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MIMIC-CXR-JPG/2.0.0/files/p16928370/s50609169/bde3562d-d6d1febe-16aa532f-831a6e2c-4a0abeab.jpg
the lungs are hyperinflated. no focal opacities are identified. mild cardiomegaly is unchanged from prior with significant left atrial contribution. an unfolded aorta with prominent atherosclerotic calcifications at the aortic knob is also unchanged. there is no pleural effusion or pneumothorax. hilar contours are stab...
<unk>-year-old female with chest pain. evaluate for pneumonia or pneumothorax.
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heart size remains top 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. mild multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with leukocytosis
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a small calcified round nodule consistent with a calcified granuloma in the right lower lung is unchanged since <unk>. otherwise, the lungs are clear and well-expanded. there is no focal consolidation, pulmonary edema, pneumothorax, or pleural effusion. the heart is mildly enlarged and the descending aorta is tortuous,...
<unk>-year-old man with chronic congestion; evaluate for abnormality.
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the right costophrenic angle has been excluded. a newly placed right picc line ends in the low svc. there is no pneumothorax. the visualized lungs are clear. heart and mediastinum are within normal limits despite the projection.
<unk> year old woman with picc, please assess placement // <unk> year old woman with picc, please assess placement
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a left picc terminates in the svc. tracheostomy tube is in standard position. the aortic stent graft extending from the aortic arch to the diaphragmatic hiatus is stable in position. a dobhoff tube ends in the proximal stomach. the cardiac silhouette is normal in size. mild widening of the upper mediastinum corresponds...
<unk> year old woman with tracheobronchial malacia, recent trach // interval change
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left pectoral pacemaker and its leads are in unchanged positions. elevation of right hemidiaphragm and mild atelectasis at the right lung base are similar to before. there is no pleural effusion. borderline cardiomegaly is similar to before.
history: <unk>m with shortness of breath // eval for chf/pneumonia
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
three days of fever and cough. evaluate for pneumonia.
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left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. mild to moderate cardiomegaly is again noted, with marked calcification of the aortic knob. the mediastinal and hilar contours are otherwise similar. there is minimal atelectasis in the left lung base. no foc...
dyspnea.
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pa and lateral views of the chest chest demonstrate normal heart size. pulmonary vascularity is normal. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified.
reported hypotension and fever at home. evaluate for pneumonia
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in comparison with the prior study, there may be mild pulmonary vascular congestion. otherwise, the appearance of the chest is unchanged. cardiac and mediastinal silhouettes are stable. there is no pleural effusion. no new focal consolidation.
dyspnea and lower extremity edema.
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pa and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits, stable relative to prior examination dated <unk>. there is no pleural effusion, evidence of pulmonary edema, or pneumothorax. there is no air under the right hemidiaphragm.
history: <unk>m with fever // eval for pna
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the lungs are well inflated and clear. there has been interval resolution of bilateral opacities noted on prior exam. the patient demonstrates moderate cardiomegaly which is unchanged. otherwise, the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. a single-port port-...
<unk>-year-old female with cough. evaluate for evidence of acute cardiopulmonary process.
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left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. heart size is normal. mediastinal and hilar contours are unremarkable. calcified aortic knob is re- demonstrated. the lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneu...
history: <unk>f with chest pain
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there is an endotracheal tube in appropriate position, terminating <num> cm above the level of carina. a right internal jugular central venous line terminates in the mid svc. an enteric tube terminates in the stomach. lung volumes are low causing crowding of the central bronchovascular structures. the heart is top-norm...
<unk>-year-old male status post cardiac arrest, intubated. evaluate for acute process, endotracheal tube tube placement.
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frontal and lateral radiographs of the chest show a tracheostomy tube, left-sided supraclavicular dual-channel catheter and right-sided picc line unchanged in position. a feeding tube is again seen coursing below the diaphragm and likely terminating past the pylorus. low inspiratory lung volumes are unchanged. no defin...
<unk>-year-old female postoperative day #<unk> status post liver transplant, now with persistent right pleural effusion, here to reassess for right pneumothorax status post pigtail catheter removal on <unk>.
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heart size remains mildly enlarged with tortuosity of the thoracic aorta. central pulmonary vasculature is engorged with increased reticulation compatible with mild pulmonary edema. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax. a right internal jugular wide-bore dialysis cathet...
history of chf, presenting with shortness of breath.
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the cardiomediastinal and hilar contours are within normal limits. lung volumes are slightly decreased. left midline linear opacity likely reflects atelectasis. there is however no focal consolidation, pleural effusion or pneumothorax.
altered mental status. evaluate for pneumonia.
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the lung volumes are low. there is minimal left basilar atelectasis. the lungs are otherwise clear, without a consolidation, pulmonary edema, pleural effusion, or pneumothorax. there is minimal left apical scarring. the cardiomediastinal silhouette is normal. evaluation of the left ribs is somewhat limited by the overl...
left-sided rib pain after a fall.
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compared to the prior study the et tube continues to be high. it is <num> cm above the carina. the swan-ganz catheter tip is in the main pulmonary artery. right ij line tip is in the cavoatrial junction. there continues to be pulmonary vascular redistribution and a small left effusion. there continues to be dense retro...
<unk> year old man with ett // please eval ett
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a portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette. there is mild vascular congestion without frank pulmonary edema. no focal consolidation, pleural effusion, or pneumothorax seen. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with chest pain.
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portable upright chest radiograph was obtained. the lungs are well expanded. right pleural effusion is suggested on the frontal view. otherwise there is no focal consolidation. left costophrenic angle is excluded from view. there is no pneumothorax. the heart is normal in size with normal mediastinal contours.
difficulty ambulating, assess for acute process.
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widened mediastinum is unchanged. the lungs are clear. the heart is enlarged. no definite pleural effusion is seen.
<unk>f with left distal femur fracture, now with cough. // r/o pna r/o pna
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linear left basilar opacity is likely due to atelectasis given low lung volumes on the current exam. calcific density again projects over the left upper lung laterally. the lungs are otherwise grossly unremarkable. the cardiomediastinal silhouette is stable. median sternotomy wires and mediastinal clips again noted.
<unk>f with cvl // placement
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left subclavian central catheter terminates at the junction of the left brachiocephalic vein and svc. lung volumes are low, exaggerating heart size. no focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with left subclavian // confirm line placement
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cardiac silhouette size is mildly enlarged with a left ventricular predominance, as seen previously. the mediastinal hilar contours are unchanged and within normal limits. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. left rib cage deformities and expansile le...
history: <unk>m with rigors, status post bmt
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frontal and lateral views of the chest. the tip of the left lateral costophrenic angle is excluded. nodular symmetric densities projecting over the bilateral lower lungs are consistent with prominent nipples shadows. no focal consolidation, pleural effusion, or pneumothorax. heart size and cardiomediastinal contours ar...
fever and malaise.
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frontal and lateral radiographs of the chest show resolution of a small left apical pneumothorax from <unk>. the lungs are clear without focal consolidation or pleural effusion. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limi...
<unk>-year-old male with recent left spontaneous pneumothorax, here to reevaluate for interval changes.
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a single-lead aicd remains in unchanged position. severe cardiomegaly with tortuosity of the thoracic aorta with dense atherosclerotic calcifications is unchanged. lung volumes are low causing crowding of bronchovascular structures. lungs are otherwise clear. pleural surfaces are clear without large effusion or pneumot...
syncopal episode with hypotension.
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a tracheostomy is in-situ. a tunneled internal jugular dialysis catheter terminates in the right atrium. a right-sided picc is also in-situ, the tip is difficult to visualize but appears to be in the proximal svc. there are persistent bilateral predominately perihilar airspace opacities with hazy pulmonary vascular con...
<unk>f s/p r nephrectomy w/ sbo s/p ex lap, loa, transverse colectomy and sbr, mult re-explorations for leak and open abdomen and bleeding now w/ ileostomy and mucus fistula s/p tube cholecystostomy // interval change
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the lungs are clear, there is no pleural effusion, or pneumothorax. the cardiac silhouette is normal in size. the mediastinal contours are notable for tortuosity of the aorta, and calcification of the arch. lumbar hardware.
<unk>-year-old female with shortness of breath; evaluate for acute process.
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there is interval repositioning of right picc with tip now in the lower svc. cardiomediastinal silhouette is stable. lungs are clear. there is no pleural effusion or pneumothorax.
<unk> year old woman with r picc malpositioned // r picc repo attempt, pulled back <num>cm <unk> <unk>
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the cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. the heart is mildly enlarged. the lung volumes are low. streaky right basilar opacity suggests minor atelectasis, decreased since the prior study. otherwise, the lungs appear clear. exaggerated kyphotic curvature and tw...
cough and shortness of breath.
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the lungs are clear without focal consolidation, pneumothorax, or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with presyncope, chest discomfort // eval for cardiopulmonary process
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ap portable upright view of the chest. bilateral pleural effusions are noted, small, left greater than right. there is associated compressive lower lobe atelectasis though cannot exclude pneumonia. there is mild hilar fullness without frank pulmonary edema. no large pneumothorax. the heart remains mildly enlarged. the ...
<unk>f with tachycardia // evidence of pneumonia
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elevation of the right hemidiaphragm is unchanged from the previous ct. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouete is normal. pulmonary vasculature is normal.
history: <unk>f with liver cancer with nausea, vomiting
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moderate to severe enlargement of the cardiac silhouette appears slightly increased from the previous examination. mediastinal contour is similar. perihilar haziness and vascular indistinctness is compatible with mild pulmonary edema. small left pleural effusion is new in the interval. retrocardiac opacity may reflect ...
history: <unk>m with dyspnea
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cardiomediastinal contours are normal. the lungs are hyperinflated and clear. there is no pneumothorax or pleural effusion. there is pectus carinatum
<unk> year old man with epilepsy, stroke, headache and elevated inflammatory markers // please evaluate for masses, hilar enlargement, consolidation
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cardiomediastinal contours are unchanged, slightly shifted to the left, cardiac size normal, coarse calcifications in the ap window. mitral annulus is again noted. left upper perihilar opacities are unchanged. small left pleural effusion is unchanged. there is no pneumothorax .. sternal wires are aligned. cervical spin...
<unk> year old woman with pleural effusion // eval
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frontal and lateral views of the chest demonstrate normal mediastinal and hilar contours and likely top normal heart size. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. patient is status post cervical spine posterior fusion with hardware in place.
<unk>-year-old female with shortness of breath and history of congestive heart failure. question pulmonary edema or effusion.
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a right pleural effusion has decreased in size, now very small. cardiac size remains enlarged. lung volumes are lower when compared to prior studies contributing to the crowded vasculature. no focal opacities concerning for infection and no pneumothorax.
weakness. treated for pneumonia one week ago. question recurrent infection.
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the lungs are hyperinflated. linear opacity at the right lung laterally is most suggestive of atelectasis versus scarring. left basilar opacity is also suggestive of atelectasis. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalitie...
<unk>m with cp // r/o cardiomegaly, ptx, pna
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pa and lateral views of the chest demonstrate well-expanded lungs. in comparison to the prior study, there is interval obscuration of the right heart border and the medial right hemidiaphragm. correlation with the lateral view suggests that this is likely due to interval development of small bilateral pleural effusions...
<unk>-year-old woman with a history of cad, chf with chest pain, evaluate for pneumonia or effusion.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with sc crisis // eval for consolidation
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the cardiomediastinal silhouette is normal. the hila and pleura are unremarkable. there is re- demonstration of multiple left-sided anterior rib fractures and a displaced left clavicular fracture with probable underlying hematoma. there is re- demonstration of a right apical pneumothorax without evidence of tension pne...
<unk> helmeted cyclist struck by car tx from <unk> with multiple l sided rib fractures, communited l clavicle fracture, l hip anterior acetabular fracture, small apical ptx // please obtain standing end expiratory films
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subtle retrocardiac basilar opacity, better seen on the lateral view, most likely is due to overlapping structures and mild atelectasis, however, underlying aspiration or less likely infection are not excluded, but felt less likely. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mi...
history: <unk>f with hypertensive urgency/emergency and possible cns involvement with dizziness, l sided weakness // ? intracranial process? intrathoracic process
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cardiac size is normal. there is a new dense consolidation in the left mid lung which may be pneumonia or aspiration. small bilateral pleural effusions with bibasilar atelectasis and volume loss new since <unk>. there is no pneumothorax. sigmoid scoliosis. ng tube extends past the diaphragm beyond the inferior margins ...
<unk> year old woman s/p ngt placement // ngt placement
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with dec. uop; hx of ascites; eval for infx // eval for consolidation
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bibasilar opacities are most consistent with atelectasis, right greater than left. cardiomediastinal hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation. no acute displaced rib fractures identified. right shoulder replacement hardware is re- demonstrated.
<unk>f with pain on right chest wall after blunt trauma // ?rib fracture
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a newly placed endotracheal tube terminates at the level of the clavicles. a newly placed ng tube terminates in the stomach. a new left ij central venous catheter terminates in the brachiocephalic vein. the patient has had prior to tavr. a right pectoral pacemaker sends leads to the right atrium and right ventricle. re...
<unk> year old woman with dyspnea, chf exacerbation, intubated // evaluate volume status, ett placement
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the lungs are clear. no pulmonary edema. mild to moderate cardiomegaly increased since <unk>. prior median sternotomy and cabg. the wires appear intact and well aligned. no pleural effusions or pneumothorax.
<unk> year old man with amiodarone therapy // exclude amiodarone lung toxicity
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in comparison to <unk> study there are new striated lucencies along the supraclavicular soft tissues on frontal projection as well as along the spine and posterior soft tissues on lateral projection. the lungs are hyperinflated and clear. stable scarring of the right costophrenic angle. no left pleural effusion or pneu...
<unk>m with chest pain. assess etiology for chest pain
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the heart size is top normal. the mediastinal and hilar contours are unchanged. the pulmonary vascularity is normal. minimal linear opacities in the left mid lung are compatible subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. clips...
dizziness, prior history of stroke.
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single portable view of the chest. no prior. the lungs are grossly clear. cardiac silhouette is within normal limits for technique. osseous and soft tissue structures are unremarkable.
<unk>-year-old man found unresponsive.
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the patient is status post aortic valve replacement surgery as well as coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain.
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accessed right port-a-cath terminates in the right atrium, unchanged. right lower lung opacities are slightly worse. linear opacities at the left base likely represent atelectasis. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is stable and notable for a prominent ascending aorta.
<unk>-year-old woman with duodenum cancer, presenting with sepsis and concern for pneumonia
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there is extensive interstitial fibrosis of the lungs and emphysema. compared to the prior ct, the right lung is now more severely likely due to pneumonia, marked aspiration or pulmonary hemorrhage. the cardiomediastinal silhouette and hilar contours are normal. there is no appreciable effusion or pneumothorax.
history of extensive pulmonary fibrosis in acute respiratory distress.
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cardiac and mediastinal silhouettes are stable. minimal left base atelectasis/scarring is seen. there is no focal consolidation, pleural effusion, or evidence of pneumothorax.
history: <unk>m with chest pressure // r/o pna
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the ng tube is coiled in the stomach. small bowel loops are again seen to be dilated measuring up to <num> cm. there is volume loss at the bases
<unk> year old man with sbo and ngt in place. please assess ngt placement. // please assess ngt placement.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. an opacity projecting over the lower thoracic spine does not have a definite correlate on frontal view, and is likely due to a combination of respiratory motion artifact and overlapping bony structures...
cough and fever. evaluate for pneumonia.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding chest examination of <unk>. heart size is normal. relatively wide mediastinal and cardiac contours are compatible with previously on ct documented mediastinal lipomatosis. access...
<unk>-year-old male patient with cough, assess for abnormality.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormality suspected.
<unk>-year-old female with cough.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. partially imaged is surgical hardware in the lumbar spine which is not well evaluated on this study.
shortness of breath.
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a single lead icd with lead terminates at the right ventricle, similar in position to prior. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>m with aicd - ?fire // evaluate bleed.
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. unchanged position of right subclavian central line.
<unk> year old woman with newly diagnosed aml p/w worsening cough // please evaluate for any acute processes
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frontal and lateral views of the chest were obtained. the heart is of normal size. the descending aorta is tortuous. the mediastinum is not widened. the pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. the osseous structures are unrema...
<unk>-year-old male with left-sided chest pain. evaluate for widening of the mediastinum or pneumonia.
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two frontal images of the chest demonstrate well-expanded lungs with no evidence of pneumothorax or pleural effusion. interval chest tube placement noted. there is no elevation in either hemidiaphragm. previously identified mass in the right lower lobe is no longer visible, status post lobectomy. there appears to be no...
<unk>-year-old male status post right lower lobe lobectomy.
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the lungs are clear without a consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. cervical fusion hardware is partially imaged, and unchanged from the prior exam.
chest pain. evaluate for pneumonia.
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stable severe consolidation left lower lobe could be collapse or pneumonia. right lower lobe atelectasis is unchanged. upper lungs clear. improve moderate cardiac enlargement. no pulmonary edema. pleural effusions are small if any. right jugular sheath is sharply folded in the neck and could be occluded. bilateral pneu...
<unk> year old man with s/p cabg // eval for ptx on nimv
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the heart size is normal. hilar and mediastinal contours are normal. the lungs are well-expanded and clear. there is no pneumothorax or pleural effusion. the visualized osseous structures are unremarkable.
<unk>-year-old female with history of cough who presents for evaluation.
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in comparison with the study of <unk>, there are again increased interstitial markings at both bases. this would be consistent with fibrosing nsip related to the patient's scleroderma. there is a nodular opacification seen on the lateral view overlying the anterior aspect of the cardiac silhouette. this appears to be s...
shortness of breath and scleroderma, to assess for fibrosis.
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ap and lateral views of the chest are compared to previous exam from <unk>. lower lung volumes seen on the current exam. bibasilar opacities are seen suggestive of atelectasis. the lungs are otherwise clear. cardiomediastinal silhouette is grossly unchanged given differences in positioning and technique. osseous and so...
<unk>-year-old female with cough. question pneumonia.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is slight loss of height in several upper thoracic spine vertebral bodies, which is unchanged from prior exam. mild to moderate degenerative changes are noted throughout th...
concern for aspiration. evaluate 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.
<unk> year old woman with wbc elevated to <unk>.<num>, ldh elevated to <num>, and several month history of drenching sweats. // please assess for signs of malignancy or infection.
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there is no focal consolidation, pleural effusion or pneumothorax. incidental note is made of a right azygos fissure. the cardiomediastinal silhouette is normal. imaged upper abdomen is unremarkable. the bones are unremarkable.
<unk>-year-old female with productive cough for <num> weeks and dyspnea with tobacco use. rales in the right lower lung.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with pre-syncope, pls eval for pna vs edema // history: <unk>m with pre-syncope, pls eval for pna vs edema
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there are patchy opacities in the left lower lobe suggestive of pneumonia in the appropriate setting, including a nodular component of opacification. a nipple shadow projects over the left lower hemithorax. ...
left shoulder pain and fever.
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the heart is normal in size. there are chunky calcified lymph nodes in the central mediastinum as well as two small calcified granulomas projecting over the left mid lung. a very small calcified granuloma is also noted at the left lung apex and there is potentially one or more tiny calcified nodules in the right upper ...
chest pain.
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portable semi supine radiograph of the chest demonstrates hyperexpanded lungs. persistent opacification of the right lower lung and retrocardiac space likely represents pneumonia. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. there is a probable small right-sided pleural effusion. th...
<unk> year old woman with reintubation/respiratory failure // eval interval change
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compared to most recent prior exam, there has been partial improvement in left mid to lower lung opacities. the lungs are persistently hyperinflated. no pleural effusion or pneumothorax is detected. heart and mediastinal contours are stable.
<unk>-year-old female with <num> day of chest pain radiating to the left arm.
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the cardiac, mediastinal and hilar contours are normal. blunting of the costophrenic angle on the right may suggest a trace right pleural effusion. no focal consolidation or pneumothorax is identified. <num> mm nodular opacity is seen projecting over the left mid lung field and left <unk> posterior rib. remote left-sid...
altered mental status. hypoglycemia.
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lung volumes are extremely low, resulting in bronchovascular crowding. bibasilar opacities are consistent with a combination of pleural effusion and compressive atelectasis. the heart is enlarged. streaky opacity in the left mid lung is most consistent with atelectasis. no pneumothorax.
history: <unk>f with sob // pna?
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pa and lateral views of the chest provided. midline sternotomy wires and prosthetic cardiac valve are again noted. a coronary artery stent is noted. tiny clips are noted in the right upper chest wall. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is no...
<unk>f with history of cad s/p cabg presenting with dyspnea on exertion // pulmary edema?
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there is increased interstitial markings at the bases and probable small bilateral effusions. there is an area of hazy increased opacity in the right mid lung that could represent an area of volume loss or early infiltrate. this is worse in appearance compared to the study from <num> days prior. otherwise no see substa...
<unk> year old woman with c.diff and copd. new o<num> requirement // follow-up on previous apical ptx
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the tip of the right picc line is again not clearly seen but likely extends to the mid svc. the right transjugular swan-ganz catheter is unchanged in position, fixed in a right lower lobe pulmonary artery. a left chest wall biventricular pacemaker is present. there is a persisting small right apical pneumothorax. the s...
<unk> year old man with new picc/pa catheter placed with ?apical pneumothorax. // please evaluate interval change of apical ptx.
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ett in situ with the tip <num> mm proximal to the carina. ng tube in situ, but courses out of sight inferiorly. right-sided ijv sheath in situ with the tip in the proximal svc. the cardiomediastinal shadow is unchanged. interval improvement in lung aeration. residual bilateral pleural effusions (left larger than right)...
<unk> year old man s/p abdominal closure // eval for ett position, pneumothorax s/p abdominal closure
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lung volumes are low. cardiac, mediastinal and hilar contours are unchanged from the recent chest ct allowing for differences in technique. pulmonary vasculature is not engorged. focal opacity within the left lower lobe partially reflects the known cavitary mass seen on the previous ct, with probable superimposed infec...
history: <unk>f with history of lung cancer presents with anemia, general weakness
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the tip of the endotracheal tube is approximately <num> cm from the carina. there is slight interval aeration of the left upper lobe with continued collapse of the left lower lobe. atelectasis at the right lung base has increased. evaluation of the heart is obscured.
lung collapse status post intubation, for bronchoscopy. evaluate for endotracheal tube placement.
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pa and lateral radiographs were obtained. the lungs are well inflated. there is a <num> cm density projecting over the head of the left clavicle. there is no consolidation, effusion or pneumothorax. cardiac and mediastinal contours are normal.
severe cough. purulent sputum and chills.
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left apical pneumothorax is well seen which could reflect resolution. moderate-to-large right pleural effusion, associated atelectasis and post-radiation changes are unchanged. calcified nodes and cardiomediastinal contours are unchanged. severe degenerative changes in the shoulders bilaterally are unchanged.
<unk>-year-old woman with bilateral breast cancer, thyroid cancer, non-hodgkin's lymphoma, pulmonary fibrosis, status post radiation therapy, and asthma; admitted for tachycardia and respiratory distress s/p thoracentesis, assess for worsening pneumothorax.
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there is unchanged persistent elevation of the left hemidiaphragm. there is left basilar atelectasis, but no focal consolidations. the pulmonary vasculature is normal. the cardio mediastinal silhouette is stable. there is no pleural effusion. there is no pneumothorax.
<unk> year old man with cough // rule out pneumonia
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patient has a known dual-chamber pacemaker. the atrial and ventricular leads are unchanged in position since <unk>. the right pleural effusion is slightly larger with associated minor fissural thickening. no changes in the left lung. known scarring of the right lung base. the heart is enlarged. no acute osseous abnorma...
<unk> year old woman s/p lv lead revision. ? lead has moved since yesterday // <unk> year old woman s/p lv lead revision. ? lead has moved since yesterday
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interval removal of lines, tubes. no pneumothorax. sternotomy. shallow inspiration. mild right basilar opacity, likely atelectasis. linear lingular atelectasis. tiny left pleural effusion or thickening, similar. mild gastric distention.
<unk> year old man with removal of chest tubes // eval for ptx
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median sternotomy wires appear intact. a left chest wall pacer-defibrillator has leads terminating in the right atrium and right ventricle. numerous surgical clips project over the anterior mediastinum from prior coronary artery bypass. lung volumes are slightly low similar to the prior study. previous pulmonary edema ...
chest pain. evaluate for pneumonia or pneumothorax.
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lung volumes are slightly lower than on the prior study. there is patchy alveolar infiltrate bilaterally, pulmonary vascular redistribution, and perihilar haze. heart size is also mildly enlarged
decompensated cirrhosis fever.
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heart size is top normal and unchanged. mediastinal and hilar contours are normal. lungs are clear. the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
chest pain.
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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 chest pain and shortness of breath // eval for pneumonia, chf
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the lungs are clear. the aorta is mildly tortuous, but the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
cough on immunosuppressive medication.
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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. aortic calcifications are present. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. numerous surgical metallic clips are present in the lower cervical soft tissues. no free abdominal air or calcific density forei...
<unk>-year-old female with epigastric pain and sensation in throat.
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right-sided subclavian central venous catheter tip terminates at the cavoatrial junction. the heart remains mildly enlarged. the aorta is tortuous. the hilar contours are unremarkable. mild elevation of the right hemidiaphragm contour is unchanged. there is minimal right basilar atelectasis. lungs are otherwise grossly...
rhonchi within the left lung.