragm with associated volume los...
<unk> year old woman with polytrauma // interval change
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the inspiratory lung volumes are decreased. there is central peribronchovascular prominence which in the correct clinical setting could reflect central airways inflammation. the lungs are clear without lobar consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limi...
<unk>f with productive cough x <num> weeks // eval for pna
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there is no focal consolidation. there is no pleural effusion or pneumothorax. there is no pulmonary vascular congestion. there is mild cardiomegaly. a left-sided pacemaker and leads are stable in position. median sternotomy wires are stable. mediastinal clips are stable. there is a prosthetic aortic valve. there are d...
tia, evaluate for pneumonia, generalized weakness
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there has been interval removal of a right internal jugular central venous catheter. the cardiac and mediastinal silhouettes are stable with a calcified, tortuous aorta and mild enlargement of the cardiac silhouette. battery pack/implanted device is again seen projecting over the left mediastinum/chest. no focal consol...
ms, chronically colonized suprapubic catheter now with weakness, cough, and hallucinations.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are within normal size.
<unk> year old man with persistent cough // ? pneumonia
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minimal linear opacity at the right lung base is likely a small amount of atelectasis, otherwise the lungs are clear. no pneumothorax. heart size and mediastinal contour are normal. no fracture or concerning bone findings.
<unk> year old man with fever // opacity
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pa and lateral chest radiograph demonstrates a mildly enlarged heart though this appears increased in size relative to prior study dated <unk>. currently, the heart measures <unk>.<num> cm when previously it measured <unk>.<num> cm at the same level. prominent interstitial markings with <unk> b-lines, perihilar hazy op...
<unk>-year-old female with shortness of breath, postpartum.
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the patient is status post right sided chest tube insertion. the chest tube is difficult to visualize but is grossly unchanged in position, the tip appears to be close to the mediastinum. there is a persistent right basal pneumothorax, similar in extent when compared to the prior study. there is a small right-sided ple...
<unk> year old man with r sided pleural effusion s/p <unk>fr for drainage with possible loculations // eval for interval changes
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with c/o sob // ? pna
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chest, pa and lateral. the lungs are clear aside from bibasilar atelectasis. there is mass effect on the trachea from an enlarged thyroid gland. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman presenting with cough. evaluate for pneumonia.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax.
altered mental status. evaluate for pneumonia.
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the lungs are clear of consolidation. there is no effusion or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with doe, <unk> and abd edema/distension //
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the lungs are clear without focal consolidation, pulmonary edema or pleural effusion. no pneumothorax is present. elevation of the left hemidiaphragm, presumably dating from left thoracotomy and posterior rib resection is unchanged. surgical clips project over the left upper abdomen.
weakness, concerning for infarction. evaluation of the chest.
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there is prominence of the pulmonary vasculature bilaterally, suggesting vascular congestion cyst, mild edema. no definite focal consolidation is seen. bibasilar opacities likely relate to fluid overload, and are symmetric however, in the appropriate clinical setting infectious process not entirely excluded but felt le...
history: <unk>m with shortness of breath, reported diagnosis of pneumonia at a clinic, comparison film not available // eval heart and lungs
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the lungs are clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no bony abnormalities are identified.
patient with unsteady gait. evaluate for infiltrate.
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an enteric tube courses below the diaphragm and outside of the field of view within the stomach. numerous markedly dilated gas-filled loops of small bowel are present within the upper abdomen. minimal left basilar platelike atelectasis is noted. there is no focal consolidation, pleural effusion, pneumothorax, or pulmon...
<unk> year old woman with high grade small bowel obstruction, tachycardia, s/p ngt placement for decompression with little output, evaluate ng tube placement.
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portable ap upright chest radiograph was provided. linear left mid lung opacity is unchanged and may represent scarring or platelike atelectasis. there is no pulmonary edema. no evidence of pneumonia. the heart is top normal in size though stable. mediastinal contour is unremarkable. no large effusion or pneumothorax. ...
<unk>-year-old man with shortness of breath and history of chf.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. there is no evidence of pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. the cardiomediastinal silhouette is stable with a tortuous aorta that is unchanged in appearance since <unk>.
<unk>-year-old female with shortness of breath. evaluation for pneumonia.
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frontal and lateral views of the chest demonstrate interval resolution of the moderate right pleural effusion. there is minimal blunting of the right costophrenic angle, which may reflect trace pleural effusion or pleural thickening. there is no left pleural effusion. heart is markedly enlarged. hilar and mediastinal s...
patient with congestive heart failure with chest pain.
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left-sided port-a-cath tip terminates at the junction of the svc and right atrium. cardiac silhouette size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. ill-defined hazy and patchy opacity is noted within the left lung base, as well as faint patchy opacity within the perip...
history: <unk>m with fever, cough
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the cardiomediastinal and hilar contours are within normal limits. lungs are hyperexpanded and there is flattening of the diaphragms, suggestive of copd. there are two <num> mm rounded densities in the left and right upper lobes bilaterally, suggestive of pulmonary nodules. there is increased density within the right a...
no past medical history, presenting with chest pain of acute onset. question acute cardiopulmonary process.
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities present.
zoster infection.
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a port-a-cath terminates at the cavoatrial junction. a nasogastric tube passes into the stomach. part of a biliary drain projects over the epigastric region. the cardiac, mediastinal, and hilar contours appear unchanged. the lung volumes are low. there is no pleural effusion or pneumothorax. streaky retrocardiac opacit...
difficulty breathing.
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patient is status post median sternotomy and cabg. mild cardiomegaly is re- demonstrated. the mediastinal contour is unchanged. compared to the previous radiograph, mild pulmonary edema is slightly worse in the interval, and there is interval increase in size of small bilateral pleural effusions. mild compressive atele...
history: <unk>m with fever, shortness of breath, and cough
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the position of the ett is stable with the tip <num> mm proximal to the carina. right subclavian picc line in place with the tip in the lower svc. ng tube tip projecting over the stomach. decreased lung volumes bilaterally. airspace opacification representing atelectasis in the lung bases bilaterally (right more than l...
<unk> year old woman with bilateral pes intubated, with hcap // interval change in pulmonary status
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the cardiac, mediastinal and hilar contours appear unchanged. there is patchy left basilar opacification, but decreased, and probably compatible with atelectasis. there is no definite pleural effusion, although an effusion would be difficult to exclude on the left side. there is no pneumothorax. degenerative changes an...
seizure. question pneumonia.
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patient is status post dual lead left-sided aicd with leads terminating in the expected position of the right atrium and right ventricle. the heart is enlarged. there is bibasilar atelectasis. increased opacity at the right lung base could represent atelectasis, however an underlying infectious process cannot be entire...
cough, rule out pneumonia.
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ap upright and lateral views of the chest provided. mediastinal prominence again noted compatible with known thyroid goiter. the heart is moderately enlarged. there is mild pulmonary edema. no large effusion or pneumothorax. bony structures are intact.
<unk>m with altered mental status
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frontal and radiographs of the chest demonstrate normal heart size. the mediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. calcified right apical pleural plaque is unchanged. unchanged dextroscoliosis of the thoracic spine.
fever, evaluate for pneumonia
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a right internal jugular dialysis catheter is unchanged in appearance compared to the prior study. no pneumothorax seen. there is persistent elevation of the right hemidiaphragm with associated volume loss. no pleural effusion seen. there is mild cardiomegaly even allowing for the projection. there is prominence of the...
<unk> year old woman w/ hd dependant esrd s/p <unk>'s procedure // please assess for interval change, special attention to fluid status of lungs
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ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. there is no significant interval change between these two studies obtained with a <unk>-hour interval. the left-sided basal density with...
<unk>-year-old male patient with history of necrotizing hemorrhagic pancreatitis complicated with abdominal compartment syndrome with persistent fluid collections and new <unk>-<unk> fistula. presented on <unk> for drain upsizing, now with worsening mental status, respiratory acidosis, arrived in icu, evaluate for int...
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pa and lateral views of the chest. there is subtle increased opacity in the left mid lung which projects in the retrosternal clear space on the lateral view. elsewhere, the lungs are clear. there is no pneumothorax or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is id...
<unk>-year-old female with pleuritic chest pain.
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the heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is clearly noted. there is no acute osseous abnormality.
chest pain.
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there is a trace right and a moderate left pleural effusion. associated left base atelectasis is noted. superiorly, the lungs are clear. cardiac silhouette cannot be adequately assessed but is likely enlarged. compression deformity in the lower thoracic spine was seen on prior. surgical clips project over the right upp...
<unk>f with shortness of breath abodmainl distention // eval for pnaeval for portal vein thrombosis
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the heart size remains moderately enlarged. there is widening of the mediastinal contour, increased from prior, with a calcified aorta. mild pulmonary vascular congestion persists. streaky bibasilar airspace opacities most likely reflect atelectasis. no large pleural effusion or pneumothorax is identified.
shortness of breath.
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moderate layering right pleural effusion remains unchanged with a new small left pleural effusion. moderate pulmonary edema is stable. no pneumothorax is seen. the cardiac silhouette is enlarged and stable. there is persistent large volume intra-abdominal free air.
<unk>m with pulm edema, pneumonia, w tracheostomy, eval for interval change // interval change
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single portable view of the chest compared to previous exam from <unk>. right ij and left-sided central lines are no longer seen. the lungs are not significantly changed. there is persistent elevation of left hemidiaphragm and stable in configuration of the cardiomediastinal silhouette.
<unk>-year-old man with diabetes, copd on home oxygen and end-stage renal disease with increased shortness of breath, decreased oxygen saturation and hypervolemia.
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frontal and lateral chest radiographs demonstrate a large hiatal hernia with air-fluid level minimally increased in size when compared to radiograph dated <unk>. although limited by presence of hiatal hernia, the lungs appear grossly clear with no focal consolidation. there is adjacent left lower lobe atelectasis. no a...
<unk>-year-old female with gi bleed and known hiatal hernia. please assess hiatal hernia.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is identified. sclerotic focus involving the <num>rd rib anteriorly appears unchanged. no acute osseous abnormalities demonstrated. remote left sid...
pain in the hand and chest.
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right-sided pleural effusion has minimally decreased when compared to the prior. peripheral right upper lobe airspace opacity has substantially increased in size and density. the left lung remains clear. moderate cardiomegaly with dystrophic calcifications of the mitral annulus. median sternotomy wires and cabg are sta...
<unk> year old man with pleural effusion // eval
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left-sided dual-lumen central venous catheter tip terminates in the proximal right atrium, unchanged. the right picc has been removed. mild cardiomegaly again is re- demonstrated. the mediastinal contours are stable. tracheostomy tube is in unchanged position. there has been interval improvement in the previous pattern...
acidosis.
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cardiac silhouette size is mildly enlarged but unchanged. aortic knob calcifications are present. no pulmonary edema, focal consolidation or pleural effusion is present. no pneumothorax is identified. elevation of the right hemidiaphragm is unchanged. hypertrophic changes are again noted in the thoracic spine.
history: <unk>f with chest pressure
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patient is status post minimally invasive esophagectomy. there has been interval right chest tube removal. a developing opacity in the left mid lung can be concerning for pneumonia in the right clinical setting. extensive subcutaneous emphysema is mildly improved compared to prior exams. a small right apical pneumothor...
<unk> year old woman pod<unk> s/p mie, now s/p ct d/c // evaluate for pneumothorax after ct d/c. please perform at <time>.
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left-sided picc terminates in the lower svc. nasogastric tube terminates in the distal stomach. there is stable, mild cardiomegaly. mediastinal and hilar contours are unchanged. there has been minimal interval improvement in moderate pulmonary edema. stable, left lower lobe atelectasis. there is no pneumothorax. stable...
<unk>-year-old woman with a history of systolic heart failure and recent mixed cardiogenic and septic shock secondary to cellulitis and uti, now with rising leukocytosis. evaluate for pneumonia.
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frontal and lateral views of the chest. there are new bilateral increased interstitial markings throughout the lungs with central pulmonary vascular engorgement. there is no pleural effusion. the cardiac silhouette is mildly enlarged, new since prior as well. hypertrophic changes are noted in the spine. surgical clips ...
<unk>-year-old female with shortness of breath. question pneumonia or edema.
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moderate cardiomegaly is unchanged. the aorta is mildly tortuous and demonstrates mural calcifications at the aortic arch. the mediastinal and hilar contours otherwise are stable. the pulmonary vascularity is not engorged. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the...
epigastric and left lower quadrant pain, chest discomfort.
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there is mild to moderate persistent elevation of the right hemidiaphragm compared to the left, which is unchanged from the prior study. a right port-a-cath is unchanged in position with the tip terminating in the proximal right atrium. there is no focal opacity concerning for pneumonia, pleural effusion, or pneumothor...
febrile neutropenia, here to evaluate for acute cardiopulmonary process.
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the lungs are well-expanded. increased opacity in the right lower lobe may reflect pneumonia or aspiration in the appropriate clinical situation or contusion given the provided history of fall. no pneumothorax or evidence of large pleural effusion. no pulmonary edema. the heart is top-normal in size. the mediastinum is...
<unk>-year-old woman presenting after a fall; evaluate for rib fracture.